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Although working men and women share common retirement concerns, women encounter unique challenges in securing their retirement. These challenges arise from factors such as part-time work, intermittent work histories, and potential wealth disparities. Marital status also exerts a profound influence on retirement decisions. Marital status significantly impacts their financial security as they approach retirement. This study investigates the intricate relationship between gender, marital status, and theory of planned behavior factors that influence retirement planning among older adults. Utilizing data from the 2014 Health and Retirement Study (HRS) and RAND, the research analyzed 2,657 participants aged 50 to 62, all of whom reported full or part-time employment. Also, the research leveraged the theory of planned behavior to examine motivational factors affecting retirement planning. The study's findings highlight the significant association of gender with expected retirement timing, revealing that married women typically anticipate retiring earlier than both unmarried women and men. In addition, older adults who secure retirement resources tend to retire earlier. It is important to develop tailored policies and initiatives to address the specific retirement challenges women face. It is imperative to develop retirement support systems that consider the gender, marital statuses, and retirement resources of older adults, and to give special attention to those who are vulnerable. This study provides valuable insights into the intricate interplay of gender, marital status, retirement motivation factors and retirement planning among older adults. [ABSTRACT FROM AUTHOR]

Immigration status and related policies have a significant impact on health outcomes. Yet major national health surveys currently provide little or no information about immigration status, rendering subgroups of noncitizens largely invisible. Even measures of citizenship, nativity, country of birth, and years in the United States, which provide critical information about immigration history, are not consistently included in national data sets. The main objections to asking directly about immigration status are that (1) such questions are too stigmatizing, risking lower response rates and inaccurate responses; and (2) answering the questions may expose respondents to possible immigration or criminal consequences. Our analysis shows that these objections are unfounded or can be mitigated. National health surveys have evolved over the past decades to include questions about mental health, substance use, sexual orientation, and gender identity—topics once assumed to be too stigmatizing to ask about, with possible negative legal consequences. We argue that the time has come to obtain more detailed information about immigration status as well as to consistently include the measures of immigration history mentioned so that we can better evaluate the health consequences of immigrant-related policy choices. (Am J Public Health. 2025;115(1):75–82. https://doi.org/10.2105/AJPH.2024.307867) [ABSTRACT FROM AUTHOR]

Project 2025, the 900-page post-presidential-election playbook organised by the Heritage Foundation, a conservative Washington-based think tank, is mainly focused on controversial domestic-policy proposals. Substantial material on foreign and security policy amounting to a grand strategy has garnered less attention. In fact, these ideas represent an emerging strategic consensus. Many of Project 2025's proposals, with notable exceptions such as 'fair' trade, resemble what the much-maligned 'Blob' advocates, and share characteristics with the populist agenda of some leading Democratic politicians. Regardless of who is the president, the United States could well pursue both military primacy and a populist economic agenda – to its likely frustration. [ABSTRACT FROM AUTHOR]

Campus sexual misconduct policies (SMPs) outline prohibited conduct. We sought to document the range of terms used to refer to forms of nonconsensual sexual contact in SMPs and to analyze the content of definitions provided for the term "sexual assault." We coded the 2016-2017 SMPs from a sample of 381 U.S. schools. We identified 125 unique terms and documented both a terminological and conceptual morass around sexual assault. Policy language may have implications for students' and administrators' evaluation of experiences and reports of sexual assault. [ABSTRACT FROM AUTHOR]

This article celebrates the National Institute on Aging (NIA)'s successes over the past 50 years in advancing the science base and informing the need for and response to dementia caregiving. In parallel with other public and private efforts, insightful NIA leadership supported by funding initiatives established the field of dementia caregiving research. In support of the health and well-being of family caregivers, NIA was a catalyst of innovation that led to numerous evidence-based caregiving interventions informed by basic research on care tasks and consequences. As evidence of the impending burden of dementia care on US families mounted, NIA-funded multidisciplinary collaboratives of researchers generated comprehensive models of family caregiving across diverse populations. Today, the dementia caregiving evidence base is shaping public policy and making possible dementia caregiving support services in health systems and community-based organizations. NIA continues to support the scientific study of dementia caregiving with a collaboration of leading scientists and by making available state-of-the-art datasets and encouraging standardized research methodologies. NIA's leadership in the field of dementia caregiving research has never been more significant, as the number of persons living with dementia in the United States approaches 7 million and the value of family caregiving is estimated to be $350 billion. [ABSTRACT FROM AUTHOR]

In the face of continued socioeconomic inheritance, the belief that the simple expansion of educational opportunities will create meritocratic societies has been met with skepticism. It is well documented that within expanding educational systems, class-advantaged families attempt to secure further advantages for their offspring. Conversely, for many, the modernist belief that educational expansion is a means to achieving a fairer society remains compelling. Studying trends in intergenerational occupational mobility in 40 countries from four continents, I examine whether educational expansion enhances occupational mobility, and whether such trends are counteracted by heightened persistence between social origin and destination within education groups. The results indicate that educational expansion over time, and the policies supporting it, are linked to improved intergenerational occupational mobility. Furthermore, this increased mobility through expanded educational opportunities is not negated by a strengthening of within-education elite persistence in occupational status, suggesting that occupational mobility patterns can genuinely change through educational expansion. The modernist ideology around educational expansion as a driver of social mobility may warrant renewed attention. [ABSTRACT FROM AUTHOR]

