{"title":"Public libraries and functional disability: A cohort study of Japanese older adults","authors":"Saeko Otani , Koryu Sato , Naoki Kondo","doi":"10.1016/j.ssmph.2025.101762","DOIUrl":"10.1016/j.ssmph.2025.101762","url":null,"abstract":"<div><div>This study examined the association between the presence of public libraries and functional disability risk among community-dwelling older adults. We studied 73,138 participants aged 65 years or older in 19 Japanese municipalities using data from the Japan Gerontological Evaluation Study. They were physically and cognitively independent at baseline and followed up between 2013 and 2021 (mean follow-up: 7.3 years). The onset of functional disability was ascertained by linking participants to the public registries of long-term care insurance. The exposures were the number of library books and that of libraries per population in each municipality. During the study period, we observed 16,336 cases (22.3%) of functional disability onset. Our Cox proportional hazards model revealed that the number of library books (hazard ratio [HR] = 0.96, 95% confidence interval [CI]: 0.95–0.97) and that of libraries (HR = 0.52, 95% CI: 0.28–1.00) were associated with the onset of functional disability. The association was consistent even after adjusting for individuals' reading habits and other potential confounders, which suggested the contextual effect of public libraries on older adults’ functional ability. Additionally, the magnitude of association was larger for the younger, women, and people with reading habits than their counterparts. Building new libraries and increasing the number of library books in a community may contribute to lowering the functional disability risk among older adults.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101762"},"PeriodicalIF":3.6,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143242112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Monica L. Wang , Marie-Rachelle Narcisse , Kate Rodriguez , Pearl A. McElfish
{"title":"Gender disparities in job flexibility, job security, psychological distress, work absenteeism, and work presenteeism among U.S. adults","authors":"Monica L. Wang , Marie-Rachelle Narcisse , Kate Rodriguez , Pearl A. McElfish","doi":"10.1016/j.ssmph.2025.101761","DOIUrl":"10.1016/j.ssmph.2025.101761","url":null,"abstract":"<div><h3>Background</h3><div>While international research has examined the relationship between job characteristics and mental health, including gender differences, few studies have assessed these associations at the national level in the U.S., which has unique labor markets, health care systems, and societal structures that may exacerbate gender disparities. This study investigates gender differences in the associations between job flexibility, job security, mental health outcomes, work absenteeism, work presenteeism, and mental health care utilization among a representative sample of working U.S. adults.</div></div><div><h3>Methods</h3><div>We analyzed cross-sectional population-based survey data from employed adults in the 2021 National Health Interview Survey. Job characteristics included perceived job flexibility and security. Outcomes included serious psychological distress, frequency of anxiety, work absenteeism, work presenteeism, and mental health care utilization. Multivariable logistic and binomial regression analyses examined associations of interest, with statistical interaction tests conducted to assess gender differences.</div></div><div><h3>Findings</h3><div>The study sample included 18,112 respondents weighted to represent a population of 168,068,586 civilian, non-institutionalized working U.S. adults (47.7% female). Females with low job security had a decreased probability of serious psychological distress than males with low job security (F<sub>(3,589)</sub> = 2.79; <em>p</em> = 0.040). Females with the lowest job flexibility reported more days worked while ill than males over the past 3 months, while males with higher job flexibility reported more days worked while ill than females (F<sub>(3,589)</sub> = 4.1; <em>p</em> = 0.007). The average number of work days missed over 12 months was lower among females than males when job security was perceived as fairly low and higher among females than males as job security increased (F<sub>(3,589)</sub> = 4.3; <em>p</em> = 0.005).</div></div><div><h3>Interpretation</h3><div>Findings highlight the need for policies and practices that recognize and address gender-specific workforce experiences and needs. Tailored interventions that enhance job flexibility and security, support caregiving responsibilities, and provide comprehensive mental health services can address such challenges.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101761"},"PeriodicalIF":3.6,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer Waidler , Leah Prencipe , Nyasha Tirivayi , Tumpe Mnyawami Lukongo , Paul Luchemba , Frank Eeataama , Jennifer Matafu , Tia Palermo , Tanzania Adolescent Cash Plus Evaluation Team
