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Showing papers in "The Lancet Regional Health - Americas in 2022"


Journal ArticleDOI
TL;DR: In this article , the authors assessed how depressive symptoms changed among U.S. adults over the course of the COVID-19 pandemic and identified the key risk factors for these symptoms.

74 citations


Journal ArticleDOI
TL;DR: In this paper , the authors evaluated the effectiveness of a third dose of BNT162b2 among adults in a large US integrated health system and found that three-dose VE (median follow-up 1·3 months [SD 0·6]) was 88% against infection and 97% (95-98) against hospitalization.

59 citations


Journal ArticleDOI
TL;DR: In this article , the authors conducted a prospective cohort study at Kaiser Permanente Southern California (KPSC) to determine the real-world vaccine effectiveness (VE) of mRNA-1273 in preventing COVID-19 infection and severe disease.

48 citations


Journal ArticleDOI
TL;DR: In this article , the impact of age on the effectiveness of vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and COVID-19-related hospitalization, ICU admission, and death was analyzed.

46 citations


Journal ArticleDOI
TL;DR: In this paper , the authors analyzed the in-hospital mortality concerning socio-epidemiological characteristics of patients and the health system of all states during the first and second waves of COVID-19.

42 citations


Journal ArticleDOI
TL;DR: In this article , the authors investigated how political partisanship and socio-economic factors determined the outcome of COVID-19 at the local level in Brazil and showed that negative effects of partisanship towards the right-wing on COVID19 outcomes counterbalances favorable socioeconomic indexes in affluent Brazilian cities.

38 citations


Journal ArticleDOI
TL;DR: In this article , the authors conducted a retrospective cohort study to assess risks of severe clinical outcomes within 21 days after SARS-CoV-2 diagnosis in a large, diverse, integrated health system.

32 citations


Journal ArticleDOI
TL;DR: In this article , the authors examined the safety, effectiveness, and acceptability of self-managed medication abortion provided using online telemedicine in the U.S. They also examined the proportions who were satisfied and felt self-management was the right choice.

31 citations


Journal ArticleDOI
TL;DR: In this article , the authors synthesize recent evidence suggesting that high levels of poverty in the U.S. compared to other high-income countries, as well as historic and ongoing racial/ethnic discrimination, have exacerbated the health consequences of COVID-19, particularly for racial/ ethnic minorities.

30 citations


Journal ArticleDOI
TL;DR: In this paper , the authors describe the impact of the pandemic on non-COVID health services delivery while considering the regional inequalities of the allocation of financing health system, health infrastructure and health workforce.

30 citations


Journal ArticleDOI
TL;DR: A lack of financial and human resource investments in mental health services, limited implementation of the decentralized community-based care approach and policies to address the mental health gap prior to the pandemic, have all contributed to the current crisis as discussed by the authors .

Journal ArticleDOI
TL;DR: In this article , the authors evaluated the impact of COVID-19 vaccination campaigns on saving lives and averting hospitalizations and cases in New York City and found that without vaccination, there would have been a spring-wave of the COVID19 outbreak due to the spread of Alpha and Delta variants.

Journal ArticleDOI
TL;DR: In this article , the authors evaluated vaccine effectiveness against COVID-19-associated hospitalisations in the 3-17-year population during the Omicron outbreak and found that the vaccine effectiveness was (1-OR)x100.

Journal ArticleDOI
TL;DR: In this article , the authors compared the effectiveness of three vaccines against SARS-CoV-2 infection: mRNA-1273, BNT162b2, and Ad26.COV2.S.


Journal ArticleDOI
TL;DR: In this article , the authors used linked employee-patient data for patients tested for COVID-19 at the Mexican Institute of Social Security to estimate the association of the probability of dying with income centiles, using a probit estimation and adjusting for diagnosis, sociodemographic variables, and comorbidities.

Journal ArticleDOI
TL;DR: In this paper , the authors studied the long-term humoral immune response in naïve and previously infected volunteers who received Gam-COVID-Vac (SPUTNIK V) for 602 healthcare workers at 0, 14, 28, 60 and 180 days after receiving the vaccine.


Journal ArticleDOI
Ethan Moitra1
TL;DR: In this article , the authors collected HIV testing and positivity rate clinical data from four geographically diverse U.S. healthcare systems in New Orleans, Louisiana; Minneapolis, Minnesota; Providence, Rhode Island; and, Seattle, Washington.

Journal ArticleDOI
TL;DR: In this article , the authors evaluated factors associated with mortality in children from high and low-middle income countries, including higher mortality with younger age and COVID-related pulmonary disease but lower mortality in MIS-C.

Journal ArticleDOI
TL;DR: In this paper , the authors developed an open-cohort micro-simulation model of OPC natural history among contemporary and future birth cohorts of men, accounting for sexual behaviors, population growth, aging, and herd immunity.

Journal ArticleDOI
TL;DR: The authors in this article highlighted the facilitating role of the WHO Global HEARTS initiative and the HEARTTS in the Americas initiative to catalyze the implementation of this guideline, provided specific policy advice for implementation, and emphasized that an overarching strategic approach for hypertension control is needed.

Journal ArticleDOI
TL;DR: In this article , the authors provided an update and benchmarking of national cancer incidence and mortality estimates for the year 2020, alongside recent mortality trends in the region, with an estimated total of 1.5 million new cancer cases and 700,000 deaths occur annually in Latin America and the Caribbean (LAC), with corresponding incidence and death rates of 186.5 and 86.6 per 100,000.

Journal ArticleDOI
TL;DR: A nationwide observational surveillance-based study was performed from May 24 to September 5, 2022 as discussed by the authors , where five hundred and sixty-five human monkeypox confirmed cases were analysed; 97.2% were men, of whom 59.5% identified as men who have sex with men, and 54.4% had human immunodeficiency virus infection.

Journal ArticleDOI
TL;DR: Breastfeeding initiation is associated with reduced odds of post-perinatal infant deaths in multiple racial and ethnic groups within the US population as discussed by the authors , and significant effects of breastfeeding initiation were observed for deaths due to infection, sudden unexpected infant death, Sudden Unexpected Infant Death, and necrotizing enterocolitis.

Journal ArticleDOI
TL;DR: In this article , the authors assessed change in substance use from before to during the COVID-19 pandemic in young adults and identified factors associated with initiation/increase in use.


Journal ArticleDOI
TL;DR: In this paper , the authors examined the association of race/ethnicity with the initiation of newer diabetes medications (GLP-1 receptor agonists, DPP-4 inhibitors, SGLT-2 inhibitors).


Journal ArticleDOI
TL;DR: The authors in this paper highlighted the facilitating role of the WHO Global HEARTS initiative and the HEARTTS in the Americas initiative to catalyze the implementation of this guideline, provided specific policy advice for implementation, and emphasized that an overarching strategic approach for hypertension control is needed.