Preventive Medicine Reports最新文献_第7页

Prevalence, determinants, and barriers to follow-up colonoscopy after a positive fecal immunochemical test in Qaemshahr, Iran: A population-based cross-sectional study from 2022 to 2023 在伊朗Qaemshahr，粪便免疫化学试验阳性后随访结肠镜检查的患病率、决定因素和障碍：2022年至2023年基于人群的横断面研究

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports

Pub Date : 2025-12-01 DOI: 10.1016/j.pmedr.2025.103331

Maryam Zarrinkamar , Mahbobeh Ebrahimi , Mahnaz Zahedi , Farzaneh Amini , Mojgan Geran , Erfan Ghadirzadeh

Objective

Fecal Immunochemical Test (FIT) screening reduces mortality by detecting early-stage colorectal cancer (CRC), but its success depends on follow-up colonoscopy after a positive result. Follow-up rates vary widely, influenced by several barriers, which need to be addressed. Thus, the present study aimed to assess the prevalence, determinants, and barriers to a follow-up colonoscopy after a positive FIT result.

Methods

This cross-sectional study evaluated FIT-based CRC screening from April 2022 to March 2023 in Qaemshahr, Iran. Positive FIT results triggered follow-up colonoscopies. Data on colonoscopy results and reasons for non-compliance were collected. Logistic regression was conducted to identify factors affecting follow-up rates.

Results

Of 14,784 screened, 294 (1.98 %) had positive FIT results; only 167 (56.80 %) underwent colonoscopy, with 73.65 % showing no abnormalities. Barriers included cost (18.89 %), perceived unimportance (41.73 %), fear (34.64 %), and lack of social support and appointment difficulties (4.72 %). Lower education levels (OR from 15.46 for illiterate to 3.79 for high school level, compared to university/college level), and asymptomatic status (OR: 1.86; 95 %CI: 1.01, 3.41) significantly reduced follow-up odds; while other demographics showed no association.

Conclusion

This study reveals a concerning 56.80 % follow-up colonoscopy rate among FIT-positive patients, driven by cost, communication gaps, fear, and educational disparities.

目的粪便免疫化学试验（FIT）筛查通过发现早期结直肠癌（CRC）来降低死亡率，但其成功与否取决于阳性结果后的随访结肠镜检查。受若干障碍的影响，随访率差别很大，需要加以解决。因此，本研究旨在评估FIT阳性结果后结肠镜检查的患病率、决定因素和障碍。该横断面研究评估了2022年4月至2023年3月在伊朗qemshahr进行的基于fit的CRC筛查。FIT阳性结果引发后续结肠镜检查。收集结肠镜检查结果和不合规原因的数据。采用Logistic回归分析确定影响随访率的因素。结果筛查14784例，FIT阳性294例（1.98%）；167例（56.80%）行结肠镜检查，73.65%未见异常。障碍包括成本（18.89%）、感觉不重要（41.73%）、恐惧（34.64%）、缺乏社会支持和预约困难（4.72%）。较低的教育水平（与大学/学院水平相比，文盲的OR从15.46降至高中水平的3.79）和无症状状态（OR: 1.86; 95% CI: 1.01, 3.41）显著降低了随访几率；而其他人口统计数据显示没有关联。结论fitt阳性患者结肠镜随访率高达56.80%，主要受成本、沟通差距、恐惧和教育程度差异等因素影响。

{"title":"Prevalence, determinants, and barriers to follow-up colonoscopy after a positive fecal immunochemical test in Qaemshahr, Iran: A population-based cross-sectional study from 2022 to 2023","authors":"Maryam Zarrinkamar , Mahbobeh Ebrahimi , Mahnaz Zahedi , Farzaneh Amini , Mojgan Geran , Erfan Ghadirzadeh","doi":"10.1016/j.pmedr.2025.103331","DOIUrl":"10.1016/j.pmedr.2025.103331","url":null,"abstract":"<div><h3>Objective</h3><div>Fecal Immunochemical Test (FIT) screening reduces mortality by detecting early-stage colorectal cancer (CRC), but its success depends on follow-up colonoscopy after a positive result. Follow-up rates vary widely, influenced by several barriers, which need to be addressed. Thus, the present study aimed to assess the prevalence, determinants, and barriers to a follow-up colonoscopy after a positive FIT result.</div></div><div><h3>Methods</h3><div>This cross-sectional study evaluated FIT-based CRC screening from April 2022 to March 2023 in Qaemshahr, Iran. Positive FIT results triggered follow-up colonoscopies. Data on colonoscopy results and reasons for non-compliance were collected. Logistic regression was conducted to identify factors affecting follow-up rates.</div></div><div><h3>Results</h3><div>Of 14,784 screened, 294 (1.98 %) had positive FIT results; only 167 (56.80 %) underwent colonoscopy, with 73.65 % showing no abnormalities. Barriers included cost (18.89 %), perceived unimportance (41.73 %), fear (34.64 %), and lack of social support and appointment difficulties (4.72 %). Lower education levels (OR from 15.46 for illiterate to 3.79 for high school level, compared to university/college level), and asymptomatic status (OR: 1.86; 95 %CI: 1.01, 3.41) significantly reduced follow-up odds; while other demographics showed no association.</div></div><div><h3>Conclusion</h3><div>This study reveals a concerning 56.80 % follow-up colonoscopy rate among FIT-positive patients, driven by cost, communication gaps, fear, and educational disparities.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"61 ","pages":"Article 103331"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145685293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Effectiveness of social network site-based interventions promoting condom use among youth: A systematic review based on the intervention mapping taxonomy 基于社交网站的干预措施促进青少年安全套使用的有效性：基于干预映射分类学的系统回顾

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports

Pub Date : 2025-12-01 DOI: 10.1016/j.pmedr.2025.103318

Iris de Visser , Marco Gaetani , Sophie Smith, Philippe Verduyn, Gill ten Hoor, Hanne M.L. Zimmermann

Objectives

This study aimed to systematically review existing interventions delivered via social network sites (SNS) to promote condom use among youth.

