American Journal of Preventive Medicine最新文献

{"title":"Spouses' Individual and Shared Cumulative Risk: Implications for Functional Health and Longevity in Older Adulthood.","authors":"Shannon T Mejia, Tai-Te Su, Jacqui Smith, Richard Gonzalez","doi":"10.1016/j.amepre.2025.107649","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107649","url":null,"abstract":"<p><strong>Introduction: </strong>Multisystem biological risk, a marker of physiological dysregulation, accumulates over time in response to exposure and adaptation to chronic stress. Spousal concordance in health and health behaviors indicates potential for shared risk to accumulate within couples. This study examined spouses' shared multisystem biological risk as a modifier of individual risk and predictor of future functional limitations and mortality.</p><p><strong>Methods: </strong>Biomarkers and physical measures from 3,856 heterosexual couples (77%White, 31% college degree) were collected from the 2008/2010 waves of the Health and Retirement Study to construct individual and shared frailty, cardiometabolic, and total risk indices and predict functional limitations and survival at 2016/2018.</p><p><strong>Results: </strong>Multilevel Poisson and logistic regressions showed couples' cumulative shared frailty, cardiometabolic, and total risk to be associated with the number of functional limitations and survival status at follow-up. Spouses' shared cardiometabolic and total risks attenuated the effects of respective individual risks. Results were partially explained by partner selection and health experiences. Predicted probabilities were compared to gender-stratified models. The Receiver Operating Characteristic curve showed models of shared risk to have greater predictive power.</p><p><strong>Conclusions: </strong>The findings from this study indicate that the cost of adaptation manifests not only in individuals, but also through an additional pathway that is co-constructed and shared by spouses. Our findings underscore the critical role of shared context between individuals and their spouses in the treatment process.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107649"},"PeriodicalIF":4.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049565","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 Unequal Geography of Recreational Cannabis Retailers in the U.S.","authors":"Lindsay L Kephart, Vaughan W Rees, Daniel P Giovenco, S V Subramanian","doi":"10.1016/j.amepre.2025.107643","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107643","url":null,"abstract":"<p><strong>Introduction: </strong>Although more U.S. states continue to legalize the sale of cannabis for recreational adult-use, little is known about the spatial distribution of cannabis retailers in relation to neighborhood characteristics. The objective of this study is to examine the presence or absence of cannabis retailers in census tracts in relation to measures of neighborhood advantage and disadvantage.</p><p><strong>Methods: </strong>Using 2023 U.S. state agency lists, we identified 5586 recreational cannabis retailers and geocoded address data in 18 states with recreational cannabis legalization laws. Multilevel logistic and negative binomial regression was used to model the association between quintiles of the neighborhood deprivation index (NDI) and index of concentration at the extremes (ICE) with census tract cannabis retailer presence.</p><p><strong>Results: </strong>Across the study states, 11% of census tracts had at least 1 recreational cannabis retailer. Census tracts with higher levels of socioeconomic deprivation, or racialized and economic disadvantage, had a significantly higher odds and rate of having cannabis retailers. In the adjusted analysis, tracts with the greatest concentration of low-income Black or Hispanic residents had 2.0 to 2.5 times the odds of cannabis retailer presence compared to more advantaged tracts.</p><p><strong>Conclusion: </strong>In states with legalized nonmedical cannabis, there is a pattern of greater cannabis retailer presence in areas with the greatest neighborhood disadvantage. Public health agencies and policymakers should support the implementation of policies that reduce cannabis retailer clustering and enhance targeted prevention efforts in historically disadvantaged areas.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107643"},"PeriodicalIF":4.