American journal of preventive medicine
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Falls in older adults are potentially devastating, whereas an accurate fall risk prediction model for community-dwelling older Chinese is still lacking. The objective of this study was to build prediction models for falls and fall-related injuries among community-dwelling older adults in China. ⋯ This study suggests that the optimal models hold promise for screening out older adults at high risk for falls in facilitated targeted interventions. Fall prevention strategies should specifically focus on fall history, physical functions, psychological factors, and home environment.
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This study aims to assess the trends in the number and characteristics of substance use disorder (SUD) treatment facilities within the county of residence of adults aged 50+ years over time. ⋯ Despite increases in the number of SUD treatment facilities in rural areas, there has been less growth in nearby facilities offering evidence-based medication treatment for opioid use disorder.
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Little is known about inhaled flavored cannabis use. This study aimed to investigate the prevalence and patterns of flavored cannabis use and cannabis-tobacco co-use. ⋯ Observed differences in flavored cannabis use are concerning if flavors raise appeal or dependence. Integrating flavored cannabis and tobacco research and practice is warranted.
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A variety of industry composite indices are employed within health research in risk-adjusted outcome measures and to assess health-related social needs. During the COVID-19 pandemic, the relationships among risk adjustment, clinical outcomes, and composite indices of social risk have become relevant topics for research and healthcare operations. Despite the widespread use of these indices, composite indices are often comprised of correlated variables and therefore may be affected by information duplicity of their underlying risk factors. ⋯ A robust method is provided, designed to overcome challenges with current social risk indices, by accounting for redundancy and assigning more meaningful disease and outcome-specific variable weights.
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Driving under the influence of cannabis is a significant public health concern that is particularly common in young adults (aged 18-25 years) and has increased in recent years. Vaping has also dramatically increased, particularly among young populations, and is frequently used for cannabis administration among young adults. Therefore, this study aimed to examine the positive association between vaping and cannabis driving under the influence among young adults (aged 18-25 years). ⋯ This study found positive associations between past-year vaping, cannabis use, and cannabis driving under the influence among U.S. young adults, indicating that vaping was positively associated with cannabis use. Vaping was also positively associated with cannabis driving under the influence among those who used cannabis. This preliminary evidence could inform prevention/intervention strategies related to vaping and cannabis driving under the influence.