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Corrigendum to "The impact of computer use on myopia development in childhood: The Generation R study" [Preventive Medicine, Volume 132, 2020, 105988].
IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-02-21 DOI: 10.1016/j.ypmed.2025.108243
Clair A Enthoven, J Willem L Tideman, Jan Roelof Polling, Junwen Yang-Huang, Hein Raat, Caroline C W Klaver
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引用次数: 0
Commentary: Determinants of physical activity among African immigrants in the US and the consideration of the education-occupation mismatch
IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-02-20 DOI: 10.1016/j.ypmed.2025.108255
Tiwaloluwa Ajibewa , Kelechi Ibe-Lamberts , Brenda Owusu , Mercedes Carnethon , Yvonne Commodore-Mensah , Oluwabunmi Ogungbe
African immigrants are a rapidly growing segment of the US population, with relatively high rates of cardiovascular disease and associated risk factors. Physical activity engagement among this growing group is understudied and represents an underappreciated means of reducing cardiovascular disease risk, improving physical functioning, and mental health related outcomes. Structural barriers and cultural influences, such as community norms, play a significant role in physical activity engagement of African immigrants. There is a critical need to understand the current gaps, and individual and structural trends related to physical activity participation in this demographic. This commentary aims to shed light on what is known as it relates to physical activity participation in this group, and the urgent need to consider the role of physical activity as an effective intervention in reducing cardiovascular disease risk among African immigrants for the betterment of their future health trajectory.
{"title":"Commentary: Determinants of physical activity among African immigrants in the US and the consideration of the education-occupation mismatch","authors":"Tiwaloluwa Ajibewa ,&nbsp;Kelechi Ibe-Lamberts ,&nbsp;Brenda Owusu ,&nbsp;Mercedes Carnethon ,&nbsp;Yvonne Commodore-Mensah ,&nbsp;Oluwabunmi Ogungbe","doi":"10.1016/j.ypmed.2025.108255","DOIUrl":"10.1016/j.ypmed.2025.108255","url":null,"abstract":"<div><div>African immigrants are a rapidly growing segment of the US population, with relatively high rates of cardiovascular disease and associated risk factors. Physical activity engagement among this growing group is understudied and represents an underappreciated means of reducing cardiovascular disease risk, improving physical functioning, and mental health related outcomes. Structural barriers and cultural influences, such as community norms, play a significant role in physical activity engagement of African immigrants. There is a critical need to understand the current gaps, and individual and structural trends related to physical activity participation in this demographic. This commentary aims to shed light on what is known as it relates to physical activity participation in this group, and the urgent need to consider the role of physical activity as an effective intervention in reducing cardiovascular disease risk among African immigrants for the betterment of their future health trajectory.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"193 ","pages":"Article 108255"},"PeriodicalIF":4.3,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physical activity and executive functions in children and adolescents with neurodevelopmental disorders: A systematic review and meta-analysis
IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-02-16 DOI: 10.1016/j.ypmed.2025.108246
Chang Liu , Ran Liu , Ruiyuan Tao , Jie Feng , Xiao Liang , Yijian Yang , Cindy Hui-ping Sit

Objective

The current study aimed to examine the effects of physical activity interventions on executive functions in children and adolescents with neurodevelopmental disorders and to identify possible moderators and the interactions among moderators.

Methods

Six databases (Web of Science, PsycINFO, SPORTDiscus, MEDLINE, CINAHL, and ERIC) were searched from inception to January 2024. Randomized controlled trials/quasi-experimental designs applying physical activity interventions and reporting at least one executive function outcome in children and adolescents with neurodevelopmental disorders were included. Random multilevel meta-analyses and moderator analyses were conducted in 2024.

Results

Thirty-nine studies were included, 35 of which were used for meta-analysis. The findings indicated that physical activity interventions elicited significant benefits for overall executive functions (Hedges' g = 0.60) and its subdomains: cognitive flexibility (Hedges' g = 0.60), inhibitory control (Hedges' g = 0.55), working memory (Hedges' g = 0.40), and higher-level functions (Hedges' g = 0.83). Session duration, number of intervention weeks, total session, and total duration were identified as moderators. The interactions among session duration, physical activity type, total duration, frequency, and executive function subdomains were also observed.