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023923","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":"Nonfatal Injuries Among Skilled Nursing and Residential Care Facility Workers Treated in U.S. Emergency Departments, 2015-2022.","authors":"Nadia T Saif, Audrey Reichard, Scott A Hendricks, Vidisha Parasram, Christina Socias-Morales","doi":"10.1016/j.amepre.2025.107645","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107645","url":null,"abstract":"<p><strong>Introduction: </strong>Skilled nursing and residential care facilities (SNRCFs) report among the highest nonfatal occupational injury rates compared to the overall working population. This cross-sectional study reports nonfatal emergency department (ED)-treated injury national estimates among U.S. SNRCF workers.</p><p><strong>Methods: </strong>Nonfatal ED-treated occupational injury data were analyzed (2015-2022) from the National Electronic Injury Surveillance System, Occupational Supplement, a national probability sample of approximately 67 U.S. EDs. Occupational injuries in SNRCFs were selected using relevant U.S. Census Bureau industry codes. National estimates and rates per 10,000 worker full-time equivalents (FTEs) were calculated using the U.S. Current Population Survey. Piecewise linear regression models examined temporal trends in biannual injury rates.</p><p><strong>Results: </strong>An estimated 569,800 (95% confidence interval 420,400-719,200) injuries occurred from 2015 to 2022, a rate of 302 (223-382) per 10,000 FTEs. Most injuries occurred among females (81%). The most prevalent injury events were overexertion and bodily reaction [38%; 116 (85-147) per 10,000 FTEs], violence [24%; 73 (46-100) per 10,000 FTEs], and falls, slips, and trips [16%; 49 (35-63) per 10,000 FTEs]. SNRCF injury rates were higher than the rest of the healthcare industry and all industries. SNRCF injury rates declined from 2015-2021 [average biannual change -9.6% (-13.3%, -5.9%), p <.001]. Following a 2021 trend change, there was a non-significant increase in injury rates.</p><p><strong>Conclusions: </strong>Among the working population, SNRCF workers experience a high rate of nonfatal ED-treated occupational injuries. Future research should confirm trends and study effectiveness and uptake of evidence-based injury prevention interventions across settings.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107645"},"PeriodicalIF":4.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039179","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":"Childhood Food Insecurity Trajectories and Adult Weight and Self-Reported Health.","authors":"Olivia C Liu, Robin Ortiz, Jennifer Woo Baidal, Kristyn A Pierce, Eliana M Perrin, Carol Duh-Leong","doi":"10.1016/j.amepre.2025.107647","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107647","url":null,"abstract":"<p><strong>Introduction: </strong>Research has demonstrated that food insecurity during childhood is associated with worse physical and mental health in childhood. However, little is known about how food insecurity during childhood impacts health outcomes in young adulthood.</p><p><strong>Methods: </strong>This study analyzed data from the Future of Families and Child Wellbeing Study (2024), a longitudinal birth cohort study of children born in 1998-2000. Childhood food insecurity trajectory groups from age 3 to 15 years were identified using group-based trajectory modeling. Associations between childhood food insecurity trajectory groups and young adult weight (BMI, overweight status, and obese status) and high self-reported health (good/excellent) at age 22 were modeled with multivariate linear and logistic regression.</p><p><strong>Results: </strong>Three trajectories were identified among 4,296 participants: 66.9% were food secure, 7.5% were food insecure, and 25.6% transitioned from being food insecure-to-secure throughout childhood. In adjusted analyses, young adults assigned to the food insecure-to-secure trajectory group as children had higher BMI (B 0.82, 95% CI [0.07-1.58]) and higher odds of overweight status (OR 1.24, 95% CI [1.01-1.52]) than young adults assigned to the food secure trajectory group as children. Young adults in the food insecure trajectory group as children had lower odds of high self-reported health than those in the food secure trajectory group as children (OR 0.65, 95% CI [0.48-0.89]).</p><p><strong>Conclusions: </strong>Food insecurity in childhood is associated with high weight status and poor self-reported health in young adulthood. These findings highlight the importance of childhood food insecurity screening and interventions to promote health throughout the life course.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107647"},"PeriodicalIF":4.