Preventive medicine最新文献_第2页

Risk factors for running-related injuries among Chinese Marathon runners: A cross-sectional study 中国马拉松运动员跑步损伤的危险因素：一项横断面研究。

IF 3.2 2区医学

Preventive medicine Pub Date : 2026-03-01 Epub Date: 2026-01-11 DOI: 10.1016/j.ypmed.2026.108510

Xiangxin Li , Yan Chen , Xueyuan Zhao , Wei Wen , Jingyi Zhang , Junqiang Qiu

{"title":"Risk factors for running-related injuries among Chinese Marathon runners: A cross-sectional study","authors":"Xiangxin Li , Yan Chen , Xueyuan Zhao , Wei Wen , Jingyi Zhang , Junqiang Qiu","doi":"10.1016/j.ypmed.2026.108510","DOIUrl":"10.1016/j.ypmed.2026.108510","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the incidence and risk factors of running-related injuries (RRIs) among Chinese marathon runners.</div></div><div><h3>Methods</h3><div>A nationwide cross-sectional survey was conducted in China from January to December 2024, with 5668 marathon runners participating in full or half marathons. Data on demographics, training characteristics, and RRIs in the past six months were collected through validated questionnaires. Logistic regression was used to identify predictors of RRIs.</div></div><div><h3>Results</h3><div>The overall incidence of RRIs was 46.5%, with a higher prevalence in males compared to females (<em>p</em> < 0.01). The most frequently affected areas were the knee (29.6%), the toe (22.9%), and the ankle (19.4%).Multivariable analysis showed that increasing age (OR = 0.98), longer running experience (≥7 years: OR = 0.71), and lower training levels (Public L1: OR = 0.74, Public L2: OR = 0.66, Unclassified: OR = 0.53) were protective factors. Higher body mass index (BMI) (24 ≤ BMI < 28: OR = 1.49; ≥28: OR = 1.67) and elite-level training were associated with increased injury risk.</div></div><div><h3>Conclusion</h3><div>This study highlights a high burden of RRIs among Chinese marathon runners, with key modifiable risk factors including BMI and training intensity, while age and running experience offer protective effects.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"204 ","pages":"Article 108510"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145966618","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}

引用次数: 0

Physical activity counseling for people living with HIV: A scoping review 艾滋病毒感染者的身体活动咨询：范围审查

IF 3.2 2区医学

Preventive medicine Pub Date : 2026-03-01 Epub Date: 2026-01-02 DOI: 10.1016/j.ypmed.2025.108493

Marcos Cezar Pitombo da Silva Junior , Yago Silva Mascarenhas , Enaiane Cristina Menezes , Luciana Costa Melo , Flávia Accioly Canuto Wanderley , Géssyca Cavalcante de Melo , Luiz Rodrigo Augustemak de Lima

{"title":"Physical activity counseling for people living with HIV: A scoping review","authors":"Marcos Cezar Pitombo da Silva Junior , Yago Silva Mascarenhas , Enaiane Cristina Menezes , Luciana Costa Melo , Flávia Accioly Canuto Wanderley , Géssyca Cavalcante de Melo , Luiz Rodrigo Augustemak de Lima","doi":"10.1016/j.ypmed.2025.108493","DOIUrl":"10.1016/j.ypmed.2025.108493","url":null,"abstract":"<div><h3>Objective</h3><div>To explore evidence on physical activity counseling for people living with HIV (PLHIV).</div></div><div><h3>Methods</h3><div>Searches covered earliest records in PubMed (1946), Embase (1947), Web of Science (1900), Scopus (1788), and LILACS (1982) up to August 31, 2024. Studies investigating physical activity counseling in healthcare settings were included. Extracted data comprised author, year, country, sample characteristics, study design, objectives, theoretical framework, type and intensity, frequency, duration, strategies, professionals involved, and outcomes.</div></div><div><h3>Results</h3><div>Sixteen studies were included, most in the United States (<em>n</em> = 8; 50 %), predominantly involving adults (<em>n</em> = 12; 75 %) and both sexes (n = 12; 75 %), with a sample of 1458 participants. Motivational interviewing was the most frequent theoretical (<em>n</em> = 6; 37.5 %). Walking was the most counseled (n = 6; 37.5 %), usually recommended weekly (<em>n</em> = 9; 56.3 %), with sessions ranging from 15 to 90 min. Counseling intensity varied across light, moderate, and moderate-to-vigorous physical activity. More than half of the studies (<em>n</em> = 11; 68.8 %) reported increases in physical activity levels.</div></div><div><h3>Conclusions</h3><div>Counseling shows potential to promote active lifestyles among PLHIV, particularly when based on behavioral theories, though challenges remain regarding the description of strategies and adaptation to this population.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"204 ","pages":"Article 108493"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145898139","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}