Immigrants from Asian countries are the fastest-growing undocumented population in the United States (U.S.), yet not much is known about their health. This scoping review identifies the nature and extent of scientific literature on the health of undocumented Asian immigrants in the U.S. We conducted a comprehensive search of six electronic databases in 2024. Inclusion criteria were empirical articles written in English, published in peer-reviewed scientific journals from 2010 to 2024, and focused on a health outcome or health-related issue involving undocumented Asian immigrants. Results are summarized narratively. We identified 13 peer-reviewed publications. Nine studies were quantitative, and four were qualitative. Eight studies were conducted in California; two studies used national secondary data sources. Studies were mixed in their research focus. They covered a range of health outcomes and issues, such as mental health (n = 4), health services and access (n = 2), contraceptive use (n = 1), COVID-19 (n = 2), and HIV (n = 1). Three studies measured self-rated health alongside other conditions, such as disability, health insurance coverage, chronic health conditions, and obesity. Scholarship on the health of undocumented Asian immigrants is a growing research area. Given the small number of studies identified, future research with larger diverse samples, more robust methodology, and greater topical variety are warranted to understand the health of this population better and reduce potential inequities. [ABSTRACT FROM AUTHOR]

Health communication research applies communication science to develop generalizable knowledge capable of improving the health and well-being of individuals and communities. But to what extent does the knowledge generated by the health communication field actually achieve public health impact? To answer this question, we discuss the application of health communication science and research within a tobacco regulatory science framework. We describe three areas in which health communication research funded by the Food and Drug Administration (FDA) Center for Tobacco Products (CTP) contributed to 1) youth tobacco prevention campaigns, 2) cigarette health warnings, and 3) regulation of labeling, advertising, and marketing claims. These examples demonstrate how communication regulatory science achieves public health impact in the real world by informing national policies, regulatory actions, and public health practice. [ABSTRACT FROM AUTHOR]

In this commentary, I reflect on the papers in this special issue that describe inclusion in five countries. More specifically, I highlight several themes among the authors' descriptions of both progress and challenges as their respective countries try to provide students with disabilities a stronger, more inclusive educational experience. I compare and contrast this effort to efforts in the United States to properly understand and implement an inclusive education that benefits all children and youth with disabilities. [ABSTRACT FROM AUTHOR]

In 2020, the American Psychological Association undertook the task of examining the deleterious effects of systemic racism on people of color in the United States. This extensive examination led to the passing of three historic resolutions in October 2021, by the APA Council of Representatives, including the resolution, Role of Psychology, and APA in Dismantling Systemic Racism Against People of Color in the United States. In the resolution, there was a focus on education, science, healthcare, work and economic opportunities, criminal and juvenile justice, early childhood development, and government and public policy. These resolutions set a foundation for the field in moving forward. To effectively address systemic racism, there must be dedication and deliberate action to address the policies, structures, and practices that contribute to inequities. The primary focus of this paper is advocacy; specifically, political advocacy for psychologists to address these policies and structures, in achieving the goals of dismantling systemic racism and creating a more equitable society. [ABSTRACT FROM AUTHOR]

A confluence of research and current events in the United States has brought guardianship for people with disabilities into focus in recent years. In the process, the field of special education has been confronted with an unpleasant reality. In their action or inaction, special education professionals may play a role in parents of students with disabilities pursuing undue and overbroad guardianship. The purpose of this study was to work with researchers and practitioners supporting alternatives to guardianship to gather their foremost recommendations for the field of special education on addressing the use of undue guardianship. To this end, the researchers conducted a three-round Delphi study with these established professionals to solicit, rate, and revise their ratings of related recommendations toward achieving consensus. The 30 top recommendations they offered have been collected here and discussed in terms of their relevance for policy, practice, and research in the field. [ABSTRACT FROM AUTHOR]

Purpose: To present an overview of current definitions of informal caregiving and informal caregivers for persons living with dementia (PLWD). We suggest definitional criteria of informal caregiving for dementia caregiving research that incorporate current dementia caregiving policy and programs. Method: A multi-pronged review and analysis was performed of the scientific literature from 2014 to 2024 and online documents from professional, public advocacy, and government organizations for definitions of informal caregiving and applications to informal caregiving of PLWD. Results: Definitional inconsistencies in informal caregiving center primarily on parameters around compensation ("unpaid") and relationships that are not in keeping with state, federal, and long-term care insurance programs that provide financial assistance, compensation, or stipends for caregiving. These inconsistencies extend to public policy and advocacy websites as well as peer-reviewed dementia and family caregiving literature. Conclusion: In general, contemporary applications of the term "informal caregiver" for PLWD include relatives and non-relatives (kin/nonkin) who provide a broad array of assistance to PLWD. Informal care activities may be provided in residence with or near PLWD or at a distance. Definitions and inclusion criteria for informal caregiver should specify relative or unpaid non-relative, having some prior relationship or social ties to the PLWD, and not receiving compensation for care for the PLWD from a caregiving institution. [Journal of Gerontological Nursing, 50(12), 41–45.] [ABSTRACT FROM AUTHOR]

