American journal of preventive medicine
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High tobacco smoking prevalence in people with low SES or serious psychological distress in the U.S. may increase cardiovascular disease risk among these marginalized subpopulations. The authors estimate how smoking disparities contribute to cardiovascular disease disparities. ⋯ Interventions focused on reducing smoking disparities could substantially reduce cardiovascular disease in marginalized subpopulations.
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In 2021, the USPSTF lowered the recommended age of colorectal cancer (CRC) screening initiation from 50 to 45 years. This study assessed clinician response to the updated guideline in a major health system. ⋯ Rapidly following the guideline change, clinicians increased their screening ordering rate for patients aged 45-49 years, indicating almost complete uptake of the recommendation.
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The U.S. has required chain food establishments-including supermarkets-to display calorie labels on prepared (i.e., ready-to-eat) foods since 2018. Implementation of this supermarket calorie labeling policy reduced purchases of prepared foods from supermarkets, but it remains unknown whether the policy is cost-effective. ⋯ A policy requiring calorie labels on prepared foods in supermarkets was projected to be cost-saving or cost-effective and lead to reductions in obesity across all racial, ethnic, and income groups.
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Physical activity is widely accepted as a therapeutic approach to age-related muscle mass loss. However, it is unclear whether all physical activity domains benefit muscle mass maintenance. This study investigated the association between low muscle mass and domain-specific physical activity, including leisure-time and occupational moderate-to-vigorous physical activity (MVPA). ⋯ Leisure-time MVPA is inversely associated with low muscle mass, whereas occupational MVPA shows no association, highlighting the importance of dynamic movements of sufficient intensity and recuperation time in maintaining muscle mass.
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The mortality, long-term morbidity, and exacerbated healthcare needs due to firearm injury in the U.S. are significant and growing. However, the relationship between exposure to a nonfatal firearm injury and long-term emergency department (ED) utilization is poorly understood. This study estimates the association between exposure to a nonfatal firearm injury and ED utilization in the subsequent year. ⋯ Nonfatal firearm-related injuries contribute to preventable harm, health inequity, and increased ED utilization.