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 Washington\, D.C. November 2-5 for the annual American Public Health Association Meeting and Expo. The APHA 2025 Annual Meeting and Exposition is an important gathering of over 12\,000 public health professionals from around the world. This even t offers opportunities for professionals to collaborate\, learn\, and con nect through various educational and networking activities. Attendees inc lude public health professionals\, visionaries\, current students\, and f uture leaders who come to meet with organizations that shape the industry . The Yale School of Public Health is proud to support\, exhibit\, and pr esent at this significant annual event for public health professionals wo rldwide Learn more about this YSPH event here.\n\nAdmission:\nRegistratio nFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medic ine.yale.edu/event/ysph-apha-2025-annual-meeting-and-expo/\n DTEND;TZID=America/New_York:20251106T000000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251102T000000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:YSPH@APHA 2025 | Annual Meeting & Expo | Washington\, D.C. UID:0eaa3ed5-e2ea-41a5-91c9-fe93a9e5e782 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Academic and Practice Linkages in Public Health Caucu s Session: Academic-Practice Linkages in Public Health Caucus Poster Sess ion 4 Author: Susan Nappi See all authors and presenters → Abstract Intro duction Fostering real-world partnerships for improving the health of the public is not often supported by academic culture.1 The Association of S chools and Programs of Public Health (ASPPH) issued its Framing the Futur e 2030 (FTF 2030) call to action to improve how academe prepares MPH lear ners to become more effective partners. Two exemplars are showcased that co-create curricula for supporting communities in reaching their public h ealth goals. Two Examples of Practice-Academic Impact: The School of Publ ic Health at Ben-Gurion University of the Negev uses a holistic approach to teach community vulnerabilities and resilience. The school demonstrate s the impact of a curriculum on enhancing community engagement for improv ing public health outcomes with initial results suggesting that MPH stude nts and communities co-engaging with this curriculum show improved profic iency in using World Health Organization tools in real-life scenarios. Th e Yale School of Public Health anchors its local and global partnerships in community-led co-design that guides students through carefully structu red experiences. A comprehensive orientation session prepares students fo r meaningful community interactions in New Haven\, resulting in consisten t partner and student satisfaction\, with 100% of community partners requ esting renewed participation and all students reporting enhanced communit y engagement skills. Conclusions: MPH curricula that is co-designed with community partners provide a strong foundation for equipping students to tackle both global and local public health challenges for improving commu nity health.1 Association of Schools and Programs of Public Health. (2024 ). Fostering community partnerships for a healthier world: A call to acti on and framework.\n\nSpeaker:\nSusan Nappi\n\nAdmission:\nRegistrationFee s: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine. yale.edu/event/bridging-campus-and-community-integrating-real-world-pract ice-into-mph-education/\n DTEND;TZID=America/New_York:20251104T133000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T123000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4158.0 - Bridging Campus and Community: Integrating Real-World Pra ctice into MPH Education UID:c2611180-4152-428d-bbaa-dc6583f72429 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: HIV/AIDS Session: HIV Prevention and Care in Internat ional Settings - Poster Presentation Presenter: Yusuf Ransome Author: Jam es Frater See all authors and presenters → Abstract Introduction Religiou s institutions are significant social and cultural resources in many neig hborhoods throughout the United States. The density of religious institut ions has been linked to lower rates of poor health and mortality outcomes in the U. S. population. The distribution of religious institutions and other aspects of the religious landscape\, such as the prevalence of chur ch members (i.e.\, adherents)\, may be associated with HIV incidence. Emp irical findings on this topic remain scant. Methods We used geospatial an d multivariate ecological analyses to test the associations between three religious environment variables and new HIV diagnoses in 2022 across N = 2020 counties with available HIV data. The three variables were: (1) rat es of churches that closed in specific windows (e.g.\, between 2009 and 2 014). A church is classified using Standard Industry Classification code 8661.07\; (2) change in the rates of adherents between 2010 and 2020\; an d (3) change in the rates of congregations in the U.S. between 2010 and 2 020. We conducted zero-inflated binomial regression\, adjusting for the p ercentage of Black individuals\, the percentage of Hispanic individuals\, the GINI coefficient\, mobility\, percentage of overcrowding\, socioecon omic deprivation (including income\, education\, unemployment\, and pover ty)\, and whether the county was prioritized for the Ending the HIV Epide mic initiative. Results Church closings\, religious adherence\, and congr egation change were significantly clustered. Counties with the highest/5t h quintile of church closings (compared to the lowest) had lower rates of HIV (Incidence Rate Ratio (IRR)= 0.26\, 95% CI = 0.18- 0.37\, p = 0.000. An increase in adherence rate was associated with 21% higher rates of ne w HIV diagnoses (IRR=1.21\, 95%CI=1.07-1.37\, p=0.002. The highest quarti le of increase in congregations (compared to no or low change) was also a ssociated with higher rates of new HIV diagnoses IRR=1.32\, 95%CI=1.03-1. 76\, p=0.03). Conclusions Specific aspects of the religious environment s hape HIV differently\, possibly\, through multiple complex social mechani sms\, including stigma\, community norms\, and access to information. Int errogating this relationship is crucial for developing effective HIV prev ention strategies. Public health practitioners should reconsider assumpti ons about religious contexts when designing community-based approaches to HIV prevention and testing\, particularly in areas with strong religious participation.\n\nSpeaker:\nYusuf Ransome\n\nAdmission:\nRegistrationFee s: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine. yale.edu/event/fewer-churches-lower-hiv/\n DTEND;TZID=America/New_York:20251102T160000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251102T150000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2119.0 - Fewer Churches\, Lower HIV\; Increase in Congregants\, Hi gher HIV: Rethinking Religious Influences on Public Health UID:6e266293-68ff-4475-b174-1a71b55aedf8 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Alcohol\, Tobacco\, and Other Drugs Session: Polysubs tance use patterns\, trends\, and disparities Presenter: Yu-Tien Hsu Auth ors: James Frater\, Isaac Demuyakor\, Yusuf Ransome Abstract Aim s To exa mine how social connectedness\, spirituality\, and religious attendance m oderate relationships between pain and substance misuse. Methods We analy zed pooled national sample data from MIDUS 3 (n=2\,671) and Refresher (n= 2\,410)\, a Black American sample from MIDUS Milwaukee (n=866). Pain was measured using a sum score assessing pain interference with daily activit ies\, mood\, relationships\, sleep\, and enjoyment. Spirituality was a su m of five items such as inner peace\, beauty appreciation\, life connecti on\, deep appreciation\, and caring for others. Religious attendance was categorized by frequency. Substance misuse was defined as non-prescribed use of medications or illicit substances in the past 12 months (e.g.\, he roin\, cocaine\, and methamphetamine). Results In the national sample\, p ain was associated with higher substance misuse (B=0.140\, 95% CI [0.092\ , 0.188]). Two significant interactions emerged: higher religious attenda nce buffered the negative relationship between pain and substance misuse (B=-0.039\, 95% CI [-0.066\, -0.012])\, while spirituality surprisingly i ntensified this relationship (B=0.034\, 95% CI [0.001\, 0.068]). In the M ilwaukee sample\, higher spirituality weakened the negative association b etween pain and substance misuse (B=-0.158\, 95% CI [-0.249\, -0.067]). C onclusions Poor treatment of chronic pain contributed to the opioid epide mic. We find some evidence that religious engagement and spirituality buf fered the negative associations between pain and substance misuse. Addict ion medicine clinicians may consider incorporating spirituality and relig ious elements in treating individuals with pain who are at risk for subst ance misuse.\n\nSpeakers:\nYu-Tien Hsu\; James Frater\; Isaac Demuyakor\; Yusuf Ransome\n\nAdmission:\nRegistrationFees: APHA Event Registration i s Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/religion-and- spirituality-moderates-associations-between-pain-and-substance-misuse/\n DTEND;TZID=America/New_York:20251102T180000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251102T170000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2209.0 - Religion and Spirituality Moderates Associations between Pain and Substance Misuse among U.S. Adults at Midlife UID:6e0e727e-816e-4820-99eb-4bc99c6d0fe1 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Alcohol\, Tobacco\, and Other Drugs Session: Epidemio logical Studies of Substance Use and Related Issues among Adolescents and Youth Presenter: Gabriela Mendoza Cueva Abstract Background Studies show that adult patients with a history of opioid use have a higher rate of h ospital readmissions. However\, the trends and risk factors associated wi th all-cause readmission following a non-fatal overdose among adolescents are unclear. The objective was to identify recent trends and demographic factors associated with hospital admissions and readmissions for non-fat al overdoses among adolescents. Addressing this research gap will be crit ical for informing effective interventions to prevent recurrent hospitali zations.Methods: This retrospective chart analysis utilized the Nationwid e Readmission Database (NRD) from 2016 to 2020 to identify non-fatal over dose readmissions among adolescents aged 11 to 19. The study used weighte d state-level discharge data to derive nationally representative estimate s. The frequency of overdoses for each drug was determined annually to id entify trends over time. Descriptive statistics were used to characterize the sample. Multivariable logistic regression was utilized to identify f actors associated with readmission following a non-fatal overdose\, contr olling for potential confounders. Results The study sample included 26\,3 18 adolescents\, with 14\,272 [54.2%] identifying as female. There were 5 \,456 [20.7%] 11–14-year-olds in the sample\, and 13\,043 [49.6%] of adol escents had a mood disorder. 4\,514 [17.2%] adolescents were readmitted w ithin 6 months for any cause. Having a behavioral disorder and poisoning by unspecified opioids increased the odds of 6-month all-cause readmissio n by 1.23 [95% CI 1.04-1.46)] and 1.42 [95% CI 1.11-1.782]\, respectively . A mood or substance use disorder did not increase the odds of 6-month a ll-cause readmission. Conclusion This study revealed an association betwe en unspecified opioids and unspecified narcotic poisoning with readmissio ns\, affirming the link between opioid use and increased readmission odds among adolescents. The increase in synthetic opioid use confirms the fin dings of previous literature and suggests the need for more interventions targeted toward synthetic opioid overdose prevention.\n\nSpeaker:\nGabri ela Mendoza Cueva\n\nAdmission:\nRegistrationFees: APHA Event Registratio n is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/us-hospita l-readmissions-following-discharge-for-a-non-fatal-overdose-among-adolesc ents/\n DTEND;TZID=America/New_York:20251102T180000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251102T170000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2206.0 - U.S. Hospital Readmissions Following Discharge for a Non- Fatal Overdose Among Adolescents\, 2016-2020 UID:90bb26bb-fcbd-4125-a494-11f7a4be6abc END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Injury Control and Emergency Health Services Session: Research Addressing Trauma Services\, Emergency Medicine\, and EMS Respo nse Posters Presenter : Margaret Zhang Author : Linda Degutis See all aut hors and presenters → Abstract Background/Purpose Emergency Medical Servi ces (EMS) is a valuable resource for evaluating\, treating\, and coordina ting care for individuals who have sustained a traumatic brain injury (TB I). Among adults who have sustained a TBI\, there is frequent refusal of EMS transport. This raises a public health concern because it can put a b urden on resource utilization and reveal misperceptions regarding risk fo llowing head injuries. Less is known about whether similar patterns of no n-transport exist among children with TBIs. The purpose of this study is to describe the epidemiology of pediatric head injuries attended by EMS a nd to identify factors associated with non-transport for these patients. Methods We used the 2022 National Emergency Medical Services Information (NEMSIS) data and included patients ages 2-17 years. Individuals were cla ssified as having a TBI if they had an ICD-10 code related to injuries to the skull and brain in the primary impression\, secondary impression\, p rimary symptom\, or secondary symptom fields. We also included individual s who had both documented possible injury and head-related chief complain t. Our primary outcome was whether the patient was transported or not\, i dentified using eDisposition.12 (Incident/Patient Disposition). We calcul ated descriptive statistics for patient and incident characteristics\, st ratified by transport status\, and used Chi-square or Wilcoxon rank-sum t ests to calculate differences between groups. We conducted simple and mul tivariable logistic regressions to generate odds ratios and 95% confidenc e intervals to identify factors associated with non-transport. Results In 2022\, 34.2% of 136\,218 encounters in our cohort resulted in non-transp ort. The majority of all TBI patients were male\, ages 12-17\, White\, ha d a GCS score of 15\, and had a low initial acuity. Nearly half of all in cidents happened between 12 and 9 PM\, and most encounters were in an urb an setting. The most common locations of encounters were roadside and res idential\, with more encounters resulting in non-transport happening at a residential location and more encounters resulting in transport happenin g at the roadside. ALS attended 82.7% of incidents resulting in non-trans port and 77.1% of incidents resulting in transport. In the multivariable analyses\, non-transport was more likely among children ages 6-11 (OR: 1. 