Pub Date : 2025-11-01DOI: 10.2105/ajph.2025.308272
Vickie M Mays,Michelle Sarah Livings
{"title":"Falling Further Over the US Safety Net Benefits Cliff After COVID-19.","authors":"Vickie M Mays,Michelle Sarah Livings","doi":"10.2105/ajph.2025.308272","DOIUrl":"https://doi.org/10.2105/ajph.2025.308272","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"34 1","pages":"1818-1820"},"PeriodicalIF":12.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246515","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 : 2025-11-01DOI: 10.2105/ajph.2025.308283
S Bryn Austin,Joanna E Cohen,Spring Cooper,Karen M Emmons,Gilbert C Gee,Kerry M Green,Mary Hawk,Darrell Hudson,Trace Kershaw,Don Operario,Kurt M Ribisl,Carlos E Rodriguez-Diaz,Jennifer M Sacheck,Benjamin Shaw,Kathleen J Sikkema,Mark W Vander Weg
{"title":"Standing Up for Core Principles in Departments of Social and Behavioral Sciences in Public Health: Department Chairs Speak Out.","authors":"S Bryn Austin,Joanna E Cohen,Spring Cooper,Karen M Emmons,Gilbert C Gee,Kerry M Green,Mary Hawk,Darrell Hudson,Trace Kershaw,Don Operario,Kurt M Ribisl,Carlos E Rodriguez-Diaz,Jennifer M Sacheck,Benjamin Shaw,Kathleen J Sikkema,Mark W Vander Weg","doi":"10.2105/ajph.2025.308283","DOIUrl":"https://doi.org/10.2105/ajph.2025.308283","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"22 1","pages":"1767-1772"},"PeriodicalIF":12.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246558","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 : 2025-11-01DOI: 10.2105/AJPH.2025.115.11.1944
{"title":"Subscription Form.","authors":"","doi":"10.2105/AJPH.2025.115.11.1944","DOIUrl":"10.2105/AJPH.2025.115.11.1944","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"115 11","pages":"1944"},"PeriodicalIF":9.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145249327","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 : 2025-11-01DOI: 10.2105/ajph.2025.308231
Daniel C Semenza,Therese S Richmond,Sonali Rajan,Marian E Betz,Charles Branas,Shani A L Buggs,Stephen Hargarten,Joseph Richardson,Frederick P Rivara,Ali Rowhani-Rahbar,Tanya L Sharpe,Daniel W Webster,Jesenia M Pizarro
{"title":"Firearm Violence Prevention in Peril: A Call to Defend Our Public Safety Infrastructure.","authors":"Daniel C Semenza,Therese S Richmond,Sonali Rajan,Marian E Betz,Charles Branas,Shani A L Buggs,Stephen Hargarten,Joseph Richardson,Frederick P Rivara,Ali Rowhani-Rahbar,Tanya L Sharpe,Daniel W Webster,Jesenia M Pizarro","doi":"10.2105/ajph.2025.308231","DOIUrl":"https://doi.org/10.2105/ajph.2025.308231","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"26 1","pages":"1805-1808"},"PeriodicalIF":12.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246513","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 : 2025-10-30DOI: 10.2105/ajph.2025.308262
Sonja Mackenzie,Nesta N Johnson,Joanna E Scheib,Liam Kali,Jordan Wilson
{"title":"Flourishing Families: Promoting Public Health and Reproductive Justice for All by Protecting and Supporting LGBTQ+ Families in Policy and Practice.","authors":"Sonja Mackenzie,Nesta N Johnson,Joanna E Scheib,Liam Kali,Jordan Wilson","doi":"10.2105/ajph.2025.308262","DOIUrl":"https://doi.org/10.2105/ajph.2025.308262","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"28 1","pages":"e1-e5"},"PeriodicalIF":12.7,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403831","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 : 2025-10-30DOI: 10.2105/ajph.2025.308214
Casey W Adrian,Sean G Massey,Julia B Haager,Eden Lowinger
Beginning with the emergence of the HIV/AIDS epidemic in the early 1980s, community-led lesbian, gay, bisexual, and transgender health organizations created prevention materials that affirmed and celebrated gay identity, positing safer sex as a radical method of keeping their communities healthy and liberated past the onset of the virus. Often prioritizing pleasure and featuring erotic imagery, these strengths-based prevention messages implied that community members shared a collective responsibility to care for each other and stop the spread of HIV. Using archival public health materials from the early HIV/AIDS crisis and data collected through oral history interviews with former members of AIDS service organizations, this article explores the roles that gay liberation, community connectedness, and eroticism played in the first decade of HIV prevention messaging. As a case study, this article highlights the works created by GMHC (formally Gay Men's Health Crisis), New York City's premier AIDS service organization and a global leader in these campaigns. Lastly, we note similarities between historic examples of sex-positive prevention messaging and those used by community health organizations and practitioners in the 21st century. (Am J Public Health. Published online ahead of print October 30, 2025:e1-e8. https://doi.org/10.2105/AJPH.2025.308214).
