American Journal of Preventive Medicine最新文献

{"title":"Severe Maternal Morbidity at the Intersection of Race and Disability: Evidence of Compounded Disparities in the U.S. Maternal Healthcare System","authors":"Ilhom Akobirshoev PhD, MA, MSW ,&nbsp;Willi Horner-Johnson PhD ,&nbsp;Anne Valentine PhD ,&nbsp;Ruby Siegel BA ,&nbsp;Monika Mitra PhD","doi":"10.1016/j.amepre.2025.108229","DOIUrl":"10.1016/j.amepre.2025.108229","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of this study was to examine severe maternal morbidity at the intersection of race and physical disability status using nationally representative data.</div></div><div><h3>Methods</h3><div>This study conducted a pooled cross-sectional analysis of delivery hospitalizations in 2025 using 2004–2022 Healthcare Cost and Utilization Project Nationwide Inpatient Sample data. Delivery hospitalizations and physical disabilities were identified using validated International Classification of Diseases, Ninth/ICD-10 Revisions–based algorithms. The primary outcome was severe maternal morbidity excluding blood transfusion–only cases. Secondary outcomes included severe maternal morbidity severity measured by the number of severe maternal morbidity indicators (≥2 or ≥3) and specific severe maternal morbidity categories. Risk ratios were calculated using modified Poisson regression and evaluated additive interaction using the Relative Excess Risk due to Interaction and Attributable Proportion.</div></div><div><h3>Results</h3><div>Among 8,584,800 delivery hospitalizations, 88,389 (1.0%) were to women with physical disabilities. Black disabled women with 528 per 10,000 deliveries (528.0; 95% CI=492.8, 565.5) had the highest rates of severe maternal morbidity, followed by White women with physical disabilities (213.9; 95% CI=203.6, 224.7) and Black women without physical disabilities (107.7; 95% CI=105.3, 110.1). White women without physical disabilities with 61 per 10,000 deliveries (60.7; 95% CI=59.4, 62.1) had the lowest rate of severe maternal morbidity. After adjustment, Black women with physical disabilities had 6.92 times the risk of severe maternal morbidity (95% CI=6.45, 7.44) compared with White women without disabilities. The adjusted Relative Excess Risk due to Interaction for severe maternal morbidity was 2.07 (95% CI=1.67, 2.47), and the Attributable Proportion due to interaction was 0.38 (95% CI=0.33, 0.43), suggesting that 38% of excess risk among Black women with physical disabilities was attributable to the interaction between race and physical disability.</div></div><div><h3>Conclusions</h3><div>Black women with physical disabilities experience compounded risks of severe maternal morbidity that exceed the sum of risks associated with race or physical disability alone. These findings underscore the need for intersectional approach to develop effective interventions to improve maternal care quality and outcomes in this high-risk population.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"70 4","pages":"Article 108229"},"PeriodicalIF":4.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800960","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":"Are Restaurant Health-Related Corporate Social Responsibility Commitments Associated With Nutritional Changes to Menu Offerings?","authors":"Megan P. Mueller PhD, MPH ,&nbsp;Jason Wang PhD ,&nbsp;May C. Wang DrPH ,&nbsp;Catherine M. Crespi PhD ,&nbsp;Alyssa Leib MS ,&nbsp;Deborah C. Glik ScD ,&nbsp;Sara N. Bleich PhD","doi":"10.1016/j.amepre.2025.108195","DOIUrl":"10.1016/j.amepre.2025.108195","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to evaluate the associations between health-related corporate social responsibility commitments and the nutrition quality of menu offerings in 66 U.S.-based restaurant chains in 2012–2018.</div></div><div><h3>Methods</h3><div>Data on health-related corporate social responsibility (from <em>n</em>=4,096 web text sections) and menu items (<em>n</em>=124,110) were abstracted from the WayBack Machine and MenuStat databases in 2020 and analyzed 2020–2023. Generalized linear mixed models evaluated differences in menu nutrition quality (adapted Nutrition Environment Measures Study in Restaurants score) and the nutrient content of menu items (kcal, total fat, saturated fat, sugar, sodium, and fiber) between restaurants with and without health-related corporate social responsibility, including yearly trends. Exploratory analyses tested differences among new menu items only (<em>n</em>=28,387).