Deksha Kapoor , Joe Kennedy , Kirsteen Shields , Christian Reynolds , Tom Clemens , Lindsay M. Jaacks
{"title":"Characterizing the food environment in Scotland and its association with deprivation: A national study","authors":"Deksha Kapoor , Joe Kennedy , Kirsteen Shields , Christian Reynolds , Tom Clemens , Lindsay M. Jaacks","doi":"10.1016/j.pmedr.2025.103254","DOIUrl":"10.1016/j.pmedr.2025.103254","url":null,"abstract":"<div><h3>Objectives</h3><div>To characterize food outlets across Scotland and analyze their distribution by neighborhood deprivation.</div></div><div><h3>Methods</h3><div>Data from the Food Standards Agency of all registered food businesses in 2024 were categorized as out-of-home (OOH) [including restaurants, pubs, cafés, and takeaways], retail [supermarkets and non-food retailers like pharmacies with limited food items] or other [mobile caterers, charity organizations, and home caterers]. Neighborhood deprivation was quantified using the Scottish Index of Multiple Deprivation.</div></div><div><h3>Results</h3><div>Of all food outlets, 59 % (<em>n</em> = 18,409) were OOH, 28 % (<em>n</em> = 8757) retail, and 13 % (<em>n</em> = 3969) other. The density of OOH (1.9 per km<sup>2</sup>) was more than double that of retail (0.8 per km<sup>2</sup>). Glasgow City had the highest OOH outlet density (18.5 per km<sup>2</sup>). Argyll and Bute, Western Isles, and Highlands had the lowest density of both OOH and retail (≤0.03 per km<sup>2</sup>). Compared to the most deprived neighborhoods, the least deprived neighborhoods had more Restaurants/cafés/canteens (37 % versus 23 % of food outlets, respectively) and fewer Takeaways/sandwich shops (16 % versus 24 % of food outlets, respectively).</div></div><div><h3>Conclusion</h3><div>Though OOH outlets far outnumber retail in all of Scotland, unique food environments exist in different local authorities. These insights can inform local development and support targeted strategies to improve food environments.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"59 ","pages":"Article 103254"},"PeriodicalIF":2.4,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222795","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":"Stressful life events, perceived degree of stress, and the risk of lung cancer","authors":"Saeedeh Moayedi-Nia , Hartley Dutczak , Lesley Richardson , Jack Siemiatycki , Anita Koushik","doi":"10.1016/j.pmedr.2025.103250","DOIUrl":"10.1016/j.pmedr.2025.103250","url":null,"abstract":"<div><h3>Objective</h3><div>We examined the experience of acute stressful life events and their perceived impact in relation to lung cancer incidence.</div></div><div><h3>Methods</h3><div>In a population based case-control study in Montreal, Canada, 1061 cases and 1422 controls (recruited 1996–2001) were queried on their experience of loss events (death of a family member, divorce/separation) and socioeconomic events (job loss, major income reduction, or a move to a new city) in the prior 6 years, and their own perceived stressfulness (impact) of the event. Using multivariable unconditional logistic regression, we estimated odds ratios (ORs) and 95 % confidence intervals (CIs) of lung cancer associated with experiencing at least one of the five individual events (“any stressful event”), “any loss event” and “any socioeconomic event”, and their impact.</div></div><div><h3>Results</h3><div>Experiencing “any stressful life event” in the previous 6 years was not associated with lung cancer, even when accounting for perceived impact. When considering event type, loss events suggestively increased lung cancer odds, particularly when perceived as high impact (OR = 1.84, 95 % CI: 0.97–3.49). Socioeconomic events did not increase lung cancer odds.</div></div><div><h3>Conclusion</h3><div>This study of recent stressful life events and their perceived impact contributes to knowledge on the possible role of psychosocial stress in lung cancer.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"59 ","pages":"Article 103250"},"PeriodicalIF":2.4,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120581","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}
Clair-Antoine Veyrier , Lisa Yombo Kokule , Simon Ducarroz , Caroline Aparicio , Ester Villalonga-Olives , Martin Duracinsky , Lorraine Cousin Cabrolier , Issifou Yaya