{"title":"Sex-Positive HIV Prevention Messages: A Case Study From the Early Years of the Epidemic.","authors":"Casey W Adrian,Sean G Massey,Julia B Haager,Eden Lowinger","doi":"10.2105/ajph.2025.308214","DOIUrl":"https://doi.org/10.2105/ajph.2025.308214","url":null,"abstract":"Beginning with the emergence of the HIV/AIDS epidemic in the early 1980s, community-led lesbian, gay, bisexual, and transgender health organizations created prevention materials that affirmed and celebrated gay identity, positing safer sex as a radical method of keeping their communities healthy and liberated past the onset of the virus. Often prioritizing pleasure and featuring erotic imagery, these strengths-based prevention messages implied that community members shared a collective responsibility to care for each other and stop the spread of HIV. Using archival public health materials from the early HIV/AIDS crisis and data collected through oral history interviews with former members of AIDS service organizations, this article explores the roles that gay liberation, community connectedness, and eroticism played in the first decade of HIV prevention messaging. As a case study, this article highlights the works created by GMHC (formally Gay Men's Health Crisis), New York City's premier AIDS service organization and a global leader in these campaigns. Lastly, we note similarities between historic examples of sex-positive prevention messaging and those used by community health organizations and practitioners in the 21st century. (Am J Public Health. Published online ahead of print October 30, 2025:e1-e8. https://doi.org/10.2105/AJPH.2025.308214).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"43 1","pages":"e1-e8"},"PeriodicalIF":12.7,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403829","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 : 2025-10-30DOI: 10.2105/ajph.2025.308265
Nabiha Nuruzzaman,Elaine Hsiang
The antitransgender executive orders and legislation enacted by the Trump administration since January 2025 have focused on enforcing a gender binary and restricting access to gender-affirming care for youths. These actions have had sweeping effects on health policy and access to care in an already strained health care system. Here we contextualize these attacks on transgender health by exploring the historical pathologization and policing of transgender bodies in the United States and Europe while tracing the legacy of medical gatekeeping alongside evolving standards of care. We critique the scientific inaccuracies within the administration's executive orders while outlining the harmful impact of related and recent legislation, including United States v Skrmetti. Restrictions on gender-affirming care and the rights of transgender people to exist not only exacerbate health disparities but also undermine the ethical responsibility of medical practitioners and institutions to provide patient-centered, evidence-based care. We must not capitulate to political efforts that attempt to harm and erase an already marginalized population. (Am J Public Health. Published online ahead of print October 30, 2025:e1-e5. https://doi.org/10.2105/AJPH.2025.308265).
