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American Journal of Preventive Medicine

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. 


Matthew L. Boulton, MD, MPH

Dr. Boulton is Professor of Epidemiology, Health Management & Policy, and Preventive Medicine in the University of Michigan School of Public Health and Professor of Internal Medicine, Infectious Diseases Division, in the University Medical School. He completed his MD at the University of Nevada, his clinical and preventive medicine residency training at the University of Michigan, and his MPH in epidemiology and international health at the University of Michigan School of Public Health. He also currently serves as the Associate Dean for Global Public Health and was Director of the university’s preventive medicine residency for 13 years. Prior to his faculty appointment at the University of Michigan, he was the governor’s Chief Medical Executive and the State Epidemiologist for the Michigan Department of Health which was preceded by several years’ work in local health departments as a Medical Director. Dr. Boulton has received research and training funding from NIH, CDC, HRSA, APTR, RWJF, Kresge Foundation, Trehan Foundation, and the Public Health Foundation. He an active research and has published on infectious disease epidemiology and control, vaccine preventable diseases and immunization coverage, global health especially in China and India, and the public health workforce. 

Current Articles 

Adolescent Health Lifestyles and Educational Risk: Findings From the Monitoring the Future Study, 2010–2016Open in a New Window

Research has linked educational risk to various risky health behaviors (e.g., drug use, violence, risky sexual behaviors). This study builds upon this research by examining the link between additional health lifestyle indicators—nutritional risk factors, low sleep quantity, and low exercise frequency—and academic risk factors among a recent, nationally representative sample of adolescents.


U.S. Adults’ Attitudes Toward Lowering Nicotine Levels in CigarettesOpen in a New Window

This study assessed U.S. adults’ attitudes toward lowering the nicotine levels in cigarettes to make them less addictive.


Frequent Nutritional Feedback, Personalized Advice, and Behavioral Changes: Findings from the European Food4Me Internet-Based RCTOpen in a New Window

This study tested the hypothesis that providing personalized nutritional advice and feedback more frequently would promote larger, more appropriate, and sustained changes in dietary behavior as well as greater reduction in adiposity.


Client and Provider Discomfort With an Adverse Childhood Experiences SurveyOpen in a New Window

Many service providers report concerns that questions about adverse events may upset clients. Studies indicate that most survey respondents answer sensitive questions without experiencing distress, although little is known about the prevalence or correlates of clients’ discomfort when they are asked similar questions by direct care providers, such as home visitors.


The Baltimore Community-Based Organizations Neighborhood Network: Enhancing Capacity Together (CONNECT) Cluster RCTOpen in a New Window

This cluster RCT aimed to reduce healthcare utilization and increase the referral of patients between an academic health center and local community-based organizations (CBOs) that address social determinants of health.


Insurance Reimbursements for Routinely Recommended Adult Vaccines in the Private SectorOpen in a New Window

Financial concerns are frequently cited by providers as a barrier to adult vaccination. This study assessed insurance reimbursements to providers for administering vaccines to adults in the private sector.


Family Physical Activity Planning and Child Physical Activity Outcomes: A Randomized TrialOpen in a New Window

Regular moderate-to-vigorous physical activity and high physical fitness are extremely important to the health of children and track to positive health profiles in adulthood. Family-based interventions to improve moderate-to-vigorous physical activity are essential given that children live within a structure of parental influence. The purpose of this study was to examine the effect of a parent planning skills intervention to support child physical activity on the subsequent moderate-to-vigorous physical activity (primary outcome) and fitness of their children across 26 weeks (primary endpoint).


Lung Cancer Screening Utilization: A Behavioral Risk Factor Surveillance System AnalysisOpen in a New Window

Lung cancer is the leading cause of cancer-related death in the U.S. The National Lung Screening Trial found that low-dose computed tomography reduced lung cancer mortality in high-risk individuals. As a result, the U.S. Preventive Services Task Force began recommending low-dose computed tomography screening for those at a high risk in 2013. Therefore, it is imperative to continually monitor lung cancer screening uptake. The objective of this study was to determine computed tomography screening uptake across ten states using 2017 Behavioral Risk Factor Surveillance System survey data.


Causes of Excess Mortality in Veterans Treated for Posttraumatic Stress DisorderOpen in a New Window

Published research indicates that posttraumatic stress disorder (PTSD) is associated with increased mortality. However, causes of death among treatment-seeking patients with PTSD remain poorly characterized. The study objective was to describe causes of death among Veterans with PTSD to inform preventive interventions for this treatment population.


Misinformation as a Misunderstood Challenge to Public HealthOpen in a New Window

The concept of misinformation as a problem appears prominently in recent academic literature and public discourse, as researchers have raised concerns about the spread of inaccurate information online, decision making based on problematic information, and even the acceptance of medical conspiracy theories.1–4 Misinformation is false or inaccurate information regardless of intentional authorship, and yet much discussion about misinformation has focused on malicious acts to infect social media platforms with false information.


City-Specific Air Quality Warnings for Improved Asthma Self-ManagementOpen in a New Window

This study presents a framework for identifying “high-risk” days for asthma attacks associated with elevated concentrations of criteria pollutants using local information to warn citizens on days when the concentrations differ from Environmental Protection Agency Air Quality Index (AQI) warnings. Studies that consider the unique mixture of pollutants and the health data specific to a city provide additional information for asthma self-management. This framework is applied to air pollution and asthma data to identify supplemental warning days in Houston, Texas.


Alcohol Policies and Alcohol Involvement in Intimate Partner Homicide in the U.S.Open in a New Window

Intimate partner violence (IPV) results in deaths of both primary and corollary (i.e., nonintimate partner) victims. Alcohol use is a known risk factor for IPV, yet the relationship between alcohol policies and IPV homicides is unclear. This repeated cross-sectional study characterizes alcohol involvement, and the relationship between alcohol policies and alcohol involvement, among victims of IPV homicides in the U.S.


Geographic, Temporal, and Sociodemographic Differences in Opioid PoisoningOpen in a New Window

Not enough is known about the epidemiology of opioid poisoning to tailor interventions to help address the growing opioid crisis in the U.S. The objective of this study is to expand the current understanding of opioid poisoning through the use of data analytics to evaluate geographic, temporal, and sociodemographic differences of opioid poisoning– related hospital visits in a region of New York State with high opioid poisoning rates.


Binge Drinking and Prescription Opioid Misuse in the U.S., 2012–2014Open in a New Window

Prescription opioids were responsible for approximately 17,000 deaths in the U.S. in 2016. One in five prescription opioid deaths also involve alcohol. Drinkers who misuse prescription opioids (i.e., use without a prescription or use only for the experience or feeling it causes) are at a heightened risk of overdose. However, little is known about the relationship between drinking patterns and prescription opioid misuse.


Desirability of Personalized Guns Among Current Gun OwnersOpen in a New Window

Personalized guns are touted as a technology that could substantially reduce firearm-related deaths. However, limited research has examined the desirability of personalized guns among current gun owners or the factors influencing the likelihood of purchase if personalized guns were available.


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