Hannah Shireman , Amanda Geppert , Ashley McHugh , Lauren Harriett , Jane Holl , Emily White VanGompel , Debra Stulberg
{"title":"Improving interconception care: a qualitative study in United States primary care","authors":"Hannah Shireman , Amanda Geppert , Ashley McHugh , Lauren Harriett , Jane Holl , Emily White VanGompel , Debra Stulberg","doi":"10.1016/j.pmedr.2026.103407","DOIUrl":"10.1016/j.pmedr.2026.103407","url":null,"abstract":"<div><h3>Objective</h3><div>Interconception care (ICC) is an opportunity to improve future health outcomes through evidence-based screening, counseling, and disease management between pregnancies. This qualitative study explores primary care perspectives on desired elements and implementation needs for an ICC intervention in primary care.</div></div><div><h3>Methods</h3><div>We conducted, between January 2022 and June 2023, seven virtual, one-hour participatory design sessions with clinicians (<em>n</em> = 8), clinical support staff (<em>n</em> = 9), and patients (<em>n</em> = 4) from three Chicago-area primary care clinics: one Federally Qualified Health Center, one residency practice, and one non-teaching practice. Sessions were recorded, transcribed, and thematically analyzed using Dedoose.</div></div><div><h3>Results</h3><div>Clinicians and staff emphasized the need for an intervention with multiple touchpoints to ensure patients don't fall through the cracks between obstetric and primary care. Desired elements included: an obstetrics-initiated assisted transition of patients to primary care; proactive primary care outreach to post-pregnancy patients; counseling tailored to ICC needs; and routine screening for reproductive-aged patients. Clinician education and improved screening tools focused on post-pregnancy health are needed for intervention implementation.</div></div><div><h3>Conclusions</h3><div>A multi-element intervention to proactively connect with patients, offer multiple engagement opportunities, and bridge obstetrics and primary care should be considered. Future work will explore intervention design and implementation in depth, including prototyping and piloting the intervention.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"63 ","pages":"Article 103407"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mitch Wyatt, Mickey Bolyard, Lingyi Fu, Hayley Almes, Frank Adutwum Jnr, Charles Rodgers, Ryan D. Burns
{"title":"Comparative effectiveness of school- and office-based technology-enhanced interventions for physical activity promotion: A systematic review and meta-analysis","authors":"Mitch Wyatt, Mickey Bolyard, Lingyi Fu, Hayley Almes, Frank Adutwum Jnr, Charles Rodgers, Ryan D. Burns","doi":"10.1016/j.pmedr.2026.103409","DOIUrl":"10.1016/j.pmedr.2026.103409","url":null,"abstract":"<div><h3>Objective</h3><div>School students and office workers can have higher levels of physical inactivity. Comparative effectiveness of interventions that use technology-based strategies to promote physical activity (PA) between these two populations is lacking. The purpose of this review was to compare effectiveness of technology-based interventions to promote PA in school and office settings.</div></div><div><h3>Methods</h3><div>A literature search was conducted from each database's inception with no place restriction using PubMed/MEDLINE (1946), Scopus (2004), Web of Science (1964), Embase (1974), and Cochrane Library (1995) through January 1st, 2025. Inclusion criteria included randomized controlled trials examining school-aged children/adolescents or adult office workers participating in a technology-based intervention to promote PA. Effectiveness was examined using random-effects meta-analyses.</div></div><div><h3>Results</h3><div>Ten school-based and five office-based studies were examined. Two of 10 (20%) school-based studies and two of five (40%) office-based studies showed high risk of bias. There was a significant but small positive effect for school-based interventions to improve PA (Hedges' g = 0.35, 95%CI [0.02, 0.68]) but not for office-based interventions (Hedges' g = 0.07, 95%CI [−0.19, 0.33]).</div></div><div><h3>Conclusions</h3><div>School-based interventions using technology showed a small positive effect for improving PA. More novel, undisruptive, and effective strategies using technology should be derived and rigorously tested in school and office settings.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"63 ","pages":"Article 103409"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Victoria A. Zigmont , James P. Marriott , Elise Mitchell , Hilary Seligman , Amy L. Yaroch , Christina Nadolne , Julia Caldwell , Hester Parker , Christopher R. Long
