Preventive Medicine Reports最新文献

{"title":"Twenty years population-based trends in prevalence, awareness, treatment, and control of hypertension in Geneva, Switzerland","authors":"Mayssam Nehme ,&nbsp;Anshu Uppal ,&nbsp;Ophelia Zimmerman ,&nbsp;Julien Lamour ,&nbsp;Shannon Mechoullam ,&nbsp;Idris Guessous","doi":"10.1016/j.pmedr.2025.103055","DOIUrl":"10.1016/j.pmedr.2025.103055","url":null,"abstract":"<div><h3>Objective</h3><div>Hypertension is a leading cause of cardiovascular disease and affects about 1.3 billion adults worldwide. Despite interventions, awareness and control remain suboptimal and might have worsened due to the COVID-19 pandemic. This population-based study examines 20-year trends in hypertension prevalence, awareness, treatment, and control in Geneva, Switzerland (2005–2023).</div></div><div><h3>Methods</h3><div>This is a year-trends population-based study (Bus Sante) ongoing in Geneva, Switzerland. Data collected in this study were between 2005 and 2023. Hypertension trends and prevalence were stratified by sex, age, education, and income. Multivariable regression models adjusted for sociodemographic and health factors identified determinants of outcomes.</div></div><div><h3>Results</h3><div>Overall, 11,278 individuals participated. Hypertension prevalence decreased from 38.9 % to 35.2 %, with greater reductions in individuals with primary education (−6.1 %) and low income (−6.1 %). Awareness remained stable with time. Uncontrolled hypertension decreased (44.9 % to 42.2 %, <em>p</em> = 0.01), with improvements in lower socioeconomic groups, and individuals with diabetes. Older women were more likely to have untreated (+16.1 %) and uncontrolled hypertension, while younger men exhibited higher unawareness rates (57.7 %). Having a doctor visit in the past 12 months was not associated with increased awareness.</div></div><div><h3>Conclusions</h3><div>Hypertension prevalence and control improved overall, with reduced socioeconomic disparities. However, some groups remain at risk and primary care is essential for better screening, awareness, treatment, and control of hypertension.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103055"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760837","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 effectiveness of school-based obesity prevention interventions on the health behaviours of children aged 6–18 years: A secondary data analysis of a systematic review","authors":"Katrina McDiarmid ,&nbsp;Tara Clinton-McHarg ,&nbsp;Luke Wolfenden ,&nbsp;Kate O'Brien ,&nbsp;Daniel Chun Wei Lee ,&nbsp;Ashleigh Stuart ,&nbsp;Rebecca Kate Hodder","doi":"10.1016/j.pmedr.2025.103053","DOIUrl":"10.1016/j.pmedr.2025.103053","url":null,"abstract":"<div><h3>Objectives</h3><div>Obesity remains a contributor to the burden of disease globally. Suboptimal diet and physical inactivity are two rising risk factors of obesity in youth; both are targeted for obesity prevention. Further, these risk behaviours cluster and may be associated with other risks including smoking and alcohol intake. Few studies, however, have examined the extent to which interventions targeting obesity also impact on other health behaviours. The aim of this study is to synthesise the effects of child obesity prevention programs on diet, physical activity, tobacco smoking and alcohol intake, and to investigate differential effects by interventions that target different behaviours.</div></div><div><h3>Methods</h3><div>A secondary data analysis of an existing systematic review was conducted. Literature searches identified any additional papers from 1990 to 2023 associated with the originally included studies. All papers were screened and were eligible if they reported any diet, physical activity, smoking or alcohol outcomes. Results for each health behaviour outcome were selected. Meta-analysis was conducted where possible to calculate standardised mean differences.</div></div><div><h3>Results</h3><div>One hundred and four studies were eligible for inclusion. Fruit and vegetable intake (standardised mean difference (SMD) 0.104; 95 % (CI) (0.03, 0.17)), and sugar-sweetened beverage intake (SMD -0.126; 95 % CI (−0.22, −0.04)) were positively impacted by obesity prevention, as were physical activity (SMD 0.168; 95 % CI (0.05, 0.28)) and sedentary behaviour (SMD -0.021; 95 % CI (−0.03, −0.01)). Findings were mixed for tobacco smoking and alcohol intake.