{"title":"Tailored intervention for smoking cessation among migrant smokers in health centers for precarious people in Paris: A co-design approach","authors":"Clair-Antoine Veyrier , Lisa Yombo Kokule , Simon Ducarroz , Caroline Aparicio , Ester Villalonga-Olives , Martin Duracinsky , Lorraine Cousin Cabrolier , Issifou Yaya","doi":"10.1016/j.pmedr.2025.103245","DOIUrl":"10.1016/j.pmedr.2025.103245","url":null,"abstract":"<div><h3>Objective</h3><div>Certain groups of migrants in Europe exhibit higher smoking prevalence compared to non-migrants, with social inequalities significantly impacting their health outcomes. <strong>C</strong>ulturally adapted smoking cessation interventions are more effective for migrants. Co-design a smoking cessation intervention tailored to migrant smokers attending in health centers for precarious people in Paris.</div></div><div><h3>Methods</h3><div>Following an adapted experience-based co-design iterative process to gradually refine our crafted intervention, the study brought together migrants, health professionals, representatives from associations, and a research team between January and July 2024. Pre-workshop enabled to adapt ideation working tools to better suit the public. In the initial phase, migrants helped shape intervention design based on their tobacco use habits and preferences. Subsequent workshops benefitted medical and tobacco-expertise from healthcare workers in co-design workshops, refining our prototypes and ensuring they adhere to evidence-based practices. Data collection included questionnaires, audio-recordings, and field notes analyzed through thematic analysis.</div></div><div><h3>Results</h3><div>Fourteen migrants (mostly undocumented, from African countries, and current smokers) and fourteen healthcare workers (mostly medical practitioners or nurses) were involved in the co-design sessions. The co-designed intervention consisted in a monthly face-to-face participant-led group discussion supervised by health professionals with flexible attendance combined with WhatsApp group support with facilitated access to nicotine replacement therapy or existing interventions, and adapted health literacy materials.</div></div><div><h3>Conclusion</h3><div>Co-designing intervention with migrants enabled the development of an intervention addressing their barriers to smoking cessation. Combining peer-support, digital engagement, and facilitated access to existing resources may improve uptake and effectiveness of cessation programs among this vulnerable population.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"59 ","pages":"Article 103245"},"PeriodicalIF":2.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145098668","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}
Zhuang Lin , Ruixin Zhang , Shuhao Ren , Tingjuan He , Hongfei Mi , Wei Jiang , Chenghao Su
{"title":"Global burden of metabolic dysfunction-associated steatotic liver disease from 1990 to 2021 and the prediction for the next 10 years","authors":"Zhuang Lin , Ruixin Zhang , Shuhao Ren , Tingjuan He , Hongfei Mi , Wei Jiang , Chenghao Su","doi":"10.1016/j.pmedr.2025.103248","DOIUrl":"10.1016/j.pmedr.2025.103248","url":null,"abstract":"<div><h3>Objective</h3><div>Metabolic dysfunction-associated steatotic liver disease (MASLD) is a leading cause of chronic liver disease worldwide. Although the update of the MASLD practice guidelines and the approval of Resmetirom have brought new progress in the prevention and treatment of MASLD, this disease still has not received sufficient attention and remains a major public health issue.</div></div><div><h3>Methods</h3><div>Age-standardized incidence (ASIR), prevalence (ASPR), mortality (ASMR), and disability-adjusted life years (ASDR) rates of MASLD from 1990 to 2021 were extracted from the Global Burden of Disease 2021. The estimated annual percentage change was calculated using linear regression. Six time-series models were used for training and comparison, and the optimal model was selected to predict the disease burden from 2022 to 2031.</div></div><div><h3>Results</h3><div>Globally, the ASIR, ASPR, ASMR, and ASDR all exhibited upward trends. Regionally, Western Europe showed the fastest growth in ASIR and ASPR. Eastern Europe showed the fastest growth in ASMR and ASDR, whereas the high-income Asia Pacific demonstrated the most pronounced decline. The hybrid model best predicted ASIR (615.70/100,000) and ASPR (15,275.60/100,000) for 2031, the Neural Network Autoregressive model optimized ASMR (1.64/100,000), and Prophet projected ASDR to decline to 42.08/100,000.</div></div><div><h3>Conclusions</h3><div>The MASLD burden has increased globally and is projected to continue escalating. It is suggested that the MASLD screening be integrated into the non-communicable diseases program and be prioritized for monitoring in high-burden areas.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"59 ","pages":"Article 103248"},"PeriodicalIF":2.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145098667","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}
