Provision of Medications for Self-Managed Abortion Before and After the Dobbs v Jackson Women’s Health Organization Decision

JAMA

EMBARGOED FOR RELEASE: 11:05 A.M. (ET), MONDAY, MARCH 25, 2024

Media advisory: The full study and Viewpoint are linked to this news release.

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About The Study: Provision of medications for self-managed abortions increased in the six months following the Dobbs v Jackson Women’s Health Organization decision. Results suggest that a substantial number of abortion seekers accessed services despite the implementation of state-level bans and restrictions. 

Authors: Abigail R. A. Aiken, Ph.D., of the University of Texas at Austin, is the corresponding author.

 

(doi:10.1001/jama.2024.4266)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Trends in Sexual Harassment Prevalence and Recognition During Intern Year

Embed this link to provide your readers free access to the full-text article This link will be live at the embargo time https://jamanetwork.com/journals/jama-health-forum/fullarticle/10.1001/jamahealthforum.2024.0139?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=032224

About JAMA Health Forum: JAMA Health Forum is an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.

Differences in Donor Heart Acceptance by Race and Gender of Patients on the Transplant Waiting List

JAMA

EMBARGOED FOR RELEASE: 11 A.M. (ET), MONDAY, MARCH 25, 2024

Media advisory: The full study and editorial are linked to this news release.

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About The Study: The cumulative incidence of heart offer acceptance by a transplant center team was consistently lower for Black candidates than for white candidates of the same gender and higher for women than for men in this study. These disparities persisted after adjusting for candidate-, donor-, and offer-level variables, possibly suggesting racial and gender bias in the decision-making process. Further investigation of site-level decision-making may reveal strategies for equitable donor heart acceptance. 

Authors: Khadijah Breathett, M.D., M.S., of Indiana University in Indianapolis, is the corresponding author.

 

(doi:10.1001/jama.2024.0065)

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Racial and Ethnic Differences in Telemedicine Use

JAMA Health Forum

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, MARCH 22, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Health Forum: JAMA Health Forum is an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.

 

About The Study: The results of this study of Medicare enrollees suggest that although nationally, Black and Hispanic individuals and individuals of other racial groups received more telemedicine visits during the pandemic and disproportionately lived in geographic regions with higher telemedicine use, after controlling for geographic region, Black and Hispanic individuals and individuals of other racial groups received fewer telemedicine visits than white individuals. 

Authors: Felippe O. Marcondes, M.D., M.P.H., of Massachusetts General Hospital in Boston, is the corresponding author.

 

(doi:10.1001/jamahealthforum.2024.0131)

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Patient Characteristics and Telemedicine Use in the US, 2022

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, MARCH 22, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: In this study of 5,437 U.S. adults with health care visits in 2022, many patients, including those with the greatest care needs, chose telemedicine even after in-person visits were available. These findings support continuing this care delivery approach as an option valued by patients. Differences were not observed by most common measures of socioeconomic status. Continued monitoring of telemedicine use is needed to ensure equitable access to health care innovations. 

Authors: Eva Chang, Ph.D., M.P.H., of Advocate Health in Milwaukee, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2024.3354)

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Exclusive Breastfeeding Duration and Risk of Childhood Cancers

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, MARCH 26, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.

 

About The Study: In this cohort study including 309,000 Danish children, longer duration of exclusive breastfeeding was associated with reduced risk of childhood B-cell precursor-acute lymphoblastic leukemia, corroborating results of previous case-control investigations in this field. To inform future preemptive interventions, continued research should focus on the potential biologic mechanisms underlying the observed association.

Authors: Signe Holst Søegaard, Ph.D., of the Danish Cancer Society in Copenhagen, is the corresponding author.

 

(doi: 10.1001/jamanetworkopen.2024.3115)

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Sodium Intake and Cause-Specific Mortality Among Predominantly Low-Income Black and White Residents

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, MARCH 26, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.

 

About The Study: In this cohort study of 64,000 low-income Americans, nearly 80% of study participants consumed sodium exceeding the current recommended daily amount, which was associated with 10% to 30% of cardiovascular disease mortality. Public health programs targeted to reduce sodium intake among this underserved population may be beneficial.

