Preventive Medicine Reports最新文献

{"title":"Associations between social capital and screening mammography among older U.S. women","authors":"Tracy Huang,&nbsp;Christine C. Ekenga","doi":"10.1016/j.pmedr.2025.103026","DOIUrl":"10.1016/j.pmedr.2025.103026","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the association between county-level social capital and screening mammography rates among older women in the United States.</div></div><div><h3>Methods</h3><div>This cross-sectional ecological study included 2765 U.S. counties, using 2018 county-level screening mammography rates among female Medicare enrollees aged 67–69 as the outcome. Social capital data were obtained from the 2018 Social Capital Project, including indices for Family Unity, Institutional Health, Collective Efficacy, and Community Health. Multivariable log-binomial regression analyses were conducted to estimate adjusted prevalence ratios (aPRs) and confidence intervals for “high” mammography rates (top 10 % nationally), controlling for county-level demographic and healthcare covariates. Stratified analyses examined associations among metropolitan and nonmetropolitan counties.</div></div><div><h3>Results</h3><div>Mammography screening rates ranged from 17 % to 64 %, with a mean of 41 %. Strong positive associations were observed between social capital and mammography rates (Q4 vs. Q1: aPR = 2.29, 95 % CI: 1.20–4.36), particularly for the dimensions of Community Health (Q4 vs. Q1: aPR = 1.99, 95 % CI = 1.25–3.17) and Institutional Health (Q4 vs. Q1: aPR = 4.31, 95 % CI = 2.40–7.75). These associations were strongest among nonmetropolitan counties. No significant associations were found for Family Unity or Collective Efficacy.</div></div><div><h3>Conclusions</h3><div>County-level social capital, specifically community and institutional health, is significantly associated with higher mammography screening rates, particularly in non-metropolitan areas. These findings suggest that enhancing public trust and community engagement may improve screening behaviors. Future research should explore the role of social capital at multiple levels and its influence on various cancer screening behaviors.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"52 ","pages":"Article 103026"},"PeriodicalIF":2.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620572","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":"Exploring barriers to the COVID-19 vaccine in people with psychoses in Western Australia","authors":"Tammy M. Hall ,&nbsp;Katie Attwell ,&nbsp;Vera A. Morgan ,&nbsp;Susie Hincks ,&nbsp;Anna Waterreus","doi":"10.1016/j.pmedr.2025.103025","DOIUrl":"10.1016/j.pmedr.2025.103025","url":null,"abstract":"<div><h3>Objectives</h3><div>We explored barriers to coronavirus (COVID-19) vaccination among people with psychoses and used these to propose expert recommendations to enhance vaccine uptake in this population.</div></div><div><h3>Methods</h3><div>A mixed-methods, cross-sectional survey was conducted in Perth, Australia, between September 2022 and September 2023 with 233 adults with psychoses. Participants responded to a short telephone survey comprising questions regarding vaccination status, sources of health information, motivations for vaccine acceptance or refusal, and other factors influencing vaccination decisions.</div></div><div><h3>Results</h3><div>Most respondents (217, 93.1 %) reported being fully vaccinated, however many described barriers to vaccination that reflected their experiences as people living with mental illness. Over half (126, 54.1 %) said they were not contacted by anyone about getting vaccinated for COVID-19. All participants refusing vaccination denied receiving information on vaccine safety, while almost half of those fully vaccinated had received such information. Unvaccinated participants reported lower levels of trust in general practitioners and psychiatrists compared to those who were vaccinated yet, simultaneously, reported higher levels of trust in other healthcare professionals. Vaccinated individuals cited preventing illness, following recommendations, and compliance with mandates as motivators, while reasons for refusal included vaccine efficacy and side-effect concerns.</div></div><div><h3>Conclusion</h3><div>Despite limited outreach, participants overcame access barriers, with only those who deliberately sought to refuse the vaccines remaining unvaccinated. Mandates appear to have been a significant contributor to vaccine uptake. Recommendations for encouraging future pandemic and routine vaccinations include upskilling nurses and case managers to provide vaccine information and offering vaccination in mental health facilities and at routine clinical appointments.