American journal of public health最新文献_第8页

Mastheads. 报头。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-04-01 DOI: 10.2105/AJPH.2025.115.S1.S1-S2

引用次数: 0

Beyond Survival: Harnessing Sustainability Frameworks to Assess and Support Programs Implementing Bundled Interventions for Black Women With HIV. 超越生存：利用可持续性框架评估和支持为感染艾滋病毒的黑人妇女实施捆绑干预的项目。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-04-01 DOI: 10.2105/AJPH.2024.307790

Angela Wangari Walter, Melanie Rocco, Judith C Scott, Ashley Carhee, Vanessa Ayafor, Rahab Goodwin, Shakeila A Lewis-Chery, Alicia Downes, LaShonda Y Spencer, Linda Sprague Martinez

{"title":"Beyond Survival: Harnessing Sustainability Frameworks to Assess and Support Programs Implementing Bundled Interventions for Black Women With HIV.","authors":"Angela Wangari Walter, Melanie Rocco, Judith C Scott, Ashley Carhee, Vanessa Ayafor, Rahab Goodwin, Shakeila A Lewis-Chery, Alicia Downes, LaShonda Y Spencer, Linda Sprague Martinez","doi":"10.2105/AJPH.2024.307790","DOIUrl":"10.2105/AJPH.2024.307790","url":null,"abstract":"Objectives. To evaluate the sustainability of bundled interventions aimed at expanding the delivery and utilization of HIV care and treatment services, tackling socio cultural health determinants, and improving health outcomes for Black women with HIV. Methods. We used quantitative data from the Program Sustainability Assessment Tool (PSAT) to examine sustainability capacity across sites in the United States. Qualitative data from monthly call forms completed by site staff (n = 199), annual site visit reports (n = 24), and one-on-one key informant interviews (n = 76) informed organizational and contextual factors influencing sustainability capacity. Results. A total of 59 stakeholders completed the PSAT. The initiative's overall sustainability score was high (mean = 5.1; range = 3.8-6.6), with sites reporting favorably on program adaptation (mean = 5.8; range = 4.4-6.8), program evaluation (mean = 5.6; range = 3.9-7.0), and organizational capacity (mean = 5.6; range = 3.8-7.0) domains. Adaptability and responsiveness to client needs and sociopolitical contexts were determined valuable; establishing an evaluation infrastructure, capacity to integrate Black Women First (BWF) initiative activities within organizational operations, and environmental support facilitated sustainability. Conclusions. Interventions for Black women with HIV can be sustained and should be pursued and embedded consistently in community and health service organizations. (Am J Public Health. 2025;115(S1):S28-S37. https://doi.org/10.2105/AJPH.2024.307790).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"115 S1","pages":"S28-S37"},"PeriodicalIF":9.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143727480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Children's Insurance Stability and Coverage Inequities During the COVID-19 Continuous Coverage Provisions. 在 COVID-19 持续参保条款期间儿童保险的稳定性和参保不平等。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-27 DOI: 10.2105/AJPH.2024.307900

Erica L Eliason, Aditi Vasan, Daniel B Nelson

{"title":"Children's Insurance Stability and Coverage Inequities During the COVID-19 Continuous Coverage Provisions.","authors":"Erica L Eliason, Aditi Vasan, Daniel B Nelson","doi":"10.2105/AJPH.2024.307900","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307900","url":null,"abstract":"Objectives. To explore the association between the March 2020 Families First Coronavirus Response Act (FFCRA) Medicaid disenrollment freeze during the COVID-19 public health emergency (PHE) and children's insurance coverage by family income, race/ethnicity, and language. Methods. We used 2015 to 2021 US Medical Expenditure Panel Survey data, comparing monthly coverage for publicly insured children before (2015-2019) and during (2020-2021) the PHE. Outcomes included continuous public coverage, private coverage, no coverage, total months of public coverage, and total number of uninsured months. We estimated weighted multivariable linear regression models with a PHE period indicator. Results. The PHE was associated with an increase in continuous public coverage among children of 4.2% percentage points, reduced transitions to private coverage (-2.3 percentage points) and no insurance (-1.9 percentage points), and increases in months of public coverage. The largest continuous public coverage improvements were among children from families with incomes between 200% and 399% of the federal poverty level (FPL), non-Hispanic White children, and Hispanic children. Conclusions. The FFCRA improved children's public coverage continuity, particularly among children from families with incomes between 200% and 399% of the FPL, non-Hispanic White children, and Hispanic children, who may face coverage loss with disenrollment resuming. (Am J Public Health. Published online ahead of print March 27, 2025:e1-e10. https://doi.org/10.2105/AJPH.2024.307900).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e10"},"PeriodicalIF":9.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143727478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Community Health Worker Influence on COVID-19 Vaccine Uptake in New York City, 2021‒2022. 2021-2022 年社区保健员对纽约市 COVID-19 疫苗接种率的影响。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-27 DOI: 10.2105/AJPH.2025.308039