引用次数: 0

Country-level gender inequality and sex disparities in adolescent chronic pain: A 47-country analysis 国家层面的性别不平等和青少年慢性疼痛的性别差异：一项47个国家的分析。

IF 3.2 2区医学

Preventive medicine Pub Date : 2026-03-01 Epub Date: 2026-01-03 DOI: 10.1016/j.ypmed.2026.108495

Rui Li , Rui Huang , Kavin Srinakarin , Anna Zajacova , Zachary Zimmer , Tonya Palermo , Hanna Grol-Prokopczyk

{"title":"Country-level gender inequality and sex disparities in adolescent chronic pain: A 47-country analysis","authors":"Rui Li , Rui Huang , Kavin Srinakarin , Anna Zajacova , Zachary Zimmer , Tonya Palermo , Hanna Grol-Prokopczyk","doi":"10.1016/j.ypmed.2026.108495","DOIUrl":"10.1016/j.ypmed.2026.108495","url":null,"abstract":"<div><h3>Objective</h3><div>To examine how country-level gender inequality relates to adolescent chronic pain prevalence and sex disparities.</div></div><div><h3>Methods</h3><div>We linked country-level Gender Inequality Index (GII) and lifetime prevalence of intimate partner violence (IPV) against women to 2017/18 Health Behavior in School-aged Children data from 244,097 adolescents ages 11–15 in 47 countries. Relative sex disparities in pain prevalence (female:male prevalence ratio [PR]) were examined with modified Poisson regression with country-cluster-robust standard errors; absolute disparities (prevalence difference [PD]) with multilevel linear probability models.</div></div><div><h3>Results</h3><div>Chronic pain prevalence ranged from 32.30% to 58.72% across countries (overall 44.32%; I<sup>2</sup> = 98.36%). Female–male PDs ranged from 0.29 to 18.26 percentage points (pooled 13.28; I<sup>2</sup> = 79.80%); PRs ranged from 1.01 to 1.69 (pooled 1.36; I<sup>2</sup> = 83.71%). Higher GII was associated with greater pain prevalence (PR = 1.11, 95% CI: 1.04, 1.19) yet smaller sex disparities, due to steeper increase in boys' pain prevalence as GII increases. Higher IPV prevalence, though unrelated to overall pain prevalence, was associated with larger female–male percentage-point differences (β = 1.28%, 95% CI: 0.16%, 2.39%).</div></div><div><h3>Conclusions</h3><div>Structural gender inequality shapes both the population burden of adolescent chronic pain and sex disparities, underscoring the relevance of structural context and the need for more research in lower-income countries.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"204 ","pages":"Article 108495"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906498","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}

引用次数: 0

Breastfeeding duration and serum organochlorine pesticides concentrations in young residents from two central-southern states of Mexico 墨西哥中南部两个州年轻居民的母乳喂养时间和血清有机氯农药浓度

IF 3.2 2区医学

Preventive medicine Pub Date : 2026-03-01 Epub Date: 2026-01-26 DOI: 10.1016/j.ypmed.2026.108520

Rodrigo Ugalde-Resano , Ángel Mérida-Ortega , Janet Flores-Lujano , Juan C. Núñez-Enríquez , Mariano E. Cebrián , Lizbeth López-Carrillo

