American Journal of Preventive Medicine最新文献

{"title":"Association of Long-Term Blood Pressure With Frailty Progression in Older Adults: A Prospective Cohort Study.","authors":"Yinfen Xu, Qiyuan Lv, Yi Liu, Yimo Li, Fenfen Gao, Dan Zhou, Huilin Ji, Ruoting Ge, Jiahe Tian, Yun Lai, Linhui Zhu, Yuxin Chen, Rui Liu, Xiaodong Liu, Shumei Ma, Fang Shi","doi":"10.1016/j.amepre.2025.107735","DOIUrl":"10.1016/j.amepre.2025.107735","url":null,"abstract":"<p><strong>Introduction: </strong>Hypertension is associated with an increased risk of frailty; however, the role of cumulative blood pressure and blood pressure variability in frailty remains underexplored. This study aims to investigate the association between long-term blood pressure and the progression of frailty in older adults.</p><p><strong>Methods: </strong>This study analyzed data from the Chinese Longitudinal Healthy Longevity Survey. Cox regression and linear mixed-effects model were used to assess the association between long-term blood pressure and frailty.</p><p><strong>Results: </strong>The longitudinal study included 3,758 participants. The highest quartiles of cumulative systolic blood pressure, cumulative diastolic blood pressure, systolic blood pressure variability, diastolic blood pressure variability, and pulse pressure variability were associated with an increased risk of frailty. Specifically, the HR (95% CI) for the highest quartiles compared to the lowest were 1.228 (1.067, 1.413) for cumulative systolic blood pressure, 1.201 (1.044, 1.382) for cumulative diastolic blood pressure, 1.220 (1.066, 1.396) for systolic blood pressure variability, 1.224 (1.099, 1.440) for diastolic blood pressure variability, and 1.250 (1.090, 1.432) for pulse pressure variability, cumulative blood pressure and blood pressure variability exhibited significant interactions with time in frailty index (FI) progression. The highest quartile of cumulative systolic blood pressure showed an annual frailty index increase of 0.018 compared to the lowest quartile, while cumulative diastolic blood pressure (β: 0.012), systolic blood pressure variability (β: 0.012), and pulse pressure variability (β: 0.014) were also associated with frailty index progression.</p><p><strong>Conclusions: </strong>Higher cumulative blood pressure and blood pressure variability are associated with an increased frailty index over time. In adults aged ≥65 years, cumulative blood pressure and blood pressure variability may serve as early indicators of frailty. These findings highlight the need for a stratified approach to frailty management that considers long-term blood pressure patterns in older adults.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107735"},"PeriodicalIF":4.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200751","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":"The National Health Service Corps Expansion and Detection of Preconception Health Conditions in Underserved Areas.","authors":"Yanlei Ma, Olesya Baker, Fang Zhang, Carrie Cochran-McClain, Anjali Kaimal, Hao Yu","doi":"10.1016/j.amepre.2025.108133","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.108133","url":null,"abstract":"","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"108133"},"PeriodicalIF":4.5,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182379","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":"National Estimates of Work-Related Emergency Department-Treated Finger, Hand, and Wrist Injuries, United States 2015-2022.","authors":"Melody Kay Gwilliam, Susan Jane Derk, Christina Maria Socias-Morales, Scott Allen Hendricks, Karen Elizabeth Innes, Audrey Ann Reichard, Gordon S Smith","doi":"10.1016/j.amepre.2025.108134","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.108134","url":null,"abstract":"<p><strong>Introduction: </strong>Work-related injuries often occur to fingers, hands, and wrists (FHW); however, research on risk factors is limited. The study aim was to analyze (in 2024) national estimates and trends of work-related FHW Emergency Department (ED)-treated traumatic injuries (2015-2022).</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System-Occupational Supplement was used to analyze FHW injuries. Estimates and rates per 10,000 full-time equivalent workers were calculated using employment labor force estimates from the Current Population Survey. Patterns of injury severity and identification of at-risk populations were calculated including adjusting for industry.