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              <text>&lt;a href="https://doi.org/10.1016/j.chiabu.2024.107245"&gt;https://doi.org/10.1016/j.chiabu.2024.107245&lt;/a&gt;</text>
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              <text>Background&#13;
Approximately 5 % of children and adolescents in foster care are placed in group home settings, with adolescents making up the largest age group in these placements. Group home placement is designed to support individuals with high acuity or specialized needs that cannot be met in a family-based setting. Prior research has highlighted the vulnerabilities of adolescents in group homes, including behavioral issues, mental health concerns, and juvenile justice system involvement.&#13;
Objective&#13;
The current study investigated the relationship between placement status and arrest rates among adolescents experiencing a group home placement.&#13;
Participants&#13;
Child protection system records from California were used to identify adolescents (aged 13–17) who were placed in group homes in 2014 (n = 2437). These records were linked to California Department of Justice arrest records for 2014 and 2015.&#13;
Methods&#13;
Descriptive differences in arrest status were examined by demographics and placement status after initial group home placements with t-tests and logistic regression. The association between placement setting and likelihood of arrest was examined with survival analysis.&#13;
Results&#13;
In our population of adolescents who experienced a group home placement, 16.7 % were arrested during the study window. Adjusted hazard ratios for arrest were higher when adolescents lived in group homes (aHR = 1.57, p = .029) or ran away from care (aHR = 5.62, p &lt; .001), compared to periods in which adolescents had transitioned to reunification or guardianship. During periods where adolescents were in family foster care settings, arrest rates were comparable to those who had exited to reunification or guardianship.&#13;
Conclusion&#13;
Periods when an adolescent was in a group home setting were associated with a heightened rate of arrest compared to those reunified with their families. We also found that arrests commonly occurred and reoccurred for young people residing in group homes, underscoring the need to understand whether specific protocols and practices in these facilities contribute to increased arrests.</text>
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              <text>La prévalence et la persistance de la violence conjugale représentent une importante source de préoccupation au sein des communautés autochtones. Cependant, les connaissances concernant l’arrêt de la violence conjugale chez les hommes autochtones sont insuffisantes, ce à quoi la présente étude s'efforce de remédier. L'objectif de cette communication est de partager mes expériences de recherche en contextes autochtones et d'offrir un aperçu des parcours de guérison des hommes innus et innus-naskapis. J’y analyse les contextes entourant la violence, les bifurcations et les sphères de changements qui ponctuent les processus d’arrêt de la violence chez les hommes autochtones.&#13;
&#13;
Des entretiens qualitatifs ont été menés dans des communautés innues et naskapies auprès de six hommes ayant vécu des dynamiques de violence conjugale. Les résultats démontrent que la majorité des hommes ont identifié les contextes coloniaux, communautaires et familiaux comme sources de violence. L'intersection entre un contexte d'épuisement et de déstabilisation crée un environnement propice à un processus de bifurcation vers l'arrêt de la violence conjugale. Accompagnés par diverses sources de soutien, les hommes résolvent les sources de la violence afin d’apaiser leurs souffrances et ainsi réagir différemment aux expériences éprouvantes.</text>
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              <text>Just under 10,000 Jewish children fled to Britain from Europe from December 1938 to September 1939. Not much was known about their journeys, until recently.</text>
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              <text>&lt;a href="https://doi.org/10.1007/978-3-319-15419-0"&gt;https://doi.org/10.1007/978-3-319-15419-0&lt;/a&gt;</text>
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              <text>This volume represents the most comprehensive collection ever produced of empirical research on Holocaust education around the world. It comes at a critical time, as the world observes the 70th anniversary of the liberation of Auschwitz.&#13;
&#13;
We are now at a turning point, as the generations that witnessed and survived the Shoah are slowly passing on. Governments are charged with ensuring that this defining event of the 20th century takes its rightful place in the schooling and the historical consciousness of their peoples.&#13;
&#13;
The policies and practices of Holocaust education around the world are as diverse as the countries that grapple with its history and its meaning. Educators around the globe struggle to reconcile national histories and memories with the international realities of the Holocaust and its implications for the present. These efforts take place at a time when scholarship about the Holocaust itself has made great strides.&#13;
&#13;