</div></div><div><h3>Results</h3><div>There were no differences in the adapted Nutrition Environment Measures Study in Restaurants score of menus between restaurants with and without health-related corporate social responsibility. However, restaurants with health-related corporate social responsibility offered menu items with slightly lower calories (352.9 vs 364.1 kcals), total fat (15.3 vs 16.0 g), saturated fat (5.8 vs 6.1 g), sugar (22.5 vs 23.8 g), sodium (571.3 vs 621.6 mg), and fiber (1.8 vs 1.9 g) than restaurants without health-related corporate social responsibility (<em>p</em>&lt;0.05). Among only new menu items, restaurants with health-related corporate social responsibility offered new items that were lower in calories, total fat, saturated fat, sodium, and sugar in 2012. However, the nutrient content for these new menu items also became less healthful over time: +17.8 kcal per year (95% CI=11.1, 24.4), +0.8 g total fat per year (95% CI=0.4, 1.2), +0.4 g saturated fat per year (95% CI=0.1, 0.8), +30.7 mg sodium per year (95% CI=15.0, 46.4), and +1.1g sugar per year (95% CI=0.4, 1.8).</div></div><div><h3>Conclusions</h3><div>Health-related corporate social responsibility commitments were associated with small differences in the nutrient content of some menu items but did not translate into meaningful improvements in overall nutrition quality of restaurant offerings. Stronger industry initiatives and policy action are needed to improve the nutrition quality of restaurant menu offerings.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"70 4","pages":"Article 108195"},"PeriodicalIF":4.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574336","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":"Moderating Effect of Participation in Organized College Sports on Mental Health and Frequency of Cannabis Use in a National Cohort","authors":"Joanna S. Zeiger PhD ,&nbsp;Bradley T. Conner PhD","doi":"10.1016/j.amepre.2025.108148","DOIUrl":"10.1016/j.amepre.2025.108148","url":null,"abstract":"<div><h3>Introduction</h3><div>Research has shown positive associations between cannabis use and psychological distress. This study examines the relationship between cannabis use and diagnoses of depression, anxiety, and post-traumatic stress disorder, while exploring the moderating role of organized sports.</div></div><div><h3>Methods</h3><div>Data came from the National College Health Assessment III Fall 2019–Fall 2023, analyzed in 2024. Participants (N=150,992) were mostly aged 18–29 years (87.5%), biologically female (70.3%), and non-Hispanic White (72.3%).</div></div><div><h3>Results</h3><div>Higher cannabis use frequency was associated with a greater likelihood of lifetime diagnosis of depression, anxiety, and post-traumatic stress disorder, with the highest prevalence observed among those reporting weekly to daily cannabis use (<em>p</em>&lt;0.001). Organized sports participation was associated with significantly lower rates of lifetime diagnoses (<em>p</em>&lt;0.001) and moderated the relationship between cannabis use and diagnosis. Among organized sports participants, the prevalence of reported lifetime mental health conditions was lower across cannabis use than among nonorganized sports participants (<em>p</em>&lt;0.001).</div></div><div><h3>Conclusions</h3><div>These findings highlight the protective role of organized sports in reducing mental health risks associated with cannabis use. Encouraging sports participation in college may enhance mental well-being and address substance use challenges as part of comprehensive health strategies.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"70 4","pages":"Article 108148"},"PeriodicalIF":4.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318886","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":"Characteristics of Community Programs and Policies: Associations With Physical Activity in Youth","authors":"Russell R. Pate PhD ,&nbsp;Marsha Dowda DrPH ,&nbsp;Alexander C. McLain PhD ,&nbsp;Natalie Colabianchi PhD ,&nbsp;Gail Woodward-Lopez MPH, RD ,&nbsp;Jerry A. Schultz PhD ,&nbsp;Edward A. Frongillo PhD","doi":"10.1016/j.amepre.2025.108210","DOIUrl":"10.1016/j.amepre.2025.108210","url":null,"abstract":"<div><h3>Introduction</h3><div>This study examined the associations between the characteristics of community programs and policies and children's physical activity in a large, diverse set of U.S. communities.