Preventive medicine最新文献_第8页

Physical activity in youth and cardiovascular disease risk in later-life: Mediation by mid-life factors in a large cohort of Swedish adults 青年体育活动与晚年心血管疾病风险：在一大群瑞典成年人中中年因素的中介作用

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2025-09-19 DOI: 10.1016/j.ypmed.2025.108416

Frida Söderström , Elin Ekblom-Bak , Sofia Paulsson , Daniel Väisänen

Objective

The aims were to investigate the association between youth physical activity and the risk of cardiovascular disease (CVD) later in life in men and women and whether mid-life lifestyle-associated factors, including exercise, smoking, Body Mass Index (BMI), and cardiorespiratory fitness (VO₂max), mediate this association.

Methods

Data from 269,431 Swedish participants (52 % men) who participated in occupational health profile assessments between 1995 and 2023 were included. Youth physical activity was self-reported as overall participation in school-based physical education and physical activity outside school before age 20. CVD incidence was obtained from national registers. Mediation analyses assessed mid-life lifestyle-associated factors' influence on the association.

Results

Compared to those reporting no physical education participation, participation in only physical education was associated with a 18 % lower risk for CVD later in life (HR = 0.82, 95 % CI 0.70,0.95). Participating in additional physical activity outside school yielded varying risk estimates (HR = 0.78, 95 % CI 0.67,0.90 for one to two times/week; HR = 0.84, 95 % CI 0.73,0.97 for three to five times/week). VO₂max, BMI, and smoking mediated 16 %–32 % of the association. In the single mediation model, cardiorespiratory fitness explicitly mediated the association in those who participated in physical education and at least one weekly sessions of physical activity outside school.

Conclusion

Youth refraining from participating in physical education class could be considered a risk group for later-life CVD. Mediation analyses suggest that engaging in only physical education or with additional physical activity outside school in youth, may confer more healthy behaviour in mid-life, which explain the lower CVD risk.

目的探讨青年体育活动与成年后心血管疾病（CVD）风险之间的关系，以及中年生活方式相关因素（包括运动、吸烟、体重指数（BMI）和心肺功能（VO2max））是否介导了这种关系。方法纳入1995年至2023年间参加职业健康概况评估的269,431名瑞典参与者（52%为男性）的数据。青少年体育活动自我报告为20岁前参加校本体育教育和校外体育活动的总体情况。心血管疾病发病率来自国家登记册。中介分析评估了中年生活方式相关因素对该关联的影响。结果与没有参加体育锻炼的人相比，只参加体育锻炼的人晚年患心血管疾病的风险降低18% （HR = 0.82, 95% CI 0.70,0.95）。参加校外额外的体育活动产生了不同的风险估计（HR = 0.78, 95% CI 0.67,0.90, 1 - 2次/周；HR = 0.84, 95% CI 0.73,0.97, 3 - 5次/周）。最大摄氧量（VO2max）、体重指数（BMI）和吸烟介导了16% - 32%的相关性。在单一中介模型中，心肺健康在参加体育教育和每周至少一次校外体育活动的人群中显着介导了这种关联。结论不参加体育课的青少年是晚年心血管疾病的高危人群。中介分析表明，在青年时期只参加体育教育或在校外进行额外的体育活动，可能会给中年带来更健康的行为，这解释了较低的心血管疾病风险。

{"title":"Physical activity in youth and cardiovascular disease risk in later-life: Mediation by mid-life factors in a large cohort of Swedish adults","authors":"Frida Söderström , Elin Ekblom-Bak , Sofia Paulsson , Daniel Väisänen","doi":"10.1016/j.ypmed.2025.108416","DOIUrl":"10.1016/j.ypmed.2025.108416","url":null,"abstract":"<div><h3>Objective</h3><div>The aims were to investigate the association between youth physical activity and the risk of cardiovascular disease (CVD) later in life in men and women and whether mid-life lifestyle-associated factors, including exercise, smoking, Body Mass Index (BMI), and cardiorespiratory fitness (VO<sub>2</sub>max), mediate this association.</div></div><div><h3>Methods</h3><div>Data from 269,431 Swedish participants (52 % men) who participated in occupational health profile assessments between 1995 and 2023 were included. Youth physical activity was self-reported as overall participation in school-based physical education and physical activity outside school before age 20. CVD incidence was obtained from national registers. Mediation analyses assessed mid-life lifestyle-associated factors' influence on the association.</div></div><div><h3>Results</h3><div>Compared to those reporting no physical education participation, participation in only physical education was associated with a 18 % lower risk for CVD later in life (HR = 0.82, 95 % CI 0.70,0.95). Participating in additional physical activity outside school yielded varying risk estimates (HR = 0.78, 95 % CI 0.67,0.90 for one to two times/week; HR = 0.84, 95 % CI 0.73,0.97 for three to five times/week). VO<sub>2</sub>max, BMI, and smoking mediated 16 %–32 % of the association. In the single mediation model, cardiorespiratory fitness explicitly mediated the association in those who participated in physical education and at least one weekly sessions of physical activity outside school.</div></div><div><h3>Conclusion</h3><div>Youth refraining from participating in physical education class could be considered a risk group for later-life CVD. Mediation analyses suggest that engaging in only physical education or with additional physical activity outside school in youth, may confer more healthy behaviour in mid-life, which explain the lower CVD risk.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"200 ","pages":"Article 108416"},"PeriodicalIF":3.2,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109022","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

Health inequalities: Is adolescent involvement in the legal system associated with reduced health care access and usage during adulthood? 健康不平等：青少年参与法律体系是否与成年期获得和使用医疗服务的机会减少有关？

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2025-09-13 DOI: 10.1016/j.ypmed.2025.108413

Ian A. Silver , Jamie Newsome , Tova Cohen

Objective

This study examined the association between being involved in the criminal legal system prior to age 18 and access to medical coverage/care in adulthood.

