American Journal of Preventive Medicine最新文献

{"title":"Alcohol use mediates the association between sexual dating violence victimization and attempted suicide among U.S. high school students.","authors":"Xiang Gao, Steven R Horbal, Kathryn G Burford, Aurelian Bidulescu","doi":"10.1016/j.amepre.2025.107663","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107663","url":null,"abstract":"<p><strong>Introduction: </strong>High school students experiencing sexual dating violence (SDV) may use alcohol as a coping mechanism for trauma, emotional pain, and stress from victimization, increasing the risk of suicide attempts due to impaired judgment. Few studies have investigated how alcohol consumption influences the association between SDV and the likelihood of attempted suicide. We assessed the mediating role of alcohol use in this association.</p><p><strong>Methods: </strong>We analyzed cross-sectional data of weighted 10,875 U.S. high school students from the 2021 pooled Youth Risk Behavior Surveillance dataset. We performed multivariable logistic regression analyses to assess associations between SDV and the likelihood of attempted suicide. We also conducted the four-way decomposition mediation analyses. Data was analyzed in 2024.</p><p><strong>Results: </strong>SDV was significantly associated with attempted suicide in the overall high school student sample (AOR=4.85, p<0.001), with stronger effects observed in subgroups, including males, 11th and 12th graders, and Black or African Americans. Alcohol use attributed 29.29% of the total effect of SDV victimization on attempted suicide, with 4.11% attributed to alcohol use only, and 25.18% to both interactions (between SDV victimization and alcohol use) and mediation (alcohol use).</p><p><strong>Conclusions: </strong>SDV is associated with suicide attempts among high school students overall and across subgroups. Alcohol use plays a critical mediating role, indicating the need for targeted alcohol-specific interventions to reduce suicide risk, particularly among high-risk groups such as male students, younger cohorts, and racial/ethnic minorities. Prioritizing alcohol interventions among these vulnerable populations may address health disparities in suicide attempts and enhance suicide prevention efforts.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107663"},"PeriodicalIF":4.3,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129050","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":"Mediating role of health behaviors in income-related health inequalities: evidence from socioeconomically deprived rural areas of China.","authors":"Daopeng Duan, Wenning Sun, Jin Hao, Shuwen Bi, Siqian Zhang, Longrui Zou, Zexuan Yu, Shiju Dong, Jiajia Li","doi":"10.1016/j.amepre.2025.107658","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107658","url":null,"abstract":"<p><strong>Introduction: </strong>Existing evidence from high-income countries suggests that higher income is associated with better health outcomes through health-promoting behaviors. However, limited evidence exists regarding income-related health inequalities mediated by health behaviors in low- and middle-income countries. This study focuses on socioeconomically deprived rural areas of China and examines how health behaviors contribute to the association between income and health.</p><p><strong>Methods: </strong>In 2023, a cross-sectional study comprising 6,674 participants was conducted in rural Shandong, China, using a stratified cluster random sampling method. Income was measured using annual per capita net household income. Health behaviors included smoking, overdrinking, teeth brushing, fruit and vegetable consumption, and physical activity. Health status was assessed using the self-rated health (SRH) scale, the activities of daily living (ADLs) scale and EuroQol-5 Dimension (EQ5D). The ordinary least squares (OLS) method was adopted to examine the associations among income, health behaviors and health status after controlling for confounding factors. The non-parametric bootstrapping method was employed to further explore the mediating role of health behaviors in income-related health inequalities.</p><p><strong>Results: </strong>Income was positively associated with SRH, ADLs, EQ5D, and three positive behaviors including teeth brushing, fruit consumption, and physical activity, but was also positively correlated with overdrinking. Mediation analysis revealed that health behaviors mediated 35.05% (SRH), 67.90% (ADLs), and 72.08% (EQ5D) of the association between income and health status.</p><p><strong>Conclusion: </strong>This study has shown income-related inequalities in both health and health behaviors in socioeconomically deprived rural areas of China. The health behaviors mediated the association between income and health status.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107658"},"PeriodicalIF":4.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121449","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":"Health Outcomes and Hormone Therapy Source in Transgender Adults.","authors":"Rishub K Das, Brian C Drolet","doi":"10.1016/j.amepre.2025.107657","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107657","url":null,"abstract":"","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107657"},"PeriodicalIF":4.