American Journal of Preventive Medicine最新文献

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Allostatic Load and Cardiovascular Disease: A Systematic Review 适应负荷与心血管疾病:系统综述。
IF 4.3 2区 医学
American Journal of Preventive Medicine Pub Date : 2025-03-05 DOI: 10.1016/j.amepre.2025.02.016
Elizabeth Evans MS, CCC-SLP , Molly Jacobs PhD , David Fuller PhD , Karen Hegland PhD , Charles Ellis PhD
{"title":"Allostatic Load and Cardiovascular Disease: A Systematic Review","authors":"Elizabeth Evans MS, CCC-SLP ,&nbsp;Molly Jacobs PhD ,&nbsp;David Fuller PhD ,&nbsp;Karen Hegland PhD ,&nbsp;Charles Ellis PhD","doi":"10.1016/j.amepre.2025.02.016","DOIUrl":"10.1016/j.amepre.2025.02.016","url":null,"abstract":"<div><h3>Introduction</h3><div>Cardiovascular disease is a leading cause of morbidity and mortality. In the past 3 decades, allostatic load—a physiological representation of cumulative life stress—has been associated with increased risk of cardiovascular disease incidence and mortality. Additionally, differences in allostatic load may partially explain persistent disparities in cardiovascular disease outcomes. However, there is notable variation in cardiovascular disease types and subsequent impairments suggesting this association may not be similar across cardiovascular disease types and demographic characteristics.</div></div><div><h3>Methods</h3><div>This study is a systematic review conducted in 2024 of current knowledge on the relationship between allostatic load and cardiovascular disease. A literature search using the electronic databases PubMed, SCOPUS, and Web of Science and the keywords <em>allostatic load</em> and <em>cardiovascular disease</em> was conducted. A total of 233 articles were identified in initial review and 22 studies were identified for inclusion in this review.</div></div><div><h3>Results</h3><div>This review found that allostatic load was associated with a composite score of cardiovascular disease incidence but there was less clarity on the relationship with cardiovascular disease mortality and other cardiovascular disease outcomes. Additionally, there was some variation between cardiovascular disease types and the relationship with allostatic load as well as intersectional race and gender differences.</div></div><div><h3>Conclusions</h3><div>This review revealed notable gaps in the current knowledge of the relationship between cardiovascular disease and allostatic load. Future research is necessary to evaluate how this relationship differs across demographic characteristics, cardiovascular disease types, cardiovascular disease outcomes such as impairment, and disease processes. Future research should also identify standardized measures of allostatic load and determine how the social determinants impact allostatic load across the lifespan.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"68 6","pages":"Pages 1072-1079"},"PeriodicalIF":4.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587946","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
Association of Precarious Employment With Unmet Healthcare Needs and Health Checkup Participation 不稳定就业与未满足的医疗保健需求和健康检查参与协会。
IF 4.3 2区 医学
American Journal of Preventive Medicine Pub Date : 2025-03-05 DOI: 10.1016/j.amepre.2025.02.012
Seong-Uk Baek MD , Jin-Ha Yoon MD, PhD
{"title":"Association of Precarious Employment With Unmet Healthcare Needs and Health Checkup Participation","authors":"Seong-Uk Baek MD ,&nbsp;Jin-Ha Yoon MD, PhD","doi":"10.1016/j.amepre.2025.02.012","DOIUrl":"10.1016/j.amepre.2025.02.012","url":null,"abstract":"<div><h3>Introduction</h3><div>Precarious employment has emerged as a public health concern. This study explored the association between precarious employment and unmet healthcare needs and participation in health checkups.</div></div><div><h3>Methods</h3><div>This study analyzed data from a nationally representative sample of 12,215 wage workers, comprising a total of 65,405 observations, obtained from the Korean Welfare Panel Study (2008–2022). Precarious employment was characterized by insecure employment, inadequate wages, and lack of worker rights, and categorized into quartiles: lowest, low, high, and highest. The study focused on two outcomes: unmet healthcare needs due to financial constraints and nonparticipation in health checkups over the past year. Robust Poisson regression models were used to calculate prevalence ratios and 95% CIs under the framework of generalized estimating equations.