Pub Date : 2026-01-01DOI: 10.2105/ajph.2025.308328
Nabarun Dasgupta,Jennifer D Schoendorf,Denys T Lau,Lorna Thorpe
{"title":"Public Trust, Private Data: Four Considerations for the Future of Health.","authors":"Nabarun Dasgupta,Jennifer D Schoendorf,Denys T Lau,Lorna Thorpe","doi":"10.2105/ajph.2025.308328","DOIUrl":"https://doi.org/10.2105/ajph.2025.308328","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"6 1","pages":"57-61"},"PeriodicalIF":12.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145717517","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 : 2026-01-01DOI: 10.2105/ajph.2025.308338
Nicholas Chartres,Tracey J Woodruff,Lisa A Bero
{"title":"Restoring Trust in Public Health by Preventing Financial Conflicts of Interest in the Scientific Literature and Government Decision-Making.","authors":"Nicholas Chartres,Tracey J Woodruff,Lisa A Bero","doi":"10.2105/ajph.2025.308338","DOIUrl":"https://doi.org/10.2105/ajph.2025.308338","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"31 1","pages":"62-66"},"PeriodicalIF":12.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145717527","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 : 2025-12-18DOI: 10.2105/ajph.2025.308309
Caitlin A Contag,Zachary T Renfro,Adi Xiyal Mukund,Meg Quint,Shannon Amitin,Vivian Levy,Phillip L Hammack,Benjamin A Pinsky,Benjamin Laniakea
The 2022 global outbreak of clade IIb mpox disproportionately impacted lesbian, gay, bisexual, transgender, and queer (LGBTQ+) communities and highlighted issues of stigma, access to health care, and health care‒associated trauma. Together with LGBTQ+ community partners, our research team implemented venue-based mpox virus and antibody testing. In response to feedback from our community partners, this effort evolved to include broader elements of sexual health services, including distribution of prescriptions for doxycycline postexposure prophylaxis. (Am J Public Health. Published online ahead of print December 18, 2025:e1-e5. https://doi.org/10.2105/AJPH.2025.308309).
{"title":"A Venue-Based Approach to Asymptomatic Mpox Screening and Doxy-PEP Provision: From Outbreak to Outreach, San Francisco, California, 2023‒2024.","authors":"Caitlin A Contag,Zachary T Renfro,Adi Xiyal Mukund,Meg Quint,Shannon Amitin,Vivian Levy,Phillip L Hammack,Benjamin A Pinsky,Benjamin Laniakea","doi":"10.2105/ajph.2025.308309","DOIUrl":"https://doi.org/10.2105/ajph.2025.308309","url":null,"abstract":"The 2022 global outbreak of clade IIb mpox disproportionately impacted lesbian, gay, bisexual, transgender, and queer (LGBTQ+) communities and highlighted issues of stigma, access to health care, and health care‒associated trauma. Together with LGBTQ+ community partners, our research team implemented venue-based mpox virus and antibody testing. In response to feedback from our community partners, this effort evolved to include broader elements of sexual health services, including distribution of prescriptions for doxycycline postexposure prophylaxis. (Am J Public Health. Published online ahead of print December 18, 2025:e1-e5. https://doi.org/10.2105/AJPH.2025.308309).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"20 1","pages":"e1-e5"},"PeriodicalIF":12.7,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145777428","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 : 2025-12-18DOI: 10.2105/ajph.2025.308322
Kim F Rhoads,Eva N Pardo,Salustiano Ribeiro,Ghilamichael Andemeskel,Monique LeSarre,Noha Aboelata,Lisa M Tealer,Damon Francis,Zhonnet Harper,Kala M Mehta,Jonathan D Fuchs,Kimi Watkins-Tartt
Umoja Health (UH) is a community-led approach to address long-standing disparities in health. UH was founded in 2020 at the request of members of the University of California, San Francisco Cancer Center Community Advisory Board. UH started with a focus on COVID-19 testing in San Francisco Bay Area Black/African American communities and evolved to address chronic disease and cancer in diverse communities. We detail UH's approach to addressing the separation between public health and health care, highlighting the coalition's effects on local health equity. (Am J Public Health. Published online ahead of print December 18, 2025:e1-e5. https://doi.org/10.2105/AJPH.2025.308322).
