Subjects -> HEALTH AND SAFETY (Total: 1540 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (86 journals)
    - HEALTH AND SAFETY (721 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (390 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (108 journals)
    - PHYSICAL FITNESS AND HYGIENE (131 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (721 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 4)
Acta Informatica Medica     Open Access   (Followers: 2)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 3)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 12)
Advances in Public Health     Open Access   (Followers: 28)
Adversity and Resilience Science : Journal of Research and Practice     Hybrid Journal   (Followers: 3)
African Health Sciences     Open Access   (Followers: 5)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 3)
Ageing & Society     Hybrid Journal   (Followers: 47)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 7)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
Akademika     Open Access   (Followers: 1)
American Journal of Family Therapy     Hybrid Journal   (Followers: 10)
American Journal of Health Economics     Full-text available via subscription   (Followers: 21)
American Journal of Health Education     Hybrid Journal   (Followers: 36)
American Journal of Health Promotion     Hybrid Journal   (Followers: 34)
American Journal of Health Sciences     Open Access   (Followers: 12)
American Journal of Health Studies     Full-text available via subscription   (Followers: 16)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 32)
American Journal of Public Health     Full-text available via subscription   (Followers: 279)
American Journal of Public Health Research     Open Access   (Followers: 28)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 6)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 8)
Annales des Sciences de la Santé     Open Access  
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 14)
Annals of Health Law     Open Access   (Followers: 6)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15)
Applied Biosafety     Hybrid Journal   (Followers: 1)
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 5)
Apuntes Universitarios     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Community Medicine and Public Health     Open Access   (Followers: 2)
Archives of Medicine and Health Sciences     Open Access   (Followers: 5)
Archives of Suicide Research     Hybrid Journal   (Followers: 10)
Archivos de Prevención de Riesgos Laborales     Open Access   (Followers: 1)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 11)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 5)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 12)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Asian Journal of Medicine and Health     Open Access   (Followers: 1)
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 6)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 5)
Autism & Developmental Language Impairments     Open Access   (Followers: 16)
Behavioral Healthcare     Full-text available via subscription   (Followers: 8)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Biosafety and Health     Open Access   (Followers: 5)
Biosalud     Open Access   (Followers: 1)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 7)
BMC Pregnancy and Childbirth     Open Access   (Followers: 24)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 12)
Boletin Médico de Postgrado     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
British Journal of Health Psychology     Hybrid Journal   (Followers: 50)
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 23)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos de Saúde     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 14)
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 14)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 3)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 27)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 2)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
Case Studies in Fire Safety     Open Access   (Followers: 25)
CASUS : Revista de Investigación y Casos en Salud     Open Access   (Followers: 1)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
CES Salud Pública     Open Access   (Followers: 1)
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 11)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia & Salud     Open Access   (Followers: 2)
Ciencia & Trabajo     Open Access   (Followers: 1)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud     Open Access   (Followers: 4)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
Cities & Health     Hybrid Journal   (Followers: 2)
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clocks & Sleep     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 6)
Conflict and Health     Open Access   (Followers: 8)
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Cuaderno de investigaciones: semilleros andina     Open Access   (Followers: 3)
Cuadernos de la Escuela de Salud Pública     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 10)
Current Opinion in Environmental Science & Health     Hybrid Journal   (Followers: 1)
Das österreichische Gesundheitswesen ÖKZ     Hybrid Journal   (Followers: 1)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Design for Health     Hybrid Journal  
Digital Health     Open Access   (Followers: 9)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 14)
Diversity and Equality in Health and Care     Open Access   (Followers: 9)
Diversity of Research in Health Journal     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 3)
Drogues, santé et société     Open Access   (Followers: 2)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 26)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 24)
EcoHealth     Hybrid Journal   (Followers: 5)
Education for Health     Open Access   (Followers: 9)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência : Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 4)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 6)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 22)
EsSEX : Revista Científica     Open Access   (Followers: 1)
Estudios sociales : Revista de alimentación contemporánea y desarrollo regional     Open Access   (Followers: 1)
Ethics & Human Research     Hybrid Journal   (Followers: 3)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 7)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 8)
Ethnicity & Health     Hybrid Journal   (Followers: 14)
Eurasian Journal of Health Technology Assessment     Open Access  
EUREKA : Health Sciences     Open Access   (Followers: 2)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 5)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 9)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Hybrid Journal   (Followers: 14)
Family Medicine and Community Health     Open Access   (Followers: 10)
Family Relations     Partially Free   (Followers: 15)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 19)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Digital Health     Open Access   (Followers: 2)
Frontiers in Public Health     Open Access   (Followers: 9)
Frontiers of Health Services Management     Partially Free   (Followers: 4)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access   (Followers: 1)
Ganesha Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access   (Followers: 1)
Gestão e Desenvolvimento     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Advances in Health and Medicine     Open Access  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 8)
Global Health Annual Review     Open Access   (Followers: 4)
Global Health Journal     Open Access   (Followers: 2)
Global Health Promotion     Hybrid Journal   (Followers: 17)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 14)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 9)
Global Reproductive Health     Open Access   (Followers: 1)
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Global Transitions     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 9)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 5)
HCU Journal     Open Access  
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 19)
Health & Justice     Open Access   (Followers: 6)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 15)
Health and Human Rights     Open Access   (Followers: 10)
Health and Research Journal     Open Access   (Followers: 4)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 11)
Health and Social Work     Hybrid Journal   (Followers: 71)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 5)
Health Behavior Research     Open Access   (Followers: 6)

        1 2 3 4 | Last

Similar Journals
Journal Cover
American Journal of Health Promotion
Journal Prestige (SJR): 0.807
Citation Impact (citeScore): 1
Number of Followers: 34  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0890-1171 - ISSN (Online) 2168-6602
Published by Sage Publications Homepage  [1100 journals]
  • In Briefs
    • Pages: 157 - 162
      Abstract: American Journal of Health Promotion, Volume 35, Issue 2, Page 157-162, February 2021.

      Citation: American Journal of Health Promotion
      PubDate: 2021-02-08T11:50:07Z
      DOI: 10.1177/0890117120984279
      Issue No: Vol. 35, No. 2 (2021)
       
  • Should We Worry About Setting' Association of Program Fidelity with
           Youths’ Satisfaction and Intention to Practice Safer Sex
    • Authors: Nazratun Nayeem Monalisa, Mark Michael Macauda
      Pages: 168 - 171
      Abstract: American Journal of Health Promotion, Volume 35, Issue 2, Page 168-171, February 2021.
      Purpose:To examine whether deviation from fidelity in the implementation of an evidence-based program on safer sex education affected youth satisfaction and intention to avoid risky sexual behaviors.Design:Implementation evaluation.Setting:In-school and out-of-school settings in South Carolina.Participants:Three thousand seventy-three youths aged 10 to 14 years.Intervention:Making Proud Choices.Measures:Fidelity variables were implementation setting, program length, class size, gender composition, and curriculum adaptations. Outcome variables were youth program satisfaction and intentions to remain abstinent or avoid risky sexual behaviors postintervention.Analysis:Chi-square and t tests tested in-school and out-of-school comparisons. Multiple linear regression examined predictors of youth program satisfaction and intention to avoid risky behaviors.Results:Program duration (B = .002), class size (B = .074), program completion rate (B = .004), gender (B = .223), and race (B = .263) predicted program satisfaction (P < .05; R2 = 0.094). Longer program duration was negatively associated with planned abstinence (B = −.002), contraception use (B = −.004), and condom use (B = −.002). Participants in single-gender classes (B = .387) and females (B = .256) were more likely to practice safer sex. Low R2 showed limited impact on intention to practice safer sex (R2 = .030 and.015) and remaining abstinent (R2 = .033).Conclusion:Although fidelity deviations do impact youth satisfaction and intentions, the impact is not large. Implementations adapted to fit local settings can still be beneficial.
      Citation: American Journal of Health Promotion
      PubDate: 2021-02-08T11:46:27Z
      DOI: 10.1177/0890117120936944
      Issue No: Vol. 35, No. 2 (2021)
       
  • Knowing Well, Being Well: well-being born of understanding: Addressing
           Mental Health and Substance Use Disorders Amid and Beyond the COVID-19
           Pandemic
    • Authors: Sara S. Johnson, Mark É. Czeisler, Mark E. Howard, Shantha M. W. Rajaratnam, Jennifer A. Sumner, Karestan C. Koenen, Laura D. Kubzansky, Heidi Mochari-Greenberger, Reena L. Pande, Gary Mendell
      Pages: 299 - 319
      Abstract: American Journal of Health Promotion, Volume 35, Issue 2, Page 299-319, February 2021.

      Citation: American Journal of Health Promotion
      PubDate: 2021-02-08T11:50:05Z
      DOI: 10.1177/0890117120983982
      Issue No: Vol. 35, No. 2 (2021)
       
  • Addressing Mental Health and Substance Use Disorders Amid and Beyond the
           COVID-19 Pandemic
    • Authors: Sara S. Johnson
      Pages: 299 - 301
      Abstract: American Journal of Health Promotion, Volume 35, Issue 2, Page 299-301, February 2021.

      Citation: American Journal of Health Promotion
      PubDate: 2021-02-08T11:48:03Z
      DOI: 10.1177/0890117120983982a
      Issue No: Vol. 35, No. 2 (2021)
       
  • Mental Health During the COVID-19 Pandemic: Challenges, Populations at
           Risk, Implications, and Opportunities
    • Authors: Mark É. Czeisler, Mark E. Howard, Shantha M. W. Rajaratnam
      Pages: 301 - 311
      Abstract: American Journal of Health Promotion, Volume 35, Issue 2, Page 301-311, February 2021.

      Citation: American Journal of Health Promotion
      PubDate: 2021-02-08T11:47:38Z
      DOI: 10.1177/0890117120983982b
      Issue No: Vol. 35, No. 2 (2021)
       
  • The Long Arm of Mental Health: New Urgency With the COVID-19 Pandemic
    • Authors: Jennifer A. Sumner, Karestan C. Koenen, Laura D. Kubzansky
      Pages: 311 - 312
      Abstract: American Journal of Health Promotion, Volume 35, Issue 2, Page 311-312, February 2021.

      Citation: American Journal of Health Promotion
      PubDate: 2021-02-08T11:48:02Z
      DOI: 10.1177/0890117120983982c
      Issue No: Vol. 35, No. 2 (2021)
       
  • Behavioral Health in America During the COVID-19 Pandemic: Meeting
           Increased Needs Through Access to High Quality Virtual Care
    • Authors: Heidi Mochari-Greenberger, Reena L. Pande
      Pages: 312 - 317
      Abstract: American Journal of Health Promotion, Volume 35, Issue 2, Page 312-317, February 2021.

      Citation: American Journal of Health Promotion
      PubDate: 2021-02-08T11:47:37Z
      DOI: 10.1177/0890117120983982d
      Issue No: Vol. 35, No. 2 (2021)
       
  • Addressing the Addiction Crisis During a Pandemic
    • Authors: Gary Mendell
      Pages: 317 - 319
      Abstract: American Journal of Health Promotion, Volume 35, Issue 2, Page 317-319, February 2021.

      Citation: American Journal of Health Promotion
      PubDate: 2021-02-08T11:47:37Z
      DOI: 10.1177/0890117120983982e
      Issue No: Vol. 35, No. 2 (2021)
       
  • Psychological Stress and Lowered Physical Activity Enjoyment in
           Adolescents With Overweight/Obesity
    • Authors: Tiwaloluwa A. Ajibewa, Lexie R. Beemer, Kendrin R. Sonneville, Alison L. Miller, Claudia Toledo-Corral, Leah E. Robinson, Rebecca E. Hasson
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:The purpose of this study was 2-fold: 1) to determine the cross-sectional associations between psychological stress, physical activity enjoyment, and physical activity participation [moderate-to-vigorous physical activity (MVPA), total physical activity (TPA)]; and 2) to determine the moderating effect of physical activity enjoyment on the associations between stress, MVPA, and TPA in adolescents with overweight/obesity.Design:Cross-sectional, secondary data analysis of the Health and Culture Project and the Stress, Obesity, and Diabetes in Adolescents study.Sample:One hundred and ten adolescents (73% female; 65.4% non-white; age 15.8 ± 1.9 years) with overweight/obesity (BMI percentile ≥ 85th percentile) were included in this analysis.Measures:Psychological stress was assessed using the Perceived Stress Scale (PSS-14); enjoyment was measured via the Physical Activity Enjoyment Scale; and MVPA and TPA were objectively measured using accelerometry over a minimum of 4 days.Results:Higher perceived stress was associated with lower physical activity enjoyment (β = −0.41 ± 0.15; p = 0.008). Stress was not associated with MVPA or TPA (ps> 0.05), nor was enjoyment a significant moderator in the associations between stress and MVPA or stress and TPA (pinteraction> 0.05).Conclusions:These findings suggest that psychological stress is associated with lower physical activity enjoyment among adolescents with overweight/obesity. Longitudinal studies are needed to understand the long-term effects of stress on psychological factors that may serve as antecedents to physical activity participation among adolescents with overweight/obesity.
      Citation: American Journal of Health Promotion
      PubDate: 2021-02-25T09:28:15Z
      DOI: 10.1177/0890117121997042
       
  • A Meta-Analytic Review of Interventions That Promote Meaning in Life
    • Authors: Nicholas Manco, Sherry Hamby
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Objective:Increasing meaning in life (MiL) among people experiencing disease or adversity may improve coping and resilience. The purpose of this review is to characterize the effects of MiL interventions.Data Source:A systematic search of PubMed, PsycInfo, and Google Scholar was conducted encompassing the following parameters: meaning in life, purpose in life, or sense of purpose with randomized controlled trials.Study Inclusion & Exclusion Criteria:Randomized controlled trials (RCTs) of interventions with at least one outcome that measured improvement in MiL and were published in English between January 2000 and January 2020.Data Extraction & Synthesis:33 randomized controlled trials (k = 35) were identified. Data were coded by authors and a research assistant for intervention type, control group type, and risk of bias. The random effects model of Review Manager 5.3 was used to produce SMD and evaluate heterogeneity.Results:The effect size for studies with a passive control group was SMD = 0.85 (95% CI 0.54 to 1.17) and for studies with an active control group was SMD = .032 (95% CI 0.09 to 0.55). Mindfulness programs produced the largest effect size (1.57) compared to passive controls, while narrative programs produced the largest effect relative to active controls (0.61). There was considerable heterogeneity in most estimates.Conclusion:Several interventions increase MiL, including some that are relatively brief and do not require licensed professionals.
      Citation: American Journal of Health Promotion
      PubDate: 2021-02-25T09:20:05Z
      DOI: 10.1177/0890117121995736
       
  • Leisure-Time Physical Activity Reduces the Risk of Long-Term Sickness
           Absence Among Older Healthy Female Eldercare Workers
    • Authors: Rubén López-Bueno, Thomas Clausen, Joaquín Calatayud, José A. Casajús, Lars L. Andersen
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:This study aimed to examine the association between leisure-time physical activity (PA) and risk of long-term sickness absence (LTSA).Design:Data on LTSA (≥3 consecutive weeks during a 1-year follow-up) were acquired from the Danish Register for Evaluation of Marginalization and linked to a questionnaire via personal identification number.Setting:Eldercare workers from 36 Danish municipalities.Subjects:Data were retrieved from 4605 healthy Danish female eldercare (i.e., workers assisting senior citizens with daily activities and health) aged 19 to 69 years, who answered a questionnaire on health, and work environment in 2005.Measures:Calculated risk of LTSA and its association with self-reported leisure-time PA.Analysis:A Cox proportional hazards model was used to calculate adjusted hazard ratios (HR) and 95% confidence intervals (95% CI).Results:Eldercare workers showed significantly reduced risk of LTSA when performing moderate (HR = 0.67, 95%CI 0.47-0.96), and vigorous leisure-time PA (HR = 0.45, 95%CI 0.25-0.81) (reference group: sedentary). In subgroup analyses, females over 45 years showed a risk reduction of LTSA for moderate (HR = 0.54, 95%CI 0.32-0.90), and vigorous leisure-time PA (HR = 0.43, 95%CI 0.18-0.99), whereas younger eldercare workers did not show significant risk reductions for either moderate (HR = 0.86, 95%CI 0.51-1.43) or vigorous leisure-time PA (HR = 0.50, 95%CI 0.21-1.16) in the fully adjusted model.Conclusions:The results indicate that moderate and, particularly, vigorous leisure-time PA reduced risk of LTSA in eldercare workers aged over 45 years.
      Citation: American Journal of Health Promotion
      PubDate: 2021-02-22T09:42:21Z
      DOI: 10.1177/0890117121995789
       