</div></div><div><h3>Results</h3><div>Of the respondents, 0.7% reported unmet healthcare needs, while 44.2% did not attend health checkups. Compared with workers in the lowest precarious employment quartile, those in the high and highest precarious employment quartiles had a 5.83-fold (95% CI=2.73, 12.45) and 12.53-fold (95% CI=5.88, 26.70) increase in the prevalence of experiencing unmet healthcare needs, respectively. Similarly, compared to the lowest precarious employment quartile, those in the high and highest precarious employment quartiles had a 2.38-fold (95% CI=2.26, 2.51) and 2.92-fold (95% CI=2.77, 3.08) increase in the prevalence of nonparticipation in health checkups, respectively.</div></div><div><h3>Conclusions</h3><div>Precarious employment is associated with unmet healthcare needs and nonparticipation in health checkups. This study underscores the need for policies that improve healthcare access for workers in precarious conditions.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"68 6","pages":"Pages 1120-1129"},"PeriodicalIF":4.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587948","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
Impact and Cost-Effectiveness of a Home Food Environment Intervention on Healthy Eating 家庭食物环境干预对健康饮食的影响及成本效益。
IF 4.3 2区 医学
American Journal of Preventive Medicine Pub Date : 2025-03-05 DOI: 10.1016/j.amepre.2025.02.017
Michelle C. Kegler DrPH , David Howard PhD , Lucja Bundy MAEdM , Shadé Owolabi MS , Terryl Hartman PhD , Tammie Collins MSW , Candace Muncy BS , Regine Haardörfer PhD
{"title":"Impact and Cost-Effectiveness of a Home Food Environment Intervention on Healthy Eating","authors":"Michelle C. Kegler DrPH ,&nbsp;David Howard PhD ,&nbsp;Lucja Bundy MAEdM ,&nbsp;Shadé Owolabi MS ,&nbsp;Terryl Hartman PhD ,&nbsp;Tammie Collins MSW ,&nbsp;Candace Muncy BS ,&nbsp;Regine Haardörfer PhD","doi":"10.1016/j.amepre.2025.02.017","DOIUrl":"10.1016/j.amepre.2025.02.017","url":null,"abstract":"<div><h3>Introduction</h3><div>Multiple aspects of the home food environment shape dietary patterns. The purpose of this study was to test a more scalable version of an intervention designed to promote healthy eating by improving home food environments, and to determine its cost-effectiveness.</div></div><div><h3>Methods</h3><div><em>Healthy Homes/Healthy Families (HH/HF) is a 3-month program alternating weekly coaching calls and text messages to encourage healthy eating by creating healthier home food environment through 8 healthy actions. Healthy Homes/Healthy Families was evaluated in a randomized controlled trial with follow-up at 4 and 9 months post-baseline (2020–2023). Participants were clients of four United Way 2-1-1 information and referral organizations in Georgia. The primary outcome was the Healthy Eating Index (HEI-2015), calculated from two 24-hour dietary food recalls. Data were analyzed in 2023–2024.</em>.</div></div><div><h3>Results</h3><div>The majority of participants (<em>n</em>=510) were women (91.6%) and identified as African American or Black (82.7%). The HEI-2015 improved more (3.26 units, <em>p</em>=0.005) for the intervention than control group at 9 months in intent-to-treat analyses. Both total fruits (0.53, <em>p</em>=0.009) and added sugar (0.81, <em>p</em>=0.004) HEI-2015 domain scores also improved significantly. Multiple aspects of the home food environment improved in a desired direction, including inventories of unhealthy snacks/foods, food preparation and food serving practices, family meals from non-home food sources, and frequency of family meals and snacks while watching TV. Costs averaged $85 per participant ($95 for full program delivery); costs per unit HEI increase were $26. The intervention is cost-effective, with a cost per quality-adjusted life year of $28,762. The intervention is cost-saving as long as the benefits last 3 years or longer.</div></div><div><h3>Conclusions</h3><div>The intervention was effective in promoting modest changes in diet quality by improving home food environments.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"68 6","pages":"Pages 1130-1141"},"PeriodicalIF":4.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587950","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
