Elizabeth A Rohan, Julie S Townsend, Andrea Torres, Hope L Thompson, Dawn M Holman, Avid Reza, Felicia Solomon Tharpe, Erin Caple, Ashley Wennerstrom
{"title":"Public Understanding of and Engagement With Community Health Workers and Promotores de Salud: Findings From Two National Surveys.","authors":"Elizabeth A Rohan, Julie S Townsend, Andrea Torres, Hope L Thompson, Dawn M Holman, Avid Reza, Felicia Solomon Tharpe, Erin Caple, Ashley Wennerstrom","doi":"10.5888/pcd22.240441","DOIUrl":"https://doi.org/10.5888/pcd22.240441","url":null,"abstract":"<p><strong>Introduction: </strong>Community health workers (CHWs) can improve health by helping people navigate health care services and systems and connecting them to community services that address nonmedical factors such as food insecurity, housing, and transportation. While CHWs have long been part of the US public health system, there are no data, to our knowledge, on the public's familiarity and interactions with CHWs.</p><p><strong>Methods: </strong>We analyzed data from the 2022 Porter Novelli FallStyles and Estilos surveys, online market research surveys of the general public delivered in English (FallStyles) or primarily Spanish (Estilos). Each survey asked the same 4 questions on familiarity and interactions with CHWs, including, for respondents reporting having interacted with CHWs, the types of issues CHWs helped them with.</p><p><strong>Results: </strong>Of 3,410 FallStyles respondents, 52.1% were familiar with CHWs, and 16.7% had interacted with a CHW. Of 954 Estilos respondents, 62.4% were familiar with CHWs, and 42.0% had interacted with a CHW. Among respondents who indicated being helped by CHWs, the majority encountered CHWs in health care settings (60.8% of FallStyles respondents; 64.2% of Estilos respondents) and less than one-quarter reported encountering CHWs in their community or place of worship (21% of FallStyles respondents; 22.2% of Estilos respondents).</p><p><strong>Conclusion: </strong>A large proportion of people who are Hispanic or Latino are familiar with or have had interactions with CHWs. The low levels of familiarity with CHWs among FallStyles respondents highlight opportunities for greater public awareness and understanding of the multifaceted role and scope of the CHW workforce across public health, health care, and community settings to enhance the health and wellness of all people.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"22 ","pages":"E47"},"PeriodicalIF":4.4,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Our Schoolyard Infrastructure Just Isn't Cutting It: Play Is Public Health.","authors":"Kylie Wilson, Marissa Schulke","doi":"10.5888/pcd22.250121","DOIUrl":"https://doi.org/10.5888/pcd22.250121","url":null,"abstract":"","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"22 ","pages":"E45"},"PeriodicalIF":4.4,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"If We Can Get Them to Stop, They Can Have Such a Better Life\": Implementing Tobacco and Nicotine Dependence Treatment Services in Community Pharmacies in North Dakota.","authors":"Hailey M Wanner, Kelly Corr","doi":"10.5888/pcd22.250088","DOIUrl":"https://doi.org/10.5888/pcd22.250088","url":null,"abstract":"","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"22 ","pages":"E43"},"PeriodicalIF":4.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Childhood Adversity and Social Drivers of Health in Subjective Cognitive Decline.","authors":"Aishwarya Joshi, Jungwon Yeo","doi":"10.5888/pcd22.250116","DOIUrl":"https://doi.org/10.5888/pcd22.250116","url":null,"abstract":"<p><strong>Introduction: </strong>Cognitive health is influenced by a complex interplay of factors throughout the lifespan. Identifying childhood adversities and social needs can be important in mitigating subjective cognitive decline and promoting healthy aging. This study analyzes the role of social drivers of health on adverse childhood experiences and subjective cognitive decline.</p><p><strong>Methods: </strong>We conducted structural equation modeling on data from the 2023 Behavioral Risk Factor Surveillance System to investigate the association among adverse childhood experiences, social drivers of health, and subjective cognitive decline in a sample of adults aged 45 years or older (n = 35,754).</p><p><strong>Results: </strong>In our study sample, 17.7% reported experiencing subjective cognitive decline within the past 12 months. Adverse childhood experiences were significantly associated with greater subjective cognitive decline (β = 0.136, P < .001). Adverse childhood experiences were negatively associated with both social drivers of health, perceived social support (β = -0.517, P < .001), and socioeconomic stability (β = -0.022, P = .047). However, greater perceived social support (β = -0.260, P < .001) and socioeconomic stability (β = -0.086, P < .001) reduced the effects of adverse childhood experiences on subjective cognitive decline.</p><p><strong>Conclusion: </strong>Adverse childhood experiences were significantly associated with subjective cognitive decline; however, this association was attenuated when mediated by perceived social support and socioeconomic stability. These findings can inform public health providers and policymakers to implement targeted interventions, such as promoting resilience, reinforcing nurturing parenting styles, strengthening community networks, and integrating behavioral health into primary care settings.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"22 ","pages":"E42"},"PeriodicalIF":4.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christine M Kava, Judith Lee Smith, Emily K Kobernik, Jan M Eberth, Cynthia French, Sarah H Nash, Whitney E Zahnd, Ingrid J Hall
