American Journal of Preventive Medicine最新文献_第4页

Leisure-Time Physical Activity and Obesity Risk in Adults in Mexico.

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-02-08 DOI: 10.1016/j.amepre.2025.02.005

Fanny Petermann-Rocha, Evelia Apolinar-Jiménez, Gerson Ferrari, Catalina Medina, Gary O'Donovan

{"title":"Leisure-Time Physical Activity and Obesity Risk in Adults in Mexico.","authors":"Fanny Petermann-Rocha, Evelia Apolinar-Jiménez, Gerson Ferrari, Catalina Medina, Gary O'Donovan","doi":"10.1016/j.amepre.2025.02.005","DOIUrl":"10.1016/j.amepre.2025.02.005","url":null,"abstract":"Introduction: Very little is known about the longitudinal associations between physical activity and obesity in Latin America. Therefore, the purpose of this study was to investigate associations of leisure-time physical activity with abdominal and general obesity in adults in Mexico.Methods: Participants in the Mexico City Prospective Study were surveyed from 1998 to 2004 and resurveyed from 2015 to 2019. Leisure-time physical activity volume at baseline was categorized as none or low or, alternatively, medium or high. Abdominal obesity at resurvey was defined as waist circumference ≥88 cm in women and ≥102 cm in men, while general obesity as BMI ≥30 kg/m2. Logistic regression models were adjusted for sociodemographic and lifestyle factors. Sensitivity analyses were also conducted in people who had never smoked and using different obesity scenarios.Results: The analysis included 9,782 adults aged 51 (11) years at baseline (mean [SD]). There were 6,818 cases of abdominal obesity and 2,964 cases of general obesity at resurvey. Compared with the group that reported little or no leisure-time physical activity, the OR (95% CI) for abdominal obesity was 0.86 (0.76, 0.98), and the OR for general obesity was 0.85 (0.75, 0.96) in the group that reported medium or high leisure-time physical activity. Similar associations were observed in participants who never smoked and in some of the obesity scenarios.Conclusions: This novel study suggests that leisure-time physical activity is associated with reduced risk of both abdominal and general obesity in adults in Mexico.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392244","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

Perceived Benefits and Risks of Keeping Firearms in and Around the Home: Results From a Nationally Representative Survey.

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-02-07 DOI: 10.1016/j.amepre.2025.01.012

Michael D Anestis, Kimberly Burke, Allison E Bond, Sultan Altikriti, Daniel C Semenza

{"title":"Perceived Benefits and Risks of Keeping Firearms in and Around the Home: Results From a Nationally Representative Survey.","authors":"Michael D Anestis, Kimberly Burke, Allison E Bond, Sultan Altikriti, Daniel C Semenza","doi":"10.1016/j.amepre.2025.01.012","DOIUrl":"10.1016/j.amepre.2025.01.012","url":null,"abstract":"Introduction: This study aimed to characterize the extent to which individuals perceive value and risk from firearm access and to what extent these perceptions vary across subpopulations.Methods: A nationally representative sample (n=8,009) recruited from Ipsos KnowledgePanel completed an online survey May 15 to May 28, 2024. Data were analyzed in 2024.Results: Most (63.2%) individuals believe firearms increase safety in the case of home invasions. With respect to suicide risk, the most common response is that firearm access has no impact (36.3%). Those who perceive greater protective value from firearms tended to perceive less of an association with suicide risk. Individuals endorsing conspiratorial beliefs and those who report typically storing firearms loaded and unlocked perceived more protective value and less suicide risk. Those with prior gun violence exposure perceived greater protective value but did not differ on levels of perceived suicide risk.Conclusions: U.S. residents may overstate the protective value of firearms while discounting risk. Certain groups, including those susceptible to conspiratorial beliefs, appear prone to these skewed perceptions. An imbalance in the available information on the risks and benefits of firearm access may perpetuate risky behaviors.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383959","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

Statin Use and Cardiovascular Risk in Young Adults in the United States.

