American journal of preventive medicine
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This update, titled Providing Quality Family Planning Servicesa in the United States: Recommendations of the U. S. Office of Population Affairs (Revised 2024), provides recommendations developed by the Office of Population Affairs (OPA) within the Office of the Assistant Secretary for Health at the U. ⋯ The update offers specific recommendations for how to provide high-quality SRH care and connects users to relevant guidelines, primary research, and other resources to inform best practices. In addition to incorporating new evidence, this update incorporates newer approaches to care, including adopting a health equity lens that recognizes the impact of structural and interpersonal racism, classism, ableism, and bias based on sexual orientation and/or gender identity on health and the provision of quality SRH care. OPA will update these QFP recommendations periodically to reflect new findings in the scientific literature and revisions to the clinical guidelines referenced in this update.
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Starting June 30, 2022, Google implemented its revised Inappropriate Content Advertising Policy, targeting discriminatory skin-lightening ads that suggest superiority of certain skin shades. This study evaluates the ad content changes from 2 weeks before to 2 weeks after the policy's enforcement. ⋯ The study observed changes in skin-lightening product advertisement labels from pre- to post-policy implementation, both globally and within countries. Considering the influence of digital advertising on colorist norms, assessing digital ad policy changes is crucial for public health surveillance. This study presents a computational method to help monitor digital platform policies for consumer product advertisements that affect public health.
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Achieving a healthier balance of more time spent in physical activity (PA) and less time in sedentary behavior is now widely advocated for achieving multiple health benefits. This study introduces a Physical Activity and Sitting Time Balance Index (PASTBI), a potential risk identification tool addressing the interplay between PA and sedentary behavior; and aims to explore its association with the risk of all-cause mortality in Australian adults. ⋯ A less favorable balance of time spent in PA and ST (as characterized by a parsimonious PASTBI index approach) was associated with a higher risk of all-cause mortality.
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Contraceptive care is an opportunity for providers to help clients achieve their reproductive health goals. Client-centeredness is a core element of quality care; however, evidence suggests that the provision of client-centered contraceptive counseling needs improvement. This systematic review summarizes recent evidence on client preferences related to contraceptive care, including how client-centered approaches inform outcomes. ⋯ The variation in client preferences highlight the importance of offering tailored, comprehensive information that supports decision-making, prioritizes client autonomy, and recognizes positive interpersonal relationships with providers.
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Updating the Quality Family Planning recommendations is an essential step toward offering all people evidenced-informed, person-centered, equitable, and inclusive sexual and reproductive health care. What constitutes quality sexual and reproductive health care constantly evolves as scientific research generates new evidence. ⋯ Today's sexual and reproductive health context is also complex and evolving against the backdrop of an increasing awareness of the impact of structural and interpersonal racism, classism, discrimination (or bias) based on sexual orientation and/or gender identity, and ableism on health and sexual and reproductive health care. The Office of Population Affairs of the HHS sought to be responsive to these complex conditions by centering equity in the update of its Quality Family Planning recommendations from start to finish, including in its approach to reviews of published literature, the creation of expert and technical workgroups to assess the literature and make recommendations, and actively engaging persons with lived experience to gather their insights so that the final product could genuinely respond to the needs of the community.