{"title":"Breastfeeding duration and serum organochlorine pesticides concentrations in young residents from two central-southern states of Mexico","authors":"Rodrigo Ugalde-Resano , Ángel Mérida-Ortega , Janet Flores-Lujano , Juan C. Núñez-Enríquez , Mariano E. Cebrián , Lizbeth López-Carrillo","doi":"10.1016/j.ypmed.2026.108520","DOIUrl":"10.1016/j.ypmed.2026.108520","url":null,"abstract":"<div><h3>Objective</h3><div>Impact of breastfeeding duration on the presence of organochlorine pesticides (OCP) in offspring remains poorly understood. Therefore, we aimed to assess the association between breastfeeding duration and serum concentrations of 21 OCP in individuals between 2.5 and 19 years old from central-southern states of Mexico.</div></div><div><h3>Methods</h3><div>We included 317 individuals that participated as controls in a population-based study in Puebla and Tlaxcala, Mexico (2021–2024). We directly interviewed parents/guardians to collect data on breastfeeding duration and sociodemographic characteristics. Serum OCP were measured using gas chromatography. We categorized breastfeeding duration in months: 0, 1–12, and > 12. We used adjusted linear regression models to assess the associations between serum OCP and breastfeeding duration, also stratifying by sex and participant's age.</div></div><div><h3>Results</h3><div>Compared with individuals who were never breastfed, those breastfed ≤12 months showed a positive but non-significant association with p,p’-DDE (β = 0.65; 95% CI: −0.08, 1.38), while those breastfed >12 months had a significant association (β = 0.76; 95% CI: 0.04, 1.49), that remained only among males and individuals ≤124 months of age. We did not observe significant associations for other OCP.</div></div><div><h3>Conclusions</h3><div>Although breastfeeding offers well-known health benefits, in high-risk populations it may also contribute to exposure to persistent environmental contaminants such as p,p’-DDE.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"204 ","pages":"Article 108520"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078718","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}

引用次数: 0

A scoping review of theoretical and conceptual frameworks in U.S. firearm injury research 枪械伤害研究的理论和概念框架的范围审查。

IF 3.2 2区医学

Preventive medicine Pub Date : 2026-03-01 Epub Date: 2026-01-07 DOI: 10.1016/j.ypmed.2025.108494

Esther Lee , Sarah M. Stilwell , Heather Murphy , Briana A. Scott , Melia Schliebe , Justin Heinze

{"title":"A scoping review of theoretical and conceptual frameworks in U.S. firearm injury research","authors":"Esther Lee , Sarah M. Stilwell , Heather Murphy , Briana A. Scott , Melia Schliebe , Justin Heinze","doi":"10.1016/j.ypmed.2025.108494","DOIUrl":"10.1016/j.ypmed.2025.108494","url":null,"abstract":"<div><h3>Objectives</h3><div>To synthesize theoretical and conceptual frameworks in firearm injury research, identify gaps across contexts, and inform applications for researchers and practitioners.</div></div><div><h3>Methods</h3><div>We conducted a scoping review following PRISMA guidelines, searching seven databases for United States-based studies (1999–2024) that applied theoretical or conceptual frameworks to firearm injury research. After piloting the extraction form, reviewers charted study characteristics, firearm injury context (community, mass shootings, police, suicide, partner/dating, school, or multiple contexts), theoretical or conceptual framework, and social ecological level. Data were summarized using descriptive counts.</div></div><div><h3>Results</h3><div>Among 213 studies, most were non-intervention (82%) and observational (84%), conducted in urban settings with predominantly male, non-White adolescents and young adults. Most studies applied criminological theories (Routine Activities, Social Disorganization), while only 22% applied conceptual models. Critical and equity-focused theories were absent despite demographic disparities. Few studies empirically test theories; only 21 developed or adapted frameworks. Significant gaps existed in online contexts, rural settings, and among children and older adults. Theoretical-methodological misalignment was evident.</div></div><div><h3>Conclusions</h3><div>Although theoretical frameworks are foundational to firearm research, current work remains variable across populations and contexts. Theory development must move beyond siloed approaches through transdisciplinary collaboration, empirical testing, and community co-creation to guide effective prevention strategies.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"204 ","pages":"Article 108494"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145945625","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}

