Preventive Medicine Reports最新文献

{"title":"Association between health insurance coverage and stage of diagnosis for cervical cancer among females in Indiana from 2011 - 2019","authors":"Mrithula Suresh Babu ,&nbsp;Monica L. Kasting ,&nbsp;Natalia M. Rodriguez","doi":"10.1016/j.pmedr.2025.102975","DOIUrl":"10.1016/j.pmedr.2025.102975","url":null,"abstract":"<div><h3>Introduction</h3><div>Health insurance status is an important determinant of health outcomes for patients with cancer. This study aimed to assess the extent to which health insurance coverage in Indiana is a contributing factor to the stage of cervical cancer diagnosis.</div></div><div><h3>Methods</h3><div>We examined reported cervical cancer cases among females (<em>N</em> = 2518) using cancer registry data from the Indiana Department of Health from 2011 to 2019. Analyses were carried out in SPSS. Using multinomial logistic regression, we examined associations of both insurance status and race/ethnicity with stage of diagnosis after adjusting for age at diagnosis.</div></div><div><h3>Results</h3><div>The multinomial analysis showed that uninsured females (OR = 2.42, 95 % CI = 1.35–4.35) and those who have Medicaid (OR = 2.36, 95 % CI = 1.62–3.42) were significantly more likely to be diagnosed at the regional stage than the in-situ stage compared to females with private insurance. Additionally, Black (OR = 1.98, 95 % CI = 1.21–3.24) and Hispanic females (OR = 2.19, 95 %CI = 1.04–4.61) were significantly more likely to be diagnosed at the regional stage than the in-situ stage when compared to Non-Hispanic White females. Females who are uninsured (OR = 4.43, 95 % CI = 2.23–8.44) and those who have Medicaid (OR = 3.03, 95 % CI = 1.91–4.80) were significantly more likely to be diagnosed at the distant stage than in-situ, compared to females with private insurance.</div></div><div><h3>Conclusion</h3><div>Insurance status and race/ethnicity are associated with later stages of cervical cancer diagnosis. Increased coverage for routine cervical cancer screening and preventive care services is recommended, especially for racial/ethnic minority populations, the uninsured and those with public insurance.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"50 ","pages":"Article 102975"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081482","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":"The prevalence of online food delivery service usage and its association with anthropometric measurements in Muscat, Oman; a cross-sectional study","authors":"Ahmed Yahya Al Kharusi ,&nbsp;Safa Khamis Ambusaidi ,&nbsp;Marwa Abdullah Al Raisi ,&nbsp;Haitham Mohammed Al Mahrouqi ,&nbsp;Asma Ali Al Kendi ,&nbsp;Muna Mohammed Almatrushi ,&nbsp;Mohammed Juma Al Abdali ,&nbsp;Sanjay Jaju ,&nbsp;Maisa Hamed Al Kiyumi","doi":"10.1016/j.pmedr.2025.102966","DOIUrl":"10.1016/j.pmedr.2025.102966","url":null,"abstract":"<div><h3>Background</h3><div>In Oman, the popularity of online food delivery services has soared since their introduction two years before the pandemic. This study aims to assess the prevalence of online food delivery service usage among Omani individuals in the Muscat region and explore its association with overweight/obesity.</div></div><div><h3>Methods</h3><div>This is a cross-sectional study that was conducted in six randomly selected primary healthcare centres in the two most populous areas in Muscat region. Adults aged 18 years or older, who were able to read and write, and who attended the local health centre for any reason, were included. A consecutive sampling was used for enrolling subjects. A self-administered questionnaire was used and the study was conducted from January 2023 to June 2023. SPSS version 24 was used for statistical analysis.</div></div><div><h3>Results</h3><div>A total of 467 participants were surveyed, revealing a high prevalence rate of online food delivery service usage (76.9 %,359). Younger age (<em>P</em> = 0.001), being single (<em>P</em> = 0.012), higher educational attainment (P = 0.001), absence of chronic diseases (<em>P</em> = 0.020),and physical inactivity (<em>P</em> = 0.028) were significant predictors. No association was found between online food delivery service usage and obesity/overweight (<em>P</em> = 0.109). While participants reported fair to good control over online food ordering, living alone emerged as a significant influencing factor, with dinner being the most commonly ordered meal.