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Showing 1 - 200 of 1085 Journals sorted alphabetically
AADE in Practice     Hybrid Journal   (Followers: 6)
Abstracts in Anthropology     Full-text available via subscription   (Followers: 21)
Academic Pathology     Open Access   (Followers: 5)
Accounting History     Hybrid Journal   (Followers: 17, SJR: 0.527, CiteScore: 1)
Acta Radiologica     Hybrid Journal   (Followers: 2, SJR: 0.754, CiteScore: 2)
Acta Radiologica Open     Open Access   (Followers: 3)
Acta Sociologica     Hybrid Journal   (Followers: 37, SJR: 0.939, CiteScore: 2)
Action Research     Hybrid Journal   (Followers: 49, SJR: 0.308, CiteScore: 1)
Active Learning in Higher Education     Hybrid Journal   (Followers: 345, SJR: 1.397, CiteScore: 2)
Adaptive Behavior     Hybrid Journal   (Followers: 9, SJR: 0.288, CiteScore: 1)
Administration & Society     Hybrid Journal   (Followers: 14, SJR: 0.675, CiteScore: 1)
Adoption & Fostering     Hybrid Journal   (Followers: 23, SJR: 0.313, CiteScore: 0)
Adsorption Science & Technology     Open Access   (Followers: 7, SJR: 0.258, CiteScore: 1)
Adult Education Quarterly     Hybrid Journal   (Followers: 215, SJR: 0.566, CiteScore: 2)
Adult Learning     Hybrid Journal   (Followers: 41)
Advances in Dental Research     Hybrid Journal   (Followers: 7, SJR: 1.791, CiteScore: 4)
Advances in Developing Human Resources     Hybrid Journal   (Followers: 30, SJR: 0.614, CiteScore: 2)
Advances in Mechanical Engineering     Open Access   (Followers: 134, SJR: 0.272, CiteScore: 1)
Advances in Methods and Practices in Psychological Science     Full-text available via subscription   (Followers: 10)
Advances in Structural Engineering     Full-text available via subscription   (Followers: 45, SJR: 0.599, CiteScore: 1)
Advances in Tumor Virology     Open Access   (Followers: 3, SJR: 0.108, CiteScore: 0)
AERA Open     Open Access   (Followers: 10)
Affilia     Hybrid Journal   (Followers: 4, SJR: 0.496, CiteScore: 1)
Agrarian South : J. of Political Economy     Hybrid Journal   (Followers: 2)
Air, Soil & Water Research     Open Access   (Followers: 13, SJR: 0.214, CiteScore: 1)
Alexandria : The J. of National and Intl. Library and Information Issues     Full-text available via subscription   (Followers: 64)
AlterNative : An Intl. J. of Indigenous Peoples     Full-text available via subscription   (Followers: 13, SJR: 0.194, CiteScore: 0)
Alternative Law J.     Hybrid Journal   (Followers: 10, SJR: 0.176, CiteScore: 0)
Alternatives : Global, Local, Political     Hybrid Journal   (Followers: 12, SJR: 0.351, CiteScore: 1)
American Behavioral Scientist     Hybrid Journal   (Followers: 22, SJR: 0.982, CiteScore: 2)
American Economist     Hybrid Journal   (Followers: 7)
American Educational Research J.     Hybrid Journal   (Followers: 208, SJR: 2.913, CiteScore: 3)
American J. of Alzheimer's Disease and Other Dementias     Hybrid Journal   (Followers: 18, SJR: 0.67, CiteScore: 2)
American J. of Cosmetic Surgery     Hybrid Journal   (Followers: 6)
American J. of Evaluation     Hybrid Journal   (Followers: 16, SJR: 0.646, CiteScore: 2)
American J. of Health Promotion     Hybrid Journal   (Followers: 32, SJR: 0.807, CiteScore: 1)
American J. of Hospice and Palliative Medicine     Hybrid Journal   (Followers: 41, SJR: 0.65, CiteScore: 1)
American J. of Law & Medicine     Full-text available via subscription   (Followers: 11, SJR: 0.204, CiteScore: 1)
American J. of Lifestyle Medicine     Hybrid Journal   (Followers: 5, SJR: 0.431, CiteScore: 1)
American J. of Medical Quality     Hybrid Journal   (Followers: 11, SJR: 0.777, CiteScore: 1)
American J. of Men's Health     Open Access   (Followers: 8, SJR: 0.595, CiteScore: 2)
American J. of Rhinology and Allergy     Hybrid Journal   (Followers: 9, SJR: 0.972, CiteScore: 2)
American J. of Sports Medicine     Hybrid Journal   (Followers: 194, SJR: 3.949, CiteScore: 6)
American Politics Research     Hybrid Journal   (Followers: 33, SJR: 1.313, CiteScore: 1)
American Review of Public Administration     Hybrid Journal   (Followers: 19, SJR: 2.062, CiteScore: 2)
American Sociological Review     Hybrid Journal   (Followers: 306, SJR: 6.333, CiteScore: 6)
American String Teacher     Full-text available via subscription   (Followers: 2)
Analytical Chemistry Insights     Open Access   (Followers: 25, SJR: 0.224, CiteScore: 1)
Angiology     Hybrid Journal   (Followers: 3, SJR: 0.849, CiteScore: 2)
Animation     Hybrid Journal   (Followers: 13, SJR: 0.197, CiteScore: 0)
Annals of Clinical Biochemistry     Hybrid Journal   (Followers: 10, SJR: 0.634, CiteScore: 1)
Annals of Otology, Rhinology & Laryngology     Hybrid Journal   (Followers: 15, SJR: 0.807, CiteScore: 1)
Annals of Pharmacotherapy     Hybrid Journal   (Followers: 52, SJR: 1.096, CiteScore: 2)
Annals of the American Academy of Political and Social Science     Hybrid Journal   (Followers: 46, SJR: 1.225, CiteScore: 3)
Annals of the ICRP     Hybrid Journal   (Followers: 4, SJR: 0.548, CiteScore: 1)
Anthropocene Review     Hybrid Journal   (Followers: 9, SJR: 3.341, CiteScore: 7)
Anthropological Theory     Hybrid Journal   (Followers: 42, SJR: 0.739, CiteScore: 1)
Antitrust Bulletin     Hybrid Journal   (Followers: 11)
Antiviral Chemistry and Chemotherapy     Open Access   (Followers: 2, SJR: 0.635, CiteScore: 2)
Antyajaa : Indian J. of Women and Social Change     Hybrid Journal  
Applied Biosafety     Hybrid Journal   (SJR: 0.131, CiteScore: 0)
Applied Psychological Measurement     Hybrid Journal   (Followers: 23, SJR: 1.17, CiteScore: 1)
Applied Spectroscopy     Full-text available via subscription   (Followers: 26, SJR: 0.489, CiteScore: 2)
Armed Forces & Society     Hybrid Journal   (Followers: 19, SJR: 0.29, CiteScore: 1)
Arts and Humanities in Higher Education     Hybrid Journal   (Followers: 42, SJR: 0.305, CiteScore: 1)
Asia Pacific Media Educator     Hybrid Journal   (Followers: 1, SJR: 0.23, CiteScore: 0)
Asia-Pacific J. of Management Research and Innovation     Full-text available via subscription   (Followers: 3)
Asia-Pacific J. of Public Health     Hybrid Journal   (Followers: 9, SJR: 0.558, CiteScore: 1)
Asian and Pacific Migration J.     Full-text available via subscription   (Followers: 105, SJR: 0.324, CiteScore: 1)
Asian Cardiovascular and Thoracic Annals     Hybrid Journal   (Followers: 2, SJR: 0.305, CiteScore: 0)
Asian J. of Comparative Politics     Hybrid Journal   (Followers: 4)
Asian J. of Legal Education     Full-text available via subscription   (Followers: 4)
Asian J. of Management Cases     Hybrid Journal   (Followers: 6, SJR: 0.101, CiteScore: 0)
ASN Neuro     Open Access   (Followers: 2, SJR: 1.534, CiteScore: 3)
Assessment     Hybrid Journal   (Followers: 17, SJR: 1.519, CiteScore: 3)
Assessment for Effective Intervention     Hybrid Journal   (Followers: 15, SJR: 0.578, CiteScore: 1)
Australasian Psychiatry     Hybrid Journal   (Followers: 9, SJR: 0.433, CiteScore: 1)
Australian & New Zealand J. of Psychiatry     Hybrid Journal   (Followers: 20, SJR: 1.801, CiteScore: 2)
Australian and New Zealand J. of Criminology     Hybrid Journal   (Followers: 523, SJR: 0.612, CiteScore: 1)
Australian J. of Career Development     Hybrid Journal   (Followers: 4)
Australian J. of Education     Hybrid Journal   (Followers: 42, SJR: 0.403, CiteScore: 1)
Australian J. of Management     Hybrid Journal   (Followers: 13, SJR: 0.497, CiteScore: 1)
Autism     Hybrid Journal   (Followers: 325, SJR: 1.739, CiteScore: 4)
Autism & Developmental Language Impairments     Open Access   (Followers: 11)
Behavior Modification     Hybrid Journal   (Followers: 12, SJR: 0.877, CiteScore: 2)
Behavioral and Cognitive Neuroscience Reviews     Hybrid Journal   (Followers: 26)
Bible Translator     Hybrid Journal   (Followers: 12)
Biblical Theology Bulletin     Hybrid Journal   (Followers: 18, SJR: 0.184, CiteScore: 0)
Big Data & Society     Open Access   (Followers: 48)
Biochemistry Insights     Open Access   (Followers: 7)
Bioinformatics and Biology Insights     Open Access   (Followers: 12, SJR: 1.141, CiteScore: 2)
Biological Research for Nursing     Hybrid Journal   (Followers: 7, SJR: 0.685, CiteScore: 2)
Biomarker Insights     Open Access   (Followers: 1, SJR: 0.81, CiteScore: 2)
Biomarkers in Cancer     Open Access   (Followers: 10)
Biomedical Engineering and Computational Biology     Open Access   (Followers: 12)
Biomedical Informatics Insights     Open Access   (Followers: 8)
Bioscope: South Asian Screen Studies     Hybrid Journal   (Followers: 3, SJR: 0.235, CiteScore: 0)
BMS: Bulletin of Sociological Methodology/Bulletin de Méthodologie Sociologique     Hybrid Journal   (Followers: 4, SJR: 0.226, CiteScore: 0)
Body & Society     Hybrid Journal   (Followers: 25, SJR: 1.531, CiteScore: 3)
Bone and Tissue Regeneration Insights     Open Access   (Followers: 2)
Brain and Neuroscience Advances     Open Access  
Breast Cancer : Basic and Clinical Research     Open Access   (Followers: 9, SJR: 0.823, CiteScore: 2)
British J. of Music Therapy     Hybrid Journal   (Followers: 8)
British J. of Occupational Therapy     Hybrid Journal   (Followers: 196, SJR: 0.323, CiteScore: 1)
British J. of Pain     Hybrid Journal   (Followers: 25, SJR: 0.579, CiteScore: 2)
