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Laws Limiting Access to SNAP Benefits for People With Felony Drug Convictions: A Policy-Mapping Study. Am. J. Public Health (IF 9.6) Pub Date : 2024-12-12 Hridika Shah,Alexander D McCourt,Sachini Bandara
Objectives. To map US state Supplemental Nutrition Assistance Program (SNAP) bans for individuals with felony drug convictions between 2004 and 2021. Methods. Using standard legal-mapping methodology, we categorized states as maintaining the lifetime ban imposed by federal law, modifying the lifetime ban, or fully opting out of the lifetime ban in each year. Among states with modified bans in 2021
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A Critical Examination of Whiteness as a Fundamental Causal Determinant of US Health Inequities. Am. J. Public Health (IF 9.6) Pub Date : 2024-12-12 Jay A Pearson
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The Supplemental Nutrition Assistance Program (SNAP) Ban and Perpetual Punishment for Justice-Affected Populations. Am. J. Public Health (IF 9.6) Pub Date : 2024-12-12 Kimberly R Dong
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Don't Forget Fido: A Call to Include Pets in Public Health Research and Policy to Support Families and Communities. Am. J. Public Health (IF 9.6) Pub Date : 2025-01-01 Emily D Dolan,Brett Wyker,Elizabeth A Berliner,Matt Goldweber,Ana Hernandez
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Recommitting to Housing and Health Care Justice After City of Grants Pass v Johnson. Am. J. Public Health (IF 9.6) Pub Date : 2025-01-01 Anand R Habib,Sarah A Stella,Elizabeth K Farkouh,Caleb M Grenko,Dionne Hart,Amirala S Pasha
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Equity Zones: Building the Bridge to Transformation. Am. J. Public Health (IF 9.6) Pub Date : 2025-01-01 Christopher Ausura,Genese Turner,Jennifer Latham,Nicole Marcus,Susanne Schnell,Brian Edmiston
This article is a call to action for transformative health equity initiatives empowering communities to address systemic health inequities through expanded implementation and enhanced evaluation of health equity zone models. These models prioritize community capacity building and power sharing for upstream, transformative change, urging increased investment in transformative public health practice
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Community Health Workers as Catalysts for Mental Health Promotion in Transgender and Nonbinary Communities. Am. J. Public Health (IF 9.6) Pub Date : 2025-01-01 Arjee Javellana Restar,Kellan Baker,Grace Wang,Karen Ashley,April Joy Damian
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Adding Nativity, Citizenship, and Immigration Status to Health Monitoring and Survey Data. Am. J. Public Health (IF 9.6) Pub Date : 2025-01-01 Fatma E Marouf,Krista M Perreira,Huyen Pham
Immigration status and related policies have a significant impact on health outcomes. Yet major national health surveys currently provide little or no information about immigration status, rendering subgroups of noncitizens largely invisible. Even measures of citizenship, nativity, country of birth, and years in the United States, which provide critical information about immigration history, are not
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Planning and Accommodating the Micromobility Revolution and Its Impact on Public Health. Am. J. Public Health (IF 9.6) Pub Date : 2025-01-01 D Alex Quistberg,Daniel A Rodriguez
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Names Matter: Affirming Our Commitment to Equity in Publishing. Am. J. Public Health (IF 9.6) Pub Date : 2025-01-01 Heather M Brandt,Laura M Schwab-Reese,Casper Voyles,M Aaron Guest,Amy Hagopian
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Redlining, Root Causes, and a Firearm Injury Scholarship of Consequence. Am. J. Public Health (IF 9.6) Pub Date : 2024-12-05 Jonathan Jay
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A Research Agenda to Maximize the Health Equity Impacts of Paid Family and Medical Leave Policies. Am. J. Public Health (IF 9.6) Pub Date : 2024-12-05 Julia M Goodman,Anna Steeves-Reece,Dawn M Richardson
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Whiteness: A Fundamental Determinant of the Health of Rural White Americans. Am. J. Public Health (IF 9.6) Pub Date : 2024-12-05 Caroline R Efird,Derek M Griffith
Because residents of rural areas in the United States experience a persistent disadvantage in life expectancy relative to their urban counterparts, it is critical to consider the structural and social determinants that affect the health of rural populations. White Americans constitute 3 out of every 4 (76%) rural residents, and there is growing evidence that rurality is a predictor of poor health status