Maureen Miller, Brian G Weiss, Zoe M Sakas, Korin E Parrella, Farha Islam, Julian L Watkins

{"title":"Community Health Worker Influence on COVID-19 Vaccine Uptake in New York City, 2021‒2022.","authors":"Maureen Miller, Brian G Weiss, Zoe M Sakas, Korin E Parrella, Farha Islam, Julian L Watkins","doi":"10.2105/AJPH.2025.308039","DOIUrl":"https://doi.org/10.2105/AJPH.2025.308039","url":null,"abstract":"Objectives. To evaluate a community health worker (CHW) intervention to decrease COVID-19 vaccine uptake disparities in historically disinvested communities of color. Methods. The New York City Health Department partnered with community-based organizations that served 75 zip code‒defined communities targeted for rapid response intervention. Analyses used community demographic and COVID-19 vaccine uptake data. Linear regression models evaluated high and low CHW outreach on community vaccine uptake between July 1, 2021, and June 30, 2022. Results. Of 75 communities, 65 (85%) experienced high CHW outreach, which prioritized trauma-informed engagement with 4.2 million Black and Latino community residents. On average, residents were 70% Black and Latino. Significant differences existed between high and low outreach communities for baseline community COVID-19 vaccine uptake (44% vs 59%; P < .001). CHWs provided vaccine information to community residents 18 million times and increased community vaccine uptake from 44% to 76% (P < .001) in 1 year. Conclusions. This research expands the body of evidence documenting the essential role played by CHWs to change population health behaviors. Public Health Implications. Response readiness during public health crises relies on pre-established trust. When this is lacking, CHW outreach can bridge the gap. (Am J Public Health. Published online ahead of print March 27, 2025:e1-e10. https://doi.org/10.2105/AJPH.2025.308039).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e10"},"PeriodicalIF":9.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143727479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enumeration 2024: What We Know and What We Wish We Knew About the Governmental Public Health Workforce in a COVID-19 Recovery Landscape. 2024 年人口统计：我们所知道的和我们希望知道的关于 COVID-19 恢复形势下政府公共卫生人员队伍的情况。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-20 DOI: 10.2105/AJPH.2024.307960

Jonathon P Leider, Casey P Balio, Rachel Hogg-Graham, Nicole M Weiss, Abby Vogel, Sezen O Onal, Xiao Zang, Paula Kett, Joyce Edmonds, Harshada Karnik, Nathan Dockery, Bibin Joseph, Morgan Pak, Amy Belflower Thomas, Betty Bekemeier