In this book, these issues are framed by some of the leading voices in the field, including Elie Wiesel and Yehuda Bauer, and then explored by many distinguished scholars who represent a wide range of expertise.&#13;
&#13;
Holocaust education is of such significance, so rich in meaning, so powerful in content, and so diverse in practice that the need for extensive, high-quality empirical research is critical. This book provides exactly that.</text>
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                <text>As the Witnesses Fall Silent: 21st Century Holocaust Education in Curriculum, Policy and Practice </text>
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              <text>No. 2</text>
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              <text>2025</text>
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          <elementTextContainer>
            <elementText elementTextId="9722">
              <text>23281162</text>
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              <text>In the face of collective racial trauma faced during the COVID-19 pandemic, Asian Americans responded with resilience and coped by employing their ethnic and religious resources and traditions. These assets from their cultural tool kit included collective strength, active resistance to racism, and redemptive orientations toward adversity. Integrating research literature and two case studies—one from the Bible and one from an Asian American elder, this article describes these resources which not only buffer them from the negative psychological distress of racial trauma but also promote posttraumatic growth.</text>
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              <text>Haley Lesemann</text>
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                <text>Asian American Cultural Resources to Protect From Racial Trauma and to Promote Posttraumatic Growth</text>
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                <text>Racism--Psychological aspects--United States</text>
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        <name>Racism</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>Multigenerational Legacies of Trauma of American Indians</text>
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              <text>&lt;a href="https://doi.org/10.5820/aian.3204.2026.57"&gt;https://doi.org/10.5820/aian.3204.2026.57&lt;/a&gt;</text>
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              <text>Damian M. Chase-Begay, Julie Cahoon, Jeffery C. Peterson, Annie Belcourt, Curtis Noonan, Blakely Brown</text>
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              <text>Vol. 32</text>
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              <text>No. 4</text>
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              <text>Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus (Aurora, Colo.)</text>
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            <elementText elementTextId="9738">
              <text>2026</text>
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              <text>15337731</text>
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              <text>American Indian and Alaska Native (AI/AN) communities have&#13;
relied on traditional ceremonial practices (TCPs) for survival and&#13;
resilience for generations. Research examining the role of TCPs on&#13;
wellness in urban, multi-tribal communities, however, has only recently&#13;
emerged over the last several decades. This study explored the association&#13;
between TCP-related variables and substance use in an urban AI/AN&#13;
community in Montana. Specifically, participant knowledge, attitudes, and&#13;
beliefs (KAB) regarding TCPs, their level of intent to participate in TCPs,&#13;
and past year substance use were measured. This cross-sectionalstudy used&#13;
survey data from 194 AI/AN adults (66% female, 5% nonbinary; M age =&#13;
44). Positive KAB toward TCPs was found in 56.4% of respondents.&#13;
Greater level of intent to participate in TCPs was found in 36.7% of&#13;
respondents. Multivariate logistic regression showed individuals with&#13;
positive KAB were less likely to report past year alcohol [adjusted odds&#13;
ratio (AOR): 0.49; 95% confidence interval (95% CI): 0.26, 0.93] or other&#13;
drug use (AOR: 0.30; 95% CI: 0.11, 0.76). Individuals who reported a&#13;
greater level of intent to participate in TCPs were also less likely to report&#13;
past year alcohol (AOR: 0.51; 95% CI: 0.26, 0.98) or other drug use (AOR:&#13;
0.31; 95% CI: 0.08, 0.91). The findings highlight a need for further&#13;
examination of the potential effectiveness of substance use interventions for&#13;
urban AI/AN adults that incorporate TCP-related factors.</text>
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              <text>Haley Lesemann</text>
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                <text>Assessing American Indian Traditional Ceremonial Practices and Substance Use Behaviors in an Urban, Multi-Tribal Setting: Results from a Community Survey</text>
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                <text>Substance abuse--Montana--Prevention</text>
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        <name>Addiction</name>