Authors: Xiao-Ou Shu, M.D., Ph.D., of the Vanderbilt University School of Medicine in Nashville, is the corresponding author.

 

(doi: 10.1001/jamanetworkopen.2024.3802)

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Hearing Loss and Associated 7-Year Cognitive Outcomes Among Hispanic and Latino Adults

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Analysis and Optimization of Equitable US Cancer Clinical Trial Center Access by Travel Time

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Long-Term Body Mass Index Variability and Adverse Cardiovascular Outcomes

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, MARCH 21, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: This analysis including 157,000 individuals from two large study cohorts found that among U.S. veterans, higher body mass index (BMI) variability was a significant risk marker associated with adverse cardiovascular events independent of mean BMI across major racial and ethnic groups. Results were consistent in the UK Biobank for the cardiovascular death end point. Further studies should investigate the phenotype of high BMI variability. 

Authors: Yan V. Sun, Ph.D., M.S., of Emory University in Atlanta, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2024.3062)

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Postconcussive Symptoms After Early Childhood Concussion

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, MARCH 21, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: In this early childhood study including 303 children, concussion was associated with more postconcussive symptoms than orthopedic injuries or typical development up to three months after injury. Given the limited verbal and cognitive abilities typical of early childhood, using developmentally appropriate manifestations and behaviors is a valuable way of tracking postconcussive symptoms and could aid in concussion diagnosis in young children. 

Authors: Miriam Beauchamp, Ph.D., of the Universite de Montreal, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2024.3182)

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Longitudinal Associations Between Optimism and Objective Measures of Physical Functioning in Women

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Decoding Suicide Decedent Profiles and Signs of Suicidal Intent Using Latent Class Analysis

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A New Model of Global Reconstructive Surgery Training With Reduced Carbon Footprint of Outreach

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Electrocardiographic Findings in Female Professional Basketball Athletes

JAMA Cardiology

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, MARCH 20, 2024

Media advisory: The full study is linked to this news release.

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About The Study: This study that included 173 Women’s National Basketball Association athletes provides reference electrocardiographic (ECG) data for elite female basketball athletes. International criteria–defined training-related findings were common, whereas abnormal ECG findings were rare in this athlete group. These reference data may assist basketball programs and health care professionals using ECGs in screening for female athletes and may be used as a stimulus for future female-specific ECG inquiries. 

Authors: David J. Engel, M.D., of the Columbia University Irving Medical Center in New York, is the corresponding author.

 

(doi:10.1001/jamacardio.2024.0207)

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ADHD Medications and Work Disability and Mental Health Outcomes

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, MARCH 20, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: In this Swedish nationwide cohort study of 221,000 individuals with attention-deficit/hyperactivity disorder (ADHD), the use of ADHD medication was associated with fewer hospitalizations for both psychiatric and non-psychiatric morbidity and lower suicidal behavior. 

Authors: Heidi Taipale, Ph.D., of the Karolinska Institutet in Stockholm, is the corresponding author.

  

(doi:10.1001/jamanetworkopen.2024.2859)

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Individualized Treatment Effects of Oxygen Targets in Mechanically Ventilated Critically Ill Adults

This study is being released to coincide with presentation at the 43rd International Symposium on Intensive Care & Emergency Medicine.

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Lower vs Higher Oxygenation Target and Days Alive Without Life Support in COVID-19

This study is being released to coincide with presentation at the 43rd International Symposium on Intensive Care & Emergency Medicine.

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Prevalence and Risk Factors of Depression and Posttraumatic Stress Disorder After a Mass Shooting

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, MARCH 19, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: Researchers documented a high burden of major depressive episode and posttraumatic stress disorder (PTSD) among witnesses and survivors of the Las Vegas mass violence incident in 2017. The prevalence of major depressive episode and PTSD was considerably higher in this population than in previous studies on mass violence incidents. Consistent with prior literature, this study showed that physical injury and low social support were associated with higher risk for major depressive episode and PTSD. 

Authors: Mohammed Abba-Aji, M.D., M.P.H., of the Boston University School of Public Health, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2024.2739)

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County-Level Disparities in Heat-Related Emergencies

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, MARCH 19, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: The findings of this study suggest that heat-related emergencies were more extensive in socially vulnerable and disadvantaged communities. These communities are already at greater risk for cardiovascular disease, with lower access to primary care compared with other counties. Investment should target these communities to improve heat resilience. 

