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Novel Platforms of Education to Engage Black and African Americans in Lung Cancer Screening 让黑人和非裔美国人参与肺癌筛查的新教育平台
AJPM focus Pub Date : 2025-04-15 DOI: 10.1016/j.focus.2025.100350
Kristine Chin BS , Anastasiia K. Tompkins BS , Shyanne D. Amoyo BS , Grace X. Ma PhD , Cherie P. Erkmen MD
{"title":"Novel Platforms of Education to Engage Black and African Americans in Lung Cancer Screening","authors":"Kristine Chin BS ,&nbsp;Anastasiia K. Tompkins BS ,&nbsp;Shyanne D. Amoyo BS ,&nbsp;Grace X. Ma PhD ,&nbsp;Cherie P. Erkmen MD","doi":"10.1016/j.focus.2025.100350","DOIUrl":"10.1016/j.focus.2025.100350","url":null,"abstract":"<div><h3>Introduction</h3><div>Black and African Americans face a higher risk and greater mortality from lung cancer than other racial groups. Despite the proven benefits of lung cancer screening, Black and African Americans, who derive even greater benefit from screening than other races, are less likely to participate. This study aims to increase the uptake of lung cancer screening by employing novel platforms for patient-centered education and engagement.</div></div><div><h3>Methods</h3><div>In an urban, safety-net health institution, the authors utilized existing relationships with patients and clinical sites to disseminate patient-oriented information about lung cancer and screening through in-person education events, virtual community meetings, and patient story videos and recordings from January 2020 to December 2022. Outcome measures included the number of lung cancer screenings from January 2013 to December 2023 and adherence to annual follow-up from January 2014 to December 2022.</div></div><div><h3>Results</h3><div>Lung cancer screening increased from 739 in 2020 to 2,067 in 2022, with 30.6% conducted among Black and African American patients. However, adherence to annual screening remains low, with 27.2% adhering to 1 annual screen, 7.1% adhering to 2 annual screens, and 6.6% adhering to 3 or more consecutive screens in 2022. Black and African Americans were significantly less likely to adhere to 1 and 3 or more annual lung cancer screenings.</div></div><div><h3>Conclusions</h3><div>The utilization of multiple platforms to disseminate lung cancer screening education and engagement may have a positive impact on overall screening uptake among Black and African Americans. However, additional interventions must be devised to address low adherence to annual screening.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"4 4","pages":"Article 100350"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of Telehealth Encounters With Lung Cancer Screening Consultation in the U.S.: Preliminary Results 美国远程医疗协会与肺癌筛查会诊:初步结果
AJPM focus Pub Date : 2025-04-14 DOI: 10.1016/j.focus.2025.100349
Zhigang Xie PhD, BMed, MPA , Sericea Stallings-Smith DrPH, MPH , Beomyoung Cho PhD, MPH , Jennifer Wells BA , Young-Rock Hong PhD, MPH
{"title":"Association of Telehealth Encounters With Lung Cancer Screening Consultation in the U.S.: Preliminary Results","authors":"Zhigang Xie PhD, BMed, MPA ,&nbsp;Sericea Stallings-Smith DrPH, MPH ,&nbsp;Beomyoung Cho PhD, MPH ,&nbsp;Jennifer Wells BA ,&nbsp;Young-Rock Hong PhD, MPH","doi":"10.1016/j.focus.2025.100349","DOIUrl":"10.1016/j.focus.2025.100349","url":null,"abstract":"<div><h3>Introduction</h3><div>To promote lung cancer screening among the eligible population, a crucial step involves a shared decision-making discussion between the patient and primary care provider regarding lung cancer screening services. Little is known whether telehealth visits can be deemed comparable with in-person visits for lung cancer screening consultations.</div></div><div><h3>Methods</h3><div>This study used data from the 2022 Health Information National Trends Survey 6. Multivariable logistic regression models were employed to examine differences in lung cancer screening consultations between telehealth users and nonusers, adjusting for selected covariates.