Prevention Science最新文献

{"title":"Underage Access to Alcohol Through Curbside and Home Delivery: Prevalence and Consequences.","authors":"Crystal A Reinhart, Shahana Begum, Lucy Kovacevic, Tarjani Bhatt, Janaka Kosgolla, Douglas C Smith","doi":"10.1007/s11121-026-01984-2","DOIUrl":"https://doi.org/10.1007/s11121-026-01984-2","url":null,"abstract":"<p><p>Alcohol access through curbside and home delivery has become a growing phenomenon in the post-COVID pandemic era. Regulations vary by state, but studies have suggested that adult access indicates higher substance use and consequences. Overall, research is lacking for adolescents. Using data from a statewide survey (n = 26,485), youth who used curbside/home delivery and those who did not were compared on past 30-day use, binge drinking, higher frequency use, and alcohol-related consequences. Because youth utilizing curbside/home delivery (CHD) was reported by only a small proportion of youth (~ 5%), propensity score matching was used to balance group sizes and demographic characteristics. Logistic regression analyses indicated that the CHD group had significantly higher odds of past 30-day alcohol use, binge drinking, greater drinking frequency, and alcohol-related negative consequences compared with matched non-users. Accessing alcohol through curbside/home delivery may be an indicator of high-risk alcohol use in adolescents. Future research and targeted prevention efforts are needed in this area.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116896","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":"Adolescents' Knowledge and Attitudes Towards NCDs: the Impact of a Novel Preventive School-Based Approach.","authors":"Carolina Santos, Eliza Rybska, Tassos Anastasios Mikropoulos, Carlos Pires","doi":"10.1007/s11121-026-01988-y","DOIUrl":"https://doi.org/10.1007/s11121-026-01988-y","url":null,"abstract":"<p><p>The relevance of addressing the burden of noncommunicable diseases (NCDs) through school-based approaches targeting early-life risk factors is widely acknowledged, yet evidence on their large-scale implementation and effectiveness remains limited. Students aged 14-15 (n = 176) were surveyed for their knowledge, skills, and attitudes regarding NCDs. The questionnaire dealt with the cognitive, affective, and social influences on personal-level decisions. A two-arm quasi-experimental design with baseline and postmeasurement was employed; cases were exposed to a novel school-based approach developed under the Partnerships for Science Education (PAFSE) project; controls were exposed to the topic through traditional teaching-learning methods. The results support that the PAFSE model, based on an open-schooling framework, educational scenarios, and project-based learning, enhanced students' skills and knowledge about NCDs. The findings may inform integrated school policies that support teachers and offer valuable guidance for effective implementation of PAFSE preventive intervention in educational systems.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065194","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":"Strengthening Prevention Systems: Insights from Two Decades of Researcher-State Agency Partnership to Evaluate Youth Substance Use Prevention in Washington State.","authors":"Gitanjali Shrestha, Brittany Rhoades Cooper, Heather Terral, Laura Griner Hill, Jaymie Vandagriff, Sarah Mariani","doi":"10.1007/s11121-026-01986-0","DOIUrl":"https://doi.org/10.1007/s11121-026-01986-0","url":null,"abstract":"<p><p>Despite decades of investment in evidence-based prevention, translating research into sustained, contextually relevant practices within communities remain a challenge. Research-practice partnerships (RPPs) offer a promising model for bridging this gap through structured, long-term collaborations grounded in shared goals and mutual benefit. This manuscript presents a case study of a two-decade partnership between Washington State University's IMPACT Research Lab and the Washington State Health Care Authority's Division of Behavioral Health and Recovery. We describe the history, evolution, structure, and key elements contributing to the partnership's success. To illustrate the empirical value and impact of this partnership, we present cross-sectional findings from two complementary evaluation efforts focused on the Community Prevention and Wellness Initiative (CPWI), a strategic, data-informed, community coalition-based framework that brings together key local partners to provide evidence-based substance use prevention programs. The Developmental Trend Evaluation assessed the effects of CPWI on developmentally expected patterns of changes in adolescent substance use and related risk factors. Results suggest that CPWI is associated with slower increases in substance use over time compared to comparison communities. The RE-AIM evaluation highlights CPWI's public health impact across five dimensions: reach, effectiveness, adoption, implementation, and maintenance. Findings from these evaluations have informed statewide funding and strategic planning decisions. We also discuss challenges faced by our partnership and the adaptive strategies we have used. This manuscript contributes to the growing RPP literature on behavioral health prevention, demonstrating how sustained researcher-state agency partnership can strengthen prevention systems, inform policy, and promote the well-being of youth, families, and communities.