Leveraging Social and Structural Determinants of Health at the Centers for Disease Control and Prevention: A Systems-Level Opportunity to Improve Public Health.

Context: Social and structural determinants of health (SDOH) have become part of the public health and health care landscape. The need to address SDOH is reinforced by morbidity and mortality trends, including a recent multiyear decrease in life expectancy and persistent health disparities. Leadership on SDOH-related efforts has come from public health, health care, private philanthropy, and nongovernmental entities.

The Critical Role of State Agencies in the Age of Evidence-Based Approaches: The Challenge of New Expectations.

Evidence-based approaches only benefit individuals when fully and effectively implemented. Since funding and monitoring alone will not ensure the full and effective implementation of effective strategies, state agencies have the opportunity to assess and modify current roles, functions, and policies to align with the requirements of evidence-based strategies. Based on a growing body of knowledge to guide effective implementation processes, state agencies, or designated partner organizations, can develop the capacity, mechanisms, and infrastructure to effectively implement evidence-based strategies.

When evidence is not enough: the challenge of implementing fall prevention strategies.

Problem: As the evidence-based movement has advanced in public health, changes in public health practices have lagged far behind creating a science to service gap. For example, science has produced effective falls prevention interventions for older adults. It now is clearer WHAT needs to be done to reduce injury and death related to falls.

Women's reactions to HPV diagnosis: insights from in-depth interviews.

Research links certain types of the human papillomavirus (HPV) to subsequent development of cervical cancer. Women (n=52) recently diagnosed with HPV following an abnormal Pap smear participated in in-depth interviews to explore their knowledge of HPV, their emotional responses to diagnosis, and the extent of their disclosure of their HPV diagnosis to others. Women had many knowledge deficits about HPV.

The impact of endometrial ablation on hysterectomy rates in women with benign uterine conditions in the United States.

Objective: To assess the impact of endometrial ablation on the utilization of hysterectomy in U.S. women with benign uterine conditions.