Preventive Medicine Reports最新文献

{"title":"A multi-method spatial examination of factors associated with changes in geographic accessibility to buprenorphine providers in HEALing communities study states Kentucky, Massachusetts, and Ohio","authors":"Shikhar Shrestha ,&nbsp;Olivia Lewis ,&nbsp;Daniel Harris ,&nbsp;Peter Rock ,&nbsp;Anita Silwal ,&nbsp;Sumeeta Srinivasan ,&nbsp;Thomas J. Stopka","doi":"10.1016/j.pmedr.2025.103045","DOIUrl":"10.1016/j.pmedr.2025.103045","url":null,"abstract":"<div><h3>Objectives</h3><div>Access to substance use treatment is critical to reduce the risk of opioid overdose. However, analyzing geographic accessibility using singular measures may provide imprecise estimates. Our objective was to examine changes in geographic accessibility to buprenorphine providers across three HEALing Communities Study (HCS) states, Kentucky, Massachusetts, and Ohio in the US, using multiple spatial analyses and determining whether disparities in access existed across geographic regions and sociodemographic indicators.</div></div><div><h3>Methods</h3><div>We used buprenorphine provider data from the Drug Enforcement Administration database in January 2020 (reference point) and June 2022. We used four methods to examine changes in geographic accessibility to buprenorphine: 1) kernel density analysis; 2) change in rates analysis (at the county or municipality level); 3) minkowski distance (drive-time to the nearest provider); 4) enhanced 2-step floating catchment area (E2SFCA) and spatial regression analyses, controlling for HCS communities (Wave 1 or Wave 2) and other sociodemographic factors.</div></div><div><h3>Results</h3><div>We identified an increase in geographic accessibility to buprenorphine across all three states. Improvements in accessibility were concentrated in areas that had higher reference point access. While our regression model of change in the E2SFCA accessibility index shows that Wave 1 communities in Kentucky had a higher increase in access compared to the state average increase, we were not able to establish consistent associations between HCS communities and changes in the E2SFCA index.</div></div><div><h3>Conclusion</h3><div>Since geographic accessibility to buprenorphine treatment is critical, additional efforts are needed to improve access to buprenorphine providers in rural areas and areas with limited baseline access.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103045"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715953","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":"Acceptability of Moringa oleifera leaf powder among healthy adults in the United States","authors":"Susana L. Matias ,&nbsp;Caitlin D. French ,&nbsp;Jessica Saavedra ,&nbsp;Akshara Shankar ,&nbsp;Aidan S. Rymland ,&nbsp;Ivan Rodriguez Beltran ,&nbsp;Jose O. Collado ,&nbsp;Carrie Waterman","doi":"10.1016/j.pmedr.2025.103048","DOIUrl":"10.1016/j.pmedr.2025.103048","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the acceptability of moringa leaf powder, a nutrient-dense plant that has been mostly tested in pre-clinical studies.</div></div><div><h3>Methods</h3><div>We conducted an acceptability study of different doses of moringa leaf powder in California in 2023. Participants were randomly assigned to one of the three groups (one tsp. ≈ 2.4 g [low dose], two tsp. ≈ 4.8 g [medium dose], or three tsp. ≈ 7.2 g [high dose]) and instructed to consume the moringa powder with foods or beverages for seven days. Participants were interviewed and had their skin carotenoid levels measured at baseline and endline and completed daily surveys on consumption and side effects. The study outcomes were consumption (number of days it was consumed), liking (sum of organoleptic characteristics ratings) and side effects (number of symptoms reported).</div></div><div><h3>Results</h3><div>Fifty-two participants were enrolled; 96 % completed the study. The number of days that moringa was consumed (Median = 7, Interquartile range:7,7), changes in skin carotenoid levels, and total liking scores did not differ by dose group (<em>p</em> = 0.56, <em>p</em> = 0.79, and <em>p</em> = 0.27, respectively). The number of overall and gastrointestinal (GI) symptoms differed by dose group. Participants in the high dose group self-reported more overall (<em>p</em> = 0.001) and GI symptoms (<em>p</em> = 0.002) than those in the low dose group.