British J. of Politics and Intl. Relations     Hybrid Journal   (Followers: 32, SJR: 0.91, CiteScore: 2)
British J. of Visual Impairment     Hybrid Journal   (Followers: 13, SJR: 0.337, CiteScore: 1)
British J.ism Review     Hybrid Journal   (Followers: 17)
Building Acoustics     Hybrid Journal   (Followers: 4, SJR: 0.215, CiteScore: 1)
Building Services Engineering Research & Technology     Hybrid Journal   (Followers: 3, SJR: 0.583, CiteScore: 1)
Bulletin of Science, Technology & Society     Hybrid Journal   (Followers: 7)
Business & Society     Hybrid Journal   (Followers: 12)
Business and Professional Communication Quarterly     Hybrid Journal   (Followers: 8, SJR: 0.348, CiteScore: 1)
Business Information Review     Hybrid Journal   (Followers: 16, SJR: 0.279, CiteScore: 0)
Business Perspectives and Research     Hybrid Journal   (Followers: 3)
Cahiers Élisabéthains     Hybrid Journal   (Followers: 1, SJR: 0.111, CiteScore: 0)
Calcutta Statistical Association Bulletin     Full-text available via subscription   (Followers: 1)
California Management Review     Hybrid Journal   (Followers: 30, SJR: 2.209, CiteScore: 4)
Canadian J. of Kidney Health and Disease     Open Access   (Followers: 6, SJR: 1.007, CiteScore: 2)
Canadian J. of Nursing Research (CJNR)     Hybrid Journal   (Followers: 13)
Canadian J. of Occupational Therapy     Hybrid Journal   (Followers: 134, SJR: 0.626, CiteScore: 1)
Canadian J. of Psychiatry     Hybrid Journal   (Followers: 28, SJR: 1.769, CiteScore: 3)
Canadian J. of School Psychology     Hybrid Journal   (Followers: 11, SJR: 0.266, CiteScore: 1)
Canadian Pharmacists J. / Revue des Pharmaciens du Canada     Hybrid Journal   (Followers: 3, SJR: 0.536, CiteScore: 1)
Cancer Control     Open Access   (Followers: 1)
Cancer Growth and Metastasis     Open Access   (Followers: 1)
Cancer Informatics     Open Access   (Followers: 4, SJR: 0.64, CiteScore: 1)
Capital and Class     Hybrid Journal   (Followers: 7, SJR: 0.282, CiteScore: 1)
Cardiac Cath Lab Director     Full-text available via subscription  
Cardiovascular and Thoracic Open     Open Access  
Career Development and Transition for Exceptional Individuals     Hybrid Journal   (Followers: 8, SJR: 0.44, CiteScore: 1)
Cartilage     Hybrid Journal   (Followers: 5, SJR: 0.889, CiteScore: 3)
Cell and Tissue Transplantation and Therapy     Open Access   (Followers: 2)
Cell Transplantation     Open Access   (Followers: 4, SJR: 1.023, CiteScore: 3)
Cephalalgia     Hybrid Journal   (Followers: 7, SJR: 1.581, CiteScore: 3)
Child Language Teaching and Therapy     Hybrid Journal   (Followers: 31, SJR: 0.501, CiteScore: 1)
Child Maltreatment     Hybrid Journal   (Followers: 9, SJR: 1.22, CiteScore: 3)
Child Neurology Open     Open Access   (Followers: 6)
Childhood     Hybrid Journal   (Followers: 18, SJR: 0.894, CiteScore: 2)
Childhood Obesity and Nutrition     Open Access   (Followers: 11)
China Information     Hybrid Journal   (Followers: 7, SJR: 0.767, CiteScore: 2)
China Report     Hybrid Journal   (Followers: 10, SJR: 0.221, CiteScore: 0)
Chinese J. of Sociology     Full-text available via subscription   (Followers: 4)
Christianity & Literature     Full-text available via subscription   (Followers: 8)
Chronic Illness     Hybrid Journal   (Followers: 6, SJR: 0.672, CiteScore: 2)
Chronic Respiratory Disease     Hybrid Journal   (Followers: 9, SJR: 0.808, CiteScore: 2)
Chronic Stress     Open Access  
Citizenship, Social and Economics Education     Full-text available via subscription   (Followers: 6, SJR: 0.145, CiteScore: 0)
Cleft Palate-Craniofacial J.     Hybrid Journal   (Followers: 7, SJR: 0.757, CiteScore: 1)
Clin-Alert     Hybrid Journal   (Followers: 1)
Clinical and Applied Thrombosis/Hemostasis     Open Access   (Followers: 16, SJR: 0.49, CiteScore: 1)
Clinical and Translational Neuroscience     Open Access  
Clinical Case Studies     Hybrid Journal   (Followers: 3, SJR: 0.364, CiteScore: 1)
Clinical Child Psychology and Psychiatry     Hybrid Journal   (Followers: 45, SJR: 0.73, CiteScore: 2)
Clinical EEG and Neuroscience     Hybrid Journal   (Followers: 6, SJR: 0.552, CiteScore: 2)
Clinical Ethics     Hybrid Journal   (Followers: 10, SJR: 0.296, CiteScore: 1)
Clinical Medicine Insights : Arthritis and Musculoskeletal Disorders     Open Access   (Followers: 3, SJR: 0.537, CiteScore: 2)
Clinical Medicine Insights : Blood Disorders     Open Access   (SJR: 0.314, CiteScore: 2)
Clinical Medicine Insights : Cardiology     Open Access   (Followers: 6, SJR: 0.686, CiteScore: 2)
Clinical Medicine Insights : Case Reports     Open Access   (Followers: 1, SJR: 0.283, CiteScore: 1)
Clinical Medicine Insights : Circulatory, Respiratory and Pulmonary Medicine     Open Access   (Followers: 3, SJR: 0.425, CiteScore: 2)
Clinical Medicine Insights : Ear, Nose and Throat     Open Access   (Followers: 1)
Clinical Medicine Insights : Endocrinology and Diabetes     Open Access   (Followers: 32, SJR: 0.63, CiteScore: 2)
Clinical Medicine Insights : Oncology     Open Access   (Followers: 3, SJR: 1.129, CiteScore: 3)
Clinical Medicine Insights : Pediatrics     Open Access   (Followers: 3)
Clinical Medicine Insights : Psychiatry     Open Access   (Followers: 9)
Clinical Medicine Insights : Reproductive Health     Open Access   (Followers: 2, SJR: 0.776, CiteScore: 0)
Clinical Medicine Insights : Therapeutics     Open Access   (Followers: 1, SJR: 0.172, CiteScore: 0)
Clinical Medicine Insights : Trauma and Intensive Medicine     Open Access   (Followers: 4)
Clinical Medicine Insights : Urology     Open Access   (Followers: 2)
Clinical Medicine Insights : Women's Health     Open Access   (Followers: 4)
Clinical Nursing Research     Hybrid Journal   (Followers: 29, SJR: 0.471, CiteScore: 1)
Clinical Pathology     Open Access   (Followers: 3)
Clinical Pediatrics     Hybrid Journal   (Followers: 22, SJR: 0.487, CiteScore: 1)
Clinical Psychological Science     Hybrid Journal   (Followers: 11, SJR: 3.281, CiteScore: 5)
Clinical Rehabilitation     Hybrid Journal   (Followers: 70, SJR: 1.322, CiteScore: 3)
Clinical Risk     Hybrid Journal   (Followers: 5, SJR: 0.133, CiteScore: 0)
Clinical Trials     Hybrid Journal   (Followers: 22, SJR: 2.399, CiteScore: 2)
Clothing and Textiles Research J.     Hybrid Journal   (Followers: 24, SJR: 0.36, CiteScore: 1)
Common Law World Review     Full-text available via subscription   (Followers: 18)
Communication & Sport     Hybrid Journal   (Followers: 8, SJR: 0.385, CiteScore: 1)
Communication and the Public     Hybrid Journal   (Followers: 1)
Communication Disorders Quarterly     Hybrid Journal   (Followers: 15, SJR: 0.458, CiteScore: 1)
Communication Research     Hybrid Journal   (Followers: 20, SJR: 2.171, CiteScore: 3)
Community College Review     Hybrid Journal   (Followers: 9, SJR: 1.451, CiteScore: 1)
Comparative Political Studies     Hybrid Journal   (Followers: 226, SJR: 3.772, CiteScore: 3)
Compensation & Benefits Review     Hybrid Journal   (Followers: 8)
Competition & Change     Hybrid Journal   (Followers: 11, SJR: 0.843, CiteScore: 2)
Competition and Regulation in Network Industries     Full-text available via subscription   (Followers: 8, SJR: 0.143, CiteScore: 0)
Concurrent Engineering     Hybrid Journal   (Followers: 3, SJR: 0.642, CiteScore: 2)
Conflict Management and Peace Science     Hybrid Journal   (Followers: 35, SJR: 2.441, CiteScore: 1)
Contemporary Drug Problems     Full-text available via subscription   (Followers: 3, SJR: 0.609, CiteScore: 2)
Contemporary Education Dialogue     Hybrid Journal   (Followers: 5, SJR: 0.102, CiteScore: 0)
Contemporary Issues in Early Childhood     Full-text available via subscription   (Followers: 6, SJR: 0.766, CiteScore: 1)
Contemporary Review of the Middle East     Full-text available via subscription   (Followers: 12)
Contemporary Sociology : A J. of Reviews     Full-text available via subscription   (Followers: 34, SJR: 0.195, CiteScore: 0)
Contemporary Voice of Dalit     Full-text available via subscription   (Followers: 1)
Contexts     Hybrid Journal   (Followers: 6)
Contributions to Indian Sociology     Hybrid Journal   (Followers: 4, SJR: 0.376, CiteScore: 0)
Convergence The Intl. J. of Research into New Media Technologies     Hybrid Journal   (Followers: 50, SJR: 0.521, CiteScore: 1)

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Similar Journals
Journal Cover
American Journal of Health Promotion
Journal Prestige (SJR): 0.807
Citation Impact (citeScore): 1
Number of Followers: 32  
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0890-1171 - ISSN (Online) 2168-6602
Published by Sage Publications Homepage  [1084 journals]
  • In Briefs
    • Pages: 1100 - 1103
      Abstract: American Journal of Health Promotion, Volume 33, Issue 8, Page 1100-1103, November 2019.

      Citation: American Journal of Health Promotion
      PubDate: 2019-11-01T05:29:14Z
      DOI: 10.1177/0890117119881573
  • Editor’s Desk: The Why and How of Addressing Employee Happiness
    • Authors: Jessica Grossmeier, K. Viswanath, Laura D. Kubzansky, Hunter Black, Sarah Greenberg, Katie Saulsgiver, Evan Sinar, Andrew Reece, Evan Carr, Gabriella Kellerman, Laurie Heap, Rob Wheaton, Jamie Gassmann, Nancy O’Brien
      Pages: 1209 - 1226
      Abstract: American Journal of Health Promotion, Volume 33, Issue 8, Page 1209-1226, November 2019.