06\, 95%CI: 1.01-1.12) and less likely among children ages 12-17 (OR: 0.9 4\, 95%CI: 0.90-0.98) compared to children ages 2-5. Non-transport was le ss likely among children with GCS<15 compared to GCS of 15 (OR: 0.11\, 95 %CI: 0.09-0.13) and among children with an emergent or critical initial a cuity compared to low (emergent OR: 0.27\, 95%CI 0.26-0.29\; critical OR: 0.18\, 95%CI 0.15-0.21). Similarly\, odds of non-transport were lower am ong incidents happening in suburban or rural settings compared to urban s ettings. Incidents resulting in non-transport were more likely to be atte nded by ALS compared to BLS (OR: 1.95\; 95% CI: 1.85-2.04). Conclusions T here are significant patient and incident-level factors associated with t he decision to not transport children who have sustained a TBI\, with urb anicity\, GCS\, and provider-documented initial acuity being strong predi ctors of non-transport. A better understanding of non-transport could inf orm patient care\, decision-making\, and have implications for healthcare utilization\, ultimately supporting the broader goal of improving popula tion health outcomes.\n\nSpeakers:\nMargaret Zhang\; Linda Degutis\n\nAdm ission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/predictors-of-non-transport-for-em s-incidents-of-pediatric-head-injuries/\n DTEND;TZID=America/New_York:20251102T160000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251102T150000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2123.0 - Predictors of non-transport for EMS incidents of pediatri c head injuries UID:3bbc38d6-3328-492d-afcc-318af70e0476 END:VEVENT BEGIN:VEVENT DESCRIPTION:Moderator: Yu-Tien Hsu Description This session explores multi level perspectives on mental health and substance use disorders\, bridgin g psychometric validation with real-world clinical and public health appl ications. Presenters will report findings on adolescent cannabis use\, be havioral health access\, and psychosocial risk factors\, highlighting how data-driven tools and population-level insights can improve prevention\, diagnosis\, and care coordination. The session emphasizes translational approaches that inform policy and practice across diverse communities. Vi ew all presentations →\n\nSpeaker:\nYu-Tien Hsu\n\nAdmission:\nRegistrati onFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medi cine.yale.edu/event/from-psychometric-validation-to-clinical-application/ \n DTEND;TZID=America/New_York:20251102T180000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251102T163000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2184.0 - From Psychometric Validation to Clinical Application: Mul tilevel Perspectives on Mental Health and Substance Use Disorders UID:4c25f690-2276-43ab-a983-a2d0947ec264 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Occupational Health and Safety Session: Poster Compet ition for Research and Practice in Occupational Health & Safety (I) Autho rs : Michael Wininger\, Kaakpema Yelpaala\, Debbie Humphries\, Alyse Sabi na See all authors and presenters → Abstract Introduction Firefighters fa ce extended shifts and frequent night calls\, placing them at elevated ri sk of sleep disruption and fatigue. This prospective observational projec t investigated how demanding shift schedules and operational workloads in fluence sleep architecture and recovery. Methods Firefighters from a sing le fire department (n=200) were recruited to continuously wear a biometri c device tracking heart rate\, sleep stages\, and additional physiologica l indicators for 39 days. Biometric data was then merged with 911 call da ta and staffing records. Correlation matrices were developed to compare r elationships between workload and measured biometric data. Subsequently\, a random forest model was developed and validated to predict firefighter s’ biometric response to given workload. Results Findings revealed substa ntial deficits in slow wave and REM sleep during consecutive duty nights\ , with the greatest reductions observed in personnel assigned to high-vol ume ambulance units. There were significant differences in restorative sl eep (Slow wave and REM) between on-shift (157.0 ± 58.2 minutes) versus of f-shift (192.0 ± 60.9 minutes)\, P < 0.001.) There were also significant correlations between elevated night 911 call frequency\, diminished resto rative sleep (r = -0.75)\, increased resting heart rate (r = 0.68) reduce d heart rate variability (r =-0.53) - factors closely tied to cognitive p erformance and overall well-being. Conclusions and Recommendations The pr edictive modeling framework validated the ability to forecast fatigue lev els from real-time operational conditions\, enabling data-driven interven tions that target workload redistribution and strategic scheduling. Recom mended solutions include later shift start times\, alternative work cycle s\, and dynamic resource deployment. These measures aim to preserve firef ighter health\, maximize operational effectiveness\, and promote sustaina ble workforce policies by mitigating the harmful consequences of chronic sleep disruption.\n\nSpeakers:\nMichael Wininger\; Kaakpema Yelpaala\; De bbie Humphries\; Alyse Sabina\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/even t/operational-fatigue-and-sleep-loss-in-the-fire-service/\n DTEND;TZID=America/New_York:20251102T140000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251102T130000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2036.0 - Operational Fatigue and Sleep Loss in the Fire Service: P hysiological Findings from Wearable Biometric Monitoring UID:1d7b4491-dc0a-4192-8526-3e9eb5974c44 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: APHA Student Assembly Session: Socioeconomic Factors and Health Outcomes Author: Debbie Humphries See all authors and presente rs → Abstract Background Eight states have passed legislation to codify u niversal school meal programs among all public schools. These programs pr ovide free school breakfasts and lunches to all students. A strong link e xists between children’s mental health outcomes and the presence of subsi dized school meal programs\, and this study analyzes the differences in a nnual spending on mental health agencies per capita between states that h ave passed universal school meal programs and states that have the highes t prevalence of very low food secure households. Methods This study utili zes data from public resources to identify the 8 states that have passed legislation to codify universal school meal programs and the 8 states wit h the highest prevalence of very low food security (n = 16 states). We us e data on 2023 state population counts and 2023 state spending on mental health agencies to outline the per capita spending on mental health agenc ies in each state. Results The data analysis is still underway\, but prel iminary findings reveal that states with the highest prevalence of very l ow food security tend to spend less on mental health agencies per capita than states that have passed universal school meal programs. Conclusions This study reveals a critical gap in the literature to compare state spen ding priorities between states that invest in preventative health program s for children and those that do not. By better understanding the correla tion between preventative health spending and per capita state budget all ocations\, the public health community can more accurately advocate for i mpactful and cost-effective state-level programming.\n\nSpeaker:\nDebbie Humphries\n\nAdmission:\nRegistrationFees: APHA Event Registration is Req uired\n\nDetails URL:\nhttps://medicine.yale.edu/event/universal-school-m eal-programs-lens-into-mental-health-agency-spending/\n DTEND;TZID=America/New_York:20251102T140000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251102T130000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2016.0 - State-level universal school meal programs as a lens into mental health agency spending in the United States: A descriptive analys is UID:95dd7dad-53bb-4a63-827f-7b7f82afdbc4 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: HIV/AIDS Session: Eliminated HIV Related Disparities - Poster Presentation Author: Jaquetta Reeves See all authors and present ers → Abstract Background Disparities in healthcare experiences and outco mes persist across racial and ethnic groups in the U.S. Medical mistrust and prior negative healthcare experiences have been linked to reduced hea lthcare usage and treatment adherence. We assessed associations between p revious healthcare experiences and PrEP awareness and acceptability in Bl ack women living in the U.S. South.Methods: We analyzed cross-sectional d ata from 491 Black women collected between March to June 2022. Participan ts identified as HIV negative Black females\, residing in Southern U.S. P articipants reported demographic information\, past healthcare experience s\, HIV knowledge and risk perception\, PrEP awareness\, and acceptabilit y. Logistic regression models were used to determine factors associated w ith PrEP awareness and acceptability. Results Participants included 491 B lack women (Mage= 40.42 [SD=17.52]\, 77% single). 40% were PrEP aware and 26% willing to use PrEP. In adjusted regression models\, women with high er medical trust [aOR= 1.43\, 95% CI 1.04\, 1.96\, p = .026]\, higher neg ative healthcare stereotypes [aOR= 1.23\, 95% CI 1.01\, 1.50\, p = .038]\ , younger age [aOR= .98\, 95% CI .97\, .99\, p = .002]\, and greater HIV knowledge [aOR= 1.11\, 95% CI 1.01\, 1.21\, p = .027] had higher PrEP awa reness. PrEP acceptability was associated with HIV worry [aOR= 2.34\, 95% CI 1.42\, 3.85\, p <.001] and recent HIV testing [aOR= 2.04\, 95% CI 1.2 5\, 3.34\, p = .005]. Conclusions These findings reveal that prioritizing positive healthcare experiences through culturally sensitive care\, clea r communication\, and reducing healthcare disparities will be critical to improve PrEP uptake as a preventative measure for eligible Black women i n the U.S.\n\nSpeaker:\nJaquetta Reeves\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yal e.edu/event/past-healthcare-experiences-and-their-impact-on-hiv-prep-awar eness/\n DTEND;TZID=America/New_York:20251102T140000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251102T130000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2026.0 - Past healthcare experiences and their impact on HIV PrEP awareness and acceptability among black women in the southern United Stat es UID:14ab668e-35fc-4ed8-95bd-6fc8608aad7a END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Epidemiology Session: Epidemiology Section: Neighborh ood Context and its Impact on Health - Epidemiologic Perspectives Authors : Sitara Weerakoon\, Gina Sissoko\, Joy Lindsay\, Ijeoma Opara Presenters : Nimisha Srikanth See all authors and presenters → Abstract Objective Bl ack and Latinx youth face disproportionate mental health burdens which ca n be impacted by racial and cultural identity\, yet research on how racia l-ethnic identity factors shape responses to structural mental health str essors like neighborhood violence remains limited. This study examines th e direct effect of perceived neighborhood violence on anxiety symptoms\, the indirect effect of racial self-efficacy\, and the role of ethnic iden tity exploration. Method Data collection for this study was conducted as part of a larger intervention development study based in a diverse urban Northeastern U.S. city characterized by its socioeconomic challenges and a high concentration of youth from under-resourced communities. Our final sample included 621 Black and Latinx youth (mean age=15.5 years\, SD=1.7 )\, 36% Black and 64% Latinx\; 53.4% males and 46.6% females. We used cro ss-sectional structural equation modeling (SEM) to assess direct and indi rect effects. Results Neighborhood violence was associated with lower rac ial self-efficacy (β=-0.22\, p<0.001)\, and higher racial self-efficacy w as linked to fewer anxiety symptoms (β=-0.14\, p<0.001). Contrary to our hypothesis\, ethnic identity exploration was associated with lower racial self-efficacy (β=-0.10\, p<0.05) and showed no direct association with a nxiety symptoms (β=-0.04\, p>0.05). Differences were revealed when strati fying Black and Latinx youth. Conclusion Racial self-efficacy may buffer the negative effects of neighborhood violence on anxiety\, while ethnic i dentity exploration may not confer the expected protective effects. These findings highlight the complex interplay between racial identity process es and mental health\, underscoring the need for interventions that stren gthen racial self-efficacy among Black and Latinx youth.\n\nSpeakers:\nNi misha Srikanth\; Sitara Weerakoon\; Gina (Diagou) Sissoko\; Joy Lindsay\; Ijeoma Opara\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/racial-self-ef ficacy-ethnic-identity-link-between-neighborhood-violence-and-internalizi ng-symptoms/\n DTEND;TZID=America/New_York:20251102T153000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251102T151500 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2069.0 - Racial Self-Efficacy\, Ethnic Identity\, and the Link Bet ween Neighborhood Violence and Internalizing Symptoms in Black and Latinx Youth UID:8905f15b-0764-478d-9020-62f581a960de END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Food and Nutrition Session: Social\, Cultural\, and P olitical Factors Affecting Food and Nutrition: Mental Health Author: Rafa el Pérez-Escamilla See all authors and presenters → Abstract Introduction People with pre-diabetes and those experiencing food insecurity (FI) hav e elevated anxiety and depression. FI is not static\; and it is determine d by factors such as SNAP benefits and household income. Using a micro-lo ngitudinal design\, we analyzed self-reported FI and anxiety/depression a cross six time points over three months.Approach: FI was assessed with th e US Household Food Security Survey Module\, anxiety with the Patient-Rep orted Outcomes Measurement Information System (PROMIS) anxiety scale\, an d depression with the Personal Health Questionnaire Depression Scale (PHQ ). Inclusion: 18-44 years old\, Latina\, receiving SNAP benefits\, positi ve 2-item screen for FI\, and elevated diabetes risk. A multilevel regres sion tested whether FI was associated with depression and anxiety between persons and within persons across time. Analyses employed Mplus v8.11wit h alpha > 0.05. Results There were 87 participants\, mean age 35.1 (SD=5. 8) years. Nearly half only spoke Spanish (47%)\, most had no formal schoo ling (69%)\, with monthly household income <$1000 (63%). FI and depressio n were associated at both the between-person (B= 1.11\, beta=0.46\, p<.00 1) and within-person levels (B=0.37\, beta=0.17\, p=.002). FI and anxiety were associated at both the between-person (B= 1.31\, beta=0.47\, p<.001 ) and within-person levels (B=0.63\, beta=0.21\, p<.001). Between-person effects were twice as large as within-person effects. Discussion Persons with higher average levels of FI have higher symptoms of anxiety and depr ession. Within the same persons\, timepoints with higher-than-average FI have higher levels of depression and anxiety at those time points. Food i nsecurity and mental health need to be addressed simultaneously.