Diet and Survival in Black Women With Epithelial Ovarian Cancer.

Importance: Ovarian cancer survival among Black women is the lowest across all racial and ethnic groups. Poor dietary quality also disproportionately affects Black populations, but its association with ovarian cancer survival in this population remains largely unknown.

Objective: To examine associations between dietary patterns and survival among Black women diagnosed with epithelial ovarian cancer (EOC).

The role of multiple mediation with contextual neighborhood measures in ovarian cancer survival.

Background: Mediation by multiple agents can affect the relation between neighborhood deprivation and segregation indices and ovarian cancer survival. In this paper, we examine a variety of potential clinical mediators in the association between deprivation indices (DIs) and segregation indices (SIs) with all-cause survival among women with ovarian cancer in the African American Cancer Epidemiology Study (AACES).

Methods: We use novel Bayesian multiple mediation structural models to assess the joint role of mediators (stage at diagnosis, histology, diagnostic delay) combined with the DIs and SIs (Yost, ADI, Kolak's URB, ICE-income) and a set of confounders with survival.

Misinformation, Free Speech and Accountability in Health Communications.

Some have argued that nothing less than truth and freedom is on the ballot in the 2024 election. To be sure, fact checking politicians has become a commonplace element of vetting candidates for public service. This editorial reviews trends in the use of media to influence opinions and practices relating to health promotion and disease prevention.

Fifty Observations About the Health Promotion Discipline: Ambitions, Polemics and Inspiration (Part Two).

In part one of this editorial covering fifty observations about the history and evolution of the health promotion discipline I shared twenty five observations relating to societal trends, definitional nuances and seminal studies and resources that have contributed to the trajectory of the field. In this, part two of the editorial, I list an additional twenty five observations focused on polemics and controversies and on the importance of effective teaching, research and writing. I reflect on the different approaches used by public sector and private sector health promotion experts respectively.

Fifty Observations About the Health Promotion Discipline: Tributes, Cautions and a Call to Action (Part One).

In observance of having worked for going on five decades in the health promotion profession, this editorial shares fifty observations about the state of our field. In part one, I offer these first twenty five observations that focus on societal trends that have shifted how we frame our work and the movement from wellness to well-being. I reflect on why the wellness term fell out of favor, the roots of the well-being term and attendant definitions of health promotion.

Belongingness, Well-Being and an Interview With Dr Pauline Dow.

The Supreme Court decision that race conscious admissions policies in universities are unconstitutional has created questions and concerns about the sustainability of diversity, equity and inclusion programs in many organizations and across sectors. This editorial provides hopeful examples of how belongingness is being embraced as a core value in many organizations. In an interview with education expert, Dr Pauline Dow, we discuss ways that the education sector creates trust and belongingness and explore best practices and leadership development methods that allow teachers to thrive.

What are you Reading? A Glimpse Into What is Captivating Health Promotion Professionals.

Story telling is one of the most time honored methods for conveying ideas, inspiring action and offering insights into the foibles and ferment of the human condition. This editorial offers a glimpse into what is sparking the imaginations and passions of health promotion professionals by simply asking them 'what are you reading?' Those who shared the books currently sitting alongside their reading chairs were not asked to select books that were related to improving health and well-being. Still, it came as no surprise that contributors to this article uniformly described plots, characters and narratives that illuminate how life circumstances can accost health and jeopardize well-being.

Research Findings Journalists Cannot Resist: A Tale of Three Mental Health and Well-Being Studies.

Addressing employee mental health needs and fostering organizations that enable thriving has become a priority for most workplace health and well-being initiatives. While mental health issues for the nation were of growing concern before COVID-19, the pandemic amplified concerns about loneliness, burnout and deaths of despair. A recent study that garnered attention from the popular press found that participants of individual-level mental health interventions were no better off than non-participants.

The "Best of 2023 List" of Health Promotion Researchers.

Each year the editorial team of the selects our "Best of the Year List" of health promotion studies from the prior year. This editorial features the , the , the and the for the best research and writing published in 2023 in this journal. Our criteria for selection includes: whether the study addresses a topic of timely importance in health promotion, the research question is clearly stated and the study methods used are well executed; whether the paper is often cited and downloaded; if the study findings offer a unique contribution to the literature; and if the paper is well-written and enjoyable to read.

