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Health Care Facility Characteristics Associated With Providing Telehealth HIV Care Services During the COVID-19 Pandemic. 与COVID-19大流行期间提供远程艾滋病毒护理服务相关的卫生保健机构特征
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-16 DOI: 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).
目标。描述在COVID-19大流行期间提供的艾滋病毒远程保健服务,使用疾病控制和预防中心(疾控中心)终止美国艾滋病毒流行医疗监测项目设施调查的数据,该倡议的目标是到2030年将新发艾滋病毒感染减少至少90%,并强调远程保健是一项重要战略。方法。在2021年期间,我们调查了1023家为诊断为艾滋病毒的美国成年人提供艾滋病毒护理的机构,其中45%的机构做出了回应。我们以95%置信区间计算加权百分比,比较提供远程医疗服务的设施的特征。结果。总体而言,83.4%的设施由设施自己的提供者(82.0%)或通过远程会议由外部提供者(27.0%)提供艾滋病毒护理远程保健服务。在较小的设施以及农村和初级保健保健专业人员短缺地区的设施中发现了覆盖方面的差距。结论。尽管大多数艾滋病毒护理机构在2019冠状病毒病大流行期间提供了远程医疗服务,但发现了差距,必须解决这些差距,以实现在美国结束艾滋病毒流行的目标,并更好地为未来的卫生紧急情况做好准备。公共卫生。2025年1月16日出版前在线发布:e1-e5。https://doi.org/10.2105/AJPH.2024.307908)。
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引用次数: 0
Parental Factors Associated With Measles-Mumps-Rubella Vaccination in US Children Younger Than 5 Years. 父母因素与美国5岁以下儿童麻疹-腮腺炎-风疹疫苗接种相关
IF 12.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-16 DOI: 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).
目标。确定父母特征与美国儿童MMR(麻疹-腮腺炎-风疹)疫苗接种状况之间的关系。方法。我们从2023年7月至2024年4月进行了一项横断面研究,使用了通过OutbreaksNearMe进行的数字健康调查,并根据国家人口特征进行了加权。我们分析了19892名5岁以下儿童父母的回答,使用logistic回归分析了自我报告的父母特征(即社会人口统计学、政治、COVID-19疫苗接种状况)与儿童MMR疫苗接种率之间的关系。结果。父母接种至少1剂COVID-19疫苗的儿童的MMR疫苗接种率(80.8%)高于未接种疫苗的儿童(60.9%;优势比[OR] = 1.84;95%置信区间[CI] = 1.68, 2.00)。我们观察到父母为共和党人的儿童与父母为民主党人的儿童的MMR疫苗接种率较低(OR = 0.73;95% CI = 0.64, 0.82),医疗补助或医疗保险与私人保险的父母(or = 0.85;95% CI = 0.76, 0.95),少数族裔(OR = 0.44)和白人(OR = 0.71)父母。我们发现,美国东北部和中西部地区的MMR疫苗接种率较高。结论。早期数据表明,父母的社会人口统计学特征和COVID-19疫苗状况与儿童接种MMR疫苗有关,这强调需要进一步调查多管齐下的公共卫生干预措施。公共卫生。2025年1月16日出版前在线发布:e1-e5。https://doi.org/10.2105/AJPH.2024.307912)。
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引用次数: 0
Don't Forget Fido: A Call to Include Pets in Public Health Research and Policy to Support Families and Communities. 不要忘记宠物:呼吁将宠物纳入公共卫生研究和政策,以支持家庭和社区。
IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 DOI: 10.2105/AJPH.2024.307879
Emily D Dolan, Brett Wyker, Elizabeth A Berliner, Matt Goldweber, Ana Hernandez
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引用次数: 0
Overdose Education and Naloxone Distribution: An Evidence-Based Practice That Warrants Course Correcting. 用药过量教育和纳洛酮发放:一种以证据为基础的做法,值得纠正。
IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2024-10-31 DOI: 10.2105/AJPH.2024.307893
Maya Doe-Simkins, Eliza J Wheeler
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引用次数: 0
Escaping Disaster: Understanding the Drivers and Disparities in Disaster Displacement in the United States. 逃离灾难:了解美国灾后流离失所的驱动因素和差异。
IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2024-11-07 DOI: 10.2105/AJPH.2024.307889
Kristina W Kintziger, Sarah Elizabeth Scales
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引用次数: 0
Community Health Workers as Catalysts for Mental Health Promotion in Transgender and Nonbinary Communities. 社区卫生工作者作为跨性别和非二元社区心理健康促进的催化剂
IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 DOI: 10.2105/AJPH.2024.307898
Arjee Javellana Restar, Kellan Baker, Grace Wang, Karen Ashley, April Joy Damian
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引用次数: 0
Safeguarding SNAP as an Effective Antihunger Program: Myths and Potential Harms of Adding Diet Quality as a Core Objective. 将 SNAP 作为一项有效的反饥饿计划加以保护:将饮食质量作为核心目标的误区和潜在危害。
IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2024-10-31 DOI: 10.2105/AJPH.2024.307863
Danielle M Krobath, Jourdyn A Lawrence, Benjamin W Chrisinger, Adolfo G Cuevas
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引用次数: 0
Subscription Form. 订阅的形式。
IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 DOI: 10.2105/AJPH.2025.115.1.104
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引用次数: 0
Moving Targets: The Dynamic Nature and Imperfect Measurement of Social Constructs. 移动的目标:社会建构的动态性质和不完美测量》(The Dynamic Nature and Imperfect Measurement of Social Constructs)。
IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2024-11-07 DOI: 10.2105/AJPH.2024.307901
Randall L Sell
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引用次数: 0
Strategies to Increase the Population-Level Impact of Naloxone Distribution in Communities Highly Affected by the Overdose Crisis. 在受用药过量危机影响严重的社区提高纳洛酮发放在人群中的影响的策略。
IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2024-11-07 DOI: 10.2105/AJPH.2024.307887
Brandon D L Marshall
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引用次数: 0
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American journal of public health
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