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 Minneapolis October 27-30 for the annual American Public Health Association Meeting and Expo. The A PHA 2024 Annual Meeting and Exposition is an important gathering of over 12\,000 public health professionals from around the world. This event off ers opportunities for professionals to collaborate\, learn\, and connect through various educational and networking activities. Attendees include public health professionals\, visionaries\, current students\, and future leaders who come to meet with organizations that shape the industry. The Yale School of Public Health is proud to support\, exhibit\, and present at this significant annual event for public health professionals worldwi de Learn more about this YSPH event here.\n\nAdmission:\nRegistrationFees : APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.y ale.edu/event/ysph-apha-2024-annual-meeting-and-expo/\n DTEND;TZID=America/New_York;VALUE=DATE:20241031 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York;VALUE=DATE:20241027 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH@APHA 2024 | Annual Meeting & Expo | Minneapolis\, MN UID:201f6dfc-9978-45c3-b019-5d1cdbf07b00 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Health access for populations with Limited English Pr oficiency (LEP) and communication strategies for cultural competencies I Program: APHA Committee of Health Equity Presenter: Hannah Mestel\, MBA\, MPH A bstract Introduction Improved cultural and linguistic adaptation o f health campaigns is vital for advancing health equity. Certain communit ies\, including those with limited English proficiency (LEP)\, are more l ikely to experience limited health literacy and health disparities. The A merican Heart Association (AHA) is committed to addressing the health lit eracy gap\, moving beyond basic translation to reach LEP populations. In partnership with the AHA\, we developed a toolkit of best practices for a dapting existing AHA English-language health campaigns to tailored\, audi ence-specific versions. Methods A literature review was conducted to iden tify evidence-based practices for cultural and linguistic adaptation of h ealth education campaigns. A draft toolkit of recommended practices was a ssembled based on the literature reviewed and internal AHA practices. Fee dback on the adaptation toolkit from internal and external stakeholders w as obtained via surveys and focus group sessions. Findings A toolkit was produced for AHA content creators to utilize to promote greater health eq uity when adapting existing public health campaigns for diverse audiences . The steps included identifying a target audience\, assessing health lit eracy level of the audience\, assessing reading literacy level of content \, validating cultural and language translations and adapted content with the target audience\, developing a topic-specific translation word bank\ , and ensuring representation through appropriate imagery. The toolkit al so highlights the importance of choosing appropriate outreach channels fo r the specific target audience. Conclusions Providing content creators wi th a cultural and linguistic adaptation toolkit can enhance their ability to produce materials that improve health literacy and health outcomes.\n \nSpeaker:\nHannah Mestel\, MBA\, MPH\n\nAdmission:\nRegistrationFees: AP HA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale. edu/event/beyond-translation-a-practical-guide-to-tailoring-public-health -campaigns-for-diverse-audiences/\n DTEND;TZID=America/New_York:20241029T163000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241029T153000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2:30pm - 3:30pm (CDT) | 4192.2 - Beyond translation: A practical g uide to tailoring public health campaigns for diverse audiences UID:52f83c3c-7c77-4a03-a5cd-e04cfb62bd57 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Empowering Women and Rebuilding Trust in Maternity an d Fertility Care Program: APHA Committee on Womens Rights Presenter: Sydn ey Perlotto\, MPH Abstract Many people seek fertility care for a variety of medical\, conditional\, and relational reasons. However\, pervasive so cial and structural barriers—including laws and policies—drive significan t racial/ethnic\, socioeconomic\, and geographic disparities surrounding access to and uptake of fertility care. Furthermore\, narrow policy model s based on clinical definitions of infertility erase the family-building needs and experiences of single people\, LGBTQ+ people\, and disabled peo ple. This presentation uses a Reproductive Justice approach to examine ho w “the right to have a child” is shaped both by individual’s identities a nd their surrounding community and context—explaining how public health p olicies focused on fertility rather than infertility can better remedy he alth inequities facing pregnant and parenting people. The analysis involv ed reviewing the current public health and legal literature\; examining r elevant U.S. laws\, policies\, and litigation at federal and state levels \; and outlining key vulnerabilities emerging in the post-Dobbs context. By the end of the presentation\, participants will be able to list a “too lbox” of fertility care strategies and rationales (n=25) across six dimen sions of public health law and policy: surveillance/research\, direct reg ulation\, indirect regulation\, information environment\, place/community \, and taxing/spending. Additionally\, using Connecticut as a case study for policy change\, participants will be able to discuss real-world imple mentation considerations for three promising state-level strategies (insu rance coverage\, paid leave\, and fraud redress). The rapidly evolving co ntext of and intertwined attacks on U.S. reproductive rights make shiftin g to an expansive and inclusive policy model for fertility care an impera tive within public health. Numerous opportunities for change exist.\n\nSp eaker:\nSydney Perlotto\, MPH\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/even t/infertility-to-fertility-model-public-health-policy-analysis-and-strate gy-toolkit/\n DTEND;TZID=America/New_York:20241027T154500 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241027T153000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2:30pm - 2:45pm (CDT) | 2047.0 - Moving from an infertility to fer tility model: A public health policy analysis and strategy toolkit for im proving fertility care quality and equity in the United States UID:58947531-d361-4ade-a59f-ce2903e2394f END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Cannabis Product Marketing\, Health Warnings\, and Be havioral and Health Impacts Program: Alcohol\, Tobacco\, and Other Drugs Author: Meredith Mcgee\, MPH Candidate Presenter: Chess Blacklock\, MPH S tudent Abstract Background As states legalize medical and recreational ca nnabis\, and with the potential federal rescheduling of marijuana\, compa nies are exploiting legal loopholes\, such as the 2018 Farm Bill\, to pro duce and market hemp-derived THC products. These "federally legal cannabi s" products often lack transparency\, testing\, and marketing regulations \, allowing for questionable marketing practices that may appeal to child ren. This study aims to evaluate the health information\, regulation\, an d marketing practices associated with these products. Methods We conducte d a comprehensive online search using Google with Boolean search terms re lated to hemp-derived THC consumables\, their legality\, and online avail ability. We assessed the online presence of companies selling at least on e hemp-derived THC consumable product and marketing their products as "fe derally legal" or available for online purchase. We collected data on pro duct types\, THC concentrations\, health warnings\, lab testing\, dosage guidance\, target audience\, legal claims\, and youth-appealing marketing tactics. The DISCERN instrument was used to evaluate the quality of cons umer health information provided by each company. Results Preliminary fin dings suggest that "federally legal cannabis" products often lack compreh ensive health information and are subject to minimal regulation and testi ng compared to state-regulated cannabis products. The marketing of these products may also employ tactics that appeal to youth\, such as colorful ads\, young models\, and youth-appealing flavors. Conclusions Establishin g consistent manufacturing and marketing regulations for both hemp-derive d and state-regulated cannabis products is crucial to ensure public healt h and safety\, particularly in protecting youth from targeted marketing s trategies. This study's findings may inform future policy decisions to ad dress the current regulatory gaps in the hemp-derived THC market.\n\nSpea ker:\nChess Blacklock\n\nAdmission:\nRegistrationFees: APHA Event Registr ation is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/diet-w eed-or-deception-evaluating-marketing-health-information-of-federally-leg al-cannabis/\n DTEND;TZID=America/New_York:20241029T163000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241029T153000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY: 2:30pm - 3:30pm (CDT) | 4191.0 - "diet weed" or deception? evalua ting the marketing and health information of "federally legal cannabis" p roducts UID:86270113-5fa1-4e61-a997-4e3d086fcaf4 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session : ECP Poster 3 Program : Early-Career Professional Pre senter: Aneri Suthar\, MPH Abstract This study examines industry relation ships among public stakeholders at FDA user fee meetings since 2013 to de monstrate that a substantial majority of these stakeholders have direct f inancial ties to pharmaceutical industry\, which shape their regulatory p erspectives. These stakeholders' official interactions with FDA through u ser fee meetings contribute to regulatory approval processes being increa singly biased towards industry. Previous studies of Prescription Drug Use r Fee Act (PDUFA) reauthorization bills\, which authorize these meetings\ , have shown that the legislative language allows for changes including r elaxed limits on industry communications\, additional required interactio ns between industry and FDA\, and permission for industry to promote off- label uses to providers\, payors\, and federal and state agencies. This h as led to concerns expressed by policymakers and patient advocates regard ing the influence of the pharmaceutical industry over the FDA in public h ealth regulatory decision making. We have analyzed publicly available dat a on public stakeholders present at meetings during the past three PDUFA reauthorization cycles. We have looked at attendance numbers at meetings\ , public comments submitted\, and financial statement forms documenting o rganizations’ yearly revenue and funding sources to determine ties to ind ustry. Through comparing the frequency by which FDA convenes with public stakeholders and industry groups\, determining whether public stakeholder s themselves have financial ties to the pharmaceutical industry\, and exa mining public stakeholders’ remarks and presentations at meetings\, we ha ve been able to determine notable alignment between public stakeholders' and industry members' positions on regulatory issues\, demonstrating an i ncreased bent towards industry in FDA user fee meetings over the last dec ade.