American journal of public health最新文献_第9页

Low Perceived Neighborhood Safety as a Social Determinant of Loneliness: Findings From the 2024 Behavioral Risk Factor Surveillance System. 低感知邻里安全作为孤独的社会决定因素：来自2024年行为风险因素监测系统的发现。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308677

Yi-Fang Lu, Byunggu Kang, Kiseong Kuen

{"title":"Low Perceived Neighborhood Safety as a Social Determinant of Loneliness: Findings From the 2024 Behavioral Risk Factor Surveillance System.","authors":"Yi-Fang Lu, Byunggu Kang, Kiseong Kuen","doi":"10.2105/AJPH.2026.308677","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308677","url":null,"abstract":"Objectives. To assess the association between low perceived neighborhood safety and loneliness. Methods. We used data from the Social Determinants of Health and Health Equity module of the 2024 Behavioral Risk Factor Surveillance System (BRFSS). The sample included 317 320 respondents from 35 US states. Using logistic regression, we estimated the association between low perceived neighborhood safety and feelings of loneliness after adjustment for demographic characteristics, social support, living alone, diagnosis of depressive disorder, urbanicity, and state of residence. Results. The findings showed that low perceived neighborhood safety is associated with higher odds of loneliness. In comparison with adults who felt extremely safe in their neighborhoods, the adjusted odds ratios for feeling lonely were 1.06 among those who felt safe (95% confidence interval [CI] = 0.96, 1.16), 1.38 among those who felt unsafe (95% CI = 1.17, 1.62), and 1.68 among those who felt extremely unsafe (95% CI = 1.24, 2.27). Conclusions. Low perceived neighborhood safety is a key place-based correlate of loneliness. Improving neighborhood safety may represent an important, and potentially overlooked, pathway through which place-based conditions contribute to loneliness and related health risks. (Am J Public Health. Published online ahead of print September 3, 2026:e1-e4. https://doi.org/10.2105/AJPH.2026.308677).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e4"},"PeriodicalIF":7.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886245","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

The Global Antiscience Infodemic in Public Health: Complex Adaptive Systems and Syndemic Frameworks. 公共卫生领域的全球反科学信息：复杂的适应系统和综合框架。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308672

Pedro A Serrano

{"title":"The Global Antiscience Infodemic in Public Health: Complex Adaptive Systems and Syndemic Frameworks.","authors":"Pedro A Serrano","doi":"10.2105/AJPH.2026.308672","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308672","url":null,"abstract":"This essay explores the global antiscience phenomenon, characterizing the rapid spread of misinformation as an \"infodemic\" linked to rising social and political opposition. To address this growing threat to global public health, it applies a transdisciplinary framework integrating complexity and syndemic theories to analyze the public health science enterprise. The evidence suggests that antiscience activism operates as a complex adaptive system, fueled by nonlinear social interactions and emotional narratives on internet-mediated platforms. Widespread breakdowns in bidirectional science-society communication and sociopolitical disparities interact synergistically to exacerbate adverse health outcomes, functioning as an information syndemic. To counteract these forces, public health strategies must move beyond the traditional \"deficit model\" of one-way messaging. Potential solutions include adopting targeted media campaigns, employing cognitive inoculation strategies, promoting widespread media literacy, and training a new generation of scientists to engage in two-way dialogues with the public. (Am J Public Health. Published online ahead of print September 3, 2026:e1-e9. https://doi.org/10.2105/AJPH.2026.308672).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e9"},"PeriodicalIF":7.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148885926","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

From Sewersheds to Watersheds: Expanding Environmental Surveillance to Zoonotic Pathogens in Wildlife. 从下水道到流域：将环境监测扩展到野生动物的人畜共患病病原体。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308662

Drew Capone, Karl Gaisser, Justin Greaves, Roberto Rodríguez, Daniel Johnson

引用次数: 0

Lessons Learned During the 2024‒2025 Highly Pathogenic Avian Influenza A(H5N1) Virus Outbreak Response in the United States: The Experience of State and Local Public Health Departments. 美国2024-2025年高致病性禽流感（H5N1）病毒爆发应对的经验教训：州和地方公共卫生部门的经验

