Preventing Chronic Disease最新文献

{"title":"Prevalence and Correlates of Caregiver-Reported Disordered Eating Behaviors and Concerns Among US Children and Adolescents Aged 6 to 17 Years, 2022.","authors":"Lydie A Lebrun-Harris, Ariel B Beccia, S Bryn Austin, Jason M Fields","doi":"10.5888/pcd23.250353","DOIUrl":"10.5888/pcd23.250353","url":null,"abstract":"<p><strong>Introduction: </strong>Disordered eating behaviors are increasingly recognized among children and adolescents in the US, making it critical to understand their prevalence and associated risk factors to support early identification and intervention. The objective of this study was to estimate the prevalence and correlates of caregiver-reported disordered eating behaviors and concerns among US children and adolescents aged 6 to 17 years.</p><p><strong>Methods: </strong>We analyzed data from the 2022 National Survey of Children's Health (n = 34,362), estimating age- and sex-stratified prevalence of past-year child's concerns about body weight, shape, or size; disordered eating behaviors; and caregiver concerns about those behaviors. We conducted bivariate analyses identifying sociodemographic, economic, health-related, and caregiver/family-related correlates.</p><p><strong>Results: </strong>The most prevalent behaviors were extremely picky eating (24.5% among children aged 6-11 y; 19.3% among adolescents aged 12-17 y), low interest in food (11.1% and 10.6%, respectively), and skipping meals/fasting (6.8% and 13.4%, respectively). About one-quarter of caregivers were \"very much\" or \"somewhat\" concerned about their child's behaviors. Several factors were associated with disordered eating behaviors/concerns, including food insufficiency; mental/emotional/behavioral conditions; frequent bullying; high levels of screentime; worse caregiver mental/emotional health; and adverse childhood experiences.</p><p><strong>Conclusion: </strong>Based on caregiver reports, nearly one-third of children and adolescents in our study population engaged in at least 1 form of disordered eating in the past year. Caregivers may be well-positioned to observe and report early behavior changes, potentially enabling earlier clinical assessment and intervention and improved prognosis.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E18"},"PeriodicalIF":5.6,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13285502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279923","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":"Changes in Sugar-Sweetened Beverage Intake From Before to After Nutrition Labeling Policy Implementation: A Comparison of Mexico and the United States.","authors":"Alejandra Contreras-Manzano, Sultan Alsallum, Rachel E Davis, Lana Vanderlee, Alejandra Jáuregui, Christine M White, Virginie Drolet-Labelle, Edward A Frongillo, Laura Lázaro, Simón Barquera, Lindsey Smith Taillie, James W Hardin, David Hammond, James F Thrasher","doi":"10.5888/pcd23.250422","DOIUrl":"10.5888/pcd23.250422","url":null,"abstract":"<p><strong>Introduction: </strong>Sugar-sweetened beverages (SSBs) are a major source of added dietary sugars in Mexico and the US and contribute to chronic disease risk. In 2020, Mexico implemented mandatory front-of-package warning labels (FoPWLs), and the US implemented updated Nutrition Facts labels that increased the salience of calories and added sugars. We compared changes in SSB intake in Mexico and the US.</p><p><strong>Methods: </strong>Using 6 annual cross-sectional surveys (2018-2023) from the International Food Policy Study, we analyzed Mexican (n = 24,574) and US (n = 25,019) adults. Past-week SSB intake was summarized across 5 SSB categories. Outcomes were any SSB consumption, SSB consumption frequency, and, among SSB consumers, total volume, calories, and added sugars from SSBs. Difference-in-differences models with country-by-period interactions (2018-2019 vs 2020-2023) adjusted for sociodemographic and behavioral covariates; sex-stratified analyses were also conducted.</p><p><strong>Results: </strong>From 2018-2019 to 2020-2023, any SSB consumption and SSB consumption frequency increased in the US (adjusted odds ratio, 1.26; 95% CI, 1.17-1.36; adjusted incidence rate ratio, 1.16; 95% CI, 1.10-1.22, respectively). In Mexico, any SSB consumption also increased (adjusted odds ratio, 1.11; 95% CI, 1.00-1.22), but increases were smaller than in the US for any consumption (adjusted odds ratio, 0.88; 95% CI, 0.77-0.99) and frequency (adjusted incidence rate ratio, 0.89; 95% CI, 0.84-0.95). Among SSB consumers, changes in volume, calories, and added sugars did not differ between countries overall. In sex-stratified models, Mexican women had a greater relative reduction in SSB volume than US women (adjusted regression coefficient, -304 mL/week; 95% CI, -593 to -16).