</div></div><div><h3>Results</h3><div>Overall, 41.2% had used telehealth at least 1 time in the past 12 months, and 9.9% had lung cancer screening consultations with their healthcare providers at least 1 time. There was no statistically significant difference in the odds of lung cancer screening consultations with healthcare providers between telehealth users and nonusers (AOR=0.91; 95% CI=0.36, 2.29). Of telehealth users, the odds of lung cancer screening consultations among exclusive phone call users (AOR=1.20; 95% CI=0.23, 6.17) and both video and phone call users (AOR=0.82; 95% CI=0.11, 5.98) were not statistically different from that among exclusive video call users.</div></div><div><h3>Conclusions</h3><div>Despite the overall low rate of patient–provider lung cancer screening consultations in eligible individuals, this study suggests that telehealth and in-person encounters seem to be comparable for lung cancer screening consultations.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"4 4","pages":"Article 100349"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nutrition Incentives Associated With Improved Outcomes: 2020–2023 Results From the U.S Gus Schumacher Nutrition Incentive Program 营养激励与改善结果相关:美国格斯·舒马赫营养激励计划2020-2023年结果
AJPM focus Pub Date : 2025-04-11 DOI: 10.1016/j.focus.2025.100348
Carmen Byker Shanks PhD, RDN , Whitney Fung Uy PhD , Nanhua Zhang PhD , Courtney A. Parks PhD , Hollyanne E. Fricke MPH , Kenneth Resnicow PhD , Nadine Budd Nugent PhD , Amy L. Yaroch PhD
{"title":"Nutrition Incentives Associated With Improved Outcomes: 2020–2023 Results From the U.S Gus Schumacher Nutrition Incentive Program","authors":"Carmen Byker Shanks PhD, RDN ,&nbsp;Whitney Fung Uy PhD ,&nbsp;Nanhua Zhang PhD ,&nbsp;Courtney A. Parks PhD ,&nbsp;Hollyanne E. Fricke MPH ,&nbsp;Kenneth Resnicow PhD ,&nbsp;Nadine Budd Nugent PhD ,&nbsp;Amy L. Yaroch PhD","doi":"10.1016/j.focus.2025.100348","DOIUrl":"10.1016/j.focus.2025.100348","url":null,"abstract":"<div><h3>Introduction</h3><div>Populations with low income and food insecurity report low fruit and vegetable intake and high associated diet-related disease. The Gus Schumacher Nutrition Incentive Program supports grantees to implement nutrition incentive projects nationwide to provide individuals participating in the Supplemental Nutrition Assistance Program with incentives to facilitate the purchase and consumption of fruits and vegetables. This study examines the associations between the length of Gus Schumacher Nutrition Incentive Program nutrition incentive participation and fruit and vegetable intake, food insecurity, and perceived health status.</div></div><div><h3>Study design</h3><div>Nutrition incentives were available to eligible participants during grantees’ multiyear award period between 2020 and 2023. Sixty-five Gus Schumacher Nutrition Incentive Program grantees collected cross-sectional surveys from a convenience sample of nutrition incentive project participants.</div></div><div><h3>Settings/participants</h3><div>A total of 23,736 adult Supplemental Nutrition Assistance Program recipients (aged ≥18 years) who participated in a nutrition incentive project and completed the cross-sectional survey were involved.</div></div><div><h3>Intervention</h3><div>Nutrition incentive projects varied in implementation at grocery stores, farmers markets, and other food retail spanning across all regions of the U.S.</div></div><div><h3>Main outcome measures</h3><div>Main outcome measures included fruit and vegetable intake, food insecurity, and perceived health status by length of participation.</div></div><div><h3>Results</h3><div>Participants in nutrition incentives at &gt;6 months (cups per day=2.91) demonstrated significantly higher fruit and vegetable intake than first-time participants (cups per day=2.73) and those ≤6 months (cups per day=2.76). Significance (<em>p</em>&lt;0.05) was observed for reduced food insecurity (≤6 months versus first time [OR=0.66, 95% CI=0.60, 0.73], &gt;6 months versus first time [OR=0.60, 95% CI=0.55, 0.65]) and better perceived health (≤6 months versus first time [OR=1.28, 95% CI=1.17, 1.41], &gt;6 months versus first time [OR=1.48, 95% CI=1.35, 1.62]). Differences by racial and ethnic groups as well as age existed for all main outcomes.</div></div><div><h3>Conclusions</h3><div>Nutrition incentives appear to increase fruit and vegetable intake, reduce food insecurity, and result in better perceived health. They are a meaningful public health intervention to address key differences in diet-related outcomes.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"4 4","pages":"Article 100348"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From Screening to Support: Exploring Patient Engagement With Health-Related Social Needs Services 从筛查到支持:探索患者参与与健康相关的社会需求服务