\n\nSpeaker:\nAneri Suthar\, MPH\n\nAdmission:\nRegistrationFees: APH A Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.e du/event/examining-industry-relationships-among-public-stakeholders-at-fd a-user-fee-meetings/\n DTEND;TZID=America/New_York:20241028T163000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241028T153000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2:30pm - 3:30pm (CDT) | 3212.0 - Examining industry relationships among public stakeholders at FDA user fee meetings: A mixed-methods analy sis UID:becab24e-f30f-4662-9ce8-6d544105abc2 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Teaching to Counter Miseducation and Build Critical P edagogy Program: Spirit of 1848 Caucus Presenter: Marie-Fatima Hyacinthe Authors: Alice Miller\, JD Daniel Newton Abstract The concept of “Communi ty-engaged research” can function opaquely\; it is often used as an umbre lla term in public health research. Researchers who use this term may be referring to actions ranging from consulting community advisory boards pr ior to their projects or to innovative methods of research dissemination. Notably\, much of the academic scholarship\, and the current teaching in public health\, on community-engaged research omits analyses of power\, whether power relationships within communities or between community resea rchers and academic researchers. This presentation will present and refle ct on the pedagogical and related methodological shifts that evolved and are evolving as a response to thinking about power in a recent interdisci plinary\, university-based recent participatory action research project w ith people engaged in the street-based sex trades in urban U.S. sites. Th is project originated with community advocacy groups\, and the approach i s informed by teaching and writing drawn from an experiential course refl ecting on previous experiences with community-based participatory researc h (CBPR) projects involving law and public health students\, and people e ngaged in the sex trades. These experiences elucidated gaps in CBPR pedag ogy related to power\, partnership\, meaningful participation\, and accou ntability (Daryani et al.\,2021). This workshop will reflect on who teach es and learns\, and by what means\, as our project seeks to address ident ified gaps through a participatory action research approach\, including b y incorporation of theories beyond legal and public health pedagogies. We will also include preliminary findings from the participatory action res earch project.\n\nSpeaker:\nMarie- Fatima Hyacinthe\n\nAdmission:\nRegist rationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps:// medicine.yale.edu/event/pedagogy-for-participatory-action-research-with-p eople-engaged-in-the-sex-trades/\n DTEND;TZID=America/New_York:20241027T163500 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241027T161500 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3:15pm - 3:35pm (CDT) | 4273.0 - Pedagogy for participatory action research with people engaged in the sex trades UID:3dbaeda7-30d8-4877-bbad-6223d8979bab END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Gender Inequality Analysis through the Human Rights L ens (Collaborative Session with Women's Caucus) Program: Human Rights For um Presenter: Catherine Mwai\, MPH Abstract Cancer ranks as the second le ading cause of death worldwide\, disproportionately affecting low- to mid dle-income countries where 70% of cancer-related deaths occur. With human itarian and international development assistance viewing non-communicable diseases such as cancer as low-priority\, cancer remains largely neglect ed in research\, funding and intervention strategies in post-conflict and humanitarian health settings. This inaugural study aimed to analyze the current landscape of cancer control in post-conflict Somaliland\, specifi c to cervical and breast cancers which account for the second highest cau se of cancer death among Somali women. A mixed-method approach was utiliz ed to gather data on the national cancer control landscape. Data sources included: 1) observations of health care providers\, 2) semi-structured i nterviews with identified officials\, 3) collection of national policy in formation initiating the World Health Organization 2021 Country Profile o f Capacity and Response to Noncommunicable Diseases survey\, 4) and 2021- 2022 tumor diagnosis statistics. A Strengths\, Weakness\, Opportunities\, and Threats (SWOT) analysis was used to identify key themes. The finding s reveal severe limitations in cancer screening\, diagnosis\, treatment\, and palliative care. The nation lacks sufficient healthcare workforce\, advanced training in oncology knowledge and cancer care\, strategic cance r control policies\, a national cancer registry\, and a notable absence o f cancer care providers. This study underscores the critical need to unde rstand the interplay of geopolitics\, international affairs and regulatio ns in advancement of a comprehensive cancer control system. Immediate pri orities include motivation of political support\, national breast and cer vical cancer awareness campaigns\, and implementation of HPV vaccination programs in parallel with long-term strategic efforts.\n\nSpeaker:\nCathe rine Mwai\n\nAdmission:\nRegistrationFees: APHA Event Registration is Req uired\n\nDetails URL:\nhttps://medicine.yale.edu/event/cancer-in-somalila nd-an-inaugural-landscape-analysis-in-northern-somalia/\n DTEND;TZID=America/New_York:20241030T094500 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241030T093000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:8:30am - 8:45am (CDT) | Cancer in somaliland: An inaugural landsca pe analysis in northern Somalia UID:ab371585-2586-42af-bb12-416492fe7b29 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session : Academic-Practice Linkages to Support Governmental P ublic Health Pathways Program: Academic and Practice Linkages in Public H ealth Caucus Presenter: Maurine Crouch\, MPH\, CHES Abstract The need to stabilize and increase the state and local governmental public health wor kforce\, particularly among younger employees\, and to better reflect the communities served has generated interest and growth in programs support ing Academic-Practice Pathways to Governmental Public Health. A commitmen t to reflect diverse communities in pathway programs calls for building c apacity\, processes\, and relationships to implement and improve programs that support students while building public health competencies\, includ ing skills to work with diverse communities. Teams managing pathway progr ams in both governmental public health and academia are ready to discuss their successes and challenges\, with a particular focus on increasing di versity. The Public Health Training Center Network (PHTCN)\, ten universi ty-based HRSA-funded Training Centers\, has decades of experience managin g stipend pathway programs that provide direct experience to public healt h students through placements in a public health agency\, many in health departments. From 2018 to 2023\, the PHTCN has placed 1\,174 students\, 7 2% in Medically Underserved Areas\, 26% at Rural sites\, and 24% in Prima ry Care Settings. 27% of these placements have been in local or state hea lth departments. Three pathway programs - Region 1’s Health Equity Studen t Stipend Program (New England PHTC)\; Region 4’s Pathways to Practice Sc holars Field Placement Program (Region IV PHTC)\; and Region 8’s Student Leaders in Public Health (Rocky Mountain PHTC) - will share student succe ss stories reflecting distinct regional disparities. Descriptions of the intentional process improvements aimed at increasing reflection of the co mmunity through marketing\, application\, selection\, and support will be shared. Each program collects slightly different demographic data to ref lect underrepresented minorities (URM) and disadvantaged populations\, an d other forms of diversity\, and each will share their specific or compos ite measures from 2023 and 2024. For example\, NEPHTC’s Composite Measure for URM/Disadvantaged/SOGIM was 61.6% of students for 2023 and 85.7% of students for 2024 (as of 2/23/24). Pathway programs are excellent ways to build the future public health workforce to reflect the community. PHTCN pathway programs can share QI lessons learned and will also keep learnin g from others.\n\nSpeaker:\nMaurine Crouch\n\nAdmission:\nRegistrationFee s: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine. yale.edu/event/pathway-programs-intentionally-improving-processes-to-refl ect-the-community/\n DTEND;TZID=America/New_York:20241030T141500 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241030T140000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:1:00pm - 1:15pm (CDT) | 5098.0 - Pathway programs intentionally im proving processes to reflect the community: Student success stories from the rockies\, the Southeast\, and New England UID:778a68f3-2e89-4242-86b3-12bd7b9f6426 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: HIV Prevention & Testing 102 Program: HIV/AIDS Presen ter : Liza Koshy\, BPH Authors: Erika Payne\, Pharm.D Lydia Aoun-Barakat\ , MD Soundari Sureshanand\, MCA Ritche Hao\, MD Andrea Cedillo Ornelas\, BA Jaimie Meyer\, MD\, MS Abstract Background Data is limited on implemen tation of long-acting injectable (LAI) HIV treatment (ART) and prevention (PrEP). We sought to characterize “early adopters” of LAI ART and PrEP i n terms of social determinants of health\, using a health equity lens. Me thods A retrospective cohort included patients prescribed ART or PrEP thr ough a large Northeast urban health system (January 2021-September 2023). Separate analyses used EHR data for: 1) prevention (LAI vs. oral PrEP) a nd 2) treatment (LAI vs. oral ART). Group differences were examined using ANOVA\, chi-square tests or Fisher’s exact tests. Bivariate logistic reg ression modeled associations between LAI ART or LAI PrEP and social deter minants of health. Results 238 patients were taking LAI (n=63) and oral ( n=193) PrEP. Most PrEP patients were male (80.7%)\, non-Hispanic (79.5%)\ , white (60.7%) and had public insurance (83.1%). Compared to patients on oral PrEP\, those on LAI less often experienced food insecurity\, financ ial strain\, depression\, anxiety and substance use disorders. In bivaria te models\, LAI PrEP inversely correlated with female sex\, current smoki ng\, depression\, anxiety\, and substance use disorder. 1194 patients wer e prescribed LAI (n=76) and oral (n=1118) ART\, with median age 57.0\; 63 .6% were from minoritized groups. Only age significantly correlated with LAI ART (OR=0.97\,95% CI=0.961-0.993\, p=0.005)\, possibly due to small L AI sample size. Conclusion In this large retrospective cohort of patients on LAI PrEP and ART\, patients receiving LAI were less likely to experie nce social barriers. Public health interventions are needed to overcome h ealth inequities tied to access of LAI for HIV prevention and treatment.