Preventive medicine最新文献

{"title":"Proximity to public transportation and incidence of depression risk among older adults: A three-year longitudinal analysis from the Japan Gerontological evaluation study","authors":"Kazuki Matsumoto ,&nbsp;Masamichi Hanazato ,&nbsp;Yu-Ru Chen ,&nbsp;Yoko Matsuoka ,&nbsp;Yuta Mori ,&nbsp;Hiroaki Yoshida ,&nbsp;Katsunori Kondo","doi":"10.1016/j.ypmed.2024.108204","DOIUrl":"10.1016/j.ypmed.2024.108204","url":null,"abstract":"<div><h3>Objective</h3><div>Depression in older adults has been associated with environmental factors, such as green spaces and walkable neighborhoods; however, evidence on the relationship between proximity to public transportation and mental health is scarce. This multi-municipality longitudinal study examined the association between proximity to public transportation and risk of depression among older adults and considered car usage.</div></div><div><h3>Methods</h3><div>We analyzed data from 4947 functionally independent adults, aged 65 years and older who resided in 25 municipalities across Japan. Data were obtained via the Japan Gerontological Evaluation Study in 2016 and 2019. We assessed depression over three years in older adults without depression at baseline via the Geriatric Depression Scale-15. We subjectively and objectively measured their proximity to public transportation. Logistic regression analyses were performed, adjusted for covariates, with analyses stratified by car usage.</div></div><div><h3>Results</h3><div>Of the participants, 9.76 % developed depression over a three-year period. Those without car usage and with reported lack of proximal public transport exhibited a higher incidence of depression (OR = 1.60, 95 %CI: 1.05–2.42) compared with those who had better access. No significant association was observed in the car user group. Furthermore, no significant association was observed in the analysis that used objective measures with Geographic Information System (GIS) data.</div></div><div><h3>Conclusion</h3><div>Subjective limited access to public transport was significantly associated with the risk of depression among older adults without car usage. Hence, improving and maintaining transportation infrastructure may mitigate the risk of depression.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108204"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is elimination of cervical cancer in sight in England?","authors":"Clare Gilham,&nbsp;Julian Peto","doi":"10.1016/j.ypmed.2025.108218","DOIUrl":"10.1016/j.ypmed.2025.108218","url":null,"abstract":"<div><h3>Objective</h3><div>The age-standardised rate of cervical cancer is 8.5 per 100,000 in England, double the WHO “elimination” goal of 4.0 per 100,000, despite England being close to the target coverage for both HPV vaccination and cervical screening. Our aim was to see whether trends in mortality and incidence rates suggest that England is on the path to elimination.</div></div><div><h3>Methods</h3><div>We discuss trends in mortality since 1953 by birth cohort, and cancer and cancer-in-situ incidence since 2000 by age group in relation to screening and vaccination.</div></div><div><h3>Results</h3><div>Mortality trends suggest a steep decline in HPV prevalence from women born in the 1880s to those born in the 1930s followed by a continuing increase. Cancer incidence and mortality then fell steeply after the introduction of national screening in 1988. Since 2004 women were invited for their first screen at age 25. From 2000-2004 to 2010-2014 invasive cancer incidence at age 25–29 doubled and mortality increased by 77 %. From 2015 to 2022 cervical cancer incidence fell by 90 % below age 25 and by 80 % at age 25–29 following the introduction of HPV vaccination for girls born since 1991.</div></div><div><h3>Conclusions</h3><div>Raising the age of starting screening from 20 to 25 transiently increased incidence and mortality in women born 1984-1990. Vaccination may enable the NHS to reach its target for cervical cancer incidence of 4.0 per 100,000 by 2040. Whether the switch from cytology to primary HPV testing in 2019 will reduce rates among unvaccinated women born before 1991 is not yet clear.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108218"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-reported chronic rhinosinusitis diagnoses and symptoms in World Trade Center-exposed and non-World Trade Center-exposed United States firefighters","authors":"Ankura Singh ,&nbsp;Rachel Zeig-Owens ,&nbsp;Mayris P. Webber ,&nbsp;Alexandra K. Mueller ,&nbsp;David J. Prezant","doi":"10.1016/j.ypmed.2024.108216","DOIUrl":"10.1016/j.ypmed.2024.108216","url":null,"abstract":"<div><h3>Background</h3><div>Greater World Trade Center (WTC) exposure levels have been associated with chronic rhinosinusitis (CRS) diagnoses and symptoms. We aimed to determine whether self-reported CRS is elevated in WTC-exposed Fire Department of the City of New York (FDNY) firefighters when compared with non-WTC-exposed/non-FDNY firefighters and with the general population.