BEGIN:VCALENDAR PRODID:-//github.com/ical-org/ical.net//NONSGML ical.net 4.0//EN VERSION:2.0 BEGIN:VTIMEZONE TZID:America/New_York X-LIC-LOCATION:America/New_York BEGIN:STANDARD DTSTART:20241103T020000 RRULE:FREQ=YEARLY;BYDAY=1SU;BYMONTH=11 TZNAME:EST TZOFFSETFROM:-0400 TZOFFSETTO:-0500 END:STANDARD BEGIN:DAYLIGHT DTSTART:20250309T020000 RRULE:FREQ=YEARLY;BYDAY=2SU;BYMONTH=3 TZNAME:EDT TZOFFSETFROM:-0500 TZOFFSETTO:-0400 END:DAYLIGHT END:VTIMEZONE BEGIN:VEVENT DESCRIPTION:Join YSPH friends and colleagues in Atlanta from November 12-1 5 for the APHA Annual Meeting and Expo! The APHA Annual Meeting brings to gether more than 12\,000 public health professionals from across the worl d to engage\, collaborate\, and grow through educational and networking o pportunities. Learn more about this YSPH event here. BOOTH EXHIBIT HOURS: Sunday\, November 12\, 12:30-6 pm Monday\, November 13\, 10 am-4 pm Tues day\, November 14\, 10 am-4 pm\n\nAdmission:\nRegistrationFees: APHA Even t Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/eve nt/ysph-apha-2023-annual-meeting-and-expo/\n DTEND;TZID=America/New_York;VALUE=DATE:20231116 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York;VALUE=DATE:20231112 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH@APHA 2023 | Annual Meeting & Expo | Atlanta\, GA UID:0e9992c3-08b6-4de0-9609-61588a2c309b END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Early and Adolescent Latino Health Program: Latino Ca ucus Time: 1 - 2 PM Presenters: Beatriz Duran Becerra\, MPH Ijeoma Opara\ ,PhD\, LMSW\, MPH Abstract Background: In the United States\, Latina adol escent girls experience high rates of teen dating violence\, which may co ntribute to increased risk for negative sexual health\, substance use\, a nd mental health outcomes. Despite availability of prevention interventio ns that address substance use and sexual health\, there are limited cultu rally relevant resources for Latina adolescent girls on identifying healt hy romantic relationships. The purpose of this study is to utilize Youth Participatory Action Research (YPAR) to develop a community focused and c ulturally relevant healthy romantic relationships toolkit that addresses sexual health and substance use prevention for Latina adolescent girls in Paterson\, New Jersey. Methods: This project is part of a larger NIH fun ded study\, The Paterson Prevention Project\, which seeks to understand n eighborhoods impact on substance use and mental health among Paterson you th. The study is guided by an active advisory board consisting of communi ty leaders and youth. A sub-group was created to establish the Latina You th Advisory Board\, consisting of three Latina girls living in Paterson a nd between the ages of 17-20. Three focus groups were conducted in which the Latina Youth Advisory Board was asked for their thoughts on sexual he alth/ substance use topics\, important cultural values in their community \, and graphic design ideas. Youth narratives were transcribed and re-occ urring themes and sub-themes were coded and analyzed. Results: Based on t he findings from the focus groups and with approval from the Latina Youth Advisory Board\, the “Healthy Relationships Toolkit for Latina Girls” wa s developed to empower Latina girls from Paterson. The toolkit includes s even sections: 1) Identifying signs of healthy/ unhealthy relationships\; 2) Setting and communicating boundaries\; 3) Identifying and giving cons ent\; 4) Ending unhealthy relationships\; 5) Supporting friends\; 6) Iden tifying cultural influences\; 7) Understanding power & privilege. Conclus ions: A collaborative partnership with the Latina Youth Advisory Board wa s critical in designing a resource that is tailored to the specific needs and cultural values of Latina adolescent girls in Paterson\, New Jersey. The development process for this toolkit provides a framework for public health professionals to incorporate YPAR methods in the development of c ulturally relevant and community- specific resources for Latinx youth.\n\ nSpeaker:\nIjeoma Opara\n\nAdmission:\nRegistrationFees: APHA Event Regis tration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/yout h-action-research-to-develop-sexual-health-and-substance-use-prevention-t oolkit/\n DTEND;TZID=America/New_York:20231112T140000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231112T130000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2027.0 - Using youth participatory action research to develop a se xual health and substance use prevention toolkit for Latina girls in Pate rson\, New Jersey UID:5b630c2c-b847-4448-a996-0ec2f4a25dcf END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Epidemiology Methods Program: Epidemiology Time: 3 - 3:15 PM Presenters: Anne Wyllie\, PhD Abstract Background: The “gold stan dard” sample for SARS-CoV-2 detection defaulted to nasopharyngeal swabs d ue to their use for other respiratory pathogens. However\, supply chains buckled\, healthcare workers were put at risk when obtaining samples\, an d discomfort from invasive swabbing created testing aversion. Saliva quic kly emerged as a viable sample to overcome these challenges. Objective(s) : Saliva-based diagnostic tests enable a proactive response to potential disease outbreaks\, saving valuable resources while increasing accessibil ity and equity. Saliva collection can also transform patient care in remo te or low-resource settings as a flexible tool for diagnostic testing\, s urveillance programs\, sequencing\, and/or monitoring vaccine impact. Met hods: We designed ‘SalivaDirect’ to simplify testing through: 1) demonstr ating the sensitivity of saliva for SARS-CoV-2 detection\; 2) developing clear instructions for reliable self-collection\; 3) negating the need fo r healthcare worker-assisted collection\; 4) eliminating collection tubes with propriety buffers and/or preservatives\; 5) replacing nucleic acid extraction with a simple heat and/or enzymatic step\; 6) validating reage nts and instruments from multiple suppliers\; and 7) establishing a novel \, open-source emergency use authorization (EUA) regulatory framework. Sa livaDirect has since been validated for the detection of influenza\, RSV\ , and mpox\, with more targets on the horizon. Results: Advances in testi ng during the pandemic created new possibilities for respiratory pathogen detection. Approaches like SalivaDirect demonstrate that saliva can be u sed as a sensitive\, reliable option for not only SARS-CoV-2 detection\, but other infectious diseases. Conclusion: Saliva supports effective and sustainable testing approaches which merits further exploration as we loo k to overcome current and evolving public health challenges.\n\nAdmission :\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\ nhttps://medicine.yale.edu/event/20640-supporting-equitable-public-health -solutions-with-saliva-based-testing/\n DTEND;TZID=America/New_York:20231112T151500 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231112T150000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2064.0 Supporting equitable public health solutions with saliva-ba sed testing - an innovative\, low-cost\, and scalable testing methodology UID:75aafeb2-5e13-4ee0-8e1e-a58d59d86bd5 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Political and Structural Determinants of Reproductive Health Program: Sexual and Reproductive Health (SRH) Time: 3 - 3:15 PM P resenter: Jasmine Abrams Abstract Background : Discrimination in the US i s pervasive and is a major contributor to sexual and reproductive health disparities experienced by African American/ Black women. Social inequiti es may be barriers to sexual pleasure\, including sexual satisfaction and orgasm. The purpose of this study was to assess the association between discrimination and sexuality outcomes among a sample of young adult Black women. Methods : Participants were recruited as part of a formative rese arch study using purposive sampling\, between April and June 2019 in comm unity-based locations around Baltimore\, MD and Washington\, DC. Heterose xually active Black women\, ages 18-35 years old\, and English literate w ere eligible to participate. Measures of everyday discrimination (EDS) we re assessed. Multiple linear regression was used to test the association with sexual pleasure and well-being outcomes of Sexual Satisfaction (NSSS )\, and orgasm (FOS). Results : In this sample of 269 young adult Black w omen\, participants’ mean age was 27.5 years old (SD=3.86)\; 11% were Lat ina\; and most (74.0%) completed education beyond high school. Among the sample 93.7% identified as heterosexual. The mean EDS was 20.6 (SD=7.49)\ , Majority reported race as the main reason for discrimination (74.4%). T he mean FOS score was 288.62 (SD=75.0)\; the mean NSSS was 64.78 (SD=11.3 8). EDS was statistically significantly associated with NSSS but not FOS. Conclusions : Preliminary analysis shows that discrimination and sexual dissatisfaction is high among this sample. Given the harmful effects that discrimination and racism have on African Americans’ well-being\, more s pecific actions and advocacy should be developed and implemented to impro ve Black women’s sexual health.\n\nSpeaker:\nJasmine Abrams\n\nAdmission: \nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\n https://medicine.yale.edu/event/20970-experience-with-discrimination-and- sexual-well-being-an-exploratory-analysis-among-black-women/\n DTEND;TZID=America/New_York:20231112T151500 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231112T150000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2097.0 Experience with discrimination and sexual well-being: An ex ploratory analysis among adult black women UID:a9a80983-4218-40bb-821f-fe452ba86abd END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Health Promotion and Disease Prevention for People wi th Disabilities (organized jointly with the Disability section) Program: Public Health Education and Health Promotion Time: 4:30 - 6:00 PM Present er: James Lawrence\, MPH '24 Abstract Approximately 500\,000 individuals in the United States use American Sign Language as a primary method of co mmunication\, presenting an opportunity to examine the interaction betwee n nonverbal methods of communication and relationships formed with medica l providers\, as well as adherence to recommendations\, prescriptions\, f ollow-up\, and understanding of these patients’ chronic conditions. Addit ionally\, as the American education system has evolved to attempt to acco mmodate persons with hearing impairments\, individuals who experienced a lack of congruent education in the absence of these accommodations\, i.e. \, persons born after 1957 for the purposes of this study\, describe vary ing levels of English language fluency in addition to their knowledge of written English. In this study\, qualitative interviews will be conducted following a survey of demographic factors\, including age\, education le vel\, and self-reported proficiency in English (spoken and written) and u sed to assess how the experiences of PSLs might inform healthcare communi cation practices. Qualitative coding will be utilized to categorize parti cipant responses and regression analysis will be conducted to estimate re lationships between demographic factors and our outcomes of interest. It is anticipated that significant variance will be observed as a result of these factors. As a language that is primarily communicated by means othe r than writing\, persons who primarily utilize American Sign Language (PS Ls) represent a growing proportion of the population that will experience an increase in chronic conditions as a function of aging\, and thus pres ent a cohort that may benefit from bolstered ASL interpreting access duri ng visits with healthcare providers.\n\nAdmission:\nRegistrationFees: APH A Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.e du/event/21830-healthcare-empowerment-and-relations-for-the-deaf/\n DTEND;TZID=America/New_York:20231112T180000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231112T163000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2183.0 Healthcare empowerment and relations for the deaf: A qualit ative evaluation of healthcare provider’s communication methods\, interpr eting services\, and health literacy in deaf and hard of hearing populati ons UID:4ac9c4ca-71b2-42a2-a7c1-386016302ec5 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Cannabis Poster Session 1: Risk Factors and Correlate s of Cannabis Use Program: Alcohol\, Tobacco\, and Other Drugs Time: 5-6 PM Presenters: Trace Kershaw\, PhD Abstract Over the past few decades\, m arijuana has increasingly been perceived as a harmless or inconsequential substance. Among people in treatment for substance use challenges\, a la rge proportion use marijuana and this marijuana use is likely to persist during treatment. This qualitative study examined experiences and percept ions relating to marijuana: 1) prior to treatment\, 2) during treatment\, and 3) impact on treatment experience. Qualitative tele-interviews were conducted with people in treatment for substance use challenges in Georgi a and Connecticut (N = 27). Three themes emerged related to using marijua na during treatment for substance use challenges: 1) Marijuana as a “gate way” to other substance use initiation and relapse\, 2) Marijuana as a po tential beneficial medicine to treat co-occurring mental health problems as well as alcohol and opioid use disorder\, and 3) anxiety related to pe rsistent marijuana use due to fears of treatment and legal consequences. Findings suggest that although marijuana use may be related to return to other substance use\, many people in treatment for substance use challeng es have a complex set of beliefs and experiences around marijuana as a po tential beneficial medicine to address co-occurring mental health concern s and to relieve symptoms of opioid and alcohol use disorder. However\, t hese beliefs and experiences are often coupled with stigma and shame due to persistent marijuana use while identifying as sober\, in recovery\, or in treatment.