Methods

Data from the National Longitudinal Survey of Youth-1997 (NLSY-97) birth cohort – a United States based sample collected from 1997 to 2021 – was analyzed to estimate differences in the probability of having health coverage or accessing medical care across four groups with varying involvement in the criminal legal system prior to age 18.

Results

Arrests before 18 was associated with a 8.9 % reduction in health insurance endorsement (2003−2021), a 3 % reduction in routine check-up endorsement (2003–2021), and a 4 % increase in visiting a doctor when sick (2003–2008). Incarceration in juvenile facilities was associated with a 29 % decrease, a 16 % decrease, and a 21 % decrease in the three dependent variables (respectively). Incarceration in adult facilities before 18 was associated with a 36 % decrease, a 15 % decrease, and a 7 % increase in the three dependent variables (respectively).

Conclusions

Being arrested, incarcerated in a facility for juveniles, or incarcerated in an adult facility before 18 may be linked to reduced access to medical insurance and medical care during adulthood.

目的：本研究考察了18岁之前参与刑事法律体系与成年后获得医疗保险/护理之间的关系。方法：分析了1997年全国青年纵向调查（NLSY-97）出生队列的数据——一个从1997年到2021年收集的基于美国的样本——以估计在18岁之前不同参与刑事法律体系的四组人中获得医疗保险或获得医疗保健的可能性的差异。结果：18岁之前的逮捕与健康保险签注减少8. %（2003-2021年）、常规检查签注减少3. %（2003-2021年）和生病看医生增加4. %（2003-2008年）相关。在少管所的监禁与三个因变量分别降低29% %、16% %和21% %相关。18岁之前在成人设施的监禁与三个因变量（分别）相关，分别减少36% %，减少15% %和增加7% %。结论：在18岁之前被逮捕、被关押在少年犯管教所或被关押在成人管教所可能与成年期间获得医疗保险和医疗服务的机会减少有关。

{"title":"Health inequalities: Is adolescent involvement in the legal system associated with reduced health care access and usage during adulthood?","authors":"Ian A. Silver , Jamie Newsome , Tova Cohen","doi":"10.1016/j.ypmed.2025.108413","DOIUrl":"10.1016/j.ypmed.2025.108413","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined the association between being involved in the criminal legal system prior to age 18 and access to medical coverage/care in adulthood.</div></div><div><h3>Methods</h3><div>Data from the National Longitudinal Survey of Youth-1997 (NLSY-97) birth cohort – a United States based sample collected from 1997 to 2021 – was analyzed to estimate differences in the probability of having health coverage or accessing medical care across four groups with varying involvement in the criminal legal system prior to age 18.</div></div><div><h3>Results</h3><div>Arrests before 18 was associated with a 8.9 % reduction in health insurance endorsement (2003−2021), a 3 % reduction in routine check-up endorsement (2003–2021), and a 4 % increase in visiting a doctor when sick (2003–2008). Incarceration in juvenile facilities was associated with a 29 % decrease, a 16 % decrease, and a 21 % decrease in the three dependent variables (respectively). Incarceration in adult facilities before 18 was associated with a 36 % decrease, a 15 % decrease, and a 7 % increase in the three dependent variables (respectively).</div></div><div><h3>Conclusions</h3><div>Being arrested, incarcerated in a facility for juveniles, or incarcerated in an adult facility before 18 may be linked to reduced access to medical insurance and medical care during adulthood.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"200 ","pages":"Article 108413"},"PeriodicalIF":3.2,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070280","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

Longitudinal association of change in physical activity and cognitive performance in midlife women: Study of women's health across the nation 中年妇女体力活动变化与认知表现的纵向关联：全国妇女健康研究。

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2025-09-12 DOI: 10.1016/j.ypmed.2025.108411

Karla R. Wente , Sheila A. Dugan , Lynda H. Powell , Howard M. Kravitz , Kelly Karavolos , Imke Janssen

Objective

To determine if physical activity increase at midlife is associated with less cognitive decline over time.

Methods

The Study of Women's Health Across the Nation, an ongoing longitudinal study, started in 1996 with a diverse cohort of midlife women, and. Included cognitive and physical activity tests. Analytic baseline for physical activity was the average of visits zero through six, prior to cognitive testing. Women missing educational levels or baseline stroke, or fewer than two baseline physical activity or three cognitive assessments, were excluded. Change in physical activity was calculated as difference between metabolic equivalent of task (MET) hours at analytic baseline and visits nine, 12, 13, and 15 (2017). Cognitive baseline was defined at visit nine to reduce practice effects. Longitudinal association between physical activity change and cognition for processing speed [Symbol Digit Modalities Test (SDMT)], working memory [Digit Span Backwards (DSB)], and verbal episodic memory [East Boston Memory Test- delayed recall (EBMT-d)] were analyzed using mixed linear and Poisson regression models.

Results

Our sample consisted of 2020 women. Baseline MET hours/week was Mean (SD) 6.8 (2.4). Increases in MET hours/week from physical activity baseline was positively associated with higher SDMT scores over time, adjusting for sociodemographic, medical, and emotional-behavioral factors [β = 0.02 (0, 0.04)]. No significant associations were observed for the other two measures.

Conclusion

Physical activity increase was associated with higher processing speed over time but not with working or verbal episodic memory. Increased physical activity in midlife women may delay cognitive decline.