      Citation: American Journal of Health Promotion
      PubDate: 2019-11-01T05:29:37Z
      DOI: 10.1177/0890117119878277
  • The Art of Health Promotion: linking research to practice
    • Authors: Jessica Grossmeier
      Pages: 1209 - 1210
      Abstract: American Journal of Health Promotion, Volume 33, Issue 8, Page 1209-1210, November 2019.

      Citation: American Journal of Health Promotion
      PubDate: 2019-11-01T05:29:24Z
      DOI: 10.1177/0890117119878277a
  • The Science of Happiness: The View From One Research Center
    • Authors: K. Viswanath, Laura D. Kubzansky
      Pages: 1210 - 1211
      Abstract: American Journal of Health Promotion, Volume 33, Issue 8, Page 1210-1211, November 2019.

      Citation: American Journal of Health Promotion
      PubDate: 2019-11-01T05:29:35Z
      DOI: 10.1177/0890117119878277b
  • Beyond Hedonia: 5 Keys to Enhancing Workplace Well-Being at Scale
    • Authors: Hunter Black, Sarah Greenberg, Katie Saulsgiver, Evan Sinar, Andrew Reece, Evan Carr, Gabriella Kellerman
      Pages: 1212 - 1217
      Abstract: American Journal of Health Promotion, Volume 33, Issue 8, Page 1212-1217, November 2019.

      Citation: American Journal of Health Promotion
      PubDate: 2019-11-01T05:29:35Z
      DOI: 10.1177/0890117119878277c
  • Fostering Happiness Through Balance and Integration: A Garmin Case Study
    • Authors: Laurie Heap
      Pages: 1217 - 1221
      Abstract: American Journal of Health Promotion, Volume 33, Issue 8, Page 1217-1221, November 2019.

      Citation: American Journal of Health Promotion
      PubDate: 2019-11-01T05:29:37Z
      DOI: 10.1177/0890117119878277d
  • Happiness Measurably Propels Human Well-Being & Performance: A Case
    • Authors: Rob Wheaton, Jamie Gassmann, Nancy O’Brien
      Pages: 1221 - 1226
      Abstract: American Journal of Health Promotion, Volume 33, Issue 8, Page 1221-1226, November 2019.

      Citation: American Journal of Health Promotion
      PubDate: 2019-11-01T05:29:38Z
      DOI: 10.1177/0890117119878277e
  • The Art of Health Promotion: linking research to practice
    • Abstract: American Journal of Health Promotion, Ahead of Print.

      Citation: American Journal of Health Promotion
      PubDate: 2019-11-29T10:24:54Z
      DOI: 10.1177/0890117119887857
  • Health Promotion That Saves People and the Planet and an Interview With Dr
           Sara Singer
    • Authors: Paul E. Terry
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Recently the Business Roundtable released a “Statement on the Purpose of a Corporation” which pronounced that alongside increasing shareholder value, businesses need to play a role in environmental and consumer protection. These stated “commitments” signed by 181 CEOs of leading companies include “supporting the communities in which we work,” “investing in our employees,” and “embracing sustainable practices.” Skeptics will take a wait and see attitude about these business leaders’ words and await more deeds, but others view this as an affirmation of an employer leadership philosophy that many have been championing for decades. For example, the book Building a Culture of Health: A New Imperative for Business examined the interface of social and business trends and argues that 4 pillars are needed if business is to accrue the advantages of leading with a culture of health. These pillars are community, consumer, employee, and environmental health. This editorial summarizes current initiatives and studies relating to these pillars and the Business Roundtable’s commitments and includes an interview with Dr Sara Singer. Singer is an organizational development expert, business scholar, and coinvestigator of a national study that examines business engagement in the 4 pillars and sets a baseline for how involved businesses are in addressing social and health issues.
      Citation: American Journal of Health Promotion
      PubDate: 2019-11-23T03:06:04Z
      DOI: 10.1177/0890117119888114
  • Sedentary Time and Physical Activity Across Occupational Classifications
    • Authors: Tyler D. Quinn, Kelley Pettee Gabriel, Juned Siddique, David Aaby, Kara M. Whitaker, Abbi Lane-Cordova, Stephen Sidney, Barbara Sternfield, Bethany Barone Gibbs
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To examine differences in activity patterns across employment and occupational classifications.Design:Cross-sectional.Setting:A 2005-2006 Coronary Artery Risk Development in Young Adults (CARDIA) study.Sample:Participants with valid accelerometry data (n = 2068).Measures:Uniaxial accelerometry data (ActiGraph 7164), accumulated during waking hours, were summarized as mean activity counts (counts/min) and time spent (min/d) in long-bout sedentary (≥30 minutes, SED≥30), short-bout sedentary (
      Citation: American Journal of Health Promotion
      PubDate: 2019-11-15T05:06:09Z
      DOI: 10.1177/0890117119885518
  • Make Your Move Experience: A Worksite Wellness Pilot in South Texas
    • Authors: Anna V. Wilkinson, Amanda Davé, Elif Ozdemir, Limairy Rodriquez, Belinda M. Reininger
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To describe the implementation of Make Your Move Experience (MYME) between 2015 and 2017.Design:Cross-sectional.Setting:Make Your Move Experience is a culturally sensitive worksite wellness program in South Texas designed to encourage sedentary workers to engage in physical activity.Participants:In total, 681 individuals from 19 different organizations.Intervention:UTHealth School of Public Health in Brownsville staff recruited individuals within local organizations to join MYME. At the end of the 3 months, organizations in which employees met MYME goals earned an incentive—bike rack or hydration station—selected to be permanent features of the local environment and facilitate physical activity.Measures:Participant self-reported gender, physical activity level prior to joining MYME (beginner or experienced), and weekly miles of biking, walking, or running completed.Analysis:Mean number of miles biked, walked, and ran each month were compared between (1) beginners and experienced, (2) men and women, and (3) in fall 2016 and spring 2017 using t tests.Results:Beginners initiated physical activity by walking. Men biked more miles than women did (P < .05 all 3 years). Bike riders cycled fewer miles (20.2 miles vs 44.9 miles; P = .03) and walkers covered fewer miles (195.4 miles vs 266.7 miles; P = .04) in fall 2016 compared to spring 2017.Conclusions:Participation in MYME, a culturally appropriate intervention delivered at the worksite, facilitated an increase in physical activity levels among sedentary individuals.
      Citation: American Journal of Health Promotion
      PubDate: 2019-11-15T05:05:21Z
      DOI: 10.1177/0890117119885874
  • Coaction Between Physical Activity and Fruit and Vegetable Intake in
           Racially Diverse, Obese Adults
    • Authors: Natalia I. Heredia, Maria E. Fernandez, Alexandra E. van den Berg, Casey P. Durand, Harold W. Kohl, Belinda M. Reininger, Kevin O. Hwang, Lorna H. McNeill
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:There is minimal understanding of the potential for coaction, defined as action on one behavior increasing the likelihood of taking action on another behavior, between physical activity (PA) and fruit and vegetable (FV) intake. The purpose of this study was to assess the bidirectional coaction between FV intake and PA, as well as self-efficacy for these behaviors, in a racially diverse sample of obese adults.Design:This is a secondary analysis using data collected from the Path to Health study, a randomized controlled trial. Identifier: NCT03674229.Sample:Obese adults who completed baseline and 6-month follow-up assessments.Measures:For this study, data on FV intake, leisure time PA, and 7-day accelerometer data were analyzed at baseline and 6-month follow-up.Analysis:We interchanged modeling the FV intake and PA change variables as the independent and dependent variables. We conducted multiple imputation and both linear and multinomial regression.Results:The sample (n = 168) was 59% female and mainly split between white (42%) and African American (42%). Change in self-efficacy for PA was predictive of change in self-efficacy for FV intake and vice versa. When compared with participants with no change in FV intake, someone with a positive change in FV intake was more likely to have a positive change in self-reported PA (adjusted risk ratio [RR] = 6.72, 95% confidence interval [CI] = 1.69-26.68). Likewise, when compared with no change, participants with a positive change in self-reported PA were more likely to report a positive change in FV intake (adjusted RR = 6.79, 95% CI = 1.70-27.17).Conclusion:Findings suggest coaction between self-efficacy for FV intake and PA as well as between FV intake and PA. Coaction could be capitalized on to more effectively promote both energy-balance behaviors.
      Citation: American Journal of Health Promotion
      PubDate: 2019-11-14T03:52:01Z
      DOI: 10.1177/0890117119884479
  • “I Don’t Feel Like the Odd One”: Utilizing Content Analysis to
           Compare the Effects of Social Media Use on Well-Being Among Sexual
           Minority and Nonminority US Young Adults
    • Authors: César Escobar-Viera, Ariel Shensa, Megan Hamm, Eleanna M. Melcher, Daniel I. Rzewnicki, James E. Egan, Jaime E. Sidani, Brian A. Primack
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Although there is evidence of associations between social media (SM) use and mental well-being among the general population, these associations among lesbian, gay, and bisexual (LGB) persons are poorly understood. This study compared the influence of SM experiences on mental well-being between LGB and non-LGB persons.Design and Setting:Online cross-sectional survey.Participants:National sample of 2408 US adults aged 18 to 30 years.Method:We asked participants to provide examples of when SM affected their well-being separately in good and bad ways. We coded, summed, and used rate ratios (RRs) to compare responses of LGB and non-LGB individuals. Thematically similar codes were described and grouped into categories.Results:Most responses described positive SM effects. However, of 6 codes that were significantly more frequent among LGB respondents, only social capital (RR = 1.58, 95% confidence interval [CI], 1.17-2.12) described a positive effect. Five codes described negative effects of SM for LGB users: negative emotional contagion (RR = 1.28, 95% CI, 1.04-1.58), comparison with others (RR = 1.28, 95% CI, 1.01-1.62), real-life repercussions (RR = 1.86, 95% CI, 1.18-2.94), envy (RR = 2.49, 95% CI, 1.48-4.19), and need for profile management (RR = 2.32, 95% CI, 1.07-5.03).Conclusion:These findings suggest that, for LGB persons, gaining social capital from SM is valuable for establishing and maintaining connections. Increased negative SM experiences may pose a risk for the mental well-being of LGB individuals.
      Citation: American Journal of Health Promotion
      PubDate: 2019-11-08T03:56:17Z
      DOI: 10.1177/0890117119885517
  • Sustained Long-Term Effectiveness of an Energy Management Training Course
           on Employee Vitality and Purpose in Life
    • Authors: Sai Krupa Das, Shawn T. Mason, Taylor A. Vail, Caroline M. Blanchard, Meghan K. Chin, Gail T. Rogers, Kara A. Livingston, Jennifer L. Turgiss
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Programs designed to sustainably improve employee well-being are urgently needed but insufficiently researched. This study evaluates the long-term effectiveness of a commercial well-being intervention in a worksite setting.Design:A pre/postintervention repeated analysis with follow-up at 6, 12, and 18 months.Setting:Office-based worksites (for-profit, nonprofit, and mixed work-type; n = 8).Participants:One hundred sixty-three employees with a mean age of 47 (11) years (57% female).Intervention:A 2.5-day group-based behavioral program emphasizing vitality and purpose in life (PiL).Measures:Rand Medical Outcomes Survey (MOS) 36-Item Short Form (SF-36) with a focus on vitality (primary outcome), Ryff PiL Scale, Center for Epidemiologic Studies Depression Scale, Profile of Mood States, Rand MOS Sleep Scale, physical activity, body weight, blood pressure, and blood measures for glucose and lipids at baseline, 6, 12, and 18 months.Analysis:General linear models with repeated measures for mean values at baseline and follow-up.Results:At 18-month follow-up, sustained improvements were observed for vitality, general health, and mental health domains of SF-36 and PiL (P < .001 for all measures). Sleep, mood, vigor, physical activity, and blood pressure were also improved at 18 months (P < .05 for all measures).Conclusions:An intensive 2.5-day intervention showed sustained improvement in employee quality of life, PiL, and other measures of well-being over 18 months.