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121444","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":"Multi-target stool DNA and the Fecal Immunochemical Test: A Systematic Review and Meta-analysis on Test Performances.","authors":"Derek W Ebner, Heather A Johnson, Chris Estes, William K Johnson, Rukaiyya S Khan, Gina Thompson, Joyce Kong, Mark Camardo, Michael Dore, Vahab Vahdat, A Mark Fendrick, Paul J Limburg, John B Kisiel","doi":"10.1016/j.amepre.2025.107654","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107654","url":null,"abstract":"<p><strong>Introduction: </strong>Colorectal cancer (CRC) remains a leading cause of cancer death in the United States. Since the latest USPSTF update, additional studies examining the performance of the multi-target stool DNA (mt-sDNA) and the fecal immunochemical test (FIT) have been published. This analysis builds upon the USPSTF analysis by including recent studies on test performance.</p><p><strong>Methods: </strong>PubMed and Embase were searched for manuscripts published between December 4, 2019, and July 9, 2024, using colonoscopy as the reference standard. Double-blinded reviewers screened articles. Primary outcomes were test sensitivity and specificity for CRC, advanced neoplasia (AN), advanced precancerous lesions (APLs), and non-advanced precancerous lesions (NAPLs).</p><p><strong>Results: </strong>Of 4,320 citations screened, 41 new studies were identified. After combining with 14 studies from the previous USPSTF evidence review, 55 studies were analyzed. Forty-one studies reported the performance of FIT alone, ten of mt-sDNA alone, and four reported FIT and mt-sDNA. Of 14 studies evaluating mt-sDNA, two considered the next-generation mt-sDNA test's CRC sensitivity was 93.6% (95% CI:89.0-97.1) for next-generation mt-sDNA and 71.6% (95% CI:64.3-77.9) for FIT. Specificity was 91.6% (95% CI:89.2-93.7) for next-generation mt-sDNA and 96.3% (95% CI:95.4-97.0) for FIT. APL sensitivity was 22.2% (95% CI:20.6-24.0) for FIT and 45.6% (95% CI:40.8-50.4) for next-generation mt-sDNA.</p><p><strong>Discussion: </strong>This meta-analysis revealed that mt-sDNA has high sensitivity for detecting CRC and is more than twice as sensitive than FIT for detecting APL. The lifetime benefit and effectiveness of these tests should be further analyzed.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107654"},"PeriodicalIF":4.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086723","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":"Evaluating School-based Interventions for Preventing and Reducing Tobacco use among Adolescents in Low- and Middle-income Countries: A Systematic Review and Meta-Analysis.","authors":"Sahadat Hossain, Harry Tattan-Birch, Emma Beard, Lion Shahab","doi":"10.1016/j.amepre.2025.107656","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107656","url":null,"abstract":"<p><strong>Introduction: </strong>Tobacco-related disease and death remain high in many low- and middle-income countries (LMICs), and most people start using tobacco during adolescence. This study evaluated the effectiveness of school-based interventions in preventing and reducing tobacco use among adolescents in LMICs.</p><p><strong>Methods: </strong>Seven databases were searched until 20 March 2024. The primary outcome was tobacco use prevalence (ever or point prevalence) at the longest follow-up. Risk of bias (RoB) was assessed, and random-effects meta-analyses were conducted, exploring heterogeneity via meta-regression (PROSPERO registration CRD42022330329).</p><p><strong>Results: </strong>Twenty-seven studies (n=57,292) were summarised descriptively, and 20 were meta-analysed. Most studies were from Brazil (n=5, 18.5%), India (n=5, 18.5%), China (n=3, 11.1%), and Pakistan (n=2, 7.4%); twelve (44.4%) assessed newly developed and fifteen (55.6%) culturally adapted existing interventions; and over half (n=14, 51.9%) focused solely on preventing and reducing tobacco use while the rest addressed multiple behaviours. Overall, interventions reduced adolescent tobacco use (odds ratio [OR] 0.76, 95% confidence interval [CI]: 0.64-0.91; I²=47%; n=20; 50,056 participants). Stratification by outcome measure showed significant reductions in point prevalence (OR 0.69, 95% CI: 0.57-0.85; I²=32.4%). After adjusting for study duration, interventions with higher contact time had lower effectiveness than shorter interventions (adjusted OR 1.36, 95% CI: 1.01-1.84; p=0.045; I²=22%). Low RoB studies demonstrated lower odds of tobacco use among participants (OR 0.66, 95% CI: 0.50-0.87; I²=14%; n=6).</p><p><strong>Discussion: </strong>School-based interventions in LMICs effectively reduce the proportion of adolescents who use tobacco. Shorter interventions appeared to be effective, suggesting that brief yet engaging interventions may offer practical advantages and could contribute to addressing the tobacco epidemic in LMICs. Further research is needed to determine optimal intervention duration and intensity for sustained effectiveness.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107656"},"PeriodicalIF":4.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086782","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 Impact of Extreme Risk Protective Orders on Firearm Fatalities.","authors":"Wenying Gu, Brad N Greenwood, Ritu Agarwal, Paul S Nestadt","doi":"10.1016/j.amepre.2025.107652","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107652","url":null,"abstract":"<p><strong>Introduction: </strong>Although a growing number of states have implemented Extreme Risk Protective Orders (ERPOs) to curb gun violence, existing studies on ERPOs have been limited in scope, focusing on a few states, and often lacking robust methodologies to identify their effects. In this work, we estimate the effect of ERPO codification on firearm fatalities (homicides and suicides). Further, we examine heterogeneity in fatalities across racial subpopulations and those who can petition for such restrictions (viz. law enforcement, family members, healthcare professionals).