Subjects -> HEALTH AND SAFETY (Total: 1464 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (686 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (358 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (112 journals)
    - PHYSICAL FITNESS AND HYGIENE (117 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (686 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
ACM Transactions on Computing for Healthcare     Hybrid Journal  
Acta Scientiarum. Health Sciences     Open Access   (Followers: 2)
Adultspan Journal     Hybrid Journal   (Followers: 2)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 11)
Advances in Public Health     Open Access   (Followers: 34)
Adversity and Resilience Science : Journal of Research and Practice     Hybrid Journal   (Followers: 4)
African Health Sciences     Open Access   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 7)
Afrimedic Journal     Open Access   (Followers: 3)
Ageing & Society     Hybrid Journal   (Followers: 41)
Aging and Health Research     Open Access   (Followers: 6)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 9)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
Akademika     Open Access  
American Journal of Family Therapy     Hybrid Journal   (Followers: 8)
American Journal of Health Economics     Full-text available via subscription   (Followers: 26)
American Journal of Health Education     Hybrid Journal   (Followers: 38)
American Journal of Health Promotion     Hybrid Journal   (Followers: 24)
American Journal of Health Sciences     Open Access   (Followers: 12)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 35)
American Journal of Public Health     Full-text available via subscription   (Followers: 267)
American Journal of Public Health Research     Open Access   (Followers: 33)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 9)
Annals of Health Law     Open Access   (Followers: 7)
Applied Biosafety     Hybrid Journal   (Followers: 2)
Applied Ergonomics     Hybrid Journal   (Followers: 18)
Archives of Suicide Research     Hybrid Journal   (Followers: 14)
Archivos de Prevención de Riesgos Laborales     Open Access  
ASA Monitor     Full-text available via subscription   (Followers: 14)
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 7)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 12)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 5)
Asian Journal of Medicine and Health     Open Access   (Followers: 1)
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access   (Followers: 1)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 5)
Australian Family Physician     Full-text available via subscription   (Followers: 2)
Australian Indigenous HealthBulletin     Free   (Followers: 5)
Autism & Developmental Language Impairments     Open Access   (Followers: 19)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 7)
Biosafety and Health     Open Access  
Biosalud     Open Access  
BMC Oral Health     Open Access   (Followers: 5)
BMC Pregnancy and Childbirth     Open Access   (Followers: 20)
Brazilian Journal of Medicine and Human Health     Open Access  
British Journal of Health Psychology     Hybrid Journal   (Followers: 57)
Cadernos de Educação, Saúde e Fisioterapia     Open Access  
Cadernos de Saúde     Open Access  
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 16)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 1)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 31)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 2)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
CES Salud Pública     Open Access  
Child and Adolescent Obesity     Open Access   (Followers: 8)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 12)
Children     Open Access  
Ciencia & Salud     Open Access  
Ciencia & Trabajo     Open Access  
Ciencia y Salud     Open Access   (Followers: 1)
Cities & Health     Hybrid Journal   (Followers: 6)
Cleaner and Responsible Consumption     Open Access  
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 1)
Clocks & Sleep     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 1)
Conflict and Health     Open Access   (Followers: 8)
Contact (CTC)     Open Access   (Followers: 2)
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Cuaderno de investigaciones: semilleros andina     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 13)
Current Opinion in Environmental Science & Health     Hybrid Journal  
Das österreichische Gesundheitswesen ÖKZ     Hybrid Journal   (Followers: 2)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Design for Health     Hybrid Journal   (Followers: 1)
Digital Health     Open Access   (Followers: 10)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 12)
Discover Social Science and Health     Open Access   (Followers: 19)
Diversity and Equality in Health and Care     Open Access   (Followers: 10)
Diversity of Research in Health Journal     Open Access   (Followers: 1)
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Open Access   (Followers: 2)
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 26)
East African Journal of Public Health     Full-text available via subscription   (Followers: 3)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 24)
EcoHealth     Hybrid Journal   (Followers: 6)
Egyptian Journal of Nutrition and Health     Open Access   (Followers: 9)
Egyptian Journal of Occupational Medicine     Open Access   (Followers: 5)
electronic Journal of Health Informatics     Open Access   (Followers: 7)
ElectronicHealthcare     Full-text available via subscription   (Followers: 2)
Emerging Trends in Drugs, Addictions, and Health     Open Access   (Followers: 2)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 7)
EsSEX : Revista Científica     Open Access  
Ethics & Human Research     Hybrid Journal   (Followers: 4)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 9)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 6)
Ethnicity & Health     Hybrid Journal   (Followers: 17)
EUREKA : Health Sciences     Open Access  
European Journal of Health Communication     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 5)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 2)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 12)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Exploratory Research in Clinical and Social Pharmacy     Open Access   (Followers: 4)
F&S Reports     Open Access   (Followers: 2)
Face à face     Open Access  
Family & Community Health     Hybrid Journal   (Followers: 13)
Family Relations     Partially Free   (Followers: 12)
FASEB BioAdvances     Open Access   (Followers: 3)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 3)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 11)
Food Hydrocolloids for Health     Open Access  
Food Quality and Safety     Open Access   (Followers: 2)
Frontiers in Digital Health     Open Access   (Followers: 3)
Frontiers of Health Services Management     Partially Free   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 2)
Ganesha Journal     Open Access  
Geospatial Health     Open Access   (Followers: 1)
Gestão e Desenvolvimento     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 7)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Advances in Health and Medicine     Open Access  
Global Challenges     Open Access   (Followers: 2)
Global Health : Science and Practice     Open Access   (Followers: 8)
Global Health Annual Review     Open Access   (Followers: 2)
Global Health Innovation     Open Access   (Followers: 3)
Global Health Journal     Open Access   (Followers: 2)
Global Health Promotion     Hybrid Journal   (Followers: 16)
Global Journal of Health Science     Open Access   (Followers: 6)
Global Medical & Health Communication     Open Access   (Followers: 1)
Global Mental Health     Open Access   (Followers: 13)
Global Reproductive Health     Open Access   (Followers: 2)
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Global Transitions     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 7)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 7)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 24)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 21)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 10)
Health and Social Work     Hybrid Journal   (Followers: 63)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 5)
Health Behavior Research     Open Access   (Followers: 2)
Health Care Analysis     Hybrid Journal   (Followers: 13)
Health Equity     Open Access   (Followers: 4)
Health Information Management Journal     Hybrid Journal   (Followers: 28)
Health Policy     Hybrid Journal   (Followers: 48)
Health Policy and Technology     Hybrid Journal   (Followers: 5)
Health Policy OPEN     Open Access   (Followers: 1)
Health Promotion & Physical Activity     Open Access   (Followers: 9)
Health Promotion International     Hybrid Journal   (Followers: 27)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 9)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Prospect     Open Access  
Health Psychology Review     Hybrid Journal   (Followers: 46)
Health Research Policy and Systems     Open Access   (Followers: 16)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access   (Followers: 1)
Health Sciences and Disease     Open Access   (Followers: 2)
Health Security     Hybrid Journal   (Followers: 1)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 6)
Health Systems & Reform     Open Access   (Followers: 3)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 13)
Health, Risk & Society     Hybrid Journal   (Followers: 11)
Health, Safety and Environment     Open Access   (Followers: 35)
Healthcare     Open Access   (Followers: 2)
Healthcare Quarterly     Full-text available via subscription   (Followers: 9)
Healthcare Technology Letters     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription   (Followers: 2)
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
Histoire, médecine et santé     Open Access   (Followers: 1)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 5)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 3)
Horizonte Medico     Open Access  
Hua Hin Sook Jai Klai Kangwon Journal     Open Access  
Human Nutrition & Metabolism     Open Access   (Followers: 2)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 5)
IISE Transactions on Occupational Ergonomics and Human Factors     Hybrid Journal  
IJS Global Health     Open Access  
Implementation Science     Open Access   (Followers: 27)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Youth and Adolescent Health     Open Access  
Indonesian Journal of Public Health     Open Access  
interactive Journal of Medical Research     Open Access  

