Ssm-Population Health最新文献

{"title":"Rising young worker despair in the United States","authors":"David G. Blanchflower ,&nbsp;Alex Bryson","doi":"10.1016/j.ssmph.2025.101881","DOIUrl":"10.1016/j.ssmph.2025.101881","url":null,"abstract":"<div><div>Between the early 1990s and 2015 the relationship between mental despair and age was hump-shaped in the United States: it rose in middle-age, then declined later in life. That relationship has now changed: mental despair declines with age due to a rise in despair among the young. However, we show for the first time that the relationship between age and mental despair differs by labor market status. The hump-shape in age still exists among non-workers. The change in the age-despair profile over time is due to increasing despair among young workers, a trend that began in 2010. Prior to that, the young were less likely to be in despair if in work, but today they are as likely to be in despair as students and the unemployed. We find broad-based evidence for this finding in the Behavioral Risk Factor Surveillance System (BRFSS) of 1993–2025, the National Survey on Drug Use and Health (NSDUH), 2008–2023, and in surveys by Pew, the Conference Board and Johns Hopkins University.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"33 ","pages":"Article 101881"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145925717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health in recreational and professional dancers: a genetically informed study in Sweden","authors":"Julia F. Christensen ,&nbsp;Laura W. Wesseldijk ,&nbsp;Miriam A. Mosing ,&nbsp;Fredrik Ullén","doi":"10.1016/j.ssmph.2025.101894","DOIUrl":"10.1016/j.ssmph.2025.101894","url":null,"abstract":"<div><div>While recreational dancing has been associated with positive health outcomes, professional dancers tend to experience more mental health problems. Here, we studied the relationship between self-reported engagement and achievement in dance (from no involvement to high-level professional dancing) and mental health problems including work-related depressive symptoms, emotional exhaustion, and registry-based psychiatric diagnoses (major depression, anxiety, and stress-related diseases). Utilizing a genetically informative population sample of 6610 Swedish twins, we estimated heritability for dance achievement and associations between dance achievement and mental health outcomes, and tested whether observed associations are consistent with causal effects by accounting for familial confounding using a co-twin control design. Individual differences in dance achievement were more heritable in females (60%) than in males (29%). Professional dancers had a higher risk for mental health problems than recreational dancers and non-dancers, but these associations became non-significant after adjusting for familial confounding, suggesting that shared familial factors – rather than professional dancing itself – largely explained the elevated risk. In contrast, we found no evidence for a protective effect of recreational dancing on mental health. These findings highlight the importance of considering underlying familial and genetic factors when addressing mental health risks in professional dancers, and they point toward future interventions focusing on early identification and support for vulnerable individuals rather than targeting dance practice itself as a causal factor.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"33 ","pages":"Article 101894"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social support and epigenetic aging at the intersections of race, ethnicity, and gender: findings from NHANES 1999–2002","authors":"Hanyang Shen ,&nbsp;Nicole Gladish ,&nbsp;Andres Cardenas ,&nbsp;Belinda L. Needham ,&nbsp;David H. Rehkopf","doi":"10.1016/j.ssmph.2025.101892","DOIUrl":"10.1016/j.ssmph.2025.101892","url":null,"abstract":"","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"33 ","pages":"Article 101892"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Polarization and health-related behaviors and outcomes during the COVID-19 pandemic: a systematic review","authors":"Aziz Mert Ipekci ,&nbsp;Maximilian Filsinger ,&nbsp;Diana Buitrago-Garcia ,&nbsp;Cristopher I. Kobler Betancourt ,&nbsp;Harvy Joy Liwanag ,&nbsp;Annika Frahsa ,&nbsp;Nicola Low","doi":"10.1016/j.ssmph.2025.101891","DOIUrl":"10.1016/j.ssmph.2025.101891","url":null,"abstract":"<div><h3>Objective</h3><div>Political and affective polarization are different, but related concepts, which can shape trust in authorities, interpretation of health messages, and health behaviors and outcomes. The aim of this study was to systematically review the research literature, exploring how affective and political polarization are associated with COVID-19-related health behaviors and outcomes.</div></div><div><h3>Methods</h3><div>From January 1, 2019 to November 27, 2024, we searched 12 electronic databases for studies about affective or political polarization and COVID-19-related outcomes, including preventive behaviors such as vaccination, compliance with policies, perceived risk and health outcomes. We included studies reporting primary data from participants of any age and gender, published in any language. Two independent reviewers, from a total of seven, conducted study selection, data extraction and risk of bias assessment. We synthesized findings narratively and reported them according to the PRISMA 2020 statement.</div></div><div><h3>Results</h3><div>Of 2021 unique articles, we included nine cross-sectional studies, all conducted in the United States of America or Europe from 2020 to 2022. Four studies found associations between higher political polarization and lower COVID-19 vaccine uptake or intent. Reported associations between vaccination and affective polarization were mixed. Four studies of other COVID-19 attitudes or prevention measures found mixed results for both types of polarization. In one study, no association was found between polarization and changes in death in 2020 compared with 2015 to 2019. The risk of selection bias in included studies was high.