\n\nSpeak er:\nRafael Pérez-Escamilla\n\nAdmission:\nRegistrationFees: APHA Event R egistration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/ food-insecurity-and-mental-distress-among-latinas-of-childbearing-age/\n DTEND;TZID=America/New_York:20251102T150000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251102T144500 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2074.0 - Food Insecurity and Mental Distress among Latinas of Chil dbearing Age at Risk for Type 2 Diabetes UID:8d987631-935c-4282-a6ad-4cf874b4275a END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Family Violence Prevention Caucus Session: A Focus on Equity: Addressing Family Violence Among Highly Impacted Groups Author: Shannon Whittaker See all authors and presenters → Abstract Background Du ring the COVID-19 pandemic\, Black women in the United States (US) faced higher rates of intimate partner violence (IPV) and more severe IPV-relat ed consequences. National lockdowns forced survivors to stay in their hom es with their abusive partners\, thereby restricting access to support se rvices and increasing their vulnerability to IPV. Although IPV gained sig nificant attention during the pandemic\, there was a lack of focus on the safety strategies Black women employed to protect themselves as they nav igated multiple systems of oppression. This study aims to explore the saf ety strategies used by Black women IPV survivors as they navigated variou s forms of oppression during the COVID-19 crisis. Methods Fifty US Black women IPV survivors were recruited to participate in a one-time\, semi-st ructured\, 45 – 60 minute interview between January 2021 and April 2021. Interview topics included experiences with relationship conflict and hous ing challenges during the COVID-19 pandemic. Interpretative phenomenologi cal analysis was used to analyze all transcripts. Results Black women IPV survivors utilized several strategies to stay safe from physical\, psych ological\, and/or financial abuse. Some strategies were used to deescalat e\; however\, others were used as precautionary steps to avoid imminent a buse. To deescalate\, Black women IPV survivors: 1) self-silenced\, 2) cr eated distance by leaving places the abusive partner occupied\, and 3) so ught informal (e.g.\, family) and formal (e.g.\, law enforcement) resourc es to intervene. To avoid imminent abuse\, Black women IPV survivors: 1) found a second place to go to when they anticipated violence\, 2) changed their daily routines\, 3) hid money\, food\, or other resources around t he house\, and 4) kept their children away from their abusive partner. Co nclusion Updated policies and programs could help to prepare IPV survivor s for future pandemics in which they may experience limited access to res ources. For example\, law enforcement officers should be trained to respo nd to Black IPV survivors\, including connecting them to appropriate serv ices. Domestic violence shelters should receive funding to increase their number of rooms to accommodate more survivors\, especially with large fa milies\, during national lockdowns. Safety planning with survivors should include their families.\n\nSpeaker:\nShannon Whittaker\n\nAdmission:\nRe gistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttp s://medicine.yale.edu/event/reimagining-safety-survival-strategies-of-bla ck-women-facing-intimate-partner-violence/\n DTEND;TZID=America/New_York:20251102T173000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251102T171500 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2167.0 - Reimagining Safety: Survival Strategies of Black Women Fa cing Intimate Partner Violence During the COVID-19 Pandemic UID:7e7c4612-b006-40ab-a0e0-3b708ab1596c END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: HIV/AIDS Session: HIV and Comorbidities Author: Trace S. Kershaw Abstract Background Because HIV and gender-based violence (GB V) are closely linked\, Uganda adopted the World Health Organization’s gu idelines to incorporate routine GBV screening and the immediate provision of support and referrals for survivors in HIV care settings. However\, t here are considerable barriers to implementation. This study aims to expl ore factors influencing HIV care providers’ implementation of Uganda Mini stry of Health (MOH) GBV protocol in HIV care\, with the goal of identify ing areas for growth. Methods In 2023\, we conducted a qualitative study in rural and peri-urban public health clinics in central Uganda. We condu cted 7 focus group interviews with 53 health workers\, lay health workers \, and staff that engage regularly with HIV care clients\, and 12 individ ual interviews with community partners (e.g.\, health leaders\, HIV/gende r program leads). Data were analyzed through thematic analysis and guided by the Consolidated Framework for Implementation Research. Results We id entified multilevel barriers affecting GBV screening and response\, inclu ding factors related to provider motivation\, institutional support\, the clinic environment\, and community and health systems. Health workers an d stakeholders were aware that GBV affects HIV care clients and of the MO H’s GBV protocol. However\, health workers reported infrequently implemen ting GBV screening and viewing it as a low priority. Some expressed bias and stigmatizing behaviors towards GBV-affected clients (e.g.\, survivor- blaming). Many providers had not received the MOH’s mandatory GBV trainin g due to limited resources and frequent staff turnover. The ability to sc reen and respond to GBV was diminished by a lack of privacy due to insuff icient space and high client volumes. Participants discussed a limited ne twork for psychosocial service referrals and hesitation to make police an d legal referrals due to concern that doing so would erode community trus t. Participants identified community GBV stigma as preventing clients fro m seeking support. Conclusions This study highlights the need to strength en the implementation of GBV screening and response\, and identifies mult ilevel barriers to its implementation\, in HIV care. System-wide strength ening is needed to bolster provider training and motivation\, create time and space in clinics for implementation\, strengthen external referral s ystems\, and reduce provider bias and community stigma related to GBV.\n\ nSpeaker:\nTrace Kershaw\n\nAdmission:\nRegistrationFees: APHA Event Regi stration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/hiv -care-provider-and-stakeholder-insights-on-factors-affecting-gender-based -violence-screening/\n DTEND;TZID=America/New_York:20251102T173000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251102T171500 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:2173.0 - HIV care provider and stakeholder insights on factors aff ecting gender-based violence screening\, referrals\, and counseling in th e context of HIV care in Uganda UID:71d69cf6-4eca-4452-abbf-bfe9c7a73c0e END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: One Health Session: One Health Poster Session 2b: Var ious One Health Topics Presenter : Kei Kohmoto Abstract Transient non-com munity (TN) systems are public water systems that serve more than 25 peop le for 60 or more days a year\, including restaurants\, gas stations\, an d campgrounds. These systems must meet drinking water quality standards u nder the Safe Drinking Water Act\, complicated by seasonal operations and varying maintenance practices. These standards are set by the Wisconsin Department of Natural Resources\, which has primacy from the EPA to do so . This work examined compliance and water quality issues in south central Wisconsin\, a region with nitrate contamination concerns linked to agric ultural land use practices.We conducted inspections of over 80 TN systems in south central Wisconsin from June through August of 2025. Inspections evaluated physical infrastructure\, including well casings\, conduits\, treatment systems\, and pressure tanks for quality status and potential c ross-contamination sources. Combined with assessing nitrate concentration s and total coliform presence (which can be an indicator of e. coli)\, we evaluated compliance with the SDWA. Though violations were not common\, when found\, the most common are damaged conduits (often from lawn mainte nance equipment)\, corroded well casings\, and cross connections in drain age spaces. These can make the system more vulnerable to contamination. T hough nitrate is often present\, the maximum contaminant level is rarely exceeded. As of July\, no assessed systems tested positive for total coli form. Numbers will be finalized in August upon completion of work. These findings highlight water quality considerations relevant to TN water syst ems that can pose public health risks\, including infantile methemoglobin emia from high nitrate exposure and sickness from total coliform/e coli e xposure. Improved compliance can help increase confidence in drinking wat er quality and strengthen collaborative relationships between regulatory agencies and businesses. Proactive maintenance protocols and proper educa tion can reduce contamination risks\, while fostering cooperative rather than punitive regulatory approaches that facilitate effective and trustwo rthy partnerships.\n\nSpeaker:\nKei Kohmoto\n\nAdmission:\nRegistrationFe es: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine .yale.edu/event/meeting-drinking-water-quality-standards-of-the-safe-drin king-water-act/\n DTEND;TZID=America/New_York:20251103T153000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251103T143000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3223.1 - Meeting drinking water quality standards of the Safe Drin king Water Act: Assessing transient non-community water systems in south central Wisconsin UID:905de474-8669-487c-af47-40d81c85314f END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Mental Health Session: Social Connection and Communit y Support for Mental Health Presenter: Jiawen Long Author: Doris Chi Abst ract Emerging adulthood (ages 18–29) is a period of financial instability and shifting social roles\, making resilience—the ability to bounce back from stress and adversity—a critical factor in navigating life transitio ns. Ample research has suggested that both tangible (e.g.\, material reso urces) and intangible support (e.g.\, social support) are positively asso ciated with resilience. Meanwhile\, employment status and income are know n drivers of disparities in resilience\, but less is known about whether other tangible economic benefits\, like employee or government benefits\, contribute to resilience independent of these factors. This study examin es economic benefits and social support as independent and synergistic pr edictors of resilience in emerging adults\, controlling for employment st atus and income. Using data from the 2023 National Wellbeing Survey\, we analyzed a nationally representative sample aged 18–29\, stratified by em ployment status (employed N = 1200\; unemployed N = 666). Resilience was assessed using the Brief Resilience Scale. Predictors included employee b enefits\, government benefits\, social support\, and household income as a proxy of socioeconomic status (SES). Multiple regression analyses asses sed the effects of economic benefits and social support on resilience con trolling for income. Among employed individuals\, more employee benefits (β = .040\, p < .001) and higher social support (β = .023\, p = .006) wer e significantly associated with higher resilience. However\, their effect s are independent\, not synergistic. Among unemployed individuals\, only household income was negatively associated with higher resilience (β = -. 026\, p = .029)\, suggesting that unemployed\, low-SES individuals may de velop more resilience than those who are high in SES. Neither social supp ort nor government assistance were significant predictors of resilience i n unemployed individuals. Findings confirmed the established link between material resources\, social support\, and resilience. For employed adult s\, employee benefits and social support both independently predicted hig her resilience. Unemployed adults who are low in SES may exhibit greater resilience in the face of financial adversity than those who are high in SES. Surprisingly\, government benefits have no effects on resilience reg ardless of employment status. These findings call for further research in to structural factors shaping resilience and the development of intervent ions that better support young adults through employment transitions.\n\n Speakers:\nJiawen Long\; Doris Chi\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu /event/the-impact-of-economic-benefits-and-social-support-on-resilience-i n-emerging-adults/\n DTEND;TZID=America/New_York:20251103T133000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251103T123000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3193.0 - The Impact of Economic Benefits and Social Support on Res ilience in Emerging Adults UID:fbf43ebb-585e-432a-950f-94dda823caef END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: One Health Session: One Health Poster Session 2a: Foo d Systems & Nutrition Author: Debbie Humphries Presenter: Nandini Sinha S ee all authors and presenters → Abstract Background The syndemic of sever e acute malnutrition (SAM) and malaria in under-five children co-occurrin g with the impacts of climate change in Rajasthan presents a critical pub lic health challenge. Current SAM and malaria programs are implemented as vertical interventions despite the potential benefits of integrated appr oaches\, particularly in the context of climate variability. A better und erstanding of the interactions between these factors is important to stre ngthen the delivery of integrated services.Objective: This study investig ates the relationship between under-five SAM\, malaria infections\, and c limate variables at the block level in Rajasthan to inform targeted\, int egrated interventions. By running regression analyses and spatiotemporal clustering of malaria and malnutrition hotspots\, we will identify associ ations between these co-occurring health threats and recommend priority r egions to guide state-level policy integration. Methods To the best of ou r knowledge\, this is the first study to analyze data for under-five chil dren spanning 6 years (2013-2019) at the block level for the state of Raj asthan using a repeated cross-sectional design. These data have been retr ieved from the Health Management Information System (HMIS) government por tal and are used to examine seasonal and geographic trends\, revealing mo re granular insights into the relationship between these variables over s ix years. The following hypotheses are tested using mixed-effects regress ion and spatiotemporal analyses: (1) Blocks with higher under-five SAM ca ses are more likely to experience higher malaria prevalence\; (2) Under-f ive malaria infections and SAM exhibit seasonal variations influenced by climate factors\; and (3) Spatiotemporal clustering of hotspots can ident ify priority regions for integrated interventions. Results and Implicatio ns Findings will enhance the currently limited understanding of the under -five SAM -malaria-climate nexus at the block level and provide insights to support integrated intervention strategies\, improving child health ou tcomes in Rajasthan’s evolving syndemic.\n\nSpeakers:\nDebbie Humphries\; Nandini Sinha\n\nAdmission:\nRegistrationFees: APHA Event Registration i s Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/relationship- between-severe-acute-malnutrition-active-malaria-infections-and-climate-v ariables/\n DTEND;TZID=America/New_York:20251103T153000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251103T143000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3223.0 - Assessing the relationship between severe acute malnutrit ion\, active malaria infections\, and climate variables in under-five chi ldren in Rajasthan UID:dc3d5b00-2c1a-4516-8a39-f1a8eacf0d75 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Mental Health Session: Identity and Geography as Soci al Determinants of Mental Health Authors: Sally Kirklewski\, Erin Nichols on\, Trace S. Kershaw See all authors and presenters → Abstract Backgroun d Gay and Bisexual Men and Non-binary Individuals (GBM&N) experience sign ificantly worse sleep outcomes compared to their heterosexual peers. Emer ging research indicates that minority stress (e.g.