Preventive Medicine Reports最新文献

{"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}

{"title":"Increased vulnerability to psychological distress and suicidal ideation among transgender women with self-reported disabilities in San Francisco, California","authors":"Abtin Shafie ,&nbsp;Alexis Salvatore ,&nbsp;Riley Shea ,&nbsp;Eileen Yu ,&nbsp;Oyku Ozyucel ,&nbsp;Ansharan Akbar ,&nbsp;Bow Suprasert ,&nbsp;Erin C. Wilson ,&nbsp;Willi McFarland ,&nbsp;Kelly D. Taylor ,&nbsp;Sean Arayasirikul","doi":"10.1016/j.pmedr.2025.103083","DOIUrl":"10.1016/j.pmedr.2025.103083","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>Research among transgender women has found health, but especially mental health, to be shaped by social inequities and multiple, intersectional, structural vulnerabilities. While some studies have shown that transgender adults are also more likely to have a disability than cisgender adults, few studies have explored this intersection. We assess possible associations between disability status and psychological stress and suicidal ideation among transgender women.</div></div><div><h3>METHODS</h3><div>We analyzed data from the San Francisco site of the National HIV Behavioral Surveillance Transgender (NHBS-Trans) Study (2019–2020) to explore how disability status among transgender women influences mental health. Chi-squared and Fisher's exact tests to assess associations between disability status and psychological distress. Multivariable logistic regression models assessed the magnitude of these associations adjusted for potential confounders.</div></div><div><h3>RESULTS</h3><div>71.14 % of the sample (<em>N</em> = 201) reported living with one or more disabilities. Participants with 1+ disabilities had more than 10 times the odds of reporting high levels of psychological distress (aOR 10.46, 95 % CI 3.06–35.74) and more than five times the odds of reporting suicidal ideation (aOR 5.83, 95 % CI 1.69–20.15) compared to those with no disabilities. Participants with 2+ disabilities had 10+ times the odds of reporting suicidal ideation compared to participants with no disabilities (aOR 10.77, 95 % CI 2.94–39.51).</div></div><div><h3>CONCLUSIONS</h3><div>Transgender women living with disabilities face multiple intersecting inequities likely attributable to living in a world that is not built for them on the basis of gender identity and disability status. The resulting psychological distress, alongside transphobia and ableism, can exacerbate mental health issues.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103083"},"PeriodicalIF":2.4,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882872","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":"Patient preferences for stroke prevention treatments in atrial fibrillation in Asia: A discrete choice experiment","authors":"Rosa Wang ,&nbsp;Hui Lu ,&nbsp;Gabriela Fernandez ,&nbsp;Nicolas Krucien ,&nbsp;Dong Huang ,&nbsp;Hiroshi Higashiyama ,&nbsp;Juan Du ,&nbsp;Xin Ye ,&nbsp;Tommi Tervonen ,&nbsp;Matthew Quaife","doi":"10.1016/j.pmedr.2025.103084","DOIUrl":"10.1016/j.pmedr.2025.103084","url":null,"abstract":"<div><h3>Objective</h3><div>Stroke prevention in patients with atrial fibrillation should be adapted to patient needs and preferences. This study quantifies patient preferences for key characteristics of atrial fibrillation stroke prevention treatments in China, Taiwan, and South Korea.</div></div><div><h3>Methods</h3><div>A discrete choice experiment (DCE) survey was developed based on a targeted literature review and discussions with clinical and methodological experts. The DCE included six attributes: risks of death, severe disabilities, mild or moderate disabilities, non-disabling events; intake with food; and dosing frequency. DCE data were analyzed using mixed multinomial logit models.</div></div><div><h3>Results</h3><div>In January to March 2023, 307 participants completed the DCE in China (<em>n</em> = 155), Taiwan (<em>n</em> = 76), and South Korea (n = 76). Average time since atrial fibrillation diagnosis was 6.3 years. Participants preferred treatments with improved clinical outcomes, with reduced risk of death being their most important attribute. They valued a 1 % reduction in severe disability risk the same as a 0.36 % death risk reduction, a 1 % reduction in mild or moderate disability risk the same as a 0.25 % death risk reduction, and a 1 % reduction in non-disabling event risk the same as a 0.18 % death risk reduction. Participant preferences on intake with food and dosing frequency were more heterogeneous than for clinical outcomes.