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4/1/2019 » 4/3/2019
Teaching Prevention 2019

American Journal of Preventive Medicine
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The American Journal of Preventive Medicine is the official journal of the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, practice and policy. Original research is published on interventions aimed at the prevention of chronic and acute disease and the promotion of individual and community health. Of particular emphasis are papers that address the primary and secondary prevention of important clinical, behavioral and public health issues such as injury and violence, infectious disease, women's health, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and alcohol and drug abuse.

Papers also address educational initiatives aimed at improving the ability of health professionals to provide effective clinical prevention and public health services. Papers on health services research pertinent to prevention and public health are also published. Additionally, the journal publishes official policy statements from the two co-sponsoring organizations, review articles, media reviews, and editorials. Finally, the journal periodically publishes supplements and special theme issues devoted to areas of current interest to the prevention community. 


Journal Ranking 

AJPM ranks in the top 10 percent of journals in the Public, Environmental and Occupational Health category of Thomson Reuters' Journal Citation Report.


Elsevier is the world’s leading provider of science and health information, serving more than 30 million scientists, students and health and information professionals worldwide.

Results From a Trial of an Online Diabetes Prevention Program InterventionOpen in a New Window

Online Diabetes Prevention Programs (DPPs) can be scaled up and delivered broadly. However, little is known about real-world effectiveness and how outcomes compare with in-person DPP. This study examined online DPP weight loss and participation outcomes and secondarily compared outcomes among participating individuals with parallel in-person interventions.


Maternal Cannabis Use During a Child's Lifetime Associated With Earlier InitiationOpen in a New Window

Earlier cannabis initiation is associated with more severe neuropsychiatric and social consequences. The authors investigated whether mothers’ cannabis use is associated with earlier cannabis initiation by their children.


Influenza Vaccination Coverage Among English-Speaking Asian AmericansOpen in a New Window

English-speaking non-Hispanic Asians (Asians) in the U.S. include populations with multiple geographic origins and ethnicities (e.g., Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese). Health behaviors and outcomes can differ widely among Asian ethnicities, and highlight the importance of subgroup analysis. Aggregating Asians may mask differences in influenza vaccination across various ethnicities.


Measure, Record, Share: Weight Loss, Biometrics, and Self-Tracking in the U.S.Open in a New Window

“Tell loudly and frequently to all your friends that you realize that it is unpatriotic to be fat.”1—L.H. Peters, Diet and Health: With Key to the Calories, 1918.


Dietary Approaches to Stop Hypertension Diet and Activity to Limit Gestational Weight: Maternal Offspring Metabolics Family Intervention Trial, a Technology Enhanced Randomized TrialOpen in a New Window

Technology-enhanced antenatal diet and lifestyle intervention could prevent excess gestational weight gain and benefit mother and child.


Generosity and Duration of Medicaid Expansion Waivers and Access to CareOpen in a New Window

Prior to expansion of Medicaid under the Affordable Care Act, some states obtained Section 1115 waivers from the federal government that allowed them to expand eligibility for Medicaid to adult populations that were not covered previously. Expansion waivers in these states differed in their generosity and year of implementation, creating variation in coverage availability and program longevity across states. This study examined the association between generosity and duration of Medicaid expansion waivers and access to preventive services.


Reassessing Urban Health Interventions: Back to the Future with Google Street View Time MachineOpen in a New Window

Validity of research linking built environments to health relies on the availability and reliability of data used to measure exposures. As cities transform, it is important to track when and where urban changes occur, to provide detailed information for urban health intervention research. This paper presents an online observation method of the implementation of traffic-calmingfeatures using Google Street View Time Machine. The method is used to validate an existingadministrative database detailing the implementation of curb extensions and speed bumps.


Opioid Prescribing by Specialty and Volume in the U.S.Open in a New Window

Prescription opioids were involved in 17,078 deaths in 2016.1 Despite recent declines, opioid prescribing remains high and varies substantially across the country,2 and by specialty.3,4 However, little is known about current prescribing patterns across specialty groups. This study analyzes opioid prescribing by specialty and volume using the most recent national-level data.