\, discrimination) may be contributing to these disparities by increasing mental health issues\, which then impacts sleep. The aims of this study are to (1) characterize minority stress and sleep quality for GBM&N and (2) to test the pathway of minority stress to sleep through depression symptoms. Methods From Jun e 2019 to December 2022 adult GBM&N (N=401) were recruited\, as part of t he #MVMNT study\, through social media\, geosocial networking apps\, and in-person flyers in the Deep South and Northeast to participate in a long itudinal study focused on understanding health behaviors. Participants an swered items about demographics\, minority stress (internalized homophobi a\, discrimination\, gay community stress)\, depression\, and sleep quali ty (i.e.\, higher values indicating better sleep quality). Three multivar iate linear regressions were run to test the pathway of minority stress t o sleep quality and indirect effect through depression. Results Participa nts were on average 25 years old (s.d.=4.132)\, 68% reported a gay and 16 % reported a bisexual sexual orientation and participants reported a rang e of racial ethnic identifications (61% white\, 10% Black/African America n\, 10% Latino/Hispanic\, 12% multiracial 4% Asian\, and 3% other). The f inal model was significant (F=27.339\, p<.001) and accounted for 23.6% of the variance in sleep quality. Depression symptoms were significantly as sociated with sleep quality (b=-.087\, p<.001). Both internalized homopho bia and everyday discrimination were associated with sleep quality initia lly\, but after the addition of depression were no longer significant. Tw o Sobel tests indicated that depression symptomology fully mediates the r elationship between minority stress and sleep quality. Conclusions Findin gs indicate that minority stress has a detrimental impact on their mental health and then on their sleep quality. Interventions to improve sleep q uality should focus on attenuating the impact of minority stress on depre ssion or mental health interventions to reduce the impact of depression o n sleep. Future research should study the utility of these interventions (e.g.\, Cognitive Behavioral Therapy for Insomnia\, or mindfulness-based interventions) at reducing the impact of minority stress on sleep for GBM &N.\n\nSpeakers:\nSally Kirklewski\; Erin Nicholson\; Trace Kershaw\n\nAd mission:\nRegistrationFees: APHA Event Registration is Required\n\nDetail s URL:\nhttps://medicine.yale.edu/event/minority-stress-and-sleep/\n DTEND;TZID=America/New_York:20251103T150000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251103T144500 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3281.0 - Minority stress and sleep: How does depression mediate th e relationship between stigma and sleep for gay and bisexual men? UID:756c6311-f16a-4f62-8323-a814544449b5 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: International Health Session: Non-Communicable Diseas es Poster Session Presenter: Yumi Yang Author: Drew Cameron See all autho rs and presenters → Abstract Cardiovascular disease is responsible for 10 % of all deaths in Uganda\, making it the leading cause of death among no n-communicable diseases (NCD) in the country. Uganda is among the world's most rapidly growing and urbanizing countries\, with a hypertension prev alence that exceeds 25%. Across sub-Saharan Africa\, urban market vendors serve as key participants in the informal workforce and represent a vuln erable population at high risk for cardiovascular diseases. In Uganda\, 6 5% of market vendors are women\, many of whom face high poverty rates\, h ave low education levels\, and work long\, sedentary hours. These conditi ons\, along with limited healthcare access and unhealthy eating habits\, contribute to a high prevalence of obesity and hypertension\, making mark et vendors a high-risk population for cardiovascular diseases (CVD).Despi te limited literature on this high-risk population and many evidence-base d interventions known to reduce CVD risk\, no targeted implementation str ategies have been developed to date. We are conducting a cross-sectional quantitative study that surveys market vendors in two large urban markets in Kampala and Mbarara through a stratified random sampling approach usi ng a comprehensive questionnaire adapted from the World Health Organizati on (WHO) STEPwise approach to NCD risk factor surveillance (STEPS). Our a nalysis focuses on identifying CVD risk factors\, such as hypertension\, physical inactivity\, unhealthy diet\, and poor sleep\, and explores the barriers to healthcare access that may hinder vendors' ability to mitigat e these risks. Multivariate logistic regression will be used to identify factors that are significantly associated with poor health outcomes and b arriers to healthcare access. In addition to blood pressure readings and basic anthropometric measurements\, data is collected to estimate 10-year CVD risk using a non-laboratory-based CVD risk estimate instrument. This study provides novel formative quantitative research data about a vulner able population at high risk for CVD to identify opportunities to co-crea te implementation strategies along with vendors and other stakeholders in order to mitigate this risk.\n\nSpeakers:\nYumi Yang\; Drew Cameron\n\nA dmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetai ls URL:\nhttps://medicine.yale.edu/event/mitigate-cardiovascular-risks-am ong-urban-market-vendors-uganda/\n DTEND;TZID=America/New_York:20251103T113000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251103T103000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3091.0 - Assessing healthcare barriers and identifying implementat ion strategies to mitigate cardiovascular risks among urban market vendor s in Uganda UID:3006acb9-bcfb-4074-b0b9-dab056ef2119 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Early-Career Professional Session: Any innovative pro gram\, best practice\, preparedness\, lessons learnt\, topic or courses t hat can be adopted in the workforce post pandemic Author: Ashley Hagaman See all authors and presenters → Abstract Background The COVID-19 pandemi c has had a profound impact on the psychological well-being of individual s\, with stigma emerging as significant issues faced by COVID-19 survivor s. This study aimed to explore multidimensional components of stigma face d by COVID-19 survivors in Eastern region of Nepal.Methods: The study was conducted using qualitative research methodology in the Eastern region o f Nepal. In-depth interviews were conducted with fifteen COVID-19 survivo rs over the phone. Thematic analysis was used to identify themes and sub- themes related to how participants experienced and negotiated multiple fo rms of stigma. Results The findings emphasize the complex and multi-layer ed nature of COVID-19 stigma\, which includes social rejection\, self-per ceived stigma\, discrimination from family and friends\, and taunting or negative labelling from community members. Participants were forced into quarantine at hotels despite facing financial hardships\, and COVID-19 su rvivors were removed by the police. This situation led to a loss of trust \, reduced confidence\, and negative effects on physical health\, mental health\, and overall well-being. The factors driving stigma and discrimin ation include a lack of knowledge and awareness about COVID-19 infection\ , screening\, and treatment\; fear of co-infection and its potential cons equences\; a fragile healthcare system\; inadequate policies\; a failure to address myths and misconceptions\; and insufficient knowledge and skil ls to prepare for and respond to the pandemic\, including dealing with st igmatization. Conclusion Mass education and awareness initiatives play a key role for enhancing understanding disease transmission\, prevention\, and control measures to address the individual\, interpersonal and system ic stigma and discrimination.\n\nSpeaker:\nAshley Hagaman\n\nAdmission:\n RegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nht tps://medicine.yale.edu/event/it-becomes-more-difficult-when-people-dont- empathize-with-us/\n DTEND;TZID=America/New_York:20251103T153000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251103T143000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3211.0 - "It becomes more difficult when people don’t empathize wi th us": Exploring COVID-19 stigmatization and its ecological impact on su rvivors in Nepal UID:4a380c59-75ad-4668-8f7f-08038a8604b7 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Mental Health Session: Technology and Social Media in Public Health Authors: Tassos Kyriakides\, Kaitlin Maciejewski See all a uthors and presenters → Abstract Introduction Half of U.S. adolescents ha ve experienced a mental health disorder\, underscoring the need for scala ble public health interventions. Mental health disorders often begin in a dolescence or early adulthood\, representing a critical period for preven tion. Yet\, access to evidence-based and relatable mental health resource s remains limited\, particularly for under-resourced populations. Serious games offer a scalable\, cost-effective\, and interactive way to deliver health promotion content. Funded by the NIDA HEAL Initiative\, we develo ped PlaySmart\, a digital health game designed to build knowledge and ski lls that encourage adolescents to seek mental health support. Methods Thr ough extensive input from adolescents\, PlaySmart was developed by incorp orating behavior change theories\, and a randomized controlled trial was designed to evaluate its efficacy. Adolescents (ages 16-19) with symptoms of depression\, anxiety\, and/or non-opioid substance use\, and no prior opioid misuse\, were enrolled at 15 Connecticut high schools. Participan ts were randomized 1:1 using sex and grade to either PlaySmart or control games\, aiming for 300 minutes of gameplay. Assessments were completed a t baseline\, 6-weeks post-gameplay and at 3\, 6\, and 12 months. Mental h ealth outcomes to be explored include depression\, anxiety\, stigma\, hel p-seeking behaviors\, self-efficacy to seek help\, and coping skills know ledge and other outcomes related to mental health including opioid-relate d knowledge\, perceptions\, and attitudes. Analyses will use parametric a nd non-parametric techniques and logistic and longitudinal models with So bel’s tests for mediation effects\, as appropriate. Results Among 532 par ticipants\, at baseline\, mean age was 16.6 years\; 47% were female\; 45% identified as Black\, 34% White\, 8% Asian\, 4% American Indian\, and th e remainder a mix\; 38% identified as Hispanic/Latinx. 33% reported lifet ime alcohol use and 19% marijuana use. Notably\, 50% reported at least mi ld anxiety symptoms and 61% at least minimal depression symptoms. Assessm ent completion rates were high: 88% at 6 weeks and at 3 months\, 86% at 6 months\, and 83% at 12 months. Analyses are underway. Conclusions PlaySm art is a rigorously developed and evaluated\, scalable intervention addre ssing mental health in a novel and engaging format. It represents a poten tially promising prevention tool\, particularly for those with mental hea lth concerns and limited access to mental health resources.\n\nSpeakers:\ nTassos Kyriakides\; Kaitlin Maciejewski\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.ya le.edu/event/developing-and-evaluating-a-digital-health-game-to-promote-m ental-health-in-adolescents/\n DTEND;TZID=America/New_York:20251103T133000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251103T123000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3196.0 - Scaling prevention: Developing and evaluating a digital h ealth game to promote mental health in adolescents UID:77017a16-4478-4bff-bd0e-6b51ad78bf30 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: APHA Curated Sessions Panelist: Gregg Gonsalves See a ll panelists and moderators → Description The Trump Administration has mo ved quickly to advance the unitarian executive theory and rapidly aspects of the nation’s societal understanding of the role of the federal govern ment. These actions and the policies that the administration has put forw ard have undermined the very fabric of the nation and our leadership as a world leader. This has sparked a growing movement to resist most of thes e changes and the manner they are being implemented. This session will ex plore the administration’s actions as they relate to health and social po licy\; discuss efforts to resist and defend against these threats and\; h ow we as a society can move forward to ensure a better future for all.\n\ nSpeaker:\nGregg Gonsalves\n\nAdmission:\nRegistrationFees: APHA Event Re gistration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/m onday-general-session-the-quest-to-defend-the-publics-health/\n DTEND;TZID=America/New_York:20251103T174500 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251103T163000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3298.0 - Monday General Session: The Quest to Defend the Public's Health UID:87bedcaf-b641-43cc-a944-d4fd7fc6864b END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Injury Control and Emergency Health Services Session: Special Topics in Firearm Injury Prevention Posters Authors: Adrianne Ka trina Nelson\, Megan L. Ranney See all authors and presenters → Abstract Background Firearm injury is the leading cause of death for American yout h ages 1-17\, yet few interventions have been co-created with gun-owning communities. Bystander interventions that teach youth to identify risky s ituations and respond safely to prevent injury are well-suited for youth that have contact with firearms\; and have shown to be effective in preve nting youth violence in other settings. In partnership with 4-H Shooting Sports (4HSS) leadership\, we developed and tested a novel firearm injury prevention (FIP) bystander intervention\, “Guardians 4 Health” (G4H)\, f or delivery to youth ages 12-18. The primary outcome objective of this st udy was to measure the impact of the G4H intervention on intention to use bystander intervention strategies.Methods: We conducted a cluster-random ized Type 1 Hybrid Effectiveness-Implementation trial\, stratified at ran domization by rurality and state Child Access Prevention (CAP) laws\, con senting 4HSS sites\, parents\, and youth. With confirmed construct validi ty\, we aggregated two items measuring bystander intervention intention a cross five hypothetical scenarios to create one continuous outcome variab le assessed at 0\, 3- and 6-months. Using intention-to-treat approach\, w e applied linear mixed models adjusting for baseline outcomes\, then perf ormed multilevel multiple imputation accounting for the potential within- site correlation in missingness\, with covariate adjustment on baseline o utcomes and sociodemographic backgrounds. Finally\, we conducted subgroup analyses for select sociodemographic groups. Results Fifty 4HSS sites fr om 28 states were randomized to intervention (M = 26 sites\; N = 250 yout hs) or control (M = 24 sites\; N = 174 youths). Most youth were aged 12-1 4 (54.7%)\, male (53.3%)\, and White (68.2%). Most caregivers had at leas t some college education (68.3%)\, were married (73.0%)\, and employed (5 6.4%). Compared to control youth\, G4H youth had more participants aged 1 2–14 years (61.9% vs. 47.9%\, p = 0.007). Racial composition varied (p = 0.022)\, with the intervention group having a higher proportion of White participants (p=0.02). At 3 months\, bystander intervention intention was higher in G4H than in control youth (β = 0.13\, 95% CI: [0.03\, 0.24]) b ut not significant at 6 months (β = 0.10\, 95% CI: [-0.02\, 0.22]). At 3 months\, younger participants (12–14 years) showed a stronger interventio n effect than older adolescents\, and responses were stronger among those whose parents had lower education (high school)\, were unemployed\, non- veterans\, and unmarried. Conclusions To our knowledge\, this is the firs t national trial focused on FIP occurring through partnership between a s hooting sports organization and public health researchers\, and the first to use bystander intervention for FIP in youth. At 3 months post-interve ntion\, we observed a positive effect on behavioral intention\, a strong predictor of behavior. These findings provide initial support for the val ue of the G4H intervention within 4HSS\, with continued evaluation in lar ger samples and other settings warranted.