</div></div><div><h3>Conclusion</h3><div>Patients with atrial fibrillation were willing to accept an increased risk of non-disabling events in exchange for a reduced risk of death but had diverse preferences for treatment administration characteristics. These findings can inform patient-centered treatment strategies that consider the relative importance of treatment attributes in clinical decision-making.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103084"},"PeriodicalIF":2.4,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143908077","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":"Tobacco policy coverage in California jurisdictions before and after enactment of proposition 56","authors":"Dennis R. Trinidad ,&nbsp;Candice D. Donaldson ,&nbsp;Brian Dang ,&nbsp;Matthew D. Stone ,&nbsp;Thet Nwe Myo Khin ,&nbsp;Sara B. McMenamin ,&nbsp;Yuyan Shi ,&nbsp;Tam D. Vuong ,&nbsp;Xueying Zhang ,&nbsp;Karen Messer ,&nbsp;John P. Pierce","doi":"10.1016/j.pmedr.2025.103080","DOIUrl":"10.1016/j.pmedr.2025.103080","url":null,"abstract":"<div><h3>Objective</h3><div>Proposition 56, a $2 tobacco tax enacted in California in 2016, led to increased funding to Local Lead Agencies which work to reduce tobacco use. We examined whether Proposition 56 was associated with increases in the population covered by local policies addressing four areas: 1) tobacco retail sales (TRS), 2) flavored tobacco products sales (FTP), 3) outdoor secondhand smoke (SHS) restrictions, and 4) smoking restrictions in multi-unit housing (MUH).</div></div><div><h3>Methods</h3><div>2007–2023 data from the Policy Evaluation Tracking System in California were analyzed. The unit of analysis was the California jurisdiction, with outcome the time (in months) to policy enactment in a jurisdiction. Kaplan-Meier estimates and population coverage percentages were calculated by weighing each jurisdiction by its population size. Discrete-time survival models were fitted to test the effect of Proposition 56 on the rate of population coverage for each policy of interest.</div></div><div><h3>Results</h3><div>By January 2023, 79 % of the California population was covered by a local SHS policy but only 55 %, 47 % and 18 % was covered by a local TRS, FTP and MUH policy, respectively. The rate of increase in TRS and FTP policy coverage was greater post-Proposition 56 than pre-Proposition 56 (<em>p</em> &lt; 0.001), while the rate of increase did not change significantly for MUH and SHS policies.</div></div><div><h3>Conclusions</h3><div>Proposition 56 was associated with marked increases in the enactment of TRS and FTP, but not SHS or MUH policies. Despite increases post-Proposition 56, additional efforts are needed to increase local adoption of TRS, FTP and MUH policies because coverage remains low.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103080"},"PeriodicalIF":2.4,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891835","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":"E-cigarette market proportion by nicotine claims in the United States","authors":"Shaoying Ma ,&nbsp;Eden Chaudhry ,&nbsp;Sooa Ahn ,&nbsp;Marielle C. Brinkman ,&nbsp;Micah Berman ,&nbsp;Theodore L. Wagener ,&nbsp;Ce Shang","doi":"10.1016/j.pmedr.2025.103087","DOIUrl":"10.1016/j.pmedr.2025.103087","url":null,"abstract":"<div><h3>Objective</h3><div>Nicotine concentration, form (salt vs. freebase), and type (synthetic vs. tobacco-derived) are key characteristics of e-cigarettes that manufacturers manipulate. Marketing claims such as “tobacco-free” may attract new consumers and increase product use intentions. This study aimed to monitor the nicotine claims of e-cigarettes and assess their market proportions in the U.S.</div></div><div><h3>Methods</h3><div>We analyzed e-cigarette sales and nicotine marketing claims using Nielsen ScanTrack data from U.S. brick-and-mortar stores. Market proportion was calculated as the ratio of unit sales of each nicotine claim category to the total unit sales of e-cigarettes between 12/24/2023 and 1/20/2024.