American Journal of Preventive Medicine最新文献

Publisher’s Note: Introducing article numbering to American Journal of Preventive Medicine 出版商注：向美国预防医学杂志介绍文章编号

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-06-20 DOI: 10.1016/j.amepre.2025.107737

引用次数: 0

Sex-Specific Hypertension Deaths From Excessive Alcohol Use 过度饮酒导致的性别高血压死亡

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-06-20 DOI: 10.1016/j.amepre.2025.03.003

Gregory Leung PhD , Marissa B. Esser PhD , Janet Wright MD

引用次数: 0

Longitudinal association between walkability and physical activity in twins. 双胞胎可步行性与身体活动的纵向关联。

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-06-16 DOI: 10.1016/j.amepre.2025.107950

Glen E Duncan, Ally R Avery, Matthew J D Pilgrim, Ofer Amram, Stephen J Mooney, Andrew G Rundle

{"title":"Longitudinal association between walkability and physical activity in twins.","authors":"Glen E Duncan, Ally R Avery, Matthew J D Pilgrim, Ofer Amram, Stephen J Mooney, Andrew G Rundle","doi":"10.1016/j.amepre.2025.107950","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107950","url":null,"abstract":"Introduction: Research has focused on the built environment (e.g., neighborhood walkability) that supports or hinders physical activity because it is potentially modifiable. This study investigated associations between changes in neighborhood walkability and changes in physical activity in an adult twin cohort.Methods: Longitudinal data (2009-2020) in 7,439 identical and fraternal twins comprising 2,800 complete pairs from a community-based Registry was analyzed. Participants were free of mobility limitations and resided at their current residential location for at least 1-year. A series of \"phenotypic\" (non-genetically informed) models were used to test the effect of walkability change on change in physical activity. These were re-estimated in a series of \"quasi-causal\" models by leveraging the genetically-informed nature of the twin design to test the effect of walkability change on change in physical activity while controlling for genetic and shared environmental confounds.Results: Change in neighborhood walkability was associated with change in neighborhood walking, but not moderate-to-vigorous physical activity, which held after controlling for genetic and shared environmental confounding, plus standard demographic covariates, length of follow-up, and moving status. A 1-unit increased change in neighborhood walkability was associated with a 2.7-minute increased change in neighborhood walking per week, independent of familial confounds and covariates. Moving to a neighborhood that is 5.5 units greater in walkability could increase neighborhood walking by about 15 minutes per week.Conclusions: This study supports a \"quasi-causal\" relationship between changes in neighborhood walkability and changes in neighborhood walking, extending previous cross-sectional findings in the same twin cohort by establishing temporality.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107950"},"PeriodicalIF":4.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327654","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}

引用次数: 0

Evaluating Equity in Universal Suicide Screening: Race/Ethnic Differences in Screening Acceptance and Results. 评估普遍自杀筛查的公平性：筛查接受度和结果的种族/民族差异。

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-06-16 DOI: 10.1016/j.amepre.2025.107945

Richelle L Clifton, Kate Beemer, Marybelle Camacho, Molly C Adrian

{"title":"Evaluating Equity in Universal Suicide Screening: Race/Ethnic Differences in Screening Acceptance and Results.","authors":"Richelle L Clifton, Kate Beemer, Marybelle Camacho, Molly C Adrian","doi":"10.1016/j.amepre.2025.107945","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107945","url":null,"abstract":"Introduction: Youth suicide is a critical public health issue. Universal screening in healthcare settings can provide clinical pathways for early identification of suicide risk by assessing suicidal thoughts and behaviors and connection to care. This study aimed to examine whether participation in universal suicide risk screening varies by demographic factors, including race/ethnicity, given documented disparities in suicide rates across racial/ethnic groups.Methods: Patient responses on the Ask Suicide-Screening Questions (ASQ), demographics, and service use factor data were drawn from patient medical records for ambulatory and acute care visits within a large children's hospital system between 6/1/21, and 9/12/23, for patients aged 10 and above who presented for in-person visits in an eligible clinic and were asked to complete a suicide risk screening.Results: 160,228 visits for patients between ages 10-25 (Mage=14.35) were included in final analyses. Screening was accepted in 76.95% of visits, and of those screens, 15.87% were positive. After controlling for within-patient correlations, race/ethnicity, sex, and age were significant predictors of screening acceptance and result. White and Latine youth were more likely to accept screening, whereas youth of other races/ethnicities, including Asian and Black youth, were less likely to accept screening. White and Multiracial youth were more likely to screen positive, whereas Latine, Asian, and Pacific Islander youth were less likely to screen positive.Conclusions: Racial/ethnic differences in screening acceptance and results indicate disparities in suicide risk identification among youth. More work is needed to understand factors impacting engagement in screening and to ensure equitable suicide risk identification.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107945"},"PeriodicalIF":4.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327653","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}

