Angela W Chen, Taryn L Amberson, Harriet Fridah Adhiambo, Bradley H Wagenaar
{"title":"Effects of Medicaid Expansion on HPV Vaccination Uptake Among Adolescents in the United States: Difference-in-Differences Analyses From 2011 to 2022.","authors":"Angela W Chen, Taryn L Amberson, Harriet Fridah Adhiambo, Bradley H Wagenaar","doi":"10.2105/AJPH.2025.308165","DOIUrl":"10.2105/AJPH.2025.308165","url":null,"abstract":"<p><p><b>Objectives.</b> To determine if Medicaid expansion was associated with increased human papillomavirus (HPV) vaccination among adolescents in the United States. <b>Methods.</b> We conducted a quasi-experimental study using generalized difference-in-differences on National Immunization Survey‒Teen data from 2011 to 2022 among adolescents aged 13 to 17 years, comparing HPV vaccination in Medicaid expansion states to nonexpansion states by sex and race/ethnicity subgroups. <b>Results.</b> There was a significant 10.1-percentage-point increase in HPV vaccination among male adolescents in expansion states (95% confidence interval [CI] = 8.9, 12.4; <i>P</i> < .001). Significant increases in HPV vaccination were observed among all male racial subgroups, with largest effects among Black, Latino, and other or multiple races. No effect was observed among female adolescents or any racial subgroup. <b>Conclusions.</b> Medicaid expansion was associated with significant increases in HPV vaccination among male adolescents, with no effects observed among female adolescents. All male race/ethnicity subgroups showed increases, with Black, Latino, and other or multiple race/ethnicity male adolescents having the largest effect. <b>Public Health Implications.</b> Medicaid expansion is an appropriate and effective policy for increasing HPV vaccination uptake for priority populations, including historically marginalized racial/ethnic groups and male adolescents. (<i>Am J Public Health</i>. 2025;115(9):1454-1462. https://doi.org/10.2105/AJPH.2025.308165).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1454-1462"},"PeriodicalIF":9.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504507","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}
Donte T Boyd,Myles I Durkee,Deon W Brown,Andrea S Constant
{"title":"Authenticity, Racial Discrimination, Depression, and Suicidal Ideation Among Young Black Men, United States, 2024.","authors":"Donte T Boyd,Myles I Durkee,Deon W Brown,Andrea S Constant","doi":"10.2105/ajph.2025.308148","DOIUrl":"https://doi.org/10.2105/ajph.2025.308148","url":null,"abstract":"Objectives. To examine how perceived authenticity may buffer the impact of racial discrimination on depressive symptoms and suicidal ideation among young Black/African American men. Methods. In 2024, we collected data online in the United States using Qualtrics. Participants were 350 Black men aged 18 to 24 years (mean = 21.49; SD = 1.96), most of whom identified as heterosexual or straight and had completed a high school diploma or general equivalency diploma. We measured suicidal ideation, depressive symptoms, racial discrimination, and perceived authenticity through self-report questionnaires. Results. Authenticity reduced suicidal ideation (b = -0.24; P < .001) and depressive symptoms (b = -0.22; P < .001). An interaction effect emerged for suicidal ideation (b = -0.09; P = .045) but not depressive symptoms (b = 0.02; P = .58). Conclusions. Perceived authenticity served as a protective factor for young Black men. Public Health Implications. Practitioners may consider incorporating strategies to enhance perceived authenticity as part of interventions aimed at improving men's mental health. (Am J Public Health. 2025;115(9):1417-1425. https://doi.org/10.2105/AJPH.2025.308148).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"21 1","pages":"1417-1425"},"PeriodicalIF":12.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144792115","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}
{"title":"My Vision for <i>AJPH</i>.","authors":"Denys T Lau","doi":"10.2105/AJPH.2025.308238","DOIUrl":"10.2105/AJPH.2025.308238","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"115 9","pages":"1342-1343"},"PeriodicalIF":9.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793231","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}
{"title":"Political Polarization During Disease Outbreaks: A Meta-Analysis of Archival Survey Data From Polio to COVID-19.","authors":"Caitlin L McMurtry, Rachana Cheu","doi":"10.2105/AJPH.2025.308226","DOIUrl":"https://doi.org/10.2105/AJPH.2025.308226","url":null,"abstract":"<p><p><b>Objectives.</b> To assess how political polarization during COVID-19 compares with that in past disease outbreaks in the United States. <b>Methods.</b> Using random-effects meta-analyses and mixed-effects meta-regressions, we searched the Roper Center for Public Opinion Research and estimated the association between polarization during COVID-19 and during non-COVID-19 disease outbreaks. <b>Results.