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Addressing STIs through managed care: opportunities in Medicaid and beyond.
Am J Manag Care
December 2024
Department of Health Policy and Management, George Washington University School of Public Health, 950 New Hampshire Ave NW, Washington, DC 20037. Email:
The US is facing a growing epidemic of sexually transmitted infections (STIs), with over 2.5 million cases of chlamydia, gonorrhea, and syphilis reported in 2021 and again in 2022. This public health crisis disproportionately affects youth and racial and ethnic minority communities, exacerbating barriers to accessing sexual health services.
View Article and Find Full Text PDFRandomized clinical trial protocol of an app-based intervention to prevent postpartum depression.
Contemp Clin Trials
December 2024
Butler Hospital and the Department of Psychiatry & Human Behavior, Brown University, 345 Blackstone Boulevard, Suite 2, Providence, RI 02906, United States of America. Electronic address:
Purpose: To develop and evaluate the effectiveness of an asynchronously delivered app, InBloom, for postpartum depression (PPD) prevention relative to an evidence-based synchronously delivered in-person intervention, ROSE (Reach Out, Stay Strong, Essentials for mothers of newborns) for depression and return on investment via a prospective randomized controlled trial and quasi-experimental cohort analyses.
Background: PPD affects 1 in 7 gestational parents in the US, causing emotional distress, consequences for infant development and child adjustment, disruptions in family relationships, and financial burden. ROSE is an evidence-based intervention administered as four in-person group sessions plus one postpartum booster session.
Validation of the Edinburgh postnatal depression scale and prevalence of depression among adolescent mothers in a Cameroonian context.
Sci Rep
December 2024
Actions en Santé Publique, 1204, Geneva, Switzerland.
The Edinburgh Postnatal Depression Scale (EPDS) is the screening tool for perinatal depression, and its cut-off score varies according to context and population. In Cameroon, no study has yet defined a cut-off score or the prevalence of perinatal depression in adolescent mothers. Our aim is to determine the cut-off for teenage mothers in Cameroon.
View Article and Find Full Text PDFStUdy of Gestational diabetes And Risk using Electronic Data (SUGARED): a population-based cohort study-study protocol.
BMJ Open
December 2024
Kolling Institute, Northern Sydney Local Health District, St Leonards, New South Wales, Australia.
Introduction: The incidence of gestational diabetes mellitus (GDM) in Australia has tripled in the last 20 years. Consequently, over 40 000 pregnancies are now diagnosed as 'higher risk' each year. This has increased antenatal surveillance and obstetric intervention, often in the form of delivery earlier than 39 weeks gestation.
View Article and Find Full Text PDFDefining Midwifery-Led Care in the United States Using Concept Analysis.
J Midwifery Womens Health
December 2024
College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
National health policy initiatives recommend increased integration of midwifery care in the United States to improve care quality and reduce maternal health disparities. However, the service models through which midwives provide midwifery care and produce quality outcomes are poorly understood. Midwifery-led care is a service model frequently associated with improved outcomes compared with other models.
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