引用次数: 0

Incident Diabetes Diagnosis among the Uninsured during COVID-19 Hospitalization. 新冠肺炎住院期间未参保人群的糖尿病发生率

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-06-14 DOI: 10.1016/j.amepre.2025.107949

Anisha P Ganguly, Michael Harms, Kavita P Bhavan, Michael E Bowen

{"title":"Incident Diabetes Diagnosis among the Uninsured during COVID-19 Hospitalization.","authors":"Anisha P Ganguly, Michael Harms, Kavita P Bhavan, Michael E Bowen","doi":"10.1016/j.amepre.2025.107949","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107949","url":null,"abstract":"Introduction: Undiagnosed diabetes is associated with lack of insurance, which decreases access to preventive care. During the COVID-19 pandemic, uninsured patients previously unknown to health systems were hospitalized.Methods: This is a cross-sectional analysis of electronic health record (EHR) data from patients with diabetes hospitalized with COVID-19 in a safety-net health system from June 2020 to December 2021, examining the association between payor status and incident diagnosis of diabetes. Incident diagnosis of diabetes was defined by excluding a prior known diagnosis of diabetes based on diagnosis codes, medications, and hemoglobin A1c from the past 5 years. Regression analysis evaluated the association between payor status and incident diagnosis of diabetes. Data were analyzed in 2023.Results: Among 872 patients with diabetes hospitalized with COVID-19, 24.0% were uninsured, 34.6% received county-funded charity coverage (CFCC), 17.1% received Medicaid, and 24.3% received Medicare. The rate of incident diagnosis of diabetes in the total sample was 20.3%; incident diagnosis of diabetes was more common among the uninsured (30.1%) than CFCC (18.2%) and Medicare patients (11.3%). After adjusting for age, gender, race/ethnicity, and BMI, uninsured patients had higher odds of incident diagnosis of diabetes (aOR 2.64, 95% CI [1.41-4.92], p=0.002) than Medicare patients. Odds of incident diagnosis of diabetes were similar for CFCC and Medicare patients.Conclusion: Uninsured patients had higher odds of incident diagnosis of diabetes during COVID-19 hospitalization that may have gone undetected without hospitalization. These findings reflect decreased access to preventive care and missed opportunities to screen for diabetes among the uninsured.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107949"},"PeriodicalIF":4.3,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310777","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}

引用次数: 0

Social safety net programs: the relationship with drug treatment among women. 社会安全网计划：与妇女药物治疗的关系。

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-06-14 DOI: 10.1016/j.amepre.2025.107948

Sam D Gardner, Shota Hasui, Sarah Gutkind, Emilie Bruzelius, Megan E Marziali, Nicole Fitzgerald, Pia M Mauro, Morgan M Philbin, Silvia S Martins

{"title":"Social safety net programs: the relationship with drug treatment among women.","authors":"Sam D Gardner, Shota Hasui, Sarah Gutkind, Emilie Bruzelius, Megan E Marziali, Nicole Fitzgerald, Pia M Mauro, Morgan M Philbin, Silvia S Martins","doi":"10.1016/j.amepre.2025.107948","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107948","url":null,"abstract":"Introduction: Social safety net programs (e.g., Medicaid and government assistance) may facilitate drug use disorder (DUD) treatment receipt. This study explored associations of social safety net programs with drug treatment and medication for opioid use disorder (MOUD)receipt among women with DUD and opioid use disorder (OUD), respectively.Methods: Data were from the 2022 public-use National Survey for Drug Use and Health (analyzed in 2024) from women ages 18-64 who met criteria for past-year DSM-5 DUD (n=2,784) and OUD (n=458). Odds of past-year DUD treatment among women with DUD and past-year MOUD treatment among women with OUD were estimated by government assistance and/or Medicaid receipt in primary analyses, followed by secondary categorizations of exposure (any government assistance; number of programs received), using separate logistic regressions, controlling for sociodemographics.Results: In primary analyses, women with DUD receiving both Medicaid and government assistance were more likely to report past-year DUD treatment (aOR: 2.91, 95% CI=1.60, 5.29) compared to women receiving neither. Women with past-year OUD receiving both Medicaid and government assistance were more likely to report MOUD (aOR: 3.41, 95% CI=1.01, 11.61) compared to those receiving neither. Secondary analyses results were in the same direction.Conclusion: Likelihood of drug treatment and MOUD receipt among women with DUD/OUD, respectively, increased when Medicaid was combined with other forms of government assistance. Treatment costs and other barriers such as lack of insurance, childcare, and employment support are critical determinants of drug treatment; This study's findings suggest government support programs may help to buffer these known barriers.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107948"},"PeriodicalIF":4.3,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310778","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}

