Preventive Medicine Reports最新文献

{"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}

{"title":"Evaluation of parent reminder-recall letters to promote human papillomavirus vaccination","authors":"Joan M. Griffin ,&nbsp;Xuan Zhu ,&nbsp;Wei Yi Kong ,&nbsp;Robert M. Jacobson ,&nbsp;Kathy L. MacLaughlin ,&nbsp;Jennifer L. St. Sauver ,&nbsp;Jeph Herrin ,&nbsp;Gregory D. Jenkins ,&nbsp;Nicole L. Larson ,&nbsp;Lila J. Finney Rutten","doi":"10.1016/j.pmedr.2024.102942","DOIUrl":"10.1016/j.pmedr.2024.102942","url":null,"abstract":"<div><h3>Objective</h3><div>Human papillomavirus (HPV) vaccine uptake remains suboptimal. Our stepped-wedge cluster randomized trial found that reminder-recall letters sent to parents of age-eligible children significantly increased vaccine uptake compared to usual care. Subsequently, we conducted a process evaluation to assess the mechanisms of the letter's effectiveness. This study evaluated who remembered the letter, use of provided resources, and child vaccination status.</div></div><div><h3>Methods</h3><div>This cross-sectional evaluation included data from parents (<em>n</em> = 1165) of adolescents ages 11–12 from six primary care practices who received letters about their child's HPV vaccination status. From 2018 to 2022, parents were mailed reminder-recall letters and then sent questionnaires 12–15 months after receiving the letter. Questionnaires asked if parents recalled the letter, whether their child received a vaccination and, if not, reasons for not vaccinating, and attitudes and beliefs about HPV vaccination.</div></div><div><h3>Results</h3><div>A total of 1165 of 1991 questionnaires were completed (59 %). Over half (58 %) remembered the reminder-recall letter. Compared to those not remembering the letter, those who did were significantly more likely to have had their child vaccinated (56 % versus 44 %, <em>p</em> &lt; 0.05). Of those who remembered the letter but did not vaccinate, the majority reported misperceptions about their child being too young (26 %) or concerns about vaccine safety (20 %). Of those who did not remember the letter and did not vaccinate, the primary reason was not knowing the child was due for vaccination (27 %).</div></div><div><h3>Conclusions</h3><div>Reminder-recall letters cued the majority of parents to complete HPV vaccination; however, vaccine misperceptions remain a challenge, indicating the need for additional communication strategies.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102942"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932754","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":"Is avoidable diabetes-related hospitalization in older patients with type 2 diabetes mellitus associated with increased health expenditure?: A nationwide retrospective cohort study in South Korea","authors":"Woo-Ri Lee ,&nbsp;Gyeong-Min Lee ,&nbsp;Noorhee Son ,&nbsp;Kyu-Tae Han ,&nbsp;Sungyoun Chun ,&nbsp;Yehrhee Son ,&nbsp;Ki-Bong Yoo","doi":"10.1016/j.pmedr.2024.102946","DOIUrl":"10.1016/j.pmedr.2024.102946","url":null,"abstract":"<div><h3>Objective</h3><div>With South Korea's population aging rapidly, the number of patients with type 2 diabetes mellitus (T2DM) is expected to rise, leading to worsened health outcomes and potentially straining healthcare financing. This study aimed to investigate how avoidable diabetes-related hospitalizations affect short- and long-term health expenditures.</div></div><div><h3>Methods</h3><div>Data from the National Health Insurance Service-Senior cohort from 2008 to 2019 in South Korea. A total of 27,081 participants aged 60 years and older who were diagnosed with T2DM were included in the study. The independent variable in this study was avoidable diabetes-related hospitalization according to the ICD-10 criteria “E11”. The outcome measures included one- and five-year health expenditures. Regression analysis was performed using the generalized estimating equation (GEE) with a gamma distribution and log-link function. Inverse Probability of Treatment Weighting (IPTW) analysis was conducted to enhance the robustness of the results.</div></div><div><h3>Results</h3><div>Out of the 27,081 participants, 685 patients (2.5 %) experienced avoidable diabetes-related hospitalizations. GEE analysis with IPTW weights revealed that participants who experienced avoidable hospitalizations had a higher risk of increased health expenditures (one-year: relative risk (RR) 1.83, 95 % CI 1.76–1.91; five-year: RR 1.63, 95 % CI 1.57–1.69). Consistent patterns were observed even without weighting (one-year: RR 1.85, 95 % CI 1.68–2.04; five-year: RR 1.60, 95 % CI 1.47–1.74).