</div></div><div><h3>Conclusions</h3><div>Our findings align with global trends, highlighting the convenience of online food services. However, the predominance of unhealthy food options raises concerns about the long-term health implications. Future research should include other regions of Oman and adopt prospective longitudinal designs.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"50 ","pages":"Article 102966"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092361","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":"Smokeless tobacco excise taxes in the US: Standardizing the measurement for empirical analysis","authors":"Yanyun He ,&nbsp;Zezhong Zhang ,&nbsp;Qian Yang ,&nbsp;Ce Shang","doi":"10.1016/j.pmedr.2025.102979","DOIUrl":"10.1016/j.pmedr.2025.102979","url":null,"abstract":"<div><h3>Introduction</h3><div>The effect of smokeless tobacco (SLT) taxes on SLT use has received relatively little research attention in the US compared to the extensive focus on cigarette and e-cigarette taxation. The scarcity of SLT literature is partially due to the complexities of SLT taxes and the lack of standardized taxes. While some states imposed specific taxes based on the weight of the products, others imposed <em>ad valorem</em> taxes. These two types of tax schemas are not directly comparable, further complicating analysis.</div></div><div><h3>Objective</h3><div>We standardize SLT taxes into two measures: first, we convert <em>ad valorem</em> taxes to specific taxes so that both taxes are expressed in $/ounce; second, we convert specific taxes to <em>ad valorem</em> taxes so that both taxes are measured as % of the wholesale price.</div></div><div><h3>Methods</h3><div>We extracted sales-weighted retail prices from the Nielsen Retail Scanner Data between 2006 and 2020. We developed a method to standardize SLT taxes.</div></div><div><h3>Results</h3><div>Overall, the standardized SLT taxes exhibit a steadily increasing trend. In the fourth quarter of 2020, the average specific tax for chewing tobacco, moist snuff, dry snuff, and snus was $0.36, $0.91, $0.74, and $1.27 per ounce, respectively. The average <em>ad valorem</em> tax for chewing tobacco, moist snuff, dry snuff, and snus was 57.4 %, 47.5 %, 42.6 %, and 38.8 % of wholesale prices, respectively.</div></div><div><h3>Conclusions</h3><div>The SLT tax data provided here can serve as a valuable tool for policymakers in determining and refining SLT tax rates, further allowing future studies to understand their impacts on SLT use and related disparities.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"50 ","pages":"Article 102979"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092391","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":"Preventing and addressing youth vaping in British Columbia, Canada: Evidence from triangulation of a scoping review of vaping policy and qualitative interviews with school-aged youth","authors":"Ramona H. Sharma ,&nbsp;Sarah J. Dow-Fleisner ,&nbsp;Laura L. Struik","doi":"10.1016/j.pmedr.2025.102988","DOIUrl":"10.1016/j.pmedr.2025.102988","url":null,"abstract":"<div><h3>Objectives</h3><div>Vaping remains a widespread and ongoing epidemic among youth, with research demonstrating that well-designed policies can play a critical role in curbing this growing issue.</div></div><div><h3>Methods</h3><div>The present study provides a Canadian case-study examination of vaping policy by triangulating a scoping review of federal (Canada, <em>n</em> = 3), provincial (British Columbia, <em>n</em> = 4), and regional (Okanagan, <em>n</em> = 26) policies (<em>N</em> = 33) from 2000 to 2024 with qualitative interviews with secondary school students aged 12 to 18 (<em>N</em> = 25). The scoping review, conducted in 2020 and updated in 2024, followed the Arksey and O'Malley framework and incorporated guidelines from PRISMA to ensure comprehensive identification of relevant policies across government, health, and educational domains. The interviews, conducted in 2020 and 2021 in the Okanagan region of British Columbia, were analyzed using NVivo software through conventional content analysis, an inductive approach where two coders collaboratively identified categories and sub-categories from participant responses using a finalized codebook.