{"title":"Post-intervention gendered impacts and moderating factors of a government cash plus intervention for adolescents in Tanzania","authors":"Jennifer Waidler , Leah Prencipe , Nyasha Tirivayi , Tumpe Mnyawami Lukongo , Paul Luchemba , Frank Eeataama , Jennifer Matafu , Tia Palermo , Tanzania Adolescent Cash Plus Evaluation Team","doi":"10.1016/j.ssmph.2025.101760","DOIUrl":"10.1016/j.ssmph.2025.101760","url":null,"abstract":"<div><h3>Introduction</h3><div>Reducing poverty (including multidimensional poverty) and gender inequality can improve social development outcomes. Studies have sought to understand how poverty reduction and intersectoral programming targeted to adolescents can facilitate safe transitions to adulthood among adolescents. However, most intersectoral interventions for adolescents to date have been implemented by non-governmental actors with limited generalizability and potential for scale-up. In the current study, we examine 22-month post intervention impacts of the “plus components” of a cash plus intervention, Ujana Salama (Swahili for “Safe Youth”) targeted to adolescents ages 14–19 years (males and females) in households participating in a government social protection program in Tanzania. The government-implemented cash plus intervention, comprised of livelihoods and life skills training, a productive grant, mentoring, and linkages to adolescent-friendly health services, was implemented over 18 months in 2018 and 2019.</div></div><div><h3>Methods</h3><div>Using a cluster randomized controlled trial, we estimated post-intervention impacts in 2021 on the following domains: relationships, modern contraception, health seeking and HIV knowledge and risk, psychosocial outcomes and attitude, and violence. We further examined whether contextual factors, including gender norms and quality of health services, moderated these post-intervention impacts.</div></div><div><h3>Results</h3><div>Few impacts found at earlier rounds were still evident post-intervention. Exceptions include protective impacts on lifetime sexual violence risk among females and increases in sexual and reproductive health services utilization among males. Moreover, newly detected adverse impacts on mental health contrasted with earlier protective impacts.</div></div><div><h3>Conclusion</h3><div>While external factors such as lengthy delays of cash transfer payments to adolescents' households and the COVID-19 pandemic may have mitigated the potential for sustained impacts of this intervention, findings suggest that future programs may need to provide different combinations of programming, provide support longer-term, or intervene at more levels of the social ecological model to influence many of the outcomes examined and to effect more lasting change.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101760"},"PeriodicalIF":3.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Parent discrimination clusters and pediatric health in a national survey: The modifying effect of parenting","authors":"Violeta J. Rodriguez , Dominique L. La Barrie","doi":"10.1016/j.ssmph.2025.101757","DOIUrl":"10.1016/j.ssmph.2025.101757","url":null,"abstract":"","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101757"},"PeriodicalIF":3.6,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Antonia S. Becker , Emy S. van der Valk Bouman , Julian Schaap , Markus Klimek , Joost Oude Groeniger
{"title":"Music in healthcare: Investigating music preferences for pain management across twenty countries","authors":"Antonia S. Becker , Emy S. van der Valk Bouman , Julian Schaap , Markus Klimek , Joost Oude Groeniger","doi":"10.1016/j.ssmph.2025.101758","DOIUrl":"10.1016/j.ssmph.2025.101758","url":null,"abstract":"<div><div>Music is increasingly investigated in healthcare to manage pain, anxiety and stress. Previous studies have demonstrated that listening to (preferred) music is effective for pain relief, but rarely explore whether people are open to instrumentalizing music in healthcare. Therefore, this study investigates 1) to what extent people across twenty countries are willing to listen to music when experiencing pain in healthcare, and 2) which music genres they choose, in light of their national context, background characteristics, and overall music preferences. In addition, we investigate the universality of the so-called ‘Mozart effect’, which describes the belief that classical music is superior in healthcare, despite research suggesting that favorite music, irrespective of genre, is most effective. To answer these questions, we use data from the International Federation of the Phonographic Industry's international survey (2023), which includes twenty countries and 33,629 participants. In total, a large majority (86.5%) wants to listen to music when experiencing pain in healthcare. Although participants predominantly select music in line with their favorite music genres (73.1%), a smaller trend toward selecting classical music – in line with the ‘Mozart effect’ – is observed. Among those who prefer to listen to a music genre that they did not list as their favorite, classical music is predominantly chosen (43.3%). Furthermore, there are notable differences between national populations and across social groups in terms of preference for music when experiencing pain. These insights can be crucial for implementing music in healthcare worldwide, emphasizing the need for a culturally sensitive and personalized approach.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101758"},"PeriodicalIF":3.6,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143180444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katie S. Taylor , Harry Tattan-Birch , Martin N. Danka , Liam Wright , Eleonora Iob , Daisy Fancourt , Yvonne Kelly
