Kaiying He , Shiwan Guo , Juan Zhu , Zhihui Wang , Shun Chen , Jiewei Luo , Li Chen , Li Zhang , Jing Wu
{"title":"Joint association of sleep onset time and sleep duration with depression in patients with chronic kidney disease: Insights from the NHANES 2015–2020","authors":"Kaiying He , Shiwan Guo , Juan Zhu , Zhihui Wang , Shun Chen , Jiewei Luo , Li Chen , Li Zhang , Jing Wu","doi":"10.1016/j.pmedr.2025.103006","DOIUrl":"10.1016/j.pmedr.2025.103006","url":null,"abstract":"<div><h3>Background</h3><div>The prevalence of depression among patients with chronic kidney disease (CKD) is high and closely related to poor prognosis. However, the association between sleep onset time, sleep duration, and depression in CKD patients has not been thoroughly studied.</div></div><div><h3>Methods</h3><div>This study utilized cross-sectional data from CKD patients who participated in the National Health and Nutrition Examination Survey from 2015 to 2020, analyzing their sleep onset time, sleep duration, and Patient Health Questionnaire-Nine. Logistic regression models and restricted cubic spline models were used to explore the association between sleep onset time, sleep duration, and depression in CKD patients.</div></div><div><h3>Results</h3><div>A total of 2141 CKD patients aged 20 and above were included in this study, among whom 246 (11.5 %) had depression. Compared to those reporting optimal sleep onset (22:00–23:59) and sufficient sleep duration (7–8 h), CKD patients with late sleep onset (≥24:00) and either insufficient (<7 h) or excessive (≥9 h) sleep had a significantly higher risk of depression, with adjusted OR of 2.03 (95 % CI:1.29–3.19) and 2.07 (95 % CI:1.07–4.00), respectively. Additionally, the association between sleep onset time, sleep duration, and depression showed a U-shaped pattern, with the inflection point for sleep onset time at 23:00 and for sleep duration at 7.5 h.</div></div><div><h3>Conclusion</h3><div>Inappropriate sleep onset time and sleep duration are significantly associated with depression in CKD patients. This association may be important to consider in clinical practice for the prevention and management of depressive symptoms in CKD patients.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 103006"},"PeriodicalIF":2.4,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143430229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrew W. Arthur, Pareesa Kassam, Margaret Logel, Alissa Moore, Christina I. Nieves, Parker Tope, David Litaker, Luisa N. Borrell
{"title":"Chronicled: 2 years' evolution at Preventive Medicine and Preventive Medicine Reports","authors":"Andrew W. Arthur, Pareesa Kassam, Margaret Logel, Alissa Moore, Christina I. Nieves, Parker Tope, David Litaker, Luisa N. Borrell","doi":"10.1016/j.pmedr.2025.103008","DOIUrl":"10.1016/j.pmedr.2025.103008","url":null,"abstract":"","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"52 ","pages":"Article 103008"},"PeriodicalIF":2.4,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara E. Benjamin-Neelon , Martha Ruffin , Elyse R. Grossman , Stephanie A. Lucas , Katherine Marx , Brian Neelon , Eva Greenthal
{"title":"Do US-based university pouring rights contracts with beverage companies include provisions that promote environmental sustainability?","authors":"Sara E. Benjamin-Neelon , Martha Ruffin , Elyse R. Grossman , Stephanie A. Lucas , Katherine Marx , Brian Neelon , Eva Greenthal","doi":"10.1016/j.pmedr.2025.103001","DOIUrl":"10.1016/j.pmedr.2025.103001","url":null,"abstract":"<div><h3>Objectives</h3><div>The objective of this study was to investigate the prevalence of sustainability-related provisions in pouring rights contracts between universities and beverage companies and assess differences by company.</div></div><div><h3>Methods</h3><div>We conducted this cross-sectional study from 2019 to 2020. We submitted contract requests to public universities in the United States under public records laws. We coded pouring rights contracts for 4 types of provisions: 1) payments to universities for sustainability efforts; 2) provision of recycling bins to universities; 3) provision of energy-efficient equipment to universities; and 4) other sustainability provisions. We used Fisher's exact test to assess differences in likelihood of having any sustainability-related provisions and Cochran-Armitage trend tests to assess differences in the number of sustainability-related provisions between contracts with Coca-Cola versus Pepsi.</div></div><div><h3>Results</h3><div>We received 131 contracts from universities in 38 states. Of the 131 contracts, 81 (61.8 %) contained at least one of the 4 sustainability provisions (36 Coca-Cola; 45 Pepsi); one contract contained all 4. There were no differences in the total number of sustainability provisions by Coca-Cola versus Pepsi (<em>p</em> = 0.13). Pepsi contracts were more likely to require payments for general sustainability efforts (OR 4.21; CI 1.91–9.26; <em>p</em> < 0.001). We did not observe any differences in the provision of recycling bins (OR 0.44; CI 0.14–1.35; <em>p</em> = 0.18), requiring energy-efficient equipment (OR 0.82; CI 0.28–2.40; <em>p</em> = 0.79), or having other sustainability provisions (OR 1.15; CI 0.55–2.39; <em>p</em> = 0.71).</div></div><div><h3>Conclusions</h3><div>Over one third of Coca-Cola and Pepsi university pouring rights contracts did not have any sustainability-related provisions, representing a missed opportunity to support university sustainability initiatives.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 103001"},"PeriodicalIF":2.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abdul Mannan Khan Minhas , Kashvi Gupta , Erin D. Michos , Andrew J. Sauer , Laurence Sperling , Vijay Nambi , Layla Abushamat , Christie M. Ballantyne , Dmitry Abramov