Conclusions

Physical activity interventions could serve as an alternative or adjunctive method to promote multiple aspects of executive functions in children and adolescents with different types of neurodevelopmental disorders. However, physical activity, especially the type, session duration and frequency, should be carefully designed to produce significant effects when targeting different domains of executive functions in this population.
{"title":"Physical activity and executive functions in children and adolescents with neurodevelopmental disorders: A systematic review and meta-analysis","authors":"Chang Liu ,&nbsp;Ran Liu ,&nbsp;Ruiyuan Tao ,&nbsp;Jie Feng ,&nbsp;Xiao Liang ,&nbsp;Yijian Yang ,&nbsp;Cindy Hui-ping Sit","doi":"10.1016/j.ypmed.2025.108246","DOIUrl":"10.1016/j.ypmed.2025.108246","url":null,"abstract":"<div><h3>Objective</h3><div>The current study aimed to examine the effects of physical activity interventions on executive functions in children and adolescents with neurodevelopmental disorders and to identify possible moderators and the interactions among moderators.</div></div><div><h3>Methods</h3><div>Six databases (Web of Science, PsycINFO, SPORTDiscus, MEDLINE, CINAHL, and ERIC) were searched from inception to January 2024. Randomized controlled trials/quasi-experimental designs applying physical activity interventions and reporting at least one executive function outcome in children and adolescents with neurodevelopmental disorders were included. Random multilevel meta-analyses and moderator analyses were conducted in 2024.</div></div><div><h3>Results</h3><div>Thirty-nine studies were included, 35 of which were used for meta-analysis. The findings indicated that physical activity interventions elicited significant benefits for overall executive functions (Hedges' g = 0.60) and its subdomains: cognitive flexibility (Hedges' g = 0.60), inhibitory control (Hedges' g = 0.55), working memory (Hedges' g = 0.40), and higher-level functions (Hedges' g = 0.83). Session duration, number of intervention weeks, total session, and total duration were identified as moderators. The interactions among session duration, physical activity type, total duration, frequency, and executive function subdomains were also observed.</div></div><div><h3>Conclusions</h3><div>Physical activity interventions could serve as an alternative or adjunctive method to promote multiple aspects of executive functions in children and adolescents with different types of neurodevelopmental disorders. However, physical activity, especially the type, session duration and frequency, should be carefully designed to produce significant effects when targeting different domains of executive functions in this population.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"193 ","pages":"Article 108246"},"PeriodicalIF":4.3,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chronicled: 2 years' evolution at Preventive Medicine and Preventive Medicine Reports.
IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-02-12 DOI: 10.1016/j.ypmed.2025.108244
Andrew W Arthur, Pareesa Kassam, Margaret Logel, Alissa Moore, Christina I Nieves, Parker Tope, David Litaker, Luisa N Borrell
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引用次数: 0
Alcohol, Cannabis, and nicotine use during early pregnancy and infant hearing loss
IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-02-10 DOI: 10.1016/j.ypmed.2025.108242
Kelly C. Young-Wolff , Nina Oberman , Stacey E. Alexeeff , Lisa A. Croen , Kristin R. Steuerle , Deborah Ansley , Carley Castellanos , Lyndsay A. Avalos

Objective

To examine whether maternal prenatal alcohol, cannabis, or nicotine use was associated with offspring diagnoses of hearing loss during the first six months of life.

Methods

We conducted a population-based retrospective birth cohort study of infants (N = 297,147) born between 2011 and 2023 to pregnant individuals (N = 233,902) in Kaiser Permanente Northern California universally screened for any prenatal alcohol, cannabis, or nicotine use since pregnancy at entrance to prenatal care (at ∼8–10 weeks gestation). Offspring hearing loss was defined as ≥1 hearing loss diagnosis in the infant's electronic health record based on ICD codes. Modified Poisson regression models for binary data were used to estimate the risk ratio (RR) of infant hearing loss by each prenatal substance adjusting for covariates.