{"title":"Corrigendum to “Improvements in glycosylated hemoglobin A1c and blood pressure as measured through electronic health records across four produce prescription projects in the northeastern and Western United States” [Prevent. Med. Rep. 62 (2026) 103394]","authors":"Victoria A. Zigmont , James P. Marriott , Elise Mitchell , Hilary Seligman , Amy L. Yaroch , Christina Nadolne , Julia Caldwell , Hester Parker , Christopher R. Long","doi":"10.1016/j.pmedr.2026.103413","DOIUrl":"10.1016/j.pmedr.2026.103413","url":null,"abstract":"","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"63 ","pages":"Article 103413"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147405032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Demographic predictors of trauma and depression in war-affected children from Poland and Ukraine: Implications for prevention of mental health problems","authors":"Maia Stanisławska-Kubiak , Dorota Wiśniewska-Szeplewicz , Mirosław Andrusiewicz , Halyna Katolyk , Monika Stanisławska , Roksana Malak , Bogusław Stelcer , Marta Czarnecka-Iwańczuk , Grażyna Teusz , Ewa Mojs","doi":"10.1016/j.pmedr.2026.103422","DOIUrl":"10.1016/j.pmedr.2026.103422","url":null,"abstract":"<div><h3>Objective</h3><div>The mental health consequences of war on children are well-documented, with early research emphasizing the critical role of caregiver presence in mitigating trauma. However, the ongoing conflict in Ukraine presents a novel context, requiring renewed investigation of the differential impact of direct war exposure and displacement on child and adolescent well-being.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 222 participants aged 7–21 years from Poland, Ukraine, and displaced Ukrainian populations (March 2024–March 2025, Poland/Ukraine). Depressive and trauma symptoms were assessed using standardized questionnaires.</div></div><div><h3>Results</h3><div>Results showed that trauma symptoms linked to war witnessing varied by gender, country, and hobbies, with displaced children exhibiting the highest co-occurrence of depression and trauma. Engaging in hobbies was associated with fewer and weaker symptoms, suggesting a protective effect.</div></div><div><h3>Conclusions</h3><div>This study underscores the urgent need for preventive mental health interventions targeting children affected by the war. Our findings suggest that displaced children are at particularly high risk for depression, highlighting the importance of early screening and intervention. Specifically, we propose implementing school-based programs in regions hosting refugees that incorporate hobby engagement, trauma-informed care training for teachers and caregivers, and family-based interventions to address cultural integration.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"63 ","pages":"Article 103422"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashley A. Cirillo , Molly Zeme , Amayrani Morales , Neela Rahseparian , Cynthia Cortez , Stephanie L. Gaw , Christine A. Blauvelt
{"title":"Regional variation in maternal RSV vaccine access and attitudes across two California cohorts","authors":"Ashley A. Cirillo , Molly Zeme , Amayrani Morales , Neela Rahseparian , Cynthia Cortez , Stephanie L. Gaw , Christine A. Blauvelt","doi":"10.1016/j.pmedr.2026.103408","DOIUrl":"10.1016/j.pmedr.2026.103408","url":null,"abstract":"<div><h3>Objective</h3><div>To compare maternal RSV vaccination rates, attitudes, and vaccine information sources between an urban academic hospital in San Francisco and a regional hospital serving a predominantly rural population in Fresno, California.</div></div><div><h3>Methods</h3><div>Individuals eligible for RSV vaccination during pregnancy were recruited on postpartum units between 11/2024–3/2025 using convenience sampling. Participants completed a survey assessing vaccination status, attitudes, and information sources.</div></div><div><h3>Results</h3><div>Of 149 approached patients, 94 completed the survey (63.09% response rate; San Francisco, 62/114 [54.39%]; Fresno, 32/35 [91.43%]). San Francisco participants were older (mean [SD], 36.11 [4.06] vs. 29.19 [5.60] years; <em>p</em> < 0.01), more often privately insured (87.10% vs. 6.25%; <em>p</em> < 0.01), and less likely Hispanic-identifying (6.45% vs. 75.00%; p < 0.01). RSV vaccine uptake was higher in San Francisco than in Fresno (77.42% vs 31.25%; <em>p</em> < 0.01). San Francisco participants more often reported receiving vaccine information from healthcare providers (93.55% vs 62.50%; <em>p</em> < 0.01). Among unvaccinated participants, lack of awareness (36.36%) and not being offered the vaccine (27.27%) predominated in Fresno, whereas safety concerns (42.86%) predominated in San Francisco.</div></div><div><h3>Conclusions</h3><div>Marked regional differences in maternal RSV vaccination highlight the need for system-level strategies to ensure equitable vaccine access and education, alongside continued vaccine safety research to build patient confidence.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"63 ","pages":"Article 103408"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elise Foucault , Valérie Macioce , Marion Soler , Yves-Marie Pers , Jean-Baptiste Bonnet , Antoine Avignon , Nicolas Chevalier , Ariane Sultan
