Preventive medicine
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Preventive medicine · Feb 2025
Exploring the determinants to accept dementia screening among patients at high risk of dementia based on the theory of planned behavior: A cross-sectional study.
Dementia represents a major public health challenge. Despite numerous initiatives promoting screening for early cognitive impairment to help prevent or delay its onset, participation remains limited. Moreover, there is limited evidence regarding screening intentions and predictors among populations at high risk of dementia. This study used the theory of planned behavior to identify modifiable factors associated with screening participation. ⋯ PBC, subjective norm, and attitudes are associated with dementia screening willingness among high-risk groups. Healthcare professionals and policymakers should focus on enhancing favorable attitudes toward screening, increasing familial encouragement, and reducing perceived barriers to developing effective prevention or intervention strategies.
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Preventive medicine · Feb 2025
Stage at diagnosis and cancer-specific survival for stomach, lung, colorectal, and bladder cancers among Armenians in California.
To observe stage at diagnosis and cancer-specific survival for common cancers among Armenians in California. ⋯ While Armenian patients were at greater risk of late-stage diagnoses of colorectal, lung, and stomach cancers, they had better survival compared to non-Armenian, non-Hispanic White patients. Further research is needed to understand factors impacting survival in Armenian individuals, including genetic, behavioral, and social factors. Our findings of lower nSES and public health insurance associated with late-stage diagnoses suggest a need for increased access to care and cancer screening among the Armenian population in California.
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Preventive medicine · Feb 2025
Long working hours and cardiovascular disease mortality: Prospective evidence from the United States.
Cardiovascular disease (CVD) is the leading cause of death in the United States (U.S.). This study aimed to explore prospective associations between long working hours with CVD mortality using a large, national study in the U.S. ⋯ Long working hours are a significant risk factor for CVD mortality in this national sample of U.S. workers, and participants with low socioeconomic status are more vulnerable to the effects of long working hours on CVD deaths. These findings highlight the need for considering working hour interventions in public health strategies to improve cardiovascular health outcomes in the workforce.
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Preventive medicine · Feb 2025
Passive exposure to opioid crisis information and public attitudes: Effects on local policy support, discrimination, and stigma in a United States national survey.
To examine associations between passive exposure to opioid crisis information and public attitudes toward opioid use disorder (OUD) policies and stigma among United States (US) adults. ⋯ Despite widespread media coverage of the opioid crisis, passive information exposure was only associated with increased support for local, not national, harm-reduction policies. The modest exposure rate (59.4 %) suggests an attention gap between information availability and public engagement. The differential effectiveness of information channels suggests that communication strategies emphasizing community-level initiatives and leveraging specific sources like healthcare providers and interpersonal networks may be particularly important for building public support for evidence-based OUD prevention policies.
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Preventive medicine · Feb 2025
Association of individual and neighborhood socioeconomic status with outcomes of a smoking cessation intervention provided in the lung cancer screening setting.
Lung cancer screening (LCS) offers a teachable moment for smoking cessation. This study assesses whether individual- or neighborhood-level SES is associated with tobacco abstinence and completion of a smoking cessation intervention in the LCS context. ⋯ Individual and neighborhood SES were not independently associated with the study outcomes in the multivariable analysis, but combinations of individual and neighborhood SES differentially affected treatment completion.