Supa Pengpid , Karl Peltzer , André Hajek , Razak M. Gyasi , Dararatt Anantanasuwong
{"title":"Correlates of annual health check-up among community-dwelling persons 60 years and older: Longitudinal national evidence from the health, aging, and retirement in Thailand study, 2015–2022","authors":"Supa Pengpid , Karl Peltzer , André Hajek , Razak M. Gyasi , Dararatt Anantanasuwong","doi":"10.1016/j.pmedr.2025.103247","DOIUrl":"10.1016/j.pmedr.2025.103247","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this longitudinal study was to assess the prevalence and determinants of annual health check-up (AHC) utilization among older adults in Thailand.</div></div><div><h3>Methods</h3><div>We used data from the 2015, 2017, 2020, and 2022 Health, Aging, and Retirement in Thailand study (analytic sample: <em>n</em> = 10,970 observations, ≥60 years). The factors of AHC consumption were estimated using Andersen's Behavioral Model of Healthcare Access and conditional fixed effects (FE) logistic regressions.</div></div><div><h3>Results</h3><div>The overall prevalence of AHC utilization was 53.3 %, which decreased from 52.6 % in 2015 to 42.1 % in 2022 (<em>p</em> < 0.001). Regressions showed that urban residency (OR = 1.36), higher social engagement (OR = 1.29), higher subjective life expectancy (OR = 1.03), loneliness (OR = 1.43), higher number of chronic conditions (OR = 1.09), stopped smoking (OR = 1.34), and physical activity (OR = 1.20) were positive associated with AHC utilization, while age (OR = 0.96), living alone (OR = 0.79), depressive symptoms (OR = 0.96), functional limitations (OR = 0.83) and self-rated physical health (OR = 0.97) were negatively associated with AHC utilization.</div></div><div><h3>Conclusions</h3><div>Our knowledge of the factors influencing AHC use in people 60 and older is improved by this longitudinal study<strong>.</strong> Strategies to increase physical activity, smoking cessation, and social engagement, as well as delay or decrease chronic conditions and functional disability and screen and manage depressive symptoms, may help increase AHC utilization.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"59 ","pages":"Article 103247"},"PeriodicalIF":2.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145098666","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":"Behavioral economics, lifestyle, and health-related factors associated with participation in breast and cervical cancer screenings: A cross-sectional analysis of Japanese women","authors":"Miho Satoh , Naoko Sato , Mizuki Sekino","doi":"10.1016/j.pmedr.2025.103249","DOIUrl":"10.1016/j.pmedr.2025.103249","url":null,"abstract":"<div><h3>Objective</h3><div>This study investigated factors influencing Japanese women's participation in breast and cervical cancer screenings, with a focus on health behaviors, behavioral economics characteristics, socioeconomic status, and physical and mental health.</div></div><div><h3>Methods</h3><div>Using secondary data from the Japan Household Panel Survey (Wave 2021, collected February 2021), we analyzed responses from 410 women aged ≤70 years. Key variables included risk aversion, time preference, exercise frequency, smoking status, alcohol consumption, nutritional intake, subjective and mental health, body mass index, and sociodemographic factors such as education, employment, and municipality type.</div></div><div><h3>Results</h3><div>The participants' mean age was 52.92 years (standard deviation = 9.17 years). Of the women, 15.9 % underwent cervical cancer screening and 16.8 % underwent breast cancer screening. A logistic regression analysis revealed that, for both breast and cervical cancer screenings, high psychological distress, risk aversion, and smoking were associated with lower participation, whereas regular exercise, permanent employment, and residence in towns and villages were associated with higher participation. Smoking was significantly associated with breast cancer screening participation, and utilization of medical services was significantly associated with cervical cancer screening participation.</div></div><div><h3>Conclusion</h3><div>Interventions incorporating behavioral economics approaches, such as addressing risk perception and promoting health behaviors, may enhance Japanese women's cancer screening participation.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"59 ","pages":"Article 103249"},"PeriodicalIF":2.