Preventive medicine最新文献

{"title":"Life satisfaction, loneliness, and routine health check-ups: Evidence from the UK Household Longitudinal Study","authors":"Fernando Antonio Ignacio González ,&nbsp;Gimena Ramos","doi":"10.1016/j.ypmed.2025.108324","DOIUrl":"10.1016/j.ypmed.2025.108324","url":null,"abstract":"<div><h3>Objective</h3><div>While sociodemographic factors affect health check-ups, less is known about the role of psychosocial factors. Based on a nationally representative longitudinal survey in the United Kingdom (UK), this study explores the association of satisfaction with multiple dimensions and loneliness with health check-ups.</div></div><div><h3>Methods</h3><div>We use microdata from the UK Household Longitudinal Study, representative of the UK adult population (2017–2022). A multiple linear regression model with interactions and fixed effects was used to analyze the relationship between both objective (having close friends) and subjective (feeling lonely) measures of loneliness and satisfaction in multiple dimensions (work, health, income, leisure time, and life) and five types of health check-ups: ophthalmology, blood pressure, cholesterol, X-rays, and blood tests. In addition, we analyzed the association between satisfaction and the probability of trust and openness toward friends as a mechanism to explain the relationship.</div></div><div><h3>Results</h3><div>Having more friends, feeling loneliness more often, and being satisfied with income were associated with greater use of different health check-ups. On the contrary, being satisfied with one's health was negatively associated health check-ups. Higher satisfaction levels were associated with greater trust and openness with friends, suggesting a potential explanatory mechanism.</div></div><div><h3>Conclusion</h3><div>Our study underscores the need for a comprehensive approach to understanding psychosocial factors in healthcare utilization. When designing future research and policy, it is crucial to consider objective and subjective indicators of individuals' psychosocial well-being and satisfaction across multiple dimensions.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"197 ","pages":"Article 108324"},"PeriodicalIF":4.3,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tobacco marketing exposure and lifetime and current nicotine pouch use among US youth, 2022","authors":"Saber Feizy ,&nbsp;Delvon T. Mattingly ,&nbsp;Melinda Ickes ,&nbsp;Mary Kay Rayens ,&nbsp;W. Jay Christian ,&nbsp;Melissa Abadi ,&nbsp;Seth Himelhoch ,&nbsp;Shyanika W. Rose","doi":"10.1016/j.ypmed.2025.108322","DOIUrl":"10.1016/j.ypmed.2025.108322","url":null,"abstract":"<div><h3>Objective</h3><div>The rising popularity of nicotine pouches among youth necessitates an understanding how marketing exposure influences their use, to inform regulation. This study examines the associations of tobacco marketing exposures with nicotine pouch use among adolescent students in the United States.</div></div><div><h3>Methods</h3><div>We analyzed data from 26,860 middle and high-school students in the United States who participated in the 2022 National Youth Tobacco Survey. The survey was administered during January–May 2022. Weighted logistic regressions with and without covariates (i.e., sociodemographic characteristics, other tobacco product use, and social media use) were used to evaluate the relationships between exposure to a variety of tobacco product advertisement modes (television/streaming/movies; Internet; newspapers/magazines; and convenience store/supermarket/gas station/kiosk/shopping center) and lifetime and current use of nicotine pouch products.</div></div><div><h3>Results</h3><div>Nicotine pouches were used by 1 % of middle and high school youth ever in their lifetime in the United States. Most current use was of flavored products and 16 % of youth who used nicotine pouches purchased the product themselves. Controlling for other factors, exposure to tobacco advertising in newspapers/magazines was associated with higher likelihood of lifetime (aOR = 1.74, CI = 1.06–2.84) and current (aOR = 4.37, CI = 2.23–8.53) nicotine pouch use. Additionally, odds of lifetime and current use were highest among youth who also used smokeless tobacco, followed by e-cigarettes, and cigarettes.</div></div><div><h3>Conclusions</h3><div>This study demonstrates that tobacco marketing exposure is associated with youth nicotine pouch use. In addition, nicotine pouches appeal especially to youth who use smokeless tobacco, e-cigarettes, and cigarettes suggesting the potential for dual/poly use.