        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: 24  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0890-1171 - ISSN (Online) 2168-6602
Published by Sage Publications Homepage  [1176 journals]
  • In Briefs

    • Free pre-print version: Loading...

      Pages: 373 - 380
      Abstract: American Journal of Health Promotion, Volume 39, Issue 3, Page 373-380, March 2025.

      Citation: American Journal of Health Promotion
      PubDate: 2025-03-01T03:56:54Z
      DOI: 10.1177/08901171251316912
      Issue No: Vol. 39, No. 3 (2025)
       
  • Editor’s Desk: Knowing Well, Reading Well for Social Connection

    • Free pre-print version: Loading...

      Authors: Jessica Grossmeier; Gilroy, CA, USA
      Pages: 537 - 545
      Abstract: American Journal of Health Promotion, Volume 39, Issue 3, Page 537-545, March 2025.

      Citation: American Journal of Health Promotion
      PubDate: 2025-03-01T03:56:53Z
      DOI: 10.1177/08901171251319874
      Issue No: Vol. 39, No. 3 (2025)
       
  • “Healthcare Doesn’t Care”: A Mixed-Methods Study on Healthcare
           Stigma and PrEP Use Among Black Sexual Minority Men

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      Authors: Rodman Turpin; Aaron D. Camp, CJ Mandell, Rochelle Davidson Mhonde, Julia Mandeville, Jamil Smith, Hongjie Liu, Typhanye Dyer, Kenneth Mayer, Bradley Boekeloo1Department of Global Community Health, School of Public Health, 1068University of Maryland, College Park, MD, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      BackgroundPre-exposure prophylaxis (PrEP) is a critical tool for HIV-prevention, yet PrEP uptake among Black sexual minority men (BSMM) is relatively low, despite greater HIV vulnerability. Stigma in healthcare settings can be a substantial barrier to ...
      Citation: American Journal of Health Promotion
      PubDate: 2025-04-02T07:32:30Z
      DOI: 10.1177/08901171251330710
       
  • Walking Interventions and Cognitive Health in Older Adults: A Systematic
           Review of Randomized Controlled Trials

    • Free pre-print version: Loading...

      Authors: Jongwon Lee; Delia West, Christine Pellegrini, Jingkai Wei, Sara Wilcox, Jean Neils-Strunjas, A. Caroline Rudisill, Daniela B. Friedman, David X. Marquez, Jenna Dzwierzynski, Joyce Balls-Berry, Rachelle Gajadhar, Chih-Hsiang Yang1Department of Exercise Science, Arnold School of Public Health, 2629University of South Carolina, Columbia, SC, USA22629Technology Center to Promote Healthy Lifestyles (TecHealth) at the University of South Carolina, Columbia, SC, USA3Department of Family Nutrition, College of Applied Health Sciences, 14681University of Illinois Chicago, Chicago, IL, USA9Department of Neurology, 12275Washington University School of Medicine in Saint Louis, St.Louis, MO, USA10Department of Internal Medicine, 12322University of South Carolina School of Medicine, Columbia, SC, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      ObjectiveThis systematic review summarizes the effectiveness and the dose of walking interventions on specific cognition domains in older adults, including executive function, memory, attention, processing speed, and global cognition.Data sourcePublished ...
      Citation: American Journal of Health Promotion
      PubDate: 2025-04-01T06:03:56Z
      DOI: 10.1177/08901171251328858
       
  • Preventive Behaviors, Knowledge of Esophageal Cancer and Relationships
           Socio-Demographic Characteristics Among Older Adults: A Cross Sectional
           Study

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      Authors: Ayfer Bayindir Cevik; Hicran Yıldız, Havva Sert1Nursing Department, 162311Bartin University Health Science Faculty, Bartin, Turkey2Nursing Department, 218492Uludag University Health Science Faculty, Bursa, Turkey3Nursing Department, 52992Sakarya University Health Science Faculty, Sakarya, Turkey
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeThis study aimed to investigate the risks of esophageal cancer (EC), protective behaviors, and risk awareness among Turkish adults aged 50 years and older, as well as their relationships with sociodemographic characteristics.DesignCross-sectional. ...
      Citation: American Journal of Health Promotion
      PubDate: 2025-03-29T01:31:04Z
      DOI: 10.1177/08901171251326322
       
  • Examining the Association of Economic Instability and Firearm Storage
           Behaviors

