American journal of preventive medicine
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Multimorbidity is associated with lower physical function in older adults. Less is known about multimorbidity and physical activity earlier in the life course. This study examined multimorbidity trajectories across adulthood with physical activity and explores if multimorbidity accelerates age-related activity decline. ⋯ Early onset and faster accumulation of chronic conditions was associated with lower activity in midlife. Lower intensity activity for people with multimorbidity may be a feasible target for healthy aging.
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Navigating a Foodborne Outbreak: Preparation for Interprofessional Practice is an interactive, competency-based, online educational module demonstrating interprofessional practice among health professionals to improve and protect population health, in the context of a foodborne outbreak. Authors reviewed registration data, pre- and post- module knowledge assessments, and module evaluations from the 978 medical students and physicians ("medical learners") who completed the module from July 2018-June 2021, comparing their outcomes as well as assessing potential impacts of the COVID-19 pandemic. Analyses were conducted in 2022 and 2024. ⋯ Medical learners reported high satisfaction with the module. Medical students' agreement with statements about the relevance of the module to their current or future responsibilities and awareness of "how clinical care and public health systems work together to protect the health of populations" increased during the pandemic. The module successfully improved knowledge of clinical-public health collaborations to protect population health and is one model of how to integrate PPH content, including physicians' roles in the public health system, into medical education.
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This study examined prospective associations of perceived discrimination experience and past-week alcohol use among U.S. adults. ⋯ Discrimination experiences were prospectively associated with an increased risk of alcohol-drinking outcomes, and the effect was more pronounced among certain demographic groups. Efforts to mitigate the adverse effects of recurrent exposure to discrimination are critical to advance health equity.
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Persons with mental disorders are at increased risk for physical illness. Individuals who seek help for psychological problems might benefit from timely support and interventional approaches. This study aimed to explore associations between psychological problems for which help was sought and physical illness. ⋯ This study found that psychological problems with or without a diagnosis of mental disorder might be an important marker of increased risk for physical illness.
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Millions of U.S. families rely on the Supplemental Nutrition Assistance Program (SNAP) to afford food. Congress has proposed changing the items eligible for purchase with SNAP, which could influence participants' diets. Understanding attitudes towards these changes overall, by political party, and by SNAP participation can identify proposals with bipartisan support and center SNAP participant preferences. ⋯ Policies to expand SNAP were more popular than restrictions, both overall and across political parties, and restrictions were particularly unpopular among SNAP participants. Bipartisan support for policies to expand SNAP may help these proposals advance during Farm Bill negotiations and would align with the preferences of SNAP participants.