引用次数: 0

Public responses to risk communication during the 2025 Chikungunya outbreak in China: Implications for future epidemic preparedness 2025年中国基孔肯雅热暴发期间公众对风险沟通的反应：对未来流行病防范的影响

IF 3.2 2区医学

Preventive medicine Pub Date : 2026-03-01 Epub Date: 2026-01-10 DOI: 10.1016/j.ypmed.2026.108507

Xiaomin Wang , Ran Zhang , Yirui Wang , Xudong Zhou

{"title":"Public responses to risk communication during the 2025 Chikungunya outbreak in China: Implications for future epidemic preparedness","authors":"Xiaomin Wang , Ran Zhang , Yirui Wang , Xudong Zhou","doi":"10.1016/j.ypmed.2026.108507","DOIUrl":"10.1016/j.ypmed.2026.108507","url":null,"abstract":"<div><h3>Objective</h3><div>To examine associations between exposure to risk communication, risk perception, and critical health literacy, and their associations with public preparedness and preventive behaviors during the Chikungunya epidemic in China.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional survey in August 2025 among 1102 residents across three Chinese provinces, stratified by epidemiological risk. Among participants aware of the outbreak (<em>n</em> = 761), multivariable logistic regression models assessed associations between risk communication, risk perception, critical health literacy, and preventive behaviors, adjusting for sociodemographic characteristics.</div></div><div><h3>Results</h3><div>Among participants, 69.06% reported awareness of Chikungunya. Higher exposure to risk communication was associated with increased adoption of all preparedness and preventive behaviors (aORs 1.31–1.50). Perceived environmental risk was associated with using mosquito nets [aOR = 1.37, 95% CI (1.14, 1.64)], screening windows [aOR = 1.45, 95%CI (1.18, 1.78)], and purchasing medications, including paracetamol, antibiotics, and antivirals (aORs up to 1.73). Higher critical health literacy was associated with reduced likelihood of purchasing inappropriate medications, specifically antibiotics [aOR = 0.72, 95% CI (0.56, 0.92)] and antivirals [aOR = 0.58, 95% CI (0.45, 0.75)].</div></div><div><h3>Conclusions</h3><div>Governmental risk communication and critical health literacy were strongly associated with public preventive behaviors. Findings suggest interventions to improve critical health literacy and risk communication could enhance preparedness and safer practices in future epidemics.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"204 ","pages":"Article 108507"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960049","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}

引用次数: 0

Combined effects of smoking and hormonal contraceptives in the occurrence of inflammatory bowel disease – A weighted Cox analysis in a nested case-control study in Quebec, Canada 吸烟和激素避孕药对炎症性肠病发生的综合影响——加拿大魁北克一项巢式病例对照研究的加权Cox分析。

IF 3.2 2区医学

Preventive medicine Pub Date : 2026-03-01 Epub Date: 2026-01-14 DOI: 10.1016/j.ypmed.2026.108511

Canisius Fantodji , Marie-Claude Rousseau , Belinda Nicolau , Sreenath Madathil , Andrea Benedetti , Prévost Jantchou