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"197 ","pages":"Article 108322"},"PeriodicalIF":4.3,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 vaccine hesitancy among European older adults: the role of living alone, social isolation and loneliness","authors":"Valentien Taeldeman ,&nbsp;Maaike Paredis ,&nbsp;Elise Braekman ,&nbsp;Kirsten A. Verhaegen ,&nbsp;Piet Bracke ,&nbsp;Katrijn Delaruelle","doi":"10.1016/j.ypmed.2025.108325","DOIUrl":"10.1016/j.ypmed.2025.108325","url":null,"abstract":"<div><h3>Objective</h3><div>Given the significant public health challenge posed by vaccine hesitancy during the COVID-19 pandemic, researchers have increasingly focused on understanding its underlying determinants. While previous research has paid attention to predisposing, enabling, and need factors the role of psychosocial factors remains less understood. This study examines COVID-19 vaccine hesitancy among older adults in Europe, specifically in relation to living alone, social isolation, and loneliness as distinct factors. Additionally, it considers potential cross-country variations in these effects, in relation to differences in policy stringency.</div></div><div><h3>Methods</h3><div>Using data from the Survey of Health Ageing and Retirement in Europe (SHARE) and SHARE Corona Surveys (2020−2021), this study analyses a sample of 36,890 adults aged 50 and above across 28 European countries and Israel. Two-level binomial logistic regression was employed.</div></div><div><h3>Results</h3><div>Household composition, social isolation and loneliness among older adults related to COVID-19 vaccine hesitancy. More specifically: older adults who (i) lived alone, (ii) were more socially isolated, and (iii) were more lonely, tended to be more hesitant to get vaccinated against COVID-19. These effects did not differ by policy stringency.</div></div><div><h3>Conclusions</h3><div>This study underscores the relevance of the absence of a partner, social isolation, and loneliness when addressing vaccine hesitancy in older adults. When implementing effective vaccination policies compassionate measures with sufficient attention for psychosocial factors are a necessity. Addressing the psychosocial roots of COVID-19 vaccine hesitancy is not just key to managing current COVID-19 risks, but a blueprint for a more resilient and inclusive approach to future health crises.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"197 ","pages":"Article 108325"},"PeriodicalIF":4.3,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of tobacco smoking and provision of tobacco treatment in an innovative low-threshold substance use disorder bridge clinic.","authors":"Joanna M Streck, Susan Regan, Sydney McGovern, Michele Reyen, Cecely Sterling-Maisel, Dinah Applewhite, Martha Kane, Sarah Wakeman","doi":"10.1016/j.ypmed.2025.108323","DOIUrl":"https://doi.org/10.1016/j.ypmed.2025.108323","url":null,"abstract":"<p><strong>Objective: </strong>Substance use disorder Bridge Clinics have been established across the country to increase access to addiction treatment and remove barriers to care. Bridge Clinics are innovative low-threshold treatment models designed to provide rapid access to addiction treatment and harm reduction services. It is not clear how tobacco use, or treatment, is handled in BCs and no work has characterized smoking prevalence nor provision of treatment services in this setting.</p><p><strong>Methods: </strong>We used health record data during Bridge Clinic encounters at Massachusetts General Hospital in Boston, Massachusetts from 2019 to 2023 (N = 1592 unique patients) to examine cigarette smoking prevalence, provision of tobacco treatment within our healthcare system, and subsequent quitting 12 months after the initial encounter.</p><p><strong>Results: </strong>At the initial Bridge encounter, 66 % of patients were currently smoking tobacco, with the highest prevalence observed among those with any stimulant use disorder (80 %). Stimulant use disorder combined with opioid and alcohol use disorder was the combination with the highest smoking prevalence (84 %). Smoking prevalence increased with the number of substance diagnoses (OR: 1.36 per disorder; 95 % CI: 1.25-1.49). 60 days following the initial Bridge encounter, 18 % of patients received either nicotine replacement or varenicline. At 12-month follow-up, 9 % of patients with a documented quit status had quit smoking.</p><p><strong>Conclusions: </strong>Individuals seen for addiction treatment at a low-threshold Bridge Clinic, a population at high risk for overdose, are engaging with tobacco treatment. Provision of tobacco treatment is lower than what is observed in the general population and providers should increase evidence-based tobacco treatment provision.