Journal of prevention (2022)最新文献

{"title":"Tobacco Use in Later Life: Evidence from Türkiye on Sociodemographic, Health, and Psychological Determinants.","authors":"Kübranur Çebi Karaaslan, Serkan Kardeş","doi":"10.1007/s10935-026-00923-9","DOIUrl":"https://doi.org/10.1007/s10935-026-00923-9","url":null,"abstract":"<p><p>Tobacco use represents a major public health problem among older populations, as it leads to severe health consequences and increases the burden of preventable diseases in later life. Therefore, understanding tobacco consumption behaviors among older adults can make an important contribution to the design of effective policies that promote healthy aging. This highlights the need for a comprehensive examination of the factors influencing tobacco use among older adults. Within this framework, the present study analyzes the determinants of tobacco use among individuals aged 65 years and older in Türkiye using nationally representative microdata from the 2023 Türkiye Older Persons Profile Survey conducted by the Turkish Statistical Institute. Given the categorical nature of the dependent variable, tobacco use probabilities were estimated using a gompit regression model incorporating sociodemographic, health-related, lifestyle, and psychological indicators. The findings indicate that tobacco use among older adults is significantly associated not only with sociodemographic factors such as gender, age, marital status, and income level, but also with health status, alcohol consumption, religious engagement, life satisfaction, and perceptions of meaning in life. While being male, alcohol use, low life satisfaction, and perceiving life as meaningless increase the likelihood of tobacco use, being married, having higher income, regular engagement with healthcare services, religious involvement, and higher levels of life satisfaction emerge as protective factors, underscoring the need for comprehensive and targeted policy interventions.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847178","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}

{"title":"Strengthening Workplace Health Promotion Through Emergency Preparedness: A Normative Mediation Analysis.","authors":"Yi-Ying He, Wei-Hsiang Huang","doi":"10.1007/s10935-026-00919-5","DOIUrl":"https://doi.org/10.1007/s10935-026-00919-5","url":null,"abstract":"<p><p>Workplace emergency preparedness is increasingly recognized as a cornerstone of occupational health promotion and prevention. Understanding the mechanisms through which institutional arrangements are associated with employees' willingness to provide emergency assistance is essential for advancing prevention science and strengthening organizational safety culture. Guided by the Theory of Planned Behavior (TPB), this study tested a dual-mediation structural model using survey data from 147 frontline employees in a private-sector organization engaged in high-risk operational tasks. Perceived workplace institutional attitudes (PWIA) and attitudes toward incentive mechanisms (ATIM) were modeled as predictors; subjective norm attitudes (SNA) and attitudes toward emergency responsiveness (ATER) as mediators; and willingness to provide emergency assistance (WPA) as the outcome. Confirmatory factor analysis and robust maximum likelihood estimation were applied, with indirect effects examined using 5,000 bootstrap resamples. PWIA was associated with WPA primarily through SNA, underscoring the central role of normative reinforcement in linking institutional structures with preventive helping intentions. ATER alone did not significantly mediate the relationship, suggesting that efficacy beliefs may require normative support to translate into action. ATIM demonstrated a direct but limited association with WPA. These findings suggest that sustainable workplace emergency preparedness may depend on embedding supportive norms within organizational systems. Strengthening leadership expectations, peer modeling, and recognition practices can help normalize helping behaviors, offering actionable strategies for workplace health promotion and prevention.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847190","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}

{"title":"The Challenge of Engagement in Citizen Observatories for Flood Risk Management: An In-Depth Qualitative Study of Two Municipalities in the Province of Padua.","authors":"Gloria Freschi, Marialuisa Menegatto, Adriano Zamperini","doi":"10.1007/s10935-026-00917-7","DOIUrl":"https://doi.org/10.1007/s10935-026-00917-7","url":null,"abstract":"<p><p>As climate change intensifies, extreme weather events are becoming more frequent and severe, highlighting the urgent need for innovative and participatory approaches to flood risk management. Citizen observatories (COs) have emerged as promising models for fostering community engagement and preparedness in risk governance, yet their success depends on sustained and meaningful citizen participation. This paper presents an in-depth, psychosocially-informed qualitative study of two municipalities in the Brenta-Bacchiglione catchment, both exposed to a significant hydraulic risk and participating in a pioneering CO for flood risk management. The research employed a qualitative methodology that combined interviews, participatory observation, and document analysis. A thematic analysis of 30 semi-structured interviews was conducted to explore the psychosocial factors that facilitate or hinder civic involvement in flood prevention initiatives. Key barriers to participation identified included risk denial, resistance to change, and strained relations between citizens and institutional actors. Leveraging factors comprised learning by doing activities, leveraging historical flood memory, and fostering broad environmental awareness. The findings showed that social psychological insights are critical in addressing risk denial, navigating community dynamics, and promoting a culture of prevention and shared responsibility. The paper concludes with practical recommendations for project managers and local authorities to design more robust, inclusive, and socially grounded participatory models for climate adaptation and resilience.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847175","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}