{"title":"Combined effects of smoking and hormonal contraceptives in the occurrence of inflammatory bowel disease – A weighted Cox analysis in a nested case-control study in Quebec, Canada","authors":"Canisius Fantodji , Marie-Claude Rousseau , Belinda Nicolau , Sreenath Madathil , Andrea Benedetti , Prévost Jantchou","doi":"10.1016/j.ypmed.2026.108511","DOIUrl":"10.1016/j.ypmed.2026.108511","url":null,"abstract":"<div><h3>Objective</h3><div>Hormonal contraceptives increase nicotine absorption. Their joint effect with smoking on inflammatory bowel disease remains unclear. We assessed independent and joint associations of smoking and hormonal contraception with Crohn's disease and ulcerative colitis.</div></div><div><h3>Methods</h3><div>In 2021, we conducted a nested case-control study with cumulative sampling of controls, in Quebec, Canada. Cases were identified with health services-based validated algorithms. Smoking, hormonal contraception, and covariates were self-reported. Time-dependent exposures were analyzed in 2024 using weighted Cox models to estimate hazard ratios (HR) and 95% confidence intervals (95% CI) and assess additive and multiplicative interactions.</div></div><div><h3>Results</h3><div>The study included 1718 women (591 controls, 790 Crohn's disease, 337 ulcerative colitis cases). Compared with non-smokers non-users of hormonal contraception, former smokers using hormonal contraceptives had increased Crohn's disease (HR = 2.45; 95% CI: 1.51, 3.96) and ulcerative colitis risks (HR = 2.88; 95% CI: 1.65, 5.02). Current smokers using hormonal contraceptives had elevated risks of Crohn's disease (HR = 2.62; 95% CI: 1.93, 3.56) but not ulcerative colitis (HR = 0.72; 95% CI: 0.42, 1.17). A negative additive interaction was observed for ulcerative colitis with no multiplicative interactions.</div></div><div><h3>Conclusions</h3><div>Smoking and hormonal contraception are independently associated with Crohn's disease, but not ulcerative colitis, with implications for inflammatory bowel disease risk assessment in women.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"204 ","pages":"Article 108511"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145990497","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}

引用次数: 0

Breastfeeding patterns during the 2022 United States infant formula shortage and projected infant healthcare costs 2022年美国婴儿配方奶粉短缺期间的母乳喂养模式和预计的婴儿医疗保健费用。

IF 3.2 2区医学

Preventive medicine Pub Date : 2026-03-01 Epub Date: 2026-01-13 DOI: 10.1016/j.ypmed.2026.108503

Luis Seoane Estruel , Tatiana Andreyeva

{"title":"Breastfeeding patterns during the 2022 United States infant formula shortage and projected infant healthcare costs","authors":"Luis Seoane Estruel , Tatiana Andreyeva","doi":"10.1016/j.ypmed.2026.108503","DOIUrl":"10.1016/j.ypmed.2026.108503","url":null,"abstract":"<div><h3>Objective</h3><div>Suboptimal breastfeeding in the U.S. carries substantial health and economic costs and is marked by persistent disparities. The 2022 formula shortage coincided with disruptions in infant feeding practices. This study documents changes in breastfeeding during the shortage period and projects associated infant illness and healthcare costs.</div></div><div><h3>Methods</h3><div>Using 2017–2022 Pregnancy Risk Assessment Monitoring System data, we applied Bayesian structural time-series models to estimate deviations in breastfeeding initiation and duration during the shortage period relative to prior trends. We then used Monte Carlo simulation to project infant illness and healthcare costs.</div></div><div><h3>Results</h3><div>During the 2022 formula shortage, breastfeeding for at least four months was higher by 3.43 percentage points (95% credible interval [CrI]: 1.11, 5.74). Breastfeeding at one, two, and three months postpartum was 2.49 to 3.55 percentage points higher, and initiation was higher by 1.54 percentage points (95% CrI: 0.46, 2.59). Estimates varied across sociodemographic groups and were larger among less advantaged mothers, corresponding with smaller observed breastfeeding disparities. The simulation projects annual healthcare costs approximately $420 million lower.</div></div><div><h3>Conclusions</h3><div>During the formula shortage groups with historically lower breastfeeding rates exhibited higher breastfeeding levels, highlighting the relevance of breastfeeding trends for discussions of infant disease and healthcare costs.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"204 ","pages":"Article 108503"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145990469","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}

引用次数: 0

Everyday discrimination as a predictor of forgone care among early midlife adults in the United States 日常歧视是美国中年早期成年人放弃照顾的一个预测因素。

IF 3.2 2区医学

Preventive medicine Pub Date : 2026-03-01 Epub Date: 2026-01-20 DOI: 10.1016/j.ypmed.2026.108514