\ n\nSpeakers:\nLiza Koshy\; Erika Payne\, Pharm.D\; Lydia Aoun-Barakat\; R itche Hao\; Soundari Sureshanand\; Andrea Cedillo Ornelas\; Jaimie Meyer\ n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nD etails URL:\nhttps://medicine.yale.edu/event/real-world-rollout-of-inject able-antiretrovirals-for-hiv-prevention-and-treatment/\n DTEND;TZID=America/New_York:20241029T143000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241029T133000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:12:30pm - 1:30pm (CDT) | 4176.0 - Real-world rollout of injectable antiretrovirals for HIV prevention and treatment: Understanding correlat es of early adoption UID:061b9c8f-029a-4cdb-9c83-3ebe9d60aa8c END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Barriers Surrounding Homelessness\, Harm Reduction & Physical Needs Program : Caucus on Homelessness Presenter : Victoria Bens el\, DC\, MS\, MS Authors: Shivesh Shourya Grace Manes Meredith Mcgee Nic ole Campbell Abstract Background People experiencing homelessness who hav e a substance use disorder are a uniquely vulnerable and underserved demo graphic. With the absence of established best practices that have resulte d in a varied landscape of interventions\, harm reduction-based case mana gement has emerged as a pivotal strategy in addressing overlapping substa nce use and housing instability and represents a critical approach for ad dressing the multifaceted needs of this population. However\, the integra tion of harm reduction principles into case management strategies and int erventions remains poorly characterized. This scoping review assesses the existing literature on harm reduction-oriented case management intervent ions for people experiencing homelessness with substance use disorders. M ethods We conducted a scoping review utilizing PubMed\, employing relevan t keywords and MeSH terms about harm reduction-based case management inte rventions targeting homelessness in the United States. Our search yielded 6\,147 studies after the removal of duplicates\, which underwent initial screening. Subsequently\, 28 studies met the scoping review inclusion cr iteria and underwent a full-text review\, including 15 using quantitative methods\, 10 using qualitative methods\, and 3 using mixed methods appro aches. We utilized a thematic analysis to identify harm reduction princip les as outlined by the National Harm Reduction Coalition and analyzed int ervention outcomes and feasibility based on outlined study aims. Results Our analysis disseminated how harm reduction principles were integrated i nto case management interventions\, and revealed that the included interv entions either improved substance use and housing stability program reten tion or feasibility within healthcare frameworks. Among the eight themes three were the most common: understanding of drug use as a multifaceted p henomenon\; acknowledging the influence of past trauma and social inequit ies on vulnerability to drug-related harms\; and prioritizing the improve ment of individual well-being over complete cessation of drug use. Furthe rmore\, our scoping review discusses the diverse array of interventions a nd their feasibility encompasses case management\, biomedical interventio ns\, and mental health support. Conclusion Our review underscores the pot ential efficacy and feasibility of integrating harm reduction-based case management for people experiencing homelessness with substance use disord ers. Specifically\, policymakers should prioritize embedding harm reducti on principles within housing stability services\, providing comprehensive training for case managers\, and fostering synergistic partnerships betw een healthcare providers and community organizations. While this approach holds promise for enhancing both housing stability and addressing substa nce use challenges among homeless populations\, further evaluations are i mperative to refine these interventions and to guide the development of e vidence-based policies aimed at improving outcomes for people experiencin g homelessness with substance use disorders.\n\nAdmission:\nRegistrationF ees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicin e.yale.edu/event/harm-reduction-principles-case-management-homeless-indiv iduals-substance-use/\n DTEND;TZID=America/New_York:20241029T161500 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241029T160000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3:00pm - 3:15pm (CDT) | 4231.0 - Integrating harm reduction princi ples into case management for homeless individuals experiencing substance use disorders within the United States: A scoping review UID:2c0e8aa7-983b-4b65-9da3-4f9fb0af1ca2 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Public Health Nursing Policy Program : Public Health Nursing Presenter: Cassandra Michel\, BS Authors: Danya Keene\, PhD Penel ope Schlesinger Abstract Statement of the Problem This presentation will share a framework for evaluating effects of pandemic eviction prevention policies on individual- and area-level death rates\, leveraging variation in policies over time and between locations to gain new insight into the relationship between eviction and mortality. There are unprecedented lev els of housing cost burden in the U.S. and\, in turn\, millions of renter s are forced to face the threat of eviction. To prevent a surge in evicti ons\, federal\, state\, and local policymakers established a range of evi ction prevention policies\, most notably eviction moratoria and emergency rental assistance (ERA). These policies varied across the country in how and when they were implemented\, creating variation in eviction risk. Ap proach We evaluate effects of eviction on mortality and inequalities in m ortality. In so doing\, we provide insight into the potential for evictio n prevention policies to advance health equity. Our project combines the strengths of multiple approaches. Our project leverages individual-level eviction-filing data and mortality records\, natural experiments to exami ne the causal impact of eviction prevention policies on county-level meas ures of mortality\, and qualitative data to better understand the process through which our observed effects occur. Product/Outcome Our project wi ll produce a comprehensive understanding of how eviction prevention polic ies can be leveraged to advance health equity. Implications Housing polic y has played a significant role in producing racial inequalities. Our pro ject identifies the potential for housing policies to redress these harms and advance health equity.\n\nSpeaker:\nCassandra Michel\n\nAdmission:\n RegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nht tps://medicine.yale.edu/event/preserving-lives-and-equity-unveiling-the-i mpact-of-pandemic-eviction-prevention/\n DTEND;TZID=America/New_York:20241030T103000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241030T101500 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:9:15am - 9:30am (CDT) | 5044.0 - Preserving lives and equity: Unve iling the impact of pandemic eviction prevention policies on mortality ra tes UID:c62b378d-0814-4d5f-9c3b-07fb4ac5f333 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Nutritional Epidemiology\, Measurement\, and Technolo gy Program: Food and Nutrition Presenter: Karina Raygoza Cortez Authors: Debbie Humphries\, PhD\, MPH\, MA Raul Hernandez Ramirez Julia Banas Acre e McDowell Cook Michaela Dinan Abstract Background The US has seen increa ses in obesity rates over the last sixty years across all racial and ethn ic groups\, with similar trends even among privileged groups. This study examines micronutrient intake trends in US adults from 1999-2018 and thei r association with race/ethnicity\, age\, gender\, and education.Methods: We conducted a serial cross-sectional analysis of US adults using 24-hou r dietary recall data from 10 NHANES survey cycles (1999-2018). Piecewise regression models identified significant dietary pattern changes over ti me\, by demographic groups. Statistical analysis was done in R and SAS ut ilizing NHANES sampling weights. Results Study sample included 50\,666 re spondents. Average BMI significantly increased from 28 to 30 (p<0.001). F rom 1999 to 2018\, estimated energy intake from saturated fat increased f rom 10.91% to 11.89% of total kcal (increase in ~8.77 kcal\, p < 0.001)\, with higher increase in intake among those with higher education and old er age. Protein intake increased from 15.46% to 15.80% in total kcal (red uction of ~9.67 kcal\, p=0.029)\, with variations across age groups. Carb ohydrate intake decreased from 50.36% to 46.27% (reduction of ~136.83 kca l\, p<0.001)\, particularly among those with higher education and older a ge. Conclusion From 1999 to 2018 dietary intake of U.S. adults increased in saturated fat and decreased in carbohydrate. Trends varied by educatio n level and age\, and older adults and more educated participants had hig her increases in saturated fat intake and decreases in carbohydrates. The study emphasizes the limitations of cross-sectional approaches and advoc ates for holistic\, food-based interventions in public health and nutriti on.\n\nSpeaker:\nAna Karina Raygoza Cortez\n\nAdmission:\nRegistrationFee s: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine. yale.edu/event/micronutrient-trend-consumptions-among-us-adults-by-raceet hnicity-gender-age-and-education/\n DTEND;TZID=America/New_York:20241029T121000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241029T115000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:10:50am - 11:10am (CDT) | 4126.0 - Micronutrient trend consumption s among US adults by race/ethnicity\, gender\, age and education UID:19377dea-0519-4805-89b6-2795dc5737eb END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Chppd Poster Session 6 Program: Community Health Plan ning and Policy Development Presenter: Shankeri Vijayakumar Abstract Back ground Vaccine hesitancy is a phenomenon that predates the COVID-19 pande mic and has been steadily rising for the past several years. The increasi ng hesitancy around vaccinations and the resurgence of many vaccine preve ntable communicable diseases led the World Health Organization (WHO) to l ist vaccine hesitancy as one of the top ten threats to global health. The WHO defines vaccine hesitancy as a “delay in acceptance or refusal of va ccination despite availability of vaccination services”. Often discourse diffuses the responsibility to be educated about vaccinations as an indiv idual responsibility. However\, this directs focus away from institutions and historical factors that have led to the development of vaccine hesit ant beliefs amongst certain populations. Communities of colour have histo rically been subjected to unjust treatment from medical and scientific in stitutions and many individuals continue to experience medical bias to th is day.This review exlpores What strategies have been suggested or implem ented to address COVID-19 vaccine hesitancy amongst racial and ethnic pop ulations in North America? Methods A scoping review was conducted to aggr egate and analyze literature on addressing COVID-19 vaccine hesitancy amo ngst racial and ethnic populations. The scoping review was informed by th e PPC and Arksey and O’Malley (2005) framework. Relevant literature was s earched across 5 academic databases. The review included 98 papers. Resul ts Overarching strategies and approaches to address COVID-19 vaccine hesi tancy amongst racial and ethnic populations included: addressing structur al barriers to vaccine uptake in addition to individual behaviour\, tailo ring health promotion messages for different racial and ethnic groups\, e mergency Departments (EDs) as a critical point for COVID-19 vaccine messa ging and delivery\, community-oriented and clinic based practices to deve lop culturally competent interventions\, and partnerships between public health units and trusted. community figures and leaders. Conclusion: This scoping review provides an aggregate of literature on strategies and app roaches to address COVID-19 vaccine hesitancy amongst racial and ethnic p opulations in North America. For populations at higher risk of COVID-19 i nfection\, especially populations with pre-existing economic\, social\, a nd political disadvantages\, dismantling barriers to vaccine uptake are c rucial. Approaches to addressing vaccine hesitancy must engage community members\, build trust\, and advance health equity.