      Citation: American Journal of Health Promotion
      PubDate: 2019-11-08T03:55:57Z
      DOI: 10.1177/0890117119883585
  • Socioeconomic Differences in Access to Neighborhood and Network Social
           Capital and Associations With Body Mass Index Among Black Americans
    • Authors: Stephanie T. Child, Andrew T. Kaczynski, Katrina M. Walsemann, Nancy Fleischer, Alexander McLain, Spencer Moore
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To examine associations between socioeconomic status and two forms of social capital, namely, neighborhood and network measures, and how these distinct forms of capital are associated with body mass index (BMI) among Black residents of low-income communities.Design:Respondent-driven sampling was used to engage residents in a household survey to collect data on the respondents’ personal network, perceptions about their neighborhood environment, and health.Setting:Eight special emphasis neighborhoods in Greenville, South Carolina.Participants:N = 337 black/African American older adults, nearly half of whom have a household income of less than $15 000 and a high school education, were included.Measures:Neighborhood capital was assessed via three scales on social cohesion, collective efficacy, and social support from neighbors. Network capital was calculated via a position generator, common in egocentric network surveys. Body mass index was calculated with self-reported height and weight.Analysis:Multilevel linear regression models were used to examine the association between neighborhood and network capital and obesity among respondents within sampling chains.Results:Higher household income was associated with greater neighborhood capital, whereas higher educational attainment was associated with greater network capital. Social cohesion was negatively associated with BMI (b = −1.25, 95% confidence interval [CI]: −2.39 to −0.11); network diversity was positively associated with BMI (b = 0.31, 95% CI: 0.08 to 0.55).Conclusion:The findings shed light on how social capital may be patterned by socioeconomic status and, further, how distinct forms of capital may be differentially associated with health among black Americans.
      Citation: American Journal of Health Promotion
      PubDate: 2019-10-31T03:50:07Z
      DOI: 10.1177/0890117119883583
  • Racial/Ethnic Differences in Diet Quality and Eating Habits Among WIC
           Pregnant Women: Implications for Policy and Practice
    • Authors: Alla M. Hill, Danielle L. Nunnery, Alice Ammerman, Jigna M. Dharod
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:One of the major federal food assistance programs, the Special Supplemental Program for Women, Infants, and Children (WIC), serves approximately 1.5 million low-income pregnant women per year; however, limited information is available on their dietary habits. This is critical because low-income women are at higher risk of gaining excess weight during pregnancy. Thus, the study objectives were to (1) determine the overall diet quality of WIC pregnant women and (2) examine diet quality and eating behaviors by race/ethnicity and other sociodemographics.Design:This was a cross-sectional study.Setting:One of the 3 WIC offices in a north-central county in North Carolina, USA.Sample:Pregnant women (n = 198) in the second trimester.Measures:Interviews included sociodemographics, food security, diet, and eating behaviors. Diet quality was assessed by the Healthy Eating Index (HEI) 2010 scores.Analysis:Descriptives, bivariate analysis, and multivariate analysis.Results:Average participant age was 26 years, and the mean HEI-2010 score was 56 of maximum score of 100. Specifically, African American women consumed significantly lower servings of whole grains (β = −1.71; 95% CI: −3.10 to −0.32; P < .05) and dairy (β = −1.42; 95% CI: −2.51 to −0.33; P < .05) compared with non-Hispanic white women. Hispanic women scored higher in daily intake of fruits (β = 0.98; 95% CI: 0.17-1.79; P < .05) and for consuming empty calories in moderation (β = 1.57; 95% CI: 0.06-3.09; P < .05). Frequency of intake of fast foods/outside meals was higher among African American women (57%, P = .025).Conclusion:Efforts are warranted to promote optimal nutrition among WIC pregnant women. Specifically, African American women are highly vulnerable to poor dietary habits during pregnancy. Further investigation of barriers/facilitators for healthy eating is necessary to address nutrition disparities among WIC pregnant women.
      Citation: American Journal of Health Promotion
      PubDate: 2019-10-29T03:02:20Z
      DOI: 10.1177/0890117119883584
  • Tracking Changes in US Organizations’ Workplace Health Promotion
           Initiatives: A Longitudinal Analysis of Performance Against Quality
    • Authors: GracieLee M. Weaver, Daniel L. Bibeau, Kelly Rulison, Jeremy Bray, William N. Dudley, Nilay Unsal
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To examine changes in organizations’ workplace health promotion (WHP) initiatives over time associated with repeated self-assessment using the Well Workplace Checklist (WWC).Design:Well Workplace Checklist data include a convenience sample of US organizations that selected to assess their performance against quality WHP benchmarks.Setting:Workplaces.Subjects:In total, 577 US organizations completed the WWC in 2 or more years from 2008 to 2015.Measures:The WWC is a 100-item organizational assessment that measures performance against the original set of quality benchmarks that were established by the Wellness Council of America (WELCOA).Analysis:This study examined changes in overall WWC scores as well as 7 separate benchmark scores. Multilevel modeling was used to examine changes in scores associated with repeated assessments, controlling for the year of assessment and organizational characteristics.Results:There were significant increases in overall WWC scores (β = 2.93, P < .001) associated with the repeated WWC assessments, after controlling for organizational characteristics. All 7 benchmark scores had significant increases associated with reassessment. Compared to other benchmarks, operating plan (β = 6.18, P < .001) and evaluation (β = 4.91, P < .001) scores increased more with each reassessment.Conclusion:Continued reassessment may represent more commitment to and investment in WHP initiatives which could lead to improved quality. Other factors that may positively influence changes in performance against benchmarks include company size, access to outside resources for WHP, and a history with implementing WHP.
      Citation: American Journal of Health Promotion
      PubDate: 2019-10-24T04:47:52Z
      DOI: 10.1177/0890117119883581
  • Addressing Health and Well-Being Through State Policy: Understanding
           Barriers and Opportunities for Policy-Making to Prevent Adverse Childhood
           Experiences (ACEs) in South Carolina
    • Authors: Aditi Srivastav, Mindi Spencer, James F. Thrasher, Melissa Strompolis, Elizabeth Crouch, Rachel E. Davis
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:As adverse childhood experiences (ACEs) become increasingly recognized as a root cause of unhealthy behaviors, researchers, practitioners, and legislators seek to understand policy strategies to prevent and mitigate its effects. Given the high prevalence of ACEs, policies that address ACEs can meaningfully prevent disease in adulthood and improve population health. We sought to understand barriers and opportunities for policies to prevent and mitigate ACEs by exploring state legislator perspectives.Setting and Participants:Twenty-four current state legislators in South Carolina.Design:In 2018, we conducted semistructured interviews with 24 state legislators. Participants were recruited using maximum variation sampling. The researchers individually analyzed each interview transcript using focused coding qualitative techniques. A high inter-rater agreement was demonstrated (κ = .76 to .87), and discrepancies were resolved through discussion.Method:The data collection and analysis were guided by Multiple Streams Theory, which identifies 3 key components (attention to the problem, decisions about policy options, and the impact of political landscape) that can lead windows of opportunity for passing policies.Results:Legislators identified several factors that can influence the passage of legislation on ACEs: awareness of ACEs; gaps in understanding about what can be done about ACEs; the use of data and stories that contextualize the problem of ACEs; capitalizing on the bipartisanship of children’s issues; and linking to current ACEs-related issues on the policy agenda, such as school safety and violence prevention and the opioid epidemic.Conclusion:Public health researchers and practitioners should focus on the factors identified to advocate for policies that prevent ACEs and/or address their health consequences.
      Citation: American Journal of Health Promotion
      PubDate: 2019-10-10T05:21:27Z
      DOI: 10.1177/0890117119878068
  • Cooperative Extension Gets Moving, but How' Exploration of Extension
           Health Educators’ Sources and Channels for Information-Seeking Practices
    • Authors: Thomas E. Strayer, Lauren E. Kennedy, Laura E. Balis, NithyaPriya S. Ramalingam, Meghan L. Wilson, Samantha M. Harden
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:The Cooperative Extension System (Extension) has implemented concerted efforts toward health promotion in communities across the nation by acting as an intermediary between communities and universities. Little is known about how these intermediaries communicate and learn about existing evidence-based programming. This study serves to explore this gap by learning about information sources and channels used within Extension.Design:Sequential explanatory mixed methods approach.Setting:National Cooperative Extension System.Participants:Extension community-based health educators.Methods:A nationally distributed survey with follow-up semistructured interviews. Survey results were analyzed using a Kruskal-Wallis 1-way analysis of variance test paired with Bonferroni post hoc. Transcripts were analyzed by conventional content analysis.Results:One hundred twenty-one Extension educators from 33 states responded to the survey, and 18 of 20 invited participants completed the interviews. Educators’ information seeking existed in 2 forms: (1) information sources for learning about programming and (2) channels by which this information is communicated. Extension educators reported contacting health specialists and other educators. Extension educators also reported using technological means of communication such as e-mail and Internet to reach information sources such as peers, specialists, academic journals, and so on.Conclusion:Extension state specialists were preferred as primary sources for intervention information, and technology was acknowledged as an easy contact channel. This study identifies county-based health educators’ information structures and justifies the need for future research on the role of specialists in communication efforts for educators.
      Citation: American Journal of Health Promotion
      PubDate: 2019-10-04T04:18:33Z
      DOI: 10.1177/0890117119879606
  • Associations of Tobacco Advertising Appeal With Intentions to Use
           Alternative Tobacco Products Among Young Tobacco Users Experiencing
    • Authors: William G. Shadel, Joan S. Tucker, Rachana Seelam, Daniela Golinelli, Daniel Siconolfi
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Virtually nothing is known about the potential effects of tobacco advertising on tobacco use among youth experiencing homelessness, a vulnerable population with high tobacco use rates. This study examines associations between the appeal of advertising for 5 classes of tobacco product (electronic cigarettes, hookah, cigars, cigarillos, and smokeless tobacco) and future intentions to use those products again among homeless youth who had indicated any level of lifetime use.Design:A cross-sectional design was used.Setting:Settings were 25 service and street sites in Los Angeles County.Participants:A probability sample of 469 young tobacco users experiencing homelessness (mean age = 22; 71% male; 29% non-Hispanic White) was recruited.Measures:Assessments included product-specific tobacco advertising appeal and future intentions to use the product again, as well as a range of covariate controls (eg, demographics, homelessness severity, current tobacco use, general advertising exposure).Analysis:Linear regression tested for associations between the appeal of advertising for a specific tobacco product and intentions to use that product again in the future, controlling for myriad covariates.Results:Advertising appeal was positively associated with future intentions to use again for electronic cigarettes (P = .006) and hookah (P = .001), but not cigars (P = .486), cigarillos (P = .126), or smokeless tobacco (P = .109).Conclusion:Results suggest that advertising appeal may increase use of certain tobacco products among youth experiencing homelessness. However, differences in themes emphasized by advertising for specific tobacco products could differentially influence use in this population.