Results

The sample of pregnancies were to 23.9 % Asian/Pacific Islander, 5.3 % Black, 26.1 % Hispanic, and 37.7 % non-Hispanic White individuals, with a mean (SD) age of 32 (5.4) years; 9.9 % screened positive for any alcohol use during early pregnancy, 5.6 % screened positive for any cannabis use during early pregnancy, and 3.9 % screened positive for any nicotine use during early pregnancy. Overall, 0.2 % of infants had a hearing loss diagnosis during the first six months of life. In fully adjusted models, prenatal alcohol use (adjusted RR:1.37; 95 %CI:1.05–1.79) but not prenatal cannabis or nicotine use, was associated with increased risk of infant hearing loss.

Conclusions

Maternal alcohol use during early pregnancy was associated with an increased risk of offspring diagnoses of hearing loss during the first six months of life.
{"title":"Alcohol, Cannabis, and nicotine use during early pregnancy and infant hearing loss","authors":"Kelly C. Young-Wolff ,&nbsp;Nina Oberman ,&nbsp;Stacey E. Alexeeff ,&nbsp;Lisa A. Croen ,&nbsp;Kristin R. Steuerle ,&nbsp;Deborah Ansley ,&nbsp;Carley Castellanos ,&nbsp;Lyndsay A. Avalos","doi":"10.1016/j.ypmed.2025.108242","DOIUrl":"10.1016/j.ypmed.2025.108242","url":null,"abstract":"<div><h3>Objective</h3><div>To examine whether maternal prenatal alcohol, cannabis, or nicotine use was associated with offspring diagnoses of hearing loss during the first six months of life.</div></div><div><h3>Methods</h3><div>We conducted a population-based retrospective birth cohort study of infants (<em>N</em> = 297,147) born between 2011 and 2023 to pregnant individuals (<em>N</em> = 233,902) in Kaiser Permanente Northern California universally screened for any prenatal alcohol, cannabis, or nicotine use since pregnancy at entrance to prenatal care (at ∼8–10 weeks gestation). Offspring hearing loss was defined as ≥1 hearing loss diagnosis in the infant's electronic health record based on ICD codes. Modified Poisson regression models for binary data were used to estimate the risk ratio (RR) of infant hearing loss by each prenatal substance adjusting for covariates.</div></div><div><h3>Results</h3><div>The sample of pregnancies were to 23.9 % Asian/Pacific Islander, 5.3 % Black, 26.1 % Hispanic, and 37.7 % non-Hispanic White individuals, with a mean (SD) age of 32 (5.4) years; 9.9 % screened positive for any alcohol use during early pregnancy, 5.6 % screened positive for any cannabis use during early pregnancy, and 3.9 % screened positive for any nicotine use during early pregnancy. Overall, 0.2 % of infants had a hearing loss diagnosis during the first six months of life. In fully adjusted models, prenatal alcohol use (adjusted RR:1.37; 95 %CI:1.05–1.79) but not prenatal cannabis or nicotine use, was associated with increased risk of infant hearing loss.</div></div><div><h3>Conclusions</h3><div>Maternal alcohol use during early pregnancy was associated with an increased risk of offspring diagnoses of hearing loss during the first six months of life.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"192 ","pages":"Article 108242"},"PeriodicalIF":4.3,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Daily steps, activity, sedentary and sleep behaviors associations with all-cause mortality: The ELSA-Brasil study
IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-02-07 DOI: 10.1016/j.ypmed.2025.108241
Danilo de Paula , Kelly R. Evenson , Natan Feter , Rosane Harter Griep , Ciro Oliveira Queiroz , Rodrigo Citton Padilha dos Reis , Bruce Bartholow Duncan , Maria Inês Schmidt

Background

Although movement behaviors are linked to mortality risk, few studies investigated the associations between daily steps and movement behaviors and all-cause mortality in low- and middle-income countries.