Methods

Studies that evaluated SNS-based interventions targeting condom use and/or its psychosocial determinants among youth (12–24y) were searched. Intervention effectiveness was defined as percentage of comparisons (e.g., across different follow-up times or between different groups) showing significant improvements in condom use or determinants, out of total number of possible comparisons within each study. Using Intervention Mapping, determinants clusters targeted by each intervention, the behavioral change methods (BCMs) employed, and theoretical match between the targeted determinants and applied BCMs were inferred.

Results

Fifteen studies were included. Median intervention effectiveness score was 33.3 % (IQR: 16.65,75 %) for condom use (n = 9) and 50 % (IQR: 0,100 %) for psychosocial determinants of condom use (n = 11). SNS-based interventions grounded in behavioral theory had a higher median effectiveness score when promoting condom use (50 % vs 33.3 %), but not when influencing its determinants (50 % vs 50 %). Two clusters of targeted determinants were identified: Attitude/Outcome Expectation/Risk Perception (n = 8) and Skills/Self-efficacy (n = 9), along with 25 distinct BCMs.

Conclusion

While inconsistent reporting across studies limited identification of effective components, findings underline the importance of grounding interventions in behavioral theories.

目的本研究旨在系统回顾现有的通过社交网站（SNS）促进青少年使用安全套的干预措施。方法：检索以青少年（12 - 24岁）安全套使用和/或其心理社会决定因素为目标的基于社交网络的干预措施的研究。干预效果的定义是在每项研究中可能的比较总数中，显示避孕套使用或决定因素显著改善的比较（例如，在不同随访时间或不同组之间）所占的百分比。利用干预映射，推断出每个干预所针对的决定因素簇，所采用的行为改变方法（bcm），以及目标决定因素与应用bcm之间的理论匹配。结果共纳入15项研究。使用避孕套（n = 9）的干预有效性中位数为33.3% (IQR: 16.65, 75%)，使用避孕套的社会心理决定因素（n = 11）的干预有效性中位数为50% （IQR: 0.100%）。以行为理论为基础的基于社交网络的干预措施在促进避孕套使用时具有较高的中位有效性得分（50%对33.3%），但在影响其决定因素时则没有（50%对50%）。确定了两组目标决定因素：态度/结果期望/风险感知（n = 8）和技能/自我效能感（n = 9），以及25个不同的bcm。结论：虽然不同研究之间不一致的报告限制了有效成分的识别，但研究结果强调了行为理论中接地干预的重要性。

{"title":"Effectiveness of social network site-based interventions promoting condom use among youth: A systematic review based on the intervention mapping taxonomy","authors":"Iris de Visser , Marco Gaetani , Sophie Smith, Philippe Verduyn, Gill ten Hoor, Hanne M.L. Zimmermann","doi":"10.1016/j.pmedr.2025.103318","DOIUrl":"10.1016/j.pmedr.2025.103318","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to systematically review existing interventions delivered via social network sites (SNS) to promote condom use among youth.</div></div><div><h3>Methods</h3><div>Studies that evaluated SNS-based interventions targeting condom use and/or its psychosocial determinants among youth (12–24y) were searched. Intervention effectiveness was defined as percentage of comparisons (e.g., across different follow-up times or between different groups) showing significant improvements in condom use or determinants, out of total number of possible comparisons within each study. Using Intervention Mapping, determinants clusters targeted by each intervention, the behavioral change methods (BCMs) employed, and theoretical match between the targeted determinants and applied BCMs were inferred.</div></div><div><h3>Results</h3><div>Fifteen studies were included. Median intervention effectiveness score was 33.3 % (IQR: 16.65,75 %) for condom use (<em>n</em> = 9) and 50 % (IQR: 0,100 %) for psychosocial determinants of condom use (<em>n</em> = 11). SNS-based interventions grounded in behavioral theory had a higher median effectiveness score when promoting condom use (50 % vs 33.3 %), but not when influencing its determinants (50 % vs 50 %). Two clusters of targeted determinants were identified: Attitude/Outcome Expectation/Risk Perception (<em>n</em> = 8) and Skills/Self-efficacy (<em>n</em> = 9), along with 25 distinct BCMs.</div></div><div><h3>Conclusion</h3><div>While inconsistent reporting across studies limited identification of effective components, findings underline the importance of grounding interventions in behavioral theories.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"60 ","pages":"Article 103318"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Young adolescent recommendations for advancing water, food, and sanitation security in Kenya: Qualitative insights 青少年对促进肯尼亚水、食品和卫生安全的建议：定性见解

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports

Pub Date : 2025-12-01 DOI: 10.1016/j.pmedr.2025.103325

Carmen H. Logie , Aryssa Hasham , Julia Kagunda , Humphres Evelia , Andrea Pellatt , Clara Gachoki , Mercy Chege , Lesley Gittings

Objective

Climate change and related extreme weather events (EWE) exacerbate resource insecurities that threaten youth wellbeing. We conducted participatory mapping workshops (PMW) to generate recommendations for reducing food, water, and sanitation insecurity from young adolescents in Kenya.

Methods

We conduced two-day multi-media PMWs that involved drawing, discussions, emoji descriptions, song creation, and writing, in six climate-affected Kenyan sites (Nairobi, Naivasha, Kilifi, Kisumu, Kalobeyei refugee settlement, Isiolo) with young adolescents aged 10–14 from 2022 to 2023. We applied framework thematic analysis informed by resource insecurity theory.

Results

Participants (n = 118; mean age: 12.1, standard deviation: 1.33) included adolescent boys (50.8 %) and girls (49.2 %). Overarching themes included recommendations to advance food security (e.g., food affordability, food production, food safety, food access), water security (e.g., water quality and safety, water infrastructure, water sufficiency), and sanitation security (e.g., waste management, hygiene and health education, sanitation infrastructure). These recommendations spanned government (e.g., reduce food tax, provide seeds/fertilizer), community (e.g., mutual aid, hygiene awareness), and household (e.g., reduce water wastage, youth safety collecting resources) levels.