Authors: Hao Yu, Ph.D., of Harvard Medical School and the Harvard Pilgrim Health Care Institute in Boston, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2024.2845)

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Text vs Patient Portal Messaging to Improve Influenza Vaccination Coverage

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Practice Facilitation and Peer Coaching for Uncontrolled Hypertension Among Black Individuals

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Estimated Childhood Lead Exposure From Drinking Water in Chicago

JAMA Pediatrics

EMBARGOED FOR RELEASE: 11 A.M. (ET), MONDAY, MARCH 18, 2024

Media advisory: The full study is linked to this news release.

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About The Study: The findings of this study indicate that childhood lead exposure from drinking water is widespread in Chicago, and racial inequities are present in both testing rates and exposure levels. Machine learning may assist in preliminary screening for lead exposure, and efforts to remediate the effects of environmental racism should involve improving outreach for and access to lead testing services. 

Authors: Benjamin Q. Huynh, Ph.D., of the Johns Hopkins University Bloomberg School of Public Health in Baltimore, is the corresponding author.

 

(doi:10.1001/jamapediatrics.2024.0133)

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Stroke Risk After COVID-19 Bivalent Vaccination Among US Older Adults

JAMA

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, MARCH 19, 2024

Media advisory: The full study and editorial are linked to this news release.

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About The Study: Among 11,000 Medicare beneficiaries age 65 or older who experienced stroke after receiving either brand of the COVID-19 bivalent vaccine, there was no evidence of a significantly elevated risk for stroke during the days immediately after vaccination. 

Authors: Yun Lu, Ph.D., of the Food and Drug Administration in Silver Spring, Maryland, is the corresponding author.

 

(doi:10.1001/jama.2024.1059)

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USPSTF Statement on Primary Care Interventions to Prevent Child Maltreatment

JAMA

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, MARCH 19, 2024

Media advisory: To contact the U.S. Preventive Services Task Force, email the Media Coordinator at Newsroom@USPSTF.net or call 301-951-9203. The full report and related articles are linked to this news release.

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Bottom Line: The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care interventions to prevent child maltreatment. Child maltreatment, which includes child abuse and neglect, can have profound effects on health, development, survival, and well-being throughout childhood and adulthood. The prevalence of child maltreatment in the U.S. is uncertain and likely underestimated. In 2021, an estimated 600,000 children were identified by Child Protective Services as experiencing abuse or neglect and an estimated 1,820 children died of abuse and neglect. The USPSTF routinely makes recommendations about the effectiveness of preventive care services and this recommendation is consistent with the previous 2018 recommendation statement.

 

(doi:10.1001/jama.2024.1869)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

Note: More information about the U.S. Preventive Services Task Force, its process, and its recommendations can be found on the newsroom page of its website.

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Neuroimaging Findings in US Government Personnel and Their Family Members Involved in Anomalous Health Incidents

JAMA

EMBARGOED FOR RELEASE: 10 A.M. (ET), MONDAY, MARCH 18, 2024

Media advisory: The full study and editorial are linked to this news release.

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About The Study: In this exploratory neuroimaging study, there were no significant differences in imaging measures of brain structure or function between individuals reporting anomalous health incidents and matched control participants after adjustment for multiple comparisons. U.S. government personnel stationed internationally have reported anomalous health incidents, with some individuals experiencing persistent debilitating symptoms. 

Authors: Carlo Pierpaoli, M.D., Ph.D., of the National Institute of Biomedical Imaging and Bioengineering in Bethesda, Maryland, is the corresponding author. To contact Dr. Pierpaoli, email Renate Myles (renate.myles@nih.gov) or Amanda Fine (amanda.fine@nih.gov).

