Publications by authors named "Bernard F Fuemmeler"

Introduction: Tobacco marketing has been found to increase pro-tobacco attitudes and susceptibilities; yet its impact on rural adolescents lacks research. We aim to examine the association between tobacco marketing exposure, screen use, and susceptibility and use of tobacco among a rural youth sample.

Methods: Youth (N = 697) enrolled in grades 9-11 that resided in rural counties in Virginia were recruited to participate in a survey in September 2022.

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  • * A multivariate analysis indicated a marginal association where each additional unit of AL corresponded to a slightly higher risk of lung cancer, with former and current smokers showing a notable increase in risk, while never-smokers didn't.
  • * The study also found that demographic factors, socioeconomic status, and health behaviors like smoking habits affected the relationship between AL and lung cancer risk, highlighting the need for further research to confirm these findings.
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  • The study investigates the correlation between tobacco retail outlet (TRO) density and increased cotinine levels, a marker of smoke exposure, in pregnant individuals and their children.
  • It simulates the impact of various policy recommendations to reduce TROs in North Carolina, finding that these policies could potentially lower cotinine levels and decrease emergency department visits among pregnant individuals.
  • The research suggests that implementing policies like limiting TRO density and establishing minimum distance between outlets is effective, with a combined approach offering the greatest potential benefits, albeit with possible challenges in execution.
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Background: The Together for Health-Virginia (T4H-VA) Research Program aimed to advance cancer prevention, education, and outreach in Virginia. Creating a representative and inclusive cohort is critical to the program's mission and quality of outcomes. The T4H-VA Research Program utilized a multi-modal sampling approach to improve population health assessment.

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  • The study investigates the healthcare costs and usage linked to smoking during pregnancy using data from a birth cohort in North Carolina.
  • Increased cotinine levels (a marker of nicotine exposure) were found to correlate with higher emergency department visits and intensive care unit hours for both parents and infants.
  • Reducing smoking rates by even 5% could lead to significant cost savings, estimated at around $150,533 from emergency visits, indicating the potential economic benefits of smoking cessation programs.
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Background: Firefighters are at increased risk of developing cancer due to occupational exposures, but they may also face increased risk due to their lifestyle, such as the quality of their diet and physical activity. Cancer beliefs and screening behavior could also influence their cancer risk. The current study aimed to identify individual differences associated with lifestyle behaviors, cancer screening, and cancer beliefs among firefighters; to describe the strategies firefighters use to adapt to their work schedule; and to describe topics firefighters believe are the most important to address in their workplace.

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Introduction: A better understanding of how to promote disease mitigation and prevention behaviors among vulnerable populations, such as cancer survivors, is needed. This study aimed to determine patterns of and factors associated with COVID-19-related preventive behaviors among cancer survivors and assess whether the COVID-19 preventive behaviors of cancer survivors differ from the general population.

Methods: In June 2020, an online survey of adults (N = 897) assessed predictors of COVID-19-related preventive behaviors, including socio-demographics, COVID-19 beliefs and perceptions (Health Belief Model [HBM] variables), and cancer statuses (cancer survivors currently in treatment, cancer survivors not currently in treatment, and individuals with no history of cancer).

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Background: Disparities in rural cancer survivors' health outcomes are well-documented, yet the role of sociocultural aspects of rurality, such as rural identity, attitudes toward rurality, and social standing on health beliefs and behaviors remain unclear. This study aimed to address these gaps.

Methods: Rural cancer survivors (N = 188) completed a mailed/online survey.

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Previous work has aimed to disentangle the acute effects of nicotine and smoking on appetite with mixed findings. Electronic nicotine delivery systems (ENDS) have yet to be examined in this regard despite evidence of use for weight control. The present study tested the influence of an ENDS on acute energy intake and associated subjective effects.

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Background: COVID-19 introduced new barriers to health care including cancer screenings. This study evaluated the role of pandemic- and copay-related barriers to colonoscopy and the extent to which home-based testing methods were utilized.

Methods: A cross-sectional survey assessed colorectal cancer (CRC) attitudes and screening early in the COVID-19 pandemic.

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Background: Allostatic load (AL) reflects the collective load of chronic stress during lifetime. Previous studies have shown that higher AL is associated with poor clinical outcomes among breast cancer patients. However, the relationship between AL and breast cancer risk is still unclear.