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Moving From Invisibility to Inclusivity: A Better Way Forward for National Health Surveys. Am. J. Public Health (IF 9.6) Pub Date : 2024-12-05 Florence J Dallo
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A Public Health‒Community Partnership to Address Lead Poisoning in King County, Washington. Am. J. Public Health (IF 9.6) Pub Date : 2024-12-05 Diego de Acosta,Mohamed Ali,Navid Hamidi,Ariana Anjaz,Erin Mann,Elizabeth Dawson-Hahn
To strengthen lead poisoning prevention efforts among Afghan children, King County, Washington's Hazardous Waste Management Program partnered with Afghan Health Initiative, a community-based organization. The partnership arranged culturally tailored home visits and follow-ups, in which a health environment investigator and a community health advocate identified lead exposure risks and offered parents
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Long-Acting Reversible Contraception (LARC) Removal and Birth Intendedness: Moving Beyond the Binary. Am. J. Public Health (IF 9.6) Pub Date : 2024-12-05 Danielle G Tsevat,Grace A Trompeter,Kavita S Arora
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Protecting Populations at High Risk for Severe COVID-19. Am. J. Public Health (IF 9.6) Pub Date : 2024-12-01 Sonja S Hutchins,Robert M Mayberry
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Bills to Restrict Access to and Harm From Indoor Tanning Facilities in US State Legislatures, 1992‒2023. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-21 David B Buller,Julia Berteletti,Carolyn Heckman,Kevin R J Schroth,Alan C Geller,Jerod L Stapleton,Irene Adjei,Anna Mitarotondo,Samantha R Guild,Jeffrey E Gershenwald,Robert Dellavalle,Sherry Pagoto
Objectives. To describe progression, content, and stringency of state legislation regulating indoor tanning and association with state government political party leadership. Methods. Trained research assistants used legal mapping methods to code legislative bills on indoor tanning introduced in US states, the District of Columbia, and Puerto Rico. We calculated composite scores on the stringency of
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Evaluation of a Chronic Care Management Model for Improving Efficiency and Fiscal Sustainability. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-21 Margaret A Kadree,Patrick Wiggins,Lura Thompson,Cynthia Warriner,Michelle White
Chronic care management is effective. Barriers to program durability include dependence on the provider-nurse duo to carry out labor-intensive services and the lack of a fiscally sustainable model. Between January and October 2022, an expanded chronic care management team-consisting of a provider, nurse, community health worker, and pharmacist-conducted a four-month intervention in an ambulatory setting
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The Way Forward to Embrace Artificial Intelligence in Public Health. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-21 Georges Hattab,Christopher Irrgang,Nils Körber,Denise Kühnert,Katharina Ladewig
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Trusted Messengers: Public Health Education and Advocacy in 20th Century Black American Newspapers. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-21 Wangui Muigai
For much of the 20th century, Black readers turned to Black newspapers for health information and advice. The messages reached hundreds of thousands across the United States during a period when the nation's racially separate and unequal health care system limited the ability of Black communities to access vital resources, including public health education. This article, based on an analysis of several
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Influenza Vaccination, Household Composition, and Race-Based Differences in Influenza Incidence: An Agent-Based Modeling Study. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-14 Katherine V Williams,Mary G Krauland,Lee H Harrison,John V Williams,Mark S Roberts,Richard K Zimmerman
Objectives. To estimate the effect of influenza vaccination disparities. Methods. We compared symptomatic influenza cases between Black and White races in 2 scenarios: (1) race- and age-specific vaccination coverage and (2) equal vaccination coverage. We also compared differences in household composition between races. We used the Framework for Reconstructing Epidemiological Dynamics, an agent-based