</div></div><div><h3>Results</h3><div>Nicotine claims were categorized into six groups, with the following market proportion: nicotine (77 %), nicotine salt (10.1 %), synthetic nicotine (2.2 %), zero tobacco or tobacco-free (2.2 %), zero nicotine or nicotine-free (0.03 %), and no claim (8.7 %). The market proportion of each category of nicotine concentration was as follows (market proportion in parentheses): 0 % (0.04 %), 0.1 to less than 2 % (2.9 %), 2 to less than 5 % (16.2 %), 5 % or higher (73.0 %), and unspecified (7.9 %).</div></div><div><h3>Conclusions</h3><div>The market proportion of products that explicitly used nicotine salt, synthetic nicotine, or tobacco-free claims was notable. Products with high nicotine concentration (5 % or higher) dominated the market, highlighting their continued popularity.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103087"},"PeriodicalIF":2.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882873","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 the Association of Cooking Fuel Type on chronic respiratory diseases among middle-aged and older adults in China: Insights from residential area and self-care capability","authors":"Junzhou Xu ,&nbsp;Ling Zhang","doi":"10.1016/j.pmedr.2025.103074","DOIUrl":"10.1016/j.pmedr.2025.103074","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the association between clean versus solid cooking fuels and chronic respiratory diseases (CRD) in adults aged 45 and older, focusing on the moderating effects of urban-rural location and self-care ability (independent, partially independent, or dependent).</div></div><div><h3>Methods</h3><div>Using cross-sectional data from the 2020 China Health and Retirement Longitudinal Study, logistic regression was applied to examine the relationship between cooking fuel types and CRD, while exploring the moderating effects of residential area and self-care ability. Robustness checks were conducted to confirm the findings.</div></div><div><h3>Results</h3><div>The use of clean cooking fuels was linked to lower CRD prevalence across all groups. While urban residents had a higher baseline CRD risk, the relationship between clean fuels and CRD was similar in both urban and rural areas. Individuals with poorer self-care abilities had a higher CRD risk, regardless of fuel type, indicating that clean fuels alone may not fully mitigate health risks for this group.</div></div><div><h3>Conclusions</h3><div>Clean cooking fuels are linked to lower CRD prevalence in both urban and rural populations, and their protective effect is similar across these groups. Poorer self-care ability is associated with higher CRD risk, highlighting that interventions beyond fuel switching are necessary for vulnerable individuals with limited self-care abilities. These findings underscore the need for comprehensive public health strategies.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103074"},"PeriodicalIF":2.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870905","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":"Attendance patterns in well-child visits across diverse pediatric populations, Midwestern United States","authors":"Amanda Luff ,&nbsp;Carmelle Romain ,&nbsp;Marybeth Ingle ,&nbsp;Clare Crosh ,&nbsp;Chinelo Okafor ,&nbsp;Yena Woo ,&nbsp;Trenton Lam ,&nbsp;Vivianna Camarillo Guenther ,&nbsp;Veronica Fitzpatrick","doi":"10.1016/j.pmedr.2025.103082","DOIUrl":"10.1016/j.pmedr.2025.103082","url":null,"abstract":"<div><h3>Objective</h3><div>Routine well-child visits (WCVs) are essential for monitoring child health; however, substantial differences exist in attendance, particularly among non-Hispanic Black families. We quantified these disparities within a single healthcare system, comparing two distinct pediatric practice groups: one serving primarily non-Hispanic Black and one serving primarily non-Hispanic white children.