</div></div><div><h3>Conclusions</h3><div>Compliance in consuming moringa was high for all groups, suggesting that all three doses tested may be acceptable in future moringa supplementation trials. GI symptoms may occur more frequently when the moringa doses are higher than 7 g/day, but they tend to be mild and transient.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103048"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705203","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":"County-level association of diabetes and obesity with premature mortality","authors":"George W. Hafzalla ,&nbsp;Dmitry Abramov ,&nbsp;Ahmed Sayed ,&nbsp;Jamal S. Rana ,&nbsp;Anurag Mehta ,&nbsp;Giv Heidari-Bateni ,&nbsp;Abdul Mannan Khan Minhas","doi":"10.1016/j.pmedr.2025.103042","DOIUrl":"10.1016/j.pmedr.2025.103042","url":null,"abstract":"<div><h3>Objective</h3><div>The association between the prevalence of diabetes and obesity and premature mortality at the county-level has not been well characterized. This study aims to elucidate the relationship between county-level prevalence of diabetes and obesity and premature mortality.</div></div><div><h3>Methods</h3><div>We utilized the data from the 2022 County Health Rankings which obtained the data from Behavioral Risk Factor Surveillance System in 2019, and National Center for Health Statistics Mortality Files 2018–2020. The county prevalence of diabetes and obesity was determined, and univariable and multivariable associations with premature mortality were identified.</div></div><div><h3>Results</h3><div>Among 3082 counties, the percentage of individuals with diabetes ranged from 5.5 to 21.0 % and the percentage of individuals with obesity ranged from 16.4 to 51.0 %. Our analysis revealed a stepwise increase in premature age-adjusted death rates (AADR) with rising deciles of county-level diabetes (<em>P</em> &lt; 0.001) and obesity (P &lt; 0.001) in both univariable and multivariable models.</div></div><div><h3>Conclusions</h3><div>These findings underscore the significance of addressing diabetes and obesity at the county-level to reduce premature mortality and improve population health outcomes across varied communities in the United States.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103042"},"PeriodicalIF":2.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715952","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":"A pilot cluster-randomized controlled trial of an audit, feedback, and coaching intervention on compliance with elementary physical education laws and student physical activity during lesson time","authors":"Hannah R. Thompson ,&nbsp;Caroline Nguyen ,&nbsp;Thomas L. McKenzie ,&nbsp;David A. Dzewaltowski ,&nbsp;Kristine A. Madsen","doi":"10.1016/j.pmedr.2025.103037","DOIUrl":"10.1016/j.pmedr.2025.103037","url":null,"abstract":"<div><h3>Objective</h3><div>Compliance with elementary school physical education law is low. School district-led PE audit, feedback, and coaching (PEAFC), along with funding credentialed teachers, demonstrated the potential for improving compliance with law in New York City public schools. However, the likely scalable approach of PEAFC, alone, has not been rigorously tested in other districts.</div></div><div><h3>Methods</h3><div>Two-year pilot cluster-RCT in 10 Bay Area, California elementary schools (mean enrollment 421; 66 % Latino; 92 % free or reduced-price meal eligible). Five schools were randomized to receive PEAFC. Physical education lessons (<em>n</em> = 168) were observed using the System for Observing Fitness Instruction Time in Fall 2022, Spring 2023, and Spring 2024. Linear mixed effects models examined the impact of PEAFC on between-group changes in law compliance (using scheduled and estimated physical education minutes) and lesson time in moderate-to-vigorous physical activity (MVPA).</div></div><div><h3>Results</h3><div>There were no statistically significant differences in changes in scheduled or estimated minutes between times between groups. Students in both intervention (10 % increase; 95 % CI: 2.17 %, 17.41 %) and control (9 % increase; 95 % CI: 2.61 %, 14.42 %) schools increased lesson time in MVPA, but there was not a statistically significant difference in change between groups.</div></div><div><h3>Discussion</h3><div>PEAFC did not impact physical education law compliance or lesson time spent in MVPA. In the absence of credentialed physical education teachers to provide mandated minutes, PEAFC may be limited in its potential to increase compliance with state mandates. Hiring credentialed physical education teachers in elementary schools may be the most effective way to support compliance with state physical education laws.