Preventive medicine
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Preventive medicine · Dec 2020
Randomized Controlled TrialTreating tobacco dependence to aid Re-employment among job-seekers: A randomized controlled trial.
U.S. reductions in smoking have not been experienced equally. Smoking prevalence is greater among persons of lower education, lower income, and unemployed. We evaluated whether a cessation intervention for job-seekers would result in significantly fewer cigarettes smoked per day and a greater likelihood of tobacco abstinence and re-employment, compared to the control condition at 6-months follow-up. ⋯ In a diverse sample with economic hardships, quit attempts and smoking reduction were greater in the intervention group; however, few achieved abstinence, and neither abstinence nor re-employment differed by condition. A priority group, further research is needed on smoking and re-employment.
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Preventive medicine · Dec 2020
The relationship between government trust and preventive behaviors during the COVID-19 pandemic in China: Exploring the roles of knowledge and negative emotion.
Government trust is known to be associated with preventive practices during pandemics, but few studies have explored the roles of knowledge and negative emotion in conditioning the relationship between trust and preventive behaviors. The aim of this study was to explore the roles of knowledge and negative emotion in conditioning the relationship between trust and preventive measures during the COVID-19 pandemic in China. Data from a cross-sectional survey of 3000 Chinese adults [mean (SD) age 36.93 (12.11) years; 52.4% male], conducted using quota-sampling method (March 2-2020 to March 23-2020), were analyzed. ⋯ Officially recommended preventive behavior is most likely to happen when there is a combination of high levels of government trust and low levels of negative emotion. Therefore, government trust increases both official and excessive (sometimes unscientific) preventive behaviors. Interventions shall aim to enhance people's COVID-19 knowledge and to reduce negative emotions.
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Preventive medicine · Dec 2020
Cross-sectional association between physical activity level and subjective cognitive decline among US adults aged ≥45 years, 2015.
Subjective cognitive decline (SCD) is the self-reported experience of worsening or more frequent confusion or memory loss within the previous 12 months and can be one of the earliest symptoms of Alzheimer's disease. Regular physical activity can contribute to the primary, secondary, and tertiary prevention of cognitive decline. At the national level, prevalence estimates of SCD by physical activity level in the United States are currently unknown. ⋯ Among those with SCD, the prevalence of functional limitations also increased as physical activity level decreased (active: 40.5%; insufficiently active: 50.0%; inactive: 57.4%). These differences largely remained after adjusting for respondent characteristics. Findings highlight the potential public health impact nationally of efforts to promote physical activity for cognitive health.
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Preventive medicine · Dec 2020
Household food insecurity and preschool suspension/expulsion in the United States.
Food insecurity is a serious public health concern, affecting approximately 15 million children in the U. S. alone. Exposure to household food insecurity has been linked to a host of deleterious outcomes among infants and children, including mental and behavioral health outcomes. ⋯ Additional analyses revealed that a large portion of this association was attenuated upon accounting for parenting stress and child mental health. Trauma-informed nutrition assistance programming as well as early mental health assessment and consultation may yield collateral benefits in the form of reductions in preschool suspension/expulsion. Given the findings, moreover, future research should consider the role of household food insecurity in contributing to health inequities that perpetuate the school-to-prison pipeline.
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Preventive medicine · Dec 2020
The medical costs of low leisure-time physical activity among working-age adults: Gender and minority status matter.
This study analyzes the direct medical costs of low physical activity by race/ethnicity and gender. Average health expenditures based on physical activity status for Black non-Hispanics (NH), Asian NHs, and Hispanics were compared to White NHs. Data from the National Health Interview Survey were merged with the Medical Expenditure Panel Survey for years 2000-2010 and 2001-2011, respectively, and weights were applied to ensure generalizability to the larger US population. ⋯ Among women, medical expenditures were $956 per year less among active White non-Hispanics relative to their inactive counterparts, and $815 per year among Hispanics. Essentially, the average reduction in health care expenditures is relatively consistent for five out of the eight groups. The absence of any reduction in average health care expenditures for three of the groups, however, suggests that there may be environmental factors at play for certain groups that mitigate the impact of physical activity on health expenditures.