</div></div><div><h3>Methods</h3><div>Field staff interviewed key informants to identify community programs and policies aimed at promoting children's physical activity in 130 communities. Children and/or parents reported children's participation in moderate-to-vigorous physical activities. Community demographic characteristics were determined from census data, and communities were categorized on the basis of predominant race/ethnicity profile and SES. A total of 9,689 community programs and policies were identified across the participating communities, and each was coded for multiple characteristics. Moderate-to-vigorous physical activity was assessed in 5,138 elementary and middle-school students (mean age [SD]=9.28 [2.65] years). The study was a secondary analysis of data collected in 2013–2015. Data were analyzed in 2023–2025 using classification and regression trees to identify community demographic variables and characteristics of community programs and policies that were cross-sectionally associated with children's moderate-to-vigorous physical activities.</div></div><div><h3>Results</h3><div>Results of the classification and regression trees analysis showed that community race/ethnicity and SES were strongly associated with child moderate-to-vigorous physical activities. Several characteristics of community programs and policies (e.g., targeting increased participation in school sports) were found to be associated with moderate-to-vigorous physical activities, but those associations were observed only within community race/ethnicity—SES subgroups.</div></div><div><h3>Conclusions</h3><div>The findings of this study support the conclusion that community-based actions to promote physical activity in children should be tailored to the demographic characteristics of the community.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"70 4","pages":"Article 108210"},"PeriodicalIF":4.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688523","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":"Variations in Mental Distress Among Caregivers of Individuals With Chronic Illnesses and Comorbid Cognitive Impairment","authors":"Austin R. Medlin MS ,&nbsp;Hannah R. Abrams MD ,&nbsp;Erin E. Kent PhD ,&nbsp;Babatope Ayokunle Ogunjesa PhD ,&nbsp;Sumin Park PhD ,&nbsp;Kelly R. Tan PhD","doi":"10.1016/j.amepre.2025.108165","DOIUrl":"10.1016/j.amepre.2025.108165","url":null,"abstract":"<div><h3>Introduction</h3><div>This study was aimed to examine the rates of mentally unhealthy days and frequent mentally unhealthy days among caregivers of patients with cancer, heart disease, mental illness, and Alzheimer’s disease and related dementias on the basis of caregiving intensity and how cognitive impairment in non-Alzheimer’s disease and related dementias caregiving moderates these relationships.</div></div><div><h3>Methods</h3><div>Data from 22,550 caregivers in the 2019–2023 Behavioral Risk Factor Surveillance System were used to explore the relationship between caregiving intensity, mentally unhealthy days, and the presence of cognitive impairment. Zero-inflated negative binomial regressions assessed the associations of caregiving intensity on mentally unhealthy days, and logistic regressions examined the patterns in frequent mentally unhealthy days, controlling for demographics and survey weighting.</div></div><div><h3>Results</h3><div>Caregivers of individuals with mental illness reported the highest frequent mentally unhealthy days (27.53%), followed by caregivers of those with cancer (20.3%), heart disease (18.57%), and Alzheimer’s disease and related dementias (17.82%). Increased caregiving intensity correlated with higher mentally unhealthy day rates, particularly among caregivers of patients with cancer, heart disease, and Alzheimer’s disease and related dementias. Caregivers of those with cancer showed increased mentally unhealthy days when moderating for cognitive impairment. Higher caregiving intensity was linked to increased frequent mentally unhealthy days in the caregivers of patients with cancer and Alzheimer’s disease and related dementias, with cancer caregivers showing more frequent mentally unhealthy days when moderating for cognitive impairment.</div></div><div><h3>Conclusions</h3><div>Caregiving intensity affects mental health outcomes differently across illnesses. Tailored support is needed for caregivers, especially those providing care for individuals with comorbid cognitive impairment.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"70 4","pages":"Article 108165"},"PeriodicalIF":4.