Renessa S. Williams , Acklynn M. Byamugisha , Leah Davis-Ewart , Omar R. Valentin , Samantha E. Dilworth , Christian Grov , Adam W. Carrico
{"title":"On the fence: Factors associated with COVID-19 vaccine hesitancy among sexually Minoritized men who use substances in the United States","authors":"Renessa S. Williams , Acklynn M. Byamugisha , Leah Davis-Ewart , Omar R. Valentin , Samantha E. Dilworth , Christian Grov , Adam W. Carrico","doi":"10.1016/j.pmedr.2025.102986","DOIUrl":"10.1016/j.pmedr.2025.102986","url":null,"abstract":"<div><h3>Objective</h3><div>Substance use during the COVID-19 (SARS-CoV-2) pandemic has exponentially increased among sexually minoritized men (SMM), who are more vulnerable to COVID-19 transmission, morbidity, and mortality than their heterosexual counterparts. Understanding the factors that mediate and are associated with COVID-19 vaccine uptake in a national sample of SMM that use substances may inform targeted interventions to maximize public acceptance.</div></div><div><h3>Methods</h3><div>A cross-sectional analysis was performed using data from a national sample of 2753 SMM in the United States between May 2021–July 2022. We performed a mediation analysis using the Karlson-Holm-Breen method, and factors associated with the likelihood of vaccine uptake were modeled using logistic regression, adjusting for time and age.</div></div><div><h3>Results</h3><div>The median age of the overall sample was 38.9 years old and mainly comprised of White (<em>n</em> = 511; 57 %), HIV-negative (<em>n</em> = 407; 52 %) SMM who used stimulants (<em>n</em> = 724; 92 %). Compared to their counterparts who abstained from drugs in the past three months, SMM who used methamphetamine (a<em>OR:</em> 0.32, <em>CI:</em> 0.24–0.43) or opioids (a<em>OR:</em> 0.52 <em>CI:</em> 0.40–0.67) had significantly lower odds of receiving a COVID-19 vaccine. Those who used cocaine in the past 3 months (a<em>OR:</em> 1.44 <em>CI:</em> 1.20–1.73) had significantly greater odds of receiving a COVID-19 vaccine than those who did not. Vaccine hesitancy partially meditated the direct effects of methamphetamine use on vaccine uptake (OR = 0.40; CI: 0.26–0.61]).</div></div><div><h3>Conclusion</h3><div>The lower vaccination rates among those with a negative HIV status and those who use methamphetamine and opioids warrant attention to inform future vaccination efforts.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"50 ","pages":"Article 102986"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092387","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":"Association between higher mortgage payment-to-income ratio and greater psychological distress among high-income homeowners in Japan: A cross-sectional study","authors":"Kazuya Ogawa , Keiichi Shimatani , Ryotaro Iwayama , Norimichi Suzuki","doi":"10.1016/j.pmedr.2025.102987","DOIUrl":"10.1016/j.pmedr.2025.102987","url":null,"abstract":"<div><h3>Objective</h3><div>While the relationship between higher housing cost burden and poorer mental health has been established in lower-income groups, research examining high-income populations is scarce. We aimed to examine this relationship among high-income homeowners in Japan.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study on 6753 Japanese homeowners in detached houses. Data were collected as part of an ongoing panel survey, from new survey respondents during Wave 2 (Jul-Sept 2023) and Wave 3 (Jan-Mar 2024). Psychological distress, measured using the Kessler 6 scale, was the dependent variable. The explanatory variable was the mortgage-to-income ratio, categorized into two and six levels. We performed modified log Poisson regression analyses, incorporating income stratification, with missing data handled by multiple imputation.</div></div><div><h3>Results</h3><div>For both overall respondents (PR = 1.22, 95 % CI 1.11–1.35) and the high-income group (PR = 1.23, 95 % CI 1.09–1.39), individuals with mortgage payment ratios ≥30 % were more likely to report psychological distress compared with those <30 %. While the low-income group showed a marginally similar tendency (PR = 1.21, 95 % CI 1.00–1.46), this association was not robust in the sensitivity analysis.</div></div><div><h3>Conclusion</h3><div>Higher mortgage payment ratios were associated with greater psychological distress even among high-income homeowners. The impact of housing cost stress on psychological distress may be more extensive than previously recognized.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"50 ","pages":"Article 102987"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092392","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}