      Citation: American Journal of Health Promotion
      PubDate: 2019-10-04T04:17:33Z
      DOI: 10.1177/0890117119878350
  • Practical Nutrition Knowledge Mediates the Relationship Between
           Sociodemographic Characteristics and Diet Quality in Adults: A
           Cross-Sectional Analysis
    • Authors: Kristine Deroover, Tamara Bucher, Corneel Vandelanotte, Hein de Vries, Mitch J. Duncan
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To investigate the direct and indirect effects of sociodemographic/health factors on diet quality through practical nutrition knowledge (PNK) about how to compose a balanced meal.Design:A cross-sectional study using data from an online survey of the 10 000 Steps cohort (data collected November-December 2016).Setting:Australia.Participants:Adults (n = 8161). Response rate was 16.7%.Measures:Self-reported lifestyle, health, and sociodemographic characteristics, including diet quality and PNK.Analysis:The PROCESS macro for SPSS was used to conduct the mediation analyses.Results:Better diet quality was associated with being female, older, more highly educated, and having a lower body mass index. Mediation analysis showed that PNK significantly mediated the associations between sex (a*b = 0.54, 95% confidence interval [CI] = 0.39-0.70) and education (vocational education: a*b = 0.22, 95% CI = 0.12-0.35, university: a*b = 0.48, 95% CI = 0.35-0.64), and diet quality. Practical nutrition knowledge suppressed the association between age and diet quality (a*b = −0.03, 95% CI = −0.04 to −0.03).Conclusion:Variations in diet quality between sociodemographic groups were partially explained by differences in PNK, suggesting that focusing public health efforts on increasing this specific knowledge type might be promising.
      Citation: American Journal of Health Promotion
      PubDate: 2019-10-03T04:09:01Z
      DOI: 10.1177/0890117119878074
  • Smoke-Free or Not: Attitudes Toward Indoor Smoke-Free Policies Among
           Permanent Supportive Housing Residents
    • Authors: Anne Berit Petersen, Holly Elser, Tram Nguyen, Natalie M. Alizaga, Maya Vijayaraghavan
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Interventions for tobacco dependence are most effective when combined with smoke-free policies, yet such policies are rare in permanent supportive housing (PSH) for formerly homeless adults. We aimed to provide in-depth analysis of attitudes and barriers to and facilitators of implementing smoke-free policies in PSH.Approach:Current smokers living in PSH completed a questionnaire and participated in in-depth, semistructured interviews on smoking history, attitudes toward smoke-free policies, and perceived barriers to cessation.Setting:We collaborated with 6 San Francisco Bay Area PSH agencies.Participants:Thirty-six residents in PSH.Methods:Interviews, conducted by trained interviewers, were digitally recorded, transcribed, and analyzed using content analysis methods. Participants were recruited until we reached thematic saturation, or no new themes emerged from the interviews.Results:Over half of participants (52.8%, n = 19) reported depression, and 97.2% (n = 35) reported current substance use. Support for indoor smoking bans in living areas was modest (33.1%), although most residents anticipated cutting down (61%) and reported they would not move because of a smoking ban (77.8%). There was interest in quitting smoking, although co-use of tobacco with other substances was a major barrier.Conclusion:This study is the first to explore attitudes toward smoke-free policies in PSH. We found that residents in PSH support smoke-free policies and consider them feasible if implementation processes are sound. Our findings underscore the need to address barriers to adopting smoke-free policies and accessing smoking cessation services. In particular, interventions must address the co-use of tobacco with other substances and the impact of smoking on financial and housing stability.
      Citation: American Journal of Health Promotion
      PubDate: 2019-09-20T04:27:20Z
      DOI: 10.1177/0890117119876763
  • Effects of Accumulated Short Bouts of Exercise on Weight and Obesity
           Indices in Adults: A Meta-Analysis
    • Authors: Heontae Kim, Joel Reece, Minsoo Kang
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Objective:To compile and quantify the effectiveness of accumulated short-bout exercise interventions on reducing the obesity indices in adults using meta-analysis.Data Source:PubMed, PsycINFO, CINAHL, Cochrane Library, and SportDiscus.Study Inclusion and Exclusion Criteria:(1) Description of a short-bout exercise trial (10 weeks was more effective than shorter (≤10) intervention period for reducing BM, BMI, and FM.Conclusion:Accumulated short bouts of exercise have a beneficial effect on reducing the obesity indices among adults. The current study can help health researchers and practitioners in designing their intervention programs, which can be applied within schools, clinics, and communities.
      Citation: American Journal of Health Promotion
      PubDate: 2019-09-06T06:48:58Z
      DOI: 10.1177/0890117119872863
  • Does Patient Preference for Mode of Intervention Delivery Impact
           Intervention Efficacy and Attrition'
    • Authors: Ronald C. Plotnikoff, Fiona G. Stacey, Anna K. Jansson, Benjamin Ewald, Natalie A. Johnson, Wendy J. Brown, Elizabeth G. Holliday, Daniel Barker, Erica L. James
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To explore whether there was a difference in objectively measured physical activity and study participation between people who received their preferred study group allocation (matched) and those who did not receive their preferred study group (mismatched).Design:Secondary data from the NewCOACH randomized controlled trial.Setting:Insufficiently active patients in the primary care settings in Sydney and Newcastle, Australia.Participants:One hundred seventy-two adults aged 20 to 81 years.Intervention:Participants indicated their intervention preference at baseline for (1) five face-to-face visits with an exercise specialist, (2) one face-to-face visit and 4 telephone follow-ups with an exercise specialist, (3) written material, or (4) slight-to-no preference. Participants were then allocated to an intervention group and categorized as either “matched” or “mismatched” based on their indications. Participants who reported a slight-to-no preference was categorized as “matched.”Measures:Daily step count as measured by pedometers and study participation.Analysis:Mean differences between groups in daily step count at 3 and 12 months (multiple linear regression models) and study participation at baseline, 3 months, and 12 months (χ2 tests).Results:Preference for an intervention group prior to randomization did not significantly (all P’s> .05 using 95% confidence interval) impact step counts (differences of
      Citation: American Journal of Health Promotion
      PubDate: 2019-08-31T04:20:38Z
      DOI: 10.1177/0890117119871002
  • Group Versus Individual Culturally Tailored and Theory-Based Education to
           Promote Cervical Cancer Screening Among the Underserved Hispanics: A
           Cluster Randomized Trial
    • Authors: Jessica Calderón-Mora, Theresa L. Byrd, Adam Alomari, Rebekah Salaiz, Alok Dwivedi, Indika Mallawaarachchi, Navkiran Shokar
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To determine whether group education is as effective as individual education in improving cervical cancer screening uptake along the US–Mexico border.Design:Cluster randomized controlled study.Setting:El Paso and Hudspeth Counties, Texas.Participants:Three hundred women aged 21 to 65 years, uninsured, due for a Pap test, no prior history of cervical cancer or hysterectomy.Intervention:Theory-based, culturally appropriate program comprised of outreach, educational session, navigation services, and no-cost cervical cancer testing.Measures:Baseline, immediate postintervention, and 4-month follow-up surveys measured knowledge and theoretical constructs from the Health Belief Model, Theory of Reasoned Action, and the Social Cognitive Theory.Analysis:Relative risk regression analyses to assess the effects of educational delivery mode on the uptake of screening. Mixed effect models to analyze changes in psychosocial variables.Results:One hundred and fifty women assigned to each educational group; 99% Hispanic. Of all, 85.7% completed the follow-up survey. Differences in screening rate at follow-up were analyzed by education type. Overall screening rate at follow-up was 73.2%, no significant difference by education type (individual: 77.6%, group: 68.9% P = .124). Significant increases among group education at follow-up for knowledge, perceived susceptibility, perceived seriousness, and subjective norms and significant decrease for perceived benefits.Conclusion:This study provides evidence to support the effectiveness of group education to promote cervical cancer screening among vulnerable Hispanic women and offers an additional method to address cervical cancer disparities.
      Citation: American Journal of Health Promotion
      PubDate: 2019-08-28T03:11:16Z
      DOI: 10.1177/0890117119871004
  • Are Moderate and Vigorous Leisure-Time Physical Activity Associated With
           Musculoskeletal Pain' A Cross-Sectional Study Among 981 Physical
    • Authors: Y. Ezzatvar, J. Calatayud, L.L. Andersen, J. Casaña
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Musculoskeletal pain (MP) is common among workers, especially for health-care professionals. Paradoxically, many of those rehabilitating patients for pain—that is, physical therapists (PTs)—also have pain. Adequate levels of physical activity are recommended for cardiovascular and musculoskeletal health. However, the association between physical activity and MP among PTs remains unknown. This study aims to determine the association between moderate and vigorous leisure-time physical activity levels and MP in PTs.Design:Cross-sectional study.Setting:Workplace.Participants:Nine hundred eighty-one PTs.Measures:Data on MP and leisure-time physical activity were collected using an online survey.Analysis:The odds for having lower level of MP as a function of physical activity were estimated using binary logistic regression controlled for various confounders.Results:Performing ≥75 min/week of vigorous leisure-time physical activity increased the odds of experiencing lower levels of neck–shoulder pain (odds ratio = 1.43, 95% confidence interval, 1.05-1.94). No association was found neither between vigorous nor between moderate leisure-time physical activity and MP in the arm-hand or back.Conclusion:Performing ≥75 min/week of vigorous leisure-time physical activity is associated with lower levels of MP in neck and shoulders among PTs. No associations were found between vigorous or moderate leisure-time physical activity and MP in arm-hand and back.
      Citation: American Journal of Health Promotion
      PubDate: 2019-08-20T05:12:49Z
      DOI: 10.1177/0890117119870365
  • Barriers and Facilitators to Hypertension Control Following Participation
           in a Church-Based Hypertension Intervention Study
    • Authors: Sara Heinert, Sandra Escobar-Schulz, Maya Jackson, Marina Del Rios, Sarah Kim, Jennica Kahkejian, Heather Prendergast
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Hypertension is the primary risk factor for development of cardiovascular complications. Community-initiated interventions have proven effective in reducing cardiovascular disease risk among individuals who might otherwise face barriers to care. The purposes of this study were to gain feedback on a church-based hypertension intervention study and assess barriers and facilitators to hypertension control after participation in the study.Design:Qualitative study of 4 focus groups.Setting:Focus groups took place at 4 churches in primarily minority neighborhoods of Chicago, Illinois, in summer 2017.Participants:Thirty-one community members participated in the focus groups.Method:The Community Targeting of Uncontrolled Hypertension (CTOUCH) study was a church-based screening, brief intervention, and referral for treatment program for hypertension. Following the study completion, participants were invited to join a focus group to provide feedback on the study and discuss barriers and facilitators to hypertension control. The authors used the Framework Method to analyze the data.Results:Community Targeting of Uncontrolled Hypertension was well received by participants, particularly the awareness of their individual blood pressure and subsequent education on risk modification. The most common facilitators for hypertension control were social support, knowing how to control hypertension, and community resources. The most common barriers to hypertension control were lack of hypertension knowledge, negative primary care experiences, and lack of disease awareness.Conclusion:Knowledge of barriers and facilitators can inform areas of success and opportunities for improvement in community-based hypertension programs including future renditions in CTOUCH.