\n\nSpeaker:\nTrace Kershaw\n\nAdmission:\nRegistrationFees : APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.y ale.edu/event/21940-perceptions-and-experiences-around-marijuana-among-pe ople-in-treatment-for-substance-use/\n DTEND;TZID=America/New_York:20231112T180000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231112T170000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2194.0 Sneakin' and geekin': Perceptions\, beliefs\, and experienc es around marijuana among people in treatment for substance use UID:b559a82a-6036-45e6-89ce-944ff7e4bb11 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Misinformation Can be Deadly: Strategies to Prevent & Address Inaccurate Health Beliefs Program: Public Health Education and H ealth Promotion Time: 5:30 - 5:45 PM Presenter: Jackson Higginbottom\, MP H Allison Beaulieu\, MPH Katherine LaMonaca\, MPH Beatriz Duran-Becerra I van Hurtado Oana Groza Kathleen O'Connor Duffany\, PhD\, MEd Rafael Perez -Escamilla\, PhD Abstract Background Vaccine misinformation plays a signi ficant role in perpetuating health inequities and contributes to disparit ies in vaccine confidence and uptake. Multi-sector partnerships involving healthcare providers\, government agencies\, community partners\, person s experiencing the greatest health inequities\, and researchers can impro ve vaccination rates by increasing access to accurate information and eng aging trusted messengers. Trusted messengers (TMs) play a crucial role in these partnerships by disseminating accurate information and fostering t rust. This presentation explores how trusted messengers were integrated w ithin a multi-sector approach to address vaccine misinformation and promo te vaccine equity using social listening. Methods Partners co-developed V accine Equity Trainings on health literacy\, communication\, and outreach skills. TMs participated in trainings\, then conducted social listening to identify and respond to misinformation. TMs documented community conve rsations and misinformation in Social Listening Tracking Tools (e.g.\, Ru mor Logs)\, which partners reviewed weekly to inform the development of m aterials and activities. Training effectiveness was assessed with pre/pos t surveys. Tracking tools were reviewed by evaluators to capture engageme nt. Results Preliminary findings suggest that our multi-sector approach e ffectively trained and continually engaged community members as trusted m essengers to address vaccine misinformation and hesitancy. Trainings of T Ms resulted in increased vaccine knowledge and confidence in communicatin g about vaccines. Collaborative efforts among partners led to the develop ment of tailored informational materials that were responsive to communit y concerns with the aim of promoting vaccine confidence. Conclusion Effec tive multi-sector vaccine equity partnerships need to include well-traine d trusted messengers to identify and respond to misinformation and improv e access to accurate vaccine information.\n\nSpeakers:\nJackson Higginbot tom\; Allison Beaulieu\; Katherine LaMonaca\; Oana Groza\; Kathleen Duffa ny\; Rafael Pérez-Escamilla\n\nAdmission:\nRegistrationFees: APHA Event R egistration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/ 21840-advancing-vaccine-equity-through-trusted-messengers/\n DTEND;TZID=America/New_York:20231112T174500 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231112T173000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2184.0 Advancing vaccine equity through trusted messengers: A mult i-sector approach to preventing and responding to community spread of mis information UID:da9806ac-5909-4074-b06d-a114c5dcae32 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Sexual and Reproductive Health and Family Planning Pr ogram: International Health Time: 5:45 - 6:00 PM Presenter: Trace Kershaw \, PhD Abstract Context: Couples-based family planning (FP) services are essential to reducing the high unmet need for FP observed in low-income s ettings. However\, men can be difficult to engage (e.g.\, FP disapproval\ , work responsibilities)\, and couples-based approaches can exclude women whose partners are not able or willing to participate. Thus\, flexible m odels are needed that can accommodate couples facing barriers to men’s pa rticipation. This study aimed to gather evidence on an intervention (FH=F Wflex ) to engage men\, and its acceptability and effects on contraceptiv e use. Methods: Family Health = Family Wealth (FH=FW) is a multilevel\, c ommunity-based intervention that engages couples in four facilitated grou p discussions to reduce barriers to contraceptive use in rural Uganda. Th is model was adapted to employ a flexible approach to men’s attendance (F H=FWflex )\, with content enhanced to strengthen women’s skills to encour age their partner to attend and engage in FP discussions at home. FH=FWfl ex was piloted among 12 couples with an unmet need for FP who indicated t he man was not available/interested in participation at enrollment. A qua ntitative questionnaire at baseline and 1-month post intervention examine d change in contraceptive use\, and semi-structured open-ended interviews 1-month post intervention explored women’s experience with the intervent ion. Results : Attendance was 100% among women and 65% among their partne rs. Conflict with work schedules was the main reason reported for partner non-attendance. Women reported high satisfaction with the intervention i n qualitative interviews. All women said they invited their partners to a ttend and felt the program positively affected their partner communicatio n. Women’s interest in the program’s content\, focused on family developm ent (e.g.\, economic health\, relationship health)\, helped to spark men’ s interests. From no use at baseline\, 50% (n=6/12) of women reported usi ng an effective contraceptive method at follow-up\, 83% (n=5/6) of which reported discussing the decision with their partner. Conclusions and disc ussion: This pilot study demonstrated the feasibility and acceptability o f FH=FWflex\, as well as its potential to increase contraceptive use amon g women with unmet need for FP. This model could have a wider reach\, but similar benefits\, than strict couples-based approaches\, but should be tested in a fully powered trial to determine its efficacy.\n\nSpeaker:\nT race Kershaw\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/21700-testing-m odel-mens-participation-in-couples-based-family-planning-intervention-in- uganda/\n DTEND;TZID=America/New_York:20231112T180000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231112T174500 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2170.0 Testing a flexible model for men's participation in a coupl es-based family planning intervention in Uganda: A mixed methods pilot ev aluation of the family health = family wealth flexible (FH=FWflex) interv ention UID:06b37b78-e6ef-4c04-a9a7-429aa1ca7594 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Genetic and Molecular Epidemiology Program: Epidemiol ogy Time: 8:30 - 8:45 AM Presenters: Anne HavlikTormod Rogne\, MD\, PhD A bstract Background: Clefting of the lip with or without cleft palate (CLP ) is the most common congenital craniofacial abnormality globally\, affec ting one in 700 live births. Traditional observational studies suggest an increased risk of adult depression among subjects with CLP\, but these s tudies are subject to residual confounding. Objective: We aimed to addres s residual confounding by evaluating the association between the genetica lly-predicted risk of CLP on the risk of adult depression in a Mendelian randomization framework. Methods: We used single-nucleotide polymorphisms strongly associated (p-value <5e-6) with CLP as genetic instruments. Gen etic associations with adult depression were extracted from separate stud ies. Three ancestry groups were evaluated: European\, East Asian\, and Af rican. Two-sample Mendelian randomization inverse-variance weighted analy ses were conducted\, and sensitivity analyses using weighted median\, wei ghted mode\, and MR-Egger regression were performed to assess bias from g enetic pleiotropy. Results: The study included a total of 3\,577 CLP case s and 10\,345 controls\, and 59\,406 and 274\,957 subjects with and witho ut adult depression. Among subjects of African ancestry\, a doubling of t he genetically-predicted prevalence of CLP was associated with an odds ra tio for adult depression of 1.28 (95% CI 0.94-1.75). Sensitivity analyses supported this finding. There was no clear association between CLP and a dult depression in the European or East Asian ancestry groups. Conclusion : This study suggests a causal association between cleft lip and risk of depression among subjects of African ancestry. Our findings warrant furth er investigation into the role of craniofacial malformations as a cause o f depression\, and an assessment of potential inequity.\n\nSpeakers:\nAnn e Havlik\; Tormod Rogne\n\nAdmission:\nRegistrationFees: APHA Event Regis tration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/3024 0-cleft-lip-and-depression-a-multi-ancestry-two-sample-mendelian-randomiz ation-study/\n DTEND;TZID=America/New_York:20231113T084500 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T083000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3024.0 Cleft lip and depression: A multi-ancestry two-sample mende lian randomization study UID:4b2ed638-f29e-4760-8762-f55f4a93690d END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Menstrual Health and Reproductive Rights Program: APH A Committee on Womens Rights Time: 10:30 - 11:30 AM Presenter: Aneri Suth ar\, MPH '23 Abstract The growing trend of Catholic hospital mergers in A merica has restricted access to numerous health services deemed at odds w ith Ethical and Religious Doctrines (ERDs) that govern these hospitals. T his exacerbates the public health problem of reduced availability of repr oductive health services in the wake of the Dobbs decision\, and creates a minefield for individuals—primarily women and trans people—seeking care in states in which services would otherwise be legal. Hospital mergers a nd acquisitions overall have been on the rise\, purportedly to increase e fficiency of operations\, reduce overhead costs\, and standardize quality of care due to economies of scale. However\, evidence has shown hospital concentration to be linked to higher costs for patients\, diminished qua lity of care\, and workflow disruptions for staff. Religious-based restri ctions on care specific to Catholic hospitals supplement these issues\, d etrimentally affecting public health outcomes. Facilities within the Cath olic health ministry\, which today comprises over 600 hospitals and 1\,60 0 long-term care and other health clinics\, operate under 77 Ethical and Religious Directives\, which are developed and approved by the United Sta tes Conference of Catholic Bishops (USCCB). In alignment with USCCB’s int erpretation of Catholic doctrine\, these Directives include bans on heter ologous fertilization\, homologous artificial fertilization\, surrogate m otherhood\, direct sterilization\, euthanasia or assisted suicide\, contr aceptive services and counseling\, and abortion. Hospitals’ adherence to and interpretations of ERDs varies\, with some complying with workarounds and other outright prohibiting services without exceptions. This present ation has outlined the public health problem and legal landscape surround ing Catholic hospital mergers\, identified relevant federal and state law s related to the problem\, and devised a “toolbox” of possible strategies —focusing on Certificate of Need (CON) laws—and how to effectively implem ent them to address the problem and preserve reproductive care.\n\nAdmiss ion:\nRegistrationFees: APHA Event Registration is Required\n\nDetails UR L:\nhttps://medicine.yale.edu/event/30620-using-certificate-of-need-laws- to-protect-reproductivecare-under-catholic-mergers/\n DTEND;TZID=America/New_York:20231113T113000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T103000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3062.0 A blessed union? using certificate of need (CON) laws to pr otect reproductive care under catholic mergers UID:014a918f-2bfc-4fe0-89a3-dfe9852cdd59 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Principled Posters: Ethics Research & Calls to Action Addressing Health Disparities Program: Ethics Time: 10:30 - 11:30 AM Pre senter: Kyle Hampson Laura Bothwell\, PhD\, MA Abstract Introduction: The expanding role of real-world data (RWD) in the drug approval and safety monitoring processes has posed new questions in regulatory science. RWD h as recently been used to change drug labeling and shows promise in the de tection of drug safety signals. However\, the use of large real-world dat a sets in regulatory decision-making brings key ethical requirements—that data is scientifically valid\, fairly acquired\, inclusive\, and represe ntative of the diverse populations that will ultimately use the drugs pos t-approval. Several ethical principles are critical in guiding the respon sible use of real-world data making regulatory decisions. Methods: A lite rature review was conducted to identify information regarding ethical pri nciples for the use of RWD in pharmacovigilance activities and regulatory decision-making. Relevant articles were selected for inclusion. Findings : The ethical principles embodied in public health practice should guide all areas of RWD use for regulatory science. The principals of respect fo r persons\, respect for privacy\, and continual informed consent are crit ical in the responsible use of RWD sources. Additionally\, data extractio n techniques should be designed with an equity lens that ensures the incl usion of diverse populations. As RWD will be used to create real world ev idence that can significantly influence regulatory actions\, it is essent ial to critically examine the origins of the data included in repositorie s and extracted from medical records. Conclusions: As the use of RWD is a dopted into decision-making\, ethical principles must inform responsible use of data to create a healthier nation for all people.