American journal of preventive medicine
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Food insecurity has been associated with adverse health and academic outcomes among college students. However, little is known about the long-term impacts of experiencing food insecurity during college. This study examines the impacts of college food insecurity (measured from 1999 to 2003) on future food insecurity (measured from 2015 to 2017) and whether this association differs by economic independence during college. ⋯ Food insecurity during college is associated with a higher prevalence of food insecurity in early to middle adulthood, particularly among economically independent students. Given the seemingly cyclical nature of food insecurity over the life course, policies are needed to alleviate food insecurity during the critical college years.
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Alternative measurement approaches for adverse childhood experiences (i.e., count score versus individual adverse childhood experiences measured dichotomously versus individual adverse childhood experiences measured ordinally) can alter the association between adverse childhood experiences and adverse outcomes. This could significantly impact the interpretation of adverse childhood experiences research. ⋯ Alternative methods of measuring adverse childhood experiences can influence understanding of their true impact. These findings suggest that the deleterious effects of imprecise measurement methods may be most pronounced in the populations most at risk of adverse childhood experiences. For the sake of prevention, the measurement of adverse childhood experiences must evolve.
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The rates of gestational diabetes mellitus are increasing in parallel with the rates of overweight and obesity. This analysis examines nationwide trends in the population-attributable fraction for gestational diabetes mellitus associated with prepregnancy overweight and obesity. ⋯ The population-attributable fractions for gestational diabetes mellitus associated with obesity largely increased in the past decade, underscoring the importance of optimizing weight before pregnancy.
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This study determines the prevalence and associated correlates of people unaware of their diabetic retinopathy diagnosis in the U.S. ⋯ A substantial proportion of individuals with diabetic retinopathy are unaware of the diagnosis. These data provide a path toward refining efforts to diagnose and treat diabetic retinopathy to decrease the burden of preventable blindness.
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A growing number of state legislatures have passed laws that restrict access to abortion care after a specified gestational age (gestational age limit laws). The impact of these laws on maternal and child population health outcomes and inequities is unknown. The objective of this study is to determine whether states that implement gestational age limit laws experience subsequent changes in rates of infant mortality. ⋯ On the basis of data from 2005 to 2017, states that enacted gestational age limit abortion laws subsequently experienced increased infant mortality rates.