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      Authors: Kelsey M Conrick; Samantha Banks, Sarah F Porter, Ali Rowhani-Rahbar1Firearm Injury & Policy Research Program, Department of Pediatrics, School of Medicine, 7284University of Washington, Seattle, WA, USA2Department of Epidemiology, School of Public Health, 7284University of Washington, Seattle, WA, USA3School of Social Work, 7284University of Washington, Seattle, WA, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo assess the association between secure firearm storage and economic instability.DesignCross-sectional survey.SettingCalifornia, Minnesota, Nevada, and New Mexico.SampleRespondents to the 2022 and 2023 Behavioral Risk Factor Surveillance System ...
      Citation: American Journal of Health Promotion
      PubDate: 2025-03-28T03:45:46Z
      DOI: 10.1177/08901171251330708
       
  • Native Hawaiian and Other Pacific Islanders: Disparities in the Prevalence
           of Multiple Chronic Conditions

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      Authors: Josepha D. Cabrera; Adolfo G. Cuevas, Shu Xu, Virginia W. Chang1Department of Social Behavioral Sciences, 55051New York University School of Global Public Health, New York, NY, USA2Center for Anti-Racism, Social Justice & Public Health, 55051New York University School of Global Public Health, New York, NY, USA3Department of Biostatistics, 55051New York University School of Global Public Health, New York, NY, USA4Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo examine multimorbidity prevalence by race/ethnicity and unique health disparities for Native Hawaiian and Other Pacific Islanders (NHPI).DesignCross-sectional study.SettingThis study uses combined data from the 2014 National Health Interview ...
      Citation: American Journal of Health Promotion
      PubDate: 2025-03-26T03:17:32Z
      DOI: 10.1177/08901171251330397
       
  • Developing a Framework for Mental Health Disclosure Decision-Making Among
           Medical Students: A Qualitative Pilot Study

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      Authors: Sofia Schlozman; Lars Osterberg, Aliya Kassam, Jennifer Wolf112224School of Medicine, University of California, San Francisco, CA, USA2Stanford University School of Medicine, Stanford, CA, USA3Department of Community Health Sciences, 2129University of Calgary, Calgary, AB, Canada4Graduate School of Education, 198868Stanford University, Stanford, CA, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeAmerican medical students exhibit higher rates of depression, anxiety, and psychological distress than age-matched members of the general population, yet the majority of students do not seek help for these conditions. A necessary precursor to help-...
      Citation: American Journal of Health Promotion
      PubDate: 2025-03-24T02:20:17Z
      DOI: 10.1177/08901171251329291
       
  • Should my Chatbot Health Coach be Certified and Regulated'

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      Authors: Paul E. TerryEditor in Chief; American Journal of Health Promotion, Senior Fellow, HERO (The Health Enhancement Research Organization).
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Artificial intelligence shows both perils and promises as a way to address the difficulties in accessing professional support such as health coaching and health counseling. Chatbots are being used by millions of users to address their loneliness, to ...
      Citation: American Journal of Health Promotion
      PubDate: 2025-03-21T05:39:01Z
      DOI: 10.1177/08901171251329650
       
  • Workplace Culture of Health and Equitable Workforce Well-Being: A Scoping
           Literature Review

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      Authors: Rukshana Gupta; Emily Stiehl, Caroline Wator, Preethi Lakshmi Pratap, Bruce W. Sherman114681School of Public Health, University of Illinois Chicago, Chicago, IL, USA2School of Public Health, Department of Health Policy Occupational Health Sciences, University of Illinois Chicago, Chicago, IL, USA4Department of Public Health Education, University of North Carolina-Greensboro, Greensboro, NC, USA5Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      ObjectiveTo evaluate the evidence base regarding employer-sponsored health and wellbeing (HWB) programs in relation to addressing workforce health inequities.Data SourceMultiple databases were systematically searched to identify research studies published ...
      Citation: American Journal of Health Promotion
      PubDate: 2025-03-20T01:56:03Z
      DOI: 10.1177/08901171251326316
       
  • Social Determinants of Health and Parent and Child Physical Activity: A
           Cross-Sectional and Longitudinal Exploration among Socioeconomically and
           Racially and Ethnically Diverse Families

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      Authors: Lauren Tschida; Junia N. de Brito, Shiwani Sapkota, Angela R. Fertig, Amanda Trofholz, Jerica M. Berge1Department of Family Medicine Delivery Science (ACCORDS), University of Colorado Anschutz Medical Campus, Aurora, CO, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo examine the associations between baseline social determinants of health (SDOH) and physical activity (PA) in children and parents cross-sectionally (baseline) and longitudinally (18-months later).DesignCross-sectional and longitudinal.Setting...
      Citation: American Journal of Health Promotion
      PubDate: 2025-03-19T11:12:51Z
      DOI: 10.1177/08901171251327452
       
  • Social Connectedness Profiles and Psychological Distress Among Adolescents
           in Summer Care Programs: A Cluster Analysis Approach

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      Authors: Tyler Prochnow; Sara A. Flores, Laurel Curran, Emily Howell, Deja T. Jackson, Megan S. Patterson114736Texas A&M University, College Station, TX, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeThis study aimed to examine the relationship between distinct adolescent social connectedness profiles and psychological distress in a summer care program.DesignA longitudinal design was employed to capture changes over 10 weeks in summer.Setting...
      Citation: American Journal of Health Promotion
      PubDate: 2025-03-19T05:49:19Z
      DOI: 10.1177/08901171251328559
       
  • A Win Win Opportunity' A Model Health and Wellness Coaching Program to
           Support Employee Health and Student Experience

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      Authors: Karen Westervelt; Alyssa Smith, Jeremy Sibold, Sara Falconer, Kyler Huffert, Jurdan Mossburg, Ashley Pelkey, Abigale Whitman, Ashlyn Woods, Gail L. Rose1Osher Center for Integrative Health, 16178University of Vermont, Burlington, VT, USA2Department of Rehabilitation Movement Science, 16178University of Vermont, Burlington, VT, USA3Department of Psychiatry, 169987University of Vermont, Burlington, VT, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeThe National Board of Health and Wellness Coaches (NBHWC) requires 50 practice sessions for board exam eligibility, which can be challenging for students. The purpose of this report is to present a supervised practicum model to meet this need while ...
      Citation: American Journal of Health Promotion
      PubDate: 2025-03-14T07:51:27Z
      DOI: 10.1177/08901171251327451
       
  • Bidirectional Relationships Between Sleep Quality and Cognitive Function
           in Older Chinese Adults: Observational Analysis of SAWA Trial