Why Not Offer Routine Screenings for Brain Health?

The merits of routine health screening for cancer and cardiovascular diseases are well established given the strong evidence that early detection can lead to effective interventions. Health systems, insurance providers and public health agencies have incorporated systematic approaches to ensuring that preventive screenings for hypertension, hyperlipidemia and cancers are encouraged, readily accessible and reimbursed. Workplace wellness programs intent on containing preventable healthcare costs have also sponsored age- and risk-adjusted health screenings, often including financial incentives to encourage same.

Ken the Movie: Allyship and When KENough is not Enough.

This editorial reviews in the context of workplace and community health and well-being. Issues of gender equity, patriarchy, and the role of women in empowering women were all factors that were dealt with thoughtfully and poignantly in the movie's script. A missed opportunity in the movie related to the role men could play as allies in the gender equity movement.

The Association between Mediated Deprivation and Ovarian Cancer Survival among African American Women.

Background: Deprivation indices are often used to adjust for socio-economic disparities in health studies. Their role has been partially evaluated for certain population-level cancer outcomes, but examination of their role in ovarian cancer is limited. In this study, we evaluated a range of well-recognized deprivation indices in relation to cancer survival in a cohort of self-identified Black women diagnosed with ovarian cancer.

Association of inflammation-related exposures and ovarian cancer survival in a multi-site cohort study of Black women.

Background: An association was observed between an inflammation-related risk score (IRRS) and worse overall survival (OS) among a cohort of mostly White women with invasive epithelial ovarian cancer (EOC). Herein, we evaluated the association between the IRRS and OS among Black women with EOC, a population with higher frequencies of pro-inflammatory exposures and worse survival.

Methods: The analysis included 592 Black women diagnosed with EOC from the African American Cancer Epidemiology Study (AACES).

The 2023 GOLD Report: Updated Guidelines for Inhaled Pharmacological Therapy in Patients with Stable COPD.

Over the past 22 years, annual GOLD Reports have documented important changes in guidance and recommendations for uniformly treating patients with chronic obstructive pulmonary disease (COPD) with the goal of improving outcomes in patients suffering from this condition. The most recent GOLD Report, released in 2023, shows continued refinement in several areas, including more precise definitions of COPD and exacerbations of COPD, a new set of parameters to assess exacerbation severity, an updated COPD assessment tool, updated guidelines for initial and follow-up treatment, new information regarding the association between pharmacological triple therapy and reduction in mortality, and new discussions of inhaler device choice and adherence to COPD medications. Whereas we do not address all of the new or updated material in GOLD's 2023 Report, we summarize key changes in GOLD's recommendations regarding inhalation therapy for stable COPD and frame these changes in the context of previous GOLD recommendations.

The Most Influential Women Leaders in Health Promotion.

This editorial features 13 of the most accomplished female leaders working in health promotion based on their contributions to health science, their mentorship, and their executive leadership for organizations with far reaching health impact. Meeting and far exceeding these criteria, the is pleased to honor: Gail Christopher, Michelle Nunn, Karen Moseley, Kerry Evers, Wendy Lynch, Rachel Mosher Henke, Catherine Baase, Carter Blakey, Kinari Webb, Laurie Whitsel, Jessica Grossmeier, Vicki Shepard, and Michelle McMacken. Other renowned experts in the health promotion profession authored biographies of these amazing leaders and offered thoughts on how their influence will be felt in years to come.

Deprivation and segregation in ovarian cancer survival among African American women: a mediation analysis.

Purpose: Deprivation and segregation indices are often examined as possible explanations for observed health disparities in population-based studies. In this study, we assessed the role of recognized deprivation and segregation indices specifically as they affect survival in a cohort of self-identified Black women diagnosed with ovarian cancer who enrolled in the African American Cancer Epidemiology Study.

Methods: Mediation analysis was used to examine the direct and indirect effects between deprivation or segregation and overall survival via a Bayesian structural equation model with Gibbs variable selection.