Reasons for Young Adult Waterpipe Use in Wave 1 (2013–2014) of the Population Assessment of Tobacco and Health StudyOpen in a New Window

Waterpipe use is common among U.S. young adults (aged 18–24 years), with estimates considerably higher than other age groups. Although studies have examined attitudes and beliefs associated with waterpipe use, no study has examined reasons for use in a nationally representative sample.


Rapid Expansion of the Opioid Ecosystem: National Implications for Prescriber–Pharmacist CommunicationOpen in a New Window

According to the Centers for Disease Control and Prevention (CDC), approximately 46 people died each day in 2016 from prescription opioid–related poisoning.1 Opioid prescribing volume per capita, which directly correlates with mortality, has declined but remains three times higher than in the late 1990s.2 The lifesaving drug naloxone is being rapidly deployed as a stopgap measure to prevent deaths.3 However, multifaceted strategies for preventing and treating opioid use disorders, such as increased access to evidence-based treatment (e.g., medication-assisted treatment), are urgently needed.


Firearm Storage Practices Among American VeteransOpen in a New Window

Interventions that reduce access to highly lethal and commonly used methods of suicide (e.g., limiting firearm access) are considered essential elements of effective suicide prevention programs. Scant epidemiologic data are available to inform such efforts among Veterans. The aim of this study is to describe firearm storage practices and correlates of those practices among a nationally representative sample of U.S. Veteran firearm owners.


Low Systolic Blood Pressure From Treatment and Association With Serious Falls/SyncopeOpen in a New Window

With the growing emphasis on intensive blood pressure control, the potential for overtreatment and treatment-related adverse outcomes has become an area of interest. A large representative population within a real-world clinical environment with successful hypertension control rates was used to evaluate serious falls and syncope in people with low-treated systolic blood pressure (SBP).


Lifetime Economic Burden of Intimate Partner Violence Among U.S. AdultsOpen in a New Window

This study estimated the U.S. lifetime per-victim cost and economic burden of intimate partner violence.


Association Between Electronic Cigarette Use and Myocardial InfarctionOpen in a New Window

Electronic cigarettes (e-cigarettes) are promoted as a less risky alternative to conventional cigarettes and have grown in popularity. Experimental and clinical evidence suggests that they could increase the risk of myocardial infarction.


Transportation and Leisure Walking Among U.S. Adults: Trends in Reported Prevalence and Volume, National Health Interview Survey 2005–2015Open in a New Window

Promotion of walking is a promising strategy for increasing physical activity levels in the U.S. The proportion of adults who report walking for either transportation or leisure has increased in recent years, but evidence on trends in walking for specific purposes is limited.


The Equity Impact of Proactive Outreach to Smokers: Analysis of a Randomized TrialOpen in a New Window

Population-based smoking-cessation services tend to preferentially benefit high-SES smokers, potentially exacerbating disparities. Interventions that include proactive outreach, telephone counseling, and free or low-cost cessation medications may be more likely to help low-SES smokers quit. This analysis evaluated the role of SES in smokers’ response to a population-based proactive smoking-cessation intervention.


Violence-Related Disparities Experienced by Black Youth and Young Adults: Opportunities for PreventionOpen in a New Window

The purpose of this study is to characterize violence-related disparities experienced by young blacks in the U.S. Reducing violence experienced by blacks, particularly youth, who are at substantially higher risk, is essential to improving the health of blacks in the U.S.


Technology Innovations in Dietary Intake and Physical Activity Assessment: Challenges and Recommendations for Future DirectionsOpen in a New Window

Dietary intake (DI) and physical activity (PA) data are used in a variety of ways, including to determine nutrient adequacy and deficiency; to assess nutritional, fitness, and health status; to develop health promotion and behavioral interventions; and to understand food chemical and microbiological exposure, food–drug interactions, and pharmacokinetic effects.1–3 Methods used to capture these data must therefore be reliable and accurate to ensure confidence when determining quantitative DI and energy intake (EI), food behaviors, and energy expenditure (EE), especially for real-time monitoring and interventions.