{"title":"Contextualizing President Trump's Executive Orders Targeting Transgender Health and Gender-Affirming Care.","authors":"Nabiha Nuruzzaman,Elaine Hsiang","doi":"10.2105/ajph.2025.308265","DOIUrl":"https://doi.org/10.2105/ajph.2025.308265","url":null,"abstract":"The antitransgender executive orders and legislation enacted by the Trump administration since January 2025 have focused on enforcing a gender binary and restricting access to gender-affirming care for youths. These actions have had sweeping effects on health policy and access to care in an already strained health care system. Here we contextualize these attacks on transgender health by exploring the historical pathologization and policing of transgender bodies in the United States and Europe while tracing the legacy of medical gatekeeping alongside evolving standards of care. We critique the scientific inaccuracies within the administration's executive orders while outlining the harmful impact of related and recent legislation, including United States v Skrmetti. Restrictions on gender-affirming care and the rights of transgender people to exist not only exacerbate health disparities but also undermine the ethical responsibility of medical practitioners and institutions to provide patient-centered, evidence-based care. We must not capitulate to political efforts that attempt to harm and erase an already marginalized population. (Am J Public Health. Published online ahead of print October 30, 2025:e1-e5. https://doi.org/10.2105/AJPH.2025.308265).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"118 1","pages":"e1-e5"},"PeriodicalIF":12.7,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403830","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 : 2025-10-30DOI: 10.2105/ajph.2025.308299
Havisha Pedamallu,Tanvi Nayak,Alexa A Freedman,Kartik K Venkatesh,William A Grobman,Sadiya S Khan,Natalie A Cameron
Objectives. To describe differences in prepregnancy cardiometabolic health in the United States by urbanicity from 2016 to 2023. Methods. We included 29 087 432 pregnant individuals 15 to 44 years old with data in the Centers for Disease Control and Prevention Natality Files. We calculated age-standardized trends in prepregnancy cardiometabolic health from 2016 to 2023 by urbanicity using the cardiovascular-kidney-metabolic (CKM) staging system (stage 0 [no risk factors], stage 1 [overweight/obesity], and stage 2 [diabetes or hypertension]). We used prevalence ratios to compare annual prevalence by urbanicity. Results. From 2016 to 2023, the prevalence of prepregnancy CKM stage 0 decreased in rural and urban areas, whereas the prevalence of stages 1 and 2 increased. Specifically, stage 0 decreased from 41.5% (95% confidence interval [CI] = 41.4%, 41.7%) to 35.6% (95% CI = 35.4%, 35.7%) in rural areas and from 48.2% (95% CI = 48.1%, 48.3%) to 40.7% (95% CI = 40.6%, 40.7%) in urban areas. Prevalence ratios for stages 0 through 2 in 2016 were 0.86 (95% CI = 0.86, 0.87), 1.12 (95% CI = 1.11, 1.12), and 1.36 (95% CI = 1.34, 1.39), respectively, in rural relative to urban areas and remained stable over the study period. Conclusions. In this national sample, prepregnancy cardiometabolic health decreased from 2016 to 2023 in urban and rural communities and exhibited a persistent gap, with rural areas more severely affected. (Am J Public Health. Published online ahead of print October 30, 2025:e1-e4. https://doi.org/10.2105/AJPH.2025.308299).
目标。描述2016年至2023年美国城市人口孕前心脏代谢健康的差异。方法。我们纳入了29 087 432名15至44岁的孕妇，数据来自疾病控制和预防中心的出生档案。我们通过城市化计算了2016年至2023年孕前心脏代谢健康的年龄标准化趋势，使用心血管肾脏代谢（CKM）分期系统（0期[无危险因素]，1期[超重/肥胖]和2期[糖尿病或高血压]）。我们用患病率来比较不同城市的年患病率。结果。2016 - 2023年，农村和城市地区孕前CKM 0期患病率下降，而1期和2期患病率上升。具体来说，0期在农村地区从41.5%（95%可信区间[CI] = 41.4%, 41.7%）下降到35.6% (95% CI = 35.4%, 35.7%)，在城市地区从48.2% （95% CI = 48.1%, 48.3%）下降到40.7% （95% CI = 40.6%, 40.7%）。2016年，与城市地区相比，农村地区0至2期的患病率分别为0.86 （95% CI = 0.86, 0.87）、1.12 （95% CI = 1.11, 1.12）和1.36 (95% CI = 1.34, 1.39)，并在研究期间保持稳定。结论。在这一全国性样本中，2016年至2023年，城市和农村社区的孕前心脏代谢健康状况有所下降，并表现出持续的差距，农村地区的影响更为严重。公共卫生。2025年10月30日提前在线发布：e1-e4。https://doi.org/10.2105/AJPH.2025.308299)。