Reciprocal Effect of Environmental Stimuli to Regulate the Adipogenesis and Osteogenesis Fate Decision in Bone Marrow-Derived Mesenchymal Stem Cells (BM-MSCs).

Mesenchymal stem cells derived from bone marrow (BM-MSCs) can differentiate into adipocytes and osteoblasts. Various external stimuli, including environmental contaminants, heavy metals, dietary, and physical factors, are shown to influence the fate decision of BM-MSCs toward adipogenesis or osteogenesis. The balance of osteogenesis and adipogenesis is critical for the maintenance of bone homeostasis, and the interruption of BM-MSCs lineage commitment is associated with human health issues, such as fracture, osteoporosis, osteopenia, and osteonecrosis.

The Ten Most Influential Women Scholars in Health Promotion.

This article features 10 of the most influential women scholars in health promotion: Drs Shiriki Kumanyika, Andrea Gielen, Leslie B. Hammer, Peggy A. Hannon, Sara Johnson, Michelle C.

Role of neighborhood context in ovarian cancer survival disparities: current research and future directions.

Ovarian cancer is the fifth leading cause of cancer-associated mortality among US women with survival disparities seen across race, ethnicity, and socioeconomic status, even after accounting for histology, stage, treatment, and other clinical factors. Neighborhood context can play an important role in ovarian cancer survival, and, to the extent to which minority racial and ethnic groups and populations of lower socioeconomic status are more likely to be segregated into neighborhoods with lower quality social, built, and physical environment, these contextual factors may be a critical component of ovarian cancer survival disparities. Understanding factors associated with ovarian cancer outcome disparities will allow clinicians to identify patients at risk for worse outcomes and point to measures, such as social support programs or transportation aid, that can help to ameliorate such disparities.

ESG Standards are TBD in Health Promotion: What the ESG Movement can Learn From the Workforce Wellness Movement.

Large organizations produce annual shareholder reports that tout their business success, and many also describe their role in doing well by their employees and communities. What if systemic efforts to improve employee and community health were a reporting requirement on par with the reporting of profits, losses and liquidity? This editorial examines the nascent ESG movement and its potential role in sparking systems changes that improve individual and organizational health. ESG is an acronym for the Environmental, Social and Governance (ESG) standards that many investment fund managers are considering as a component of evaluating company performance.

Excellence in Total Worker Health® and an Interview With Dr Laura Linnan.

The National Institute of Occupational Safety and Health (NIOSH) defines as "policies, programs and practices that integrate protection from work-related safety and health hazards with promotion of injury and illness prevention efforts to advance worker well-being." This editorial features an interview with Dr Laura Linnan, a leader of the workplace health and well-being movement and a Principal Investigator for one of the ten 'Centers of Excellence in Total Worker Health' sponsored by NIOSH to study how approaches to better integrating health and safety can improve outcomes. We discuss differences between "comprehensive approaches" to workplace wellness and a approach.

The association of preexisting severe asthma with COVID-19 outcomes.

Purpose Of Review: Three years after the emergence of coronavirus disease 2019 (COVID-19), many studies have examined the association between asthma and COVID-related morbidity and mortality, with most showing that asthma does not increase risk. However, the U.S.

New Obesity Guidance for Pediatrics: Medicalizing Obesity or Acquiescing to Our Obesogenic Culture?

The publication of the American Academy of Pediatrics report on a "Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity" has been met with considerable debate about the merits of taking a more aggressive treatment approach. Supporters of the new guidance argue that the time has come to treat childhood obesity with more intensive behavior therapy along with, as needed, weight loss medications and bariatric surgery. Detractors of the report believe that medicalizing this condition will lead to greater stigma and increase health disparities.

Survival of epithelial ovarian cancer in Black women: a society to cell approach in the African American cancer epidemiology study (AACES).

Purpose: The causes for the survival disparity among Black women with epithelial ovarian cancer (EOC) are likely multi-factorial. Here we describe the African American Cancer Epidemiology Study (AACES), the largest cohort of Black women with EOC.

Methods: AACES phase 2 (enrolled 2020 onward) is a multi-site, population-based study focused on overall survival (OS) of EOC.