</p>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":" ","pages":"108323"},"PeriodicalIF":4.3,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"International Papillomavirus Society policy statement on human papillomavirus-based cervical cancer screening for women living with HIV","authors":"Elisabeth McClymont ,&nbsp;Silvia de Sanjosé ,&nbsp;Suzanne M. Garland ,&nbsp;Anna-Barbara Moscicki ,&nbsp;on behalf of the IPVS Policy Committee","doi":"10.1016/j.ypmed.2025.108314","DOIUrl":"10.1016/j.ypmed.2025.108314","url":null,"abstract":"<div><h3>Objectives</h3><div>Women living with HIV (WLWH) are among those at highest risk for cervical cancer development, thereby making this a key population for primary and secondary prevention. Human papillomavirus (HPV) nucleic acid (DNA or RNA) tests, which have been clinically validated, are supported by the World Health Organization (WHO) as the preferred method for cervical screening for all women, although HPV DNA is preferred in WLWH until further evidence demonstrates that HPV RNA is equivalent. We sought to describe current guidelines for HPV-based cervical cancer screening for WLWH.</div></div><div><h3>Methods</h3><div>This paper outlines current recommendations and the state of knowledge regarding HPV-based cervical cancer screening for WLWH.</div></div><div><h3>Results</h3><div>Current recommendations and the state of knowledge have been subdivided into the following topics: cervical screening and triage; treatment; additional considerations; and challenges and opportunities.</div></div><div><h3>Conclusions</h3><div>The International Papillomavirus Society supports the WHO recommendations regarding HPV-based screening for all women, including WLWH. As data to support best practices in WLWH are limited, we strongly encourage continued research into this important topic.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"197 ","pages":"Article 108314"},"PeriodicalIF":4.3,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental experiences of primary health professional support with child health behaviours and growth: a scoping review","authors":"Eve T. House ,&nbsp;Louise A. Baur ,&nbsp;Heilok Cheng ,&nbsp;Elizabeth Denney-Wilson ,&nbsp;Dimity Dutch ,&nbsp;Danielle Jawad ,&nbsp;Emalie Rosewarne ,&nbsp;Sarah Taki ,&nbsp;Li Ming Wen","doi":"10.1016/j.ypmed.2025.108313","DOIUrl":"10.1016/j.ypmed.2025.108313","url":null,"abstract":"<div><h3>Objectives</h3><div>This review examined the experiences of parents/carers of 0–5-year-olds engaging with primary health professionals (PHPs) regarding child growth or associated health behaviours (nutrition, physical activity, sedentary behaviour, sleep).</div></div><div><h3>Methods</h3><div>Six databases - MEDLINE, CINAHL, Embase, Scopus, Maternity and Infant Care Database, and PsycINFO - were searched. Eligible studies described parent-reported experiences engaging with PHPs, in both clinician- and parent-initiated interactions, regarding child growth or health behaviours in primary healthcare settings, published between 2003 and 2023. Data was synthesised using a convergent integrated approach, with barriers and facilitators to engagement mapped to the Capability, Opportunity, and Motivation model of behaviour.</div></div><div><h3>Results</h3><div>Eighty-seven papers (85 studies) were included, mostly conducted in the United States of America (<em>n</em> = 17), United Kingdom (<em>n</em> = 15) or Australia (<em>n</em> = 10). Most studies were qualitative (<em>n</em> = 50) and reported experiences of discussing feeding and nutrition (<em>n</em> = 75), with few exploring physical activity (n = 5), sedentary behaviour (<em>n</em> = 4), and sleep (n = 7). Barriers to discussing growth and health behaviours with PHPs included receiving ambiguous or conflicting advice; difficulty accessing services; and insufficient appointment time. Facilitators included personalised, timely, evidence-based advice, supported by appropriate resources, and delivered empathetically and without judgement. Studies reported positive (<em>n</em> = 25), moderate (n = 4), negative (n = 10), and variable (<em>n</em> = 34) levels of satisfaction with PHP support.</div></div><div><h3>Conclusions</h3><div>This review highlights that PHPs frequently advise parents regarding child growth and health behaviours, particularly nutrition, in the early years. Improved PHP support may be facilitated using tools and professional development to support a consistent early childhood health promotion approach.