Preventive medicine最新文献

{"title":"Relationship between self-rated health, physical frailty, and incidence of disability among Japanese community-dwelling older adults: A longitudinal prospective cohort study","authors":"Ryo Yamaguchi ,&nbsp;Keitaro Makino ,&nbsp;Osamu Katayama ,&nbsp;Daiki Yamagiwa ,&nbsp;Hiroyuki Shimada","doi":"10.1016/j.ypmed.2024.108210","DOIUrl":"10.1016/j.ypmed.2024.108210","url":null,"abstract":"<div><h3>Objective</h3><div>Poor self-rated health (SRH) and physical frailty are both significant predictors of disability in older adults, but their joint association on health outcomes remain unclear. This study aimed to examine the relationship between SRH, physical frailty, and incidence of disability among community-dwelling older adults.</div></div><div><h3>Methods</h3><div>This longitudinal cohort study included 2838 older adults aged 65 years or older (mean age, 73.1 ± 5.9 years) living in Takahama, Japan, who participated in the baseline assessment from September 2015 to February 2017. Participants were followed prospectively until June 2021. SRH was assessed on a four-point scale, and frailty was evaluated using the Japanese version of the Cardiovascular Health Study criteria. Participants were categorized into four groups based on SRH (Good or Poor) and frailty status (Robust or Frail). Cox proportional hazard models were used to assess the association between these categories and the incidence of disability over a 5-year follow-up.</div></div><div><h3>Results</h3><div>During the median follow-up of 60 months, 349 of the 2838 participants developed a disability. The risk of disability was significantly higher in the Poor/Robust (HR 1.64, 95 % CI 1.20–2.25), Good/Frail (HR 2.58, 95 % CI 1.91–3.49), and Poor/Frail (HR 2.03, 95 % CI 1.37–3.01) groups than in the Good/Robust reference group.</div></div><div><h3>Conclusions</h3><div>Frail older adults who report good health were associated with the risk of disability, suggesting that discrepancies between subjective and objective health assessments may lead to adverse outcomes. Recognizing and addressing these discrepancies is crucial to promote successful aging.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108210"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855120","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":"Illicit drug use among adolescents and young adults with impairments in the US: A cross-sectional analysis of the National Survey on Drug Use And Health","authors":"Justin A. Haegele ,&nbsp;Samantha M. Ross-Cypcar ,&nbsp;Jeanette M. Garcia","doi":"10.1016/j.ypmed.2025.108222","DOIUrl":"10.1016/j.ypmed.2025.108222","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this cross-sectional analysis is to compare the degree to which adolescents and adults with and without impairments in the US engage in illicit drug use.</div></div><div><h3>Methods</h3><div>This cross-sectional study utilized data from the 2022 National Survey of Drug Use and Health. Impairment status (mobility, cognitive, hearing, vision, self-care, and communication impairments), illicit drug use (cocaine, crack, heroin, hallucinogens, LSD, ecstasy and molly, inhalants, and methamphetamine), and demographic variables were measured using self-report. Weighted prevalence estimates for illicit drug use across each category were provided. Group differences in drug prevalence between individuals with and without impairments were examined, then logistic regressions estimated crude and adjusted odds of drug use among impairment groups by age. Prevalence of use and age of first time use for illicit drugs were explored across impairment type.</div></div><div><h3>Results</h3><div>The sample comprised of 35,921 individuals, with an estimate of 12.9 % experiencing at least one impairment. Among emerging adults, hallucinogens were the highest reported used drug in the past year, with a significantly higher percentage of those with impairments (12.8 %, 95 % CI: 1.5, 9.6), compared to adults without impairments (7.1 %, 95 % CI: 6.3, 8.0), reporting recent use. Individuals with impairments (mean = 16.2 years) were significantly younger when they first tried an illicit drug compared to peers (mean = 18.1 years).</div></div><div><h3>Conclusions</h3><div>Overall, individuals with impairments were more than twice as likely to engage in illicit drug use compared to counterparts. People with impairments were younger, on average, when they first tried any illicit drugs.