{"title":"Social connections with family and friends in adolescence: Shaping body mass index trajectories into adulthood","authors":"Katie S. Taylor , Harry Tattan-Birch , Martin N. Danka , Liam Wright , Eleonora Iob , Daisy Fancourt , Yvonne Kelly","doi":"10.1016/j.ssmph.2025.101756","DOIUrl":"10.1016/j.ssmph.2025.101756","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate whether adolescent social connections influence body mass index (BMI) trajectories into adulthood and explore whether associations are moderated by gender, ethnicity or age.</div></div><div><h3>Methods</h3><div>Data came from 17,719 American adolescents in grades 7–12 at baseline (1994–95) from the National Longitudinal Study of Adolescent to Adult Health. Growth curve models tested associations between baseline social connections and BMI trajectories from waves II-V including interactions for gender, ethnicity and age.</div></div><div><h3>Results</h3><div>Stronger peer connections were associated with flatter BMI trajectories. For example, BMI for those with high peer contact was 0.79 kg/m<sup>2</sup> lower [95% CI -1.20, −0.38] 22 years after baseline, compared to those with low contact. Stronger family connections were associated with steeper trajectories. For example, BMI for those with high family contact was 0.52 kg/m<sup>2</sup> higher [95% CI 0.01, 1.02] 22 years after baseline, compared to those with low contact.</div></div><div><h3>Discussion</h3><div>Among adolescents, stronger peer connections were associated with flatter BMI trajectories and stronger family connections with steeper trajectories. Promotion of peer-based interventions could be explored as a strategy to promote healthy weight trajectories.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101756"},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 socioeconomic inequality in self-assessed health in South Africa: The contributions of changes in inequalities between and within socioeconomic groups","authors":"John E. Ataguba","doi":"10.1016/j.ssmph.2025.101755","DOIUrl":"10.1016/j.ssmph.2025.101755","url":null,"abstract":"<div><div>Globally, poor health is associated with lower socioeconomic status (i.e., the gradient). While significant socio-demographic drivers of socioeconomic inequalities have been documented in South Africa, little is known about changes in socioeconomic inequalities in health between and within socioeconomic groups, an essential consideration for closing the gaps between socioeconomic groups. This paper assesses changes in health inequalities in South Africa, using self-assessed health (SAH) to uncover the relative contributions of inequalities between and within socioeconomic groups to changes in socioeconomic inequalities in SAH. It uses data from five waves (2008, 2010/11, 2012, 2014/15, and 2017) of South Africa's nationally representative National Income Dynamics Study (NIDS) as cross-sectional with a final sample size ranging between 13,732 and 21,303 adults (>18 years). Based on five categories, SAH was recategorised and dichotomised as “good health” with SAH = 1. Socioeconomic status and quintiles were based on per capita household expenditure. The standard concentration index measured socioeconomic inequality in SAH. A recent methodology decomposes changes in the concentration index of SAH into changes in inequality within and between socioeconomic groups. A pro-poor shift or change is when socioeconomic inequality in health (including for between- and within-socioeconomic groups) reduces between two time periods, while an increase in inequalities means a pro-rich shift or change. The results show a significant pro-rich gradient in SAH among adults in South Africa (concentration index ranging between 0.0053 and 0.0327), with good health reported more by relatively wealthier adults than their more socioeconomically deprived counterparts. This pro-rich gradient declined overall between 2008 and 2017 (a pro-poor shift), associated mainly (between 96% and 100%) with reduced inequalities between socioeconomic groups, i.e., closing gaps between socioeconomic groups. Addressing health inequalities in South Africa requires a multisectoral approach prioritising socioeconomically deprived individuals and policy to reduce health disparities between groups that leave no one behind.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101755"},"PeriodicalIF":3.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143180446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ric Bayly , Jennifer Pustz , Thomas J. Stopka , Jay Metzger , Mary C. Waters
