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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.

American Journal of Preventive Medicine 2017 Article of the YearOpen in a New Window

The American Journal of Preventive Medicine is pleased to announce the selection of the 2017 Article of the Year, “Social Media Use and Perceived Social Isolation Among Young Adults in the U.S.” by Dr. Brian A. Primack and colleagues at the University of Pittsburgh’s Center for Research on Media, Technology, and Health (Figure 1). The Article of the Year is selected by the AJPM editors and one representative from each of the journal’s two sponsoring professional societies, the American College of Preventive Medicine and the Association for Prevention Teaching and Research.


Expanding the CONSORT Figure: Increasing Transparency in Reporting on External ValidityOpen in a New Window

There are major problems with failure to replicate research findings. Contributing to this problem is a failure to report on factors related to external validity. Frequently, researchers have little knowledge whether findings apply more generally, especially to low-resource settings and underserved populations. The CONSORT flow diagram has improved reporting on variables related to internal validity, but it has very limited detail on issues related to external validity. A recent CONSORT update and other publications have called for more transparent reporting on external validity and context, and information regarding the sustainability of interventions.


Students’ Cigarette Smoking and the Perceived Nicotine Content of Their E-cigarettesOpen in a New Window

There is concern that youth e-cigarette use may serve as a gateway to cigarette smoking, and that nicotine exposure may harm brain development. It is therefore important to know how much nonsmoking youth perceive being exposed to nicotine through e-cigarettes.


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.


The Supplemental Nutrition Assistance Program: Current and Proposed Restricted Food ExpendituresOpen in a New Window

Between 2000 and 2017, a total of 23 states proposed legislation to further restrict Supplemental Nutrition Assistance Program (SNAP) purchases. In the absence of a pilot program, the potential effect of such restrictions is unclear. The objective of this study is to provide insight on the proposed restrictions’ effectiveness by characterizing SNAP households’ expenditures on current and proposed restricted foods, and comparing them with their cash expenditures. Restrictions on sugar-sweetened beverages, snack foods, and foods ineligible under the Special Supplemental Program for Women, Infants and Children (WIC) are considered.


Cervical Cancer Screening Intervals Preferred by U.S. WomenOpen in a New Window

Many U.S. women continue to be screened annually for cervical cancer, despite current guidelines that recommend 3- or 5-year screening intervals depending on screening modality and patient age.


Nonfatal Injuries to Firefighters Treated in U.S. Emergency Departments, 2003–2014Open in a New Window

Several studies of nonfatal firefighter injuries have been conducted but are limited by the inclusion criteria used and coverage. The aim of this study was to enhance current knowledge by providing national estimates of nonfatal injuries to firefighters treated in U.S. emergency departments.


Effects of Primary Cardiovascular Prevention on Vascular Risk in Older AdultsOpen in a New Window

Primary cardiovascular prevention through simultaneously targeting multiple risk factors may be even more effective than single risk factor modification in older adults. The effects of multicomponent cardiovascular prevention on cardiovascular risk are explored.


Health of Transgender Adults in the U.S., 2014–2016Open in a New Window

Transgender people experience significant interpersonal and structural discrimination and stigma. However, little is known about the health of transgender people, and even less about the health of specific groups—including male-to-female, female-to-male, and gender-nonconforming transgender populations—despite the variation in social and biological characteristics across groups.


Electronic Cigarette Harm and Benefit Perceptions and Use Among YouthOpen in a New Window

The purpose of this study is to examine adolescent perceptions of harms and benefits associated with electronic cigarettes (e-cigarettes) and their associations with use.


Hearing Disability Prevalence and Risk Factors in Two Recent National SurveysOpen in a New Window

Hearing loss is a worldwide societal and public health concern. Globally, disabling hearing loss affects 538 million adults (men, 12.2%; women, 9.8%). This study examined the prevalence and risk factors associated with deafness or serious difficulty hearing in two nationally representative surveys.


Use of Time and Energy on Exercise, Prolonged TV Viewing, and Work DaysOpen in a New Window

The goal of this study was to describe differences in time use and energy expenditure associated with exercise, prolonged TV viewing, and work days in a longitudinal study of older adults.