The laws of medical malpractice have historically differed in significant ways from general liability laws. Until the mid‐twentieth century, physician liability in the United States was limited to cases in which the doctor and patient had an established professional relationship. In the 1970s, courts and legislatures began carving out exceptions when patients posed an imminent threat to identifiable third parties. Recently, a series of cases involving circumstances such as curbside consultation, threats of violence, and automotive accidents have led some state courts to abandon the requirement of a preexisting physician‐patient relationship. Instead, the courts now focus on whether foreseeable reliance is present. While these developments may significantly impact clinical practice, the connections between these cases have gone largely overlooked by both the medical and bioethics communities. This essay aims to highlight these parallel developments and to suggest that this evolution reflects a broader trend with implications far beyond the individual cases themselves. [ABSTRACT FROM AUTHOR]

Despite medical advances, diabetes management remains a considerable challenge in the United States, with little to no improvement in patient outcomes and stark disparities in underserved communities. One acute challenge is that, as the US population with diabetes grows steadily--numbering 38.4 million people today--there are too few endocrinologists available to treat the disease and the burdens on primary care professionals, who treat more than 90% of cases currently, are staggering. This disconnect between need and care capacity presents what may be the greatest of many threats to the care of diabetic Americans. To understand what is required to solve this need-to-capacity mismatch, we examine the critical role of primary care professionals and propose national policy approaches to empower and improve the nation's primary care architecture for the nearly 12% of Americans who have diabetes. Policy recommendations encompass the integration of the chronic care model and the patient-centered medical home approach, expansion of workforce development initiatives, and payment reform to incentivize team-based care with the aim of ensuring equitable access to essential diabetes management tools. We urge policy makers to prioritize primary care workforce development, enhance reimbursement models, and implement strategies to mitigate disparities in diabetes care. Evidence reviewed here highlights the critical need for a comprehensive, multidimensional approach to diabetes management in primary care, emphasizing the importance of decisive action by policy makers to equip primary care professionals with the necessary resources and support to effectively address the nation's diabetes epidemic. [ABSTRACT FROM AUTHOR]

Background and Objectives Although extreme heat events disproportionately affect older adults and the importance of cognition is known, research examining older adult cognition under heat stress is limited. This study examines the relationship between risk/protective factors and heat strain on older adult cognition, employing a social-ecological model. Research Design and Methods Retrieved from the 1996–2016 waves of the Health and Retirement Study, our study used older adults aged 50 and older and their spouses residing in the United States. Individual-fixed effects models estimated changes in cognition as measured by fluid and crystallized intelligence scores in response to extreme heat days. This study further estimated interactions of extreme heat with protective/risk factors for cognition (i.e. education, physical activity, social engagement, and genetic risk for Alzheimer's disease). Results Our results demonstrated that extreme heat days were associated with fluid but not crystallized intelligence scores. Educational attainment, mild physical activity, and social contacts with children moderated this relationship. Furthermore, Alzheimer's disease polygenic scores moderated the correlation between extreme heat days and crystallized intelligence scores. Discussion and Implications An increasing frequency of extreme heat events and an aging population globally highlight the need for policies and interventions building resiliency in older adults. Actions promoting the protective modifiable behaviors to older adult cognition identified by our study can lead to healthier individuals and communities. [ABSTRACT FROM AUTHOR]

High-level literacy skills are required for full participation in the democratic process through voting. Consequently, adults with low-level literacy skills are at a disadvantage. This work investigated the disparity between the readability of U.S. ballot propositions for year 2022 state elections and grade level reading estimates (≤eighth grade) for adults. Educational attainment was also examined. Propositions (n = 140) from 38 states were included. Mean readability was 18 (range 7.0-64.0). Only four measures (3%) fell within range of national estimates for adult reading ability. Thirty-nine percent of adults completed high school or less, yet 74% of ballots were written well above a high school reading level. There is a discrepancy between the literacy skills of the average voter and the readability of most propositions. The findings of this study have important implications for individuals with learning disabilities. Policy changes and educational support efforts should be initiated. [ABSTRACT FROM AUTHOR]

Context.--: Autopsies performed on COVID-19 patients have provided critical information about SARS-CoV-2's tropism, mechanisms of tissue injury, and spectrum of disease. Objective.--: To provide an updated database of postmortem disease in COVID-19 patients, assess relationships among clinical and pathologic variables, evaluate the accuracy of death certification, and correlate disease variables to causes of death. Design.--: The 272 postmortem examinations reported in this paper were submitted by 14 pathologists from 9 medical or forensic institutions across the United States. The study spans the eras of the 3 principal COVID-19 strains and incorporates surveyed demographic, clinical, and postmortem data from decedents infected with SARS-CoV-2, including primary and contributing causes of death. It is the largest database of its kind to date. Results.--: Demographics of the decedents reported here correspond well to national statistics. Primary causes of death as determined by autopsy and official death certificates were significantly correlated. When specifically cited disease conditions found at autopsy were correlated with COVID-19 versus non-COVID-19 deaths, only lung findings characteristic of SARS-CoV-2 infection or the absence of lung findings were significantly associated. Conclusions.--: Changes in hospitalization and disease likely stem from longer lifespans after COVID-19 diagnosis and alteration in treatment approaches. Although Omicron variants preferentially replicate in the upper airways, autopsied patients who died of COVID-19 in that time period showed the same lung damage as earlier decedents. Most importantly, findings suggest that there are still unelucidated risk factors for death from COVID-19 including possibly genetic susceptibility. [ABSTRACT FROM AUTHOR]

The article highlights four major limitations of policy research related to cannabis and cannabinoids and provides suggestions for strengthening research to inform regulatory science at this critical juncture in policy implementation. These limitations include policy as a binary variable, state as primary unit of measure, and timelines based on policy passage dates.

