Pub Date : 2025-01-16DOI: 10.2105/ajph.2024.307920
Sarah M Leder,A Alex McConnell,Shane Lamba,Chava Sonnier,Alexis R Matza,Wyatt E Meriwether,George R Brown,Jillian C Shipherd,Michael R Kauth,Kenneth T Jones
Objectives. To distinguish differences in physical and mental health between transgender and gender-diverse (TGD) veterans identified via diagnostic codes, self-identification, and their combination. Methods. We used sociodemographic characteristics and physical and mental health diagnoses for TGD veterans receiving care in Veterans Health Administration (VHA). Results. Among the cohort of 12 745 TGD veterans, 69.3% were identified solely using self-reported gender identity data, 23.4% were identified using only TGD-related diagnostic codes, and 7.2% had both TGD-related diagnostic codes and gender identity data in their medical record. TGD veterans identified using self-reported gender identity data were younger and more racially and ethnically diverse compared with those identified with only diagnostic codes. Across nearly all independently examined health conditions, TGD veterans identified via self-reported gender identity were at lower risk compared with those identified via diagnostic codes. Conclusions. Inferences drawn from studies of TGD veteran health may be significantly impacted by choice of methodology for defining the TGD veteran cohort. New analyses using self-reported gender identity data, as opposed to diagnostic codes, are critical to understand the health of this population within VHA. (Am J Public Health. Published online ahead of print January 16, 2025:e1-e11. https://doi.org/10.2105/AJPH.2024.307920).
{"title":"Impact of Gender Identity Field in the Veterans Health Administration Electronic Health Record, 2016‒2023.","authors":"Sarah M Leder,A Alex McConnell,Shane Lamba,Chava Sonnier,Alexis R Matza,Wyatt E Meriwether,George R Brown,Jillian C Shipherd,Michael R Kauth,Kenneth T Jones","doi":"10.2105/ajph.2024.307920","DOIUrl":"https://doi.org/10.2105/ajph.2024.307920","url":null,"abstract":"Objectives. To distinguish differences in physical and mental health between transgender and gender-diverse (TGD) veterans identified via diagnostic codes, self-identification, and their combination. Methods. We used sociodemographic characteristics and physical and mental health diagnoses for TGD veterans receiving care in Veterans Health Administration (VHA). Results. Among the cohort of 12 745 TGD veterans, 69.3% were identified solely using self-reported gender identity data, 23.4% were identified using only TGD-related diagnostic codes, and 7.2% had both TGD-related diagnostic codes and gender identity data in their medical record. TGD veterans identified using self-reported gender identity data were younger and more racially and ethnically diverse compared with those identified with only diagnostic codes. Across nearly all independently examined health conditions, TGD veterans identified via self-reported gender identity were at lower risk compared with those identified via diagnostic codes. Conclusions. Inferences drawn from studies of TGD veteran health may be significantly impacted by choice of methodology for defining the TGD veteran cohort. New analyses using self-reported gender identity data, as opposed to diagnostic codes, are critical to understand the health of this population within VHA. (Am J Public Health. Published online ahead of print January 16, 2025:e1-e11. https://doi.org/10.2105/AJPH.2024.307920).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"30 1","pages":"e1-e11"},"PeriodicalIF":12.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988678","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}
Pub Date : 2025-01-16DOI: 10.2105/ajph.2024.307926
Wendy D Manning,Claire Kamp Dush,Kristen Gustafson
Objectives. To determine the levels and differentials in health care stereotype threat experienced during the COVID-19 pandemic by individuals with sexual or gender minority identities. Methods. The National Couples' Health and Time Use Study is a national cross-sectional US population‒ based sample of partnered individuals interviewed during the pandemic between September 2020 and April 2021 with oversamples of sexual and gender minority individuals. The analytic sample consisted of 3614 individuals (n = 2043 heterosexual and n = 1571 sexual minority individuals along with 3489 cisgender and 125 noncisgender people). Results. Individuals with sexual minority identities experienced significantly more health care stereotype threat than heterosexual people. Cisgender women and those with another gender identity experienced significantly more health care stereotype threat than cisgender men. These results persisted after the inclusion of indicators of health conditions, insurance, COVID-19 experience, and sociodemographic factors. Conclusions. Gender and sexual minority‒identifying people reported high levels of worries about health discrimination. Our work suggests that providing positive health care experiences may reduce these worries and offer a potential antidote to sexual and gender minority health disparities that are driven by structural and interpersonal discrimination. These findings support calls for the further education and transformation of health care provision and systems. (Am J Public Health. Published online ahead of print January 16, 2025:e1-e9. https://doi.org/10.2105/AJPH.2024.307926).