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"52 ","pages":"Article 103025"},"PeriodicalIF":2.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143561962","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":"Modelling the impact of the COVID-19 pandemic on cancer stage migration and excess mortality in Ireland","authors":"Mengyang Zhang ,&nbsp;Paula Tierney ,&nbsp;Aline Brennan ,&nbsp;Deirdre Murray ,&nbsp;Maeve Mullooly ,&nbsp;Kathleen Bennett","doi":"10.1016/j.pmedr.2025.103020","DOIUrl":"10.1016/j.pmedr.2025.103020","url":null,"abstract":"<div><h3>Background</h3><div>Cancer treatment services were interrupted during the pandemic, which potentially increased the time to treatment initiation (TTI). This study aimed to model the impact of a hypothetical three- and six-month delay in TTI on stage of breast cancer and non-small cell lung cancer (NSCLC) in Ireland.</div></div><div><h3>Methods</h3><div>The distribution of cancer stage at diagnosis, net survival at one to five years post diagnosis, and projected cancer incidence for 2020 were obtained for breast cancer and NSCLC, from the National Cancer Registry Ireland. The primary outcome, the probability of an upward stage-shift from stage I to II and stage II to III, is presented with 95 % CIs.</div></div><div><h3>Results</h3><div>For breast cancer, the stage-shift probability after a hypothetical three-month and six-month delay was 0.13 (0.11, 0.15) and 0.25 (0.21, 0.27) in stage I and 0.09 (0.08, 0.11) and 0.17 (0.14, 0.21) in stage II. For NSCLC, the stage-shift probability after three-month and six-month delays was 0.51 (0.49, 0.53) and 0.76 (0.74, 0.78) in stage I and 0.27 (0.24, 0.30) and 0.47 (0.43, 0.51) in stage II.</div></div><div><h3>Conclusions</h3><div>The study provides potential evidence for an upward stage migration in those with breast cancer and NSCLC due to the pandemic. It is important to determine the longer-term impacts so that strategies are developed to mitigate adverse effects and improve health system preparedness for future unprecedented events.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"52 ","pages":"Article 103020"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143552026","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":"Culturally-tailored plant-based interventions to improve health outcomes in pediatric populations: An integrative review","authors":"Linda Koh ,&nbsp;Adelaide Caroci Durkin ,&nbsp;Sarah Fiske ,&nbsp;Uma Hingorani","doi":"10.1016/j.pmedr.2025.103024","DOIUrl":"10.1016/j.pmedr.2025.103024","url":null,"abstract":"<div><h3>Introduction</h3><div>There is an increasing rate in nutrition related health risk in children in the United States. Plant-based diets are a sustainable and cost-effective approach to prevent chronic conditions (e.g., obesity, diabetes) while lowering mortality rates. Plant-based diets should meet nutritional requirements to support appropriate growth and development. The purpose of this integrative review was to explore culturally-tailored plant-based dietary interventions to improve health outcomes in pediatric populations.</div></div><div><h3>Methods</h3><div>A methodological review using Whittemore and Knafl's integrative approach was performed. Databases including CAB Abstracts, CINAHL, MEDLINE via PubMed, Web of Science, Food and Science Technology Abstracts, and PsycINFO were searched for peer-reviewed, primary source articles in English, between 2010 and 2025.</div></div><div><h3>Results</h3><div>Nine articles were included. Findings focused on the specific type of cultural-tailoring used, diet types, and their role and impact on health outcomes.</div></div><div><h3>Discussion</h3><div>Culturally-tailored plant-based interventions improved the consumption of vegetables/fruits and reduced cardiovascular risks. Support and environment were also critical in positively impacting food choices. Given health trends and the impact of plant-based diets, there is a need for more long-term studies on effective strategies to expand culturally-tailored intervention programs to improve nutrition and health outcomes among diverse and historically underrepresented pediatric populations.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"52 ","pages":"Article 103024"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579466","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":"Evaluating the burden of occupational asthma among individuals aged 15 and older in India: A comprehensive study on mortality and disability-adjusted life years","authors":"Li Wei ,&nbsp;Xiaoling Liu ,&nbsp;Junhang Zhang ,&nbsp;Donglei Shi ,&nbsp;Zhaojun Wang","doi":"10.1016/j.pmedr.2025.103023","DOIUrl":"10.1016/j.pmedr.2025.103023","url":null,"abstract":"<div><h3>Objective</h3><div>Occupational asthma has become one of the most common occupational lung diseases, and its burden in India is underestimated.