Preventive medicine
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Preventive medicine · Oct 2023
Potential impact of time trend of whole grain intake on burden of major cancers in China.
Numerous studies have revealed associations between high intake of whole grains and reduced risk of various cancers. Yet, in recent decades, the traditional Chinese diets have been challenged by reduction in whole grains and increase in refined grains. To assess the impact of this dietary transition on cancer prevention, we analyzed the time trend of whole grain intake using nationally representative sampling data of over 15 thousand individuals from the China Health and Nutrition Survey. ⋯ Compared with 1997, insufficient intake of whole grains was responsible for 9940 more cases of breast cancer, 12,903 more cases of colorectal cancer and 434 more cases of pancreatic cancer in 2011. Our projections suggest that if every Chinese would consume 125 g whole grain per day as recommended by the latest Chinese Dietary Guidelines, 0.63% bladder cancer, 8.98% breast cancer, 15.85% colorectal cancer, 3.86% esophageal cancer, 2.52% liver cancer and 2.22% pancreatic cancer (totaling 186,659 incident cases) could theoretically be averted by 2035. Even if everyone maintained the 2011 whole grain intake level, an estimated 8.38% of cancer events could still be prevented by 2035.
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Preventive medicine · Oct 2023
A window of opportunity: Adverse childhood experiences and time alone with a provider in the United States.
To date, there is limited literature on the relationship between Adverse Childhood Experiences (ACEs) and the quality of health care provider encounters. This is key, as people with a history of ACEs have a greater burden of illness. ⋯ This work emphasizes the importance of ACEs screening in a health care setting and may set the groundwork for future research investigating mechanisms within these associations. Given the established link between health care quality and patient-provider trust, and health outcomes, intervention work is needed to develop healthcare practices that may encourage the length and quality of health care provider visits.
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Preventive medicine · Oct 2023
ReviewDisparities in physical activity between sexual minority and heterosexual women: A systematic review and meta-analysis.
Research examining potential differences in physical activity (PA) between sexual minority women (SMW) and heterosexual women have yielded inconsistent results. ⋯ Although the results of the current analysis did not indicate significant differences in PA behaviors between SMW and heterosexual women, age and BMI modify the association and are curvilinear in nature; such that smaller differences in PA were observed between SMW and heterosexual women when samples were middle-aged and overweight.
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Preventive medicine · Oct 2023
Urban-rural health disparities in Brazil: Do sociodemographic attributes play a role?
The debate over urban-rural health disparities in Latin American countries is disputed, and this relationship may not be as straightforward as initially thought. In this study, we investigate whether individual-level self-rated health (SRH) varies across urban and rural populations in the country and how sociodemographic attributes are associated with such differences. ⋯ The findings suggest that Brazilian adults living in rural areas are at a higher risk of perceiving their health as poor than their urban counterparts. The urban-rural health disparities are significant and influenced by sociodemographic attributes, highlighting the importance of developing public health interventions to improve health outcomes in these populations.
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Preventive medicine · Oct 2023
ReviewParticipants' satisfaction with colorectal cancer screening programs: A systematic review.
Since satisfaction with cancer screening experience can increase adherence to programs and contribute to reduce morbidity and mortality, its assessment is crucial for programs´ effectiveness. Our aim was to conduct a systematic review about satisfaction of participants with organized colorectal cancer screening. ⋯ Satisfaction with the information and communication about screening was generally good, but some authors reported participants' sub-optimal understanding of informative material. Satisfaction with CRC screening is generally high, but its evaluation is performed using non-validated instruments, which limits the interpretation of results and prevents comparability of the current body of evidence.