</div></div><div><h3>Conclusions</h3><div>Our findings highlight the importance of continuous health management to prevent avoidable hospitalization, thereby promoting health and ensuring the financial stability of older patients with T2DM within the healthcare insurance system.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102946"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980240","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 and burden of musculoskeletal disorders amongst Indigenous people in Pimicikamak, northern Manitoba, Canada: A community health survey","authors":"André Bussières ,&nbsp;Melissa Atkinson-Graham ,&nbsp;Jennifer Ward ,&nbsp;Muriel Scott ,&nbsp;Jean Moss ,&nbsp;Patricia Tavares ,&nbsp;Deborah Kopansky-Giles ,&nbsp;Jacqueline Ladwig ,&nbsp;Cheryl Glazebrook ,&nbsp;David A. Monias ,&nbsp;Helga Hamilton ,&nbsp;Donald Z. Mckay ,&nbsp;Randall Smolinski ,&nbsp;Scott Haldeman ,&nbsp;Sheilah Hogg-Johnson ,&nbsp;Steven Passmore","doi":"10.1016/j.pmedr.2024.102960","DOIUrl":"10.1016/j.pmedr.2024.102960","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the prevalence of spine symptoms and spine disability, self-care and care seeking behaviors in a random sample of Indigenous adults residing in Cross Lake, northern Manitoba, Canada.</div></div><div><h3>Study design and setting</h3><div>Orally administered survey in Cree or English to a representative sample of Pimicikamak citizens from the treaty (<em>n</em> = 150/1931 houses) and non-treaty (<em>n</em> = 20/92 houses) land, between May and July 2023. Questions (<em>n</em> = 154) were derived from the 2018 First Nations Regional Health Survey, 2020 Canadian Community Health Survey, and 2021 The Global Burden of Disease study, covering demographics, spine symptoms, chronic conditions, activity limitations, general health, self-care, medication, and satisfaction with care. We used descriptive and cross-tabulations and consulted the community for data interpretation.</div></div><div><h3>Results</h3><div>The survey was completed by 130 adults (65 % females, mean age, 48.4 years). Nearly all participants (89.6 %) reported having spine symptoms in the past four weeks, with a majority experiencing activity limitations lasting one day or more due to neck (77.9 %) or low back pain (55.6 %). Chronic neck and low back pain “sometimes or often” limited activities of daily living (52.8 % and 74.1 % respectively). Nearly two-third (65.4 %) did not have concomitant mood problems. Future preferred care included self-care (88.5 %), over-the- counter medication (64.6 %), seeing an allied care provider (45.4 %), a traditional healer (26.2 %), a nurse or a medical doctor (22.3 %).</div></div><div><h3>Conclusion</h3><div>Spine symptoms were highly prevalent and significantly impacted activities of daily living. Nearly half of respondents felt that they could benefit from care provided by allied health providers.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102960"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11751536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024833","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 association of agricultural and non-agricultural work on the healthy ageing of older adults in Japan: A 6-year longitudinal study from the Japan Gerontological evaluation study","authors":"Hiroki Takeuchi ,&nbsp;Kazushige Ide ,&nbsp;Hequn Wang ,&nbsp;Motoki Tamura ,&nbsp;Katsunori Kondo","doi":"10.1016/j.pmedr.2024.102949","DOIUrl":"10.1016/j.pmedr.2024.102949","url":null,"abstract":"<div><div>Objectives: Many studies have examined the impact of employment on health, but few large-scale longitudinal studies specifically investigate the impact of agricultural labor on the health of older adults. This study aims to identify the health effects of employment on older Japanese adults, focusing on agricultural workers.</div><div>Methods: This study uses longitudinal data collected by the Japan Gerontological Evaluation Study (JAGES) from 2013 to 2019. We selected 48,221 older adults out of a total of 65,751 respondents, excluding missing values. The objective variables included healthy ageing, such as dementia, functional disability, loss of healthy life expectancy, and death. Explanatory variables were used to categorize participants into four groups: non-agricultural workers, agricultural workers, retired, and those who have never worked. Seven adjustment variables, including sex, age, and socioeconomic status, were considered. Logistic and modified Poisson regression analyses were employed after imputing missing values.