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145098669","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":"Feasibility and preliminary effectiveness of a patient-centered self-care intervention for adults with coronary heart disease in a low resource setting","authors":"Rukhsana Perveen , Muhammad Saqib Rabbani , Samina Kausar , Kainat Asmat","doi":"10.1016/j.pmedr.2025.103246","DOIUrl":"10.1016/j.pmedr.2025.103246","url":null,"abstract":"<div><h3>Objective</h3><div>Coronary heart disease (CHD) remains a leading cause of global morbidity and mortality, with disproportionate impact in low resource contexts. Despite the importance of effective self-care in improving outcomes, existing interventions are often fragmented, disease-focused, and lack contextual relevance. This study aimed to evaluate the feasibility and preliminary effectiveness of a nurse-led, patient-centered self-care intervention (PCSI) for individuals with CHD in Pakistan.</div></div><div><h3>Methods</h3><div>A mixed-methods study was conducted between May 17 to August 16, 2024 in inpatient department of public hospital in Pakistan. The intervention, developed through literature review and stakeholder input, involved a 2-h individualized education and counselling session delivered one day before discharge. Effectiveness was evaluated using a one-group pretest-posttest design, assessing self-efficacy and self-care behaviors at baseline and four weeks post-discharge. Feasibility was explored through post-intervention interviews with 12 participants. Quantitative data were analyzed using descriptive statistics and Wilcoxon signed-rank test in SPSS, while qualitative data were analyzed manually through content analysis.</div></div><div><h3>Results</h3><div>Thirty-seven participants (mean age 50.67 ± 6.04 years; 32 men) completed the study. Self-efficacy improved significantly, with mean scores increasing from 76.75 ± 19.65 to 99.86 ± 0.82 (Z = −4.864, <em>p</em> < 0.001). Significant improvements were observed in self-care behaviors across all domains (p < 0.001). Qualitative findings confirmed the intervention's feasibility, relevance and acceptability, while suggesting family engagement, and ongoing support.</div></div><div><h3>Conclusion</h3><div>The PCSI demonstrated promising effectiveness and feasibility, supporting its potential integration into routine care. Future adaptations could enhance sustained self-care and clinical outcomes in low-resource settings.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"59 ","pages":"Article 103246"},"PeriodicalIF":2.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145098662","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":"Glucagon-like peptide-1 receptor agonists and suicide risk in individuals with diabetes and Cannabis use disorder","authors":"Yesh Dhruva , Erick Messias , Ping-I Lin","doi":"10.1016/j.pmedr.2025.103244","DOIUrl":"10.1016/j.pmedr.2025.103244","url":null,"abstract":"<div><h3>Objective</h3><div>The current study is to examine the association between GLP-1 receptor agonist (GLP-1 RA) use and suicide attempt risk in individuals with type 2 diabetes mellitus (T2DM), including those with comorbid cannabis use disorder (CUD).</div></div><div><h3>Methods</h3><div>We conducted a retrospective study using the TriNetX Research Network. Adults aged 30–85 years with a diagnosis of T2DM were categorized by GLP-1 RA exposure and CUD sourced from over 20 countries across the Americas, Europe-Middle East-Africa, and Asia-Pacific from 2003 to 2023. Individuals with a prior diagnosis of suicidal ideation were excluded. The primary outcome was a new diagnosis of suicide attempt within one year. Cox proportional hazards models were used to estimate adjusted hazard ratios (aHRs), controlling for age, sex, depression, body mass index, and glycated hemoglobin A1c (HbA1c) levels. Kaplan-Meier curves were used to visualize cumulative risk.</div></div><div><h3>Results</h3><div>Among 6,424,228 individuals with T2DM, GLP-1 RA use was associated with significantly lower risk of suicide attempt compared to unexposed individuals (aHR: 0.63; 95 % CI: 0.47,0.85). In contrast, patients with CUD exhibited markedly elevated risk (aHR: 5.50; 95 % CI: 4.39,6.89). This elevated risk persisted among those concurrently using GLP-1 RAs and diagnosed with CUD (aHR: 5.75; 95 % CI: 3.42,9.69). No significant risk reduction was observed among CUD patients using GLP-1 RAs compared to those not using them (aHR: 1.00; 95 % CI 0.37–2.69).