Objective

We investigated associations of step count, total activity volume, moderate-and-vigorous physical activity (MVPA), light-intensity physical activity (LPA), sedentary behavior, sleep duration, and various isotemporal substitutions with all-cause mortality in middle-aged and older Brazilian adults.

Methods

ELSA-Brasil cohort study 3rd wave (2017–2019) participants wore an ActiGraph wGT3X-BT on the waist for seven days and completed a sleep diary. We followed participants to January 1st, 2024. Using Cox regression models, we estimated adjusted hazard ratios (HR). Using compositional data analysis, we examined changes in mortality associated with isotemporal substitutions.

Results

Overall, 8832 participants (55.8 % female, age 59.2 ± 8.6) were followed for a median of 5.43 person-years (total 46,793.2), with 216 deaths. All behaviors except sleep showed curvilinear associations with mortality. Mortality declined with a plateauing effect at a daily total activity volume of 15.9 millii-g (HR 0.36, reference 7.83), 7300 steps (HR 0.48, reference 3881), 49.4 MVPA minutes (HR 0.28, reference 11.34), and 245.8 LPA minutes (HR 0.67, reference 135.6). Engaging in less than 842 sedentary behavior minutes/day was linked with an HR of 0.67. Reallocating 10 daily minutes from other behaviors to MVPA showed a consistent 10 % decrease in mortality.

Conclusion

In Brazilian adults, step count, total activity volume, MVPA, LPA, and sedentary behavior were non-linearly associated with lower mortality. Reallocating any time from other behaviors to MVPA predicted lower mortality.
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引用次数: 0
Chronic conditions, COVID-19 vaccination, and institutional trust among Hispanic/Latinx communities in San Diego, California
IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-02-03 DOI: 10.1016/j.ypmed.2025.108240
Samantha Streuli , Argentina E. Servin , Linda Salgin , Fatima A. Muñoz , Davey M. Smith , Jamila K. Stockman , Sophie E. O'Bryan , Daniel Ramirez , Cynthia James-Price , Britt Skaathun

Background

Hispanic/Latinx populations have been disproportionately impacted by the COVID-19 pandemic. These populations are also more likely to have chronic conditions, putting them at higher risk of severe COVID-19 outcomes. Vaccination is important to reduce the risk of severe COVID-19 outcomes, but Hispanic/Latinx populations may be less likely to vaccinate due to institutional trust related to experiences of discrimination in healthcare and community disinvestment. Project 2VIDA! is a randomized clinical trial developed to respond to the need for increased trust and vaccine access among these populations in San Diego, California. Analyzing 2VIDA! data, this article seeks to better understand the relationship between chronic health conditions, institutional trust, and vaccination behaviors among a predominantly Hispanic/Latinx sample in San Diego.

Methods

We conducted a secondary analysis of baseline survey data collected from July 2021–June 2023 during 2VIDA! We used ordered logistic regression to understand the relationship between chronic conditions, institutional trust, and vaccination among participants.

Results

Our findings show that participants aged 36 or older, women, those who indicated higher institutional trust in healthcare and health information, and those with one or more chronic conditions had higher odds of receiving more vaccinations. Participants who took the survey in Spanish had lower odds of vaccination (compared to English).