AJPM focus Pub Date : 2025-04-11 DOI: 10.1016/j.focus.2025.100346
Brenda L. Luther PhD, RN , Sara G. Bybee PhD, LCSW , Catherine E. Elmore PhD, MSN, BA , Ernest Grigorian MS , Ching-Yu Wang PhD, RN , Jorie M. Butler PhD , Andrea S. Wallace PhD, RN, FAAN
{"title":"From Screening to Support: Exploring Patient Engagement With Health-Related Social Needs Services","authors":"Brenda L. Luther PhD, RN ,&nbsp;Sara G. Bybee PhD, LCSW ,&nbsp;Catherine E. Elmore PhD, MSN, BA ,&nbsp;Ernest Grigorian MS ,&nbsp;Ching-Yu Wang PhD, RN ,&nbsp;Jorie M. Butler PhD ,&nbsp;Andrea S. Wallace PhD, RN, FAAN","doi":"10.1016/j.focus.2025.100346","DOIUrl":"10.1016/j.focus.2025.100346","url":null,"abstract":"<div><h3>Introduction</h3><div>Achieving health equity necessitates addressing social determinants of health. Value-based payment models encourage healthcare systems to address patients’ health-related social needs such as housing, food, and transportation. Leading organizations advocate for integrating social needs screening in clinical care to connect patients with necessary services. This study aimed to explore patients’ experiences and motivations for completing social needs screening during clinical visits and engaging with community service navigators. The goal is to inform more effective health system strategies for addressing social needs and ultimately enhance population health.</div></div><div><h3>Methods</h3><div>This is a qualitative descriptive study involving clinical visits to adult or pediatric emergency departments or mobile clinics and COVID-19 testing sites within a large tertiary academic healthcare system in the intermountain U.S. Sixty-three patients (30 Spanish speaking and 33 English speaking) who screened positive for social needs were involved. Telephone interviews were conducted with participants who screened positive for social needs and who were referred to service navigators for community resources. Data were analyzed using NVIVO software, identifying key themes through open coding and consensus among content experts.</div></div><div><h3>Results</h3><div>The results revealed that social needs screening facilitated the development of meaningful relationships, making patients feel cared for and supported. Patients initially had low expectations but were often pleasantly surprised and relieved by the resources provided. Although some patients successfully obtained the necessary resources, these sentiments were balanced by others who experienced discomfort or suspicion regarding the screening process. In addition, some patients encountered barriers such as ineligibility, technological challenges, and emotional burdens, which led to frustration and discouragement.</div></div><div><h3>Conclusions</h3><div>Effective health-related social needs screening and referral processes can foster positive patient relationships and address significant social needs. However, the manner of screening and the support provided for navigating resources are crucial. Enhanced support systems are essential to overcome referral barriers and ensure that patients can access necessary services, contributing to improved health equity and reduced disparities.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"4 4","pages":"Article 100346"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144137910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oral Health Impact and Cost-Effectiveness of Resealing First Permanent Molars 第一恒磨牙再密封对口腔健康的影响及成本效益
AJPM focus Pub Date : 2025-04-09 DOI: 10.1016/j.focus.2025.100345
Christina R. Scherrer PhD , Pritam Deb BS , Jayden Ayash MS , Shillpa Naavaal BDS, MS, MPH