{"title":"Factors That Contribute to the Contextual Adaptation of Communities That Care for Romania: A Thematic Key Informant Analysis.","authors":"Filip-Bogdan Serban-Dragan, Claudia Bonilla, Angie Gaitan, Alexandria Scarlett, Veronica Paley, Leslie D Leve, Sara M St George, Eric C Brown","doi":"10.1007/s10935-026-00914-w","DOIUrl":"https://doi.org/10.1007/s10935-026-00914-w","url":null,"abstract":"<p><p>The rising prevalence of illicit drug use among Romanian youth underscores the need for effective prevention service delivery systems, particularly in European contexts characterized by high social transition, severe resource constraints, and limited prevention service infrastructure. This study explored international expert and local Romanian stakeholder perspectives regarding factors contributing to the contextual adaptation and potential implementation of the Communities That Care (CTC) prevention system in Romania. Through qualitative interviews with experts in CTC (n = 15) and validation of findings with Romanian community stakeholders (n = 9), this study examined potential challenges in implementing CTC in Romania, such as lack of evidence-based interventions, resource scarcity, cultural differences, and resistance to change. Key factors identified by CTC experts as needed for successful implementation include community improved readiness, continuous adaptation, favorable facilitator and champion characteristics, and community engagement. Romanian stakeholder perspectives further suggested that rural communities may offer particularly favorable conditions for CTC implementation. Stakeholders emphasized the need for partnerships that reflect the needs of local groups and for attention to Romanian values (e.g., including strong family ties, religious traditions, and respect for authority), which should be considered alongside broader societal experiences (e.g., migration, funding limitations, and long-standing institutional distrust). By situating Romania within a broader European context, these findings provide valuable insights for stakeholders seeking to adapt and implement CTC in countries new to the prevention science movement and highlight the relevance of the Romanian case for the Balkan region and similar European settings.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824493","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}

{"title":"School Dropout and Adolescent Homicides in São Paulo: A Case-Control Study on Programmatic Vulnerability.","authors":"Marcelo Ryngelblum, Maria Fernanda Tourinho Peres","doi":"10.1007/s10935-026-00916-8","DOIUrl":"https://doi.org/10.1007/s10935-026-00916-8","url":null,"abstract":"<p><p>Adolescent homicide is a major public health challenge in Brazil. This study investigates the association between school dropout and homicide death in São Paulo, exploring justice-system involvement as a potential mediator. A population-based case-control study was conducted. Cases (N = 939) were adolescents (10-19 years) killed by homicide (2015-2020), identified via police records and linked to school databases. Controls (N = 939) were randomly selected after stratification of the cases by sex. Data were analyzed using conditional logistic regression to estimate Odds Ratios (OR). Mediation analysis estimated natural direct (NDE) and indirect effects (NIE) through court proceedings. Most victims were male (94.7%) and out of school at the time of death (68.8% males; 50.0% females). In adjusted models, school dropout was strongly associated with homicide for both males (ORadj = 5.54; 95% CI 4.33-7.09) and females (ORadj = 5.23; 95% CI 1.60-17.07). For males, a history of court proceedings showed a high association with homicide (ORc = 16.74; 95% CI 12.75-21.98). Mediation analysis indicated that court proceedings accounted for 24% of the total association (NIE OR = 1.48; 95% CI 1.34-1.64). The proportion mediated was higher for males (25%) than for females (14%). School dropout is a significant marker of vulnerability associated with adolescent homicide. Although justice-system involvement explains part of this association, particularly for males, the direct association remains predominant across sexes. These results indicate that school disengagement and conflict with the law are interlinked exploratory pathways in the trajectories of lethal victimization among adolescents. Keywords: Homicide, Adolescent, Vulnerability, Secondary Data Analysis, Data Linkage, Violence .</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730858","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}

