Bentzen Shannon (screenjar94)

62, 95% CI 1.95-3.51), texting while driving (OR = 2.18, 95% CI 1.79-2.66), driving after drinking (OR = 2.95, 95% CI 1.61-5.40), current marijuana use (OR = 6.38, 95% CI 4.65-8.76), current painkiller use (OR = 2.47, 95% CI 1.63-3.77), and current heroin use (OR = 0.15, 95% CI 0.06-0.33). Driving after drinking was not significantly associated with e-cigarette use in 2017. E-cigarette use is associated with multiple other risk behaviors among youth. Further research should focus on environmental and policy efforts to reduce access to e-cigarettes by youth as well as interventions that address the underlying causes of the constellation of risk behaviors. E-cigarette use is associated with multiple other risk behaviors among youth. Further research should focus on environmental and policy efforts to reduce access to e-cigarettes by youth as well as interventions that address the underlying causes of the constellation of risk behaviors.The Flu-FIT program aims to increase colorectal cancer screening rates by offering a home fecal immunochemical test (FIT) at the time of annual influenza immunization. This program was piloted at a VA campus in New Jersey during the 2018-2019 influenza season, with a 9% increase in colorectal cancer screening rates. In the 2019-2020 season, the program was implemented in 6 primary care teams; 6 additional teams maintaining standard of care served as a comparison group. A total of 816 patients aged 50 to 75 years were eligible for participation; 509 patients were available for analysis, 242 in the Flu-FIT group and 267 in the comparison group. The Flu-FIT group patients were 2.4 times more likely to accept FIT kits (95% confidence interval 1.6-3.6, P = .001). The colorectal cancer screening rates increased 77.0% to 81.9% in the Flu-FIT group and 77.0% to 79.8% in the comparison group (P > .05).Interpregnancy care is the health care provided to a woman during the postpartum and preconception periods between pregnancies. Half of maternal deaths occur postpartum and cardiometabolic complications of pregnancy increase the risk for maternal morbidity and mortality and development of chronic conditions. By improving women's health between and beyond pregnancies, interpregnancy care has the potential to improve pregnancy outcomes and women's long-term health. This practice brief report summarizes evidence regarding the impact of interpregnancy care on pregnancy and long-term health outcomes for women with hypertension, diabetes, substance use, and mental health disorders. Existing evidence is limited but demonstrates that the utilization of interventions during this period may result in improved health outcomes. Additional research efforts are needed to better understand the impact of interpregnancy care on women's health throughout the life course.While there is a well-recognized national shortage of Preventive Medicine (PM) physicians, there is also a marked maldistribution. Since 47.5% of physicians were active in the state where they completed their most Graduate Medical Education (GME), one approach to address the disparity in PM specialists in practice within rural regions such as Appalachia is by supporting a greater number of GME programs based within these regions. Currently, of the 64 accredited civilian PM residency programs, only 4 are located in rural areas. The only PM residency programs based in the entire Appalachian region are based at West Virginia University. Several threats to the establishment and sustainability of rural-based PM GME programs have been identified, including challenges in securing support through competitive national grants, the limited number of board-certified community preceptors, and difficulty in recruiting and retaining both core program faculty and trainees. Targeted efforts to promote and support GME programs that are based in rural areas of need, such as the Health Resources and Services Administration's Rural Residency Planning and Devel