{"title":"Adherence to breast and cervical cancer screening guidelines according to obesity status: a French cross-sectional multicenter survey","authors":"Elise Foucault , Valérie Macioce , Marion Soler , Yves-Marie Pers , Jean-Baptiste Bonnet , Antoine Avignon , Nicolas Chevalier , Ariane Sultan","doi":"10.1016/j.pmedr.2026.103405","DOIUrl":"10.1016/j.pmedr.2026.103405","url":null,"abstract":"<div><h3>Objective</h3><div>To assess breast and cervical cancer screening rates among women according to body mass index (BMI).</div></div><div><h3>Methods</h3><div>This cross-sectional study used anonymous self-administered questionnaires given to women from three French university hospitals with normal weight (BMI 18.5–25 kg/m<sup>2</sup>), class I obesity (BMI 30–35 kg/m<sup>2</sup>), or class II obesity (BMI ≥ 35 kg/m<sup>2</sup>) in 2020–2021. Up-to-date screening was defined according to national guidelines: biennial clinical breast exams and mammograms for women aged 50–74, and triennial cervical samples for women aged 25–65, excluding those with prior cancer or related surgery. Screening rates and gynecological follow-up were compared across BMI groups.</div></div><div><h3>Results</h3><div>Among 439 women (20% class I, 22% class II obesity), 178 and 370 were eligible for breast and cervical cancer screening, respectively. Women with class I and II obesity were less likely to be up-to-date for clinical breast exams (Odds Ratio [95% confidence interval] 2.35[1.06,5.20] and 2.68[1.12,6.42], respectively), mammography (4.43[1.49,13.18] and 4.08[1.22,13.62]), and cervical samples (2.23[1.09,4.54] and 2.85[1.42,5.72]). Class II obesity was associated with more frequent follow-up by general practitioners (<em>p</em> < 0.05).</div></div><div><h3>Conclusion<strong>s</strong></h3><div>Women with obesity are less likely to receive recommended gynecological cancer screenings than normal-weight peers. These disparities call for more inclusive healthcare strategies.</div><div><strong>Trial registration</strong>: <span><span>NCT04357652</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"63 ","pages":"Article 103405"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146162091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Low medical trust predicts delays in seeking care among U.S. individuals who smoke: Findings from the 2022 HINTS","authors":"Whitney M. Brymwitt, Timothy J. Williamson","doi":"10.1016/j.pmedr.2026.103420","DOIUrl":"10.1016/j.pmedr.2026.103420","url":null,"abstract":"<div><h3>Objectives</h3><div>Individuals who smoke face increased risk for chronic disease but often delay seeking care, hindering prevention efforts. Low medical trust is a barrier associated with care delays in the general population; less is known about this relationship among people who smoke.</div><div>We examined whether low medical trust predicted delays in seeking care among U.S. individuals who smoke (<em>n</em> = 431, weighted <em>n</em> = 20.8 million), using the 2022 Health Information National Trends Survey.</div></div><div><h3>Methods</h3><div>We conducted a pre-registered, multivariable logistic regression with medical trust predicting delayed care (within the prior 12 months) as the outcome. Covariates included race, sex, age, education, financial strain, chronic conditions, self-reported health, and insurance.</div></div><div><h3>Results</h3><div>Lower trust was associated significantly with a higher likelihood of delaying needed medical care (OR = 0.54, 95% CI [0.31, 0.93]). Participants who were Black/African American (vs. non-Hispanic White), aged 65–74 (vs. 18–34), and those who reported better general health were significantly less likely to delay care (all <em>p</em> < .05).</div></div><div><h3>Conclusions</h3><div>Lower trust predicted delayed care-seeking among people who smoke. Future research should explore whether anticipated stigma explains this relationship. Findings highlight the need to bolster trust in healthcare (e.g., communication interventions) to facilitate engagement in preventive care (e.g., smoking cessation, lung cancer screening).