      Citation: American Journal of Health Promotion
      PubDate: 2019-08-14T05:48:45Z
      DOI: 10.1177/0890117119868384
  • Smoke-Free Outdoor Seating Policy: 1-Year Changes in Compliance of Bars
           and Restaurants in Philadelphia
    • Authors: Pilar Ocampo, Ryan Coffman, Hannah Lawman
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To evaluate changes in compliance with a smoke-free outdoor seating policy before and after passage of a local regulation in 2015, which reinterpreted Philadelphia’s Clean Indoor Air Worker Protection Law to include outdoor seating areas of food or beverage establishments.Design:Natural experiment.Setting:Philadelphia, Pennsylvania.Sample:Food or beverage establishments (N = 108). Establishments were comprised of sit-down restaurants, cafes, quick-service restaurants, and bars.Measures:Presence of outdoor smoking and smoking-related litter on a given day were measured as binary variables. A geographic information system–based survey developed for this study was used to collect observational data.Analysis:Logistic regressions were used to determine the change in odds of observing outdoor smoking and smoking-related litter on a given day from baseline (preregulation) to follow-up (postregulation).Results:Compliance with smoke-free outdoor seating increased from 84.5% to 95.4% after passage and implementation of the regulation. Results showed a significant 75% decrease (odds ratio [OR]: = 0.25, 95% confidence interval [CI]: 0.08-0.67) in odds of outdoor smoking and a slight decrease in smoking-related litter (OR: 0.81, 95% CI: 0.39-1.65) at follow-up in establishments overall. However, at baseline, bars had higher odds of outdoor smoking (OR: 2.68, 95% CI: 0.57-12.72) and smoking-related litter (OR: 4.09, 95% CI:, 1.87-9.49) compared to sit-down restaurants.Conclusion:Results suggest there is high compliance with low-cost, low-burden, smoke-free outdoor seating policy and that enforcement is best targeted toward bars.
      Citation: American Journal of Health Promotion
      PubDate: 2019-08-14T04:00:28Z
      DOI: 10.1177/0890117119869113
  • Daily Adolescent Sugar-Sweetened Beverage Intake Is Associated With Select
           Adolescent, Not Parent, Attitudes About Limiting Sugary Drink and Junk
           Food Intake
    • Authors: Omoye E. Imoisili, Sohyun Park, Elizabeth A. Lundeen, Amy L. Yaroch, Heidi M. Blanck
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To examine associations of adolescent sugar-sweetened beverage (SSB) intake with parent SSB intake and parent and adolescent attitudes about limiting SSB and junk food (SSB/JF) intake.Design:Quantitative, cross-sectional study.Setting:The 2014 Family Life, Activity, Sun, Health, and Eating study.Sample:Parent–adolescent dyads (N = 1555).Measures:The outcome was adolescent SSB intake. Exposure variables were parent SSB intake, sociodemographics, and parent and adolescent attitudes about SSB/JF intake (responses: agree, neither, or disagree).Analysis:Multinomial logistic regressions estimated adjusted odds ratios (aOR) and 95% confidence intervals (CIs).Results:Half (49.5%) of adolescents and 33.7% of parents consumed SSB ≥1 time/day. Parent daily SSB intake was associated with adolescent daily SSB intake (aOR = 8.9; CI = 4.6-17.3) [referent: no consumption]. Adolescents who disagreed on having confidence to limit SSB/JF intake had higher odds of daily SSB intake (aOR = 3.5; CI = 1.8-6.8), as did those who disagreed they felt bad about themselves if they did not limit SSB/JF intake (aOR = 1.9; CI=1.1-3.3), compared to adolescents who agreed with these attitudes. No parental attitudes were significant.Conclusion:Higher odds of daily SSB intake among adolescents was associated with parent SSB intake and adolescent attitudes about confidence in, and feeling bad about, limiting SSB/JF intake. Parent attitudes were not associated with daily adolescent SSB intake. Efforts to reduce adolescent SSB intake could consider strategies geared toward improving adolescent attitudes and dietary behaviors and parental SSB intake.
      Citation: American Journal of Health Promotion
      PubDate: 2019-08-14T03:59:29Z
      DOI: 10.1177/0890117119868382
  • There’s an App for That: Using Geosocial Networking Apps to Access Young
           Black Gay, Bisexual, and other MSM at Risk for HIV
    • Authors: Errol L. Fields, Amanda Long, Derek T. Dangerfield, Anthony Morgan, Mudia Uzzi, Renata Arrington-Sanders, Jacky M. Jennings
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Young black gay, bisexual, and other MSM (YBMSM) that carry a disproportionate HIV burden in the US Geosocial networking applications (GSN apps) are environments that may increase HIV risk among users. This study explored the acceptability and feasibility of using these apps for HIV/sexually transmitted infection (STI) public health outreach.Design:Semi-structured in-depth qualitative interviews.Setting:A frequently reported GSN app for meeting sex partners by newly diagnosed HIV-infected MSM in Baltimore.Participants:Seventeen YBMSM aged 18 to 24 (mean = 21.5/SD = 1.8) who were logged-on to the GSN app in venues or census tracts in high HIV transmission areas.Methods:Participants completed 60 to 90 minute semi-structured interviews, which were audio-recorded and transcribed. Interview data were analyzed in NVivo10 using categorical analysis and double-coded until consistency was achieved.Results:Participants described GSN apps as acceptable and feasible resources for public health practitioners seeking to access YBMSM to provide HIV/STI treatment and prevention services and resources. Three themes emerged: (1) the need to authenticate public health messages to distinguish from spam; (2) improved access to YBMSM including opportunities to identify and access virtual congregations of youth in non-gay-related spaces; and (3) the importance of avoiding stigmatizing YBMSM when targeting sexual health messages.Conclusion:GSN apps have great potential as tools for identifying and engaging at-risk YBMSM. Additional work is needed to understand limitations of this medium, to develop strategies to engage YBMSM without further stigmatizing them, and to maximize their outreach potential.
      Citation: American Journal of Health Promotion
      PubDate: 2019-07-30T09:11:27Z
      DOI: 10.1177/0890117119865112
  • Associations of Mother’s Behaviors and Home/Neighborhood Environments
           with Preschool Children’s Physical Activity Behaviors
    • Authors: Man Zhang, Virginia Quick, Yanhong Jin, Jennifer Martin-Biggers
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Objective:Examining associations of mother’s behaviors and home/neighborhood physical activity (PA) environments with preschoolers’ PA and screen time.Design:Cross-sectional online survey.Setting:Mothers with a 2 to 5 years old preschooler were recruited from the US panel members of Survey Sampling International.Participants:Five hundred thirty-one mothers with a preschool child aged 2 to 5 years old.Outcome Measure:Child daily screen time and PA, mother–child inside- and outside-home co-PA.Analysis:K-mean cluster analysis and Logit and negative binomial regressions.Results:Mothers’ healthy behaviors, such as decreased screen time, healthy eating habits, and increased PA, and perceived importance for PA were significantly (P < .05) associated with preschoolers’ decreased screen time and increased PA. Available toys (P < .01) and maternal perceived neighborhood safety (P < .05) were negatively correlated with preschoolers’ screen time, while available room space (P < .01) was positively correlated with preschoolers’ PA. Variables positively correlated with mother–child co-PA included mothers’ PA (P < .001) and healthy eating habits (P < .05), and home room space (P < .05) for inside-home, and yard space and quality (P < .05) for outside-home.Conclusions:Mother’s role modeling and home PA environment were positively associated with preschoolers’ PA behavior.
      Citation: American Journal of Health Promotion
      PubDate: 2019-07-30T09:11:26Z
      DOI: 10.1177/0890117119864206
  • The Effects of Acute Exercise on Retroactive Memory Interference
    • Authors: Paul D. Loprinzi, Emily Frith, Lindsay Crawford
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Retroactive interference involves the disruption of previously encoded information from newly learned information and thus may impair the consolidation of long-term memory. The objective of this study was to evaluate whether acute exercise can attenuate retroactive memory interference.Design:Three experimental studies were employed. Experiment 1 employed a between-subject randomized control trial (RCT) involving moderate-intensity walking (15 minutes). Experiment 2 employed a between-subject RCT involving high-intensity jogging (15 minutes). Experiment 3 employed a within-subject RCT involving moderate-intensity walking (15 minutes).Setting:University setting.Participants:One hundred twelve young adults.Measures:After exercise, memory interference was evaluated from an episodic word-list memory task, involving the recall of 2 word lists.Results:The pooled effect size (standard difference in means: −0.35; 95% confidence interval: −0.64 to −0.06) across the 3 experiments was statistically significant (P = .01).Conclusion:We provide suggestive evidence that acute, short-duration exercise may help attenuate a retroactive memory interference effect. Implications of these findings for exercise to improve memory and attenuate memory decay are discussed.
      Citation: American Journal of Health Promotion
      PubDate: 2019-07-30T09:11:25Z
      DOI: 10.1177/0890117119866138
  • Condom Social Marketing Effects in Low- and Middle-Income Countries: A
           Systematic Review Update, 1990 to 2019
    • Authors: Michael D. Sweat, Teresa Yeh, Caitlin Kennedy, Kevin O’Reilly, Kevin Armstrong, Virginia Fonner
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Objective:To update the prior systematic review from studies published in the past 9 years that examine the effects of condom social marketing (CSM) programs on condom use in low- and middle-income countries.Data Sources:PubMed, CINAHL, PsycINFO, Sociological Abstracts, and EMBASE. Hand searching of AIDS, AIDS and Behavior, AIDS Care, and AIDS Education and Prevention.Study Inclusion and Exclusion Criteria:(a) Published from 1990 to January 16, 2019, (b) low- or middle-income country, (c) evaluated CSM, (d) analyses across preintervention to postintervention exposure or across multiple study arms, (e) measured condom use behavior, and (f) sought to prevent HIV transmission.Data Extraction:Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, 2 reviewers extracted citation, inclusion criteria, methods, study population, setting, sampling, study design, unit of analysis, loss to follow-up, comparison group characteristics, intervention characteristics, and eligible outcome results.Data Synthesis:The 2012 review found 6 studies (combined N = 23 048). In a meta-analysis, the pooled odds ratio for condom use was 2.01 (95% confidence interval [CI]: 1.42-2.84) for the most recent sexual encounter and 2.10 (95% CI: 1.51-2.91) for a composite of all condom use outcomes. Studies had significant methodological limitations. Of 518 possible new citations identified in the update, no new articles met our inclusion criteria.Conclusions:More studies are needed with stronger methodological rigor to help provide evidence for the continued use of this approach globally. There is a dearth of studies over the past decade on the effectiveness of CSM in increasing condom use in low- and middle-income countries (LMIC).