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"197 ","pages":"Article 108313"},"PeriodicalIF":4.3,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accelerometer-measured chronoactivity and type 2 diabetes risk: A prospective study in UK Biobank participants","authors":"Qiuyu Feng ,&nbsp;Gali Albalak ,&nbsp;Ko Willems van Dijk ,&nbsp;Jeroen H.P.M. van der Velde ,&nbsp;Qian Xiao ,&nbsp;Raymond Noordam ,&nbsp;Diana van Heemst","doi":"10.1016/j.ypmed.2025.108312","DOIUrl":"10.1016/j.ypmed.2025.108312","url":null,"abstract":"<div><h3>Objective</h3><div>We assessed whether timing of physical activity, independent from the total activity amount, − which we refer to as chronoactivity – is associated with type 2 diabetes (T2D) risk.</div></div><div><h3>Methods</h3><div>We included UK Biobank participants with valid accelerometry data (UK, exposure measurement: 2013–2015, follow-up till November 2023) and without diabetes mellitus at baseline (<em>N</em> = 89,439; mean age: 61.7 [SD:7.9] years). Relative hourly physical activity was calculated by dividing the average hourly clock time physical activity by the average hourly physical activity in a week. Participants were categorized into different chronoactivity clusters using k-means cluster analysis on relative hourly physical activity. We used multivariable-adjusted cox-proportional hazard regressions to examine associations between relative hourly physical activity, chronoactivity clusters and T2D, adjusted for potential confounders, including BMI as a potential mediator.</div></div><div><h3>Results</h3><div>Over 7.8 (interquartile range: 7.2 to 8.3) years of follow-up, 2240 participants developed T2D. Higher relative hourly activity amounts during late morning (8:00–10:59) and late afternoon (15:00–15:59, 17:00–17:59) were associated with approximately 5 %–10 % lower T2D risk. Four clusters of chronoactivity patterns were identified, notably: midday (reference), early morning peak, late morning peak, and evening peak. Compared with participants exhibiting a midday pattern, those with a late morning peak had a lower T2D risk (Hazards Ratio: 0.88, 95 %CI: 0.79, 0.98). Overall, all observations attenuated after additional BMI adjustment.</div></div><div><h3>Conclusions</h3><div>Independent of the total amount of physical activity, specific timing of physical activity represents an additional dimension in T2D risk.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"197 ","pages":"Article 108312"},"PeriodicalIF":4.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of switching to the standardized research electronic cigarette in people with HIV who smoke in the United States","authors":"Patricia A. Cioe ,&nbsp;William V. Lechner ,&nbsp;Garrett S. Stang ,&nbsp;Christopher W. Kahler ,&nbsp;Karen T. Tashima ,&nbsp;Thomas Eissenberg ,&nbsp;Jennifer W. Tidey","doi":"10.1016/j.ypmed.2025.108309","DOIUrl":"10.1016/j.ypmed.2025.108309","url":null,"abstract":"<div><h3>Objective</h3><div>People with HIV (PWH) who smoke and report ambivalence about quitting may benefit from switching to non-combusted nicotine products. This pilot study examined the effects of providing the NIDA standardized research electronic cigarette (SREC) on smoking behaviors and inflammatory biomarkers in PWH.</div></div><div><h3>Methods</h3><div>Thirty-five participants in the United States were enrolled from April 2022 to January 2024 (Mean age 54.4 [13.2] years, 30.1 % female, 62.9 % White) and randomized to SREC provision (<em>n</em> = 17) or usual brand control (<em>n</em> = 18). SREC participants were asked to substitute tobacco-flavor pod-type SRECs for their combustible cigarettes. SREC use and cigarette use were assessed weekly for 6 weeks. Serum inflammatory biomarkers were measured at baseline and week 6.</div></div><div><h3>Results</h3><div>The effect of condition on cigarettes per day (CPD) during the 6-week period was significant, B = −5.68, 95 % CI = −10.25, −1.11: CPD were reduced by 42.7 % in the SREC condition versus 17.3 % in the control condition. Participants in the SREC condition reported significantly lower urge to smoke at week 6 compared to those in control, (B = −17.05, 95 % CI = -27.15, −6.95). One (5.9 %) participant reported that they transitioned completely from CCs to SREC at week 6. Significant decreases in inflammatory biomarkers were not observed.</div></div><div><h3>Conclusions</h3><div>Participants who were provided the SREC, compared to those in the control condition, smoked fewer CPD and had reduced urge to smoke. However, dual use was the most common outcome, indicating that additional support may be needed to improve the likelihood of complete transition from CCs to noncombustible products.