\n\nSpeakers:\nAdrianne Katrina Nelson\; Megan Ranney\n\nAdmission:\nRegistrationFees: APHA Event Registr ation is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/guardi ans-4-health-bystander-intervention-curriculum/\n DTEND;TZID=America/New_York:20251103T113000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251103T103000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3082.0 - Outcomes of a national randomized controlled trial of the “Guardians 4 Health” bystander intervention curriculum for 4-H Shooting Sports-involved youth UID:9d938cef-663b-4379-8320-6355eaa63607 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Injury Control and Emergency Health Services Session: Special Topics in Firearm Injury Prevention Posters Authors: Adrianne Ka trina Nelson\, Megan L. Ranney See all authors and presenters → Abstract Background Firearm injury is the leading cause of death for American yout h. Few firearm injury prevention (FIP) interventions have been co-designe d with communities with high rates of firearm ownership. Given the excell ent firearm safety record within 4-H Shooting Sports (4HSS) and the influ ence 4HSS youth have in their communities\, we conducted a CDC-funded clu ster randomized controlled trial of a bystander FIP intervention\, Guardi ans 4 Health (G4H)\, with 4HSS youth ages 12-18\, in collaboration with n ational 4HSS leadership. This abstract reports on the secondary outcome o f change in youth knowledge of firearm injury in the United States (US). Methods Fifty sites from 28 states were recruited\, consented\, and rando mized to immediate (N=26 sites\; N=250 youths) or delayed (N=24 sites\; N =174 youths) intervention groups\; total youth sample size was 424. Youth in both groups responded to eight knowledge questions related to US fire arm injury at baseline\, three-month\, and six-month follow-up surveys. R esponse options included true/false (e.g.\, “There are 100 gun deaths eve ry day in the US”)\, agreement ratings (e.g.\, “Having access to a gun at home increases the likelihood of suicide.”)\, and multiple choice (e.g.\ , “For every 10 people who survive a suicide attempt\, how many will late r die by suicide?”). A sum score of total correct items was computed for each participant. Linear mixed-effects models were fitted while adjusting for baseline knowledge score. Exploratory subgroup analyses were perform ed on key sociodemographic subgroups. Results Intervention youth demonstr ated significant increases in knowledge at the three-month follow-up (β=1 .98\, p<0.001) as well as six month follow-up (β=1.81\, p<0.001). At both time points\, youth with a significant knowledge increase were more like ly to be: aged 12-14 (3m: 1.69\, p<0.001\; 6m: 1.74\, p<0.001)\, female ( 3m: 1.97\, p<0.002\; 6m: 1.58\, p<0.001)\, from the Midwestern US (3m: 2. 43\, p<0.001\; 6m: 2.20\, p<0.001)\, and from families with parents who w ere married (3m: 1.86\, p<0.001\; 6m: 1.57\, p<0.001)\, nonveterans (3m: 1.87\, p<0.001\; 6m: 1.66\, p<0.001)\, and with only high school educatio n\, (3m: 1.91\, p<0.001\; 6m: 1.81\, p=0.03). Discussion The intervention yielded a strong\, sustained impact on youth knowledge about firearm inj ury at 3 and 6 months. Subgroup results may reflect demographic differenc es in receptiveness in intervention material and in 4HSS activities. Fami ly background also appeared to shape the impact of the program. These fin dings underscore the importance of tailoring interventions to consider de mographic and familial contexts\n\nSpeakers:\nAdrianne Katrina Nelson\; M egan Ranney\n\nAdmission:\nRegistrationFees: APHA Event Registration is R equired\n\nDetails URL:\nhttps://medicine.yale.edu/event/increases-in-you th-knowledge-about-us-firearm-injury-from-guardians-4-health/\n DTEND;TZID=America/New_York:20251103T113000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251103T103000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:3082.0 - Increases in youth knowledge about US firearm injury from Guardians 4 Health: A cluster-randomized bystander intervention with 4-H Shooting Sports UID:5a4ec3f5-e9c3-450d-8f9c-a6a9c7049124 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Academic and Practice Linkages in Public Health Caucu s Session: Academic-Practice Linkages in Public Health Caucus Poster Sess ion 4 Author: Susan Nappi See all authors and presenters → Abstract Intro duction Fostering real-world partnerships for improving the health of the public is not often supported by academic culture.1 The Association of S chools and Programs of Public Health (ASPPH) issued its Framing the Futur e 2030 (FTF 2030) call to action to improve how academe prepares MPH lear ners to become more effective partners. Two exemplars are showcased that co-create curricula for supporting communities in reaching their public h ealth goals. Two Examples of Practice-Academic Impact: (1) The School of Public Health at Ben-Gurion University of the Negev uses a holistic appro ach to teach community vulnerabilities and resilience. The school demonst rates the impact of a curriculum on enhancing community engagement for im proving public health outcomes with initial results suggesting that MPH s tudents and communities co-engaging with this curriculum show improved pr oficiency in using World Health Organization tools in real-life scenarios .(2) The Yale School of Public Health anchors its local and global partne rships in community-led co-design that guides students through carefully structured experiences. A comprehensive orientation session prepares stud ents for meaningful community interactions in New Haven\, resulting in co nsistent partner and student satisfaction\, with 100% of community partne rs requesting renewed participation and all students reporting enhanced c ommunity engagement skills. Conclusions MPH curricula that is co-designed with community partners provide a strong foundation for equipping studen ts to tackle both global and local public health challenges for improving community health.1 Association of Schools and Programs of Public Health. (2024). Fostering community partnerships for a healthier world: A call t o action and framework.\n\nAdmission:\nRegistrationFees: APHA Event Regis tration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/brid ging-campus-and-community-apha-2025/\n DTEND;TZID=America/New_York:20251104T133000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T123000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4158.0 - Bridging Campus and Community: Integrating Real-World Pra ctice into MPH Education UID:3a9983d9-035c-42b6-a968-fd8c1a80b344 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: LGBTQ Health Caucus Session: Interpersonal and struct ural violence within LGBTQ+ populations Authors: Bryce P Takenaka\, Adam Viera\, E. Jennifer Elelman\, Trace Kershaw See all authors and presenter s → Abstract Objectives To identify patterns of perceived reasons for exp eriencing discrimination and how those profiles relate to discrimination experiences and health and social outcomes. Methods Men's Voices on Mappi ng\, Neighborhoods\, and Technology (MVMNT) was a longitudinal cohort stu dy conducted between June 2019 and March 2023. This study included 396 yo ung gay\, bisexual men\, and non-binary individuals from Connecticut and Georgia and completed the Everyday Discrimination scale about their discr iminatory experiences and perceived reasons for those experiences. We con ducted a latent class analysis and identified four distinct classes based on perceived reasons for discrimination. ANOVAs tested differences in he alth outcomes across classes. Results The Multifaceted Class (10%) includ ed sexuality\, race\, ethnicity\, gender\, weight\, dress\, skin color\, and hair as perceived reasons for discrimination. The Race and Ethnicity Class (22%) included sexuality\, race\, and ethnicity. The Sexuality Only Class (46%) had sexuality as the sole reason for discrimination. Lastly\ , the External Appearance Class (22%) included sexuality\, weight\, dress \, and hair. Discrimination scores were significantly higher for the Exte rnal Appearance Class compared to the Race and Ethnicity and Sexuality On ly classes (p<0.001). Stigma salience\, body esteem\, social cohesion\, p erceived stress\, social anxiety\, depression\, harmful alcohol use\, and use of criminalized substances differed significantly by class (p<0.05). Conclusion Health promotion programs providing long-term solutions\, suc h as alternative care systems\, anti-discrimination measures\, and suppor tive coping strategies\, are recommended to mitigate the negative effects of stigma and improve health outcomes.\n\nSpeakers:\nBryce Takenaka\; Ad am Viera\; Trace Kershaw\; E. Jennifer Elelman\n\nAdmission:\nRegistratio nFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medic ine.yale.edu/event/experiences-of-discrimination-among-young-gay-bisexual -men-and-non-binary-individuals/\n DTEND;TZID=America/New_York:20251104T171500 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T170000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4327.0 - Experiences of discrimination among young gay\, bisexual men\, and non-binary individuals: Latent Class Analysis UID:77d6a49a-e817-4b22-9c25-e397014f4d8c END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Spirit of 1848 Caucus Session: Spirit of 1848 Integra tive Session: Prioritizing Health Justice: Politics\, Peoples\, and Our P lanet – Everyone & Everything Everywhere All at Once Presenter: Gregg Gon salves Abstract The struggle for “health for all” has been centuries in t he making. From the pioneering work of the 19th century sanitary movement s\, to the rise of modern public health in the 20th\, we have fought for what the World Health Organization has called “a state of complete physic al\, mental\, and social well-being and not merely the absence of disease or infirmity” for decades. Though public health has often been relegated to a technical endeavor\, it is the work of social movements that have b een responsible for some of the greatest achievements in our field. How h ave social movements in our lifetime contributed to the quest of health j ustice and where can they take us in these perilous times\, when predator y governments seek to destroy all we have built together?\n\nSpeaker:\nGr egg Gonsalves\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/from-aids-acti vism-to-global-health-justice-histories-and-futures/\n DTEND;TZID=America/New_York:20251104T105500 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T104000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4154.0 - From AIDS Activism to Global Health Justice: Histories an d Futures UID:5bf426fb-8700-4f22-bed8-49865a36d32a END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Alcohol\, Tobacco\, and Other Drugs Session: Harm Red uction and Health Equity in Vulnerable Populations (Outstanding Student W ork) Authors: Raquel Rose\, Sitara Weerakoon\, Shreya Jadhav\, Ijeoma Opa ra See all authors and presenters → Abstract Social media is a popular me thod for youth to communicate\, be entertained\, and escape reality. Howe ver\, youth have grown reliant on social media\, suggesting major effects in substance use and mental health behaviors. Prior research has highlig hted associations between adolescence and increased substance use and dec lines in mental health\, including heightened anxiety and depression. Thi s study explores the social media content youth are exposed to and examin es how such exposure influences their behaviors and perceptions on substa nce use and mental health while considering peer dynamics. Twenty youth b etween the ages of 13-21 years were recruited from youth serving organiza tions in an urban city in New Jersey and interviewed from July to August 2024. The sample had a mean age of 16 years\, 80% identified as male and 20% identified as female\, and 55% identified as Black/African American\, 25% identified as Afro-Latino\, and 15% identified as Hispanic/Latino. A dditionally\, 30% of the sample were justice-involved. Rapid qualitative analysis was conducted to identify three themes. First was “Social media increases exposure to substance use content\, which may influence youth b ehavior”\, with youth seeing smoking and vaping content on Instagram and TikTok and worrying about the impact on younger children. Second was “Men tal health content is widely present but varies in accuracy and influence ”\, with youth recognizing the variety of mental health content but mixed reactions to the influence of social media on mental health. Third was “ There is a need for more authentic substance use prevention messaging”\, as youth emphasized the need for trusted messengers to be honest and enga ging to increase awareness about substance use. Findings demonstrate a ne ed for researchers to collaborate with youth in the development and disse mination of tailored social media-based public health interventions to ad dress the knowledge gaps among youth on substance use and mental health.\ n\nSpeakers:\nRaquel Rose\; Sitara Weerakoon\; Ijeoma Opara\; Shreya Jadh av\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n \nDetails URL:\nhttps://medicine.yale.edu/event/social-media-influences-o n-youth-substance-use-and-mental-health/\n DTEND;TZID=America/New_York:20251104T170000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T165500 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4288.0 - Social media influences on youth substance use and mental health in an urban Northeastern U.S. city UID:b2c90cbf-32fd-47f7-955e-d7a194dfe9bd END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: APHA Student Assembly Session: Maternal/Child Health Presenter: Shivesh Shourya Author: Monica Gomes Abstract Background Manag ing diabetes (type 1 and type 2) in pediatric and young adult populations (ages 2–25 years) presents challenges related to developmental changes a nd healthcare access barriers. Telehealth and mobile health (mHealth) tec hnologies have emerged as potential solutions\, especially during the COV ID-19 pandemic. However\, the scope\, effectiveness\, and characteristics of telehealth interventions for diabetes management remain unclear. Meth ods This scoping review followed the PRISMA-ScR framework to map the lite rature on telehealth interventions for diabetes management in young popul ations. A comprehensive search of PubMed and Scopus identified studies pu blished from 2014 - 2024. Eligible studies assessed telehealth interventi ons. Data extraction focused on intervention type\, duration\, telehealth modality\, and reported outcomes\, including glycemic control (HbA1c) an d quality of life (QoL). Results Nine studies (N = 668) were included\, p rimarily addressing type 1 diabetes\, with a notable gap in type 2 diabet es research. Telehealth interventions included virtual consultations (n = 4)\, remote glucose monitoring (n = 3)\, and web-based education program s (n = 2). While overall HbA1c reductions were inconsistent\, short-term interventions (<3 months) showed greater reductions (–0.46\, CI: -0.85\, -0.07). Communication-based interventions significantly improved HbA1c\, while web-based education programs enhanced QoL (15.78\, CI: 7.39\, 24.17 ). Studies pre-pandemic showed greater effectiveness than those during th e pandemic. Conclusions Telehealth shows potential for short-term glycemi c control and QoL improvements\, particularly through communication-based and web-based education interventions. However\, high heterogeneity\, li mited long-term evidence\, and a lack of type 2 diabetes studies highligh t the need for further research into telehealth’s sustained impact for pe diatric and young adult populations.