 

(doi:10.1001/jama.2024.2424)

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Clinical, Biomarker, and Research Tests Among US Government Personnel and Their Family Members Involved in Anomalous Health Incidents

JAMA

EMBARGOED FOR RELEASE: 10 A.M. (ET), MONDAY, MARCH 18, 2024

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About The Study: In this exploratory study, there were no significant differences between individuals reporting anomalous health incidents and matched control participants with respect to most clinical, research, and biomarker measures, except for objective and self-reported measures of imbalance and symptoms of fatigue, posttraumatic stress, and depression. This study did not replicate the findings of previous studies, although differences in the populations included and the timing of assessments limit direct comparisons. Since 2015, U.S. government and related personnel have reported dizziness, pain, visual problems, and cognitive dysfunction after experiencing intrusive sounds and head pressure. The U.S. government has labeled these anomalous health incidents. 

Authors: Leighton Chan, M.D., M.P.H., of the National Institutes of Health in Bethesda, Maryland, is the corresponding author. To contact Dr. Chan, email Renate Myles (renate.myles@nih.gov) or Amanda Fine (amanda.fine@nih.gov).

 

(doi:10.1001/jama.2024.2413)

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Peer Comparison or Guideline-Based Feedback and Postsurgery Opioid Prescriptions

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About JAMA Health Forum: JAMA Health Forum is an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.

Pain Exposure and Brain Connectivity in Preterm Infants

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, MARCH 15, 2024

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: Greater exposure to early-life pain was associated with altered maturation of neonatal structural connectivity, particularly in female infants in this study of 150 very preterm infants. Alterations in structural connectivity were associated with neurodevelopmental outcomes, with potential regional specificities. 

Authors: Steven P. Miller, M.D.C.M., M.A.S., of the BC Children’s Hospital Research Institute and University of British Columbia in Vancouver, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2024.2551)

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Health and Economic Value of Eliminating Socioeconomic Disparities in US Youth Physical Activity

JAMA Health Forum

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, MARCH 15, 2024

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About JAMA Health Forum: JAMA Health Forum is an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.

 

About The Study: This study quantified the potential savings from eliminating or reducing physical activity disparities, which can help policymakers, health care systems, schools, funders, sports organizations, and other businesses better prioritize investments toward addressing these disparities. 

Authors: Bruce Y. Lee, M.D., M.B.A., of Public Health Informatics, Computational, and Operations Research (PHICOR), CUNY Graduate School of Public Health and Health Policy in New York, is the corresponding author.

 

(doi:10.1001/jamahealthforum.2024.0088)

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Mental Health Conditions in Partners and Adult Children of Stroke Survivors

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, MARCH 14, 2024

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: In this study of partners and adult children of stroke survivors, risks of several mental health conditions and self-harm or suicide were moderately higher compared with the general population and, to a lesser extent, partners and adult children of heart attack survivors. These findings highlight the potential consequences of stroke among family members, particularly partners, and its findings may possibly serve as a quantitative foundation for the development of future stroke rehabilitation services. 

Authors: Nils Skajaa, Ph.D., of Aarhus University Hospital in Aarhus, Denmark, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2024.3286)

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Teen Pregnancy and Risk of Premature Mortality

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, MARCH 14, 2024

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: Teen pregnancy was associated with future premature mortality in this study of 2.2 million female teenagers. It should be assessed whether supports for female teenagers who experience a pregnancy can enhance the prevention of subsequent premature mortality in young and middle adulthood. 

Authors: Joel G. Ray, M.D., M.Sc., of the University of Toronto, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2024.1833)

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Consent and Identifiability for Patient Images in Research, Education, and Image-Based AI

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Bright Light Therapy as Add-On to Inpatient Treatment in Youth With Moderate to Severe Depression

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Mental Health Impairment and Outpatient Mental Health Care of US Children and Adolescents

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COVID-19 Rebound After VV116 vs Nirmatrelvir-Ritonavir Treatment

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, MARCH 13, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: In this randomized clinical trial of 345 patients with mild-to-moderate COVID-19, viral load rebound and symptom rebound were both common after a standard 5-day course of antiviral treatment with either VV116 or nirmatrelvir-ritonavir. Prolongation of treatment duration might be investigated to reduce COVID-19 rebound. 

Authors: Yufang Bi, M.D., and Yiping Xu, M.Sc., of the Shanghai Jiao Tong University School of Medicine in Shanghai, China, are the corresponding authors. 