</div></div><div><h3>Methods</h3><div>This study analyzed mortality and disability-adjusted life years (DALYs) caused by occupational asthma in India from 1990 to 2021 using data from the global burden of disease 2021. Data were categorized by sex, region, and age group, with age-standardized mortality rates (ASMR) and age-standardized DALYs rates (ASDR) as primary indicators to compare trends over time and across regions.</div></div><div><h3>Results</h3><div>According to Global Burden of Disease 2021 estimates, there were a total of 11,575.6 deaths in India attributed to occupational asthma (95 % uncertainty interval, 7949.1–22,361), representing a 7.5 % increase since 1990. However, ASMR and ASDR showed significant declines across all sexes compared to 1990, with reductions of 55.9 % and 54.8 %, respectively. Geographically, the highest burden of occupational asthma was observed in Uttar Pradesh, while Goa had the lowest. In terms of sex, the burden of mortality and disability was notably higher among males, particularly within the 15–64 age group. In 2021, the burden across all age groups was primarily driven by years of life lost.</div></div><div><h3>Conclusions</h3><div>While the overall burden of mortality due to occupational asthma continues to rise in India, ASMR and ASDR have declined. However, certain regions and demographic groups, especially Uttar Pradesh and the male population, continue to bear a disproportionate share of the burden. These findings underscore the critical need for targeted prevention and control measures for occupational asthma in India.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"52 ","pages":"Article 103023"},"PeriodicalIF":2.4,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535402","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":"Marijuana use among adolescent Asian Americans and Pacific islanders: Analysis of ethnic subgroup and gender differences","authors":"Ting Luo ,&nbsp;Christopher M. Anderson ,&nbsp;Jijiang Wang ,&nbsp;Yue-Lin Zhuang ,&nbsp;Shu-Hong Zhu","doi":"10.1016/j.pmedr.2025.103016","DOIUrl":"10.1016/j.pmedr.2025.103016","url":null,"abstract":"<div><h3>Objective</h3><div>To assess heterogeneity in marijuana use among adolescent Asian American and Pacific Islander (AAPI) subgroups.</div></div><div><h3>Methods</h3><div>AAPI high school students (<em>n</em> = 31,071) participating in the 2019–2020 California Student Tobacco Survey were categorized by race/ethnicity and examined for ever and current (past-30-day) marijuana use. Descriptive statistics were used to describe marijuana use and harm perceptions by subgroups. Multiple logistic regression was used to compare subgroups on marijuana use with other demographics as covariates.</div></div><div><h3>Results</h3><div>Current marijuana use rates by ethnic subgroups were: Chinese 4.2 %, Koreans 4.9 %, Indians 5.2 %, Vietnamese 6.0 %, Hmong 6.4 %, Pakistanis 6.6 %, Japanese 9.4 %, Filipinos 9.6 %, Cambodians 17.9 %, other monoethnic Asians 10.5 %, and Pacific Islanders 22.3 %. Current use rates for monoethnic, multiethnic, and multiracial AAPIs were 7.3 %, 9.1 %, and 18.5 %, respectively, with multiracial AAPIs using at a higher rate than monoethnic and multiethnic AAPIs (both <em>p</em>'s &lt; 0.001). Among AAPIs overall, 11.3 % currently used marijuana. Females currently used at a higher rate than males, 10.8 % vs. 9.6 % (<em>p</em> = .011). Ever and current marijuana use were negatively correlated with perceptions that everyday and occasional use is harmful (all <em>p</em>'s &lt; 0.001). Compared to Chinese students, all subgroups except Koreans and Pakistanis were more likely to use marijuana (all <em>p</em>'s &lt; 0.05), with Filipinos, Japanese, Cambodians, and Pacific Islanders more than twice as likely (all <em>p</em>'s &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>There was substantial heterogeneity in marijuana use rates among ethnic subgroups of AAPI adolescents. Several AAPI subgroups used marijuana at elevated rates. Gender-based trendlines among AAPI adolescents have crossed.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"52 ","pages":"Article 103016"},"PeriodicalIF":2.