\n\nSpeakers:\nShivesh Shourya\; Moni ca Gomes\n\nAdmission:\nRegistrationFees: APHA Event Registration is Requ ired\n\nDetails URL:\nhttps://medicine.yale.edu/event/telehealth-in-pedia tric-and-young-adult-diabetes-management/\n DTEND;TZID=America/New_York:20251104T120000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T103000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4105.0 - Telehealth in Pediatric and Young Adult Diabetes Manageme nt: A Scoping Review and Meta-analysis of Clinical Outcomes and Quality o f Life Across T1DM and T2DM Populations UID:f7ff0516-ace0-47f6-8c13-492cfe1ab1f0 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Health Informatics Information Technology Session: Bi g Data HIIT Poster Session 1 Author: Debbie Humphries See all authors and presenters → Abstract Background Hospital-based secondary prevention red uces morbidity and mortality from patient deterioration. Traditional scor ing systems\, including Systemic Inflammatory Response Syndrome (SIRS)\, Modified Early Warning Score (MEWS)\, Quick Sequential Organ Failure Asse ssment (qSOFA)\, and Sequential Organ Failure Assessment (SOFA)\, have va riable success. Artificial intelligence (AI) may improve these strategies by identifying subtle physiological trends\, allowing early intervention s preventing deterioration. Objective Evaluate an AI-based alert system’s performance in detecting patient deterioration compared to traditional s coring methods and explore how AI integration could improve secondary pre vention. Methods A retrospective analysis was conducted on hospitalized p atient data flagged by an AI system designed to predict clinical deterior ation and intensive care unit (ICU) admission within 24 hours. The AI mon itored vital signs (temperature\, heart rate\, blood pressure\, respirato ry rate) and laboratory parameters. To validate AI alerts\, we retrospect ively calculated SIRS\, MEWS\, qSOFA\, and SOFA scores at the time alerts occurred. Predictive performance (accuracy\, precision\, recall\, F1-sco re) for ICU admissions was compared. Pearson correlations assessed relati onships between vital signs and ICU outcomes. Results Of AI-flagged patie nts\, 42.9% required ICU admission\, with alerts occurring on average 22. 2 hours prior. SIRS and MEWS each demonstrated 78.6% accuracy\, 71.4% pre cision\, and 83.3% recall\; qSOFA showed higher precision (100%) but lowe r recall (50%). Temperature negatively correlated (-0.532)\, while heart rate positively correlated (0.300) with ICU admission. Discussion/Conclus ions The AI alert enabled earlier detection than traditional indices alon e\, potentially facilitating earlier interventions and improved resource allocation. Integrating AI into existing clinical scoring can strengthen secondary prevention efforts and enhance patient care quality.\n\nSpeaker :\nDebbie Humphries\n\nAdmission:\nRegistrationFees: APHA Event Registrat ion is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/evaluati ng-an-artificial-intelligence-alert-system-for-early-detection-of-patient -deterioration/\n DTEND;TZID=America/New_York:20251104T113000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T103000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4081.0 - Evaluating an artificial intelligence alert system for ea rly detection of patient deterioration: A secondary prevention approach i n hospital care UID:ee252a61-3e0f-41d1-a756-a9dd57e00edf END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: HIV/AIDS Session: HIV Prevention and Testing 102 - Po ster Presentation Authors: Erin Nicholson\, Trace S. Kershaw\, Sally Kirk lewski See all authors and presenters → Abstract Introduction Despite PrE P's effectiveness in preventing HIV\, uptake among young men who have sex with men (YMSM) remains low. Factors like intimate partner violence (IPV ) and sexual coercion can hinder PrEP engagement\, increasing HIV vulnera bility. However\, limited research has examined how distinct relationship experiences impact PrEP knowledge\, uptake\, and self-efficacy.Methods: This study used data from the #MVMNT project\, a longitudinal study (2019 –2024) examining social and geographical influences on HIV risk among YMS M (n = 401) aged 18–34. Latent Profile Analysis (LPA) was conducted using indicators related to dating app use\, number of sexual partners\, concu rrent sexual partnerships\, sexting behaviors\, and IPV. Results Two rela tionship experience groups emerged: Group 1 (83.3%\, n = 303)\, character ized by lower app use (M = 2.98\, SD = 0.50)\, less frequent casual sexua l behavior (M = 3.89\, SD = 1.24)\, and Group 2 (16.7%\, n = 60)\, charac terized by higher app use (M = 3.91\, SD = 0.81)\, and more frequent casu al sexual behavior (M = 1.13\, SD = 0.92). Binary logistic regression mod els adjusting for age\, ethnicity\, marital status\, income\, insurance s tatus\, employment\, and home ownership showed Group 2 had higher odds of PrEP awareness (OR = 5.86\, 95% CI: 0.99\, 34.78) and uptake (OR = 2.18\ , 95% CI: 1.09\, 4.37) compared to Group 1. Conclusions Results suggest t hat YMSM who engage more frequently in casual sexual behavior\, app use\, and sexting may be more aware of PrEP and likely to uptake\, potentially due to increased exposure to HIV prevention messaging and higher perceiv ed risk.\n\nSpeakers:\nErin Nicholson\; Trace Kershaw\; Sally Kirklewski\ n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nD etails URL:\nhttps://medicine.yale.edu/event/relationship-dynamics-casual -partner-seeking-and-prep-awareness/\n DTEND;TZID=America/New_York:20251104T153000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T143000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4208.0 - Relationship Dynamics\, Casual Partner-Seeking\, and PrEP Awareness among Young Men who have sex with Men: A Latent Profile Analys is UID:c8aa1768-e68f-420d-9cd8-3ab83d331671 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Applied Public Health Statistics Session: Small area and small domain estimations in public health surveillance\, planning and evaluation Author: Yusuf Ransome See all authors and presenters → Abstra ct The Bayesian approach has been increasingly applied to analyze geospat ial health datasets at small-area levels (e.g.\, census tracts and zip co des). Both posterior sampling (e.g.\, Markov chain Monte Carlo\, MCMC) an d approximation (e.g.\, Integrated Nested Laplace Approximation\, INLA) a lgorithms have been developed to implement Bayesian models through softwa re and tools such as WinBUGS\, Stan\, NIMBLE\, and R-INLA. While these so ftware and tools make Bayesian statistical modeling much more accessible than two decades ago\, its application in analyzing small-area level geos patial health data is still limited to researchers with expertise in prog ramming such as R\, Python\, and BUGS. An interactive platform that suppo rts Bayesian statistical modeling\, especially for spatial and spatiotemp oral datasets and in the Web setting\, is still lacking. Our study fills this gap by developing a Web R-shiny tool for implementing Bayesian spati al and spatiotemporal models. Models fitted via both MCMC (i.e.\, NIMBLE) and INLA are supported in the tool\, with the former more flexible in ad dressing issues such as data censoring while the latter more computationa lly efficient. The tool leverages the cloud computing paradigm for Bayesi an model computation\, a feature especially benefitting MCMC-based models by making model convergence more time-efficient. The tool is used for an alyzing publicly accessible geospatial HIV datasets from AIDSVu.org and i s highly responsive to the Ending the HIV Epidemic in the U.S. (EHE) init iative. It will be distributed to and used by different stakeholders incl uding local health departments at jurisdictions prioritized by EHE for re ducing HIV infections and improving health equity.\n\nSpeaker:\nYusuf Ran some\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required \n\nDetails URL:\nhttps://medicine.yale.edu/event/bayesian-spatial-statis tical-modeling-on-the-cloud/\n DTEND;TZID=America/New_York:20251104T171500 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T170000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4295.0 - Bayesian spatial statistical modeling on the cloud: a web tool for analyzing geospatial HIV datasets at small-area levels UID:5ab3a9fe-9be8-4d92-9cd1-317a20294eff END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: HIV/AIDS Session: Ending the HIV Epidemic 102 - Poste r Presentation Presenter: Shivesh Shourya Authors: Christine Simon\, Niki ta Rao\, Khadija El-Hazimy\, Debbie Humphries Abstract Background Communi ty engagement in research (CEnR) has been pivotal in tailoring and enhanc ing research and implementation strategies to better serve people living with HIV and is central to the Ending the HIV Epidemic (EHE) initiative. While implementation research funded by the EHE require partnerships with community organizations\, little is known about CEnR in HIV research mor e broadly. This systematic review explores the HIV literature to evaluate community engagement in HIV research\, engagement practices and processe s\, and the geographic distribution of CEnR studies prior to and after th e launch of the EHE initiative in 2018. Methods We conducted a systematic search across multiple databases including PubMed\, Medline\, and CINAHL to identify peer-reviewed HIV studies published between 2014 and 2024. S tudies were included if they were written in English\, conducted in the U nited States\, and described community engagement or community-engaged ap proaches in the title and abstract. A total of 309 studies met the inclus ion criteria and were included in the review. Data on publication details \, study location\, and community participation and engagement were extra cted and analyzed. Results Preliminary analysis shows that most CEnR stud ies (75%) mention community engagement\, but do not provide sufficient in formation to assess the extent of community engagement and participation in the research process. Less than one-quarter (24%) of the studies descr ibed a community engagement approach\, and the remaining 1% were either c ommunity-based participatory research or community partnerships. We also found that most CEnR studies were clustered in the 57 EHE priority jurisd iction\, highlighting the effect the EHE initiative may have on increasin g CEnR in the US. Conclusions Our findings suggest that while community p articipation in HIV research has increased since the EHE initiative\, mor e community involvement is needed throughout research process\, particula rly in establishing strong collaborative partnerships between academic re searchers and community organizations. Additionally\, there is a need for reporting guidelines specific to CEnR that clearly details the community engagement process and the role the community played in the research pro cess. This can enhance transparency\, promote accountability\, and ensure communities are meaningfully represented and recognized for their contri butions to HIV research and efforts to end the HIV epidemic.\n\nSpeakers: \nShivesh Shourya\; Christine Simon\; Nikita Rao\; Khadija El-Hazimy \,MP H\; Debbie Humphries\n\nAdmission:\nRegistrationFees: APHA Event Registra tion is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/communi ty-engagement-in-hiv-research/\n DTEND;TZID=America/New_York:20251104T153000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T143000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4206.0 - Community Engagement in HIV Research: A Systematic Review of Community Participation\, Practice\, and Processes in Ending the HIV Epidemic in the US UID:2d7cf662-e576-44f4-b6ec-3705d79d65d9 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Maternal and Child Health Author : Gregg Gonsalves Se e all authors and moderators → Description This session will focus on pre paring participants with practical advocacy and policy skills for innovat ive strategies for tomorrow. Through interactive exercises and real-world dialogue\, Maternal and Child Health (MCH) leaders\, policy experts and public health advocates will provide approaches for strengthening MCH pra ctice\, advancing effective policies\, and driving meaningful advocacy in today’s rapidly changing landscape. The session will address federal\, s tate and local perspectives including information on current federal fisc al budget policy for MCH programs and recommendations to translate action at the local level. Communication and messaging strategies for engaging key partners and policymakers will be included. The session aims to build a framework for action to ensure that maternal and child health remains a priority in shaping a healthier\, more resilient and equitable future.\ n\nSpeaker:\nGregg Gonsalves\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event /building-your-mch-toolkit-november-2025/\n DTEND;TZID=America/New_York:20251104T160000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T143000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4266.0 - Building your MCH toolkit: Strategies for effective advoc acy and policy development for current times. UID:947301cf-2c56-4710-a57f-3318a238802b END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: HIV/AIDS Session: Ending the HIV Epidemic Author: Yus uf Ransome See all authors and presenters → Abstract Background Despite a dvances in HIV prevention and treatment\, Black\, Latino/a/e/x\, and Mult iracial (BLM) sexual and gender minorities who have sex with men (SGMSM) in the US continue to experience the highest HIV burden. We investigate h ow the spatial and geographic distribution of social-structural factors d rives systemic barriers to HIV prevention.Methods: Data were from a natio nal cohort of 5\,144 BLM SGMSM nested within 3\,119 zip codes recruited a cross all 50 states\, Washington D.C.