</div><div>Results: Incidence ranged from 2.6 % (dementia) to 17.3 % (any level of functional disability). Post-multiple imputation analysis showed significantly lower odds ratios and risk ratios for dementia, functional disability, loss of healthy life expectancy, and death among non-agricultural and agricultural workers compared to retirees. The odds and risk ratios for agricultural workers ranged from 0.45 (dementia) to 0.69 (loss of healthy life expectancy).</div><div>Conclusions: Compared with retirees, non-agricultural and agricultural workers experience significantly reduced risks for dementia, functional disability, loss of healthy life expectancy, and death. These findings showed potential health benefits associated with continued employment in older age.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102949"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11722159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972519","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":"Factors affecting perception and acceptance of colonoscopy in patients with inflammatory bowel disease","authors":"Chang-Hung Liao ,&nbsp;Peng-Jen Chen ,&nbsp;Yu-Lueng Shih ,&nbsp;Wei-Kuo Chang ,&nbsp;Tsai-Yuan Hsieh ,&nbsp;Tien-Yu Huang","doi":"10.1016/j.pmedr.2024.102951","DOIUrl":"10.1016/j.pmedr.2024.102951","url":null,"abstract":"<div><h3>Objective</h3><div>The noncompliance rate with routine or surveillance colonoscopies is high, and the underlying reasons remain unverified among Asian patients with inflammatory bowel disease (IBD). This study aimed to examine the perceptions of Asian patients with IBD regarding bowel preparation and colonoscopy and their attitudes toward the recommended intervals for colonoscopies.</div></div><div><h3>Methods</h3><div>Using data from one medical center between July 2020 and May 2022, we analyzed the perceptions of bowel preparation and colonoscopy and attitudes toward examination intervals among 94 patients with IBD (Crohn's disease, 41; ulcerative colitis, 53). The patients' perceptions of the four components associated with the colonoscopy procedure (embarrassment, pain, use of bowel-cleansing agents, and stress) were assessed via a questionnaire. Patients were asked to indicate the frequency at which they had scheduled colonoscopy and the frequency at which they desired to undergo the procedure.</div></div><div><h3>Results</h3><div>“Bowel cleansing” and “pain” received the highest dissatisfaction rate. “Drink too much” was the greatest burden in bowel preparation. Younger age and younger age at diagnosis were associated with a greater burden of bowel preparation and pain. Younger patients and those diagnosed at an earlier age tended to prefer longer examination intervals.</div></div><div><h3>Conclusions</h3><div>Bowel cleansing and abdominal pain were the most uncomfortable aspects associated with colonoscopy, especially when performed without sedation, among Asian patients with IBD. Younger patients and those with early diagnoses preferred longer examination intervals. Our findings can promote colonoscopy adherence and facilitate early detection of major complications in patients at high risk and those with long-term IBD.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102951"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11728065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980239","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":"E-cigarette use among adolescents in Latin America: A systematic review of prevalence and associated factors","authors":"Juan S. Izquierdo-Condoy ,&nbsp;Kenny Ruiz Sosa ,&nbsp;Camila Salazar-Santoliva ,&nbsp;Natalia Restrepo ,&nbsp;Guillermo Olaya-Villareal ,&nbsp;Juan S. Castillo-Concha ,&nbsp;Valentina Loaiza-Guevara ,&nbsp;Esteban Ortiz-Prado","doi":"10.1016/j.pmedr.2024.102952","DOIUrl":"10.1016/j.pmedr.2024.102952","url":null,"abstract":"<div><h3>Background</h3><div>Electronic cigarettes, introduced as a safer tobacco alternative, have unintentionally exposed millions of youths to nicotine and harmful chemicals. Adolescence, a key period for forming lifelong habits, has seen rising e-cigarette use, particularly in developing regions like Latin America, warranting thorough investigation.</div></div><div><h3>Objective</h3><div>To describe the prevalence and factors associated with e-cigarette use among adolescents in Latin America.