{"title":"Enumeration 2024: What We Know and What We Wish We Knew About the Governmental Public Health Workforce in a COVID-19 Recovery Landscape.","authors":"Jonathon P Leider, Casey P Balio, Rachel Hogg-Graham, Nicole M Weiss, Abby Vogel, Sezen O Onal, Xiao Zang, Paula Kett, Joyce Edmonds, Harshada Karnik, Nathan Dockery, Bibin Joseph, Morgan Pak, Amy Belflower Thomas, Betty Bekemeier","doi":"10.2105/AJPH.2024.307960","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307960","url":null,"abstract":"Objectives. To expand on previous enumerations by assessing the size and composition of the governmental public health workforce in the wake of the COVID-19 pandemic, identifying workforce trends, occupational distributions, and potential gaps in staffing. Methods. From 2023 to 2024, using 2022 data in the United States, we conducted 3 distinct analyses: (1) estimating the total workforce size, (2) profiling occupation-specific distributions, and (3) evaluating the role and prevalence of public health nurses using novel data sources. For total counts, we used multiple imputation by chained equations to develop robust agency-level estimates and address missingness from multiple data sets. Results. State and local public health agencies grew to approximately 239 000 staff in 2022, up from an estimated 206 500 in 2019. The largest occupation groups included office and administrative support workers (37 576) and public health or community health nurses (29 387). We found that 73 478 (1.8%) of registered nurses nationwide served in governmental public health roles. Conclusions. The size of the workforce during the COVID-19 response has returned to 2008 levels although temporary staff largely constitute the increase. Public Health Implications. An undersized workforce leaves the United States vulnerable to future disasters and current challenges. (Am J Public Health. Published online ahead of print March 20, 2025:e1-e9. https://doi.org/10.2105/AJPH.2024.307960).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e9"},"PeriodicalIF":9.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143668889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Going Places: An Active Transportation Intervention to Increase Youth Physical Activity, Durham, North Carolina, 2023-2024. Going Places：2023-2024 年，北卡罗来纳州达勒姆，"增加青少年体育活动的主动交通干预"。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-20 DOI: 10.2105/AJPH.2025.308012

Emily M D'Agostino, Cody D Neshteruk, Tang Li, Jeremiah Davis, Isa Granados, Advika Kumar, Jeffrey Forde, Christoph P Hornik

引用次数: 0

Polysubstance Use Profiles Among the General Adult Population, United States, 2022: A Latent Class Analysis. 2022年美国普通成年人多物质使用概况：潜在类别分析。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-20 DOI: 10.2105/AJPH.2024.307979

Karilynn M Rockhill, Joshua C Black, Janetta Iwanicki, Alison Abraham

{"title":"Polysubstance Use Profiles Among the General Adult Population, United States, 2022: A Latent Class Analysis.","authors":"Karilynn M Rockhill, Joshua C Black, Janetta Iwanicki, Alison Abraham","doi":"10.2105/AJPH.2024.307979","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307979","url":null,"abstract":"Objectives. To characterize present-day polysubstance use patterns in the general adult population. Methods. From a 2022 nationally representative survey in the United States, we defined polysubstance use as last 12-month use of 2 or more drugs (n = 15 800). Latent class analyses included medical (as indicated) and nonmedical (not as directed) use of prescription opioids, stimulants, benzodiazepines, and antidepressants; recreational use of cannabis, psilocybin or mushrooms, other psychedelics, cocaine, methamphetamine, and illicit opioids; and concomitant use with alcohol, cannabis, prescriptions, or recreational drugs. Results. The national prevalence of polysubstance use was 20.9% (95% confidence interval = 20.5%, 21.3%), broken down into the following 4 latent classes: (1) medically guided polysubstance use (11.5% prevalence, 6.1% substance use disorder [SUD]): prescribed drug use, some cannabis, and no concomitant use; (2) principal cannabis use variety (4.0% prevalence, 31.9% SUD): high probability of cannabis use with various drugs concomitantly used; (3) self-guided polysubstance use (3.4% prevalence, 14.5% SUD): nonmedical use of prescriptions and concomitant use; and (4) indiscriminate coexposures (2.1% prevalence, 58.9% SUD): concomitant drug use with indiscriminate drug preference. Conclusions. Different polysubstance profiles show adults with untreated SUDs, and there are 2 previously unrecognized classes. Prevention and treatment strategies addressing polysubstance use should take a personalized perspective and tailor to individuals' use profile. (Am J Public Health. Published online ahead of print March 20, 2025:e1-e11. https://doi.org/10.2105/AJPH.2024.307979).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e11"},"PeriodicalIF":9.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143668892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How and Why Does Redlining Matter for Present-Day Health? Critical Perspectives on Causality, Cartography, and Capitalism. 如何以及为什么对当今的健康有影响？对因果关系、制图和资本主义的批判观点。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-13 DOI: 10.2105/AJPH.2024.308000