{"title":"Transit bus access to healthy, affordable food: A novel geographic information system (GIS) and community-informed analysis","authors":"Ric Bayly , Jennifer Pustz , Thomas J. Stopka , Jay Metzger , Mary C. Waters","doi":"10.1016/j.ssmph.2025.101753","DOIUrl":"10.1016/j.ssmph.2025.101753","url":null,"abstract":"<div><div>Good nutrition reduces the risk of chronic disease, but many vulnerable populations do not have equitable access to healthy food. People who are lower-income, non-White, older, or disabled, have increased likelihood of not owning a vehicle and of being dependent on public buses to source healthy, affordable food. Our study took place in three municipalities targeted by the Rhode Island Department of Health for equity-focused interventions. Our methodology aimed to overcome limitations of prior analyses of public transit food access. We determined healthy food sources, stratifying their affordability with market basket pricing data and community input. Using a geographic information system (GIS), we identified the transit bus service areas of the sources. Our novel approach included employing a fixed bus wait time, determining bus travel times based on schedule combined with historical data, and determining acceptable travel times through a community leader survey. We analyzed access by subgroups including those experiencing poverty, older adults, those without cars, and those with disabilities. We found that 45% of the population in the most urban municipality had bus access to discounted healthy food, and no one in the two less urban municipalities did. Bus access to six food pantries was limited to 15%–28% of the population. Our approach, combining spatial analysis informed by surveys and community input, can increase the ease and accuracy of analyzing bus access to healthy, affordable food and is replicable in other regions and extensible to other types of destinations and services and to rail transit.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101753"},"PeriodicalIF":3.6,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Competing demands on adult children: How do they shape their provision of informal care?","authors":"Edward Pomeroy , Francesca Fiori","doi":"10.1016/j.ssmph.2025.101754","DOIUrl":"10.1016/j.ssmph.2025.101754","url":null,"abstract":"<div><div>Population ageing is increasing the demand for informal care, heightening the importance of adult children as potential carers to their older parents. Adult children, however, may be subject to competing demands for informal care provision when individual characteristics, such as gender and employment status, combine with household level characteristics, such as the presence of young children or vulnerable family members. Previous research often considers these competing demands as separate factors which can influence the provision of informal care, rather than in combination. Therefore, this study exploits data from Wave 13 (2021–2023) of the UK Household Longitudinal Study and applies multicategorical multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA) to assess the additive and interactive role of competing demands in influencing the provision of informal care. The results indicate that the provision of informal care is driven by the additive influence of the competing demands. Moreover, they also reveal the layering of certain social characteristics, which cumulate, rather than intersect, to create a social profile with a notably higher predicted probability of providing informal care.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101754"},"PeriodicalIF":3.6,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143180445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What role does wealth play in the racial health gap in the United States? Examining differences among African Americans, Latinos, and non-Hispanic Whites","authors":"Daniel F. López-Cevallos , David W. Rothwell","doi":"10.1016/j.ssmph.2025.101752","DOIUrl":"10.1016/j.ssmph.2025.101752","url":null,"abstract":"<div><div>Wealth resources has received little attention when studying how socioeconomic status shapes health outcomes. In the United States (USA), there is a growing body of evidence acknowledging a widening racial/ethnic wealth gap. However, little is known about wealth's role in shaping health inequity. Hence, our study examined the role wealth plays in the racial health gap across and within three racial/ethnic groups (African Americans – AA; Latinos –L; non-Hispanic Whites – NHW). We used nine waves of the nationally representative Survey of Consumer Finances (1995–2019). Trends over time were estimated with survey-weighted descriptive statistics. A series of linear probability regression models predicted fair/poor health based on overall and within-group wealth position, along with sociodemographic variables. Regression models revealed that both overall and within-racial-group wealth position matter when examining health outcomes. In fully adjusted models, racial health gaps practically disappeared for overall wealth position. While overall wealth position moderates the race-health path similarly for AA and NHW, the probability of fair/poof health for high-wealth Latinos is the same as medium-wealth AA and NHW. When considering within-group wealth position, AA and L have similar levels of fair/poor health (and significantly higher than NHW). Moreover, within-NHW wealth position matters for health at each level of wealth, while within-AA and within-L improvements are only evident at the high-wealth level. Our study provides evidence that wealth shapes health inequities differently when considering the overall wealth and within-racial group wealth. Policies to reduce wealth-health gaps should consider low and middle-wealth AA, L, and NHW.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"29 ","pages":"Article 101752"},"PeriodicalIF":3.6,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}