</div></div><div><h3>Conclusion</h3><div>Independent of weight status, school obesity prevention programs may improve some measures of child dietary intake and physical activity.</div></div><div><h3>Study registration</h3><div>Prospectively registered: PROSPERO: CRD42021281106.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103053"},"PeriodicalIF":2.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747553","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":"Use of mobile technology for reporting the pharmacovigilance of vaccines in Panama","authors":"Xavier Sáez-Llorens ,&nbsp;Tirza De León ,&nbsp;Yostin Jesús Añino ,&nbsp;Natalia Vega ,&nbsp;Laura Prada ,&nbsp;Gabriel Rebollón ,&nbsp;Rodrigo DeAntonio","doi":"10.1016/j.pmedr.2025.103056","DOIUrl":"10.1016/j.pmedr.2025.103056","url":null,"abstract":"<div><h3>Objective</h3><div>Monitoring adverse reactions is essential to confirm vaccine safety profiles. Studies using electronic tools for data collection may reach a broader audience, improving data efficiency and integrity, reducing study costs and simplifying data collection compared with nonelectronic methods. This study aimed to validate electronic versus paper diaries for reporting postimmunization reactions in Panama.</div></div><div><h3>Methods</h3><div>An experimental design was conducted with three groups (children, pregnant women, and older adults). Groups were divided into one subgroup using paper diary and one using electronic diary. Diary assignments were subsequently reversed in children group, which parents completed. Symptoms and reporting frequency were collected in 2020 and 2021. Information reported in paper diaries was entered into an electronic case report form and reconciled. Users' adherence, differences between reported symptom frequency and users' acceptability of diaries were evaluated.</div></div><div><h3>Results</h3><div>A total of 180 participants were included: 79 children, 21 pregnant women, 80 older adults. Children group showed greater adherence to both diaries. No significant differences were found in response times in the electronic diary between groups. More symptoms were reported in the electronic diary. The experience of using diaries, no matter which one, was similar.</div></div><div><h3>Conclusions</h3><div>Results indicate young people adapt better to technological tools than older adults, suggesting tools should be adjusted according to the user's age. Furthermore, electronic applications for reporting postimmunization reactions offer suitable pharmacovigilance alternatives, providing real-time information, and requiring fewer staff, leading to improved health outcomes, patient compliance, and data for research and public health analysis, supporting global vaccine development.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103056"},"PeriodicalIF":2.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738572","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":"Access to medical abortion and abortion care in Japan","authors":"Aya Goto ,&nbsp;Veronika J. Wirtz ,&nbsp;Masako Hayashi ,&nbsp;Junichi Hasegawa ,&nbsp;Kotaro Fukushima ,&nbsp;Hideo Matsuda ,&nbsp;Akihito Nakai","doi":"10.1016/j.pmedr.2025.103041","DOIUrl":"10.1016/j.pmedr.2025.103041","url":null,"abstract":"<div><div><em>Objectives:</em> On April 26, 2023, the Japanese Ministry of Health, Labour and Welfare approved the use of the medical abortion pill package (called the MEFEEGO Pack in Japan) on the condition that the patient undergoes either “hospitalization or outpatient observation at a facility with beds.” The purpose of this study is to examine the immediate uptake of medical abortion and the current situation of peri-abortion care in Japan.</div><div><em>Methods:</em> The study design was an institution-level national survey. Questionnaires were sent to 3941 facilities to collect information on abortions and abortion consultations performed between May and October 2023.</div><div><em>Results:</em> Responses were received from 2096 facilities (53.2 % response rate). A total of 28,346 abortions were performed before the ninth week of pregnancy, of which the MEFEEGO Pack was used in 435 cases (1.5 %), with no serious complications. The proportion of facilities providing peri-abortion care services in all abortion cases was 10.9 % for mental health support, 3.3 % for counseling information, 50.6 % for support to prevent repeat abortions, and 73 % for contraceptive information. These services were more commonly provided in hospitals with a higher number of obstetrician-gynecologists and abortions, and where interprofessional collaboration was present. Physicians were the main providers of peri-abortion care, while midwives and nurses provided these services at only about 20 % of facilities.