</div></div><div><h3>Methods</h3><div>The study included male WTC-exposed (<em>N</em> = 7840) and non-WTC-exposed (<em>N</em> = 2771) firefighters who were employed on 9/11/2001 and later completed a health survey. Self-reported CRS diagnoses and symptoms were evaluated. Multivariable logistic regression analyses estimated the odds of self-reported ever CRS diagnosis and current symptoms in WTC-exposed vs. non-WTC-exposed firefighters. Additional analyses compared self-reported current CRS diagnoses in firefighters vs. American males. Models were adjusted for demographics, smoking, and BMI.</div></div><div><h3>Results</h3><div>Fifty-one percent of WTC-exposed firefighters reported ever having a CRS diagnosis vs. 20 % of non-WTC-exposed firefighters (adjusted-OR = 3.84, 95 % CI = 3.44–4.28). WTC-exposure was also associated with specific rhinosinusitis symptoms, including nasal/sinus congestion (adjusted-OR = 1.17, 95 % CI = 1.06–1.29), nose irritation (adjusted-OR = 1.48, 95 % CI = 1.24–1.76), and sinus pain/pressure (adjusted-OR = 1.42, 95 % CI = 1.26–1.60). Both WTC-exposed (adjusted-OR = 3.84, 95 % CI = 3.46–4.27) and non-WTC-exposed firefighters (adjusted-OR = 1.97, 95 % CI = 1.71–2.27) were more likely to report a current CRS diagnosis than similar adult males.</div></div><div><h3>Conclusions</h3><div>WTC-exposure was associated with self-reported CRS diagnoses and symptoms in firefighters. Higher CRS diagnosis prevalence in the WTC-exposed cohort could be a result of exposure to irritants present at the WTC site, and may also be explained, in part, by the enhanced surveillance and healthcare WTC-exposed firefighters receive via the WTC Health Program. Elevated levels of CRS in firefighters overall could be due to routine, non-WTC-related firefighting exposures.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108216"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910285","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":"Adverse childhood experiences and adult alcohol use during pregnancy — 41 U.S. jurisdictions, 2019–2023","authors":"Shawn A. Thomas ,&nbsp;Nicholas P. Deputy ,&nbsp;Amy Board ,&nbsp;Clark H. Denny ,&nbsp;Angie S. Guinn ,&nbsp;Kathryn Miele ,&nbsp;Janae Dunkley ,&nbsp;Shin Y. Kim","doi":"10.1016/j.ypmed.2025.108219","DOIUrl":"10.1016/j.ypmed.2025.108219","url":null,"abstract":"<div><h3>Introduction</h3><div>Adverse childhood experiences (ACEs) are preventable, potentially traumatic events that occur in childhood. Alcohol use during pregnancy can result in miscarriage, stillbirth, preterm birth, and a range of lifelong behavioral, intellectual, and physical disabilities in the child. Limited research has examined the relationship between ACEs and alcohol use in pregnancy; available studies might not reflect current trends in this relationship.</div></div><div><h3>Methods</h3><div>Using 2019–2023 Behavioral Risk Factor Surveillance System data from 41 U.S. jurisdictions, the prevalence of self-reported current alcohol use among pregnant persons aged 18–49 years (<em>N</em> = 2371) was estimated by ACEs and selected characteristics. We calculated unadjusted and adjusted prevalence ratios (aPR) for the relationship between ACEs and alcohol use during pregnancy.</div></div><div><h3>Results</h3><div>The prevalence of current alcohol use was 16.2 % (95 % CI = 11.5–20.9) among pregnant persons who reported experiencing four or more ACEs, and 8.6 % (95 % CI = 5.7–11.5) among those who reported no ACEs. When adjusting for sociodemographic characteristics, pregnant persons who reported four or more ACEs were more likely to report current alcohol use compared to those who reported no ACEs (aPR = 1.8, 95 % CI = 1.1–2.9). Individually, pregnant persons who experienced emotional abuse (aPR = 1.9, 95 % CI = 1.3–2.7) and witnessed intimate partner violence (aPR = 1.6, 95 % CI = 1.1–2.4) were more likely to use alcohol during pregnancy compared to pregnant persons who did not report experiencing these ACEs.</div></div><div><h3>Conclusions</h3><div>Higher ACE exposure was associated with alcohol use during pregnancy. Steps can be taken to mitigate their potential harms. Clinical and community-level interventions can address ACEs, which might reduce alcohol use during pregnancy.