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308656

Diane Meyer, Andrea Uhlig, Diné Butler, Stefanie Friedhoff, Jennifer B Nuzzo

{"title":"Lessons Learned During the 2024‒2025 Highly Pathogenic Avian Influenza A(H5N1) Virus Outbreak Response in the United States: The Experience of State and Local Public Health Departments.","authors":"Diane Meyer, Andrea Uhlig, Diné Butler, Stefanie Friedhoff, Jennifer B Nuzzo","doi":"10.2105/AJPH.2026.308656","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308656","url":null,"abstract":"Objectives. To describe challenges and lessons learned during state and local health department responses to the 2024‒2025 highly pathogenic avian influenza A(H5N1) outbreaks. Methods. We conducted semistructured interviews from August to November 2025 with Department of Health and Agriculture staff from states with confirmed or probable A(H5N1) human cases. We conducted 15 total interviews with 37 participants from 10 US states. Interview transcripts were inductively and deductively coded to identify generalizable lessons that might improve future outbreak response efforts. Results. Key themes included difficulty accessing farms and reaching at-risk populations; lack of sufficient guidelines for proactively responding to zoonotic outbreaks that could have human health implications; the importance of maintaining preparedness planning, capacity, and infrastructure; and uncertainty around future capacity to respond to outbreaks because of resource constraints and changes in federal leadership. Conclusions. Although this study focused on responses to A(H5N1) outbreaks, the findings are indicative of the nation's overall readiness for biological threats. Prioritization of capacity building for infectious disease outbreaks, including robust health department funding to support continued disease surveillance, is critical to prevent more widespread transmission. (Am J Public Health. Published online ahead of print September 3, 2026:e1-e7. https://doi.org/10.2105/AJPH.2026.308656).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e7"},"PeriodicalIF":7.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886265","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

Framing Trust as a Social Determinant of Health. 构建信任作为健康的社会决定因素。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308649

Cicily A Gray, Leslie Heller

引用次数: 0

Spatial Clustering and Multivariate Typologies During Life Span of Hospitalized Traumatic Brain Injury Cases: A Population-Based Study. 住院创伤性脑损伤患者生命期的空间聚类和多变量类型学：一项基于人群的研究

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-01 Epub Date: 2026-06-25 DOI: 10.2105/AJPH.2026.308560

Anabelle Ayma, Quitterie Legrand, Noé Fellay, Gabriel Kathari, Dulcinda Delannoy, Aria Nouri, Elena Beanato, Roberta Ronchi, Karl Schaller, Stéphane Joost, Giannina Rita Iannotti, Philippe Voruz

引用次数: 0

Ethical Triage: A Foundational Framework for Public Health Efficiency in an Era of Austerity. 伦理分类：紧缩时代公共卫生效率的基本框架。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-01 Epub Date: 2026-07-23 DOI: 10.2105/AJPH.2026.308653

Jason M Orr

引用次数: 0

Efficiency Reimagined: Designing Public Programs That Work for Families and Government. 重塑效率：设计为家庭和政府服务的公共项目。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-01 Epub Date: 2026-07-23 DOI: 10.2105/AJPH.2026.308619

Cristina M Gago, Richard Sheward, Stephanie Ettinger de Cuba

引用次数: 0

Evaluating Minority Representation in the All of Us Research Program: Progress and Ongoing Challenges. 评估少数族裔在我们所有人研究项目中的代表性：进展和持续的挑战。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-01 Epub Date: 2026-04-30 DOI: 10.2105/AJPH.2026.308441

Zhiyu Qian, Mansoo Cho, Hari S Iyer, Stuart R Lipsitz, Alexander P Cole, Kevin Kensler, Quoc-Dien Trinh