Norah Wilson, Devora Shapiro, Adrianne Frech

{"title":"Everyday discrimination as a predictor of forgone care among early midlife adults in the United States","authors":"Norah Wilson, Devora Shapiro, Adrianne Frech","doi":"10.1016/j.ypmed.2026.108514","DOIUrl":"10.1016/j.ypmed.2026.108514","url":null,"abstract":"<div><h3>Objective</h3><div>Forgone healthcare is associated with worsening health, higher mortality, and increasing healthcare costs. Everyday discrimination is associated with fewer preventive care screenings and poorer health. Yet prior research has not investigated whether everyday discrimination is associated with forgone healthcare in a nationally representative sample of US adults. We used longitudinal panel data to investigate the role of everyday discrimination in predicting forgone healthcare among US adults at midlife.</div></div><div><h3>Methods</h3><div>Data are from the National Longitudinal Study of Adolescent to Adult Health, a nationally representative panel study of US adults beginning in 1994–1995. Data were collected across six waves, with the most recent wave including data from 2022 to 2025. We used logistic regression and a lagged measure of everyday discrimination to predict forgone care. Analyses were conducted in 2025.</div></div><div><h3>Results</h3><div>As everyday discrimination increased, so did the odds of forgone healthcare. These results persisted when limiting the sample to the insured and after adjusting for socioeconomic status and diagnosed health conditions.</div></div><div><h3>Conclusions</h3><div>Everyday discrimination and forgone care are associated with worsening health. Future research should continue to investigate how these experiences exacerbate health disparities at midlife.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"204 ","pages":"Article 108514"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019410","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}

引用次数: 0

Increasing use of cannabis edibles in response to recreational cannabis legalization in the United States 随着美国娱乐性大麻合法化，大麻食品的使用越来越多。

IF 3.2 2区医学

Preventive medicine Pub Date : 2026-03-01 Epub Date: 2026-01-09 DOI: 10.1016/j.ypmed.2026.108508

Summer Sherburne Hawkins , Christopher E. Baidoo , Rebekah Levine Coley , Ryan S. Centanni , Christopher F. Baum

{"title":"Increasing use of cannabis edibles in response to recreational cannabis legalization in the United States","authors":"Summer Sherburne Hawkins , Christopher E. Baidoo , Rebekah Levine Coley , Ryan S. Centanni , Christopher F. Baum","doi":"10.1016/j.ypmed.2026.108508","DOIUrl":"10.1016/j.ypmed.2026.108508","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the associations between recreational cannabis legalization in the United States and primary mode of cannabis use (smoking, eating/drinking, vaporizing/dabbing) overall and across groups.</div></div><div><h3>Methods</h3><div>We linked data on 69,109 adults reporting past month cannabis use from 37 states in the 2017–2023 Behavioral Risk Factor Surveillance System with recreational cannabis legalization and retail sales. Using multinomial logit regression models, we examined the associations between legalization and primary mode of cannabis use overall and by demographic and higher-risk strata, with demographic and policy controls and state and year fixed effects.</div></div><div><h3>Results</h3><div>Among cannabis users, smoking declined but remained the most prevalent mode of cannabis use in 2023 (62.7%), followed by eating/drinking (21.5%), and vaporizing/dabbing (15.8%). Compared to smoking and vaping/dabbing cannabis, the likelihood of eating/drinking cannabis increased by 35% (adjusted relative risk ratio 1.35; 95% CI 1.20, 1.52) and 33% (1.33; 1.14, 1.55), respectively, post-legalization. Similar patterns emerged in response to retail sales. There was evidence of larger increases in eating/drinking cannabis among males than females post-legalization, and among middle-aged and older adults than younger adults after retail store openings.</div></div><div><h3>Conclusion</h3><div>Recreational cannabis legalization and retail sales led to more frequent use of cannabis in edible and drinkable forms.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"204 ","pages":"Article 108508"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145952567","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}

引用次数: 0