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103037"},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687880","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":"Bullying-induced trauma symptomatology among adolescents in Bangladesh: The mediating role of attachment styles","authors":"Sabrina Mahmood ,&nbsp;Kristof Lakatos ,&nbsp;Zsuzsa Kalo","doi":"10.1016/j.pmedr.2025.103034","DOIUrl":"10.1016/j.pmedr.2025.103034","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore how attachment styles mediated between bullying and trauma symptomatology in Bangladeshi Adolescents.</div></div><div><h3>Method</h3><div>This cross-sectional study was conducted in Bangladesh between July to September 2022. By convenient sampling, we collected data from adolescents (Ages 12 to 18, <em>n</em> = 615, 309 females and 306 males, Mean Age = 15.12, SD = 0.81). The participants completed the Bangla revised Olweus Bully/Victim Questionnaire (OBVQ-R), Attachment Styles Classification Questionnaire (ASCQ-B), and Children's Revised Impact of Events Scale-13 (CRIES-13). We used Partial Least Square Structural Equation Modeling (PLS-SEM) for data analysis.</div></div><div><h3>Results</h3><div>The reflective measurement model analysis assessed satisfactory factor loadings ranging from 0.628 to 0.967, with composite reliability (CR) values between 0.914 and 0.968, indicating acceptable internal consistency. Convergent validity was met for most constructs, except for the OBVQ-R, which likely reflects two distinct factors—Victimization and Perpetration. The predictive accuracy of the model was confirmed with Q² values: 0.026 for bullying's effect on attachment style, 0.065 for bullying's impact on trauma, and 0.259 for attachment's effect on trauma. Additionally, bullying had significant indirect effects on trauma through attachment (β = 0.153, <em>p</em> &lt; .001), showing substantial mediation. The overall model fit was satisfactory, with an SRMR value of 0.07.</div></div><div><h3>Conclusion</h3><div>The association between bullying and trauma is partly mediated by attachment styles, indicating that attachment-focused therapies could mitigate the trauma associated with bullying.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103034"},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687878","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 individual, household, and area-level socioeconomic status indicators with anthropometric indexes","authors":"Zahra Rahimi ,&nbsp;Maedeh Raeisi zadeh ,&nbsp;Seyed Ahmad Hosseini ,&nbsp;Seyedeh Yasaman Alemohammad ,&nbsp;Sara Sarvandian ,&nbsp;Bahman Cheraghian","doi":"10.1016/j.pmedr.2025.103036","DOIUrl":"10.1016/j.pmedr.2025.103036","url":null,"abstract":"<div><h3>Objectives</h3><div>Overweight and obesity are major determinants that contribute to the occurrence of non-communicable diseases. We aim to examine the association between anthropometric indexes and socioeconomic status.</div></div><div><h3>Study design</h3><div>This study was a population-based cross-sectional study conducted on 9846 adults aged 35 to 70 years who participated in the Hoveyzeh Cohort Study from May 2016 to August 2018 in southwestern Iran.</div></div><div><h3>Methods</h3><div>We assessed the relationship between three levels of socioeconomic indicators with eight anthropometric indexes. Multiple logistic regression was used to adjust the potential confounders.</div></div><div><h3>Results</h3><div>The mean ± sd age of 9846 participants was 48.80 ± 9.20, and 5820 (59.1 %) were female Among the socioeconomic indicators, after control for potential confounders, the wealth index and, in the second place, the townsend deprivation index had the strongest relationships with anthropometric indexes. In contrast, the relationships between education and anthropometric indexes were mostly weak and without certain trends. Among the anthropometric indexes, waist circumference, abdominal volume index, and waist to height ratio had a statistically significant association with socioeconomic indicators. The weakest associations were found for the waist to hip ratio index.</div></div><div><h3>Conclusion</h3><div>This study showed significant associations between socioeconomic and anthropometric indicators. The role of economic factors is more decisive than social factors.