Solvej Videbæk Bueno , Sebastian Deisting Skejø , Rasmus Oestergaard Nielsen , Knud Ryom , Per Kallestrup , Peter Elsborg , Christina Bjørk Petersen , Julie Sandell Jacobsen
{"title":"Danish mothers of young children adhere less to international physical activity guidelines compared with mothers of older children","authors":"Solvej Videbæk Bueno , Sebastian Deisting Skejø , Rasmus Oestergaard Nielsen , Knud Ryom , Per Kallestrup , Peter Elsborg , Christina Bjørk Petersen , Julie Sandell Jacobsen","doi":"10.1016/j.pmedr.2025.102970","DOIUrl":"10.1016/j.pmedr.2025.102970","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to investigate if the prevalence proportion of non-adherence to the World Health Organization (WHO) guidelines of a minimum of 150 minutes of moderate-to-vigorous physical activity per week varied among mothers based on the age of their youngest child. Additionally, the study aimed to investigate whether such association varied by parity.</div></div><div><h3>Methods</h3><div>The population-based design used self-reported physical activity data on 8774 Danish mothers who participated in the Danish National Health Survey 2021. The primary outcome was weekly hours of moderate-to-vigorous physical activity, dichotomized into adherers or non-adherers to WHO guidelines.</div></div><div><h3>Results</h3><div>The prevalence proportions of non-adherence ranged from 60 % to 70 %. Significantly higher prevalence proportions of non-adherers were observed among mothers of infants and toddlers aged 0–3 years compared with mothers of school-age children. When stratified by parity, multipara mothers with infants aged 0–6 months reported the highest prevalence proportion (74 %) of non-adherence among all subgroups.</div></div><div><h3>Conclusion</h3><div>Due to the health benefits derived from adequate levels of physical activity, the large proportion of mothers not adhering to the WHO physical activity guidelines is a public health concern. The findings of the present study suggest a need for improving interventions and policies to enhance physical activity levels in mothers, especially mothers of infants and toddlers.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"50 ","pages":"Article 102970"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092395","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}
Anna Booman , Byron A. Foster , Kristin Lyon-Scott , Miguel Marino , Jonathan M. Snowden , Janne Boone-Heinonen
{"title":"Early childhood weight trajectory differences in twins, singletons, and gestational-age matched singletons","authors":"Anna Booman , Byron A. Foster , Kristin Lyon-Scott , Miguel Marino , Jonathan M. Snowden , Janne Boone-Heinonen","doi":"10.1016/j.pmedr.2025.102984","DOIUrl":"10.1016/j.pmedr.2025.102984","url":null,"abstract":"<div><h3>Objective</h3><div>Understanding of twin growth in the United States (US) is based on outdated or predominantly non-Hispanic White samples, and the age at which twins catch up to singletons is unclear. In this study, we characterized normative weight trajectories of twins and singletons in a contemporary, diverse cohort.</div></div><div><h3>Methods</h3><div>Data were from the PROMISE study, an electronic health record-based cohort of pregnant people and their children in the US (2005–2021). The Jenss model was used to characterize weight trajectories from 0 to 24 months of age. Twins (<em>n</em> = 716) were compared to the full cohort of singletons (<em>n</em> = 40,075) and a matched sample with similar gestational age at birth (GA) (<em>n</em> = 7160).</div></div><div><h3>Results</h3><div>Male and female twins had lower birth weight compared to singletons and experienced a high rate of weight gain throughout infancy. Among males, twins caught up in weight to the full singleton cohort and to GA-matched singletons at approximately 12 and 6 months, respectively. Among females, twins caught up to GA-matched singletons at approximately 15 months but did not fully overcome their birth weight disadvantage to the full singleton sample by 24 months.</div></div><div><h3>Conclusions</h3><div>These findings highlight that the use of singleton growth charts or preterm singleton growth charts among twins may be inappropriate and suggest the need for a twin-specific growth chart. Future research is needed to understand factors that drive differences in weight trajectories between twins and singletons and to guide twin-specific guidelines.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"50 ","pages":"Article 102984"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092378","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}