Disparities in Receipt of Preventive Dental Services in Children From Low-Income FamiliesOpen in a New Window

Healthy People 2020 includes a goal of increasing use of preventive dental care among children from low-income families. The services used to define preventive care are evidence-based services (i.e., dental sealants and professionally applied topical fluoride) and professional dental cleaning, which lacks evidence of effectiveness in preventing caries. This study examined how increasing preventive dental care use and reducing disparities by race/ethnicity among children from low-income families varied by the services included in case definitions of preventive dental care use.


Biomedical and Behavioral Outcomes of Keep It Up!: An eHealth HIV Prevention Program RCTOpen in a New Window

HIV diagnoses among young men who have sex with men are increasing, but few effective HIV prevention interventions exist for this population. An RCT was conducted of the online Keep It Up! intervention to determine if it significantly reduced condomless anal sex and sexually transmitted infections compared with an HIV knowledge condition.


Trends in Cardiovascular Disease Risk in the U.S., 1999–2014Open in a New Window

Cardiovascular disease is the leading cause of death in the U.S. and national prevalence of the proportion of individuals at high risk is unknown. The objective of this study was to investigate the prevalence and trends in high cardiovascular disease risk among adults in the U.S.


Community-Engaged Lifestyle Medicine: Building Health Equity Through Preventive Medicine Residency TrainingOpen in a New Window

Vulnerable populations in the U.S. experience persistent disparities in chronic disease and associated lifestyle-based risk factors. Because of environmental, cultural, and health systems barriers affecting vulnerable populations, lifestyle medicine interventions may miss those at highest risk for chronic disease. Numerous reports suggest that graduate medical education (GME) inadequately prepares physicians to promote healthy lifestyles and health equity in vulnerable groups. General Preventive Medicine/Public Health (GPM/PH), the medical specialty dedicated to health promotion and disease prevention in populations, can fill this gap.


Eating, Activity, and Weight-related Problems From Adolescence to AdulthoodOpen in a New Window

Determining the population-based scope and stability of eating, activity, and weight-related problems is critical to inform interventions. This study examines: (1) the prevalence of eating, activity, and weight-related problems likely to influence health; and (2) the trajectories for having at least one of these problems during the transition from adolescence to adulthood.


Use of Price Promotions Among U.S. Adults Who Use Electronic Vapor ProductsOpen in a New Window

Sales of electronic vapor products have increased in recent years. This increase in use may be related to manufacturer price promotions. This study assessed the use of price-related promotions among current electronic vapor product users.


Diet Quality Over the Monthly Supplemental Nutrition Assistance Program CycleOpen in a New Window

Supplemental Nutrition Assistance Program (SNAP) benefits, which are distributed monthly, help low-income families put food on their tables. Both food spending and caloric intake among recipients decrease over the month following benefit receipt. This pattern, termed the “SNAP-cycle,” has serious implications for health and food security of low-income households. To understand better the SNAP-cycle, this study explored (1) differences in diet quality between SNAP and non-SNAP households and (2) the association between the SNAP-cycle and diet quality.


Primary Care Providers’ Prediabetes Screening, Testing, and Referral BehaviorsOpen in a New Window

Intensive behavioral counseling is effective in preventing type 2 diabetes, and insurance coverage for such interventions is increasing. Although primary care provider referrals are not required for entry to the Centers for Disease Control and Prevention (CDC)–recognized National Diabetes Prevention Program lifestyle change program, referral rates remain suboptimal. This study aims to assess the association between primary care provider behaviors regarding prediabetes screening, testing, and referral and awareness of the CDC-recognized lifestyle change program and the Prevent Diabetes STAT: Screen, Test, and Act Today™ toolkit.


Trends in Healthcare Provider Advice on Youth Tobacco Use, 2011–2015Open in a New Window

The American Academy of Pediatrics issued a policy statement to recommend screening all adolescents for tobacco and other drug use in 2011. This study sought to evaluate the trends of health professional screening and advice on youth tobacco use since then.


Human Rights as Political Determinants of Health: A Retrospective Study of North Korean RefugeesOpen in a New Window

The gravity, scale, and nature of human rights violations are severe in North Korea. Little is known about the mental health consequences of the lifelong exposures to these violations.


Isoniazid-Rifapentine for Latent Tuberculosis Infection: A Systematic Review and Meta-analysisOpen in a New Window

Latent tuberculosis infection diagnosis and treatment is a strategic priority for eliminating tuberculosis in the U.S. The Centers for Disease Control and Prevention has recommended the short-course regimen of 3-month isoniazid-rifapentine administered by directly observed therapy. However, longer-duration regimens remain the most widely prescribed latent tuberculosis infection treatments. Limitation on adoption of 3-month isoniazid-rifapentine in the U.S. might be because of patients’ preference for self-administered therapy, providers’ lack of familiarity with 3-month isoniazid-rifapentine, or lack of resources to support directly observed therapy.