\n\nSpeaker:\nShankeri Vijayakumar\n\nAdmission:\nRegistrationFees: APHA Event Registration is R equired\n\nDetails URL:\nhttps://medicine.yale.edu/event/addressing-covid -19-vaccine-hesitancy-amongst-racial-and-ethnic-populations/\n DTEND;TZID=America/New_York:20241029T143000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241029T133000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:12:30pm - 1:30pm (CDT) | 4165.0 - Addressing COVID-19 vaccine hesi tancy amongst racial and ethnic populations: A scoping review UID:88b3fa35-58b6-4b4d-b90b-2c721cad0923 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Improving Pregnancy Outcomes: Maternal Mental Health Program: Maternal and Child Health Authors: Claire Masters\, MHP Jeannett e Ickovics\, PhD Jessica Lewis\, PhD Abstract Background Food insecurity is a risk factor for depressive symptoms during pregnancy. Resilience and social support are recognized protective factors. While most research ex amines these factors separately\, understanding their interaction is esse ntial for assessing their cumulative impact on depressive symptoms. Metho ds Racially-diverse pregnant individuals (N=669) receiving Expect With Me group prenatal care in Detroit\, MI and Nashville\, TN completed surveys during second and third trimester of pregnancy. They were classified as food secure\, acute food insecure\, or chronically food insecure based on their responses at both time points. We conducted mediation models that explored the direct association of food insecurity (acute or chronic) wit h depressive symptoms and its indirect association via resilience. Additi onally\, we simultaneously examined how social support moderated the rela tionship between food insecurity\, resilience\, and depressive symptoms. Results Eighteen percent of pregnant individuals reported acute food inse curity\, while 14% reported chronic food insecurity. Resilience partially mediated (17.1 – 17.9%) the association between food insecurity and depr essive symptoms. Social support moderated the direct effect of the mediat ion model\, specifically in the association between acute food insecurity and depressive symptoms (B= -0.45\, 95% CI -0.81\, -0.09). This moderati on effect was not observed in the context of chronic food insecurity. Add itionally\, social support moderated the indirect effect of acute (B= 0.0 6\, 95% CI 0.01\, 0.12) and chronic (B= 0.05\, 95%CI 0.01\, 0.10) food in security on depressive symptoms through resilience. Conclusions Efforts t o strengthen resilience and social support may help mitigate the adverse effects of food insecurity on depressive symptoms during pregnancy.\n\nAd mission:\nRegistrationFees: APHA Event Registration is Required\n\nDetail s URL:\nhttps://medicine.yale.edu/event/food-insecurity-and-depressive-sy mptoms-during-pregnancy/\n DTEND;TZID=America/New_York:20241027T183000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241027T181500 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:5:15pm - 5:30pm (CDT) | 2175.0 - Influence of resilience and socia l support on the association between food insecurity and depressive sympt oms during pregnancy: A moderated mediation model UID:539a7520-8653-489e-b638-fc45008ce836 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Current Topics in MCH Poster Session Program: Materna l and Child Health Authors: Jessica Lewis\, PhD Claire Masters\, MHP Jean nette Ickovics\, PhD Abstract Background Intimate partner violence (IPV) during pregnancy is associated with adverse maternal and child health out comes\, including poor mental health\, but the pathways connecting IPV to substance use during pregnancy remain unclear. This study examined the m ediation effect of mental health on the associations between IPV and subs tance use during pregnancy. Methods Pregnant individuals (N=695) receivin g Expect With Me group prenatal care in Nashville\, TN and Detroit\, MI c ompleted surveys during second and third trimester of pregnancy. They rep orted experiences of verbal\, physical\, and sexual abuse by their partne rs\, along with depressive symptoms\, perceived stress\, cigarette smokin g\, and alcohol use\, during pregnancy. Mediation models examined the dir ect link between IPV and substance use (smoking\, alcohol use)\, and its indirect pathway through perceived stress and depressive symptoms. Result s Fifteen percent reported experiencing any form of IPV victimization dur ing pregnancy. IPV victims showed elevated levels of perceived stress and depressive symptoms (p< 0.001) compared to non-victims. Smoking (25.3% v ersus 13.9%) and alcohol use (32.3% versus 14.6%) were also higher among IPV victims. Depressive symptoms fully mediated the relationship between IPV and smoking (34.0%) and alcohol use (52.1%). Path analysis showed IPV indirectly influenced smoking (coefficient= 0.22\, 95% CI 0.04\, 0.41) a nd alcohol use (coefficient= 0.39\, 95% CI 0.13\, 0.66) through depressiv e symptoms. Perceived stress did not mediate the association between IPV and substance use. Conclusions Interventions aimed at reducing IPV are im portant for decreasing depressive symptoms during pregnancy and\, in turn \, potentially lowering substance use and improving maternal and child he alth outcomes.\n\nAdmission:\nRegistrationFees: APHA Event Registration i s Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/stress-depres sive-symptoms-as-mediators-between-intimate-partner-violence/\n DTEND;TZID=America/New_York:20241029T123000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241029T113000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:10:30am - 11:30am (CDT) | 4087.0 - Stress and depressive symptoms as mediators between intimate partner violence and substance use during p regnancy UID:20f9707c-0d69-48d3-8b13-8ad9a4b4d9e0 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Programs/Services Addressing Determinants of Health P rogram: Community Health Workers Authors: Katherine LaMonaca\, MPH Kathle en O'Connor Duffany\, PhD\, MEd Abstract Community health workers (CHWs) are increasingly being incorporated into the healthcare workforce to supp ort individuals from underserved groups with access to health and social services. CHW-supported programs have the potential to address social det erminants of health (SDoH) and advance health equity\; however\, rigorous evaluation is needed to assess impact\, understand client experiences\, and inform best practices. Our community-academic partnership implemented a CHW program in New Haven\, Connecticut. Individuals with unmet SDoH ne eds were identified via food pantry outreach and healthcare provider refe rrals\, then offered tailored support and referrals to resources. We cond ucted a mixed-methods evaluation to assess program impact and facilitator s/barriers to patient engagement. We used quantitative process tracking d ata to measure resource connections and SDoH need status\, and qualitativ e in-depth interviews to understand client experiences. Data were analyze d using descriptive statistics (quantitative) and deductive coding with t wo independent coders (qualitative). From 2018-2023\, we enrolled 294 ind ividuals. A full-time CHW served an average caseload of 40 clients. Clien ts were enrolled for six months with the option of renewal (mean enrollme nt=229 days). Clients predominantly identified as female (63%) and Hispan ic/Latino (64%). Most had a non-English primary language (61%) and lacked healthcare coverage (61%). Clients had an average of two identified SDoH needs\, most commonly food insecurity (85%)\, housing insecurity (37%)\, transportation (26%)\, and utilities (21%). The CHW made 923 referrals t o community-based resources. Top referral categories were food assistance (44% of referrals)\, affordable housing (11%)\, utility payments (11%)\, clinical referrals (8%)\, and transportation (7%). Most clients were suc cessfully connected to ≥1 resource (72%) and had ≥1 need met (78%). Food needs were nearly twice as likely to be met than other common needs. Foll owing program discharge\, interviews were conducted with 20 clients (50% had all identified SDoH needs met\; 50% had ≥1 unmet SDoH need). Intervie wees identified several facilitators to meeting their SDoH needs\, includ ing having a positive\, trusting relationship with the CHW and having the CHW’s support accessing resources. Barriers to meeting their SDoH needs included ineligibility for referred services\, resource limitations (e.g. \, lack of affordable housing)\, stigma\, and other external factors (e.g .\, time\, cost\, transportation). Clients had largely positive experienc es\, were highly satisfied with the CHW’s services\, and reported improve d health and increased self-efficacy accessing resources. Recommendations for future programming included longer enrollments and more intensive su pport (e.g.\, CHW accompaniment to appointments). CHWs can serve as effec tive and trusted liaisons between community members\, healthcare provider s\, and social service agencies.\n\nAdmission:\nRegistrationFees: APHA Ev ent Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/e vent/community-health-worker-chw-intervention-to-address-social-determina nts-of-health/\n DTEND;TZID=America/New_York:20241030T100000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241030T094500 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:8:45am - 9:00am (CDT) | 5013.0 - A community health worker (CHW) i ntervention to address social determinants of health (SDoH) through commu nity-clinical linkages: A mixed methods evaluation. UID:ca02f05e-7620-48f3-aa5f-6158a1f48fae END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Integrated Behavioral Health: Voices of Stigmatized P opulations Program: Alcohol\, Tobacco\, and Other Drugs Presenter: Kaylia Carroll\, MPH Authors: Cathy Jian Carmen Muniz-Almaguer Carson F. Ferrar a Trace S. Kershaw\, PhD Abstract Objectives To identify participant expe riences with stigmatization while in treatment for substance use and thei r strategies for coping and managing these experiences. To identify the c ircumstances in which individuals feel stigmatized due to their current o r former status as someone who uses substances as well as coping methods they use to manage feelings of stigmatization. Methods We conducted semi- structured interviews with individuals in treatment for substance use in Connecticut and Georgia (n=56) about experiences with stigmatization\, an d differences in stigmatization by specific substances and modality of su bstance use (i.e. injection vs non-injection vs solely alcohol use. Theme s were analyzed using The Health Stigma and Discrimination Framework. Res ults Five preliminary themes were identified: Substance-specific and moda lity stigmatization\; participants identified increased stigmatization fo r criminalized substances and substances used intravenously\, compared to non-criminalized substances and non-injection modalities. Rejection of s tereotypes\; participants had empathetic perceptions of substance use whi le acknowledging stigmatizing practices from peers in treatment environme nts. Religion/spirituality coping strategies\; participants identified re ligious/spiritual practices as a method of managing feelings of being sti gmatized. Familial and healthcare stigma\; participants described stigmat ization from healthcare practitioners and family. Recovery-sensitive care \; participants favored treatment providers with lived experience using s ubstances to minimize their experience of stigmatization. Conclusion Prog rams are needed that minimize stigmatization that exists within treatment and healthcare contexts\, including stigma from providers\, families\, a nd fellow individuals who use substances. Recommendations include priorit izing treatment providers who have personal experience with substance use .