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051238","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":"Unequal spillover of human capital: longitudinal analysis of mortality among populations by college degree in U.S. counties, 2010-2022.","authors":"Heeyoung Lee, Tse-Chuan Yang","doi":"10.1016/j.amepre.2025.107646","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.107646","url":null,"abstract":"<p><strong>Introduction: </strong>County-level educational attainment is known to affect mortality rates, but little is understood about how these effects differ between populations with and without a bachelor's degree (BA). This study examined the association between county-level human capital and mortality rates of populations with and without a BA in U.S. counties, and how it changed between 2010 and 2022.</p><p><strong>Methods: </strong>Assembling 2010-2022 data of 3,122 counties (40,585 county-year observations), this study used fixed-effect negative binomial regression to analyze mortality rates stratified by educational attainment. Mortality data came from the National Center for Health Statistics Multiple Cause of Death files and county-level human capital was measured as percentage of population aged 25 and over with a BA. County-level demographic, economic, and health-related factors were considered in the analysis conducted in 2024.</p><p><strong>Results: </strong>County-level human capital showed divergent effects. A 1% increase in county BA population corresponded to a 4.5% decrease in all-cause mortality for those with a BA but a 1.2% increase for those without a BA. Over the study period, this disparity moderated, primarily due to a weakening protective effect among BA holders in high-human capital counties. This pattern persists across other causes of death.</p><p><strong>Conclusions: </strong>The benefits of living in highly educated areas are not uniformly distributed, potentially exacerbating health inequalities. While county-level human capital remains protective for those with a BA, this advantage has diminished over time, while the adverse effect on those without a BA has stabilized.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"107646"},"PeriodicalIF":4.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990520","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":"Premature Mortality Attributable to Ultraprocessed Food Consumption in 8 Countries","authors":"Eduardo A.F. Nilson DSc ,&nbsp;Felipe Mendes Delpino PhD ,&nbsp;Carolina Batis PhD ,&nbsp;Priscila Pereira Machado PhD ,&nbsp;Jean-Claude Moubarac PhD ,&nbsp;Gustavo Cediel PhD ,&nbsp;Camila Corvalan PhD ,&nbsp;Gerson Ferrari PhD ,&nbsp;Fernanda Rauber PhD ,&nbsp;Euridice Martinez-Steele PhD ,&nbsp;Maria Laura da Costa Louzada PhD ,&nbsp;Renata Bertazzi Levy PhD ,&nbsp;Carlos A. Monteiro PhD ,&nbsp;Leandro F.M. Rezende PhD","doi":"10.1016/j.amepre.2025.02.018","DOIUrl":"10.1016/j.amepre.2025.02.018","url":null,"abstract":"<div><h3>Introduction</h3><div>Ultraprocessed foods are becoming dominant in the global food supply. Prospective cohort studies have consistently found an association between high consumption of ultraprocessed foods and increased risk of several noncommunicable diseases and all-cause mortality. The study aimed to (1) estimate the risk of all-cause mortality for ultraprocessed foods consumption and (2) estimate the attributable epidemiologic burden of ultraprocessed food consumption in 8 select countries.</div></div><div><h3>Methods</h3><div>First, a dose–response meta-analysis of observational cohort studies was performed to assess the association between ultraprocessed food consumption and all-cause mortality and estimated the pooled RR for all-cause mortality per each 10% increment in the percentage ultraprocessed food. Then, the population attributable fractions for premature all-cause mortality attributable to the ultraprocessed foods in consumption were estimated in 8 select countries with relatively low (Colombia and Brazil), intermediate (Chile and Mexico), and high (Australia, Canada, United Kingdom, and the U.S.) ultraprocessed food consumption. Analysis was conducted in November 2023–July 2024.</div></div><div><h3>Results</h3><div>The meta-analysis showed a linear dose–response association between the ultraprocessed food consumption and all-cause mortality (RR for each 10% increase in percentage ultraprocessed food=1.03; 95% CI=1.02, 1.04). Considering the magnitude of the association between ultraprocessed foods intake and all-cause mortality and the ultraprocessed food dietary share number (percentage ultraprocessed food) in each of the 8 selected countries, estimations varied from 4% (Colombia) to 14% (United Kingdom and U.S.) of premature deaths attributable to ultraprocessed food intake.</div></div><div><h3>Conclusions</h3><div>The findings support that ultraprocessed food intake contributes significantly to the overall burden of disease in many countries, and its reduction should be included in national dietary guideline recommendations and addressed in public policies.