{"title":"Umoja Health: Building Community Coalitions to Achieve Health Equity From COVID-19 to Cancer.","authors":"Kim F Rhoads,Eva N Pardo,Salustiano Ribeiro,Ghilamichael Andemeskel,Monique LeSarre,Noha Aboelata,Lisa M Tealer,Damon Francis,Zhonnet Harper,Kala M Mehta,Jonathan D Fuchs,Kimi Watkins-Tartt","doi":"10.2105/ajph.2025.308322","DOIUrl":"https://doi.org/10.2105/ajph.2025.308322","url":null,"abstract":"Umoja Health (UH) is a community-led approach to address long-standing disparities in health. UH was founded in 2020 at the request of members of the University of California, San Francisco Cancer Center Community Advisory Board. UH started with a focus on COVID-19 testing in San Francisco Bay Area Black/African American communities and evolved to address chronic disease and cancer in diverse communities. We detail UH's approach to addressing the separation between public health and health care, highlighting the coalition's effects on local health equity. (Am J Public Health. Published online ahead of print December 18, 2025:e1-e5. https://doi.org/10.2105/AJPH.2025.308322).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"21 1","pages":"e1-e5"},"PeriodicalIF":12.7,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145777427","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 : 2025-12-11DOI: 10.2105/ajph.2025.308313
Hyemin Lee,Tara R Sullivan,Jessica R Abramson,Peter S McCauley,Ryan J Watson,Ethan H Mereish
Objectives. To examine the associations between state-level structural cissexism and both mental health and unmet mental health care needs among a large national sample of gender-diverse adolescents (GDAs). Methods. We measured structural cissexism by using a composite index of state-level indicators, including antitransgender laws and policies and explicit cissexist attitudes. Using participants' state identifiers, we linked this measure to individual-level mental health data from a subsample of 5658 GDAs (aged 13-18 years; mean age = 15.8 years; SD = 1.5) from the LGBTQ National Teen Survey conducted in 2022. Results. GDAs in states with higher levels of structural cissexism reported greater depression and anxiety symptoms compared with those in states with lower levels. In addition, compared with GDAs in states with lower structural cissexism, those in states with higher structural cissexism were more likely to report unmet mental health care needs. Conclusions. Our findings demonstrate significant associations between structural cissexism and mental health and health care utilization among GDAs. These results underscore the urgent need for transgender-affirming and protective policies and multidimensional and multilevel interventions across social environments to support GDA well-being and ensure equitable access to mental health services. (Am J Public Health. Published online ahead of print December 11, 2025:e1-e11. https://doi.org/10.2105/AJPH.2025.308313).
{"title":"Structural Cissexism, Mental Health, and Unmet Health Care Needs Among Gender-Diverse Adolescents in the United States.","authors":"Hyemin Lee,Tara R Sullivan,Jessica R Abramson,Peter S McCauley,Ryan J Watson,Ethan H Mereish","doi":"10.2105/ajph.2025.308313","DOIUrl":"https://doi.org/10.2105/ajph.2025.308313","url":null,"abstract":"Objectives. To examine the associations between state-level structural cissexism and both mental health and unmet mental health care needs among a large national sample of gender-diverse adolescents (GDAs). Methods. We measured structural cissexism by using a composite index of state-level indicators, including antitransgender laws and policies and explicit cissexist attitudes. Using participants' state identifiers, we linked this measure to individual-level mental health data from a subsample of 5658 GDAs (aged 13-18 years; mean age = 15.8 years; SD = 1.5) from the LGBTQ National Teen Survey conducted in 2022. Results. GDAs in states with higher levels of structural cissexism reported greater depression and anxiety symptoms compared with those in states with lower levels. In addition, compared with GDAs in states with lower structural cissexism, those in states with higher structural cissexism were more likely to report unmet mental health care needs. Conclusions. Our findings demonstrate significant associations between structural cissexism and mental health and health care utilization among GDAs. These results underscore the urgent need for transgender-affirming and protective policies and multidimensional and multilevel interventions across social environments to support GDA well-being and ensure equitable access to mental health services. (Am J Public Health. Published online ahead of print December 11, 2025:e1-e11. https://doi.org/10.2105/AJPH.2025.308313).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"9 1","pages":"e1-e11"},"PeriodicalIF":12.7,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145728394","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}