\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\ nDetails URL:\nhttps://medicine.yale.edu/event/qualitative-inquiry-into-s ubstance-use-and-stigmatization/\n DTEND;TZID=America/New_York:20241029T164500 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241029T163000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3:30pm - 3:45pm (CDT) | 4212.0 - “We both use dope. So what makes me better than them?” A qualitative inquiry into substance use and stigma tization. UID:2ab5294e-2d8a-4f21-a5e9-53bb82529406 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: HIV: Eliminating Related Disparities Program: HIV/AID S Presenter: Anna Pelc\, MS\, MBA\, MPH Author: Christine Simon\, ScM\, S cD Abstract Background In the United States\, an estimated 16.4 per 100\, 000 Black women are diagnosed with HIV compared to 1.5 per 100\,000 White women. Similarly\, in Connecticut\, the rates of HIV diagnoses were disp roportionately higher among Black women\, 13.2 per 100\,000\, compared to 1.4 per 100\,000 in White women. Pre-Exposure Prophylaxis (PrEP) has bee n found to reduce the risk of contracting HIV from sex by over 90%\, if t aken as prescribed. However\, on average\, only 2% of eligible cisgender and 3% of high-risk transgender Black women report taking PrEP. Black wom en\, both cisgender and transgender\, face unique barriers to initiating PrEP\, and this study will identify these barriers and provide strategies for increasing PrEP acceptance. Methods Semi-structured interviews were conducted between March and June 2024 with a purposive and convenience sa mple of adult cisgender and transgender Black women living in Connecticut . Participants were recruited through local community organizations. The interview guide included questions gauging awareness\, knowledge\, and pe rceptions of PrEP and explored individual and systemic barriers and chall enges to taking PrEP. Rapid qualitative analysis was used to summarize tr anscript data into templates using domains based on the interview guide. Summaries will be reviewed with community stakeholders to aid in data int erpretation. Results Preliminary results identify barriers to PrEP use su ch as lack of awareness\, misperceptions about PrEP\, and concerns around access to PrEP that are specific to Connecticut. Interpersonal challenge s related to discomfort discussing PrEP and mistrust were also described. Additional barriers discussed\, such as social stigma\, concerns about P rEP side effects and taking a daily pill\, align with the barriers report ed more broadly. Innovative strategies for promoting PrEP uptake\, includ ing recommendations for health education and outreach and improvements to clinical and community-based PrEP care and services\, will be identified and discussed. Conclusions Preliminary findings suggest that improving a ccess to PrEP and providing tailored counseling and clinical education ma y help to increase PrEP uptake and adherence by cisgender and transgender Black women. Findings from this study will be used to inform and improve HIV prevention strategies and programs in Connecticut.\n\nSpeaker:\nAnna Pelc\, MS\, MBA\, MPH\n\nAdmission:\nRegistrationFees: APHA Event Regist ration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/ident ifying-barriers-and-challenges-to-prep-uptake-among-cisgender-and-transge nder-black-women/\n DTEND;TZID=America/New_York:20241027T170000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241027T160000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3:00pm - 4:00pm (CDT) | 2114.0 - Identifying barriers and challeng es to PrEP uptake among cisgender and transgender black women UID:a91ca3e2-bde5-492b-a75c-9f50db43be70 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: EH Poster Session 6: Household and Family Environment al Health Program : Environment Author: Nicole Deziel\, PhD Abstract Back ground About 5% of the U.S. population resides within 1.6 km of active oi l and gas development. Oil and gas development produces pollution includi ng reproductive toxicants and endocrine disruptors (e.g.\, particulate ma tter\, polycyclic aromatic hydrocarbons\, volatile organic compounds). De spite well-documented associations between residential proximity to oil a nd gas development and adverse birth outcomes\, no study has examined ges tational diabetes\, a condition with long-term consequences for maternal- infant health. Methods We examined associations between residential proxi mity to active oil and gas development during the preconception period an d gestational diabetes risk using data from Pregnancy Study Online (PREST O)\, an Internet-based cohort study of U.S. and Canadian residents. We us ed participants’ preconception residential addresses to calculate proximi ty to the nearest active oil or gas development site. Among participants whose pregnancy progressed ≥28 weeks gestation\, we collected data on dia gnoses of gestational diabetes from self-administered questionnaires (com pleted in late pregnancy and postpartum) and birth records. We implemente d log-binomial regression to estimate risk ratios (RRs) and 95% confidenc e intervals (CIs)\, adjusting for age\, year\, and geographic region\, an d stratifying by pre-pregnancy body mass index (BMI). Results Among 6\,34 0 pregnant participants (8.32% prevalence of gestational diabetes)\, prec onception residence within 5 km from active oil and gas development was p ositively associated with gestational diabetes (RR=1.28\, (95% CI: 1.00\, 1.62)\, compared with ≥20 km from active oil and gas development. When s tratified by pre-pregnancy BMI ≤25 kg/m2 (n=3\,246)\, 25-29 kg/m2 (n=1\,5 90)\, and ≥30 kg/m2 (n=1\,494)\, RRs for preconception residence <5 km (v s. ≥ 20 km) from oil and gas development were 1.02 (95% CI: 0.63\, 1.63)\ , 1.22 (95% CI: 0.72\, 2.08) and 1.45 (95% CI: 1.06\, 1.98)\, respectivel y. Conclusion Preliminary results suggest that residential proximity to o il and gas development during the preconception period is modestly associ ated with gestational diabetes\, with some evidence that pre-pregnancy BM I modifies this association.\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event /residential-proximity-to-oil-and-gas-development-and-gestational-diabete s-risk/\n DTEND;TZID=America/New_York:20241027T150000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241027T140000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:1:00pm - 2:00pm (CDT) | 2024.0 - Residential proximity to oil and gas development and gestational diabetes risk in a North American preconc eption cohort. UID:76470212-6e45-4a90-b306-6460f6328e57 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: HIV Prevention and Care in International Settings Pro gram: HIV/AIDS Authors: Sten Vermund Trace S. Kershaw\, PhD Abstract Back ground Interventions are needed to build providers’ capacity for deliveri ng gender-sensitive HIV care to reduce known gender disparities in HIV ca re engagement in sub-Saharan Africa. In this study\, we pilot tested a ge nder-sensitive training for HIV providers in Uganda. Methods We conducted a quasi-experimental controlled trial in 2022-23. The 4-session interven tion\, developed by the study team\, focused on: gender norms\; skills to respond to gendered HIV care barriers\, stigma\, and gender-based violen ce\; bias recognition/reduction\; and client-centered communication. Six clinics were matched (e.g.\, size\, services) and randomly allocated to i ntervention or standard-of-care. We enrolled nearly all eligible HIV prov iders in both arms (N=144\, 61 intervention\, 83 control) and a cohort of clients with HIV\, newly initiated on ART or struggling with adherence ( N=238\, 119 per arm). Participants completed structured questionnaires at baseline\, 6- and 12-months\, and training providers participated in an exit focus group or interview (n=53). We tested intervention effects usin g Generalized Estimating Equations and thematically analyzed qualitative data. Results We observed increased gender-sensitive care competence in i ntervention vs. control providers (Wald χ2 = 10.84\, p = 0.004)\, which w as corroborated by qualitative data highlighting gained gender knowledge\ , increased perceived importance of providing gender-sensitive care\, as well as skills to do so. We observed no treatment differences in self-eff icacy for client-centered communication. However\, intervention providers reported increased empathy for clients (Wald χ2 = 150.43\, p < 0.001) an d qualitatively reported increased use of client-centered techniques (e.g .\, building rapport\, empathy\, eliciting the client’s agenda). Provider s discussed increased recognition of and efforts to reduce gender and rel ated biases towards clients (e.g.\, specific to women\, men\, gender dive rse clients). We observed no treatment differences in client’s ART adhere nce or perceived quality of care indicators\, but clients from interventi on clinics reported greater HIV stigma reduction compared to control clin ic clients (Wald χ2 = 9.46\, p = 0.01). Conclusions This study provides p reliminary support for a training intervention’s ability to affect the pr ovision of gender sensitive\, client-centered HIV care and to reduce prov ider bias\, which may translate to HIV stigma reduction in HIV clients. B ased on these pilot trial results\, further testing is warranted.\n\nAdmi ssion:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/effects-of-a-gender-sensitive-train ing-for-hiv-providers/\n DTEND;TZID=America/New_York:20241028T114500 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241028T113000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:10:30am - 10:45am (CDT) | 3141.0 - Effects of a gender sensitive t raining for HIV providers on provider and client outcomes in central Ugan da: A mixed methods pilot quasi-experimental controlled trial UID:bf895132-4bc5-4d81-9932-d9a2ea7e8d1e END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Examining the Intersections of Rurality\, Stigma\, an d Discrimination Program: Mental Health Presenter: Zach Lynch\, MSW\, MPA \, MPH\, SUDP Authors: Debbie Humphries\, PhD\, MPH\, MA Nithya Narayanan \, MPH Robert Heimer\, PhD Katie Wang\, PhD Abstract Introduction Despite a nationwide syndemic of substance use\, overdose\, and HIV infection an d the availability of evidence-based harm reduction (HR) treatment and pr evention practices\, HR practices are inconsistently applied. Rural commu nities present distinct cultures\, with unique strengths for and obstacle s to addressing the syndemic. Our objective was to characterize and under stand HR as a first step in developing innovative approaches for diffusin g harm reduction in rural Missouri.Methods: We conducted interviews with people with lived experience of substance use (n=16)\, providers or staff of FQHCs or rural health centers (n=15)\, regional leaders (n=5) and com munity advocates (n=5) residing in rural Missouri. Interview topics cover ed HR practices\, perceptions of stigma and syndemic roots\, and experien ces with diffusion of innovation. Texts were analyzed using a rapid quali tative analysis approach to characterize understanding of HR and identify potential interventions to expand HR options. Results Participants provi ded multiple definitions of HR: the “absence of biases\,” a simple listin g of HR practices\, offering help “regardless of history” or “stuff to do your dope with so you don’t hurt yourself”. Buy-in from local leaders an d health administrators was identified as essential for increasing HR ser vices. Creative approaches to increasing acceptability of HR included int egration of messaging and resource dissemination into unrelated\, “day-to -day” circumstances\, small businesses serving as hubs for HR conversatio ns\, door-to-door engagement\, and hosting prosocial recovery celebration s. Discussion Results from this study will inform future work to reimagin e strategies in health communication\, collaboration\, and advocacy to pr omote innovation in pursuit of expanding HR services.