Conclusions

Young adolescents identified multi-level solutions to advance water, food, and sanitation insecurity in climate-affected Kenyan regions. Climate and poverty interventions should amplify youth recommendations to advance health and wellbeing in Kenya.

气候变化和相关的极端天气事件（EWE）加剧了资源不安全，威胁着青年的福祉。我们举办了参与式绘图讲习班（PMW），为减少肯尼亚青少年对食物、水和卫生设施的不安全感提出建议。方法在2022年至2023年期间，我们在肯尼亚六个受气候影响的地点（内罗毕、奈瓦沙、基利菲、基苏木、Kalobeyei难民定居点、Isiolo）对10-14岁的青少年进行了为期两天的多媒体pmw，包括绘画、讨论、表情符号描述、歌曲创作和写作。在资源不安全理论的指导下，我们采用了框架主题分析。结果研究对象118人，平均年龄12.1岁，标准差1.33岁，包括青春期男孩（50.8%）和女孩（49.2%）。总体主题包括关于促进粮食安全（例如，粮食负担能力、粮食生产、食品安全、粮食获取）、水安全（例如，水质和安全、水基础设施、水充足性）和环境卫生安全（例如，废物管理、卫生和健康教育、环境卫生基础设施）的建议。这些建议涉及政府（例如，减少食品税、提供种子/肥料）、社区（例如，互助、卫生意识）和家庭（例如，减少水资源浪费、青少年安全收集资源）层面。在肯尼亚受气候影响地区，青少年找到了改善水、食品和卫生不安全状况的多层次解决方案。气候和贫困干预措施应扩大青年的建议，以促进肯尼亚的健康和福祉。

{"title":"Young adolescent recommendations for advancing water, food, and sanitation security in Kenya: Qualitative insights","authors":"Carmen H. Logie , Aryssa Hasham , Julia Kagunda , Humphres Evelia , Andrea Pellatt , Clara Gachoki , Mercy Chege , Lesley Gittings","doi":"10.1016/j.pmedr.2025.103325","DOIUrl":"10.1016/j.pmedr.2025.103325","url":null,"abstract":"<div><h3>Objective</h3><div>Climate change and related extreme weather events (EWE) exacerbate resource insecurities that threaten youth wellbeing. We conducted participatory mapping workshops (PMW) to generate recommendations for reducing food, water, and sanitation insecurity from young adolescents in Kenya.</div></div><div><h3>Methods</h3><div>We conduced two-day multi-media PMWs that involved drawing, discussions, emoji descriptions, song creation, and writing, in six climate-affected Kenyan sites (Nairobi, Naivasha, Kilifi, Kisumu, Kalobeyei refugee settlement, Isiolo) with young adolescents aged 10–14 from 2022 to 2023. We applied framework thematic analysis informed by resource insecurity theory.</div></div><div><h3>Results</h3><div>Participants (<em>n</em> = 118; mean age: 12.1, standard deviation: 1.33) included adolescent boys (50.8 %) and girls (49.2 %). Overarching themes included recommendations to advance food security (e.g., food affordability, food production, food safety, food access), water security (e.g., water quality and safety, water infrastructure, water sufficiency), and sanitation security (e.g., waste management, hygiene and health education, sanitation infrastructure). These recommendations spanned government (e.g., reduce food tax, provide seeds/fertilizer), community (e.g., mutual aid, hygiene awareness), and household (e.g., reduce water wastage, youth safety collecting resources) levels.</div></div><div><h3>Conclusions</h3><div>Young adolescents identified multi-level solutions to advance water, food, and sanitation insecurity in climate-affected Kenyan regions. Climate and poverty interventions should amplify youth recommendations to advance health and wellbeing in Kenya.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"61 ","pages":"Article 103325"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145685292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Parental policy-related worry and low-income families' well-being in the context of U.S. executive orders: A cross-sectional analysis 美国行政命令背景下父母政策相关担忧与低收入家庭福祉：一个横断面分析

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports

Pub Date : 2025-12-01 DOI: 10.1016/j.pmedr.2025.103322

Jiying Ling , Lorraine B. Robbins , Kenneth Resnicow

Objective This study examined the relationship between parental worry about current U.S. executive orders, particularly regarding access to federal assistance programs, and family well-being. Methods Cross-sectional data collected in April–May 2025 from 140 low-income parents in the Midwestern U.S. were analyzed. Parents and preschoolers were non-randomly recruited from Head Start organizations. Parents completed an online survey assessing their policy-related worry, stress, anxiety, depression, mindfulness, parent-child relationship, food insecurity, and their preschoolers' social, emotional, and behavioral health. Results Among parents, 24.7 % reported no worry, 11.0 % a little, 20.1 % some, 19.5 % a lot, and 20.8 % extreme worry; 3.9 % were unsure. Parental policy-related worry was dichotomized into low and high. Compared to low-worry parents, high-worry parents reported greater anxiety (p = .01), higher household food insecurity (p < .01), lower mindfulness (p < .01), and more parent child conflict (p = .03). Regarding preschoolers' developmental functioning, preschoolers of low-worry parents showed greater social skills (p = .01), fewer problem behaviors (p < .01), and lower levels of sadness (p < .01), fear (p = .03), and anger (p < .01) than those of high-worry parents. Conclusions Even when not explicitly targeting families, executive orders may contribute to poor health outcomes in low-income households. Public health efforts should recognize policy-related stressors and promote trauma informed, resilience-building interventions to support family well-being and child development.