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-02-06 DOI: 10.1016/j.amepre.2025.02.001

Om A Kothari, John Stone, Alan Manivannan, Alejandro Segarra-Concepcion, Grace M Ferri, Rohan Ganti, Sarika D Gurnani, Nyshidha Gurijala, Camilo Toro, Nicholas A Bosch, Sophie E Claudel

{"title":"Statin Use and Cardiovascular Risk in Young Adults in the United States.","authors":"Om A Kothari, John Stone, Alan Manivannan, Alejandro Segarra-Concepcion, Grace M Ferri, Rohan Ganti, Sarika D Gurnani, Nyshidha Gurijala, Camilo Toro, Nicholas A Bosch, Sophie E Claudel","doi":"10.1016/j.amepre.2025.02.001","DOIUrl":"10.1016/j.amepre.2025.02.001","url":null,"abstract":"Introduction: Atherosclerotic cardiovascular disease pathogenesis begins in early adulthood, yet guidance on statin use for primary prevention in young adults is limited.Methods: This is a retrospective multicenter cohort study of adults aged 20-39 years receiving primary care within 87 U.S. health systems (2022-2023). The study included patients with at least 1 low-density lipoprotein cholesterol (LDL-C) measurement. The primary outcome was the measured the proportion of patients prescribed a statin within 1 month of LDL-C testing. The characteristics of those who were and were not prescribed statins were compared using standardized mean differences. Finally, the PREVENT 10- and 30-year ASCVD risk scores for the \"average\" patient (using the cohort mean values of risk score variables), a \"lower-risk\" patient, and a \"higher-risk\" patient were compared (using pooled values 1 SD below and above the mean, respectively). Analyses were conducted in 2024-2025.Results: Statins were initiated in 3,309 of 775,162 patients. Those who received statins were more likely to be older, male, and have higher mean LDL-C, systolic blood pressure, HgA1c, and BMI (standardized mean differences >0.10). PREVENT 10-year risk scores were similar or higher among those prescribed statins compared to those not prescribed statins for the average (0.75% vs 0.76%), lower-risk (0.19% vs 0.35%), and higher-risk (8.87% vs 4.55%) groups.Conclusion: In a multicenter cohort, 0.43% of young adults were prescribed a statin within 1 month of initial LDL-C measurement. The average patient would not have qualified for statin therapy based on their PREVENT risk percentile. Future studies should evaluate the cost effectiveness of statins for primary prevention in patients aged 20 to 39 years.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374696","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

Differences in Prescription Drug Misuse Among U.S. Adults With and Without Disabilities.

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-02-05 DOI: 10.1016/j.amepre.2025.01.025

Jeanette M Garcia, Samantha M Ross-Cypcar, Justin A Haegele

{"title":"Differences in Prescription Drug Misuse Among U.S. Adults With and Without Disabilities.","authors":"Jeanette M Garcia, Samantha M Ross-Cypcar, Justin A Haegele","doi":"10.1016/j.amepre.2025.01.025","DOIUrl":"10.1016/j.amepre.2025.01.025","url":null,"abstract":"Introduction: Increasing evidence suggests that adults with disabilities have higher rates of drug misuse than adults without disabilities; however, there is limited information on rates of commonly misused prescription drugs (e.g., stimulants, opioids, tranquilizers) to quantify the magnitude of this disparity. Thus, the purpose of this cross-sectional study is to examine and compare the prevalence rates of prescription drug misuse by disability status and age group in a national sample of U.S. adults.Methods: Data (n=47,100 adults) from the 2021 National Survey on Drug Use and Health were stratified by age group: (1) 18-29 years, (2) 30-49 years, (3) 50-64 years, and (4) ≥65 years. Disability status, defined as difficulties with vision, hearing, ambulation, cognition, self-care, or communication, and misuse of prescription drugs were treated as dichotomous variables. Rao-Scott chi-square tests examined differences in misuse between individuals with and without disabilities, by age group, and logistic regression models estimated the OR for past-year misuse among individuals with disabilities compared with that among same-age peers without disabilities.Results: Adults with disabilities in the age groups of 18-29 and 30-49 years had twice the odds of misusing stimulants, tranquilizers, and pain relievers as adults without disabilities. Adults with disabilities in both the age groups of 50-64 and ≥65 years had over twice the odds of misusing pain relievers as adults without disabilities; however, there were no significant differences in stimulant or tranquilizer misuse.Conclusions: Given the disparity in prescription drug misuse in adults with disabilities across all age groups and prescription drug categories, further research should focus on prevention and treatment of misuse in this population.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374690","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

Role of Cardiovascular Deaths on Changes in the Longevity Gap Between U.S. and Other Countries.