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145369037","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":"Associations Between Evolving Cannabis Policies and Cannabis-Related School Discipline Among Secondary School Students in Massachusetts, 2005–2019","authors":"Faith English PhD ,&nbsp;Holly B. Laws PhD ,&nbsp;Youngmin Yi PhD ,&nbsp;Airín D. Martínez PhD ,&nbsp;Elizabeth Bertone-Johnson ScD ,&nbsp;Jennifer M. Whitehill PhD","doi":"10.1016/j.amepre.2025.108129","DOIUrl":"10.1016/j.amepre.2025.108129","url":null,"abstract":"<div><h3>Introduction</h3><div>The objective of this study was to examine whether cannabis policies, including decriminalization, medical legalization, and recreational legalization, among adults are associated with changes in cannabis-related disciplinary incidents in Massachusetts public schools.</div></div><div><h3>Methods</h3><div>This retrospective cohort study utilized 2005–2019 Department of Elementary and Secondary Education data on disciplinary incidents in all public-school districts (N=399). A multilevel time-series model with multiple interruptions was used to examine the relationship between cannabis policy changes and district-level cannabis-related disciplinary incidents per 1,000 students in Massachusetts from 2005 to 2019.</div></div><div><h3>Results</h3><div>There were statistically significant increases in cannabis-related disciplinary incidents during the decriminalization policy period compared with those before decriminalization; the cannabis-related disciplinary incident rate per 1,000 students increased by 34% relative to the time prior (incidence rate ratio=1.34; 95% CI=1.11, 1.60). However, cannabis-related disciplinary incidents decreased during the medical and recreational policy periods; the cannabis-related disciplinary incident rate decreased by 45% during the medical policy period compared with that during the decriminalization period (incidence rate ratio=0.55; 95% CI=0.47, 0.65) and by 20% during the recreational policy period (incidence rate ratio=0.80; 95% CI=0.68, 0.94). The average number of cannabis-related disciplinary incidents per school district ranged from 4.6 during decriminalization (2008–2011), 4.7 during medical (2012–2015), and 5.1 during recreational legalization (2016–2019) periods.</div></div><div><h3>Conclusions</h3><div>There was a modest increase in cannabis-related disciplinary incidents in schools after decriminalization in 2008. However, as state cannabis legalization policies expanded, the cannabis-related disciplinary incident rate per 1,000 students decreased. These findings are encouraging and underscore the need for schools to continue to develop and implement alternatives to exclusionary discipline that employ a harm-reduction approach.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"70 4","pages":"Article 108129"},"PeriodicalIF":4.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151849","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":"Young Adults’ Responses to E-Cigarette Advertisements: An Examination for Potential Regulation","authors":"Elise M. Stevens PhD ,&nbsp;Donghee N. Lee PhD ,&nbsp;Seunghyun Kim PhD ,&nbsp;Russell B. Clayton PhD ,&nbsp;Katherine Oduguwa BS ,&nbsp;Glenn Leshner PhD ,&nbsp;Darren Mays PhD, MPH ,&nbsp;Andrea C. Villanti PhD, MPH ,&nbsp;Theodore L. Wagener PhD","doi":"10.1016/j.amepre.2025.108188","DOIUrl":"10.1016/j.amepre.2025.108188","url":null,"abstract":"<div><h3>Introduction</h3><div>E-cigarette use among young adults is strongly influenced by marketing strategies. Given the U.S. Food and Drug Administration’s authority to regulate E-cigarette marketing, this study identified which advertisements and specific features are most appealing to young adults to inform potential regulatory action.</div></div><div><h3>Study design</h3><div>Using a within-subjects laboratory design, participants viewed 15 print E-cigarette advertisements from 3 brands (Blu, Juul, and MarkTen), each featuring combinations of people, descriptors, branding, and warnings during 2021–2022.</div></div><div><h3>Setting/participants</h3><div>Young adults (N=62; aged 18–26 years) who were susceptible to but not current E-cigarette users completed the study. While viewing advertisements, heart rate (attention) and eye tracking (visual attention) were continuously recorded. After each advertisement, participants rated perceived risk and motivation to avoid E-cigarettes.</div></div><div><h3>Intervention</h3><div>All participants completed the same advertisement-viewing task. Self-reported message perceptions and psychophysiological indicators of cognition and emotion were collected. Data were integrated using a multiattribute decision-making framework to identify advertisements with the highest overall appeal.