目的本研究考察了父母对当前美国行政命令的担忧，特别是关于获得联邦援助计划的担忧与家庭幸福之间的关系。方法对2025年4 - 5月美国中西部140名低收入父母的横断面数据进行分析。父母和学龄前儿童从启智组织中非随机招募。家长们完成了一项在线调查，评估他们与政策相关的担忧、压力、焦虑、抑郁、正念、亲子关系、食物不安全以及学龄前儿童的社交、情感和行为健康。结果24.7%的家长不担心，11.0%的家长担心，20.1%的家长担心，19.5%的家长担心，20.8%的家长非常担心；3.9%的人不确定。父母对政策的担忧程度分为高低两类。与低焦虑父母相比，高焦虑父母报告了更大的焦虑（p = 0.01），更高的家庭食品不安全（p < 0.01），更低的正念（p < 0.01）和更多的亲子冲突（p = .03）。在学龄前儿童的发展功能方面，低焦虑父母的学龄前儿童比高焦虑父母的学龄前儿童表现出更高的社交技能（p = 0.01），更少的问题行为（p < 0.01），以及更低的悲伤（p < 0.01），恐惧（p = .03）和愤怒（p < 0.01）。即使没有明确针对家庭，行政命令也可能导致低收入家庭的健康状况不佳。公共卫生工作应认识到与政策有关的压力源，促进了解创伤情况、建立复原力的干预措施，以支持家庭福祉和儿童发展。

{"title":"Parental policy-related worry and low-income families' well-being in the context of U.S. executive orders: A cross-sectional analysis","authors":"Jiying Ling , Lorraine B. Robbins , Kenneth Resnicow","doi":"10.1016/j.pmedr.2025.103322","DOIUrl":"10.1016/j.pmedr.2025.103322","url":null,"abstract":"<div><div>Objective This study examined the relationship between parental worry about current U.S. executive orders, particularly regarding access to federal assistance programs, and family well-being. Methods Cross-sectional data collected in April–May 2025 from 140 low-income parents in the Midwestern U.S. were analyzed. Parents and preschoolers were non-randomly recruited from Head Start organizations. Parents completed an online survey assessing their policy-related worry, stress, anxiety, depression, mindfulness, parent-child relationship, food insecurity, and their preschoolers' social, emotional, and behavioral health. Results Among parents, 24.7 % reported no worry, 11.0 % a little, 20.1 % some, 19.5 % a lot, and 20.8 % extreme worry; 3.9 % were unsure. Parental policy-related worry was dichotomized into low and high. Compared to low-worry parents, high-worry parents reported greater anxiety (<em>p</em> = .01), higher household food insecurity (<em>p</em> < .01), lower mindfulness (<em>p</em> < .01), and more parent child conflict (<em>p</em> = .03). Regarding preschoolers' developmental functioning, preschoolers of low-worry parents showed greater social skills (<em>p</em> = .01), fewer problem behaviors (<em>p</em> < .01), and lower levels of sadness (<em>p</em> < .01), fear (<em>p</em> = .03), and anger (<em>p</em> < .01) than those of high-worry parents. Conclusions Even when not explicitly targeting families, executive orders may contribute to poor health outcomes in low-income households. Public health efforts should recognize policy-related stressors and promote trauma informed, resilience-building interventions to support family well-being and child development.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"60 ","pages":"Article 103322"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Comparison of community firearm violence news reports across four local television stations in Philadelphia, PA, USA: A quantitative media content analysis 美国费城四家地方电视台社区枪支暴力新闻报道的比较：定量媒体内容分析

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports

Pub Date : 2025-12-01 DOI: 10.1016/j.pmedr.2025.103324

Siena Wanders , Jennifer Midberry , Anita Wamakima , Tyrone Muns , Kallie Palm , Jim MacMillan , Christopher N. Morrison , Jessica H. Beard

Objective

On television news in Philadelphia, PA, USA, community firearm violence (CFV) is rarely covered as a public health issue, and harmful content elements are pervasive. It is unknown whether and how coverage differs across networks. To fill this gap, we compared CFV stories across all local English-language Philadelphia stations: 6ABC, CBS3, NBC10, and FOX29.

Methods

We performed a quantitative media content analysis using a stratified sample of CFV news clips. On each day of 2021, one network and broadcast time were chosen randomly and all clips featuring a firearm-injured person in Philadelphia were collected. We coded the clips to identify victim characteristics and the frequency of 11 harmful content elements. We calculated harmful content scores and compared content frequencies.

Results

Most clips contained harmful content (99.7 %) and most harmful content scores were similar. Differences included: NBC10 less frequently reported clinical condition(p = 0.01) and number of gunshot wounds(p = 0.02) with a significantly lower individual-level harm score(p = 0.04). Differences in the frequency of reported age and child victims were noted.

Conclusions

CFV reports were similar across television news outlets in Philadelphia, suggesting that networks are approaching coverage in the same manner: placing high news value on crime framing and frequently including harmful content.

目的在美国宾夕法尼亚州费城的电视新闻中，社区枪支暴力（CFV）很少作为公共卫生问题进行报道，有害内容元素普遍存在。目前尚不清楚不同网络的覆盖范围是否不同，以及如何不同。为了填补这一空白，我们比较了费城所有当地英语电台的CFV故事：6ABC、CBS3、NBC10和FOX29。方法对CFV新闻片段的分层样本进行定量媒体内容分析。在2021年的每一天，随机选择一个网络和播出时间，收集所有费城枪击伤者的片段。我们对这些片段进行编码，以确定受害者的特征和11种有害内容元素的频率。我们计算有害内容分数并比较内容频率。结果绝大多数视频片段含有有害内容（99.7%），且绝大多数有害内容评分相近。差异包括：NBC10较少报告临床状况（p = 0.01）和枪伤数量（p = 0.02），个体水平伤害评分显著降低（p = 0.04）。注意到报告的年龄和儿童受害者的频率存在差异。结论：费城各大电视新闻机构的scfv报道都很相似，这表明各大电视新闻机构正在以同样的方式进行报道：将高新闻价值放在犯罪陷害上，并经常包括有害内容。