</div></div><div><h3>Methods</h3><div>A systematic review was conducted according to PRISMA guidelines, covering studies published between 2003 and May 2024. Database searches included PubMed/Medline, Web of Science, Scopus, Google Scholar, Scielo, and LILACS. A total of 582 studies were identified, of which 14 met the inclusion criteria. Study data were synthesized and assessed using the Newcastle-Ottawa Scale and Joanna Briggs Institute checklist.</div></div><div><h3>Results</h3><div>The prevalence of e-cigarette among adolescents in six Latin American countries ranged from 2.6 % to 64.2 %, with a pooled mean prevalence of 18.9 %, and lifetime use higher than current use. Key associated factors included male sex, concurrent use of tobacco and other substances, social influences, and exposure to online advertising. A widespread lack of knowledge regarding e-cigarette risks, coupled with limited regulatory oversight, may be contributing to higher usage rates.</div></div><div><h3>Conclusion</h3><div>This review underscores critical gaps in data on adolescent e-cigarette use in Latin America and highlights the need for expanded research and targeted public health interventions. Nearly one-fifth of adolescents reported using e-cigarettes. Comprehensive prevention programs addressing factors associated with adolescent e-cigarette use in Latin America, involving diverse stakeholders and integrating education, school-based policies, social media campaigns, and policy restrictions, are strongly recommended.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102952"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012847","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":"General practitioner-centered rural obesity management: Design, protocol and baseline data of the German HAPpEN pragmatic trial","authors":"Marika Haderer ,&nbsp;Reiner Hofmann ,&nbsp;Tina Bartelmeß ,&nbsp;Laura König ,&nbsp;Constanze Betz ,&nbsp;Mirna Al Masri ,&nbsp;Alisa Bader ,&nbsp;Natascha von Schau","doi":"10.1016/j.pmedr.2024.102959","DOIUrl":"10.1016/j.pmedr.2024.102959","url":null,"abstract":"<div><h3>Objective</h3><div>HAPpEN aims to implement and evaluate a holistic general practitioner-centered, interdisciplinary obesity management strategy in rural Germany, focusing on feasibility, health outcomes, and economic benefits.</div></div><div><h3>Methods</h3><div>HAPpEN is a 12-month, pragmatic single-arm, multicenter trial, informed by a formative survey, and initiated in April 2023 with 98 obese participants (body mass index, BMI ≥ 30 kg/m²) in Kulmbach, Germany. The program integrates nutritional counseling, physical activity, and behavior change techniques, including smartphone-based self-monitoring. Monthly consultations help set personalized goals using a multi-stage grading scale. Primary outcomes include BMI, body weight, waist circumference, heart rate, blood pressure and parameters, while secondary outcomes assess quality of life, wellbeing, health literacy, social interaction, and digital therapy support.</div></div><div><h3>Results</h3><div>The baseline cohort (mean age: 46.9 ± 11.8 years, 74.1 % female) exhibited high obesity rates (mean BMI: 40.1 ± 6.1 kg/m²), with 48.5 % classified as grade III obese. Common comorbidities were hypertension (51.8 %), dyslipidemia (30.5 %) and diabetes (21.8 %). Chronic joint paint, mainly in the knees and hips, affected up to 82.4 %. A familial aggregation of obesity, diabetes, and cardiovascular diseases was noted, alongside behavioral challenges such as lack of physical activity (81.8 %) and unhealthy eating habits (56.8 %).</div></div><div><h3>Conclusion</h3><div>HAPpEN addresses obesity's multifactorial nature through general practitioner-led, community-based, and digital strategies to promote sustainable lifestyle changes in rural areas. The trial aims to inform primary care obesity management guidelines, focusing on improving health literacy, patient engagement, and long-term clinical benefits. German Clinical Trials Register: DRKS00033916.