目的：确定中年时增加体力活动是否与随着时间的推移认知能力下降减少有关。方法：全国妇女健康研究是一项正在进行的纵向研究，于1996年开始，对中年妇女进行了不同的队列研究。包括认知和身体活动测试。体力活动的分析基线是在认知测试之前，从零到六次就诊的平均值。缺乏教育水平或基线中风，或少于两次基线体力活动或三次认知评估的女性被排除在外。体力活动的变化计算为分析基线时代谢当量任务（MET）小时与第9、12、13和15次就诊之间的差异（2017年）。在第9次就诊时定义认知基线以减少练习效果。采用混合线性和泊松回归模型分析了身体活动变化与加工速度认知[符号数字模态测试（SDMT）]、工作记忆[向后数字广度测试（DSB）]和言语情景记忆[东波士顿记忆测试-延迟回忆（EBMT-d）]的纵向关联。结果：我们的样本包括2020名女性。基线MET小时/周平均（SD） 6.8（2.4）。在调整了社会人口统计学、医学和情绪行为因素后，从身体活动基线开始，MET小时/周的增加与SDMT分数的提高呈正相关[β = 0.02(0,0.04)]。其他两项测量没有观察到显著的关联。结论：随着时间的推移，体力活动的增加与更高的处理速度有关，但与工作或言语情景记忆无关。中年妇女增加体力活动可能延缓认知能力下降。

{"title":"Longitudinal association of change in physical activity and cognitive performance in midlife women: Study of women's health across the nation","authors":"Karla R. Wente , Sheila A. Dugan , Lynda H. Powell , Howard M. Kravitz , Kelly Karavolos , Imke Janssen","doi":"10.1016/j.ypmed.2025.108411","DOIUrl":"10.1016/j.ypmed.2025.108411","url":null,"abstract":"<div><h3>Objective</h3><div>To determine if physical activity increase at midlife is associated with less cognitive decline over time.</div></div><div><h3>Methods</h3><div>The Study of Women's Health Across the Nation, an ongoing longitudinal study, started in 1996 with a diverse cohort of midlife women, and. Included cognitive and physical activity tests. Analytic baseline for physical activity was the average of visits zero through six, prior to cognitive testing. Women missing educational levels or baseline stroke, or fewer than two baseline physical activity or three cognitive assessments, were excluded. Change in physical activity was calculated as difference between metabolic equivalent of task (MET) hours at analytic baseline and visits nine, 12, 13, and 15 (2017). Cognitive baseline was defined at visit nine to reduce practice effects. Longitudinal association between physical activity change and cognition for processing speed [Symbol Digit Modalities Test (SDMT)], working memory [Digit Span Backwards (DSB)], and verbal episodic memory [East Boston Memory Test- delayed recall (EBMT-d)] were analyzed using mixed linear and Poisson regression models.</div></div><div><h3>Results</h3><div>Our sample consisted of 2020 women. Baseline MET hours/week was Mean (SD) 6.8 (2.4). Increases in MET hours/week from physical activity baseline was positively associated with higher SDMT scores over time, adjusting for sociodemographic, medical, and emotional-behavioral factors [β = 0.02 (0, 0.04)]. No significant associations were observed for the other two measures.</div></div><div><h3>Conclusion</h3><div>Physical activity increase was associated with higher processing speed over time but not with working or verbal episodic memory. Increased physical activity in midlife women may delay cognitive decline.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"200 ","pages":"Article 108411"},"PeriodicalIF":3.2,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065105","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

Digital health strategies for sudden infant death syndrome prevention: A scoping review 预防婴儿猝死综合征的数字健康策略：范围审查。

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2025-09-09 DOI: 10.1016/j.ypmed.2025.108412

Chinenye Lynette Ejezie , Lea Sacca , Sara Burgoa , Yasmine Zerrouki , Olajumoke Ope Oladoyin , Precious Chiamaka Anunobi , Sarah E. Messiah

Objective

Sudden infant death syndrome (SIDS) has been widely studied, leading to the development of various preventive interventions. However, the application of digital health strategies for SIDS prevention remains largely unexplored. This study was conducted to identify and characterize the digital health strategies that have been utilized to address SIDS.

Methods

The Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews and the Arksey and O'Malley methodological framework were used to guide this review. PubMed, CINAHL, and Ovid MEDLINE were searched for relevant peer-reviewed manuscripts published from database inception to April 2024. Peer-reviewed studies in English that utilized digital health strategies were included. Articles that did not explicitly indicate the use of digital health interventions for SIDS prevention were excluded.

Results

Eighteen peer-reviewed manuscripts were included in this review. The type of digital health technology and/or strategies used included video, livestream, digital document, online/web-based program, telephone, blog posts, Instagram post, home monitor, email, and text message. SIDS prevention efforts employed included education, sleep guidelines, sleep instructions, sleep recommendations, modeling, skills training, and safe sleep policy.

Conclusions

Overall, the application of digital health strategies for SIDS prevention remains limited. More research is needed to examine how digital health technologies can be better employed to address SIDS.