 

(doi:10.1001/jamanetworkopen.2024.1765)

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Mental Well-Being Among Adversity-Exposed Adolescents During the Pandemic

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, MARCH 13, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: The findings of this study of 4,515 adolescents suggest that in-person schooling and several coping behaviors (caring for one’s body, exercising, and engaging in healthy behaviors) were associated with significantly higher positive affect and lower perceived stress during the COVID-19 pandemic among adolescents with high adverse childhood experiences (ACEs). Adolescents with high ACEs demonstrated especially greater mental health scores when they reported in-person schooling. Future studies should build on these findings to identify clinical and school-based mental health protective factors for adolescents with high ACE risk. 

Authors: Julia H. Raney, M.D., of the University of California, San Francisco, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2024.2076)

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Mortality for Time-Sensitive Conditions at Urban vs Rural Hospitals During the Pandemic

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, MARCH 12, 2024

Media advisory: The full study and commentary are linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: In this study of 3,813 hospitals, patient outcomes for time-sensitive conditions (acute myocardial infarction, hip fracture, gastrointestinal hemorrhage, pneumonia, sepsis, and stroke) were worse during the COVID-19 pandemic than before, with different magnitudes of change at urban versus rural hospitals. Mobilizing strategies tailored to the different needs of urban and rural hospitals may help reduce the likelihood of excess deaths during future public health crises. 

Authors: H. Joanna Jiang, Ph.D., of the Agency for Healthcare Research and Quality in Rockville, Maryland, is the corresponding author.

  

(doi:10.1001/jamanetworkopen.2024.1838)

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Sex-Specific Association of Alcohol Use Disorder With Suicide Mortality

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, MARCH 12, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: This systematic review and meta-analysis yielded substantive evidence that alcohol use disorder was associated with suicide mortality and that the association was similar across the sexes. The findings underscore the importance of identifying and treating alcohol use disorder as part of a comprehensive suicide prevention strategy. 

Authors: Shannon Lange, M.P.H., Ph.D., of the Centre for Addiction and Mental Health in Toronto, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2024.1941)

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Pragmatic Implementation of Online Obesity Treatment and Maintenance Interventions in Primary Care

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Generative AI to Transform Inpatient Discharge Summaries to Patient-Friendly Language and Format

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), MONDAY, MARCH 11, 2024

Media advisory: The full study and commentary are linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: The findings of this study of 50 discharge summaries suggest that large language models can be used to translate discharge summaries into patient-friendly language and formats that are significantly more readable and understandable than discharge summaries as they appear in electronic health records. However, implementation will require improvements in accuracy, completeness, and safety. Given the safety concerns, initial implementation will require physician review. 

Authors: Jonah Zaretsky, M.D., of NYU Langone Health in New York, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2024.0357)

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Social Determinants of Health and Redirection of Care for Infants Born Extremely Preterm

JAMA Pediatrics

EMBARGOED FOR RELEASE: 11 A.M. (ET), MONDAY, MARCH 11, 2024

Media advisory: The full study is linked to this news release.

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About The Study: In this study of 15,000 infants born extremely preterm, redirection of care discussions (withdrawal, withholding, or limiting escalation of treatment) occurred less often for Black and Hispanic infants than for white and non-Hispanic infants. It is important to explore the possible reasons underlying these differences. 

Authors: Jane E. Brumbaugh, M.D., of the Mayo Clinic in Rochester, Minnesota, is the corresponding author.

 

(doi:10.1001/jamapediatrics.2024.0125)

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ADHD Pharmacotherapy and Mortality in Individuals With ADHD

JAMA

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, MARCH 12, 2024

Media advisory: The full study and editorial are linked to this news release.

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About The Study: In this observational, target trial emulation analysis that included 148,000 individuals diagnosed with attention-deficit/hyperactivity disorder (ADHD) in Sweden, initial dispensation of ADHD medication was significantly associated with lower all-cause and unnatural-cause mortality, whereas the association with natural-cause mortality was not significant. 

Authors: Zheng Chang, Ph.D., and Lin Li, Ph.D., of the Karolinska Institutet in Stockholm, are the corresponding authors.

 

(doi:10.1001/jama.2024.0851)

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Adolescent Δ8-THC and Marijuana Use in the US

JAMA

EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, MARCH 12, 2024

Media advisory: The full study and editorial are linked to this news release.