{"title":"County-level association between modifiable health behaviors and premature mortality in the United States","authors":"Abdul Mannan Khan Minhas , Kashvi Gupta , Erin D. Michos , Andrew J. Sauer , Laurence Sperling , Vijay Nambi , Layla Abushamat , Christie M. Ballantyne , Dmitry Abramov","doi":"10.1016/j.pmedr.2025.103003","DOIUrl":"10.1016/j.pmedr.2025.103003","url":null,"abstract":"<div><div>Objective: Unhealthy lifestyle habits are associated with increased morbidity and mortality. This study aims to examine the county-level association of physical inactivity, insufficient sleep, and current smoking, three elements of the American Heart Association's Life's Essential 8, with premature mortality.</div><div>Methods: Premature country-level age-adjusted death rate (AADR) in 2018–2020 were obtained from National Center for Health Statistics Mortality Files. County-level data were included from County Health Rankings data set for 2022. Counties were divided into deciles based on the percentage of adults with physical inactivity, insufficient sleep, and current smoking (separate decile for each metric) from Behavioral Risk Factor Surveillance System in 2019. Multivariable linear regression were used to evaluate the association of premature AADR with physical inactivity, insufficient sleep, and current smoking (lowest deciles as reference), controlling for median county income as a social determinant of health.</div><div>Results: A total of 3082 counties were included in the analysis. Mean physical inactivity, current smoking, and insufficient sleep ranged from 20.7 % to 41 %, 13.4 % to 28.2 %, and 30.3 % to 43.7 % from 1st to 10th decile, respectively. There was a stepwise increase in premature mortality in each progressive decile with an increase in county-level physical inactivity, insufficient sleep, and current smoking, which remained significant in the adjusted analyses.</div><div>Conclusion: We demonstrate an independent association of county-level physical inactivity, insufficient sleep, and current smoking with premature mortality. Further research and public health efforts are needed to understand and mitigate these risk factors at the county level to improve health outcomes.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 103003"},"PeriodicalIF":2.4,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143394974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Potential association between magnesium depletion score and hyperuricemia in American adults, a cross-sectional study based on NHANES 2003–2018.","authors":"Zeyan Li , Maoyan Wu , Simin Kong , Bin Xiao","doi":"10.1016/j.pmedr.2025.103000","DOIUrl":"10.1016/j.pmedr.2025.103000","url":null,"abstract":"<div><h3>Objective</h3><div>The pathophysiological mechanisms underlying hyperuricemia necessitate the identification of contributing factors to better understand disease progression and develop effective therapies. This study aimed to investigate the association between Magnesium Depletion Score (MDS) and hyperuricemia.</div></div><div><h3>Methods</h3><div>A cross-sectional study was sourced from the National Health and Nutrition Examination Survey 2003–2018. Hyperuricemia was defined by serum uric acid levels. MDS was calculated by incorporating factors affecting renal magnesium reabsorption.Weighted multivariable logistic regression was employed to assess the association between MDS and hyperuricemia, with sensitivity analyses to confirm robustness. Additionally, Restricted Cubic Spline (RCS) and Receiver Operating Characteristic (ROC) curve analyses were used to further elucidate the relationship.</div></div><div><h3>Results</h3><div>Compared to the low MDS group (0–1), the odds ratios (OR) and 95 % confidence intervals (CI) for the middle MDS group (2) and high MDS group (3–5) were 1.76 (1.52–2.04), and 3.14(2.54–3.88), respectively. The RCS analysis illustrated a linear dose-response relationship between MDS and hyperuricemia. The ROC analysis demonstrated that MDS had an area under the curve of 0.720 (95 % CI, 0.717–0.721).</div></div><div><h3>Conclusions</h3><div>This study highlights a strong association between MDS and hyperuricemia risk, emphasizing the importance of addressing magnesium deficiency in hyperuricemic patients.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 103000"},"PeriodicalIF":2.4,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jinrui Fang , Melody S. Goodman , Kimberly A. Kaphingst , Nina S. Parikh , Jin Yung Bae , Diana Silver , Jemar R. Bather