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      Authors: Shiyuan Qian; Chan Yong, Shiyi Li, Jie Peng, Xianlan Li, Qin Ye, Qianqian Liu, Nanyan Li, Julinling Hu, Qian Deng, Yufei Wang, Jingjie Zhu, Xing Zhao, Junmin Zhou1West China School of Public Health West China Fourth Hospital, 12530Sichuan University, Chengdu, Sichuan, China2School of Public Health, 1373Georgia State University, Atlanta, GA, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo examine the bidirectional relationships between sleep quality and cognitive function in older Chinese, and further examine the sex differences in the relationships using the random intercept cross-lagged panel model.DesignA secondary ...
      Citation: American Journal of Health Promotion
      PubDate: 2025-03-13T06:43:08Z
      DOI: 10.1177/08901171251326311
       
  • The Mental Well-Being of Graduate Students in Canada: A Scoping Review

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      Authors: Elham Javadizadeh; Abram Oudshoorn, Lori Letts, Skye Barbic, Carrie Anne Marshall1Social Justice in Mental Health Research Lab, School of Occupational Therapy, Western University, London, ON, Canada2Arthur Labatt School of Nursing, Faculty of Health Science, Western University, London, ON, Canada3School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada4Department of Occupational Science Occupational Therapy, University of British Columbia, Vancouver, Canada
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Objective:To review the literature exploring the mental health of graduate students in Canada. Data Source: Articles identified in EMBASE, CINAHL, PsycInfo, Medline, Sociological Abstracts, Nursing and Allied Health, and ERIC.Study Inclusion and ...
      Citation: American Journal of Health Promotion
      PubDate: 2025-03-13T03:41:50Z
      DOI: 10.1177/08901171251326308
       
  • I Used AI in the Drafting of this Editorial. How Should I Reference
           AI’s Contribution'

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      Authors: 718793American Journal of Health Promotion; Senior Fellow, The Health Enhancement Research Organization (HERO).
      Abstract: American Journal of Health Promotion, Ahead of Print.
      The use of artificial intelligence (AI) and large language models to support research and scientific writing is new but expanding exponentially. This editorial provides guidance on how to cite the use of AI and discusses practical and ethical issues relating to AI-generated content in manuscript submissions to this journal and others. Author transparency and explicitly stating how AI was used is a core expectation of editors and publishers. What’s more, this editorial provides examples of how vigilant researchers and writers need to be in verifying the output from AI queries. Though AI is thought to save time in many cognitive and professional tasks, the tendencies of AI towards misinformation and bias may well negate the advantages that AI has in surfacing requested information.
      Citation: American Journal of Health Promotion
      PubDate: 2025-03-01T09:33:00Z
      DOI: 10.1177/08901171251324731
       
  • Results of an Organization-wide Physical Activity Promotion Intervention
           Within a Very Large Academic Health Care System

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      Authors: Sean P. Heffron, Krista O’Neill, Judy Zhong, Yuhe Xia, Margaret McCarthy; Krista O’Neill, Judy Zhong, Yuhe Xia, Margaret McCarthy1Center for the Prevention of Cardiovascular Disease, 12297NYU Langone Health, New York, NY, USA2Leon H. Charney Division of Cardiology, 12297NYU Langone Health, New York, NY, USA3Human Resources Division, 12297NYU Langone Health, New York, NY, USA4Department of Population Health, 5894New York University, New York, NY, USA5Rory Meyers College of Nursing, 5894New York University, New York, NY, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Although healthcare workers may be aware of the risks of physical inactivity, their levels of physical activity (PA) are similar to those of all US adults, with less than half engaging in sufficient PA. The purpose of this health promotion was to encourage daily PA among employees in a large academic healthcare system. We also tested whether individualized progress updates further influenced PA. This 10-week program was available to all employees of NYU Langone Health. Employees could sync their phone or accelerometer via app or web browser to count.it – the vendor chosen to monitor and manage step counts. Participants were asked to voluntarily provide basic information (age, sex, job role, work location) and complete the Physical Activity Vital Sign (minutes/week and intensity of PA) at enrollment and 10 weeks. For 10 weeks, participants were sent a message through their employee ‘MyChart’ portal with a link to information on the benefits of PA, and a reminder of that week’s step-count challenge. Those meeting criteria for weekly challenges were included in gift card raffles. Participants were randomized 1:1 to receive the standard message ± additional emails detailing their progress. 3528 employees registered to participate (8% of all employees) although active users diminished over time (1225 at week 10). Average daily steps remained stable throughout (7319 + 4540 in week 1, 7229 + 5010 in week 10). Although there was no difference in any individual week, receipt of personalized feedback was associated with significantly higher average step counts throughout the 10-wk intervention as a whole (P = 0.01). Age and an urban work location were positively associated with steps, while female sex and a clerical job role were negatively associated with steps counts (all P < 0.005). Our findings provide important insight for workplace interventions to promote PA. They further suggest specific groups that may benefit from targeted efforts.
      Citation: American Journal of Health Promotion
      PubDate: 2025-02-26T10:20:00Z
      DOI: 10.1177/08901171251324018
       
  • Exploring How Neighborhood Environment Perceptions Moderate the Health
           Benefits of Movement Behaviors Among Latinos in Los Angeles