目的：婴儿猝死综合征（SIDS）已被广泛研究，导致各种预防干预措施的发展。然而，数字卫生战略在小岛屿发展中国家预防方面的应用在很大程度上仍未得到探索。进行这项研究是为了确定和描述用于解决小岛屿发展中国家问题的数字卫生战略。方法：采用系统评价的首选报告项目和范围评价的元分析扩展以及Arksey和O'Malley方法框架来指导本综述。检索PubMed， CINAHL和Ovid MEDLINE从数据库建立到2024年4月发表的相关同行评议手稿。采用数字健康策略的英文同行评议研究也包括在内。未明确指出为小岛屿发展中国家预防使用数字卫生干预措施的文章被排除在外。结果：18篇同行评议的论文被纳入本综述。使用的数字健康技术和/或策略类型包括视频、直播、数字文档、在线/基于网络的程序、电话、博客文章、Instagram帖子、家庭监视器、电子邮件和短信。预防小岛屿发展中国家所采取的措施包括：睡眠指南、睡眠指导、睡眠建议、建模、技能培训和安全睡眠政策。结论：总体而言，数字卫生战略在小岛屿发展中国家预防中的应用仍然有限。需要更多的研究来审查如何更好地利用数字卫生技术来解决小岛屿发展中国家的问题。

{"title":"Digital health strategies for sudden infant death syndrome prevention: A scoping review","authors":"Chinenye Lynette Ejezie , Lea Sacca , Sara Burgoa , Yasmine Zerrouki , Olajumoke Ope Oladoyin , Precious Chiamaka Anunobi , Sarah E. Messiah","doi":"10.1016/j.ypmed.2025.108412","DOIUrl":"10.1016/j.ypmed.2025.108412","url":null,"abstract":"<div><h3>Objective</h3><div>Sudden infant death syndrome (SIDS) has been widely studied, leading to the development of various preventive interventions. However, the application of digital health strategies for SIDS prevention remains largely unexplored. This study was conducted to identify and characterize the digital health strategies that have been utilized to address SIDS.</div></div><div><h3>Methods</h3><div>The Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews and the Arksey and O'Malley methodological framework were used to guide this review. PubMed, CINAHL, and Ovid MEDLINE were searched for relevant peer-reviewed manuscripts published from database inception to April 2024. Peer-reviewed studies in English that utilized digital health strategies were included. Articles that did not explicitly indicate the use of digital health interventions for SIDS prevention were excluded.</div></div><div><h3>Results</h3><div>Eighteen peer-reviewed manuscripts were included in this review. The type of digital health technology and/or strategies used included video, livestream, digital document, online/web-based program, telephone, blog posts, Instagram post, home monitor, email, and text message. SIDS prevention efforts employed included education, sleep guidelines, sleep instructions, sleep recommendations, modeling, skills training, and safe sleep policy.</div></div><div><h3>Conclusions</h3><div>Overall, the application of digital health strategies for SIDS prevention remains limited. More research is needed to examine how digital health technologies can be better employed to address SIDS.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"200 ","pages":"Article 108412"},"PeriodicalIF":3.2,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041115","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

Non-communicable disease burden among middle-aged and older adults living with HIV in the Western Pacific region: A systematic review and meta-analysis 西太平洋地区感染艾滋病毒的中老年成年人的非传染性疾病负担：系统回顾和荟萃分析

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2025-09-05 DOI: 10.1016/j.ypmed.2025.108408

Hung-Chang Chou , Tsung-Yu Tsai , Huei Chung

Objective

Middle-aged and older adults living with HIV in the Western Pacific Region (WPR) are experiencing accelerated aging and a rising burden of non-communicable disease (NCD)-related comorbidities. This systematic review and meta-analysis aimed to assess the burden of major NCDs—measured by prevalence, incidence, and mortality—among people living with HIV(PLWH) aged 40 years and older, in comparison to their HIV-negative counterparts.

Methods

A comprehensive literature search was conducted across Medline (1966-), Embase (1974-), Cochrane Library (1996-), Epistemonikos (established in 2012, with retrospective coverage), and Web of Science (1900-) to identify relevant studies published up to May 9, 2025. Meta-analyses limited to NCD categories with three or more comparable studies. Random-effects was performed using MetaXL software.

Results

Nineteen articles were included, and the majority reported prevalence estimates (13/19 studies). Our findings indicated pooled prevalence ratio estimates for cardiovascular diseases (1.17, [95 % confidence interval: 0.97–1.42]), cancers (1.23 [1.05–1.45]), diabetes (1.64 [1.19–2.27]), kidney diseases (2.26 [1.03–4.97]), chronic respiratory diseases (2.13 [0.82–5.53]) and mental illnesses (2.25 [1.82–2.78]). Subgroup analysis indicated a significantly high prevalence of depression (3.00 [2.17–4.16]). The pooled incident rate ratio for cancers was 3.99 (2.33–6.84) per 1000 person-years.

Conclusions

In the WPR, middle-aged and older adults living with HIV face an elevated burden of cancers, diabetes, kidney disorders, and mental health conditions. There is an urgent need to develop care strategies tailored to the specific needs of diverse populations, and further research is required to support the management of chronic respiratory diseases.

目的：西太平洋地区（WPR）感染艾滋病毒的中老年成年人正在经历加速老龄化和非传染性疾病（NCD）相关合并症负担的增加。本系统综述和荟萃分析旨在评估40岁及以上艾滋病毒感染者（PLWH）与艾滋病毒阴性人群的主要非传染性疾病负担（以患病率、发病率和死亡率衡量）。方法：通过Medline（1966-）、Embase（1974-）、Cochrane Library（1996-）、Epistemonikos（成立于2012年，回顾性覆盖）和Web of Science（1900-）进行全面的文献检索，找出截至2025年5月9日发表的相关研究。荟萃分析仅限于具有三个或更多可比较研究的非传染性疾病类别。采用MetaXL软件进行随机效应分析。结果：纳入了19篇文章，大多数报道了患病率估计（13/19项研究）。我们的研究结果显示，心血管疾病（1.17，[95 %置信区间：0.97-1.42]）、癌症（1.23[1.05-1.45]）、糖尿病（1.64[1.19-2.27]）、肾脏疾病（2.26[1.03-4.97]）、慢性呼吸系统疾病（2.13[0.82-5.53]）和精神疾病（2.25[1.82-2.78]）的总患病率估计。亚组分析显示抑郁症患病率明显较高（3.00[2.17-4.16]）。癌症的总发病率比为3.99(2.33-6.84)/ 1000人年。结论：在WPR中，携带艾滋病毒的中老年成年人面临癌症、糖尿病、肾脏疾病和精神健康状况的负担增加。迫切需要制定适合不同人群具体需求的护理战略，并需要进一步研究以支持慢性呼吸道疾病的管理。