{"title":"Oral Health Impact and Cost-Effectiveness of Resealing First Permanent Molars","authors":"Christina R. Scherrer PhD ,&nbsp;Pritam Deb BS ,&nbsp;Jayden Ayash MS ,&nbsp;Shillpa Naavaal BDS, MS, MPH","doi":"10.1016/j.focus.2025.100345","DOIUrl":"10.1016/j.focus.2025.100345","url":null,"abstract":"<div><h3>Introduction</h3><div>This study examined the cost-effectiveness and health impact of various dental sealant resealing scenarios for first permanent molars from the payer perspective.</div></div><div><h3>Methods</h3><div>The authors used a discrete event simulation model for 4,000 recently sealed first molars in a hypothetical cohort of 1,000 children aged 7 years over a 10-year time horizon. Scenarios included a base case of no resealing, resealing at first dental visit, and resealing at the age of 12 years.</div></div><div><h3>Results</h3><div>Without resealing, only 34.88% of teeth retained sealants after 10 years, whereas resealing at the age of 12 years increased this to 53.05%, and resealing at first dental visit increased it to 43.48%. Resealing at age 12 years significantly reduced decay experience to 26.65%, and resealing at first dental visit reduced it to 25.30%, compared with 41.15% for no resealing. The number of accrued disability-adjusted life years was highest for no resealing (5.35). This number reduced to 3.52 for resealing at age of 12 years and 3.19 for resealing at the first dental visit. Cost-effectiveness analysis showed that the most effective resealing scenario, resealing at the first dental visit, also had the lowest cost per averted cavity ($43.03) and cost per averted disability-adjusted life year ($6,753).</div></div><div><h3>Conclusions</h3><div>This simulation model indicates that resealing significantly reduces dental decay over 10 years at reasonable costs, using conservative modeling assumptions. These findings suggest that insurance companies and Medicaid could benefit from implementing resealing policies to improve dental health outcomes by reducing caries and filling costs.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"4 4","pages":"Article 100345"},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Electronic Health Record–Based Platform for Social Needs Assessment and Navigation Services: Preliminary Results of an RCT 基于电子健康记录的社会需求评估和导航服务平台:随机对照试验的初步结果
AJPM focus Pub Date : 2025-04-07 DOI: 10.1016/j.focus.2025.100344
Elham Hatef MD, MPH, FACPM , Thomas Richards MS , Sofia Hail MD , Talan Zhang PhD , Kristin Topel MS , Christopher Kitchen MS , Katherine C. Shaw MD , Jonathan P. Weiner DrPH
{"title":"An Electronic Health Record–Based Platform for Social Needs Assessment and Navigation Services: Preliminary Results of an RCT","authors":"Elham Hatef MD, MPH, FACPM ,&nbsp;Thomas Richards MS ,&nbsp;Sofia Hail MD ,&nbsp;Talan Zhang PhD ,&nbsp;Kristin Topel MS ,&nbsp;Christopher Kitchen MS ,&nbsp;Katherine C. Shaw MD ,&nbsp;Jonathan P. Weiner DrPH","doi":"10.1016/j.focus.2025.100344","DOIUrl":"10.1016/j.focus.2025.100344","url":null,"abstract":"<div><h3>Introduction</h3><div>The study team has developed an electronic health record–integrated platform, including a clinical decision support and closed-loop referral tool, to identify patients with social needs and to provide assessment and navigation services. This paper presents the results of the first 6 months of the study assessing the effectiveness of this platform.</div></div><div><h3>Study design</h3><div>This was an RCT.</div></div><div><h3>Setting</h3><div>This study took place in 5 primary care clinics at the Johns Hopkins Health System and 5 community-based organizations participating in the digital closed-loop referral system.</div></div><div><h3>Participants</h3><div>This study included African-American adult (aged ≥18 years) patients living in socioeconomically challenged neighborhoods in Baltimore City.</div></div><div><h3>Intervention</h3><div>The study compared the electronic health record–integrated digital platform with the standard of care.</div></div><div><h3>Main outcome measures</h3><div>The main outcome was a change in the number of identified social needs from enrollment to 3-month follow-up, comparing intervention with control groups.