Preventive medicine最新文献

{"title":"Food insufficiency and difficulty affording expenses after the end of Supplemental Nutrition Assistance Program emergency allotments in the United States among households with and without children","authors":"Anna E. Austin ,&nbsp;Stephanie Ettinger de Cuba ,&nbsp;Courtney N. Maierhofer ,&nbsp;Rebecca B. Naumann ,&nbsp;May Chen ,&nbsp;Kayla N. Anderson ,&nbsp;Paul R. Shafer","doi":"10.1016/j.ypmed.2025.108385","DOIUrl":"10.1016/j.ypmed.2025.108385","url":null,"abstract":"<div><h3>Objective</h3><div>Emergency allotments were issued in the Supplemental Nutrition Assistance Program (SNAP), the largest program addressing food insecurity in the United States, during the COVID-19 pandemic. These emergency allotments temporarily increased the amount of monthly food purchasing assistance received by SNAP-participating households. Our aim was to examine the association of the end of SNAP emergency allotments with food insufficiency and difficulty affording expenses, overall and among households with and without children.</div></div><div><h3>Methods</h3><div>We used March 2021–April 2022 Household Pulse Survey data from respondents in four states that ended emergency allotments in August 2021 (“earlier ender” states) and eight states that ended emergency allotments after the end of the study period (comparison states). We conducted difference-in-differences analyses to compare changes in the risk of food insufficiency and difficulty affording expenses from before to after the end of emergency allotments in August 2021 between SNAP-participating households in “earlier ender” states and comparison states.</div></div><div><h3>Results</h3><div>Earlier ending of SNAP emergency allotments was associated with a 5.0 percentage point increase in the risk of food insufficiency (risk difference (RD) = 0.05, 95 % confidence interval (CI) 0.03, 0.07) and an 8.0 percentage point increase in the risk of difficulty affording expenses (RD = 0.08, 95 % CI 0.06, 0.09). The increase in the risk of food insufficiency was slightly larger for households with children (RD = 0.06, 95 % CI 0.03, 0.09) than households without children (RD = 0.04, 95 % CI 0.00, 0.08).</div></div><div><h3>Conclusions</h3><div>SNAP benefit reductions after the end of emergency allotments were associated with difficulty affording food and household expenses among households with and without children.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"199 ","pages":"Article 108385"},"PeriodicalIF":3.2,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144809382","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":"Corrigendum to “Reducing perceived barriers to scaling up overdose education and naloxone distribution and medications for opioid use disorder in the United States in the HEALing (Helping End Addiction Long-Term®) communities study” [Preventive Medicine Volume 185 (2024) 108034]","authors":"Hannah K. Knudsen ,&nbsp;Daniel M. Walker ,&nbsp;Nicole Mack ,&nbsp;Elizabeth N. Kinnard ,&nbsp;Timothy R. Huerta ,&nbsp;LaShawn Glasgow ,&nbsp;Louisa Gilbert ,&nbsp;Bryan R. Garner ,&nbsp;Anindita Dasgupta ,&nbsp;Redonna Chandler ,&nbsp;Sharon L. Walsh ,&nbsp;Yjuliana Tin ,&nbsp;Sylvia Tan ,&nbsp;Joel Sprunger ,&nbsp;Linda Sprague Martinez ,&nbsp;Pamela Salsberry ,&nbsp;Merielle Saucier ,&nbsp;Maria Rudorf ,&nbsp;Sandra Rodriguez ,&nbsp;Carrie B. Oser ,&nbsp;Mari-Lynn Drainoni","doi":"10.1016/j.ypmed.2025.108383","DOIUrl":"10.1016/j.ypmed.2025.108383","url":null,"abstract":"","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"199 ","pages":"Article 108383"},"PeriodicalIF":3.2,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144804614","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":"Changes in health behaviors and risk of cardiovascular disease among midlife and aging municipal employees with and without metabolic risk factors: A register-linkage cohort study in Finland","authors":"Jaakko Harkko ,&nbsp;Olli Pietiläinen ,&nbsp;Pekka Jousilahti ,&nbsp;Antti Etholén ,&nbsp;Luka Vähäsarja ,&nbsp;Eero Teppo ,&nbsp;Novartis Foundation AI4HealthyCities Group,&nbsp;Tea Lallukka","doi":"10.1016/j.ypmed.2025.108379","DOIUrl":"10.1016/j.ypmed.2025.108379","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate associations between changes in health behaviors and cardiovascular disease (CVD) risk among municipal employees, stratified by baseline metabolic risk factors (hypertension, hypercholesterolemia, obesity, diabetes).</div></div><div><h3>Methods</h3><div>We followed 4470 municipal employees in Helsinki, Finland (74 % women; median age 56.1 years) for an average of 11 years (2007–2022) to assess incident CVD. Survival curves estimated median survival differences, and hazard ratios (HRs) evaluated CVD risk related to changes in smoking, physical activity, alcohol consumption, diet, and sleep.