Sunday Azagba, Todd Ebling, Galappaththige S.R. de Silva
{"title":"Disparities in Tobacco use and cravings among sexual and gender minority adolescents in the United States","authors":"Sunday Azagba, Todd Ebling, Galappaththige S.R. de Silva","doi":"10.1016/j.pmedr.2025.102993","DOIUrl":"10.1016/j.pmedr.2025.102993","url":null,"abstract":"<div><h3>Background</h3><div>Despite well-documented disparities in tobacco use between sexual and gender minority (SGM) populations and their non-SGM counterparts, limited research has focused on tobacco cravings within these groups. This study examines tobacco use and tobacco cravings among SGM adolescents who are past 30-day tobacco product users in the United States.</div></div><div><h3>Methods</h3><div>Data were derived from the 2023 National Youth Tobacco Survey of high school students. Multivariable logistic regression analyses were conducted to examine the association between various SGM identities and tobacco use and cravings.</div></div><div><h3>Results</h3><div>Tobacco cravings were reported by 25.66 % of gay or lesbian, 34.63 % of bisexual, pansexual, queer, or asexual, and 19.09 % of other sexual minority adolescent tobacco users. Among gender minority users, 40.45 % of nonbinary, genderfluid, or genderqueer individuals and 20.34 % of other gender identities reported cravings. Compared to heterosexual users, the odds of cravings were higher among bisexual, pansexual, queer, or asexual (aOR = 4.35, 95 % CI = 2.12–8.94), gay or lesbian (aOR = 3.51, 95 % CI = 1.03–11.93), and other sexual identities (aOR = 2.79, 95 % CI = 1.16–6.71). Nonbinary, genderfluid, or genderqueer users had higher odds of cravings compared to cisgender boys or men (aOR = 3.64, 95 % CI = 1.63–8.13). Similarly, SGM adolescents had higher odds of current tobacco use than their non-SGM peers.</div></div><div><h3>Conclusions</h3><div>These findings highlight the significant disparities in tobacco cravings and use among SGM adolescents compared to their heterosexual counterparts. Programs targeting tobacco use and cravings among SGM youth will be beneficial.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"50 ","pages":"Article 102993"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128303","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}
Sarah J. Clark, Acham Gebremariam, Sara Schultz, Lindsey Ewing, Susan J. Woolford
{"title":"US parent perspectives on teen caffeine intake: An opportunity for health care provider guidance","authors":"Sarah J. Clark, Acham Gebremariam, Sara Schultz, Lindsey Ewing, Susan J. Woolford","doi":"10.1016/j.pmedr.2025.102989","DOIUrl":"10.1016/j.pmedr.2025.102989","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore parental knowledge and behaviors regarding their adolescent's intake of caffeine to provide context as to what guidance from health care providers could be helpful for families.</div></div><div><h3>Methods</h3><div>Data were collected in February 2024 as part of a nationally representative online panel survey of US parents. Weighted percentages and bivariate associations between survey responses and respondent characteristics were generated.</div></div><div><h3>Results</h3><div>Among the 1095 respondents, about two-thirds of parents reported that their teen consumes caffeine at least one day per week. Parents of daily caffeine consumers were less informed about the caffeine content of beverages they purchase and less likely to report that their teen knows about the risks of “too much” caffeine. Parents who rarely look at caffeine amounts were less likely to agree that they know which products have high caffeine and whether their teen is consuming too much caffeine. Parents believe most teen caffeine consumption occurs at home and, among parents who report their teen consumes caffeine at least four days per week, to be primarily motivated by taste.</div></div><div><h3>Conclusions</h3><div>Parental perspectives related to their teen's caffeine consumption indicate an opportunity for health care providers to educate and promote family discussions regarding caffeine intake.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"50 ","pages":"Article 102989"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092503","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}