Long COVID and New Onset Disability Nearly 2 Years After Initial Infection 初次感染后近2年的长期COVID和新发残疾。
IF 4.3 2区 医学
American Journal of Preventive Medicine Pub Date : 2025-03-05 DOI: 10.1016/j.amepre.2025.02.013
Nancy L. Fleischer PhD , Elizabeth Slocum PhD , Akash Patel MPH , Yanmei Xie PhD , Patricia McKane DVM , Sarah Lyon-Callo PhD , Jana L. Hirschtick PhD
{"title":"Long COVID and New Onset Disability Nearly 2 Years After Initial Infection","authors":"Nancy L. Fleischer PhD ,&nbsp;Elizabeth Slocum PhD ,&nbsp;Akash Patel MPH ,&nbsp;Yanmei Xie PhD ,&nbsp;Patricia McKane DVM ,&nbsp;Sarah Lyon-Callo PhD ,&nbsp;Jana L. Hirschtick PhD","doi":"10.1016/j.amepre.2025.02.013","DOIUrl":"10.1016/j.amepre.2025.02.013","url":null,"abstract":"<div><h3>Introduction</h3><div>The objective of this study was to determine the prevalence of ongoing long COVID symptoms and related disability in a population-based cohort nearly 2 years after SARS-CoV-2 infection.</div></div><div><h3>Methods</h3><div>Six domains of age-standardized disability (i.e., mobility, cognition, independent living, vision, hearing, self-care) were assessed by ongoing long COVID status using cohort data from a population-based survey of adults with COVID-19 onset from March–December 2020 in Michigan. Baseline data were collected June 2020–October 2021 and follow-up data were collected January–November 2022. Associations between ongoing long COVID and each domain of disability were also examined using adjusted modified Poisson regression models. Analyses were conducted 2024–2025.</div></div><div><h3>Results</h3><div>Nearly 2 years after initial infection, 24.0% of 1,547 respondents reported ongoing long COVID symptoms. When comparing disability status 4 weeks prior to COVID-19 illness to the time of the follow-up survey, respondents with ongoing long COVID symptoms had large increases in the prevalence of cognition (8.8% to 45.3%), mobility (12.7% to 40.0%), independent living (4.7% to 20.7%), and self-care (2.1% to 10.9%) disability, and more modest increases in the prevalence of vision and hearing disability. Respondents without ongoing long COVID symptoms experienced smaller increases in disability prevalence. In regression models, ongoing long COVID was associated with higher prevalence of all 6 disability domains.</div></div><div><h3>Conclusions</h3><div>The ongoing burden of long COVID and related disability is substantial and warrants increased attention by the public health and medical communities.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"68 6","pages":"Pages 1168-1172"},"PeriodicalIF":4.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587953","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
The Impact of "The Real Cost" on E-cigarette Initiation among U.S. Youth. “真实成本”对美国青少年吸电子烟的影响。
IF 4.3 2区 医学
American Journal of Preventive Medicine Pub Date : 2025-03-04 DOI: 10.1016/j.amepre.2025.02.015
Anna MacMonegle, Anh Nguyen Zarndt, Yifan Wang, Morgane Bennett, Vincenzo Malo, Lindsay Pitzer, James Nonnemaker, Allie Jaarsma, Leeann Siegel, Nathaniel Taylor, Jennifer Duke