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      Authors: Lilian G. Perez, Gabriela Castro, Rachana Seelam, Deborah A. Cohen, Bing Han, Michael A. Mata, Anne Larson, Kathryn P. Derose; Gabriela Castro, Rachana Seelam, Deborah A. Cohen, Bing Han, Michael A. Mata, Anne Larson, Kathryn P. Derose1Department of Behavioral Policy Sciences, RAND, Santa Monica, CA, USA26152Kaiser Permanente, Pasadena, CA, USA34189Nazarene Theological Seminary, Kansas City, MO, USA4California State, Los Angeles, School of Kinesiology, Los Angeles, CA, USA5Department of Health Promotion & Policy, 14707University of Massachusetts Amherst, Amherst, MA, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeThis study examined how the potential health benefits of movement behaviors – physical activity (PA), sedentary time, and sleep – vary by neighborhood perceptions among Latinos.DesignCross-sectional analysis of baseline data from churchgoing Latino adults participating in an ongoing randomized controlled trial to promote PA.SettingEast Los Angeles, California, and surrounding neighborhoods.SampleSample of 728 churchgoing Latinos (77% female, mean age 52 years).MeasuresMovement behaviors included self-reported leisure-time PA and sleep duration, and accelerometer-based sedentary time. Survey assessed perceived neighborhood crime safety, traffic safety, aesthetics, and social cohesion. Outcomes included self-reported stress, depressive symptoms, diabetes, and hypertension; and objectively-measured body mass index.AnalysisLinear or logistic regression assessed associations of the movement behaviors with neighborhood measures, and their interactions, in relation to the health outcomes.ResultsSleep was associated with lower perceived stress [B(SE) = −0.41 (0.09), P < .0001] and major depression [OR, 95% CI = 0.54, 0.42-0.69]. Leisure-time MVPA was associated with lower obesity [OR, 95% CI = 0.60, 0.41-0.88] and sedentary time was associated with higher diabetes [OR, 95% CI = 1.03, 1.00-1.05]. Perceived neighborhood safety from crime, social cohesion, and aesthetics had significant interactions with movement behaviors (P < 0.05) in relation to four outcomes.ConclusionInteraction models suggest interventions targeting neighborhood crime safety, aesthetics, and social cohesion may be key for maximizing the health benefits of movement behaviors among Latinos.
      Citation: American Journal of Health Promotion
      PubDate: 2025-02-15T12:24:10Z
      DOI: 10.1177/08901171251316378
       
  • Leveling the Playing Field: Opportunities for School Recess to Promote
           Wellness and Reduce Disparities in Elementary School Children

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      Authors: Divya Konduru, Kerri M. Lowrey, Erin R. Hager; Kerri M. Lowrey, Erin R. Hager11466Krieger School of Arts Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Background: School recess provides several benefits to elementary school students, including physical, emotional, and social health benefits. Despite these benefits, there is a growing shift toward reducing or reallocating recess time in school. Furthermore, not all students have equitable access to recess and its benefits due to disparities in recess policies and implementation by socioeconomic status of the communities served by the school and academic or behavioral conduct of individual students. Conclusions: Strong state-level legislation requiring recess for all elementary schools and for all elementary school children is necessary to ensure equitable access to recess and its benefits.
      Citation: American Journal of Health Promotion
      PubDate: 2025-02-10T05:58:13Z
      DOI: 10.1177/08901171251319847
       
  • Knowledge About HIV/AIDS and its Transmission and Misconception Among
           Women in Thailand: A Structural Equation Modelling Approach

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      Authors: Jahar Bhowmik, Lakma Gunarathne, Sunil Bhar, Udayan Bhowmik, Pragalathan Apputhurai; Lakma Gunarathne, Sunil Bhar, Udayan Bhowmik, Pragalathan Apputhurai1School of Health Sciences, 3783Swinburne University of Technology, Hawthorn, VIC, Australia2Monash School of Medicine, 2541Monash University, Melbourne, VIC, Australia
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeAsian and pacific region countries are considered to be high risk countries for Human Immunodeficiency Viruses (HIV). There is little literature quantifying the relationship between education of HIV/AIDS and its principal socioeconomic determinants through a spatial analysis. The purpose of this study was to assess the knowledge and awareness about HIV among the women in Thailand, and its direct and indirect association with sociodemographic factors including sexual education, level of education, area of living and wealth index through a structural equation modelling approach.DesignCross-sectional analysis using data from the 2022 UNICEF Multiple Indicator Cluster Survey (MICS).SettingThailand.SubjectsA total of 3671 women from the 2022 MICS dataset.MeasuresKey variables included knowledge and misconceptions about HIV, sexual education, education level, area of residence, marital status, and wealth index.AnalysisStructural equation modeling was used to assess direct and indirect effects of sociodemographic factors on HIV-related knowledge and misconceptions.ResultsThe direct effect of sexual education on knowledge, transmission and misconception about HIV/AIDS is significant (β = 0.051, P = .002). The mediation effect test found that the sexual education and education indirectly affected knowledge, transmission and misconceptions about HIV/AIDS through the mediation effect of women’s marital status (β = −0.068, P = .018) and wealth index (β = 0.007, P =
      Citation: American Journal of Health Promotion
      PubDate: 2025-02-08T08:06:52Z
      DOI: 10.1177/08901171251318845
       
  • Efficacy of a Community- and Family-Based Intervention on Cardiovascular
           Fitness and Cardiometabolic Disease Risk Factors Among Primarily Latino
           Families

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      Authors: Noe C. Crespo, Sonia Vega-López, Jacob Szeszulski, Michael Todd, Alma I. Behar, Frank Ray, Leopoldo Hartmann, Anabell Lorenzo Quintero, Eric T. Hyde; Sonia Vega-López, Jacob Szeszulski, Michael Todd, Alma I. Behar, Frank Ray, Leopoldo Hartmann, Anabell Lorenzo Quintero, Eric T. Hyde17117San Diego State University, School of Public Health, San Diego, CA, USA27864Arizona State University, College of Health Solutions Human Longevity Science, CA, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      BackgroundTargeting cardiovascular fitness (CVF), rather than weight loss, may be a more acceptable and feasible outcome among Latinos.PurposeThe purpose of this study was to test the short-term efficacy of Athletes for Life (AFL), a fitness- and lifestyle-focused behavioral intervention to improve CVF and performance among Latino families.MethodsLatino parent-child dyads (n = 137) were randomized to either AFL program or a waitlist control condition. AFL consisted of 24 group family-based, nutrition and sport/fitness oriented 90-minute sessions (twice-weekly). Measures included 1-mile run/walk time, three-minute step test, accelerometer-measured physical activity, body mass index (BMI), waist circumference, DEXA-measured % body fat, cardiometabolic risk biomarkers, and sociodemographic characteristics. Group differences at post-intervention were tested using ANCOVA analyses adjusting for outcome values at baseline and demographic variables.ResultsParents were primarily female (93%), aged 38.3 ± 6.9 years, and 96% Latino and children were 8.8 ± 1.7 years old and 58% female. Intervention participants showed significantly faster adjusted post-intervention 1-mile run/walk times compared to control group participants (difference of −76.6 seconds P < 0.01 and −44 seconds P = 0.04, respectively). Parents also showed a significantly higher adjusted relative VO2 max (ml/kg/min) compared to control group parents (43.91, SE = 0.41 vs 42.93, SE = 0.44, respectively, P < 0.01). There were no significant post-intervention group differences on physical activity, BMI, waist circumference, % body fat or cardiometabolic biomarkers P> 0.05.ConclusionsThe AFL program successfully improved aerobic performance among underserved Latino families with no observable changes in adiposity. These results support that fitness may be a more viable and acceptable outcome among Latino families than weight loss.
      Citation: American Journal of Health Promotion
      PubDate: 2025-01-28T07:06:31Z
      DOI: 10.1177/08901171251316926
       