Conclusions

Our findings suggest that widespread communication on the importance of vaccination for older Hispanic/Latinx populations with chronic conditions may have supported vaccination uptake. Targeted messaging and community-based approaches to build trust, combat misinformation, and increase vaccination uptake among younger individuals and Spanish-speakers are needed.
{"title":"Chronic conditions, COVID-19 vaccination, and institutional trust among Hispanic/Latinx communities in San Diego, California","authors":"Samantha Streuli ,&nbsp;Argentina E. Servin ,&nbsp;Linda Salgin ,&nbsp;Fatima A. Muñoz ,&nbsp;Davey M. Smith ,&nbsp;Jamila K. Stockman ,&nbsp;Sophie E. O'Bryan ,&nbsp;Daniel Ramirez ,&nbsp;Cynthia James-Price ,&nbsp;Britt Skaathun","doi":"10.1016/j.ypmed.2025.108240","DOIUrl":"10.1016/j.ypmed.2025.108240","url":null,"abstract":"<div><h3>Background</h3><div>Hispanic/Latinx populations have been disproportionately impacted by the COVID-19 pandemic. These populations are also more likely to have chronic conditions, putting them at higher risk of severe COVID-19 outcomes. Vaccination is important to reduce the risk of severe COVID-19 outcomes, but Hispanic/Latinx populations may be less likely to vaccinate due to institutional trust related to experiences of discrimination in healthcare and community disinvestment. Project 2VIDA! is a randomized clinical trial developed to respond to the need for increased trust and vaccine access among these populations in San Diego, California. Analyzing 2VIDA! data, this article seeks to better understand the relationship between chronic health conditions, institutional trust, and vaccination behaviors among a predominantly Hispanic/Latinx sample in San Diego.</div></div><div><h3>Methods</h3><div>We conducted a secondary analysis of baseline survey data collected from July 2021–June 2023 during 2VIDA! We used ordered logistic regression to understand the relationship between chronic conditions, institutional trust, and vaccination among participants.</div></div><div><h3>Results</h3><div>Our findings show that participants aged 36 or older, women, those who indicated higher institutional trust in healthcare and health information, and those with one or more chronic conditions had higher odds of receiving more vaccinations. Participants who took the survey in Spanish had lower odds of vaccination (compared to English).</div></div><div><h3>Conclusions</h3><div>Our findings suggest that widespread communication on the importance of vaccination for older Hispanic/Latinx populations with chronic conditions may have supported vaccination uptake. Targeted messaging and community-based approaches to build trust, combat misinformation, and increase vaccination uptake among younger individuals and Spanish-speakers are needed.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"192 ","pages":"Article 108240"},"PeriodicalIF":4.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143232970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Proximity to public transportation and incidence of depression risk among older adults: A three-year longitudinal analysis from the Japan Gerontological evaluation study 接近公共交通和老年人抑郁风险的发生率:来自日本老年学评估研究的三年纵向分析。
IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-02-01 DOI: 10.1016/j.ypmed.2024.108204
Kazuki Matsumoto , Masamichi Hanazato , Yu-Ru Chen , Yoko Matsuoka , Yuta Mori , Hiroaki Yoshida , Katsunori Kondo

Objective

Depression in older adults has been associated with environmental factors, such as green spaces and walkable neighborhoods; however, evidence on the relationship between proximity to public transportation and mental health is scarce. This multi-municipality longitudinal study examined the association between proximity to public transportation and risk of depression among older adults and considered car usage.

Methods

We analyzed data from 4947 functionally independent adults, aged 65 years and older who resided in 25 municipalities across Japan. Data were obtained via the Japan Gerontological Evaluation Study in 2016 and 2019. We assessed depression over three years in older adults without depression at baseline via the Geriatric Depression Scale-15. We subjectively and objectively measured their proximity to public transportation. Logistic regression analyses were performed, adjusted for covariates, with analyses stratified by car usage.

Results

Of the participants, 9.76 % developed depression over a three-year period. Those without car usage and with reported lack of proximal public transport exhibited a higher incidence of depression (OR = 1.60, 95 %CI: 1.05–2.42) compared with those who had better access. No significant association was observed in the car user group. Furthermore, no significant association was observed in the analysis that used objective measures with Geographic Information System (GIS) data.