An online qualitative survey explored perceived training, readiness, and needs of recent SW graduates serving older adults. Over half (N = 14) held a master's in social work, with 70% having taken an introductory aging course. Nearly halfcompleted other aging-specific coursework, and 80% did fieldwork with older adults. Participants indicated moderate proficiency in assessing issues like lossestransitions (46.7%), and physical health (53.3%), and advanced expertise in cognitive assessments (60.0%) and caregiver stress management (53.3%). Training deficiencies were noted in disaster readiness, telehealth, and resource coordination. Findings underscore the need for educationfor early-career social workers, ensuring their effective support to older adults. [ABSTRACT FROM AUTHOR]

Background and Aim: Since 1996, 38 US states have legalized access to cannabis (medical and/or adult‐use recreational). We aimed to estimate the effect of three dimensions of state cannabis policy design – pharmaceutical, permissive and fiscal – on levels of overall, alcohol‐impaired, occupant, light truck and pedestrian fatality rates. Design and setting: Observational study of US states' overall, alcohol‐impaired, occupant, light truck and pedestrian fatalities between 1994 and 2020. Cases: The unit of analysis was at the state level, consisting of 50 states and 27 years of time series data, resulting in a total of 1350 state‐year observations. Measurements Fatality rates associated with alcohol‐impaired, pedestrian, total occupant, passenger car and light truck fatality rates were obtained from the Fatality Analysis Reporting System of the National Highway Traffic Safety Administration and normalized per 10 billion vehicle miles traveled. State cannabis policies are measured in three bundles (scales): pharmaceutical, permissive and fiscal. Findings The pharmaceutical bundle was associated with increases in all fatality rates [β = 0.145; 95% confidence interval (CI) = 0.116–0.173; P < 0.000]. The permissive bundle was associated with lower overall fatality rates (β = −0.319; 95% CI = −0.361 to −0.277; P < 0.000). The fiscal bundle was generally associated with higher fatality rates (β = 0.062; 95% CI = 0.043–0.081; P < 0.000), occupant (β = 0.070; 95% CI = 0.042–0.098; P < 0.000), light trucks (β = 0.049; 95% CI = 0.026–0.072; P < 0.000). Conclusions: US state cannabis regulations influence traffic safety. Greater permissiveness in US state cannabis regulations does not appear to correlate with traffic fatality rate increases, but greater medicalization and fiscal operation does. [ABSTRACT FROM AUTHOR]

Currently, in the United States, there is no legal obligation for medical professionals or civil courts to uphold patients' Advance Directives (ADs) regarding end-of-life care. The applicability and standing of ADs prepared by Alzheimer's patients is a persistent issue in bioethics. Those who argue against giving ADs full status take two main approaches: (1) appealing to beneficence on behalf of the Alzheimer's patient and (2) claiming that there is no longer any personal equivalence between the AD's creator and the subject of the AD. In this paper, I present profound arguments against both approaches. Firstly, I argue that the principle of beneficence cannot apply in the case of Alzheimer's patients, and, secondly, that the moral and legal authority of the AD need not depend on strict equivalence of personal identity. I conclude by arguing that valid ADs protect the dignity and autonomy of Alzheimer's patients and that, therefore, there are moral obligations to uphold ADs which should be reflected in public policy and legislation. [ABSTRACT FROM AUTHOR]

Sport governing bodies, such as the International Olympic Committee, have recommended youth sport organizations develop policies, procedures, and/or ethical guidelines to prevent and respond to sexual harassment and abuse (SHA) experienced by young athletes. To our knowledge, no studies have investigated SHA policies or procedures in U.S. youth sport programs. The purpose of this exploratory study was to examine U.S. youth sport programs' policies regarding SHA. The results are based on a cross-sectional survey completed by youth sport coaches (n = 200) from various organizations (e.g., public recreation organizations, private nonprofit organizations, and interscholastic sports). Findings suggest that most organizations have several SHA policies, such as education and training requirements, written policies and codes of conduct regarding coach-athlete sexual relationships, and formal complaint and disclosure procedures for investigating SHA. A bivariate analysis suggests that the presence of several SHA policies was associated with an increased number of self-reported SHA incidents. Moreover, youth sport programs located in urban areas had a greater extent of SHA policies compared to those located in suburban or rural areas. These results are discussed with respect to the potential relationships between the presence of policies and increased cases of SHA. Also, we discussed advocating for equitable resources among youth sport programs regardless of geographic and/or demographic factors. Future research should identify social and cultural barriers that inhibit the successful implementation of SHA policies. While developing and implementing SHA policies is a step in the right direction, it may not be used as the only means to address this complex, systematic, and structural issue. [ABSTRACT FROM AUTHOR]

The article discusses the decrease in cigarette smoking among American youths, which is considered one of the great public health victories of the century, as of November 2024. Topics include causes of the decrease in youth smoking, public perceptions of tobacco and nicotine, and the legacy of the disappearance of youth smoking.

The article discusses evidence regarding both the decriminalization of sex work or consenting adults who are buying or selling sex are not committing a crime, and the legalization of sex work, which creates an affirmative regulatory scheme that creates rules governing the sale of sex between consenting adults. Topics include global context of sex work criminalization, violence, and HIV; violence as a key driver of HIV infection; and criminalization of sex work in the U.S.

