We designed a home-based family intervention to address risk of substance use among adolescents in rural and Native American communities. Through a Tribal-University partnership, study aims were to develop, implement and explore effects on proximal risk and protective factors. The study was conducted in or near the Cherokee Nation Reservation in northeastern Oklahoma and was a cluster-randomized trial with 10 high schools randomly assigned to intervention and 10 to delayed intervention group....

Reproductive events such as infertility, abortion, or unintended pregnancies are often framed as discrete outcomes in scholarly research. This silo-ed approach is quite distinct from how people experience their reproductive lives as embodied and interconnected throughout the life course. In this analysis, we build on and further a "reproductive careers" framework to better account for the number (density) and distinct types (complexity) of reproductive events that cisgender women experience...

CONCLUSION: AF- and obesity-related mortality has increased overall from 1999 to 2024, with higher mortality rates observed in men, White individuals, nonmetropolitan areas, and the Southern US region. These findings highlight the need for continued surveillance and targeted prevention efforts in this population.

Nearly one-third to one-half of U.S. women meets the medical criteria for infertility at some point in their reproductive lives. Yet many do not view lack of conception as problematic. Why might some women self-identify as having a fertility problem but others do not? Using two waves of the National Survey of Fertility Barriers, we conducted binary and longitudinal multinomial logistic regression to answer this question. Results suggest that only a portion of women actually experience...

CONCLUSION: Mortality involving coexisting CAD and HF declined overall but showed persistent demographic and geographic disparities. Targeted prevention strategies are needed to reduce the ischemic HF burden in high-risk populations.