Preventive Medicine Reports最新文献

{"title":"Effectiveness and feasibility of family and peer challenge intervention with wearable technology on physical activity among middle schoolers in Utah: A pilot trial","authors":"Sunku Kwon ,&nbsp;Yang Bai ,&nbsp;Youngwon Kim ,&nbsp;Ryan D. Burns ,&nbsp;Timothy A. Brusseau ,&nbsp;Wonwoo Byun","doi":"10.1016/j.pmedr.2025.103095","DOIUrl":"10.1016/j.pmedr.2025.103095","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the preliminary effectiveness and feasibility of physical activity (PA) intervention in middle schoolers.</div></div><div><h3>Methods</h3><div>This 6-week, multi-component PA intervention was conducted in Salt Lake City, Utah, between November 2021 and January 2022. The intervention included tracking daily PA using a wearable activity monitor, education on PA and health, weekly motivational videos, and group challenges within family or peer groups. Three classes from one public middle school (<em>N</em> = 75; 51 % girls, aged 12–13 years) were randomly allocated into the intervention (i.e., family or peer challenges) or control groups. Changes in daily activity time between pre- and post-intervention were assessed using ActiGraph accelerometers. The feasibility of the intervention was evaluated through measures of adherence, retention, and acceptability.</div></div><div><h3>Results</h3><div>After the intervention, 51 (girls: 51 %; age: 13.0 ± 0.7) of all participants completed the entire study protocol. Linear mixed models showed no statistically significant differences between interventions and control in daily sedentary behavior and PA times. Adherence to the intervention was moderately high (&gt; 60 %), with a retention of 68 %. We also observed high satisfaction with wearable technology (≥ 78 %) in middle school students. However, only 39 % of participants frequently used the mobile app for their group challenge.</div></div><div><h3>Conclusions</h3><div>Wearable technology in PA intervention may be of interest to young adolescents but not effectively change youth PA behavior during a 6-week intervention. Further research with larger samples, longer intervention durations, and refined engagement strategies is required to more accurately evaluate the impact and feasibility of this intervention.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103095"},"PeriodicalIF":2.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922447","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":"Sexually transmitted infections care service provision in Spain: Characteristics, diagnostic capabilities, and training","authors":"Javier Gómez-Castellá ,&nbsp;Néstor Nuño ,&nbsp;Asunción Diaz ,&nbsp;Julia del Amo ,&nbsp;the Spanish HIV/STI Coordinators Group","doi":"10.1016/j.pmedr.2025.103086","DOIUrl":"10.1016/j.pmedr.2025.103086","url":null,"abstract":"<div><h3>Objective</h3><div>The incidence of sexually transmitted infections (STI) has been steadily increasing in Spain over the last decade, but knowledge of health resources for STI management at the national level is still unknown. The aim of this study is to describe the territorial distribution, operational characteristics, allocation and profile of health care personnel, as well as and diagnostic capabilities of dedicated STI care facilities in Spain.</div></div><div><h3>Methods</h3><div>Descriptive cross-sectional study. A survey was distributed between June 2021 and December 2022 through the Spanish HIV/STI coordinators in the autonomous regions of Spain. The operational characteristics of STI care facilities, STI diagnostic capacity, allocation and profile of health care personnel were recorded.</div></div><div><h3>Results</h3><div>A total of 72 STI care facilities and 133 physicians were identified, of which 46 and 90 responded respectively (64 % and 68 % response rate). 78 % of STI care facilities were only open in the mornings, and only 2 % had 24-h care available. Likewise, 21 % of facilities offered assistance on weekends and 56 % required an appointment. In-house diagnosis percentages in STI care facilities were 56 % for gonorrhea, 42 % for chlamydia, 51 % for syphilis, and 60 % for HIV. 96 % of STI facilities had a physician (42 % internal medicine specialist), with an average of 2.9 specialists (SD = 3.1) per centre.</div></div><div><h3>Conclusions</h3><div>The diagnostic capabilities of STI centres in Spain is heterogeneous. Key areas for improvement include accessibility to STI care, efficient resource allocation, strengthening the diagnostic capacity of STI care facilities across the country and training of health professionals.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103086"},"PeriodicalIF":2.