{"title":"Interventions to Increase Colorectal Cancer Screening Uptake in Rural Settings: A Scoping Review.","authors":"Christine M Kava, Judith Lee Smith, Emily K Kobernik, Jan M Eberth, Cynthia French, Sarah H Nash, Whitney E Zahnd, Ingrid J Hall","doi":"10.5888/pcd22.250025","DOIUrl":"https://doi.org/10.5888/pcd22.250025","url":null,"abstract":"<p><strong>Introduction: </strong>An estimated 6,000 preventable cancer deaths - including from colorectal cancer (CRC) - occurred in rural America in 2022. Screening can prevent CRC or identify disease at earlier stages when it is more treatable. However, national estimates for CRC screening lag behind Healthy People 2030 objectives. In rural settings, barriers to screening are unique and persistent.</p><p><strong>Methods: </strong>We performed a scoping review to describe the types and effectiveness of interventions to increase CRC screening in primarily rural settings. We included US-based studies published during January 2010 through May 2024. Interventions were categorized according to US Community Preventive Services Task Force-recommended strategies for multicomponent interventions.</p><p><strong>Results: </strong>Of 508 unique publications identified, 36 met inclusion criteria. Most studies were multicomponent interventions (n = 34). Most studies were associated with an increase in CRC screening uptake. The most common intervention approaches were client reminders (eg, telephone reminders about screening) (n = 25), small media (eg, pamphlets) (n = 25), and reducing structural barriers to screening (eg, patient navigation) (n = 24). Over half (n = 21) of studies reported using a theory, framework, or research approach to inform intervention development, implementation, or evaluation. Six studies (17%) included cost evaluations. The studies included in this review represented less than half of all US states.</p><p><strong>Conclusion: </strong>This scoping review provides insight into CRC screening intervention implementation in rural settings. The limited geographic representation of the interventions included in our review may highlight an opportunity to improve implementation and dissemination of effective CRC screening interventions in rural settings to reduce CRC incidence and death.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"22 ","pages":"E44"},"PeriodicalIF":4.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"35 Years of Partnership to Advance Cardiovascular Health and Well-Being in American Indian Communities: The Strong Heart Study and Strong Heart Family Study.","authors":"Amanda M Fretts, Jessica A Reese, Ying Zhang","doi":"10.5888/pcd22.250216","DOIUrl":"10.5888/pcd22.250216","url":null,"abstract":"","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"22 ","pages":"E39"},"PeriodicalIF":4.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12249319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benjamin Zablotsky, Amanda E Ng, Lindsey I Black, Gelila Haile, Jonaki Bose, Jessica R Jones, Stephen J Blumberg
{"title":"Associations Between Screen Time Use and Health Outcomes Among US Teenagers.","authors":"Benjamin Zablotsky, Amanda E Ng, Lindsey I Black, Gelila Haile, Jonaki Bose, Jessica R Jones, Stephen J Blumberg","doi":"10.5888/pcd22.240537","DOIUrl":"10.5888/pcd22.240537","url":null,"abstract":"<p><strong>Introduction: </strong>Associations between screen time and health outcomes among teenagers are well established. However, most studies use parent-reported information, which may misrepresent the magnitude or nature of these associations. In addition, timely nationally representative estimates are needed to correspond with evolving screen use. This study aimed to address these gaps by using data from a nationally representative survey of teenagers.</p><p><strong>Methods: </strong>Data came from the 2021-2023 National Health Interview Survey-Teen (NHIS-Teen), a follow-back web-based survey designed to collect health information directly from teenagers aged 12 to 17 years. NHIS-Teen provides a unique opportunity to assess teenagers' self-reported health in conjunction with a rich set of parent-reported covariates, including family income, from the National Health Interview Survey. This study examines associations between high daily non-schoolwork screen time, defined as 4 or more hours of daily screen time, and adverse health outcomes across the domains of physical activity, sleep, weight, mental health, and perceived support.</p><p><strong>Results: </strong>Teenagers with higher non-schoolwork screen use were more likely to experience a series of adverse health outcomes, including infrequent physical activity, infrequent strength training, being infrequently well-rested, having an irregular sleep routine, weight concerns, depression symptoms, anxiety symptoms, infrequent social and emotional support, and insufficient peer support.</p><p><strong>Conclusion: </strong>Results of this study include associations between high screen time and poor health among teenagers using self-reported data. Future work may further investigate these associations and their underlying mechanisms, including the content viewed on screens and the interactions taking place across screens.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"22 ","pages":"E38"},"PeriodicalIF":4.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12249308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Confronting the Crisis: Actions to Address Maternal Morbidity and Mortality Among Black Women in Rural Georgia.","authors":"Jalen Robinson, Jaliyah Screen, Carey Roth Bayer","doi":"10.5888/pcd22.250125","DOIUrl":"10.5888/pcd22.250125","url":null,"abstract":"","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"22 ","pages":"E37"},"PeriodicalIF":4.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12249275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}