</div><div><em>Conclusion:</em> Greater interprofessional collaboration and increased involvement of midwives and nurses are necessary to prepare for a possible increase in the use of medical abortion in Japan.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103041"},"PeriodicalIF":2.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823233","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":"Global burden of road injuries and their attributable risk factors from 1990 to 2021: A systematic analysis for the global burden of disease study 2021","authors":"Dongqing Gu ,&nbsp;Shan Ou ,&nbsp;Guodong Liu","doi":"10.1016/j.pmedr.2025.103051","DOIUrl":"10.1016/j.pmedr.2025.103051","url":null,"abstract":"<div><div><em>Objective:</em> To systematically estimate the burden of road injuries and associated risk factors.</div><div><em>Methods:</em> Data on incidence, deaths, and disability-adjusted life years (DALYs) with 95 % uncertainty intervals, by age, sex, sociodemographic index, region, and country, from 1990 to 2021, were obtained from the Global Burden of Disease Study 2021. In addition, we obtained the numbers of DALYs and deaths attributed to risk factors. Joinpoint regression analysis was used to calculate the average annual percentage changes and 95 % confidence intervals (CIs).</div><div><em>Results:</em> In 2021, the incident cases of road injuries were 50.3 million (95 % uncertainty interval: 45.7 to 55.2) globally, with an age-standardized incidence (ASIR) of 627.8 per 100,000 population (95 % uncertainty interval: 570.6 to 688.1). From 1990 to 2021, the ASIR was decreased by an average of 1.52 (95 % CI: −1.55 to −1.49) per year. Substantial heterogeneity was observed, particularly among youth aged 25–29 years, males, and high-income North America. Road injuries caused 65.1 million (95 % uncertainty interval: 60.7 to 69.9) DALYs and 1195.7 thousand (95 % uncertainty interval: 1118.2 to 1275.7) deaths in 2021. High burden was observed in older people, males, Central Sub-Saharan Africa, and countries with low income. Motor vehicles (36.6 %) and pedestrians (36.8 %) were the main causes of death. In particular, 72.2 % of road injuries were attributable to occupational injuries for males, while 57.7 % were attributable to low bone mineral density for females.</div><div><em>Conclusion:</em> This study suggests a decreasing global burden of road injuries. Nonetheless, road safety remains a significant global public health issue.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103051"},"PeriodicalIF":2.4,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738576","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":"Perception of discrimination by the head of the household and household food insecurity in Venezuelan migrants in Peru: Cross-sectional analysis of a population-based survey","authors":"Darlene Milagros Rocha-Rojas ,&nbsp;Paola Fernanda Velásquez-Huamán ,&nbsp;Akram Hernández-Vásquez ,&nbsp;Diego Azañedo","doi":"10.1016/j.pmedr.2025.103050","DOIUrl":"10.1016/j.pmedr.2025.103050","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the association between the perception of discrimination by the head of the household and the presence of moderate to severe food insecurity in the households of Venezuelan migrants and refugees residing in Peru.</div></div><div><h3>Methods</h3><div>Secondary data analysis of the Survey Directed at the Venezuelan Population Resident in Peru (ENPOVE, for its acronym in Spanish) 2022. The analysis included 3491 migrant Venezuelan family heads. The exposure variable was discrimination perceived by the head of the household (yes/no) since arriving in Peru and the outcome was the presence of moderate to severe food insecurity in the household (yes/no) in the last 30 days, measured with the Food Insecurity Experience Scale. Adjusted prevalence ratios were estimated to evaluate the association of interest, adjusted for potential confounding variables.</div></div><div><h3>Results</h3><div>Of the total participants, 35.6 % had perceived discrimination since arriving in Peru; Likewise, 39 % of households presented moderate to severe food insecurity. The perception of discrimination by the head of the household was associated with a greater probability of presenting moderate to severe food insecurity in the home (adjusted prevalence ratio: 1.29; 95 % confidence interval [CI]: 1.17–1.42).