{"title":"Sociodemographic variation in experiences with medication shortages among US adults","authors":"Jinrui Fang , Melody S. Goodman , Kimberly A. Kaphingst , Nina S. Parikh , Jin Yung Bae , Diana Silver , Jemar R. Bather","doi":"10.1016/j.pmedr.2025.103004","DOIUrl":"10.1016/j.pmedr.2025.103004","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate sociodemographic factors associated with prescribed and over-the-counter medication shortage experiences.</div></div><div><h3>Methods</h3><div>We analyzed repeated cross-sectional data from the 2023 US Census Household Pulse Survey, a nationwide survey of US adults. Outcomes were based on the following question: “In the past month, have you or a member of your household been directly affected by the following?” We created binary indicators based on the following response options: (1) “Shortage of prescription medications, which includes any medicine required or provided by a healthcare provider, pharmacist, or hospital” and (2) “Shortage of over-the-counter medications, encompassing any medication available without a prescription.” Sociodemographic factors included age, gender identity, race/ethnicity, marital status, educational attainment, household income, number of children, employment status, health insurance coverage, at risk for depression/anxiety, disability status, and region. Weighted multivariable models accounted for the complex survey design and estimated adjusted odds ratios with 95 % confidence intervals.</div></div><div><h3>Results</h3><div>We found that more experiences with prescribed and over-the-counter medication shortages were associated with middle age, transgender/other gender identity, non-Hispanic Other race/ethnicity, higher educational attainment, having at least one child, at risk for depression or anxiety, and being disabled. In contrast, fewer experiences with prescribed and over-the-counter medication shortages were associated with higher household income.</div></div><div><h3>Conclusions</h3><div>Sociodemographic variation exist in experiences with medication shortages among US adults. These findings underscore the need to bolster the pharmaceutical supply chain to mitigate inequities in medication access.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 103004"},"PeriodicalIF":2.4,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143394087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vanessa M. Oddo , Julien Leider , Alison Tovar , Lisa M. Powell , Emily Elenio , Maya K. Vadiveloo
{"title":"Food insecurity and risk of nutrition insecurity among Supplemental Nutrition Assistance Program participants in Rhode Island and Connecticut, USA","authors":"Vanessa M. Oddo , Julien Leider , Alison Tovar , Lisa M. Powell , Emily Elenio , Maya K. Vadiveloo","doi":"10.1016/j.pmedr.2025.103002","DOIUrl":"10.1016/j.pmedr.2025.103002","url":null,"abstract":"<div><h3>Objective</h3><div>To 1) describe food insecurity and risk of nutrition insecurity (henceforth nutrition insecurity); 2) test the associations between perceived food access and neighborhood environment and food and nutrition insecurity, and differences in these associations; and 3) test the associations between food and nutrition insecurity and diet quality, among a sample of adults with low income.</div></div><div><h3>Methods</h3><div>Between May–September 2023, Supplemental Nutrition Assistance Program (SNAP) participants in Rhode Island and Connecticut, USA (<em>n</em> = 1234) completed a food frequency questionnaire, from which we calculated healthy eating index (HEI)-2015 scores. An online survey included questions on perceived food access barriers and the food environment, and food and nutrition security. We used separate adjusted regression models to estimate correlates associated with food and/or nutrition insecurity and their associations with diet quality.</div></div><div><h3>Results</h3><div>Individuals were 35 years old, on average, 92 % were women, 43 % identified as Hispanic, and 58 % and 30 % were food and nutrition insecure, respectively. The average HEI-2015 score was 64. Lack of money was associated with an 8-fold higher odds of experiencing food insecurity (95 % Confidence Interval [CI] = 5.76, 10.67). The largest magnitude of association with nutrition insecurity was having few or no full-service grocery stores nearby (Odds Ratio[OR] = 2.27; 95 % CI = 1.27, 4.06), followed by lack of money and limited transportation. Associations between food and nutrition insecurity and HEI-2015 were negative but not statistically significant.</div></div><div><h3>Conclusions</h3><div>The prevalence of food insecurity among SNAP participants was higher than Americans, on average. Perceived food access barriers were associated with food and nutrition insecurity.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 103002"},"PeriodicalIF":2.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecca Arden Harris , Sameed Ahmed M. Khatana , Judith A. Long