引用次数: 0

Medical Cannabis and Psychological Well-being in Illinois' Opioid Alternative Pilot Program. 伊利诺伊州阿片类药物替代试点项目中的医用大麻和心理健康。

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-06-13 DOI: 10.1016/j.amepre.2025.107941

Cerina Dubois, Julie Bobitt, Lei Ding, Dean T Eurich, Ashley Knapp, Neil Jordan

{"title":"Medical Cannabis and Psychological Well-being in Illinois' Opioid Alternative Pilot Program.","authors":"Cerina Dubois, Julie Bobitt, Lei Ding, Dean T Eurich, Ashley Knapp, Neil Jordan","doi":"10.1016/j.amepre.2025.107941","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107941","url":null,"abstract":"Introduction: In Illinois, the Opioid Alternative Pilot Program (OAPP) was implemented to provide individuals access to medical cannabis as a direct substitute for opioids. Despite medical cannabis being frequently used for mental health symptoms, little is known about medical cannabis' role on overall psychological well-being (PWB). Hence, the objective of this study is to examine the association of medical cannabis use with PWB among the first OAPP cohort.Methods: A survey was sent from February-July 2019 to those who enrolled in the OAPP. Cannabis users (n=626) were compared to non-users (n=234) to determine whether there was an association between cannabis use within the past year and PWB. PWB was measured on a scale of 1 to 5 (\"1\" being \"Poor\"; and \"5\" being \"Excellent\"). Backwards stepwise regression models were used. Sensitivity analysis was also conducted to determine whether there was an association between 'regular cannabis use' (using 3 or more times a week) versus 'no cannabis use'.Results: The study sample included 860 participants. The average age was 47 years (SD 14.2); 60% of the cohort was male; 72% were not of Hispanic, Latino, or Spanish origin; 67% were married, and 67% of cannabis users reported having a disability. The average perceived PWB was 3.18 (SD 0.94) ('Good') with no statistically significant difference in PWB between the two groups (users: 3.21 (SD 1.01); non-users: 3.12 (SD 0.71); p=0.18).Conclusion: In this cohort of OAPP participants, there was no clinically meaningful difference in PWB between cannabis users and non-users.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107941"},"PeriodicalIF":4.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303427","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}

引用次数: 0

Trends in the Prevalence of Concussion Before, During and After COVID-19 Among U.S. Adolescents. 美国青少年在COVID-19之前、期间和之后脑震荡患病率的趋势。

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-06-13 DOI: 10.1016/j.amepre.2025.107946

Phil Veliz, Jingze Li, Karam Mattar, Chaewon Lim

引用次数: 0

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-06-12 DOI: 10.1016/j.amepre.2025.107936

Silvia Perez-Vilar, Sruthi Adimadhyam, Jillian Burk, Rose Radin, Eric N Fung, Viola Spahiu, Gifty Brisbane, Fatma M Shebl, Christina Greene, Meredith Epperson, José J Hernández-Muñoz, Mayura Shinde, David J Graham