</p><p><strong>Methods: </strong>Using a difference in difference approach, we estimate changes in outcomes across nineteen treated states and the District of Columbia which implemented ERPOs, and thirty-one control states. The sample runs from 1998 to 2020, including 288,250 homicides and 450,956 suicides involving firearms. Data are drawn from National Center for Health Statistics (NCHS) death certificates.</p><p><strong>Results: </strong>Empowering health professional petitioners significantly reduces suicides overall, most prominently among White victims (-14.79% [95% CI, -19.18% to -10.24%], 7∼16 state yearly net effect). Including family members as petitioners significantly decreases homicides overall, and most prominently among Black victims to varying degrees in most models.</p><p><strong>Conclusions: </strong>Results indicate significant differences in the efficacy of ERPO implementation on firearm-related homicides and suicides across petitioners and subpopulations. Our study underscores the benefits of diversified petitioners and their role in ending violence across different communities.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107652"},"PeriodicalIF":4.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057480","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":"Sexual minority identity and physical illnesses: Role of life course victimization and gender differences.","authors":"Aura Ankita Mishra, Ainsley Yanz, Laura M Schwab-Reese, Carolyn T Halpern, Kathleen Mullan Harris","doi":"10.1016/j.amepre.2025.107650","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107650","url":null,"abstract":"<p><strong>Introduction: </strong>Sexual minority (SM) individuals experience higher rates of victimization and chronic physical health conditions. There are also known differences by gender in both victimization rates and victimization-linked chronic physical health conditions. However, few studies have examined gender differences regarding the association between SM identity and chronic physical health conditions via cumulative life-course victimization, cumulative childhood victimization, and cumulative adult victimization.</p><p><strong>Methods: </strong>The present research uses a nationally representative dataset - the National Longitudinal Study of Adolescent to Adult Health (data collected from 1994-2018) - to examine 1) cumulative violence victimization across the life-course and 2) the relative importance of violence victimization in childhood and adulthood as pathways between SM identity and chronic physical health conditions while estimating differences by gender. Data processing and analysis were conducted between 8/2021 and 12/2024.</p><p><strong>Results: </strong>Women who identified as Mostly Heterosexual and Bisexual were more likely to experience chronic physical health disparities via indirect associations through victimization accumulation across the life-course and violence victimization both in childhood and adulthood. Among Lesbian women there was an indirect association between sexual orientation and chronic physical health conditions via cumulative life-course victimization and childhood victimization.</p><p><strong>Conclusions: </strong>Findings demonstrate that for women who identify as Mostly Heterosexual and Bisexual, victimization-related chronic physical health vulnerabilities may manifest even before mid-life and both childhood and adult exposures are critical for physical health disparities in these groups. In contrast, childhood victimization maybe a more pervasive factor for chronic physical health conditions among Lesbian women.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107650"},"PeriodicalIF":4.3,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048170","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":"Perceived difficulty of flavored tobacco purchase: Early effects of a statewide flavor policy among young people.","authors":"Jennifer M Kreslake, Elizabeth L Seaman, Stephanie N Yoon, Jamie Cordova, Barbara A Schillo, Kristy Marynak","doi":"10.1016/j.amepre.2025.107651","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107651","url":null,"abstract":"<p><strong>Introduction: </strong>In December 2022, California enacted a policy restricting the sale of flavored tobacco products. This study tested whether perceived difficulty of purchasing flavored tobacco products from retailers changed among youth and young adults following the enactment of California's policy.</p><p><strong>Methods: </strong>Data were from the Tobacco Epidemic Evaluation Network (TEEN+) study, a probability-based national longitudinal cohort (aged 13-24 years) survey which fielded pre-policy (W1: July-October 2022) and post-policy (W2: March-June 2023). Respondents reported perceived difficulty (0=somewhat/very easy, 1=somewhat/very hard) at both waves. The analysis was restricted to respondents who had ever used tobacco by W1 (California n=527; rest of US n=2,220). Weighted GEE analyses tested for differences in PD at W2 versus W1.</p><p><strong>Results: </strong>California respondents were significantly more likely to perceive difficulty in purchasing: flavored e-cigarettes (aOR: 2.12, P<0.001); menthol cigarettes (aOR: 2.16, P=0.007); and flavored cigars (aOR: 2.76, P=0.012) at W2 versus W1. Among the rest of US sample, no significant increases in perceived difficulty were observed for any product type at W2 versus W1. At W2, most California respondents perceived flavored products to be easy to purchase (flavored e-cigarettes: 73.8%; menthol cigarettes: 72.9%; flavored cigars: 83.2%).