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108222"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142966461","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":"Positive association of large alcohol intake per occasion with vision-threatening severe diabetic retinopathy or diabetic macular edema in Japanese men with type 2 diabetes","authors":"Masahiko Yamamoto ,&nbsp;Kazuya Fujihara ,&nbsp;Hiruma Hasebe ,&nbsp;Yuta Yaguchi ,&nbsp;Takaho Yamada ,&nbsp;Satoru Kodama ,&nbsp;Shiro Tanaka ,&nbsp;Hirohito Sone","doi":"10.1016/j.ypmed.2025.108220","DOIUrl":"10.1016/j.ypmed.2025.108220","url":null,"abstract":"<div><h3>Objective</h3><div>Differing from the overall consumption of alcohol, whether consuming large quantities of alcohol per drinking occasion is associated with higher risk of developing severe diabetic retinopathy remains unknown.</div></div><div><h3>Methods</h3><div>We examined whether the quantity per drinking occasion (QPO), including a large QPO, and the combinations of the frequency of alcohol consumption (FAC) and QPO were associated with higher risk of developing severe diabetic retinopathy or diabetic macular edema (DME) using adjusted Cox models. Severe diabetic retinopathy or DME was designated as a vision-threatening treatment-required diabetic eye disease (TRDED). For each man with type 2 diabetes who participated in this longitudinal retrospective cohort study, the date of the earliest health check-up during the inclusion period (April 2008 to August 2016) was set as the start date of follow-up.</div></div><div><h3>Results</h3><div>A TRDED was observed in 425 of 21,392 Japanese men aged 22–74 years with type 2 diabetes during a mean follow-up of 4.3 years (4.6/1000 person-years). Multivariable Cox analysis showed that a large QPO, defined as drinking three drinks or more per occasion, in low- (hazard ratio [HR], 4.76; 95 % CI, 2.06–10.97), intermediate- (HR, 1.58; 95 %CI, 1.001−2.50), and high-frequency categories (HR, 2.01; 95 % CI, 1.20–3.36) was significantly associated with elevated risks of TRDED.</div></div><div><h3>Conclusions</h3><div>In addition to the total amount of ethanol, these findings imply the necessity of avoiding the consumption of large amounts of alcohol on a single occasion to prevent severe diabetic retinopathy or DME.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108220"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143033848","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":"Passive exposure to opioid crisis information and public attitudes: Effects on local policy support, discrimination, and stigma in a United States national survey","authors":"Alex Kresovich ,&nbsp;Mateusz Borowiecki ,&nbsp;Phoebe A. Lamuda ,&nbsp;Bruce G. Taylor ,&nbsp;Sherry L. Emery ,&nbsp;John Schneider ,&nbsp;Harold A. Pollack","doi":"10.1016/j.ypmed.2024.108212","DOIUrl":"10.1016/j.ypmed.2024.108212","url":null,"abstract":"<div><h3>Objective</h3><div>To examine associations between passive exposure to opioid crisis information and public attitudes toward opioid use disorder (OUD) policies and stigma among United States (US) adults.</div></div><div><h3>Methods</h3><div>A nationally representative survey of 6543 US adults was conducted from December 2023 to January 2024. Participants reported passive exposure to opioid crisis information from various sources. Outcome measures included preferences for national and local harm-reduction policies, discriminatory practices, carceral approaches, and OUD stigma. Multivariable regression analyses were performed, controlling for demographic factors.</div></div><div><h3>Results</h3><div>Over half (<em>n</em> <em>=</em> 3863, 59.4 %) of participants reported passive exposure to opioid crisis information. Exposure from medical professionals (<em>b</em> <em>=</em> 0.143, <em>p</em> = 0.001), family/friends (<em>b</em> <em>=</em> 0.118, <em>p</em> = 0.013), print media (<em>b</em> <em>=</em> 0.135, <em>p</em> = 0.019), and web searches (<em>b</em> <em>=</em> 0.164, <em>p</em> = 0.002) was associated with increased support for local harm-reduction policies. Social media exposure was negatively associated with support for discriminatory practices (<em>b</em> <em>=</em> −0.101, <em>p</em> = 0.043). Exposure from medical professionals was negatively associated with OUD stigma (<em>b</em> <em>=</em> −0.090, <em>p</em> = 0.014). No significant associations were found between information exposure and support for national harm-reduction policies or carceral approaches.</div></div><div><h3>Conclusions</h3><div>Despite widespread media coverage of the opioid crisis, passive information exposure was only associated with increased support for local, not national, harm-reduction policies. The modest exposure rate (59.4 %) suggests an attention gap between information availability and public engagement. The differential effectiveness of information channels suggests that communication strategies emphasizing community-level initiatives and leveraging specific sources like healthcare providers and interpersonal networks may be particularly important for building public support for evidence-based OUD prevention policies.