Conclusion

Subjective limited access to public transport was significantly associated with the risk of depression among older adults without car usage. Hence, improving and maintaining transportation infrastructure may mitigate the risk of depression.
目的:老年人抑郁与环境因素有关,如绿地和可步行社区;然而,关于靠近公共交通与心理健康之间关系的证据很少。这项多城市的纵向研究调查了老年人靠近公共交通和抑郁风险之间的关系,并考虑了汽车的使用。方法:我们分析了4947名功能独立的成年人的数据,年龄在65岁 及以上,他们居住在日本25个城市。数据通过2016年和2019年的日本老年学评估研究获得。我们通过老年抑郁症量表-15对无抑郁症的老年人进行了为期三年的抑郁评估。我们主观上和客观地衡量了他们与公共交通的距离。进行了逻辑回归分析,调整了协变量,并按汽车使用情况分层分析。结果:在参与者中,9.76% %的人在三年的时间里患上了抑郁症。与交通便利的人群相比,不开车和附近缺乏公共交通的人群抑郁症的发病率更高(OR = 1.60,95 %CI: 1.05-2.42)。在汽车使用者组中没有观察到显著的关联。此外,在使用地理信息系统(GIS)数据的客观测量的分析中,没有观察到显著的关联。结论:在不使用汽车的老年人中,主观限制乘坐公共交通工具与抑郁风险显著相关。因此,改善和维护交通基础设施可能会减轻抑郁症的风险。
{"title":"Proximity to public transportation and incidence of depression risk among older adults: A three-year longitudinal analysis from the Japan Gerontological evaluation study","authors":"Kazuki Matsumoto ,&nbsp;Masamichi Hanazato ,&nbsp;Yu-Ru Chen ,&nbsp;Yoko Matsuoka ,&nbsp;Yuta Mori ,&nbsp;Hiroaki Yoshida ,&nbsp;Katsunori Kondo","doi":"10.1016/j.ypmed.2024.108204","DOIUrl":"10.1016/j.ypmed.2024.108204","url":null,"abstract":"<div><h3>Objective</h3><div>Depression in older adults has been associated with environmental factors, such as green spaces and walkable neighborhoods; however, evidence on the relationship between proximity to public transportation and mental health is scarce. This multi-municipality longitudinal study examined the association between proximity to public transportation and risk of depression among older adults and considered car usage.</div></div><div><h3>Methods</h3><div>We analyzed data from 4947 functionally independent adults, aged 65 years and older who resided in 25 municipalities across Japan. Data were obtained via the Japan Gerontological Evaluation Study in 2016 and 2019. We assessed depression over three years in older adults without depression at baseline via the Geriatric Depression Scale-15. We subjectively and objectively measured their proximity to public transportation. Logistic regression analyses were performed, adjusted for covariates, with analyses stratified by car usage.</div></div><div><h3>Results</h3><div>Of the participants, 9.76 % developed depression over a three-year period. Those without car usage and with reported lack of proximal public transport exhibited a higher incidence of depression (OR = 1.60, 95 %CI: 1.05–2.42) compared with those who had better access. No significant association was observed in the car user group. Furthermore, no significant association was observed in the analysis that used objective measures with Geographic Information System (GIS) data.</div></div><div><h3>Conclusion</h3><div>Subjective limited access to public transport was significantly associated with the risk of depression among older adults without car usage. Hence, improving and maintaining transportation infrastructure may mitigate the risk of depression.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108204"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is elimination of cervical cancer in sight in England? 在英国消除子宫颈癌在望吗?
IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-02-01 DOI: 10.1016/j.ypmed.2025.108218
Clare Gilham, Julian Peto

Objective

The age-standardised rate of cervical cancer is 8.5 per 100,000 in England, double the WHO “elimination” goal of 4.0 per 100,000, despite England being close to the target coverage for both HPV vaccination and cervical screening. Our aim was to see whether trends in mortality and incidence rates suggest that England is on the path to elimination.

Methods

We discuss trends in mortality since 1953 by birth cohort, and cancer and cancer-in-situ incidence since 2000 by age group in relation to screening and vaccination.

Results

Mortality trends suggest a steep decline in HPV prevalence from women born in the 1880s to those born in the 1930s followed by a continuing increase. Cancer incidence and mortality then fell steeply after the introduction of national screening in 1988. Since 2004 women were invited for their first screen at age 25. From 2000-2004 to 2010-2014 invasive cancer incidence at age 25–29 doubled and mortality increased by 77 %. From 2015 to 2022 cervical cancer incidence fell by 90 % below age 25 and by 80 % at age 25–29 following the introduction of HPV vaccination for girls born since 1991.

