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

Sexually Transmitted Infection Disparities and Social Determinants of Health in California, 2013‒2021.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-06 DOI: 10.2105/AJPH.2024.307963

Esther E Gotlieb, Nicole O Burghardt, Jiawen Hu, Kathleen Jacobson, Robert E Snyder

{"title":"Sexually Transmitted Infection Disparities and Social Determinants of Health in California, 2013‒2021.","authors":"Esther E Gotlieb, Nicole O Burghardt, Jiawen Hu, Kathleen Jacobson, Robert E Snyder","doi":"10.2105/AJPH.2024.307963","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307963","url":null,"abstract":"Objectives. To characterize the intersection of social determinants of health, measured as the availability of community opportunities for healthy living, and sexually transmitted infections (STIs) in California. Methods. Geocoded 2013-2021 California bacterial STI cases were aggregated into Healthy Places Index (HPI) quartiles. Communities in the lowest scoring HPI quartile have the fewest opportunities for healthy living, while communities in the highest scoring quartile have the most opportunities. Results. As community opportunities became more available, bacterial STI risk decreased. Asian people had the lowest bacterial STI rates, while Black/African American people had the highest. As community opportunities increased, White people had the largest overall STI risk reduction, Native Hawaiian and other Pacific Islander people had the smallest reduction, Hispanic/Latino people had equivalent gonorrhea and early syphilis risk, and American Indian/Alaska Native people had equivalent chlamydia risk. Conclusions. Although STI incidence decreased as community opportunities increased, people of different racial and ethnic identities were differentially affected. Because the availability of community opportunities is not enough to mitigate racial health disparities, more work is needed to ensure community-level STI prevention efforts are accessible and inclusive. (Am J Public Health. Published online ahead of print March 6, 2025:e1-e9. https://doi.org/10.2105/AJPH.2024.307963).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e9"},"PeriodicalIF":9.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571870","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

Occupational Determinants of Health and Well-Being for Indigenous Populations in the United States: Findings From the National Health Interview Survey, 2020-2022.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-06 DOI: 10.2105/AJPH.2024.307959

Brett Shannon, Courtney Ryder, Chibuzor Abasilim, Kirsten S Almberg, Tessa Bonney, Linda Forst, Lee S Friedman

{"title":"Occupational Determinants of Health and Well-Being for Indigenous Populations in the United States: Findings From the National Health Interview Survey, 2020-2022.","authors":"Brett Shannon, Courtney Ryder, Chibuzor Abasilim, Kirsten S Almberg, Tessa Bonney, Linda Forst, Lee S Friedman","doi":"10.2105/AJPH.2024.307959","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307959","url":null,"abstract":"Objectives. To characterize occupational determinants of health and well-being for American Indian/Alaska Native (AIAN) populations in the United States using a nationally representative data set. Methods. We conducted a descriptive analysis and multivariable logistic regression using National Health Interview Survey data (2020-2022) to compare demographic and work characteristics across 3 groups of AIAN individuals: non-Hispanic (n = 558), Hispanic (n = 304), and those with at least 1 other racial identity (n = 653). The total unweighted sample was 88 701. Results. The 3 subgroups portrayed contrasting profiles by urbanicity, employment, region, and immigrant status. Specific groups had significantly lower odds of working and participating in the labor force and were more likely to have a family income below 200% of the poverty line, adjusting for age, education, and sex. Conclusions. Differences among the groups highlight the need for future health research to account for cultural, social, spiritual, mental, and physical health factors across Indigenous nations. Expanding beyond broad AIAN classifications could improve the specificity of occupational health research. Public Health Implications. The current definitions of Indigenous groups proposed by the US government directly impedes appropriate public health analysis to inform future work to address ongoing social, structural, and health disparities owing to colonization. (Am J Public Health. Published online ahead of print March 6, 2025:e1-e11. https://doi.org/10.2105/AJPH.2024.307959).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e11"},"PeriodicalIF":9.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571867","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

Impacts of State COVID-19 Vaccine Mandates for Health Care Workers on Health Sector Employment in the United States.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-01 Epub Date: 2025-01-23 DOI: 10.2105/AJPH.2024.307906

Yin Wang, Kevin Callison, Julie H Hernandez, Charles Stoecker

{"title":"Impacts of State COVID-19 Vaccine Mandates for Health Care Workers on Health Sector Employment in the United States.","authors":"Yin Wang, Kevin Callison, Julie H Hernandez, Charles Stoecker","doi":"10.2105/AJPH.2024.307906","DOIUrl":"10.2105/AJPH.2024.307906","url":null,"abstract":"Objectives. To assess the impact of state COVID-19 vaccine mandates for health care workers (HCWs) on health sector employment in the United States. Methods. Using monthly state-level employment data from the Quarterly Census of Employment and Wages between January and October 2021, we employed a partially pooled synthetic control method that accounted for staggered mandate adoption and heterogeneous treatment effects. We conducted analyses separately for the 4 health care subsectors-ambulatory health care services, hospitals, nursing and residential care, and social assistance-with an additional analysis of 2 industry groups-skilled nursing care and community care for the elderly-under the nursing and residential care subsector. We further explored possible heterogeneous impacts according to the test-out option availability. Results. Mandate impact estimates were statistically indistinguishable from zero. Results further ruled out a mandate-associated decrease in employment larger than 2.1% of premandate employment levels for the 6 health care domains examined and for states with no test-out option. Conclusions. State COVID-19 vaccine mandates for HCWs were not found to be associated with significant adverse impacts on health sector employment even in states without a testing alternative to vaccination. The findings support vaccine mandates as a viable preventive measure without material disruption to the health care workforce, including in times of public health emergencies. (Am J Public Health. 2025;115(3):344-348. https://doi.org/10.2105/AJPH.2024.307906).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"344-348"},"PeriodicalIF":9.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027879","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