  • The Magnitude and Determinants of Partial Redemptions of Food Benefits in
           the Special Supplemental Nutrition Program for Women, Infants and Children
           (WIC)
    • Authors: Xuemei Li, Patrick W. McLaughlin, Tina L. Saitone, Richard J. Sexton
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:WIC provides food assistance to low-income pregnant and postpartum women, infants, and children ages 1- 4. A partial redemption (PR) occurs when a participant redeems only a portion of the prescribed benefit, thereby not obtaining the full nutritional benefit. We study the magnitude and determinants of PRs using electronic benefit transfer data.Design/Setting:Statistical analysis of all WIC transactions from Feb 2016 to Nov 2018.Subjects:Oklahoma WIC participants.Measures:The probability of a WIC household fully redeeming a food category. A random effects probit model is used to study determinants of PRs.Analysis:Estimate the marginal effects of key variables on households’ likelihood of full redemption: location—urban/rural, number of members in WIC, duration in the program, number of shopping trips, shopping venue, and prescribed foods.Results:Overall 18.5% of $ value of benefits are unredeemed, 29.3% excluding formula. Some foods have PRs> 40%. Only 17.3% of households fully redeem benefits in a given month. PRs increase with number of household members in WIC and duration of participation. PRs are lower for participants in rural locations, who shop more frequently, and who shop at WIC-specialized stores.Conclusions:Food packages with high PRs fail to impart prescribed benefits. Results pinpoint products and household characteristics associated with PRs, enabling targeted nutritional counseling and suggest food package choices need to be made with participant acceptance in mind.
      Citation: American Journal of Health Promotion
      PubDate: 2021-02-22T09:38:18Z
      DOI: 10.1177/0890117121992307
       
  • Redefining Basic Needs for Higher Education: It’s More Than Minimal Food
           and Housing According to California University Students
    • Authors: Suzanna M. Martinez, Erin E. Esaryk, Laurel Moffat, Lorrene Ritchie
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:A student-specific definition of basic needs for higher education is warranted to inform programs and policies for underserved students. The purpose of this study was to: 1) explore how students define basic needs, 2) understand experiences of housing insecurity, and 3) understand experiences of food insecurity within the context of housing insecurity.Design:Qualitative research elicited student perceptions of basic needs and experiences of housing and food insecurity.Setting:Focus group discussions were conducted at 5 University of California campuses between February and March 2019.Participants:Undergraduate (n = 37) and graduate (n = 21) students were recruited from campus basic needs centers.Methods:Each student completed a brief survey. Researchers conducted 11 focus groups using a semi-structured interview guide. Transcripts were coded to identify themes.Results:Students were female (76%), age 23.6 (SD = 5.8) years; 46% were Pell grant recipients; and 52% were first-generation college students. Most had experienced food insecurity (98%) and 26% had experienced homelessness. Eight themes were identified: 1) students define basic needs as more than minimal food and shelter and as the responsibility of students and the university, 2) students encounter multifaceted housing insecurity issues, 3) affording rent is a priority that most often leads to experiencing food insecurity, 4) transportation barriers interfere with meeting students’ basic needs to succeed as students, 5) students with nontraditional characteristics, graduate students, and out-of-state students face unique challenges in meeting basic needs, 6) limited financial aid and lack of financial aid guidance are barriers to meeting basic needs, 7) fees contribute additional challenges to students meeting basic needs, and 8) additional university basic needs services are essential.Conclusion:A student-informed definition of basic needs included food, housing, mental health, sleep, hygiene, and transportation. This understanding of basic needs can inform future research, programs, and policy to address housing insecurity in higher education.
      Citation: American Journal of Health Promotion
      PubDate: 2021-02-22T09:37:39Z
      DOI: 10.1177/0890117121992295
       
  • COVID-19: Are Non-Communicable Diseases Risk Factors for Its Severity'
    • Authors: Bashir Bello, Ushotanefe Useh
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Objective:To identify and describe the mechanisms of lifestyle characteristics—obesity, DM, hypertension and physical inactivity—that may lead to the severity of illness among individuals with COVID-19.Data Source:A scoping review was conducted by searching electronic databases of PubMed and Scopus from December 2019 to August 2020.Inclusion/Exclusion Criteria:inclusion criteria were studies that explicitly describe the mechanism of COVID—19 in relationship with either hypertension, type 2 diabetes mellitus type 2 (DM), obesity and/or physical inactivity. Studies of epidemiological background, descriptive surveys and interventional studies were excluded.Data Extraction:study characteristics were tabulated according to purpose, type of non-communicable diseases (NCDs), the hypothesis on the mechanism of infestation (MOI) and conclusion.Data Synthesis:NCDs were categorized according to type and hypothesis on mechanisms of infestation. The interplay between COVID—19, type of NCDs and MOI leading to the severity of the disease was appraised.Results:Twenty-four (24) studies were identified from 357 unique records. Eight studies postulated the mechanism of infestation and interaction between COVID 19 illness severity and Obesity, while 7 studies described COVID—19 and DM. Five studies highlighted the interaction between COVID—19 and hypertension with 4 studies showing how physical activity restriction suppresses immunity.Conclusion:The current review, identified and explicitly described the mechanisms of the lifestyle characteristics that may increase the severity of illness among people with COVID-19.
      Citation: American Journal of Health Promotion
      PubDate: 2021-02-12T10:12:54Z
      DOI: 10.1177/0890117121990518
       
  • Associations Between Self-Reported Sleep Duration and Mortality in
           Employed Individuals: Systematic Review and Meta-Analysis
    • Authors: Paula R. Pienaar, Tracy L. Kolbe-Alexander, Willem van Mechelen, Cécile R. L. Boot, Laura C. Roden, Estelle V. Lambert, Dale E. Rae
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Objective:Sleeping less or more than the 7-8 h has been associated with mortality in the general population, which encompasses diversity in employment status, age and community settings. Since sleep patterns of employed individuals may differ to those of their unemployed counterparts, the nature of their sleep-mortality relationship may vary. We therefore investigated the association between self-reported sleep duration and all-cause mortality (ACM) or cardiovascular disease mortality (CVDM) in employed individuals.Data sources:Based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses, searches between January 1990 and May 2020 were conducted in PubMed, Web of Science and Scopus. Inclusion/exclusion criteria: Included were prospective cohort studies of 18–64-year-old disease-free employed persons with sleep duration measured at baseline, and cause of death recorded prospectively as the outcome. Gray literature, case-control or intervention design studies were excluded.Data Extraction:Characteristics of the studies, participants, and study outcomes were extracted. The quality and risk of bias were assessed using the Newcastle-Ottawa Scale.Data synthesis:The pooled relative risks (RR) with 95% confidence intervals (CI) were obtained with a random-effects model and results presented as forest plots. Heterogeneity and sensitivity analysis were assessed.Results:Shorter sleep duration (≤6 h) was associated with a higher risk for (ACM) (RR: 1.16, 95% CI: 1.11 -1.22) and CVDM (RR: 1.26, 95% CI: 1.12 -1.41) compared to 7-8 h of sleep, with no significant heterogeneity. The association between longer sleep (≥8 h) and ACM (RR: 1.18, 95% CI:1.12 -1.23, P < 0.001) needs to be interpreted cautiously owing to high heterogeneity (I2 = 86.0%, P < 0.001).Conclusion:Interventions and education programs targeting sleep health in the workplace may be warranted, based on our findings that employed individuals who report shorter sleep appear to have a higher risk for ACM and CVDM.
      Citation: American Journal of Health Promotion
      PubDate: 2021-02-11T09:26:41Z
      DOI: 10.1177/0890117121992288
       
  • The 25 Best Books of All Time for Health Promotion Professionals
    • Authors: Paul E. Terry
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Best books lists are the ultimate opinion pieces. In this editorial, this journal’s editorial team go out on a big science limb together and proclaim the 25 books relating to the health promotion profession that we consider “must reads.” While several of our selections are standard bearer textbooks that have informed the training of graduates from Schools of Public Health for several decades, many of our best books finalists are best-selling books that have garnered tremendous accolades in the popular press. This best books list for health promotion professionals has been published on publicly accessible blog sites and I invite readers to visit those sites and weigh in with their reactions and recommendations for books that they believe should be included in future lists.
      Citation: American Journal of Health Promotion
      PubDate: 2021-02-09T09:58:36Z
      DOI: 10.1177/0890117121992225
       
  • The “Best of 2020 List” of Health Promotion Researchers
    • Authors: Paul E. Terry
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Each year, the editorial team of the American Journal of Health Promotion selects our “Best of the Year List” of health promotion studies from the prior year. This editorial features the Editor’s picks, the Editor in Chief’s favorites and other award categories for the research and writing published in 2020 in this journal. Our criteria for selection includes: whether the study addresses a topic of timely importance in health promotion, the research question is clearly stated and the methodologies used are well executed; whether the paper is often cited and downloaded; if the study findings offer a unique contribution to the literature; and if the paper is well-written and enjoyable to read. Awardees in 2020 offered new insights into confronting systemic racism, the impact of state health policies on eating behaviors, the role of leaders in influencing employee health practices and the role of physicians in influencing patient health practices. You will see how researchers are studying psychological and emotional resiliency in ever more specific populations.
      Citation: American Journal of Health Promotion
      PubDate: 2021-02-09T09:57:53Z
      DOI: 10.1177/0890117121992224
       
  • College Students’ Reasons for Using JUULs
    • Authors: Kyra V. Newcombe, Page D. Dobbs, Julia S. Oehlers, Chris M. Dunlap, Marshall K. Cheney
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To identify reasons that college students use JUUL and explore associations between reasons for using JUUL and social and behavioral (tobacco use) factors.Design:On-line, cross-sectional survey.Setting:Large southwestern university in the US.Subjects:Undergraduate students (n = 605) who owned JUUL and used it weekly.Measures:The study measured age of JUUL initiation, JUUL dependence, and use of other e-cigarettes and other tobacco products. Participants described reasons for JUUL use as brief open-ended responses.Analysis:Responses were categorized by 2 researchers using an inductive procedure. Logistic regressions examined associations between demographics and use frequency and categorized reasons for using JUUL.Results:Four reasons for using JUUL emerged: self-help (48.4%), social (30.4%), experience (42.8%), and substance use/addiction (42.3%). Daily JUUL users were 1.66 (95% CI: 1.05-2.63) times as likely to use JUUL for self-help than those who used JUUL 1-3 days/week. Those who had never tried a cigarette were twice (OR = 2.08; 95% CI: 1.22-3.54) as likely as cigarette-first users to use JUUL for social reasons. Males (OR = 1.87; 95% CI: 1.32-2.65) had higher odds of using JUUL for the experience than females, and JUUL and other e-cigarettes users were 4.37 (95% CI: 1.83-10.45) times as likely as JUUL-only users to use JUUL due to substance use/addiction.Conclusion:JUUL users report unique reasons for use (e.g., addiction) not previously reported for older models of e-cigarette devices.
      Citation: American Journal of Health Promotion
      PubDate: 2021-02-04T09:39:53Z
      DOI: 10.1177/0890117121992292
       
  • Influenza Vaccination Among U.S. College or University Students: A
           Systematic Review
    • Authors: En-Jung Shon, Siyoung Choe, Lena Lee, Youn Ki
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Objective:Influenza is one of the major causes of morbidity. This study summarized major components that influence college/university students’ use of the vaccination using Ecological System Theory; and evaluated racial differences in key predictors of influenza vaccination/intention.Data Source:Sixteen engines (e.g., PsycINFO, Academic Search Premier, Science Citation Index) were used to search for cross-sectional studies (2009-2019).Study Inclusion/Exclusion Criteria:PI/CO criteria were applied (U.S. students, multidimensional ecological system, influenza vaccination/intention).Data Extraction:25 cross-sectional studies were included from the initial 810 citations. Four reviewers performed the cross-checking.Data Synthesis and Results:Higher SES (e.g., education, vaccine affordability, healthcare resource) were positively associated with vaccination/intention. Under micro levels, both internal factors (e.g., positive beliefs, perceptions, attitudes) and external factors (e.g., supports/recommendations from physicians, families or peers, information, engagement in campus activities) enhanced influenza vaccination/intention of students. Meso level factors (private university, dorm-residence, or student housing) also influenced influenza vaccination/intention. Despite limited information on the effects of race on influenza vaccination, the current study synthesized the racial variances in vaccination behaviors of students.Conclusions:Enhancing positive beliefs, perceptions, or attitudes toward influenza vaccination with students is critical. Information about the safety and effectiveness of vaccination could be provided for students through official media, medical sources/physicians, campaigns, or internet websites. Family-to-student or peer-to-peer awareness campaigns could facilitate the vaccination of students.
      Citation: American Journal of Health Promotion
      PubDate: 2021-02-03T09:16:33Z
      DOI: 10.1177/0890117120985833
       
  • Health Promotion Practices and Michel Foucault: A Scoping Review
    • Authors: Fernanda Carlise Mattioni, Priscila Tadei Nakata, Liciane Costa Dresh, Rosane Rollo, Liliane Spencer Bittencourt Brochier, Cristianne Famer Rocha
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Objective:To analyze Health Promotion (HP) practices in different settings worldwide, presented in studies that employed the Foucauldian framework.Data Source:Scoping review performed on LILACS, MEDLINE, IBECS, BDENF, SciELO, CINAHL, Embase, Web of Science, and Scopus databases.Study Inclusion and Exclusion Criteria:We included original articles, review articles, reflection articles, and case studies published in English, Portuguese, and Spanish, which addressed HP practices, analyzed using the Foucauldian framework.Data Synthesis:In the numerical synthesis, the characteristics of the included studies were described: number of studies, types of method, year of publication, characteristics of the study population, origin countries, and the HP practices addressed in the articles. The thematic synthesis was organized according to the nature of the HP practices presented and the Foucauldian analysis matrix used.Results:The review covered 34 studies, published between 2006 and 2019, whose analysis resulted in 2 thematic synthesis: 1) HP as a biopolitical strategy in the neoliberal context; 2) HP as an expression of resistance and counter-conduct, presenting tensions, struggles, and power games.Conclusion:The field of HP mostly consists of governmentality practices that reinforce the neoliberal health perspective. Some practices show resistance and counter-conduct in the face of governmentality practices, which explains the power relationships in the field of HP.
      Citation: American Journal of Health Promotion
      PubDate: 2021-02-01T09:51:46Z
      DOI: 10.1177/0890117121989222
       
  • Patients’ Reactions to Being Offered Financial Incentives to Increase
           Colorectal Screening: A Qualitative Analysis
    • Authors: L. Aubree Shay, Kilian J. Kimbel, Caitlin N. Dorsey, Leslie C. Jauregui, Sally W. Vernon, Jeffrey T. Kullgren, Beverly B. Green
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To explore financial incentives as an intervention to improve colorectal cancer screening (CRCS) adherence among traditionally disadvantaged patients who have never been screened or are overdue for screening.Approach:We used qualitative methods to describe patients’ attitudes toward the offer of incentives, plans for future screening, and additional barriers and facilitators to CRCS.Setting:Kaiser Permanente Washington (KPWA).Participants:KPWA patients who were due or overdue for CRCS.Method:We conducted semi-structured qualitative interviews with 37 patients who were randomized to 1 of 2 incentives (guaranteed $10 or a lottery for $50) to complete CRCS. Interview transcripts were analyzed using a qualitative content approach.Results:Patients generally had positive attitudes toward both types of incentives, however, half did not recall the incentive offer at the time of the interview. Among those who recalled the offer, 95% were screened compared to only 25% among those who did not remember the offer. Most screeners stated that staying healthy was their primary motivator for screening, but many suggested that the incentive helped them prioritize and complete screening.Conclusions:Incentives to complete CRCS may help motivate patients who would like to screen but have previously procrastinated. Future studies should ensure that the incentive offer is noticeable and shorten the deadline for completion of FIT screening.
      Citation: American Journal of Health Promotion
      PubDate: 2021-01-28T09:42:14Z
      DOI: 10.1177/0890117120987836
       
  • Media Coverage and Framing of Oakland’s Sugar-Sweetened Beverage
           Tax, 2016-2019
    • Authors: Yuka Asada, Sabira Taher, Andrea Pipito, Jamie F. Chriqui
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To describe media coverage and framing of Oakland, California’s, sugar-sweetened beverage tax.Design:Media content analysis.Sample:Media documents (n = 90), published January 1, 2016-August 31, 2019, were retrieved from Oakland news outlets and ProQuest, NexusUni, EBSCO, and Google.Analysis:Documents were coded using constant comparative analysis in Atlas.ti v8; with descriptive analyses conducted using Stata/SE v. 15.1.Results:Documents were published evenly between pre- and post-ballot periods (n = 45); the majority (n = 47) provided neutral framing. Protax documents (n = 33) highlighted SSB consumption and health associations and countered antitax messaging; antitax documents (n = 10) focused on misinformation and sowing public confusion.Conclusion:Neutral media educates and raises awareness. Published prior to a vote, the media may help influence public opinion regarding SSB taxes. SSB tax media advocacy campaigns, giving particular attention to timing and perspective-based framing, may help to secure adoption and support implementation.
      Citation: American Journal of Health Promotion
      PubDate: 2021-01-13T12:23:05Z
      DOI: 10.1177/0890117120986104
       