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Engaging Low-Wage Workers in Health and Well-Being Survey Research: Strategies From 5 Occupational Studies. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-14 Erika L Sabbath,Meg Lovejoy,Daniel K Schneider,Yaminette Diaz-Linhart,Grace DeHorn,Susan E Peters
Without perspectives of low-wage workers in studies of worker health and well-being, researchers cannot comprehensively assess occupational health and health equity impacts of workplace exposures and interventions. Researchers and practitioners have noted particular challenges in engaging low-wage workers in worksite-based health survey research, yet little scholarship has described strategies for
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US State Recreational and Medical Cannabis Delivery Laws, 2024. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-14 Todd Ebling,Sunday Azagba,Mark Hall,Jessica King Jensen
Objectives. To provide a legal epidemiology review of state-level policies that regulate the direct delivery of recreational and medical cannabis in the United States. Methods. We conducted a comprehensive review to identify all relevant policies as of July 1, 2024. Specifically, we developed a coding scheme to capture laws governing (1) direct delivery of recreational cannabis, (2) licensing for direct
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Bridging the Gap: Aligning Education for Public Health With Emerging Workforce Demands. Am. J. Public Health (IF 9.6) Pub Date : 2024-12-01 Laura Magaña,Emily M Burke
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The Promise of the Scientific Study of Public Health Law. Am. J. Public Health (IF 9.6) Pub Date : 2024-12-01 Wendy E Parmet
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Assessment of Health Disparities and Sexual Orientation Response Choices Used in Two US National Population-Based Health Surveys, 2020‒2021. Am. J. Public Health (IF 9.6) Pub Date : 2024-12-01 Nicole F Kahn,Carolyn T Halpern,Dana R Burshell,Stephanie M Hernandez,Kerith J Conron
Objectives. To (1) compare responses to 2 survey questions designed to measure sexual orientation and (2) understand how variation in responses is associated with mental health. Methods. Data were from the National Longitudinal Study of Adolescent to Adult Health (Add Health) Sexual Orientation/Gender Identity, Socioeconomic Status, and Health Across the Life Course (SOGI-SES) study (2020-2021) in
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Legacy of Racism and Firearm Violence During the COVID-19 Pandemic in the United States. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-07 Zainab Hans,Daniel B Lee,Marc A Zimmerman,Douglas J Wiebe
Objectives. To examine whether, through interactions with preexisting socioeconomic status vulnerabilities, the COVID-19 pandemic exacerbated exposure to firearm violence among communities with a legacy of redlining (i.e., grading the creditworthiness of neighborhoods based on their sociodemographic composition). Methods. We used an exogenous population threshold whereby the Home Owners Loan Corporation
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Escaping Disaster: Understanding the Drivers and Disparities in Disaster Displacement in the United States. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-07 Kristina W Kintziger,Sarah Elizabeth Scales
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Moving Targets: The Dynamic Nature and Imperfect Measurement of Social Constructs. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-07 Randall L Sell
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Strategies to Increase the Population-Level Impact of Naloxone Distribution in Communities Highly Affected by the Overdose Crisis. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-07 Brandon D L Marshall
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Overdose Education and Naloxone Distribution: An Evidence-Based Practice That Warrants Course Correcting. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-31 Maya Doe-Simkins,Eliza J Wheeler
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Safeguarding SNAP as an Effective Antihunger Program: Myths and Potential Harms of Adding Diet Quality as a Core Objective. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-31 Danielle M Krobath,Jourdyn A Lawrence,Benjamin W Chrisinger,Adolfo G Cuevas
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Manhattan's Street Trees: An Unfinished Public Health Story. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-31 John M Harris