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        <name>Alcohol Abuse</name>
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        <name>Indigenous Communities</name>
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        <name>Indigenous peoples</name>
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        <name>Substance Abuse</name>
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                  <text>Multigenerational Legacies of Trauma of American Indians</text>
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              <text>&lt;a href="https://scholarworks.waldenu.edu/dissertations/16638/"&gt;https://scholarworks.waldenu.edu/dissertations/16638/&lt;/a&gt;</text>
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          <description/>
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              <text>Natalie Costa</text>
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          <elementTextContainer>
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              <text>Walden Dissertations and Doctoral Studies</text>
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          <description/>
          <elementTextContainer>
            <elementText elementTextId="9752">
              <text>2024</text>
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            <elementText elementTextId="9754">
              <text>United States</text>
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          <description/>
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          <name>Access</name>
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            <elementText elementTextId="9757">
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              <text>Forced assimilation of Native American peoples has led to the destruction of their traditional ways of life and contributed to heightened rates of Native American children in foster care, increased domestic violence, substance abuse, alcoholism, and poverty. The purpose of this study was to understand associations between perceived parenting behaviors and current adult attachment within Native American communities and whether those associations were moderated by historical loss. The attachment theory and historical trauma theory were used as theoretical foundations for the study. Research questions for this nonexperimental quantitative study involved associations between warmth and involvement and anxious and avoidant attachment behaviors during adulthood using the Parenting Styles and Dimensions Questionnaire (PSDQ) and Experiences in Close Relationships-Revised (ECR-R) instruments, as well as the Historical Loss Scale. 11 individuals participated in this study who were 18 or older, lived in the United States, and identified as Native American. A series of individual simple linear regressions were run for research questions. However, due to the inability to obtain a sufficient sample size, statistically significant results were not found. Further research on this topic and better access to the proposed population are recommended to support a clearer understanding of how parenting behaviors, attachment dimensions, and historical loss interact among Native Americans. This study contributes to positive social change through bringing awareness to the relationships dynamics within the Native American family system and the impact historical loss is having on that population in order to support healing for this community.</text>
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              <text>Haley Lesemann</text>
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                <text>Association Between Adults’ Perceptions of Their Parents’ Parenting Behaviors During Youth and Resulting Attachment Dimensions in Adulthood in the Native American Community</text>
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            <description>The topic of the resource</description>
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              <elementText elementTextId="9753">
                <text>Families--Psychological aspects</text>
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        <name>Assimilation</name>
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        <name>Child Development</name>
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        <name>Children</name>
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      <tag tagId="424">
        <name>Family</name>
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      <tag tagId="273">
        <name>Family Relationships</name>
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      <tag tagId="36">
        <name>Intergenerational Trauma</name>
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            <elementText elementTextId="9760">
              <text>&lt;a href="https://doi.org/10.1177/08977151251372608"&gt;https://doi.org/10.1177/08977151251372608&lt;/a&gt;</text>
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            <elementText elementTextId="9763">
              <text>Jenney Zhu, Maya A.C. MacIsaac-Jones, Serena Jenkins, Keith Owen Yeates, Sheri Madigan</text>
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        <element elementId="58">