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103036"},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687881","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":"Amount and timing of physical activity in relation to sleep quality in the general middle-aged Dutch population: A cross-sectional analysis","authors":"Charlotte Andriessen ,&nbsp;Femke Rutters ,&nbsp;Joris Hoeks ,&nbsp;Andries Kalsbeek ,&nbsp;Raymond Noordam ,&nbsp;Frits R. Rosendaal ,&nbsp;Diana van Heemst ,&nbsp;Jean-Pierre Després ,&nbsp;Parminder Raina ,&nbsp;David J.T. Campbell ,&nbsp;Patrick Schrauwen ,&nbsp;Renée de Mutsert ,&nbsp;Jeroen H.P.M. van der Velde","doi":"10.1016/j.pmedr.2025.103035","DOIUrl":"10.1016/j.pmedr.2025.103035","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine whether the amount and timing of moderate-to-vigorous physical activity (MVPA) was associated with sleep quality and duration in the general population.</div></div><div><h3>Methods</h3><div>This is a cross-sectional analysis of data of a Dutch cohort collected between 2008 and 2012. Timing of physical activity (measured using an accelerometer) was categorized as performing most MVPA in morning (06:00–12:00), afternoon (12:00–18:00), evening (18:00–00:00), or even distribution of MVPA over the day (reference). Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). We estimated OR with 95 % CI of a poor score on individual PSQI components and global PSQI score using logistic regression while adjusting for relevant covariates.</div></div><div><h3>Results</h3><div>We analyzed 736 participants, of whom 57 % women, aged 56 (6) years, BMI 26.1 (4.2) kg/m²). Amount of MVPA (hours/day) was associated with lower odds of fatigue-related dysfunction during daytime (OR: 0.54 0.32–0.94), but not with global PSQI score. Participants who performed most MVPA in the morning were less likely to report sleep disturbances (OR: 0.23, 95 % CI: 0.09–0.60), compared to participants with an even distribution of. Timing of MVPA was not associated with global PSQI score nor other components and CI were large.</div></div><div><h3>Conclusions</h3><div>Differences in sleep quality are unlikely to be biological mechanisms underlying the previously shown associations between timing of physical activity and metabolic health.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103035"},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687882","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":"Initial and persistent changes in cancer screening in a US Midwestern community health center network following the onset of COVID-19","authors":"Lawrence C. An ,&nbsp;Amy Zarr-McDonagh ,&nbsp;Andrew Krumm ,&nbsp;Elizabeth Bacon ,&nbsp;Celeste Liebrecht ,&nbsp;Halli Rennaker ,&nbsp;Faiyaz Syed ,&nbsp;Ken Resnicow","doi":"10.1016/j.pmedr.2025.103030","DOIUrl":"10.1016/j.pmedr.2025.103030","url":null,"abstract":"<div><h3>Objective</h3><div>To assess longer-term change in breast, cervical, and colorectal cancer screening among Community Health Centers (CHCs) following onset of COVID-19.</div></div><div><h3>Methods</h3><div>Among 27 CHCs in the US Midwest, we examine trends in standard electronic clinical quality measures and test-volume based cancer screening measures from January 2019 through October 2021. Test-volume measures include the number of cancer screening tests completed, the difference between the actual versus expected cumulative number of tests completed (i.e. pandemic screening gap), and the recent testing ratio (i.e. proportion of individuals up-to-date on screening who completed testing in the past year).</div></div><div><h3>Results</h3><div>Standard cancer screening quality measures showed only modest changes. In contrast, test-volume measures show large and persistent deficits. After a sharp drop in screening activity in early 2020, activity resumed but failed to reach pre-pandemic levels. As a result, the pandemic screening gap continued to grow larger over time reaching approximately 5400 fewer breast, 8600 fewer cervical, and 4500 fewer colorectal cancer screenings performed. This represents a 16–18 % deficit in the number of tests and is the equivalent of 3.5–4.0 months of dedicated pre-pandemic cancer screening activity. The recent testing ratio also decreased in 2020 and also failed to return to pre-pandemic levels.</div></div><div><h3>Conclusions</h3><div>Following onset of COVID-19, there was a persistent negative change in cancer screening in our CHC network. This change is more evident when examining test-volume compared to standard quality metrics. Understanding and addressing the persistent pandemic cancer screening gap is critical to limit health burdens and disparities related to cancer.