Carolyn Swope, Scott Markley, Shannon Whittaker, Amy Hillier

{"title":"How and Why Does Redlining Matter for Present-Day Health? Critical Perspectives on Causality, Cartography, and Capitalism.","authors":"Carolyn Swope, Scott Markley, Shannon Whittaker, Amy Hillier","doi":"10.2105/AJPH.2024.308000","DOIUrl":"https://doi.org/10.2105/AJPH.2024.308000","url":null,"abstract":"Recent years have seen an explosion of public health research on associations between historical redlining maps created by a US government agency, the Home Owners' Loan Corporation (HOLC), and present-day outcomes. Yet precisely how and why HOLC's surveys help us understand the underpinnings of present-day racial inequities remains unclear. We apply an interdisciplinary perspective to assess the contributions and limitations of this literature, particularly with regard to causal mechanisms and theoretical explanations. While research often frames HOLC redlining as a measure of structural racism that directly shapes present-day outcomes, we look instead to racial capitalism to understand how and why racialized housing policies are implemented. We argue that the HOLC maps represent symptoms, not causes, of systematic disinvestment in Black communities, that redlining was not produced by the federal government in isolation but was shaped by public‒private collaboration and infused with capitalist logics, and that redlining interacted with many other forms of racialized housing dispossession to shape present-day riskscapes. We conclude by offering conceptual and methodological recommendations for public health researchers, including suggestions for data sources other than HOLC maps. (Am J Public Health. Published online ahead of print March 13, 2025:e1-e11. https://doi.org/10.2105/AJPH.2024.308000).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e11"},"PeriodicalIF":9.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

AJPH and the Threat of Political Interference in Scientific Publishing. AJPH与政治干预科学出版的威胁。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-13 DOI: 10.2105/AJPH.2025.308100

Alfredo Morabia

引用次数: 0

Behavioral Interventions for Increasing Seat Belt Use and Decreasing Distracted Driving Using Telematics: A National Randomized Trial. 使用远程信息处理增加安全带使用和减少分心驾驶的行为干预：一项全国随机试验。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-13 DOI: 10.2105/AJPH.2024.307980

Jeffrey P Ebert, Ruiqi Yan, Sadie Friday, Dylan Small, Catherine C McDonald, Kelsey Bartolozzi, M Kit Delgado

{"title":"Behavioral Interventions for Increasing Seat Belt Use and Decreasing Distracted Driving Using Telematics: A National Randomized Trial.","authors":"Jeffrey P Ebert, Ruiqi Yan, Sadie Friday, Dylan Small, Catherine C McDonald, Kelsey Bartolozzi, M Kit Delgado","doi":"10.2105/AJPH.2024.307980","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307980","url":null,"abstract":"Objectives. To test low-cost, scalable interventions designed to encourage seat belt use (primary outcome) and discourage handheld phone use while driving. Methods. A randomized controlled trial assigned 1139 consenting General Motors‒connected vehicle customers in the United States to 1 of 4 groups for a 10-week intervention: (1) control, (2) behavioral engagement, (3) behavioral engagement plus raffle, and (4) behavioral engagement plus shared pot. Behavioral engagement involved education, personalized tips, a \"wish outcome obstacle plan\" exercise, and weekly feedback about buckling and handheld-free streaks. Participants in the behavioral engagement plus raffle group also earned a chance at a $125 prize each week they had a buckling or handheld-free streak. Those in the behavioral engagement plus shared pot group earned an equal share of this prize for each streak. The intervention was delivered virtually in spring 2023. Results. Participants in the behavioral engagement plus shared pot group had a higher buckling rate (91.3%) than those in the behavioral engagement plus raffle (89.5%), behavioral engagement (89.4%), or control (88.3%) groups-differences that remained significant at follow-up. Handheld phone use did not differ significantly. Conclusions. A behavioral intervention with a shared pot incentive could be delivered at scale to reduce injuries and deaths associated with vehicular crashes. Trial Registration. ClinicalTrials.gov identifier: NCT05469477. (Am J Public Health. Published online ahead of print March 13, 2025:e1-e11. https://doi.org/10.2105/AJPH.2024.307980).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e11"},"PeriodicalIF":9.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0