\n\nAdmission:\nRegi strationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps: //medicine.yale.edu/event/strategies-for-increasing-acceptability-of-harm -reduction-practices-in-rural-missouri/\n DTEND;TZID=America/New_York:20241027T161500 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241027T160000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3:00pm - 3:15pm (CDT) | 2086.0 - Strategies for increasing accepta bility of harm reduction practices in rural Missouri UID:6a708ca1-e0d5-4cd1-ac53-215defaecbac END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: HIV Implementation Program: HIV/AIDS Authors: Trace S . Kershaw\, PhD Sally Kirklewski\, MEd Bryce Takenaka\, MPH\, CPH Erin Ni cholson\, MPH Abstract Background To address the disproportionate but int erconnected high rates of hazardous drinking and HIV risk behaviors among sexual minority men and transgender (SMMT) emerging adults (aged 18-34)\ , interventions and their messaging need to be salient and persuasive. Th e goal of this formative research was to illustrate how a qualitative and iterative approach can be used to facilitate the co-design of persuasive messages. Thematic findings shaped the design of an mHealth intervention to reduce alcohol and sexual risk among target audience. Method A two-st age process of focus group discussions and interviews (n=29) were employe d at different stages of the intervention development and testing to expl ore the acceptability of alcohol education material and messaging. Messag ing ideas were generated by initial FGDs\, iterated on and developed by t he research team\, and refined in a follow-up FGD. Results Findings facil itated the production of prevention and harm reduction messages used in t he intervention. Additionally\, practical considerations with implication s for intervention content and messaging also emerged. These included fra ming messages with a personable tone reminiscent of queer community disco urse\, incorporating humor appeals and user-generated content\, deliverin g pre-drinking messages\, adapting gendered language\, integrating econom ic-cost elements\, framing recommendations as friendly advice\, and ensur ing variety in messaging content to avoid monotony and enhance engagement . Conclusion Findings underscore the importance of tailoring intervention s to target population's needs and communication preferences\, ultimately enhancing effectiveness and acceptability in reducing hazardous drinking and HIV risk behaviors among SMMT emerging adults. The co-designed messa ges are now being utilized in a large-scale trial.\n\nAdmission:\nRegistr ationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://m edicine.yale.edu/event/formative-research-with-sexual-minority-men-and-tr ansgender-emerging-adults/\n DTEND;TZID=America/New_York:20241029T143000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241029T133000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:12:30 - 1:30pm (CDT) | 4174.0 - Formative research with sexual min ority men and transgender emerging adults to inform content and messages for an mHealth alcohol reduction intervention UID:68112fd2-b7ec-4f28-970c-67ca5890ec19 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: HIV Prevention & Care in International Settings Progr am: HIV/AIDS Author: Jeffrey Wickersham\, PhD Abstract Background HIV con tinues to be a global public health issue\, disproportionately affecting men who have sex with men (MSM)\, with no exceptions in Malaysia. Discrim ination\, stigma\, and other barriers in healthcare settings are common i ssues for Malaysian MSM\, which has already led to fewer hospital visits and less HIV testing. Thus\, to promote HIV testing and pre-exposure prop hylaxis (PrEP) uptake there\, we have created a clinic-integrated HIV pre vention prototype smartphone app called “JomPrEP.” In the present study\, we aimed to gather feedback on the appeal and functionality of this prot otype app for refinement. Methods A one-on-one think-aloud (TA) qualitati ve interview was conducted with 10 MSM and 10 stakeholder participants fr om the Greater Kuala Lumpur region between February 2022 and April 2022. The TA sessions were video recorded and then transcribed verbatim. The th eme analysis standards were utilized to analyze the data. Results Most MS M were Malay by origin\, with a mean age of 25.8 years\, and never used P rEP. The MSM and the stakeholders found most app features straightforward (e.g.\, creating an account in the app and ordering HIV self-test kits a nd PrEP). They suggested minor changes (e.g.\, making reversible options for PrEP and HIVST kit orders and showing confirmation messages for clini c appointments) to increase the app’s functionality. The participants app reciated incorporating the med manager and rewards feature into the app. Conclusion Despite minor suggestions for improvement\, the JomPrEP app pr ototype is an appealing and functional tool for Malaysian MSM. Further de velopment and testing\, including user input\, are required to assess its usability in improving HIV testing and PrEP adherence. Keywords: HIV pre vention\, smartphone app\; JomPrEP\; HIVST\; PrEP\; functionality\; think -aloud\; Malaysia\n\nAdmission:\nRegistrationFees: APHA Event Registratio n is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/think-alou d-testing-of-a-clinic-integrated-hiv-prevention-app/\n DTEND;TZID=America/New_York:20241029T143000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241029T133000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:12:30pm - 1:30pm (CDT) | 4175.0 - Think-aloud testing of a clinic- integrated HIV prevention app among malaysian men who have sex with men UID:24fc6e16-e4f9-4079-bcc2-3f3e78da2f55 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Pharmacy Policy\, Economics\, Quality and Advocacy Pr ogram: Pharmacy Presenter: Kyle Hampson\, PharmD\, BCNSP\, BCPPS\, CNSC\, FASPEN Abstract Introduction Access to community pharmacies is vital to the public health infrastructure\, yet pharmacy closures have become comm onplace. Pharmacy closures are more likely to impact low-income\, urban a reas and rural communities\, reducing access to medications and healthcar e services in vulnerable populations. A critical access pharmacy (CAP) pr ogram may prevent closures by increasing reimbursement for pharmacies in these communities. In Oregon\, a pharmacy is considered a CAP if it is 10 + miles away from another pharmacy. We revised this framework to be evide nce-informed\, reproducible\, and include social determinants of health a nd health inequities. Methods Community pharmacies in Oregon were grouped by their location (frontier\, rural\, or urban) and geolocated to determ ine their respective census tract\, census tract poverty status\, availab ility of public transportation\, and proximity from other pharmacies. Dat a was analyzed and criteria for CAP qualification were developed. Feedbac k from internal and external stakeholders was obtained through a Rules Ad visory Committee (RAC) meeting. Findings 592 pharmacies were screened: 39 8 were excluded due to non-Oregon based ownership and 46 pharmacies were excluded because they were not public-facing. 148 pharmacies underwent as sessment: 10 in frontier counties\, 66 in rural zip codes\, and 72 in urb an zip codes. Of three options\, the RAC selected one criteria for CAP de signation\, expanding the number of CAPs in Oregon from 21 to 53. Conclus ions Rule changes were discussed and will undergo a public comment period before state rules are adjusted. This framework can be replicated in oth er states developing a CAP program to preserve pharmacy access.\n\nSpeake r:\nKyle Hampson\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/preserving- pharmacy-access-through-policy/\n DTEND;TZID=America/New_York:20241030T123000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241030T121500 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:11:15am - 11:30am (CDT) | 5089.0 - Preserving pharmacy access thro ugh policy: Developing a critical access pharmacy framework in Oregon UID:48dfd07e-6421-4440-8dba-24bba9fc60e4 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session : International and Community Health Research Program : Community Health Planning and Policy Development Author: Donna Spiegelm an\, ScD Abstract Background Non-communicable diseases (NCDs) account for 60% of the total deaths in Nepal. In 2016\, Nepal adopted the World Heal th Organization’s Package of Essential Non-communicable Disease Intervent ions (WHO-PEN) to curb the growing burden of NCDs. Objective This study e valuated the readiness of primary healthcare facilities for the preventio n and management of NCDs\, including cardiovascular diseases (CVDs)\, dia betes mellitus (DM)\, and chronic respiratory diseases (CRDs)\; and explo red factors associated with NCD-specific service readiness. Methodology W e used a convergent parallel mixed methods study design. We adapted the W HO Service Availability and Readiness Assessment (SARA) tool and assessed 105 primary healthcare facilities selected using multistage stratified r andom sampling. We performed a weighted descriptive analysis to calculate NCD-specific service readiness scores (0 to 100). Mann-Whitney U and Kru skal-Wallis tests were conducted to determine factors associated with NCD service readiness. Simultaneously\, we conducted 47 in-depth interviews with PEN-trained health service providers delivering NCD services. Qualit ative data were analyzed using a thematic approach. Results The median se rvice readiness score of primary healthcare facilities was highest for CV Ds (53.3 [IQR: 30.0]) followed by diabetes (48.8 [IQR: 30.9]) and CRDs (3 8.3 [IQR: 23.3]). Primary Healthcare Centers (PHCCs) had higher readiness compared to health posts. Primary healthcare facilities in the hills and southern plains and imposing user fees for NCD services had higher NCD-s pecific service readiness compared to primary healthcare facilities in th e mountains and facilities not charging fees\, respectively. The study’s qualitative findings converged with quantitative findings and explained k ey discrepancies in NCD readiness according to primary healthcare facilit y type\, region\, and applicability of user fees. Conclusion Primary heal thcare facilities in Nepal lacked equipment\, medicines\, trained staff\, and guidelines essential for NCD management. The government should ratio nally allocate healthcare resources and PEN-trained personnel in primary healthcare facilities without detracting from the overall aim of enhancin g NCD-service readiness uniformly. Public Health implications The governm ent must equip primary healthcare facilities with essential medical suppl ies while capacitating health service providers through regular PEN train ing and peer coaching sessions. The study’s findings will be imperative f or the successful implementation of PEN interventions in Nepal and other lower-middle-income countries with similar healthcare settings.