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103030"},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725248","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 role of virtual reality in breast cancer survivors: A scoping review","authors":"Zhuyue Ma ,&nbsp;Li Sun ,&nbsp;Yuanyuan Zhang","doi":"10.1016/j.pmedr.2025.103032","DOIUrl":"10.1016/j.pmedr.2025.103032","url":null,"abstract":"<div><h3>Objective</h3><div>This scoping review aims to analyze features, functions, and effectiveness evaluation of VR in the application of breast cancer care.</div></div><div><h3>Methods</h3><div>A scoping review was conducted based on the framework suggested by Arksey and O'Malley. Eight electronic databases (i.e., PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, CNKI, China Wanfang Database, and China Biology Medicine disc.) was searched. Articles published from inception till 01 April 2024.</div></div><div><h3>Results</h3><div>After screening 16,606 articles, a total of 21 papers were included. 10 immersive VR studies and 8 non-immersive VR studies. The main themes identified included the classification and function of VR, content elements of VR for Breast cancer care (e.g., symptoms, rehabilitation, and education), and evaluation of the effectiveness of VR (e.g., clinical outcomes, experience, adverse effects).</div></div><div><h3>Conclusion</h3><div>VR in 2 categories has potential applicability in symptom, rehabilitation, and educational management, with high satisfaction and acceptance by most patients. However, the current application of VR in breast cancer is limited, and there is still a need to optimize VR component design and focus on its long-term impact on patients and related stakeholders in the future.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103032"},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768060","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 between health literacy and cancer screening participation: A cross-sectional study across three organised screening programmes in Denmark","authors":"Anne Dorte Lerche Helgestad ,&nbsp;Alexandra Winkler Karlsen ,&nbsp;Sisse Njor ,&nbsp;Berit Andersen ,&nbsp;Mette Bach Larsen","doi":"10.1016/j.pmedr.2025.103022","DOIUrl":"10.1016/j.pmedr.2025.103022","url":null,"abstract":"<div><h3>Objective</h3><div>Health literacy may be related to non-participation in cancer screening, but there is limited understanding of its association with participation across all cancer screening programmes. This study aims to explore the associations between health literacy and advancing in participation in cancer screening programmes.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study involving women aged 53–65 years residing in Denmark on 31 March 2018. Data utilised was from population registries and self-reported health literacy (HLS-EU-Q16) collected autumn 2017. Uni- and multivariate ordinal logistic regression models were employed to assess associations between health literacy levels and the likelihood of increased attendance in cancer screening programmes. Results were presented as odds ratios (ORs) with 95 % confidence intervals (CIs).</div></div><div><h3>Results</h3><div>Of the women included, 2668 (69.8 %) responded to the health literacy questionnaire. Among these, 53.3 % demonstrated adequate health literacy, 34.4 % had problematic, and 12.3 % inadequate. In total, 71.2 % attended three screening programmes, 20.1 % attended two, 6.2 % attended one, and 2.5 % attended none.</div><div>There were no differences in the ORs for advancing in screening attendance when comparing problematic (OR = 1.18, 95 % CI: 0.97–1.42) or inadequate (OR = 0.96, 95 % CI: 0.74–1.26) health literacy levels with an adequate level.</div></div><div><h3>Conclusions</h3><div>Our study suggests that health literacy does not significantly influence cancer screening participation among the studied population in Denmark. Therefore, interventions aimed at increasing screening participation in this group should not only target health literacy but also focus on other aspects of non-participation.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"53 ","pages":"Article 103022"},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143687879","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}