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912679","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":"Behaviour change techniques, intervention features and usability of diet apps","authors":"Richard Pavlicek ,&nbsp;Kevin A. Cradock","doi":"10.1016/j.pmedr.2025.103085","DOIUrl":"10.1016/j.pmedr.2025.103085","url":null,"abstract":"<div><h3>Objective</h3><div>Identify the behaviour change techniques and intervention features in popular diet apps.</div></div><div><h3>Methods</h3><div>The most popular diet apps were identified from the top 200 ranked apps in the Health &amp; Fitness sections of the App Store and Google Play in September 2023. Selected apps were used for one week and their content analysed for the presence of behaviour change techniques and intervention features. Apps were rated using the Mobile App Rating Scale score.</div></div><div><h3>Results</h3><div>Thirteen apps with 23 app versions (free &amp; premium) were included. The mean number of behaviour change techniques was 18.3 ± 5.8. The most frequently coded behaviour change techniques were predominantly from the ‘Goals and planning’ and ‘Feedback and monitoring’ categories. Apps contained 21.1 ± 6.1 intervention features and scored a mean Mobile App Rating Scale rating of 3.8 ± 0.3. There was a strong, statistically significant correlation (<em>r</em> = 0.69; <em>p</em> = 0.01) between the number of behaviour change techniques and the Mobile App Rating Scale rating. Analysis identified discrepancies between the Mobile App Rating Scale rating and the App Store and Google Play ranking systems.</div></div><div><h3>Conclusions</h3><div>Selected apps contained a high number of behaviour change techniques and intervention features. Most included apps lacked an evidence base and safety features. App engagement, optimal use of time, safety features and app ranking systems require further research to provide evidence-based recommendations.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103085"},"PeriodicalIF":2.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143908068","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":"Global burden of kidney cancer attributable to smoking: A systematic analysis of the 1990–2021 global burden of disease study","authors":"Dingtian Qi,&nbsp;Bowen Wang,&nbsp;Haoxun Zhang,&nbsp;Feng Xiong,&nbsp;Guoling Zhang,&nbsp;Chunyang Wang","doi":"10.1016/j.pmedr.2025.103096","DOIUrl":"10.1016/j.pmedr.2025.103096","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the epidemiological burden and temporal trends of kidney cancer (KC) attributable to smoking from 1990 to 2021.</div></div><div><h3>Methods</h3><div>The study included 204 countries and regions, as provided in the 2021 Global Burden of Disease (GBD) database. The study participants were patients with KC attributable to smoking. The Deaths, Disability-Adjusted Life Years (DALYs), Years Lived with Disability (YLDs), and Years of Life Lost (YLLs) were estimated.</div></div><div><h3>Results</h3><div>In 2021, KC attributable to smoking caused 16,216.48(95 % UI:9662.84 to 23,217.42) deaths globally, with DALYs at 382927.14(95 % UI:233634.99 to 536,755.44), YLDs at 16,084.01(95 % UI:9290.43 to 25,354.68), and YLLs at 366,843.12(95 % UI:223833.69 to 513,164.93). From 1990 to 2021, the age-standardized rate (ASR) of disease indicators has declined globally, and middle-sociodemographic index (SDI) countries demonstrated the most substantial increase in ASRs for all indicators. The global number of DALYs has increased, with the most substantial increases occurring in high-middle SDI countries. The effective difference (EF) for all four disease indicators generally exhibited a spiraling expanding trend with increasing SDI. Predictive analysis suggests that the number of indicators will increase from 2022 to 2040, whereas ASR for these indicators is expected to decline annually through 2040.</div></div><div><h3>Conclusions</h3><div>The global burden of KC attributable to smoking remains substantial, particularly in high-SDI regions, especially among men. In recent years, Middle-SDI regions have exhibited the sharpest rise in disease burden, demanding continued focus. Addressing health outcomes solely through social development progress proves challenging,targeted strategies are essential.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103096"},"PeriodicalIF":2.