{"title":"Comparison of community firearm violence news reports across four local television stations in Philadelphia, PA, USA: A quantitative media content analysis","authors":"Siena Wanders , Jennifer Midberry , Anita Wamakima , Tyrone Muns , Kallie Palm , Jim MacMillan , Christopher N. Morrison , Jessica H. Beard","doi":"10.1016/j.pmedr.2025.103324","DOIUrl":"10.1016/j.pmedr.2025.103324","url":null,"abstract":"<div><h3>Objective</h3><div>On television news in Philadelphia, PA, USA, community firearm violence (CFV) is rarely covered as a public health issue, and harmful content elements are pervasive. It is unknown whether and how coverage differs across networks. To fill this gap, we compared CFV stories across all local English-language Philadelphia stations: 6ABC, CBS3, NBC10, and FOX29.</div></div><div><h3>Methods</h3><div>We performed a quantitative media content analysis using a stratified sample of CFV news clips. On each day of 2021, one network and broadcast time were chosen randomly and all clips featuring a firearm-injured person in Philadelphia were collected. We coded the clips to identify victim characteristics and the frequency of 11 harmful content elements. We calculated harmful content scores and compared content frequencies.</div></div><div><h3>Results</h3><div>Most clips contained harmful content (99.7 %) and most harmful content scores were similar. Differences included: NBC10 less frequently reported clinical condition(<em>p</em> = 0.01) and number of gunshot wounds(<em>p</em> = 0.02) with a significantly lower individual-level harm score(<em>p</em> = 0.04). Differences in the frequency of reported age and child victims were noted.</div></div><div><h3>Conclusions</h3><div>CFV reports were similar across television news outlets in Philadelphia, suggesting that networks are approaching coverage in the same manner: placing high news value on crime framing and frequently including harmful content.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"60 ","pages":"Article 103324"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Tobacco cessation strategies in military personnel: A meta-analysis of randomized trials 军事人员戒烟策略：随机试验的荟萃分析

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports

Pub Date : 2025-12-01 DOI: 10.1016/j.pmedr.2025.103333

Javad Heshmati , Aidan Abraham , Jake Miles , Mason John Thomas Anderson , Gordon Guyatt , Hassan Mir

Objective

To evaluate the effectiveness of behavioural and pharmacological tobacco cessation interventions among active-duty military personnel and veterans.

Methods

We followed PRISMA guidelines to assess the efficacy of behavioural and pharmacological interventions on tobacco cessation in military populations. Randomized controlled trials were identified through PubMed (from 1966), Web of Science (from 1900), Scopus (from 1960), and the Cochrane Library/CENTRAL (from 1991) from database inception to July 2024. Random-effect models were used to estimate odds ratios and 95 % confidence intervals.

Results

Five randomized controlled trials involving a total of 2619 participants were included. Seven-day point prevalence abstinence was significantly increased at short-term (≤ 3 months) (OR 2.03 [95 % CI: 1.49, 2.77], low certainty) and long-term (≥ 6 months) (OR 1.53 [95 % CI: 1.12, 2.09], low certainty) follow-ups among those receiving interventions compared with controls. Subgroup analyses were conducted by type of personnel, tobacco product, intervention type, and sex.

Conclusions

These findings highlight the need for stronger, accessible, and military-tailored cessation programs, particularly for veterans who show lower quit rates. Expanding high-quality randomized trials that test modern cessation approaches in diverse military populations is essential to inform future policy and clinical practice.

目的评价现役军人和退伍军人行为和药物戒烟干预措施的效果。方法我们遵循PRISMA指南评估行为和药物干预对军人戒烟的效果。随机对照试验通过PubMed（自1966年）、Web of Science（自1900年）、Scopus（自1960年）和Cochrane Library/CENTRAL（自1991年）从数据库建立到2024年7月确定。随机效应模型用于估计比值比和95%置信区间。结果纳入5项随机对照试验，共纳入2619名受试者。与对照组相比，接受干预的患者在短期（≤3个月）（OR为2.03 [95% CI: 1.49, 2.77]，低确定性）和长期（≥6个月）（OR为1.53 [95% CI: 1.12, 2.09]，低确定性）随访中7天点流行戒断显著增加。按人员类型、烟草制品、干预方式和性别进行亚组分析。这些发现强调了制定更强有力、更容易获得、更适合军队的戒烟计划的必要性，特别是对于那些戒烟率较低的退伍军人。扩大在不同军事人群中测试现代戒烟方法的高质量随机试验对于为未来的政策和临床实践提供信息至关重要。

{"title":"Tobacco cessation strategies in military personnel: A meta-analysis of randomized trials","authors":"Javad Heshmati , Aidan Abraham , Jake Miles , Mason John Thomas Anderson , Gordon Guyatt , Hassan Mir","doi":"10.1016/j.pmedr.2025.103333","DOIUrl":"10.1016/j.pmedr.2025.103333","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effectiveness of behavioural and pharmacological tobacco cessation interventions among active-duty military personnel and veterans.</div></div><div><h3>Methods</h3><div>We followed PRISMA guidelines to assess the efficacy of behavioural and pharmacological interventions on tobacco cessation in military populations. Randomized controlled trials were identified through PubMed (from 1966), Web of Science (from 1900), Scopus (from 1960), and the Cochrane Library/CENTRAL (from 1991) from database inception to July 2024. Random-effect models were used to estimate odds ratios and 95 % confidence intervals.</div></div><div><h3>Results</h3><div>Five randomized controlled trials involving a total of 2619 participants were included. Seven-day point prevalence abstinence was significantly increased at short-term (≤ 3 months) (OR 2.03 [95 % CI: 1.49, 2.77], low certainty) and long-term (≥ 6 months) (OR 1.53 [95 % CI: 1.12, 2.09], low certainty) follow-ups among those receiving interventions compared with controls. Subgroup analyses were conducted by type of personnel, tobacco product, intervention type, and sex.</div></div><div><h3>Conclusions</h3><div>These findings highlight the need for stronger, accessible, and military-tailored cessation programs, particularly for veterans who show lower quit rates. Expanding high-quality randomized trials that test modern cessation approaches in diverse military populations is essential to inform future policy and clinical practice.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"61 ","pages":"Article 103333"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Approaches for sustaining diabetes prevention program practices post-graduation: A scoping review 毕业后维持糖尿病预防项目实践的方法：范围综述

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports

Pub Date : 2025-11-29 DOI: 10.1016/j.pmedr.2025.103329

Josephine M. Dudzik , Emily A. Johnston , Yuning Liu , Fred LaPolla , Jeannette M. Beasley

Objective

Diabetes Prevention Programs (DPP), year-long group-based lifestyle interventions, can reduce the incidence of type 2 diabetes (T2DM) by 58 % and improve cardiometabolic risk factors. However, the sustainability of these benefits and the effectiveness of booster interventions for DPP graduates remain unclear. This scoping review examined the availability, structure, and effectiveness of booster programs for DPP graduates.