\n\nSpeaker:\nLau ra Bothwell\n\nAdmission:\nRegistrationFees: APHA Event Registration is R equired\n\nDetails URL:\nhttps://medicine.yale.edu/event/30700-ethical-co nsiderations-for-use-of-data-for-pharmacovigilance-and-regulatory-science -activities/\n DTEND;TZID=America/New_York:20231113T113000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T103000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3070.0 - Ethical considerations for the equitable utilization of r eal-world data for pharmacovigilance and regulatory science activities UID:adb53362-d956-45b4-b8ac-6e0da4aa9e71 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Firearm Violence: Poster Session Program: Injury Cont rol and Emergency Health Services Time: 10:30 - 11:30 Presenter: Megan L. Ranney\, MD\, MPH Abstract Background: Firearm injury (FI) is the leadin g cause of death for American youth. Few FI prevention interventions desi gned with communities with high rates of firearm ownership exist. This st udy describes feasibility of recruitment of firearm-owning communities to FI prevention interventions. Methods: Our goal was recruitment of 50 4-H Shooting Sports (4HSS) clubs to a cluster Type 1 Hybrid-Effectiveness tr ial of Guardians for Health (G4H)\, a youth FI prevention training. 4HSS leadership was included on the CDC-funded study team. Sites were identifi ed through national presentations to state 4-H Program Leaders and Shooti ng Sports Coordinators (SSCs). SSCs shared a 10-minute video with their i nstructors (a mix of volunteers and 4-H employees)\, and some SSCs would arrange county-level presentations by the study coordinator. Once local i nstructors were put in touch with the study team\, we invited them to dis cuss eligibility criteria (interest in incorporating intentional FI preve ntion\, leadership of an active club with at least 12 youth ages 12+\, ab ility to manage implementation logistics)\, after which 4HSS club instruc tors were enrolled on behalf of their club\, if eligible. Data on 4HSS co ntacts were analyzed descriptively\; qualitative data on eligibility and consent were recorded by research staff and analyzed for themes. Results: As of March 2023\, the team has made 5 national presentations\, talked w ith SSCs in all 45 states with active SSCs\, been connected with 103 pote ntial instructors in 32 states\, and begun eligibility conversations with 62 instructors (60%\; reasons for non-response largely unknown) in 23 st ates. Of 62 eligibility conversations started\, 12 (in 8 states) are stil l ongoing\, reflecting COVID-era low club enrollment and instructors’ unc ertainty about the number of youth who could potentially participate. Of completed conversations with 50 instructors\, 48 (96%) met eligibility cr iteria\, and 47 instructors in 24 states enrolled (98% of those eligible) . Qualitative data from eligibility conversations suggests that instructo rs are generally enthusiastic about participating in comprehensive FI pre vention because of personal and national experiences with firearm injury\ , but wanted reassurance about the program NOT touching on policy. Some i nstructors also articulated concern about potential parental perceptions of the program. Conclusions: Enrollment of 4HSS club instructors in a nat ional study of youth FI prevention training is feasible\, but barriers ex ist. Emphasizing that not all FI prevention is policy based\, and drawing on personal awareness of FI\, were critical components of instructor enr ollment.\n\nSpeaker:\nMegan Ranney\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu /event/30740-feasibility-of-recruitment-for-a-4-h-shooting-sports-firearm -injury-prevention-training/\n DTEND;TZID=America/New_York:20231113T104500 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T103000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3074.0 Guardians 4 health: Feasibility of recruitment for a 4-h sh ooting sports firearm injury prevention training UID:94dd1055-6d3b-4fe3-996e-1a251b043b2a END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Innovations and Solutions in Global and International Health Poster Session Program: International Health Time: 10:30 - 11:30 AM Presenter: Ahmad Saleh\, MD\, MPH Abstract Objective: To measure the e ffectiveness of a comprehensive three-day training program developed for implementing a Verbal Autopsy project in Northwest Syria. Methods: Our te am developed a three-day interactive training program for the HIS-Unit le adership who acted as Supervisors in a Training of Trainers (ToT) model. The first day was dedicated to describing VA\, its applications\, the 202 2 WHO VA Questionnaire\, and a review of technical requirements. The seco nd day focused on the responsibilities of interviewers and supervisors an d ethical and sensitivity training. The final day was dedicated to the pr actical application of VA through role-play. Surveys: Prior to the traini ng\, a 23-question “Pre-test” was administered assessing the following 6 topics: VA definitions & uses\, VA analysis software\, Interview candidat e selection\, VA interview skills & characteristics\, VA questionnaire ma neuver\, and Ethical considerations. Likewise\, after completion of the t raining a “Post-test” was promptly administered with the exact same quest ions. Scores and answers to the questions were not provided so as to not bias Post-test results. Results: A total of 6 participants completed the Pre-test and 4 completed the Post-test. The Post-test results (mean = 18 ± 0.8) showed improvements over the Pre-test results (mean = 15.3 ± 1.5) which were statistically significant at the 0.05 level (p= 0.007\, 95% CI : -4.374\, -0.959). Discussion: To our knowledge\, there exists no litera ture on the use of surveys as a measure to assess effectiveness of traini ng programs for VA projects. Our results indicate there was a positive im pact of our training\, although the sample size was too small to make any further claims. Based on this work our hopes are that 1) the supervisors will then administer a similar training program to the interviewers in N S with similar benefits and 2) we develop a standardized VA training prog ram that consistently yields similar positive results in other applicatio ns. MakeDeathsCount (MDC): This experience inspired us to establish our o rganization\, MakeDeathsCount (MDC). By utilizing our experience in NS\, we ultimately aim to help similar nations\, with absent or underrepresent ed mortality surveillance systems\, into developing a valid and reliable CRVS system.\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/30810-assessing -training-effectiveness-for-implementing-a-verbal-autopsy-program-in-nort hwest-syria/\n DTEND;TZID=America/New_York:20231113T104500 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T103000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3081.0 Assessing training effectiveness for implementing a verbal autopsy program in northwest Syria using the 2022 who questionnaire UID:e83603a7-e837-447e-897b-1fd32d6ad4b2 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Phehp Student Awards Poster Session Program: Public H ealth Education and Health Promotion Time: 10:30 - 11:30 AM Presenter: El ijah Paintsil\, MD\, FAAP Abstract Background : Community Based Participa tory Research (CBPR) is an approach where academic and non-academic group s engage equally to conduct research. CBPR may be beneficial in research where the researcher does not share identity or experiences with particip ants. Prior work identified eight principles underlying CBPR. Our objecti ve was to assess how these principles were incorporated in CBPR mental he alth studies in Ghana. Methods: Using PubMed\, we identified 329 CBPR pap ers\; five focused on mental health. Reviewers documented the usage of th e principles using Indicators. For example\, principle #8 says\, “dissemi nate findings and knowledge gained to all partners”. Indicators\; co-auth orship of community partners\, and documented dissemination of knowledge to community partners using understandable language. Findings : All five papers identified communities as the unit of research\, and strengthened existing community resources (principle #1\,2). Three papers considered e quitable involvement\, promoted co-learning\, and addressed health from p ositive and ecological perspectives(principles #3\,5\,7 respectively). Tw o papers integrated knowledge/action for the mutual benefit of all partne rs(principle #4)\, and continual community involvement (principle #6) was seen in one paper. Community dissemination (principle #8) plans were abs ent in all but 1 paper\, and 1 paper included nonacademic partners as co- authors. Conclusion: Plans for knowledge dissemination of CBPR studies on mental health in Ghana are rarely documented. This could limit integrati on of knowledge and action for mutual benefit of partners (principle #4)\ , limit opportunity for continual community involvement(principle #6)\, a nd limit ability to improve on what was done. Future CBPR studies on ment al health should expand consideration for principles 4\,6 and 8.\n\nSpeak er:\nElijah Paintsil\n\nAdmission:\nRegistrationFees: APHA Event Registra tion is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/30910-f idelity-of-community-engaged-mental-health-research-in-ghana-to-research- cbpr-principles/\n DTEND;TZID=America/New_York:20231113T113000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T103000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3091.0 - Evaluating the fidelity of community engaged mental healt h research in Ghana to community based participatory research (CBPR) prin ciples. UID:fbc02247-a262-460a-ad55-e0b086a143c0 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Suicide Risk and Prevention: Systemic\, Programmatic and Individual Approaches Program: Mental Health Time: 12:30 - 1:30 PM Pr esenters: Gul Saeed Ashley Hagaman\, PhD\, MPH Abstract Background: South Asia has the highest rate of suicide fatalities globally. Evidence from Pakistan\, the fifth most populous country in the world\, suggests that s uicide has been on the rise since 2016\, particularly among women of repr oductive age. However\, the underlying factors and processes that contrib ute to suicidal behavior among women in Pakistan remain underexplored. Th is study aimed to decolonize existing western-based theories of suicide a nd generate a theory informed by women in Pakistan’s lived experiences of suicide\, including how they experience and subsequently negotiate suici dality. Methods : We employed a decolonized form of grounded theory\, inf ormed by critical feminist theory and Pakistani feminist scholarship\, to explore the experiences of suicidal thoughts and behaviors among 12 moth ers with a chronic history of suicidality in Kallar Seydan\, Pakistan. Th e study sample was part of a larger mixed-methods pilot trial co-designin g and testing a community-based suicide prevention intervention. Data wer e analyzed in Urdu by female Pakistani scholars using constant comparison with open\, axial\, and selective coding stages. Results: We generated a grounded theory of suicide among women in Pakistan. Women's suicidal tho ughts and behaviors were largely influenced by their positionality within their husbands’ households and relationship dynamics\, which were charac terized by emotional and physical abuse\, neglect from their husbands\, a nd invalidation from their in-laws. Resulting from these dynamics\, in th e context of women grieving their loss of agency and natal-home lives\, w ere feelings of abandonment\, resentment\, disrespect\, and helplessness\ , which reduced women’s threshold for maintaining patience\, a key moral protective role identified by most women. While anger and desire to escap e abuse prompted suicide attempts\, suicidal death threatened women’s rel ationship with Allah and peace in their afterlife. Among women’s reasons for living\, trust in Allah's plan was the strongest reason followed by a unique duty for their children. Conclusion: This grounded theory study c hallenges Western interpersonal theories of suicide and provides insights into the complex and context-specific factors that influence suicide amo ng women in Pakistan. Our findings can guide the development of culturall y appropriate suicide prevention interventions sensitive to Pakistan’s un ique sociocultural and religious context and ultimately\, reduce the nati onal burden of suicide.