American Journal of Preventive Medicine最新文献

{"title":"Adolescent Cannabis Vaping Trends (2021-2023): Delta-9-Tetrahydrocannabinol, Cannabidiol, and Synthetic Cannabinoids.","authors":"Jack Chung, Carmen C W Lim, Daniel Stjepanović, Wayne Hall, Jason P Connor, Gary C K Chan","doi":"10.1016/j.amepre.2025.107655","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107655","url":null,"abstract":"<p><strong>Introduction: </strong>This study tracks national prevalence trends in the vaping of different cannabinoids among U.S. youths. Current (past 30-day) adolescent vaping prevalence of delta-9-tetrahydrocannabinol, cannabidiol, and synthetic cannabinoids from 2021 to 2023 was estimated.</p><p><strong>Methods: </strong>Data came from 3 National Youth Tobacco Survey waves for the years 2021 (n=20,128), 2022 (n=27,965), and 2023 (n=21,806), comprising a total of 69,899 U.S. middle- and high-school students (aged 11-18 years). The population estimates and the weighted prevalence of current adolescent vaping of delta-9-tetrahydrocannabinol, cannabidiol, and synthetic cannabinoids were estimated by survey year and separately by age and biological sex. Analyses were conducted in 2024.</p><p><strong>Results: </strong>There was a significant increase in adolescent vaping of delta-9-tetrahydrocannabinol, cannabidiol, and synthetic cannabinoids from 2021 to 2023. Delta-9-tetrahydrocannabinol vaping peaked in 2022, whereas the use of synthetic cannabinoids continued to increase. It is estimated that 7.4% (or 2.55 million) of U.S. adolescents were currently vaping delta-9-tetrahydrocannabinol, whereas 2.9% (or 999,000) were vaping cannabidiol, and 1.8% (or 620,000) were vaping synthetic cannabinoids in 2023. Notably, the prevalence of delta-9-tetrahydrocannabinol, cannabidiol, and synthetic cannabinoids vaping was higher among females than among males in 2023, where prevalence of both delta-9-tetrahydrocannabinol and synthetic cannabinoids vaping among those aged 11-13 years doubled between 2021 and 2023. In addition, uncertain respondents answering don't know whether they had vaped synthetic cannabinoids, tripled across the years.</p><p><strong>Conclusions: </strong>This study reveals that vaping of delta-9-tetrahydrocannabinol, cannabidiol, and synthetic cannabinoids has increased among U.S. adolescents from 2021 to 2023. Further research is essential to understand the nature of adolescent cannabis vaping and its implications on youth health.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107655"},"PeriodicalIF":4.3,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545928","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":"Dental Care Utilization Among Medicaid-Enrolled Adults With Substance Use Disorder","authors":"Carla Shoff PhD ,&nbsp;Christopher M. Jones PharmD, DrPH ,&nbsp;Luping Qu MD, MS ,&nbsp;Jennifer Y. Webster-Cyriaque DDS, PhD ,&nbsp;Shari M. Ling MD ,&nbsp;Wilson M. Compton MD, MPE ,&nbsp;Natalia I. Chalmers DDS, MHSc, PhD","doi":"10.1016/j.amepre.2025.107937","DOIUrl":"10.1016/j.amepre.2025.107937","url":null,"abstract":"<div><h3>Introduction</h3><div>Low-income Medicaid-enrolled adults are likely to have poor oral health and experience substance use disorders. Despite emerging evidence that comprehensive dental care can improve substance use disorder outcomes, there is a lack of evidence about the overlap of substance use disorder and dental care utilization. This study aims to fill that gap.</div></div><div><h3>Methods</h3><div>This cross-sectional study used 2019 data from the Transformed Medicaid Statistical Information System Analytic Files and included over 30 million nondually eligible Medicaid-enrolled adults aged 21–64 years. Clustered-robust SE logistic regression models were used to predict the odds of receiving early-stage dental care. Analyses were performed in 2024.</div></div><div><h3>Results</h3><div>Nationally, 56.45 per 1,000 Medicaid-enrolled adults were diagnosed with substance use disorders. There was significant variation in substance use disorder prevalence across states, ranging from 27.11 to 103.45 per 1,000 adults. On average, 173.78 adults per 1,000 accessed dental care, although access varied significantly across states, ranging from 1.69 to 347.27 per 1,000. Adults living in states with extensive Medicaid dental coverage had the highest rates of dental care utilization: 270.38 per 1,000 adults with substance use disorders and 215.39 per 1,000 adults without substance use disorders. The odds of receiving early-stage dental care were 42% lower for Medicaid-enrolled adults with substance use disorders than for those without substance use disorders.</div></div><div><h3>Conclusions</h3><div>This study found considerable variation in the prevalence of substance use disorders and dental care utilization across states. Further research is needed to uncover the factors driving these variations and inform policy and clinical interventions to improve dental care access for Medicaid-enrolled adults, especially those with substance use disorders.