</p><p><strong>Conclusion: </strong>Compared with contemporaneous changes in the US, Mexico's FoPWL implementation was associated with more favorable trends in whether and how often adults consumed SSBs, but not in overall changes in volume, calories, or added sugars among SSB consumers.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E17"},"PeriodicalIF":5.6,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220351","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":"Faith, Hope, and Therapy: A Qualitative Study to Explore Faith-Based Leaders' Perceptions of Mental Illness in the Rural South.","authors":"Shameka L Cody, Shena Sanchez, Wanda M Burton, Lilanta J Bradley, Pamela P Foster, Sharlene D Newman","doi":"10.5888/pcd23.260031","DOIUrl":"10.5888/pcd23.260031","url":null,"abstract":"<p><strong>Introduction: </strong>Faith-based leaders are often the first people contacted by people in rural areas who are experiencing mental health crises, yet some may delay referrals. Public health professionals and mental health providers should therefore understand the perspectives of faith-based leaders on mental health. In this qualitative study, we explored the perceptions of faith-based leaders regarding mental illness and the role of the church in addressing stigma associated with mental illness in the rural South.</p><p><strong>Methods: </strong>Using purposeful sampling, pastors and ministers (N = 10) were recruited from 3 rural Southern counties. Participants viewed a minidocumentary featuring faith-based leaders discussing their role in addressing mental health issues in the church. After viewing, participants shared their thoughts in focus groups.</p><p><strong>Results: </strong>Thematic qualitative analysis identified 3 themes: 1) mental health is a broad topic involving various aspects connected to a person's overall well-being; 2) church and faith-based leaders are unprepared to address mental health stigma among church congregants; and 3) faith-based leaders expressed that they could address mental health needs by building relationships with congregants through listening and having a spirit of discernment.</p><p><strong>Conclusion: </strong>Future studies with larger samples of faith-based leaders from different religious backgrounds are needed. Integrated spiritual-based and mental health prevention approaches may be beneficial to support faith-based leaders in their role in referring people to treatment.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E16"},"PeriodicalIF":5.6,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13238934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165466","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":"Sunburn Prevalence Among US High School Students, Youth Risk Behavior Survey, United States, 2023.","authors":"Dawn M Holman, Ryan Saelee, Sandra J Kiplagat, Anne K Julian","doi":"10.5888/pcd23.260069","DOIUrl":"10.5888/pcd23.260069","url":null,"abstract":"<p><p>Using 2023 national Youth Risk Behavior Survey data, we estimated the prevalence of any sunburn and frequent sunburn (≥5 times in the past year) among US high school students and examined associations with demographic and behavioral characteristics. Overall, 54.7% of students reported any sunburn, and 22.9% of students with any sunburn reported frequent sunburn. After adjustment for sex, race and ethnicity, and grade, any sunburn prevalence differed by sex, race and ethnicity, body mass index, several substance use and activity measures, diet, and social media use; factors associated with frequent sunburn partially overlapped but also differed. Persistently high adolescent sunburn prevalence supports continued youth skin cancer prevention efforts.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E15"},"PeriodicalIF":5.6,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13224747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058127","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":"Erratum, Vol. 17, December 3 Release.","authors":"","doi":"10.5888/pcd23.200213e","DOIUrl":"10.5888/pcd23.200213e","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.5888/pcd17.200213.].