</b> The study included 170 polls spanning 13 outbreaks over nearly 70 years. Polarization during COVID-19 was 5 and 12 times greater than in past disease outbreaks in terms of concern about infection and vaccine hesitancy, respectively. After we controlled for survey-level characteristics, COVID-19 was associated with 20.23 (95% confidence interval [CI] = 12.30, 28.17) and 25.89 (95% CI = 6.63, 45.16) additional percentage points of polarization regarding concern about infection and vaccine hesitancy, respectively-far higher than historical trends would predict. <b>Conclusions.</b> In terms of concern about infection and vaccine hesitancy, polarization during COVID-19 was substantially higher than in any other disease outbreak in modern American history for which we have relevant data. <b>Public Health Implications.</b> High levels of polarization do not appear endemic to disease outbreaks, suggesting such division may be preventable in the future. (<i>Am J Public Health</i>. Published online ahead of print August 28, 2025:e1-e13. https://doi.org/10.2105/AJPH.2025.308226).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e13"},"PeriodicalIF":9.6,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938609","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}
Michaela R Anderson,Gordon Burtch,Brad N Greenwood
{"title":"Abortion Restrictions and Infant Mortality in the United States, 2018-2023.","authors":"Michaela R Anderson,Gordon Burtch,Brad N Greenwood","doi":"10.2105/ajph.2025.308228","DOIUrl":"https://doi.org/10.2105/ajph.2025.308228","url":null,"abstract":"Objectives. To evaluate the impact of state-level abortion restrictions enacted between 2018 and 2023 on infant mortality in the United States, comparing mortality trends across restricting and nonrestricting states. Methods. Using a difference-in-differences approach, we drew infant mortality data from the Centers for Disease Control and Prevention's WONDER (Wide-ranging Online Data for Epidemiologic Research) database and categorized deaths by age and cause, incorporating information on abortion restrictions and legal exceptions from the Center for Reproductive Rights and the Kaiser Family Foundation. We calculated estimates at the state-year level. Results. Infant mortality increased by 7.2% in restricting states. The increase is predominantly attributable to early (aged < 1 day) and late (aged 1 month to 1 year) infant deaths. Effects were largest for perinatal and noncongenital causes of death. Health exceptions did not significantly moderate the effects. Conclusions. Curtailing abortion access increases infant deaths. Fetal and maternal health exceptions do not moderate this effect. Excess deaths are not exclusively attributable to congenital abnormalities. Further work is needed to understand how restrictions contribute to late deaths and the long-term effects of infant deaths on families and communities. (Am J Public Health. Published online ahead of print August 21, 2025:e1-e8. https://doi.org/10.2105/AJPH.2025.308228).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"84 1","pages":"e1-e8"},"PeriodicalIF":12.7,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144930129","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}
{"title":"Improving Hypertension Control in Southern Arizona: A Collaboration Between Community Health Centers and Local Health Departments.","authors":"Lisa Soltani,Andrew Saal,Theresa Cullen","doi":"10.2105/ajph.2025.308196","DOIUrl":"https://doi.org/10.2105/ajph.2025.308196","url":null,"abstract":"Federally qualified health centers and local health departments in three Southern Arizona counties formed a partnership in 2023 to address unrecognized and undertreated high blood pressure in the region. By augmenting primary care infrastructure with the surveillance, communication, and policy functions of local health departments, the partnership seeks to improve population health outcomes by sharing clinical best practices, increasing community awareness, enhancing connections to primary care, and coordinating public health department strategic activities. (Am J Public Health. Published online ahead of print August 21, 2025:e1-e5. https://doi.org/10.2105/AJPH.2025.308196).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"60 1","pages":"e1-e5"},"PeriodicalIF":12.7,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144930127","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}
Kimberly M Nelson,Aaliyah Gray,Samantha Haiken,Kristen Underhill