  • Finding Common Ground in Health Promotion in an Era of Growing Distrust
           and Polarization

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      Authors: Paul E. Terry; American Journal of Health Promotion, Senior Fellow, HERO (The Health Enhancement Research Organization).
      Abstract: American Journal of Health Promotion, Ahead of Print.
      In 2025 the changes in national leadership cast a surprising light and ineffable shadows on America’s race, gender and class dynamics. Unexpectedly, women and people of color did not vote as a monolithic force in favor of one side or another of culture wars. In the health promotion discipline alarms are being sounded that America’s new political leadership will use their newfound popularity among a wider constituency to question the integrity of public health and challenge the value of science writ large. This editorial argues that neither retreating from nor resisting expected changes to public health policies will be as effective as walking into the shadows and looking carefully for common ground. The three opportunities with the best chances for seeking compromise in polarized communities relate to personalized lifestyle medicine, repackaging diversity, equity and inclusion (DEI) initiatives and policy advocacy for health literacy in the digital age.
      Citation: American Journal of Health Promotion
      PubDate: 2025-01-28T03:40:04Z
      DOI: 10.1177/08901171251314679
       
  • A Food Pantry Nutrition Education Program RCT: Food Choices and
           Diet-Quality

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      Authors: Bhagyashree Katare, Brittni Echols, Zoe Plakias, Rodolfo M. Nayaga, Krystal L. Hodge; Brittni Echols, Zoe Plakias, Rodolfo M. Nayaga, Krystal L. Hodge1Department of Agricultural Economics, 311308Purdue University, West Lafayette, IN, USA2Agricultural Human Nutrition, 14589University of Illinois, Urbana-Champaign, IL, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeFood pantries have provided nutrition education to promote healthy food choices with mixed outcomes. This study assessed the impact of Guided Stars food quality rating system to promote healthy food choices among food pantry clients.DesignRandomized parallel-group study with balanced randomization.SettingA client-choice food pantry in a midwestern city.Subjects613 food pantry clients.InterventionClients were randomly assigned to a one-time treatment group (n = 330) where they received a nutrition information sheet with pantry foods ranked using the Guided Starts rating system, or a control group (n = 299) that did not receive this information.Measure(s)Healthy food selection; food selection quality measured by a Healthy Index.AnalysisMultiple linear regression models to estimate the effect of the intervention on the food choices of the food pantry client, accounting for potential confounders.ResultsResults showed a decrease (−.021, P < .05) in the selection of lower nutrition-rated food items, particularly among men.ConclusionFood-labeling nutrition education strategies could help promote healthy food choices at food pantries, especially among future-biased clients. However, an information-based intervention alone may not be enough to alter food choices in low-income populations.
      Citation: American Journal of Health Promotion
      PubDate: 2025-01-27T12:50:42Z
      DOI: 10.1177/08901171251316370
       
  • Association Between Diabetes Mellitus Education and Self-Management Pre-
           and Post-COVID-19

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      Authors: Yejin Kim, Bomgyeol Kim, Vasuki Rajaguru, Sang Gyu Lee, Tae Hyun Kim; Bomgyeol Kim, Vasuki Rajaguru, Sang Gyu Lee, Tae Hyun Kim1Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea2Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, Republic of Korea3Department of Healthcare Management, Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea4Department of Preventive Medicine, College of Medicine, Yonsei University, Seoul, Republic of Korea
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeThis study explored the association between diabetes education and self-management during different COVID-19 periods.DesignCross-sectional study.SettingKorea Community Health Survey (2019, 2021, and 2022) and the data from Korea Centers for Disease Control and Prevention Agency.Participants78, 860 individuals with diabetes who participated in the 2019, 2021, and 2022 KCHS.MeasureDiabetes education was categorized according to whether individuals received education on how to manage the disease. Diabetes self-management was assessed using self-checking and screening of HbA1c levels.AnalysisMultiple logistic regression analysis and a subgroup analysis examined the regional impact of COVID-19 on this association.ResultsParticipants who received education before and after COVID-19 were more likely to self-manage their diabetes than those without education (pre-COVID-19 aOR = 2.11, post-COVID-19, 2022 aOR = 2.04, and post-COVID-19, 2021 aOR = 1.94). Those in regions with lower COVID-19 incidence had slightly higher self-management rates (pre-COVID-19 aOR = 2.37; post-COVID-19 2022 aOR = 2.33; post-COVID-19 2021 aOR = 2.02) compared to participants in high-incidence regions (pre-COVID-19 aOR = 1.96; post COVID-19 2021 aOR = 1.89 and post COVID-19 2022 aOR = 1.89).ConclusionsDiabetes education has a positive impact on self-management, which is especially important during public health crises such as the COVID-19 pandemic.
      Citation: American Journal of Health Promotion
      PubDate: 2025-01-27T10:26:14Z
      DOI: 10.1177/08901171251316377
       
  • A Comparison of Prostate Cancer Screening Information Quality on Standard
           and Advanced Versions of ChatGPT, Google Gemini, and Microsoft Copilot: A
           Cross-Sectional Study