  • Physical Activity, Sedentary Time, and Diet as Mediators of the
           Association Between TV Time and BMI in Youth
    • Authors: Carolina M. Bejarano, Jordan A. Carlson, Terry L. Conway, Brian E. Saelens, Karen Glanz, Sarah C. Couch, Kelli L. Cain, James F. Sallis
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:This study examined dietary indicators, sedentary time, and physical activity as potential mediators of the association between TV time and BMIz in youth.Design:Cross-sectional study in 2 independent samples of youth.Setting:Data collection occurred by mail and telephone for adolescents and either at home or in medical settings for children.Sample:928 youth ages 12-16 and 756 youth ages 6-12 and a parent.Measures:TV time, snacking/eating while watching TV, and a 3-day dietary recall were assessed via child/parent report. Physical activity and sedentary time were assessed by accelerometer wear.Analysis:Direct and indirect associations (through 8 diet and activity variables) of TV time with BMIz were tested in boys and girls in each sample.Results:TV time had a positive association with BMIz in 6-12 year old boys and girls. Direct associations emerged between TV time and the diet/activity variables, and between diet/activity variables and BMIz. Snacking/eating while watching TV had a significant positive association with BMIz in younger boys and mediated the association between TV time and BMIz (β = .06, p = .019; 25% attenuation).Conclusions:Snacking/eating while watching TV may be a possible reason TV time is consistently associated with obesity in youth. Targeting reductions in TV time and associated snacking could improve health impacts.
      Citation: American Journal of Health Promotion
      PubDate: 2021-01-11T09:35:04Z
      DOI: 10.1177/0890117120984943
       
  • Anti-Smoking Media Campaigns and Disparities in Smoking Cessation in the
           United States, 2001-2015
    • Authors: David C. Colston, Beomyoung Cho, James F. Thrasher, Andrea R. Titus, Yanmei Xie, Sherry Emery, Michael R. Elliott, Nancy L. Fleischer
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To evaluate sociodemographic differences in the relationship between state and national anti-smoking media campaigns and cessation behaviors among adult smokers in the U.S.Design:Repeated cross-sectional analysis.Setting:U.S. nationally representative survey of adults ages 18 and older, 2001-2015.Subjects:76,278 year-ago smokers from the 2001-2015 Tobacco Use Supplement to the Current Population Survey.Measures:Area-level exposure to State-sponsored and “Tips from former smokers” anti-tobacco media campaigns was the primary predictor of this study. Outcome variables included: quit attempt in the past 12 months, past 30-day smoking cessation, and past 90-day smoking cessation among year-ago smokers.Analysis:We conducted modified Poisson regression models to examine the association between media campaign exposure and cessation behaviors. We also examined effect modification on the additive scale by sex, race/ethnicity, income, and education using average marginal effects.Results:Year-ago smokers with greater exposure to media campaigns were more likely to report 30-day (Prevalence Ratio [PR]: 1.18, CI: 1.03, 1.36) and 90-day cessation (PR: 1.18, CI: 1.00, 1.41) compared to respondents with less campaign exposure. We found no evidence of effect modification by sociodemographic variables.Conclusion:Exposure to anti-smoking media campaigns were associated with year-ago smokers’ cessation behaviors. However, there were no differences in the association by sex, race/ethnicity, income, or education, indicating that broadly focused media campaigns may be insufficient to reduce smoking cessation among priority populations, and thus health disparities generally.
      Citation: American Journal of Health Promotion
      PubDate: 2021-01-08T10:08:10Z
      DOI: 10.1177/0890117120985818
       
  • Impact of Diet and Exercise on Weight and Cognition in Older Adults: A
           Rapid Review
    • Authors: John A. Batsis, Meredith N. Roderka, Vanessa K. Rauch, Lillian M. Seo, Xingyi Li, Peter R. DiMilia, Tyler Gooding, Diane Gilbert-Diamond, Auden C. McClure, Robert M. Roth
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Objective:To determine where the current literature stands in regard to diet/exercise interventions on cognition in overweight or obese individuals.Data Source:A rapid review was conducted of English-language studies published in Medline from January 1965 to January 2020.Study Inclusion and Exclusion Criteria:Included studies were intervention studies lasting ≥12 weeks, with participants aged ≥65 years, with a body mass index ≥25 kg/m2 Data Extraction:Data extracted included study population, duration, intervention design, outcomes, and results.Data Synthesis:Outcomes were qualitatively measured due to paucity of RTC.Results:1845 citations were identified, 31 full-text articles were reviewed, and 5 studies were included. Studies had usual care control groups and combined exercise/diet intervention groups with 31-3,526 participants randomized to each arm. Mean age of participants was 69.2-83.4 years. Studies reporting on cognitive changes showed marginally significant positive changes in cognition, and those that reported BMI indicated potential improvements in cognition.Conclusions:The number of interventions assessing the combined effects of both diet and exercise is low. Future studies should evaluate the impact of combined effects to ascertain whether cognitive decline may be reversed in older adults with a BMI ≥25 kg/m2.
      Citation: American Journal of Health Promotion
      PubDate: 2021-01-08T09:52:28Z
      DOI: 10.1177/0890117120983795
       
  • Wearable Activity Monitor Use Is Associated With the Aerobic Physical
           Activity Guidelines and Walking Among Older Adults
    • Authors: Deena Zytnick, Gayathri S. Kumar, Sara C. Folta, Kieran F. Reid, David Tybor, Virginia R. Chomitz
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To examine wearable activity monitor (WAM) use and its association with meeting the 2008 aerobic Physical Activity Guidelines (PAG) and walking among older adults.Design:Cross-sectional.Setting:FallStyles 2015 national consumer panel survey.Sample:1,317 U.S. adults aged ≥ 60 years.Measures:Self-reported WAM use, meeting aerobic PAG, and walking. Covariates included age, sex, race/ethnicity, education level, marital status, annual household income, and geographic region of the country.Analysis:Chi-square tests to examine associations between WAM use and respondent demographic characteristics. Logistic regressions to explore associations between WAM use and meeting aerobic PAG and walking adjusted for demographics (e.g., education, income).Results:Among older adults, 8.0% were current WAM users and 11.3% were past WAM users. Current WAM use was most prevalent among those aged 65-74 (16.6%), females (9.4%), college graduates (13.8%), and those with incomes $75,000-$99,999 (14.8%). Current WAM users were more likely than never WAM users to report meeting aerobic PAG (OR: 3.98; 95% CI: 2.07, 7.66) and walking (OR: 3.90; 95% CI: 1.57, 9.69). Past and never WAM use were not associated with meeting aerobic PAG or walking.Conclusion:We found current WAM use is associated with meeting the aerobic PAG and walking among older adults. Further longitudinal research is needed to understand whether WAM could promote increased PA among older adults.
      Citation: American Journal of Health Promotion
      PubDate: 2021-01-07T09:46:55Z
      DOI: 10.1177/0890117120985834
       
  • Physical Activity, Sedentary Behavior, and Cardiorespiratory Fitness in
           Hazardous and Non-Hazardous Alcohol Consumers
    • Authors: Mats Hallgren, Davy Vancampfort, Thi-Thuy-Dung Nguyen, Elin Ekblom-Bak, Peter Wallin, Gunnar Andersson, Andreas Lundin
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To describe physical activity habits, sedentary behavior, and cardiorespiratory fitness levels among alcohol abstainers, hazardous and non-hazardous drinkers.Design:Cross-sectional study with data collected between 2017-19.Setting:Sweden.Subjects:Adults aged 18-65 years (n = 47,559; 59.4% male).Measures:During a routine health assessment, participants answered validated single-item questions regarding: habitual physical activity, structured exercise, and the percentage of time spent sedentary during leisure-time (past 30 days), and completed a 6-minute cycle ergometer test (V02max) to determine cardiorespiratory fitness (CRF). Participants were categorized as alcohol abstainers, non-hazardous drinkers or hazardous drinkers (low/high) based on the Alcohol Use Disorders Identification Test (AUDIT-C) cut-points for men and women.Analysis:Logistic regression models stratified by sex and age.Results:Compared to non-hazardous drinkers, the heaviest drinkers were less physically active (males: OR = 1.38, CI = 1.13-1.67, p = .001; females: OR = 1.41, CI = 1.01-1.97, p = .040) and more sedentary during leisure time (males: OR = 1.94, CI = 1.62-2.32, p = .000; females: OR = 1.62, CI = 1.21-2.16, p = .001). Apart from young females, the heaviest drinkers also did less structured exercise than non-hazardous drinkers (males: OR = 1.22, CI = 1.15-1.51, p = .000; females: OR = 1.43, CI = 1.15-1.78, p = .001). The strongest associations were seen among adults aged 40-65 years (shown here). High-hazardous drinking was associated with low CRF among older males only (OR = 1.19, CI = 1.00-1.41).Conclusion:Middle-aged adults with AUDIT-C scores of ≥6 (women) and ≥7 (men) were less physically active and more sedentary during leisure time and may be appropriate targets for physical activity interventions.
      Citation: American Journal of Health Promotion
      PubDate: 2021-01-07T09:44:55Z
      DOI: 10.1177/0890117120985830
       
  • Self-Efficacy, Perceived Barriers to Care, and Health-Promoting Behaviors
           Among Franco-Americans Across Cardiovascular Risk Factors: A
           Cross-Sectional Study
    • Authors: Reed Mszar, Sara Buscher, Dervilla McCann, Heidi L. Taylor
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To assess the prevalence of perceived barriers to accessing health care services, self-efficacy, and health-promoting behaviors among Franco-Americans as a higher-risk group for familial hypercholesterolemia (FH), stratified by cardiovascular risk factors.Design:Cross-sectional survey based on components of the Health Belief ModelSetting:Administered in-person at a Franco-American cultural center and online through mailing lists and social media platforms in the Northeastern United StatesSample:Franco-Americans and French Canadians (n = 170)Measures:Demographic and clinical characteristics (i.e. high cholesterol, prior heart attack or stroke, family history of atherosclerotic cardiovascular disease (ASCVD), diagnosis of FH), perceived barriers to accessing health care services, self-efficacy, and health-promoting behaviors (i.e. taking lipid-lowering medications, seeing a cardiovascular specialist).Results:In a cohort of Franco-Americans, 42 (25%) had both high cholesterol and family history of ASCVD. Among Franco-Americans with both cardiovascular risk factors, 22% had low self-efficacy and only 16% had discussed FH with their physician. Individuals with both risk factors were significantly more likely to report a concern over a future diagnosis as a barrier to accessing health care services when compared with those with neither risk factor (36% vs. 15%, p = 0.014). Overall, other prominent barriers to care included knowledge of when to seek help (27%) and a distrust in medicine (26%).Conclusion:Franco-Americans report significant barriers to accessing health care services. Our findings strengthen the case for developing focused public health strategies to raise awareness for FH, particularly among high-risk subpopulations with unmet cardiovascular needs.
      Citation: American Journal of Health Promotion
      PubDate: 2020-12-30T09:32:48Z
      DOI: 10.1177/0890117120982412
       
  • Willingness of Black and White Adults to Accept Vaccines in Development:
           An Exploratory Study Using National Survey Data
    • Authors: Sandra Crouse Quinn, Yuki Lama, Amelia Jamison, Vicki Freimuth, Veeraj Shah
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Explore acceptability of vaccines in development: cancer, Type II diabetes, Alzheimer’s disease, Lyme disease, Ebola, and obesity. Research questions: To what extent does acceptability vary by vaccine type' To what extent does acceptability of vaccines in development vary by race and other key demographics' To what extent are general vaccine hesitancy and key demographics associated with acceptability of vaccines in development'Design:Cross-sectional online survey administered through GfK’s KnowledgePanel in 2015. Analysis completed in 2020.Subjects:Nationally representative sample of Black and White American adults (n = 1,643).Measures:Willingness to accept a novel vaccine was measured on a 4-point Likert scale. Independent variables included demographics (e.g. age, race, gender) and measures of vaccine hesitancy, trust, and the “Three C’s” of vaccine confidence, complacency, and convenience.Analysis:Exploratory analysis including descriptive statistics and regression modeling.Results:Acceptability varied from 77% for a cancer vaccine to 55% for an obesity vaccine. White race, male gender, older age, having a chronic health condition, and higher socioeconomic status were associated with higher acceptability. Higher vaccine confidence and lower vaccine hesitancy were predictors for acceptability.Conclusion:The success of a vaccine depends on widespread public acceptance. Vaccine hesitancy may hinder acceptance of future vaccines, with significant differences by demographics. Future social science research is necessary to better understand and address vaccine hesitancy.
      Citation: American Journal of Health Promotion
      PubDate: 2020-12-28T09:57:51Z
      DOI: 10.1177/0890117120979918
       
  • Consumer Comprehension of the Nutrition Facts Label: A Comparison of the
           Original and Updated Labels
    • Authors: Elizabeth Jiyoon Kim, Brenna Ellison, Melissa Pflugh Prescott, Rodolfo M. Nayga
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Compare consumers’ overall label comprehension of the original Nutrition Facts (NF) label with the updated label.Design:Online survey conducted in 2019. Participants randomly assigned to original label, updated-single column, or updated-dual column labeling condition and asked to complete a series of label comprehension questions.Setting:Online survey; participants recruited through Prolific.Sample:N = 992 U.S. adults. Sample similar to U.S. population in terms of sex (49.2% female), race (73.3% White/Caucasian), and household size (mean = 2.7 members). However, sample was younger (median age: 29.0), more educated (98.8% high school graduate or higher), and exhibited a lower rate of obesity (22.6% obese) than the U.S. population.Measures:Dependent variables: objective (% correct) NF label comprehension. Independent variables: label condition, nutrition knowledge, and socio-demographic variables.Analysis:Regression analysis assessed relationships between label condition and label comprehension. Significance level of 5% used for analyses.Results:Average score for objective comprehension was 81.4%. The updates did not significantly improve label comprehension. Participants in the updated NF label conditions had trouble answering questions related to total and added sugars.Conclusions:Results suggest consumers may struggle to correctly utilize information on the updated NF label, specifically total and added sugars. Consumers may benefit from educational opportunities on using the new label.
      Citation: American Journal of Health Promotion
      PubDate: 2020-12-28T09:56:03Z
      DOI: 10.1177/0890117120983128
       
  • Adverse Childhood Experiences and Physical and Mental Health of Adults:
           Assessing the Mediating Role of Cumulative Life Course Poverty
    • Authors: Ying Huang, Han Liu, Muntasir Masum
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Objectives:Research has linked adverse childhood experiences (ACEs) to a host of negative health outcomes in adulthood. However, most existing studies focused on traumatic ACEs and used samples collected from a specific geographic unit (e.g., region, city, or state). This study examines the association between non-traumatic ACEs and health outcomes (i.e., self-rated health and psychological well-being) in adulthood, and assesses the extent to which the cumulative life course poverty accounts for these associations between ACEs and health.Data Source:Public and de-identified data from Panel Study of Income Dynamics (PSID) (1968-2013) and its Childhood Retrospective Circumstances Study (CRCS) (2014) (N = 7,126) were used. Episode and severity of childhood adversities of respondents were determined by using comprehensive retrospective circumstance measures.Methods:Multivariate regression models were used to analyze the associations between ACEs and adult health. Mediation analysis was employed to assess the extent to which the associations were explained by cumulative life course poverty. Data analysis was carried out in 2019 using STATA 15.Results:We found that episode and severity of ACEs were associated with increased risk of poor health and psychological distress. Compared to individuals with no ACEs, one unit increase in the ACE index is associated with 8 and 18 percent increase in the risk of poor health and psychological distress, respectively. A small proportion (4%) of the impact of early adversities on health is attributable to the proportion of adult lifetime spent in poverty.Conclusions:Non-traumatic ACEs are associated with increased risk for poor health and psychological distress. Life course cumulative experience in poverty accounts for a small portion of the associations. Providing support to prevent ACEs may have long-term health benefits.
      Citation: American Journal of Health Promotion
      PubDate: 2020-12-24T09:46:28Z
      DOI: 10.1177/0890117120982407
       
  • Physical Activity Assessment and Recommendation for Adults With Arthritis
           by Primary Care Providers—DocStyles, 2018
    • Authors: Dana Guglielmo, Louise B. Murphy, Kristina A. Theis, Charles G. Helmick, John D. Omura, Erica L. Odom, Janet B. Croft
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To examine primary care providers' (PCPs) physical activity assessment and recommendation behaviors for adults with arthritis.Design:Cross-sectional.Setting:2018 DocStyles online national market research survey of US physicians and nurse practitioners.Sample:1,389 PCPs seeing adults with arthritis.Measures:2 independent behaviors (assessment and recommendation) as 3 non-mutually exclusive groups: “always assesses,” “always recommends,” and “both” (“always assesses and recommends”).Analysis:Calculated percentages of each group (overall and by PCP characteristics), and multivariable-adjusted prevalence ratios (PRs) using binary logistic regression.Results:Among PCPs, 49.2% always assessed and 57.7% always recommended physical activity; 39.7% did both. Across all 3 groups, percentages were highest for seeing ≥20 adults with arthritis weekly (“both”: 56.4%; “always assesses”: 66.7%; “always recommends”: 71.3%) and lowest among obstetrician/gynecologists (“both”: 26.9%; “always assesses”: 36.8%; “always recommends”: 40.7%). Multivariable-adjusted associations were strongest for seeing ≥20 adults with arthritis weekly (referent: 1-9 adults) and each of “always assesses” (PR = 1.5 [95% confidence interval (CI): 1.3−1.8] and “both” (PR = 1.6 [95% CI: 1.4−1.9]).Conclusions:Approximately 40% of PCPs sampled always engaged in both behaviors (assessing and recommending physical activity) with adults with arthritis; seeing a high volume of adults with arthritis was consistently related to engaging in each behavior. Evidence-based approaches to support PCP counseling include offering provider education and training, raising awareness of available resources, and using health system supports.
      Citation: American Journal of Health Promotion
      PubDate: 2020-12-24T09:41:28Z
      DOI: 10.1177/0890117120981371
       