</div></div><div><h3>Conclusions</h3><div>The perception of discrimination among Venezuelan migrant and refugee household heads residing in the country is associated with a greater probability of moderate to severe food insecurity. Urgent measures are required to mitigate this problem which will potentially affect food and socioeconomic inequality in our country.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103050"},"PeriodicalIF":2.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in pediatric obesity rates before and during the COVID pandemic in a Federally Qualified Health Center","authors":"Madeline T. Moriarty ,&nbsp;William R. Law ,&nbsp;Jeremy Nadolski ,&nbsp;Lester Hockenberry","doi":"10.1016/j.pmedr.2025.103044","DOIUrl":"10.1016/j.pmedr.2025.103044","url":null,"abstract":"<div><h3>Objectives</h3><div>The changes with pediatric obesity rates during the COVID pandemic with patients from Federally Qualified Health Center (FQHC) clinics are underrepresented in the literature. FQHC patients are often subject to many adverse social determinants of health (SDOH). We sought to characterize changes in obesity rates and weight categories amongst children at a FQHC, comparing a COVID pandemic cohort to a pre-pandemic cohort.</div></div><div><h3>Methods</h3><div>FQHC retrospective clinic data were analyzed for two separate cohorts of children aged 4 to 5 years: Pre-pandemic (2016–2019) and Pandemic (2019–2022). BMI values, BMI percentiles, and obesity rates were compared. Changes between weight categories for individual children were compared. Study participant SDOH related data was obtained from the electronic records, including individual zip codes. Aggregate study entry obesity rates for both cohorts were significantly greater than the national obesity rate.</div></div><div><h3>Results</h3><div>During each cohort's three-year period, BMI values increased significantly. There was no significant difference between the cohorts in these changes. Analysis of individual children's changes in weight categories revealed that significantly more children in the pandemic cohort demonstrated shifts between obese and other weight categories compared to the pre-pandemic cohort during comparable 3-year study periods.</div></div><div><h3>Conclusions</h3><div>This study is one of the first to investigate the details related to the changes with weight categories with a FQHC pandemic cohort. We suggest that these patterns warrant further study into the complex interactions of health inequities that are related to race and social determinants of health, aggravated by public health crises such as the COVID pandemic.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103044"},"PeriodicalIF":2.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738573","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":"Joint association of physical activity and sugar-sweetened beverages with obesity in young U.S. adults: A cross-sectional analysis of NHANES 2007–2020","authors":"Yuhang Liu ,&nbsp;Ying Xu ,&nbsp;Zhaohong Sun ,&nbsp;Siyao Gao","doi":"10.1016/j.pmedr.2025.103043","DOIUrl":"10.1016/j.pmedr.2025.103043","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the independent and joint association of sugar-sweetened beverages (SSBs) and physical activity with obesity among young U.S. adults.</div></div><div><h3>Methods</h3><div>We selected 11,318 U.S. young adults aged 20–44 years from the National Health and Nutrition Examination Survey (2007–2020). Physical activity was self-reported using the Global Physical Activity Questionnaire, while SSBs consumption was calculated from a single day of twenty-four-hour dietary recall. Multivariable logistic regression models, and sensitivity analyses were used to estimate the associations between SSBs, physical activity, and obesity.</div></div><div><h3>Results</h3><div>There were 4216 cases of obesity (35.5 %). A positive relationship between the consumption of SSBs and the prevalence of obesity was observed, while physical activity was negatively associated with the prevalence of obesity. Relative to the moderate SSBs consumption + inactive participants, those who were insufficiently active [adjusted odds ratio (AOR) = 0.75, 95 % CI: 0.58, 0.97] and physically active (AOR = 0.72, 95 % CI: 0.62, 0.85) had a lower likelihood of obesity among moderate SSBs consumers (1–499 kcal/day). However, this pattern was not found in the heavy SSBs consumers (≥ 500 kcal/day) (<em>P</em> &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>In conclusion, physical activity was associated with a lower prevalence of obesity among moderate SSBs consumers, while this pattern did not observe in heavy SSBs consumers. Further studies are needed to validate these results and determine causality.