Nutritional Profile of Purchases by Store Type: Disparities by Income and Food Program ParticipationOpen in a New Window

Policymakers have focused on the food retail environment for improving the dietary quality for Supplemental Nutrition Assistance Program (SNAP) participants. Yet little is known about where SNAP households make food and beverage purchases or how purchases may vary by store type, SNAP participation, and income level. The objective of this study was to examine the association between SNAP-income status (participant, income-eligible non-participant, higher-income non-participant) and healthfulness of household purchases across store types.


RCT of Centralized Vaccine Reminder/Recall for AdultsOpen in a New Window

A proven, but underutilized, method to increase current low vaccination rates is reminder/recall. Centralized reminder/recall using an Immunization Information System reduces the burden of an individual practice conducting reminder/recall. The objectives were to assess the effectiveness of centralized vaccine reminder/recall on improving adult vaccination rates using Colorado’s Immunization Information System.


Effectiveness of Prenatal Tetanus, Diphtheria, Acellular Pertussis Vaccination in the Prevention of Infant Pertussis in the U.S.Open in a New Window

It is recommended that all pregnant women in the U.S. receive tetanus, diphtheria, acellular pertussis (Tdap) immunization to prevent infant pertussis. This study’s objective was to examine the clinical effectiveness of prenatal Tdap, and whether effectiveness varies by gestational age at immunization.


Experience of Child–Parent Separation and Later Risk of Violent CriminalityOpen in a New Window

Separation from a parent during childhood has been linked with heightened longer-term violence risk, but it remains unclear how this relationship varies by gender, separation subgroup, and age at separation. This phenomenon was investigated by examining a wide array of child–parent separation scenarios.


Unexpected Neighborhood Sources of Food and Drink: Implications for Research and Community HealthOpen in a New Window

Studies of neighborhood food environments typically focus on select stores (especially supermarkets) and/or restaurants (especially fast-food outlets), make presumptions about healthfulness without assessing actual items for sale, and ignore other kinds of businesses offering foods/drinks. The current study assessed availability of select healthful and less-healthful foods/drinks from all storefront businesses in an urban environment and considered implications for food-environment research and community health.


Smoking Cessation for Smokers Not Ready to Quit: Meta-analysis and Cost-effectiveness AnalysisOpen in a New Window

To provide a systematic review and cost-effectiveness analysis on smoking interventions targeting smokers not ready to quit, a population that makes up approximately 32% of current smokers.


Health Warning Labels Correct Parents’ Misperceptions About Sugary Drink OptionsOpen in a New Window

Noncarbonated sugar-sweetened beverages, such as fruit drinks, sports drinks, and sweetened teas are increasingly promoted to and consumed by youth. These beverages may be perceived as healthier options than soda. To educate consumers about beverages high in added sugar, several cities and states have proposed policies mandating health warning labels on sugar-sweetened beverages.


Patient–Provider Discussions About Strategies to Limit Air Pollution ExposuresOpen in a New Window

Exposure to air pollution negatively affects respiratory and cardiovascular health. The objective of this study was to describe the extent to which health professionals report talking about how to limit exposure to air pollution during periods of poor air quality with their at-risk patients.


Cervical Cancer Incidence in Young U.S. Females After Human Papillomavirus Vaccine IntroductionOpen in a New Window

Since 2006, human papillomavirus vaccine has been recommended for young females in the U.S. This study aimed to compare cervical cancer incidence among young women before and after the human papillomavirus vaccine was introduced.


The Relationship Between Life Satisfaction and Healthcare Utilization: A Longitudinal StudyOpen in a New Window

Studies have highlighted the importance of life satisfaction or, more generally, happiness, on health. However, there are few studies that have prospectively assessed the relationship between life satisfaction and healthcare utilization and costs.


A Comparison of International Drunk-Driving Policies and the Role of Drinking PatternsOpen in a New Window

Effective drunk-driving policies are not adopted consistently in many countries. To understand how drinking behaviors influence national drunk-driving policymaking, the associations between drunk-driving policies and country-level drinking volumes and patterns were examined.


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