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"69 3","pages":"Article 107937"},"PeriodicalIF":4.3,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286954","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":"Medicaid State Level Cost Impact of Glucagon-like Peptide-1 Coverage for Obesity.","authors":"Kathryn Christensen, Tiffany Lee, Timothy Dollear, Angela Inneh, Urvashi Patel","doi":"10.1016/j.amepre.2025.107934","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107934","url":null,"abstract":"","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107934"},"PeriodicalIF":4.3,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286955","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":"Trends in Nonfatal Fentanyl Exposures Involving Stimulants in the United States, 2015–2023","authors":"Nicole D. Fitzgerald PhD ,&nbsp;Joshua C. Black PhD ,&nbsp;Linda B. Cottler PhD, MPH ,&nbsp;Silvia S. Martins MD, PhD ,&nbsp;Joseph J. Palamar PhD, MPH","doi":"10.1016/j.amepre.2025.107742","DOIUrl":"10.1016/j.amepre.2025.107742","url":null,"abstract":"<div><h3>Introduction</h3><div>Fentanyl-related deaths involving stimulants have increased in the U.S., but little is known about nonfatal overdoses involving use. This study examined national trends in nonfatal fentanyl-related exposures involving co-use of cocaine or methamphetamine.</div></div><div><h3>Methods</h3><div>In this cross-sectional analysis, data from U.S. poison centers were used to estimate annual trends in reported exposures involving fentanyl and stimulant use from 2015 to 2023. Cases included patients aged ≥13 with exposures involving intentional misuse or “abuse” of fentanyl where nonfatal adverse effects occurred (<em>n</em>=13,173). Co-exposure trends were examined, and multivariable logistic regression models were used to estimate how region and medical outcome severity were associated with (1) fentanyl–cocaine use (versus fentanyl, no cocaine use) and (2) fentanyl–methamphetamine use (versus fentanyl, no methamphetamine use).</div></div><div><h3>Results</h3><div>Between 2015 and 2023, among fentanyl-related exposures, cocaine use increased from 1.3% to 10.0% (669.2% increase, <em>p</em>&lt;0.001) and methamphetamine use increased from 1.5% to 10.8% (620.0% increase, <em>p</em>&lt;0.001). Exposures in the Northeast were associated with higher odds of cocaine co-use, while exposures in the Midwest, South, and West were associated with higher odds of methamphetamine co-use. Compared to those with less severe effects, those with a major (life-threatening) effect had higher odds of cocaine co-use, but lower odds of methamphetamine co-use.</div></div><div><h3>Conclusions</h3><div>Similar to drug-related mortality trends, nonfatal fentanyl poisonings involving co-use of cocaine or methamphetamine increased in recent years and became increasingly widespread. Differences in experience of life-threatening adverse effects linked to different stimulants suggests varying risk according to which stimulant is involved.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"69 3","pages":"Article 107742"},"PeriodicalIF":4.3,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276538","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":"Suicide by Cop following an Emergency Dispatch from the Veterans Crisis Line.","authors":"Peter C Britton, Kipling M Bohnert, Lauren M Denneson, Dara Ganoczy, Mark A Ilgen","doi":"10.1016/j.amepre.2025.107743","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107743","url":null,"abstract":"","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107743"},"PeriodicalIF":4.3,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235845","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":"Cannabis use & food insecurity risk among U.S. adults with & without children.","authors":"Rishika Chakraborty, Gabby Headrick, Katelyn F Romm, Yan Wang, Darcey McCready, Patricia A Cavazos-Rehg, Laura C Schubel, Morgan Speer, Y Tony Yang, Carla J Berg","doi":"10.1016/j.amepre.2025.107740","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107740","url":null,"abstract":"<p><strong>Introduction: </strong>The prevalence of cannabis use and food insecurity (FI) have increased in the United States, yet how cannabis use and FI interact, particularly among young parents, remains understudied. This study assessed associations between cannabis use and FI among young adults and differences based on parental status.</p><p><strong>Methods: </strong>The study analyzed two waves (W1-W2) of survey data from 2023-2024 among 3437 US young adults (ages 18-34; M_age=26.4, 61.6% female, 30.4% parents, 27.5% sexual minority, 12.5% Black). Logistic regressions examined W1 past-month cannabis use and W2 past-year FI, and W2 FI and W2 past-month cannabis use, cannabis expenditures, and impact of cannabis cost on amount used, separately, adjusting for sociodemographics and state non-medical cannabis laws. The moderating effect of parental status on each of the above associations was assessed.