{"title":"Effect of Financial Education and Coaching on Economic Stability in Low Income, Single Mother Families.","authors":"Nicole D White, Julie C Kalkowski, Ryan W Walters, Kathy A Flecky, Lisa L Black, Jennifer A Furze, Julie A Peterson, Lorraine M Rusch, Ann M Ryan Haddad, Kevin Fuji","doi":"10.1007/s10935-026-00909-7","DOIUrl":"https://doi.org/10.1007/s10935-026-00909-7","url":null,"abstract":"<p><p>Up to 85% of health is governed by social determinants such as economic stability. By supporting healthy financial behavior changes to increase economic stability, the Financial Success Program (FSP) is a modality that also addresses the limitations of other health interventions in single mother, low-income households. The novel FSP financial education/coaching intervention has previously been shown to reduce financial strain and perceived effects of financial strain on health, improve relationships, reduce smoking and increase healthcare access. This manuscript reports the financial and economic stability outcomes of the first randomized controlled trial to assess the impact of the FSP financial education/coaching model in 345 single mother low-income households. FSP participants experienced the following positive economic outcomes compared with control participants: significantly greater increases in mean salary and household income; greater increases in savings; larger reductions in the inability to save money; larger reductions in shut off notices and utility balances; greater increases in paying bills on time, reductions in partial payments, late fees, and overdrawn bank accounts; greater increases in effective monthly cashflow management and decreases in counterproductive financial behaviors. FSP significantly built participants' capacity to increase income, emergency savings and retirement savings. The FSP model fosters beneficial financial behaviors while diminishing detrimental financial behaviors, as compared to usual care. By mitigating financial stress, individuals graduating from the FSP increase their capability to plan ahead and think more clearly about financial decisions to improve economic stability, and ultimately overall health.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730855","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}

{"title":"Implementation and Feasibility of a Co-designed Intervention to Promote Healthy Eating: Designed by Children for Children.","authors":"Urte Klink, Hannah Jilani","doi":"10.1007/s10935-026-00913-x","DOIUrl":"https://doi.org/10.1007/s10935-026-00913-x","url":null,"abstract":"<p><p>The development of healthy dietary behaviours during childhood is crucial for long-term health, and schools represent a key setting for health promotion. Actively involving children in health-related projects offers a meaningful opportunity to encourage and reinforce healthy behaviours. Therefore, this formative pilot study primarily aimed to explore the feasibility, acceptability, and engagement potential of a participatory, school-based dietary intervention involving preadolescent students. During the 2023/24 school year, a participatory research project including a formative pilot study was conducted at a school in Bremen, Germany, aiming to involve children in the co-design, implementation, and formal evaluation of a school-based dietary intervention. Sixth-grade students (11-12 years old) collaborated with researchers over several months to design an intervention for their 5th -grade peers (10-12 years old). The intervention included the free distribution of self-prepared healthy snacks and the display of educational posters. Implementation experiences and participant responses were explored using a child-friendly food neophobia questionnaire, measuring children's reluctance to try unfamiliar foods, alongside narrative methods. Participation in this pilot study was perceived as highly positive by 6th -grade students, who showed increased confidence, self-esteem, and interest as well as skills in nutrition and cooking/baking. The collaborative process fostered strong relationships between students and researchers and supported sutdents' sense of empowerment. Although 5th -grade students generally enjoyed the free snacks, their food neophobia scores showed no significant change, consistent with the formative nature of the study. Overall, the findings highlight the feasibility and acceptability of participatory approaches to school-based nutrition interventions and underscore their potential to promote engagement and empowerment among children. Our results provide valuable insights into participatory development and implementation processes to inform future school-based health promotion efforts.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647711","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}