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108212"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872750","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":"Cholesterol screening by nativity status in pediatric patients receiving care in United States community-based clinics","authors":"Jennifer A. Lucas ,&nbsp;Miguel Marino ,&nbsp;Steffani R. Bailey ,&nbsp;Jorge Kaufmann ,&nbsp;John Heintzman","doi":"10.1016/j.ypmed.2025.108239","DOIUrl":"10.1016/j.ypmed.2025.108239","url":null,"abstract":"<div><h3>Objective</h3><div>Accumulation of cardiovascular risks begins early in life. Some experts recommend cholesterol screening for children aged nine to 11. Latinos living in the U.S. have a high burden of cardiovascular disease and risk factors, and this is further influenced by birthplace, yet information on early screening for cardiovascular disease in this group is sparse.</div></div><div><h3>Methods</h3><div>We used electronic health records from a national network including 771 community-based clinics across 21 states from 2012 to 2020, from 310,297 foreign-born Latino, US-born Latino, Latino with unknown birthplace, and non-Hispanic white patients aged nine to 17 years. Logistic regression including demographic and clinical covariates was conducted to estimate prevalence of cholesterol testing, stratified by obesity.</div></div><div><h3>Results</h3><div>Latino children, regardless of nativity status, had higher adjusted prevalence of cholesterol screening compared to non-Hispanic white children for those with and without obesity. The highest prevalence of screening among those with obesity was in foreign-born Latinos (34.8 %), and among those who were not obese, US-born Latinos had the highest screening prevalence (16.8 %).</div></div><div><h3>Conclusions</h3><div>Cholesterol screening was low overall in these community-based clinic patients but differed by ethnicity and nativity status. There is opportunity for further research on outcomes in Latino children to inform guidelines for early screening for cardiovascular health.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"192 ","pages":"Article 108239"},"PeriodicalIF":4.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075291","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":"Disparities in prenatal care utilization among racial/ethnic and nativity subgroups in the United States","authors":"Choi Sugy ,&nbsp;Pearl A. McElfish ,&nbsp;Clare C. Brown","doi":"10.1016/j.ypmed.2025.108238","DOIUrl":"10.1016/j.ypmed.2025.108238","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate disparities in prenatal care among granular (disaggregated) racial/ethnic subgroups overall and by nativity.</div></div><div><h3>Methods</h3><div>We analyzed singleton live births among United States (US) residents from the National Center for Health Statistics Birth Certificate Data (2018–2022) to evaluate first trimester prenatal care initiation and prenatal care adequacy using the Adequacy of Prenatal Care Utilization Index. We conducted multivariable logistic regressions and used marginal effects to assess adjusted differences among 7 broad racial/ethnic categories (e.g., Asian) and 16 disaggregated subgroups (e.g., Chinese). Disaggregated subgroups came from Asian, Native Hawaiian and Other Pacific Islander (NHPI) and Hispanic categories.</div></div><div><h3>Results</h3><div>Among the sample (<em>n</em> = 15,882,850), 78.4 % had first trimester prenatal care, and 76.2 % had adequate prenatal care. Adjusted rates of first trimester prenatal care ranged from 60.1 % among NHPI individuals to 82.5 % among White individuals, and prenatal care adequacy ranged from 54.3 % among NHPI individuals to 80.1 % among White individuals. Compared to US-born individuals, foreign-born individuals had lower first trimester care and prenatal care adequacy among most racial/ethnic broad categories and subgroups. The rates of both outcomes among each NHPI subgroup were lower than every other racial/ethnic subgroup evaluated.</div></div><div><h3>Conclusions</h3><div>Significant disparities in first trimester prenatal care initiation and adequacy exist based on race/ethnicity and nativity, with the largest disparities among NHPI individuals. These findings highlight the need for focused public health interventions to address disparities in prenatal care access and quality, ultimately promoting both infant and maternal health equity.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"192 ","pages":"Article 108238"},"PeriodicalIF":4.