Background: E-cigarettes are the most-used tobacco product among US adolescents and are associated with nicotine addiction. This qualitative investigation aimed to understand adolescents' experiences and perceptions with nicotine addiction, and related influences of addiction, to inform product regulation, health communication, and cessation resource development. Methods: Between May 2020 and December 2021, in-depth, semi-structured individual interviews were conducted with 47 California (United States) adolescents ages 13–17 who reported recent tobacco use (primarily e-cigarette use). The topic of addiction both arose organically and followed specific interviewer questions. Researchers used thematic analysis techniques to identify unifying themes related to addiction. Results: Adolescents described e-cigarette addiction in ways that reflected a loss of control over their routines and activities and as physical symptoms, including reward and withdrawal. While some viewed addiction risk as a reason not to vape, others perceived it possible to use e-cigarettes and avoid or manage addiction. Specific characteristics of e-cigarette devices, particularly disposable nicotine-salt products, including flavors, "cool" designs, concealable size and odor, low price, and ease-of-use, were seen as enhancing addiction risk. Quit attempts were difficult and usually unsupported by adults or formal cessation aids. Conclusions: For many adolescents, addiction is a major component of their experience with e-cigarettes, often in ways that disrupt their routines and reduce their quality of life. Tobacco control or regulation could target e-cigarette product characteristics to decrease potential for addiction among adolescents. Needed are youth-targeted public communication about nicotine addiction and adolescent-tailored, evidence-based cessation support. [ABSTRACT FROM AUTHOR]

During the COVID-19 pandemic, most, if not all, animal rescues, sanctuaries, zoos, and aquariums experienced financial distress. This stress had an impact on the welfare of animals and their human caretakers, an issue important to ecological social work. We draw on a novel dataset (n = 2,060) to assess support for policies to extend emergency funding to animal support and conservation organizations in extreme events. We find that, on average women and nonbinary individuals, those with more education, people who have pets, people who are concerned about other humans (humanistic altruism), and those who have greater concern for animals report greater support. [ABSTRACT FROM AUTHOR]

The present study fills a gap in the Arab American psychological literature by exploring the impact of racial ambiguity and legal invisibility on Arab American women's sense of belonging and well-being. This exploratory consensual qualitative research (CQR) investigation analyzed interview data from 13 nonveiled Arab American women. The interview probed their reactions to Arab Americans' legal invisibility in the United States, their perceptions of how White people and Black, Indigenous, and people of Color (BIPOC) perceived them racially, and examined their emotional responses and coping strategies. The study's results revealed participants' feelings of invisibility, invalidation, and hurt when they were not recognized as BIPOC, highlighting the participants' experience of exclusion. The results not only have implications for professional practice, education, and research but also for policy. In particular, this study lends support to Arab and Middle Eastern North African (MENA) advocacy efforts for formal recognition in the United States via representation in the U.S. Census and elsewhere. [ABSTRACT FROM AUTHOR]

The impact of immigration policies on Latinx/é mixed-status families and their children is undeniable. Changes in immigration policy, focused on increased deportation enforcement, within the last three decades have led to an increased fear of deportation and unique circumstances mixed-status families must navigate. These circumstances, combined with fear of deportation, have had deleterious effects on the psychological well-being of the family, in general, and the children, in particular. This paper reviews the impact of immigration policies on Latinx/é mixed-status families, the unique circumstances of mixed-status families, and the mental health implications these have on the children specifically. Articles and books were selected from various sources that addressed Latinx/é mental health, mixed-status families, and immigration. After a review of the literature, these circumstances emerged: familial separation, citizen children second-class citizenry, developmental implications, psychological implications, and coping mechanisms and strategies of mixed-status families. Recommendations for mental health providers who work with children from mixed-status families are provided. [ABSTRACT FROM AUTHOR]

With an explosive population growth of older adults, the incidence rates of neuropsychiatric syndromes, particularly delirium, are increasing in the community and hospital settings. Delirium is an acute disturbance in cognition and attention that may signify a serious medical, life-threatening condition and may mimic psychiatric–mental health issues. Although its prevalence rate is lower in the community, delirium affects up to 87% of hospitalized older adults and can cost up to $152 billion each year. Despite its common occurrence, delirium is often undetected in 50% to 60% across all care settings, delaying treatment and resulting in poor patient outcomes, such as increased mortality, prolonged hospital stays, cognitive and functional impairment, decreased quality of life, and institutionalization. The current article addresses strategies to recognize delirium and presents evidence-based approaches and future considerations for delirium management. [Journal of Psychosocial Nursing and Mental Health Services, 62(11), 11–18.] [ABSTRACT FROM AUTHOR]