\n\nSpeakers:\nAshley Hagaman\; Gul Saeed\n\nAdmis sion:\nRegistrationFees: APHA Event Registration is Required\n\nDetails U RL:\nhttps://medicine.yale.edu/event/31840-developing-a-grounded-theory-t o-better-inform-suicide-prevention-interventions/\n DTEND;TZID=America/New_York:20231113T133000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T123000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3184.0 Maternal suicidality in Pakistan: Developing a grounded the ory to better inform suicide prevention interventions UID:48ce352a-7786-40c6-877f-4b3c37337fce END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Gender-Based Violence Among Marginalized Populations and Implications for Prevention Program: Women's Caucus Time: 12:30 - 1:3 0 Presenters: Shannon Whittaker\, MPH Abstract Background: Housing insecu rity is a prevalent public health concern among women survivors of intima te partner violence (IPV) and this concern was exacerbated during the COV ID-19 pandemic. The economic and social impacts of the COVID-19 pandemic created financial strain\, which placed women at increased risk for homel essness and IPV. Although extant research addresses the confluence of hou sing and IPV during the pandemic\, an intersectional analysis of Black wo men IPV survivors is largely absent. Research has failed to consider how systems of power and oppression (racism\, sexism\, classism) produce hous ing obstacles unique to Black women surviving IPV during a pandemic. This qualitative study sought to describe Black women’s experiences obtaining and maintaining safe housing during the COVID-19 pandemic while navigati ng socio-structural challenges. Methods: From January to April 2021\, sem i-structured in-depth interviews were conducted with 50 Black women exper iencing IPV in the United States. Guided by intersectionality\, a hybrid thematic and interpretive phenomenological analytic approach was used to identify sociostructural factors shaping housing insecurity. Results: Fiv e themes were identified to capture factors contributing to housing exper iences: challenges with separate and unequal neighborhoods\; pandemic-rel ated economic inequalities\; economic abuse limitations\; mental toll of eviction\; and strategies to maintain housing. Conclusions: Obtaining and maintaining safe housing during the COVID-19 pandemic was difficult for Black women IPV survivors who were also navigating racism\, sexism\, and socioeconomic position. Structural-level interventions are needed to redu ce the impact of these intersecting systems of oppression and power to fa cilitate the resources necessary for Black women IPV survivors to identif y safe housing.\n\nSpeaker:\nShannon Whittaker\n\nAdmission:\nRegistratio nFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medic ine.yale.edu/event/31900-racism-sexism-and-classism-contribute-to-housing -inequities-for-black-women-suvivors/\n DTEND;TZID=America/New_York:20231113T133000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T123000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3190.0 - How intersecting systems of racism\, sexism\, and classis m contributed to housing inequities for black women survivors of intimate partner violence UID:8b5dd793-c4a2-4bb2-944f-a0a5bb9442c9 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Environments and Aging in Place Program: Aging & Publ ic Health Time: 2:30 - 3:30 PM Presenters: Joshua Warren\, PhD Erica Leif heit\, PhD Judith Litchtman\, PhD\, MPH Abstract Objective : Nationwide d ata reflecting the association between the most common US air pollutants (CO\, NO2 \, O3 \, PM2.5 \, SO2 ) and the risk of ischemic stroke (IS) ar e limited. We analyzed the relationship between average annual levels of these pollutants and IS hospitalizations across the US during 2014-2015 i n fee-for-service Medicare beneficiaries >65 years. Methods : We identifi ed patients hospitalized for IS from Medicare records based on discharge ICD-9 codes. We obtained long-term air pollutant exposure data from the E nvironmental Protection Agency and National Aeronautics and Space Adminis tration and temperature data from the Parameter-elevation Regressions on Independent Slopes Model Climate Group. Patient-level sociodemographics a nd comorbidities were collected from Medicare files. Mixed models with st ate-specific random intercepts were used to obtain estimates of the assoc iation between long-term air pollutant exposure and IS hospitalizations a djusted for patient-level factors and average annual temperature. Results : The study population included 475\,177 patients hospitalized with IS. Following adjustment\, only PM2.5 and CO were associated with IS hospital izations. Each one standard deviation increase in PM2.5 and CO correspond ed with a 6.7% (95% CI: 4.3%-9.1%) increase and a 2.2% (95% CI: 0.7%-3.7% ) decrease in IS hospitalization\, respectively. Conclusion : Long-term P M2.5 exposure was associated with a modest increase in IS hospitalization in Medicare beneficiaries at pollutant levels within national air standa rds. The smaller inverse association between long-term CO exposure warran ts additional consideration as it has otherwise only been reported in ani mal models. Additionally\, whether air quality improvements such as lower ing PM2.5 exposure leads to reductions in IS hospitalizations requires fu rther research.\n\nSpeakers:\nJoshua Warren\; Erica Leifheit\; Judith Lic htman\n\nAdmission:\nRegistrationFees: APHA Event Registration is Require d\n\nDetails URL:\nhttps://medicine.yale.edu/event/31940-assessing-associ ations-between-long-term-co-no2-o3-pm25-and-so2-exposure-and-stroke/\n DTEND;TZID=America/New_York:20231113T153000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T143000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3194.0 Assessing associations between long-term CO\, NO2\, O3\, PM 2.5\, and so2 exposure and annual ischemic stroke hospitalization in the United States at the national level UID:9fbf282a-16f9-44b1-937d-14ae48d27563 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Advancing the PrEP Continuum Program: HIV/AIDS Time: 2:45 - 3:00 PM Presenters: Trace Kershaw\, PhD Abstract Background: Intim ate partner violence (IPV) and HIV represent mutually-reinforcing epidemi cs disproportionately affecting U.S. Black cisgender women. IPV can incre ase HIV acquisition risk through multiple behavioral and physiological pa thways including forced sex and stress dysregulation. HIV pre-exposure pr ophylaxis (PrEP) is a promising partner-independent prevention strategy w ith suboptimal coverage among Black women. This study aimed to identify k ey components of trauma-informed PrEP implementation from the perspective s of Black women and clinical staff. Methods: Focus groups with 37 PrEP-e ligible Black cisgender women (February-June 2019)\, and semi-structured interviews with 7 clinical staff offering HIV prevention services (Octobe r-November 2020) in Mississippi were conducted. Focus group discussions a nd interviews were conducted and coded by Black cisgender women from the U.S. South. Interview and FDG data was analyzed using both inductive and deductive approaches. Results: Seven themes were identified as needed to facilitate integration of trauma-informed approaches into existing PrEP p rograms\, including defining IPV\, appropriate IPV screening and response \, HIV prevention in abusive relationships\, staff training needs\, and c reating supportive clinic environments. PrEP-eligible Black women and cli nical staff generally agreed on how to best operationalize IPV screening and response\, the importance of trauma-informed staff training\, and the need for Black women-specific informational campaigns. However\, Black w omen highlighted the need for providers to discuss HIV prevention in cont rolling relationships\, and to respond to IPV disclosure. Conclusions: In tegrating trauma-informed principles with PrEP implementation might incre ase access among Black women by creating safe environments to discuss IPV and safety plan to enhance PrEP access.\n\nSpeaker:\nTrace Kershaw\n\nAd mission:\nRegistrationFees: APHA Event Registration is Required\n\nDetail s URL:\nhttps://medicine.yale.edu/event/32650-developing-a-trauma-informe d-hiv-toolkit-to-increase-initiation-among-black-cisgender-women/\n DTEND;TZID=America/New_York:20231113T150000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T144500 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3265.0 Developing a trauma-informed HIV pre-exposure prophylaxis ( PrEP) implementation toolkit to increase initiation among black cisgender women UID:8e92489e-1cbf-4728-9fa3-484eeb2e3938 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Research on the Ethical\, Legal and Social Implicatio ns of Human Milk Feeding and Lactation Program: Breastfeeding Time: 3:23 - 3:38 PM Presenter: Devina Buckshee Abstract Despite the large body of e vidence\, global breastfeeding rates remain below target levels (ENN\, 20 16)\, in part because of a weak understanding of the multifactoral determ inants of breastfeeding. Nutrition and child health scholars have been ad vocating for increased investment in multisectoral support\, across legal \, political\, social and structural levels. This paper aims to stitch to gether the patchwork of actors and ‘gears’ in action to create a conduciv e\, enabling environment to improve child nutrition rates in Lao PDR\, a country that is steadily working across sectors to push for breastfeeding protection through the adoption and implementation of the WHO’s Internat ional Code of Marketing for Breastfeeding Protections. This paper will te ase out the strategies used in Laos to target evidence-based advocacy\, m ultisectoral political will\, increased investment\, research and evaluat ion\, and stakeholder coordination. After an initial literature review of the existing evidence and grey literature on breastfeeding protection in terventions in South-East Asia\, a qualitative study design consisting of 7 in-depth interviews were conducted. Key informant interviews were guid ed by a COM-B (Capability\, Opportunity\, Motivation) framework\, followi ng which qualitative thematic analysis was conducted. The Breastfeeding G ear Model was used to map the factors facilitating or hindering the creat ion of an overall enabling environment for breastfeeding protection in La os. Following this\, generalizable strategies were teased out\, and key r ecommendations for other countries were developed. The three main themes identified were 1) Multisectoral long-term partnerships 2) Advocacy and 3 ) Political Will. Key informants identified issues and perceptions of pri ority improvement areas to be addressed to improve breastfeeding outcomes in Lao PDR. Understanding local contexts and cultures\, and leaning into partnerships where the government takes the lead is key to ensuring the sustainability of the BMS Code. Countries with a similar socio-economic m akeup may consider Lao PDR’s strategies to support child nutrition along global WHO goals.\n\nAdmission:\nRegistrationFees: APHA Event Registratio n is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/32450-effo rts-to-create-an-enabling-environment-to-breastfeeding-and-child-nutritio n/\n DTEND;TZID=America/New_York:20231113T153800 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T152300 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3245.0 'creating happy synergies': Lessons learnt from lao PDR’s e fforts to create an enabling environment to protect breastfeeding and chi ld nutrition UID:fc1f548e-0275-4e25-9b0b-10483e534c5e END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: APHA Past President's Session: Case Studies in Ethica l Challenges Facing American Public Health Program: APHA Time: 8:30 - 8:4 5 Presenter: Linda Degutis\, DrPH\, MSN\n\nSpeaker:\nLinda Degutis\n\nAdm ission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/40032-case-a-public-health-ethics- and-the-public-health-approach-to-preventing-firearm-violence/\n DTEND;TZID=America/New_York:20231114T084500 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T083000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4003.2 Case A: Public health ethics and the public health approach to preventing firearm violence UID:8fb1780d-7692-405e-b4d3-a8797eeccda1 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Round Table 3: The Cost of Being an Essential Worker Program: Occupational Health and Safety Time: 8:30 - 10:00 AM Presenter: David Vlahov Abstract Background: New York City (NYC) transit workers had high rates of infection\, illness and mortality during the COVID-19 pand emic compared to the NYC population. Throughout the pandemic\, high profi le violent incidents have been reported. To determine if NYC transit expe rienced an increase in workplace violence concurrent with the COVID -19 p andemic and to characterize the incidents\, an analysis of workplace viol ence was conducted. Methods: Using data from SH900 logs provided by Trans port Workers Union\, Local 100\, we characterized violent incidents repor ted by NYC transit workers (January 2018 -December\, 2021) by occupation and division and analyzed for rates and trends. Results: In a sample of r oughly 35K transit workers (predominantly middle-aged male members of min ority groups)\, the rate ratio (RR) of violent assaults was significantly higher in the peri-pandemic period compared to the pre-pandemic period ( RR=3.00 vs. RR=2.67 per 100\,000 worker/yrs). Bus drivers were significan tly more likely to report a violent physical assault during peri-pandemic period (RR =1.29) than subway workers (conductors and operators) (RR= 1. 15)\, and both groups were significantly more likely to experience violen t assaults in the peri-pandemic period compared to the pre-pandemic perio d. The trend revealed higher rates month over month in the peri-pandemic period\, except early on during “NYC Pause” (3/2020 —6/2020)- when NYC wa s essentially shut down\, and ridership was extremely low and transit wor kers were on reduced hours. Conclusions: NYC transit workers had high ris k of exposure and infection as well as high rates of assault during the p eri-pandemic period. These dual epidemics of infection and assault put NY C transit workers at high risk of other adverse outcomes\, such as depres sion\, anxiety\, and PTSD. Our group is working closely with our union pa rtners to develop workplace policies\, toolkits and strategies to reduce risk of adverse outcomes now and for future pandemic events.