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103043"},"PeriodicalIF":2.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738574","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":"Impact of a diabetes diagnosis on preventive care utilization among middle-life adults in the United States: A mediation analysis of depressive symptoms","authors":"Kang Sun ,&nbsp;Min Zhan ,&nbsp;Flavia Cristina Drumond Andrade","doi":"10.1016/j.pmedr.2025.103047","DOIUrl":"10.1016/j.pmedr.2025.103047","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the association between diabetes diagnosis and preventive care utilization and whether depressive symptoms mediate this relationship.</div></div><div><h3>Methods</h3><div>The study used data from four waves of the National Longitudinal Survey of Youth gathered between 2006 and 2016 (<em>n</em> = 6995) in the United States. Logistic regression models were used to examine the relationship between a diabetes diagnosis and preventive care utilization and whether depressive symptoms mediated this relationship.</div></div><div><h3>Results</h3><div>After controlling for demographic, socioeconomic, and health variables, a diabetes diagnosis significantly increased preventive care utilization of blood pressure, cholesterol, blood sugar, electrocardiograph tests, and influenza vaccinations. Also, depressive symptoms mediated the association between a diabetes diagnosis and three preventive care service utilization types: influenza vaccinations, blood pressure, and electrocardiograph tests. Depressive symptoms decreased blood pressure tests and increased influenza vaccinations and electrocardiograph tests. Depressive symptoms did not mediate blood cholesterol or blood sugar tests.</div></div><div><h3>Conclusions</h3><div>Results indicated that a diagnosis of diabetes increases the use of preventative services, with the strongest effect on blood sugar tests. However, depressive symptoms slightly reduced the utilization of blood pressure testing. Future studies need to further examine the roles of doctor's recommendations and the roles of family members and familial care.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103047"},"PeriodicalIF":2.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705201","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":"Cost burden and temporal trends of herpes zoster in China: Evidence from Beijing's health records","authors":"Zhenyu Shi ,&nbsp;Feng Lu ,&nbsp;Yiqi Xia ,&nbsp;Ping He","doi":"10.1016/j.pmedr.2025.103046","DOIUrl":"10.1016/j.pmedr.2025.103046","url":null,"abstract":"<div><h3>Objective</h3><div>Herpes zoster poses a significant health threat to the aging population in China. This study aimed to analyze the cost burden and temporal trends of herpes zoster in China.</div></div><div><h3>Methods</h3><div>This study encompassed herpes zoster outpatients from 15 hospitals between 2016 and 2023 and herpes zoster inpatients from 175 hospitals between 2013 and 2023. We used descriptive analysis and log-linear model to investigate herpes zoster related cost burden and their temporal trends during the selected period.</div></div><div><h3>Results</h3><div>Over the past eight years, outpatient visits increased by about 23.8 % across the selected hospitals, while inpatient discharges increased by approximately 124.8 %. About 23.6 % of the outpatient cases were under 45 years of age. The cost per outpatient visit fluctuated at approximately 57 USD, while the cost per hospitalization increased by over 20 %, reaching around 1931 USD in 2023. Older patients and those with post-herpetic neuralgia experienced higher herpes zoster related healthcare costs and utilization.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that although the average cost per visit or discharge changed little in China, the growing demand for herpes zoster healthcare highlights the necessity of more preventive efforts to reduce the burden on both individuals and the healthcare system.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103046"},"PeriodicalIF":2.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715954","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}