</div></div><div><h3>Method</h3><div>This retrospective analysis included patients born in 2022 with at least one WCV in their first 15 months of life using electronic medical records from a healthcare system in the Chicago area. We assessed WCVs against American Academy of Pediatrics guidelines, using Pearson's chi-squared tests to compare attendance rates and logistic regression to calculate adjusted odds ratios (aOR) and 95 % confidence intervals (CI) for factors associated with attending 6 or more WCVs.</div></div><div><h3>Results</h3><div>Among 2567 eligible patients, 51.7 % were from Site 1 (predominantly non-Hispanic Black) and 48.3 % were from Site 2 (predominantly non-Hispanic white). Among Site 1 patients, 83.3 % attended six or more WCVs compared to 91.6 % from Site 2 (<em>p</em> &lt; 0.001), with lower attendance at Site 1 observed starting at 2 months (aOR 0.55, 95 % CI 0.38, 0.80). Across all patients, patients with Medicaid insurance had 61 % lower odds of attending 6+ WCVs compared to commercially insured patients (aOR 0.39, 95 % CI 0.26, 0.58).</div></div><div><h3>Conclusion</h3><div>These findings highlight critical differences in WCV attendance among children within the same healthcare system. Lower at the site serving primarily non-Hispanic Black children may be attributable to barriers to healthcare access, including socioeconomic challenges and implicit bias in healthcare delivery.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103082"},"PeriodicalIF":2.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874398","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":"Perinatal depression and sun safety behaviors: Results of a pilot intervention trial","authors":"Omar U. Anwar ,&nbsp;Yelena P. Wu ,&nbsp;Janessa M. Mendoza ,&nbsp;Muriel R. Statman ,&nbsp;William J. Tanguy ,&nbsp;Marcelo M. Sleiman Jr. ,&nbsp;Douglas Grossman ,&nbsp;Lauren H. Theilen ,&nbsp;Kenneth P. Tercyak","doi":"10.1016/j.pmedr.2025.103078","DOIUrl":"10.1016/j.pmedr.2025.103078","url":null,"abstract":"<div><div><strong><em>Objective:</em></strong> To examine changes in perinatal sun safety behavior and co-occurring minor depression in a pilot intervention trial.</div><div><strong><em>Methods:</em></strong> Pregnant women (<em>N</em> = 58) in a sun safety program completed baseline and depression symptom surveys during their second or third trimesters. They then underwent two 30-min sun safety counseling sessions. Follow-up surveys were completed one- and two-months postpartum. Differences in pre- and postpartum sun safety and depression were evaluated.</div><div><strong><em>Results:</em></strong> At baseline, participants' mean sun safety score was 23.2/32 (SD = 4.4): 34.5 % were identified as likely depressed and had lower sun safety (<em>t</em> = 1.8, df = 56, <em>p</em> &lt; .05). The mean sun safety score rose to 26.5 at the first follow-up (<em>t</em> = 5.8, df = 57, <em>p</em> &lt; .001) and 26.9 (<em>t</em> = 5.7, df = 57, p &lt; .001) at the second. Participants who were likely depressed at baseline experienced less improvement in sun safety at the first and second follow-ups (<em>t</em> = 3.1, df = 19, <em>p</em> &lt; .01, Cohen's d = 4.3; <em>t</em> = 2.8, df = 19, p &lt; .01, Cohen's d = 4.1, respectively) than those not depressed (<em>t</em> = 4.9, df = 37, <em>p</em> &lt; .001, Cohen's d = 4.3; <em>t</em> = 5.0, df = 37, p &lt; .001, Cohen's d = 5.4, respectively). In an income-adjusted regression model of sun safety at the second follow-up, baseline sun safety remained associated (B = 0.5, SE B = 0.1, <em>p</em> = .001) but not depression (B = -0.4, SE B = 0.2, <em>p</em> = .09).</div><div><strong><em>Conclusions:</em></strong> The counseling program increased sun safety adherence, regardless of depression risk.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103078"},"PeriodicalIF":2.4,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143854630","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":"Association of Hemoglobin, albumin, lymphocyte, and platelet scores with the risk of overactive bladder syndrome in U.S. adults: A Nationwide cross-sectional study","authors":"Mingchu Jin ,&nbsp;Heng Liu ,&nbsp;Hao Peng ,&nbsp;Jie Xu,&nbsp;Haidong Hao,&nbsp;Hongtao Jia","doi":"10.1016/j.pmedr.2025.103081","DOIUrl":"10.1016/j.pmedr.2025.103081","url":null,"abstract":"<div><h3>Objective</h3><div>The pathogenesis of overactive bladder (OAB) is associated with inflammation, yet specific indicators remain unclear. This study aimed to evaluate the association between the hemoglobin, albumin, lymphocyte, and platelet (HALP) score—a composite marker of inflammation and nutritional status—and the risk of OAB in a nationally representative adult population in the United States.