Objectives. To investigate the association between gender affirmation and interest in adoption among transgender, nonbinary, and gender-diverse adults. Methods. We analyzed data from the Washington Priority Assessment in Trans Health Project, which was conducted in Washington State in 2023. We controlled for sociodemographic characteristics and health care indicators using multinomial logistic regression. Results. Of the 788 participants, 56% expressed interest in adoption, 24% were undecided or maybe interested, and 20% reported no interest. Participants who expressed interest in adoption were more likely to have updated their legal name documentation (adjusted odds ratio [AOR] = 4.7; 95% confidence interval [CI] = 2.73, 8.08), were more likely to have private insurance (AOR = 11.01; 95% CI = 2.89, 42.02), and were less likely to have food insecurity (AOR = 0.46; 95% CI = 0.20, 0.82). Participants who were undecided about adoption reported higher rates of legal gender affirmation (AOR = 1.59; 95% CI = 1.04, 2.42), educational attainment (AOR = 3.77; 95% CI = 1.19, 11.91), and internalized transphobia (AOR = 1.53; 95% CI = 1.01, 2.34). Conclusions. Legal gender affirmation and health care access were associated with adoption interest and were significantly influenced by economic stability and psychological factors. Comprehensive initiatives are needed to develop more trans-inclusive family-planning services. (Am J Public Health. Published online ahead of print December 11, 2025:e1-e11. https://doi.org/10.2105/AJPH.2025.308312).
目标。目的：探讨跨性别、非二元性和性别多样化成年人的性别认同与收养兴趣之间的关系。方法。我们分析了华盛顿优先评估跨健康项目的数据，该项目于2023年在华盛顿州进行。我们使用多项逻辑回归控制了社会人口统计学特征和卫生保健指标。结果。在788名参与者中，56%的人表示有兴趣收养，24%的人尚未决定或可能感兴趣，20%的人表示没有兴趣。表示有兴趣收养的参与者更有可能更新他们的法定姓名文件（调整优势比[AOR] = 4.7； 95%置信区间[CI] = 2.73, 8.08），更有可能拥有私人保险（AOR = 11.01; 95% CI = 2.89, 42.02），并且更不可能有食品不安全（AOR = 0.46; 95% CI = 0.20, 0.82）。未决定是否收养的参与者报告了更高的法律性别确认率（AOR = 1.59; 95% CI = 1.04, 2.42），受教育程度（AOR = 3.77; 95% CI = 1.19, 11.91）和内化变性恐惧症（AOR = 1.53; 95% CI = 1.01, 2.34）。结论。法律上的性别确认和卫生保健可及性与收养兴趣相关，并受经济稳定性和心理因素的显著影响。需要采取综合行动，发展更具跨部门包容性的计划生育服务。公共卫生。2025年12月11日提前在线发布：e1-e11。https://doi.org/10.2105/AJPH.2025.308312)。
{"title":"Association Between Gender Affirmation and Adoption Interest Among a Large Sample of Transgender, Nonbinary, and Gender-Diverse Populations in Washington State, 2023.","authors":"Adedotun Ogunbajo,Teresa DeAtley,Aaron Breslow,Kristi Gamarel,Don Operario,Trace Kershaw,Rebecca L Emery Tavernier,Arjee Javellana Restar","doi":"10.2105/ajph.2025.308312","DOIUrl":"https://doi.org/10.2105/ajph.2025.308312","url":null,"abstract":"Objectives. To investigate the association between gender affirmation and interest in adoption among transgender, nonbinary, and gender-diverse adults. Methods. We analyzed data from the Washington Priority Assessment in Trans Health Project, which was conducted in Washington State in 2023. We controlled for sociodemographic characteristics and health care indicators using multinomial logistic regression. Results. Of the 788 participants, 56% expressed interest in adoption, 24% were undecided or maybe interested, and 20% reported no interest. Participants who expressed interest in adoption were more likely to have updated their legal name documentation (adjusted odds ratio [AOR] = 4.7; 95% confidence interval [CI] = 2.73, 8.08), were more likely to have private insurance (AOR = 11.01; 95% CI = 2.89, 42.02), and were less likely to have food insecurity (AOR = 0.46; 95% CI = 0.20, 0.82). Participants who were undecided about adoption reported higher rates of legal gender affirmation (AOR = 1.59; 95% CI = 1.04, 2.42), educational attainment (AOR = 3.77; 95% CI = 1.19, 11.91), and internalized transphobia (AOR = 1.53; 95% CI = 1.01, 2.34). Conclusions. Legal gender affirmation and health care access were associated with adoption interest and were significantly influenced by economic stability and psychological factors. Comprehensive initiatives are needed to develop more trans-inclusive family-planning services. (Am J Public Health. Published online ahead of print December 11, 2025:e1-e11. https://doi.org/10.2105/AJPH.2025.308312).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"5 1","pages":"e1-e11"},"PeriodicalIF":12.7,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145728397","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 : 2025-12-11DOI: 10.2105/ajph.2025.308337
David Chinyeaka Agor,Chioma Nnaji,Carmen Alvarez,Jose Bauermeister,Steven Meanley
