Preventive Medicine Reports最新文献

{"title":"A socioecological taxonomy of determinants to colorectal cancer screening in black men: Insights from a mixed-methods systematic review","authors":"P.J. Zaire ,&nbsp;E. Miller ,&nbsp;A.P. Ewing ,&nbsp;J. Hefner ,&nbsp;K. Wright ,&nbsp;L.H. Smith","doi":"10.1016/j.pmedr.2024.102954","DOIUrl":"10.1016/j.pmedr.2024.102954","url":null,"abstract":"<div><h3>Background</h3><div>In the United States, African/Black American (henceforth Black) men face significantly higher mortality rates from colorectal cancer (CRC) compared to other gender, racial, and ethnic groups. Although CRC is preventable and treatable with early detection, screening rates among Black men remain low. This study aimed to synthesize existing literature on the barriers and facilitators (determinants) of CRC screening to offer guidance to primary care teams in their efforts to improve screening uptake.</div></div><div><h3>Methods</h3><div>We performed a comprehensive systematic review of full-text, peer-reviewed studies published in English to explore the various determinants influencing CRC screening among Black men. Using key terms like “Black or African American,” “male,” and “colorectal cancer screening,” we searched databases including PubMed, PsychInfo, CINAHL, and Embase, published between 2009 and 2022.</div></div><div><h3>Findings</h3><div>The search identified 1235 articles, with 54 meeting the inclusion criteria. Most studies were cross-sectional, examining determinants across the socioecological system. Key barriers included a lack of CRC screening knowledge, poor patient-provider communication, lack of access to screening, and medical mistrust stemming from systemic racism. Significant facilitators included aging, receiving a provider recommendation, having social support, and effective culturally appropriate outreach strategies.</div></div><div><h3>Conclusions</h3><div>Key themes and significant findings from the review provide actionable strategies for primary care teams. These include enhancing knowledge about CRC screening within the patient population, improving patient-provider interactions, and reducing barriers to accessing screening. Future research should aim to develop culturally appropriate and collaborative preventive care strategies to improve screening adherence and CRC-related outcomes.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102954"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013032","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":"Diabetes medication prescribing trends based on provider type and location in the United States","authors":"Susan D. Meeke ,&nbsp;Megan M. Weemer","doi":"10.1016/j.pmedr.2024.102947","DOIUrl":"10.1016/j.pmedr.2024.102947","url":null,"abstract":"<div><h3>Background</h3><div>As primary care physician numbers continue to decline, more patients with type 2 diabetes are likely to receive care from advanced practice providers (APPs), including physician assistants and nurse practitioners. Analyzing diabetes medication prescribing trends among these provider types is essential for ensuring evidence-based diabetes care. <strong>Purpose:</strong> This retrospective, cross-sectional pilot study aimed to examine differences in type 2 diabetes medication prescribing trends by provider type (physicians vs. APPs) and geographic location, utilizing National Ambulatory Medical Care Survey (NAMCS) data.</div></div><div><h3>Methods</h3><div>Data from the NAMCS were collected in August 2022 for the years 2015, 2016, 2018 and analyzed using IBM SPSS, employing chi-square analysis to assess associations between provider type, geographic location, and prescribed medications. Frequency distributions were calculated for patient characteristics and provider types.</div></div><div><h3>Results</h3><div>Patients prescribed at least one diabetes medication (<em>N</em> = 1444) were included. Most received care from physicians (93.7 %) in metropolitan areas (82.8 %). Statistically significant associations were found between provider type, geographical location, and medications prescribed. Nurse practitioners were more likely to prescribe newer diabetes medications, while physician assistants frequently prescribed basal insulin. Patients in non-metropolitan statistical areas were more often prescribed older medications, whereas those in the West were less likely to receive older medications.</div></div><div><h3>Conclusions</h3><div>The study revealed distinct prescribing patterns by provider type and geographic location. Notably, APPs tended to prescribe newer or specific medications in certain locations, highlighting the influence of provider type and geography on diabetes care. Further studies should include larger samples of APPs to deepen insights into these trends.