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"68 6","pages":"Pages 1091-1099"},"PeriodicalIF":4.3,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042835","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":"Firearm Homicides by Police in the United States: Who is Shot and How Many Times?","authors":"Vageesh Jain MD,&nbsp;David Hemenway PhD","doi":"10.1016/j.amepre.2025.02.004","DOIUrl":"10.1016/j.amepre.2025.02.004","url":null,"abstract":"<div><h3>Introduction</h3><div>The U.S. has the highest rate of deadly police encounters in the developed world. Recent cases highlight that police shoot individual suspects several times. This study aimed to assess variation in rates of police firearm homicide and the number of gunshot wounds among those shot and killed by police.</div></div><div><h3>Methods</h3><div>National Violent Death Reporting System was analyzed in 2023/2024, using data from 2005 to 2020 to estimate rates of police homicide across populations. Negative binomial regression models were used to evaluate factors associated with a greater number of GSWs among those who died due to police firearm homicide.</div></div><div><h3>Results</h3><div>Across 46 states and 2.09 billion person-years, 6.4% of all firearm homicides were by police (<em>n</em>=5,241). A total of 79% of police victims were shot multiple times (mean=5.98 gunshot wounds), compared with 65% of civilian victims (mean=3.94 gunshot wounds). The rate of police firearm homicide per million person-years was highest for victims aged 25–44 years (5.23); males (4.91); Black (4.61), Hispanic (3.76), and American Indian/Alaska Native people (4.74); and residents of the West (4.65). Accounting for victim weapon use, those aged 35–44 years (IRR=1.13, 95% CI=1.03, 1.23), who were Black (IRR=1.10, 95% CI=1.02, 1.17), or outside of the Northeast (IRRs=1.19–1.34) were most likely to suffer from more gunshot wounds.</div></div><div><h3>Conclusions</h3><div>In firearm homicides, police cause more gunshot wounds per fatality than civilians. Those who are aged 25–44 years, who are Black, or who live outside of the Northeast are more likely to die from police firearm homicide and have more gunshot wounds per fatality.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"68 5","pages":"Pages 982-988"},"PeriodicalIF":4.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860751","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":"Military Veterans' Psychological Health and Physical Activity Following Separation from Service.","authors":"K J Waldhauser, B A Hives, Y Liu, E Puterman, N Sharifian, S F Castañeda, F R Carey, R P Rull, M R Beauchamp","doi":"10.1016/j.amepre.2025.04.012","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.04.012","url":null,"abstract":"<p><strong>Introduction: </strong>The transition from military to civilian life can bring about substantive challenges for United States (U.S.) veterans. The purpose of this study was to examine veterans' trajectories of psychological health prior to and following separation, and to examine whether veterans who engaged in more physical activity would report better psychological health over time.</p><p><strong>Methods: </strong>Longitudinal data between 2001-2016 from the Millennium Cohort Study were analyzed, which consisted of U.S. military personnel who separated from service, followed up every 3-5 years. Veterans (N = 37, 464, M_age = 36.3, SD = 10.9 at baseline) who had self-report data collected prior to and on at least two timepoints following separation were analyzed. Psychological health was measured with self-reported mental health-related quality of life, depressive symptoms, and posttraumatic stress disorder symptoms. Physical activity was measured using self-reported minutes per week of moderate-to-vigorous physical activity. Parallel process latent growth modelling was used to examine the relationship between physical activity and psychological health.</p><p><strong>Results: </strong>Results revealed decreases in psychological health following separation. Veterans with higher pre-separation physical activity were more likely to display steeper trajectories of decreased physical activity and psychological health post-separation. In contrast, veterans who engaged in higher levels of physical activity post-separation displayed increases in psychological health following separation.</p><p><strong>Conclusions: </strong>Findings suggest that high levels of physical activity during service may not protect against worsened psychological health trajectories post-separation. However, the results provide support for the potential protective factor of physical activity post-separation on psychological health symptoms following separation.