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916729","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":"Effectiveness of mobile health technology-enabled interventions to improve management and control of hypertension and diabetes in India- a systematic review","authors":"Ramesh Kumar Huda ,&nbsp;Rahul Singh Chowhan ,&nbsp;Dileep Seervi","doi":"10.1016/j.pmedr.2025.103094","DOIUrl":"10.1016/j.pmedr.2025.103094","url":null,"abstract":"<div><h3>Objectives</h3><div>In India, due to rapid urbanization, lifestyle changes, and the aging of the population, hypertension and diabetes have become the leading causes of morbidity and mortality over the past 20 years. The aim of this study is to evaluate the impact of mobile health (mHealth) technology interventions on hypertension and diabetes control in India.</div></div><div><h3>Methods</h3><div>A comprehensive search in PubMed, Cochrane Library, Dimensions, and Google Scholar was conducted for studies conducted in India and published from inception to October 15th, 2024. The retrieved studies assessed the impact of mHealth technology interventions on hypertension and diabetes control in India. The Population, Intervention, Comparator, Outcomes, &amp; Study Design (PICOS) framework outlined the key elements of the review. This systematic review uses secondary data, so no ethical approval is needed.</div></div><div><h3>Results</h3><div>Of 782 potential articles assessed, eight met the inclusion criteria. mHealth technology-enabled Interventions were associated with significantly improved blood pressure, glycated hemoglobin (HbA1c) and Fasting Blood Glucose (FBG) in the intervention group compared to the control group. Additionally, digital health interventions, such as SMS-based education and mHealth platforms, greatly improve treatment adherence and patient satisfaction.</div></div><div><h3>Conclusion</h3><div>Due to an increasing burden of chronic diseases, incorporating mHealth interventions in routine healthcare could be a game-changing strategy toward improved health outcomes, especially in areas with limited resources and access to traditional care. The study provides a basis on which future research can be done to develop further and implement digital health strategies for the management and control of diabetes and hypertension.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103094"},"PeriodicalIF":2.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898910","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":"Characteristics of persons with multiple sclerosis covered by public drug insurance in a Quebec Birth Cohort","authors":"Yasmine Sadou ,&nbsp;Miceline Mésidor ,&nbsp;Marie-Claude Rousseau","doi":"10.1016/j.pmedr.2025.103093","DOIUrl":"10.1016/j.pmedr.2025.103093","url":null,"abstract":"<div><h3>Objective</h3><div>People living with multiple sclerosis use medications for several indications, but little is known about their prescription drug use in Quebec, notably because the public drug insurance covers only part of the population. We compared the characteristics of those with public drug insurance to those privately covered.</div></div><div><h3>Methods</h3><div>In a cohort of persons born in 1970–1974, we identified those living with multiple sclerosis by applying a validated algorithm to administrative health data. Individuals with public coverage were those who had at least one covered period after their date of diagnosis between January 1, 1997, and December 31, 2014. We used descriptive statistics to compare sociodemographic and healthcare utilization characteristics by type of coverage.</div></div><div><h3>Results</h3><div>Among the 1363 persons living with multiple sclerosis, 720 (53 %) were covered by the public drug insurance. Individuals with public drug coverage were younger, more likely to be materially and socially deprived, and had a lower median income than those with private insurance, but otherwise had similar sociodemographic characteristics. The proportion of people who had at least one multiple sclerosis-related visit to a general practitioner (39 % versus 45 %) and hospitalization (6 % versus 3 %) differed among those with public compared to private coverage. However, the utilization of other health services, including neurologist consultations, did not differ by type of drug coverage.</div></div><div><h3>Conclusion</h3><div>People with multiple sclerosis covered by the public and private drug insurance differed in terms of age, income, deprivation, multiple sclerosis-related visits to a general practitioner and hospitalizations, but not neurologist consultations.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103093"},"PeriodicalIF":2.