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065241","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":"Longitudinal Effects of Cannabis Use on Suicidal Behaviour in Early Adulthood in Washington State, United States and Victoria, Australia.","authors":"Abbey J Fitzpatrick, Jessica A Heerde, Bosco Rowland, Ebru A Batmaz, John W Toumbourou","doi":"10.1007/s11121-026-01987-z","DOIUrl":"https://doi.org/10.1007/s11121-026-01987-z","url":null,"abstract":"<p><p>This study aimed to investigate the impact of cannabis use on young adult suicidal behaviour. Matched cohorts were compared across two regions: Washington State, USA (where recreational cannabis use was legalised in 2012) and Victoria, Australia (where recreational cannabis use remains illegal). The hypotheses were (1) cannabis use would be more prevalent in Washington State in association with legalisation and (2) cannabis use would predict suicidal behaviour similarly in both regions. Data were drawn from the International Youth Development Study (IYDS) involving 1,470 participants (55.4% female; 726 Victoria, 744 Washington State) surveyed at average ages 25 and 29 in 2014 and 2018, respectively. Participants completed self-report surveys assessing demographic data, cannabis use, other forms of substance use, proximity to cannabis sales outlets, and suicidal behaviour. Data were analysed using multivariate negative binomial regression to identify cannabis use predictors of incident suicidal behaviour and differences between the two regions. Washington State participants reported significantly higher past-year cannabis use compared to Victorian participants at age 25 (in 2014) and lower self-harm at age 29 (2018). Victorian participants reported a reduction in cannabis use from age 25 to 29, while increased use was reported by Washington State participants across the same period. Regression analysis showed higher rates of cannabis use at 25 years and increased cannabis consumption at 29 years predicted increased suicidal behaviour. Suicidal behaviour in 2014 predicted this behaviour in 2018, with higher predictive risk in Washington State. Propensity score analysis confirmed a significant effect of cannabis use on suicidal behaviour. The effect of legalisation indicators (Washington State location, proximity to cannabis stores) on cannabis use was also significant based on propensity analysis. Cannabis was more prevalent in Washington State through the late 20 s. Young adult cannabis use increased the likelihood of suicidal behaviours. Despite increased risk from cannabis use, Washington State maintained lower rates of suicidal behaviour compared to Victoria, emphasising the need to understand multiple determinants of state differences in suicidal behaviour.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041433","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":"Bullying Victimization, Depressive Symptoms, and Suicide Among U.S. High School Adolescents: Protective Effects of School Connectedness and Parental Monitoring.","authors":"Simao Elias Luis","doi":"10.1007/s11121-026-01989-x","DOIUrl":"https://doi.org/10.1007/s11121-026-01989-x","url":null,"abstract":"<p><p>Suicidal thoughts and behaviors (STBs) among U.S. adolescents remain a public health concern and are closely linked to bullying victimization and depressive symptoms. While protective factors such as school connectedness and parental monitoring may buffer these risks, their roles within integrated explanatory and predictive models remain insufficiently understood. Using data from the 2021 and 2023 Youth Risk Behavior Surveillance System (N = 37,335), this study examined how school connectedness and parental monitoring buffer the effects of bullying victimization and STBs among U.S. high school adolescents. Logistic regression showed that higher levels of school connectedness and parental monitoring were associated with lower odds of STBs, after controlling for sociodemographic factors, bullying victimization, depressive symptoms, and survey year. In contrast, girls, sexual minority adolescents, and those who experienced bullying had higher odds of STBs than their counterparts. Moderated mediation analyses showed that depressive symptoms partially mediated or transmitted the effects of bullying victimization on STBs. School connectedness and parental monitoring partially buffered the direct effects of bullying victimization on STBs. Machine learning models demonstrated acceptable predictive performance and identified depressive symptoms, sexual identity, and cyberbullying victimization as the most influential predictors. These findings underscore the importance of gender-sensitive, school- and family-based prevention strategies to reduce suicide risk among U.S. high school adolescents.