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027453","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 U.S. E-cigarette Sales Measured in Milligrams of Nicotine, 2019–2024","authors":"Fatma Romeh M. Ali PhD ,&nbsp;Megan C. Diaz PhD ,&nbsp;Brian S. Armour PhD ,&nbsp;Elisha Crane MPH ,&nbsp;Michael A. Tynan MPH ,&nbsp;Kristy L. Marynak PhD","doi":"10.1016/j.amepre.2025.02.007","DOIUrl":"10.1016/j.amepre.2025.02.007","url":null,"abstract":"<div><h3>Introduction</h3><div>E-cigarette unit sales have been estimated using the number of items typically available in a package to standardize unit sales of each product type. However, recent market changes, such as increases in e-liquid volume and nicotine concentration, challenge the validity of assessing sales according to item count without accounting for product attributes. This study measured nicotine content (mg) in e-cigarettes sold as a function of e-liquid volume (mL) and nicotine concentration (mg/mL), compared with e-cigarette unit sales standardized by item count.</div></div><div><h3>Methods</h3><div>U.S. e-cigarette retail sales data from Circana (February 2019 to June 2024) were analyzed. Trends in mg nicotine sold were compared with standardized unit sales. Additionally, sales-weighted average e-liquid volume, nicotine concentration, and price per milligram of nicotine were measured by product type. Trends were assessed using Joinpoint regression. Analyses were conducted in 2024.</div></div><div><h3>Results</h3><div>From February 2020 to June 2024, monthly milligrams of nicotine content sold increased by 249.2% (<em>p</em>&lt;0.001)—an increase 7.2 times greater than the 34.7% increase in standardized unit sales. Disposable e-cigarettes experienced the greatest increase in mg nicotine sold, which was largely driven by the rise in e-liquid volume. By June 2024, a disposable device contained 9.0 times more e-liquid than a prefilled cartridge. However, the price per milligram of nicotine in prefilled cartridges was 3.7 times greater than that of disposable devices.</div></div><div><h3>Conclusions</h3><div>Nicotine is an addictive drug added to most e-cigarettes. Measuring e-cigarette sales in milligrams of nicotine content sold could better account for rapid changes in product attributes and inform policy strategies.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"68 6","pages":"Pages 1173-1178"},"PeriodicalIF":4.3,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057679","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 Association Between Social Determinants of Health and Case Rates of Sexually Transmitted Infections at the County-level in the U. S. from 2000-2019.","authors":"Sungwon Lim, Betty Bekemeier, Jillian Pintye, David Grembowski","doi":"10.1016/j.amepre.2025.04.010","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.04.010","url":null,"abstract":"<p><strong>Introduction: </strong>Sexually transmitted infections (STIs), including chlamydia, gonorrhea, and syphilis, remain a serious public health concern in the United States. Social determinants of health (SDOH), such as local social capital, eviction rate, and prison incarceration rate, impact health outcomes and potentially influence risk of STI acquisition and transmission. This study investigated longitudinal associations between SDOH and STI case rates at the county-level in the U.S. over 20-years from 2000 to 2019.</p><p><strong>Methods: </strong>We compiled data on SDOH and annual STI case rates (chlamydia, gonorrhea, and syphilis) for all U.S. counties over the 20-year period. Panel regression models were employed to examine associations between SDOH and STI case rates, controlling for confounders.</p><p><strong>Results: </strong>We found significant links between social capital, eviction rate, prison incarceration rate and STI case rates. Higher social capital was associated with lower chlamydia (β=-6.77, p<.05) and gonorrhea rates (β=-7.22, p<.01), while higher eviction rates were associated with higher rates of all three STIs (β=9.71, p<.001 for chlamydia, β=7.32, p<.001 for gonorrhea, and β=.15, p<.001 for P&S syphilis, respectively) and higher prison incarceration rates were associated with higher gonorrhea rates (β=.13, p<.05).</p><p><strong>Conclusions: </strong>This study provides valuable insights into the annual associations of social determinants on STI rates over 20 years. These findings inform the development of effective interventions and policies to address rising STI case rates and promote health equity across diverse communities.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059091","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}