Stephen Smith launched a 40-year effort to bring trees to New York City streets in 1872, the year he founded the American Public Health Association (APHA). Smith argued that street trees would mitigate the adverse health effects of Manhattan's summer heat and help purify the air. The young APHA endorsed Smith's position and gave trees a prominent role in urban sanitation, but public health turned away
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Closing Gaps Between Cannabis Policy and Scientific Understanding. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-01 Brooke E Hoots,Douglas R Roehler
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Prevalence of Cannabis Use Among US Workers in 15 States, 2016-2020. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-01 Richard Evoy,Tristan Victoroff
Objectives. To examine the prevalence of cannabis use among US workers using data from the US Behavioral Risk Factor Surveillance System (BRFSS) during 2016 to 2020. Methods. We analyzed past 30-day cannabis use among US workers. We calculated weighted prevalence and adjusted prevalence ratios (APRs) of cannabis use for working adults by industry groups, occupation groups, and sociodemographic characteristics
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Trends in Driving Under the Influence of Alcohol and Cannabis Among Young Adults in Washington State From Before to During the COVID-19 Pandemic. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-01 Brittney A Hultgren,Brian H Calhoun,Charles B Fleming,Isaac C Rhew,Mary E Larimer,Jason R Kilmer,Katarina Guttmannova
Objectives. To examine trends in young adult self-reported driving under the influence of alcohol (DUI-A), cannabis (DUI-C), and simultaneous alcohol and cannabis use (DUI-AC) in a state with legalized nonmedical cannabis use from before to during the COVID-19 pandemic. Methods. We used logistic regression and annual statewide data from the Washington Young Adult Health Survey to assess DUI behaviors
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Enhancing Methodological Approaches for Studying Health Effects of High-Concentration THC Products. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-01 Tianjing Li,George Sam Wang,Lisa Bero,Ashley Brooks-Russell,Gregory Tung,Jonathan M Samet
For public health protection, informed decision-making relies on having a robust foundation of evidence concerning risks and their prevention. Application of an evidence-based framework depends on the availability of pertinent, scientifically sound data generated by well-directed and valid research endeavors. In this essay, we address the current state of research in humans and the evidential base
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Current Cannabis Use in the United States: Implications for Public Health Research. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-01 Grant T Baldwin,Alana Vivolo-Kantor,Brooke Hoots,Douglas R Roehler,Jean Y Ko
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Association of Local Cannabis Policy and Retail Availability With Cannabis Use and Problematic Cannabis Use Among Adolescents in Northern California. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-01 Kelly C Young-Wolff,Alex Asera,Alisa A Padon,Natalie E Slama,Stacey E Alexeeff,Rosalie L Pacula,Cynthia I Campbell,Stacy A Sterling,Derek D Satre,Yun Lu,Wendy T Dyer,Monique B Does,Lynn D Silver
Objectives. To examine whether local cannabis policies and retail availability are associated with cannabis use and problematic cannabis use (PCU) among adolescents in Northern California. Methods. The sample comprised adolescents aged 13 to 17 years screened for past-year cannabis use during well-child visits in 2021. Exposures included local bans on cannabis storefront retailers, policy protectiveness
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A Social-Ecological Model for Understanding Cannabis Risks and Promoting Harm Reduction. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-01 Daniel J Kruger,Carlton Cb Bone,Jessica S Kruger
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Improving Cannabis Policy Research at a Pivotal Time for Policy Development. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-01 Gillian L Schauer
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Regulatory Landscape of Cannabis Warning Labels in US States with Legal Retail Nonmedical Cannabis, 2024. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-01 Caroline J Meek,Leah M Ranney,Sonia A Clark,Kristen L Jarman,Rachel Callanan,Sarah D Kowitt
Objectives. To characterize regulatory practices related to nonmedical cannabis warning labels in states across the United States that have legalized retail nonmedical cannabis. Methods. In March 2024, we conducted a content analysis of regulations for nonmedical cannabis warning labels required on product packages in 20 states where, as of March 2024, adults could legally purchase nonmedical cannabis