</div></div><div><h3>Results</h3><div>During the first ∼6 months of the study, the authors reached out to 1,648 eligible patients, 92 (5.59%) of whom enrolled and consented to join the trial. Among the intervention group, using only information provided by the electronic health record–based digital platform, the authors identified 25 patients (56.82%) whom they deemed not to require further social needs assessment (Intervention Group A) and 19 patients (43.18%) in whom the information provided in the digital platform suggested that high social need may be present (Intervention Group B). This latter group was deemed to require further in-depth social needs assessment and subsequent social services navigation support, potentially including referral to the participating community-based organizations. More patients in Intervention Group B than in the control group and Intervention Group A experienced a decrease in social needs documented by providers across the Johns Hopkins Health System outside the study setting (8 patients [42.11%], 11 [22.92%], and 2 [8.00%]; <em>p</em>=0.021) or by the study team (3 patients [15.79%], 1 [2.08%], and 1 [4.00%]; <em>p</em>=0.078).</div></div><div><h3>Conclusions</h3><div>These preliminary findings show that structuring a social needs assessment and intervention within clinical electronic health records can improve the social needs assessment and intervention process.</div></div><div><h3>Trial registration</h3><div>This trial is registered through the NIH on clnicaltrials.gov (NCT05574699).</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"4 4","pages":"Article 100344"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Young Adult Cannabis, Alcohol, Nicotine, and Nonprescribed Pain Reliever Use in Washington State Before and During COVID-19 Pandemic 在COVID-19大流行之前和期间,华盛顿州的青少年大麻、酒精、尼古丁和非处方止痛药的使用
AJPM focus Pub Date : 2025-04-07 DOI: 10.1016/j.focus.2025.100342
Charles B. Fleming MA , Griselda Martinez PhD , Isaac C. Rhew PhD , Jason R. Kilmer PhD , Mary E. Larimer PhD , Katarina Guttmannova PhD
{"title":"Young Adult Cannabis, Alcohol, Nicotine, and Nonprescribed Pain Reliever Use in Washington State Before and During COVID-19 Pandemic","authors":"Charles B. Fleming MA ,&nbsp;Griselda Martinez PhD ,&nbsp;Isaac C. Rhew PhD ,&nbsp;Jason R. Kilmer PhD ,&nbsp;Mary E. Larimer PhD ,&nbsp;Katarina Guttmannova PhD","doi":"10.1016/j.focus.2025.100342","DOIUrl":"10.1016/j.focus.2025.100342","url":null,"abstract":"<div><h3>Introduction</h3><div>The COVID-19 pandemic may have affected young adult use of cannabis and other drugs. Prior research provides information about these effects, but additional estimates are needed using data collected in a consistent manner across years and in an established legalized cannabis context. The authors assessed changes in substance use among young adults in Washington State during the pandemic relative to prior trends.</div></div><div><h3>Methods</h3><div>Data were from young adults aged 18–25 years in 6 annual waves of the statewide Washington State Young Adult Health Survey (N=12,516). In analyses conducted in 2023 and 2024, the authors estimated trends in substance use from 2016 to 2019 and deflections from those trends in 2020 and 2021.</div></div><div><h3>Results</h3><div>Past-month cannabis use increased across years (annual percentage point change in 2016–2019 =1.6; 95% CI=0.6, 2.6), with little deflection from the prepandemic trend in 2020 or 2021. Prevalence of past-month alcohol use, heavy episodic drinking, cigarette use, and nonprescribed pain reliever use decreased across years (annual percentage point change range= −1.2, −0.5), with a further downward deflection from the prepandemic trend for cigarette use in 2020 (percentage point change= −3.8; 95% CI= −6.2, −1.4). Prevalence of simultaneous alcohol and cannabis use was stable across the study period. E-cigarette use increased before pandemic (annual percentage point change=1.8; 95% CI=1.2, 2.5) but fell below this trend in 2020 (percentage point change= −2.9; 95% CI= −4.8, −1.1) and 2021 (percentage point change= −3.2; 95% CI= −5.3, −1.0). For those aged &lt;21 years compared with those aged ≥21 years, there was a downward deflection in cannabis use in 2020 (percentage point change=7.5; 95% CI=0.1, 14.9) and greater decrease in nonprescribed pain reliever use before pandemic (annual percentage point change=1.3; 95% CI=0.3, 2.3) followed by a relative increase in 2020 (percentage point change= −5.5; 95% CI= −11.6, 0.5). Sex differences in changes were not statistically significant, but females increased in most types of substance use relative to males across the study period.</div></div><div><h3>Conclusions</h3><div>Prepandemic trends in cannabis and alcohol use continued through 2021, pointing to continuity in demand and supply, although the pandemic may have dampened cannabis use in 2020 for young adults aged &lt;21 years. Decreases in nicotine use after 2019 may be partly due to restrictions on sales enacted in 2020 and warnings of COVID-19 risk linked to smoking and vaping. The findings point to the need for continued substance use prevention and treatment services during disruptive public health crises.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"4 4","pages":"Article 100342"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Association Between Marijuana Use and Myocardial Infarction, Asthma, and Depression in Racial and Sexual Minorities: BRFSS 2016–2022 种族和性少数群体大麻使用与心肌梗死、哮喘和抑郁之间的关系:BRFSS 2016-2022