Conclusions

Raising the age of starting screening from 20 to 25 transiently increased incidence and mortality in women born 1984-1990. Vaccination may enable the NHS to reach its target for cervical cancer incidence of 4.0 per 100,000 by 2040. Whether the switch from cytology to primary HPV testing in 2019 will reduce rates among unvaccinated women born before 1991 is not yet clear.
目的:尽管英格兰在HPV疫苗接种和子宫颈筛查方面接近目标覆盖率,但英格兰宫颈癌的年龄标准化发病率为每10万人8.5例,是世卫组织“消除”目标(每10万人4.0例)的两倍。我们的目的是看看死亡率和发病率的趋势是否表明英国正在走向消灭。方法:我们讨论1953年以来按出生队列划分的死亡率趋势,以及2000年以来按年龄组划分的癌症和原位癌症发病率与筛查和疫苗接种的关系。结果:死亡率趋势表明,从19世纪80年代出生的妇女到20世纪30年代出生的妇女,HPV患病率急剧下降,随后持续上升。1988年实行全国筛查后,癌症发病率和死亡率急剧下降。从2004年开始,女性被邀请在25岁而不是20岁进行第一次筛查,随后25-29岁的原位癌和侵袭性癌发病率急剧上升。从2015年到2022年,25岁以下的宫颈癌发病率下降了90% %,25岁至29岁的宫颈癌发病率下降了80% %,这是在2008年开始对1995年以后出生的12-13岁女孩接种HPV疫苗之后,1991-1994年出生的妇女也开始接种HPV疫苗。结论:仅接种疫苗就可以使NHS达到2040年宫颈癌发病率为每10万人4.0的目标。2019年从细胞学检测转向原发性HPV检测是否会降低1991年以前出生的未接种疫苗妇女的感染率尚不清楚。
{"title":"Is elimination of cervical cancer in sight in England?","authors":"Clare Gilham,&nbsp;Julian Peto","doi":"10.1016/j.ypmed.2025.108218","DOIUrl":"10.1016/j.ypmed.2025.108218","url":null,"abstract":"<div><h3>Objective</h3><div>The age-standardised rate of cervical cancer is 8.5 per 100,000 in England, double the WHO “elimination” goal of 4.0 per 100,000, despite England being close to the target coverage for both HPV vaccination and cervical screening. Our aim was to see whether trends in mortality and incidence rates suggest that England is on the path to elimination.</div></div><div><h3>Methods</h3><div>We discuss trends in mortality since 1953 by birth cohort, and cancer and cancer-in-situ incidence since 2000 by age group in relation to screening and vaccination.</div></div><div><h3>Results</h3><div>Mortality trends suggest a steep decline in HPV prevalence from women born in the 1880s to those born in the 1930s followed by a continuing increase. Cancer incidence and mortality then fell steeply after the introduction of national screening in 1988. Since 2004 women were invited for their first screen at age 25. From 2000-2004 to 2010-2014 invasive cancer incidence at age 25–29 doubled and mortality increased by 77 %. From 2015 to 2022 cervical cancer incidence fell by 90 % below age 25 and by 80 % at age 25–29 following the introduction of HPV vaccination for girls born since 1991.</div></div><div><h3>Conclusions</h3><div>Raising the age of starting screening from 20 to 25 transiently increased incidence and mortality in women born 1984-1990. Vaccination may enable the NHS to reach its target for cervical cancer incidence of 4.0 per 100,000 by 2040. Whether the switch from cytology to primary HPV testing in 2019 will reduce rates among unvaccinated women born before 1991 is not yet clear.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"Article 108218"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-reported chronic rhinosinusitis diagnoses and symptoms in World Trade Center-exposed and non-World Trade Center-exposed United States firefighters 世界贸易中心暴露和非世界贸易中心暴露的美国消防员自我报告的慢性鼻窦炎诊断和症状
IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-02-01 DOI: 10.1016/j.ypmed.2024.108216
Ankura Singh , Rachel Zeig-Owens , Mayris P. Webber , Alexandra K. Mueller , David J. Prezant

Background

Greater World Trade Center (WTC) exposure levels have been associated with chronic rhinosinusitis (CRS) diagnoses and symptoms. We aimed to determine whether self-reported CRS is elevated in WTC-exposed Fire Department of the City of New York (FDNY) firefighters when compared with non-WTC-exposed/non-FDNY firefighters and with the general population.

