American journal of preventive medicine
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The relationship between physical activity behaviour and subsequent falls in adults from mid-life to older age is unclear. Falls and fall-related injuries could lessen physical activity participation. This study examined patterns and bidirectional associations between physical activity and falls from mid-life to older age. ⋯ The prospective bidirectional association between physical activity and falls supports addressing falls by promoting activity and highlighting the impact of injurious falls on reduced physical activity participation.
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The study investigated associations between paternal depression when children were age 5 and teacher-reported behavioral problems at age 9. ⋯ Paternal depression when children transitioned to kindergarten was associated with poorer teacher ratings of behaviors and social skills at age 9. These findings suggest a need for interventions that identify and support fathers with depressive symptoms and their children.
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Electronic nicotine delivery systems (ENDS) can benefit those who use combustible tobacco if they transition completely to ENDS. ENDS can also result in nicotine addiction among nicotine naïve people. ⋯ For every 1 beneficial transition, ENDS use was associated with 2.15 harmful transitions; this ratio ranged from 0.75 to 2.77 in sensitivity analyses. With effective restrictions on ENDS access and marketing for tobacco naïve people, the population benefits of ENDS could outweigh population harms.
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Lung cancer screening is underutilized, especially in rural areas where lung cancer mortality is high. Approximately 11.2% of the United States (US) population over age 50 meet the United States Preventive Services Task Force (USPSTF) 2021 lung cancer screening eligibility criteria; the proportion of eligible Veterans is unknown. This study evaluated the proportion of Veterans who are USPSTF-eligible and tested the hypothesis that more USPSTF-2021-eligible Veterans reside in rural versus non-rural areas. ⋯ The proportion of Veterans USPSTF-2021-eligible was nearly three times higher than the general US population (11.2%), and a greater proportion of eligible Veterans resided in rural compared with non-rural areas. These findings are critical for policies aimed at fully implementing lung cancer screening at scale.