</div></div><div><h3>Method</h3><div>We analyzed data from 24,939 participants in the U.S. National Health and Nutrition Examination Survey (NHANES) between 2005 and 2016. Participants were categorized into quartiles based on HALP scores. Weighted multivariable logistic regression models were used to examine the association between HALP scores and the risk of OAB, adjusting for relevant covariates. Additionally, smooth curve fitting was performed to assess nonlinear relationships.</div></div><div><h3>Result</h3><div>After adjusting for confounders, higher HALP scores were significantly associated with a lower risk of OAB (odds ratio [OR] 0.965, 95 % confidence interval [CI]: 0.951–0.980). Participants in the highest HALP quartile had a 20 % lower likelihood of OAB compared to those in the lowest quartile (OR 0.800, 95 % CI: 0.729–0.878). A nonlinear inverse relationship was observed between HALP score and OAB risk.</div></div><div><h3>Conclusion</h3><div>In this large, population-based study, higher HALP scores were independently associated with a lower risk of OAB among U.S. adults. These findings suggest that the HALP score may serve as a useful marker in the prediction and early identification of individuals at risk for OAB.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103081"},"PeriodicalIF":2.4,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847862","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":"Food insecurity, dietary intake, and their impact on mental health among university students in Bangladesh","authors":"Marjia Sultana,&nbsp;Towhid Hasan,&nbsp;Md. Mahmudul Hasan Shohag,&nbsp;Nibadita Majumder,&nbsp;Nishat Subah Tithi,&nbsp;Md. Mahbub Alam","doi":"10.1016/j.pmedr.2025.103079","DOIUrl":"10.1016/j.pmedr.2025.103079","url":null,"abstract":"<div><h3>Objective</h3><div>University students, a significant demographic within the adult population, may often face increased susceptibility to psychological distress and decreased resilience, probably due to the challenges of adjusting to a new life in university. Hence, this study aimed to explore how food insecurity and dietary intake are associated with psychological distress and resilience among university students in Bangladesh.</div></div><div><h3>Methods</h3><div>Information was collected from May to June 2024 among a sample of 450 students from Noakhali Science and Technology University, Noakhali district, Bangladesh, using a structured questionnaire assessing socio-demographic characteristics, food insecurity status, dietary intake, psychological distress, and resilience.</div></div><div><h3>Results</h3><div>Results revealed higher level of psychological distress and lower level of resilience among university students. Regression analysis (adjusted for socio-demographics) showed a significant positive association between food insecurity and psychological distress (b = 0.437, <em>P</em> = 0.005); however, food consumption score was negatively associated with psychological distress (b = −0.047, <em>P</em> = 0.012), indicating higher levels of distress among students experiencing higher food insecurity and lower dietary intake. On the other hand, resilience was observed to be negatively associated with food insecurity (b = −0.33, <em>P</em> = 0.003), suggesting that students facing higher food insecurity exhibited lower resilience levels.</div></div><div><h3>Conclusion</h3><div>The findings provided compelling evidence of the significant impact of food insecurity and dietary intake on mental health outcomes (psychological distress and resilience) among university students. Thus, addressing targeted interventions to improve university students' food insecurity and dietary intake to mitigate their psychological distress and resilience is of urgent need.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"54 ","pages":"Article 103079"},"PeriodicalIF":2.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852117","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}