{"title":"Non-communicable disease burden among middle-aged and older adults living with HIV in the Western Pacific region: A systematic review and meta-analysis","authors":"Hung-Chang Chou , Tsung-Yu Tsai , Huei Chung","doi":"10.1016/j.ypmed.2025.108408","DOIUrl":"10.1016/j.ypmed.2025.108408","url":null,"abstract":"<div><h3>Objective</h3><div>Middle-aged and older adults living with HIV in the Western Pacific Region (WPR) are experiencing accelerated aging and a rising burden of non-communicable disease (NCD)-related comorbidities. This systematic review and meta-analysis aimed to assess the burden of major NCDs—measured by prevalence, incidence, and mortality—among people living with HIV(PLWH) aged 40 years and older, in comparison to their HIV-negative counterparts.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted across Medline (1966-), Embase (1974-), Cochrane Library (1996-), Epistemonikos (established in 2012, with retrospective coverage), and Web of Science (1900-) to identify relevant studies published up to May 9, 2025. Meta-analyses limited to NCD categories with three or more comparable studies. Random-effects was performed using MetaXL software.</div></div><div><h3>Results</h3><div>Nineteen articles were included, and the majority reported prevalence estimates (13/19 studies). Our findings indicated pooled prevalence ratio estimates for cardiovascular diseases (1.17, [95 % confidence interval: 0.97–1.42]), cancers (1.23 [1.05–1.45]), diabetes (1.64 [1.19–2.27]), kidney diseases (2.26 [1.03–4.97]), chronic respiratory diseases (2.13 [0.82–5.53]) and mental illnesses (2.25 [1.82–2.78]). Subgroup analysis indicated a significantly high prevalence of depression (3.00 [2.17–4.16]). The pooled incident rate ratio for cancers was 3.99 (2.33–6.84) per 1000 person-years.</div></div><div><h3>Conclusions</h3><div>In the WPR, middle-aged and older adults living with HIV face an elevated burden of cancers, diabetes, kidney disorders, and mental health conditions. There is an urgent need to develop care strategies tailored to the specific needs of diverse populations, and further research is required to support the management of chronic respiratory diseases.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"200 ","pages":"Article 108408"},"PeriodicalIF":3.2,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016042","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

Persistent sex differences in diabetes management (1997–2022): 25 years of national evidence from the Swiss Health Survey 糖尿病管理的持续性别差异（1997-2022）：25 瑞士健康调查的全国证据。

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2025-09-05 DOI: 10.1016/j.ypmed.2025.108407

Shun Yi , Pedro Marques-Vidal

Objective

To evaluate sex-specific trends in diabetes management in Switzerland over a 25-year period using nationally representative data, and to determine whether menopausal status modifies these differences.

Methods

We analyzed six Swiss Health Surveys (1997–2022) to assess sex differences in diabetes screening, diagnosis, treatment, and control. Multivariable logistic regressions were adjusted for demographic, socioeconomic, and lifestyle covariates. Age-stratified analyses explored life-stage-specific patterns, using age > 50 as a proxy for menopausal status.

Results

A total of 80,133 participants (54.5 % female) were included. After multivariable adjustment, females showed a higher likelihood of recent diabetes screening than males across all survey years (e.g., OR 1.20, 95 % CI 1.12–1.28 in 2022), with no evidence of narrowing over time. Conversely, females had a consistently lower likelihood of being diagnosed with diabetes (e.g., OR 0.71, 95 % CI 0.63–0.81 in 2022) and of being treated once diagnosed (e.g., OR 0.56, 95 % CI 0.40–0.80 in 2022), with no temporal improvement. No significant sex differences in diabetes control were observed among those treated. Age-stratified analyses revealed that sex disparities varied by age, potentially reflecting that life-stage-related factors may contribute to the observed disparities.

Conclusions

This study highlights persistent, age-modulated sex differences in diabetes management over two decades in Switzerland. While diabetes control was similar between sexes once treatment was initiated, inequities in screening, diagnosis, and treatment remain.

目的：利用具有全国代表性的数据，评估瑞士25年来糖尿病管理的性别特异性趋势，并确定绝经状态是否会改变这些差异。方法：我们分析了6项瑞士健康调查（1997-2022），以评估糖尿病筛查、诊断、治疗和控制方面的性别差异。根据人口统计学、社会经济和生活方式协变量调整多变量logistic回归。年龄分层分析探讨了特定生命阶段的模式，使用年龄 > 50作为更年期状态的代表。结果：共纳入80,133名参与者（54.5 %为女性）。在多变量调整后，在所有调查年份中，女性显示出近期糖尿病筛查的可能性高于男性（例如，2022年的OR为1.20,95 % CI为1.12-1.28），没有证据表明随着时间的推移而缩小。相反，女性被诊断为糖尿病的可能性（例如，2022年，OR为0.71,95 % CI为0.63-0.81）和诊断后接受治疗的可能性（例如，2022年，OR为0.56,95 % CI为0.40-0.80）一直较低，没有时间上的改善。治疗组在糖尿病控制方面没有明显的性别差异。年龄分层分析显示，性别差异因年龄而异，潜在地反映了与生活阶段相关的因素可能导致观察到的差异。结论：这项研究强调了瑞士20多年来糖尿病管理中持续的、年龄调节的性别差异。虽然一旦开始治疗，两性之间的糖尿病控制是相似的，但筛查、诊断和治疗方面的不平等仍然存在。