Racial and Ethnic Representation of the Local Public Health Workforce. 地方公共卫生工作人员的种族和民族代表性。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-01 Epub Date: 2024-12-19 DOI: 10.2105/AJPH.2024.307903

Casey P Balio, Haleigh Leslie, Michael B Meit

{"title":"Racial and Ethnic Representation of the Local Public Health Workforce.","authors":"Casey P Balio, Haleigh Leslie, Michael B Meit","doi":"10.2105/AJPH.2024.307903","DOIUrl":"10.2105/AJPH.2024.307903","url":null,"abstract":"Objectives. To describe racial and ethnic representativeness of the local health department (LHD) workforce compared with the populations served. Methods. In this study, we used a cross-sectional design of the 2021 Public Health Workforce Interests and Needs Survey, 2019 National Association of County and City Health Officials Profile data, and other sources to estimate the racial and ethnic representativeness of LHD workforce. We calculated representativeness as a binary measure of at least representative of the populations served for each race and ethnicity group. We present bivariate analyses comparing LHD representativeness by region and rurality, and multivariate analyses to estimate the associations between representativeness, agency, and jurisdiction characteristics. This study was conducted in Tennessee in 2023. Results. Sixty percent of LHDs in the sample were at least representative of the Black, Indigenous, and People of Color populations they serve. For most race and ethnicity groups, urban-serving LHDs were more representative of the populations they serve than rural-serving LHDs. Conclusions. Racial and ethnic representativeness of the LHD workforce varies by rurality, region, and race or ethnicity. These findings may help inform training, recruitment, and retention efforts in public health. (Am J Public Health. 2025;115(3):333-343. https://doi.org/10.2105/AJPH.2024.307903).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"333-343"},"PeriodicalIF":9.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862991","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

Changes in Contraceptive Services During Utah's Family Planning Elevated Contraceptive Access Initiative: A Prospective Assessment of Intervention and Control Sites.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-01 DOI: 10.2105/AJPH.2024.307917

Rebecca G Simmons, Alexandra Gero, Gentry Carter, Jessica N Sanders, Caitlin Quade, Jami Baayd, Madeline Mullholand, Sarah Elliott, Kyl Myers, Erica Torres, Justin D Smith, David K Turok

{"title":"Changes in Contraceptive Services During Utah's Family Planning Elevated Contraceptive Access Initiative: A Prospective Assessment of Intervention and Control Sites.","authors":"Rebecca G Simmons, Alexandra Gero, Gentry Carter, Jessica N Sanders, Caitlin Quade, Jami Baayd, Madeline Mullholand, Sarah Elliott, Kyl Myers, Erica Torres, Justin D Smith, David K Turok","doi":"10.2105/AJPH.2024.307917","DOIUrl":"10.2105/AJPH.2024.307917","url":null,"abstract":"Objectives. To assess contraceptive service changes during the Family Planning Elevated (FPE) Contraceptive Access Program in Utah clinics from 2018 to 2023. Methods. We assessed de-identified electronic health record data on female clients aged 18 to 50 years from intervention and matched control sites. We used comparative interrupted time series analyses comparing total number of contraceptive services and their proportion relative to visits between intervention and control sites before, during, and after FPE. Results. Intervention sites provided on average 1.76 (95% confidence interval [CI] = 1.17, 2.66) times as many contraceptive services per month as controls during the 24-month intervention period, with no significant decreases in services noted in the postintervention period. The proportions of total visits related to family planning decreased by a factor of 0.70 (95% CI = 0.52, 0.94) during the intervention period. However, this effect was mitigated at intervention sites where proportions of contraceptive services were 1.44 (95% CI = 0.97, 2.14) times greater than control sites and did not significantly decrease after the intervention. Conclusions. Contraceptive access initiatives have capacity to make meaningful change in communities where they are employed, even after they end. (Am J Public Health. 2025;115(3):387-396. https://doi.org/10.2105/AJPH.2024.307917).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"115 3","pages":"387-396"},"PeriodicalIF":9.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405212","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

Four Distinct Dimensions Through Which Government Actions May Affect Health Insurance Coverage.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-01 DOI: 10.2105/AJPH.2024.308002

Sherry Glied

引用次数: 0

Speaking Truth to Power: Making Optimal Health a Top National Priority.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-01 DOI: 10.2105/AJPH.2024.307996

Georges C Benjamin

引用次数: 0

Subscription Form.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-01 DOI: 10.2105/AJPH.2025.115.3.440

引用次数: 0

Wide Awake: The Movement for Health Equity Continues.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-01 DOI: 10.2105/AJPH.2024.307991

Daniel E Dawes

引用次数: 0

Medical Care or Deportation: Examining Interior Border Checkpoints and Access to Higher-Level Medical Care for Undocumented Immigrants in South Texas.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-01 Epub Date: 2025-01-23 DOI: 10.2105/AJPH.2024.307927

Christine Crudo Blackburn, Mayra Rico, Jessica Hernandez, Miryoung Lee

引用次数: 0