  • Integrating Workforce Health Into Employer Diversity, Equity and Inclusion
           Efforts
    • Authors: Bruce W. Sherman, Rebecca K. Kelly, Pamela Payne-Foster
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Our collective experience with COVID-19 and Black Lives Matter has heightened awareness of deeply embedded racial and socioeconomic disparities in American businesses. This time, perhaps, sustained change is within reach. As organizations advance diversity, equity and inclusion (DEI) initiatives, an often overlooked focus of is the health status of employees and their families, where equitable access to high-value health benefits offerings should be available to all. This commentary provides guidance for employers to expand their DEI initiatives to include employee and family health and well-being as a central outcome measure. Employers should ensure that DEI efforts incorporate equitable benefits design, and objectively assess benefit design impact on healthcare utilization and cost. Additionally, employers must appreciate the workplace as a significant determinant of health—for lower income workers, in particular—with review of policies and practices to mitigate any discriminatory negative health or well-being impact. Further, race and ethnicity data should be incorporated in health benefits data analysis to understand more clearly the differential outcomes of health management offerings on these different sub-populations. Finally, social needs data should be incorporated into strategic benefits planning to better understand gaps and opportunities to foster greater benefits equity. The provided recommendations can support employer goals of achieving greater equity and value in workforce health, measurably contributing to business success.
      Citation: American Journal of Health Promotion
      PubDate: 2020-12-23T09:59:37Z
      DOI: 10.1177/0890117120983288
       
  • JUUL E-Cigarette Quit Attempts and Cessation Perceptions in College
           Student JUUL E-Cigarette Users
    • Authors: Kim Pulvers, John B. Correa, Paul Krebs, Omar El Shahawy, Crystal Marez, Neal Doran, Mark Myers
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:This study describes the frequency of JUUL e-cigarette (referred to as JUUL) quit attempts and identifies characteristics associated with confidence in quitting and perceived difficulty quitting JUUL.Design:Cross-sectional study from a self-administered online survey.Setting:Two public southern California universities.Participants:A total of 1,001 undergraduate students completed the survey from February to May 2019.Measures:Self-report measures about JUUL included use, history of quit attempts, time to first use, perceived difficulty with cessation/reduction, and confidence in quitting.Analysis:Binary logistic regressions were used to identify demographic and tobacco-related behavioral correlates of JUUL cessation-related perceptions and behaviors.Results:Nearly half of ever-JUUL users (47.8%) reported a JUUL quit attempt. Adjusting for demographic factors and other tobacco product use, shorter time to first JUUL use after waking was associated with lower confidence in quitting JUUL (aOR = 0.02, 0.00-0.13) and greater perceived difficulty in quitting JUUL (aOR = 8.08, 2.15-30.35). Previous JUUL quit attempt history was also associated with greater odds of perceived difficulty quitting JUUL (aOR = 5.97, 1.74-20.53).Conclusions:History of JUUL quit attempts among college students was common. Those who had previously tried quitting were more likely to perceive difficulty with cessation. Time to first JUUL use, a marker of dependence, was linked with greater perceived cessation difficulty and lower confidence in quitting. These findings suggest that there is a need for cessation and relapse prevention support for college student JUUL users.
      Citation: American Journal of Health Promotion
      PubDate: 2020-12-23T09:53:17Z
      DOI: 10.1177/0890117120982408
       
  • Knowledge, Perceptions, and Preferred Information Sources Related to
           COVID-19 Among Healthcare Workers: Results of a Cross Sectional Survey
    • Authors: Shyama Sathianathan, Lauren Jodi Van Scoy, Surav Man Sakya, Erin Miller, Bethany Snyder, Emily Wasserman, Vernon M. Chinchilli, John Garman, Robert P. Lennon
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To compare COVID-19 related knowledge, perceptions, and preferred information sources between healthcare workers and non-healthcare workers.Design:Cross-sectional survey.Setting:Web-based.Subjects:Convenience sample of Pennsylvanian adults.Measures:Primary outcomes were binary responses to 15 COVID-19 knowledge questions weighted by a Likert scale assessing response confidence.Analysis:Generalized linear mixed-effects models to assess comparisons between clinical decision makers (CDM), non-clinical decision makers working in healthcare (non-CDM) and non-healthcare workers (non-HCW).Results:CDMs (n = 91) had higher overall knowledge than non-CDMs (n = 854; OR 1.81 [1.51, 2.17], p < .05). Overall knowledge scores were not significantly different between non-CDMs (n = 854) and non-HCW (n = 4,966; OR 1.03 [0.97, 1.09], p> .05).Conclusion:The findings suggest a need for improved education about COVID-19 for healthcare workers who are not clinical decision makers, as they play key roles in patient perceptions and compliance with preventive medicine during primary care visits.
      Citation: American Journal of Health Promotion
      PubDate: 2020-12-23T09:07:12Z
      DOI: 10.1177/0890117120982416
       
  • Diet Quality Is Lower for Those Who Skip Lunch Among a Sample of
           Predominantly Black Adolescents
    • Authors: Lori Andersen Spruance, Spencer Clason, Jordyn Hansen Burton, Leann Myers, Keelia O’Malley, Carolyn C. Johnson
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To compare the dietary quality among adolescents who skip lunch and those who do not and explore associations between school-level variables, demographic variables and lunch skipping.Design:Cross-sectionalSetting:Public schools in New Orleans, Louisiana (n = 21)Participants:718 adolescentsMethods:Adolescents participated in a 24-hour dietary recall using the Automated Self-Administered 24-Hour (ASA24) Dietary Assessment Tool early in 2013. Data were converted into Healthy Eating Index (HEI-2010) scores. Mean scores were compared between students who skipped lunch and those who did not. A multilevel analysis was conducted to assess relationships between school environment, demographics, and lunch skipping.Results:Of the 718 respondents, 88.3% were Black and 15.3% skipped lunch. Students who ate lunch had a mean HEI score of 46.6 compared to a mean score of 41.7 for students who skipped lunch (p < .001). Students who skipped lunch also had significantly lower intake of total vegetables (p = .02), whole fruits (p < .001), total dairy (p = .003), total protein (p < .001).Conclusions:Skipping lunch was associated with lower quality diet, though diet quality was low among all students. Considering over 15% of the sample did not eat lunch in a closed-campus school setting, further research should consider how to encourage students to participate in the National School Lunch Program, which has the ability to increase diet quality in adolescents.
      Citation: American Journal of Health Promotion
      PubDate: 2020-12-22T08:17:07Z
      DOI: 10.1177/0890117120981372
       
  • Efficacy of Electronic Cigarettes for Smoking Cessation: A Systematic
           Review and Meta-Analysis
    • Authors: Shorouk Ibrahim, Mohamed Habiballah, Iman El Sayed
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Background:Smoking is a major public health problem and widely recognized as one cause of premature morbidity and mortality. No updated evidence to conclude about the certainty of evidence for adopting E-Cigarettes as smoking cessation intervention despite enough debate. We aim to synthesize available evidence to assess the efficacy as well as safety of E-Cigarettes versus different forms of NRT and placebo to quit smoking. Methods: We comprehensively searched of clinical trials in Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE (via PubMed), PsycINFO, Science Direct, Center for reviews and dissemination and HTA database and Trip database. We also searched clinicalTrial.gov and WHO International Clinical Trials Registry Platform (ICTRP) portal. We searched grey literature including Dissertations (ProQuest Dissertations and Theses), Web of Science Thomson Reuters: Conference Proceedings Citation Index, and unpublished manuscripts, examined the references of relevant articles, hand searched topic-specific journals and contacted authors for incomplete data. After data extraction, we assessed the risk of bias using the Cochrane RoB 2 tool. We synthesized data by random-effects model through the Mantel-Haenszel method and R software. We conducted subgroup analysis by length of follow-up and sensitivity analysis by restricting to only studies with low risk of bias. We created a summary of findings table based on GRADE approach. Results: We retrieved 12 clinical trials involving 9863 participants. Four studies were judged as low risk of bias across five domains of RoB 2 tool and the rest were judged as unclear risk of bias. CO- validated one-month continuous abstinence rate was significantly higher in E-cigarettes group than control (5 studies, 32.6 vs 23.1%, N = 1970, RR 1.335, 95 % CI 1.068; 1.667, moderate evidence). However, Three-month and six- month abstinence rate didn’t differ significantly between E-cigarettes and control groups (3 Studies, 12.1 vs 12.8%, N=1099, RR 1.52, 95% CI 0.348; 6.701) and (7studies, N = 5435,10.2 vs 6.6%, RR 1.347, 95%CI 0.953; 1.903, very low evidence) respectively. There is very low certainty evidence of effect of E-cigarettes compared to control whether NRT or placebo on sustained reduction of 50% or greater in baseline cigarette consumption at different follow-up periods (1 month, 3 studies, 50.9 vs 33.2%, N = 955, RR 1.29, 95 % CI 0.59; 2.82), (3 Month , 3 studies, 43.2 vs 25.3%, N = 1067, RR 1.36, 95 % CI 0.66; 2.79), (6 month , 5 studies, 27.1 vs 13.4%, N = 1981, RR 1.38, 95 % CI 0.90; 2.11) and at 12 month (1 study, 14.5 vs 12%, N = 300, RR 1.21, 95 % CI 0.64; 2.27). Only one study of 884 participants displayed improved point abstinence by 46% (improvement range 17-82%) in E-cigarettes group relative to control at 12 months (1study, 32.7 vs 22.3%, N = 884, RR 1.46, 95 % CI 1.17; 1.82, moderate evidence). E-cigarettes may increase the proportion of serious adverse effect at 6 month-follow up (1 study, 9.3 vs 5.1%, N = 657, RR 1.81, 95 % CI 1.03; 3.19, low evidence) Conclusion: We are uncertain if E-cigarettes improve continuous abstinence rate at short term (1 month). There is very low certainty evidence of the effect of E-cigarettes compared to control whether NRT or placebo on the sustained reduction of 50% or greater in baseline cigarette consumption as well as 7-day point prevalence abstinence rate at 1-,3-, and 6-month follow-up periods. Long term efficacy of E-cigarettes is unknown, and E-cigarettes may increase or have no effects on the proportion of serious adverse effect at 6 months follow up. The information presented are indeed useful for policy makers , public health practitioners, and to encourage further research. Further clinical trials are needed to assess the long-term efficacy and safety of E-cigarettes and ongoing trials are urgently needed to help concluding about the efficacy of E-cigarettes for smoking cessation.Objective:to synthesize evidence about the efficacy of electronic cigarettes versus Nicotine Replacement Therapy and placebo to quit smoking.Data sources:We searched for clinical trials with no publication date restriction until December 2019. The search included CENTRAL, MEDLINE, PsycINFO, Science Direct, Center for reviews and dissemination and HTA database and Trip database, clinical trials registries, gray literature and examined the references of relevant articles.Inclusion and exclusion criteria:Two review authors independently checked the titles and abstracts then the full text of initial hits. Main outcomes were sustained continuous abstinence rate, 7-day point prevalence abstinence rate, sustained reduction of 50% or greater in baseline cigarette consumption and adverse effects.Data extraction and synthesis:Two review authors independently extracted data and assessed risk of bias using the Cochrane RoB 2 tool. We conducted a random-effects model through the Mantel-Haenszel method.Results:We retrieved 12 trials involving 9863 participants. CO- validated 1-month continuous abstinence rate improved by 33% in the e-cigarettes group (range 6-66%, moderate evidence). We are uncertain if e-cigarettess influence continuous abstinence rate at 3-, 6- and 12 months as well as sustained reduction of 50% or greater in baseline cigarette consumption at different follow-up periods. One study of 884 participants displayed improved 12-month 7-day point abstinence by 46% (range 17%-82%). E-cigarettes may increase or do not affect the proportion of serious adverse effect at 6 and 12 months follow up.Conclusion:Very low certainty evidence supported e-cigarettess to help quit smoking in the short term. There is not enough evidence to determine if e-cigarettess are a safe and efficacious means of smoking cessation in the long term (12+ months).
      Citation: American Journal of Health Promotion
      PubDate: 2020-12-17T09:28:42Z
      DOI: 10.1177/0890117120980289
       
  • Health-Behaviors Associated With the Growing Risk of Adolescent Suicide
           Attempts: A Data-Driven Cross-Sectional Study
    • Authors: Zhiyuan Wei, Sayanti Mukherjee
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Identify and examine the associations between health behaviors and increased risk of adolescent suicide attempts, while controlling for socio-economic and demographic differences.Design:A data-driven analysis using cross-sectional data.Setting:Communities in the state of Montana from 1999 to 2017. Selected Montana as it persistently ranks among the top 3 vulnerable states in the U.S. over the past years.Subjects:Selected 22,447 adolescents of whom 1,631 adolescents attempted suicide at least once.Measures:Overall 29 variables (predictors) accounting for psychological behaviors, illegal substances consumption, daily activities at schools and demographic backgrounds were considered.Analysis:A library of machine learning algorithms along with the traditionally-used logistic regression were used to model and predict suicide attempt risk. Model performances—goodness-of-fit and predictive accuracy—were measured using accuracy, precision, recall and F-score metrics. Additionally, χ2 analysis was used to evaluate the statistical significance of each variable.Results:The non-parametric Bayesian tree ensemble model outperformed all other models, with 80.0% accuracy in goodness-of-fit (F-score: 0.802) and 78.2% in predictive accuracy (F-score: 0.785). Key health-behaviors identified include: being sad/hopeless (p < 0.0001), followed by safety concerns at school (p < 0.0001), physical fighting (p < 0.0001), inhalant usage (p < 0.0001), illegal drugs consumption at school (p < 0.0001), current cigarette usage (p < 0.0001), and having first sex at an early age (below 15 years of age). Additionally, the minority groups (American Indian/Alaska Natives, Hispanics/Latinos) (p < 0.0001), and females (p < 0.0001) are also found to be highly vulnerable to attempting suicides.Conclusion:Significant contribution of this work is understanding the key health-behaviors and health disparities that lead to higher frequency of suicide attempts among adolescents, while accounting for the non-linearity and complex interactions among the outcome and the exposure variables. Findings provide insights on key health-behaviors that can be viewed as early warning signs/precursors of suicide attempts among adolescents.
      Citation: American Journal of Health Promotion
      PubDate: 2020-12-10T09:35:19Z
      DOI: 10.1177/0890117120977378
       
  • Promoting Physical Activity Among Older Adults Using Community-Based
           Participatory Research With an Adapted PRECEDE-PROCEED Model Approach: The
           AEQUIPA/OUTDOOR ACTIVE Project
    • Authors: Karin Bammann, Carina Recke, Birte Marie Albrecht, Imke Stalling, Friederike Doerwald
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:The PRECEDE-PROCEED model (PPM) is a community-based participatory research (CBPR) framework for health promotion, yet the direct application of the PPM into practice is unclear. This paper describes how the PPM was adapted for the development and application of a pilot intervention study to promote outdoor physical activity (PA) in older adults (OUTDOOR ACTIVE). We illustrate the steps and adaptations we applied to put the PPM into practice and present the developed interventions.Design:The PPM was adapted by incorporating a socio-ecological model. This ensured the design of any resultant intervention would explicitly address multi-level determinants of physical activity. The list of possible program components to select from for the design of an intervention was also extended.Setting:Bremen, Germany.Participants:Participants in the intervention development were 924 noninstitutionalized older adults, aged 65-75 years (response: 25.2%), living in Bremen-Hemelingen, Germany. For implementation of the intervention and to ensure sustainability, several groups of stakeholders were involved throughout the process.Methods:A mixed method design was employed (e.g., focus groups, quantitative survey) to identify determinants. A round table and participatory workshops were held to involve the target group and community stakeholders in the design of an intervention using the adapted PPM model.Results:A conceptual model was developed illustrating the integration of a socio-ecological model into the PPM. The model received ecological validity, as it was affirmed by community stakeholders as an appropriate method for designing a community-level PA intervention. Target goals to address PA determinants were selected by target group members. An intervention to meet the goals was developed and implemented with target group input.Conclusion:The adapted PPM is a promising starting point for developing multi-level interventions. Steps should be taken to ensure all social groups are participating in the process and all levels of determinants are addressed.
      Citation: American Journal of Health Promotion
      PubDate: 2020-12-03T08:59:38Z
      DOI: 10.1177/0890117120974876
       
  • Uneven Effects of Adverse Weather Conditions on Participation in
           Leisure-Time Physical Activities Across Income Levels
    • Authors: Jingye Shi, Yuting Wang
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To examine how the effect of adverse weather on participation in leisure-time physical activities (LTPA) varies with income.Design:Cross-sectional study.Subjects:14,394 individuals from 56 Canadian cities, surveyed in 1992, 1998, and 2005.Measures:The adverseness level of daily weather is measured by the number of hours with precipitation or strong winds (wind speeds in excess of 38 km/hour) between 6 am and 11 pm.Analysis:Probit and multinomial logit models are used to examine the variation in weather-LTPA correlations across income levels.Results:At the mean income level, when the weather quality deteriorated from all-day nice weather to all-day adverse weather, the probability of participating in LTPA decreased by 24.54% (from 0.2424 to 0.1829, P < 0.01). As income increased by $10,000, the same deterioration in weather quality led to a 17.06% decrease in LTPA (from 0.2508 to 0.2080, P < 0.01). The smaller decrease is mainly because the $10,000 increase in income is associated with a 14.49% increase in indoor LTPA, which partly offsets the decrease in outdoor LTPA.Conclusion:Interventions and policies that increase indoor physical activity options, such as providing easier access to indoor facilities and offering subsidies for purchasing or renting home exercise equipment, are promising for effectively promoting LTPA, especially for individuals in lower-income groups or from regions that frequently experience adverse weather.
      Citation: American Journal of Health Promotion
      PubDate: 2020-12-01T09:44:58Z
      DOI: 10.1177/0890117120976059
       
  • Corrigendum to Employee Perceptions of Wellness Programs and Incentives
    • Abstract: American Journal of Health Promotion, Ahead of Print.