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102947"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972347","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":"Knowledge and awareness of asbestos risk among General Practitioners: Validation of a questionnaire in an area with a high incidence of asbestos-related diseases","authors":"Marinella Bertolotti ,&nbsp;Manuela Tamburro ,&nbsp;Angelo Salzo ,&nbsp;Antonella Cassinari ,&nbsp;Stefania Crivellari ,&nbsp;Carlotta Bertolina ,&nbsp;Marianna Farotto ,&nbsp;Carmen Adesso ,&nbsp;Michela Anna Di Palma ,&nbsp;Anna Natale ,&nbsp;Federico Torregiani ,&nbsp;Guglielmo Pacileo ,&nbsp;Antonio Maconi ,&nbsp;Giancarlo Ripabelli","doi":"10.1016/j.pmedr.2024.102940","DOIUrl":"10.1016/j.pmedr.2024.102940","url":null,"abstract":"<div><h3>Objective</h3><div>Given the critical role of general practitioners (GPs) in the early diagnosis and management of asbestos-related diseases (ARDs), and the significant history of asbestos fibres pollution in Alessandria Local Health Authority (ASL AL), this project aimed to assess the knowledge and awareness of asbestos risks, as well as the experience in diagnosing ARDs among GPs working in Alessandria province, Northern Italy.</div></div><div><h3>Methods</h3><div>A questionnaire was administered to 216 GPs from all ASL AL territorial districts during 26 Territorial Assistance Equipes (EATs) meetings, held from September 2022 to January 2023. It contained 29 questions covering three main areas: ‘knowledge and awareness’, ‘competence and experience’, ‘sociodemographic characteristics and workload’.</div></div><div><h3>Results</h3><div>Although GPs were aware of the health hazards of asbestos (94 %) and the increased risk of mesothelioma from asbestos exposure (92.6 %), significant disparities and heterogeneity of knowledge were observed among territorial districts and by comparing Casale Monferrato district with all the others, particularly regarding asbestos exposure routes, reporting of occupational diseases, and mesothelioma latency.</div></div><div><h3>Conclusions</h3><div>This project provides a comprehensive overview of GPs' knowledge, awareness and experience in managing ARDs, providing indications of customised training requirements. This evaluation could be extended to all areas with a history of previous asbestos exposure and provide a useful tool for policy makers to define and plan strategic actions on asbestos. This work could also be adapted to different realities with a history of environmental pollutant exposure other than asbestos, which pose a risk for the development of several diseases.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102940"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932823","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":"Student perceptions of U.S. based school day physical activity best practices in relation to accelerometer-based sedentary behavior and activity","authors":"Ann Pulling Kuhn ,&nbsp;Ajuni Choudhary ,&nbsp;Amy Zemanick ,&nbsp;Hannah Lane ,&nbsp;Bridget Armstrong ,&nbsp;Yan Wang ,&nbsp;Rachel Deitch ,&nbsp;Erin R. Hager","doi":"10.1016/j.pmedr.2024.102944","DOIUrl":"10.1016/j.pmedr.2024.102944","url":null,"abstract":"<div><h3>Objective</h3><div>To examine associations between student perceptions of school physical activity best practices and accelerometer-based physical activity during school days.</div></div><div><h3>Methods</h3><div>The sample was 758 students in grades 3rd-4th or 6th–7th (female-58 %; 31 % Black/African American) from 33 schools across five school districts in a Mid-Atlantic state in the U.S. Students completed the Perceptions of the Environment at School survey to assess perceived implementation of 11 school physical activity best practices and wore an Actical ankle accelerometer for 7 days between 2017 and 2019. Accelerometer cutpoints were applied for percent time in sedentary, light, and moderate-vigorous physical activity (MVPA) during school hours. Adjusted mixed effects linear regression models were used to predict percent time in each physical activity category, with separate models for elementary and middle school.</div></div><div><h3>Results</h3><div>More best practices were perceived by elementary versus middle schoolers (sum score = 3.3 versus 1.5, <em>p</em> &lt; .01). For every additional best practice perceived, elementary schoolers spent 0.64 % less time in sedentary behavior (<em>B</em> = -0.62; SE = 0.27, <em>p</em> = .02), equivalent to ∼12 fewer minutes/week in sedentary behaviors, and 0.58 % more time in light activity (<em>B</em> = 0.58; SE = 0.25, <em>p</em> = .02; ∼10 more minutes/week). No associations observed for middle schoolers or MVPA.</div></div><div><h3>Conclusions</h3><div>Few best practices were perceived as being implemented in school. Elementary schoolers who perceived more best practices spent more time in light activity and less in sedentary behavior, but this relationship was not found among middle schoolers. Future research should promote implementation of school physical activity best practices and examine the linkage between implementation, student perceptions, and behavior change.