Preventive medicine最新文献

英文中文

Increasing use of cannabis edibles in response to recreational cannabis legalization in the United States 随着美国娱乐性大麻合法化，大麻食品的使用越来越多。

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2026-03-01 Epub Date: 2026-01-09 DOI: 10.1016/j.ypmed.2026.108508

Summer Sherburne Hawkins , Christopher E. Baidoo , Rebekah Levine Coley , Ryan S. Centanni , Christopher F. Baum

Objective

To evaluate the associations between recreational cannabis legalization in the United States and primary mode of cannabis use (smoking, eating/drinking, vaporizing/dabbing) overall and across groups.

Methods

We linked data on 69,109 adults reporting past month cannabis use from 37 states in the 2017–2023 Behavioral Risk Factor Surveillance System with recreational cannabis legalization and retail sales. Using multinomial logit regression models, we examined the associations between legalization and primary mode of cannabis use overall and by demographic and higher-risk strata, with demographic and policy controls and state and year fixed effects.

Results

Among cannabis users, smoking declined but remained the most prevalent mode of cannabis use in 2023 (62.7%), followed by eating/drinking (21.5%), and vaporizing/dabbing (15.8%). Compared to smoking and vaping/dabbing cannabis, the likelihood of eating/drinking cannabis increased by 35% (adjusted relative risk ratio 1.35; 95% CI 1.20, 1.52) and 33% (1.33; 1.14, 1.55), respectively, post-legalization. Similar patterns emerged in response to retail sales. There was evidence of larger increases in eating/drinking cannabis among males than females post-legalization, and among middle-aged and older adults than younger adults after retail store openings.

Conclusion

Recreational cannabis legalization and retail sales led to more frequent use of cannabis in edible and drinkable forms.

目的：评估美国娱乐性大麻合法化与大麻主要使用方式（吸烟、吃/喝、汽化/轻吸）之间的关系。方法：我们将2017-2023年行为风险因素监测系统中来自37个州的69109名成年人报告的上个月大麻使用数据与休闲大麻合法化和零售销售联系起来。使用多项逻辑回归模型，我们研究了总体上、人口统计学和高风险阶层的大麻合法化与主要使用方式之间的关系，以及人口统计学和政策控制以及州和年份固定的影响。结果：在大麻使用者中，吸烟有所下降，但在2023年仍是最普遍的大麻使用方式（62.7%），其次是吃/喝（21.5%）和蒸发/轻吸（15.8%）。与吸烟和吸/吸大麻相比，大麻合法化后，吃/喝大麻的可能性分别增加了35%（调整后的相对风险比1.35;95% CI 1.20, 1.52）和33%（1.33;1.14,1.55）。零售业也出现了类似的模式。有证据表明，大麻合法化后，男性吃/喝大麻的人数比女性多，零售商店开业后，中年和老年人吃/喝大麻的人数比年轻人多。结论：娱乐性大麻合法化和零售销售导致食用和饮用形式的大麻使用更加频繁。

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引用次数: 0

Co-administration of recombinant zoster vaccine with other recommended vaccines among older adults in the United States of America 重组带状疱疹疫苗与其他推荐疫苗在美国老年人中共同施用

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2026-03-01 Epub Date: 2026-01-26 DOI: 10.1016/j.ypmed.2026.108521

Justin Gatwood , Yong Zhu , Andrea Steffens , Stephanie Gallagher , Lisa Le , Andrew Lamers , Nikita Stempniewicz

Objective

Co-administration of most adult vaccines is recommended to increase uptake, including recombinant zoster vaccine (RZV), which is recommended for all adults aged ≥50 years in the United States.

Methods

This retrospective study used administrative claims data from the Optum Research Database for patients aged ≥50 years. Patients with ≥1 claim for RZV during 2017–2023 were divided into two cohorts based on whether their first RZV dose was co-administered with influenza, pneumococcal, and/or tetanus-diphtheria/tetanus-diphtheria-acellular pertussis vaccines. Geospatial analysis visualized co-administration at county and zip code levels. Multivariable logistic regression compared characteristics across cohorts and assessed relationships between co-administration and other factors with RZV series completion and dosing schedule adherence.

Results

RZV was co-administered in 24.2% of 1,622,250 patients who received RZV and was most common with influenza vaccine (65.1%), peaking in fall each year. Geospatial analysis revealed the lowest levels of co-administration in the Northeast. Logistic regression identified age ≥ 70 years, Asian race, higher education and household income, fewer comorbidities, and administration in a pharmacy as associated with lower odds of RZV co-administration. RZV co-administration was associated with lower odds of series completion and dosing schedule adherence.