Methods

PubMed, CINAHL, and Cochrane Clinical Trials were searched for intervention studies published before January 23, 2025. Due to the small number of studies and reporting heterogeneity, findings were synthesized narratively.

Results

Of 1613 articles screened, nine publications representing four unique studies were included. Booster interventions significantly reduced long-term T2DM incidence. Effect on blood glucose and hemoglobin A1c were inconsistent, but significant improvements were reported in key anthropometric measures, including body mass index, weight, weight change, and waist circumference. Longer intervention duration was commonly associated with greater effectiveness, though program structure and intensity likely contributed to inconsistencies in review findings.

Conclusions

Booster programs for DPP graduates may reduce long-term T2DM risk and improve cardiometabolic outcomes. This review highlights strategies to sustain DPP benefits and can inform the design of cost-effective, scalable interventions to address the growing global prediabetes burden.

目的：糖尿病预防计划（DPP），为期一年的以群体为基础的生活方式干预，可以将2型糖尿病（T2DM）的发病率降低58%，并改善心脏代谢危险因素。然而，这些益处的可持续性和DPP毕业生加强干预的有效性仍不清楚。这一范围审查审查了DPP毕业生加强计划的可用性、结构和有效性。方法检索spubmed、CINAHL和Cochrane临床试验，检索2025年1月23日之前发表的干预研究。由于研究数量少且报告异质性，研究结果是叙述性的。结果在筛选的1613篇文章中，包括代表4项独特研究的9篇出版物。强化干预显著降低T2DM的长期发病率。对血糖和糖化血红蛋白的影响不一致，但在关键的人体测量指标上有显著改善，包括体重指数、体重、体重变化和腰围。较长的干预持续时间通常与更大的有效性相关，尽管项目结构和强度可能导致审查结果的不一致。结论：DPP毕业生强化计划可降低长期T2DM风险，改善心脏代谢结果。本综述强调了维持DPP益处的策略，并可以为设计具有成本效益、可扩展的干预措施提供信息，以解决日益增长的全球糖尿病前期负担。

{"title":"Approaches for sustaining diabetes prevention program practices post-graduation: A scoping review","authors":"Josephine M. Dudzik , Emily A. Johnston , Yuning Liu , Fred LaPolla , Jeannette M. Beasley","doi":"10.1016/j.pmedr.2025.103329","DOIUrl":"10.1016/j.pmedr.2025.103329","url":null,"abstract":"<div><h3>Objective</h3><div>Diabetes Prevention Programs (DPP), year-long group-based lifestyle interventions, can reduce the incidence of type 2 diabetes (T2DM) by 58 % and improve cardiometabolic risk factors. However, the sustainability of these benefits and the effectiveness of booster interventions for DPP graduates remain unclear. This scoping review examined the availability, structure, and effectiveness of booster programs for DPP graduates.</div></div><div><h3>Methods</h3><div>PubMed, CINAHL, and Cochrane Clinical Trials were searched for intervention studies published before January 23, 2025. Due to the small number of studies and reporting heterogeneity, findings were synthesized narratively.</div></div><div><h3>Results</h3><div>Of 1613 articles screened, nine publications representing four unique studies were included. Booster interventions significantly reduced long-term T2DM incidence. Effect on blood glucose and hemoglobin A1c were inconsistent, but significant improvements were reported in key anthropometric measures, including body mass index, weight, weight change, and waist circumference. Longer intervention duration was commonly associated with greater effectiveness, though program structure and intensity likely contributed to inconsistencies in review findings.</div></div><div><h3>Conclusions</h3><div>Booster programs for DPP graduates may reduce long-term T2DM risk and improve cardiometabolic outcomes. This review highlights strategies to sustain DPP benefits and can inform the design of cost-effective, scalable interventions to address the growing global prediabetes burden.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"61 ","pages":"Article 103329"},"PeriodicalIF":2.4,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145685290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

The summer holiday association with allergic diseases among children and adolescents in Yunnan Province, China 云南省儿童和青少年暑假与过敏性疾病的关系

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports

Pub Date : 2025-11-29 DOI: 10.1016/j.pmedr.2025.103330

Xiangyu Yan , Yingqin Gao , Yangyang Qiu , Meilan Wang , Xi Dai , Lan Huang , Tiejun Shui , Tiesong Zhang

Objectives

The burden of allergic diseases in children and adolescents is on the rise in China. This study aimed to reveal the unique epidemiology characteristics and temporal aggregation patterns among them.

Methods

A total of 104,345 children and adolescent outpatients with allergic diseases were included between 2019 and 2023 in Yunnan Province, China. We conducted a detailed analysis of the composition and changes in epidemic trends of various allergic diseases.

Results

Four main kinds of allergic diseases were categorized, including allergic rhinitis (47.0 %), bronchial asthma (28.6 %), allergic diseases characterized by skin symptoms (23.3 %), and food protein allergy (1.1 %). An interesting “summer holiday association” was revealed that hospital visits peaked during the summer holiday in July and August, especially for patients with allergic rhinitis. The average number of allergic rhinitis patients visiting hospital in July and August each year was 1.5–4.0 times higher than other months.

Conclusions

The findings have significant implications for diseases prevention and the allocation of medical resources. The “summer holiday association” necessitated proactive parental prevention measures and hospital preparedness for predictable seasonal case surges.