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075293","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":"Financial incentives for physical activity in adults: Systematic review and meta-analysis update","authors":"Babac Salmani ,&nbsp;Harry Prapavessis ,&nbsp;Leigh M. Vanderloo ,&nbsp;Marc S. Mitchell","doi":"10.1016/j.ypmed.2025.108237","DOIUrl":"10.1016/j.ypmed.2025.108237","url":null,"abstract":"<div><h3>Objective</h3><div>To update the evidence on the effects of financial incentives (FI) on physical activity (PA) in adults.</div></div><div><h3>Methods</h3><div>A systematic search of nine databases (Medline, EMBASE, PsychINFO, Scopus, Web of Science, CINAHL, EconLit, SPORTDiscus, and Cochrane) was conducted to identify randomised controlled trials (RCTs) and pilot RCTs published between June 1, 2018 and March 31, 2024 examining FI-for-PA interventions. ‘Vote counting’ and random-effects meta-analyses assessed short- (&lt;6 months) and long-term (≥6 months) FI effects, as well as impact during follow-up (incentive withdrawal). Meta-regressions examined moderator effects.</div></div><div><h3>Results</h3><div>Twenty-nine studies (<em>n</em> = 21 RCT, <em>n</em> = 8 pilot RCTs; median FI size = $1.19 USD/day) involving 9604 participants were included (60.8 % female, mean age = 42.7 years). 17 of 21 studies reported positive short-term effects. 5 of 5 and 3 of 8 studies, respectively, reported positive long-term and follow-up effects. Among the 15 studies included in daily step count meta-analyses (most commonly reported PA outcome), FI had a moderate effect during short-term interventions (standardized mean difference [SMD] [95 % CI] = 0.52 [0.25–0.78], <em>p</em> &lt; 0.001) and a small effect in follow-up (SMD [95 % CI] = 0.20 [0.01–0.40], <em>p</em> = 0.04). Too few long-term studies reported daily step count to conduct pooled analyses (<em>n</em> = 1). Meta-regressions suggest study length, incentive size, wearable device-use, and goal setting moderate FI effects (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Twenty-nine studies were identified over a 6-year span. Short-term FI interventions increase PA. The impact on daily step count is clinically significant (≥1000 steps/day). Key contextual factors moderate effects. Evidence is limited regarding long-term and follow-up effects.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"192 ","pages":"Article 108237"},"PeriodicalIF":4.3,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053299","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":"Ethnic belonging and chronic disease in Indigenous populations in Canada","authors":"Zekai Lu,&nbsp;Eran Shor,&nbsp;Samuelle Fortin","doi":"10.1016/j.ypmed.2025.108236","DOIUrl":"10.1016/j.ypmed.2025.108236","url":null,"abstract":"<div><h3>Objectives</h3><div>Indigenous peoples in Canada endure health inequalities and cultural erosion due to colonial legacies. This study examines the relationship between ethnic belonging and chronic disease patterns among three Indigenous groups: First Nations, Inuit, and Métis.</div></div><div><h3>Methods</h3><div>We analyzed data from the 2017 Indigenous Peoples Survey of Canada, performing latent class analysis to identify distinct classes among 12 chronic disease indicators. We used multinomial logistic regression to examine the relationship between ethnic belonging and subtypes of chronic diseases, also employing average marginal effects to interpret heterogeneity. All analyses incorporated complex survey weights to ensure national representativeness.</div></div><div><h3>Results</h3><div>The final sample comprised 19,621 individuals. Four distinct subgroups were identified: <em>Relatively Healthy</em>, <em>Physical Illness</em>, <em>Mental Illness</em>, and <em>Severe Illness</em> groups. Descriptive statistics revealed that up to 35.0 % of the Indigenous population is in a suboptimal health state. Regression outcomes demonstrated that a strong sense of cultural belonging significantly reduces the odds of both <em>Mental Illness</em> (OR = 0.82, 95 % CI [0.76,0.88]) and <em>Severe Illness</em> (OR = 0.92, 95 % CI [0.84,0.99]). Heterogeneity analyses revealed that the positive association between belonging and health outcomes was stronger in the adult age group, among men, and within First Nations and Inuit groups.</div></div><div><h3>Conclusion</h3><div>This study underscores the critical role of ethnic belonging in enhancing health among Indigenous populations, particularly in reducing odds associated with mental and severe health conditions. Policies and community practices should focus on strengthening Indigenous peoples' community belonging and cultural connections.