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031695","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":"Evaluation of a Community-Based Social Media Campaign for HIV Prevention Among Latino Sexual Minority Men.","authors":"Jane J Lee, David Huh, Joel Aguirre, Juliann Li Verdugo, Loren Yesenia Cruz, Martha Zuniga, Katie Vo, Kathleen Agudelo Paipilla, Liying Wang, E Roberto Orellana, Susan M Graham","doi":"10.1007/s11121-026-01985-1","DOIUrl":"https://doi.org/10.1007/s11121-026-01985-1","url":null,"abstract":"<p><p>This study evaluated the impact of a community-based social media campaign on HIV prevention engagement among Hispanic/Latino gay, bisexual, and other sexual minority men (SMM). The study was conducted at a Latino-serving community-based organization (CBO) in Washington State. We conducted a quasi-experimental pre-post evaluation comparing HIV prevention outcomes among clients observed before the campaign with those observed during the campaign and follow-up period. Propensity score matching was used to compare HIV testing and PrEP use using survey and service-record data. Behavioral determinants were assessed among 76 surveyed clients, including 32 surveyed before the campaign and 45 surveyed during the campaign and follow-up period. Chart-only data from 185 additional clients were also examined to supplement survey findings. The number of Latino SMM engaging in HIV prevention services increased by 114% during the campaign and follow-up period, compared to the same period in the previous year. Propensity score-matched analyses showed that the proportion receiving HIV testing was 6.7 percentage points higher among clients in the post-campaign period than among matched clients observed during the pre-campaign period (p = .039; Cohen's d = 0.22). Findings highlight the potential of culturally tailored, theory-informed social media campaigns to promote HIV prevention among Latino SMM. While effects were modest, the campaign period was associated with a modest increase in HIV testing and demonstrated the potential value of social media for enhancing engagement in community-based HIV prevention services.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031748","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":"Twenty Years in the Making: Government, University, and Community Partnership to Advance School Mental Health.","authors":"Kelly Whitaker, Freda F Liu, Joanne J Buntain-Ricklefs, Megan Frye, Kristy Ludwig, Sofia Redondo, Susan Stone, Erin MacDougall, Sara Rigel, Aaron R Lyon, Elizabeth McCauley","doi":"10.1007/s11121-026-01979-z","DOIUrl":"https://doi.org/10.1007/s11121-026-01979-z","url":null,"abstract":"<p><p>School-based mental health (SBMH) services are a critical strategy for addressing the mental health crisis affecting approximately 28% of US youth; however, persistent challenges remain, including funding constraints, workforce shortages, and difficulty sustaining initiatives amid shifting policy priorities and limited institutional support. This paper chronicles a 20-year government-university-community partnership in Seattle and King County, Washington, illustrating how sustained cross-sector collaboration can address these barriers. The partnership between Public Health of Seattle & King County, University of Washington/Seattle Children's Hospital, and seven community healthcare agencies has expanded from a small number of sites to 36 school-based health centers (SBHCs) serving students across the region. We highlight the partnership's functions and contributions through two exemplar projects. The first leveraged linked administrative data from 4090 students to examine associations between SBHC utilization and academic outcomes, with subgroup analyses indicating gains over time among students with below-average GPAs. The second employed participatory methods, including a system-wide listening session, to identify critical workforce and care coordination gaps, which informed a $5.6 million policy decision to expand the SBMH workforce. Through the application of implementation science frameworks, continuous feedback loops, and mutual capacity building, this partnership exemplifies transformational engagement that bridges research, practice, and policy. Key lessons include the importance of establishing trust and shared goals early, investing in sustainable data infrastructure, adopting data-to-action frameworks, and engaging stakeholders in co-creating solutions.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992007","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":"Building an Evidence-Based Parent Education and Awareness Program in New York Courts: a Research-Practice Partnership.","authors":"Karey L O'Hara, Sheila M Sproule","doi":"10.1007/s11121-026-01978-0","DOIUrl":"https://doi.org/10.1007/s11121-026-01978-0","url":null,"abstract":"<p><p>Parent education is widespread and institutionalized in family courts across the USA, reflecting decades of research showing that children are at heightened risk for mental health and related problems following parental separation and divorce. Given their reach and scale, these programs represent one of the largest yet underutilized opportunities for prevention in the country. To bridge the gap between prevention science and court practice, we formed a research-practice partnership between the New York State Parent Education and Awareness Program (PEAP) and university prevention scientists to co-develop and implement a statewide randomized controlled trial testing two online parent education programs (eNew Beginnings Program and PEACE). Launched in May 2025 across 16 courts, the trial embeds a randomized comparison of two programs within existing judicial referral procedures using centralized enrollment, voluntary participation with a business-as-usual alternative, and a jurisdiction-specific base module that was designed to ensure compliance with statewide parent education. Early implementation data (reach, enrollment, and reasons for nonparticipation) provide preliminary evidence of feasibility of embedding prevention research within a statewide judicial system. This partnership will produce both rigorous evaluation data and implementation insights to inform the ongoing development, equitable implementation, and scale-up of evidence-based parent education.