</div></div><div><h3>Results</h3><div>The policy review identified gaps in comprehensiveness, public accessibility, and enforcement, particularly at regional levels, where policies often lack comprehensiveness and fail to address vaping-specific challenges. Interview findings revealed youth perceptions of school policies as poorly implemented, reactive, and overly punitive, highlighting the need for proactive, educational approaches to address vaping behaviors.</div></div><div><h3>Conclusions</h3><div>Findings emphasize the importance of clear, accessible, and targeted policies that address possession, distribution, and marketing while involving youth, educators, and parents in awareness and prevention efforts. This case study provides insights applicable to other jurisdictions, offering a framework for designing dynamic, equitable, and effective vaping policies internationally.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 102988"},"PeriodicalIF":2.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138217","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":"Not just about pills: Findings from a national survey of pharmacists to understand their views on addressing social determinants of health","authors":"Katherine A. Meehan ,&nbsp;Austin R. Waters ,&nbsp;Mary Wangen ,&nbsp;Olufeyisayo O. Odebunmi ,&nbsp;Renée M Ferrari ,&nbsp;Macary W. Marciniak ,&nbsp;Alison T. Brenner ,&nbsp;Stephanie B. Wheeler ,&nbsp;Parth D. Shah","doi":"10.1016/j.pmedr.2025.102991","DOIUrl":"10.1016/j.pmedr.2025.102991","url":null,"abstract":"<div><h3>Objective</h3><div>We evaluated community pharmacists' perspectives on addressing social determinants of health for their patients in the United States.</div></div><div><h3>Methods</h3><div>From 9/2022—1/2023, we conducted a national, online survey of 578 pharmacists to evaluate their perspectives on social barriers affecting their patients, their pharmacy staff's ability to address these social barriers, and resources available or needed to address barriers.</div></div><div><h3>Results</h3><div>Healthcare access and quality was perceived as the most addressable social barrier (59 %), while education (24 %) and neighborhood/built environment were perceived as the least addressable (14 %). Staff capacity to address social needs was significantly associated with increases in the pharmacy's ability to address social determinants of health across all five domains. Pharmacists were more likely to report adequate staff capacity if they practiced in independent community pharmacies.</div></div><div><h3>Conclusions</h3><div>Pharmacists commonly address social determinants of health of their patients, but most lack adequate staff capacity to address patient social barriers. Pharmacies with capacity can only address a portion of the social needs of their patient population. Greater access to resources and staffing support are needed to improve pharmacy's role in addressing patient unmet social needs.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 102991"},"PeriodicalIF":2.4,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138212","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":"Connecting the uninsured to care: Engaging new primary care patients at a new York City safety net system","authors":"Caroline Cooke,&nbsp;Christine Zhang,&nbsp;Jonathan Jiménez,&nbsp;Remle Newton-Dame","doi":"10.1016/j.pmedr.2025.102990","DOIUrl":"10.1016/j.pmedr.2025.102990","url":null,"abstract":"<div><h3>Objective</h3><div>Cost and ineligibility are major barriers to accessing United States health care, particularly for undocumented immigrants. NYC Care is a healthcare benefit program covering care at NYC Health+Hospitals, the nation's largest safety net system located in New York City. In this evaluation, we describe care received by new primary care patients recently enrolled in NYC Care.</div></div><div><h3>Methods</h3><div>We reviewed demographics and diagnoses for 14,953 NYC Care adults who first visited primary care between November 1, 2020 and October 31, 2021, along with their total primary care visits, referrals, specialty visits, and acute visits one year following care initiation. Characteristics and utilization were compared to new Medicaid patients (<em>n</em> = 19,701). A generalized estimating equation calculated odds of returning to primary care and visiting specialty care among new NYC Care versus Medicaid patients.</div></div><div><h3>Results</h3><div>NYC Care patients had a median of 3 (Interquartile Range: 2,4) primary care visits, 2 (1,4) referrals, and 2 (1,6) specialty visits in the first year. NYC Care patients had an aOR of 1.9 (95 % CI, 1.7, 2.1) for a second primary care visit in the year and 2.0 (95 % CI, 1.9, 2.2) for a specialty visit, compared to Medicaid patients.