Preventive medicine最新文献

{"title":"Predicting cognitive function among Chinese community-dwelling older adults: A supervised machine learning approach","authors":"Xin Ye ,&nbsp;Xinfeng Wang ,&nbsp;Yu Wang ,&nbsp;Hugo Lin","doi":"10.1016/j.ypmed.2025.108307","DOIUrl":"10.1016/j.ypmed.2025.108307","url":null,"abstract":"<div><h3>Objective</h3><div>Identifying cognitive impairment early enough could support timely intervention of cognitive impairment and facilitate successful cognitive aging. We aimed to build more precise prediction models for cognitive function using less variable input among Chinese community-dwelling older adults.</div></div><div><h3>Methods</h3><div>We used data from a prospective cohort of 13,906 older adults aged 60 years and above from the nationally representative China Health and Retirement Longitudinal Study (CHARLS) 2011–2020. The Gradient Boosting Classifier (GBC) and gradient boosting regressor (GBR) models were used to predict an individual's current cognitive function. For future cognition prediction, we trained GBR models to analyze the prediction error over the years.</div></div><div><h3>Results</h3><div>Among 68 features, ten features were finally selected to develop the model: education attainment, childhood friendship, age, instrumental activities of daily living (IADLs), hukou type, mobility, sleep duration, gender, residence, and social participation. Our model exhibited robust performance in predicting current and future cognitive function. When an individual's current cognitive function was assessed as a dichotomous classification of cognitive impairment presence, the GBC model achieved an area under the receiver operating characteristic (ROC) of 0.832. When the outcome was forecasted as a continuous variable, the model achieved a root mean square error (RMSE) loss of 3.356 in the test set. For predicting future cognition, models taking into account the current cognitive state demonstrated superior performance.</div></div><div><h3>Conclusions</h3><div>Our study offers a practical tool to aid in the early identification of cognitive impairment, thus supporting timely interventions in the community environment and potentially contributing to successful cognitive aging.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"196 ","pages":"Article 108307"},"PeriodicalIF":4.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937249","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":"Participation in community gathering places and loss of independence among older adults with and without mild disability in Habikino City, Japan: A four-year longitudinal study","authors":"Kazuki Uemura ,&nbsp;Tsukasa Kamitani ,&nbsp;Koutatsu Nagai ,&nbsp;Tetsuya Ueda ,&nbsp;Masafumi Kuzuya ,&nbsp;Minoru Yamada","doi":"10.1016/j.ypmed.2025.108294","DOIUrl":"10.1016/j.ypmed.2025.108294","url":null,"abstract":"<div><h3>Objective</h3><div>Loss of independence (LOI) significantly affects quality of life and increases societal costs. Community gathering places supported by local governments aim to prevent LOI. However, evidence of their effectiveness among older adults with mild disability is limited. We investigated whether participation in community gathering places reduces the risk of LOI among older adults, including those with mild disability.</div></div><div><h3>Methods</h3><div>This retrospective cohort study used data from the Public Survey of Long-Term Care Prevention in Habikino City, Japan. The study was conducted from January 2020 to January 2024 and included 1961 adults aged ≥65 years without care needs. Participation in community gathering places was assessed at baseline, and LOI (new certification of need for long-term care, or death) was followed for four years. Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95 % confidence intervals (CIs), with adjustment for demographics and health conditions. We also performed a subgroup analysis to assess the potential effect modification of mild disability (support levels 1–2 under Japan's Long-Term Care Insurance system).</div></div><div><h3>Results</h3><div>Participants in community gathering places had a significantly lower risk of LOI than non-participants (adjusted HR 0.57, 95 % CI 0.36 0.90). Subgroup analyses showed that older adults with mild disability benefited similarly, with no effect modification (<em>P</em> for interaction = 0.22).</div></div><div><h3>Conclusions</h3><div>Participation in community gathering places appeared to reduce the risk of LOI across different functional levels. These findings support initiatives to promote such environments and emphasize the role of social engagement in aging policies.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"196 ","pages":"Article 108294"},"PeriodicalIF":4.