</p><p><strong>Results: </strong>Nearly five million work-related ED-treated injuries were FHW with 2% severe. Two-thirds (67%) of these injuries were among males, however females had higher odds of severe injuries than males when adjusting for industry. Rates of injury decreased with increasing age groups, however adjusting for industry found a higher likelihood of injuries among older age groups. Healthcare and social assistance workers experienced the highest number of FHW injuries (814,100 injuries). However, accommodation/food service workers had the highest injury rates (81 per 10,000 FTE). Construction (24%) and manufacturing (23%) workers had the highest percentage of severe FHW. However, the highest rates for severe FHW injury rates were agriculture, forestry, fishing, and hunting and construction (35.3 and 23.4 per 100,000 FTE workers). Injury rates declined significantly from 2015-2021, then increased in 2022.</p><p><strong>Conclusions: </strong>These findings improve understanding of work-related FHW injury risks. Industry specific surveillance and targeted interventions for high-risk industries like construction and manufacturing could assist in reducing FHW injuries.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"108134"},"PeriodicalIF":4.5,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182346","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":"Associations of adolescent BMI and physical fitness with cardiovascular health in middle age: a population-based prospective study of Swedish men.","authors":"Ángel Herraiz-Adillo, Viktor H Ahlqvist, Kristofer Hedman, Sara Higueras-Fresnillo, Emil Hagström, Melony Fortuin- de Smidt, Bledar Daka, Cecilia Lenander, Anton Olsson, Daniel Berglind, Carl Johan Östgren, Karin Rådholm, Francisco B Ortega, Pontus Henriksson","doi":"10.1016/j.amepre.2025.108128","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.108128","url":null,"abstract":"<p><strong>Introduction: </strong>Early-life determinants of middle-age cardiovascular health are poorly understood. This study examines associations of body mass index (BMI) and physical fitness in male adolescents with cardiovascular health measured by the Life's Essential 8 score in middle age.</p><p><strong>Methods: </strong>A population-based cohort study linked BMI and physical fitness from the Swedish Military Conscription Register (men conscripted 1972-1987) to cardiovascular health from the Swedish CArdioPulmonary bioImage Study (SCAPIS, 2013-2018). In 2025, 8930 men (mean age 18.3 years) were analyzed after 38.2 years of follow-up. Physical fitness included cardiorespiratory fitness (maximal cycle-ergometer test), and muscular strength (isometric dynamometry of knee extension, elbow flexion, and handgrip). Cardiovascular health was evaluated using the American Heart Association Life's Essential 8 score (0-100; poor health <60). Associations were assessed using linear and binomial logistic regressions and restricted cubic splines.</p><p><strong>Results: </strong>BMI and cardiorespiratory fitness exhibited J-shaped and linear associations, respectively, with cardiovascular health. Compared to normal weight (BMI: 18.5-24.9 kg/m2), adjusted odds ratios (ORs) of having poor cardiovascular health for overweight (BMI: 25.0-29.9 kg/m2) and obesity (BMI ≥30 kg/m2) were OR 2.42 (95% confidence interval [CI] 2.00-2.92) and OR 5.38 (95% CI 2.99-9.70). No statistically significant associations were observed between muscular strength and cardiovascular health.</p><p><strong>Conclusions: </strong>Obesity and low levels of cardiorespiratory fitness in male adolescents were associated with lower cardiovascular health in middle age, after nearly four decades of follow-up. Although further studies are needed, promotion of a healthy body weight and cardiorespiratory fitness in youth may be of importance for later cardiovascular health.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"108128"},"PeriodicalIF":4.5,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182355","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":"Behavioral responses to the threat of firearm violence among Colorado adults.","authors":"Tiffany Maksimuk, Erin Wright-Kelly, Kate Little, Joseph A Simonetti","doi":"10.1016/j.amepre.2025.108126","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.108126","url":null,"abstract":"<p><strong>Introduction: </strong>Research examining the association between concerns about firearm injury and Americans' behaviors is limited. The aim of this study was to describe the prevalence of self-reported behavioral responses to fear of firearm injury among Colorado adults.