</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"63 ","pages":"Article 103420"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147309906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence of alcohol consumption and awareness of consumption guidelines: A population-based study in Geneva, Switzerland","authors":"Roxane Dumont , Hélène Baysson , Shannon Mechoullam , Céline Mettraux , Silvia Stringhini , Idris Guessous , Mayssam Nehme","doi":"10.1016/j.pmedr.2026.103415","DOIUrl":"10.1016/j.pmedr.2026.103415","url":null,"abstract":"<div><h3>Objective</h3><div>Alcohol consumption remains a major preventable cause of morbidity and mortality. In Switzerland, approximately 1500 annual deaths are attributable to alcohol. This study aimed to assess awareness of national low-risk drinking guidelines and to estimate the proportion of adults exceeding them in Geneva, according to sociodemographic and health-related factors.</div></div><div><h3>Methods</h3><div>In 2025, 7509 adults from the Specchio population-based cohort were invited to complete a questionnaire on alcohol consumption, knowledge of Swiss guidelines, and risk perception. Exceeding guidelines was defined as >2 drinks/day for men, >1 for women, or fewer than two alcohol-free days per week. Descriptive analyses and sex-stratified logistic regressions examined associations with sociodemographic, behavioral, and health variables.</div></div><div><h3>Results</h3><div>Among 4274 respondents (mean age 51.5 years; 59.8% women), 88.3% reported alcohol use, among which 53.5% exceeded national guidelines. Women more frequently surpassed daily limits, whereas men and older adults more often failed to maintain alcohol-free days. Exceeding guidelines was associated with younger age, higher education, favorable financial situation, and substance use. Only 49.1% accurately identified the full guidelines, and 29.1% recognized cancer-related risks.</div></div><div><h3>Conclusions</h3><div>Nearly half of adults in Geneva exceed national drinking recommendations, underscoring the need for improved public communication and targeted preventive strategies in primary care.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"63 ","pages":"Article 103415"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christine M. Madronio , Andrea Tyler , Linda Stanbury , Gary K.K. Low , Deva R. Nirthanakumaran , Emmanuel Stamatakis , Kazuaki Negishi , Faraz Pathan
{"title":"Feasibility of an incentivised exercise program to improve the health of physically inactive Australian hospital employees – the Fitbites pilot study","authors":"Christine M. Madronio , Andrea Tyler , Linda Stanbury , Gary K.K. Low , Deva R. Nirthanakumaran , Emmanuel Stamatakis , Kazuaki Negishi , Faraz Pathan","doi":"10.1016/j.pmedr.2026.103404","DOIUrl":"10.1016/j.pmedr.2026.103404","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the feasibility of a 10-week incentivised exercise program (Fitbites) to improve the health of hospital employees.</div></div><div><h3>Methods</h3><div>We recruited 20 employees who were deemed physically inactive from a busy, outer-metropolitan Australian hospital. They were invited to attend in-hours exercise sessions and redeem a healthy meal upon completing exercise as part of the Fitbites program, conducted between October and December of 2022. Feasibility and safety were assessed by evaluating attendance, meal redemption and completion of program. Pre- and post-program comparisons were made for body composition, functional capacity and blood parameters.</div></div><div><h3>Results</h3><div>Among the 20 participants included in the study, 16 (80%) completed the program and were included in the analysis (2 were lost to follow-up, 2 withdrew). On average, employees attended 2.5 sessions per week. Most of the meal vouchers were redeemed (94.5%). All workdays and exercise sessions were well attended. There were decreases in body mass index (mean difference: −0.6 kg/m<sup>2</sup>) and fat mass index (−1.3 kg/m<sup>2</sup>), and increases in skeletal mass index (0.8 kg/m<sup>2</sup>) and 6-Minute Walk Test (45.9 m).</div></div><div><h3>Conclusions</h3><div>The Fitbites program showed acceptable uptake and led to improvements in body composition and functional capacity. These findings inform future randomised trials in occupational settings.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"63 ","pages":"Article 103404"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146162164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}