AJPM focus Pub Date : 2025-04-07 DOI: 10.1016/j.focus.2025.100343
Heather R. Willmott MS, Sixia Chen PhD
{"title":"The Association Between Marijuana Use and Myocardial Infarction, Asthma, and Depression in Racial and Sexual Minorities: BRFSS 2016–2022","authors":"Heather R. Willmott MS,&nbsp;Sixia Chen PhD","doi":"10.1016/j.focus.2025.100343","DOIUrl":"10.1016/j.focus.2025.100343","url":null,"abstract":"<div><h3>Introduction</h3><div>Marijuana-use patterns differ among racial and sexual minority groups, but few studies have examined health effects in these subgroups. The authors aimed to study the relationship between marijuana use and history of myocardial infarction, current asthma, and history of depression within racial and sexual subgroups.</div></div><div><h3>Methods</h3><div>Cross-sectional data from the 2016–2022 Behavioral Risk Factor Surveillance System questionnaire was analyzed in April–December 2024. Current marijuana use was defined as at least 4 days of use within the past month. Weighted logistic regression assessed the unadjusted and covariate-adjusted associations between current marijuana use and myocardial infarction, asthma, and depression (overall and among subgroups).</div></div><div><h3>Results</h3><div>Marijuana use information was available for 729,240 individuals, of whom 44,555 (8.2%) were current marijuana users. Unadjusted, significant differences in the associations between marijuana use and myocardial infarction, asthma, and depression were found among racial and sexual orientation subgroups. After covariate adjustment, sexual orientation significantly modified the association between marijuana use and depression. In the covariate-adjusted models, marijuana use was associated with increased odds of myocardial infarction (OR=1.243, 95% CI=1.045, 1.478), asthma (OR=1.154, 95% CI=1.037, 1.285), and depression (OR=1.816, 95% CI=1.681, 1.963), although many of the associations with myocardial infarction and asthma were insignificant within subgroups.</div></div><div><h3>Conclusions</h3><div>Marijuana use was significantly associated with increased odds of history of depression, and sexual orientation modified this association. Significant, unadjusted, overall associations between marijuana use, previous myocardial infarction, and current asthma were found, but these associations were not typically significant after adjusting for covariates and looking within subgroups.</div></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"4 4","pages":"Article 100343"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erratum to ’Understanding multi-program take-up of safety net programs among California families’ [AJPM Focus 3/3 (2024) 100216] 对“了解加州家庭中多项目的安全网计划”的勘误[AJPM Focus 3/3 (2024) 100216]
AJPM focus Pub Date : 2025-04-01 DOI: 10.1016/j.focus.2024.100306
Marisa M. Tsai MS, MPH , Joseph A. Yeb BS , Kaitlyn E. Jackson MPH , Wendi Gosliner DrPH , Lia C.H. Fernald PhD, MBA , Rita Hamad MD, PhD
{"title":"Erratum to ’Understanding multi-program take-up of safety net programs among California families’ [AJPM Focus 3/3 (2024) 100216]","authors":"Marisa M. Tsai MS, MPH ,&nbsp;Joseph A. Yeb BS ,&nbsp;Kaitlyn E. Jackson MPH ,&nbsp;Wendi Gosliner DrPH ,&nbsp;Lia C.H. Fernald PhD, MBA ,&nbsp;Rita Hamad MD, PhD","doi":"10.1016/j.focus.2024.100306","DOIUrl":"10.1016/j.focus.2024.100306","url":null,"abstract":"","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":"4 2","pages":"Article 100306"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial Board and Journal Information 编辑委员会和期刊信息
AJPM focus Pub Date : 2025-04-01 DOI: 10.1016/S2773-0654(25)00017-3
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