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044878","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":"Are recent decreases in adult obesity trends in the United States encouraging or alarming?","authors":"Nicholas C. Peiper ,&nbsp;Irina A. Vanzhula ,&nbsp;Cheri A. Levinson","doi":"10.1016/j.ypmed.2025.108297","DOIUrl":"10.1016/j.ypmed.2025.108297","url":null,"abstract":"<div><div>From 2022 to 2023, there was a slight decrease in the prevalence of obesity among adults in the United States. While the reduced prevalence of obesity may be accompanied with certain public health benefits, including in the South that has a longstanding history of preventable morbidity and mortality driven by adverse social determinants of health, these trends have coincided with the increased use of body mass index (BMI) in medical assessments as well as the rapid ascension of weight loss interventions and medications focused on short-term weight loss. This commentary summarizes the rationale for interpreting these trends with caution, including three recommendations for research and practice. The first recommendation focuses on shifting from body composition to cardiometabolic health, including transitioning from BMI to more robust diagnostic systems that incorporate a variety of cardiovascular, metabolic, anthropometric, and genetic factors into medical assessments and risk classification (e.g., cardiometabolic index). The second recommendation reconsiders weight loss as a clinical outcome by emphasizing gradual lifestyle changes over rapid transformations through personalized and systems interventions. The third recommendation focuses on increasing pharmacovigilance of glucagon-like peptide-1 receptor agonist drugs for estimates of misuse and adverse outcomes, especially among high-risk patient populations like eating disorders. The commentary concludes with a synopsis of strategies for each recommendation with the ultimate goal of preventing population-level harms and unintended consequences.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"196 ","pages":"Article 108297"},"PeriodicalIF":4.3,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916821","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":"Support staff distribution in K-12 US schools that experience shootings: A matched analysis","authors":"Keith L. Hullenaar ,&nbsp;Frederick Rivara ,&nbsp;Eric J. Bruns","doi":"10.1016/j.ypmed.2025.108296","DOIUrl":"10.1016/j.ypmed.2025.108296","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the presence and rates of school police officers, security guards, nurses, psychologists, social workers, and counselors between US K-12 schools that did and did not experience shooting incidents.</div></div><div><h3>Methods</h3><div>School shootings were defined as any discharge of a live firearm round on school grounds, as documented by the press and recorded by the Everytown for Gun Safety between 2017 and 2019. Using Civil Rights Data Collection (2017–2018), we compared staffing patterns between 200 schools that experienced shootings and 86,079 schools without incidents during 2017–2019. Propensity score matching using 32 school-, district-, and community-level covariates yielded analytical samples of 180 shooting-affected schools and 11,063 matched controls. We examined the prevalence and per-1000-student rates of school police officers, security guards, nurses, psychologists, social workers, and counselors.</div></div><div><h3>Results</h3><div>The 180 schools that experienced shootings showed higher prevalence of school police officers compared to matched controls (50.6 % vs 41.8 %; difference: 8.8 percentage points [95 % CI, 1.6–15.9]). However, these schools had significantly lower rates per 1000 students of nurses (1.37 vs 1.88; difference: −0.50 [−0.95 to −0.06]), psychologists (0.81 vs 1.44; difference: −0.63 [−0.98 to −0.28]), and counselors (2.94 vs 3.71; difference: −0.77 [−1.25 to −0.29]). These patterns remained consistent across multiple sensitivity analyses.</div></div><div><h3>Conclusions</h3><div>Schools that experienced shootings demonstrated lower rates of health and mental health staff but higher law enforcement presence compared to matched control schools. These findings suggest the need for increased investment in mental health resources and reevaluation of current school safety approaches.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"196 ","pages":"Article 108296"},"PeriodicalIF":4.3,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922987","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":"Dollar stores as food retailers in the United States: A scoping review","authors":"Wenhui Feng ,&nbsp;Nicole Barry ,&nbsp;Michaela Mazure ,&nbsp;Elina T. Page ,&nbsp;Charlotte Blumenthal ,&nbsp;Sean B. Cash","doi":"10.1016/j.ypmed.2025.108295","DOIUrl":"10.1016/j.ypmed.2025.108295","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to examine the role of dollar stores as food retailers in the United States and to identify gaps in existing research regarding dollar stores' impact on food access and healthy eating.