{"title":"Persistent sex differences in diabetes management (1997–2022): 25 years of national evidence from the Swiss Health Survey","authors":"Shun Yi , Pedro Marques-Vidal","doi":"10.1016/j.ypmed.2025.108407","DOIUrl":"10.1016/j.ypmed.2025.108407","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate sex-specific trends in diabetes management in Switzerland over a 25-year period using nationally representative data, and to determine whether menopausal status modifies these differences.</div></div><div><h3>Methods</h3><div>We analyzed six Swiss Health Surveys (1997–2022) to assess sex differences in diabetes screening, diagnosis, treatment, and control. Multivariable logistic regressions were adjusted for demographic, socioeconomic, and lifestyle covariates. Age-stratified analyses explored life-stage-specific patterns, using age > 50 as a proxy for menopausal status.</div></div><div><h3>Results</h3><div>A total of 80,133 participants (54.5 % female) were included. After multivariable adjustment, females showed a higher likelihood of recent diabetes screening than males across all survey years (e.g., OR 1.20, 95 % CI 1.12–1.28 in 2022), with no evidence of narrowing over time. Conversely, females had a consistently lower likelihood of being diagnosed with diabetes (e.g., OR 0.71, 95 % CI 0.63–0.81 in 2022) and of being treated once diagnosed (e.g., OR 0.56, 95 % CI 0.40–0.80 in 2022), with no temporal improvement. No significant sex differences in diabetes control were observed among those treated. Age-stratified analyses revealed that sex disparities varied by age, potentially reflecting that life-stage-related factors may contribute to the observed disparities.</div></div><div><h3>Conclusions</h3><div>This study highlights persistent, age-modulated sex differences in diabetes management over two decades in Switzerland. While diabetes control was similar between sexes once treatment was initiated, inequities in screening, diagnosis, and treatment remain.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"200 ","pages":"Article 108407"},"PeriodicalIF":3.2,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016056","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

Retraction notice to “The preventive effect of PNF stretching exercise on sports injuries in physical education based on IoT data monitoring” [Preventive Medicine 173 (2023) 107591] 《基于物联网数据监测的体育教学中PNF拉伸运动对运动损伤的预防作用研究》[预防医学173(2023)107591]。

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2025-09-01 DOI: 10.1016/j.ypmed.2025.108393

Changfeng Ning, Menglu Li, Linna Ge

引用次数: 0

Barriers to accessing and using preventive mental health services for psychosocially strained children and families in Germany: Perspectives of professionals from different sectors 德国心理社会紧张的儿童和家庭获得和使用预防性心理健康服务的障碍：来自不同部门专业人员的观点。

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2025-08-29 DOI: 10.1016/j.ypmed.2025.108392

A. Reinhart , A. Alayli , S. Beierle , A. Löffler , B. Reißig , S. Walper , S. Kuger , F. De Bock

Objective

Children, young people, and families (CYF) with psychosocial strains face elevated risks for mental health problems. Preventive mental health services in health, education, and social sectors can reduce this risk, but are often underused or have waiting times. While some data on barriers to use from clients' perspectives exist, the professionals' perspective is also important, particularly for understanding barriers at the side of providers and organizations and identifying solutions. This study examines barriers to accessing and using services from the perspective of professionals in multiple sectors.

Methods

Nineteen semi-structured interviews were conducted with professionals from the health, education, and social sectors in socioeconomically disadvantaged districts of two German cities in 2024. Interviews were audio-recorded, transcribed verbatim and coded using thematic analysis.

Results

Professionals described barriers at the (1) Client level (e.g., feeling ashamed using psychosocial services), (2) Provider level (e.g., insufficient knowledge about services), (3) Organizational level (e.g., responsibility or expertise not fitting families' needs), and (4) System level (e.g., long waiting times). To address barriers, professionals suggested trust-building with families, establishing contact and collaboration with other professionals, and building one-stop-shop models of co-located services to overcome parents' time constraints when children need multiple services.

Conclusions

Professionals are key to identifying barriers to preventive mental health service access and use in psychosocially strained CYF and finding solutions. Intersectoral exchange with other professionals can increase service awareness from other institutions and guide intersectoral collaboration. Barriers must be addressed holistically across levels and sectors to effectively overcome them.

目的：有心理社会压力的儿童、青年和家庭（CYF）面临更高的心理健康问题风险。卫生、教育和社会部门的预防性精神卫生服务可以减少这种风险，但往往得不到充分利用或有等待时间。虽然从客户的角度存在一些关于使用障碍的数据，但专业人士的角度也很重要，特别是对于了解提供商和组织方面的障碍并确定解决方案。本研究从多个部门专业人员的角度考察了获取和使用服务的障碍。方法：于2024年对德国两个城市的社会经济弱势地区的卫生、教育和社会部门的专业人员进行了19次半结构化访谈。采访录音，逐字抄写，并采用专题分析进行编码。结果：专业人员描述了(1)客户层面（例如，使用心理社会服务感到羞耻），(2)提供者层面（例如，对服务的了解不足），(3)组织层面（例如，责任或专业知识不适合家庭需求）和(4)系统层面（例如，等待时间长）的障碍。为了解决障碍，专家建议与家庭建立信任，与其他专业人员建立联系和合作，建立一站式服务模式，以克服家长在孩子需要多种服务时的时间限制。结论：专业人员是识别心理社会紧张的青少年青少年获得和使用预防性心理卫生服务的障碍并找到解决办法的关键。与其他专业人员的部门间交流可以提高其他机构的服务意识，并指导部门间合作。必须在各级和部门之间全面解决障碍，以有效克服这些障碍。