{"title":"Health Care Stereotype Threat During the COVID-19 Pandemic Among Sexual and Gender Minority Individuals.","authors":"Wendy D Manning,Claire Kamp Dush,Kristen Gustafson","doi":"10.2105/ajph.2024.307926","DOIUrl":"https://doi.org/10.2105/ajph.2024.307926","url":null,"abstract":"Objectives. To determine the levels and differentials in health care stereotype threat experienced during the COVID-19 pandemic by individuals with sexual or gender minority identities. Methods. The National Couples' Health and Time Use Study is a national cross-sectional US population‒ based sample of partnered individuals interviewed during the pandemic between September 2020 and April 2021 with oversamples of sexual and gender minority individuals. The analytic sample consisted of 3614 individuals (n = 2043 heterosexual and n = 1571 sexual minority individuals along with 3489 cisgender and 125 noncisgender people). Results. Individuals with sexual minority identities experienced significantly more health care stereotype threat than heterosexual people. Cisgender women and those with another gender identity experienced significantly more health care stereotype threat than cisgender men. These results persisted after the inclusion of indicators of health conditions, insurance, COVID-19 experience, and sociodemographic factors. Conclusions. Gender and sexual minority‒identifying people reported high levels of worries about health discrimination. Our work suggests that providing positive health care experiences may reduce these worries and offer a potential antidote to sexual and gender minority health disparities that are driven by structural and interpersonal discrimination. These findings support calls for the further education and transformation of health care provision and systems. (Am J Public Health. Published online ahead of print January 16, 2025:e1-e9. https://doi.org/10.2105/AJPH.2024.307926).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"37 1","pages":"e1-e9"},"PeriodicalIF":12.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988676","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}
Pub Date : 2025-01-16DOI: 10.2105/ajph.2024.307908
Eduardo E Valverde,Linda Beer,Dawn Pepin,Stacy Crim,John Weiser
Objectives. To describe provision of HIV telehealth services during the COVID-19 pandemic using data from the Centers for Disease Control and Prevention (CDC) Medical Monitoring Project Facility Survey for the Ending the HIV Epidemic in the United States initiative, which aims to achieve an at least 90% reduction in new HIV infections by 2030 and highlights telehealth as an important strategy. Methods. During 2021, we surveyed 1023 facilities providing HIV care to a nationally representative sample of US adults with diagnosed HIV, of which 45% responded. We calculated weighted percentages with 95% confidence intervals comparing the characteristics of facilities providing telehealth services. Results. Overall, 83.4% of facilities provided HIV care telehealth services by the facility's own providers (82.0%) or by outside providers through remote conferencing (27.0%). Gaps in coverage were identified in smaller facilities and in facilities in rural and primary care health professional shortage areas. Conclusions. Although most HIV care facilities provided telehealth services during the COVID-19 pandemic, gaps were identified, which must be addressed to meet Ending the HIV Epidemic in the United States goals and better prepare for future health emergencies. (Am J Public Health. Published online ahead of print January 16, 2025:e1-e5. https://doi.org/10.2105/AJPH.2024.307908).