</div></div><div><h3>Conclusions</h3><div>NYC Care patients demonstrated high utilization of outpatient services. Previously deferred healthcare may contribute to pent-up demand among uninsured individuals. In lieu of state or federal action, city-sponsored healthcare access programs may offer a pathway to care for uninsured patients, including undocumented immigrants. Future evaluations should utilize longer observation windows and external data to expand generalizability.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 102990"},"PeriodicalIF":2.4,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138256","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":"Toxic stress is associated with cardiovascular disease among younger but not older women in the United States: Results from the research goes red registry","authors":"Saam Honarvar ,&nbsp;Samaah Sullivan","doi":"10.1016/j.pmedr.2025.102992","DOIUrl":"10.1016/j.pmedr.2025.102992","url":null,"abstract":"<div><h3>Introduction</h3><div>Psychosocial stress may be an under-recognized risk factor for cardiovascular disease among younger women (ages 35–54 years).</div></div><div><h3>Methods</h3><div>Data was obtained from the Research Goes Red Registry, initiated in 2019, and included women from the United States. Women self-reported diagnoses of cardiovascular disease and experiences of toxic stress defined as a significant life-defining stressful activity over a prolonged period unaccompanied by sufficient social resources. Logistic regression models were used to estimate odds ratios between toxic stress and cardiovascular disease and differences by age (&lt; 55 versus ≥ 55 years of age) using an interaction term.</div></div><div><h3>Results</h3><div>The analytic dataset included 1346 women. The mean age of women was 47.8 (SD: 12.6), 71 % were less than 55 years of age, 83 % were Non-Hispanic White, 59 % indicated that they had experienced toxic stress, and 12 % had cardiovascular disease. In final multivariable models, there were significant differences in the association between toxic stress and cardiovascular disease by age group (toxic stress-by-age interaction = 0.0412) such that toxic stress was only significantly associated with an increased odds of cardiovascular disease among women &lt; 55 years of age (OR: 1.79; 95 % CI: 1.03, 3.11) but not older women ≥ 55 years of age (OR: 0.82; 95 % CI: 0.49, 1.39).</div></div><div><h3>Conclusion</h3><div>Toxic stress was associated with an increased odds of cardiovascular disease among younger, but not older women in this cross-sectional study. Stress may be an under-recognized risk factor for cardiovascular disease, especially among younger women who may benefit from interventions to mitigate and prevent stress.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 102992"},"PeriodicalIF":2.4,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138213","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":"Sociodemographic factors associated with prenatal care utilization in Arkansas, United States","authors":"Pearl A. McElfish ,&nbsp;Aaron Caldwell ,&nbsp;Donya Watson ,&nbsp;Jonathan Langner ,&nbsp;Jennifer Callaghan-Koru ,&nbsp;Austin Porter ,&nbsp;Don E. Willis ,&nbsp;Jennifer A. Andersen ,&nbsp;Nicola L. Hawley ,&nbsp;James P. Selig ,&nbsp;Amir Forati ,&nbsp;Maria R. Alcala ,&nbsp;Lanita White ,&nbsp;Enrique Gomez-Pomar ,&nbsp;Clare C. Brown","doi":"10.1016/j.pmedr.2025.102983","DOIUrl":"10.1016/j.pmedr.2025.102983","url":null,"abstract":"<div><h3>Objectives</h3><div>This study examines prenatal care utilization differences in Arkansas.</div></div><div><h3>Methods</h3><div>Birth records data from the National Center for Health Statistics were used. The study population consisted of singleton live births in Arkansas from 2014 to 2022. Primary outcomes included number of prenatal visits, fewer than the recommended number of prenatal visits, late prenatal care, and no prenatal care. Summary statistics were computed, and adjusted rates ratios were calculated adjusting for maternal age, maternal education, and parity for payer, race/ethnicity, and rural/urban residence.