In 2019, the Centers for Disease Control and Prevention's (CDC's) Youth Risk Behavior Survey found that 8% of youth in grades 9-12 reported being in a physical fight one or more times in the 12 months preceding the survey, with more than 7% reporting being threatened or injured with a weapon on school property. Homicide is the 3rd leading cause of…

Reservation-dwelling American Indian adolescents are at exceedingly high risk for cannabis use. Prevention initiatives to delay the onset and escalation of use are needed. The risk and promotive factors approach to substance use prevention is a well-established framework for identifying the timing and targets for prevention initiatives. This study…

Background: The role of physical activity (PA) in mitigating fall risk among adults with cardiovascular disease (CVD) is unclear. Purpose: We examined the associations of CVD-PA phenotypes with falls. Methods: Adults [greater than or equal to] 45 years (n = 295,282; N = 130,103,093) from the 2018 Behavioral Risk Factor Surveillance System who…

While firearm-related injuries are the leading cause of death among US children between 1-18, and account for nearly half of suicides among young people, public health experts continue to struggle in identifying efficacious mechanisms to reduce and prevent firearm access for children. Currently 4.8 million children live in a home with a loaded and…

This study experimentally tested risk behavior outcomes of "Connecting," a low-cost, self-directed, family-based prevention program for families with youth placed in their care by state child welfare agencies. Families caring for youth aged 11 to 15 years from across Washington State were recruited and randomly assigned to either the…

Background: A singular ecological risk factor did not accurately reflect the reality of adolescents' lives and could not fully elucidate the developmental mechanisms of adolescent suicidal ideation. The cumulative effect of multiple ecological risk factors (which may interact synergistically) could have provided a more comprehensive understanding…

Electronic cigarettes are the most widely used tobacco product among youth in the United States. Although rapidly growing, research on effective message strategies for e-cigarette use prevention is still limited. This study examined the relative effectiveness of gain framing versus loss framing in youth-targeting prevention text messages delivered…

The U.S. Food and Drug Administration (FDA) developed a public education campaign, The Real Cost, that reduced youth susceptibility to tobacco product use. We sought to identify the mechanisms that may underlie the impact of The Real Cost ads on susceptibility to vaping to inform youth tobacco prevention campaigns. Our online randomized controlled…

Using national data, we examined emergency department (ED) encounters during 2006-2011 for which a diagnosis code for fragile X syndrome (FXS) was present (n = 7,217). Almost half of ED visits coded for FXS resulted in hospitalization, which is much higher than for ED visits not coded for FXS. ED visits among females coded for FXS were slightly…

Background. Health-promoting behaviors and positive lifestyle changes are crucial for effective stroke prevention. However, individuals at high risk of stroke exhibit poor health behavior due to a deficiency of individual motivation. Moreover, there are only a few studies on health-promoting behaviors that have applied behavior change theories in…

Background: We now have sufficient evidence demonstrating inequalities in specific avoidable causes of death for adults with intellectual disability compared to their peers without intellectual disability. Apart from COVID-19, the largest differentials that disadvantage people with intellectual disability are in relation to pneumonia, aspiration…

While gatekeeper trainings have demonstrated their effectiveness in appraisals of preparedness, efficacy, and intention to intervene, evidence has been lacking regarding gatekeeper behaviors in real life. The I CARE training aims to increase intervention in real-world situations involving suicidality through informational and experiential…

Individuals with Down syndrome (DS) experience increased risk of Alzheimer's disease (AD). Recent studies suggest that a vaccine against AD may be forthcoming. Parental buy-in is critical to the success of any intervention in this population, as adults with DS often rely on familial support. This study aims to characterize parents' perceptions of…

Preventive efforts are necessary to reduce the risk for problem gambling among adolescents, especially among more at-risk youth. However, only a small proportion of the preventive initiatives implemented in the field of adolescent problem gambling are based on robust theoretical models and have been evaluated in their efficacy. By referring to the…

Background: Sexual violence (SV) is a serious public health concern, and lesbian, gay, bisexual, transgender, queer and questioning (LGBTQ+) youth report higher rates than their heterosexual and cisgender peers. This qualitative study aimed to understand LGBTQ+ students' perspectives on how middle and high school environments can better prevent…