{"title":"Involving Parents in Prevention: A Case Example of Research and Intervention Development to Improve Financial Well-Being Support.","authors":"Nick Axford, Gisella Hanley, Rebecca Summers, Kristin Liabo, Amy Bond, Eleanor Bryant, Georgia Smith, Rachel Silcock, Vashti Berry","doi":"10.1007/s10935-026-00910-0","DOIUrl":"https://doi.org/10.1007/s10935-026-00910-0","url":null,"abstract":"<p><p>The adverse effects on parent and child outcomes of poverty and stressors associated with low income are well established. With notable exceptions, however, the potential role of frontline services in improving family financial well-being is underexplored. This article outlines how patient and public involvement (PPI) was initiated early on in research on financial well-being support (FWbS). It illustrates how research can build on and integrate what parents say about services and how to research them. The involvement work was undertaken in one city in part to inform the adaptation of an income maximisation service to be delivered in local children's centres. Parents were involved using two approaches: open events with 'silent conversations', and individual conversations. Parents were invited to comment on four issues: which families should receive FWbS; how to make FWbS accessible; the process of delivering FWbS; and the nature or content of FWbS. The article describes how we approached parents via existing services, how conversations were facilitated and how parents' views informed the immediate service redesign and new research on FWbS to improve parent and child outcomes. It also identifies learning, for instance on engaging people not involved in services, involving people throughout a project and offering training and support for researchers and service providers around how to involve people with lived experience of poverty in respectful and meaningful ways.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619165","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}

{"title":"From Programmes to Planning: How Schools Define and Prioritise Mental Health Problem Prevention.","authors":"Eike Siilbek, Andero Uusberg, Karin Streimann","doi":"10.1007/s10935-026-00907-9","DOIUrl":"https://doi.org/10.1007/s10935-026-00907-9","url":null,"abstract":"<p><p>Schools play an important role in preventing mental health problems among children and young people. While existing frameworks describe the components of school-based prevention, less is known about how schools themselves conceptualise prevention and what they see as priorities for development. We conducted four workshops with 18 school staff members from 13 educational institutions. Participants identified current and desired prevention activities and prioritised those they considered most important to develop. The listed activities were analysed using qualitative content analysis to create a data-driven categorisation of prevention activities. 12 categories of activities emerged under two overarching themes: prevention delivery (activities aimed at students or parents) and prevention organisation (conditions necessary for effective delivery, such as planning, cooperation, staff support, and training). While schools reported widespread implementation of universal prevention-related activities, their highest priorities for improvement were organisational, particularly systematic planning, coordination, and ensuring sufficient and supported personnel. The findings suggest that school staff view organisational capacity-building as an integral part of prevention, underlining the need for prevention policies and systems that recognise and support the organisational work schools do to sustain mental health problem prevention.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596350","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}

{"title":"School-Based Prevention Programmes for Sexual Abuse: A Meta-Analysis Study.","authors":"Mehmet Aykut Erk, İsmail Sanberk","doi":"10.1007/s10935-025-00885-4","DOIUrl":"10.1007/s10935-025-00885-4","url":null,"abstract":"<p><p>Child sexual abuse (CSA) remains a significant public health concern with lasting impacts on victims' mental, emotional, and social well-being. In recent decades, school-based prevention programs have been implemented globally to increase children's knowledge, attitudes, and protective behaviors. Although previous meta-analyses have reported overall program effectiveness, there is limited synthesis regarding the influence of variables such as session count and intervention style. This study aims to provide an updated meta-analysis focused on the effectiveness of school-based CSA prevention programs, with particular attention to the knowledge, attitudes, and behaviors of participants. A systematic search of six databases (Web of Science, Scopus, PsycINFO, MEDLINE, ERIC, and YÖKTEZ) was conducted to identify studies published between 2012 and 2022. Inclusion criteria encompassed randomized and quasi-experimental studies involving school-aged children (5-18 years) and evaluating school-based CSA prevention interventions. Following PRISMA guidelines, 26 studies (N = 13,669) were included. Effect sizes were calculated using Hedges' g under both fixed and random effects models, and moderator analyses were conducted based on intervention style, grade level, and session count. The overall effect size for knowledge outcomes was 0.796 (random effects model), while the effect size for attitude and behavior outcomes was 0.759. Moderator analyses revealed that intervention length and participant educational level significantly influenced knowledge outcomes (p < 0.05), whereas modern intervention styles had a greater effect on attitudes and behaviors (p = 0.036). School-based CSA prevention programs are effective in improving children's knowledge and fostering protective attitudes and behaviors. Programs with multiple sessions and those targeting younger students demonstrate greater efficacy. Findings underscore the need for standardizing program components and assessing long-term impacts to enhance program sustainability and generalizability.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":"217-237"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851360","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}