{"title":"The Impact of \"The Real Cost\" on E-cigarette Initiation among U.S. Youth.","authors":"Anna MacMonegle, Anh Nguyen Zarndt, Yifan Wang, Morgane Bennett, Vincenzo Malo, Lindsay Pitzer, James Nonnemaker, Allie Jaarsma, Leeann Siegel, Nathaniel Taylor, Jennifer Duke","doi":"10.1016/j.amepre.2025.02.015","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.02.015","url":null,"abstract":"<p><strong>Introduction: </strong>E-cigarette use among U.S. youth has declined in recent years. This study examined the effect of exposure to \"The Real Cost\" Youth E-cigarette Prevention Campaign on e-cigarette initiation among U.S. youth aged 11-18.</p><p><strong>Methods: </strong>Data were analyzed from the first two waves of a longitudinal evaluation of the campaign (baseline: August-December 2023; follow-up: June-September 2024; analyses: 2025). The analysis included youth who reported never having tried an e-cigarette at baseline and completed the follow-up survey (n = 3,408). An exposure index (range: 0-16) was generated using respondents' self-reported frequency of exposure to each of four campaign advertisements (0 = never; 4 = very often). The impact of exposure on e-cigarette initiation was examined at follow-up using a discrete-time survival analysis logistic regression model, controlling for potential confounding variables. The estimated number of youth prevented from initiating e-cigarette use was extrapolated to the national youth population.</p><p><strong>Results: </strong>The odds of reporting e-cigarette initiation at follow-up decreased as exposure to campaign advertisements increased. For every unit increase in the exposure index, there was a 6% reduction in the probability of initiation. The campaign prevented an estimated 444,252 (95% CI: 73,639-814,866) U.S. youth aged 11-18 from initiating e-cigarettes between 2023 and 2024.</p><p><strong>Conclusions: </strong>Youth with higher exposure to \"The Real Cost\" E-cigarette Prevention Campaign ads were less likely to initiate e-cigarettes during the study period. These findings indicate that the campaign has contributed to recent declines in e-cigarette use among U.S. youth.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639659","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
State Preemption Repeal: A Pathway to Broader Smoke-Free Indoor Air Policies in the U.S. 废除州优先权:美国更广泛的无烟室内空气政策之路
IF 4.3 2区 医学
American Journal of Preventive Medicine Pub Date : 2025-03-04 DOI: 10.1016/j.amepre.2025.02.019
Sunday Azagba PhD , Todd Ebling PhD , Alperen Korkmaz MEd , Jessica King Jensen PhD , Fares Qeadan PhD , Mark Hall JD
{"title":"State Preemption Repeal: A Pathway to Broader Smoke-Free Indoor Air Policies in the U.S.","authors":"Sunday Azagba PhD ,&nbsp;Todd Ebling PhD ,&nbsp;Alperen Korkmaz MEd ,&nbsp;Jessica King Jensen PhD ,&nbsp;Fares Qeadan PhD ,&nbsp;Mark Hall JD","doi":"10.1016/j.amepre.2025.02.019","DOIUrl":"10.1016/j.amepre.2025.02.019","url":null,"abstract":"<div><h3>Introduction</h3><div>Public health advocates have expressed concern about state preemption laws limiting local government's ability to regulate tobacco smoking. However, empirical evidence on these laws’ impact is scarce. This study examines how repealing such laws impacts policies covering smoke-free indoor air.</div></div><div><h3>Methods</h3><div>Policy data were obtained from the Americans for Nonsmokers’ Rights Foundation's smoke-free laws database (1990–2022), analyzed in 2024. A two-way fixed effects model in multiple linear regression was employed to evaluate the relationship between the repeal of smoke-free indoor air preemption statutes and the proportion of the state population covered by smoke-free policies. Additional analyses were conducted using alternative control groups, and the fractional form of the dependent variable was accounted for in the study.</div></div><div><h3>Results</h3><div>Results revealed that the repeal of smoke-free indoor preemption was related to an increase in the probability of the state population covered by smoke-free indoor air policies in the baseline model (β=0.405, <em>p</em>&lt;0.01), analysis with two-way fixed effects (β=0.199, <em>p</em>&lt;0.01), and the analysis incorporating state-unique time trends to the two-way fixed effect model (β=0.327, <em>p</em>&lt;0.01). Similarly, the fractional probit regression results showed that repealing state preemption laws corresponded to an increase in the probability of smoke-free indoor air policy coverage. The average marginal effects ranged from 0.19 to 0.43. The results were consistent in analyses that included only states that had preemption laws at any point.</div></div><div><h3>Conclusions</h3><div>Repealing state tobacco preemption laws could broaden local policies covering smoke-free indoor air, potentially mitigating secondhand smoke risks and lessening tobacco's health and economic burdens.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"68 6","pages":"Pages 1142-1149"},"PeriodicalIF":4.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568687","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