\n\nSpeaker:\ nDavid Vlahov\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/40500-dual-epi demics-of-covid-19-infection-and-workplace-violence-in-nyc-mass-transit-w orkers/\n DTEND;TZID=America/New_York:20231114T100000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T083000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4050.0 Dual epidemics of COVID-19 infection and workplace violence in New York City mass transit workers: Implications for policy and pract ice UID:b3ad0c3d-8b31-4a5b-bb6e-96596cb5bf40 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Health Disparities in Genomics Program: Genomics Foru m Time: 9:00 - 9:15 AM Presenters: Maame-Owusua Boateng Devin Brown Chels ey Carter\, PhD\, MPH Abstract Background: Historical injustices towards Black populations in the United States have impacted how communities inte ract with medicine and public health. Black communities are underrepresen ted in human genomics projects compared to those that identify as white o r of European ancestry. Prior research has demonstrated that Black people are less likely to know about the availability of genetic testing for di seases and have less confidence in the benefits of genetic testing. These disparities make it imperative to understand the perspectives of people of African descent. Methods: The Black Genome Project is a mixed-method s tudy utilizing ethnographic community-based participatory research approa ches. This study explores how Black communities in St. Louis\, Missouri p erceive genetic research\, testing\, and data. Data collection and analys is have been ongoing since June 2022. Focus groups (n=5) with 30 particip ants were double-coded\, and critical themes were elucidated through them atic analysis. Results: Six unique themes emerged across focus groups: Me dical and Data Mistrust\, Longing for Diaspora\, Physical Characteristics \, Power and Control\, Bloodline Inheritance\, and Nature versus Nurture. Themes revealed structural and individual concerns about interacting wit h genetic material\, genomic medicine's unknown future(s)\, and cultural beliefs mired in histories of medical harm and exploitation. Conclusions: Preliminary findings are promising and add to diverse experiences within genomics. Results reveal that a project centered on relationships and co mmunity repair can engender a collaborative paradigm shift for public hea lth approaches to genomics.\n\nSpeaker:\nChelsey Carter\n\nAdmission:\nRe gistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttp s://medicine.yale.edu/event/40340-exploring-the-perceptions-of-genetics-g enomic-medicine-and-science-in-black-communities/\n DTEND;TZID=America/New_York:20231114T091500 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T090000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4034.0 Exploring the perceptions of genetics\, genomic medicine\, and science in black communities UID:4609c177-9faa-4a5e-85c1-ca382678d12b END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Health Disparities in Genomics Program: Genomics Foru m Time: 9:15 - 9:30 AM Presenters: Chelsey Carter\, PhD\, MPH Devin Brown Abstract Background: The Black Genome Project (BGP) is an ethnographic c ommunity-based participatory research project that seeks to understand ho w genetic research impacts Black communities in St. Louis\; and how Black communities value their genomes and genetic data. BGP and the non-profit \, Black Girls Do STEM (BGDS)\, are collaborating toward building youth c apacity and education towards this aim. Our collaboration intentionally e ngages young people in community building\, research\, and art. Methods : Before data collection for the project began\, BGP worked with BGDS foun der\, Cynthia Chappele\, to design a collaborative research partnership. We launched our collaboration in July 2022 with an interactive field trip to the McDonnell Genome Institute. Here\, more than 20 students and thei r parents engaged in cell culture\, high-resolution microscopy\, machine learning\, and discussions about human genomics with a genetic disease ca rrier. 14 BGDS students became further involved in one of three phases of the research project and a book club. Results: Students participated in 1) community engagement and recruitment\, 2) ethnographic data collection and analysis\, or 3) quantitative data analysis groups. These groups pri oritized education\, exposure\, and a unique hands-on research experience . The book club read The Immortal Life of Henrietta Lacks\, and our conve rsations evolved into generative open spaces for personal reflections and connections to the students’ lives. Conclusions: BGDS continues to grow\ , and we hope our partnership with the initial cohort of students will cr eate more opportunities for deeper engagement in genetic and public healt h research.\n\nSpeaker:\nChelsey Carter\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yal e.edu/event/40340-a-community-based-participatory-ethnography-towards-mor e-equitable-genomics-research/\n DTEND;TZID=America/New_York:20231114T093000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T091500 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4034.0 The black genome project: A community-based participatory e thnography towards more equitable genomics research UID:b0cc6bcd-2dd1-437b-a776-0899f040eaa0 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Taking a Public Health Approach to Gun Violence Preve ntion: How Have We Faced the Social and Ethical Challenges? Program: APHA Center for Public Health Practice and Professional Development Time: 10: 30 - 10:45 Presenter: Linda Degutis\, \, DrPH\, MSN Abstract The presenta tion will include discussing the following questions: What are we not doi ng now to address the ethical and social issues related to gun violence p revention? How can an understanding of the data and the risk factors\, as well as the social and cultural factors that contribute to both risk and prevention inform the public health response to gun violence?\n\nSpeaker :\nLinda Degutis\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/40970-socia l-and-ethical-issues-in-taking-public-health-approach-to-gun-violence-pre vention/\n DTEND;TZID=America/New_York:20231114T104500 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T103000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4097.0 Overcoming social and ethical issues in taking a public hea lth approach to gun violence prevention UID:0e08a85d-936d-4d42-a15b-91cfae1fc9ff END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Alcohol Poster Session 1: Alcohol-Related Disparities and Priority Populations Program: Alcohol\, Tobacco\, and Other Drugs Ti me: 10:30 - 11:30 AM Presenter: Trace Kershaw. PhD Abstract Farming is a high-risk\, high stress profession and farmers must contend with a number of unique lifestyle and occupational stressors that contribute to higher rates of alcohol consumption\, poor mental health outcomes such as depre ssion\, and suicide compared to the general population. Rural areas\, whe re many farmers and farm workers live\, face a deficit of mental health c are resources\, often resulting in the use of alcohol to self-medicate an d manage stress. The purpose of this study was to explore the relationshi p between perceived stress and alcohol consumption among members of the f arming community. An online survey was completed by 1088 farmers and farm workers. Chi-Square independence analysis was used to explore how feelin g nervous and stressed in the past month impacted respondents’ likelihood of having six or more drinks on one occasion in the past three months. O f all respondents\, 24.9% reported feeling nervous and stressed fairly of ten within the past month\, and 9.3% reported feeling nervous or stressed very often in the same time frame. 26.4% of respondents reported drinkin g six or more drinks on one occasion on at least a weekly basis. Of those respondents who reported drinking six or more drinks on a daily or almos t daily basis\, 44% of them reported feeling nervous and stressed very of ten in the past month (p < 0.1). Respondents who reported feeling nervous and stressed very often in the past month were more likely to report dri nking six or more drinks on one occasion in the past three months (p <0.1 ). Occupational and lifestyle-related stressors associated with the farmi ng industry like high perceived stress and limited access to healthcare r esources may be contributing to high frequency of heavy alcohol consumpti on among members of the farming community.\n\nSpeaker:\nTrace Kershaw\n\n Admission:\nRegistrationFees: APHA Event Registration is Required\n\nDeta ils URL:\nhttps://medicine.yale.edu/event/40630-perceived-stress-and-alco hol-consumption-in-the-farming-community/\n DTEND;TZID=America/New_York:20231114T113000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T103000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4063.0 Perceived stress and alcohol consumption in the farming com munity UID:19477eff-0290-450c-82cd-d4c08c11d054 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Tobacco Poster Session 4: Smoke Free Policies Program : Alcohol\, Tobacco\, and Other Drugs Time: 10:30 - 11:30 AM Presenters: Abigail Friedman\, PhD Abstract Background : Secondhand cigarette smoke ( SHS) is a known cause of serious disease and premature death. Over the pa st few decades\, many US states and local jurisdictions have adopted rest rictions on indoor smoking to protect employees and the public from SHS. With the recent rise in popularity of e-cigarettes\, some jurisdictions a re also adopting policies restricting indoor vaping. The aim of this stud y was to quantify state and national US coverage of policies restricting indoor cigarette and e-cigarette use. Methods : We analyzed data from the American Nonsmokers Rights Foundation on indoor smoking restrictions (IS R) and indoor vaping restrictions (IVR) from all 50 US states and Washing ton\, DC. Using these data and 2015 population estimates\, we calculated percent state and total US population covered by partial and comprehensiv e ISR (1990-2021) and IVR (2006-2021) in bars\, restaurants\, and workpla ces. Results : Between 1990-2021\, national coverage of comprehensive ISR increased for bars (0%-66.5%)\, restaurants (0%-77.7%)\, and workplaces (0%-76.0%). Partial coverage of ISR increased slightly for bars (12.6%-13 .8%)\, and decreased for restaurants (43.3%-15.4%) and workplaces (45.1%- 24.0%). Moreover\, between 2006-2021\, national coverage of comprehensive IVR increased for bars (0%-44.3%)\, restaurants (0%-52.6%)\, and workpla ces (0%-48.3%). Despite these increases in coverage\, in many states\, le ss than half of the population is protected by comprehensive ISR for bars (19 states)\, restaurants (14 states)\, and workplaces (16 states). Conc lusions : The percentage of the US population protected by ISR and IVR ha s increased over time. However\, gaps in coverage still remain\, which ma y be contributing to disparities in tobacco-related disease and death.\n\ nSpeaker:\nAbigail Friedman\n\nAdmission:\nRegistrationFees: APHA Event R egistration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/ 40680-coverage-of-indoor-smoking-and-vaping-restrictions-in-the-united-st ates-1990-2021/\n DTEND;TZID=America/New_York:20231114T113000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T103000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4068.0 Coverage of indoor smoking and vaping restrictions in the U nited States\, 1990-2021 UID:f489a495-8666-4031-bb77-82265949184a END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Tobacco\, Alcohol\, and Other Substance Use: Risk Fac tors\, Health Impacts\, and Prevention Program: APHA Student Assembly Tim e: 10:30 - 11:30 AM Presenter: Frank Amaefuna\, MPH'23 Abstract Connectic ut is facing an alarming problem with opioid overdose deaths\, with more individuals dying from preventable opioid overdoses than from car acciden ts or gun violence. In 2020 alone\, 1\,372 individuals died due to opioid overdoses\, marking a 14 percent increase from the previous year. In res ponse to this crisis\, other states such as New York and Rhode Island hav e established overdose prevention sites (OPSs)\, which provide supervised places for community members and individuals to inject pre-obtained drug s under trained medical professionals' supervision to receive treatment i f an overdose occurs. OPSs also offer educational resources on drug risks and provide access to support systems\, overdose reversal agents\, clean needles\, and fentanyl test strips. Analysis from previous studies has d emonstrated the effectiveness of OPSs in reducing opioid overdose deaths\ , improper disposal of used needles\, and overall cost-effectiveness. By analyzing health and economic projects from New York and Rhode Island\, i t is recommended that the first OPSs in Connecticut should be placed in B ridgeport\, Hartford\, and New Haven\, which have the highest prevalence of overdose deaths. Funding for the operation of these facilities can be sourced from Connecticut’s share of the Opioid Settlement Fund\, with at least 85% of the fund to be used for opioid remediation. Connecticut must take action and establish OPSs in the state. By doing so\, the state can help save lives\, provide necessary resources to those affected by opioi d use disorder\, and mitigate the impact of this crisis on communities ac ross the state.