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Monitoring Cannabis Adverse Events: Lessons From Edible Packaging Policies and Child Poisonings. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-01 Julia A Dilley,Robert G Hendrickson,Erik M Everson,Thomas L Jeanne
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Trends in Medical Encounters Involving Cannabis-Related Disorders Among US Medicare Beneficiaries, 2017-2022. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-01 Silvia Perez-Vilar,Sara Kazemian,Christina Greene,Pablo Freyria Duenas,Rose Radin,Arnstein Lindaas,Sandia Akhtar,Michael Wernecke,Yoganand Chillarige,Jeffrey A Kelman,David J Graham
Objectives. To characterize cannabis-related disorder medical encounter trends in the US Medicare population during 2017 to 2022. Methods. We conducted a descriptive study, which included 56 624 432 beneficiaries aged 65 years or older and 10 247 953 aged 18 to 64 years with disability. All were continuously enrolled in Medicare (Fee-for-Service or Advantage) for 183 or more days before the first day
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Data Quality in State Registry Reports of Medical Cannabis Patients in the United States. Am. J. Public Health (IF 9.6) Pub Date : 2024-11-01 Kevin F Boehnke,Rachel Sinclair,Felicia Gordon,Douglas R Roehler,Tristin Smith,Brooke Hoots
Objectives. To investigate characteristics of data reported in US medical cannabis registries across states. Methods. Data included 2021 medical cannabis registry reports from 34 states, Puerto Rico, and the District of Columbia (hereafter, states) with active medical cannabis programs. The data from the reports were manually coded into domains and subcategories, including information related to patients
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Pregnancy-Related Mortality Disparities During the COVID-19 Pandemic. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-24 Diane L Rowley,Kelechukwu Anyanwu,Alexander Crosby,Kiwita S Phillips,Sonja Hutchins
Objectives. To compare pregnancy-related mortality ratios (PRMRs) associated with COVID-19 by race/ethnicity, by region of residence, and in states with and without Medicaid expansion. Methods. We used 2020-2021 data from the US Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research in our analysis. We stratified PRMRs by race/ethnicity, census regions, and
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Federal Policy Platforms and Public Health: Reinforcing the Benefits of Air Pollution Control Devices at Power Plants in the United States. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-24 Jonathan J Buonocore,Jeremy Fisher,Daniel Prull,Mary D Willis,Saravanan Arunachalam,Frederica Perera,Patrick Kinney,Brian Sousa,Jonathan I Levy
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Prior Authorization Requirements and Medicaid Enrollees' Use of Tobacco Cessation Medications, Colorado, 2023. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-24 Marcus Dillender,Robin Mermelstein
Despite tobacco cessation medications being a first-line treatment for quitting smoking, a majority of Medicaid programs require health care providers to obtain prior authorization before prescribing them. We examined the impact of Colorado's Medicaid program removing its prior authorization requirement for these drugs on their use and estimated the additional number of Coloradoans who used these therapies
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Prevalence, Correlates, and Impacts of Displacement Because of Natural Disasters in the United States From 2022 to 2023. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-24 Ther W Aung,Ashwini R Sehgal
Objectives. To quantify the prevalence, correlates, and impacts of displacement because of natural disasters in the United States. Methods. We pooled data across 10 independent survey samples from the Census Bureau Household Pulse Survey from December 2022 to September 2023. Survey questions asked about displacement from home because of natural disasters, duration of displacement, and impacts of disasters
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All Hands on Deck: Addressing Obstacles to Applying an Intersectionality Framework in Health Research. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-17 Danielle M Crookes
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A Treasure Trove Inventory of Sugar-Sweetened Beverage Policies in the United States, 2014-2023. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-17 Eric Crosbie,Laura Schmidt