          <name>Volume</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9764">
              <text>Vol. 43</text>
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            <elementText elementTextId="9765">
              <text>No. 3-4</text>
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          <description/>
          <elementTextContainer>
            <elementText elementTextId="9766">
              <text>SAGE Publications</text>
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              <text>Journal of Neurotrauma</text>
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          <elementTextContainer>
            <elementText elementTextId="9768">
              <text>2026</text>
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          <elementTextContainer>
            <elementText elementTextId="9769">
              <text>15579042</text>
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          <description/>
          <elementTextContainer>
            <elementText elementTextId="9772">
              <text>English</text>
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          <name>Access</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9773">
              <text>Restricted Access</text>
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          <name>Abstract</name>
          <description/>
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              <text>Adverse childhood experiences (ACEs) and traumatic brain injuries (TBI) are highly prevalent globally, and both are associated with long-term negative health outcomes across the lifespan. Past research exploring the potential association between ACEs and TBI occurrence has demonstrated mixed findings. Thus, we conducted a systematic review and meta-analysis to examine the association between the ACEs measure and TBI occurrence. Moderator analyses were conducted to determine whether certain factors, including participant age, sex, and geographical location, modified the association between ACEs score and TBI occurrence. Searches were conducted in PsycINFO, MEDLINE, Embase, and CINHAL for studies published between January 1, 1998, and February 19, 2024. A total of 42 full-text articles were screened against inclusion criteria (i.e., measure of ACEs using the original 8- or 10-item scale or another composite measure of ACEs, TBI occurrence, and effect size for the association between ACEs score and TBI). Eight studies and 10 samples (N = 4954) were included in the meta-analysis. The data were synthesized using a random-effects multilevel meta-analysis, which revealed a significant large positive association between ACEs score and TBI occurrence, r = 0.31, 95% confidence interval [0.13, 0.49], p &lt; 0.001. Moderator analyses did not yield significant results. The current findings demonstrate that individuals who reported a higher ACEs score were more likely to have reported sustaining a TBI, highlighting a need for trauma-informed efforts to prevent TBI and its adverse effects.&#13;
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              <text>Haley Lesemann</text>
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                <text>Psychic trauma in children</text>
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              <text>&lt;a href="https://doi.org/10.1186/s12888-025-07245-w"&gt;https://doi.org/10.1186/s12888-025-07245-w&lt;/a&gt;</text>
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              <text>Tanao Ji, Yue Lv, Jianan Yang, Xianping Diao, Jun Gu</text>
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          <name>Volume</name>
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          <elementTextContainer>
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              <text>Background&#13;
Depression and asthma share several pathophysiologic risk factors, and their precise connection remains unclear. Our research seeks to assess the relationship between depression and asthma.&#13;
&#13;
Methods&#13;
The association between depression and asthma was assessed through a multivariable logistic regression analysis, with data sourced from The National Health and Nutrition Examination Survey (NHANES) 2007–2018 and the English Longitudinal Study of Ageing (ELSA) 2004–2019. Subsequently, a linkage disequilibrium score regression (LDSC) analysis was conducted to evaluate the genetic correlation between depression and asthma. Moreover, a two-sample Mendelian randomization (MR) analysis was conducted by employing genome-wide association study (GWAS) summary statistics by means of both univariable MR (UVMR) and multivariable MR (MVMR).&#13;
&#13;
Results&#13;
This study included 31,434 participants from NHANES and 17,021 participants from ELSA for observational research. In the unadjusted model, participants with depression had a significantly increased risk of asthma in comparison to participants without depression, both in NHANES (OR = 2.002, 95%CI: 1.827–2.193, P &lt; 0.001) and in ELSA (OR = 1.753, 95%CI: 1.581–1.943, P &lt; 0.001). After adjusting potential confounders, the results remain significant. The LDSC result revealed a significant positive genetic correlation between depression and asthma (rg = 0.352, P &lt; 0.001).The UVMR results further substantiated a genetically predicted causality of depression on asthma (OR = 1.291, 95%CI: 1.157–1.442, P &lt; 0.001), while the reverse causality does not stand. Similar findings from MVMR were obtained for the causality investigation after adjusting smoking (OR = 1.326, 95%CI: 1.156–1.520, P &lt; 0.001), drinking (OR = 1.375, 95%CI: 1.186–1.593, P &lt; 0.001), and education (OR = 1.425, 95%CI: 1.253–1.621, P &lt; 0.001).&#13;