</p><p><strong>Methods: </strong>Data are from the 2023 Colorado Firearm Injury Prevention Survey (n=1,517 adults included; data analyzed 2025). The primary outcome was engagement in any of 11 behavioral responses assessed using an item modified from the Kaiser Family Foundation Survey: \"Have you done any of the following to protect yourself or your family from the possibility of firearm-related violence?\" Behaviors were categorized into avoidance, communication, or firearm-related. Weighted proportions and 95% confidence intervals (CI) are reported. Survey weights account for non-response and ensure findings are representative of Colorado adults.</p><p><strong>Results: </strong>Among Colorado adults, 64.5% (95%CI:61.0%-67.8%) reported engagement in at least one behavioral response; 40.8% (95%CI:37.4%-44.4%) reported an avoidance behavior, 35.4% (95%CI:32.0%-38.9%) reported a communication behavior, and 27.9% (95%CI:24.7%-31.4%) reported a firearm behavior. In comparison to those who reported no changes, those who reported any changes were significantly more likely to identify as female or Hispanic, have children in the household, reside in a household with a firearm, have experienced violence, and were more likely to have reported concerns about firearm violence in their community and violence impacting themselves or their family.</p><p><strong>Conclusions: </strong>A majority of Colorado adults report having changed their behaviors in response to the threat of firearm violence. Further work is needed to understand the broad impact of these behavior changes on the Colorado populace.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"108126"},"PeriodicalIF":4.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151898","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":"The evolving impact of Medicaid expansion on suicide mortality: demographic and method-specific effects.","authors":"Stephen N Oliphant, Zainab Hans, Anna E Austin, Rebeccah L Sokol","doi":"10.1016/j.amepre.2025.108130","DOIUrl":"10.1016/j.amepre.2025.108130","url":null,"abstract":"<p><strong>Introduction: </strong>Research suggests that Medicaid expansion may lead to population-level reductions in suicide. However, the time-varying impact on suicide rates has not been well-characterized, and it is unknown whether potential suicide reductions are limited to specific injury mechanisms. This study examined the evolving effects of Medicaid expansion on state-level suicide rates disaggregated by injury mechanism and across demographic groups.</p><p><strong>Methods: </strong>Restricted mortality data for 2005-2021 were obtained from the National Center for Health Statistics. Difference-in-differences approaches with event study specifications were used to estimate the effects of Medicaid expansion on firearm, non-firearm, and overall suicide rates among nonelderly adults and demographic subgroups. Analyses were conducted in 2024.</p><p><strong>Results: </strong>Medicaid expansion was associated with 1.01 fewer suicides (95% CI: -1.93, -0.10) and 0.47 fewer firearm suicides (95% CI: -1.05, 0.11) per 100,000 nonelderly adults. The protective effects of expanding Medicaid eligibility grew over time. Among demographic subgroups, reductions were largest for the population aged 18-29 years, including 2.70 fewer suicides (95% CI: -4.55, 0.86) and 1.47 fewer firearm suicides per 100,000 (95% CI: -2.67, -0.27). Expansion was also associated with fewer firearm suicides among adolescents aged 10-17 years (-0.47, 95% CI: -1.05, 0.12). There were no significant reductions in overall suicide among Black individuals (-2.05, 95% CI: -8.22, 4.11), whereas expansion was associated with 0.79 fewer suicides per 100,000 white individuals (95% CI: -1.74, 0.16).</p><p><strong>Conclusions: </strong>Medicaid expansion resulted in fewer suicide deaths, including those involving firearms. These findings suggest that Medicaid expansion was particularly impactful in preventing suicide among young adults.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"108130"},"PeriodicalIF":4.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151881","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":"\"Associations Between Evolving Cannabis Policies and Cannabis-Related School Discipline Among Secondary School Students in Massachusetts, 2005-2019\".","authors":"Faith English, Holly Laws, Youngmin Yi, Airín D Martínez, Elizabeth Bertone-Johnson, Jennifer M Whitehill","doi":"10.1016/j.amepre.2025.108129","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.108129","url":null,"abstract":"<p><strong>Introduction: </strong>The objective of this study was to examine whether cannabis policies - including decriminalization, medical legalization, and recreational legalization among adults are associated with changes in cannabis-related disciplinary incidents (CDIs) in Massachusetts public schools.