</div><div><strong>Trial Registration:</strong> Clinical Trials, NCT03432715; Registered on 02/2/2018.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102944"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978784","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":"Michigan tobacco cessation champions: A rapid qualitative analysis","authors":"Devin C. Tomlinson ,&nbsp;Chelsea Wilkins ,&nbsp;Natalie Bayrakdarian ,&nbsp;Frank Dolecki Jr. ,&nbsp;Erin E. Bonar ,&nbsp;Anne Fernandez ,&nbsp;Golfo Tzilos Wernette ,&nbsp;Lara N. Coughlin","doi":"10.1016/j.pmedr.2024.102945","DOIUrl":"10.1016/j.pmedr.2024.102945","url":null,"abstract":"<div><h3>Background</h3><div>Smoking is the leading cause of preventable death in the United States. We interviewed Tobacco Cessation Champions, multi-sector decision makers, across the state of Michigan to assess and identify barriers and facilitators of smoking cessation and the current smoking cessation landscape.</div></div><div><h3>Methods</h3><div>Twenty Tobacco Cessation Champion interviews (<em>n</em> = 20) were completed with multi-sector decision makers to assess implementation barriers and facilitators from May 2022 to September 2023. We used rapid qualitative analysis to identify common themes across the Tobacco Cessation Champion interviews.</div></div><div><h3>Results</h3><div>Three key themes were identified across the Tobacco Cessation Champion interviews: 1) <em>Facilitators and Barriers of Smoking Cessation Efforts</em>; 2) <em>Smoking Cessation Efforts: Underfunded, Underutilized, Not Marketable or Accessible</em>, and 3) <em>Need for more inclusive, person-centered smoking cessation interventions</em>.</div></div><div><h3>Conclusion</h3><div>Across the themes identified in the present report, champions identified myriad areas for improvement in the tobacco cessation landscape, including: Appeal, accessibility, and the functionality of current systems. The community should strive to improve trust and relationships between providers and patients, as the trust established between these parties is imperative for promoting tobacco cessation. Lastly, cessation efforts should aim to address and improve attitudes and stigma toward smoking and tobacco cessation.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102945"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11728894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980241","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 disparities in everyday discrimination among a national sample of adults in the United States, 2023","authors":"Delvon T. Mattingly ,&nbsp;Osayande Agbonlahor ,&nbsp;Joy L. Hart","doi":"10.1016/j.pmedr.2024.102956","DOIUrl":"10.1016/j.pmedr.2024.102956","url":null,"abstract":"<div><h3>Objective</h3><div>Discrimination is a social determinant contributing to health inequities in the United States (US). This study investigated the prevalence of, and sociodemographic disparities in, perceived everyday discrimination among a national sample of US adults.</div></div><div><h3>Methods</h3><div>We used data from the 2023 National Health Interview Survey (<em>n</em> = 27,538) and estimated the prevalence of three perceived everyday discrimination outcomes (1) any discrimination, (2) unique components of the discrimination experience, and (3) the Everyday Discrimination Scale (EDS) (range: 0–20) overall and by age, sex assigned at birth, race and ethnicity, sexual orientation, educational attainment, income-to-poverty ratio, and urban-rural status.</div></div><div><h3>Results</h3><div>Over half of US adults experienced any discrimination (55.8 %), and the most common form of perceived discrimination was being treated with less respect (45.2 %). Adults who were younger (aged 18–44), female, non-Hispanic Black, sexual minority, some college-educated, low income, or urban-living generally reported higher discrimination. For example, among the sample, non-Hispanic Black (vs. non-Hispanic White) (OR: 1.61, 95 % CI: 1.44–1.81) and sexual minority (vs. heterosexual) (OR: 2.48, 95 % CI: 2.12–2.90) adults had the highest odds of any discrimination and EDS scores (β: 1.38 (95 % CI: 1.17–1.59) and β: 1.65 (95 % CI: 1.35–1.94), respectively). The odds of perceived discrimination varied in magnitude by specific experience; for example, sexual minority adults had the highest odds of being threatened or harassed (OR: 2.93, 95 % CI: 2.52–3.42).</div></div><div><h3>Conclusions</h3><div>Perceived everyday discrimination is prevalent and differentially affects adults, especially members of marginalized and underserved populations. Understanding discrimination patterns will benefit public health and medical efforts aimed at mitigating exposure and deleterious health consequences.