Sexual and gender diverse (SGD) survival migrants face unique challenges navigating multilevel stigma across migratory phases while seeking asylum in the United States. This analytic essay extends Ungar's social-ecological conceptualization of resilience to understand how SGD survival migrants strategically manage their identities within traumatogenic processes to progress from survival to flourishing. We examine 2 critical migration-related stressors: the social visibility dilemma and intersectional concealability. The social visibility dilemma emerges from US asylum requirements mandating visible SGD identity demonstration, creating paradoxical pressures for individuals conditioned to conceal their identities in high-stigma environments and avoid associated stigma for loved ones in their countries of origin. Intersectional concealability refers to how multiple stigmatized identities perceived by others may launch stigma cascades operating through mechanisms of contextual believability and perception-based cascades. Resilience among SGD survival migrants reflects atypical, culturally relative strategies that challenge Global Northern paradigms of identity coherence. Public health practitioners and policymakers must recognize that apparent inconsistency often represents sophisticated adaptation within constrained environments. Recommendations include trauma-informed mental health care, peer support networks, asylum process reforms protecting confidentiality, and validation of diverse identity expressions beyond Global Northern visibility norms. (Am J Public Health. Published online ahead of print December 11, 2025:e1-e7. https://doi.org/10.2105/AJPH.2025.308337).
{"title":"Unconventional Resilience: Necessary Social Identity Management Among Asylum-Seeking Sexual and Gender Diverse Survival Migrants.","authors":"David Chinyeaka Agor,Chioma Nnaji,Carmen Alvarez,Jose Bauermeister,Steven Meanley","doi":"10.2105/ajph.2025.308337","DOIUrl":"https://doi.org/10.2105/ajph.2025.308337","url":null,"abstract":"Sexual and gender diverse (SGD) survival migrants face unique challenges navigating multilevel stigma across migratory phases while seeking asylum in the United States. This analytic essay extends Ungar's social-ecological conceptualization of resilience to understand how SGD survival migrants strategically manage their identities within traumatogenic processes to progress from survival to flourishing. We examine 2 critical migration-related stressors: the social visibility dilemma and intersectional concealability. The social visibility dilemma emerges from US asylum requirements mandating visible SGD identity demonstration, creating paradoxical pressures for individuals conditioned to conceal their identities in high-stigma environments and avoid associated stigma for loved ones in their countries of origin. Intersectional concealability refers to how multiple stigmatized identities perceived by others may launch stigma cascades operating through mechanisms of contextual believability and perception-based cascades. Resilience among SGD survival migrants reflects atypical, culturally relative strategies that challenge Global Northern paradigms of identity coherence. Public health practitioners and policymakers must recognize that apparent inconsistency often represents sophisticated adaptation within constrained environments. Recommendations include trauma-informed mental health care, peer support networks, asylum process reforms protecting confidentiality, and validation of diverse identity expressions beyond Global Northern visibility norms. (Am J Public Health. Published online ahead of print December 11, 2025:e1-e7. https://doi.org/10.2105/AJPH.2025.308337).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"146 1","pages":"e1-e7"},"PeriodicalIF":12.7,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145728396","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 : 2025-12-04DOI: 10.2105/ajph.2025.308282
Aaron M Frutos,Shunte Moon,Alison M Binder,Andrea J Cool,Kingsley Iyawe,Trevor Thompson,Margaret A Dudeck,Catherine H Bozio,Mark W Tenforde,Matthew Biggerstaff,Kelsey M Sumner
Objectives. To evaluate the completeness and utility of influenza hospital data reported to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN) from September 2021 to April 2024. Methods. Acute care and critical access hospitals in the United States reported daily numbers of new hospital admissions of patients with laboratory-confirmed influenza to NHSN during voluntary and mandatory reporting periods. To evaluate the completeness of data reported to NHSN, we compared the number of influenza hospital admissions reported to NHSN with data reported to the Influenza Hospitalization Surveillance Network (FluSurv-NET) among 13 states and overlapping counties reporting to both systems from September 2021 to April 2024. Results. During voluntary reporting, about 77% of US hospitals reported daily influenza hospital admission counts to NHSN; during mandatory reporting, this increased to a mean of 94%. These data were highly correlated (r = 0.978; 95% confidence interval = 0.968, 0.985; P < .001) with numbers from FluSurv-NET and in most states (r range = 0.861-0.988) within overlapping surveillance areas. Conclusions. Influenza hospital admissions reported to NHSN demonstrate high levels of complete reporting; overall counts are highly correlated with a high-quality, long-standing influenza hospitalization surveillance system. (Am J Public Health. Published online ahead of print December 4, 2025:e1-e5. https://doi.org/10.2105/AJPH.2025.308282).