      Citation: American Journal of Health Promotion
      PubDate: 2020-11-25T08:48:18Z
      DOI: 10.1177/0890117120977956
       
  • Employee Sleep Enhancement and Fatigue Reduction Programs: Analysis of the
           2017 CDC Workplace Health in America Poll
    • Authors: Rebecca Robbins, Matthew D. Weaver, Stuart F. Quan, Elliot Rosenberg, Laura K. Barger, Charles A. Czeisler, Michael A. Grandner
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Background:Poor sleep health, including sleep deficiency and sleep disturbance, is common among employed adults in the U.S. and is associated with undesirable workplace outcomes. Adoption of workplace health promotion programs (WHPPs) is increasing, yet few programs aim to reduce fatigue or improve sleep among employees.Objective:We analyzed data from the nationally representative 2017 Centers for Disease Control Workplace Health in America poll to identify the prevalence of sleep enhancement or fatigue reduction WHPPs and the characteristics of employers that offer these programs.Method:A stratified random sample of nationally-representative worksites with ≥10 employees was generated. It comprised 2,843 worksites. Worksite representatives reported workplace characteristics, health promotion activities, and the likelihood of offering WHPPs relating to sleep enhancement or fatigue reduction. Logistic regression analyses were utilized to identify characteristics associated with offering a sleep enhancement or fatigue reduction WHPP, controlling for WHPP budget and size of the company, and contingent on worksites having a comprehensive workplace health plan.Results:Less than 1 in 10 worksites (10%) reported offering a sleep enhancement or fatigue reduction WHPP. Worksites most likely to offer a sleep-focused WHPP were those in retail, wholesale, or technology industries (OR = 2.71, 95%CI: 1.08-6.8) vs. those in the finance, information, technology industries; those with a large WHPP budget (>$500,000, OR = 6.85, 95%CI: 2.1-22.35) vs. those with no budget; and those that had visible support of WHPP initiatives from senior leadership (OR = 4.74, 95%CI: 1.91-11.75) vs. those without such support.Conclusions:Our results highlight how few worksites reported offering sleep-focused programs for their employees. Those worksites that did feature such programs, were commonly well-resourced and had senior leadership support for WHPP initiatives in general. Future research should consider working directly with leaders to expand the implementation of employee sleep enhancement and fatigue reduction WHPPs.
      Citation: American Journal of Health Promotion
      PubDate: 2020-11-11T09:13:50Z
      DOI: 10.1177/0890117120969091
       
  • Adolescent Susceptibility to E-Cigarettes: An Update From the 2018
           National Youth Tobacco Survey
    • Authors: Alayna P. Tackett, Brittney Keller-Hamilton, Emily T. Hébert, Caitlin E. Smith, Samantha W. Wallace, Elise M. Stevens, Amanda L. Johnson, Theodore L. Wagener
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Examine correlates of e-cigarette susceptibility among adolescents.Design:Secondary data analyses using the 2018 National Youth Tobacco Survey, excluding participants under 12 and over 17.Setting:United States middle and high schools.Subjects:Never e-cigarette users (n = 12,439) ages 12-17.Measures:Relationships between e-cigarette susceptibility and age, sex, race/ethnicity, ever tobacco use, perceived ease of purchasing tobacco products, perceived harm, relative addictiveness, household use of e-cigarettes/tobacco were examined.Analysis:Odds of susceptibility were modeled with weighted multivariable logistic regressions.Results:Thirty-five percent (unweighted n = 4,436) of adolescents were susceptible to e-cigarettes. Adolescents who were female (aOR = 1.2), Hispanic (aOR = 1.3), perceived e-cigarettes as anything less than “a lot of harm” (aOR = 2.2-4.9) and “easy” to purchase (aOR = 1.4), had ever used combustible tobacco (aOR = 2.9), or reported household use of e-cigarettes (aOR = 1.5) were susceptible. Non-Hispanic black respondents (vs. non-Hispanic white; aOR = 0.72) had significantly lower odds of susceptibility to e-cigarettes.Conclusion:In the 2018 NYTS adolescent sample, perceptions of harm and ease of tobacco product purchase appear to be significantly related to higher odds of e-cigarette susceptibility, in addition to other demographic factors. Longitudinal data, particularly cohort data following adolescents from susceptible to actual or no use, are needed to assess predictors of e-cigarette use initiation.
      Citation: American Journal of Health Promotion
      PubDate: 2020-11-10T09:03:13Z
      DOI: 10.1177/0890117120971121
       
  • Debunking the High Cost of Healthy Diets: Consumer Behavior Predicts
           
    • Authors: Jacqueline A. Vernarelli, Rebecca DiSarro
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Dietary energy density (ED; kcal/g) is an established marker for diet quality and a risk factor for obesity. Previous studies have suggested that low-ED diets cost more than high-ED diets, adding an economic contribution to the obesity epidemic. This study evaluated the relationship between consumer behavior (money spent on food) and dietary energy density in a nationally representative sample of US adults.Design, Setting and Subjects:Data from 10,622 adult participants in the 2013-2016 NHANES were used for this study. The NHANES is a large cross-sectional survey conducted by the CDC and NCHS.Measures:Consumer behavior was evaluated by examining total dollars spent on food, as well as dollars spent at various categories of food stores & restaurants. Dietary ED was calculated using multiple methods.Analysis:Multivariate regression models were then used to evaluate the relationship between consumer behavior, defined as money spent in four categories (groceries, take-out, dining out, other food purchases) and dietary energy density.Results:Low-ED diets did not cost more than high-ED diets overall, though low-ED diets contained more servings of fruits (1.6 vs 0.4), vegetables (2.2 vs 0.9) and fiber (21 vs 13g), and fewer added sugars (15 vs. 18 tsp), solid fats (28 vs 39g), all p’s < 0.01. Differences in spending patterns were identified. A positive linear trend between money spent on fast food/takeout and dietary energy density (p < 0.001) was observed. Additionally, individuals in the lowest quartile of ED spent more at grocery stores per person than individuals in the highest quartile of ED ($182 vs. $150 p = 0.04).Conclusion:Spending pattern and consumer choices are associated with dietary ED in this cross-sectional analysis of a nationally representative population sample. Identifying eating behaviors associated with diets high in energy density may inform future investigations that intervene on dietary habit for promotion of healthy eating and prevention of weight gain.
      Citation: American Journal of Health Promotion
      PubDate: 2020-11-04T09:28:15Z
      DOI: 10.1177/0890117120970123
       
  • Sociodemographic Predictors of Adherence to National Diet and Physical
           Activity Guidelines at Age 5 Years: The Healthy Start Study
    • Authors: Traci A. Bekelman, Katherine A. Sauder, Bonny Rockette-Wagner, Deborah H. Glueck, Dana Dabelea
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To assess adherence to the 2015-2020 Dietary Guidelines for Americans and 2018 Physical Activity Guidelines, and identify sociodemographic predictors of adherence among children.Design:Cross sectional.Setting:Colorado, United States.Participants:Children aged 5 (n = 482).Measures:Sex, race/ethnicity, maternal education, maternal employment, maternal subjective social status and household income were assessed via questionnaires. Diet was assessed via 2 interviewer-administered 24-hour dietary recalls. Physical activity was objectively-measured with accelerometry for 7 days. Adherence was defined as a Healthy Eating Index-2015 score of ≥70 and/or ≥6 hours/day of light, moderate and vigorous activity.Analysis:For each predictor, logistic regression was used to estimate odds ratios for adherence to the diet guidelines only, the activity guidelines only or both guidelines.Results:In the full sample, 29% of children were non-adherent to both guidelines, 6% adhered to the dietary guidelines only, 50% adhered to the activity guidelines only and 14% adhered to both. Girls had a 41% lower odds of adhering to the physical activity guidelines than boys (p = 0.01), after adjustment for race/ethnicity, household income and maternal education level, perceived social status and employment status.Conclusion:Efforts to improve the health of young children should promote adherence to the Dietary Guidelines for Americans among all children. Targeted interventions that increase physical activity among girls may help to mitigate health disparities.
      Citation: American Journal of Health Promotion
      PubDate: 2020-10-29T10:02:34Z
      DOI: 10.1177/0890117120968654
       
  • Fighting the Freshman Fifteen: Sleep, Exercise, and BMI in College
           Students
    • Authors: June J. Pilcher, Dylan N. Erikson, Carolyn A. Yochum
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To examine how sleep and physical activity predict body mass index (BMI) in college students.Design:Cross-sectional.Setting:Medium-sized public university in the Southeastern United States.Subjects:386 undergraduate students (245 females; 18-25 years).Measures:Surveys included the Pittsburg Sleep Quality Index (PSQI) and Concise Physical Activity Questionnaire (CPAQ). PSQI provided 5 sleep scores: PSQI Global Score, Sleep Quality Factor Score, Sleep Efficiency Factor Score, Sleep Duration, and Habitual Sleep Efficiency. Height and weight measurements were taken to calculate Body Mass Index (BMI).Analysis:Correlational analyses were completed first. Linear and moderation regression models using CPAQ as the moderator were used to predict BMI. The Johnson-Neyman technique determined regions of significance where sleep significantly predicted BMI dependent on CPAQ score.Results:Sleep Duration significantly predicted BMI (β = -.385, p = .043) while significant interaction terms predicting BMI were found for Global PSQI ScoreCPAQ (β = -.103, p = .015) and Sleep Quality Factor ScoreCPAQ (β = -.233, p = .013). Johnson-Neyman analyses demonstrated that better sleep quality (measured by Global PSQI and Sleep Quality Factor Scores) predict lower BMI when exercise levels are low and higher BMI when exercise levels are high.Conclusion:At low levels of exercise, better sleep quality significantly predicts lower BMI, suggesting that interventions designed to increase sleep quality could promote healthy weight maintenance in college students.
      Citation: American Journal of Health Promotion
      PubDate: 2020-10-28T09:35:19Z
      DOI: 10.1177/0890117120969065
       
  • Beverage Advertisement Receptivity Associated With Sugary Drink Intake and
           Harm Perceptions Among California Adolescents
    • Authors: Benjamin W. Chaffee, Miranda Werts, Justin S. White, Elizabeth T. Couch, Janelle Urata, Jing Cheng, Cristin Kearns
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Evaluate associations of adolescents’ beverage marketing receptivity with sugar-sweetened beverage (SSB) perceived harm and intake.Design:School-based cross-sectional health behavior survey.Setting:Seven rural schools in California, 2019-2020.Subjects:815 student participants in grades 9 or 10.Measures:Participants viewed 6 beverage advertisement images with brand obscured, randomly selected from a larger pool. Ads for telecommunications products were an internal control. Receptivity was a composite of recognizing, liking, and identifying the displayed brand (later categorized: low, moderate, high). Weekly SSB servings were measured with a quantitative food frequency questionnaire and perceived SSB harm as 4 levels (“no harm” to “a lot”).Analysis:Outcomes SSB intake (binomial regression) and perceived harm (ordered logistic regression) were modeled according to advertisement receptivity (independent variable), with multiple imputation, school-level clustering, and adjustment for presumed confounders (gender, age, screen time, etc.).Results:In covariable-adjusted models, greater beverage advertisement receptivity independently predicted higher SSB intake (ratio of SSB servings, high vs. low receptivity: 1.48 [95% CI: 1.15, 1.89]) and lower perceived SSB harm (odds ratio, high vs. low receptivity: 0.59 [0.40, 0.88]). Perceived SSB harm was inversely associated with SSB intake.Conclusion:Beverage advertisement receptivity was associated with less perceived SSB harm and greater SSB consumption in this population. Policy strategies, including marketing restrictions or counter-marketing campaigns could potentially reduce SSB consumption and improve health.
      Citation: American Journal of Health Promotion
      PubDate: 2020-10-28T09:34:11Z
      DOI: 10.1177/0890117120969057
       
  • Prevalence of Mental Disorders by Socioeconomic Status in Australia: A
           Cross-Sectional Epidemiological Study
    • Authors: Rubayyat Hashmi, Khorshed Alam, Jeff Gow, Sonja March
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To present the prevalence of 3 broad categories of mental disorder (anxiety-related, affective and other disorders) by socioeconomic status and examine the associated socioeconomic risk factors of mental disorders in Australia.Design:A population-based, cross-sectional national health survey on mental health and its risk factors across Australia.Setting:National Health Survey (NHS), 2017-2018 conducted by the Australian Bureau of Statistics (ABS)Participants:Under aged: 4,945 persons, Adult: 16,370 persons and total: 21,315 personsMeasures:Patient-reported mental disorder outcomesAnalysis:Weighted prevalence rates by socioeconomic status (equivalised household income, education qualifications, Socio-Economic Index for Areas (SEIFA) scores, labor force status and industry sector where the adult respondent had their main job) were estimated using cross-tabulation. Logistic regression utilizing subsamples of underage and adult age groups were analyzed to test the association between socioeconomic status and mental disorders.Results:Anxiety-related disorders were the most common type of disorders with a weighted prevalence rate of 20.04% (95% CI: 18.49-21.69) for the poorest, 13.85% (95% CI: 12.48-15.35) for the richest and 16.34% (95% CI: 15.7-17) overall. The weighted prevalence rate for mood/affective disorders were 20.19% (95% CI: 18.63-21.84) for the poorest, 9.96% (95% CI: 8.79-11.27) for the richest, and 13.57% (95% CI: 12.99-14.17) overall. Other mental disorders prevalence were for the poorest: 9.07% (95% CI: 7.91-10.39), the richest: 3.83% (95% CI: 3.14-4.66), and overall: 5.93% (95% CI: 5.53-6.36). These patterns are also reflected if all mental disorders were aggregated with the poorest: 30.97% (95% CI: 29.15-32.86), the richest: 19.59% (95% CI: 18.02-21.26), and overall: 23.93% (95% CI: 23.19-24.69). The underage logistic regression model showed significant lower odds for the middle (AOR: 0.75, 95% CI: 0.53 -1.04, p < 0.1), rich (AOR: 0.71, 95% CI: 0.5-0.99, p < 0.05) and richest (AOR: 0.6, 95% CI: 0.41-0.89, p < 0.01) income groups. Similarly, in the adult logistic model, there were significant lower odds for middle (AOR: 0.84, 95% CI: 0.72-0.98, p < 0.05), rich (AOR: 0.73, 95% CI: 0.62-0.86, p < 0.01) and richest (AOR: 0.76, 95% CI: 0.63-0.91, p < 0.01) income groups.Conclusion:The prevalence of mental disorders in Australia varied significantly across socioeconomic groups. Knowledge of different mental health needs in different socioeconomic groups can assist in framing evidence-based health promotion and improve the targeting of health resource allocation strategies.
      Citation: American Journal of Health Promotion
      PubDate: 2020-10-28T09:32:50Z
      DOI: 10.1177/0890117120968656
       
  • Translating CDSMP to the Workplace: Results of the Live Healthy Work
           Healthy Program
    • Authors: Mark G. Wilson, David M. DeJoy, Robert J. Vandenberg, Heather M. Padilla, Nicholas J. Haynes, Heather Zuercher, Phaedra Corso, Kate Lorig, Matthew L. Smith
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Report the results of a randomized, controlled trial of Live Healthy, Work Healthy (LHWH), a worksite translation of the Chronic Disease Self-Management Program (CDSMP).Design:14 worksites were randomly assigned to LHWH, standard CDSMP (usual care) or no-intervention (control) group.Setting:The diverse set of work organizations centered around a rural community in SE US.Subjects:411 participants completed baseline data with 359 being included in the final analyses.Intervention:LHWH had been adapted to fit the unique characteristics of work organizations. This translated program consists of 15 sessions over 8 weeks and was facilitated by trained lay leaders.Measures:The primary outcomes including health risk, patient-provider communication, quality of life, medical adherence and work performance were collected pretest, posttest (6 mos.) and follow-up (12 mos.).Analysis:Analyses were conducted using latent change score models in a structural equation modeling framework.Results:79% of participants reported at least one chronic condition with an average of 2.7 chronic conditions reported. Results indicated that LHWH program demonstrated positive changes in a most outcomes including significant exercise (uΔ = 0.89, p < .01), chronic disease self-efficacy (uΔ = 0.63, p < .05), fatigue (uΔ = −1.45, p < .05), stress (uΔ = −0.98, p < .01) and mentally unhealthy days (uΔ = −3.47, p < .001).Conclusions:The translation of LHWH is an effective, low cost, embeddable program that has the potential to improve the health and work life of employees.
      Citation: American Journal of Health Promotion
      PubDate: 2020-10-28T09:29:43Z
      DOI: 10.1177/0890117120968031
       