Methods

The study included male WTC-exposed (N = 7840) and non-WTC-exposed (N = 2771) firefighters who were employed on 9/11/2001 and later completed a health survey. Self-reported CRS diagnoses and symptoms were evaluated. Multivariable logistic regression analyses estimated the odds of self-reported ever CRS diagnosis and current symptoms in WTC-exposed vs. non-WTC-exposed firefighters. Additional analyses compared self-reported current CRS diagnoses in firefighters vs. American males. Models were adjusted for demographics, smoking, and BMI.

Results

Fifty-one percent of WTC-exposed firefighters reported ever having a CRS diagnosis vs. 20 % of non-WTC-exposed firefighters (adjusted-OR = 3.84, 95 % CI = 3.44–4.28). WTC-exposure was also associated with specific rhinosinusitis symptoms, including nasal/sinus congestion (adjusted-OR = 1.17, 95 % CI = 1.06–1.29), nose irritation (adjusted-OR = 1.48, 95 % CI = 1.24–1.76), and sinus pain/pressure (adjusted-OR = 1.42, 95 % CI = 1.26–1.60). Both WTC-exposed (adjusted-OR = 3.84, 95 % CI = 3.46–4.27) and non-WTC-exposed firefighters (adjusted-OR = 1.97, 95 % CI = 1.71–2.27) were more likely to report a current CRS diagnosis than similar adult males.

Conclusions

WTC-exposure was associated with self-reported CRS diagnoses and symptoms in firefighters. Higher CRS diagnosis prevalence in the WTC-exposed cohort could be a result of exposure to irritants present at the WTC site, and may also be explained, in part, by the enhanced surveillance and healthcare WTC-exposed firefighters receive via the WTC Health Program. Elevated levels of CRS in firefighters overall could be due to routine, non-WTC-related firefighting exposures.
背景:大世界贸易中心(WTC)暴露水平与慢性鼻窦炎(CRS)的诊断和症状有关。我们的目的是确定wtc暴露的纽约市消防局(FDNY)消防员与非wtc暴露/非FDNY消防员和一般人群相比,自我报告的CRS是否升高。方法:研究对象为2001年9月11日入职的接触wtc的男性消防员(N = 7840)和未接触wtc的男性消防员(N = 2771)。自我报告的CRS诊断和症状进行评估。多变量logistic回归分析估计了wtc暴露与非wtc暴露消防员自我报告的CRS诊断和当前症状的几率。另外的分析比较了消防员和美国男性自我报告的当前CRS诊断。模型根据人口统计、吸烟和体重指数进行了调整。结果:51%的暴露于wtc的消防员报告曾有过CRS诊断,而20%的未暴露于wtc的消防员报告曾有过CRS诊断(调整后or = 3.84,95% %CI = 3.44-4.28)。WTC-exposure也与特定鼻窦炎症状,包括鼻/鼻腔充血(调整或 = 1.17,95 CI  % = 1.06 - -1.29),鼻子过敏(调整或 = 1.48,95 CI  % = 1.24 - -1.76),和鼻窦疼痛/压力(调整或 = 1.42,95 CI  % = 1.26 - -1.60)。WTC-exposed(调整或 = 3.84,95 CI  % = 3.46 - -4.27)和non-WTC-exposed消防员(调整或 = 1.97,95 CI  % = 1.71 - -2.27)更有可能报告当前CRS诊断比类似的成年男性。结论:wtc暴露与消防员自我报告的CRS诊断和症状有关。在世贸中心暴露人群中,较高的CRS诊断患病率可能是世贸中心现场暴露于刺激物的结果,也可能部分解释为世贸中心健康计划加强了对世贸中心暴露消防员的监测和医疗保健。消防员CRS水平的升高可能是由于常规的、与世贸中心无关的消防暴露。
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引用次数: 0
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Preventive medicine
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