\, and Puerto Rico primarily through digital platforms. We examined geospatial patterns in the distribution o f PrEP providers by mapping participant location relative to the nearest PrEP provider. We used multilevel analysis and other spatial methods to e xamine county- and state-level indicators of HIV\, structural racism\, po verty\, and drive time to nearest PrEP provider as predictors of PrEP use . Results Preliminary findings reveal spatial clustering of participants across US cities. Drive time to the nearest PrEP provider\, structural ra cism\, local HIV\, and poverty were associated with PrEP use. Specificall y\, mean drive time was lower among those who ever used PrEP (32.8 minute s) compared to those who never used PrEP (40.3 minutes). Compared to peop le living in a zip code with less than 10 minutes drive time to a PrEP pr ovider\, those who travel over 60 mins have 29% lower odds of ever using PrEP (OR=0.71\, p=0.001). After adjusting for social-structural factors\, the association between drive time over 60 min and ever PrEP use was att enuated\, while living in an EHE jurisdiction was associated with 16% hig her odds of PrEP use (OR=0.84\, p=0.046). Conclusions Our analyses reveal that PrEP access appears to be geospatially patterned and socially deter mined across the U.S. Access to this structural level resource was associ ated with an individual’s likelihood of using PrEP\, above and beyond the ir individual compositional characteristics such as age\, insurance\, edu cation and income. Our findings demonstrate how place-based and other soc ial determinants can be assessed to identify priority areas where enhance d HIV prevention resources are needed\, particularly in locations where m ultiple structural barriers intersect. Findings provide evidence-based gu idance for targeting resources toward identified high-need areas and impl ement tailored place-based HIV prevention programs.\n\nSpeaker:\nYusuf Ra nsome\n\nAdmission:\nRegistrationFees: APHA Event Registration is Require d\n\nDetails URL:\nhttps://medicine.yale.edu/event/geospatial-and-social- structural-determinants-of-prep-use/\n DTEND;TZID=America/New_York:20251104T164500 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T163000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4320.0 - Geospatial and Social-Structural Determinants of PrEP Use among Black\, Latinx\, and Multiracial Sexual and Gender Minorities who have Sex with Men in the United States UID:1a638dae-0988-4dea-bb76-c141f900f87e END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Chiropractic Health Care Session: The History of the Chiropractic Healthcare Section Author: Victoria Bensel See all authors a nd presenters → Abstract Objective The purpose of this historical reflect ion was to provide an update of the activities and accomplishments of the Chiropractic Health Care (CHC) section of the American Public Health Ass ociation (APHA) from the years 1983 to 2025. Methods A scoping document a nalysis was performed on the CHC archives from the years of 1984 to 2025. Additionally senior members of the CHC were consulted for identification of milestones. Documents and political insights were catalogued and docu mented in this analysis. Results The CHC section history is chronicled ac ross three time periods: the early years (1984-2005)\, the growth and exp ansion phase (2005-2015)\, and the most recent decade of maturation (2016 -2025). The chiropractic profession was recognized as a special interest group in 1983\, garnered section status in 1995\, and 2025 marked the 30t h anniversary of the Chiropractic Health Care section. Conclusion The for mation of CHC involved overcoming barriers like anti-chiropractic policie s and professional discrimination. Present day barriers include a decline in membership through the COVID-19 pandemic years\, and a need for a new generation of service-minded chiropractors to engage in professional end eavors and rise to leadership positions. The CHC section has undergone ma ny iterations and aspirations of its leaders but as 30-years is celebrate d\, there is a need for the chiropractic profession to continue to engage and collaborate in public health to further goals of integration\, educa tion\, and patient safety.\n\nAdmission:\nRegistrationFees: APHA Event Re gistration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/c hiropractic-health-care-celebrates-30-years-as-an-american-public-health/ \n DTEND;TZID=America/New_York:20251104T113000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T110000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4111.0 - Chiropractic Health Care Celebrates 30 years as an Americ an Public Health Association section: Historical Update from 1983 to 2025 . UID:25c249d6-9fb0-49b6-98a7-37a95cf53ba3 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Family Violence Prevention Caucus Session: Poster: Fa mily Violence Prevention Caucus Poster Session #1 Author: Trace Kershaw S ee all authors and presenters → Abstract Background Girls who experience adolescent dating violence (ADV) are at increased risk for attempting sui cide\, but limited research has identified policy-level interventions tha t work to mitigate this impact. Restorative justice (RJ)\, a survivor-cen tered\, policy-based approach to harm repair may work to empower survivor s by validating their experiences\, reducing trauma and promoting healing through accountability. This study examined the possible effects of stat e-level RJ policy adoption on attempting suicide among ADV girl survivors and determined whether associations differed by ethnoracial identity. Me thods Individual-level data were from the 2013\, 2015\, 2017\, and 2019 w aves of the Youth Risk Behavior Survey (YRBS)\, a state-representative\, cross-sectional survey conducted biennially among public and private scho ols with adolescents who are in 9th to 12th grade in the US (N=30\,330). State-level policy data were from a US RJ legislative database. The analy tic sample included females who reported having experienced ADV in the pa st year. Generalized estimating equations using log binomial regression w ere used to examine lagged associations between state-level RJ policies t hat are indicated for adolescent populations and attempting suicide among ADV girl survivors and test for effect measure modification by ethnoraci al group. Results The association between residing in a state with an RJ policy (vs without) and attempting suicide was modified by ethnoracial id entity\, such that Black ADV girl survivors in states with an RJ policy h ad an increased risk of attempting suicide compared to those in states wi thout an RJ policy (ARR [95% CI] = 1.15 [0.99\, 1.31]\, p = 0.051)\, and white ADV girl survivors in states with an RJ policy had a decreased risk of attempting suicide compared to those in states without an RJ policy ( ARR [95% CI] = 0.93 [0.86\, 1.00]\, p = 0.054). This association did not vary for Hispanic ADV girl survivors. Conclusions State-level RJ policies may be a promising scalable tool to reduce suicide attempts only for whi te ADV girl survivors. Ensuring that state RJ polices are not perpetuatin g structural gendered racism may ensure these policies do not cause harm for Black ADV girl survivors or are ineffective for Hispanic ADV girl sur vivors.\n\nSpeaker:\nTrace Kershaw\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu /event/restorative-justice-policies-may-reduce-suicide-risk/\n DTEND;TZID=America/New_York:20251104T113000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T103000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:4070.0 - Restorative justice policies may reduce suicide risk amon g white dating violence girl survivors\, but ethnoracial disparities shou ld be addressed UID:ccef367d-8d4c-4404-8327-c493629251ed END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Sexual and Reproductive Health (SRH) Session: Emergin g Approaches and Insights into Contraceptive and Sexual Health Presenter: Nimisha Srikanth Authors: Raquel Rose\, Sitara Weerakoon\, Shreya Jadhav \, Jasmine Abrams\, Ijeoma Opara Abstract Youth dependence on social medi a has led to concerns about the sexual nature of some content consumed by youth online. This study seeks to understand how sexual health content o n social media influences youth behaviors and perceptions on sexual healt h while factoring in peer dynamics.Twenty youth between the ages of 13-21 years were recruited from youth serving organizations in an urban city i n New Jersey and interviewed from July to August 2024. The sample had a m ean age of 16 years\, 80% identified as male and 20% identified as female \, and 55% identified as Black/African American\, 25% identified as Afro- Latino\, and 15% identified as Hispanic/Latino. Additionally\, 30% of the sample were justice-involved. Rapid qualitative analysis was conducted t o identify three themes. First was “There is varied awareness of HIV and STIs through social media”\, with youth having varied knowledge on HIV an d STIs due to lack of education and content. Second was “Privacy is an im portant value associated with sex”\, with youth affirming they prefer to keep sexual content offline due to the risk of having content leaked on p ublic pages. Third was “Youth learned little positive lessons about sex f rom social media”\, with youth stating they learned few beneficial lesson s about sex and felt more sexual content on social media encourages youth to become more sexually active. Researchers and policymakers must collab orate with youth in developing and disseminating public health and legal solutions for social media and sexual health.\n\nSpeakers:\nNimisha Srika nth\; Raquel Rose\; Sitara Weerakoon\; Jasmine Abrams\; Ijeoma Opara\; Sh reya Jadhav\n\nAdmission:\nRegistrationFees: APHA Event Registration is R equired\n\nDetails URL:\nhttps://medicine.yale.edu/event/social-media-inf luences-on-youth-sexual-health/\n DTEND;TZID=America/New_York:20251105T120000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251105T103000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:5115.0 - Social media influences on youth sexual health in an urba n Northeastern U.S. city UID:35c31e61-608e-4264-96e6-e2a8cba43add END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Alcohol\, Tobacco\, and Other Drugs Session: Supporti ng substance use disorder treatment and recovery for families\, parents\, and partners Presenter : Trace Kershaw Author: Erin Nicholson See all au thors and presenters → Abstract Background Romantic partners have a stron g influence on substance use. Few studies have explored the nature and in fluence of relationships across individuals’ substance use trajectories ( from use to treatment)\, and the bidirectional effects of substance use/t reatment and relationships.Methods: As part of the RENEW Study\, we condu cted 53 qualitative (25 women\; 28 men) interviews exploring relationship s during substance use and treatment periods for individuals currently en gaged in a substance use treatment program. Thematic analyses were conduc ted and major themes were extracted. Results The majority of individuals were in a relationship during treatment\, with the most common pattern be ing a continuing of a relationship that started prior to treatment. Howev er\, there were some participants who reported new relationships that sta rted in treatment settings. There was also a good number of participants that ended relationships prior to entering treatment either because of th eir use or because of their decision to go to treatment (and their partne r’s continued use). Prevailing themes were that relationships and substan ce use were intrinsically tied together\, with both partners enabling and fueling each others’ use. These relationships were most often described as toxic rollercoasters\, full of conflict\, abuse\, and financial and le gal problems. There was another group of participants where substance use was not mutual and partners made participants feel bad for use leading t o increased conflict and hiding their use. We also found treatment effect ed relationships with the most common theme being improved relationship f unctioning through the use of skills (e.g.\, self-reflection\, communicat ion) learned through their substance use treatment program. Another theme related to treatment was that some participants actively chose not to pu rsue relationships in order to work on themselves. Conclusions Interventi ons that integrate substance use prevention and treatment with relationsh ip strengthening may be an important strategy to improve well being of in dividuals who use substances.\n\nSpeakers:\nTrace Kershaw\; Erin Nicholso n\n\nAdmission:\nRegistrationFees: APHA Event Registration is Required\n\ nDetails URL:\nhttps://medicine.yale.edu/event/love-is-a-drug-the-bidirec tional-effects-of-relationships-and-substance-use/\n DTEND;TZID=America/New_York:20251105T093000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251105T091500 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:5004.0 - Love is a Drug: The Bidirectional Effects of Relationship s and Substance Use for Individuals in Substance Use Treatment UID:70b1d773-509f-468b-bc00-21757a3c9d8f END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Community Health Planning and Policy Development Sess ion: Inclusion and Impact: Addressing Disability in Public Health Present er: Maame-Owusua Boateng Authors: Ashley Nurse\, Christina Pantzer\, Asia Beason\, Omar Guerrero\, Avery DeWitt\, Ikra Ahmad\, Joan K. Monin\, Che lsey R. Carter Abstract The ALS Association aims to make ALS a livable di sease by 2030. However\, existing ALS literature overlooks the role ablei sm plays in shaping “livability” and integrating a disability justice per spective. Given the complex level of need for many people living with ALS (pALS)\, intersectionality disability frameworks could be utilized to in form future health interventions and improve pALS and caregivers' quality of life. This presentation will use a disability justice framework to ex plore how ableism consciously and unconsciously shapes pALS and caregiver experiences. The Care Interactions in ALS Project is a mixed-methods stu dy exploring care experiences and interactions among pALS and their careg ivers. 151 participant surveys were analyzed using SPSS\, measuring self- reported patient ALS disability levels (ROADS)\, mental health (SF-20)\, ways of coping (COPE)\, and caregiver support provision and associated st ress (Activities of Daily Living and Instrumental Activities of Daily Liv ing) scales. Using inductive thematic analysis\, 43 interviews were analy zed to identify ableist beliefs. pALS report varying levels of ability\, caregiver support and associated stress. Additionally\, both pALS and car egivers report mental and emotional distress related to ALS. Several inte rview themes emerged highlighting pALS and caregivers’ emotional experien ce of navigating stigma\, accessibility issues\, and dismissive attitudes in healthcare and social spaces. Findings highlight the importance of us ing a disability justice framework to fully understand the lived experien ces of pALS and caregivers. ALS research requires disability frameworks t o inform equitable public health policies that better serve the challenge s faced by pALS and caregivers\, advancing the goal of making ALS a livab le disease.