{"title":"Cannabis-related healthcare encounters among U.S. commercially insured adults.","authors":"Silvia Perez-Vilar, Sruthi Adimadhyam, Jillian Burk, Rose Radin, Eric N Fung, Viola Spahiu, Gifty Brisbane, Fatma M Shebl, Christina Greene, Meredith Epperson, José J Hernández-Muñoz, Mayura Shinde, David J Graham","doi":"10.1016/j.amepre.2025.107936","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107936","url":null,"abstract":"Introduction Recent studies among U.S. older adults showed increases in cannabis-related healthcare encounters, with the highest rates in states that legalized adult and medical cannabis use. To understand how increased cannabis access results in healthcare encounters among younger adults, a study was conducted to assess temporal trends in cannabis-related healthcare encounters among commercially insured adults aged 18-64 years. Methods A descriptive study using administrative claims from four national health insurers contributing to the US Food and Drug Administration's Sentinel Distributed Database was conducted. Healthcare encounters with evidence of cannabis use, cannabis-related disorder, or poisoning from 2017 through 2022, were defined using ICD-10-CM diagnosis codes. Annual encounter rates, overall, by care setting, age group, and state/territory cannabis legal status were assessed. Analyses were conducted in 2023-24. Results Among 115,187,493 eligible persons, 963,345 (0.8%) contributed 5,601,233 cannabis-related encounters. Annual rates increased from 44.0 per 10,000 eligible person-years (95% CI: 43.8, 44.2) in 2017 to 75.1 per 10,000 eligible person-years (95% CI: 74.8, 75.4) in 2022 (Ƭ=1.0; p=0.01), with outpatient and emergency department encounters largely accounting for the upward trend and increasing trends across all age groups. Differences by cannabis legal status at the state/territory of residence were not identified. Conclusions Our findings are consistent with an evolving landscape where cannabis use, legalization, and products' potency are increasing, and the public perception of risk is decreasing. Although results were stratified by age and cannabis legal status, determinants such as race, socioeconomic status, and clinical characteristics might have an impact on our estimates.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107936"},"PeriodicalIF":4.3,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295272","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}

引用次数: 0

Cardiometabolic Diseases and Mental Health Disorders in Korean Adults with Disabilities: A 3-Year Retrospective Analysis and Risk Comparison. 韩国成年残疾人心脏代谢疾病和精神健康障碍：3年回顾性分析和风险比较

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-06-11 DOI: 10.1016/j.amepre.2025.107938

Shiva Raj Acharya, NamKwen Kim, Navin Ray, Diwash Timilsina

{"title":"Cardiometabolic Diseases and Mental Health Disorders in Korean Adults with Disabilities: A 3-Year Retrospective Analysis and Risk Comparison.","authors":"Shiva Raj Acharya, NamKwen Kim, Navin Ray, Diwash Timilsina","doi":"10.1016/j.amepre.2025.107938","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107938","url":null,"abstract":"Introduction: Evidence suggests that adults with disabilities are more prone to cardiometabolic diseases (CMD) and mental health disorders (MHD). However, most studies have focused on single conditions or small-scale samples. This study aimed to investigate the risk and prevalence of multiple cardiometabolic and mental health conditions in Korean adults with disabilities and compare them with non-disabled adults.Methods: This retrospective study utilized nationally representative data from the Korea Health Panel Survey (KHPS), spanning the years 2019 to 2021. A total of 32,166 adults, including 2356 adults with disabilities, were analyzed. CMD included hypertension, diabetes, and obesity; MHD included stress, anxiety, depression, and suicide ideation. Multivariable-adjusted regression models were employed to determine factors associated with and the risk of CMD and MHD in adults with disabilities.Results: The overall prevalence of hypertension, diabetes, obesity, stress, depression, anxiety, and suicide ideation was 51.7%, 27.2%, 33.9%, 26.6%, 12.0%, 8.9%, and 8.7%, respectively. Adults with disabilities exhibited an increased risk of hypertension (OR: 1.24), diabetes (OR: 1.52), obesity (OR: 1.25), stress (OR: 1.21), depression (OR: 1.75), anxiety (OR: 1.91), and suicide ideation (OR: 1.73) compared to non-disabled adults. Being female, increased age, unemployment, overweight/obesity, urban residency, physical inactivity, and alcohol intake were significant factors associated with the risk of CMD and MHD.Conclusions: Adults with disabilities exhibit a higher prevalence and increased risk of CMD and MHD. Gender-specific interventions, including personalized nutrition, lifestyle plans, and tailored mental health services, are essential to mitigate these risks in this vulnerable population.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107938"},"PeriodicalIF":4.3,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295273","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}

引用次数: 0