Conclusions

Opportunities exist to increase co-administration of RZV with other recommended vaccines.

目的：在美国，大多数成人疫苗都被推荐接种，包括重组带状疱疹疫苗（RZV），该疫苗被推荐用于所有年龄≥50岁的成年人。方法本回顾性研究使用来自Optum研究数据库的行政索赔数据，涉及年龄≥50岁的患者。2017-2023年期间RZV索赔≥1的患者根据其首次RZV剂量是否与流感、肺炎球菌和/或破伤风-白喉/破伤风-白喉-无细胞百日咳疫苗共同接种分为两组。地理空间分析可视化了县和邮政编码级别的共同管理。多变量logistic回归比较了各队列的特征，并评估了联合给药和其他因素与RZV系列完成和给药计划依从性之间的关系。结果在1,622250例RZV患者中，有24.2%的患者同时接种了RZV，其中以流感疫苗最常见（65.1%），每年秋季达到高峰。地理空间分析显示，东北地区的共同行政管理水平最低。Logistic回归发现年龄≥70岁、亚洲种族、高等教育程度和家庭收入、较少的合并症以及在药房给药与RZV联合给药的几率较低相关。RZV联合给药与较低的系列完成率和给药计划依从性相关。结论存在增加RZV与其他推荐疫苗联合使用的机会。

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引用次数: 0

An equity audit on intervention effects of a cardiometabolic risk reduction program for women with a history of gestational diabetes in Victoria, Australia 对澳大利亚维多利亚州有妊娠糖尿病史的妇女心脏代谢风险降低项目干预效果的公平审计。

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2026-03-01 Epub Date: 2026-01-10 DOI: 10.1016/j.ypmed.2026.108509

Gebresilasea Gendisha Ukke , Jacqueline A. Boyle , Rajshree Thapa , Jenna Van Der-Velden , Carli Leishman , Christopher Gilfillan , Ahmed Reja , Siew Lim

Objective

To investigate the effectiveness of the Life! program—a prevention initiative for type 2 diabetes, heart disease, and stroke—on behavioural and anthropometric outcomes in women with a history of gestational diabetes mellitus, across diverse sociodemographic backgrounds.

Methods

This study analysed the data collected from women who participated in the Life! program in Victoria, Australia from 2014 to 2022. Logistic regression analysis was undertaken to assess the associations of socioeconomic status, place of residence, employment status and country of birth with behavioural and anthropometric outcomes six months after enrolment.

Results

There were significant improvements in anthropometric and behavioural outcomes. Women with low income were least likely to improve fat (AOR = 0.64, 95% CI: 0.50, 0.83) and fibre (AOR = 0.70, 95% CI: 0.54, 0.91) intakes compared to women with middle income. Being 40 to 59 years old was associated with a greater improvement in fat intake compared with being under 30 years (AOR = 1.72, 95% CI: 1.06, 2.80).

Conclusion

While the Life program is effective in reducing risks in women with a history of gestational diabetes, less dietary improvements were seen in those with lower incomes or younger, which needs to be addressed to reduce disparities in type 2 diabetes prevalence.

目的：探讨Life！项目-预防2型糖尿病、心脏病和中风的倡议-在不同社会人口背景下有妊娠糖尿病史的妇女的行为和人体测量结果方法：本研究分析了参与Life！2014年至2022年在澳大利亚维多利亚州学习。采用Logistic回归分析来评估社会经济地位、居住地、就业状况和出生国家与入组6个月后行为和人体测量结果的关系。结果：在人体测量和行为方面有显著改善。与中等收入女性相比，低收入女性最不可能改善脂肪（AOR = 0.64,95% CI: 0.50, 0.83）和纤维（AOR = 0.70,95% CI: 0.54, 0.91）摄入。40 - 59岁 与30岁以下 相比，脂肪摄入量的改善更大（AOR = 1.72,95% CI: 1.06, 2.80）。结论：Life项目在降低有妊娠糖尿病史的妇女的风险方面是有效的，但在收入较低或较年轻的妇女中，饮食改善较少，这需要解决，以减少2型糖尿病患病率的差异。

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引用次数: 0

Mapping school food provision models in European cities: Operational, infrastructural, and financial insights 绘制欧洲城市的学校食品供应模式：运营、基础设施和财务见解。

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2026-03-01 Epub Date: 2026-01-19 DOI: 10.1016/j.ypmed.2026.108515

Evelin Piirsalu , Brigita Tool , Irene Vidal , Manuel Franco

Objective

This study aims to provide a comparative overview of school food provision models in 17 cities across 12 European countries. It explores the operational, infrastructural, and financial dimensions of these models, identifying key trade-offs, challenges and opportunities for promoting healthy and sustainable school food environments.