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About The Study: The results of a nationally representative 2023 survey indicate that Δ8- tetrahydrocannabinol (THC) use prevalence is appreciable among adolescents and is higher in states without marijuana legalization or existing Δ8-THC regulations. Prioritizing surveillance, policy, and public health efforts addressing adolescent Δ8-THC use may be warranted. 

Authors: Adam M. Leventhal, Ph.D., of the University of Southern California in Los Angeles, is the corresponding author.

 

(doi:10.1001/jama.2024.0865)

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Perspectives of Black Patients on Racism Within Emergency Care

JAMA Health Forum

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, MARCH 8, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Health Forum: JAMA Health Forum is an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.

 

About The Study: This qualitative study including 25 interviews with Black patients discharged from the emergency department described these patients’ perspectives about racism in health care, recent clinical experiences, and thoughts on system improvements. Black patients described a notable amount of medical mistrust, anticipation of racism in emergency care, and personal experiences with clinical instances of racism in emergency treatment.

Authors: Anish K. Agarwal, M.D., M.P.H., M.S., of the University of Pennsylvania in Philadelphia, is the corresponding author.

 

(doi:10.1001/jamahealthforum.2024.0046)

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Continuous Medicaid Eligibility During the Pandemic and Postpartum Coverage, Health Care, and Outcomes

JAMA Health Forum

EMBARGOED FOR RELEASE: 11 A.M. (ET), FRIDAY, MARCH 8, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Health Forum: JAMA Health Forum is an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.

 

About The Study: In this study including 47,000 participants, continuous Medicaid eligibility during the COVID-19 pandemic significantly reduced loss of Medicaid after birth, suggesting similar uninsurance reductions may be expected from post-pandemic postpartum Medicaid extensions, which most states plan to implement. 

Authors: Jamie R. Daw, Ph.D., of the Columbia University Mailman School of Public Health in New York, is the corresponding author.

 

(doi:10.1001/jamahealthforum.2024.0004)

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Paclitaxel-Coated Balloon vs Uncoated Balloon for Coronary In-Stent Restenosis

JAMA

EMBARGOED FOR RELEASE: 2 P.M. (ET), SATURDAY, MARCH 9, 2024

Media advisory: The full study and editorial are linked to this news release. This study is being released to coincide with presentation at Cardiovascular Research Technologies 2024.

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About The Study: Among patients undergoing coronary angioplasty for in-stent restenosis, a paclitaxel-coated balloon was superior to an uncoated balloon with respect to the composite end point of target lesion failure in this multicenter randomized trial that included 600 patients. Paclitaxel-coated balloons are an effective treatment option for patients with coronary in-stent restenosis. 

Authors: Robert W. Yeh, M.D., M.Sc., of Beth Israel Deaconess Medical Center in Boston, is the corresponding author.

 

(doi:10.1001/jama.2024.1361)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Current State of Dermatology Mobile Applications With AI Features

JAMA Dermatology

EMBARGOED FOR RELEASE: 3 P.M. (ET), THURSDAY, MARCH 7, 2024

Media advisory: The full study is linked to this news release. This article is being released to coincide with presentation at the 2024 American Academy of Dermatology Annual Meeting.

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About The Study: This scoping review determined that although artificial intelligence (AI) dermatology mobile apps hold promise for improving access to care and patient outcomes, in their current state, they may pose harm due to potential risks, lack of consistent validation, and misleading user communication. Addressing challenges in efficacy, safety, and transparency through effective regulation, validation, and standardized evaluation criteria is essential to harness the benefits of these apps while minimizing risks.

Authors: Veronica Rotemberg, M.D., Ph.D., of Memorial Sloan Kettering Cancer Center in New York, and Associate Editor, JAMA Dermatology, is the corresponding author.

 

(doi:10.1001/jamadermatol.2024.0468)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Linkage Case Management and Posthospitalization Outcomes in People With HIV

JAMA

EMBARGOED FOR RELEASE: 12:20 P.M. (ET), WEDNESDAY, MARCH 6, 2024

Media advisory: The full study and editorial are linked to this news release. This study is being released to coincide with presentation at the Conference on Retroviruses and Opportunistic Infections 2024.