\n\nSpeakers:\nMaame-Owusua Boateng\; Ashley Nurse\; Christina Pantzer\; Asia Beason\; Omar Guerrero\; Avery DeWitt\; Ikra Ahmad\; Joa n Monin\; Chelsey Carter\n\nAdmission:\nRegistrationFees: APHA Event Regi stration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/a-d isability-justice-lens-in-als-research/\n DTEND;TZID=America/New_York:20251105T084500 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251105T083000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:5012.0 - A Disability Justice Lens in ALS Research: Understanding the Experiences of People Living with ALS and Their Caregivers UID:6a583a56-96a3-4391-b22a-fa1f6b6351da END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Mental Health Session: Voices of Youth: Navigating Tr auma\, Stigma\, and Strength Authors: Erin Nicholson\, Trace Kershaw\, Sa lly Kirklewski See all authors and presenters → Abstract Background Adver se childhood experiences (ACEs) are frequently reported among gay and bis exual men\, and non-binary individuals (GBMN) and can be significantly as sociated with depressive symptoms. Additionally\, stress from mainstream gay community norms can impact mental health. Methods Data was collected from #MVMNT\, which was a longitudinal study (2017–2024) conducted to exa mine social and geographical context\, sexual risk\, and substance use am ong young GBMN individuals living outside of large urban centers (n=360). Latent class analysis (LCA) was conducted using the CDC-Kaiser ACE-10 sc ale in addition to variables on sex\, alcohol\, and drug use in youth (≤1 7 years of age). Analysis of covariance (ANCOVA) evaluated the relationsh ip of class membership on the outcome of depression symptoms\, as measure d by the Center for Epidemiologic Studies Depression Scale (CES-D)\, whil e accounting for Gay Community Stress Scale (GCSS) score. Results Three y outh adversity classes emerged: class 1 (25.8%\, n=93) contained particip ants who faced high adversity and had high early engagement in sex\, drug s\, or alcohol\, class 2 (23.1%\, n=83) contained participants with moder ate adversity and lower early engagement\, and class 3 (51.1%\, n=184) co ntained participants with lower reported adversity and moderate early eng agement. ANCOVA showed a significant effect of class on CES-D score after controlling for the effect of GCSS score\, F(2\, 356)= 7.59\, p<0.001\, partial η2=0.04. Post hoc comparisons using the Bonferroni adjustment rev ealed that the mean CES-D score for class 1 (mean= 22.28\, standard devia tion (SD)= 1.17) significantly differed from the mean CES-D score of clas s 3 (mean= 16.73\, SD= 0.83\, p<0.001) when accounting for the covariate\ , GCSS score. Class 2 CES-D score (mean= 19.63\, SD= 1.23) did not signif icantly differ from class 1 or 3 CES-D scores\, while controlling for GCS S. The covariate\, GCSS\, was significantly related to CES-D score\, F(1\ , 356)= 10.58\, p= 0.001. Conclusions Results indicate that after control ling for gay community stress\, those who faced high adversity in youth a nd had high early engagement in sex\, drugs\, or alcohol reported signifi cantly higher depression scores than those reporting lower adversity and early engagement. Interventions for depression among GBMN individuals sho uld consider GCSS and youth adversity experiences.\n\nSpeakers:\nErin Nic holson\; Trace Kershaw\; Sally Kirklewski\n\nAdmission:\nRegistrationFees : APHA Event Registration is Required\n\nDetails URL:\nhttps://medicine.y ale.edu/event/the-effects-of-adversity-in-youth-and-experiences-of-gay-co mmunity-stress-on-depressive-symptoms/\n DTEND;TZID=America/New_York:20251105T090000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251105T084500 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:5043.0 - The effects of adversity in youth and experiences of gay community stress on depressive symptoms among young gay and bisexual men\ , and non-binary individuals UID:d2d8e9e5-eac4-46d4-9ae3-56617d3517f2 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Chiropractic Health Care Session: Safety\, Policy\, a nd Access in Spinal Care Author: Victoria Bensel See all authors and pres enters → Abstract Objective To develop and support the role of chiropract ic in public health\, a sustainable pipeline of chiropractic research and health policy professionals is needed. This study describes clinical res earch and health policy postdoctoral training programs\, trainee experien ces\, and the impact of programs on career development for chiropractors. Methods We are conducting an electronic survey of chiropractic trainees and program directors from 13 U.S.-based postdoctoral programs focused on clinical research and health policy and affiliated with an academic inst itution or healthcare system. Eligible trainees are currently enrolled in a program or completed a program within the last 5 years. Trainees are a sked about program resources\, career and skill development opportunities \, and contributions to science and/or policy. Program directors report p rogram design\, eligibility\, funding\, benefits\, institutional resource s\, and outcomes. Structured data were analyzed descriptively. Qualitativ e thematic analysis was used for text responses. Results 9 current\, 5 re cently completed trainees\, and 7 program directors have participated. Tr ainees reported the combination of academic coursework and access to dedi cated mentors added value to the practical experiences during their progr ams. Trainees also reported that participating in training programs influ enced decisions to remain in research or health policy-related fields. Pr ogram directors consistently reported challenges in obtaining and/or sust aining funding. Conclu sions Few postdoctoral training programs exist for chiropractors. By offering salary support\, academic coursework\, mentor ship\, and practical skill building opportunities\, training programs fos ter entry into clinical research and health policy-related fields. Progra m funding is critical to supporting a sustainable pipeline of research an d health policy professionals.\n\nAdmission:\nRegistrationFees: APHA Even t Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/eve nt/chiropractic-postdoctoral-training-in-clinical-research-and-health-pol icy/\n DTEND;TZID=America/New_York:20251105T113000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251105T111500 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:5071.0 - Chiropractic postdoctoral training in clinical research a nd health policy: Trainee experiences and program descriptions UID:a0888d4a-a1e9-4040-b4d0-57fb259e5693 END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Family Violence Prevention Caucus Session: Dimensions of Teen & Young Adult Well-Being with a Focus on Family Violence\, Datin g Violence\, and Childhood Maltreatment Author: Trace Kershaw See all aut hors and presenters → Abstract Introduction Adolescent dating violence (A DV) increases the risk for adverse mental health outcomes among girls. St ate-level restorative justice (RJ) policies\, survivor-centered\, policy- based justice responses that focus on harm repair\, may improve mental he alth among ADV girl survivors if designed with optimal implementation fea tures. However\, to date\, it is unclear how implementation features\, su ch as the implementation setting and strength of support\, of state-level RJ policies impact mental health among this population. Thus\, among sta tes with an adolescent-focused RJ policy adopted\, this study used an int racategorical intersectionality approach to examine (1) associations betw een state RJ policy implementation setting and support\, and depressive s ymptoms\, suicide ideation\, and suicide attempts among physical and/or s exual ADV girl survivors and (2) whether and how these associations diffe r by ethnoracial identity. Methods Individual-level data were from the 20 13\, 2015\, 2017\, and 2019 waves of the Youth Risk Behavior Survey (YRBS )\, a state-representative\, cross-sectional survey conducted biennially among public and private schools with adolescents who are in 9th to 12th grade in the United States (US) (N=11\,202). State-level policy data were from a US RJ legislative database. Log binomial regression with a genera lized estimating equation approach was used to examine lagged association s between policy setting (school-based vs. non-school-based) and policy s upport (high vs. low) and mental health during state-years when adolescen t-focused RJ policies had been adopted and whether associations differed by ethnoracial group. Results Residing in a state with a school-based (vs . non-school-based) RJ policy was associated with a decreased risk of dep ressive symptoms for Hispanic survivors\, a decreased risk of suicide ide ation and attempts for Black survivors\, and no association for white sur vivors. Similarly\, high RJ policy support (vs. low) was associated with a decreased risk of depressive symptoms for Hispanic and Black survivors\ , a decreased risk of suicide ideation for Black survivors\, and no assoc iation for white survivors. Conclusions Ensuring states have RJ policies that are designed to be implemented in school settings and mandated to re quire RJ practices with comprehensive structure and funding may be a stra tegy to strengthen mental health policy infrastructure in the US for Hisp anic and Black ADV girl survivors.\n\nSpeaker:\nTrace Kershaw\n\nAdmissio n:\nRegistrationFees: APHA Event Registration is Required\n\nDetails URL: \nhttps://medicine.yale.edu/event/school-based-restorative-justice-implem ented-with-high-support/\n DTEND;TZID=America/New_York:20251105T104500 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251105T103000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:5085.0 - School-based restorative justice implemented with high su pport may be promising for mental health among Black and Hispanic dating violence girl survivors UID:84a38f6e-2809-4c0b-8a5c-a920225c2f3d END:VEVENT BEGIN:VEVENT DESCRIPTION:Program: Health Informatics Information Technology Session: Ro und Table: Informatics and Telehealth Strategies Across Public Health Dis ciplines Author: Annie Ma See all authors and presenters → Abstract Backg round Cancer patients and caregivers often experience high levels of psyc hological distress\, yet scalable and context-appropriate mental health i nterventions remain limited\, particularly in low- and middle-income coun tries (LMICs) like Vietnam. Digital health applications offer a promising avenue to expand access to mental health and psychosocial support in the se settings. To address this critical gap\, we piloted a mobile app versi on of the World Health Organization’s Doing What Matters in Times of Stre ss: An Illustrated Guide. The app was designed to equip cancer-affected i ndividuals with foundational stress management skills. To optimize future implementation and ensure equitable reach\, we identified key participan t characteristics associated with greater psychological burden at baselin e. Objective To identify patient- and caregiver-level predictors of psych ological burden and cancer-related self-efficacy\, to inform the targetin g and tailoring of mHealth interventions in oncology contexts. Methods Pa rticipants were recruited through cancer networks\, clinics\, and online outreach. Participants provided sociodemographic information during scree ning and completed baseline assessments measuring psychological distress (NCCN Distress Thermometer)\, psychological adjustment such as “helplessn ess/hopelessness\,” “fighting spirit” (Mini-MAC)\, and self-efficacy (CBI B). Separate regression models for patients and caregivers were used to i dentify predictors of elevated psychological burden and maladaptive copin g profiles. Results Among patients (n=13)\, higher psychological distress and breast/gynecologic cancer (compared to other types) predicted greate r “helplessness and hopelessness”\; higher psychological distress and unm arried status predicted lower “fighting spirit”. Among caregivers (n=45)\ , lower education and family caregiving roles were associated with reduce d self-efficacy. These predictors highlight distinct at-risk profiles wit hin each group. Conclusi ons These exploratory findings underscore the va lue of predictive analytics in implementing mHealth interventions. Identi fying high-burden subgroups can help optimize the design\, personalizatio n\, and outreach of interventions\, enhancing their impact and efficacy. This approach supports a data-driven framework for scaling digital mental health tools in LMICs\, especially within the context of cancer care.\n\ nSpeaker:\nAnnie Giman\n\nAdmission:\nRegistrationFees: APHA Event Regist ration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/event/targe ting-psychosocial-support-through-mhealth-insights/\n DTEND;TZID=America/New_York:20251105T100000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251105T083000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:5029.1 - Targeting Psychosocial Support through mHealth: Insights from a Mobile Stress Management App for Cancer-Affected Populations in Vi etnam UID:7f5505ce-9751-40e3-b7ec-284bd6f36564 END:VEVENT BEGIN:VEVENT DESCRIPTION:Abstract Background Despite efforts to address racial and ethn ic mental health treatment disparities\, only one in four Black Americans diagnosed with a mental health condition receives treatment. Predominant ly Black churches have played a crucial role in tackling racial and ethni c health inequities\, serving as venues for health promotion events\, spa ces for church member support exchange\, and connectors to trusted health care resources. However\, few of these initiatives have focused on mental health. To address this gap\, we co-designed\, developed\, and evaluated a smartphone-based mental health promotion intervention featuring an emb odied conversational agent (ECA) modeled as a peer health advisor. The ai m of this intervention was to promote care-seeking intentions\, reduce st igma\, and train community members as compassionate responders. Methods T his research includes two phases of data collection. First\, participator y design workshops were held with church members to develop the intervent ion. Ten participants reviewed a culturally informed storyboard\, provide d feedback\, and ranked app features. Then\, the final digital interventi on was evaluated in a two-week field study with 12 church members. Partic ipants were interviewed before and after the study and completed system u sability measures. Results Participants were satisfied with the digital m ental health system\, providing a range of satisfaction ratings significa ntly above neutral\, and found the ECA pleasant\, non-threatening\, and r eflective of their community values. Findings revealed how the applicatio n helped shift attitudes toward mental illness\, primed care-seeking inte ntions and was used to support church members experiencing psychosocial s tressors. Participants envisioned opportunities for implementing digital mental health tools alongside in-person events to effect change at the co mmunity level. Conclusion This is the first study to collaboratively co-d esign and implement a digital mental health promotion intervention with B lack American church members. Results demonstrate the efficacy of leverag ing faith-based digital mental health interventions to promote church mem ber care-seeking practices and normalize discussions of mental wellness. Presenter: Teresa O'Leary See all Presenters and Authors\n\nAdmission:\nR egistrationFees: APHA Event Registration is Required\n\nDetails URL:\nhtt ps://medicine.yale.edu/event/no-one-wants-to-say-it-aloud/\n DTEND;TZID=America/New_York:20251104T133000 DTSTAMP:20260514T200109Z DTSTART;TZID=America/New_York:20251104T123000 GEO:38.903500;-77.022987 LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States SEQUENCE:0 STATUS:Confirmed SUMMARY:Board 5 - “No one wants to say it aloud”: Co-design and evaluation of a mental health and stigma-reduction smartphone app with church-affil iated black adults. UID:1723d4fa-c68d-4d16-be5a-ac2f12eeab41 END:VEVENT END:VCALENDAR