&#13;
Conclusion&#13;
Our findings indicate that depression may play a contributory role in the development of asthma, underscoring the potential benefit of implementing prevention strategies aimed at managing depression to mitigate asthma risk.</text>
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            <elementText elementTextId="9790">
              <text>Haley Lesemann</text>
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                <text>Association Between Depression and Asthma: insight from observational and genetic evidence</text>
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            <description>The topic of the resource</description>
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                <text>Depression, Mental--Genetic aspects</text>
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        <name>Depression</name>
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              <text>&lt;a href="https://doi.org/10.5888/pcd21.240187"&gt;https://doi.org/10.5888/pcd21.240187&lt;/a&gt;</text>
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              <text>Julia Dabravolska, Karen A Patte, Shelby Yamamoto, Scott T Leatherdale, Paul J Veugelers, Katerina Maximova</text>
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              <text>Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion (Atlanta, Ga.)</text>
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              <text>Preventing Chronic Disease</text>
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              <text>2024</text>
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              <text>15451151</text>
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          <description/>
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              <text>English</text>
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          <description/>
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              <text>Introduction: The high prevalence of mental disorders among adolescents calls for community-based and population-level prevention strategies. Diet is an important intervention target for primary prevention of mental disorders among adolescents. We used data from a large longitudinal study of Canadian adolescents (aged 14-18 y) to examine prospective associations between diet and mental health outcomes.&#13;
&#13;
Methods: We estimated the effect of diet (ie, consumption of vegetables and fruit and sugar-sweetened beverages [SSBs]) at baseline on depressive symptoms, anxiety symptoms, and psychological well-being (measured by the Center for Epidemiologic Studies Depression Scale-Revised, Generalized Anxiety Disorder 7 scale, and Flourishing Scale, respectively) and at 1-year follow-up in a sample of 13,887 Canadian secondary school students who participated in the 2017-2018 and 2018-2019 cycles of the Cannabis, Obesity, Mental health, Physical activity, Alcohol, Smoking, and Sedentary (COMPASS) behavior study. We applied linear mixed-effects methods informed by a directed acyclic graph. Sensitivity analyses assessed the robustness of the effect estimates to unmeasured confounding variables.&#13;
&#13;
Results: Baseline SSB consumption was associated with greater severity of depressive (β = 0.04; 95% CI, 0.01-0.06) and anxiety (β = 0.02; 95% CI, 0-0.05) symptoms, particularly among male students, and poorer psychological well-being (β = -0.03; 95% CI, -0.05 to -0.01) at follow-up. Baseline vegetables and fruit consumption was positively associated with psychological well-being (β = 0.06; 95% CI, 0.03-0.10) but not other mental health outcomes at follow-up.&#13;
&#13;
Conclusion: Our results support the notion that diet should be part of comprehensive mental health prevention and promotion interventions to reduce the prevalence of mental health disorders among adolescents.</text>
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              <text>Haley Lesemann</text>
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                <text>Association Between Diet and Mental Health Outcomes in a Sample of 13,887 Adolescents in Canada</text>
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                <text>Diet--Psychological aspects</text>
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              <text>&lt;a href="https://doi.org/10.1186/s12888-025-06831-2"&gt;https://doi.org/10.1186/s12888-025-06831-2&lt;/a&gt;</text>
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              <text>Jian-Bo Wu, Yan Zhang, Yanni Yang, Shuang-Yan Qiu, Qiang Zhou, Jiemin Li, Jing-Yu Zhang, Danxia Xian, Fang Zhou, Ziyi Zhao, Yawei Guo, Yuying Zhang, Dali Lu </text>
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          <elementTextContainer>
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              <text>Vol. 25</text>