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102956"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013033","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 witnessing physical violence between parents and intimate partner violence against Bolivian men: A national cross-sectional analysis of the 2016 demographic and health survey","authors":"J. Matias Bardales-Rodríguez ,&nbsp;Flavia Rioja-Torres ,&nbsp;Akram Hernández-Vásquez ,&nbsp;Diego Azañedo","doi":"10.1016/j.pmedr.2024.102948","DOIUrl":"10.1016/j.pmedr.2024.102948","url":null,"abstract":"<div><h3>Objective</h3><div>Assess the association between having witnessed physical violence between parents and intimate partner violence (IPV) against men in Bolivian adults according to the Encuesta de Demografia y Salud (EDSA) 2016.</div></div><div><h3>Methods</h3><div>A retrospective cross-sectional study was conducted using data from the EDSA 2016 in Bolivia. The variable of interest in this study was IPV in men experienced during the last 12 months (any type of violence, physical and/or sexual, and psychological). The exposure variable was having witnessed physical violence between parents. Unadjusted and adjusted generalized linear models were constructed to assess the association of interest, and prevalence ratios (PR) with 95 % confidence intervals (95 %CI) were reported.</div></div><div><h3>Results</h3><div>Witnessing physical aggression between parents in childhood was associated with a greater probability of suffering intimate partner violence in adulthood (adjusted PR [aPR]: 1.50; 95 %CI: 1.34–1.69). Similarly, the presence of physical aggression between parents in childhood was associated with a higher probability of physical and/or sexual violence (aPR: 1.92; 95 %CI: 1.53–2.39) and psychoverbal violence (PR: 1.48; 95 %CI: 1.32–1.67). The association identified was not modified by having suffered violence during childhood.</div></div><div><h3>Conclusions</h3><div>Participants who witnessed physical violence between parents were more likely to suffer intimate partner violence (IPV), psycho-verbal violence and physical and/or sexual violence by their partners.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102948"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984952","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 epidemiology of cervical cancer among indigenous women living in Latin America: A systematic review","authors":"Iria Riberio Novais ,&nbsp;Camila Olegario Coelho ,&nbsp;Carla Fabrine Carvalho ,&nbsp;Fernanda Surita ,&nbsp;Diama Bhadra Vale","doi":"10.1016/j.pmedr.2024.102955","DOIUrl":"10.1016/j.pmedr.2024.102955","url":null,"abstract":"<div><h3>Objective</h3><div>To review the epidemiological evidence of cervical cancer among Indigenous women living in Latin America.</div></div><div><h3>Methods</h3><div>We conducted a systematic review of the evidence contained in 10 databases spanning 2003–2019. Two reviewers independently compared papers' titles and abstracts against the inclusionary criteria, and a third reviewer resolved discrepancies. Blinded reviewers performed the selection. The articles were organized into the following categories: rates, access, and screening; prevalence of precursor lesions; prevalence and genotypes of Human papillomavirus (HPV); and HPV coinfections.</div></div><div><h3>Results</h3><div>Of the 874 manuscripts we reviewed, 25 were included in the final analysis. We found that cervical cancer is the leading cancer in terms of incidence and mortality among Indigenous women; it presents in advanced stages and is associated with poor survival rates. The prevalence of precursor lesions was higher in women who were geographically isolated. Screening appears to improve outcomes, but women may experience delays in their diagnosis and treatment. Some studies reported populations with a very high prevalence of high-risk Human papillomavirus (hrHPV), and the most frequent genotypes were not different from those of the general population. <em>Chlamydia trachomatis</em> was significantly associated with HPV infection.</div></div><div><h3>Conclusions</h3><div>The data suggested a lack of indicators regarding cervical cancer and its precursor lesions, HPV infection, and cancer indicators. Health policies should target this vulnerable population.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102955"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012969","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":"Early onset of e-cigarette use and subsequent use frequency among US high school students","authors":"Ruoyan Sun ,&nbsp;Nengjun Yi","doi":"10.1016/j.pmedr.2024.102935","DOIUrl":"10.1016/j.pmedr.2024.102935","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to examine whether the age of e-cigarette use onset predicts subsequent use of e-cigarettes.