</div></div><div><h3>Results</h3><div>Mothers with a Medicaid-covered birth had 0.90 times fewer prenatal care visits and were 1.26 times more likely to have fewer than the recommended number of visits, 1.60 times more likely to initiate prenatal care late, and 1.46 times more likely to have reported no prenatal visits at all. Number of prenatal care visits was lower for all racial/ethnic groups relative to white mothers and for mothers living in rural areas. The largest differences were for Native Hawaiian and Pacific Islander (NHPI) mothers, who reported almost half the number of visits (ARR = 0.67, 95 % CI [0.64, 0.70]). Having no prenatal care was more prevalent among NHPI (ARR = 3.68, 95 % CI [2.66, 5.10]) and Black (ARR = 1.47, 95 % CI [1.34, 1.61]) mothers. Racially/ethnically minoritized groups were more likely to have late prenatal care and fewer than the recommended number of prenatal visits, with the greatest difference for NHPI.</div></div><div><h3>Conclusions</h3><div>Findings document disparities in prenatal care utilization related to payer, race/ethnicity, and rural/urban residence.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 102983"},"PeriodicalIF":2.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139136","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":"Corrigendum to “Cardiovascular disease outcomes among established cigar users 40 years and older: Findings from the population assessment of tobacco and health (PATH) study, Waves 1–5 (2013–2019)” [Pre. Med. Rep. 37 (2024) 102569]","authors":"Eva Sharma ,&nbsp;Zhiqun Tang ,&nbsp;Kristin Lauten ,&nbsp;Marushka L. Silveira ,&nbsp;Cristine D. Delnevo ,&nbsp;Kathryn C. Edwards ,&nbsp;Daniela Marshall ,&nbsp;Diann E. Gaalema ,&nbsp;Izabella Zandberg ,&nbsp;Bria Graham-Glover ,&nbsp;Derick L. Rivers ,&nbsp;Omoye E. Imoisili ,&nbsp;Kirstie Neal ,&nbsp;Raymond Niaura ,&nbsp;Maansi Bansal-Travers ,&nbsp;Andrew Hyland ,&nbsp;K. Michael Cummings","doi":"10.1016/j.pmedr.2024.102941","DOIUrl":"10.1016/j.pmedr.2024.102941","url":null,"abstract":"","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102941"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081462","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":"Coupons and state tobacco policy context as predictors of tobacco use among those reporting e-cigarette use in the U.S.: Findings from the Population Assessment of Tobacco and Health (PATH) Study waves 5–6 (2018–2021)","authors":"J.H. Kingsbury ,&nbsp;H.L. Kimmel ,&nbsp;M.J. Parks ,&nbsp;M.R. Creamer ,&nbsp;C. Blanco ,&nbsp;W.M. Compton","doi":"10.1016/j.pmedr.2024.102943","DOIUrl":"10.1016/j.pmedr.2024.102943","url":null,"abstract":"<div><h3>Background</h3><div>Receipt of cigarette and e-cigarette coupons predicts initiation and progression of use and hinders cessation. Less is known about how coupons operate in different tobacco regulatory environments. The current study utilized longitudinal data from the Population Assessment of Tobacco and Health (PATH) Study to address this research gap.</div></div><div><h3>Methods</h3><div>Adults who reported past 30-day (P30D) e-cigarette use at Wave 5 (2018–2019) were included (<em>N</em> = 3632). The primary outcome was Wave 6 (2021) P30D any tobacco use. Wave 5 predictors were receipt of e-cigarette coupons, state e-cigarette tax, state tobacco policy context, flavored e-cigarette use, income, and education. Covariates were age, sex, race, state coupon policy, and Wave 5 use of tobacco other than e-cigarettes. Weighted logistic regression models examined effects overall and in samples stratified by state e-cigarette tax and tobacco policy context.</div></div><div><h3>Results</h3><div>Controlling for covariates, Wave 5 coupon receipt (AOR = 1.57; 95 % CI: 1.07, 2.31) and preference for flavored e-cigarettes (AOR = 1.70; 1.37, 2.10) were positively associated with Wave 6 tobacco use. Stronger state tobacco policy context was negatively associated with tobacco use (AOR = 0.69; 0.55, 0.88). Coupon receipt predicted tobacco use in states with an e-cigarette tax (AOR = 2.39; 1.22, 4.68) and with stronger tobacco policy contexts (AOR = 1.80; 1.07, 3.02), but not in states without an e-cigarette tax (AOR = 1.29; 0.83, 1.99) or with weaker tobacco policy contexts (AOR = 1.33; 0.78, 2.24).</div></div><div><h3>Conclusions</h3><div>Policies that restrict price-discounting could help discourage e-cigarette use, reinforce e-cigarette taxes and other tobacco control policies, and promote cessation of all tobacco among those reporting e-cigarette use.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102943"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932735","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}