Jiuling Li , Mohammad Javad Koohsari , Andrew T. Kaczynski , Ryo Tanimoto , Reo Watanabe , Tomoki Nakaya , Yufeng Luo , Jing Zhao , Akitomo Yasunaga , Koichiro Oka , Tomoya Hanibuchi
{"title":"The built environment and place attachment: Insights from Japanese cities","authors":"Jiuling Li , Mohammad Javad Koohsari , Andrew T. Kaczynski , Ryo Tanimoto , Reo Watanabe , Tomoki Nakaya , Yufeng Luo , Jing Zhao , Akitomo Yasunaga , Koichiro Oka , Tomoya Hanibuchi","doi":"10.1016/j.pmedr.2025.102969","DOIUrl":"10.1016/j.pmedr.2025.102969","url":null,"abstract":"<div><h3>Objective</h3><div>Place attachment plays an important role in individuals' health and well-being. Understanding the associations between urban design attributes and place attachment can inform strategies to promote place attachment. This study aims to examine the associations between walkable built environment metrics and place attachment.</div></div><div><h3>Methods</h3><div>This study used data collected from October to November 2020, involving 25,340 adults across 21 major cities in Japan. Geographic address information was used to measure objective walkability, while perceived walkability and place attachment were assessed using adapted scales. Ordinary least squares regression models were employed to analyse associations.</div></div><div><h3>Results</h3><div>For individual metrics, three objective measures—availability of destinations, population density, and street integration—were positively associated with place attachment. Several perceived measures, including access to shops, daily life facilities, public green spaces, public transports, the presence of paths, crime safety, and aesthetics, also showed positive associations with place attachment. For composite indices, traditional walkability, space syntax walkability, and perceived walkability were positively correlated with place attachment.</div></div><div><h3>Conclusions</h3><div>These findings demonstrate the associations between walkable built environment metrics and place attachment, showing variations in metric types.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"50 ","pages":"Article 102969"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081515","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}
Rena Rehemuding , Kaisaierjiang Kadier , Xinliang Peng , Pengfei Liu , Diliyaer Dilixiati , Aikeliyaer Ainiwaer , Xiaozhu Liu , Xiangtao Liu , Xiang Ma
{"title":"Analysis of the relationship between abdominal aortic calcification and frailty in the middle-aged and older US population","authors":"Rena Rehemuding , Kaisaierjiang Kadier , Xinliang Peng , Pengfei Liu , Diliyaer Dilixiati , Aikeliyaer Ainiwaer , Xiaozhu Liu , Xiangtao Liu , Xiang Ma","doi":"10.1016/j.pmedr.2025.102994","DOIUrl":"10.1016/j.pmedr.2025.102994","url":null,"abstract":"<div><div><strong>Background and Objective:</strong> Abdominal aortic calcification (AAC) is a marker of cardiovascular disease and is associated with increased mortality in middle-aged and older populations. However, its relationship with frailty remains unclear.</div><div><strong>Methods:</strong> Data were obtained from the 2013–2014 National Health and Nutrition Examination Survey. AAC was quantified using the Kauppila scoring system based on dual-energy X-ray absorptiometry. Frailty was assessed using the frailty index. Multivariable logistic regression models examined the association between AAC and frailty.</div><div><strong>Results:</strong> A total of 2987 adults aged ≥40 years were included. Compared to individuals with an AAC-8 score of 0, low-risk (AAC-8 score = 1–2; OR: 1.24; 95 % CI, 1.00–1.53) and high-risk AAC (AAC-8 score ≥ 3; OR: 1.83; 95 % CI, 1.03–3.23) were associated with higher odds of frailty. Similarly, mild to moderate AAC (0 < AAC-24 score ≤ 6; OR: 1.26; 95 % CI, 1.03–1.54) and severe AAC (AAC-24 score > 6; OR: 1.79; 95 % CI, 1.07–2.99) showed positive associations with frailty.</div><div><strong>Conclusions:</strong> Among middle-aged and older populations in the United States, there exists a positive correlation between AAC and frailty. Our findings suggest that the AAC score holds promise as a valuable tool for the early identification of frailty.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 102994"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348287","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}
Natalia Kascakova , Jana Furstova , Jozef Hasto , Peter Tavel