</div></div><div><h3>Conclusions</h3><div>The inverse association between GLP-1 RAs and suicide attempt was attenuated among cannabis users. These findings underscore the importance of addressing substance use when assessing psychiatric risk in diabetes care.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"58 ","pages":"Article 103244"},"PeriodicalIF":2.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049278","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":"Learning needs and experiences of hospital nurses in genetic medicine in a rural area of Japan: A cross-sectional questionnaire survey in Oita prefecture","authors":"Nobue Tsukatani , Yumi Shimada , Masanori Inoue , Akiko Hatanaka , Shizuyo Tominaga , Kenji Ihara","doi":"10.1016/j.pmedr.2025.103239","DOIUrl":"10.1016/j.pmedr.2025.103239","url":null,"abstract":"<div><div><em>Objective:</em> This study aimed to investigate hospital nurses' experiences in providing care to patients with genetic diseases and their families and to identify their educational needs regarding genetic medicine and genetic counseling in Oita Prefecture, a representative rural region of Japan.</div><div><em>Methods:</em> This cross-sectional questionnaire survey was conducted at ten cancer treatment hospitals in Oita Prefecture, including two central hospitals for cancer genomic medicine and eight regional hospitals, from October 11, 2021 to January 20, 2022. Of 1881 invited nurses, 1001 valid responses were analyzed. Data were collected using an anonymous self-administered questionnaire covering demographics, understanding of genetic terms, care experiences, and learning needs.</div><div><em>Results:</em> The respondents showed limited understanding of clinical genetics terminology, with fewer than 5 % having received genetics-related training. Only 8.6 % had experience in caring for patients and their families concerns about genetic diseases, and over 80 % of those felt inadequate. More than 70 % expressed a strong desire to learn about genetic medicine.</div><div><em>Conclusions:</em> Hospital nurses in rural Japan have significant learning needs in genetic medicine and genetic counseling. Educational programs tailored to regional backgrounds, along with collaboration with clinical genetic specialists, especially certified genetic counselors, could contribute to ensuring equitable and high-quality genetic healthcare service.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"59 ","pages":"Article 103239"},"PeriodicalIF":2.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108252","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}
Alfu Laily , Soojung Jo , Robert J. Duncan , Randolph D. Hubach , Kathryn J. LaRoche , Natalia M. Rodriguez , Monica L. Kasting
{"title":"Human papillomavirus awareness in a digital world: The intersection of faith and online media","authors":"Alfu Laily , Soojung Jo , Robert J. Duncan , Randolph D. Hubach , Kathryn J. LaRoche , Natalia M. Rodriguez , Monica L. Kasting","doi":"10.1016/j.pmedr.2025.103241","DOIUrl":"10.1016/j.pmedr.2025.103241","url":null,"abstract":"<div><div>Objective: This study examines the association between Human Papillomavirus (HPV) awareness and internet use, social media use, and trust in health information from religious leaders.</div><div>Methods: We analyzed national data, collected March–November 2022 in the U.S. The final sample included 3444 adults ages 18–65 years. The outcome was HPV awareness (being aware of both HPV and the HPV vaccine). Weighted chi square and multivariable logistics regression were used to assess the outcome and each predictor, including internet and social media use, trust in health information from religious leaders, and demographic factors.</div><div>Results: Among respondents, 62.3 % were aware of HPV. Those who used the internet had higher odds of HPV awareness (aOR = 2.31, 95 %CI = 1.58,3.39), whereas those reporting perceived online health information from social media as accurate had lower odds of HPV awareness (aOR = 0.40, 95 %CI = 0.16,0.98). Social media use and trust in health information from religious leaders were not significantly associated with HPV awareness.</div><div>Conclusion: Internet use, but not social media use or trust in health information from religious leaders, may improve HPV awareness. This highlights the need for interventions to guide individuals find reliable sources online and for future research to assess accuracy of online HPV information to facilitate vaccination decisions.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"58 ","pages":"Article 103241"},"PeriodicalIF":2.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060237","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}