  • Teaching to Impact Sexual Violence' The Evaluation of a Curricular
           Intervention for First-Year College Students
    • Authors: Katherine M. Johnson, Alyssa M. Lederer, Jessica L. Liddell, Sydney Sheffield, Alicia McCraw
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To evaluate whether a semester-long course for first-year undergraduates influenced knowledge, attitudes, and behavioral intentions about gender, sexuality, and sexual violence.Design:Quasi-experimental survey design.Setting:A private university in the Southeastern US.Participants:Undergraduates enrolled in an intervention (n = 49) or comparison (n = 60) course in Fall 2018.Measures:Sociosexual Orientation Inventory, Sexual Conservatism, Heteronormative Attitudes and Beliefs, Illinois Rape Myth Acceptance Scale, Bystander Efficacy Scale, Consent Myths, Sexual Misconduct Apathy, Campus Resource Awareness Index.Analysis:A 2-way mixed-factorial ANOVA.Results:Relative to the comparison group, students in the intervention course had significantly greater rates of change in reducing heteronormative views, decreasing sexual misconduct apathy, and increasing awareness of campus resources for sexual violence.Conclusion:A semester-long course targeting first-year undergraduates can potentially influence knowledge, attitudes, and behavioral intentions regarding sexual violence and create a more positive campus climate.
      Citation: American Journal of Health Promotion
      PubDate: 2020-10-21T09:59:10Z
      DOI: 10.1177/0890117120967604
       
  • Psychographic Profiling of Adult Tobacco Users and Implications for
           Mediated Message Tailoring
    • Authors: Danielle A. Duarte, Kelvin Choi
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To investigate variations of psychographic profiles in adult tobacco users to inform message tailoring.Design:A cross-sectional design used data from the Simmons 2015 National Consumer Study.Setting:Data were voluntarily provided by US families through a mail survey on media, products, and services, brands, and attitudes.Subjects:US adult tobacco users (N = 4,609).Measures:Participants answered questions about general opinion/attitudes and provided demographic and tobacco use information.Analysis:A factor analysis was conducted to determine the “best” latent psychographic factor structure based on model fit, factor loadings, and interpretability. A structural equation model was then applied to assess the associations between demographics, tobacco product use, and latent psychographic factors.Results:We identified 9 latent psychographic factors: (1) helplessness, (2) happiness, (3) achievements, (4) religion, (5) interest in art and culture, (6) conscience, (7) conformity, (8) family indulgence, and (9) creativity. Endorsement of these factors varied by demographics and tobacco product use. E.g. low income tobacco users showed stronger endorsement for “helplessness” (Adjusted Standardized Regression Coefficient [ASRC]: 0.42; 95% CI: 0.33, 0.51) and “religion” (ASRC: 0.24; 95% CI: 0.14, 0.33). Less educated tobacco users showed stronger endorsement for “conformity” (ASRC: 0.16; 95% CI: 0.07, 0.24). Young adults had significant positive associations for “achievements” (ASRC: 0.57; 95% CI: 0.48, 0.67).Conclusion:Psychographic profiles of tobacco users vary by demographics and product use. Tailored anti-tobacco media campaigns to specific disparity groups matching their psychographic profiles may improve message effectiveness and reduce tobacco use disparities.
      Citation: American Journal of Health Promotion
      PubDate: 2020-10-21T09:50:35Z
      DOI: 10.1177/0890117120967193
       
  • Character Strengths Involving an Orientation to Promote Good Can Help Your
           Health and Well-Being. Evidence From two Longitudinal Studies
    • Authors: Dorota Weziak-Bialowolska, Piotr Bialowolski, Tyler J. VanderWeele, Eileen McNeely
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:We examined the impact of an orientation to promote good—one aspect of strengths of character, understood as having consistent thoughts and taking actions that contribute to the good of oneself and others—on flourishing outcomes.Design:We used data from 2 longitudinal observational studies. The primary study used 2 waves of data collected in June 2018 and July 2019. The secondary study used 3 waves of data collected in February 2017, March 2018, and March 2019.Setting:Two culturally different populations of adults were examined: (1) a large service organization based in the United States and (2) a Mexican apparel company in the supply chain of a major global brand.Subjects:1,209 U.S. employees and 495 Mexican apparel workers were included in the study.Measures:Self-reports of orientation to promote good, Well-Being Assessment, Flourishing Index, the CDC Health-Related Quality of Life and the Job-Related Affective Well-Being Scale were used.Analysis:An outcome-wide approach and lagged regression analyses were applied. To combine the estimates across samples meta-analytic estimates were computed. Bonferroni correction was used to correct for multiple testing. Robustness of the results to potential unmeasured confounding was examined using E-values.Results:Orientation to promote good was positively associated with subsequently higher levels of life satisfaction and happiness (β = 0.14, 95% CI: 0.09, 0.19), self-assessed mental health (β = 0.11, 95% CI: 0.06, 0.15) and physical health (β = 0.08, 95% CI: 0.04, 0.12), social connectedness (β = 0.102, 95% CI: 0.06, 0.15) and purpose in life (β = 0.07, 95% CI: 0.03, 0.11). It was also associated with decreased anxiety (β = -0.11, 95% CI: -0.17, -0.06), depression (β = -0.07, 95% CI: -0.1, -0.02) and loneliness (β = -0.09, 95% CI: -0.13, -0.04). Possible effects on both positive affect (feeling happy) and negative affect (feeling sad, stressed and lonely) in general and while-at-work were also identified.Conclusions:Policymakers and practitioners should consider orientation to promote good as an important factor for improving population health and human flourishing while also at work.
      Citation: American Journal of Health Promotion
      PubDate: 2020-10-13T09:38:30Z
      DOI: 10.1177/0890117120964083
       
  • Exclusive, Dual, and Polytobacco Use Among US Adults by Sociodemographic
           Factors: Results From 3 Nationally Representative Surveys
    • Authors: Jana L. Hirschtick, Delvon T. Mattingly, Beomyoung Cho, Luis Zavala Arciniega, David T. Levy, Luz Maria Sanchez-Romero, Jihyoun Jeon, Stephanie R. Land, Ritesh Mistry, Rafael Meza, Nancy L. Fleischer
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To provide tobacco product use patterns for US adults by sociodemographic group.Design:A secondary analysis of Tobacco Use Supplement to the Current Population Survey (2014-15), National Health Interview Survey (2015), and Population Assessment of Tobacco and Health (2015-16).Setting:United States.Sample:Three nationally representative samples of adults (N = 28,070-155,067).Measures:All possible combinations of cigarette, Electronic Nicotine Delivery Systems (ENDS), other combustible product, and smokeless tobacco use, defined as current use every day or some days.Analysis:Weighted population prevalence and proportion among tobacco users of exclusive, dual, and polyuse patterns by sex, race/ethnicity, education, income, and age.Results:Exclusive cigarette use was the most prevalent pattern (10.9-12.8% of US population). Dual and polyuse were less prevalent at the population level (2.6-5.2% and 0.3-1.3%, respectively) but represented 16.7-25.5% of product use among tobacco users. Cigarette plus ENDS use was similar by sex, but men were more likely to be dual users of cigarettes plus other combustibles or smokeless tobacco. Among race/ethnic subgroups, non-Hispanic (NH) Whites were most likely to use cigarettes plus ENDS, while NH Blacks were most likely to use cigarettes plus other combustibles. Dual and polyuse were generally less common among adults with higher education, income, and age.Conclusion:Differences in product use patterns by sociodemographic group likely represent different risk profiles with important implications for resulting health disparities.
      Citation: American Journal of Health Promotion
      PubDate: 2020-10-13T09:37:28Z
      DOI: 10.1177/0890117120964065
       
  • Dietary Behaviors and Obesity of Children From Low-Income Households by
           Gender of Caregiver and Child
    • Authors: Fred Molitor, Celeste Doerr
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To investigate the empirical support for the Supplemental Nutrition Assistance Program-Education’s (SNAP-Ed) focus on mothers versus fathers by examining children’s risk and protective behaviors for obesity, and obesity status, by gender of primary caregiver and by caregiver-by-child gender dyads.Approach:Cross-sectional survey.Setting:Random sample of SNAP-Ed eligible households (≤ 185% of the federal poverty level) across California.Participants:2,242 children and their caregivers (17.8% male): the adult who prepares the meals or buys the food for the children.Measures:Cups of fruits and vegetables, water, sugar-sweetened beverages; teaspoons of added sugars; kilocalories; and food-only energy density, assessed through 24-hour dietary recall interviews. Dichotomous outcome was childhood obesity. Covariates were children’s race/ethnicity and age, and caregivers’ obesity status.Results:Only one outcome was related to caregiver gender: male versus female caregivers’ children consumed fewer kilocalories (P = 0.053). Caregiver-by-child gender analyses revealed female caregivers’ sons consumed more kilocalories overall (Ps < 0.02), and added sugars than female caregivers’ daughters (P = 0.001) and male caregivers’ sons (P = 0.018). Female caregivers’ daughters versus sons reported diets lower in food-only energy density (P = 0.004) and were less likely to be obese (23.7% versus 28.7%; aOR = 0.78, P = 0.035).Conclusion:Our findings suggest that SNAP-Ed’s focus on mothers rather than fathers is justified, but more effective childhood nutrition education and obesity prevention efforts should target families with female caregivers of male children.
      Citation: American Journal of Health Promotion
      PubDate: 2020-10-12T09:29:21Z
      DOI: 10.1177/0890117120965463
       
  • Foods for Health: An Integrated Social Medical Approach to Food Insecurity
           Among Patients With Diabetes
    • Authors: Jonathan L. Blitstein, Danielle Lazar, Kathleen Gregory, Colleen McLoughlin, Linda Rosul, Caroline Rains, Talya Hellman, Chelsey Leruth, Jairo Mejia
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Examine a clinic-based approach to improve food security and glycemic control among patients with diabetes.Design:One-group repeated-measures design.Setting:Federally Qualified Health Centers in a large Midwest city.Sample:Of the 933 patients with diabetes who consented at baseline, 398 (42.66%) returned during the follow-up period for a visit that included Hemoglobin A1c (HbA1c) results.Intervention:Integrated social medicine approach that includes food insecurity screening, nutrition education, and assistance accessing food resources as a standard-of-care practice designed to minimize disruptions in how patients and providers experience medical care.Measures:HbA1c collected as part of a standard blood panel.Analysis:Repeated-measure, mixed-effect linear regression models.Results:There was a decrease in mean HbA1c (Δ = −0.22, P = 0.01) over the study period. The model examining change over time, glycemic control (GC), and food security status (F1, 352 = 5.80, P = 0.02) indicated that among participants with poor GC (33.12%), food secure (FS) participants exhibited significantly greater levels of improvement than food insecure (FI) participants (Δ = −0.55, P = 0.04). Among participants with good GC, changes in HbA1c were not significantly different between FS and FI participants (Δ = 0.23, P = 0.21).Conclusion:Providing nutrition education and food assistance improved HbA1c profiles among FS and FI participants, but FI participants may face social and structural challenges that require additional support from health care teams.
      Citation: American Journal of Health Promotion
      PubDate: 2020-10-12T09:23:36Z
      DOI: 10.1177/0890117120964144
       
  • The Association of Social Support and Leisure Time Physical Activity With
           Mental Health Among Individuals With Cancer
    • Authors: Jaehyun Kim, Junhyoung Kim, Ronald D. Williams, Areum Han
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:This study examined the relationship among social support, leisure time physical activity (LTPA), and mental health among people with cancer.Design:Cross-sectional study.Setting and participants:Using the 2017 Health Information National Trends Survey, we extracted data of 504 respondents who had been diagnosed with any of the 22 types of cancer listed in the survey questionnaire.Measures:As independent variables, we assessed 3 different types of support: emotional, informational, and tangible support. As mediating and outcome variables, we measured LTPA and mental health, respectively.Analysis:Using AMOS version 22, a path analysis was conducted to measure model fit. A mediation test was then conducted using bootstrapping procedures.Results:The hypothesized model provided an acceptable fit to the data. Specifically, emotional support (b = .15, p = .005), informational support (b = .13, p = .008), tangible support (b = .12, p = .010), and LTPA (b = .14, p = .001) were significantly associated with mental health. We revealed a significant mediating effect of LPTA on the relationship between emotional support and mental health (Estimate = .037, 95% CI = .001–.098, p < .05).Conclusion:Social support and LTPA played a significant role in promoting mental health among people with cancer. In particular, the results confirmed that individuals with cancer who reported receiving emotional support tended to engage in LTPA and thus reported better mental health.
      Citation: American Journal of Health Promotion
      PubDate: 2020-09-30T09:48:43Z
      DOI: 10.1177/0890117120961321
       
  • Prevalence of Overweight and Obesity Among Children Enrolled in Head
           Start, 2012–2018
    • Authors: Omoye Imoisili, Carrie Dooyema, Lyudmyla Kompaniyets, Elizabeth A. Lundeen, Sohyun Park, Alyson B. Goodman, Heidi M. Blanck
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Determine prevalence of overweight and obesity as reported in Head Start Program Information Reports.Design:Serial cross-sectional census reports from 2012–2018.Setting:Head Start programs countrywide, aggregated from program level to state and national level.Subjects:Population of children enrolled in Head Start with reported weight status data.Measures:Prevalence of overweight (body mass index [BMI] ≥85th percentile to
      Citation: American Journal of Health Promotion
      PubDate: 2020-09-30T09:21:28Z
      DOI: 10.1177/0890117120958546
       
  • Strategies for Designing Clergy and Spouse Obesity-Related Programs
    • Authors: Brook E. Harmon, Shaila M. Strayhorn, Nathan T. West, Michael Schmidt, Benjamin L. Webb, Lindsey Grant, Stacy Smith
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Clergy have influence on the health of congregations and communities yet struggle with health behaviors. Interventions tailored to their occupation-specific demands and unique needs may provide a solution. Qualitative methods were used to identify opportunities and resources for the development of an effective obesity-related program for clergy.Approach:Ninety-minute focus groups were held with clergy (3 groups) and spouses (3 separate groups). Discussion explored: Program target(s); Opportunities and barriers that influence diet, physical activity, and stress-reduction practices; Empowering and culturally relevant health promotion strategies.Setting:All study activities took place in Memphis, TN.Participants:Eighteen clergy and fourteen spouses participated. All clergy were male, all spouses were female.Method:Previous research with clergy informed the interview guide and the PEN-3 framework aided in organizing the coding of clergy and spouse focus groups. Focus groups were audio recorded and transcripts analyzed using NVivo® 12.Results:Themes included: 1) Intervention targets—clergy, spouses, congregations; 2) Opportunities and barriers—making time, establishing boundaries, church traditions, individuals who support and hinder behavior change; 3) Intervention strategies—tools for healthy eating, goal setting, camaraderie, combining face-to-face with eHealth modalities.Conclusion:The relationship between clergy, spouse, and congregation make it important for obesity-related programs to target the unique needs of both clergy and spouses. Strategies should focus on healthy eating and personal connections no matter the modality used.
      Citation: American Journal of Health Promotion
      PubDate: 2020-09-28T09:43:50Z
      DOI: 10.1177/0890117120960574
       
  • Effect of a Workplace Weight-Loss Program for Overweight and Obese
           Healthcare Workers
    • Authors: Martha J. Nepper, Jennifer R. McAtee, Weiwen Chai
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Examining the effect of a workplace weight-loss program on weight loss, and physical, behavioral and mental well-being among overweight/obese healthcare workers.Design:Quasi experimental designSetting:Single healthcare settingParticipants:Forty-one (48.0 ± 11.2 years) day-time shift healthcare employees with body mass index [BMI]>29 kg/m2.Intervention:Sixteen-week program with weekly group meetings/activities and individual appointments with nutrition/health experts.Measures:Objective (weight, BMI, blood pressure) and self-reported measures were collected at baseline, conclusion of the intervention and 3 to 6 months post-intervention.Analysis:Repeated measure analysis accounting for confounders.Results:Participants had an average of 13 pounds (5.6%) weight loss (224.2 ± 6.4 vs. 211.6 ± 6.4 lbs.; P < 0.0001) upon program completion with significant decreases in BMI (37.7 ± 1.0 vs. 35.1 ± 1.0 kg/m2; P < 0.0001). Extreme obesity (BMI≥40 kg/m2) rate was reduced from 36.6% to 17.1% (P < 0.0001). There were decreases in diastolic blood pressure (76.0 ± 1.4 vs. 68.7 ± 1.5 mmHg; P = 0.001) and self-reported blood glucose (119.9 ± 4.4 vs. 105.5 ± 4.6 mg/dL; P = 0.03). Participants had improvements in weekly physical activity (25% change; P = 0.01), nutrition behavior (33% change, P < 0.0001), sleep quality (23% change, P = 0.005), and depression (72% change, P < 0.0001). Twenty-seven participants had post-intervention follow-up data. On average participants regained 8 pounds, which was less than the initial weight loss (16 lbs., N = 27).Conclusion:The results suggest the program may benefit healthcare employees. Further emphasis should be placed on post-intervention weight management to prevent weight regain.
      Citation: American Journal of Health Promotion
      PubDate: 2020-09-24T10:20:15Z
      DOI: 10.1177/0890117120960393
       