\n\nAdmiss ion:\nRegistrationFees: APHA Event Registration is Required\n\nDetails UR L:\nhttps://medicine.yale.edu/event/primary-healthcare-facilities-prevent ion-and-management-of-non-communicable-diseases/\n DTEND;TZID=America/New_York:20241029T103000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241029T101500 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:9:15am - 9:30am (CDT) | 4018.0 - Readiness of primary healthcare f acilities for the prevention and management of non-communicable diseases (NCDs) in Nepal: A mixed-methods study UID:4ebec4c3-e60d-4e58-b8a5-4a4df2faa6e1 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Late Breaker Poster Session I Program: Injury Control and Emergency Health Services Author: Dolma Tsering\, MPH Abstract Backg round & Purpose Massachusetts (MA) adopted legislation in 2010 that amend ed the Safe Driving Law\, enabling physicians to report patients to the s tate Registry of Motor Vehicles (RMV) if there is “reasonable cause to be lieve that an operator is not physically or medically capable of safely o perating a motor vehicle.” Trauma physicians at two large academic medica l centers initiated a reporting policy for patients who arrived after ser ious motor vehicle collisions (MVC)that may have been caused by intoxicat ed driving related to patients operating vehicles under the influence of alcohol or other substances. Prior research shows no racial or ethnic dis parities in Emergency Department (ED) alcohol or toxicology screens after serious MVC. However\, we aim to understand if there are disparities in hospital-associated license suspension\, and whether testing and reportin g protocols are standardized. Methods All serious MVC admissions between 2016 and 2020 were identified at two Level I trauma centers in Boston\, M A. Sociodemographic data\, alcohol and toxicology screening data\, hospit alization data\, and outpatient follow-up data were extracted. Drivers we re included if they had an MA license\, drove a standard vehicle (motorcy cles and passengers in vehicles were excluded)\, and had a trauma consult once in the ED. Any patients discharged from the hospital with a life-al tering injury where future driving would not be possible\, or if they wer e deceased\, were also excluded. State data on driving records for includ ed individuals were requested from RMV. Hospital-associated license suspe nsion data was manually abstracted from each driving record. A suspension was defined as hospital-associated if it occurred within six months of a patient’s discharge date. Logistic regression models were used to determ ine relationships between sociodemographic data and hospital-associated l icense suspension. Results The final dataset included 915 patients\, of w hich 65.1% were male. Male patients had increased odds of a hospital-asso ciated license suspension (OR: 1.52 (1.05 – 2.20)). Patients with public insurance had higher odds of a hospital-associated license suspension tha n those with private insurance (OR: 1.86 (1.22 – 2.85)). Black and Hispan ic/Latinx patients were less likely to undergo hospital-associated licens e suspension than White patients (Black OR 0.53\; (0.35 – 0.81)\, Hispani c/Latinx OR: 0.38\; (0.21 – 0.69)). Toxicology screening protocols differ ed significantly across academic medical centers. Of the total study set\ , 11.5% of the patients had neither urine or serum toxicology screening d one\, and 46.7% only had alcohol screening performed. Conclusions The fac t that more than half of patients did not receive a urine toxicology scre en\, and more than 10% received no serum or urine screening for alcohol o r toxicology\, highlights an intrinsic disparity in the trauma assessment protocol. The stark differences in hospital practices surrounding screen ing both with alcohol and toxicology screens created a challenge for anal ysis. Wherein the screening results would determine if someone is potenti ally reported for driving under the influence\, standardized protocols fo r drug and alcohol screening after a serious MVC should be prioritized.\n \nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDe tails URL:\nhttps://medicine.yale.edu/event/assessment-of-bias-in-drivers -license-revocation-based-on-toxicology-screening/\n DTEND;TZID=America/New_York:20241027T170000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241027T160000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3:00pm - 4:00pm (CDT) | 2116.0 - An assessment of bias in driver’s license revocation based on toxicology screening of patients in serious motor vehicle collisions. UID:b8bf32a8-fd96-4312-bdbb-4dbf6273f776 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Veteran's Caucus Poster Session 4 Program: Veterans C aucus Presenter: Carol Oladele\, PhD\, MPH Abstract Hypertension is a maj or source of morbidity among Veterans. This study examined differences in hypertension between foreign-born (FB) and US-born (USB) Veterans.Data f rom the Veterans Health Administration (VHA) Corporate Data Warehouse (CD W) was used. We included Veterans who received VHA services between 2001 and 2017 and were free of hypertension in 2001. Place of birth was extrac ted to categorize Veterans as FB or USB. Hypertension was defined using I CD-10 codes. Person-years were estimated from the date of the index VHA v isit to the date of diagnosis of hypertension. Poisson regression models were used to estimate incidence rate ratios and 95% confidence intervals. Log-linear models compared hypertension incidence between FB and USB Vet erans adjusting for demographic and clinical covariates. The sample inclu ded 576\,495 Veterans after excluding those without place of birth data. FB Veterans were younger on average\, less likely to be current smokers a nd obese compared to USB Veterans. FB Veterans had lower incidence of hyp ertension compared to USB Veterans\, except for White Veterans who had si milar rates. Incidence rates were highest among USB Black Veterans (7830 per 100\,000) followed by FB Black (5410 per 100\,000) and USB White Vete rans (3960 per 100\,000). Age-specific rate ratios showed younger FB Vete rans had higher risk of hypertension compared to USB Veterans. Adjusted l ogistic regression results FB Black and Hispanic Veterans had greater odd s of hypertension compared with USB Black and Hispanic Veterans. Disaggre gating VHA data can be useful to inform initiatives to achieve equitable cardiovascular health among diverse Veteran groups.\n\nSpeaker:\nCarol Ol adele\n\nAdmission:\nRegistrationFees: APHA Event Registration is Require d\n\nDetails URL:\nhttps://medicine.yale.edu/event/place-of-birth-and-inc ident-hypertension-among-us-and-foreign-born-veterans/\n DTEND;TZID=America/New_York:20241029T163000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241029T153000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2:30pm - 3:30pm (CDT) | 4206.0 - Place of birth and incident hyper tension among US- and foreign-born veterans UID:a2cac5a5-c801-40d4-92b9-abed1cb8650b END:VEVENT BEGIN:VEVENT DESCRIPTION:Session : Firearm Violence Poster Session Program: Injury Cont rol and Emergency Health Services Authors: Guangyu Tong\, PhD Megan Ranne y\, MD\, MPH\, FACEP Abstract Background Firearm injury is the leading ca use of death for American youth. Few firearm injury prevention (FIP) inte rventions exist that are co-designed with communities with high rates of firearm ownership. Given the excellent firearm safety record within 4-H S hooting Sports (4HSS) and the influence these youth have in their communi ties\, we are conducting a CDC-funded Type 1 hybrid effectiveness-impleme ntation randomized controlled trial of a bystander FIP intervention for y outh in 4HSS\, in collaboration with 4-H leadership. Here we describe rec ruitment and baseline demographic data for this study. Methods We recruit ed a national sample of 4HSS clubs to Guardians for Health (G4H)\, a byst ander FIP intervention\, from September 2022-February 2024. After club/in structor enrollment\, clubs were block randomized\, with randomization st ratified based on self-reported rurality of the club as well as the prese nce or absence of a state Child Access Prevention (CAP) law. After random ization\, club leaders shared a 10-minute video with families of youth ag es 12-18 emphasizing the non-policy-based nature of the study\; some lead ers also arranged presentations by national 4HSS leadership. Parents were then invited to enroll eligible youth and themselves online via RedCap o ver an 8-week period\; youth received a link to assent. Baseline demograp hics were obtained and analyzed descriptively. Intervention delivery and data collection ends in September 2024. Results Of 86 potential sites\, 6 1 site instructors enrolled and were randomized\, and 50 contributed base line data (24 control\, 26 intervention). Sites were from 27 states: 16% Northeast\, 20% Midwest\, 24% South\, 40% West\; 52% rural\, and 52% with a state CAP law\; no differences were observed in region\, rurality\, or state laws between groups. Instructors for these 50 sites reported a mea n age 49.42 [SD 11.28]\, 34% male\, 96% White\, 2% Hispanic\, 96% gun own ers\, 8% veterans\, 58% volunteers (vs 4-H employees). Amongst the 50 sit es\, we received contact information for 368 families\, of whom 430 youth and 310 parents enrolled in the study\, and 422 youth and 301 parents co mpleted demographic surveys. (We will provide CONSORT diagrams for site c lusters and parent/youth enrollees at the presentation.) Of enrolled part icipants\, the mean youth age was 14.35 [SD 1.82]\, and youth participant s were 55% male\, 83% White\, 5.7% Hispanic. Mean parent age was 45.18 [S D 6.83]\, and parental participants were 36% male\, 90% White\, 3.2% Hisp anic\, 87% gun owners\, 5% veterans. The treatment group had a higher pro portion of younger children (ages 12-14) than the control group (62% vs. 48%\, p=0.007) and a higher percentage of households with firearms (90% v s. 83%\, p=0.068). Conclusions Enrollment of 4HSS sites and families in a national RCT of bystander FIP training is feasible\, with successful rec ruitment of our target sample size from a geographically and politically varied sample of states. Instructor\, parent\, and youth demographics rou ghly mirrored those reported to us by 4-H\, with ~17% non-White\, ~6% His panic\, and ~90% household gun ownership - a group less commonly included in FIP research. Future analyses will examine intervention acceptability and outcomes.\n\nAdmission:\nRegistrationFees: APHA Event Registration i s Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/guardians-4-h ealth-feasibility-of-youth-recruitment/\n DTEND;TZID=America/New_York:20241028T163000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241028T153000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2:30pm - 3:30pm (CDT) | 3216.0 - Guardians 4 health: Feasibility o f youth recruitment for a 4-h shooting sports firearm injury prevention t raining UID:0da69457-99ed-4714-b4d0-a1300515df89 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Veteran's Caucus Poster Session 4 Program: Veterans C aucus Presenter: Karen Wang\, MD\, MHS Authors: Carol Oladele\, PhD\, MPH Kelson Zawack\, PhD Abstract Studies show disparities in health outcomes between individuals in U.S. continent and territories This study investi gated differences in hypertension (HTN) risk among veterans born in the U nited States’ 50 States and District of Columbia (US-DC) and Territories (US-T). Veterans Health Administration Corporate Data Warehouse data were used to identify veterans who received services between 2001 and 2017 an d free of HTN in 2001. Place of birth data were extracted to categorize v eterans as US-DC or US-T born. HTN was identified in electronic records u sing ICD-10 codes. Person-years were estimated. Rate ratios and logistic regression modeling were used to examine differences in incident HTN betw een US-DC or US-T born veterans. Our sample included 548\,026 veterans. N inety-eight percent were born in the US-DC and 2.2% were born in the Cari bbean and Pacific US-territories. Pacific-born veterans had the highest H TN incidence (8\,931 per 100K)\, and US-DC veterans had lowest total inci dence rates (4\,581 per 100K). Incidence varied by place of birth and rac e\, with highest rates among Asian veterans in the Caribbean (9\,077 per 100K) and Pacific territories (10\,428 per 100K). In the US-DC\, incidenc e was highest among Black veterans (7\,827 per 100K)\, and Hispanic veter ans in Caribbean territories (6\,386 per 100K). Rate ratio estimates show ed that hypertension rates were higher among veterans born in the US-T co mpared to US-DC. Lastly\, adjusted logistic regression results showed US- T born veterans had greater odds of HTN. Further work is needed to unders tand differences among veterans in risk factors for HTN by place of birth .