{"title":"Cardiometabolic deaths in black and white men: Tracing the risks from early- to mid-adulthood","authors":"Rebecca Arden Harris , Sameed Ahmed M. Khatana , Judith A. Long","doi":"10.1016/j.pmedr.2025.102997","DOIUrl":"10.1016/j.pmedr.2025.102997","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to estimate and compare cardiometabolic disease (CMD) mortality in U.S. Black and White men during the transition from early adulthood to middle age.</div></div><div><h3>Methods</h3><div>Using 2022 National Vital Statistics System data and standard period life table methods, we estimated the risk of CMD death in hypothetical cohorts of Black and White men from age 25 to 45 years. We estimated cumulative risk, excess mortality, years of lost life (YLL), and proportion of deaths due to CMD, stratifying by metabolic and cardiovascular disease.</div></div><div><h3>Results</h3><div>Of the 325,134 Black men aged 25 years in the initial cohort, the cumulative risk of cardiometabolic death before age 45 was one in 63 individuals or 1.58 %. For White men, the risks were markedly lower. Of the 1,185,384 White men aged 25 years in the initial cohort, the cumulative risk of cardiometabolic death before age 45 was one in 158 individuals or 0.63 %. The study also found that of the 5141 expected CMD deaths in the Black cohort, 3090 or 60.10 % were excess deaths relative to the White cohort. Additionally, the proportion of all deaths due to CMD among Black men was 19.15 % rising from 6.02 % at age 25 to 38.00 % at age 45, compared with 11.10 % among White men, increasing from 4.57 % at age 25 to 19.79 % at age 45. The YLL for Black men averaged 6.72 months per person while White men averaged 2.94 months.</div></div><div><h3>Conclusions</h3><div>This investigation shows profound racial disparities in CMD mortality from early to mid-adulthood.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 102997"},"PeriodicalIF":2.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrating lifestyle behaviors in school education: A proactive approach to preventive medicine","authors":"Mohamad Motevalli , Fatima Cody Stanford , Günther Apflauer , Katharina Christina Wirnitzer","doi":"10.1016/j.pmedr.2025.102999","DOIUrl":"10.1016/j.pmedr.2025.102999","url":null,"abstract":"<div><h3>Objective</h3><div>Individual behavior is regarded as the primary factor influencing health. Despite recent advances in health science, the increasing prevalence of both non-communicable diseases and unhealthy lifestyle behaviors needs to be effectively controlled. The objective of this short communication is to explore the theoretical basis for integrating lifestyle habits into school education and highlight its significance for public health policy.</div></div><div><h3>Methods</h3><div>A conceptual, perspective-driven analysis was conducted, drawing on evidence from existing literature on the role of educational settings in promoting healthy lifestyle behaviors. The study evaluates current physical education (PE) programs and curricula addressing health-related issues while proposing an updated, proactive approach to mitigating existing health concerns.</div></div><div><h3>Results</h3><div>Schools have significant potential to cultivate healthy lifestyle habits through practical, real-life applications. PE is a primary school-based subject capable of promoting an active lifestyle; however, debates persist regarding its adequacy and effectiveness in other facets of health promotion. From a holistic perspective, it is proposed that PE be evolved into lifestyle education (LE), that aims to integrate all lifestyle factors—beyond physical activity—within the school-based educational framework on a global scale.</div></div><div><h3>Conclusions</h3><div>Establishing school-based LE appears crucial for addressing the growing pandemic of chronic health conditions from their earliest origins.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 102999"},"PeriodicalIF":2.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143277959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Smoke-free hospitality environments and cognitive health: A population-based study in the United States","authors":"Lucie Kalousová","doi":"10.1016/j.pmedr.2024.102961","DOIUrl":"10.1016/j.pmedr.2024.102961","url":null,"abstract":"<div><h3>Introduction</h3><div>Cigarette smoking is among the largest risk factors for cognitive decline in later life. This study examines the associations between hospitality smoke-free coverage in the US and the prevalence of self-rated cognitive function decline and disparities therein.</div></div><div><h3>Methods</h3><div>I use the repeated cross-sectional Behavioral Risk Factor Surveillance data collected between 2017 and 2022 from a sample of Americans 45 years and older and estimate logistic regression models predicting self-rated cognitive function decline by calculated smoke-free hospitality coverage in restaurants and bars.</div></div><div><h3>Results</h3><div>Fully adjusted models indicate a marginally statistically significant 0.16 percentage point reduction [CI −0.35 to 0.02] in the probability of self-rated cognitive function decline for a 10 % increase in the smoke-free bar coverage. The effect is statistically significant and larger for women, a 0.29 [CI −0.50 to −0.01] percentage point decrease, and for non-smokers, a 0.35 [CI −0.56 to −0.15] percentage point decrease. I do not find a parallel effect of smoke-free restaurant laws and I find no effect of either law on self-rated cognitive function decline-related limitations in daily life for either hospitality law.</div></div><div><h3>Conclusions</h3><div>The findings suggest that smoke-free bar laws could play a role in preventing cognitive decline among older adults in the United States. Effective public health strategies against cognitive decline should include both targeted and broad-based policy measures.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"50 ","pages":"Article 102961"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}