</div></div><div><h3>Results</h3><div>During the follow-up, 1879 (42 %) individuals developed CVD. Among those without metabolic risk factors, improvement in health behavior score was linked to reduced CVD risk and an 8.1-year longer median survival (HR = 0.59, 95 % CI = 0.41–0.86). Across metabolic risk-factor groups, the most considerable reductions were observed in the transition from physical inactivity to activity among individuals with hypertension (HR = 0.66, 95 % CI = 0.49–0.87), diabetes (HR = 0.51, 95 % CI = 0.30–0.87), and obesity (HR = 0.63, 95 % CI = 0.43–0.93).</div></div><div><h3>Conclusions</h3><div>Changes in health behaviors were associated with CVD risk, varying by metabolic factors. Findings support targeted interventions to promote behavior change, particularly increasing physical activity in those with metabolic risks.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"199 ","pages":"Article 108379"},"PeriodicalIF":3.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775991","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":"Rural-urban differences in the symptoms, side effects, and physical activity of cancer survivors in the United States","authors":"Whitney E. Zahnd ,&nbsp;Jessica Gorzelitz ,&nbsp;Mary E. Charlton ,&nbsp;Heather Schacht Reisinger ,&nbsp;Sarah H. Nash ,&nbsp;Aaron T. Seaman","doi":"10.1016/j.ypmed.2025.108380","DOIUrl":"10.1016/j.ypmed.2025.108380","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate rural-urban differences in cancer-related symptoms, side effects, activities of daily living, and physical activity among cancer survivors in the United States.</div></div><div><h3>Methods</h3><div>We analyzed the Health Information National Trends Survey -Surveillance Epidemiology End Results (HINTS -SEER; <em>n</em> = 1054 cancer survivors) from the Greater San Francisco Bay Area, Iowa, and New Mexico between January – August 2021. Respondents were surveyed on cancer-related symptoms and side effects along with their activities of daily living (ADL) and physical activity (PA). We calculated weighted percentages and Rao-Scott chi-square tests for reported differences between rural and urban survivors. Rural/urban status was determined using Rural Urban Continuum Codes.</div></div><div><h3>Results</h3><div>Rural and urban cancer survivors did not differ in their reporting of symptoms or side effects, with each group reporting approximately 20 % or greater prevalence of each assessed symptom or side effect. For ADLs, rural cancer survivors more frequently reported difficulty dressing/bathing compared to their urban counterparts (7.7 % vs. 3.1 %, <em>p</em> = 0.02), but there were no statistically significant differences for other ADLs. A higher percentage of urban cancer survivors compared to rural reported meeting aerobic PA recommendations of ≥150  minutes moderate intensity activity per week (47.9 % vs. 33.8 %, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>While many cancer survivors report symptoms and side effects of cancer treatment, no substantial variations existed by rurality. Important exceptions to this was that rural cancer survivors reported greater difficulty with bathing and dressing, and lower PA. Interventions and research to address these rural-urban differences will be critical to ensure rural cancer survivors have optimal long-term outcomes.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"199 ","pages":"Article 108380"},"PeriodicalIF":3.2,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771309","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":"Cigarette smoking and chronic disease in the United States, 2021-2023.","authors":"Karin A Kasza, Richard J O'Connor, K Michael Cummings, Martin C Mahoney","doi":"10.1016/j.ypmed.2025.108378","DOIUrl":"10.1016/j.ypmed.2025.108378","url":null,"abstract":"<p><strong>Objective: </strong>To quantify and describe the U.S. population of adults who smoke cigarettes daily and have chronic disease, determine their use of various products, and determine whether use of each product is associated with cigarette quitting.</p><p><strong>Methods: </strong>PATH Study data collected in 2021 (Wave 6) and 2022/23 (Wave 7) were analyzed. Participants were adults who smoked cigarettes daily ages 40+ who were diagnosed with chronic obstructive pulmonary disease, chronic bronchitis, emphysema, congestive heart failure, heart attack, stroke, cancer, and/or diabetes as of 2021 (N = 1261). We determined in 2022/23 their past 12-month use of e-cigarettes, nicotine pouches, nicotine replacement therapy (NRT), and bupropion or varenicline; we evaluated whether use differed by several characteristics, and whether use was associated with cigarette quitting.