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535401","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":"Exploring longitudinal associations between social determinants of health during adolescence and self-reported contraceptive use in young adulthood in the United States","authors":"Shristi Bhochhibhoya ,&nbsp;Sarah B. Maness ,&nbsp;Julie Ober Allen ,&nbsp;Marshall K. Cheney ,&nbsp;B. Mitchell Peck ,&nbsp;Yu Lu","doi":"10.1016/j.pmedr.2025.103021","DOIUrl":"10.1016/j.pmedr.2025.103021","url":null,"abstract":"<div><h3>Objective</h3><div>Childhood environment and socioeconomic status influence adult health. Past research links early social and economic disadvantages to later-life diseases and substance abuse, but their effects on contraceptive use remain unexplored. This longitudinal study utilizes the Social Determinants of Health (SDH) framework to explore the associations between social domains in adolescence and contraceptive use in young adulthood.</div></div><div><h3>Study design</h3><div>Fourteen measures of the SDH domains were extracted from the National Longitudinal Study of Adolescent and Adult Health Wave I data (1994–95) to explore associations with reported ever-use and consistent use of contraception among young adults in the U.S (18–26 years) at Wave III (2001) using multilevel logistic regression.</div></div><div><h3>Results</h3><div>Among 11,172 participants, 87.60 % reported past-year ever-use of contraception, while 47.30 % were consistent contraceptive users. Measures significantly associated with the past year's ever-use of contraceptives in young adulthood included parents' high school graduation status (positive/+), volunteering experience (+), history of foster care (negative/−), and parental reporting a trash problem in the neighborhood (−) during adolescence. For consistent use of contraception in young adulthood, parent high school education (+), volunteering experience (+), higher social cohesion scores (+), access to health care (+), receiving family planning counseling (−), parental receipt of public assistance (−), non-English language spoken at home (−) and the number of neighborhood crimes (−) during adolescence were found to be significant.</div></div><div><h3>Conclusions</h3><div>A favorable environment during adolescence provides a foundation for positive health behaviors. Interventions aimed at improving contraceptive use in young adulthood should consider creating supportive environments for adolescents.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"52 ","pages":"Article 103021"},"PeriodicalIF":2.4,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143512508","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 global, regional and national burden of peptic ulcer disease attributable to smoking from 1990 to 2021: A population-based study","authors":"Shuai Wang,&nbsp;Tao Zhang,&nbsp;Dongming Li,&nbsp;Xueyuan Cao","doi":"10.1016/j.pmedr.2025.103019","DOIUrl":"10.1016/j.pmedr.2025.103019","url":null,"abstract":"<div><h3>Background</h3><div>Peptic ulcer disease (PUD) remains a significant global health challenge, with its prevalence generally declining due to advances in healthcare and reduction in key risk factors. However, smoking continues to be a major contributor to the burden of PUD. This study analyzes the temporal and spatial patterns of PUD burden attributable to smoking globally from 1990 to 2021, providing insights for public health interventions.</div></div><div><h3>Methods</h3><div>Utilizing data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 database, we assessed deaths, disability-adjusted life years (DALYs), age-standardized mortality rate (ASMR), and age-standardized DALY rate (ASDR). Trends from 1990 to 2021 were evaluated using average annual percentage change (AAPC), and predictive analyses performed to understand past and future patterns.</div></div><div><h3>Results</h3><div>In 2021, 29,390 deaths and 816,999 DALYs were caused by PUD attributable to smoking worldwide. From 1990 to 2021, deaths, DALYs, ASMR (AAPC: −4.05), and ASDR (AAPC: −4.18) showed significant declines globally. Males experienced a higher burden than females across all metrics. At the national and regional levels, low and low-middle socio-demographic index (SDI) areas exhibited higher ASMR and ASDR than high-SDI regions, with East Asia, South Asia, and Southeast Asia contributing the highest burden. Future projections indicate a continued decline in the burden of PUD attributable to smoking over the next decade.</div></div><div><h3>Conclusion</h3><div>Despite global declines in the burden of PUD attributable to smoking, substantial disparities persist, particularly in underdeveloped regions. Focused anti-smoking policies and targeted resource allocation are necessary to reduce the disease burden and address regional inequalities.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 103019"},"PeriodicalIF":2.