</div></div><div><h3>Methods</h3><div>Following Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines, this study reviewed PubMed, Web of Science, EconLit, Scopus, and AgEcon databases to identify research on dollar stores, capturing literature from May 2009 to October 4th, 2023. Only peer-reviewed U.S.-based articles were included.</div></div><div><h3>Results</h3><div>Few studies focused on dollar stores alone until recently. Dollar stores were often grouped together with other small storefronts. We identified 63 articles that describe dollar stores' role as food retailers. The literature pertaining to dollar stores as food retailers shifted, with the focus shifted from product offerings in the early 2010s to the business landscape recently. The business landscape theme covered the widest array of topics, while the consumer behavior theme comprised the largest number of published studies (~40 %). The most consistent results were found in the product offerings theme, as studies overwhelmingly found that foods offered in dollar stores were less healthy. The health outcome theme had the fewest number of studies, and these findings were inconsistent.</div></div><div><h3>Conclusions</h3><div>Dollar stores are becoming key players in the U.S. foodscape but remain limited in the availability of healthy food choices, particularly fresh produce. The evidence space of dollar stores and food access is still evolving. Further research is needed to inform public health action.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"196 ","pages":"Article 108295"},"PeriodicalIF":4.3,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143946757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of news photographs on drug-related stigma: A randomized message testing experiment in a National Sample of US Adults","authors":"Jeffrey K. Hom ,&nbsp;Kathryn Heley ,&nbsp;Sachini Bandara ,&nbsp;Alene Kennedy-Hendricks","doi":"10.1016/j.ypmed.2025.108293","DOIUrl":"10.1016/j.ypmed.2025.108293","url":null,"abstract":"<div><h3>Objective</h3><div>To measure the impact of drug-related news photographs on public attitudes toward people who use drugs.</div></div><div><h3>Methods</h3><div>In this survey-embedded randomized experiment, conducted among a national sample of US adults between March and April 2024, participants were randomized to one of eight experimental groups and exposed to a drug-related photo (featuring a person injecting drugs, being revived from an overdose, receiving treatment or in recovery, or a family member of an overdose decedent) or a no-exposure control group. Logistic regression models assessed differences in stigma, emotions, and support for substance use disorder (SUD) services between each experimental group and the control group.</div></div><div><h3>Results</h3><div>Among 3461 participants, the mean age was 49 years and 51.3 % were female. Most participants (63.8 %) were non-Hispanic white, 11.3 % were non-Hispanic Black, 17.1 % were Hispanic, and 7.7 % reported another race/ethnicity. Compared to the control group, participants exposed to a photo of a person in recovery from SUD had an 8.9 percentage point (95 % CI 2.9, 14.9) greater probability of being willing to work closely with a person with SUD, with similar estimates for other stigma measures. Participants exposed to a photo of a person injecting drugs had a 14.1 percentage point (95 % CI 7.7, 20.5) greater probability of expressing disgust, with a similar estimate for pity. No photo was associated with significantly greater support for services.</div></div><div><h3>Conclusions</h3><div>Photos published by news media shape public attitudes; images of individuals recovery have the potential to counteract negative stereotypes about people with SUD.</div><div><strong>Trial Registration:</strong> This study is registered at <span><span>www.clinicaltrials.gov</span><svg><path></path></svg></span> <span><span>NCT06743178</span><svg><path></path></svg></span></div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"195 ","pages":"Article 108293"},"PeriodicalIF":4.3,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891352","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":"Social network characteristics and type 2 diabetes self-management among Black/African American men: A cross-sectional analysis of support quality and communication patterns","authors":"Tyler Prochnow ,&nbsp;Megan S. Patterson ,&nbsp;Jeong-Hui Park ,&nbsp;Ledric D. Sherman ,&nbsp;Matthew Lee Smith","doi":"10.1016/j.ypmed.2025.108292","DOIUrl":"10.1016/j.ypmed.2025.108292","url":null,"abstract":"<div><h3>Objective</h3><div>Social networks and social support are critically important for Black/African American men managing Type 2 diabetes (T2D). This study aims to examine how social network characteristics are associated with T2D self-management among Black/African American men.