{"title":"Health Care Facility Characteristics Associated With Providing Telehealth HIV Care Services During the COVID-19 Pandemic.","authors":"Eduardo E Valverde,Linda Beer,Dawn Pepin,Stacy Crim,John Weiser","doi":"10.2105/ajph.2024.307908","DOIUrl":"https://doi.org/10.2105/ajph.2024.307908","url":null,"abstract":"Objectives. To describe provision of HIV telehealth services during the COVID-19 pandemic using data from the Centers for Disease Control and Prevention (CDC) Medical Monitoring Project Facility Survey for the Ending the HIV Epidemic in the United States initiative, which aims to achieve an at least 90% reduction in new HIV infections by 2030 and highlights telehealth as an important strategy. Methods. During 2021, we surveyed 1023 facilities providing HIV care to a nationally representative sample of US adults with diagnosed HIV, of which 45% responded. We calculated weighted percentages with 95% confidence intervals comparing the characteristics of facilities providing telehealth services. Results. Overall, 83.4% of facilities provided HIV care telehealth services by the facility's own providers (82.0%) or by outside providers through remote conferencing (27.0%). Gaps in coverage were identified in smaller facilities and in facilities in rural and primary care health professional shortage areas. Conclusions. Although most HIV care facilities provided telehealth services during the COVID-19 pandemic, gaps were identified, which must be addressed to meet Ending the HIV Epidemic in the United States goals and better prepare for future health emergencies. (Am J Public Health. Published online ahead of print January 16, 2025:e1-e5. https://doi.org/10.2105/AJPH.2024.307908).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"119 1","pages":"e1-e5"},"PeriodicalIF":12.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988675","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}
Pub Date : 2025-01-16DOI: 10.2105/ajph.2024.307912
Eric Geng Zhou,Jonathan Cantor,Autumn Gertz,Brian Elbel,John S Brownstein,Benjamin Rader
Objectives. To determine the association between parental characteristics and MMR (measles-mumps- rubella) vaccination status of children in the United States. Methods. We conducted a cross-sectional study from July 2023 to April 2024 using a digital health survey via OutbreaksNearMe, weighted to target national population characteristics. We analyzed the responses of 19 892 parents of children younger than 5 years to examine the association between self-reported parental characteristics (i.e., sociodemographics, politics, COVID-19 vaccination status) and children's MMR vaccination rates using logistic regression. Results. Children of parents who received at least 1 dose of the COVID-19 vaccine had higher MMR vaccination rates (80.8%) than did children of unvaccinated parents (60.9%; odds ratio [OR] = 1.84; 95% confidence interval [CI] = 1.68, 2.00). We observed lower MMR vaccination rates among children of parents who identified as Republican versus Democratic (OR = 0.73; 95% CI = 0.64, 0.82), parents on Medicaid or Medicare versus private insurance (OR = 0.85; 95% CI = 0.76, 0.95), and minority (OR = 0.44) versus White (OR = 0.71) parents. We found higher MMR vaccination rates in the Northeast and Midwest United States. Conclusions. Early data indicate that parental sociodemographic characteristics and COVID-19 vaccine status are associated with children's MMR vaccine uptake, emphasizing the need for further investigations into multipronged public health interventions. (Am J Public Health. Published online ahead of print January 16, 2025:e1-e5. https://doi.org/10.2105/AJPH.2024.307912).
{"title":"Parental Factors Associated With Measles-Mumps-Rubella Vaccination in US Children Younger Than 5 Years.","authors":"Eric Geng Zhou,Jonathan Cantor,Autumn Gertz,Brian Elbel,John S Brownstein,Benjamin Rader","doi":"10.2105/ajph.2024.307912","DOIUrl":"https://doi.org/10.2105/ajph.2024.307912","url":null,"abstract":"Objectives. To determine the association between parental characteristics and MMR (measles-mumps- rubella) vaccination status of children in the United States. Methods. We conducted a cross-sectional study from July 2023 to April 2024 using a digital health survey via OutbreaksNearMe, weighted to target national population characteristics. We analyzed the responses of 19 892 parents of children younger than 5 years to examine the association between self-reported parental characteristics (i.e., sociodemographics, politics, COVID-19 vaccination status) and children's MMR vaccination rates using logistic regression. Results. Children