Sallyann Coleman King, Jessica King, Cheryll C Thomas, Lisa C Richardson
{"title":"Baseline Estimates of Colorectal Cancer Screening Among Adults Aged 45 to 75 Years, Behavioral Risk Factor Surveillance System, 2022.","authors":"Sallyann Coleman King, Jessica King, Cheryll C Thomas, Lisa C Richardson","doi":"10.5888/pcd22.250175","DOIUrl":"10.5888/pcd22.250175","url":null,"abstract":"<p><p>Colorectal cancer (CRC) screening allows for early detection and prevention through removal of polyps. In 2021, the US Preventive Services Task Force updated recommendations to screen adults aged 45 to 75 years. We analyzed 2022 Behavioral Risk Factor Surveillance System data to establish baseline prevalence estimates for those eligible for screening aged 45 to 75, including those aged 45 to 49 years who are newly eligible. Only 61.4% of adults aged 45 to 75 were up to date with CRC screening, below the Healthy People 2030 target (72.8%). Public health and clinical systems can prioritize identifying and screening adults not up to date on screening to reduce CRC risk.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"22 ","pages":"E49"},"PeriodicalIF":3.9,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800812","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}
Yu Wang, Hui Shao, Elizabeth Bigman, Christopher Holliday, Ping Zhang
{"title":"Medical Expenditure Differences Between Income Levels Among US Adults With Diabetes.","authors":"Yu Wang, Hui Shao, Elizabeth Bigman, Christopher Holliday, Ping Zhang","doi":"10.5888/pcd22.250153","DOIUrl":"10.5888/pcd22.250153","url":null,"abstract":"<p><strong>Introduction: </strong>Significant differences exist in the risk of diabetes and diabetes-related complications by income level in the United States. We assessed 1) to what extent medical expenditures in total and by health service type differ by income levels, and 2) how demographic and socioeconomic factors and health status are associated with these differences.</p><p><strong>Methods: </strong>Data from the 2017 through 2021 Medical Expenditure Panel Survey were analyzed to estimate annual per-person medical expenditures for adults with diabetes. These expenditures were categorized by service type (inpatient, outpatient, prescription, home health care services, emergency department, or other) and compared across income groups based on the federal poverty level (FPL): poor (<125% FPL), low (125% to <200% FPL), middle (200% to <400% FPL), and high (≥400% FPL). One-way analysis of variance was used to test group differences, and a regression-based decomposition identified factors driving expenditure disparities. All expenditures were adjusted to 2021 US dollars.</p><p><strong>Results: </strong>Mean total medical expenditures were significantly higher for the poor-income group compared with the low-income, middle-income, and high-income groups, though no significant differences were observed among the latter 3 groups. Prescription drugs and home health care services in the poor-income group accounted for most of this difference. Key factors associated with the higher expenditures in this group included elevated disability rates, poorer physical health status, and dual Medicaid-Medicare coverage.</p><p><strong>Conclusion: </strong>Adults with diabetes from the poorest households incurred the highest medical expenditures, largely driven by poor physical health and higher rates of disability. Reducing disability and improving health outcomes for this group may help lower their medical expenses.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"22 ","pages":"E50"},"PeriodicalIF":3.9,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800813","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}
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":"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":3.9,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335312/pdf/","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":"OA","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":"10.5888/pcd22.250121","url":null,"abstract":"","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"22 ","pages":"E45"},"PeriodicalIF":3.9,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335315/pdf/","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":"OA","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":"10.5888/pcd22.250088","url":null,"abstract":"","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"22 ","pages":"E43"},"PeriodicalIF":3.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335309/pdf/","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":"OA","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":"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":3.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335310/pdf/","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":"OA","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":"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":3.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335313/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}