目的中国儿童和青少年变态反应性疾病的负担呈上升趋势。本研究旨在揭示其独特的流行病学特征和时间聚集模式。方法纳入2019 - 2023年云南省104,345例变应性疾病门诊儿童和青少年患者。我们对各种变态反应性疾病的组成和流行趋势变化进行了详细分析。结果变应性疾病以变应性鼻炎（47.0%）、支气管哮喘（28.6%）、以皮肤症状为特征的变应性疾病（23.3%）和食物蛋白过敏（1.1%）为主。一个有趣的“暑假关联”显示，7月和8月的暑假期间，医院就诊人数达到高峰，特别是过敏性鼻炎患者。每年7、8月份变应性鼻炎患者平均就诊人次是其他月份的1.5 ~ 4.0倍。结论本研究结果对疾病预防和医疗资源配置具有重要意义。“暑假协会”要求家长采取积极主动的预防措施，医院为可预测的季节性病例激增做好准备。

{"title":"The summer holiday association with allergic diseases among children and adolescents in Yunnan Province, China","authors":"Xiangyu Yan , Yingqin Gao , Yangyang Qiu , Meilan Wang , Xi Dai , Lan Huang , Tiejun Shui , Tiesong Zhang","doi":"10.1016/j.pmedr.2025.103330","DOIUrl":"10.1016/j.pmedr.2025.103330","url":null,"abstract":"<div><h3>Objectives</h3><div>The burden of allergic diseases in children and adolescents is on the rise in China. This study aimed to reveal the unique epidemiology characteristics and temporal aggregation patterns among them.</div></div><div><h3>Methods</h3><div>A total of 104,345 children and adolescent outpatients with allergic diseases were included between 2019 and 2023 in Yunnan Province, China. We conducted a detailed analysis of the composition and changes in epidemic trends of various allergic diseases.</div></div><div><h3>Results</h3><div>Four main kinds of allergic diseases were categorized, including allergic rhinitis (47.0 %), bronchial asthma (28.6 %), allergic diseases characterized by skin symptoms (23.3 %), and food protein allergy (1.1 %). An interesting “summer holiday association” was revealed that hospital visits peaked during the summer holiday in July and August, especially for patients with allergic rhinitis. The average number of allergic rhinitis patients visiting hospital in July and August each year was 1.5–4.0 times higher than other months.</div></div><div><h3>Conclusions</h3><div>The findings have significant implications for diseases prevention and the allocation of medical resources. The “summer holiday association” necessitated proactive parental prevention measures and hospital preparedness for predictable seasonal case surges.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"61 ","pages":"Article 103330"},"PeriodicalIF":2.4,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145645800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Exercise-induced hypertension, atherogenic lipid subfractions, and cardiorespiratory fitness in marathon runners 马拉松运动员运动引起的高血压、动脉粥样硬化脂质亚组分和心肺健康

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports

Pub Date : 2025-11-29 DOI: 10.1016/j.pmedr.2025.103326

Eun Sun Yoon , Jong-Young Lee , Young-Joo Kim

Objective

Exercise-induced hypertension (EIH), defined by an exaggerated exercise systolic blood pressure response, has been linked to cardiovascular events. This study examined whether EIH is associated with atherogenic lipid subfractions and whether cardiorespiratory fitness (CRF) relates to lipid particle characteristics in male marathon runners.

Methods

In this cross-sectional study, 51 male marathon runners aged 40–65 years were tested between March and September 2023 at the Exercise Physiology Laboratory, Sungshin Women's University, Seoul, South Korea. Participants were classified as having EIH (n = 29, maximal systolic blood pressure ≥ 210 mmHg) or a normal response (n = 22). Lipid subfractions, including small dense low-density lipoprotein (LDL), were assessed by polyacrylamide gel electrophoresis, and CRF was measured by maximal oxygen uptake (VO₂max).

Results

Lipid subfractions did not differ between EIH and normotensive runners, including small dense LDL and mean LDL particle size (all p > 0.05). Higher VO₂max was associated with lower small dense LDL (r = −0.41, p < 0.01) and triglycerides (r = −0.36, p < 0.01), and higher HDL-cholesterol (r = 0.33, p = 0.02) and mean LDL particle size (r = 0.39, p < 0.01).

Conclusions

Among male marathon runners, EIH was not associated with adverse atherogenic lipid subfractions, whereas higher CRF correlated with more favorable lipid particle profiles, suggesting fitness-related metabolic adaptations may mitigate lipid-mediated cardiovascular risk.

目的：运动性高血压（EIH）与心血管事件有关，其定义为运动时收缩压反应过高。本研究考察了EIH是否与动脉粥样硬化性脂质亚组分相关，以及心肺健康（CRF）是否与男性马拉松运动员的脂质颗粒特征相关。方法在这项横断面研究中，于2023年3月至9月在韩国首尔圣心女子大学运动生理学实验室对51名40-65岁的男性马拉松运动员进行了测试。参与者被分为EIH （n = 29，最大收缩压≥210 mmHg）或正常反应（n = 22）。脂质亚组分，包括小密度低密度脂蛋白（LDL），用聚丙烯酰胺凝胶电泳测定，CRF用最大摄氧量（vo2max）测定。结果低血压组与正常血压组的血脂亚组分无显著差异，包括小密度LDL和平均LDL粒度（均p >； 0.05）。较高的vo2max与较低的小密度LDL （r = - 0.41, p < 0.01）和甘油三酯（r = - 0.36, p < 0.01）以及较高的hdl -胆固醇（r = 0.33, p = 0.02）和平均LDL粒径（r = 0.39, p < 0.01）相关。结论：在男性马拉松运动员中，EIH与不利的动脉粥样硬化脂质亚分无关，而较高的CRF与更有利的脂质颗粒谱相关，表明健身相关的代谢适应可能减轻脂质介导的心血管风险。