  • Evaluation of a Resiliency Focused Health Coaching Intervention for Middle
           School Students: Building Resilience for Healthy Kids Program
    • Authors: Joey A. Lee, Erin Heberlein, Emily Pyle, Thomas Caughlan, Darvi Rahaman, Margaret Sabin, Jill L. Kaar
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Introduction:Youth mental health issues are a growing public health concern. Resilience has been identified as a mitigating factor for adverse mental health outcomes. Schools have shown an increasing interest in strategies to support students’ mental health. The purpose of this study was to evaluate a school-based 1:1 health coaching program designed to build resilience by teaching students coping skills and strategies to increase their self-efficacy.Study Design:Single group intervention study with pre/post measures.Setting/Participants:Sixth grade students (aged 11-12 years) attending an urban middle school.Intervention:Youth participated in up to 6 resiliency-focused, 1:1 health coaching sessions completed over 8 weeks and conducted during the school day. Health coaches utilized motivational interviewing techniques to set and work toward resilience-related goals focused on improving coping skills and self-efficacy with youth during the intervention (January through March 2020).Main Outcome Measures:The Child and Youth Resilience Measure-Revised and other mental health assessments were completed at baseline and immediately following completion of the intervention to evaluate outcomes. Paired sample t-tests and Hedges’ g effect sizes were conducted to evaluate intervention effectiveness. Student participation rates were assessed throughout the intervention.Results:287 youth participated in the study (87% participation rate) and participated in over 85% of health coaching sessions offered. A paired samples t-test revealed the youth resilience significantly increased from pre (M = 75.7, SD = 6.9) to post (M = 77.6, SD = 6.8) intervention (t[257] = 3.73, p < .001) and the size of the effect was medium (g = 0.29, 95% CI = 0.11, 0.46).Conclusions:The findings demonstrate that health coaching can be an effective strategy for improving resiliency in youth. Future studies evaluating how to effectively disseminate this intervention strategy are planned.
      Citation: American Journal of Health Promotion
      PubDate: 2020-09-22T09:36:36Z
      DOI: 10.1177/0890117120959152
       
  • Network Autocorrelation of Perceived Physical Activity Skill Competence
           Among Adolescents at a Summer Care Program: A Pilot Study
    • Authors: Tyler Prochnow, Megan S. Patterson, Christina N. Bridges Hamilton, Haley Delgado, Sam Craig, M. Renee Umstattd Meyer
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:This study investigates the possible association between adolescent friendship networks and perceived physical activity skill competence in a summer care program.Design:Adolescents participated in researcher-administered surveys at the start (T1) and end (T2) of summer.Setting:Adolescents at a Boys & Girls Club were sampled.Sample:Adolescents (age 8-12) completed researcher-administered surveys at T1 (n = 100; µ age = 9.9 years; 47% male; 55% Black) and T2 (n = 77; µ age = 9.8 years; 51% male; 49% Black).Measures:Perceived skill competence was measured by asking adolescents to rate how good they felt they were at physical activity at the club. Adolescents were also asked to provide names of up to 5 peers whom they hung around with, talked to, and did things with the most while at the club.Analysis:Linear network autocorrelation models were used to determine network effects or clustering of perceived physical activity skill competence within the club.Results:There were significant network effects for adolescent perceived skill competency scores at T1 (β = 0.05, p < 0.01) and T2 (β = 0.05, p = 0.02), indicating adolescent perceived skill competence scores were associated with those of their friends.Conclusions:Practitioners may wish to encourage the use of group or collaborative skill competency improvement activities as well as possibly pairing adolescents with differing skill competencies to foster improvement and possible diffusion of perceived skill competency.
      Citation: American Journal of Health Promotion
      PubDate: 2020-09-15T11:05:53Z
      DOI: 10.1177/0890117120958544
       
  • A Public Health Approach to Negative News Media: The 3-to-1 Solution
    • Authors: Tyler J. VanderWeele, Arthur C. Brooks
      Abstract: American Journal of Health Promotion, Ahead of Print.
      There is clear evidence that the prevalence of negative media reporting has increased substantially over the past years. There is evidence that this negative reporting adversely affects social interactions, and thereby also health and well-being outcomes. Given the wide reach of negative media reporting and the contagion of such reporting and the resulting interactions, the effects on health are arguably substantial. Moreover, there is little incentive at present for media outlets to change practices. A commitment of news outlets to report one positive story for every 3 negative stories, and of news consumers to restrict attention to outlets that do, could dramatically alter practices and, consequently, population health.
      Citation: American Journal of Health Promotion
      PubDate: 2020-05-26T11:47:18Z
      DOI: 10.1177/0890117120914227
       
  • Corrigendum: Editor’s Desk: A Dashboard Approach to Demonstrating
           Value
    • Abstract: American Journal of Health Promotion, Ahead of Print.

      Citation: American Journal of Health Promotion
      PubDate: 2020-05-05T09:41:47Z
      DOI: 10.1177/0890117120927140
       
  • Allyship, Antiracism and the Strength of Weak Ties: A Barber, a Professor
           and an Entrepreneur Walk Into a Room
    • Authors: Paul E. Terry
      First page: 163
      Abstract: American Journal of Health Promotion, Ahead of Print.

      Citation: American Journal of Health Promotion
      PubDate: 2020-12-22T08:19:25Z
      DOI: 10.1177/0890117120982201
       
  • Development and Psychometric Evaluation of the Preconception Health
           Knowledge Questionnaire
    • Authors: Zoe Cairncross, Cindy-Lee Dennis, Sarah Brennenstuhl, Saranyah Ravindran, Joanne Enders, Lisa Graves, Catriona Mill, Deanna Telner, Hilary K. Brown
      First page: 172
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To develop and psychometrically test a comprehensive measure of preconception health knowledge.Design:Cross-sectional survey, in May and June, 2019.Setting:Alberta, Ontario, and Québec, Canada.Sample:One thousand seven hundred seventy-seven women and men with ≥1 children born in the last 5 years or planning a pregnancy in the next 5 years.Measures:Using prior literature and input from public health nurses and physicians, the Preconception Health Knowledge Questionnaire (PHKQ) was developed and comprised 25 multiple choice questions on reproductive history, sexual health, infectious diseases, chronic medical conditions, mental health, medications, immunizations, lifestyle behaviors, psychosocial stressors, and environmental exposures.Analysis:Psychometric testing was undertaken to evaluate item difficulty, discrimination, quality of response alternatives, internal consistency, and construct validity.Results:Participants had a mean total score of 15.8/25 (SD = 3.9); women and men had mean total scores of 16.2 (SD = 3.6) and 13.8 (SD = 4.7), respectively. Most items were neither too difficult nor too easy, discriminated well between participants with high and low knowledge, and had appropriate response alternatives. High internal consistency (KR-20 = 0.87) and construct validity, shown via significant correlations with education level and previous preconception care receipt, were demonstrated.Conclusion:The PHKQ is a reliable and valid tool for measuring preconception health knowledge and may be useful in identification of high-risk groups in need of preconception health education and evaluation of preconception health interventions.
      Citation: American Journal of Health Promotion
      PubDate: 2020-08-06T11:54:08Z
      DOI: 10.1177/0890117120946682
       
  • The Workplace Support for Health Scale: Reliability and Validity of a
           Brief Scale to Measure Employee Perceptions of Wellness
    • Authors: Christine M. Kava, Debbie Passey, Jeffrey R. Harris, Kwun C. Gary Chan, Peggy A. Hannon
      First page: 179
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To examine the reliability and validity of a brief measure (the Workplace Support for Health [WSH] scale) to assess employees’ perceived support for a healthy lifestyle.Design:Repeated cross-sectional surveys.Setting:We collected employer- and employee-level survey data from small, low-wage workplaces in King County, WA enrolled in a randomized controlled trial.Sample:We analyzed data from 68 workplaces that had 2,820 and 2,640 employees complete surveys at baseline and 15 months, respectively.Measures:The WSH scale consisted of five items. To assess validity, we examined associations between the WSH scale and employer implementation of evidence-based interventions for health promotion, employee self-rated health, and job satisfaction.Analysis:We performed an exploratory factor analysis to assess the unidimensionality of the WSH scale items, and produced Cronbach’s alpha coefficients to examine scale reliability. We ran regression models using generalized estimating equations to examine validity.Results:The factor analysis indicated one factor, which accounted for 59% of the total variance in the workplace support for health items. The scale had good reliability at baseline (α = 0.82) and 15 months (α = 0.83). Employer evidence-based intervention implementation was positively associated with WSH. WSH was also associated with higher self-rated health and job satisfaction. These associations indicate good concurrent validity.Conclusion:The WSH scale is a reliable and valid measure of perceived workplace support for health. Employers can use the scale to identify gaps in support and create a plan for improvement.
      Citation: American Journal of Health Promotion
      PubDate: 2020-08-18T09:10:00Z
      DOI: 10.1177/0890117120949807
       
  • The Effect of Boarding on Obesity Among Middle School Students: Evidence
           From China
    • Authors: Linyue Yu, Wei Chen
      First page: 186
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:This paper examines the effect of boarding on obesity among middle school students at boarding schools.Design:Quantitative, cross-sectional study.Setting:Data from the China Education Panel Survey (CEPS) were analyzed. The CEPS samples middle school students from 7th grade to 9th grade in China.Subjects:The final sample included 3,892 observations of boarding school students.Measures:Measures included body mass index (BMI) that determined obesity, boarding status, demographic information, and instruments for boarding status.Analysis:The instrumental variables approach based on the 2 stage least squares (2SLS) methodology was utilized. The endogenous models and the extended probit models were also applied to the data to confirm the robustness of the results.Results:Boarding has a significant negative effect on obesity for middle school boys but a smaller negative effect on obesity for middle school girls. Boarding was estimated to reduce obesity by roughly 14% (p < 0.01) among middle school boys and 6% (p> 0.1) among middle school girls. The overall estimated effect based on the pooled sample was about 10% (p < 0.01).Conclusion:School or government policies that encourage boarding at school can reduce obesity among middle school students, at least for middle school boys. Boarding at school can be a positive factor in preventing and controlling obesity among middle school students.
      Citation: American Journal of Health Promotion
      PubDate: 2020-08-27T09:46:48Z
      DOI: 10.1177/0890117120951054
       
  • Positive Lifestyle Behavior Changes Among Canadian Men: Findings From the
           HAT TRICK Program
    • Authors: Cristina M. Caperchione, Joan L. Bottorff, Sean Stolp, Paul Sharp, Steven T. Johnson, John L. Oliffe, Kate Hunt
      First page: 193
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To estimate program effectiveness regarding physical activity (PA), diet, and social connectedness as part of a feasibility study.Design:Pre-post quasi-experimental.Setting:HAT TRICK was delivered in collaboration with a Canadian semi-professional ice hockey team and offered at the arena where they trained and played games.Participants:Participants (N = 62) at baseline were overweight (BMI>25kg/m2) and inactive (
      Citation: American Journal of Health Promotion
      PubDate: 2020-09-16T09:52:39Z
      DOI: 10.1177/0890117120957176
       
  • Better Me Within Randomized Trial: Faith-Based Diabetes Prevention Program
           for Weight Loss in African American Women
    • Authors: Heather Kitzman, Abdullah Mamun, Leilani Dodgen, Donna Slater, George King, Alene King, J. Lee Slater, Mark DeHaven
      First page: 202
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Previous DPP translations in African American women have been suboptimal. This trial evaluated a community-based participatory research developed faith-based diabetes prevention program (DPP) to improve weight loss in African American women.Design:This cluster randomized trial allocated churches to faith-based (FDPP) or standard (SDPP) DPP interventions. Setting. African American churches. Subjects. Eleven churches with 221 African American women (aged 48.8 ± 11.2 years, BMI = 36.7 ± 8.4) received the FDPP (n = 6) or SDPP (n = 5) intervention.Intervention:FDPP incorporated 5 faith-based components, including pastor involvement, into the standard DPP curriculum. The SDPP used the standard DPP curriculum. Lay health leaders facilitated interventions at church sites.Measures:Weight and biometrics were collected by blinded staff at baseline, 4- and 10-months.Analysis:A multilevel hierarchical regression model compared the FDPP and SDPP groups on outcomes.Results:FDPP and SDPP churches significantly lost weight at 10-months (overall −2.6%, p < .01). Women in FDPP churches who attended at least 15 sessions lost an additional 6.1 pounds at 4-months compared to SDPP corresponding to a 5.8% reduction at 10-months (p < .05). Both groups had significant improvements in health behaviors and biometrics.Conclusions:Faith-based and standard DPP interventions led by lay health leaders successfully improved weight, health behaviors, and chronic disease risk. However, the faith-based DPP when fully implemented met the CDC’s recommendation for weight loss for diabetes prevention in African American women.
      Citation: American Journal of Health Promotion
      PubDate: 2020-09-18T10:51:24Z
      DOI: 10.1177/0890117120958545
       
  • Using a Social Capital Framework to Explore a Broker’s Role in Small
           Employer Wellness Program Uptake and Implementation
    • Authors: Michele Thornton, Kristen Hammerback, Jean M. Abraham, Lisa Brosseau, Jeffrey R. Harris, Laura A. Linnan
      First page: 214
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Small employers, while motivated to implement wellness programs, often lack knowledge and resources to do so. As a result, these firms rely on external decision-making support from insurance brokers. The objective of this study was to analyze brokers’ familiarity with wellness programs and to characterize their role and interactions with small employers.Design:Using a newly developed common interview guide (20 questions), protocol and analysis plan, 20 interviews were conducted with health insurance brokers in Illinois, Minnesota, North Carolina and Washington in 2016 and 2017. In addition to exploring patterns of broker interactions and familiarity by segment, we propose a framework to conceptualize the broker-client relationship using social capital theory and the RE-AIM model.Methods:Interviews were transcribed, summarized and a common codebook was established using DeDoose. Themes were identified following multi-rater coding and structured within the framework.Results:Participating brokers reported having a high to moderate familiarity with wellness programs (65%) and a majority (80%) indicated that they have previously advised their small business clients on the availability and features of them. Further, we find that brokers may help eliminate barriers to resources and act as a connector to wellness opportunities within their professional network.Conclusion:New initiatives to promote small employer wellness programs can benefit from examining the influence of brokers on the decision-making process. When engaged and supported with resources, brokers may be effective champions for employer wellness programs.
      Citation: American Journal of Health Promotion
      PubDate: 2020-09-11T09:21:24Z
      DOI: 10.1177/0890117120957159
       
  • Effects of Motivational Interviewing and Wearable Fitness Trackers on
           Motivation and Physical Activity: A Systematic Review
    • Authors: Kayla Nuss, Kristen Moore, Tracy Nelson, Kaigang Li
      First page: 226
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Objective:To systematically review the impacts of Wearable Fitness Trackers (WFTs), Motivational Interviewing (MI), and Self Determination Theory (SDT)–based interventions on physical activity (PA) and motivation for PA.Data Source:Manuscripts published between 2008 and 2018 in PubMed, Web of Science, CABAbstracts, and SPORTDiscus database were reviewed.Study Inclusion and Exclusion Criteria:Inclusion criteria were original pilot studies, randomized controlled trials (RCT), cross-sectional studies, qualitative assessments, prospective cohort studies, longitudinal observational studies, and pretest posttest designs published in peer-reviewed journals.Data Extraction:Studies were evaluated by 2 independent researchers for inclusion.Data Synthesis:Extracted data were synthesized in a tabular format and narrative summary.Results:Twenty-six studies met final inclusion criteria, 10 addressed WFT use and PA behavior, 4 investigated WFT use and its association with motivation for PA, and 10 examined SDT and/or MI and their effect on motivation for PA and/or PA behavior. Finally, 2 studies addressed SDT-based MI, WFT use, and the combined effect on PA behavior.Conclusions:While SDT-based interventions and MI positively impact motivation for PA and PA behavior, WFTs revealed mixed results. Wearable Fitness Trackers prove effective among individuals not currently meeting PA guidelines but have little impact on other populations. Self Determination Theory, MI, and WFTs use provides a promising combination of interventions to increase PA among sedentary individuals, though research is limited.
      Citation: American Journal of Health Promotion
      PubDate: 2020-07-14T10:02:50Z
      DOI: 10.1177/0890117120939030
       