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Background: Cancer treatment increases cardiovascular disease risk, but physical activity (PA) may prevent cardiovascular disease.

Objectives: This study examined whether greater PA was associated with better submaximal exercise capacity and cardiac function during cancer therapy.

Methods: Participants included 223 women with stage I to III breast cancer (BC) before and 3 months after undergoing treatment and 126 control participants.

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  • Childhood appetitive traits are influenced by early-life epigenetic processes, particularly through DNA methylation (DNAm), where methyl groups attach to DNA and potentially affect appetite regulation.
  • The study analyzed DNAm in cord blood from two cohorts, using multiple regression models to examine how different DNAm patterns correlated with children's eating behaviors reported by parents.
  • While no direct associations were found at individual DNA sites, examining grouped methylation patterns revealed significant connections between DNAm and various appetitive traits, suggesting that DNA methylation in newborns might play a role in shaping eating behaviors as children grow.
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Objective: Older adults may be particularly interested in health-related content on Facebook, especially those who have chronic health conditions. The purpose of this study was to compare older adult Facebook users with and without a chronic health condition on their frequency of posting and exposure to health-related content.

Methods: Participants, recruited via Qualtrics, were regular Facebook users aged 50 + years.

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Introduction: Tobacco use among adolescents is an ongoing public health concern. Youth tobacco use has been associated with advertising, from both online sources and retail environments.

Aims And Methods: This study examined associations between exposure to tobacco advertisements from tobacco retail outlets (TROs), internet, and social media sources and ever tobacco use among adolescents.

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  • Childhood appetitive traits, which are linked to obesity risk, are influenced by both genetic and environmental factors, but their exact causes are not well understood.
  • The study meta-analyzed data from two cohorts to explore the relationship between DNA methylation (DNAm) in newborns and early childhood appetitive traits.
  • While no associations were found at the individual DNAm site level, significant correlations were established at the regional level, suggesting that early epigenetic processes may contribute to the development of children's appetitive behaviors.
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Background: Cancer survivors are at greater risk for COVID-19 complications, emphasizing the importance of adherence to COVID-19 prevention. Active coping mechanisms can help manage pandemic stress but disengaged coping practices can have adverse effects.

Objectives: 1) Identify differences in COVID-19 coping styles and COVID-19 preventive behaviors among cancer survivors in active treatment, survivors not in treatment, and a comparison group without a cancer history.

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The racial/ethnic disparities in cancer incidence and outcome are partially due to the inequities in neighborhood advantage. Mounting evidences supported a link between neighborhood deprivation and cancer outcomes including higher mortality. In this review, we discuss some of the findings related to work on area-level neighborhood variables and cancer outcomes, and the potential biological and built/natural environmental mechanisms that might explain this link.

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Objective: To assess the relationships of prenatal and childhood smoke exposure with specific neurodevelopmental and behavioral problems during early childhood.

Study Design: A subsample (n = 386) of mother-child dyads from the Newborn Epigenetic Study (NEST) prebirth cohort participated in the study. Cotinine concentrations were used to objectively measure prenatal and childhood smoke exposure when youth were aged 3-13 years.

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Pediatric overweight and obesity are associated with serious health concerns both during childhood and in adulthood. Visual social media platform Pinterest is often used to curate recipe content, but little is known about how, if at all, parents use the platform as a resource for meal planning for their families. This study focused on (1) describing how Pinterest using parents use the platform related to recipe searches and meal planning and (2) examining the association between parental feeding behaviors and frequency of Pinterest use related to recipes.

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Evangelical Christians are among the most hesitant to get the COVID-19 vaccine. This study examined the extent to which COVID-19 vaccination uptake among Evangelicals is explained by demographic characteristics, Health Belief Model constructs, and faith-based support factors. Survey research firm Qualtrics recruited 531 U.

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Assessing public support of health policies designed to reduce cancer risk is important for policy implementation. This study aimed to identify support for cancer prevention policies and factors associated with support. Data were obtained from the Health Information National Trends Survey.

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Introduction: Electronic cigarettes (ECIGs) heat a nicotine-containing liquid to produce an inhalable aerosol. ECIG power (wattage) and liquid nicotine concentration are two factors that predict nicotine emission rate ("flux"). These factors can vary greatly across devices and users.

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