</p><p><strong>Methods: </strong>This retrospective cohort study utilized 2005-2019 Department of Elementary and Secondary Education (DESE) data on disciplinary incidents in all public school districts (N = 399). A multilevel time-series model with multiple interruptions was used to examine the relationship between cannabis policy changes and district level CDIs per 1,000 students in MA from 2005-2019.</p><p><strong>Results: </strong>There were statistically significant increases in CDIs during the decriminalization policy period compared with pre-decriminalization; the CDI incident rate per 1,000 students increased by 34% relative to the time prior (IRR: 1.34 CI: 1.11, 1.60). However, CDIs decreased during the medical and recreational policy periods; the CDI incident rate decreased by 45% during the medical policy period compared with decriminalization (IRR: 0.55, CI: 0.47, 0.65) and by 20% during the recreational policy period (IRR: 0.80, CI: 0.68, 0.94). The average number of CDIs per school district ranged from 4.6 during decriminalization (2008-2011), 4.7 during medical (2012-2015), and 5.1 during recreational legalization (2016-2019).</p><p><strong>Conclusion: </strong>There was a modest increase in CDIs in schools after decriminalization in 2008. However, as state cannabis legalization policies expanded, the CDI incident rate per 1,000 students decreased. These findings are encouraging and underscore the need for schools to continue to develop and implement alternatives to exclusionary discipline that employ a harm reduction approach.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"108129"},"PeriodicalIF":4.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151849","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":"Association between concussion and risk of suicide among youth and young adults.","authors":"Jingzhen Yang, Guy N Brock, Danielle L Steelesmith, Amanda J Thompson, Elyse N Llamocca, Jeffrey A Bridge, Cynthia A Fontanella","doi":"10.1016/j.amepre.2025.108127","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.108127","url":null,"abstract":"<p><strong>Introduction: </strong>. Limited data exists on the risk of suicide following diagnosed concussion, particularly among youth. This study addresses that gap by examining the association between concussion and suicide among youth enrolled in Ohio Medicaid.</p><p><strong>Methods: </strong>. This retrospective longitudinal cohort study used Ohio Medicaid claims linked with death certificate data from January 1, 2011, to December 30, 2020. The sample included 417,512 youth and young adults aged 5-24 years diagnosed with either concussion (n=41,341) or orthopedic injury (OI; n=376,171) and followed for up to 10 years. Cox regression models with inverse probability of treatment weighting (IPTW) estimated the association between injury type and time to suicide death. Additional analyses evaluated the impact of concussions sustained during follow-up. Analyses were conducted between April and August 2024.</p><p><strong>Results: </strong>There were 42 suicides in the concussion group and 229 in the OI group. Youth with concussion had a higher suicide hazard than those with OI (HR=1.65, 95% CI=1.18-2.30) in IPTW-adjusted models. The 5-year risk difference was 0.034% (95% CI=0.006%-0.061%), equating to 34 additional suicides per 100,000 individuals. Concussions during follow-up were also associated with elevated suicide hazard (HR=1.52 per concussion event, 95% CI=1.12-2.05) after adjusting for demographic and clinical covariates.</p><p><strong>Conclusions: </strong>Concussions were associated with more than 60% increased suicide hazard relative to orthopedic injuries. Each subsequent concussion further elevated the suicide hazard. Targeted suicide prevention strategies for youth with concussions may help reduce this risk.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"108127"},"PeriodicalIF":4.