</div></div><div><h3>Discussion</h3><div>This systematic review found some evidence of associations between polarization and COVID-19 health-related behaviors and outcomes. Cohort studies are needed to understand the direction of association. More international and interdisciplinary approaches to the study of polarization are needed to generate evidence to inform health and public policy effectively and improve preparedness for future pandemics.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"33 ","pages":"Article 101891"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Considerations for study design and analysis for ethically and culturally safe DNA methylation research in Aotearoa New Zealand","authors":"Anna Rolleston ,&nbsp;Gregory T. Jones ,&nbsp;Nikki J. Earle ,&nbsp;Sam Gibbs ,&nbsp;Anna Pilbrow ,&nbsp;Allamanda Faatoese ,&nbsp;Katrina K. Poppe ,&nbsp;Kimiora Henare ,&nbsp;Vicky A. Cameron ,&nbsp;Donia Macartney-Coxson ,&nbsp;Malcolm E. Legget ,&nbsp;Robert N. Doughty","doi":"10.1016/j.ssmph.2025.101889","DOIUrl":"10.1016/j.ssmph.2025.101889","url":null,"abstract":"<div><div>Epigenetic research, particularly DNA methylation (DNAm), holds significant potential for improving cardiovascular disease (CVD) risk prediction, yet its application must be guided by ethical and culturally responsive considerations. This paper examines the integration of a values-based framework to ensure the culturally safe conduct of DNAm research within the Multi-Ethnic New Zealand Study of Acute Coronary Syndromes (MENZACS) cohort. Grounded in Te Tiriti o Waitangi principles and kaupapa Māori methodologies, this study emphasises equity, social accountability, and indigenous data sovereignty. This study was not designed as a discovery epigenome wide analysis, but rather performed, as an exemplar, a SWOT analysis that identified both the potential of DNAm markers, such as cg05575921 in AHRR for smoking exposure assessment, and key risks, including genetic confounding, population-specific variation, and the potential for individual and transgenerational stigma. Findings underscore the importance of ensuring multi-ethnic validation of DNAm markers to prevent exacerbation of health inequities. This paper advocates for the adoption of ethical, culturally attuned research frameworks in epigenetics to enhance equitable health outcomes and support Māori health advancement.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"33 ","pages":"Article 101889"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-specific life expectancies across school districts in the United States: Applying a population weighted geographic crosswalk to aggregate census tract indicators","authors":"Logan Beyer ,&nbsp;Jeff Blossom ,&nbsp;Junyi Chen ,&nbsp;Rockli Kim ,&nbsp;S.V. Subramanian","doi":"10.1016/j.ssmph.2025.101896","DOIUrl":"10.1016/j.ssmph.2025.101896","url":null,"abstract":"<div><div>As standardized geospatial units with social meaning and direct political governance, school districts may be an optimal functional definition of residential neighborhoods. However, few measures of population health are available at the school district level. In this descriptive study, we implemented a novel application of an established geographic crosswalk framework to estimate population-weighted age-specific life expectancies for all 13,592 school districts in the United States for the years 2010–2015. Our results revealed significant variation in life expectancies across school districts and across the life span – including a gap in life expectancy at birth of almost thirty years. We further identified meaningful differences in the extent of inequalities in life expectancy within states, as measured by standard deviation in school district age-specific life expectancies. These findings highlight the utility of using a crosswalk approach to estimate population health and health disparities at the school district level.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"33 ","pages":"Article 101896"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Housing distress and subsequent health and well-being among older adults: An outcome-wide longitudinal approach","authors":"Renae Wilkinson ,&nbsp;Julia S. Nakamura ,&nbsp;Richard G. Cowden ,&nbsp;Katelyn N.G. Long ,&nbsp;Howard K. Koh ,&nbsp;Thomas H. Byrne ,&nbsp;Jennifer H. Molinsky ,&nbsp;Eric S. Kim ,&nbsp;Tyler J. VanderWeele ,&nbsp;Jack Tsai","doi":"10.1016/j.ssmph.2026.101900","DOIUrl":"10.1016/j.ssmph.2026.101900","url":null,"abstract":"<div><div>Housing insecurity is increasing among older adults in the U.S., yet the impact of housing-related distress on health and well-being in this population is understudied. This study uses three waves of prospective data from a national sample of U.S. adults aged 50+ years (Health and Retirement Study, <em>N</em> = 12,998) to examine associations between housing distress and 35 indicators of physical, behavioral, and psychosocial health and well-being four years later. We also assess differences by military veteran status in stratified analyses. After adjustment for a rich set of potential confounders, we found that housing distress was associated with most (7/12) indicators of psychological well-being and distress (e.g., lower life satisfaction, purpose; higher depressive symptoms, hopelessness), some (3/14) indicators of physical health (e.g., more chronic conditions, lower self-rated health), and higher loneliness, but was not associated with health behaviors after correction for multiple testing. Results stratified by veteran status indicated stronger associations among non-veterans. These findings highlight the need for targeted interventions to reduce housing insecurity among older adults and mitigate its psychological and physical health consequences.