\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/40720-overdo se-prevention-sites-in-connecticut/\n DTEND;TZID=America/New_York:20231114T113000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T103000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4072.0 Overdose prevention sites in Connecticut UID:908d5eaf-feef-4338-aef4-87a511904b7a END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Chppd Poster Session 3 - Student Research II Program: Community Health Planning and Policy Development Time: 10:30 - 11:30 AM Presenter: Donna Spiegelman\, ScD Abstract Background: In 2015\, Nepal tr ansitioned from a unitary system to a three-tiered system of governance - federal\, provincial\, and local. The advancement of federalism in Nepal empowered the provincial and local governments\, creating several opport unities for the health system. But the structural reform related to feder alism also led to multiple challenges in implementing the national progra ms. Objective: This study analyzes the opportunities and challenges of fe deralism in implementing the Package of Essential Non-communicable Diseas e Interventions in Nepal. Methods: Between April 2021 and September 2021\ , we conducted 23 key informant interviews (KIIs) and 47 in-depth intervi ews (IDIs) with health service providers directly involved in PEN program implementation. We purposively selected the participants and conducted i nterviews in person\, via phone calls\, or via Google meetings. We used a semi-structured interview guide that captured the opportunities and chal lenges through the lens of the World Health Organization’s six building b locks of the health system. All interviews were audio-recorded\, transcri bed verbatim\, coded using a codebook developed by the inductive-deductiv e method\, and analyzed using a thematic approach using the Dedoose softw are. Results: The key challenges of federalism to implementing the PEN pr ogram include: i) inadequate PEN-trained staff due to staff adjustment\, ii) unavailability of NCD services in primary healthcare facilities\, iii ) poor recording and reporting of NCD-related data\, iv) inequitable dist ribution of medical supplies\, v) ambiguity of roles and responsibilities within the three tiers of the federal government\, vi) poor monitoring s upervision for the PEN program\, and vii) high workload among health serv ice providers at primary healthcare units. Despite some challenges\, fede ralism gives rise to several opportunities for the local government throu gh improved budgeting and decision-making. As a result\, some primary hea lthcare facilities have increased the supply of medicines and resources f or PEN service delivery. Conclusion: Federalism creates several opportuni ties for the local government to work closely with healthcare workers and NCD patients at the primary level. Effective mobilization of human resou rces\, medicines\, and equipment and improved coordination between three levels of government would help in the smooth implementation of the PEN p rogram in Nepal. Public Health Implications: Lack of PEN-trained staff in primary healthcare facilities and poor coordination between different le vels of government are the pressing challenges related to structural chan ges of federalism. The government should outline clear roles and responsi bilities for all government levels and provide PEN training to areas that lacked trained human manpower.\n\nSpeaker:\nDonna Spiegelman\n\nAdmissio n:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL: \nhttps://medicine.yale.edu/event/40730-implementation-of-the-package-of- essential-non-communicable-disease-interventions-in-nepal/\n DTEND;TZID=America/New_York:20231114T113000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T103000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4073.0 Opportunities and challenges of federalism in the implement ation of the package of essential non-communicable (PEN) disease interven tions in Nepal UID:d0b1ea28-f4ba-44d0-8b5c-a50ded62844f END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Emerging Issues in HIV/AIDS Poster Session IV Program : HIV/AIDS Time: 12:30 - 1:30 PM Presenters: Christina Aivadyan Trace Ker shaw\, PhD Abstract Background: Despite population-level progress in redu cing the number of new HIV infections in the United States\, adolescents continue to face inequities in HIV prevention access. Laws concerning con sent and confidentiality in sexual health services vary widely across sta tes\, and adolescents – particularly minors under age 18 – experience une qual access to confidential HIV testing. Although confidentiality concern s are a well-established barrier to sexual health care for adolescents\, there is a dearth of research investigating their perspectives on the rol e of confidentiality in their HIV testing practices. This study addresses this gap by comparing adolescent perspectives on the role of confidentia lity in their HIV testing practices across two states with varying confid entiality-relevant laws. Methods : Between November 2022 and March 2023\, we conducted semi-structured interviews with a purposive sample of sexua lly active adolescents aged 16-17 in Connecticut (n =30) and New Jersey ( n =30)\, which vary in terms of confidentiality-relevant laws. Guided by Andersen’s behavioral model of health services use\, we used NVivo softwa re to identify key themes and explore areas of thematic convergence and d ivergence across states. Results : Despite stressing the importance of co nfidentiality\, participants lacked awareness of state-level confidential ity relevant laws. Participants who received confidentiality assurances f rom their health care providers reported increased comfort with sharing s ensitive information about sexual behavior\, discussing HIV prevention\, and testing for HIV. No thematic differences were observed across states. Conclusions: To address inequities in HIV prevention access\, age-relate d legal barriers to confidential HIV testing should be eliminated and hea lth care providers should make concerted efforts to improve their provisi on of confidential care with adolescent patients.\n\nSpeakers:\nTrace Ker shaw\; Christina Aivadyan\n\nAdmission:\nRegistrationFees: APHA Event Reg istration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/41 710-adolescent-perspectives-on-the-role-of-confidentiality-in-their-hiv-t esting-practices/\n DTEND;TZID=America/New_York:20231114T133000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T123000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4171.0 - Adolescent perspectives on the role of confidentiality in their HIV testing practices: A qualitative study UID:a0e71094-0f03-4be4-b524-d2f92d6b7a54 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Emerging Issues in HIV/AIDS Poster Session V Program: HIV/AIDS Time: 12:30 - 1:30 PM Presenter: Trace Kershaw\, PhD Abstract B ackground: Hazardous alcohol use reinforces disparities in HIV transmissi on risk for sexual and gender minority (SGM) individuals. SGM individuals continue to face challenges (including stigma and discrimination) result ing in the maladaptive use of alcohol and its associated disruption of HI V protective behaviors. This review aims to identify and synthesize evide nce on interventions developed to reduce both alcohol use and HIV risk be haviors among SGM populations. Methods: A scoping review was conducted on six English databases using a predefined search strategy. Studies were i ncluded if they were published from 2012-2022 and evaluated interventions targeting both alcohol use and sexual HIV risk reduction for SGM populat ions. Results: 14 studies met the inclusion criteria. Half were randomize d control trials (RCTs) and the other half were single-arm\, non-randomiz ed studies. Virtually all the interventions targeted men who have sex wit h men (MSM)\, with none focused on transgender populations or cisgender w omen. The most common intervention approach was motivational interviewing or enhancement (n=7). While the studies demonstrated some evidence of ef fectiveness in reducing alcohol use and/or sexual risk\, effects for both alcohol and sexual risk behavior were only observed in 4 of the 7 RCTs a nd 3 of the non-randomized studies. Conclusion: While the evidence base f or alcohol and HIV risk reduction interventions among SGM is still growin g\, this review suggests that these approaches can be effective in target ing these behaviors\, at least for MSM. The use of larger-scale RCTs with diverse populations and standardized outcome measures are needed to stre ngthen the evidence base.\n\nSpeaker:\nTrace Kershaw\n\nAdmission:\nRegis trationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps:/ /medicine.yale.edu/event/41720-interventions-to-reduce-alcohol-use-and-hi v-risk-among-sexual-and-gender-minority/\n DTEND;TZID=America/New_York:20231114T133000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T123000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4172.0 Interventions to reduce alcohol use and HIV risk among sexu al and gender minority populations: A systematic review UID:1322fb5e-f411-4667-9ec4-a00a3e764dc5 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Spirit of 1848 Social Justice & Public Health Student Poster Session Program: Spirit of 1848 Caucus Time : 12:30 - 1:30 PM Pre senters: Shannon Whittaker Marie-Fatima Hyacinthe Joshua Warren Trace Ker shaw Abstract Background: Extant literature highlights that wealth signif icantly impacts health. Due to structurally racist policies and practices \, Black Americans are less likely to accumulate wealth and thus more lik ely to report adverse health outcomes. Little research has assessed the r ole of reparations in the relationship between race\, wealth\, and health . Methods: Data from the National Longitudinal Survey of Youth 1979 were analyzed using multi-level regression models to assess race and wealth as predictors of health. Predicted probabilities evaluated changes in the p robability of reporting excellent health with the inclusion of three repa ration estimations to Black respondents: Darity’s land-based estimation\, Craemer’s wage-based estimation and the racial wealth gap. Results: Whit e respondents reported increased odds (OR = 1.42\, 95% : 0.138\, 0.562\, p=0.0012) of excellent health compared to Black respondents. For wealth\, a $10\,000 increase in wealth was significantly associated with increase d odds (OR = 1.01\, 95% CI: 0.004\, 0.010) of excellent versus good and f air/poor health. In our predicted probability models\, we found as repara tions payments increased so did the probability of reporting excellent he alth for Black respondents. However\, even at the highest level of repara tions payments\, Black respondents still had lower probabilities compared to whites. Conclusion: Reparations payments can be used to narrow the ra cial health equity gap. However\, reparative justice interventions should look beyond reparations payments to systematically dismantle systems of harm and oppression in an effort to eradicate the racial wealth gap and a ddress the ills of structural racism.\n\nSpeakers:\nJoshua Warren\; Trace Kershaw\; Shannon Whittaker\; Marie- Fatima Hyacinthe\n\nAdmission:\nReg istrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps ://medicine.yale.edu/event/41830-race-wealth-and-health-the-role-of-repar ations/\n DTEND;TZID=America/New_York:20231114T133000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T123000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4183.0 - Race\, wealth and health: The role of reparations UID:f8948b23-8e12-4a54-9adb-3871606914ff END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Implications of Social and Structural Factors on Mate rnal Health Outcomes Program: Women's Caucus Time: 12:30 - 1:30 PM Presen ters: Claire Masters Ashley Hagaman Jeannette Ickovics Abstract Backgroun d: Maternal mental health can impact adherence to health care recommendat ions. We examined the association between prenatal depressive symptoms an d perceived stress and receipt of the maternal 6-week postpartum visit an d infant vaccinations in their first year. Methods: Postpartum individual s (N=672) who attended Expect With Me group prenatal care in Nashville\, Tennessee and Detroit\, Michigan completed surveys during third trimester of pregnancy and 6- and 12-weeks postpartum. We conducted multiple logis tic regression to examine associations between prenatal depressive sympto ms and perceived stress and maternal receipt of six-week postpartum check -up and infant receipt of all recommended vaccinations by 12 months of ag e\, controlling for potential confounders. Results: Sixty-eight percent o f participants had high perceived stress and 31% had high depressive symp toms during pregnancy. Individuals with high depressive symptoms were les s likely to receive their six-week postpartum check-up compared to those with low depressive symptoms (Adjusted Odds Ratio [AOR] 0.54\; 95% confid ence interval [CI] = 0.32\, 0.90). Babies born to individuals with high p erceived stress were less likely to receive all recommended vaccines by 1 2 months old (AOR 0.37\; 95% CI 0.15\, 0.96). Conclusions: High perceived stress and depressive symptoms were highly prevalent during pregnancy. H igh prenatal depressive symptoms was associated with not receiving the re commended six-week postpartum check\, which is essential to detect postpa rtum complications and address family planning. High perceived stress dur ing pregnancy was associated with lower adherence to recommended infant v accinations\, reducing protections against communicable diseases. Materna l mental health intervention is warranted to optimize equity in care and health.\n\nSpeakers:\nClaire Masters\; Ashley Hagaman\; Jeannette Ickovic s\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\ nDetails URL:\nhttps://medicine.yale.edu/event/41850-association-between- prenatal-mental-health-and-recommended-maternal-and-infant-care-postpartu m/\n DTEND;TZID=America/New_York:20231114T133000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T123000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4185.0 Association between prenatal mental health and receipt of r ecommended maternal and infant care postpartum UID:be497086-ac40-4b33-aa3e-fca54c242d3a END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Student Poster Session Program: Maternal and Child He alth Time: 2:30 - 3:30 PM Presenters: Anushka Jain Lupita Galvan Tinoco N gozi Okoli Jacqueline Sandoval Abstract Weight gain is an inherent compon ent of pregnancy\, but is often accompanied by self-directed bias and sti gma from friends\, family\, and healthcare providers – harming an already vulnerable population. Consequences of weight stigma include worsening m ental health\, increased risk of gestational diabetes\, and negative chil d health outcomes\, yet weight stigma remains understudied with few inter ventions to combat it\, especially in pregnant populations. We conducted a literature review and needs assessments with key stakeholders including local healthcare providers\, previously pregnant people\, and leading re searchers to better understand this gap. We propose a multi-level interve ntion composed of community-based skill building classes with pregnant pe ople and their support systems to build resilience against weight stigma and an educational component for certified nurse midwives (CNMs) in New H aven\, Connecticut. Pregnant people will engage in group dialogues about weight stigma experiences\, practice role-playing to advocate for themsel ves in clinical settings\, and learn how to resist body image pressures. CNMs will learn how to balance their healthcare responsibilities without perpetuating weight stigma\, maximizing patients’ well-being and working towards affirmative care for all pregnancy body types. The intervention’s setting\, dose\, and inclusion of childcare services and free meals are designed to be as accessible as possible to promote enrollment among low- income racial minorities – primarily Black and Hispanic pregnant individu als – as these historically marginalized groups experience weight stigma at even greater levels. This crucial\, innovative health promotion plan a ddresses a glaring need and is designed to promote sustainability\, trust \, and community engagement to maximize feasibility and impact.