{"title":"The State of Sexual Education: State Laws and Regulations Mandating Sexual Education in the United States.","authors":"Kimberly M Nelson,Aaliyah Gray,Samantha Haiken,Kristen Underhill","doi":"10.2105/ajph.2025.308199","DOIUrl":"https://doi.org/10.2105/ajph.2025.308199","url":null,"abstract":"Objectives. To assess state laws and regulations mandating sexual education in US public schools in 2025. Methods. We identified and analyzed state statutes, administrative regulations, and state court decisions that mandated sexual education in public schools in every US state and the District of Columbia. We coded content requirements, attributes (e.g., \"age-appropriate\"), and parental notice and consent policies. Results. Forty-two US states required sexual education in at least 1 content area in K‒12 public schools. Most required education to cover abstinence (34 states), HIV (34 states), sexually transmitted infections (32 states), and child abuse prevention (31 states). Five states required opt-in parental consent; 34 allowed parents to opt children out. Nineteen states mandated medically accurate content for any topic. Conclusions. Although many states mandated sexual education, few required content beyond sexual abstinence, HIV, sexually transmitted infections, and child abuse prevention. Laws that make content optional or facilitate opt-outs can undermine access to this education. Public Health Implications. This detailed accounting of the law will enable researchers and policymakers to identify opportunities to support the implementation of medically accurate, evidence-based sexual education in school settings. (Am J Public Health. Published online ahead of print August 21, 2025:e1-e11. https://doi.org/10.2105/AJPH.2025.308199).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"28 1","pages":"e1-e11"},"PeriodicalIF":12.7,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144930128","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}
Fenfang Li,Breena K Gaskov,Timothy J McCormick,Alan R Katz,Diana J Felton
{"title":"Disaggregating Office of Management and Budget Race/Ethnicity Data to Examine Racial Disparities in Late-Stage HIV Diagnosis, Hawaii, 2010-2022.","authors":"Fenfang Li,Breena K Gaskov,Timothy J McCormick,Alan R Katz,Diana J Felton","doi":"10.2105/ajph.2025.308192","DOIUrl":"https://doi.org/10.2105/ajph.2025.308192","url":null,"abstract":"Objectives. To evaluate racial disparities when examining race at a more granular level than the broader 1997 Office of Management and Budget (OMB) categories. Methods. We examined HIV diagnoses in Hawaii during 2010 to 2022 by OMB race/ethnicity categories and an 18-category granular race/ethnicity variable that included the 10 most frequent Asian and Native Hawaiian/other Pacific Islander groups. We used multivariable logistic regression, adjusting for potential confounders. Results. During 2015 to 2022, using OMB race/ethnicity data and White people as the comparison group, we found that Asians were the only group at increased odds (adjusted odds ratio [AOR] = 3.69; 95% confidence interval [CI] = 1.86, 7.33) for late-stage HIV diagnosis. Using granular race/ethnicity and with White people as the comparison group, we found that Filipinos (AOR = 5.42; 95% CI = 2.27, 13.0), Asians with no ethnicity data (AOR = 8.21; 95% CI = 3.20, 21.06), and Pacific Islanders other than Native Hawaiians (AOR = 4.02; 95% CI = 1.10, 14.63) were at increased odds. Conclusions. Disaggregating racial/ethnicity data revealed important disparities in late-stage HIV diagnosis that would otherwise be obscured. Public Health Implications. Identification of racial disparities using granular data enables more targeted interventions to reduce late-stage HIV diagnoses and to improve health outcomes. (Am J Public Health. Published online ahead of print August 21, 2025:e1-e10. https://doi.org/10.2105/AJPH.2025.308192).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"66 1","pages":"e1-e10"},"PeriodicalIF":12.7,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144930126","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}
{"title":"Ending the HIV Epidemic: Development and Evaluation of CyberGIS-HIV, a Web-Based Prediction Application.","authors":"Man-Pui Sally Chan,Bita Fayaz-Farkhad,Su Yeon Han,Jinwoo Park,Shaowen Wang,Dolores Albarracin","doi":"10.2105/ajph.2025.308194","DOIUrl":"https://doi.org/10.2105/ajph.2025.308194","url":null,"abstract":"Officials from US state and county health departments perceive the need to adopt new methods for making epidemiological decisions about HIV. Hence, a web-based prediction modeling application, CyberGIS-HIV, was developed and systematically compared with currently used approaches (e.g., community consultation) in a sample of 42 state and federal public health officials as well as senior and junior modelers. Overall, CyberGIS-HIV had more favorable public health and modeling ratings than other approaches currently used by the participants. (Am J Public Health. Published online ahead of print August 14, 2025:e1-e5. https://doi.org/10.2105/AJPH.2025.308194).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"19 1","pages":"e1-e5"},"PeriodicalIF":12.7,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144851211","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}
{"title":"Erratum In: \"Association of the COVID-19 Pandemic with Women, Infants, and Children (WIC) Receipt among Pregnant Individuals\".","authors":"","doi":"10.2105/ajph.2023.307525e","DOIUrl":"https://doi.org/10.2105/ajph.2023.307525e","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"13 1","pages":"e1"},"PeriodicalIF":12.7,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144850939","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}