Although U.S.-based mandatory and preferred arrest laws and policies were created to promote domestic violence survivors' safety, at times they have contributed to the wrongful arrest of women defending themselves against their abusive partners. While these laws and policies are the subject of broad critique, less considered are domestic violence survivors' descriptions of the events that unfold after police officers respond to a domestic violence incident and before they make an arrest. This is an important area of inquiry as these events may highlight how the circumstances leading to wrongful arrest decisions are more complex than the laws and policies alone. Data from the present study came from the author's larger in-depth qualitative investigation of 33 cisgender women's descriptions of their legal and child protection systems involvement. The women were recruited from an antiviolence intervention agency receiving referrals from communities with mandatory and preferred laws and policies. The women had agency contact due to their use of force or alleged use of force. The respondents were diverse across race, age, class, ability, U.S. citizenship status, and sexual identity. The author analyzed the 33 women's 51 interview transcripts and extensive fieldnotes using rigorous iterative analysis and constructivist grounded theory. The analysis revealed that seven of the 33 women, all of whom identified domestic and sexual violence survivorship histories, described a patterned series of events that unfolded after the police arrived at the domestic violence incident and before the police made an arrest. In this study, the author details three of the seven women's stories to demonstrate how a series of events, including police prearrest questioning and their coercively controlling male partners' tactics, facilitated the women's entanglement in what the author refers to as an "arrest web." Their incremental disentanglement from the arrest's impact is also explored. Broad system-focused implications are discussed. [ABSTRACT FROM AUTHOR]

This paper explores strategies for Kosovo Albanian migrants in the United States to contribute to the development of their home country, without necessarily returning. There are many diverse possibilities and practices suggested by migrants, who should be supported by governments and facilitated by Kosovar embassies and consulates. This research draws on 35 biographical interviews conducted in 2023 and 2024 with migrants in the United States. The findings suggest that migrants are willing to share their experience and expertise through the creation of brain networks and brain exchanges. These strategies include the creation of an official network-building website, regular communication channels, a diaspora database and various policies and initiatives by the government to leverage the expertise and talent of these individuals for the nation’s benefit. [ABSTRACT FROM AUTHOR]

The article explores the challenges and opportunities for social work education following the 2024 U.S. election, emphasizing the need for inclusive discourse and engagement with divided communities. Topics include addressing misinformation and societal division, preparing social work students for potential policy changes, and fostering ethical practices and self-care amidst political and educational uncertainty.

Child sexual abuse (CSA) is a significant threat to the health and well-being of children in the United States (US). Public policies are a key public health strategy for the primary prevention of violence, including CSA. In 2021, the Enough Abuse Campaign and Prevent Child Abuse America published a comprehensive report entitled A Call to Action for Policymakers and Advocates: Child Sexual Abuse Prevention Legislation in the States to encourage state leaders to create a comprehensive strategy to prevent CSA in the US. Findings from the report show that the nation has made some effort to address CSA, but more focus needs to be given to primary prevention strategies that stop it from occurring in the first place. The report also illustrates the variability of CSA prevention policies across the US and highlights critical gaps in current approaches that must be addressed. In the spirit of the special issue, the authors reflect on key policy issues in the field, including the lack of a federal policy framework for CSA prevention, dedicated funding for the prevention of CSA, and research on the effectiveness of policies intended to prevent CSA. Suggestions for future directions in relation to policy development provided in this commentary will be useful to a variety of stakeholders interested in the topic of CSA prevention policy. [ABSTRACT FROM AUTHOR]

Introduction: When using social media, physicians are encouraged and trained to maintain separate professional and personal identities. However, this separation is difficult and even undesirable, as the blurring of personal and professional online presence can influence patient trust. Thus, it is necessary to develop policies and educational resources that are more responsive to the blurring of personal and professional boundaries on social media. This study aims to provide an understanding of how physicians present themselves holistically online to inform such policies and resources. Methods: Twenty‐eight US‐based physicians who use social media were interviewed. Participants were asked to describe how and why they use social media, specifically Twitter (rebranded as 'X' in 2023). Interviews were complemented by data from the participants' Twitter profiles. Data were analysed using reflexive thematic analysis guided by Goffman's dramaturgical model. This model uses the metaphor of a stage to characterise how individuals attempt to control the aspects of the identities—or faces—they display during social interactions. Results: The participants presented six faces, which included professionally focused faces (e.g. networker) and those more personal in nature (e.g. human). The participants crafted and maintained these faces through discursive choices in their tweets and profiles, which were motivated by their audience's perceptions. We identified overlaps and tensions at the intersections of these faces, which posed professional and personal challenges for participants. Conclusions: Physicians strategically emphasise their more professional or personal faces according to their objectives and motivations in different communicative situations, and tailor their language and content to better reach their target audiences. While tensions arise between these faces, physicians still prefer to project a rounded, integral image of themselves on social media. This suggests a need to reconsider social media policies and related educational initiatives to better align with the realities of these digital environments. Examining how physicians present themselves on social media, @laurenmaggio et al. report efforts to project a rounded, integral image by tailoring the language & content of posts [ABSTRACT FROM AUTHOR]

Emergency powers are widely, and justly, criticized as threats to the rule of law. In the United States, forty-three declared emergencies give the executive vast authority to exercise power unencumbered by standard legal and procedural requirements. A long tradition of executive use of emergency powers to erode civil liberties amplifies fears of executive overreach. Yet this, we argue, is only part of the picture. We examine how emergency powers can be used for good. We argue that under certain limited conditions, political actors can legitimately invoke emergency powers to transform public policy. In addition to widely accepted requirements of crisis severity, transparency, and time limits, we argue that broad consensus and a reformulated non-discrimination requirement are essential to the proper use of emergency powers for societal transformation. We analyze recent high-profile exercises of emergency powers by the U.S. executive to fund a wall on the southern border and to forgive billions in student debt, as well as the European Union's (EU) extraordinarily frequent and broad use of emergency powers in the last three years in response to COVID-19 and Russia's Ukraine invasion. We conclude that the U.S. measures fail under our normative framework, while the EU measures offer a promising template for the transformative use of emergency powers. [ABSTRACT FROM AUTHOR]