Methods

Data were collected via an electronic questionnaire administered to SchoolFood4Change project partners in 2022. The questionnaire covered meal types and costs, operational and manufacturing models, and kitchen infrastructure. Supplementary desk research was conducted to clarify responses and gain a deeper understanding of the findings' context.

Results

The analysis reveals that school food provision models are more influenced by institutional, historical, and policy contexts than by city size. Contract catering dominates, yet in-house systems persist where welfare traditions and nutrition education policies emphasise child health and learning. Centralised kitchens often reflect historical planning or socialist legacies, while mixed systems arise in decentralised governance contexts.

Conclusions

Organisational diversity stems from the interaction of governance structures, policy priorities, and infrastructure, illustrating how Europe's school food systems balance economic efficiency with social and educational goals for children's wellbeing. This study contributes to a deeper understanding of school food provision models in Europe.

目的：本研究旨在对欧洲12个国家17个城市的学校供餐模式进行比较综述。它探讨了这些模式的运营、基础设施和财务层面，确定了促进健康和可持续学校食品环境的关键权衡、挑战和机遇。方法：通过电子问卷收集数据，并于2022年向SchoolFood4Change项目合作伙伴发放调查问卷。调查问卷涵盖了膳食类型和成本、运营和制造模式以及厨房基础设施。补充课桌研究是为了澄清回应，并更深入地了解调查结果的背景。结果：分析表明，学校供餐模式更受制度、历史和政策背景的影响，而不是城市规模的影响。合同餐饮占主导地位，但在福利传统和营养教育政策强调儿童健康和学习的地方，内部体系仍然存在。集中式厨房通常反映了历史规划或社会主义遗产，而混合系统则出现在分散的治理环境中。结论：组织多样性源于治理结构、政策优先事项和基础设施的相互作用，说明了欧洲学校食品系统如何平衡经济效率与儿童福利的社会和教育目标。本研究有助于加深对欧洲学校供餐模式的理解。

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引用次数: 0

Protecting SNAP as a critical public health intervention 保护SNAP作为关键的公共卫生干预措施。

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2026-03-01 Epub Date: 2026-01-24 DOI: 10.1016/j.ypmed.2026.108518

Anna E. Austin , Stephanie Ettinger de Cuba , Courtney N. Maierhofer , Rebecca B. Naumann , Paul R. Shafer

引用次数: 0

Major changes in cervical cancer screening in the US 美国宫颈癌筛查的主要变化。

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2026-03-01 Epub Date: 2026-01-14 DOI: 10.1016/j.ypmed.2026.108512

Keely K. Ulmer , Lisa F. Soltani , Ilana Addis , Alisa P. Young , Diane M Harper

引用次数: 0

Beyond glyphosate: Is it feasible to counterbalance perverse incentives to profit from preventable disease? 超越草甘膦：是否有可能抵消从可预防疾病中获利的不正当动机？

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2026-03-01 Epub Date: 2026-01-19 DOI: 10.1016/j.ypmed.2026.108513

Carolina Donat-Vargas , Laura N. Vandenberg , Juan Aguacil , Duk-Hee Lee , Miguel Angel Martínez-González , Kurt Straif , Miquel Porta

引用次数: 0

Child access prevention laws and firearm storage in the US: Associations by law stringency and social vulnerability 美国儿童接触预防法律和枪支储存：法律严格性和社会脆弱性的关联。

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2026-03-01 Epub Date: 2026-01-20 DOI: 10.1016/j.ypmed.2026.108516

Stephen N. Oliphant , Michelle Degli Esposti , Katherine G. Hastings , Heather A. Hartman , Peter F. Ehrlich , Patrick M. Carter , Rebeccah L. Sokol

Objective

It is unclear whether Child Access Prevention (CAP) laws influence firearm storage.We sought to analyze the association of CAP laws with loaded and unlocked firearm storage.

Methods

We used logistic regressions to analyze survey data of 2264 firearm owners from a 2023 nationally representative U.S. sample. Secondary analyses disaggregated CAP laws by stringency (i.e., liability thresholds for negligent storage) and examined associations by parental status and county social vulnerability.