{"title":"Evaluating Minority Representation in the All of Us Research Program: Progress and Ongoing Challenges.","authors":"Zhiyu Qian, Mansoo Cho, Hari S Iyer, Stuart R Lipsitz, Alexander P Cole, Kevin Kensler, Quoc-Dien Trinh","doi":"10.2105/AJPH.2026.308441","DOIUrl":"10.2105/AJPH.2026.308441","url":null,"abstract":"Objectives. To evaluate trends in racial and ethnic representation in the All of Us (AoU) Research Program from 2017 to 2023 and assess regional disparities relative to US Census benchmarks. Methods. Using the AoU data repository, we compared yearly and cumulative racial/ethnic representation with 2020 US Census data. Odds ratios (ORs) were calculated to quantify underrepresentation by group, year, region, and sex at birth. Results. Non-Hispanic White individuals accounted for the largest percentage of the 619 830 participants (56.3%), followed by non-Hispanic Blacks (15.9%), Hispanics (14.9%), Asians (3.5%), and individuals in the multiracial/other category (9.4%). Asians and Hispanics were consistently underrepresented. Regional disparities were notable: Asian representation was lowest in the West (OR = 0.48; 95% confidence interval [CI] = 0.47, 0.49), and Hispanic underrepresentation was most pronounced in the South (OR = 0.54; 95% CI = 0.53, 0.55). Conclusions. Persistent underrepresentation of Asian and Hispanic participants highlights ongoing gaps as AoU recruitment continues. Continued efforts toward equitable participation will be important for achieving the scientific and ethical goals of precision medicine.","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1339-1342"},"PeriodicalIF":7.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809465","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

Language-Serving Hospitals and Seven-Day Readmission Among Patients With a Non-English Primary Language. 语言服务医院与非英语为主语言患者的7天再入院

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-01 Epub Date: 2026-06-18 DOI: 10.2105/AJPH.2026.308470

Alyssa N Jones, Brittany M Dacier, Jesus Mejia, Benjamin G Allar, Rachel E Murphy, Regan W Bergmark, Esteban F Gershanik, Alicia Fernandez, Andrea L Pusic, Gregory L Peck, David W Bates, Gezzer Ortega

{"title":"Language-Serving Hospitals and Seven-Day Readmission Among Patients With a Non-English Primary Language.","authors":"Alyssa N Jones, Brittany M Dacier, Jesus Mejia, Benjamin G Allar, Rachel E Murphy, Regan W Bergmark, Esteban F Gershanik, Alicia Fernandez, Andrea L Pusic, Gregory L Peck, David W Bates, Gezzer Ortega","doi":"10.2105/AJPH.2026.308470","DOIUrl":"10.2105/AJPH.2026.308470","url":null,"abstract":"Objectives. To compare 7-day readmission among patients with a non-English primary language in language-serving versus non-language-serving hospitals. Methods. We conducted a retrospective cohort study using the New Jersey State Inpatient Database (2010-2022). We identified 578 030 inpatient discharges home among patients with a non-English primary language. We used generalized linear mixed models to compare 7-day readmission between language-serving hospitals-defined as those with a higher proportion of patients with a non-English primary language-and non-language-serving hospitals. Results. Patients with a non-English primary language were less likely to be readmitted within 7 days at language-serving versus non-language-serving hospitals (4.8% vs 9.8%; adjusted odds ratio = 0.49; 95% confidence interval = 0.25, 0.96). This trend persisted when stratified into Spanish (5.5% vs 9.7%), common (4.0% vs 14.6%) and rare non-English primary languages (4.0% vs 8.8%). Conclusions. Patients with a non-English primary language discharged from language-serving hospitals were less likely to be readmitted within 7 days. Public Health Implications. To improve care for patients with a non-English primary language, future research should identify the hospital- and state-level language access policies that underpin these findings. (Am J Public Health. 2026;116(9): 1358-1368. https://doi.org/10.2105/AJPH.2026.308470).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1358-1368"},"PeriodicalIF":7.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13372021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148275705","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