      Citation: American Journal of Health Promotion
      PubDate: 2019-07-24T03:49:38Z
      DOI: 10.1177/0890117119864921
  • Effectiveness of a Kansas City, Jail-Based Intervention to Improve
           Cervical Health Literacy and Screening, One-Year Post-Intervention
    • Authors: Amanda M. Emerson, Sharla Smith, Jaehoon Lee, Patricia J. Kelly, Megha Ramaswamy
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To assess effectiveness, 1-year post-intervention, of a program delivered in jails with women to improve cervical health literacy (CHL) and up-to-date Papanicolaou (Pap) screening.Design:Pre-post design to evaluate Pap screening and CHL effects 1 year after our original randomized wait-list control study.Setting:Surveys conducted in Kansas City, 2015 to 2017 (baseline in 2014).Participants:Adult women (n = 133).Intervention:One-week (10-contact-hour), small-group, CHL program.Measures:Surveys to assess CHL components and up-to-date Pap screening.Analysis:χ2 and t tests, followed by best-subsets logistic regression using sociodemographic and CHL components to fit an optimal model for up-to-date screening 1-year post-intervention.Results:73% (133/182) women retained at 1-year. From pre-intervention, 6 of 8 CHL components improved (.01> P> .001). Up-to-date Pap screenings increased over pre-intervention (72%-82%, P < .05). Best-subset model to predict up-to-date screening included age; public benefits; medical insurance; 5 CHL components (knowledge, benefits, barriers, seriousness, susceptibility).Conclusion:A brief intervention to promote cervical health literacy, delivered with women during a jail detention, can lead to sustained improvements in CHL and prevention practices.
      Citation: American Journal of Health Promotion
      PubDate: 2019-07-18T04:59:45Z
      DOI: 10.1177/0890117119863714
  • Just Moments: A Letter to Dr Peter Erickson
    • Authors: Paul E. Terry
      First page: 1104
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Practicing mindfulness is usually characterized as being “in the moment” and is most often associated with an effort to manage individual illness, stress, or well-being. This editorial memorializes my dear friend Pete Erickson who was an exemplar to making every moment count. But more importantly, moments he made with others were “just moments” in service to his community, moments that made others experience their community and their health system as more just places. In defining “just moments,” I cite the paper “Collective Well-being to Improve Population Health Outcomes” where the authors argued that well-being is a function of a group and that domains such as “connectedness” and “contribution” may have as much to do with well-being as does our usual focus on individual self-care practices.
      Citation: American Journal of Health Promotion
      PubDate: 2019-09-18T04:27:48Z
      DOI: 10.1177/0890117119874244
  • Association of Daytime Napping and Diagnosed Diabetes in Middle-Aged
           Premenopausal, Middle-Aged Postmenopausal, and Older Postmenopausal
           Chinese Women
    • Authors: Shu Fang, Junmin Zhou
      First page: 1107
      Abstract: American Journal of Health Promotion, Ahead of Print.

      Citation: American Journal of Health Promotion
      PubDate: 2019-06-06T05:35:24Z
      DOI: 10.1177/0890117119854918
  • Characteristics of Daily E-Cigarette Use and Acquisition Means Among a
           National Sample of Adolescents
    • Authors: Ashley L. Merianos, Roman A. Jandarov, Jonathan D. Klein, E. Melinda Mahabee-Gittens
      First page: 1115
      Abstract: American Journal of Health Promotion, Ahead of Print.

      Citation: American Journal of Health Promotion
      PubDate: 2019-06-04T04:57:35Z
      DOI: 10.1177/0890117119854051
  • Loneliness in the United States: A 2018 National Panel Survey of
           Demographic, Structural, Cognitive, and Behavioral Characteristics
    • Authors: Liana DesHarnais Bruce, Joshua S. Wu, Stuart L. Lustig, Daniel W. Russell, Douglas A. Nemecek
      First page: 1123
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To inform health behavior intervention design, we sought to quantify loneliness and its correlates, including social media use, among adults in the United States.Design:Cross-sectional research panel questionnaire.Setting:Responses were gathered from individuals in all 50 states surveyed via Internet from February 2018 to March 2018.Participants:A total of 20 096 US panel respondents aged 18+.Measures:The University of California at Los Angeles (UCLA) Loneliness Scale (theoretical score range = 20-80) was administered along with demographic, structural, cognitive, and behavioral items.Analysis:After calibrating the sample to population norms, we conducted multivariable linear regression analysis.Results:The overall mean survey-weighted loneliness score was 44.03 (standard error = 0.09). Social support (standardized β [sβ] = −0.19) and meaningful daily interactions (sβ = −0.14) had the strongest associations with lower loneliness, along with reporting good relationships, family life, physical and mental health, friendships, greater age, being in a couple, and balancing one’s daily time. Social anxiety was most strongly associated with greater loneliness (sβ = +0.20), followed by self-reported social media overuse (sβ = +0.05) and daily use of text-based social media (sβ = +0.03).Conclusion:Our findings confirm that loneliness decreases with age, and that being in a relationship as well as everyday behavioral factors in people’s control are most strongly related to loneliness. Population health promotion efforts to reduce loneliness should focus on improving social support, decreasing social anxiety, and promoting healthy daily behaviors.
      Citation: American Journal of Health Promotion
      PubDate: 2019-06-17T03:13:57Z
      DOI: 10.1177/0890117119856551
  • Step It Up! Prioritization of Community Supports for Walking Among US
    • Authors: Eric T. Hyde, John D. Omura, Kathleen B. Watson, Janet E. Fulton, Susan A. Carlson
      First page: 1134
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Step It Up! The Surgeon General’s Call to Action to Promote Walking and Walkable Communities (Call to Action) presents goals and supporting strategies to promote walking. We assessed the presence and prioritization of 4 community supports for walking related to the goals of the Call to Action from the perspective of US adults.Design:Cross-sectional web-based survey.Setting:US adults.Participants:A total of 4043 respondents.Measures:SummerStyles 2016 survey assessing the reported presence and prioritization of 4 community supports for walking.Analysis:Estimated prevalence of the presence of supports overall and by demographic characteristics, and prevalence and adjusted prevalence ratios of their prioritization.Results:The most commonly reported community supports for walking were access to walkable locations (46.5%) and safe streets (29.2%), followed by walking groups (12.9%) and promotional campaigns (9.6%). Access to walkable locations (60.0%) and safe streets (50.6%) were most often prioritized by respondents, followed by promotional campaigns (23.6%) and walking groups (18.8%). Many differences in prioritization by demographic characteristics remained significant after adjusting for presence and other demographic characteristics, such as increased prioritization of all supports with older age groups.Conclusions:Presence and prioritization of community supports for walking varied widely by type of support and by demographic characteristics. Opportunities exist to improve access and public sentiment related to these supports to promote walking in the United States.
      Citation: American Journal of Health Promotion
      PubDate: 2019-06-14T04:01:12Z
      DOI: 10.1177/0890117119856550
  • Impact of State Laws Governing Physical Education on Attendance Among US
           High School Students, 2003 to 2017
    • Authors: Ruopeng An, Mengmeng Ji, Caitlin Clarke, Chenghua Guan
      First page: 1144
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:This study assessed the influence of state laws governing physical education (PE) on weekly PE class attendance among US high school students.Design:Cross-sectional.Setting:2003 to 2017 US national Youth Risk Behavior Survey (YRBS).Participants:A total of 533 468 high school students.Measures:Data on state laws governing PE came from National Cancer Institute’s Classification of Laws Associated with School Students (CLASS). Eight distinct state PE policies were scored, with higher scores denoting stronger laws.Analysis:Individual-level YRBS data were merged with CLASS data based on students’ residential state and survey year. State fixed-effect negative binomial regressions were performed, adjusting for individual-level characteristics and YRBS survey design.Results:A 1-score increase in state laws governing PE class time, staffing for PE, joint use agreement for physical activity, assessment of health-related fitness, and PE curriculum was associated with an increase in weekly PE attendance by 0.30, 0.28, 0.22, 0.20, and 0.13 days (P < .001), respectively. In contrast, a 1-score increase in state laws governing moderate-to-vigorous-intensity physical activity time in PE, PE proficiency, and recess time was associated with a reduction in weekly PE attendance by 0.25, 0.15, and 0.09 days (P < .001), respectively. The effects of most state PE policies on PE class attendance were larger among girls than boys.Conclusion:State PE policies differentially impacted US high school students’ PE class attendance, with larger effects on female students.
      Citation: American Journal of Health Promotion
      PubDate: 2019-07-05T04:20:00Z
      DOI: 10.1177/0890117119858016
  • The Role of Emotions and Perceived Ad Effectiveness: Evidence From the
           Truth FinishIt Campaign
    • Authors: Jessica M. Rath, Molly P. Green, Donna M. Vallone, Jodie Briggs, Maureen Palmerini, John Geraci, Lindsay Pitzer, Elizabeth C. Hair
      First page: 1152
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Examine association between emotional valence and intensity prompted by anti-tobacco advertising messages and perceived ad effectiveness among youth/young adults.Design:Online forced-exposure survey data from a nationally weighted, cross-sectional sample of youth/young adults, collected periodically over a 4-year period.Setting:National.Participants:Thirty-seven cross-sectional surveys conducted online from June 2015 to January 2018; total N = 9534. All participants, aged 15 to 21, were in the intervention; no control group.Intervention:Individuals participating in premarket testing of truth ads were forced exposed to one of 37 anti-tobacco ads.Measures:Emotional response, emotional intensity, and perceived ad effectiveness. Emotional response has been previously studied and measured. Including the discrete measure of “concerned” in positive emotions is unique to our study. It patterned with the other positive emotions when each ad was examined by each emotion. Intensity as measured in this study through the 5-point scale (“how much does this ad make you feel”) is unique in the anti-tobacco ad literature. Although several past studies ranked the degree of emotion elicited by ads, they have not incorporated the intensity of emotion as reported by the participant themselves. The scale was used to determine whether perceived ad effectiveness is similar to those used in previous studies.Analysis:Linear regressions were estimated to assess type of emotional sentiment and level of intensity in relation to perceived effectiveness of the message.Results:All 9534 participants were exposed; no control group. The βs indicate how strongly the emotion variable influences the study outcome of perceived ad effectiveness. Positive emotions (β = .76) were more highly associated with perceived ad effectiveness (β = .06). Higher intensity with positive emotional sentiment and high-intensity negative produced the highest scores for perceived ad effectiveness (β = .30).Conclusion:Eliciting a positive, high-impact emotional response from viewers can help improve perceived effectiveness, and in turn, overall ad effectiveness.
