American journal of preventive medicine
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Given the negative health outcomes of tobacco and cannabis co-use, understanding the co-use of tobacco and cannabis is important, particularly regarding those with higher health burdens, such as sexual minority individuals. This study examined the co-use of tobacco and cannabis by sexual identity. ⋯ This study observed high levels of tobacco and cannabis co-use among sexual minority individuals. Future research should examine factors that influence tobacco and cannabis co-use for sexual minority individuals.
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Ongoing care after pregnancy is recommended. Health-related social needs are recognized barriers to care, yet their pregnancy-related prevalence and associations with care are unknown. Researchers sought to assess (1) the prevalence of health-related social needs during pregnancy-based care, and (2) their associations with ongoing care after pregnancy. ⋯ Researchers identified a 24% prevalence of pregnancy-related health-related social needs and 53% subsequent linkage to ongoing care. Compared with screening negative for health-related social needs, screening positive was not associated with linkage to care, while being not screened was associated with a 20% lower likelihood of linkage to ongoing care.
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Varicose veins are common in older adults and are associated with adverse clinical outcomes such as deep venous thrombosis. Established risk factors for varicose veins include female sex, height, and obesity, but other risk factors are relatively uncharacterized. ⋯ In this community-based cohort study of older adults, known and newly identified risk factors, including cardiac function and heart failure, were independently associated with incidence of clinically recognized varicose veins. The potential usefulness of cardiac biomarkers for prevention and screening of varicose veins requires further investigations.
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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 postmodule knowledge assessments, and module evaluations from the 978 medical students and physicians ("medical learners") who completed the module from July 2018 to 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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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.