{"title":"Trends in Prepregnancy Cardiometabolic Health in Rural and Urban Areas in the United States, 2016-2023.","authors":"Havisha Pedamallu,Tanvi Nayak,Alexa A Freedman,Kartik K Venkatesh,William A Grobman,Sadiya S Khan,Natalie A Cameron","doi":"10.2105/ajph.2025.308299","DOIUrl":"https://doi.org/10.2105/ajph.2025.308299","url":null,"abstract":"Objectives. To describe differences in prepregnancy cardiometabolic health in the United States by urbanicity from 2016 to 2023. Methods. We included 29 087 432 pregnant individuals 15 to 44 years old with data in the Centers for Disease Control and Prevention Natality Files. We calculated age-standardized trends in prepregnancy cardiometabolic health from 2016 to 2023 by urbanicity using the cardiovascular-kidney-metabolic (CKM) staging system (stage 0 [no risk factors], stage 1 [overweight/obesity], and stage 2 [diabetes or hypertension]). We used prevalence ratios to compare annual prevalence by urbanicity. Results. From 2016 to 2023, the prevalence of prepregnancy CKM stage 0 decreased in rural and urban areas, whereas the prevalence of stages 1 and 2 increased. Specifically, stage 0 decreased from 41.5% (95% confidence interval [CI] = 41.4%, 41.7%) to 35.6% (95% CI = 35.4%, 35.7%) in rural areas and from 48.2% (95% CI = 48.1%, 48.3%) to 40.7% (95% CI = 40.6%, 40.7%) in urban areas. Prevalence ratios for stages 0 through 2 in 2016 were 0.86 (95% CI = 0.86, 0.87), 1.12 (95% CI = 1.11, 1.12), and 1.36 (95% CI = 1.34, 1.39), respectively, in rural relative to urban areas and remained stable over the study period. Conclusions. In this national sample, prepregnancy cardiometabolic health decreased from 2016 to 2023 in urban and rural communities and exhibited a persistent gap, with rural areas more severely affected. (Am J Public Health. Published online ahead of print October 30, 2025:e1-e4. https://doi.org/10.2105/AJPH.2025.308299).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"150 1","pages":"e1-e4"},"PeriodicalIF":12.7,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403844","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 : 2025-10-23DOI: 10.2105/ajph.2025.308291
Nicole Siegal,Aparna Soni
Objectives. To investigate the association between state gestational age limit abortion laws, which restrict abortions after a specific point in pregnancy, and severe maternal morbidity (SMM) hospitalization rates in the United States. Methods. We used a difference-in-differences approach and hospitalizations data measured annually at the state level from 2010 to 2022 for 47 states. All models included state covariates and state and year fixed effects, which provided plausibly causal estimates of the effect of gestational age limits on SMM rates. Results. Any law that prohibited abortion on the basis of gestational age increased SMM rates by 7.67 (95% confidence interval [CI] = 1.55, 13.80) per 10 000 patients. This was equal to a 10.5% increase in SMM rates compared with baseline levels. The effects were driven by older patients, hospitalizations paid for by public payers, safety net hospitals, and patients living in low-income communities. Conversely, increasing the gestational age limit by 1 week (expanding abortion access) reduced the SMM rate by 0.28 (95% CI = -0.568, 0.002) per 10 000 patients. Conclusions. Restricting access to abortion care increases the risk of SMM, particularly among older women and those of lower socioeconomic status. (Am J Public Health. Published online ahead of print October 23, 2025:e1-e4. https://doi.org/10.2105/AJPH.2025.308291).