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-02-05 DOI: 10.1016/j.amepre.2025.02.002

Octavio Bramajo Hemsi, Neil Mehta

{"title":"Role of Cardiovascular Deaths on Changes in the Longevity Gap Between U.S. and Other Countries.","authors":"Octavio Bramajo Hemsi, Neil Mehta","doi":"10.1016/j.amepre.2025.02.002","DOIUrl":"10.1016/j.amepre.2025.02.002","url":null,"abstract":"Introduction: Between 2008 and 2019 the gap in life expectancy between the U.S. and other high-income countries grew significantly, with the reasons for the growth remaining unknown. This study measured the contribution of cardiovascular disease mortality in the growth of the gap in life expectancy at age 50 years (LE50) between the U.S. and 10 other high-income countries.Methods: Cross-sectional observational study in 2008 and 2019, using Human Mortality Database and World Health Organization data for population aged 50 years plus as participants. Actual and counterfactual LE50s were compared to quantify the effect of cardiovascular disease mortality on the growth in the gap. Two counterfactual LE50s were calculated, one based on a cause-deleted method, and another by applying the U.S. trends to other countries. A decomposition was performed to quantify the combined effects of selected death causes and ages.Results: The U.S. was the worst-performing country regarding cardiovascular disease mortality improvements between 2008 and 2019. The LE50 gap between the U.S. and the average of the other high-income countries grew 0.33 years for women, explained entirely by cardiovascular disease mortality, and 0.79 years for men, 50% of which was explained by cardiovascular disease mortality. Cardiovascular disease mortality after age 70 years was responsible for 81% of the growth of the gap among women, while for men cardiovascular disease mortality after age 70 years contributed 36%.Conclusions: The slow rate of decline of cardiovascular disease mortality in the U.S. was the main driver of the growth of the LE50 gap between the U.S. and other high-income countries, so prevention of those deaths is critical.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374691","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

Enhanced Stroke Risk Stratification Using Triglyceride-Glucose-Waist Circumference in Chinese Adults Without Diabetes.

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-02-04 DOI: 10.1016/j.amepre.2025.01.022

Xiaoyan Wang, Shuchuan Miao

{"title":"Enhanced Stroke Risk Stratification Using Triglyceride-Glucose-Waist Circumference in Chinese Adults Without Diabetes.","authors":"Xiaoyan Wang, Shuchuan Miao","doi":"10.1016/j.amepre.2025.01.022","DOIUrl":"10.1016/j.amepre.2025.01.022","url":null,"abstract":"Introduction: Insulin resistance is a well-establsihed risk factor for stroke. However, the relationship between triglyceride-glucose (TyG) index; its modified indices‒TyG-waist circumference (TyG-WC); TyG-waist-to-height ratio (TyG-WHtR); and TyG-BMI and the risk of stroke in populations without diabetes remains underexplored.Methods: Data from the CHARLS on 4,029 participants without diabetes aged 45+ years at baseline (2011‒2012) were analyzed, with follow-ups through 2020. Statistical analysis and modeling were performed in 2024. Incident strokes occurring between 2015 and 2020 were examined. TyG and its modified indices were categorized into tertiles and analyzed based on baseline levels, changes over time, and cumulative measures. Changes in TyG and its modified indices were identified using K-means clustering, while cumulative indices were calculated using a formula: (TyG2012+TyG2015)/2 × time (2015-2012).Results: Between 2015 and 2020, 225 participants (5.6%) experienced a stroke. After full adjustment, for cofounders only TyG-WC remained significantly associated at each level across its baseline levels, changes, and cumulative measures (p<0.05), outperforming TyG, TyG-WHtR and TyG-BMI. Compared to Tertile 1, AORs (95% CIs) for stroke associated with TyG-WC were 1.64 (1.10, 2.47) in Tertile 2 and 1.79 (1.15, 2.82) in Tertile 3. For changes in TyG-WC, ORs (95% CIs) were 1.70 (1.14, 2.60) in Class 2 and 1.80 (1.11, 2.97) in Class 3. Regarding cumulative TyG-WC, the ORs (95% CIs) were 1.61 (1.08, 2.41) for Tertile 2 and 1.70 (1.10, 2.66) for Tertile 3. Additionally, TyG-WC demonstrated superior predictive performance for stroke compared to other indices.Conclusions: TyG-WC is strongly associated with stroke risk in populations without diabetes, offering superior risk stratification compared to other TyG indices.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366735","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

Well-Being and Suicidal Ideation in U.S. Veterans: Age Cohort Effects During Military-to-Civilian Transition.