</p><p><strong>Results: </strong>Among adults who smoked with chronic disease, 40 % were not recently advised by a clinician to quit smoking and 27 % did not plan to ever quit. Between 2021 and 2022/23, 16 % used e-cigarettes, 14 % used NRT, 8 % used bupropion or varenicline, 3 % used nicotine pouches. Overall, <6 % quit smoking in 2022/23; quit rates were higher for those who used e-cigarettes (9 %) and those who used NRTs (12 %) than those who did not use each respective product (5 % and 5 %).</p><p><strong>Conclusions: </strong>There are 9.9 million people with chronic disease who smoke cigarettes daily in the U.S; findings highlight opportunity for healthcare providers to enhance efforts to help people quit smoking, opportunity to improve low use rates of FDA-approved smoking cessation pharmacotherapies, and potential for e-cigarettes as a smoking cessation tool.</p>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":" ","pages":"108378"},"PeriodicalIF":3.2,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732934","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":"Disability and receipt of the Papanicolaou test for cervical cancer screening: A systematic review and meta-analysis","authors":"Hasmik Beglaryan ,&nbsp;Jayati Khattar ,&nbsp;Caroline Kassee ,&nbsp;Kathryn Barrett ,&nbsp;Susan E. Bronskill ,&nbsp;Aisha Lofters ,&nbsp;Hilary K. Brown","doi":"10.1016/j.ypmed.2025.108376","DOIUrl":"10.1016/j.ypmed.2025.108376","url":null,"abstract":"<div><h3>Objective</h3><div>To synthesize literature comparing Papanicolaou (Pap) test receipt between women with and without disabilities.</div></div><div><h3>Methods</h3><div>We searched the following databases from inception to March 1, 2024: OVID Medline (1946–), EBSCO CINAHL Plus (1981–), OVID EMBASE (1974–), and OVID APA PsycINFO (1806–). Eligible studies were peer-reviewed and compared receipt of Pap tests in women with physical, hearing, vision, or intellectual/developmental disability versus those without disabilities. We extracted data using a standardized form; study quality was appraised using the Newcastle-Ottawa Scale; and results were synthesized using random-effects meta-analyses, where possible. Findings that could not be meta-analyzed were summarized following Synthesis Without Meta-analysis guidelines. Grading of Recommendations, Assessment, Development and Evaluation was used to assess the strength of evidence.</div></div><div><h3>Results</h3><div>Of 1946 unique studies screened, 43 were included in the review, and 21 were meta-analyzed. Studies were primarily cross-sectional (65.1 %), used survey data (76.7 %), and were conducted in the United States (60.5 %). Quality was rated high (30.2 %), medium (55.8 %), and low (14.0 %). Women with disabilities had a lower likelihood of receiving a Pap test (adjusted pooled OR 0.78, 95 % CI: 0.66–0.91). Disparities were more pronounced among those with physical (adjusted pooled OR 0.74, 95 % CI: 0.68–0.80) and intellectual/developmental disabilities (adjusted ORs ranging from 0.21 to 0.37). The overall strength of evidence was low.</div></div><div><h3>Conclusions</h3><div>Women with disabilities could benefit from efforts to improve cervical cancer screening receipt. Future studies should continue to explore this association, including using population-based data that may better capture the needs of this group.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"199 ","pages":"Article 108376"},"PeriodicalIF":3.2,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732935","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":"Examining US adolescent cigarette smoking prevalence by rurality and gender, 2002-2019.","authors":"Tyler G Erath, Fang Fang Chen, Michael DeSarno, Stephen T Higgins","doi":"10.1016/j.ypmed.2025.108377","DOIUrl":"10.1016/j.ypmed.2025.108377","url":null,"abstract":"<p><strong>Objective: </strong>Examine changes in cigarette smoking prevalence among US adolescents by rural-urban residence, gender, and time.</p><p><strong>Methods: </strong>We compared trends in smoking prevalence by rural-urban residence and gender using 18 years of cross-sectional data (2002-2019) from 298,530 respondents aged 12-17 in the US National Survey on Drug Use and Health. The two primary outcomes were past-month and daily smoking prevalence. Weighted logistic regression models tested whether smoking prevalence varied by rural-urban residence, gender, and time along with two-way and three-way interactions of these variables.