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108219"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979741","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":"Binge drinking and subsequent health and well-being among middle-aged Spanish adults: An outcome-wide analysis","authors":"Rafael Perez-Araluce ,&nbsp;Maira Bes-Rastrollo ,&nbsp;Alfredo Gea ,&nbsp;Miguel Angel Martínez-González ,&nbsp;Tyler J. VanderWeele ,&nbsp;Ying Chen","doi":"10.1016/j.ypmed.2024.108209","DOIUrl":"10.1016/j.ypmed.2024.108209","url":null,"abstract":"<div><h3>Background</h3><div>Binge drinking has been associated with higher risks of adverse physical health outcomes. Motivations behind binge drinking may involve seeking pleasure and social connectedness, which are important aspects of life that constitute well-being. However, studies that apply a holistic framework of well-being to understand binge drinking remain limited, especially in non-English speaking populations.</div></div><div><h3>Methods</h3><div>Using longitudinal data from the “Seguimiento Universidad de Navarra” (SUN) Cohort (<em>n</em> = 2837 Spanish university graduates, 51% women, mean age [SD] = 54 [12] years, data collected from March 1999 to July 2022), this study examined the association of binge drinking with a wide range of subsequent psychological well-being, mental health, physical health, and health behaviour outcomes over a four-year follow-up period. A set of regression models were used, adjusting for sociodemographic characteristics, total alcohol consumption and pre-baseline values of the outcome variables.</div></div><div><h3>Results</h3><div>Binge drinkers reported a higher mean level of positive relations with others (standardized <em>β</em> = 0.12, 95% CI: 0.01 to 0.24) than non-binge drinkers. However, binge drinking was associated with several adverse health outcomes such as higher risks of obesity (RR = 1.86, 95% CI: 1.09 to 3.19), major cardiovascular events (RR = 2.46, 95% CI: 1.04 to 5.82), and unfavourable health behaviours (e.g., a longer screen time by 2.85 hours/week, 95% CI: 0.46 to 5.23).</div></div><div><h3>Conclusions</h3><div>Our study provides novel insights into the complex and multifaceted relationship of binge drinking with health and well-being. Further research will enhance our understandings of binge drinking and inform culturally appropriate interventions that effectively mitigate its negative consequences.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108209"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stage at diagnosis and cancer-specific survival for stomach, lung, colorectal, and bladder cancers among Armenians in California","authors":"Ani S. Movsisyan Vernon ,&nbsp;Laura Fejerman ,&nbsp;Jeffrey S. Hoch ,&nbsp;Theresa H. Keegan","doi":"10.1016/j.ypmed.2024.108214","DOIUrl":"10.1016/j.ypmed.2024.108214","url":null,"abstract":"<div><h3>Objective</h3><div>To observe stage at diagnosis and cancer-specific survival for common cancers among Armenians in California.</div></div><div><h3>Methods</h3><div>We used the Armenian Surname List and birthplace information in the California Cancer Registry to identify Armenians with stomach, lung, colorectal, and bladder cancers diagnosed during 1988–2019. We used multivariable logistic regression models to calculate odds of late-stage diagnoses among Armenian and non-Armenian, non-Hispanic White patients and examine the association of sociodemographic factors with late-stage diagnoses among the Armenian patient population. We used Cox proportional hazards models to calculate cancer-specific survival among Armenian patients compared to non-Armenian, non-Hispanic White patients.</div></div><div><h3>Results</h3><div>Of the 639,224 cancer diagnoses identified, 6642 were among Armenian patients. Armenian individuals were more likely to be diagnosed with late-stage colorectal (OR = 1.12, 95 % CI = 1.03–1.22), lung (OR = 1.26, 95 % CI = 1.12–1.42), and stomach (OR = 1.43, 95 % CI = 1.17–1.74) cancers. Among Armenian patients, low nSES and public insurance were associated with late-stage diagnoses. Armenian individuals had better survival than non-Armenian, non-Hispanic White individuals for stomach (HR = 0.85, 95 % CI = 0.76–0.94), lung (HR = 0.86, 95 % CI = 0.82–0.91), colorectal (HR = 0.82, 95 % CI = 0.77–0.88), and bladder (HR = 0.87, 95 % CI = 0.76–0.99) cancers.</div></div><div><h3>Conclusion</h3><div>While Armenian patients were at greater risk of late-stage diagnoses of colorectal, lung, and stomach cancers, they had better survival compared to non-Armenian, non-Hispanic White patients. Further research is needed to understand factors impacting survival in Armenian individuals, including genetic, behavioral, and social factors. Our findings of lower nSES and public health insurance associated with late-stage diagnoses suggest a need for increased access to care and cancer screening among the Armenian population in California.