</div></div><div><h3>Methods</h3><div>Cross-sectional survey data were collected from Black/African American men with T2D (<em>n</em> = 1225) from February to June 2024. Network composition included percentages of spouses, children, parents, siblings, friends, extended family, and healthcare providers. Network interaction measures included communication frequency, support quality, and perceptions of network members' health behaviors. Self-care activities were measured using the Summary of Diabetes Self-Care Activities scale across diet, physical activity, blood sugar testing, and foot care domains. Multiple regression analyses examined associations between network characteristics and each self-management domain while controlling for demographics.</div></div><div><h3>Results</h3><div>Diabetes-specific communication frequency was consistently positively associated with all self-care activities (β from 0.09 to 0.18,<em>p</em> &lt; .05). Having very supportive network members was positively associated with diet (β = 0.17,<em>p</em> &lt; .01) and physical activity (β = 0.20,p &lt; .01), though mean social network support showed negative associations with these behaviors (β = −0.13,<em>p</em> = .03; β = −0.14,p = .03). Higher percentages of children were associated with better dietary behaviors (β = 0.06,<em>p</em> = .04), while having spouses (β = 0.06,p = .04), friends (β = 0.06,<em>p</em> = .03), and siblings (β = 0.06,p = .04) was associated with better foot care.</div></div><div><h3>Conclusions</h3><div>The quality and content of network interactions appear more important than network size for T2D self-management among Black/African American men. Interventions should focus on fostering quality, disease-specific support rather than expanding social networks. Future programs should leverage existing relationships while considering how different network members influence specific aspects of diabetes management.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"195 ","pages":"Article 108292"},"PeriodicalIF":4.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874570","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":"Associations between state tobacco control measures and cigarette purchases by U.S. households, 2015–2021","authors":"Rishika Chakraborty ,&nbsp;Yan Li ,&nbsp;Yan Wang ,&nbsp;Carla Berg ,&nbsp;Sabrina Zhang ,&nbsp;Debra Bernat ,&nbsp;Y. Tony Yang","doi":"10.1016/j.ypmed.2025.108291","DOIUrl":"10.1016/j.ypmed.2025.108291","url":null,"abstract":"<div><h3>Objective</h3><div>While effects of key tobacco control policies are well-documented, limited research has explored their varying associations across different policy contexts over time. This is crucial given the diverse and evolving tobacco control contexts across states and over time. We evaluated the association between state-level tobacco control measures and cigarette purchases in the US from 2015 to 2021.</div></div><div><h3>Methods</h3><div>We analyzed NielsenIQ Consumer Panel data from 10,187 households that purchased cigarettes in 2015–2021. State-level tobacco control policy scores for smoke-free laws, taxes, prevention/control funding, and cessation services were obtained from the American Lung Association's State of Tobacco Control reports. Censored regression models, reporting adjusted beta estimates and 95 % confidence intervals (CI), estimated the associations between each tobacco control measure and annual household cigarette purchases, adjusting for sociodemographics (household composition, marital status, age, education, race/ethnicity, annual income, and internet connection) and accounting for clustering within households and states.</div></div><div><h3>Results</h3><div>Higher scores for smoke-free laws (adjusted beta = −1.00, 95 % CI = -1.73, −0.27), taxes (adjusted beta = −1.23, 95 % CI = -1.88, −0.58), and prevention/control funding (adjusted beta = −0.22, 95 % CI = -0.38, −0.06) were associated with fewer cigarette purchases over time. In the model considering all four measures together, higher tax score was associated with fewer cigarette purchases over time (adjusted beta = −0.96, 95 % CI = -1.73, −0.87).</div></div><div><h3>Conclusions</h3><div>Smoke-free laws, taxation, and prevention/control funding play critical roles in lowering cigarette purchases, while access to cessation services alone may not drive behavioral change. These findings highlight the need for comprehensive tobacco control efforts and renewed policy action to curb cigarette use.