{"title":"Exercise-induced hypertension, atherogenic lipid subfractions, and cardiorespiratory fitness in marathon runners","authors":"Eun Sun Yoon , Jong-Young Lee , Young-Joo Kim","doi":"10.1016/j.pmedr.2025.103326","DOIUrl":"10.1016/j.pmedr.2025.103326","url":null,"abstract":"<div><h3>Objective</h3><div>Exercise-induced hypertension (EIH), defined by an exaggerated exercise systolic blood pressure response, has been linked to cardiovascular events. This study examined whether EIH is associated with atherogenic lipid subfractions and whether cardiorespiratory fitness (CRF) relates to lipid particle characteristics in male marathon runners.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, 51 male marathon runners aged 40–65 years were tested between March and September 2023 at the Exercise Physiology Laboratory, Sungshin Women's University, Seoul, South Korea. Participants were classified as having EIH (<em>n</em> = 29, maximal systolic blood pressure ≥ 210 mmHg) or a normal response (<em>n</em> = 22). Lipid subfractions, including small dense low-density lipoprotein (LDL), were assessed by polyacrylamide gel electrophoresis, and CRF was measured by maximal oxygen uptake (VO₂max).</div></div><div><h3>Results</h3><div>Lipid subfractions did not differ between EIH and normotensive runners, including small dense LDL and mean LDL particle size (all <em>p</em> > 0.05). Higher VO₂max was associated with lower small dense LDL (<em>r</em> = −0.41, <em>p</em> < 0.01) and triglycerides (<em>r</em> = −0.36, p < 0.01), and higher HDL-cholesterol (<em>r</em> = 0.33, <em>p</em> = 0.02) and mean LDL particle size (<em>r</em> = 0.39, p < 0.01).</div></div><div><h3>Conclusions</h3><div>Among male marathon runners, EIH was not associated with adverse atherogenic lipid subfractions, whereas higher CRF correlated with more favorable lipid particle profiles, suggesting fitness-related metabolic adaptations may mitigate lipid-mediated cardiovascular risk.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"61 ","pages":"Article 103326"},"PeriodicalIF":2.4,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145685289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Encouraging healthy eating by appealing to environmental sustainability, health, or both: A randomized experiment with US young adults 通过呼吁环境可持续性、健康或两者兼而有之来鼓励健康饮食：一项针对美国年轻人的随机实验

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports

Pub Date : 2025-11-29 DOI: 10.1016/j.pmedr.2025.103323

Anna H. Grummon , Amanda B. Zeitlin , Cristina J.Y. Lee , Marissa G. Hall , Lindsey Smith Taillie

Objective

Diet quality is especially poor among young adults. Messages could encourage young adults to eat more healthfully, but it remains unclear whether messages appealing to sustainability, health, or both are most promising.

Methods

In 2024, US young adults (n = 1732) ages 18–25 completed a between-subjects experiment in which they were randomized to messages about 1) sustainability, 2) health, 3) sustainability + health, or 4) control. Participants viewed messages from their assigned condition promoting four healthy dietary substitutions shown in random order: replacing beef and pork with chicken or vegetarian options, dairy milk with non-dairy milk, juice with fruit, and sugary drinks with water. Participants rated each message on perceived message effectiveness using a four-item scale.

Results

Across all substitutions, the sustainability, health, and sustainability + health messages were perceived as more effective than control messages (ps < 0.01). For the beef and pork and milk substitutions, all topics were perceived as similarly effective (ps ≥ 0.45). For the juice substitution, sustainability + health messages outperformed sustainability messages (p = .02) and for the sugary drink substitution, both health messages and sustainability + health messages outperformed sustainability messages (ps ≤ 0.01).

Conclusions

Messages appealing to environmental sustainability, health, or both could encourage young adults to adopt healthy dietary substitutions.

目的青少年饮食质量较差。信息可以鼓励年轻人吃得更健康，但目前尚不清楚吸引可持续性、健康或两者的信息是最有希望的。方法在2024年，美国18-25岁的年轻人（n = 1732）完成了一项受试者间实验，他们被随机分配到1)可持续性、2)健康、3)可持续性+健康或4)控制的信息。参与者从他们指定的条件中看到了以随机顺序显示的四种健康饮食替代品的信息：用鸡肉或素食代替牛肉和猪肉，用非乳制品代替牛奶，用水果代替果汁，用水代替含糖饮料。参与者使用四项量表对每条信息的感知信息有效性进行评分。结果在所有替代信息中，可持续性、健康和可持续性+健康信息被认为比对照信息更有效（ps < 0.01）。对于牛肉、猪肉和牛奶替代品，所有主题都被认为是相似的有效（ps≥0.45）。对于果汁替代，可持续性+健康信息优于可持续性信息（p = 0.02），对于含糖饮料替代，健康信息和可持续性+健康信息都优于可持续性信息（ps≤0.01）。结论呼吁环境可持续性、健康或两者兼而有之的信息可以鼓励年轻人采用健康的饮食替代品。

{"title":"Encouraging healthy eating by appealing to environmental sustainability, health, or both: A randomized experiment with US young adults","authors":"Anna H. Grummon , Amanda B. Zeitlin , Cristina J.Y. Lee , Marissa G. Hall , Lindsey Smith Taillie","doi":"10.1016/j.pmedr.2025.103323","DOIUrl":"10.1016/j.pmedr.2025.103323","url":null,"abstract":"<div><h3>Objective</h3><div>Diet quality is especially poor among young adults. Messages could encourage young adults to eat more healthfully, but it remains unclear whether messages appealing to sustainability, health, or both are most promising.</div></div><div><h3>Methods</h3><div>In 2024, US young adults (<em>n</em> = 1732) ages 18–25 completed a between-subjects experiment in which they were randomized to messages about 1) sustainability, 2) health, 3) sustainability + health, or 4) control. Participants viewed messages from their assigned condition promoting four healthy dietary substitutions shown in random order: replacing beef and pork with chicken or vegetarian options, dairy milk with non-dairy milk, juice with fruit, and sugary drinks with water. Participants rated each message on perceived message effectiveness using a four-item scale.</div></div><div><h3>Results</h3><div>Across all substitutions, the sustainability, health, and sustainability + health messages were perceived as more effective than control messages (<em>p</em>s < 0.01). For the beef and pork and milk substitutions, all topics were perceived as similarly effective (<em>p</em>s ≥ 0.45). For the juice substitution, sustainability + health messages outperformed sustainability messages (<em>p</em> = .02) and for the sugary drink substitution, both health messages and sustainability + health messages outperformed sustainability messages (<em>p</em>s ≤ 0.01).</div></div><div><h3>Conclusions</h3><div>Messages appealing to environmental sustainability, health, or both could encourage young adults to adopt healthy dietary substitutions.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"61 ","pages":"Article 103323"},"PeriodicalIF":2.4,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145685288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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