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-02-04 DOI: 10.1016/j.amepre.2025.01.023

Shelby Borowski, Eric D Caine, Shaina A Kumar, Elizabeth Karras, Stephanie Gamble, Dawne Vogt

{"title":"Well-Being and Suicidal Ideation in U.S. Veterans: Age Cohort Effects During Military-to-Civilian Transition.","authors":"Shelby Borowski, Eric D Caine, Shaina A Kumar, Elizabeth Karras, Stephanie Gamble, Dawne Vogt","doi":"10.1016/j.amepre.2025.01.023","DOIUrl":"10.1016/j.amepre.2025.01.023","url":null,"abstract":"Introduction: Life transitions often bring stress and uncertainty and may lead to poor long-term health outcomes if not navigated successfully. Every year over 200,000 U.S. service members transition from military to civilian life. Given that transition may be particularly challenging for younger individuals this study examined younger military Veterans' well-being during transition and its impact on suicidal ideation as compared with middle-aged Veterans.Methods: Using data from the Veterans Metrics Initiative (TVMI) study (N=6,615), latent class analysis was used to identify age-stratified subgroups of Veterans (18-34 and 35-54 years) based on health, vocational, financial, and social well-being 1 year following military discharge. Negative binomials models were used to examine associations between subgroups and suicidal ideation at 4 data points. Data were collected in 2016-2019 and analyzed in 2024.Results: Four subgroups were identified for younger and middle-aged Veterans. For younger Veterans, subgroups included high well-being (32.3%); low well-being (24.7%); poor health and social well-being (17.3%); and poor financial well-being with health risk (25.7%). Middle-aged Veterans subgroups included high well-being with health risk (37.4%); low well-being (20.6%); poor health and social well-being (21.8%), and poor financial well-being with health risk (20.2%). Subgroups with poorer well-being had an increased rate of suicidal ideation compared with those with the highest well-being, with the strongest association with the low well-being subgroups (younger IRRs=10.1-51.0; middle-aged IRRs=11.3-26.0), followed by poor health and social well-being subgroups (younger IRRs=3.9-22.3; middle-aged IRRs=4.9-10.2).Conclusions: Findings highlight the importance of considering age cohort effects in efforts to enhance well-being and reduce suicidal ideation among transitioning Veterans.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366739","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

Safety Net Program Participation Patterns, Sociodemographic Factors, and Health.

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-02-04 DOI: 10.1016/j.amepre.2025.01.027

Marisa M Tsai, Lia C H Fernald, Rita Hamad, Kaitlyn E Jackson, Nicole Fernández-Viña, Patrick T Bradshaw, Wendi Gosliner

{"title":"Safety Net Program Participation Patterns, Sociodemographic Factors, and Health.","authors":"Marisa M Tsai, Lia C H Fernald, Rita Hamad, Kaitlyn E Jackson, Nicole Fernández-Viña, Patrick T Bradshaw, Wendi Gosliner","doi":"10.1016/j.amepre.2025.01.027","DOIUrl":"10.1016/j.amepre.2025.01.027","url":null,"abstract":"Introduction: U.S. safety net programs provide critical support to Americans with low income. This cohort study examined patterns of safety net program take-up over time and associations with sociodemographics and health.Methods: Surveys among California households with low income (N=380) conducted in 2020-2021 and 2023 captured take-up of federal assistance programs (Medicaid; Supplemental Nutrition Assistance Program [SNAP]; Special Supplemental Nutrition Program for Women, Infants, and Children; Earned Income Tax Credit; Child Tax Credit) in 2019 and 2021 and health in 2023. Latent transition analysis identified patterns and temporal shifts in program take-up among those eligible. Multivariable regressions examined associations of patterns with sociodemographics and mental and overall health. Analyses were completed in 2024.Results: Three take-up patterns emerged: high take-up of \"all programs,\" \"low SNAP,\" and \"low tax programs.\" Most in \"all programs\" and \"low SNAP\" patterns in 2019 remained in 2021. Most starting in \"low tax programs\" transitioned to \"all programs\" by 2021. Higher income was associated with lower relative risk of \"low tax programs\" (RRR=0.37, 95% CI=0.28, 0.49). Hispanic ethnicity was associated with higher relative risk of \"low SNAP\" (RRR=3.73, 95% CI=1.50, 9.23). Having more children and depressive and anxiety symptoms were associated with higher relative risk of being in \"all programs\" at both timepoints. No associations were found with overall health.Conclusions: Proportion of respondents with high take-up of all programs increased over the study period, perhaps due to pandemic-era policy changes. Take-up patterns showed associations with mental health, and key differences among sociodemographic subgroups suggest targeted interventions may improve participation.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366737","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

Gabapentinoid Dispensing to Children and Adolescents in the U.S.

