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Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Op-ed
This op-ed discusses the minimal progress that has been made towards understanding the causes and treatment of long COVID. The main crux of the author’s argument is that long COVID is essentially the same condition as post-infectious syndrome or myalgic encephalomyelitis / chronic fatigue syndrome (ME/CFS). Thus, long COVID is actually not a new condition, but rather something triggered by acute COVID in the same way that many other illnesses can trigger ME/CFS in individuals. ME/CFS itself is not well-understood, but the years of research and patient experiences with the condition could be applied to the body of long COVID research for the advancement of both causes.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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White Paper/Brief
This brief lists interventions to support state public health efforts to address rural disparities and racial discrimination. It emphasizes the importance of localized data on social determinants of health and improving systemic and structural underpinnings of racial disparities. Suggested interventions address data collection and workforce issues, including representativeness and paid family leave.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Toolkit
This blueprint presents recommendations for Illinois to reduce health disparities in rural areas. Recommendations include (1) investing in programs to recruit and retain rural health care workers; (2) improving rural data systems; (3) integrating health care and social services in rural areas; (4) increasing communication between rural health organizations and public health departments; and (5) creating a rural innovation center to coordinate data, policies, and strategies across state agencies.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This study examines the challenges of using community-based participatory research (CBPR) approaches during the COVID-19 pandemic. COVID-19 brings unique challenges to this approach due to social distancing and the closure of key community organizations. They identify three key challenges: flexibility to pivot when needed, inequity in research participation, and the well-being of the research team. The study focuses on impacts for immigrant and communities of color and examines intersectionality’s with age and gender.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Case Study
During the pandemic, the Minnesota Department of Health created three new teams focused on an equitable COVID-19 response. These teams included the Cultural, Faith, and Disability Communities Branch; the Tribal COVID-19 Healthcare Team; and the Vaccine Equity Branch. These teams created partnerships with community partners, elevated community voices, set equity goals and metrics, and respected tribal sovereignty in their COVID-19 response. This helped to ensure resources were used equitably and that COVID-19 responses were effective within diverse communities.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Peer Review Study
Jimenez and colleagues conducted an online survey in order to examine reluctance to follow prescribed COVID-19 preventive measures, such as social distancing and hand washing. Research is needed to understand factors underlying such reluctance, with the aim of developing targeted health interventions. The authors found that associating COVID-19 with death as a key factor. Five hundred and ninety participants completed surveys in mid-March 2020, which included attitudes toward COVID-19, preventive behavioral intentions, and sociodemographic factors. Associating coronavirus with death negatively predicted intentions to perform preventive behaviors, including social distancing and hand washing. Social distancing and hand washing were used as outcome measures in separate multivariate models. Further, associating COVID-19 with death was not evenly distributed throughout the sample and was related with a number of sociodemographic factors including age, race, and availability of sick leave.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Peer Review Study
A retrospective registry-based chart review examined the various demographic and clinical risk factors associated with COVID-19 severity among patients aged 18-29. The study was done within a metropolitan health care system in Houston, TX. In the cohort of 1,853 young adult patients diagnosed with COVID-19 infection at a hospital encounter, including 226 pregnant women, 1,438 (78%) scored 0 on the Charlson Comorbidity Index, and 833 (45%) were obese (≥30 kg/m2). Within 30 days of their diagnostic encounter, 316 (17%) patients were diagnosed with pneumonia, 148 (8%) received other severe disease diagnoses, and 268 (14%) returned to the hospital after being discharged home. In multivariate logistic regression analyses, increasing age, male gender, Hispanic ethnicity, obesity, asthma history, congestive heart failure, cerebrovascular disease, and diabetes were predictive of severe disease diagnoses within 30 days. Non-Hispanic Black race, obesity, asthma history, myocardial infarction history, and household exposure were predictive of 30-day readmission.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Peer Review Study
Czeisler and colleagues investigated the prevalence of mental health symptoms, including depression, anxiety, and suicidal ideation in late June 2020. To assess mental health, substance use, and suicidal ideation during the pandemic, representative panel surveys were conducted among adults aged ≥18 years across the United States during June 24-30, 2020. Just over 40% of respondents reported at least one adverse mental or behavioral health condition. The percentage of respondents who reported having seriously considered suicide in the 30 days before completing the survey (10.7%) was significantly higher among respondents aged 18-24 years (25.5%), marginalized racial/ethnic groups (Hispanic respondents [18.6%], non-Hispanic black [black] respondents [15.1%]), self-reported unpaid caregivers for adults (30.7%), and essential workers (21.7%). This research directs attention to the need for community-level intervention and prevention efforts, including health communication strategies.
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Peer Review Study
Latkin and colleagues conducted a nationally representative survey in May 2020 to examine opinions regarding vaccine hesitancy. The key outcome measure asked: if and when available, would you plan on getting the vaccine. A key set of covariate measures focused on COVID-19 prevention behaviors such as staying away from large groups, wearing a mask when leaving home, and washing hands more frequently. Additional covariates included knowing a close relative or friend who has contracted COVID-19 and how worried are you that you or someone in your family will get infected with COVID-19. Compared to White participants, Black and Hispanic respondents were significantly more likely to report that they did not intend to obtain a COVID-19 vaccine. In addition, compared to those who reported positive vaccine intentions, respondents with negative vaccine intentions were significantly less likely to report that they engaged in the COVID-19 prevention behaviors of wearing masks and social distancing.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Summary Report/Recommendations
Data from the Adolescent Behaviors and Experiences Survey (AMES) was used by CDC to assess 9th-12th grade student behaviors and experiences during the COVID-19 pandemic. The prevalence of poor mental health and suicidality was high across students of all sex, sexual identity, and racial and ethnic groups; however, poor mental health, persistent feelings of sadness or hopelessness, and suicidal thoughts and behaviors were less prevalent among those who felt close to persons at school and were virtually connected with others during the pandemic. The mental health of youth might be improved via strategies that improve connections with others at home, in the community, and at school.