{"title":"Evaluation of a Novel Data Source for National Influenza Surveillance: Influenza Hospitalization Data in the National Healthcare Safety Network, United States, September 2021-April 2024.","authors":"Aaron M Frutos,Shunte Moon,Alison M Binder,Andrea J Cool,Kingsley Iyawe,Trevor Thompson,Margaret A Dudeck,Catherine H Bozio,Mark W Tenforde,Matthew Biggerstaff,Kelsey M Sumner","doi":"10.2105/ajph.2025.308282","DOIUrl":"https://doi.org/10.2105/ajph.2025.308282","url":null,"abstract":"Objectives. To evaluate the completeness and utility of influenza hospital data reported to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN) from September 2021 to April 2024. Methods. Acute care and critical access hospitals in the United States reported daily numbers of new hospital admissions of patients with laboratory-confirmed influenza to NHSN during voluntary and mandatory reporting periods. To evaluate the completeness of data reported to NHSN, we compared the number of influenza hospital admissions reported to NHSN with data reported to the Influenza Hospitalization Surveillance Network (FluSurv-NET) among 13 states and overlapping counties reporting to both systems from September 2021 to April 2024. Results. During voluntary reporting, about 77% of US hospitals reported daily influenza hospital admission counts to NHSN; during mandatory reporting, this increased to a mean of 94%. These data were highly correlated (r = 0.978; 95% confidence interval = 0.968, 0.985; P < .001) with numbers from FluSurv-NET and in most states (r range = 0.861-0.988) within overlapping surveillance areas. Conclusions. Influenza hospital admissions reported to NHSN demonstrate high levels of complete reporting; overall counts are highly correlated with a high-quality, long-standing influenza hospitalization surveillance system. (Am J Public Health. Published online ahead of print December 4, 2025:e1-e5. https://doi.org/10.2105/AJPH.2025.308282).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"26 1","pages":"e1-e5"},"PeriodicalIF":12.7,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145674129","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 : 2025-12-04DOI: 10.2105/ajph.2025.308280
David R A Coelho,Emilia M Jalil,Biancka Fernandes,Eduardo Peixoto,Thaylla Vianna,Michele Ramos,Cristina M Jalil,Livia Ferreira,Isabele Barboza Moura,Ruth K Friedman,Arthur Chaves Araujo,Sandra Cardoso Wagner,Sari L Reisner,Alex S Keuroghlian,Valdiléa G Veloso,Beatriz Grinsztejn,Carolina Coutinho
Objectives. To examine the associations between discrimination, violence, and suicidality among travestis and transgender women in Brazil. Methods. We analyzed baseline data from the Transcendendo cohort (2015-2023) in Rio de Janeiro, Brazil, which enrolled travestis and transgender women aged 18 years and older. We assessed lifetime discrimination by using an 8-item scale reflecting transgender-related mistreatment experiences. We also measured physical and sexual violence, sociodemographics, and psychosocial factors. We categorized suicidality as no ideation, ideation only, and ideation with attempts, analyzed using a multivariable ordinal regression model. Results. Among 662 participants, lifetime discrimination (adjusted odds ratio [AOR] = 1.21; 95% confidence interval [CI] = 1.11, 1.32; P < .001) and lifetime sexual assault (AOR = 1.60; 95% CI = 1.17, 2.19; P = .003) were significantly associated with increased odds of suicidality. Participants with positive body self-satisfaction, HIV, and increasing age had lower odds of suicidality. Conclusions. Our findings highlight the need for antidiscriminatory policies and health services tailored to the needs of this community to mitigate suicidality risk among travestis and transgender women in Brazil. (Am J Public Health. Published online ahead of print December 4, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308280).