  • The Impact of Financial Incentives on Physical Activity: A Systematic
           Review and Meta-Analysis
    • Authors: My-Linh Nguyen Luong, Michelle Hall, Kim L. Bennell, Jessica Kasza, Anthony Harris, Rana S. Hinman
      First page: 236
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Objective:To evaluate the effects of financial incentives on physical activity (PA).Data Sources:MEDLINE, Embase, 7 other databases, and 2 trial registries until July 17, 2019.Study Inclusion and Exclusion Criteria:Randomized controlled trials with adults aged ≥18 years assessing the effect of financial incentives on PA. Any comparator was eligible provided the only difference between groups was the incentive strategy.Data Extraction:Two independent reviewers extracted data and assessed study quality. Of 5765 records identified, 57 records (51 unique trials; n = 17 773 participants) were included.Data Synthesis:Random-effects models pooling data for each of the 5 PA domains.Results:Financial incentives increase leisure time PA (gym or class attendance; standardized mean difference [95% CI], 0.46 [0.28-0.63], n = 5057) and walking behavior (steps walked; 0.25 [0.13-0.36], n = 3254). No change in total minutes of PA (0.52 [−0.09 to 1.12], n = 968), kilocalories expended (0.19 [−0.06 to 0.44], n = 247), or the proportion of participants meeting PA guidelines (risk ratio [95% CI] 1.53 [0.53-4.44], n = 650) postintervention was observed. After intervention has ceased, incentives sustain a slight increase in leisure time PA (0.10 [0.02-0.18], n = 2678) and walking behavior (0.11 [0.00-0.22], n = 2425).Conclusions:Incentives probably improve leisure time PA and walking at intervention end, and small improvements may be sustained over time once incentives have ceased. They lead to little or no difference in kilocalories expended or minutes of PA. It is uncertain whether incentives change the likelihood of meeting PA guidelines because the certainty of the evidence is low.
      Citation: American Journal of Health Promotion
      PubDate: 2020-07-16T09:29:57Z
      DOI: 10.1177/0890117120940133
       
  • Overdose Awareness and Reversal Trainings at Philadelphia Public Libraries
    • Authors: Margaret Lowenstein, Rachel Feuerstein-Simon, Roxanne Dupuis, Allison Herens, Jeffrey Hom, Meghana Sharma, Risha Sheni, Lonard Encarnacion, Carina Flaherty, Maria Cueller, Carolyn Cannuscio
      First page: 250
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To evaluate an overdose response training program in public libraries.Design:Mixed methods evaluation including pre- and post-intervention questionnaires and debriefing interviews.Setting:Ten Philadelphia public libraries.Sample:Overdose response training participants (library staff and community members).Intervention:Public, hour-long overdose response trainings run by the Philadelphia Department of Public Health, the Free Library of Philadelphia, and the University of Pennsylvania between March and December 2018.Measures:Questionnaires assessed motivation for attending trainings, overdose response readiness, and intention to acquire and carry naloxone. Debriefing interviews elicited training feedback.Analysis:We assessed changes in overdose response readiness and intention to carry naloxone and performed thematic analysis on interview data.Results:At 29 trainings, 254 people attended, of whom 203 (80%) completed questionnaires and 23 were interviewed. 30% of participants had witnessed an overdose, but only 3% carried naloxone at baseline. Following training, overdose response readiness and intention to acquire/carry naloxone improved significantly (P < .01). Interviewees nonetheless noted that they experienced barriers to naloxone acquisition, including cost, stigma, and concern regarding future insurability. Trainings subsequently included naloxone distribution. Interviewees reported that public libraries were welcoming, nonstigmatizing venues.Conclusion:In Philadelphia, library-based overdose response trainings were well-attended and reached a population with prior overdose encounters. Similar trainings could be deployed as a scalable overdose prevention strategy in the nation’s 16 568 public libraries.
      Citation: American Journal of Health Promotion
      PubDate: 2020-07-14T09:07:09Z
      DOI: 10.1177/0890117120937909
       
  • Response Variations to Survey Items About Firearms in the 2004 and 2017
           Behavioral Risk Factor Surveillance System
    • Authors: John R. Blosnich, Elizabeth Karras, Robert M. Bossarte
      First page: 255
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:The aim of this investigation was to document the prevalence and correlates of refusing to answer a US federal health survey item about firearms in the household.Design:The cross-sectional analysis was conducted with 2004 and 2017 Behavioral Risk Factor Surveillance System (BRFSS) survey data from Texas, Oregon, Idaho, California, Kansas, and Utah states whose surveys included items about firearms in the household.Participants:Probability-based samples of adults over the age of 18 (n = 34 488 in 2017 BRFSS; n = 33 136 in 2004 BRFSS).Measures:Dichotomized measure of whether respondents answered versus refused to answer “Are any firearms now kept in or around your home'”Analysis:Weighted multiple logistic regression was used to assess how sociodemographic and health-related characteristics were associated with item refusal.Results:Approximately 1.8% (95% CI: 1.6-2.1) of respondents in 2004 and 3.9% (95% CI: 3.4-4.5) of respondents in 2017 sample refused the firearms item (P < .01). Men were more likely than women (2004: adjusted odds ratio [aOR] = 1.81, 95% CI: 1.24-2.62; 2017: aOR = 1.60, 95% CI = 1.17-2.18) and Latino/a respondents were less likely than white respondents (2004: aOR = 0.24, 95% CI: 0.10-0.60; 2017: aOR = 0.21, 95% CI: 0.13-0.34) to refuse the firearms question. In 2004, refusal was more likely among older than younger respondents, but in 2017, age was not associated with refusal.Conclusions:Refusal to firearm-related survey items along sociodemographic characteristics warrants further research. Community-informed strategies (eg, focus groups, cognitive testing, in-depth interviews) could improve the context and wording of firearm-related items to maximize response to these items in public health surveys.
      Citation: American Journal of Health Promotion
      PubDate: 2020-07-23T09:42:05Z
      DOI: 10.1177/0890117120943114
       
  • Exploring Sex Differences in the Effectiveness of Telehealth-Based Health
           Coaching in Weight Management in an Employee Population
    • Authors: Kelly E. Johnson, Michelle K. Alencar, Brian Miller, Elizabeth Gutierrez, Patricia Dionicio
      First page: 262
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To explore a telehealth-based lifestyle therapeutics (THBC) program on weight loss (WL) and program satisfaction in an employer population.Design:This study was a collaboration between inHealth Lifestyle Therapeutics and a large national employer group including 685 participants (296 women [64% obese] and 389 men [62% obese]).Measures:Percent WL and subjective rating (Perceived Program Value measured by a questionnaire) were assessed.Intervention:Average number of visits was 3.1 ± 0.4; each visit ranged between 20 and 45 minutes.Analysis:This study utilized a 2 × 2 block design using analysis of variance techniques based on sex (male and female) and initial body mass index (BMI) category (overweight and obese) tested at P ≤ .05.Results:There was no statistical difference in %WL between by sex (F 1,681 = 0.398, P = .528) nor an interaction between sex and BMI (F 1,681 = 0.809, P = .369). There was a statistically significant difference in %WL from pre to post program across initial BMI category (F 1,681 = 13.707, P ≤ .001) with obese participants losing an average of 1.1% (0.5%-1.6%) more than overweight participants (overweight 2.5% [2.1%-3.0%] vs obese 3.6% [3.2%-3.9%]). Obese participants were 1.15 (1.07-1.25) times more likely to lose weight compared to overweight participants. Analysis of variance power analysis indicated sufficient power on minimum factor combination n = 106 ( Effect Size = 0.282).Conclusion:Results support the efficacy THBC in supporting WL with no reported differences between men and women, while having a high perceived value for employee participants.
      Citation: American Journal of Health Promotion
      PubDate: 2020-07-27T04:43:43Z
      DOI: 10.1177/0890117120943363
       
  • Mental Health Risk Among Members of the Millennial Population Cohort: A
           Concern for Public Health
    • Authors: Julie E. Lucero, Amber D. Emerson, Teysha Bowser, Brandon Koch
      First page: 266
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Within the millennial population cohort, identify groups reporting increased risk of nonspecific psychological distress. As the largest living population cohort, taking stock of health and well-being early is necessary as substantial national resources may be needed as this cohort ages.Design:The 2017 National Health Interview Survey data, an annual multipurpose survey of the US population, was used.Sample:A sample of 7303 respondents were created by limiting data set to birth years 1980 to 1998.Measures:Outcomes were feeling like everything is an effort, worthlessness, hopelessness, restlessness, nervousness, and sadness. Combined these statements of feeling make up a measure of nonspecific psychological distress, past 30 days.Analysis:A logistic regression was performed on each outcome. All models controlled for demographic variables known to be associated with psychological distress.Results:Females are 1.4 times more likely than males to report nonspecific psychological distress (P < .001), whereas Hispanics and Blacks are less likely to report nonspecific psychological distress (odds ratio [OR] = 0.49, OR = 0.57, P < .001). American Indians were less likely to report worthlessness (OR = 0.30, P < .05). However, multiple race individuals increasingly reported hopelessness (OR = 1.55, P < .05). Young adults are less likely than emerging adults to report sadness (OR = 0.85, P < .05).Conclusion:In this sample, racial/ethnic groups fared better than referent groups. Health programs need to integrate intersectional identities into promotion of mental health.
      Citation: American Journal of Health Promotion
      PubDate: 2020-07-31T11:52:18Z
      DOI: 10.1177/0890117120945089
       
  • Comparing “Individual Health” Message Framing to “Organizational
           Efficiency” Message Framing to Encourage Adoption of Wearable Health
           Technologies at Work
    • Authors: Jillian K. Kwong, Ignacio Cruz, Sheila T. Murphy
      First page: 271
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To determine the relative impact of framing on employee intention to adopt wearable technology (eg, Fitbits) at work.Setting and Design:Posttest only online experiment utilizing a 2 (framing: organizational efficiency vs individual health) × 2 (financial incentive: absent vs present) between-subjects design.Participants:Participants (N = 310) were 18 years or older, currently employed, and residing in the United States.Measures:Unified Theory of Acceptance and Use of Technology (UTAUT) subscale on behavioral intent (modified for wearable technology).Analysis:Chi-square and between-subjects analysis of variance.Results:Participants receiving the organizational efficiency frame (M = 3.97) expressed significantly lower intention to adopt a wearable compared to the individual health frame (M = 4.37), F 2,308 = 3.99, P = .047. Financial incentives had a positive effect on adoption intention (M = 4.39 with incentive, M = 3.95 no incentive), F 2,308 = 4.46, P = .036. The main effects of frame and incentive were additive, with participants in the individual health with incentive condition (n = 78, M = 4.60) expressing the highest intention to adopt and organizational efficiency without incentive expressing the lowest adoption intention (n = 77, M = 3.80; P = .03).Conclusions:Messaging emphasizing individual health benefits plus financial incentives might prove most successful when encouraging adoption of wearables at work.
      Citation: American Journal of Health Promotion
      PubDate: 2020-07-31T11:52:06Z
      DOI: 10.1177/0890117120944314
       
  • Understanding the Cumulative Burden of Basic Needs Insecurities:
           Associations With Health and Academic Achievement Among College Students
    • Authors: Cindy W. Leung, Sara Farooqui, Julia A. Wolfson, Alicia J. Cohen
      First page: 275
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:Food insecurity is a concern on college campuses and is correlated with other basic needs insecurities. We examined the cumulative burden of food, financial, and housing insecurities on college students’ health and academic performance.Design:Cross-sectional survey.Setting:Large, public Midwestern university.Sample:A total of 793 college students completed an online survey in 2018 (43% response rate).Measures:Food, financial, and housing insecurity were measured using validated instruments. Primary outcomes were general health status, anxiety and depression, and grade point average (GPA).Analysis:Weighted linear and logistic regression analyses were used to examine associations between cumulative basic needs insecurities and primary outcomes.Results:Approximately 11% of students experienced all 3 insecurities. Compared to fully secure students, students with all 3 insecurities were more likely to have anxiety and depression (odds ratio [OR] = 4.65, 95% CI: 4.31-5.01), fair/poor health (OR = 4.06, 95% CI: 3.73-4.42), and lower GPA (β = −0.19, 95% CI: −0.30 to −0.09), adjusting for sociodemographic characteristics.Conclusion:Interventions that address multiple basic needs insecurities are needed to promote college students’ well-being and foster academic success.
      Citation: American Journal of Health Promotion
      PubDate: 2020-08-12T09:27:02Z
      DOI: 10.1177/0890117120946210
       
  • Heterogeneity in the Effects of Food Vouchers on Nutrition Among
           Low-Income Adults: A Quantile Regression Analysis
    • Authors: Justin S. White, Gabriel Vasconcelos, Matthew Harding, Mandy M. Carroll, Christopher D. Gardner, Sanjay Basu, Hilary K. Seligman
      First page: 279
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:To determine whether baseline fruit and vegetable (FV) intake or other predictors are associated with response to food vouchers (change in FV intake) among low-income adults.Design:Secondary analysis of a randomized, 2 x 2-factorial, community-based trial.Setting:San Francisco, California.Subjects:359 low-income adults aged ≥21 years old.Intervention:Participants were mailed $20 of food vouchers monthly for 6 months, and randomized to 1 of 4 arms according to: eligible foods (FV only or any foods) and redemption schedule (weekly or monthly).Measures:Change in FV intake measured in cup equivalents between baseline and month 6 of the trial, based on 24-hour dietary recalls.Analysis:Quantile multivariate regressions were employed to measure associations between key predictors and change in FV intake across study arms.Results:FV-only weekly vouchers were associated with increased FV intake at the 25th percentile (0.24 cups/day, p = 0.048) and 50th percentile (0.37 cups/day, p = 0.02) of the distribution, but not at lower and higher quantiles. Response to the vouchers diminished 0.10 cups/day for each additional household member (p = 0.02).Conclusion:Response to food vouchers varied along the FV intake distribution, pointing to some more responsive groups and others potentially needing additional support to increase FV intake. Larger households likely need vouchers of higher dollar value to result in similar changes in dietary intake as that observed in smaller households.
      Citation: American Journal of Health Promotion
      PubDate: 2020-09-03T07:50:59Z
      DOI: 10.1177/0890117120952991
       
  • Impact of School-Based Fitness Testing Awards on Physical Activity
           Guidelines for Children With Disabilities: NHANES 2013-2016
    • Authors: Willie Leung, Nicole Fiscella
      First page: 284
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Purpose:The purpose of this study is to determine the association between school-based fitness testing awards and meeting physical activity guidelines among children with disabilities.Design:Cross-sectional secondary data analysis using NHANES 2013-2016.Setting:Data from NHANES 2013-2016 were used.Sample:3915 children without disabilities and 647 children with disabilities between ages of 5 to 15 years.Measures:Self-reported from children or proxy response from guardians in above parameters.Analysis:Chi-square test and multivariable logistic regression.Results:There is no significant different between children with and without disabilities in receiving school-based fitness testing awards (×2 = 4.14, p = .05). According to both crude and adjusted model, children with disabilities are more likely to received school-based fitness testing awards than children without disabilities (OR = 1.44, 95% C.I. [.98, 2.12]; OR = 1.27, 95% C.I. [.85, 1.89]). Also, for children with disabilities, children who did not received school-based fitness testing awards are more likely to meet PA guidelines than children who received school-based fitness testing awards according to both crude and adjusted models (OR = 1.71, 95% C.I. [.66, 4.47]; OR = 1.37, 95% C.I. [.59, 3.16]).Conclusion:Receiving school-based fitness testing could potentially increase self-efficacy in engaging in physical activity among children with disabilities. However, there is a need to determine if the current approach of utilizing awards are sufficient enough to promote physical activity among children with disabilities.
      Citation: American Journal of Health Promotion
      PubDate: 2020-09-10T02:12:13Z
      DOI: 10.1177/0890117120954597
       
  • Suggestions for Advancing Pragmatic Solutions for Dissemination: Potential
           Updates to Evidence-Based Repositories
    • Authors: Samantha M. Harden, Abby Steketee, Trevin Glasgow, Russell E. Glasgow, Paul A. Estabrooks
      First page: 289
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Evidence-based program repositories (EBPR) report intervention characteristics and how to implement the intervention. These EBPR are a dissemination strategy to address questions such as, “I have cancer, what programs can I join'” or “What evidence-based programs for weight loss are a good fit for my community'” However, these EBPR fall short of realizing their potential and are not seen as particularly interactive, robust, or relevant to stakeholders who may benefit from their content. We propose 2 solutions for existing EBPR to enhance dissemination of evidence-based information. Addressing this critical dissemination need is one strategy for health promotion.
      Citation: American Journal of Health Promotion
      PubDate: 2020-06-30T09:20:15Z
      DOI: 10.1177/0890117120934619
       
  • Mind, Mood, Mobility: Supporting Independence Among Rural Older Adults at
           Risk for Functional Decline
    • Authors: Meaghan A. Kennedy, Renee Pepin, Courtney J. Stevens, Stephen J. Bartels, John A. Batsis, Annette Beyea, Martha L. Bruce, Jeremiah M. Eckhaus, Neil Korsen, Dawna M. Pidgeon, Kenton E. Powell, Charles F. Reynolds, Michael A. LaMantia
      First page: 295
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Rural communities need access to effective interventions that can prevent functional decline among a growing population of older adults. We describe the conceptual framework and rationale for a multicomponent intervention (“Mind, Mood, Mobility”) delivered by Area Agency on Aging staff for rural older adults at risk for functional decline due to early impairments in cognition, mood, or mobility. Our proposed model utilizes primary care to identify at-risk older adults, combines evidence-based interventions that address multiple risk factors simultaneously, and leverages a community-based aging services workforce for intervention delivery.
      Citation: American Journal of Health Promotion
      PubDate: 2020-06-22T09:38:55Z
      DOI: 10.1177/0890117120934622
       
 
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