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108214"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142922616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the determinants to accept dementia screening among patients at high risk of dementia based on the theory of planned behavior: A cross-sectional study","authors":"Li Tang ,&nbsp;Zhuang Zhuang ,&nbsp;Meilin Luo ,&nbsp;Yuting Cai ,&nbsp;Qiyuan Lyu","doi":"10.1016/j.ypmed.2024.108215","DOIUrl":"10.1016/j.ypmed.2024.108215","url":null,"abstract":"<div><h3>Background</h3><div>Dementia represents a major public health challenge. Despite numerous initiatives promoting screening for early cognitive impairment to help prevent or delay its onset, participation remains limited. Moreover, there is limited evidence regarding screening intentions and predictors among populations at high risk of dementia. This study used the theory of planned behavior to identify modifiable factors associated with screening participation.</div></div><div><h3>Methods</h3><div>This cross-sectional survey was conducted from November 16, 2021, to April 2, 2022, and involved 439 individuals at high risk of dementia selected using convenience sampling from two major regional communities in Guangzhou, China. A validated custom questionnaire based on the theory of planned behavior was used for data collection, and logistic regression and structural equation modeling were applied to identify related predictors.</div></div><div><h3>Results</h3><div>Overall, 62 % of the participants expressed willingness to undergo dementia screening. Behavioral intention was primarily associated with Perceived behavioral control (PBC, path coefficient = 0.36), Subjective norm (path coefficient = 0.16), and Attitude (path coefficient = 0.13). Additionally, PBC was associated with a positive attitude toward dementia screening (path coefficient = 0.39).</div></div><div><h3>Conclusions</h3><div>PBC, subjective norm, and attitudes are associated with dementia screening willingness among high-risk groups. Healthcare professionals and policymakers should focus on enhancing favorable attitudes toward screening, increasing familial encouragement, and reducing perceived barriers to developing effective prevention or intervention strategies.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108215"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142966438","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":"Adherence to recommended blood-based screening tests for cancer and chronic diseases: A systematic literature review","authors":"Quang A. Le ,&nbsp;Takako Kiener ,&nbsp;Heather A. Johnson ,&nbsp;Kevin H. Li ,&nbsp;Paul J. Limburg ,&nbsp;A. Mark Fendrick ,&nbsp;John B. Kisiel ,&nbsp;Derek W. Ebner","doi":"10.1016/j.ypmed.2024.108213","DOIUrl":"10.1016/j.ypmed.2024.108213","url":null,"abstract":"<div><h3>Introduction</h3><div>Blood-based tests represent a compelling option for early detection and management of cancers and other chronic diseases. While they may increase patient engagement, assumptions about greater adherence in clinical practice need further evaluation. This systematic review aimed to evaluate real-world adherence to established blood-based tests for commonly recommended screening indications to inform expectations for average-risk colorectal cancer (CRC) screening.</div></div><div><h3>Methods</h3><div>A comprehensive and systematic search of PubMed, Embase, and citations was conducted to identify literature published from 2010 to 2023. Included studies examined adherence to United States Preventive Services Task Force (USPSTF) grade A/B blood test recommendations for type 2 diabetes, dyslipidemia, hepatitis C virus (HCV), and human immunodeficiency virus (HIV). Prostate-specific antigen (PSA) testing adherence for prostate cancer screening (grade C USPSTF recommendation), the only widely accessible blood-based single-cancer screening test for average-risk adults, was also included. Studies without venipuncture-derived blood were excluded.</div></div><div><h3>Results</h3><div>Of 53,067 articles, 69 were included. Adherence rates of blood-based screening tests were highly variable, with median values and interquartile range (IQR) of 66.3 % (59.2–71.1), 67.8 % (54.4–72.4), 34 % (21.9–50.5), and 36.8 % (29.1–59.1) for diabetes, dyslipidemia, HCV, and HIV, respectively. PSA testing adherence was 37.2 % (30–48.5). Information and selection bias were common risks of bias.</div></div><div><h3>Conclusions</h3><div>Real-world adherence to recommended blood-based screening is suboptimal. Future research is needed to determine whether these findings are generalizable to blood-based CRC screening and to assess how such a strategy could impact clinical, economic, and health equity outcomes.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108213"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142896935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of individual and neighborhood socioeconomic status with outcomes of a smoking cessation intervention provided in the lung cancer screening setting","authors":"Jaqueline C. Avila ,&nbsp;Efren J. Flores ,&nbsp;Yan-Jhu Su ,&nbsp;Jennifer S. Haas ,&nbsp;Elyse R. Park ,&nbsp;Nancy A. Rigotti","doi":"10.1016/j.ypmed.2024.108207","DOIUrl":"10.1016/j.ypmed.2024.108207","url":null,"abstract":"<div><h3>Background</h3><div>Lung cancer screening (LCS) offers a teachable moment for smoking cessation. This study assesses whether individual- or neighborhood-level SES is associated with tobacco abstinence and completion of a smoking cessation intervention in the LCS context.