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About The Study: In this randomized clinical trial that involved 500 hospitalized people with HIV, a linkage case management intervention did not reduce 12-month mortality outcomes. These findings may help inform decisions about the potential role of linkage case management among hospitalized people with HIV. 

Authors: Robert N. Peck, M.D., Ph.D., of Weill Cornell Medicine in New York, is the corresponding author.

 

(doi:10.1001/jama.2024.2177)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Multinational External Validation of Autonomous Retinopathy of Prematurity Screening

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Mental Health–Related Outpatient Visits Among Adolescents and Young Adults, 2006-2019

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, MARCH 7, 2024

Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: The findings of this analysis of nationally representative data suggest that youth experienced a significant and sustained increase in mental health burden for over a decade preceding the COVID-19 pandemic, and treatment and prevention strategies will need to address preexisting psychiatric needs in addition to the direct effects of the COVID-19 pandemic. 

Authors: Florence T. Bourgeois, M.D., M.P.H., of Boston Children’s Hospital, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2024.1468)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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National Trends in Sales and Price for Commercial Tobacco and Nicotine Products

JAMA Network Open

EMBARGOED FOR RELEASE: 11 A.M. (ET), THURSDAY, MARCH 7, 2024

Media advisory: The full study is linked to this news release.

Embed this link to provide your readers free access to the full-text article This link will be live at the embargo time http://jamanetwork.com/journals/jamanetworkopen/fullarticle/10.1001/jamanetworkopen.2024.1384?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=030724

About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

About The Study: Although cigarettes remained the dominant product sold during the study period (2018-2022), their market share decreased, leading to a more diverse marketplace at a range of price points. The fastest growing and only price-stable products were modern oral nicotine (e.g., nicotine pouches). The most expensive products were electronic nicotine delivery systems, yet prices decreased in 2019, coinciding with the emergence of cheap, flavored disposable vapes. Cigars, which are largely flavored, remained the cheapest product, driven by low cost and small pack sizes, which is concerning given that flavored products and low prices are appealing to young people. 

Authors: Ollie Ganz, Dr.P.H., M.S.P.H., of the Rutgers Institute for Nicotine and Tobacco Studies in New Brunswick, New Jersey, is the corresponding author. 

 

(doi:10.1001/jamanetworkopen.2024.1384)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Virtual Reality and Transcranial Direct Current Stimulation for Posttraumatic Stress Disorder

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Oxidative Stress-Induced Damage to RNA and DNA and Mortality in Individuals with Psychiatric Illness

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Robotic Technology in Emergency General Surgery Cases in the Era of Minimally Invasive Surgery

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Symptoms of Cognitive Impairment Among Children With Atopic Dermatitis

JAMA Dermatology

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, MARCH 6, 2024

Media advisory: The full study is linked to this news release.

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About The Study: The findings of this study suggest that pediatric atopic dermatitis (AD) was generally associated with greater odds of reported difficulties in learning and memory. However, this association was primarily limited to children with neurodevelopmental comorbidities, such as attention-deficit/hyperactivity disorder or learning disabilities. These results may improve the risk stratification of children with AD for cognitive impairments and suggest that evaluation for cognitive difficulties should be prioritized among children with AD and neurodevelopmental disorders. 

Authors: Joy Wan, M.D., M.S.C.E., of the Johns Hopkins University School of Medicine in Baltimore, is the corresponding author.

 

(doi:10.1001/jamadermatol.2024.0015)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Adverse Childhood Experiences and Adult Mental Health Outcomes

JAMA Psychiatry

EMBARGOED FOR RELEASE: 11 A.M. (ET), WEDNESDAY, MARCH 6, 2024

Media advisory: The full study is linked to this news release.

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About The Study: The results of this study using twin data support an association between adverse childhood experiences and poor mental health in adulthood, notwithstanding evidence for familial confounding from shared genetic and environmental factors. These findings suggest that targeted interventions may be associated with reduced risks of future psychopathology. 

Authors: Hilda Björk Daníelsdóttir, M.Sc., of the University of Iceland in Reykjavík, Iceland, is the corresponding author.

 

(10.1001/jamapsychiatry.2024.0039)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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HIV Preexposure Prophylaxis With Emtricitabine and Tenofovir Disoproxil Fumarate Among Cisgender Women

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