American journal of preventive medicine
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Testing for immunity to measles, mumps, and rubella should include only immunoglobulin G (IgG); immunoglobulin M (IgM) testing is appropriate only if acute illness is suspected. The appropriateness of measles, mumps, and rubella IgM testing was evaluated in a national administrative dataset. ⋯ The majority of IgM testing for measles, mumps, and rubella during this period appeared inappropriate. Clinicians and health systems could ensure that IgG testing alone is performed when evaluating for immunity through modifications to electronic medical records and commercial laboratories could ensure that providers are able to test for IgG alone when evaluating immunity.
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National-level data suggest that gun owners in the U.S. carry concealed weapons in public at growing rates. This research investigates whether these trends are associated with state adoption of more permissive concealed carry-licensing laws between 2002 and 2019. ⋯ State-level concealed carry licensing may inform public health and safety policies as large restrictive U.S. states transition to more permissive concealed carry-licensing laws.
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Schools can support students' participation in physical activity by offering opportunities consistent with a Whole-of-School (WOS) approach; however, the extent to which physical activity opportunities are provided and how school-level characteristics associate with their use remains unclear. This study examined how elementary schools' use a WOS approach to promote physical activity, as well as associations between school-level characteristics and physical activity opportunities provided. ⋯ Studies are needed to examine disparities in physical activity practices consistent with a WOS approach to understand the implications on health, academic performance, and other key outcomes. This information can inform the development of strategies to address disparities and ensure youth have equitable access to school-based physical activity opportunities.
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Research has linked youth exposure and engagement with tobacco-related content on social media to behavioral changes; however, there is a lack of studies exploring the source and types of such content and their impact on youth's susceptibility to tobacco use. This study examined the association between the type and source of content posted on social media and susceptibility to tobacco use, defined as curiosity or intention to use tobacco or e-cigarettes. ⋯ Regular exposure to tobacco-related content on social media, particularly content shared by celebrities and social media influencers, was associated with susceptibility to tobacco use. These findings underscore the need for targeted interventions to mitigate the effects of social media influencers on youth.
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This study seeks to estimate health care expenditures and use associated with hypertension, focusing on differences among racial and ethnic groups. ⋯ This study reveals differences in health care expenditures and use associated with hypertension among racial and ethnic groups. Future studies are needed to examine potential drivers of these differences.