</p><p><strong>Results: </strong>Past-month and daily smoking declined over time for all four rural-urban residence and gender combinations. Regarding past-month smoking, there was a significant rural-urban residence by time interaction (p < .001) with higher prevalence and slower rates of decline among rural (adjusted odds ratio [AOR] = 0.86; 95 %CI = 0.85,0.87) versus urban participants (AOR = 0.83; 95 %CI = 0.82,0.84). A significant gender by time interaction (p < .001) was also observed. The rate of decline was faster among females (AOR = 0.82; 95 %CI = 0.81,0.83) versus males (AOR = 0.85; 95 %CI = 0.84,0.86) with prevalence initially higher (2002-2003) yet ending lower (2018-2019) among females. Regarding daily smoking, there was a significant rural-urban residence by time interaction (p = .005) with higher prevalence and slower rates of decline among rural (AOR = 0.82; 95 %CI = 0.80,0.85) versus urban participants (AOR = 0.79; 95 %CI = 0.78,0.80).</p><p><strong>Conclusions: </strong>Findings provide novel evidence of shrinking yet persistent rural disparities in both past-month and daily smoking, and less declines in past-month smoking among males over time. Together, findings support continued need for tobacco control and regulatory efforts to reduce adolescent smoking and specific efforts to reduce rural and gender disparities.</p>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":" ","pages":"108377"},"PeriodicalIF":3.2,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732936","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":"Response to commentary by Akhter et al. titled, \"Beyond biomarkers: Underexplored considerations in SREC trials for people with HIV who smoke\".","authors":"Patricia A Cioe, William V Lechner, Garrett S Stang, Christopher W Kahler, Karen T Tashima, Thomas Eissenberg, Jennifer W Tidey","doi":"10.1016/j.ypmed.2025.108374","DOIUrl":"10.1016/j.ypmed.2025.108374","url":null,"abstract":"","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":" ","pages":"108374"},"PeriodicalIF":3.2,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718334","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":"Beyond biomarkers: Underexplored considerations in standardized research electronic cigarette trials for people with HIV who smoke.","authors":"Javeria Akhter, Javed Iqbal, Syed Muhammad Ali","doi":"10.1016/j.ypmed.2025.108373","DOIUrl":"10.1016/j.ypmed.2025.108373","url":null,"abstract":"","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":" ","pages":"108373"},"PeriodicalIF":3.2,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718333","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":"Human-centred design thinking as a co-creation process: A commentary","authors":"Vivian Romero ,&nbsp;Elise Rivera","doi":"10.1016/j.ypmed.2025.108375","DOIUrl":"10.1016/j.ypmed.2025.108375","url":null,"abstract":"<div><h3>Objective</h3><div>Co-creation, a collaborative process of engaging with stakeholders to define complex problems and design solutions that are contextually relevant to stakeholders' needs, has gained traction in public health and preventive medicine to address “wicked problems” through meaningful engagement with stakeholders. The way in which co-creation approaches are used and/or described in public health are not always entirely clear. How might we enhance co-creation processes to improve health? The objective of this commentary is to argue for the integration of human-centred design thinking (HCDT) to direct co-creation processes by defining its framework and use of empathetic perspectives and iterative problem framing.</div></div><div><h3>Methods</h3><div>This commentary defines human-centred design thinking HCDT as a framework for co-creation with an emphasis on divergent and convergent thinking and introduces designer mindsets. The role of empathy and problem framing is explored using examples from the field.</div></div><div><h3>Results</h3><div>This commentary argues for the added value of applying HCDT as an approach to co-creation in public health and provides tools associated with this process that can complement traditional co-creation processes, such as the Double Diamond model, HCDT field guides with detailed and established activities, “designerly ways of knowing”, empathy mapping, and problem reframing.</div></div><div><h3>Conclusions</h3><div>By integrating HCDT into co-creation processes, we can foster deeper empathetic responses and problem framing through collaboration.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"199 ","pages":"Article 108375"},"PeriodicalIF":4.3,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144712949","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}