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              <text>BioMed Central (London)</text>
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              <text>BMC Psychiatry</text>
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            <elementText elementTextId="9814">
              <text>2025</text>
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              <text>1471244X</text>
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          <description/>
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              <text>Longhua District, Shenzhen, Guangdong Province, China</text>
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          <description/>
          <elementTextContainer>
            <elementText elementTextId="9819">
              <text>English</text>
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          <name>Access</name>
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              <text>Open Access </text>
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          <name>Abstract</name>
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              <text>Background&#13;
Recently, a decreasing trend has been observed in the frequency and duration of outdoor activity among children, which has garnered concern regarding the potential impacts of this decline during mental health in early childhood. Currently, the association between outdoor activity in early childhood and the symptoms of anxiety disorders in preschoolers remains unclear. The purpose of this study was to investigate the association between the frequency and duration of outdoor activity in children aged 0–1 and 1–3 years and anxiety symptoms in preschoolers.&#13;
&#13;
Methods&#13;
A cross-sectional study was conducted in 2021 using questionnaires, included 69,571 preschoolers residing in Longhua District, Shenzhen. Data on family social demographics, outdoor activity frequency and duration in children aged 0–3 years, and the anxiety symptoms of preschoolers were collected through parent-completed questionnaires. Anxiety symptoms were measured using the Chinese version of the Spence Preschool Anxiety Scale (SPAS), which assesses symptoms across various dimensions. The association between early childhood outdoor activity and anxiety symptoms in preschoolers was analyzed using a binary logistic regression model.&#13;
&#13;
Results&#13;
Children 0–1 years of age who were outdoors &lt; 1 times/week had a higher risk of screening positive for anxiety symptoms in preschool age compared with children who were outdoors ≥ 7 times/week (OR = 2.55, 95% confidence interval(CI): 2.22–2.94). Children in this age group who were outdoors &lt; 30 min/session had a higher risk of screening positive for anxiety symptoms in preschool age compared with children who were outdoors ≥ 120 min/ session (OR = 1.62, 95%CI: 1.38–1.90). Children 1–3 years of age, who were outdoors &lt; 1 time/week had a higher risk of screening positive for anxiety symptoms in preschool age compared with children who were outdoors ≥ 7 times/week, (OR = 3.10, 95%CI: 2.72–3.54). Children in this age group who were outdoors for &lt; 30 min/session had a higher risk of screening positive for anxiety symptoms in preschool age compared with children who were outdoors time ≥ 120 min/ session (OR = 2.07, 95%CI: 1.73–2.48).&#13;
&#13;
Conclusion&#13;
Lower frequency and shorter duration of outdoor activity during infancy (0–1 and 1–3 years) had higher odds of screening positive for anxiety symptoms in preschoolers. A frequency of ≥ 7 outdoor activity per week and a duration of ≥ 120 min/session during infancy were associated with lower levels of anxiety symptoms in preschoolers.These findings provide actionable insights for parents and caregivers, highlighting the importance of promoting outdoor activity in early childhood care and parenting practices. Future studies should further explore the causal relationship between outdoor activity and the prevention of anxiety.</text>
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              <text>Haley Lesemann</text>
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                <text>Association Between Early Childhood Outdoor Activity and Anxiety Symptoms in Preschoolers</text>
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                <text>Child development--China--Shenzhen Shi (China)</text>
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          <description/>
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            <elementText elementTextId="9823">
              <text>&lt;a href="https://doi.org/10.1016/j.jand.2024.11.014"&gt;https://doi.org/10.1016/j.jand.2024.11.014&lt;/a&gt;</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="64">
          <name>Document Type</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9825">
              <text>Research paper</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="74">
          <name>Author(s)</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9826">
              <text>Lu Wang, Euridice Martínez Steele, Mengxi Du, Hanqi Luo, Xuehong Zhang, Dariush Mozaffarian, Fang Fang Zhang</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="58">
          <name>Volume</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9827">