\n\nSpeake r:\nJacqueline Sandoval\n\nAdmission:\nRegistrationFees: APHA Event Regis tration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/4200 0-pregnants-facing-stigma-through-community-skill-building-classes-and-mi dwife-education/\n DTEND;TZID=America/New_York:20231114T153000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T143000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4200.0 It takes a stigma-free village: Empowering pregnant patient s facing weight stigma through community skill building classes and midwi fe education UID:7660bc11-bfc8-4c10-8a51-e01317da836d END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Other Topics in Intimate Partner Violence Program: Fa mily Violence Prevention Caucus Time: 3:00 - 3:15 PM Presenter: Trace Ker shaw\, PhD Abstract Introduction: Intimate partner violence (IPV) is a pr evalent public health problem that disproportionately affects Black women . The current justice response relies on the criminal justice system\, wh ich is counterproductive for Black women IPV survivors. Specifically\, ra cialized\, sexist stereotypes prevent society from viewing Black women as victims or survivors than white counterparts\, which heightens dual arre st rates and hinders the healing and accountability process. Transformati ve justice\, a community-based justice approach designed to repair harm b etween the survivor and perpetrator in addition to transforming the socia l conditions that perpetuate violence\, may be a promising approach to IP V justice and accountability. However\, little is known about the justice preferences for Black women IPV survivors. Therefore\, the study sought to understand Black women IPV survivors’ experiences interacting with pol ice for IPV and their justice preferences. Methods: Semi-structured in-de pth interviews with 15 Black women experiencing IPV were conducted from M arch 2021 to April 2022. Inductive analytic techniques from grounded theo ry were used to contextualize Black women IPV survivors’ experiences. Res ults: One theme was identified that captured experiences interacting with the police among Black women IPV survivors: 1) fear and distrust of the police. Four themes were identified that captured justice preferences: 1) resolution through dialogue\, 2) therapy and counseling services\, 3) re source support\, and 4) protection and prevention for children. Black wom en IPV survivors shared that fear and distrust of the police was mainly d riven by anticipated discrimination by the police. Survivors’ justice pre ferences encompassed solution-based dialogue between the survivor and per petrator mediated by family and trusted individuals in the community\, th erapy services\, housing support\, and attention to preventing the interg enerational cycle of IPV for children as part of a community-based\, holi stic justice response. Conclusion: Interacting with police as part of the current justice response is counterproductive for Black women IPV surviv ors. Their preferences went beyond perpetrator accountability and address ed responsibilities of external systems and communities. Transformative j ustice may serve as a tool to promote equity and center Black women IPV s urvivors and their communities in the justice response for IPV.\n\nSpeake r:\nTrace Kershaw\n\nAdmission:\nRegistrationFees: APHA Event Registratio n is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/42360-comm unity-based-accountability-approach-through-justice-for-black-women-survi vors/\n DTEND;TZID=America/New_York:20231114T151500 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T150000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4236.0 Moving towards a holistic\, community-based accountability approach through transformative justice for black women survivors of inti mate partner violence UID:b3cc2e2d-195f-4514-a780-156c7ee7afa5 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Exploring Mental and Psychosocial Health Among LGBTQ+ People Program: LGBTQ Health Caucus Time: 3:00 - 3:15 PM Presenters: Gab riel Murchison Benjamin Eisenstadt Kaylia Carroll Abstract Sexual content creation—selling homemade erotic media online—has become a widespread fo rm of sex work. Because transgender and/or nonbinary young adults (TNB YA ) are overrepresented in sex work and face considerable health disparitie s\, we sought to describe TNB YAs’ experiences working as sexual content creators from a public health perspective. In this multi-method study\, w e interviewed TNB YA sexual content creators (n =15\; ages 21-30 years\; diverse in gender\, race\, and ethnicity) with a semi-structured guide ad dressing motivations\, benefits\, stressors\, and advocacy priorities. We used template analysis to develop four themes. Theme 1 (“Alternative Wor k”) highlighted how participants were excluded from mainstream employment \, often due to disability/ableism\, and supported themselves by combinin g sexual content creation with other flexible\, sexuality-related\, and/o r creative work. Theme 2 (“Fulfilling Work”) explored how sexual content creation fulfilled psychological needs such as connectedness and gender a ffirmation. Theme 3 (“Stressful Dynamics”) described experiences of finan cial instability\, gender incongruence\, unwanted interactions\, and sex work stigma (from clinicians and others). Theme 4 (“Policy Context”) outl ined how corporate and government policies promoted stressful dynamics. W e presented these results to three focus groups of clinicians and advocat es (n =17\; 59% TNB\; >40% current/former sex workers)\, who identified c linical and advocacy implications. Results suggest that TNB YA sexual con tent creators often derive financial and psychological benefits from thei r work but lack crucial supports and protections. Public health\, LGBTQ+\ , gig worker\, sex worker\, and disability advocates should work with sex ual content creators towards shared priorities\, including non-stigmatizi ng health care and adequate safety net programs.\n\nAdmission:\nRegistrat ionFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://med icine.yale.edu/event/42470-wellbeing-of-transgenders-sexual-content-creat ors-implications-for-clinicians-and-advocates/\n DTEND;TZID=America/New_York:20231114T151500 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T150000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4247.0 Health and wellbeing of transgender/nonbinary young adults working as sexual content creators: Implications for clinicians and advoc ates UID:54cbd958-7381-48f4-aef8-6bc9afc800f2 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Ending the HIV Epidemic Program: HIV/AIDS Time: 9:00 -9:15 AM Presenters: Yue Hu Chelsey Carter Victor Wang Debbie Humphries A bstract Background: In the Ending the HIV Epidemic initiative (EtHE)\, Mi ssouri is a priority state due to high HIV incidence and low care engagem ent\, with St. Louis accounting for nearly half of the state’s people liv ing with HIV (PLWHs). CHWs effectively support individuals managing chron ic diseases such as HIV\, especially for those facing stigma\, discrimina tion\, and other barriers to services. Innovative approaches to strengthe n the CHW’s role as liaisons between clinical services and community reso urces are needed to maximize their impact on HIV self-management. Methods : Clinical providers (n=4)\, community leaders (n=5)\, CHWs/supervisors i n HIV services (n=6)\, and PLWH (n=12) participated in semi-structured in terviews\, and front-line health workers (n=12) participated in one of tw o focus groups. Interview and focus group guide explored the strengths an d challenges of using CHWs for enhancing management and retention in HIV care. Rapid qualitative analysis methods were used to analyze findings. C ommunity members serving on the study’s planning team were involved in da ta analysis to enhance rigor and minimize bias. Results: Participants ide ntified institutional and systemic challenges in integrating CHWs into th e healthcare system. Institutional challenges include limited CHWs’ scope of practice\, unsustainable CHW workforce\, and difficulties building pr ofessional relationships with other care team members. Specifically\, par ticipants identified challenges such as CHW work hours being limited to 8 -5 and outreach location limited to healthcare settings\, as well as silo s within the care team that hinders collaboration\, coordination of care\ , and CHW career development. Systemic challenges identified include stru ctural racism\, a hierarchical Western European model for HIV/AIDS care\, and a lack of momentum and consistency for implementation. Participants particularly highlighted stigma\, historical and present racialized traum a\, and the marginalization of CHWs in decision-making and care involveme nt. To overcome these challenges\, participants suggested clarifying CHW titles\, roles\, and responsibilities\, improving job conditions\, streng thening in-organizational support\, and ensuring program sustainability. The developing intervention’s implementation strategies address the ident ified challenges and suggestions. Conclusions: Strengthening effectivenes s of CHW programs requires integration of CHWs into the healthcare system . A systematic\, collaborative\, contextually appropriate and adaptive re sponse is necessary to scale up CHW programs\, ensuring quality service d elivery and long-term career viability for CHWs.\n\nSpeakers:\nYue Hu\; C helsey Carter\; Debbie Humphries\n\nAdmission:\nRegistrationFees: APHA Ev ent Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/e vent/50320-improving-hiv-care-engagement-opportunities-and-challenges/\n DTEND;TZID=America/New_York:20231115T091500 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231115T090000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:5032.0 Integrating community health workers (CHWs) into health sys tems to improve HIV care engagement: Opportunities and challenges UID:41c28ac5-ad62-464e-b14d-0f9bb4766ba5 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Health-Promoting Trade Policies and Practices Program : Trade and Health Forum Time: 9:00 - 9:15 Presenters: Raquel Burgess Yus uf Ransome Abstract Discussions about vaccine hesitancy during the COVID- 19 pandemic have centered around dis/misinformation and controversy theor ies\, perceptions of safety\, and institutional distrust\, particularly d ue to institutional racism in the health care system. A seemingly lesser explored aspect of COVID-19 vaccine hesitation is distrust of pharmaceuti cal companies. In 2019\, 58% of Americans reported a negative view of the pharmaceutical industry and in a poll conducted in December 2020\, only 20% of Americans who reported that they will definitely not get the COVID -19 vaccine felt they could trust the pharmaceutical industry to provide reliable information about the vaccines. Previous research has demonstrat ed that some vaccine hesitant individuals ascribe their hesitancy to dist rust of the pharmaceutical industry and that this distrust stems from the industry’s pursuit of profit over public interest\, emphasized through p revious scandals\, and the influence of the industry over other health ca re actors. The commercial determinants of health (CDH) is a concept that describes how actors and structures operate to generate profit\, and by d oing so\, influence patterns of disease within and across populations. In this presentation\, we will use a CDH lens to explore distrust in the ph armaceutical industry as a potential contributor to COVID-19 vaccine hesi tancy. Specifically\, we will explore the concepts of trust and distrust and their antecedents\, the history of trust in the pharmaceutical indust ry\, and the profit-seeking structures that may be perpetuating distrust. Finally\, we will discuss potential solutions for increasing the trustwo rthiness of the pharmaceutical industry as a potential mechanism to addre ss vaccine hesitancy.