</p><p><strong>Results: </strong>At W1, 46.6% of participants reported cannabis use. At W2, 39.5% reported cannabis use, 48.2% FI, and 22.9% cannabis use and FI. W1 cannabis use was associated with greater odds of W2 FI (adjusted odds ratio [aOR]=1.62, 95%CI=1.39, 1.88). W2 FI was associated with greater odds of W2 cannabis use (aOR=1.44, 95%CI=1.24, 1.68), greater cannabis expenditures (aOR=1.44, 95%CI=1.17, 1.78), and greater impact of cannabis cost on use (aOR=1.92, 95%CI=1.57, 2.35). The associations between W2 FI and W2 cannabis use were stronger among parents compared to adults without children.</p><p><strong>Conclusions: </strong>Socio-structural, economic, and individual interventions are needed to mitigate FI and address the dynamics between FI and cannabis use that could perpetuate disparities related to FI and cannabis use.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107740"},"PeriodicalIF":4.3,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235843","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":"Neighborhood Firearm Violence, Psychosocial Risks, and Youth Firearm Perception","authors":"Jungwon Min PhD, MS ,&nbsp;Vicky Tam MA ,&nbsp;Stephanie Mayne PhD, MHS ,&nbsp;Polina Krass MD ,&nbsp;Joel A. Fein MD, MPH","doi":"10.1016/j.amepre.2025.107741","DOIUrl":"10.1016/j.amepre.2025.107741","url":null,"abstract":"<div><h3>Introduction</h3><div>Youth firearm access is associated with psychosocial behaviors, violence, and injury. Some youth without firearms at home perceive they could obtain one, indicating higher risk than those with securely stored firearms. This study examined youth and neighborhood factors associated with perceived firearm availability.</div></div><div><h3>Methods</h3><div>This cross-sectional study analyzed 23,334 emergency department visits by youth aged 14–18 years completing Behavioral Health Screening (2013–2024) for firearm availability and psychosocial risks. Neighborhood firearm violence and child opportunity index scores were linked to patients’ census tracts. Patient and neighborhood characteristics were compared across groups: no firearm availability, at-home availability, and perceived availability. Mixed-effects models and mediation analyses further examined the associations.</div></div><div><h3>Results</h3><div>Among 16,174 patients (65% Medicaid insured, 75% in very low child opportunity index neighborhoods), perceived firearm availability was associated with racial/ethnic minority status, reported fighting, retaliation, at-risk substance use, school bullying, intimate partner violence, lower child opportunity index and higher neighborhood firearm violence. At-home firearm availability was linked to non-Hispanic White status, non-Medicaid insurance, emergency department visits for mental health, higher COI, and lower firearm violence (all <em>p</em>&lt;0.001). Among those without firearms at home, fighting (OR=3.6; 95% CI=3.1, 4.3) and high neighborhood firearm violence (OR=1.8; 95% CI=1.5, 2.3) were associated with perceived availability after covariate adjustment. Fighting behaviors mediated 32% of the total effect of neighborhood firearm violence on perceived firearm availability.</div></div><div><h3>Conclusions</h3><div>Youth fighting and high neighborhood firearm violence were associated with perceived firearm availability, highlighting the connection between violence exposure and firearm perceptions. ED-based screening for perceived firearm availability may help intervene youth firearm carriage and future violence.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"69 3","pages":"Article 107741"},"PeriodicalIF":4.3,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235844","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":"Prevalence and Correlates of Healthy Behaviors Among Children Age 3-5 Years.","authors":"Julie F Donney, Ashley H Hirai, Reem M Ghandour, Heather C Hamner, Carrie A Dooyema, Kelly L Dahl, Jessica R Jones","doi":"10.1016/j.amepre.2025.02.020","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.02.020","url":null,"abstract":"<p><strong>Introduction: </strong>This study examined the prevalence and correlates of 6 healthy behaviors among preschool-age children in the United States.</p><p><strong>Methods: </strong>Data from the 2021 and 2022 National Survey of Children's Health were used to examine daily fruit consumption, daily vegetable consumption, no sugary beverage consumption in the past week, frequent outdoor play (≥2 hours/day), limited screen time (≤1 hour/weekday), and adequate sleep (≥10 hours/day) among children ages 3-5 years (N=23,123). Relationships between healthy behaviorss and child, family, community characteristics, and state of residence were examined using logistic regression modeling, accounting for the complex survey design. Analyses were conducted in 2024 using SAS-callable SUDAAN.