In the first year of the COVID pandemic, 2020, in the US, the disproportionate deaths of nursing-facility residents, mostly indigent older women, were primarily due to abandonment by the Trump administration and the states, here defined as an Eldercide. The Eldercide that occurred in most of the 15,477 and others, aiming to transform the public-health system that had long failed the residents and their bereaved families. This essay provides an overview of the residents' situations during the pandemic, their social characteristics, and their psychological needs. Members of government, like the populace, suffer from compound ageism, learned starting young. The bias is accompanied by a range of emotions toward residents – from indifference to avoidance and, since COVID, an erroneous sense of futility about keeping residents alive. Experts have long known what policies would be necessary to transform the industry and the public-health system, but politics, corruption, and the influence of the industry's lobby may interfere, even in the wake of the catastrophe. [ABSTRACT FROM AUTHOR]

Europeans are thinking more about how to respond to transatlantic uncertainty and geopolitical insecurity. The outlines of a new landscape in continental relations are emerging. There is a clear commitment to a stronger 'European pillar' within NATO. A reset in EU–UK defence relations is under way. A new, more influential and more united European Union leadership team will boost the EU's engagement on defence and security. The turnaround will still struggle to match the United States' own step change in defence-industrial production, and is still frustratingly off pace for Ukraine's requirements. There is also a danger that fiscal and populist constraints will undermine the scale and tempo of European ambitions. Nevertheless, a course correction is belatedly under way. [ABSTRACT FROM AUTHOR]

The degree to which disability benefit programs provide an adequate standard of living to those with work-limiting disabilities has long been overlooked in social policy research. This paper presents a framework for assessing disability-related decommodification and then applies that framework to an analysis of the Social Security Disability (SSD) programs in the United States. The paper draws on survey data from the Health and Retirement Study linked to administrative records from the Social Security Administration, and further compares the U.S. estimates to those from 27 other countries. The results indicate that more than 50 percent of older adults of working-age with work-disabilities in the U.S. do not receive SSD benefits, though rates of benefit receipt are higher than the average across other high-income countries. Those that receive SSD benefits, moreover, experience greater difficulty achieving an adequate standard of living, as measured by an index of financial security, than those with similar characteristics in the U.S. who do not receive disability benefits. The paper thus provides a framework for future policy research on benefit adequacy, while evaluating the availability and generosity of disability benefits in the U.S. [ABSTRACT FROM AUTHOR]

Intimate partner violence (IPV) is a global public health issue that has grave physical and mental health consequences for millions of women. The judicial system plays a critical role in responding to IPV principally through the criminal justice system, family law, and/or child welfare jurisdictions. However, victims/survivors who interact with the legal system report negative experiences. An under-researched area of scholarship is the degree to which judicial actors understand the mental health impacts of IPV on victims/survivors and how they apply that knowledge in practice. This scoping review aimed to identify and synthesize existing scholarship on judicial actors' understanding of the mental health impacts of IPV on women survivors. We searched 10 databases (Medline, Scopus, PubMed, PsycINFO, EMBASE, Westlaw, HeinOnline, the Cochrane Library, and the Joanna Briggs Library databases) for studies published between 2000 and 2023. A total of 27 studies were included in the review. We identified five main themes, including: awareness of survivors' experiences, gap in judicial actors' knowledge, understanding of perpetrator tactics and risk factors, disclosing mental health problems, training, and guidance. The review highlights significant gaps in judicial actors' understanding of this issue and recommends strategies to increase the awareness and understanding of IPV among judicial actors. The findings can be used to justify future research to better understand the training and development needs of judicial actors to improve their level of awareness of the dynamics and impact of IPV and to make policy and practice recommendations to build the capacity of the judicial workforce. [ABSTRACT FROM AUTHOR]

The term institutional betrayal (Smith and Freyd, 2014) builds on the conceptual framework of betrayal trauma theory (see Freyd, 1996) to describe the ways that institutions (e.g., universities, workplaces) fail to take appropriate steps to prevent and/or respond appropriately to interpersonal trauma. A nascent literature has begun to describe individual costs associated with institutional betrayal throughout the United States (U.S.), with implications for public policy and institutional practice. A scoping review was conducted to quantify existing study characteristics and key findings to guide research and practice going forward. Multiple academic databases were searched for keywords (i.e., "institutional betrayal" and "organizational betrayal"). Thirty-seven articles met inclusion criteria (i.e., peer-reviewed empirical studies of institutional betrayal) and were included in analyses. Results identified research approaches, populations and settings, and predictor and outcome variables frequently studied in relation to institutional betrayal. This scoping review describes a strong foundation of published studies and provides recommendations for future research, including longitudinal research with diverse individuals across diverse institutional settings. The growing evidence for action has broad implications for research-informed policy and institutional practice. [ABSTRACT FROM AUTHOR]