目标。调查美国各州的胎龄限制堕胎法与严重产妇发病率（SMM）住院率之间的关系。方法。我们使用了差异中的差异方法，并在2010年至2022年期间每年在州一级测量47个州的住院数据。所有模型都包括州协变量以及州和年份固定效应，这提供了胎龄限制对SMM率影响的合理因果估计。结果。任何基于胎龄禁止堕胎的法律都会使每10,000名患者的SMM率增加7.67（95%可信区间[CI] = 1.55, 13.80）。与基线水平相比，这相当于SMM发生率增加了10.5%。这些影响是由老年患者、公共支付者支付的住院费用、安全网医院和生活在低收入社区的患者推动的。相反，将胎龄限制增加1周（扩大堕胎机会）可使每万名患者的SMM率降低0.28 （95% CI = -0.568, 0.002）。结论。限制获得堕胎护理增加了SMM的风险，特别是在老年妇女和社会经济地位较低的妇女中。公共卫生。2025年10月23日出版前在线发布：e1-e4。https://doi.org/10.2105/AJPH.2025.308291)。
{"title":"The Association Between State Gestational Age Limit Abortion Laws and Severe Maternal Morbidity: United States, 2010-2022.","authors":"Nicole Siegal,Aparna Soni","doi":"10.2105/ajph.2025.308291","DOIUrl":"https://doi.org/10.2105/ajph.2025.308291","url":null,"abstract":"Objectives. To investigate the association between state gestational age limit abortion laws, which restrict abortions after a specific point in pregnancy, and severe maternal morbidity (SMM) hospitalization rates in the United States. Methods. We used a difference-in-differences approach and hospitalizations data measured annually at the state level from 2010 to 2022 for 47 states. All models included state covariates and state and year fixed effects, which provided plausibly causal estimates of the effect of gestational age limits on SMM rates. Results. Any law that prohibited abortion on the basis of gestational age increased SMM rates by 7.67 (95% confidence interval [CI] = 1.55, 13.80) per 10 000 patients. This was equal to a 10.5% increase in SMM rates compared with baseline levels. The effects were driven by older patients, hospitalizations paid for by public payers, safety net hospitals, and patients living in low-income communities. Conversely, increasing the gestational age limit by 1 week (expanding abortion access) reduced the SMM rate by 0.28 (95% CI = -0.568, 0.002) per 10 000 patients. Conclusions. Restricting access to abortion care increases the risk of SMM, particularly among older women and those of lower socioeconomic status. (Am J Public Health. Published online ahead of print October 23, 2025:e1-e4. https://doi.org/10.2105/AJPH.2025.308291).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"56 1","pages":"e1-e4"},"PeriodicalIF":12.7,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351769","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 : 2025-10-23DOI: 10.2105/ajph.2025.308269
Nicole Asa,Hiwot Y Zewdie,Ali Rowhani-Rahbar,Bradley H Wagenaar,Stephen J Mooney
Objectives. To investigate the association between vacant lot redevelopment and violent crime and firearm violent crime. Methods. We used a quasi-experimental study with a difference-in-difference (DID) design. The study population was 254 vacant lots located in Philadelphia, Pennsylvania. The exposure was redevelopment, defined as repurposing the vacant lot into a permanent structure (e.g., housing) between 2007 and 2023. The outcome was violent crime subtypes and firearm violent crime subtypes reported to the police. Our primary analysis used a staggered DID estimator. Results. We found a negative association between redevelopment and aggravated assault (DID = -56.55 crimes per square mile per year; 95% confidence interval [CI] = -97.86, -15.24), firearm aggravated assault (DID = -35.11 crimes per square mile per year; 95% CI = -55.41, -14.82), and overall firearm violent crime (DID = -27.26 crimes per square mile per year; 95% CI = -52.97, -1.54). We did not find significant associations for the other outcomes tested. Conclusions. Our results support the hypothesis that vacant lot redevelopment may prevent or displace violent crime. Public Health Implications. Built environment investments may prevent or displace violence. (Am J Public Health. Published online ahead of print October 23, 2025:e1-e8. https://doi.org/10.2105/AJPH.2025.308269).
目标。探讨空地再开发与暴力犯罪、枪支暴力犯罪的关系。方法。我们采用了一种准实验研究，采用差异中差异（DID）设计。研究对象是位于宾夕法尼亚州费城的254个空地。暴露的是再开发，定义为在2007年至2023年间将空地重新利用为永久性结构（例如住房）。结果是向警方报告的暴力犯罪亚型和枪支暴力犯罪亚型。我们的主要分析使用了交错DID估计器。结果。我们发现，再开发与加重攻击（DID = -56.55犯罪/平方英里/年；95%置信区间[CI] = -97.86, -15.24）、枪支加重攻击（DID = -35.11犯罪/平方英里/年；95% CI = -55.41, -14.82）和总体枪支暴力犯罪（DID = -27.26犯罪/平方英里/年；95% CI = -52.97, -1.54）之间存在负相关。我们没有发现其他测试结果的显著关联。结论。我们的研究结果支持空地再开发可以预防或取代暴力犯罪的假设。公共卫生影响。建筑环境投资可以防止或取代暴力。公共卫生。2025年10月23日出版前在线发布：e1-e8。https://doi.org/10.2105/AJPH.2025.308269)。
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