Preventive medicine
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Preventive medicine · Dec 2024
Examining childhood and adulthood stressors as risk factors for gestational diabetes mellitus in working pregnant individuals: A prospective cohort study.
This study aimed to examine the individual and joint associations of adverse childhood experiences (ACEs) and maternal work and non-work related stressors with the risk of gestational diabetes mellitus (GDM). ⋯ Among U.S. working pregnant individuals, having work stressors during pregnancy was associated with an elevated risk of developing GDM, particularly among those who had childhood experience of abuse.
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Preventive medicine · Dec 2024
Multicenter Study"I've been really happy since I got that letter!": Longitudinal patient perspectives on lung cancer screening communication.
Experts recommend structured shared decision making when discussing lung cancer screening (LCS) and reporting low-dose computed tomography (LDCT) results. We examined patients' reactions to pre- and post-LDCT results communication processes at three medical centers in the US with established LCS programs. ⋯ Despite receiving guideline discordant decision-making communication, patients seem very satisfied, rarely experience severe distress, and have low decisional regret after LCS decision making and receiving the results of their LDCT.
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Preventive medicine · Dec 2024
Black college women's preventive health behaviors: Applications of a Black Feminist-Womanist research paradigm.
The researchers applied Lindsay-Dennis' Black Feminist-Womanist research paradigm to Andersen's Behavioral Model for Health Service Use to guide initial research about Black American women's preventive health behaviors. ⋯ This article highlights the fit of a Black Feminist-Womanist research paradigm to Andersen's model to better understand Black women's health experiences and illustrates ways that medical mistrust, health literacy, and past experiences with health care can influence health service use. Areas for future research on barriers and facilitators to preventive care and implications for reducing health disparities are also discussed.
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Preventive medicine · Dec 2024
Review Meta AnalysisA systematic review and meta-analysis evaluating the effectiveness of minimally supervised home and community exercise interventions in improving physical activity, body adiposity and quality of life in adults living with HIV.
People living with HIV (PLWH) are physically inactive and risk cardiometabolic dysfunction. Home and community exercise (HCE) is pragmatic, cost-effective and improves health in varied chronic conditions. This review aimed to synthesize evidence on the effectiveness of minimally supervised HCE for physical activity (PA), adiposity, quality of life (QoL), and other physical and psychological health indices for PLWH. ⋯ Minimally supervised HCE can improve PA, body fat, physical QoL and other health indices in PLWH.
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Preventive medicine · Dec 2024
Review Meta AnalysisEvaluating the effectiveness of mailout smoking cessation support: A systematic review and meta-analysis.
One of the main barriers to smoking cessation support is accessibility. Mailout supports can potentially mitigate access barriers, but their effectiveness has not been explored. The aim of this review is to evaluate the effectiveness of mailout smoking cessation support. ⋯ Mailout smoking cessation support improves quitting, especially when interventions include NRT and delivered for longer than 12 weeks. While further research is needed to refine implementation strategies, mailout smoking cessation supports are effective and have potential to reduce access barriers.