目标。目的：探讨巴西跨性别女性中歧视、暴力和自杀之间的关系。方法。我们分析了来自巴西里约热内卢里约热内卢的Transcendendo队列（2015-2023）的基线数据，该队列纳入了18岁及以上的travestis和跨性别女性。我们通过使用反映跨性别相关的虐待经历的8项量表来评估终身歧视。我们还测量了身体暴力和性暴力、社会人口统计学和社会心理因素。我们将自杀行为分为无意念、有意念和有企图意念，并使用多变量有序回归模型进行分析。结果。662名受试者中，终身歧视(校正优势比[AOR] = 1.21； 95%可信区间[CI] = 1.11, 1.32; P <。0.001)和终生性侵犯(AOR = 1.60; 95% CI = 1.17, 2.19; P =。003)与自杀率增加显著相关。身体自我满意度、HIV阳性和年龄增长的参与者自杀的几率较低。结论。我们的研究结果强调，需要针对该社区的需求制定反歧视政策和卫生服务，以降低巴西travestis和变性妇女的自杀风险。公共卫生。2025年12月4日印刷前在线发布：e1-e9。https://doi.org/10.2105/AJPH.2025.308280)。
{"title":"Association of Discrimination and Violence With Suicidality Among Travestis and Transgender Women in Rio de Janeiro, Brazil, 2015‒2023: A Cross-Sectional Study.","authors":"David R A Coelho,Emilia M Jalil,Biancka Fernandes,Eduardo Peixoto,Thaylla Vianna,Michele Ramos,Cristina M Jalil,Livia Ferreira,Isabele Barboza Moura,Ruth K Friedman,Arthur Chaves Araujo,Sandra Cardoso Wagner,Sari L Reisner,Alex S Keuroghlian,Valdiléa G Veloso,Beatriz Grinsztejn,Carolina Coutinho","doi":"10.2105/ajph.2025.308280","DOIUrl":"https://doi.org/10.2105/ajph.2025.308280","url":null,"abstract":"Objectives. To examine the associations between discrimination, violence, and suicidality among travestis and transgender women in Brazil. Methods. We analyzed baseline data from the Transcendendo cohort (2015-2023) in Rio de Janeiro, Brazil, which enrolled travestis and transgender women aged 18 years and older. We assessed lifetime discrimination by using an 8-item scale reflecting transgender-related mistreatment experiences. We also measured physical and sexual violence, sociodemographics, and psychosocial factors. We categorized suicidality as no ideation, ideation only, and ideation with attempts, analyzed using a multivariable ordinal regression model. Results. Among 662 participants, lifetime discrimination (adjusted odds ratio [AOR] = 1.21; 95% confidence interval [CI] = 1.11, 1.32; P < .001) and lifetime sexual assault (AOR = 1.60; 95% CI = 1.17, 2.19; P = .003) were significantly associated with increased odds of suicidality. Participants with positive body self-satisfaction, HIV, and increasing age had lower odds of suicidality. Conclusions. Our findings highlight the need for antidiscriminatory policies and health services tailored to the needs of this community to mitigate suicidality risk among travestis and transgender women in Brazil. (Am J Public Health. Published online ahead of print December 4, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308280).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"128 1","pages":"e1-e9"},"PeriodicalIF":12.7,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145673759","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 : 2025-12-01DOI: 10.2105/ajph.2025.308297
Katherine M Anderson,Luisa N Borrell,Lorna Thorpe
{"title":"Integrating Primary Care and Public Health: Promising Pathways to Building Infrastructure and Delivering Services.","authors":"Katherine M Anderson,Luisa N Borrell,Lorna Thorpe","doi":"10.2105/ajph.2025.308297","DOIUrl":"https://doi.org/10.2105/ajph.2025.308297","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"143 1","pages":"1988-1991"},"PeriodicalIF":12.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145499575","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}
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