</p><p><strong>Conclusions: </strong>California youth and young adults who had ever used tobacco were more likely to perceive difficulty in purchasing flavored tobacco products following California's policy, compared to pre-policy. Increases in perceived difficulty were not observed among other US respondents. Nonetheless, most perceive the purchase of flavored tobacco products to be somewhat or very easy following the California policy. Monitoring and enforcement are needed to ensure compliance with the statewide policy.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107651"},"PeriodicalIF":4.3,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023731","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":"Healthcare Utilization and Preventive Cardiovascular Health Screening Among Adults with Disabilities Amid COVID-19 Phases.","authors":"Annaliese Pena, Palma Bauman, Peyton Free, Rochelle Brittingham, Dana Holz, Daniel Harris, Tarang Parekh","doi":"10.1016/j.amepre.2025.107648","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107648","url":null,"abstract":"<p><strong>Introduction: </strong>This study examines healthcare utilization and preventive cardiovascular (CV) health screening among US adults, in 2021-2023 compared to pre-pandemic year 2019, by disability status.</p><p><strong>Methods: </strong>This repeated cross-sectional analysis conducted in 2024, used data from National Health Interview Survey for years 2019 to 2023, including 150,198 adults. Disabilities were categorized as sensory, cognitive, physical, multiple, or none. Healthcare utilization measures (usual care source, wellness visits, and delayed/unmet care due to cost), and preventive screenings (blood pressure, cholesterol, glucose, flu-shot) were analyzed using descriptive methods and Poisson regression, reporting adjusted rate ratios(ARRs) with 95%CIs.</p><p><strong>Results: </strong>During the COVID-19 pandemic, CV health screening rates decreased across all disability types except sensory disability. Blood pressure screening for adults with cognitive disabilities dropped from 89% in 2019 to 83% in 2021, while blood glucose screening for those with multiple disabilities declined from 83.9% to 78.4%. Cholesterol screenings decreased across all disability types in 2021 but increased among adults with sensory disabilities in 2023 (ARR 1.07, 95%CI: 1.03-1.09). Notably, adults with cognitive (ARR:1.23, 95%CI: 1.03-1.43) and physical (ARR:1.13, 95%CI: 1.01-1.27) disabilities reported higher unmet medical needs due to cost compared to those without disabilities. Such differences persisted even after adjusting for pandemic related socioeconomic changes (income, citizenship, employment, insurance).</p><p><strong>Conclusion: </strong>U.S. adults with disabilities experienced increased delays in medical care and declines in cardiovascular screenings during the COVID-19 pandemic, highlighting ongoing disparities in healthcare utilization. These findings underscore the urgent need for public health initiatives to enhance preventive health screening uptake among adults with disabilities.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107648"},"PeriodicalIF":4.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042867","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":"Foregone Preventive Care and Unmet Mental Healthcare Needs Among U.S. Youth.","authors":"Anthony L Bui, Alexis M Ball, Linda K Ko, Marie Ng, Frederick P Rivara, Tumaini R Coker","doi":"10.1016/j.amepre.2025.107644","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107644","url":null,"abstract":"<p><strong>Introduction: </strong>Given the youth mental health crisis, this study examines racial and ethnic disparities of foregone preventive care, unmet mental healthcare needs, and difficulty accessing mental healthcare among youth with common mental health problems.</p><p><strong>Methods: </strong>A cross-sectional analysis was conducted using the 2022 National Survey of Children's Health (NSCH), examining U.S. youth aged 8-17 with parent-reported anxiety, depression, or behavioral problems. NSCH survey weights were utilized, and odds ratios were estimated for each racial and ethnic group across foregone preventive care, unmet mental healthcare needs, and difficulty obtaining mental healthcare, adjusting for age, sex, language, income, parental education, and insurance.</p><p><strong>Results: </strong>Among the weighted sample of 6,608 youth with common mental health problems, 14.2% of children with common mental health problems had forgone preventive care, 15.1% had unmet mental healthcare needs, and 59.2% had difficulty obtaining mental healthcare. Per parental report, Black children had 1.59 [95% CI, 1.01-2.51] times the odds of foregoing preventive care in the past year compared to White children. Asian children had 2.32 [1.18-4.48] times the odds of unmet mental healthcare compared to White children. There were no significant differences in difficulty obtaining mental healthcare across race and ethnicity.</p><p><strong>Conclusions: </strong>Racial and ethnic disparities exist in accessing preventive and mental healthcare among children with parent-reported mental health conditions. Black youth have higher rates of foregone preventive care, while Asian youth have higher unmet mental healthcare needs compared to White youth. Further research should explore barriers and facilitators of collaborative care to reduce youth mental healthcare disparities.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107644"},"PeriodicalIF":4.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039162","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}