\n\nSpeakers:\nYusuf Ransome\; Raquel Burgess\n\nAdm ission:\nRegistrationFees: APHA Event Registration is Required\n\nFood:\n \n\nDetails URL:\nhttps://medicine.yale.edu/event/50561-what-can-a-commer cial-determinants-bring-to-our-understanding-of-covid-19-vaccine-hesitanc y/\n DTEND;TZID=America/New_York:20231115T091500 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231115T090000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:5056.1 What can a commercial determinants of health lens bring to our understanding of COVID-19 vaccine hesitancy? UID:f6603b2c-aa21-4c49-937a-811fe550bac3 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Improving Pregnancy Outcomes: Social Determinants of Health (SDOH) Program: Maternal and Child Health Time: 1:00 - 1:15 PM Pre senters: Claire Masters Jeannette Ickovics Abst ract Background: Housing insecurity has been shown to be associated with adverse infant birth outc omes\, but these findings have been limited to young\, low-income\, predo minantly Black and Hispanic populations. We examined the association of m oving during pregnancy with infant birth weight and gestational age at de livery among a diverse sample of pregnant individuals. Methods: Pregnant individuals (N=951) receiving Expect With Me group prenatal care in Nashv ille\, TN and Detroit\, MI completed surveys during second and third trim ester of pregnancy. Participants were asked if they moved during pregnanc y. Gestational age and birthweight were collected from patient health rec ords. Multiple linear regression was used to examine the association betw een moving during pregnancy with infant birth outcomes\, controlling for potential confounders. Multiple logistic regression was used to assess so ciodemographic factors associated with having moved during pregnancy. Res ults: Participants were 14-42 years old (mean 25\; standard deviation 5.4 ). Sixty-four percent were Black\, 23% White\, and 13% other race. Sevent y-three percent had public insurance. In adjusted analyses\, individuals who moved during pregnancy delivered lower birth weight infants than thos e who did not move (B=-149.83\, p=0.033). Factors associated with moving during pregnancy included being Black (versus White\; AOR = 1.44)\, unemp loyed (versus employed\; AOR = 1.52)\, a high school graduate/GED (versus at least some higher education\; AOR = 0.72)\, and having private insura nce (versus public\; AOR = 1.36). Conclusions: Moving during pregnancy is associated with lower infant birth weight. Several social determinants o f moving during pregnancy were identified that warrant further exploratio n.\n\nSpeakers:\nJeannette Ickovics\; Claire Masters\n\nAdmission:\nRegis trationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps:/ /medicine.yale.edu/event/51520-association-between-moving-during-pregnanc y-and-birth-outcomes/\n DTEND;TZID=America/New_York:20231115T131500 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231115T130000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:5152.0 Association between moving during pregnancy and birth outco mes UID:59edda30-5039-4eb8-803e-1cd5c17ae372 END:VEVENT BEGIN:VEVENT DESCRIPTION:Meet with Trace Kershaw\, PhD (Susan Dwight Bliss Professor of Public Health\; Social and Behavioral Sciences\, Department Chair) Locat ion: APHA Expo Booth #1613 Time: 2-3 pm\n\nSpeaker:\nTrace Kershaw\n\nAdm ission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/ysph-booth-apha-expo-meet-and-gree t-with-trace-kershaw-phd/\n DTEND;TZID=America/New_York:20231112T150000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231112T140000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH Booth @ APHA 2023 Expo: Meet & Greet with Trace Kershaw\, PhD UID:4879ccff-5a88-4cc6-8ee4-7b93401e43e3 END:VEVENT BEGIN:VEVENT DESCRIPTION:Meet with Linda Degutis\, DrPH\, MSN (Chronic Disease Epidemio logy\, Lecturer\; Yale University DrPh '94\, MSN ’82\; Alumni) Location: APHA Expo Booth #1613 Time: 3-4 pm\n\nSpeaker:\nLinda Degutis\n\nAdmissio n:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL: \nhttps://medicine.yale.edu/event/ysph-booth-apha-expo-meet-and-greet-wit h-linda-degutis-drph-msn/\n DTEND;TZID=America/New_York:20231112T160000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231112T150000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH Booth @ APHA 2023 Expo: Meet & Greet with Linda Degutis\, Dr PH\, MSN UID:c04af9f6-d35a-465d-98c3-3dcee45aa50c END:VEVENT BEGIN:VEVENT DESCRIPTION:Meet with Gabriel R Murchison\, PhD\, MPH (YSPH Postdoctoral A ssociate\; YSPH MPH ’15\, Social and Behavioral Sciences\; Alumni) Locati on: APHA Expo Booth #1613 Time: 10:00-10:30 am\n\nAdmission:\nRegistratio nFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medic ine.yale.edu/event/ysph-booth-apha-expo-meet-and-greet-with-gabriel-r-mur chison-phd-mph/\n DTEND;TZID=America/New_York:20231113T103000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T100000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH Booth @ APHA Expo: Meet & Greet with Gabriel R Murchison\, Ph D\, MPH UID:e63ead1a-9689-4c71-a708-8e226cc92488 END:VEVENT BEGIN:VEVENT DESCRIPTION:Meet with Anne Havlik (YSPH MPH ’23\, Chronic Disease Epidemio logy\; Alumni) Location: APHA Expo Booth #1613 Time: 10:00 - 11:00 am\n\n Speaker:\nAnne Havlik\n\nAdmission:\nRegistrationFees: APHA Event Registr ation is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/ysph-b ooth-apha-expo-meet-and-greet-with-anne-havlik/\n DTEND;TZID=America/New_York:20231113T110000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T100000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH Booth @ APHA Expo: Meet & Greet with Anne Havlik UID:97a0fa5d-6c0d-4ba1-b9bc-ca814008329b END:VEVENT BEGIN:VEVENT DESCRIPTION:Meet with Kaylia Carroll (YSPH Postgraduate Associate\, Social and Behavioral Sciences\; YSPH MPH '23\; Alumni) Location: APHA Expo Boo th #1613 Time: 10-11 am\n\nAdmission:\nRegistrationFees: APHA Event Regis tration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/ysph -booth-apha-expo-meet-and-greet-with-kaylia-carroll/\n DTEND;TZID=America/New_York:20231113T110000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T100000 SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH Booth @ APHA Expo: Meet & Greet with Kaylia Carroll UID:45268868-362c-4397-86d6-f9b28693c07b END:VEVENT BEGIN:VEVENT DESCRIPTION:Meet with Jackson Higginbottom\, MPH (Program Administrator\, Community Alliance for Research and Engagement (CARE)\; YSPH MPH '20\, So cial and Behavioral Sciences\; Alumni) Location: APHA Expo Booth #1613 Ti me: 11 am -12 pm\n\nSpeaker:\nJackson Higginbottom\n\nAdmission:\nRegistr ationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://m edicine.yale.edu/event/ysph-booth-apha-expo-meet-and-greet-with-jackson-h igginbottom-mph/\n DTEND;TZID=America/New_York:20231113T120000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T110000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH Booth @ APHA Expo: Meet & Greet with Jackson Higginbottom\, M PH UID:03259f3e-a3ab-449f-8155-b6c0d84dd88c END:VEVENT BEGIN:VEVENT DESCRIPTION:Meet with Tarini Gupta (YSPH '24 Student\, Social and Behavior al Sciences) Location: APHA Expo Booth #1613 Time: 12 - 1 pm\n\nAdmission :\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\ nhttps://medicine.yale.edu/event/ysph-booth-apha-expo-meet-and-greet-with -tarini-gupta/\n DTEND;TZID=America/New_York:20231113T130000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T120000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH Booth @ APHA Expo: Meet & Greet with Tarini Gupta UID:917843db-2fd7-4974-a545-e239fd5742d1 END:VEVENT BEGIN:VEVENT DESCRIPTION:Meet with Mukund Desibhatla (YSPH MPH '23\, Chronic Disease Ep idemiology\; Alumni) Location: APHA Expo Booth #1613 Time: 1-2 pm\n\nAdmi ssion:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/ysph-booth-apha-expo-meet-and-greet -with-mukund-desibhatla/\n DTEND;TZID=America/New_York:20231113T140000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T130000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH Booth @ APHA Expo: Meet & Greet with Mukund Desibhatla UID:3daf5ea3-e6fc-45d9-b9ea-f8541e8d7dd8 END:VEVENT BEGIN:VEVENT DESCRIPTION:Meet with Megan L. Ranney\, MD\, MPH (Dean of Yale School of P ublic Health and C.-E. A. Winslow Professor of Public Health (Health Poli cy)\; Professor of Emergency Medicine) Location: APHA Expo Booth #1613 Ti me: 2-4 pm\n\nSpeaker:\nMegan Ranney\n\nAdmission:\nRegistrationFees: APH A Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.e du/event/ysph-booth-apha-expo-meet-and-greet-with-megan-l-ranney-md-mph/\ n DTEND;TZID=America/New_York:20231113T160000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T140000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH Booth @ APHA 2023 Expo: Meet & Greet with Megan L. Ranney\, M D\, MPH UID:4123b35b-3844-43e6-bc5c-db72c38b5897 END:VEVENT BEGIN:VEVENT DESCRIPTION:Meet with: Trace Kershaw\, PhD (Susan Dwight Bliss Professor o f Public Health\; Social and Behavioral Sciences\, Department Chair) Ijeo ma Opara\, PhD\, LMSW\, MPH (Social and Behavioral Sciences\, Associate P rofessor) Location: APHA Expo Booth #1613 Time: 2-3 pm\n\nSpeakers:\nTrac e Kershaw\; Ijeoma Opara\n\nAdmission:\nRegistrationFees: APHA Event Regi stration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/ysp h-booth-apha-expo-meet-and-greet-with-trace-kershaw-and-ijeoma-opara/\n DTEND;TZID=America/New_York:20231113T150000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T140000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY: YSPH Booth @ APHA Expo: Meet & Greet with Trace Kershaw and Ijeo ma Opara\, PhD\, LMSW\, MPH UID:53487780-80e0-4dbc-8d8c-98f7fef9343a END:VEVENT BEGIN:VEVENT DESCRIPTION:Meet with Devina Buckshee (YSPH MPH '23\, Health Policy\, Glob al Health\, and Maternal and Child Health\; Alumni) Location: APHA Expo B ooth #1613 Time: 11 am-12 pm\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event /ysph-booth-apha-expo-meet-and-greet-with-devina-buckshee/\n DTEND;TZID=America/New_York:20231113T120000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T110000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH Booth @ APHA Expo: Meet & Greet with Devina Buckshee UID:d51a3ef1-820e-4c16-a305-5c9b1a26fbd8 END:VEVENT BEGIN:VEVENT DESCRIPTION:Meet with: Trace Kershaw\, PhD (Susan Dwight Bliss Professor o f Public Health\; Social and Behavioral Sciences\, Department Chair) Ijeo ma Opara\, PhD\, LMSW\, MPH (Social and Behavioral Sciences\, Associate P rofessor) Location: APHA Expo Booth #1613 Time: 10-11 am\n\nSpeakers:\nTr ace Kershaw\; Ijeoma Opara\n\nAdmission:\nRegistrationFees: APHA Event Re gistration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/y sph-booth-apha-expo-meet-and-greet-with-trace-kershaw-and-ijeoma-opara-se cond-day/\n DTEND;TZID=America/New_York:20231114T110000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T100000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH Booth @ APHA Expo: Meet & Greet with Trace Kershaw and Ijeoma Opara UID:ab5aaa11-24f0-4863-8e02-f20ebda8872c END:VEVENT BEGIN:VEVENT DESCRIPTION:Meet with Marie-Fatima Hyacinthe (YSPH PhD Student\, Social an d Behavioral Sciences) Location: APHA Expo Booth #1613 Time: 3-4 pm\n\nAd mission:\nRegistrationFees: APHA Event Registration is Required\n\nDetail s URL:\nhttps://medicine.yale.edu/event/ysph-booth-apha-expo-meet-and-gre et-with-marie-fatima-hyacinthe/\n DTEND;TZID=America/New_York:20231114T160000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231114T150000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH Booth @ APHA Expo: Meet & Greet with Marie-Fatima Hyacinthe UID:7008c65e-e342-4f4e-917f-fc963ef94742 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: 3086.0 - Current Topics in Men's and Boys' Health Pos ter Abstract: Board 8 - Young males impacted by commercial sexual exploit ation: A scoping review of risk factors\, trajectories and treatment Prog ram: Men's Health Caucus Time: 10:30 - 11:30 AM Presenter: Nathan Earl\, MPH '24 Abstract: Commercial sexual exploitation (CSE) of young males has been underrecognized and underreported. The existing literature has cast males as willing participants\, sex buyers\, or exploiters\, rather than victims. However\, there is growing recognition that boys and young men also experience CSE and there is a need for improved identification\, sup port and services to help them heal. This scoping review seeks to address this form of exploitation in males. Attention will be paid to men having sex with men (MSM) and sexual minority males who are disproportionately impacted. The authors will examine the risk factors for exploitation\, th e trajectory for male victims as well as proposed comprehensive treatment modalities. Primary risk factors for male youth experiencing CSE include histories of previous abuse\, exposure to childhood adversity and trauma without adequate support\, poverty\, including housing instability\, foo d insecurity\, and/or lack of basic supports including transportation. Su bstance misuse and dependency experienced by male youth and/or caregivers and involvement with child welfare and/or juvenile justice systems are a lso risk factors. Additionally\, there are unique risk factors related to males who identify as boys and young men of color (BYMOC) as well as LGB TQ+ youth. This review will also include the common sequalae experienced by these youth including the various social\, emotional\, and behavioral consequences of this form of sexual trauma. Barriers to identifying these youth will be explored including lack of disclosure and gender stereotyp es and biases. Finally\, the paper will explore potential paths to recove ry and guidance for service providers. Information on providing trauma in formed care to victims will be emphasized as well as the range of service s they may require for reintegration. Syndemic-based interventions to tre at substance abuse\, sexual violence and HIV/AIDS-- common co-morbidities among MSM impacted by commercial sexual exploitation and trafficking—wil l also be examined.\n\nSpeaker:\nNathan Earl\n\nAdmission:\nRegistrationF ees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicin e.yale.edu/event/30860-current-topics-in-mens-and-boys-health/\n DTEND;TZID=America/New_York:20231113T113000 DTSTAMP:20260607T231822Z DTSTART;TZID=America/New_York:20231113T103000 GEO:33.759603;-84.396873 LOCATION:285 Andrew Young International Boulevard Northwest\, Atlanta\, GA \, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3086.0 - Current Topics in Men's and Boys' Health UID:8cbbafad-8b48-42c2-976f-5290c5c4cc27 END:VEVENT END:VCALENDAR