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      Authors: Otis L. Owens, Michael Leonard; Michael Leonard1College of Social Work, 384654University of South Carolina, Columbia, SC, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeArtificially Intelligent (AI) chatbots have the potential to produce information to support shared prostate cancer (PrCA) decision-making. Therefore, our purpose was to evaluate and compare the accuracy, completeness, readability, and credibility of responses from standard and advanced versions of popular chatbots: ChatGPT-3.5, ChatGPT-4.0, Microsoft Copilot, Microsoft Copilot Pro, Google Gemini, and Google Gemini Advanced. We also investigated whether prompting chatbots for low-literacy PrCA information would improve the readability of responses. Lastly, we determined if the responses were appropriate for African-American men, who have the worst PrCA outcomes.ApproachThe study used a cross-sectional approach to examine the quality of responses solicited from chatbots.ParticipantsThe study did not include human subjects.MethodEleven frequently asked PrCA questions, based on resources produced by the Centers for Disease Control and Prevention (CDC) and the American Cancer Society (ACS), were posed to each chatbot twice (once for low literacy populations). A coding/rating form containing questions with key points/answers from the ACS or CDC to facilitate the rating process. Accuracy and completeness were rated dichotomously (i.e., yes/no). Credibility was determined by whether a trustworthy medical or health-related organization was cited. Readability was determined using a Flesch-Kincaid readability score calculator that enabled chatbot responses to be entered individually. Average accuracy, completeness, credibility, and readability percentages or scores were calculated using Excel.ResultsAll chatbots were accurate, but the completeness, readability, and credibility of responses varied. Soliciting low-literacy responses significantly improved readability, but sometimes at the detriment of completeness. All chatbots recognized the higher PrCA risk in African-American men and tailored screening recommendations. Microsoft Copilot Pro had the best overall performance on standard screening questions. Microsoft Copilot outperformed other chatbots on responses for low literacy populations.ConclusionsAI chatbots are useful tools for learning about PrCA screening but should be combined with healthcare provider advice.
      Citation: American Journal of Health Promotion
      PubDate: 2025-01-24T07:25:14Z
      DOI: 10.1177/08901171251316371
       
  • Improving Social Determinants of Health via the Workplace

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      Authors: Jeffrey R. Harris, Peggy A. Hannon; Peggy A. Hannon1Health Promotion Research Center, Department of Health Systems Population Health, School of Public Health, 49462University of Washington, Seattle, WA, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Synopsis: Social determinants of health (SDOH), such as food security and healthcare access, are key to maintaining and improving health. Publicly funded safety-net programs, such as Medicaid and the Supplemental Nutrition Assistance Program, address SDOH. Many low-wage employees are program-eligible, but there are substantial participation gaps. Providing information and assistance boosts program participation, and there are third-party organizations ready to aid employers in doing so. In an ideal world, everyone with a job would have the resources to thrive on their pay and benefits, but many do not. Employers could help bridge these gaps via promoting these programs via the workplace.
      Citation: American Journal of Health Promotion
      PubDate: 2025-01-24T05:35:53Z
      DOI: 10.1177/08901171251316363
       
  • The Impact of Media Literacy on Substance Use Behavior: Analyzing the Role
           of Media Consumption Behaviors as a Moderator

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      Authors: Hae Yeon Seo, Erica Weintraub Austin; Erica Weintraub AustinEdward R. Murrow College of Communication, 6760Washington State University, Pullman, WA, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo investigate how media literacy and varied media consumption influenced substance use behavior.DesignA cross-sectional survey was conducted.SettingOnline survey was conducted June 22-July 18, 2020, with quality checks.SubjectsThe study recruited U.S. residents aged 18 and older who were proficient in English (N = 1264). Panel sampling using quotas reflecting U.S. census was employed as an alternative to random digit dialing sampling.MeasuresSubstance use behavior, media literacy for news, liberal media use, conservative media use, social media use, and demographics were assessed.ResultsHierarchical multiple regression analysis was conducted. Media literacy for news was negatively associated with substance use (β = −.15, SE = .08, P < 0.01, [95% CI: −.36, .06]) and interaction effect between social media use and media literacy for news on substance use behavior was significant (β = .47, SE = .05, P = 0.02, [95% CI: .02, .20]) in the final model (F(12, 1207) = 33.21, R2 = 25%).ConclusionsMedia literacy for news has a negative association with substance use behavior. Social media use, specifically, diminishes the effect of media literacy skills on substance use behavior. The prediction is based on correlational data. Further investigations are required to examine how individuals’ specific patterns of media use impact substance use behavior as part of media literacy intervention efforts.
      Citation: American Journal of Health Promotion
      PubDate: 2025-01-20T09:29:17Z
      DOI: 10.1177/08901171251315009
       
  • Factors Associated With FDA-Approved Quit Medication Use Among a Sample of
           Adult Tobacco Users in a County in Central California

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      Authors: Nicola Manalili, Jenelle Merzon, Julia Alber, Adrienne Lent; Jenelle Merzon, Julia Alber, Adrienne Lent1Department of Kinesiology Public Health, 7173California Polytechnic State University San Luis Obispo, San Luis Obispo, CA, USA2Tobacco Control Program, 474135County of San Luis Obispo Health Agency, San Luis Obispo, CA, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo examine associations between identified factors to accessing Food and Drug Administration-approved quit medication (FDAQM) and use among a sample of tobacco users.DesignCross-sectional, online survey.SettingCounty in Central California.SubjectsCurrent adult tobacco users (n = 76).MeasuresDemographics self-reported likelihood of quitting in the next month, contacting a healthcare provider about quitting, time since last healthcare visit, provider asking about tobacco/nicotine use, provider advice to quit, provider FDAQM prescription and FDAQM use in the past year.AnalysisLogistic regression.ResultsThose with a higher likelihood of quitting had a lower odds of FDAQM use (OR = 0.15, 95% CI = 0.03, 0.73) while those who had contacted a healthcare provider had a higher odds (OR = 15.39, 95% CI = 2.72, 87.05).ConclusionWhile the sample was limited, this research provides evidence in an understudied tobacco cessation area. More work is needed to understand the generalizability of these results and develop interventions that address these factors.
      Citation: American Journal of Health Promotion
      PubDate: 2025-01-18T02:38:23Z
      DOI: 10.1177/08901171251315005
       
  • The Association Between Father Support and Daughter Physical Activity:
           Insights From a Study Involving U.S. Latina Pre-Teens