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916731","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":"Preferences for receiving diabetes prevention support and factors influencing healthy eating and physical activity and among patients with prediabetes in Chicago, Illinois","authors":"Angela Kong ,&nbsp;Mary Smart ,&nbsp;Yuka Asada ,&nbsp;Lourdes Deci Limpoco ,&nbsp;Chuxian Tang ,&nbsp;Janet Lin ,&nbsp;Brian T. Layden","doi":"10.1016/j.pmedr.2025.103090","DOIUrl":"10.1016/j.pmedr.2025.103090","url":null,"abstract":"<div><h3>Objective</h3><div>Lifestyle interventions that promote healthful eating and physical activity are recommended for individuals with prediabetes. However, individuals with low-income and racial and ethnic minority groups tend to be underserved by these programs. Therefore, this study aimed to examine patient preferences for delivery of diabetes prevention support and factors influencing healthful eating and physical activity in this sample of patients.</div></div><div><h3>Methods</h3><div>Data from this qualitative study were collected from January 2023 through May 2023. Semi-structured interviews were conducted with 35 patients with prediabetes (hemoglobin A1c: 5.7 to 6.4 %) detected from screening in an urban emergency department in Chicago, Illinois. The emergency department primarily serves a racially and ethnically diverse patient population, especially individuals with low income. Themes were generated using both inductive and deductive methods. Initial codes were guided by the Capability, Opportunity, and Motivation Model for Behavior Change and Theoretical Domains Framework.</div></div><div><h3>Results</h3><div>Most patients (85.7 %) were interested in diabetes prevention support and preferred text-based delivery with some interaction. Patients were aware (84 %) that diabetes could be delayed or even prevented but had limited knowledge of prediabetes and its management. Overall, patients were highly motivated to engage in lifestyle change; however, individuals that experienced food insecurity or lived in unsupportive environments encountered unique barriers.</div></div><div><h3>Conclusion</h3><div>These findings highlight areas where diabetes prevention support (e.g., programs, services) can align their implementation with patient preferences and address basic needs. Taking such action might enhance uptake and engagement among groups at higher risk of diabetes who may not usually receive such support.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103090"},"PeriodicalIF":2.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895878","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":"Assessing restaurant staff perceptions of New Orleans, Louisiana, United States children's healthy default beverage ordinance: A qualitative study one year post-implementation","authors":"Lisa P. Hofmann ,&nbsp;Samaya Trawick ,&nbsp;Danielle J. Gartner ,&nbsp;Melissa Fuster ,&nbsp;Elizabeth Gollub ,&nbsp;Megan Knapp","doi":"10.1016/j.pmedr.2025.103088","DOIUrl":"10.1016/j.pmedr.2025.103088","url":null,"abstract":"<div><h3>Objective</h3><div>Healthy Default Beverage (HDB) ordinances have been implemented across the United States to reduce sugar sweetened beverage (SSB) intake by making healthier options the default for children's meals. This study explored restaurant staff knowledge and perceptions of the HDB ordinance and its potential impact one year after its implementation in New Orleans, Louisiana, United States.</div></div><div><h3>Methods</h3><div>We conducted 21 in-person interviews with restaurant staff across 20 restaurants from March to May 2024, including independent, national chain, and local chain establishments. The interviews focused on the popularity of children's meals, beverages offered, restaurant staff knowledge and perceptions of the ordinance, and potential policy-related health benefits.</div></div><div><h3>Results</h3><div>The majority of restaurant staff supported the policy but expressed concerns about its implementation. Restaurant staff estimated that most children's meals were still ordered with SSBs. Staff felt the policy alone may not change behavior. They highlighted the need for broader public education on the health risks of SSBs.</div></div><div><h3>Conclusion</h3><div>This study identified key factors that may impact the effectiveness of the HDB ordinance, including the need for clearer guidelines, stronger enforcement mechanisms, and better support from public health authorities. Findings suggest that both restaurant staff and parents require further education to ensure the policy's success, especially in marginalized communities. Future research should focus on societal, cultural, and enforcement factors to optimize the impact of HDB policies in improving children's health outcomes.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103088"},"PeriodicalIF":2.