of parents who received at least 1 dose of the COVID-19 vaccine had higher MMR vaccination rates (80.8%) than did children of unvaccinated parents (60.9%; odds ratio [OR] = 1.84; 95% confidence interval [CI] = 1.68, 2.00). We observed lower MMR vaccination rates among children of parents who identified as Republican versus Democratic (OR = 0.73; 95% CI = 0.64, 0.82), parents on Medicaid or Medicare versus private insurance (OR = 0.85; 95% CI = 0.76, 0.95), and minority (OR = 0.44) versus White (OR = 0.71) parents. We found higher MMR vaccination rates in the Northeast and Midwest United States. Conclusions. Early data indicate that parental sociodemographic characteristics and COVID-19 vaccine status are associated with children's MMR vaccine uptake, emphasizing the need for further investigations into multipronged public health interventions. (Am J Public Health. Published online ahead of print January 16, 2025:e1-e5. https://doi.org/10.2105/AJPH.2024.307912).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"3 1","pages":"e1-e5"},"PeriodicalIF":12.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988674","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}
Pub Date : 2025-01-01DOI: 10.2105/AJPH.2024.307879
Emily D Dolan, Brett Wyker, Elizabeth A Berliner, Matt Goldweber, Ana Hernandez
{"title":"Don't Forget Fido: A Call to Include Pets in Public Health Research and Policy to Support Families and Communities.","authors":"Emily D Dolan, Brett Wyker, Elizabeth A Berliner, Matt Goldweber, Ana Hernandez","doi":"10.2105/AJPH.2024.307879","DOIUrl":"10.2105/AJPH.2024.307879","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"115 1","pages":"26-29"},"PeriodicalIF":9.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142778918","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}
Pub Date : 2025-01-01Epub Date: 2024-10-31DOI: 10.2105/AJPH.2024.307893
Maya Doe-Simkins, Eliza J Wheeler
{"title":"Overdose Education and Naloxone Distribution: An Evidence-Based Practice That Warrants Course Correcting.","authors":"Maya Doe-Simkins, Eliza J Wheeler","doi":"10.2105/AJPH.2024.307893","DOIUrl":"10.2105/AJPH.2024.307893","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"6-8"},"PeriodicalIF":9.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142556936","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}
Pub Date : 2025-01-01Epub Date: 2024-11-07DOI: 10.2105/AJPH.2024.307889
Kristina W Kintziger, Sarah Elizabeth Scales
{"title":"Escaping Disaster: Understanding the Drivers and Disparities in Disaster Displacement in the United States.","authors":"Kristina W Kintziger, Sarah Elizabeth Scales","doi":"10.2105/AJPH.2024.307889","DOIUrl":"10.2105/AJPH.2024.307889","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"52-54"},"PeriodicalIF":9.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142602728","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}
Pub Date : 2025-01-01DOI: 10.2105/AJPH.2024.307898
Arjee Javellana Restar, Kellan Baker, Grace Wang, Karen Ashley, April Joy Damian
{"title":"Community Health Workers as Catalysts for Mental Health Promotion in Transgender and Nonbinary Communities.","authors":"Arjee Javellana Restar, Kellan Baker, Grace Wang, Karen Ashley, April Joy Damian","doi":"10.2105/AJPH.2024.307898","DOIUrl":"10.2105/AJPH.2024.307898","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"115 1","pages":"34-36"},"PeriodicalIF":9.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142778906","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}
Pub Date : 2025-01-01DOI: 10.2105/AJPH.2025.115.1.104
{"title":"Subscription Form.","authors":"","doi":"10.2105/AJPH.2025.115.1.104","DOIUrl":"10.2105/AJPH.2025.115.1.104","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"115 1","pages":"104"},"PeriodicalIF":9.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142779110","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}
Pub Date : 2025-01-01Epub Date: 2024-10-31DOI: 10.2105/AJPH.2024.307863
Danielle M Krobath, Jourdyn A Lawrence, Benjamin W Chrisinger, Adolfo G Cuevas
{"title":"Safeguarding SNAP as an Effective Antihunger Program: Myths and Potential Harms of Adding Diet Quality as a Core Objective.","authors":"Danielle M Krobath, Jourdyn A Lawrence, Benjamin W Chrisinger, Adolfo G Cuevas","doi":"10.2105/AJPH.2024.307863","DOIUrl":"10.2105/AJPH.2024.307863","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"37-41"},"PeriodicalIF":9.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142556937","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}
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