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983973","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":"Cultural Stress, Psychopathology, and Well-Being Among Latinos: A Two Continua Model Approach.","authors":"Cory L Cobb, Sooyong Lee, Lawrence Watkins, Seth J Schwartz, Duyen H Vo, Seo Woo Lee, Maria Duque, Mark Eddy","doi":"10.1007/s11121-026-01969-1","DOIUrl":"https://doi.org/10.1007/s11121-026-01969-1","url":null,"abstract":"<p><p>Latinos in the USA experience myriad cultural stressors that increase their risk for experiencing psychopathology. Whereas most Latino-focused research has conceptualized psychopathology and well-being as existing on opposite ends of the same continuum, the Two Continua Model of mental health suggests that well-being and psychopathology are independent dimensions that have distinct risk and protective factors. In the present, study, we tested the Two Continua Model among a large sample of Latinos in the USA to assess (a) whether cultural stress differentially related to psychopathology and well-being, and (b) whether intrapersonal (distress tolerance) and interpersonal (perceived social support) protective factors moderated these associations differently. Participants were 800 Latino adults in Texas (50% women; ages 18-65) who completed measures of cultural stress; psychopathology (depression, anxiety, suicidal ideation); well-being (life satisfaction, happiness, flourishing); and protective factors (distress tolerance, perceived social support). Using structural equation modeling, cultural stress was significantly associated with greater psychopathology but was not significantly associated with well-being. Distress tolerance and perceived social support buffered the link between cultural stress and psychopathology, but neither moderated the association between cultural stress and well-being. Results support the Two Continua Model by showing that psychopathology and well-being follow distinct pathways each with unique protective factors. Findings highlight the need for clinicians to address both dimensions of mental health when working with Latinos and may inform intervention by helping practitioners to make decisions on whether to emphasize symptom reduction, well-being promotion, or a combination of the two.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983921","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":"Supporting Trauma Awareness and Nurturing Children's Environments (STANCE): Findings from a Multilevel Community Intervention.","authors":"Jenn A Leiferman, Jamie Powers, Dave LaRocca, Sharon Scarbro, Sarah S Gelinas, Heather Smyth, Sarah Schmiege, Jini E Puma","doi":"10.1007/s11121-026-01980-6","DOIUrl":"https://doi.org/10.1007/s11121-026-01980-6","url":null,"abstract":"<p><p>Young children in early childhood education (ECE) settings frequently exhibit social-emotional challenges which can interfere with learning and long-term development. Supporting Trauma Awareness and Nurturing Children's Environments (STANCE) is a multilevel intervention designed to support teachers and caregivers in promoting young children's social-emotional development through evidence-based strategies. The objective of this paper is to describe the effectiveness of this intervention on child and parent outcomes in a rural, primarily Latine community. A hybrid type 2 effectiveness-implementation study design using a stepped-wedge cluster randomized design was conducted across 16 ECE centers. A total of 140 teachers received training and coaching on the Pyramid Model, a tiered framework that supports social-emotional development through universal, targeted, and individualized classroom practices, while 106 caregivers participated in Positive Solutions for Families (PSF) workshops to strengthen parenting practices. Child outcomes were assessed using the Social Skills Improvement System (SSIS) for 888 children at the beginning and end of the school year, while parenting outcomes were collected pre- and post PSF intervention. Using mixed effect models, implementation of the Pyramid Model intervention with teachers was associated with significant increases in children's social skills (Cooperation, Assertion, Empathy, Engagement, Responsibility, Communication, Self-Control, all p < .01). Using paired t-tests, caregivers who participated in PSF demonstrated significant increases in positive reinforcement, emotional literacy, and problem-solving strategies. These findings suggest that multilevel, preventive interventions targeting both teachers and caregivers in ECE settings can strengthen parenting and classroom practices, leading to improvements in children's social-emotional skills, particularly in underserved ECE settings.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971654","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}