      Citation: American Journal of Health Promotion
      PubDate: 2019-07-24T03:48:39Z
      DOI: 10.1177/0890117119864919
  • Training Texas Public Health Professionals and Professionals-In-Training
           in Genomics
    • Authors: Lei-Shih Chen, Yu-Lyu Yeh, Patricia Goodson, Shixi Zhao, Eunju Jung, Amber Muenzenberger, Oi-Man Kwok, Ping Ma
      First page: 1159
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:The purpose of this study is to evaluate the effects of genomics training workshops for public health professionals and professionals-in-training.Design:A pre- and post-test evaluation design with 3-month follow-up.Setting and Participants:Thirteen genomics training workshops were delivered across Texas to 377 public health professionals and professionals-in-training (66.7% were ethnic minorities).Intervention:Three-hour theory-based, face-to-face genomics training workshops focusing on family health history practice were delivered.Methods:We administered surveys prior to the workshops, immediately post-workshops, and at 3-month follow-up to examine the changes in participants’ knowledge, attitudes, intention, self-efficacy, and behavior in adopting genomics into public health practice. Linear mixed modeling analyses were used to analyze the quantitative survey data. A content analysis was also conducted for qualitative survey data analysis.Results:Genomics practice significantly improved among public health professionals at 3-month follow-up (P < .01). For all participants, knowledge, attitudes, intention, and self-efficacy scores increased significantly immediately post-workshop compared to the pre-workshop scores (all Ps < .01). Knowledge and attitudes scores at the 3-month follow-up remained significantly higher than those scores at the pre-workshop (all Ps < .01). The feedback from workshop participants was positive.Conclusion:Our genomics training workshop is an effective program that can be disseminated at a national level to establish genomic competencies among public health professionals and professionals-in-training in the United States.
      Citation: American Journal of Health Promotion
      PubDate: 2019-07-09T04:31:16Z
      DOI: 10.1177/0890117119860040
  • Food Service Guideline Policies on Local Government–Controlled
    • Authors: Hatidza Zaganjor, Katherine Bishop Kendrick, Stephen Onufrak, Julie Ralston Aoki, Laurie P. Whitsel, Joel Kimmons
      First page: 1166
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Local governments can implement food service guideline (FSG) policies, which, in large cities, may reach millions of people. This study identified FSG policies among the 20 largest US cities and analyzed them for key FSG policy attributes.Design:Quantitative research.Setting:Local government facilities.Participants:Twenty largest US cities.Measures:Frequency of FSG policies and percent alignment to tool.Analysis:Using municipal legal code libraries and other data sources, FSG policies enacted as of December 31, 2016, were identified. Full-text reviews were conducted of identified policies to determine whether they met inclusion criteria. Included policies were analyzed for key policy attributes specific to nutrition, behavioral design, implementation, and facility efficiency.Results:Searches identified 469 potential FSG policies, of which 6 policies across 5 cities met inclusion criteria. Five policies met a majority of criteria assessed by the classification tool. Overall alignment to the tool ranged from 17% to 88%. Of the 6 policies, 5 met a majority of the nutrition attributes and 5 met at least 50% of attributes associated with implementation. No policies met the attributes associated with facility efficiency.Conclusion:The FSG policies were identified in 5 of the 20 US cities. Policy alignment was high for nutrition and implementation attributes. This analysis suggests that when cities adopt FSG policies, many develop policies that align with key policy attributes. These policies can serve as models for other jurisdictions to create healthier food access through FSGs.
      Citation: American Journal of Health Promotion
      PubDate: 2019-08-02T02:38:15Z
      DOI: 10.1177/0890117119865146
  • Secular Trends in Sedentary Behavior Among High School Students in the
           United States, 2003 to 2015
    • Authors: Seungho Ryu, Heontae Kim, Minsoo Kang, Zeljko Pedisic, Paul D. Loprinzi
      First page: 1174
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To evaluate secular trends in recreational sedentary behavior among high school students in the United States between 2003 and 2015.Design:A series of cross-sectional assessments over a 12-year period.Setting:Data from the 2003 to 2015 Youth Risk Behavior Surveillance System was used.Participants:Samples of 10 978 to 14 894 adolescents, drawn every 2 years: 2003 to 2015.Measures:The evaluated recreational self-reported sedentary behaviors included TV hours and computer hours that are not schoolwork.Results:For the entire sample, and using polynomial orthogonal coefficients via regression modeling, there was an upward linear trend for total sedentary behavior hours (β = 0.03; p = .001), a downward linear trend in TV watching (β = −0.06; p < .001), and an upward linear trend in computer use (β = 0.08; p < .001) from 2003 to 2015. Similar linear trends (p < .001) were observed across several subpopulations, including the groups by gender, race/ethnicity, and body mass index. However, various subpopulations differed in TV watching, with black or African American, and obese adolescents having the highest TV watching hours, respectively (eg, 3.82 h/d vs 3.13 h/d in 2015; blacks vs whites; p < .05). Various subpopulations also differed in computer use, with obese adolescents (4.26 h/d in 2015) having the highest computer use.Conclusion:There were significant changes from 2003 to 2015 in sedentary behavior patterns in the US adolescent population. Total recreational sedentary behavior increased in this period. Specifically, TV viewing decreased while computer use increased. Continued monitoring of sedentary behavior trends is needed to better understand the changing behaviors of American adolescents and how they relate to changes chronic disease risk.
      Citation: American Journal of Health Promotion
      PubDate: 2019-06-12T01:31:34Z
      DOI: 10.1177/0890117119854043
  • Chronic Pain, Physical Activity, and All-Cause Mortality in the US Adults:
           The NHANES 1999-2004 Follow-Up Study
    • Authors: Youngdeok Kim, Masataka Umeda
      First page: 1182
      Abstract: American Journal of Health Promotion, Ahead of Print.

      Citation: American Journal of Health Promotion
      PubDate: 2019-05-31T05:31:24Z
      DOI: 10.1177/0890117119854041
  • Americans’ Trust in Health Information Sources: Trends and
           Sociodemographic Predictors
    • Authors: Devlon N. Jackson, Emily B. Peterson, Kelly D. Blake, Kisha Coa, Wen-Ying Sylvia Chou
      First page: 1187
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To assess the public’s trust in health information sources (ie, government health agencies, doctors, family/friends, charitable organizations, and religious leaders/organizations) from 2005 to 2015 and identify sociodemographics factors associated with high trust.Design:Cross-sectional.Setting:Health Information National Trends Survey, a US nationally representative publicly available data on health-related knowledge, behaviors, and attitudes.Participants:Data included 5 iterations (2005-2015) of US adults (2005: N = 5586, 2008: N = 7764, 2011: N = 3959, 2013: N = 3185, and 2015: N = 3738).Measures:Outcome variables were high trust in health information sources and independent variables were sociodemographics.Analysis:A descriptive analysis was conducted to track changes in trust over the past decade. The χ2 and multivariable logistic regression were conducted to assess sociodemographic associations in 2015.Results:Trust in health information across all sources remained stable from 2005 to 2015. Doctors were the most trusted source, followed by government health agencies. Sociodemographics were independently associated with trust. For example, non-Hispanic blacks were more likely to trust charitable organizations (odds ratio [OR] = 2.32, confidence interval [CI] = 1.42-3.79) and religious leaders/organizations (OR = 3.57, CI = 1.20-10.57) compared to non-Hispanic whites. In addition, those with less than high school education (OR = 2.44, CI = 1.32-4.52) were more likely than college graduates to report trust in religious leaders/organizations.Conclusion:Although there are analytic limitations to the specific time periods, the findings demonstrate that public health communication practitioners must consider the role of source credibility among priority populations when disseminating and promoting information.
      Citation: American Journal of Health Promotion
      PubDate: 2019-07-24T03:47:57Z
      DOI: 10.1177/0890117119861280
  • Likelihood of Meeting Physical Activity Guidelines of Veterans Who Are
           Obese by Disability Status
    • Authors: Vijay Vasudevan, Erin Bouldin, Shannon Bloodworth, Linda Rocafort
      First page: 1194
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:The purpose of this study was to explore the likelihood of meeting the physical activity guidelines in veterans who are obese by disability status.Design:We used data from the 2017 Behavioral Risk Factor Surveillance System, a cross-sectional telephone survey. The mean response rate was 44.9%.Setting:Respondents came from all 50 states, District of Columbia, and 3 US territories.Patients:Respondents included veterans self-reporting being obese (N = 13 798).Measures:We created a mutually exclusive disability variable: no disability, multiple disability, and limitations only with hearing, vision, cognitive, mobility, Activities of Daily Living, or Instrumental Activities of Daily Living. Physical activity guidelines were defined as 150 minutes/week of aerobic activity and 2 days/week of strength activities.Analysis:Prevalence ratios (PRs) were calculated by performing separate log-binomial regression models for meeting strength and aerobic recommendations on veterans who were obese.Results:Obese veterans with mobility limitations only or multiple disabilities were significantly less likely to meet the aerobic (PR = 0.74, P = .002 and PR = .62, P = .021, respectively) or strength (PR = .76, P < .001 and PR = 0.74, P < .001, respectively) recommendations, compared to not having a disability (n = 7964).Conclusions:Inactivity could be explained by a lack of inclusive weight loss programs for veterans with disabilities and barriers to physical activity encountered by people with disabilities. Two primary limitations of this study are self-report of obesity and physical activity and exclusion of adults in institutional settings.
      Citation: American Journal of Health Promotion
      PubDate: 2019-07-09T04:31:56Z
      DOI: 10.1177/0890117119861565
  • Concepts of Mental Demands at Work That Protect Against Cognitive Decline
           and Dementia: A Systematic Review
    • Authors: Felix S. Hussenoeder, Steffi G. Riedel-Heller, Ines Conrad, Francisca S. Rodriguez
      First page: 1200
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Objective:Workplace-related mental demands (WPMDs) are considered to be protective factors for cognitive health in old age and are linked to delayed onset of dementia. Yet, what exactly is meant by WPMDs differs greatly between studies, putting an enormous challenge on researchers and practitioners. Aim of our study was thus to create a systematic overview on WPMD concepts and to depict their associations with dementia and cognitive decline. Thereby, we want to create a solid basis for further work and implementation.Data Source:PubMed, PsycINFO, Web of Science.Inclusion/Exclusion Criteria:We included observational studies with populations older than 18 that addressed the association between WPMDs and dementia/cognitive functioning and that were published as journal articles. We excluded studies with emotional and physical demands, stress, and organizational frameworks such as exposure variables and quality of life, depressive symptoms, burnout, and Parkinson as outcome. Furthermore, we excluded study populations younger than 18 and students.Data Extraction:Standardized search string.Data Synthesis:Based on theoretical concepts.Results:Thirty-four studies that employed concepts of WPMDs in 5 different categories: complexity with people/data/things, cognitive demands, job control, novelty, and mental workload.Discussion:Challenges associated with categorizing WPMDs as well as theoretical and measurement-related implications are discussed.Conclusion:This review helps to better understand how workplaces can contribute to later life cognitive fitness, and it offers a conceptual overview for practitioners that want to create more protective working environments or improve existing ones.
      Citation: American Journal of Health Promotion
      PubDate: 2019-07-11T03:52:52Z
      DOI: 10.1177/0890117119861309
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