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The Return of Jim Crow: Government Discrimination Against Women, LGBTQIA+ Individuals, and Racial/Ethnic Minority Individuals. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-17 Ruqaiijah Yearby
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Media Communications Must Promote Healthy Hydration Policies and Environments That Encourage Water Consumption to Reduce Sugary Beverage Health Risks. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-17 Vivica I Kraak,Nicole L Furr
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An Inventory of Proposed and Enacted Sugar-Sweetened Beverage Policies at the State, Local, and Tribal Levels in the United States, 2014‒2023. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-17 Jennie N Davis,Shatabdi Goon,Jessie Gouck,Sarah E Solar,Sally Mancini,Alberto M Ortega Hinojosa,James Krieger,Jennifer Falbe
Objectives. To inventory and describe trends in proposal and enactment of US sugar-sweetened beverage (SSB) policies at state, local, and Tribal levels, 2014-2023. Methods. We systematically searched 6 policy databases in 2021 (updated May 2023) using SSB-related search terms, identifying additional policies through snowball and online searches and a survey of food-policy experts. We reviewed 10 821
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An Equitable Communication and Dissemination Model for Linking Culturally Diverse Communities to COVID-19 Services. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-16 Dominic H Mack,Megan Douglas,Rhonda Holiday,Tabia Akintobi,Chaohua Li,Jammie Hopkins,Anne Gaglioti
In 2020, the Office of Minority Health (OMH) funded the establishment of the National COVID-19 Resiliency Network (NCRN) to engage priority communities that included African American, American Indian, Alaska Native, Asian, Hispanic, Native Hawaiian, and Pacific Islander persons to aggregate culturally relevant messages, education tools, and national data sources. A mobile application and Web site supported
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Vote: Our Lives Depend on It. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-16 Tanya Telfair LeBlanc
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Meeting People Where They Are in the Fight Against COVID-19 and Its Complications. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-16 Michelle L Nichols,Jasmine Gibson
The COVID-19 pandemic exacerbated socioeconomic and racial disparities. Because of the institution's commitment to health equity, Morehouse School of Medicine, one of four Historically Black College and University (HBCU) medical schools, took the leadership role in addressing disparities by becoming a community vaccination provider. With vaccines registered, ordered, and received from the Georgia Department
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Long-Acting Reversible Contraception (LARC) and Early Childbearing Revisited: Births and Birth Intendedness After LARC Removal in a State Medicaid Population (2012-2020). Am. J. Public Health (IF 9.6) Pub Date : 2024-10-10 Michael S Rendall,Mieke C W Eeckhaut,Katie Gifford,Constanza Hurtado-Acuna
Objectives. To analyze births and birth intendedness after long-acting reversible contraception (LARC) removal among Medicaid-insured women. Methods. We linked all Delaware women with a Medicaid-covered LARC removal in 2012 to 2020 (n = 8047) to birth records and to Pregnancy Risk Assessment Monitoring System (PRAMS) pregnancy intendedness survey responses (n = 241). Results. Births within 3 years
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Effect of the Communities That HEAL Intervention on Overdose Education and Naloxone Distribution: A Cluster-Randomized, Wait-List Controlled Trial. Am. J. Public Health (IF 9.6) Pub Date : 2024-10-10 Patricia R Freeman,Alexander Y Walley,T John Winhusen,Emmanuel A Oga,Jennifer Villani,Timothy Hunt,Redonna K Chandler,Douglas R Oyler,Brittni Reilly,Kitty Gelberg,Christian Douglas,Michael S Lyons,JaNae Holloway,Nathan A Vandergrift,Joella W Adams,Katherine Asman,Trevor J Baker,Candace J Brancato,Debbie M Cheng,Janet E Childerhose,James L David,Daniel J Feaster,Louisa Gilbert,LaShawn M Glasgow,Dawn
Objectives. To determine whether the Communities That HEAL (CTH) intervention is effective in increasing naloxone distribution compared with usual care. Methods. The HEALing (Helping to End Addiction Long-Term) Communities Study (HCS) is a cluster-randomized, parallel-arm, wait-list controlled implementation science trial testing the impact of the CTH intervention on increasing the use of evidence-based