</p><p><strong>Results: </strong>Prevalence of healthy behaviors varied from 32.4% having no sugary drinks in the past week to 65.3% eating fruit daily. Only 20% engaged in all or nearly all (5-6) healthy behaviors. After adjustment, children engaging in 5-6 HBs were more likely to be younger, non-Hispanic White, have parents with higher education and income, excellent/very good parental mental health, frequent family meals, household food sufficiency, and live in safe neighborhoods, yet prevalence rose to only 30% across any characteristic. The proportion of children engaging in 5-6 healthy behaviors ranged from 6.5% in Mississippi to 46.4% in Vermont, with child, family, and community factors accounting for 43% of the variance between states.</p><p><strong>Conclusions: </strong>There is a need to increase healthy behaviors among preschool-age children and address disparities. Family and community factors associated with healthy behaviors can inform pediatric care, public policy, programmatic investments, and additional research to foster improvement.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107619"},"PeriodicalIF":4.3,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627665","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 Caring for a Disabled Adult and Spousal Caregiver's Chronic Disease: Evidence from a National Study in China.","authors":"Rixiang Xu, Guiyue Ma, Lijiangshan Hua, Yulian Liu, Tingyu Mu, Dandan Chen","doi":"10.1016/j.amepre.2025.107734","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107734","url":null,"abstract":"<p><strong>Objective: </strong>Spousal caregiving for disabled adults poses health risks, yet few studies address chronic diseases among caregivers of middle-aged and older spouses. This study explores the impact of caregiving on caregivers' chronic disease.</p><p><strong>Methods: </strong>Using data from the China Health and Retirement Longitudinal Study, we included 10,090 spousal caregivers of disabled individuals aged ≥45, categorized into current, previous and no-caregiving groups across 2015-2020 waves, and recorded caregiving duration. Chronic diseases (e.g., hypertension, dyslipidemia, diabetes), their counts, and covariates (including sex, age, education level, location, number of children, internet use, drinking and smoking status, physical activity and social activities) were obtained from the 2020 wave. Binary logistic regression assessed the relationship between caregiving status and chronic diseases, while zero-inflated negative binomial regression analyzed caregiving status and duration on disease counts. Analyses were conducted in October 2024.</p><p><strong>Results: </strong>54.55% of the participants were men, and the mean age was 59.35 ± 8.60 years. The current and previous caregiving groups were more likely to have chronic diseases, particularly arthritis and heart disease, compared to the no-caregiving group. Chronic disease counts were also higher in these groups. Longer caregiving duration also was associated with increased disease counts in both the current and previous caregiving groups.</p><p><strong>Conclusion: </strong>Caregiving for disabled middle-aged and older adults is associated with a higher prevalence and greater number of chronic diseases among caregivers. Caregiving duration is also positively associated with chronic disease counts. Tailored health policies and support systems are crucial for improving caregivers' health and care quality for disabled individuals in China.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107734"},"PeriodicalIF":4.3,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200750","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 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":"https://doi.org/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 (CBP) and blood pressure variability (BPV) 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 (CSBP), cumulative diastolic blood pressure (CDBP), systolic blood pressure variability (SBPV), diastolic blood pressure variability (DBPV), and pulse pressure variability (PPV) 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 CSBP, 1.201 (1.044-1.382) for CDBP, 1.220 (1.066-1.396) for SBPV, 1.224 (1.099-1.440) for DBPV, and 1.250 (1.090-1.432) for PPV. CBP and BPV exhibited significant interactions with time in frailty index (FI) progression. The highest quartile of CSBP showed an annual FI increase of 0.018 compared to the lowest quartile, while CDBP (β: 0.012), SBPV (β: 0.012), and PPV (β: 0.014) were also associated with the FI progression.</p><p><strong>Conclusions: </strong>Higher CBP and BPV are associated with an increased FI over time. In adults aged ≥65 years, CBP and BPV 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":4.3,"publicationDate":"2025-05-30","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}