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"195 ","pages":"Article 108291"},"PeriodicalIF":4.3,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143833363","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":"Effectiveness of suicide postvention service models and guidelines 2014–2024: A scoping review","authors":"Chandra Ramamurthy ,&nbsp;Trisnasari Fraser ,&nbsp;Karolina Krysinska ,&nbsp;Jacinta Hawgood ,&nbsp;Kairi Kõlves ,&nbsp;Lennart Reifels ,&nbsp;Nicola Reavley ,&nbsp;Karl Andriessen","doi":"10.1016/j.ypmed.2025.108279","DOIUrl":"10.1016/j.ypmed.2025.108279","url":null,"abstract":"<div><h3>Objective</h3><div>Effective suicide postvention services provide immediate and ongoing support for suicide loss survivors. This review synthesizes peer-reviewed and grey literature exploring which suicide postvention service models have demonstrated effectiveness in reducing distress and supporting recovery in families, friends, and communities impacted by suicide.</div></div><div><h3>Methods</h3><div>The scoping review adhered to the updated Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). We conducted searches in five databases which included MEDLINE, PsycINFO, Embase, EBM Reviews, and Web of Science for peer reviewed studies and through Google search for grey literature.</div></div><div><h3>Results</h3><div>We identified 19 peer-reviewed studies and 14 guidelines (2014-2024) from the US, Canada, Australia, New Zealand, and Europe, which varied in measures, settings, and populations but lacked quality and generalizability. Guidelines based on theoretical models, particularly the public health model, aligned postvention with addressing the diverse needs of suicide loss survivors.</div></div><div><h3>Conclusions</h3><div>The review identified potentially effective postvention components, such as the use of trained volunteers in support and therapy groups, workplace training programs and arts-based interventions, which could benefit those bereaved by suicide in Australia.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"195 ","pages":"Article 108279"},"PeriodicalIF":4.3,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852281","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":"Psychological distress as a risk factor for incident cardiometabolic disease and multimorbidity in the population-based Tromsø Study in Norway","authors":"Safak Caglayan ,&nbsp;Ole K. Grønli ,&nbsp;Anne Høye","doi":"10.1016/j.ypmed.2025.108282","DOIUrl":"10.1016/j.ypmed.2025.108282","url":null,"abstract":"<div><h3>Objective</h3><div>It is unclear whether psychological distress is an independent risk factor for cardiometabolic disease and multimorbidity. This cohort study investigated the relationship of psychological distress with incident cardiometabolic disease and multimorbidity.</div></div><div><h3>Methods</h3><div>All individuals who participated in the sixth survey of the Tromsø Study, conducted in Norway in 2007–2008, and completed the 10-item version of Hopkins Symptom Checklist (HSCL-10) were included. In total, 5264 individuals who had no cardiometabolic diseases, i.e. atrial fibrillation, coronary artery disease (CAD), diabetes, hypertension, and stroke, at baseline, and participated in the seventh survey (2015–2016) were included in the final study population. Multivariable logistic regression models were fitted to assess association of HSCL-10 score and clinically relevant psychological distress (HSCL-10 ≥ 1.85) with cardiometabolic disease and multimorbidity.</div></div><div><h3>Results</h3><div>At baseline, 325 (6.2%) individuals had psychological distress. Psychological distress was negatively correlated with higher education, exercise frequency, and systolic blood pressure and positively correlated with smoking and alcohol use. Incidence of cardiometabolic disease and multimorbidity was 23.7% (<em>N</em> = 1246) and 3.9% (<em>N</em> = 204), respectively. Psychological distress was linked to cardiometabolic disease (OR, 2.08; 95% CI, 1.56–2.76) and multimorbidity (OR, 2.32; 95% CI, 1.32–4.08). Furthermore, psychological distress was associated with incident atrial fibrillation, diabetes, and hypertension whereas no significant association was found with CAD and stroke. Among the psychological distress symptoms, feeling hopeless about the future was associated with incident atrial fibrillation, hypertension, and CAD.</div></div><div><h3>Conclusions</h3><div>Our findings emphasize psychological distress as an independent risk factor for cardiometabolic disease and multimorbidity.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"195 ","pages":"Article 108282"},"PeriodicalIF":4.3,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143833366","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}