</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E13"},"PeriodicalIF":3.9,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13198769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989917","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":"Accuracy of Surveys for Estimating Coverage for Hepatitis A and B Vaccinations in Adults.","authors":"Lori A Crane, Laura P Hurley, Matthew F Daley, Brenda Beaty, John D Rice, Kamonthip J Homdayjanakul, Jason Lyons, Carla L Black, Peng-Jun Lu, James A Singleton","doi":"10.5888/pcd23.250481","DOIUrl":"10.5888/pcd23.250481","url":null,"abstract":"<p><p>This study estimated accuracy of survey-reported hepatitis A and B vaccination among adults at increased risk. Survey responses from patients at 2 large health care systems in Colorado were compared with vaccination records in electronic health records and the state immunization registry. For hepatitis A vaccine, net bias was 5.6% (relative bias, 38.6%; sensitivity, 52.5%; specificity, 85.3%). For hepatitis B vaccine, net bias was 6.5% (relative bias, 28.6%; sensitivity, 43.4%; specificity, 75.1%). Despite low sensitivity, self-reported vaccination status may be sufficiently accurate for use in the development of vaccine policies and public health actions for improving hepatitis A and B coverage.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E14"},"PeriodicalIF":5.6,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13198770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989933","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":"Estimation of the Attributable Fraction of Noncommunicable Diseases Related to Physical Inactivity, Morocco.","authors":"Nassiba Bahra, Fatima Zahrae Bartal, Hajar Mahfoudi, Karima El Rhazi, Nabil Tachfouti","doi":"10.5888/pcd23.250352","DOIUrl":"10.5888/pcd23.250352","url":null,"abstract":"<p><strong>Introduction: </strong>Physical inactivity is a major risk factor for noncommunicable diseases (NCDs). With the growing prevalence of NCDs, quantifying the effects of physical inactivity is essential for informing public health policies. This study estimates the attributable fraction of NCDs related to physical inactivity in Morocco and examines differences by sex and physical activity level.</p><p><strong>Methods: </strong>We applied a population attributable fraction approach to estimate preventable cases of breast cancer, colorectal cancer, type 2 diabetes, ischemic heart disease, and ischemic stroke through increased physical activity. The analysis focused on adults aged 18 years or older, with a focus on ischemic conditions among those aged 35 or older. Data sources included the national World Health Organization (WHO) STEPwise approach to NCD risk factor surveillance (STEPS) survey (for inactivity prevalence), meta-analyses (for relative risks), the national cancer registry (for cancer incidence), and published studies (for disease prevalence).</p><p><strong>Results: </strong>For breast cancer in women, physical inactivity accounted for 0.88% to 3.95% of cases. For colorectal cancer, the attributable fraction ranged from 2.72% (women) and 1.69% (men) at low activity levels to 6.49% (women) and 4.13% (men) at high activity levels. For type 2 diabetes, it ranged from 4.16% (women) and 2.60% (men) to 9.10% (women) and 5.84% (men). Among adults aged 35 years or older, physical inactivity accounted for up to 6.49% of ischemic heart disease cases and 7.08% of ischemic stroke cases in women and up to 5.16% and 5.64%, respectively, in men.</p><p><strong>Conclusions: </strong>Higher physical activity levels could significantly reduce NCD incidence. These findings underscore the preventive potential of physical activity and the need for sex-sensitive public health strategies to reduce NCD burden.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E12"},"PeriodicalIF":5.6,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943704","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":"Mobility Matters: Differential Mobility Loss by Race and Ethnicity in Hawai'i.","authors":"Miquela Ibrao, Yan Yan Wu, Kathryn L Braun","doi":"10.5888/pcd23.250407","DOIUrl":"10.5888/pcd23.250407","url":null,"abstract":"<p><strong>Introduction: </strong>Mobility is a critical determinant of healthy aging. Agility, gait, balance, and fall risk, when left unassessed and unaddressed, may diminish older adults' ability to age in place, often leading to more restrictive, supervised care environments. This study examined racial and ethnic disparities in a composite mobility/functional measure in Hawai'i and the associations of selected social determinants of health (SDOH) with limitation status.</p><p><strong>Methods: </strong>We analyzed data from the Hawai'i Behavioral Risk Factor Surveillance System collected from 2019 through 2021. The study population included community-dwelling adults aged 55 years or older from the 4 largest racial and ethnic groups in Hawai'i: White, Filipino, Japanese, and Native Hawaiian (unweighted n = 10,039; weighted population estimate = 350,922). We used weighted logistic regression to assess associations between mobility limitations and SDOH.