              <text>Vol. 125</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="59">
          <name>Issue</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9828">
              <text>No. 7</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="54">
          <name>Publisher</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9829">
              <text>Elsevier, for the Academy of Nutrition and Dietetics</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="57">
          <name>Journal Name</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9830">
              <text>Journal of the Academy of Nutrition and Dietetics</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="53">
          <name>Publication Date</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9831">
              <text>2025</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="69">
          <name>ISBN</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9832">
              <text>22122680</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="67">
          <name>Region</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9834">
              <text>United States</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="75">
          <name>Language</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9836">
              <text>English</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="71">
          <name>Access</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9837">
              <text>Restricted Access</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="78">
          <name>Abstract</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9838">
              <text>Background&#13;
Intake of ultra-processed foods (UPF) provides more than half of the daily energy US adults consume. Still, the prospective association of UPF consumption with mortality in the general US population remains understudied.&#13;
Objective&#13;
To investigate the prospective association of UPF consumption with mortality in a nationally representative sample of US adults.&#13;
Design&#13;
A prospective cohort analysis was conducted by linking baseline measurement from the National Health and Nutrition Examination Survey with mortality information from the National Death Index. The percentage of total energy consumed from UPF, defined by the Nova classification system, was computed based on dietary data collected using 24-hour diet recalls.&#13;
Participants/setting&#13;
This study included 38 148 nationally representative US adults aged 20 years and older who participated in National Health and Nutrition Examination Survey between 2003-2004 and 2017-2018 and provided dietary intake data, with linkage to mortality data.&#13;
Main outcome measures&#13;
Information on all-cause and cause-specific mortality was obtained from linkage to the National Death Index through December 31, 2019.&#13;
Statistical analysis performed&#13;
Cox proportional hazard models estimated the multivariable-adjusted hazard ratios and 95% CIs for the association between UPF intake and mortality.&#13;
Results&#13;
During a median follow-up of 8.0 years, 4611 deaths were confirmed, including 2064 deaths from cardiometabolic disorders and 1046 deaths from cancer. After multivariable adjustments, each 10-point increment in usual percentage of total energy from UPF was associated with a 9% higher risk of all-cause mortality (hazard ratio 1.09, 95% CI 1.04 to 1.14). The association remained significant after adjusting for the overall diet quality measured by the Health Eating Index 2015 (hazard ratio 1.06, 95% CI 1.00 to 1.11; P &lt; .05). Among subgroups, sugar-sweetened beverages, ready-to-eat or -heat mixed dishes, ultra-processed dairy products, and ultra-processed oil/fat, condiments, and sauces were associated with an increased risk of all-cause or cause-specific mortality. Ultra-processed vegetables and legumes were associated with a reduced risk.&#13;
Conclusions&#13;
In this nationally representative study of US adults, higher consumption of UPF was associated with a higher risk of all-cause mortality, and this association was not fully explained by overall diet quality.</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="63">
          <name>Cataloger</name>
          <description/>
          <elementTextContainer>
            <elementText elementTextId="9839">
              <text>Haley Lesemann</text>
            </elementText>
          </elementTextContainer>
        </element>
      </elementContainer>
    </itemType>
    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9824">
                <text>Association Between Ultra-processed Food Consumption and Mortality Among US Adults: Prospective Cohort Study of the National Health and Nutrition Examination Survey, 2003-2018</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9833">
                <text>Processed foods--Health aspects--United States</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
    <tagContainer>
      <tag tagId="1">
        <name>Cancer</name>
      </tag>
      <tag tagId="491">
        <name>Cardiovascular Disease</name>
      </tag>
      <tag tagId="228">
        <name>Food Production</name>
      </tag>
      <tag tagId="101">
        <name>Nutrition</name>
      </tag>
    </tagContainer>
  </item>
</itemContainer>
