Catálogo de publicaciones - revistas

<jats:p> Objectives. To estimate social class inequities in US mortality using a relational measure based on power over productive property and workers’ labor. </jats:p><jats:p> Methods. We used nationally representative 1986–2018 National Health Interview Survey data with mortality follow-up through December 31, 2019 (n = 911 850). First, using business-ownership, occupational, and employment-status data, we classified respondents as incorporated business owners (IBOs), unincorporated business owners (UBOs), managers, workers, or not in the labor force (NLFs). Next, using inverse-probability-weighted survival curves, we estimated class mortality inequities overall, after subdividing workers by employment status and occupation, and by period, gender, race/ethnicity, and education. </jats:p><jats:p> Results. UBOs, workers, and NLFs had, respectively, 6.3 (95% confidence interval [CI] = −8.1, −4.6), 6.6 (95% CI = −8.1, −5.0), and 19.4 (95% CI = −21.0, −17.7) per 100 lower 34-year survival rates than IBOs. Mortality risk was especially high for unemployed, blue-collar, and service workers. Inequities increased over time and were greater among male, racially minoritized, and less-educated respondents. </jats:p><jats:p> Conclusions. We estimated considerable mortality inequities by class, gender, and race/ethnicity. We also estimated that class mortality inequities are increasing, threatening population health. </jats:p><jats:p> Public Health Implications. Addressing class inequities likely requires structural, worker-empowering interventions. (Am J Public Health. Published online ahead of print March 16, 2023:e1–e10. https://doi.org/10.2105/AJPH.2023.307227 ) </jats:p>

<jats:p> Objectives. To examine commonalities and gaps in the content of local US heat action plans (HAPs) designed to decrease the adverse health effects of extreme heat. </jats:p><jats:p> Methods. We used content analysis to identify common strategies and gaps in extreme heat preparedness among written HAPs in the United States from jurisdictions that serve municipalities with more than 200 000 residents. We reviewed, coded, and analyzed plans to assess the prevalence of key components and strategies. </jats:p><jats:p> Results. All 21 plans evaluated incorporated data on activation triggers, heat health messaging and risk communication, cooling centers, surveillance activities, and agency coordination, and 95% incorporated information on outreach to at-risk populations. Gaps existed in the specific applications of these broad strategies. </jats:p><jats:p> Conclusions. Practice-based recommendations as well as future areas of research should focus on increasing targeted strategies for at-risk individuals and expanding the use of surveillance data outside of situational awareness. (Am J Public Health. Published online ahead of print March 16, 2023:e1–e9. https://doi.org/10.2105/AJPH.2022.307217 ) </jats:p>