</div></div><div><h3>Main outcome measures</h3><div>Primary outcomes included perceived risk, motivation to avoid, heart rate deceleration, visual attention, and recognition accuracy.</div></div><div><h3>Results</h3><div>Data were analyzed from 2022 to 2025. Participants spent more time viewing descriptors and people than brand logos or warnings (<em>p</em>&lt;0.001). Integrated rankings identified 2 Blu advertisements and 1 Juul advertisement as most appealing.</div></div><div><h3>Conclusions</h3><div>People and descriptive language captured the most attention in E-cigarette advertisements. Limiting testimonials, switching language, and restricting advertisements to branding-only formats may reduce appeal among young adults and help prevent initiation.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"70 4","pages":"Article 108188"},"PeriodicalIF":4.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145530946","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":"Associations of Adolescent BMI and Physical Fitness With Cardiovascular Health in Middle Age: A Population-Based Prospective Study of Swedish Men","authors":"Ángel Herraiz-Adillo PhD ,&nbsp;Viktor H. Ahlqvist PhD ,&nbsp;Kristofer Hedman PhD ,&nbsp;Sara Higueras-Fresnillo PhD ,&nbsp;Emil Hagström PhD ,&nbsp;Melony Fortuin-de Smidt PhD ,&nbsp;Bledar Daka PhD ,&nbsp;Cecilia Lenander PhD ,&nbsp;Anton Olsson MSc ,&nbsp;Daniel Berglind PhD ,&nbsp;Carl Johan Östgren PhD ,&nbsp;Karin Rådholm PhD ,&nbsp;Francisco B. Ortega PhD ,&nbsp;Pontus Henriksson PhD","doi":"10.1016/j.amepre.2025.108128","DOIUrl":"10.1016/j.amepre.2025.108128","url":null,"abstract":"<div><h3>Introduction</h3><div>Early-life determinants of middle-age cardiovascular health are poorly understood. This study examines associations of BMI and physical fitness in male adolescents with cardiovascular health measured by the Life’s Essential 8 score in middle age.</div></div><div><h3>Methods</h3><div>A population-based cohort study linked BMI and physical fitness from the Swedish Military Conscription Register (men conscripted from 1972 to 1987) to cardiovascular health from the Swedish CArdioPulmonary bioImage Study (2013–2018). In 2025, a total of 8,930 men (mean age, 18.3 years) were analyzed after 38.2 years of follow-up.</div><div>Physical fitness included cardiorespiratory fitness (maximal cycle-ergometer test) and muscular strength (isometric dynamometry of knee extension, elbow flexion, and handgrip). Cardiovascular health was evaluated using the American Heart Association’s Life’s Essential 8 score (0–100 points; poor health: &lt;60). Associations were assessed using linear and binomial logistic regressions and restricted cubic splines.</div></div><div><h3>Results</h3><div>BMI and cardiorespiratory fitness exhibited J-shaped and linear associations, respectively, with cardiovascular health. Compared with normal weight (BMI: 18.5–24.9 kg/m²), AORs of having poor cardiovascular health for overweight (BMI: 25.0–29.9 kg/m²) and obesity (BMI ≥30 kg/m²) were 2.42 (95% CI=2.00, 2.92) and 5.38 (95% CI=2.99, 9.70). No statistically significant associations were observed between muscular strength and cardiovascular health.</div></div><div><h3>Conclusions</h3><div>Obesity and low levels of cardiorespiratory fitness in male adolescents were associated with lower cardiovascular health in middle age, after nearly 4 decades of follow-up. Although further studies are needed, the promotion of a healthy body weight and cardiorespiratory fitness in youth may be of importance for later cardiovascular health.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"70 4","pages":"Article 108128"},"PeriodicalIF":4.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182355","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":"Characterization of Women’s Health Benefit Claims Made on Cannabis E-Commerce Platforms: A Retrospective Market Surveillance Study","authors":"Matthew C. Nali BA ,&nbsp;Meng Zhen Larsen BA, BS ,&nbsp;Zhuoran Li MS ,&nbsp;Jiawei Li MS ,&nbsp;Cassandra L. Taylor PhD ,&nbsp;Geoffrey A. Dubrow PhD ,&nbsp;Beverly J. Wolpert PhD, MS ,&nbsp;Catharine Trice MA ,&nbsp;Tim K. Mackey MAS, PhD","doi":"10.1016/j.amepre.2025.108183","DOIUrl":"10.1016/j.amepre.2025.108183","url":null,"abstract":"<div><h3>Introduction</h3><div>Consumer interest in cannabis-derived products remains high, including among women, a growing demographic group. This study examined women’s reproductive health claims in cannabis-derived product e-commerce listings to better understand their potential consumer risk.