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"33 ","pages":"Article 101900"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Culture matters? Family norms, living arrangements, and loneliness in China","authors":"Shu Cai ,&nbsp;Wei Li ,&nbsp;Jia Wang","doi":"10.1016/j.ssmph.2026.101906","DOIUrl":"10.1016/j.ssmph.2026.101906","url":null,"abstract":"","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"33 ","pages":"Article 101906"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147385300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can environmental signals influence dietary Behaviours?The impact of governmental green development attention on dietary diversity among older adults","authors":"Huijun Lei ,&nbsp;Miaomiao Chen ,&nbsp;Haoyu Qu ,&nbsp;Liang Li ,&nbsp;Mengzhou Xie","doi":"10.1016/j.ssmph.2025.101893","DOIUrl":"10.1016/j.ssmph.2025.101893","url":null,"abstract":"<div><div>Against the backdrop of simultaneous national agendas for green transition and healthy ageing, the nutritional behaviour of older adults is being reshaped by emerging forms of institutional governance. Drawing on four waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS, 2008, 2011, 2014, and 2018), which are linked to the full texts of provincial government work reports from 22 provinces, this study constructs an index of \"governmental green development attention\" to rigorously assess whether provincial-level prioritization of green development is associated with dietary diversity among older adults. Baseline estimates from two-way fixed-effects models show that, after controlling for both individual- and provincial-level covariates, higher governmental attention to green development is significantly associated with greater dietary diversity in later life. We further identify three channels through which this association appears to operate: (i) heightened agenda salience and social participation; (ii) the framing of \"green\" as \"healthy\" and the diffusion of corresponding consumption norms; and (iii) improvements in public environmental conditions and basic service provision. A battery of robustness checks—including multilevel and random-effects specifications, the inclusion of province–year interactions, adjustments to the operationalization of the core explanatory variable, and double machine learning (DML) estimates of causal effects—consistently supports the main findings. Additional analyses show that the supply-side dimension of green transition exerts the strongest influence; that the volume of granted green patents is likewise positively associated with dietary diversity; and that the relationship between policy attention and dietary balance exhibits an inverted U-shape. Heterogeneity analyses indicate that the association is markedly stronger among men, older adults who do not live alone, and residents of provinces with a higher share of secondary industry in GDP, suggesting that certain subgroups are more responsive to institutional environmental signals. Taken together, this study, grounded in the logic of limited attention, traces a \"policy signal — cognitive/behavioural response\" transmission pathway, offering new evidence on the behavioural health spillovers of environmental governance and informing nutrition-oriented interventions for ageing societies.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"33 ","pages":"Article 101893"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case-based complexity approach to health inequality: Understanding and tracing place-based differences to enhance policy calibration","authors":"Brian Castellani,&nbsp;Jonathan Wistow","doi":"10.1016/j.ssmph.2026.101903","DOIUrl":"10.1016/j.ssmph.2026.101903","url":null,"abstract":"<div><div>Health inequalities are not static gradients of deprivation but emergent properties of complex, place-based social systems. This study applied a case-based complexity (CBC) approach, via the COMPLEX-IT platform, to analyse healthy life expectancy (HLE) in 141 English local authorities. The power of CBC lies in moving beyond aggregate-level conclusions to a trajectory-based analysis that captures the configurational dynamics of health inequality. Rather than treating disparities as linear outcomes of deprivation, CBC identifies cluster-specific patterns, offering a more precise policy intervention framework. These clusters are interpreted as <em>traces of complex systems</em>, offering a basis for investigating how socio-spatial processes shape health inequalities over time. We argue that reducing health inequalities requires a shift away from narrowly targeted interventions toward configurational-informed, multi-level governance. This includes recognising the interdependence of places, anticipating cross-cluster effects, and embedding adaptive feedback mechanisms in policy design. The paper also develops a CBC rubric to build on and enhance the analysis provided here. In so doing, our framework also supports a proportionate universalism that is locally calibrated while systemically coherent. By combining a complexity-informed, configurational-based, machine learning set of methods, this paper demonstrates how CBC is a conceptual and methodological advance on policy-relevant approaches for addressing persistent and embedded health inequalities across place.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"33 ","pages":"Article 101903"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}