\n\nSpeaker:\nKaren Wang\n\nAdmission:\nRegistrationFees: APHA Event Reg istration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/pl ace-of-birth-and-incident-hypertension-among-veterans-in-the-us-states-an d-territories/\n DTEND;TZID=America/New_York:20241029T163000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241029T153000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2:30pm - 3:30pm (CDT) | 4206.0 - Place of birth and incident hyper tension among veterans in the US states and territories UID:78e154b1-f4f9-4454-8c81-e6d3497145d3 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Public Health Nursing Research Symposium Program : Pu blic Health Nursing Author: Aline Maybank\, MPHc\, BS Abstract Statement of the Problem Public health nursing faces increasing challenges due to c omplex\, interrelated global issues impacting human and environmental hea lth. Current theoretical frameworks often fail to adequately address thes e complexities. Thus\, there is a pressing need for a comprehensive theor etical framework that integrates planetary health principles into public health nursing praxis. Approach In collaboration with the Alliance of Nur ses for Healthy Environments\, we applied the Planetary Health Education Framework (PHEF) as a middle-range theory for revising Nurses Drawdown\, an action-based framework for nurses promoting environmental health and s ustainability across practice\, advocacy\, research\, leadership\, and el derhood. Grounded in the principles of planetary health\, PHEF acknowledg es the interconnectedness of human and environmental health and emphasize s the importance of promoting health equity\, sustainability\, and resili ence. Product The PHEF outlines a structured approach for public health n urses to address planetary health challenges at individual\, community\, and societal levels. It incorporates principles of ecological thinking\, systems theory\, and social justice to guide nursing interventions aimed at promoting holistic health and mitigating environmental threats. By rev ising Nurses Drawdown through the lens of the PHEF\, we can provide tangi ble action items for public health nurses across multiple facets of publi c health nursing praxis. Implications Implementation of the PHEF has far- reaching implications for public health nursing practice\, education\, an d research. By adopting this framework\, nurses can enhance their capacit y to address emergent global health challenges\, advocate for policy chan ge\, and engage in interdisciplinary collaboration to promote health and well-being for both present and future generations.\n\nAdmission:\nRegist rationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps:// medicine.yale.edu/event/proposing-the-planetary-health-education-framewor k-as-a-middle-range-theory/\n DTEND;TZID=America/New_York:20241028T103000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241028T101500 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:9:15am - 9:30am (CDT) | 3064.0 - Proposing the planetary health ed ucation framework as a middle range theory for public health nursing prax isa UID:51f616d8-eaf1-48a8-bd95-bb7378d0c9d3 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: Recent Research on Alcohol-Related Harms and Preventi on Efforts Program: Alcohol\, Tobacco\, and Other Drugs Author: Trace Ker shaw\, PhD Abstract Commitment to sobriety is a newer construct aimed to tap into individuals who use substances’ readiness and willingness to eng age in treatment. There has been little to no research aimed at understan ding the relationship between other well-studied treatment-specific const ructs and commitment to sobriety. This study aims to analyze a number of predictive factors of commitment to sobriety\, and potential moderators b etween the predictive factors and commitment to sobriety. Data was collec ted from N=386 adults in treatment for substance use. We first tested\, v ia backwards stepwise multiple linear regression\, potential predictors o f commitment to sobriety. We subsequently conducted moderation analyses t o evaluate potential moderators for each of the independent variables on their relationship with commitment to sobriety. Potential predictors and moderators were selected based on their significant relationships with su bstance use disorders in prior research. The regression analysis revealed the significant predictors of commitment to sobriety (p <0.05) were: sel f-efficacy to maintain sobriety\, number of previous drinking days\, nega tive perceptions about their drinking behaviors\, positive expectations o f alcohol consumption\, and use of coping mechanisms. The moderation anal ysis revealed there is a stronger relationship between commitment to sobr iety and negative alcohol expectations for women compared to men (p <0.05 ). The relationship between commitment to sobriety and more abstinent dri nking goals is stronger for those not legally required to be in treatment than for those legally required (p <0.05). Severity of substance use was neither a significant predictor nor moderator\, indicating that alcohol- specific constructs may be more predictive of commitment to sobriety. The factors indicated by the model are useful in predicting the level of com mitment individuals in treatment for substance use have toward maintainin g sobriety. These results may be useful for treatment centers to identify what individuals are potentially in need of more care in order to reduce their risk for relapse.\n\nAdmission:\nRegistrationFees: APHA Event Regi stration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/exp loring-potential-predictive-and-moderating-factors-of-commitment-to-sobri ety/\n DTEND;TZID=America/New_York:20241028T143000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241028T133000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:12:30pm - 1:30pm (CDT) | 3173.0 - Exploring potential predictive a nd moderating factors of commitment to sobriety UID:1cf49664-fa18-441c-baaf-2f28f41cbfd6 END:VEVENT BEGIN:VEVENT DESCRIPTION:Session: 2nd Round Table Presentation - HIV Treatment and Mana gement Program : HIV/AIDS Authors: Trace S. Kershaw\, PhD Sten Vermund Jo hn Dovidio Abstract Background Health workers play a critical role in del ivering gender sensitive HIV care\, but without proper training and suppo rt\, they can deepen existing gender disparities (e.g.\, between men and women) through their treatment of clients. Implementation strategies\, su ch as trainings\, are needed to build providers’ capacity for delivering gender-sensitive HIV care to reduce known gender disparities in HIV care engagement in sub-Saharan Africa. Methods This study examined the feasibi lity\, acceptability\, and barriers/facilitators to the implementation an d translation of a novel 4-session\, gender-sensitive training delivered to HIV health and lay health workers in rural and peri-urban clinics in U ganda. A pilot quasi-experimental controlled trial was implemented in 202 2-23. To examine Consolidated Framework for Implementation Science Resear ch (CFIR) outcomes\, we analyzed 1) process data from intervention partic ipants (N=61)\, 2) qualitative\, post-intervention data collected from in tervention participants (focus groups or individual interviews\, n=53)\, and 3) interview data from community stakeholders (e.g.\, intervention fa cilitators\, health leaders\, n=12). Data were analyzed through thematic analysis\, guided by CFIR. Results The intervention was feasible and acce ptable\, with 86% of all training sessions attended and 99% of all sessio ns rated satisfactory or highly satisfactory by attendees. Post-intervent ion qualitative data also revealed high acceptability from providers and stakeholders\, who considered gender-focused HIV programming a priority. The intervention was appropriate for providers in addressing gaps in prov iders’ motivation and skills to provide gender sensitive and client-cente red care\, to reduce gender bias and other stigma towards clients (e.g.\, towards men\, sex workers\, substance users)\, and to strengthen the imp lementation of gender-based violence (GBV) screening and response protoco ls. Barriers to translating content into practice included time/resource constraints limiting client-centered care\, difficulty in overcoming all bias towards clients\, and concern that following GBV protocols could ero de community trust of providers. Factors impacting training feasibility/a cceptability included support from supervisors\, the use of experienced f acilitators\, and active learning approaches. Conclusions These data prov ide support for a gender-sensitive HIV provider training’s feasibility\, acceptability\, and appropriateness\, supporting continued testing of thi s intervention. The identified barriers/facilitators to implementation/ad option can inform areas to strengthen in the future implementation of thi s and other gender-focused trainings in the region.\n\nAdmission:\nRegist rationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps:// medicine.yale.edu/event/feasibility-acceptability-and-barriers-to-impleme ntation-of-novel-health-worker-training/\n DTEND;TZID=America/New_York:20241029T190000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241029T173000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4:30pm - 6:00pm (CDT) | 4311.0 - Feasibility\, acceptability\, and barriers to implementation of novel health worker training to improve th e provision of gender-sensitive HIV care in Uganda UID:276ebe1c-5891-4b5a-8ea1-6836973e68dd END:VEVENT BEGIN:VEVENT DESCRIPTION:Insider Tips - Applying to the PhD and MS Programs at Yale Are you interested in applying to the PhD or MS program at Yale in Public He alth? JOIN US and find out why Yale School of Public Health is the best P ublic Health program. Melanie Elliot and Katie Doucet\, Admissions Repres entatives for the PhD and MS program Faculty and Students from the Progra m will also be available to provide information\, tips\, and insights! Ti me and Location Monday\, October 28th at 2:05 PM (CDT) Ignition Stage at Expo Center Booth #1625\n\nAdmission:\nRegistrationFees: APHA Event Regis tration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/apha -2024-phd-ms-admissions-information/\n DTEND;TZID=America/New_York:20241028T152500 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241028T150500 GEO:44.970269;-93.273376 LOCATION:Booth #1625\, 1301 2nd Avenue South\, Minneapolis\, MN\, United S tates SEQUENCE:0 STATUS:Confirmed SUMMARY:2:05 - 2:25pm (CDT) | APHA 2024 - PhD and MS Admissions Information UID:2b897d13-a3fa-4fb8-924b-f080b0d87b76 END:VEVENT BEGIN:VEVENT DESCRIPTION:Stop by the APHA Expo Booth on Monday\, October 28\, and meet Dr. Megan Ranney \, Yale School of Public Health Dean. Location: APHA Exp o Booth #2723 Time: 10-11am (CDT)\n\nSpeaker:\nMegan Ranney\n\nAdmission: \nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\n https://medicine.yale.edu/event/apha-2024-meet-and-greet-with-dean-megan- ranney/\n DTEND;TZID=America/New_York:20241028T120000 DTSTAMP:20260630T074038Z DTSTART;TZID=America/New_York:20241028T110000 GEO:44.970269;-93.273376 LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:10:00am - 11:00am (CDT) | YSPH Booth @ APHA 2024: Meet & Greet wit h Dean Megan Ranney UID:71c1f0eb-a8b8-4ab2-b504-83b73527309a END:VEVENT END:VCALENDAR