</p><p><strong>Results: </strong>Mobility limitations were reported by 28% of Native Hawaiian people aged 55 years or older, compared with 17% to 19% among other groups. Native Hawaiian adults aged 55 to 64 years also had substantially higher prevalence of mobility limitations than adults of the same age in other racial and ethnic groups. Higher income was protective against mobility limitations for both Native Hawaiian and White adults. In contrast, the associations of education and health insurance with mobility limitations varied across groups, with weaker protective associations of education among Native Hawaiian adults.</p><p><strong>Conclusion: </strong>Findings suggest the importance of considering mobility-focused prevention and assessment for Native Hawaiian adults before the Medicare eligibility age of 65 years. To be effective, these interventions must be culturally grounded and tailored to the unique needs and lived experiences of Native Hawaiian communities.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E11"},"PeriodicalIF":5.6,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845969","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":"Revitalizing the US Youth Presidential Fitness Test: Are States Prepared to Support Implementation?","authors":"Chad M Killian, Emily M D'Agostino, Ben D Kern, Christina Y Kim, Devon King, Shannan E Albeke, Hannah R Thompson","doi":"10.5888/pcd23.250456","DOIUrl":"10.5888/pcd23.250456","url":null,"abstract":"<p><p>Our objective was to describe policy infrastructure of elementary school fitness testing at the state level and to assess states' readiness for implementation of the recently reinstated Presidential Fitness Test. We conducted a cross-sectional policy analysis by using data from the State of the States Policy Report and used the Classification of Laws Associated with School Students to create a standardized readiness index. Only 5 states required recommended weekly minutes of physical education, 24 had no fitness testing requirements, 6 mandated testing results reporting, and most delegated compliance monitoring locally. State policies are not positioned to support large-scale standardized fitness testing, indicating a need for coordinated reform.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E10"},"PeriodicalIF":5.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976142","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":"Sit-to-Stand Performance, Moderate-to-Vigorous Physical Activity, and Health-Related Quality of Life in Knee Osteoarthritis: A Prospective Mediation Analysis.","authors":"Kristen Dean, Donya Nemati, Ruopeng Sun, Matthew Smuck, Junichi Kushioka, Thomas M Best, Navin Kaushal","doi":"10.5888/pcd23.250405","DOIUrl":"10.5888/pcd23.250405","url":null,"abstract":"<p><strong>Introduction: </strong>Knee osteoarthritis (KOA) is the most common form of arthritis, leading to illness, decreased physical function, and reduced health-related quality of life (HR-QoL). Sit-to-stand (STS) testing is a commonly used measure of physical capacity in KOA. This study examined whether STS performance and moderate-to-vigorous physical activity (MVPA) helped account for the association between KOA pain and subsequent HR-QoL.</p><p><strong>Methods: </strong>Data across 2 years (at year 6 and year 8 visits) were used from the Osteoarthritis Initiative (OAI), a multisite, longitudinal study of people with or at risk for KOA. We used serial mediation analysis to examine whether year 6 STS performance and year 8 MVPA accounted for the association between year 6 KOA pain and year 8 HR-QoL, adjusting for age, sex, and race.</p><p><strong>Results: </strong>Significant correlations among all model variables supported model testing. The serial mediation model revealed that an increase in KOA pain predicted worse STS performance (β = .15; P < .001). MVPA was reduced by an increase in KOA pain (β = -.13; P < .001) but not STS (β = -.02; P = .46). MVPA subsequently predicted HR-QoL (β = .12; P < .001). The overall indirect pathway was significant (β = -0.02; 95% CI, -0.040 to -0.009), but the direct pathway also remained significant (β = -0.47; 95% CI, -0.536 to -0.410), denoting a partial mediation effect.</p><p><strong>Conclusion: </strong>STS performance and MVPA partially mediated the relationship between KOA pain and HR-QoL, highlighting mechanisms to address in future interventions for improving HR-QoL. These results support STS as a complementary tool to pain for understanding MVPA participation and HR-QoL in KOA patients. The findings also underscore the importance of integrating self-management strategies to address pain in behavior-change interventions.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E09"},"PeriodicalIF":5.6,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976392","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}