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"192 ","pages":"Article 108236"},"PeriodicalIF":4.3,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143041027","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 long-term exposure to ambient air pollution with osteoporosis among cancer survivors: Results from the Korea National Health and Nutrition Examination Survey","authors":"Juyeon Hwang ,&nbsp;Kyounghyeon Kim ,&nbsp;Seohyun Ahn ,&nbsp;Da-eun Lee ,&nbsp;Seung Won Lee ,&nbsp;Hyun-Jin Kim ,&nbsp;Kyeezu Kim","doi":"10.1016/j.ypmed.2025.108228","DOIUrl":"10.1016/j.ypmed.2025.108228","url":null,"abstract":"<div><h3>Introduction</h3><div>Recent studies suggest that ambient air pollution may contribute to osteoporosis; however, research focusing on populations with greater susceptibility is lacking. This study seeks to explore the association between air pollution and osteoporosis focusing on cancer survivors.</div></div><div><h3>Materials and methods</h3><div>We analyzed data from 8977 individuals (2245 cancer survivors, 6732 cancer-free population) obtained from the Korea National Health and Nutrition Examination Survey (KNHANES) during 2007–2009 and 2015–2021. Air pollution exposures to PM₁₀, PM_2.5, SO₂, NO₂, and CO were estimated using air quality models and satellite data. Moving average concentrations over 1–3 years prior to the survey were calculated. Logistic regression models adjusting for demographic and lifestyle factors were used to assess the association between air pollution and osteoporosis status. Analyses were stratified by cancer survivorship status and sex.</div></div><div><h3>Results</h3><div>Among cancer survivors, particularly female cancer survivors, higher long-term exposure to air pollutants was associated with greater odds of osteoporosis. Cancer survivors exposed to higher PM₁₀ over 1-, 2-, and 3-year periods had greater odds of osteoporosis (all <em>p</em> &lt; 0.05). In female cancer survivors, 1-year exposure to PM_2.5 was associated with 25 % higher odds of osteoporosis (OR = 1.25, 95 % CI = 1.02–1.54), and NO₂ exposure showed a similar association (OR = 1.42; 95 % CI = 1.06–1.90). These associations were not observed in the individuals without cancer history.</div></div><div><h3>Conclusion</h3><div>The association between air pollution and osteoporosis was observed in cancer survivors, especially among female cancer survivors. Our findings emphasize the need for targeted interventions for at-risk populations such as cancer survivors.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"192 ","pages":"Article 108228"},"PeriodicalIF":4.3,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010346","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 there a difference in preventive health checks and healthy lifestyle practices based on preconception status? Findings from the Australian Longitudinal Study on Women's Health","authors":"Alemayehu Mekonnen,&nbsp;Jenny Doust,&nbsp;Dereje Gete,&nbsp;Gita D. Mishra","doi":"10.1016/j.ypmed.2025.108227","DOIUrl":"10.1016/j.ypmed.2025.108227","url":null,"abstract":"<div><h3>Introduction</h3><div>While preventive healthcare guidelines recommend that pregnant women or those planning pregnancy engage in preventive care and maintain healthy lifestyles, it is unknown whether women engage in these activities before conception. We examined the association between maternal status and participation in preventive health checks and healthy lifestyle practices.</div></div><div><h3>Methods</h3><div>We included 4447 women from 1989 to 95 cohort of Australian Longitudinal Study on Women's Health, categorised into three groups: pregnant women, women in preconception period, and women who were neither pregnant nor trying to become pregnant between surveys one to six. Generalised estimating equation was used for analyses.</div></div><div><h3>Results</h3><div>At the sixth survey when women were aged 24–29, 7 % and 32 % of women in the preconception period did not have their blood pressure and weight checked, respectively. Concerning healthy lifestyles during preconception period, 37 % of women did not meet the minimum physical activity guidelines; 64 % and 85 % of women, respectively, did not meet the recommended serves of fruits and vegetables; 92 % consumed any level of alcohol; and 31 % tried other illicit drugs. Women in the preconception period were more likely to have their weight checked (OR 1.83; CI 1.39, 2.41) and to abstain from using illicit drugs (OR 1.12; CI 1.01, 1.26) than other women who were not trying to become pregnant.</div></div><div><h3>Conclusions</h3><div>There were no differences in most behaviours between women in preconception period and in other women who were not pregnant. More awareness of preconception health is required to encourage women to engage in preventive activities.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"192 ","pages":"Article 108227"},"PeriodicalIF":4.3,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009540","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}