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102959"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029848","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 feasibility of implementing a digital pregnancy and postpartum support program in the Midwestern United States and the association with maternal and infant health","authors":"Colleen J. Klein ,&nbsp;Matthew Dalstrom ,&nbsp;William F. Bond ,&nbsp;Jeremy McGarvey ,&nbsp;Melinda Cooling ,&nbsp;Katelyn Zumpf ,&nbsp;Lisa Pierce ,&nbsp;Brad Stoecker ,&nbsp;Jonathan A. Handler","doi":"10.1016/j.pmedr.2024.102953","DOIUrl":"10.1016/j.pmedr.2024.102953","url":null,"abstract":"<div><h3>Objective</h3><div>The benefits of mobile applications in the prenatal period remain understudied. This study assessed associations between the Pregnancy Postpartum Support Program (PPSP), a digital wraparound service, and maternal and infant outcomes in a Medicaid population.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on pregnant patients with Medicaid insurance who received care and delivered in a Midwestern United States healthcare system between 8/1/2022–8/15/2023, comparing outcomes among those who did versus did not opt for PPSP enrollment. Enrolled patients were offered a mobile device app providing weekly education, “twenty-four seven” support from a clinical team, and telehealth provider visits. Adjusted multiple covariate analyses were completed using linear and logistic regressions. Patient engagement, vendor-based interaction and perception of care data were also examined.</div></div><div><h3>Results</h3><div>1912 patients were evaluated: 397 in the PPSP and 1515 in the control group. PPSP cohort inclusion was associated with 4 % lower maternal length of stay (LOS) (<em>p</em> = 0.05), 14 % lower infant LOS (<em>p</em> &lt; 0.01), higher mean infant birthweight (p &lt; 0.01), lower odds of birthweight &lt;2500 g (p = 0.05) and lower odds of preterm birth (<em>p</em> = 0.04). Nearly 85 % of all enrolled reported being “very satisfied” with the program.</div></div><div><h3>Conclusions</h3><div>Overall, the program was positively received by PPSP participants. Favorable outcomes associated with enrollment may be due to the program, unmeasured variables, or both. Our study shows the feasibility of offering digital support to pregnant women who voluntarily enrolled in the PPSP and adds to the evidence evaluating virtual care strategies.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102953"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013136","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":"Perceived risk for screen-detectable cancers among american indian adults in the zuni pueblo, USA: Insights and implications for intervention programs","authors":"Deborah Kanda ,&nbsp;Kate Cartwright ,&nbsp;V. Shane Pankratz ,&nbsp;Judith Sheche ,&nbsp;Mikaela Kosich ,&nbsp;Nicholas Edwardson ,&nbsp;Samantha Leekity ,&nbsp;Shiraz I. Mishra","doi":"10.1016/j.pmedr.2024.102950","DOIUrl":"10.1016/j.pmedr.2024.102950","url":null,"abstract":"<div><h3>Background</h3><div>Perceptions of disease risk play an important role in adopting healthy behaviors. The main objective of this study is to examine factors associated with high perceived cancer risk among Zuni Adults in New Mexico, USA.</div></div><div><h3>Methods</h3><div>We used data from a survey conducted in Zuni Pueblo from October 2020 to April 2021. Our analysis included 254 adults ages 21–75 years without a reported personal cancer history. Perceived cancer risk was determined from the question: “Compared to other people your age, how likely do you think it is that you could get cancer?” and ordinal logistic regression analyses were used to identify factors associated with high perceptions of cancer risk.</div></div><div><h3>Results</h3><div>Overall, 35 %, 27 %, and 38 % of respondents reported perceived cancer risks that were lower than, about the same as, and higher than those of other people their age, respectively. From bivariate analysis, factors associated with high perceived cancer risk included: positive family cancer history (odds ratio [OR] = 1.95; 95 % confidence interval [CI]: 1.23–3.11), higher knowledge of cancer risk factors (OR = 1.45; CI: 1.09–1.93), higher education (OR = 1.46; CI: 1.16–1.84), and higher body mass index (OR = 1.44; CI: 1.07–1.94). In multivariable analysis, family cancer history (OR = 1.81; CI: 1.10–2.99), knowledge of risk factors (OR = 1.38; CI: 1.03–1.86), and education (OR = 1.81; CI: 1.10–2.96) remained statistically significant.</div></div><div><h3>Conclusion</h3><div>Our findings provide important insights on perceptions of cancer risk in this community, and have important implications for developing effective, culturally relevant interventions in this community.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102950"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984885","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}