</div></div><div><h3>Methods</h3><div>This study involved 3 phases: (1) data mining U.S. product listings from cannabis e-commerce websites Leafly and Weedmaps; (2) keyword filtering related to women’s health and reproductive topics; and (3) content coding of cannabis-derived product listings for women’s health benefits, including product characteristics, such as route of administration, and any accompanying health warnings and user-generated reviews all conducted in September–November 2023.</div></div><div><h3>Results</h3><div>A total of 1,463,510 unique cannabis-derived product listings were collected from Leafly and Weedmaps. After keyword filtering and content coding, 408 listings mapped to 465 health benefit claims across 5 major women’s health areas: menstrual cycle (57.2%, <em>n</em>=266), fertility (14.0%, <em>n</em>=65), women’s health conditions (13.1%, <em>n</em>=61), menopausal transition (15.0%, <em>n</em>=70), and maternal health (0.7%, <em>n</em>=3). Among these 408 cannabis-derived product listings, only 6.6% (<em>n</em>=27) contained disclaimers with health warning language. For products making women’s health claims, the top product route of administration was topical/transdermal application (e.g., dermatological agents, transdermal products, <em>n</em>=135). Product reviews contained 14 comments with thematic relevance to stated health benefit claim(s), including with 12 (85.7%) positive and 2 (14.3%) negative.</div></div><div><h3>Conclusions</h3><div>This study found &gt;400 unique cannabis-derived products promoting various women-focused health benefits on 2 cannabis e-commerce sites, despite known reproductive and maternal health risks. Additional research is needed to understand how women perceive these marketed benefits and how they influence product use and behavior.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"70 4","pages":"Article 108183"},"PeriodicalIF":4.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145477338","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":"ENDS Liquid Nicotine Exposure in Children Aged <5 Years Presenting to U.S. Emergency Departments, 2019–2024","authors":"Aaron M. Blakney MPH,&nbsp;Eric Griggs MPH,&nbsp;Sheila Farrell MD, MPH,&nbsp;Charles Deljohn Carr PharmD, MPH,&nbsp;Joanne T. Chang PhD, MPH","doi":"10.1016/j.amepre.2025.108189","DOIUrl":"10.1016/j.amepre.2025.108189","url":null,"abstract":"<div><h3>Introduction</h3><div>ENDSs have become widely popular, inadvertently increasing the risk of pediatric liquid nicotine exposures. Even small amounts of concentrated nicotine can result in severe toxicity in young children. This study aimed to quantify emergency department visits for liquid nicotine poisoning among children aged &lt;5 years from 2019 to 2024.</div></div><div><h3>Methods</h3><div>Data from the National Electronic Injury Surveillance System from 2019 to 2024 were analyzed using a cross-sectional approach. Cases were identified by extracting records with poisoning diagnoses and filtering narratives using keywords associated with ENDS poisonings. Two independent reviewers confirmed each case involving exposure to ENDS liquid nicotine. National Electronic Injury Surveillance System sample weights were applied to produce national estimates with 95% CIs.</div></div><div><h3>Results</h3><div>An estimated 3,952 emergency department visits nationally (95% CI=2,600; 5,305) were attributed to liquid nicotine poisoning among children aged &lt;5 years from 2019 to 2024. Children aged &lt;2 years accounted for 2,921 cases (73.9%). Males represented 2,345 cases (59.3%), and females represented 1,607 cases (40.7%). White children comprised 2,345 cases (59.3%). Most children (88.3%) were treated and released, whereas 165 cases (4.2%) required hospital admission. No fatalities were reported.</div></div><div><h3>Conclusions</h3><div>Liquid nicotine poisoning remains a significant pediatric health concern, with over 3,900 emergency department visits nationally during 2019–2024. Children aged &lt;2 years are at highest risk owing to developmental factors and exploratory behaviors. Although most cases did not require hospitalization, the potential for serious outcomes underscores the need for enhanced prevention strategies, including improved product packaging and public education about safe storage practices.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"70 4","pages":"Article 108189"},"PeriodicalIF":4.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145530906","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}