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891836","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":"Metabolic diseases and lifestyle factors affect arthritis incidence in old Europeans - a cross analysis from the SHARE project","authors":"Fanji Qiu ,&nbsp;Jinfeng Li ,&nbsp;Liaoyan Gan ,&nbsp;Kirsten Legerlotz","doi":"10.1016/j.pmedr.2025.103089","DOIUrl":"10.1016/j.pmedr.2025.103089","url":null,"abstract":"<div><h3>Objective</h3><div>In the context of global aging, the burden of metabolic diseases and arthritis is escalating, necessitating a more comprehensive understanding of the associations between these diseases. As modifiable factor the effect of lifestyle on the progression of arthritis also needs to be considered. Thus, this study aimed to identify the associations of the number of metabolic diseases (MDs) and lifestyle factors, with Rheumatoid Arthritis (RA) and Osteoarthritis (OA).</div></div><div><h3>Methods</h3><div>This is a cross analysis of data from European cohort collected between 2017 and 2021. The demographic information, lifestyle factors, and disease data were used for a prospective analysis to explore the impact of MDs on the prevalence of arthritis within the 4-year study period (<em>n</em> = 43,085). In addition, a cross-sectional analysis of 9th wave participants (<em>n</em> = 66,208) was conducted to investigate the relationship between lifestyle factors and arthritis. Cox regression and binary logistic regression models were employed to explore the relationships between various factors and arthritis.</div></div><div><h3>Results</h3><div>About 6.52 % and 12.54 % participants developed RA and OA within the 4-year study period. Individuals with MDs exhibited a higher risk of new-onset arthritis compared to no-MDs participants. OA prevalence was positively associated with higher age, higher BMI, less physical activity (PA) and smoking. RA prevalence was positively associated with higher age, higher BMI and less PA.</div></div><div><h3>Conclusion</h3><div>There is a causal relationship between the number of MDs and new-onset Rheumatoid Arthritis and Osteoarthritis. Arthritis prevention programs should consider metabolic diseases as well as lifestyle factors in patients at risk.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103089"},"PeriodicalIF":2.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891834","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":"Spatial inequities in COVID-19 vaccination in Philadelphia by race and income","authors":"Angela D'Adamo ,&nbsp;Alina Schnake-Mahl ,&nbsp;Usama Bilal ,&nbsp;Jane Miller","doi":"10.1016/j.pmedr.2025.103091","DOIUrl":"10.1016/j.pmedr.2025.103091","url":null,"abstract":"<div><h3>Objective</h3><div>Vaccination is a key intervention to prevent severe COVID-19, but in the early months of vaccination availability in the United States, there were wide spatial inequities in vaccination by neighborood racial-ethnic composition and socioeconomic status. To explore whether and how these inequities persisted, we examined the association between neighborhood-level income and racial-ethnic composition and COVID-19 vaccination coverage in Philadelphia, and described trends in inequities in 2021 and 2022.</div></div><div><h3>Methods</h3><div>Using vaccination data for 46 Philadelphia neighborhoods (zip codes), from the Philadelphia Department of Public Health, we estimated vaccination coverage on April 18th, September 26th, and November 21st of 2021, as well as April 3rd, June 26th, and August 7th of 2022. We estimated and compared average vaccination coverage by neighborhood-level income and racial-ethnic composition. We explored inequities in coverage by estimating absolute and relative differences in vaccination by date.</div></div><div><h3>Results</h3><div>COVID-19 vaccination coverage varied substantially by neighborhood-level income and racial-ethnic composition. On all dates, rates were higher in high income and non-Hispanic White neighborhoods compared to medium-income, low-income, mixed, and non-Hispanic Black neighborhoods. The absolute and relative differences in vaccination between neighborhoods narrowed over time but persisted through August 2022.</div></div><div><h3>Conclusions</h3><div>This study provides evidence for the importance of policies that target low-income and non-Hispanic Black neighborhoods during pandemics, including during vaccination rollout, as they have experienced a disproportionate infection, hospitalization, and mortality burden due to COVID-19 and experienced lower vaccination rates.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103091"},"PeriodicalIF":2.4,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902467","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}