Temporal Association Between Maternal Depression and Paternal Postpartum Depression 母亲抑郁与父亲产后抑郁的时间关系。
IF 4.3 2区 医学
American Journal of Preventive Medicine Pub Date : 2025-03-04 DOI: 10.1016/j.amepre.2025.02.014
Kris F. Wain PhD , Matthew F. Daley MD , Marcelo Coca Perraillon PhD
{"title":"Temporal Association Between Maternal Depression and Paternal Postpartum Depression","authors":"Kris F. Wain PhD ,&nbsp;Matthew F. Daley MD ,&nbsp;Marcelo Coca Perraillon PhD","doi":"10.1016/j.amepre.2025.02.014","DOIUrl":"10.1016/j.amepre.2025.02.014","url":null,"abstract":"<div><h3>Introduction</h3><div>Paternal postpartum depression may affect 28% of fathers, but its temporal association with maternal postpartum depression is not well understood. This study aimed to quantify the temporal association between maternal postpartum depression and paternal postpartum depression, considering mother's depression history and other clinical factors.</div></div><div><h3>Methods</h3><div>Data for this retrospective cohort study were obtained from Kaiser Permanente Colorado health records between 2008 and 2019. The cohort included father–mother dyads having live-birth pregnancies. Diagnostic codes identified postpartum depression during the 12 months after childbirth. Complementary log–log models with inverse probability of treatment weighting estimated the relative risk of paternal postpartum depression by maternal postpartum depression, stratified by maternal depression history. Statistical analyses were performed between 2022 and 2024.</div></div><div><h3>Results</h3><div>The sample included 15,257 father–mother dyads contributing 19,352 pregnancies, in which neither parent had a history of postpartum depression. Among these pregnancies, 326 paternal postpartum depression diagnoses (1.7%) and 1,731 maternal postpartum depression diagnoses (8.9%) were identified. Paternal postpartum depression was more common in dyads with maternal postpartum depression (3.0%) than in dyads without (1.6%). Maternal postpartum depression was associated with an 81% increase in paternal postpartum depression (relative risk=1.81; 95% CI=1.14, 2.87) if the mother had no history of depression. However, no association was observed if the mother had a history of depression.</div></div><div><h3>Conclusions</h3><div>Among a cohort of father–mother dyads having live-birth pregnancies, maternal postpartum depression was associated with increased paternal postpartum depression but only if the mother had no history of depression. Study findings highlight the need to develop depression screening tools for fathers that consider risk factors for both parents.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"68 6","pages":"Pages 1061-1071"},"PeriodicalIF":4.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574564","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
Use of Delta-8-THC and Other Types of Cannabis Among Young Adults in the U.S. Delta-8-THC和其他类型大麻在美国年轻人中的使用
IF 4.3 2区 医学
American Journal of Preventive Medicine Pub Date : 2025-02-28 DOI: 10.1016/j.amepre.2025.02.009
Megan E. Patrick PhD , Richard A. Miech PhD , Yuk C. Pang PhD , Adam M. Leventhal PhD , Alyssa F. Harlow PhD
{"title":"Use of Delta-8-THC and Other Types of Cannabis Among Young Adults in the U.S.","authors":"Megan E. Patrick PhD ,&nbsp;Richard A. Miech PhD ,&nbsp;Yuk C. Pang PhD ,&nbsp;Adam M. Leventhal PhD ,&nbsp;Alyssa F. Harlow PhD","doi":"10.1016/j.amepre.2025.02.009","DOIUrl":"10.1016/j.amepre.2025.02.009","url":null,"abstract":"","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"68 6","pages":"Pages 1179-1181"},"PeriodicalIF":4.3,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538082","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