Bullying is one of the most common forms of youth violence and is associated with myriad adverse consequences over the life course. There has been increasing interest in examining whether anti-bullying legislation is effective in preventing bullying victimization and its negative effects. However, a lack of data structures that comprehensively and longitudinally assess anti-bullying legislation and its provisions has hampered this effort. We provide 18 years of data (1999–2017) on anti-bullying legislation and amendments across 50 U.S. states and the District of Columbia, which we are making publicly available at LawAtlas.org. This article describes how the legal content analysis was conducted, provides information on the reliability of the coding, and details provisions of the legislation that were coded, such as funding provisions and enumerated groups (a total of 122 individual codes are provided). Over 90% of states had at least one amendment to their legislation during this 18-year period (range: 0–22; Mean = 6.1), highlighting both the evolving content of anti-bullying statutes and the importance of tracking these changes with longitudinal data. Additionally, we offer illustrative examples of the kinds of research questions that might be pursued with these new data. For instance, using survival analyses, we show that a variety of state characteristics (e.g., political leaning of state legislatures) predict time to adoption of key provisions of anti-bullying legislation (e.g., the comprehensiveness of legal provisions). Finally, we end with a discussion of how the dataset might be used in future research on the efficacy of anti-bullying legislation. [ABSTRACT FROM AUTHOR]

Despite decades of research on women's representation, we still know surprisingly little about the extent to which public policy responds unequally to the preferences of women and men. This article exploits two comparable data sets, one for the United States and one for Norway, together containing measures of gender-disaggregated public opinion, as well as public policy outcomes, on 2,650 specific proposals asked about in survey polls between 1964 and 2014. The data reveal a substantial gap in policy responsiveness to men and women (in favor of men) in both countries. However, in Norway, the gender gap has virtually disappeared over time, a development that appears to be attributable to the increasing share of women in parliament. In the United States, the gap has remained remarkably stable over time. [ABSTRACT FROM AUTHOR]

It's now well appreciated that social determinants of health are the strongest predictors of our health and well-being. A good argument could be made that housing is at the top of the pyramid of these determinants. And, surprisingly, housing is also the social determinant that could rapidly turn on a dime—that is, with sufficient political will, creating access to housing could be radically expanded in short order. (Unfortunately, of course, it's true one can also become suddenly homeless, since few protections exist in policy or capitalist economies to prevent it). That alone sets it apart from social factors such as education and racism—conditions that take a long time to change. In contrast to long-term interventions (education) or culturally stubborn and historically rooted problems (racism), housing is rapidly malleable. In this article, we describe the social condition of homelessness in two settings, comparing and contrasting the concepts, causes, and consequences, along with how people are mobilizing to challenge the conditions that create their housing insecurity. As we review the factors that create housing conditions in each setting, we propose some universal international principles for a new approach to the human right of decent and secure housing. [ABSTRACT FROM AUTHOR]

This paper investigates the effects of cigarette tax changes at different ages on long-term smoking behaviors. Using survey data on six decades of birth cohorts and a generalized difference-in-differences study design, I show that an increase in the cigarette tax at any age diminishes the long-term probabilities of smoking initiation and participation and reduces smoking intensity among people who currently smoke. These findings suggest that cigarette taxes prevent adults from beginning to smoke and cause people who smoke to promptly smoke less and quit over time. My estimates suggest that an average state tax hike applied to the national population would have caused over 400,000 people to quit smoking and prevented 4,000 deaths from smoking-related causes. [ABSTRACT FROM AUTHOR]

After the outbreak of e-cigarette or vaping use-associated lung injury (EVALI) strongly linked to vitamin E acetate found in some tetrahydrocannabinol-containing vaping products in 2019, several states passed emergency bans on the sale of electronic nicotine delivery systems (ENDS) products. We use a fixed-effect panel regression model with an embedded difference-in-differences design to evaluate the unintended effects of state-level ENDS bans. Besides eliminating ENDS sales, our results indicate that a full ENDS ban is associated with a 94.5 percent increase in volume sales of ENDS refills in neighboring counties compared with the pre-ban average. We find similar but weaker spatial spillover impacts of flavor (non-tobacco) ENDS bans. As these flavor bans did not restrict tobacco-flavored ENDS sales, we observe an overall 55.4 percent decline in sales of ENDS refills but more-than-doubled sales of tobacco-flavored ENDS refills in the states subject to the flavor bans. Relative increases in cigarette sales can be observed when states implemented either full or flavor ENDS bans. This study improves our understanding of the unintended consequences of ENDS bans, as our results suggest significant spillover effects from cross-border purchasing behavior, switching across flavors of ENDS, and substitution between ENDS and cigarettes after states implemented such bans. [ABSTRACT FROM AUTHOR]

This study examines if and how pet protection orders have been used by domestic violence survivors in the 36 states and the District of Columbia in which they have been enacted. A review of court websites determined if there was a specific item to include a pet in the temporary and/or final protection order. In addition, individual court administrators were contacted in various states to determine if statistics were available on the number of pet protection orders issued. Another mode of investigation included examining appropriate websites in each state to ascertain if the state issued a report on domestic violence statistics, and if so, if that report contained information on pet protection orders. Only one state, New York, keeps track of the number of protection orders that have been issued that include pets. [ABSTRACT FROM AUTHOR]

There is widespread scientific evidence that validates tonic immobility (TI) as part of the trauma response in victims of rape, and criminal justice practitioners are increasingly trained in trauma-informed approaches. Yet, legal and policy definitions of consent do not fully recognize TI during the incident as evidence of nonconsent. Using a systematic review of U.S. law and policy regarding sexual violence and consent, this paper analyzes the substantial legal reform of rape law and definitions of consent, suggesting ways to further integrate TI into existing law and legal practices to improve public health approaches and justice responses for victims. [ABSTRACT FROM AUTHOR]