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479498","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 body roundness index and suicidal ideation in U.S. adults: A cross-sectional study","authors":"Pincheng Luo ,&nbsp;Omar M. Alruwaili ,&nbsp;Huanlin Zhou ,&nbsp;Yanxue Lian","doi":"10.1016/j.pmedr.2025.103018","DOIUrl":"10.1016/j.pmedr.2025.103018","url":null,"abstract":"<div><h3>Purpose</h3><div>The relationship between the body roundness index (BRI) and suicidal ideation has not been previously examined. This study aimed to investigate this association through a cross-sectional analysis.</div></div><div><h3>Method</h3><div>The data used in this study was extracted from the National Health and Nutrition Examination Survey ranging from 2011 to 2012 to 2017–2018. The BRI was calculated from body measurement data, while a questionnaire was used to assess suicidal ideation. Weighted multivariable logistic regression analysis, weighted stratified analysis, and smooth curve fitting were conducted to assess the relationship between the BRI and suicidal ideation. <strong>Results:</strong> A total of 12,878 participants were included in the study with 441 of them reported experiencing suicidal thoughts. After adjusted for all covariates, a one-unit increase in BRI was associated with a 5 % greater likelihood of having suicidal thoughts [1.05 (1.00, 1.10)]. Additionally, BRI was categorized into quartiles, and individuals in the highest quartile were 1.52 times as likely to experience suicidal thoughts compared to those in the lowest quartile [1.52 (1.03, 2.25)]. There were no interaction effects between BRI and suicidal ideation for any subgroups stratified by demographics.</div></div><div><h3>Conclusion</h3><div>The present study indicated that a greater BRI was significantly associated with higher levels of suicidal ideation. The findings underscore the importance of considering BRI as a potential indicator for identifying individuals at elevated risk of suicidal ideation. The study also emphasizes the need for a shift towards a weight-inclusive approach in public health, which can help reduce societal pressures and mitigate the psychological impact of weight stigma.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 103018"},"PeriodicalIF":2.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487150","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":"Associations between youth lifestyle habits, sociodemographic characteristics, and health status with positive mental health: A gender-based analysis in a sample of Canadian postsecondary students","authors":"Rachel Surprenant ,&nbsp;David Bezeau ,&nbsp;Gabriel A. Tiraboschi ,&nbsp;Gabrielle Garon-Carrier ,&nbsp;Isabelle Cabot ,&nbsp;Magaly Brodeur ,&nbsp;Caroline Fitzpatrick","doi":"10.1016/j.pmedr.2025.103015","DOIUrl":"10.1016/j.pmedr.2025.103015","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to estimate associations between lifestyle habits, sociodemographic characteristics, health status, and positive mental health (i.e., flourishing, languishing, moderate) and anxiety and depression symptoms in postsecondary students.</div></div><div><h3>Methods</h3><div>This cross-sectional study used a convenience sample of 2165 Canadian first-semester postsecondary students (59 % female, 41 % men). Participants reported positive mental health using the Mental Health Continuum-Short Form and completed the Hospital Anxiety and Depression Scale to screen for probable cases of anxiety and depression in the Fall of 2023. Participants reported lifestyle habits including recreational screen time (hours/day), physical activity (minutes/week), in-person social interaction (frequency/week), and homework (hours/week). Participants reported age, gender, race/ethnicity, socioeconomic status, and health status (presence of a disability or health problem).</div></div><div><h3>Results</h3><div>Women's weekend screen time was associated with an 11 % reduction in the odds of experiencing flourishing mental health (odds ratio [OR]: 0.89, 95 % CI, 0.83–0.95), and never engaging in in-person socializing increased the odds of women experiencing languishing mental health (OR: 3.80, 95 % CI, 1.45–9.96). More frequent engagement in physical activity and homework were each associated with an increased odds of men experiencing flourishing mental health (OR: 1.00, 95 % CI, 1.00–1.00; OR: 1.03, 95 % CI, 1.00–1.05).</div></div><div><h3>Conclusions</h3><div>These findings highlight modifiable lifestyle habits including screen time, physical activity, in-person socializing, and homework which can be leveraged for mental health promotion among postsecondary students.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"51 ","pages":"Article 103015"},"PeriodicalIF":2.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479490","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}