Association Between Ultraprocessed Food Intake and Self-Reported Arthritis 超加工食品摄入与自述关节炎之间的关系。
IF 4.3 2区 医学
American Journal of Preventive Medicine Pub Date : 2025-02-28 DOI: 10.1016/j.amepre.2025.02.010
Yanxin Zhu MSPH , Vanessa Garcia-Larsen PhD , Sabri Bromage ScD , Euridice Martinez-Steele PhD , Ana Luiza Curi-Hallal PhD , Casey M. Rebholz PhD , Mika Matsuzaki PhD
{"title":"Association Between Ultraprocessed Food Intake and Self-Reported Arthritis","authors":"Yanxin Zhu MSPH ,&nbsp;Vanessa Garcia-Larsen PhD ,&nbsp;Sabri Bromage ScD ,&nbsp;Euridice Martinez-Steele PhD ,&nbsp;Ana Luiza Curi-Hallal PhD ,&nbsp;Casey M. Rebholz PhD ,&nbsp;Mika Matsuzaki PhD","doi":"10.1016/j.amepre.2025.02.010","DOIUrl":"10.1016/j.amepre.2025.02.010","url":null,"abstract":"<div><h3>Introduction</h3><div>Ultraprocessed foods are typically high in fat, salt, sugar, and food additives, which may contribute to the development of arthritis. This study examined the association between ultraprocessed food intake and the presence of self-reported arthritis.</div></div><div><h3>Methods</h3><div>The 2001–2018 U.S. National Health and Nutrition Examination Survey data was used to analyze the association between ultraprocessed food intake and arthritis in 2025. Ultraprocessed foods were identified by applying Nova classifications to 24-hour dietary recall data and expressed as a percentage of daily total energy intake. The outcomes were self-reported physician's diagnosis of arthritis, osteoarthritis, and rheumatoid arthritis. Survey-weighted logistic regressions were conducted to analyze associations between ultraprocessed food intake and outcomes, controlling for age, gender, race/ethnicity, smoking status, health insurance status, and poverty-to-income ratio.</div></div><div><h3>Results</h3><div>UPFs contributed 55.2% of the daily total energy intake in the U.S. population. After adjusting for covariates, a positive association was found between daily total energy intake from ultraprocessed foods and self-reported arthritis (AOR associated with each 10-percentage point increase in intake: 1.04; 95% CI=1.02, 1.06). For the second, third, and fourth quartiles of ultraprocessed food intake, the AOR of arthritis was 1.14 (95% CI=1.04, 1.25), 1.22 (95% CI=1.10, 1.35), and 1.27 (95% CI=1.14, 1.41), respectively (<em>p</em> for linear trend &lt;0.001). A positive association was also observed between ultraprocessed food intake and rheumatoid arthritis (AOR=1.05; 95% CI=1.02, 1.09) but not for osteoarthritis.</div></div><div><h3>Conclusions</h3><div>In this nationally representative sample of U.S. adults, higher consumption of ultraprocessed foods was associated with overall arthritis and rheumatoid arthritis.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"68 6","pages":"Pages 1109-1119"},"PeriodicalIF":4.3,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538078","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
Cannabis Use Disorder Among Insured Pregnant Women in the U.S., 2015–2020 2015-2020年美国参保孕妇大麻使用障碍调查
IF 4.3 2区 医学
American Journal of Preventive Medicine Pub Date : 2025-02-28 DOI: 10.1016/j.amepre.2025.02.011
Priscila Dib Gonçalves PhD , Morgan M. Philbin MHS, PhD , Weijia Fan MS , Yongmei Huang MD, DrPH , Megan E. Marziali MPH , Emilie Bruzelius PhD , Luis E. Segura MD, PhD , Pia M. Mauro PhD , Silvia S. Martins MD, PhD
{"title":"Cannabis Use Disorder Among Insured Pregnant Women in the U.S., 2015–2020","authors":"Priscila Dib Gonçalves PhD ,&nbsp;Morgan M. Philbin MHS, PhD ,&nbsp;Weijia Fan MS ,&nbsp;Yongmei Huang MD, DrPH ,&nbsp;Megan E. Marziali MPH ,&nbsp;Emilie Bruzelius PhD ,&nbsp;Luis E. Segura MD, PhD ,&nbsp;Pia M. Mauro PhD ,&nbsp;Silvia S. Martins MD, PhD","doi":"10.1016/j.amepre.2025.02.011","DOIUrl":"10.1016/j.amepre.2025.02.011","url":null,"abstract":"","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"68 6","pages":"Pages 1182-1184"},"PeriodicalIF":4.3,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538080","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
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