{"title":"Associations of multiple adverse childhood experiences, attachment insecurity and loneliness with physical and mental health difficulties in a representative Slovak sample","authors":"Natalia Kascakova , Jana Furstova , Jozef Hasto , Peter Tavel","doi":"10.1016/j.pmedr.2025.102982","DOIUrl":"10.1016/j.pmedr.2025.102982","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to examine the occurrence of adverse childhood experiences (ACE) in the adult Slovak population and to examine the relationships between mental and physical health, ACE, attachment anxiety and avoidance, and loneliness.</div></div><div><h3>Sample and settings</h3><div>A cross-sectional study with a representative Slovak sample (<em>n</em> = 1018, mean age 46.24 years, 48.7 % men) collected in April 2019 data on ACE (Adverse Childhood Experiences International Questionnaire; ACE-IQ), attachment (Experiences in Close Relationships Revised; ECR-R-14), mental and physical health (SF-8 Health Survey; questions on long-term health difficulties) and loneliness single-item question. Nested linear regression models were employed to analyzed the associations.</div></div><div><h3>Results</h3><div>Over 75 % of respondents reported at least one ACE, and nearly a third reported four or more. Community violence (43.6 %), violent treating of a household member (38.1 %), emotional abuse (34.4 %) and emotional neglect (30.9 %) were the most common ACE. The average number of ACE was 2.7 (± 2.6). Multiple ACE were associated with attachment insecurity and loneliness. ACE were found to be significantly associated with both physical and mental health. Attachment anxiety and avoidance were linked to mental health, but only attachment anxiety remained significant when loneliness was included. Loneliness was associated with mental and physical health difficulties.</div></div><div><h3>Conclusion</h3><div>ACE and loneliness are associated with physical health difficulties. ACE, attachment anxiety and loneliness are linked to mental health difficulties. Preventing child maltreatment and addressing loneliness are key to mitigating the long-term health effects of ACE.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"50 ","pages":"Article 102982"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092481","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":"Changes in public awareness of the social determinants of health over 15 years in Wisconsin, United States","authors":"Stephanie A. Robert, Amy Yinan Liu","doi":"10.1016/j.pmedr.2025.102965","DOIUrl":"10.1016/j.pmedr.2025.102965","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate 15-year changes in public awareness of the social determinants of health (SDoH) between 2007 and 2023.</div></div><div><h3>Methods</h3><div>A 2007 survey of 1172 Wisconsin, U.S. adults is compared to a 2023 survey of 1631 Wisconsin adults. In both surveys, respondents were asked to rate 16 factors regarding how strongly each impacts health. Regression analyses examine how demographic factors differentiate responses in both survey years.</div></div><div><h3>Results</h3><div>In both 2007 and 2023, the four most highly rated factors affecting health were: personal health practices, stress, health insurance, and access to affordable health care. Between 2007 and 2023, there was little or no increase, and even some decrease, in endorsement of many social determinants of health like income, education, housing, and social support. Older adults, women, and those with lower income were generally more likely to endorse the SDoH in both years. Party identification was the demographic factor that most strongly differentiated responses, with Democrats rating more highly many of the social determinants of health than either Republicans or Independents in both years. This differentiation by party identification was even stronger in 2023 than 2007.</div></div><div><h3>Conclusions</h3><div>Despite consistent research documenting the social determinants of health, growing health care and policy attention to the social determinants of health, and population exposure to a variety of social determinants during the COVID-19 pandemic, there is little or no increase in public recognition of the social determinants of health, and notable increasing partisan divides.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"50 ","pages":"Article 102965"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068461","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}