American journal of public health最新文献

Objectives. To compare changes in the number of facility-based abortions among Texas residents in different age groups following the state's 2021 law prohibiting abortion after detection of embryonic cardiac activity. Methods. We obtained data from Texas and 6 surrounding states on Texas residents' age at abortion from state vital statistics and data provided directly by out-of-state abortion facilities. Using negative binomial regression, we estimated the percentage change in abortions before (September 2020-May 2021) and after (September 2021-May 2022) the law went into effect. Results. After the law's implementation, total (in-state and out-of-state) facility-based abortions decreased by 26.1% (95% confidence interval [CI] = -32.7%, -18.8%) among Texans younger than 18 years, by 19.6% (95% CI = -21.4%, -17.7%) among young adult Texans aged 18 to 24 years, and by 17.0% (95% CI = -19.1%, -14.8%) among Texans aged 25 to 29 years. Conclusions. Texas's law disproportionately affected access to facility-based abortion care among Texans aged 24 years and younger. Public Health Implications. State laws prohibiting abortions in early pregnancy disproportionately affect young people's reproductive autonomy, likely by compounding long-standing financial and logistical barriers to facility-based care. (Am J Public Health. 2026;116(3):337-340. https://doi.org/10.2105/AJPH.2025.308289).

Preexposure prophylaxis (PrEP) is effective for HIV prevention, yet PrEP-eligible men face structural, social, and cultural barriers to access. In this implementation science study, we evaluated a community-tailored PrEP navigation program to identify modifiable factors influencing adoption and implementation. Using staff interviews and participatory Photovoice with clients, we uncovered multilevel barriers to and facilitators of PrEP uptake. Findings were shared with a community-based organization to inform program improvements. This study highlights the value of participatory, implementation-focused approaches to equitable HIV prevention. (Am J Public Health. 2026;116(S1):S28-S31. https://doi.org/10.2105/AJPH.2025.308344).

This study assesses expansion of the "Test-to-PrEP" (T2P) social network strategy to include people with HIV (PWH) as distributors of HIV self-test kits (HIVST) and PrEP/HIV treatment resources, in Miami and a newly introduced site in San Juan. PWH showed strong interest despite perceived barriers such as stigma. Stakeholders found the strategy acceptable and compatible. Findings highlight the potential of PWH-led T2P implementation to advance HIV prevention and treatment, underscoring the need to support scale-up and address barriers. (Am J Public Health. 2026;116(S1):S32-S35. https://doi.org/10.2105/AJPH.2025.308320).

In this essay, we argue that policies that intentionally or unintentionally restrict reproductive autonomy constitute an act of violence. First, we discuss our guiding framework, highlighting the intersections between reproductive autonomy, reproductive justice, and violence. Second, we describe the importance of framing the restriction of reproductive autonomy as violence, emphasizing potential implications. Finally, we provide 3 illustrative examples of how governmental power-through the passage of laws-can both support and constrain reproductive autonomy across the life course: sex education, abortion restrictions, and parental leave policies. For each, we explain how the consequent harms overlap with those resulting from more traditional overt forms of violence. By framing the loss of reproductive autonomy as a form of violence, we underscore its profound and far-reaching harms, demanding urgent recognition and response as a critical public health and human rights issue. (Am J Public Health. 2026;116(3):329-336. https://doi.org/10.2105/AJPH.2025.308276).

As the prevention field moves towards integrated care models that facilitate accessibility of evidence-based interventions, there is a need to capitalize on innovative settings and strategies to effectively implement such programs. This manuscript describes lessons learned in the implementation of eHealth Familias Unidas-a family-based program for Hispanic parents and adolescents for the prevention of substance use, sexual risk behaviors, and sexually transmitted infections-in pediatric primary care settings as well as the process of engaging clinic personnel in the implementation process. (Am J Public Health. 2026;116(S1):S22-S27. https://doi.org/10.2105/AJPH.2025.308340).