</div></div><div><h3>Methods</h3><div>We used the National Youth Tobacco Survey (NYTS) from 2022. Our sample consisted of 4537 US high school students who had ever used e-cigarettes. Age of first e-cigarette use was assessed by a categorical variable (<span><math><mo>≤</mo></math></span>12 years, 13 years, 14 years, 15 years, 16 years, and <span><math><mo>≥</mo></math></span>17 years). We also constructed a binary variable of early onset use (<span><math><mo>&lt;</mo></math></span>14 years vs <span><math><mo>≥</mo></math></span>14 years). <em>E</em>-cigarette use outcomes in the past 30 days included any use and frequent use (used on <span><math><mo>≥</mo></math></span>20 days). Weighted multivariable logistic regressions were conducted for each outcome to assess the associations between early onset of e-cigarette use and subsequent use frequency, adjusting for a list of covariates.</div></div><div><h3>Results</h3><div>Among 4537 high school students who had ever used e-cigarettes, 49.5 % (95 % CI, 46.1 %–52.9 %) reported any use in the past 30 days and 22.8 % (95 % CI, 20.0 %–25.7 %) reported frequent e-cigarette use. Early-onset users, compared with those who tried e-cigarettes at age 14 or older, showed significantly higher risks of any use (aRR = 1.21, 95 % CI, 1.11–1.33) and frequent use (aRR = 1.88, 95 % CI, 1.60–2.20) in the past 30 days. We found younger age at first use to be associated with higher risk of current and frequent use.</div></div><div><h3>Conclusions</h3><div>Our findings highlight the importance for age-sensitive efforts, prioritizing younger adolescents, to prevent and delay e-cigarette use initiation.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"48 ","pages":"Article 102935"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142742949","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":"Caregiver worry about COVID-19 as a predictor of social mitigation behaviours and SARS-CoV-2 infection in a 12-city U.S. surveillance study of households with children","authors":"Steven M. Brunwasser ,&nbsp;Tebeb Gebretsadik ,&nbsp;Anisha Satish ,&nbsp;Jennifer C. Cole ,&nbsp;William D. Dupont ,&nbsp;Christine Joseph ,&nbsp;Casper G. Bendixsen ,&nbsp;Agustin Calatroni ,&nbsp;Samuel J. Arbes Jr ,&nbsp;Patricia C. Fulkerson ,&nbsp;Joshua Sanders ,&nbsp;Leonard B. Bacharier ,&nbsp;Carlos A. Camargo, Jr ,&nbsp;Christine Cole Johnson ,&nbsp;Glenn T. Furuta ,&nbsp;Rebecca S. Gruchalla ,&nbsp;Ruchi S. Gupta ,&nbsp;Gurjit K. Khurana Hershey ,&nbsp;Daniel J. Jackson ,&nbsp;Meyer Kattan ,&nbsp;Tina V. Hartert","doi":"10.1016/j.pmedr.2024.102936","DOIUrl":"10.1016/j.pmedr.2024.102936","url":null,"abstract":"<div><h3>Objective</h3><div>Understanding compliance with COVID-19 mitigation recommendations is critical for informing efforts to contain future infectious disease outbreaks. This study tested the hypothesis that higher levels of worry about COVID-19 illness among household caregivers would predict lower (a) levels of overall and discretionary social exposure activities and (b) rates of household SARS-CoV-2 infections.</div></div><div><h3>Methods</h3><div>Data were drawn from a surveillance study of households with children (<em>N</em> = 1913) recruited from 12 U.S. cities during the initial year of the pandemic and followed for 28 weeks (data collection: 1-May-2020 through 22-Feb-2021). Caregivers rated how much they worried about family members getting COVID-19 and subsequently reported household levels of outside-the-home social activities that could increase risk for SARS-CoV-2 transmission at 14 follow-ups. Caregivers collected household nasal swabs on a fortnightly basis and peripheral blood samples at study conclusion to monitor for SARS-CoV-2 infections by polymerase chain reaction and serology. Primary analyses used generalized linear and generalized mixed-effects modelling.</div></div><div><h3>Results</h3><div>Caregivers with high enrollment levels of worry about COVID-19 illness were more likely to reduce direct social contact outside the household, particularly during the U.S.'s most deadly pandemic wave. Households of caregivers with lower COVID-19 worry had higher odds of (a) reporting discretionary outside-the-home social interaction and (b) SARS-CoV-2 infection.</div></div><div><h3>Conclusions</h3><div>This was, to our knowledge, the first study showing that caregiver COVID-19 illness worry was predictive of both COVID-19 mitigation compliance and laboratory-determined household infection. Findings should inform studies weighing the adaptive value of worrying about infectious disease outbreaks against established detrimental health effects.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"49 ","pages":"Article 102936"},"PeriodicalIF":2.4,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759495","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}