Results

Nearly one-third of U.S. firearm owners reported storing at least one firearm loaded and unlocked (unsecure storage). Residence in a CAP law state was only associated with lower odds of unsecure storage in unadjusted models; however, firearm-owning adults in states with the most stringent CAP laws were less likely to report unsecure storage than those in non-CAP law states even after covariate adjustment. In analyses stratified by county social vulnerability, CAP laws were only associated with lower odds of unsecure storage in the least vulnerable counties.

Conclusion

Our results suggest that the relationship between CAP laws and firearm storage varies depending on the stringency of the law and county social vulnerability. Understanding how these and other factors drive effect heterogeneity will inform CAP laws and implementation efforts.

目的：尚不清楚儿童接触预防（CAP）法律是否影响枪支储存。我们试图分析CAP法律与上膛和未上膛的枪支储存之间的关系。方法：我们使用逻辑回归分析了来自2023年具有全国代表性的美国样本的2264名枪支拥有者的调查数据：二级分析按严格程度（即疏忽储存的责任阈值）分解了CAP法律，并检查了父母身份和县社会脆弱性之间的关联。结果：近三分之一的美国枪支拥有者报告至少存放一支上膛且未上锁的枪支（不安全的存储）。在未调整的模型中，居住在CAP法律州仅与较低的不安全存储几率相关；然而，即使经过协变量调整，在CAP法律最严格的州，拥有枪支的成年人报告不安全储存的可能性也低于没有CAP法律的州。在按县社会脆弱性分层的分析中，CAP法律仅与最不脆弱县的不安全存储几率较低有关。结论：CAP法律与枪支储存的关系因法律的严格程度和县域社会脆弱性而异。了解这些因素和其他因素是如何驱动效果异质性的，将为共同农业政策的法律和实施工作提供信息。

{"title":"Child access prevention laws and firearm storage in the US: Associations by law stringency and social vulnerability","authors":"Stephen N. Oliphant , Michelle Degli Esposti , Katherine G. Hastings , Heather A. Hartman , Peter F. Ehrlich , Patrick M. Carter , Rebeccah L. Sokol","doi":"10.1016/j.ypmed.2026.108516","DOIUrl":"10.1016/j.ypmed.2026.108516","url":null,"abstract":"<div><h3>Objective</h3><div>It is unclear whether Child Access Prevention (CAP) laws influence firearm storage.We sought to analyze the association of CAP laws with loaded and unlocked firearm storage.</div></div><div><h3>Methods</h3><div>We used logistic regressions to analyze survey data of 2264 firearm owners from a 2023 nationally representative U.S. sample. Secondary analyses disaggregated CAP laws by stringency (i.e., liability thresholds for negligent storage) and examined associations by parental status and county social vulnerability.</div></div><div><h3>Results</h3><div>Nearly one-third of U.S. firearm owners reported storing at least one firearm loaded and unlocked (unsecure storage). Residence in a CAP law state was only associated with lower odds of unsecure storage in unadjusted models; however, firearm-owning adults in states with the most stringent CAP laws were less likely to report unsecure storage than those in non-CAP law states even after covariate adjustment. In analyses stratified by county social vulnerability, CAP laws were only associated with lower odds of unsecure storage in the least vulnerable counties.</div></div><div><h3>Conclusion</h3><div>Our results suggest that the relationship between CAP laws and firearm storage varies depending on the stringency of the law and county social vulnerability. Understanding how these and other factors drive effect heterogeneity will inform CAP laws and implementation efforts.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"204 ","pages":"Article 108516"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030236","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

Generative artificial intelligence in scientific publishing: Expectations for authors and reviewers at Preventive Medicine and Preventive Medicine Reports 科学出版中的生成人工智能：对预防医学和预防医学报告作者和审稿人的期望。

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2026-02-01 Epub Date: 2025-10-30 DOI: 10.1016/j.ypmed.2025.108436

Andrew W. Arthur , Alissa Moore , Luis Carmona Rosado , Pareesa Kassam , Margaret Logel , Christina I. Nieves , Parker Tope , David Litaker, Luisa N. Borrell

引用次数: 0

Effectiveness of interventions for increasing lung cancer screening uptake: A systematic review and meta-analysis of randomized clinical trials 增加肺癌筛查的干预措施的有效性：随机临床试验的系统回顾和荟萃分析。

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2026-02-01 Epub Date: 2025-12-23 DOI: 10.1016/j.ypmed.2025.108489

Wenjuan Tao , Xiumei Tang , Xuefeng Jiao , Ambreen Sayani , Junqiang Zhao , Weimin Li , Xiaolin Wei

Objective

This systematic review and meta-analysis aimed to evaluate the effectiveness of interventions for increasing lung cancer screening (LCS) uptake and to identify factors influencing their implementation.