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-02-03 DOI: 10.1016/j.amepre.2025.01.026

Andrew Terranella, Xinyi Jiang, Ceciley Bly, Gery Guy, Justine W Welsh

{"title":"Gabapentinoid Dispensing to Children and Adolescents in the U.S.","authors":"Andrew Terranella, Xinyi Jiang, Ceciley Bly, Gery Guy, Justine W Welsh","doi":"10.1016/j.amepre.2025.01.026","DOIUrl":"10.1016/j.amepre.2025.01.026","url":null,"abstract":"Introduction: Gabapentin and pregabalin (gabapentinoids) are increasingly prescribed to children and adolescents off label for various conditions despite limited data and concerns for adverse outcomes including misuse and overdose. The extent of gabapentinoid use in children and adolescents is unknown.Methods: Nationally representative retail pharmacy dispensing data from IQVIA was used to describe trends in gabapentinoid dispensing to children and adolescents aged ≤19 years from April 2017 through September 2023. The analysis was performed in 2024. Trends by patient age and sex and by prescriber specialty are presented along with median quarterly rates (MQR) and quarterly percentage changes (QPC).Results: Over the study period, the gabapentinoid dispensing rate was 4534.9/100,000 individuals. The MQR was 168.9/100,000. Between Q2 2017 and Q2 2021, the QPC was not significant (QPC=0.08; 95% CI= -2.9, 0.8) but became significant between Q2 2021 and Q3 2023 (QPC=2.8; 95% CI=1.2, 8.4). Dispensing rates were highest for adolescents aged 10-19 years (MQR=267.3/100,000) and females (MQR=187.6/100,000). Nurse practitioners prescribed the highest percent of gabapentinoids dispensed (17.8%). The total number of gabapentinoids dispensed increased from 2018 to 2022 across all specialties except psychiatry (-14.8%) and internal medicine (-9.2%), with nurse practitioners (48.2%), surgical specialists (48.0%), and addiction medicine specialists (51.2%) representing the largest increases.Conclusions: Gabapentinoid receipt among U.S. children and adolescents has increased. Future research can explore factors associated with prescribing including changing epidemiology of pain and psychiatric diagnoses in children and adolescents. Prescribing clinicians should carefully consider the potential risks and benefits of gabapentinoids in clinical practice.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257328","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 Effects of Recreational Cannabis Laws on Alcohol and Tobacco Use Among U.S. Adults, 2012-2022.

IF 4.3 2区医学

American Journal of Preventive Medicine Pub Date : 2025-02-03 DOI: 10.1016/j.amepre.2025.01.024

Prabal K De, Ruoyan Sun

{"title":"The Effects of Recreational Cannabis Laws on Alcohol and Tobacco Use Among U.S. Adults, 2012-2022.","authors":"Prabal K De, Ruoyan Sun","doi":"10.1016/j.amepre.2025.01.024","DOIUrl":"10.1016/j.amepre.2025.01.024","url":null,"abstract":"Introduction: Many states have legalized the use of cannabis for medicinal and recreational purposes in the past decade. However, it remains unclear how recreational cannabis laws affect alcohol and tobacco use among adults.Methods: This was a cross-sectional study of 4.8 million adults from the 2012-2022 Behavioral Risk Factor Surveillance System. A difference-in-differences approach was used to examine the impact of recreational cannabis laws on alcohol and tobacco use, adjusting for individual-level characteristics and time-varying state-level factors. The analyses were performed in 2024.Results: Three alcohol-use outcomes (current, binge, and heavy drinking) and 2 tobacco-use outcomes (current and smokeless tobacco use) were examined. Considering the passage of laws as cannabis law implementation, recreational cannabis laws were not associated with any alcohol or tobacco use outcomes in the fully adjusted model. However, considering operational dispensary as cannabis law implementation, recreational cannabis laws were associated with a decrease of 0.95 percentage point (95% CI=1.80, 0.09) in current drinking and a decrease of 0.48 percentage point (95% CI=0.85, 0.10) in current cigarette use. Subgroup analysis showed that recreational cannabis laws were associated with reductions in current drinking, binge drinking, and current cigarette use in multiple groups. However, recreational cannabis laws were associated with increases in current smokeless tobacco use for some groups.Conclusions: The findings suggest that although the overall effects of recreational cannabis laws on the use of alcohol and tobacco may be limited, there are heterogeneous associations between recreational cannabis laws and drinking and smoking by age, sex, race and ethnicity, education, and income.","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257330","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