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151884","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":"Supplemental Nutrition Assistance Program Expansion and Risk of Bullying Among Adolescents.","authors":"Nicole F Kahn, Abigail M Hatcher, Anna E Austin","doi":"10.1016/j.amepre.2025.108135","DOIUrl":"10.1016/j.amepre.2025.108135","url":null,"abstract":"<p><strong>Objective: </strong>To examine associations between state-level expansion of Supplemental Nutrition Assistance Program (SNAP) eligibility and adolescent bullying.</p><p><strong>Methods: </strong>This cross-sectional ecologic study used data from the SNAP Policy Database and the Youth Risk Behavior Survey (2013-2021) in 41 states. Log-binomial regression compared the risk of any bullying, school bullying, and e-bullying among adolescents (grades 9-12) in states that had both broad-based categorical eligibility (BBCE) policies to expand SNAP eligibility (i.e., asset test eliminated and income limit increased) and that had the asset test eliminated only to adolescents in states with neither policy.</p><p><strong>Results: </strong>In primary analyses (2013-2019) including 645,244 adolescents, those in states with both BBCE policies had lower risk of experiencing any bullying (RR=0.87, 95% CI 0.84, 0.89), school bullying (RR=0.86, 95% CI 0.83, 0.89), and e-bullying (RR=0.85, 95% CI 0.82, 0.88) compared to adolescents in states with neither policy. Similarly, adolescents in states with the asset test eliminated only had lower risk of experiencing any bullying, school bullying, and e-bullying compared to adolescents in states with neither policy. Secondary analyses that included 2021, a COVID-19 pandemic year, showed that adolescents in states with both policies had lower risk of experiencing each type of bullying, while adolescents in states with the asset test eliminated only had lower risk of experiencing e-bullying, compared to adolescents in states with neither policy.</p><p><strong>Conclusions: </strong>State BBCE policies were associated with a lower risk of adolescent bullying. Results suggest that expanding SNAP eligibility, including through state BBCE policies, may contribute to reductions in bullying.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"108135"},"PeriodicalIF":4.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151901","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":"Predicted Cardiovascular and Economic Impacts of the Measure Accurately, Act Rapidly, and Partner with Patients Program to Improve Hypertension Control.","authors":"Steven P Dehmer, Brent M Egan, Blaine Hardy, Michael V Maciosek, Susan E Sutherland, Stavros Tsipas, Gregory Wozniak","doi":"10.1016/j.amepre.2025.108132","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.108132","url":null,"abstract":"<p><strong>Introduction: </strong>This study uses microsimulation to estimate 10-year health and economic outcomes that may be achieved by widely adopting the American Medical Association's Measure Accurately, Act Rapidly, and Partner with Patients hypertension (AMA MAP^TM HTN) quality improvement program.</p><p><strong>Methods: </strong>A microsimulation model was adapted to conduct \"what if\" analyses for adopting the MAP HTN program nationwide and in care delivery systems of varying size. The analysis was conducted in 2020-2024, and the microsimulation model was constructed using various data sources from 1948 to 2019. Modeled outcomes over 10 years included prevalence of systolic blood pressure (SBP) ≥140 mmHg; incidence of cardiovascular disease (CVD) events and CVD-related mortality; averted medical costs by payer in 2021 U.S. dollars; and net costs.</p><p><strong>Results: </strong>For patients with hypertension over 10 years, nationwide adoption of the MAP HTN program was predicted to improve mean BP control by 4.3% and prevent 601 thousand CVD events and 120 thousand CVD deaths. Most of the estimated $17.9 billion in averted disease costs were observed in patients with Medicare. Total costs associated with implementing the MAP HTN program totaled $12.6 billion, resulting in a predicted $5.3 billion in net savings to the health care sector over 10 years. Small and large care delivery organizations could economically benefit from implementing the MAP HTN program at varying levels (5-50%) of shared cost savings from payers.</p><p><strong>Conclusions: </strong>There is promise for quality improvement programs targeting BP management, but more research is needed to affirm the assumptions and findings of this analysis.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"108132"},"PeriodicalIF":4.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139238","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}