{"title":"Barriers to accessing and using preventive mental health services for psychosocially strained children and families in Germany: Perspectives of professionals from different sectors","authors":"A. Reinhart , A. Alayli , S. Beierle , A. Löffler , B. Reißig , S. Walper , S. Kuger , F. De Bock","doi":"10.1016/j.ypmed.2025.108392","DOIUrl":"10.1016/j.ypmed.2025.108392","url":null,"abstract":"<div><h3>Objective</h3><div>Children, young people, and families (CYF) with psychosocial strains face elevated risks for mental health problems. Preventive mental health services in health, education, and social sectors can reduce this risk, but are often underused or have waiting times. While some data on barriers to use from clients' perspectives exist, the professionals' perspective is also important, particularly for understanding barriers at the side of providers and organizations and identifying solutions. This study examines barriers to accessing and using services from the perspective of professionals in multiple sectors.</div></div><div><h3>Methods</h3><div>Nineteen semi-structured interviews were conducted with professionals from the health, education, and social sectors in socioeconomically disadvantaged districts of two German cities in 2024. Interviews were audio-recorded, transcribed verbatim and coded using thematic analysis.</div></div><div><h3>Results</h3><div>Professionals described barriers at the (1) Client level (e.g., feeling ashamed using psychosocial services), (2) Provider level (e.g., insufficient knowledge about services), (3) Organizational level (e.g., responsibility or expertise not fitting families' needs), and (4) System level (e.g., long waiting times). To address barriers, professionals suggested trust-building with families, establishing contact and collaboration with other professionals, and building one-stop-shop models of co-located services to overcome parents' time constraints when children need multiple services.</div></div><div><h3>Conclusions</h3><div>Professionals are key to identifying barriers to preventive mental health service access and use in psychosocially strained CYF and finding solutions. Intersectoral exchange with other professionals can increase service awareness from other institutions and guide intersectoral collaboration. Barriers must be addressed holistically across levels and sectors to effectively overcome them.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"200 ","pages":"Article 108392"},"PeriodicalIF":3.2,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966090","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

Temporary urban environment changes to promote physical activity in urban populations: A scoping review 临时城市环境变化促进城市人口身体活动：范围综述

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2025-08-28 DOI: 10.1016/j.ypmed.2025.108398

Jian Lei, Claire Fitzsimons, Marie Murphy, Ailsa Niven

Objective

To examine what is known about the role of Temporary Urban Environment Changes (TUECs) in promoting physical activity in urban contexts.

Methods

We conducted a scoping review in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. We systematically searched MEDLINE (Ovid), Web of Science, PubMed, SPORTDiscus, CINAHL, Scopus and PsycINFO, with screening and selection based on predefined criteria. Searches were completed in September 2024.

Results

Forty-two studies met the inclusion criteria, mostly published after 2019 and set in high- income countries (primarily the United States and Europe). Five TUECs categories were identified: Open/Play Streets and Ciclovía, pop-up cycle lanes, pop-up parks, parklets/plazas, and other. Walking and cycling were the most frequently supported activities; 38 studies reported a beneficial direction of effect on physical activity and 4 were inconclusive. The evidence base is dominated by observational or cross-sectional designs, with inconsistent theoretical framing and heterogeneous physical-activity measures (mostly self-report or on-site observation, with few device-based measures). Equity dimensions, including reach among inactive groups, deprivation, disability and age, were rarely examined.

Conclusion

TUECs offer a flexible and increasingly relevant approach to supporting physical activity in urban environments. This review consolidates a fragmented evidence base and proposes a coherent lens for understanding how temporary spatial interventions are conceptualised, operationalised, and evaluated. As urban areas seek scalable, health-oriented solutions, TUECs deserve closer attention—not as isolated experiments, but as strategic tools within broader public health and urban planning agendas.

目的：研究在城市环境中，临时城市环境变化（TUECs）在促进身体活动中的作用。方法：我们根据系统评价的首选报告项目和范围评价的元分析扩展进行了范围评价。我们系统地检索了MEDLINE （Ovid）、Web of Science、PubMed、SPORTDiscus、CINAHL、Scopus和PsycINFO，并根据预先设定的标准进行筛选和选择。搜寻工作于2024年9月完成。结果：42项研究符合纳入标准，主要发表于2019年之后，并设置在高收入国家（主要是美国和欧洲）。确定了五个TUECs类别：开放/游戏街和Ciclovía，弹出式自行车道，弹出式公园，小公园/广场等。步行和骑自行车是最常被支持的活动；38项研究报告了对身体活动的有益影响，4项研究尚无定论。证据基础主要是观察性或横断面设计，具有不一致的理论框架和异质性的身体活动测量（主要是自我报告或现场观察，很少有基于设备的测量）。公平方面，包括在不活动群体、贫困、残疾和年龄之间的接触，很少得到审查。结论：tuec为支持城市环境中的身体活动提供了一种灵活且日益相关的方法。这篇综述整合了支离破碎的证据基础，并提出了一个连贯的视角来理解临时空间干预措施是如何概念化、操作化和评估的。随着城市地区寻求可扩展的、以健康为导向的解决方案，tuec应该得到更密切的关注——不是作为孤立的实验，而是作为更广泛的公共卫生和城市规划议程中的战略工具。