Advances and Controversies in Diet and Physical Activity Measurement in YouthOpen in a New Window

Technological advancements in the past decades have improved dietary intake and physical activity measurements. This report reviews current developments in dietary intake and physical activity assessment in youth. Dietary intake assessment has relied predominantly on self-report or image-based methods to measure key aspects of dietary intake (e.g., food types, portion size, eating occasion), which are prone to notable methodologic (e.g., recall bias) and logistic (e.g., participant and researcher burden) challenges.


Tobacco Screening and Counseling in the U.S.: Smokers With Mental Health and Substance Use ProblemsOpen in a New Window

Individuals with mental health and substance use problems have higher rates of smoking and tobacco-related morbidity and mortality than the general population. These increased rates can be explained, in part, by lower cessation rates compared with overall declines in tobacco use in recent years. The purpose of this study was to examine tobacco screening and cessation counseling in healthcare settings to compare rates for adults with mental health and substance use problems with those without such problems.


Promoting Adult Immunization Using Population-Based Data for a Composite MeasureOpen in a New Window

A composite adult immunization status measure is currently under consideration for adoption into the Healthcare Effectiveness Data and Information Set. This paper complements the Healthcare Effectiveness Data and Information Set health plan–level measure testing efforts by examining use of survey-based self-reported vaccination data to assess composite adult immunization coverage and identify limitations to using survey data to measure progress.


Trends in the Prevalence of Diabetes Among U.S. Adults: 1999–2016Open in a New Window

The prevalence of diabetes has increased substantially over the past three decades. This study sought to estimate recent trends in the prevalence of diabetes among U.S. adults.


Oral Health Needs and Experiences of Medicaid Enrollees With Serious Mental IllnessOpen in a New Window

Chronic dental diseases are among the most prevalent chronic conditions in the U.S., despite being largely preventable. Individuals with mental illness experience multiple risk factors for poor oral health and need targeted intervention. This study investigated experiences of Kansas Medicaid enrollees with serious mental illness in accessing dental services, examined their oral health risk factors, and identified oral health needs and outcomes.


Adolescent Weight and Electronic Vapor Product Use: Comparing BMI-Based With Perceived Weight StatusOpen in a New Window

This study examined the associations of BMI-based and perceived body weight status with electronic vapor product use, cigarette smoking, and dual use among U.S. adolescents.


Review of Metformin Use for Type 2 Diabetes PreventionOpen in a New Window

Prediabetes is prevalent and significantly increases lifetime risk of progression to type 2 diabetes. This review summarizes the evidence surrounding metformin use for type 2 diabetes prevention.


New High Blood Pressure Guidelines: Back on Track With Lower Treatment Goals, but Implementation Challenges AboundOpen in a New Window

The recently released 2017 High Blood Pressure Guidelines depart from past guidelines in both their approach and recommendations. Developed by multiple health organizations, including the American College of Preventive Medicine, the guidelines continue to define normal blood pressure as <120/80 mmHg, but now define hypertension as ≥130/80 mmHg (previously ≥140/90 mmHg). This change categorizes 101 million Americans (46% of adults) as hypertensive (compared to 32% previously). The guidelines rely heavily on findings from the Systolic Blood Pressure Intervention Trial (SPRINT).


Awareness and Ever Use of “Heat-Not-Burn” Tobacco Products Among U.S. Adults, 2017Open in a New Window

Heated tobacco products, sometimes marketed as “heat-not-burn” technology, represent a diverse class of products that heat leaf tobacco to produce an inhaled aerosol. Global sales of heated tobacco products are increasing; however, the extent of current heated tobacco product awareness and use in the U.S. is unknown. This study assessed awareness and ever use of heated tobacco products among U.S. adults.


Theme Table of Contents and DisclosuresOpen in a New Window

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