Methods

We searched MEDLINE, CINAHL, EMBASE, Cochrane Library, and Web of Science from January 2010 to November 2025. Included studies were randomized controlled trials involving high-risk adults eligible for LCS with low-dose computed tomography, evaluating interventions to improve screening uptake as a primary or secondary outcome.

Results

Eleven trials were included, primarily from the United States (N = 9). Interventions were categorized as patient navigation, decision aids, educational video/film, targeted invitation/outreach, and multi-component intervention. Overall, interventions showed a modest but significant effect on LCS uptake (RR = 1.34; 95 % CI: 1.02, 1.76). The multi-component intervention (RR = 2.11; 95 % CI: 1.21, 3.68) demonstrated significant effects, while patient navigation showed potential (RR = 2.18; 95 % CI: 0.53, 9.08). Innovation and inner setting were identified as potentially important factors influencing intervention implementation.

Conclusions

Interventions modestly increased LCS uptake, with multi-component intervention and patient navigation showing the most promising effects. Future research should prioritize multicomponent strategies that address the entire screening continuum, equity-focused designs for priority populations, and trials in diverse international settings.

目的：本系统综述和荟萃分析旨在评估增加肺癌筛查（LCS）摄取的干预措施的有效性，并确定影响其实施的因素。方法：检索2010年1月至2025年11月的MEDLINE、CINAHL、EMBASE、Cochrane Library和Web of Science。纳入的研究是随机对照试验，涉及符合LCS条件的高风险成人，采用低剂量计算机断层扫描，评估干预措施以提高筛查吸收作为主要或次要结果。结果：纳入了11项试验，主要来自美国（N = 9）。干预措施分为患者导航、辅助决策、教育视频/电影、有针对性的邀请/外展和多组分干预。总体而言，干预措施对LCS的摄取显示出适度但显著的影响（RR = 1.34;95% % CI: 1.02, 1.76）。多组分干预（RR = 2.11;95 % CI: 1.21, 3.68）显示出显著效果，而患者导航显示出潜力（RR = 2.18;95 % CI: 0.53, 9.08）。创新和内部环境被认为是影响干预实施的潜在重要因素。结论：干预适度增加了LCS的摄取，其中多组分干预和患者导航显示出最有希望的效果。未来的研究应优先考虑解决整个筛查连续体的多组分策略，优先人群的公平设计，以及在不同国际环境中的试验。

{"title":"Effectiveness of interventions for increasing lung cancer screening uptake: A systematic review and meta-analysis of randomized clinical trials","authors":"Wenjuan Tao , Xiumei Tang , Xuefeng Jiao , Ambreen Sayani , Junqiang Zhao , Weimin Li , Xiaolin Wei","doi":"10.1016/j.ypmed.2025.108489","DOIUrl":"10.1016/j.ypmed.2025.108489","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review and meta-analysis aimed to evaluate the effectiveness of interventions for increasing lung cancer screening (LCS) uptake and to identify factors influencing their implementation.</div></div><div><h3>Methods</h3><div>We searched MEDLINE, CINAHL, EMBASE, Cochrane Library, and Web of Science from January 2010 to November 2025. Included studies were randomized controlled trials involving high-risk adults eligible for LCS with low-dose computed tomography, evaluating interventions to improve screening uptake as a primary or secondary outcome.</div></div><div><h3>Results</h3><div>Eleven trials were included, primarily from the United States (<em>N</em> = 9). Interventions were categorized as patient navigation, decision aids, educational video/film, targeted invitation/outreach, and multi-component intervention. Overall, interventions showed a modest but significant effect on LCS uptake (RR = 1.34; 95 % CI: 1.02, 1.76). The multi-component intervention (RR = 2.11; 95 % CI: 1.21, 3.68) demonstrated significant effects, while patient navigation showed potential (RR = 2.18; 95 % CI: 0.53, 9.08). Innovation and inner setting were identified as potentially important factors influencing intervention implementation.</div></div><div><h3>Conclusions</h3><div>Interventions modestly increased LCS uptake, with multi-component intervention and patient navigation showing the most promising effects. Future research should prioritize multicomponent strategies that address the entire screening continuum, equity-focused designs for priority populations, and trials in diverse international settings.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"203 ","pages":"Article 108489"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834175","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}

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