{"title":"Temporary urban environment changes to promote physical activity in urban populations: A scoping review","authors":"Jian Lei, Claire Fitzsimons, Marie Murphy, Ailsa Niven","doi":"10.1016/j.ypmed.2025.108398","DOIUrl":"10.1016/j.ypmed.2025.108398","url":null,"abstract":"<div><h3>Objective</h3><div>To examine what is known about the role of Temporary Urban Environment Changes (TUECs) in promoting physical activity in urban contexts.</div></div><div><h3>Methods</h3><div>We conducted a scoping review in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. We systematically searched MEDLINE (Ovid), Web of Science, PubMed, SPORTDiscus, CINAHL, Scopus and PsycINFO, with screening and selection based on predefined criteria. Searches were completed in September 2024.</div></div><div><h3>Results</h3><div>Forty-two studies met the inclusion criteria, mostly published after 2019 and set in high- income countries (primarily the United States and Europe). Five TUECs categories were identified: Open/Play Streets and Ciclovía, pop-up cycle lanes, pop-up parks, parklets/plazas, and other. Walking and cycling were the most frequently supported activities; 38 studies reported a beneficial direction of effect on physical activity and 4 were inconclusive. The evidence base is dominated by observational or cross-sectional designs, with inconsistent theoretical framing and heterogeneous physical-activity measures (mostly self-report or on-site observation, with few device-based measures). Equity dimensions, including reach among inactive groups, deprivation, disability and age, were rarely examined.</div></div><div><h3>Conclusion</h3><div>TUECs offer a flexible and increasingly relevant approach to supporting physical activity in urban environments. This review consolidates a fragmented evidence base and proposes a coherent lens for understanding how temporary spatial interventions are conceptualised, operationalised, and evaluated. As urban areas seek scalable, health-oriented solutions, TUECs deserve closer attention—not as isolated experiments, but as strategic tools within broader public health and urban planning agendas.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"200 ","pages":"Article 108398"},"PeriodicalIF":3.2,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966124","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

Temporal trends in suicide among adolescents and young adults in the United States, Canada, and South Korea: 2001–2023 2001-2023年美国、加拿大和韩国青少年和年轻人自杀的时间趋势。

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine

Pub Date : 2025-08-28 DOI: 10.1016/j.ypmed.2025.108399

Seungbin Oh , Ryemi Do , Soyeon Kim

Objective

To compare temporal trends in suicide mortality among adolescents (10–19) and young adults (20–29) by sex across the United States, Canada, and South Korea from 2001 to 2023.

Methods

We analyzed national suicide mortality data from South Korea, the United States, and Canada. Joinpoint regression was used to estimate average annual percent changes (AAPCs) and annual percent changes (APCs) and) by age and sex.

Results

Suicide rates declined or stabilized in the U.S. and Canada, except for steady increases among Canadian adolescent females (AAPC = 2.04). Despite these declines, U.S. young males continued to report the highest recent unadjusted suicide rates (28.7 per 100,000 in 2023). In South Korea, rates rose significantly across all groups, with sharp increases among females from 2015 to 2023 (APC = 10.91 for adolescents; APC = 7.42 for young adults).

Conclusion

Youth suicide trends vary across countries and by sex. South Korea's sharp and ongoing rise, especially among young females, highlights the urgent need for prevention strategies attuned to sex, age, and sociocultural context. Ongoing risks among Canadian adolescent females and the U.S. young males also warrant continued investment in targeted, evidence-based interventions.

目的：比较2001年至2023年美国、加拿大和韩国按性别划分的青少年（10-19岁）和年轻人（20-29岁）自杀死亡率的时间趋势。方法：我们分析了韩国、美国和加拿大的自杀死亡率数据。采用连接点回归估计年龄和性别的平均年变化百分比（AAPCs）和年变化百分比（APCs）和)。结果：美国和加拿大的自杀率下降或趋于稳定，但加拿大青少年女性的自杀率稳步上升（AAPC = 2.04）。尽管出现了这些下降，但美国年轻男性的未经调整的自杀率仍然是近期最高的（2023年为每10万人28.7人）。在韩国，所有群体的发病率都显著上升，2015年至2023年，女性发病率急剧上升（青少年APC = 10.91；年轻人APC = 7.42）。结论：青少年自杀趋势因国家和性别而异。在韩国，尤其是在年轻女性中，发病率急剧上升，这凸显了迫切需要制定与性别、年龄和社会文化背景相适应的预防策略。加拿大青春期女性和美国年轻男性的持续风险也需要继续投资于有针对性的、基于证据的干预措施。

{"title":"Temporal trends in suicide among adolescents and young adults in the United States, Canada, and South Korea: 2001–2023","authors":"Seungbin Oh , Ryemi Do , Soyeon Kim","doi":"10.1016/j.ypmed.2025.108399","DOIUrl":"10.1016/j.ypmed.2025.108399","url":null,"abstract":"<div><h3>Objective</h3><div>To compare temporal trends in suicide mortality among adolescents (10–19) and young adults (20–29) by sex across the United States, Canada, and South Korea from 2001 to 2023.</div></div><div><h3>Methods</h3><div>We analyzed national suicide mortality data from South Korea, the United States, and Canada. Joinpoint regression was used to estimate average annual percent changes (AAPCs) and annual percent changes (APCs) and) by age and sex.</div></div><div><h3>Results</h3><div>Suicide rates declined or stabilized in the U.S. and Canada, except for steady increases among Canadian adolescent females (AAPC = 2.04). Despite these declines, U.S. young males continued to report the highest recent unadjusted suicide rates (28.7 per 100,000 in 2023). In South Korea, rates rose significantly across all groups, with sharp increases among females from 2015 to 2023 (APC = 10.91 for adolescents; APC = 7.42 for young adults).</div></div><div><h3>Conclusion</h3><div>Youth suicide trends vary across countries and by sex. South Korea's sharp and ongoing rise, especially among young females, highlights the urgent need for prevention strategies attuned to sex, age, and sociocultural context. Ongoing risks among Canadian adolescent females and the U.S. young males also warrant continued investment in targeted, evidence-based interventions.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"200 ","pages":"Article 108399"},"PeriodicalIF":3.2,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966080","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