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"196 ","pages":"Article 108309"},"PeriodicalIF":4.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144068603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of occupational noise exposure and daily headphone use on hearing loss among petroleum workers","authors":"Nan Wang ,&nbsp;Shangmingzhu Zhang ,&nbsp;Haoruo Zhang ,&nbsp;Zheng Li ,&nbsp;Guoli Wang ,&nbsp;Ziwei Zheng ,&nbsp;Jianhui Wu","doi":"10.1016/j.ypmed.2025.108311","DOIUrl":"10.1016/j.ypmed.2025.108311","url":null,"abstract":"<div><div>Abstract</div></div><div><h3>Objective</h3><div>This study analyzes the impact of occupational noise exposure and daily headphone use on noise-induced hearing loss (NIHL) in petroleum workers.</div></div><div><h3>Methods</h3><div>The study included 2092 workers from a Chinese petroleum enterprise. Occupational health examinations and baseline questionnaires were conducted from 2017 to 2018, with annual follow-ups from 2019 to 2024. The daily headphone use score (DHUS) was constructed using the XGBOOST+SHAP model. Associations between cumulative noise exposure (CNE), DHUS, and NIHL were analyzed using Cox proportional hazards and restricted cubic spline regression, with sensitivity analyses.</div></div><div><h3>Results</h3><div>The incidence of NIHL among petroleum workers was 24.0 %. After adjusting for confounders, CNE and DHUS were positively associated with the risk of NIHL. The <em>HR</em> (95 % <em>CI</em>) for CNE &lt; 80, 80~, 85~, 90~, and ≥ 95 dB·years were 1.47 (1.09, 1.98), 1.49 (1.13, 1.96), 1.66 (1.26, 2.20), 1.75 (1.36, 2.27), and 1.85 (1.43, 2.41), respectively. For DHUS &lt;31.9, 31.9~, 52.9~, and ≥ 73.0, the <em>HR</em> (95 % <em>CI</em>) were 1.54 (1.08, 2.19), 1.94 (1.42, 2.65), 2.11 (1.51, 2.96), and 2.48 (1.78, 3.47). Additionally, we found non-linear relationships between CNE, DHUS, and NIHL (<em>P</em> was 0.003 and 0.007).</div></div><div><h3>Conclusions</h3><div>As CNE and DHUS rise, the risk of NIHL among petroleum workers increases. Therefore, individuals exposed to occupational noise should reduce improper headphone use in daily life to help lower the risk of NIHL and improve the health of petroleum workers.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"196 ","pages":"Article 108311"},"PeriodicalIF":4.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sociodemographic predictors of missed and delayed health care among older Australians during the COVID-19 pandemic: Findings from the 45 and up COVID Insights study.","authors":"Suzanne McLaren ,&nbsp;Pauletta Irwin ,&nbsp;Peter Micalos ,&nbsp;Claire Ellen Seaman ,&nbsp;Simon McDonald ,&nbsp;Alfred Wong ,&nbsp;Shanna Fealy","doi":"10.1016/j.ypmed.2025.108310","DOIUrl":"10.1016/j.ypmed.2025.108310","url":null,"abstract":"<div><h3>Objectives</h3><div>The COVID-19 pandemic disproportionately disrupted healthcare access for vulnerable populations, including older adults. This study examines sociodemographic predictors of missed or delayed care (MDC) among Australians aged ≥65 years across three pandemic time points (July–December 2020, June–August 2021, and March 2022).</div></div><div><h3>Methods</h3><div>A repeated cross-sectional design was employed. Data were sourced from The 45 and Up COVID Insights study. Logistic regression analysed predictors of MDC, with sociodemographic variables including chronic conditions, psychological distress, cultural and linguistic diversity (CALD), disability status, gender, socioeconomic disadvantage, and geographic remoteness, included for analysis.</div></div><div><h3>Results</h3><div>Three temporal patterns of MDC were identified: 1) Consistent MDC (i.e., those with ≥2 chronic conditions, higher psychological distress), 2) Early MDC (i.e., women, CALD, with disability, a carer, lived alone), and 3) Late MDC (i.e., men, older age, living in outer regional/rural/remote areas, most socioeconomically disadvantaged).</div></div><div><h3>Conclusion</h3><div>Findings highlight the need for targeted policy responses to address persistent and emerging disparities in healthcare access among older adults, particularly for those with chronic illness, psychological distress, and those facing geographic or socioeconomic disadvantage.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"196 ","pages":"Article 108310"},"PeriodicalIF":4.3,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143946756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}