</div></div><div><h3>Methods</h3><div>Secondary analysis of a clinical trial (<span><span>NCT03611881</span><svg><path></path></svg></span>) that tested the effectiveness of smoking cessation treatment for smokers scheduled for LCS (<em>N</em> = 615) in eastern Massachusetts, USA from 2019 to 2024. Outcomes were self-reported 7-day smoking abstinence and study follow-up completion at 6-months. Independent variables were individual SES (high school or less [low SES] vs. post-high school education [high SES]); neighborhood SES (Area Deprivation Index [ADI], range: 0–100, categorized as: highest 15 % [low SES] vs. remaining 85 % scores [high SES]), and a combination of both measures. Logistic regression models tested the association between outcomes and SES measures, adjusted for covariates.</div></div><div><h3>Results</h3><div>32 % of participants had low individual SES. The mean sample ADI was 19.9 (SD: 12.8). Smoking cessation was higher among those with high vs. low neighborhood SES (15.7 % vs. 7.4 %, <em>p</em>-value = 0.03). Study completion was marginally higher among those with high vs. low individual SES (84.5 % vs. 78.1 %, <em>p</em> = 0.05). In multivariable models, these associations were not significant, but individuals with high individual and low neighborhood SES were more likely to complete the study than those with both low individual and low neighborhood SES, (OR: 6.04, 95 %CI: 1.47–24.7).</div></div><div><h3>Conclusion</h3><div>Individual and neighborhood SES were not independently associated with the study outcomes in the multivariable analysis, but combinations of individual and neighborhood SES differentially affected treatment completion.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108207"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855119","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":"School-based environment and physical activity in adolescents: A systematic review and meta-analysis","authors":"Huihui Wang ,&nbsp;Jian Pang ,&nbsp;Xiaoguang Yang ,&nbsp;Yuanyuan Jia ,&nbsp;Xinru Huang ,&nbsp;Laikang Yu ,&nbsp;Xiao Hou","doi":"10.1016/j.ypmed.2025.108221","DOIUrl":"10.1016/j.ypmed.2025.108221","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the effectiveness of school environmental factors in promoting adolescents' physical activity.</div></div><div><h3>Methods</h3><div>A systematic search of five databases (PubMed, Embase, Web of Science, EBSCO, and Cochrane Library) was conducted from the earliest available records up to September 2023. Meta-analyses were performed for each school environmental factor, provided that at least two studies reported on the association between that factor and adolescents' physical activity. The factors examined included seven school social environmental factors and six school physical environmental factors.</div></div><div><h3>Results</h3><div>18 studies comprising 340,749 participants were included in the meta-analysis. A significant positive correlation was observed between the school environment and adolescents' physical activity. Specifically, the school social environment was positively associated with adolescents' physical activity. In particular, school-offered daily physical education, school-organized extracurricular physical activities, encouragement of using sports equipment or facilities, and outdoor obstacle course were all significantly positively correlated with adolescents' physical activity. While the overall school physical environment did not show a significant relationship with adolescents' physical activity, the number of school physical activity facilities demonstrated a significant positive correlation with adolescents' physical activity.</div></div><div><h3>Conclusions</h3><div>This meta-analysis demonstrates the role of school environment in promoting adolescents' physical activity. School social environmental factors, including school-offered daily physical education, school-organized extracurricular physical activities, encouragement to use sports resources, and outdoor obstacle courses, are particularly effective in enhancing adolescents' physical activity. Among school physical environmental factors, the number of physical activity facilities was found to be a key factor in promoting adolescents' physical activity.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108221"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953836","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}