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      Authors: Taynara Formagini, Alma I. Behar, Jennifer Schneider, Marisa Torres, Victoria M. Telles, Scott Roesch, Guadalupe X. Ayala, Tom Baranowski, Becky Marquez, Elva M. Arredondo; Alma I. Behar, Jennifer Schneider, Marisa Torres, Victoria M. Telles, Scott Roesch, Guadalupe X. Ayala, Tom Baranowski, Becky Marquez, Elva M. Arredondo1Department of Family Medicine, 8784University of California San Diego, La Jolla, CA, USA2Institute for Behavioral Human Longevity Science, 8784University of California San Diego, La Jolla, CA, USA7Department of Psychology, San Diego State University, San Diego, CA, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeSocial support, particularly from family, is crucial for physical activity (PA) among youth. This study examined the association between father support and moderate-to-vigorous physical activity (MVPA) in Latina pre-teens and explored the moderating role of body mass index (BMI).DesignCross-sectional analysis.SettingBaseline data from a pilot randomized controlled trial in San Diego County. SubjectsSixty Latina pre-teen girls aged 8-11 years.MeasuresGirls’ MVPA was measured via accelerometry. An exploratory factor analysis created a composite measure of father support, reported by mothers.AnalysisHierarchical linear regression models, adjusting for covariates, assessed the relationship between father support and MVPA. Interaction models tested the moderating effect of BMI z-score (zBMI).ResultsFather support was significantly associated with MVPA (b-range = 0.07 to 0.08, 95%CI = 0.02, 0.13) after adjusting for age, income, acculturation, and maternal support. However, this association became non-significant with the inclusion of zBMI (b = 0.06, 95%CI: −0.01, 0.11). The interaction model showed a significant positive association between father support and MVPA among girls with a healthy weight (b = 0.27, 95%CI: 0.27, 2.68) but not among those with overweight/obesity (b = 0.95, 95%CI: −0.38, 2.28).ConclusionOur findings indicate a potential association between father support and daughters’ MVPA among girls with a healthy weight. Further research is needed to understand why this association is not observed in girls with overweight/obesity.
      Citation: American Journal of Health Promotion
      PubDate: 2025-01-18T01:35:57Z
      DOI: 10.1177/08901171251315022
       
  • Baseline Participant Characteristics are Associated With Engagement in a
           Movement-Based RCT for Chronic Low-Back Pain

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      Authors: Camille L. Garnsey, Katherine E. Gnall, Mariel Emrich, Crystal L. Park, Angela R. Starkweather, Wanli Xu, Erik J. Groessl, Tania B. Huedo-Medina; Katherine E. Gnall, Mariel Emrich, Crystal L. Park, Angela R. Starkweather, Wanli Xu, Erik J. Groessl, Tania B. Huedo-Medina1Department of Psychological Sciences, 7712University of Connecticut, Storrs, CT, USA2College of Nursing, 3463University of Florida, Gainesville, FL, USA3School of Nursing, 7712University of Connecticut, Storrs, CT, USA4Herbert Wertheim School of Public Health Research Methods, School of Psychology, 16402University of the Basque Country, UPV/EHU, Leioa, Spain
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeExamine whether baseline participant characteristics predict engagement in a movement-based RCT for chronic low back pain (CLBP).DesignLongitudinal study within an RCT.SettingOnline.Subjects138 individuals with CLBP (18-79 years).InterventionParticipants were randomized to a 12-week intervention of twice-weekly synchronous online yoga OR stretching/strengthening classes, and received 20-min pre-recorded home videos to complete daily.MeasuresBaseline questionnaires assessed sociodemographic, psychosocial, and pain factors (100% response rate). Engagement was operationalized as minutes of class attended + minutes of home videos completed.ResultsBivariate correlations were computed between baseline variables and engagement. Three multivariate negative binomial generalized linear models (GLMs) were constructed to simultaneously examine predictors of engagement in the domains of sociodemographic, psychosocial, and pain-related factors. Greater engagement was significantly associated with greater baseline age, educational attainment, energy, and emotional well-being, and less emotion regulation difficulties, cannabis use problems, and pain interference ( rs = .19-.33). In the domain specific GLMs, education (B = .491, P = .017) and cannabis use problems (B = −.048, P = .027) were the only significant predictors in the sociodemographic and psychosocial models, respectively. Neither pain interference nor pain severity were significant in the pain model.ConclusionFactors identified can inform strategies to increase engagement in movement-based CLBP interventions, potentially improving research validity and outcomes. Limitations include lack of racial diversity and not testing how engagement fluctuates throughout the intervention.
      Citation: American Journal of Health Promotion
      PubDate: 2025-01-17T03:42:47Z
      DOI: 10.1177/08901171251315014
       
  • Past 30-Day Cannabis Use by Perception of Risk and Age Group: Implications
           for Prevention

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      Authors: Jason J. Burrow-Sánchez, Allison Cohen; Allison Cohen1Department of Educational Psychology, 14434University of Utah, Salt Lake City, UT, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeThe use of cannabis is an important public health concern in the United States. The connection between perceived risk and cannabis use has been documented in the substance use literature for youth and adults.DesignExamine how past 30-day cannabis use is influenced by the interaction between perceived risk and age.SubjectsNationally representative sample of individuals ages 12 and older in the United States.MeasuresSecondary data analysis of the 2021 National Survey on Drug Use and Health (N = 58, 034).AnalysisBinary logistic regression that included the complex sampling elements of the survey.ResultsSupport was found for an interaction between age and perceived risk. Most notably, the sharpest increase in the probability of cannabis use occurred between the 12-17 and 18-25 year-old age groups for no/low risk perception.ConclusionAddressing the perceived risk of cannabis use at younger ages – specifically adolescence – may be an important prevention strategy for later cannabis use. Results directly inform preventive interventions regarding by indicating the age groups that at are at a higher probability for using cannabis based on perceived risk levels. This study adds to the literature by directly testing an interaction between perceived risk and age on the probability of using cannabis in the past 30-days at the population level.
      Citation: American Journal of Health Promotion
      PubDate: 2025-01-06T01:21:17Z
      DOI: 10.1177/08901171241312508
       
  • Associations Between Sleep Duration and Lifestyle Risk Factors Among
           Adolescents: A Cross-Sectional Study

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      Authors: Yueqi Li, Jen Jen Chang, Thomas E. Burroughs; Jen Jen Chang, Thomas E. Burroughs1Department of Epidemiology Social Justice, 7547Saint Louis University, St. Louis, MO, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeExamining the associations between sleep duration and lifestyle risk factors and assessed whether sex modify such associations among U.S. adolescents.DesignCross-sectional study among high school students from the 2015-19 national Youth Risk Behavior Survey.SettingUS, national.SubjectsHigh school students grade 9-12 (n = 31 871).MeasuresStudents reported hours of sleep on an average school night categorized into “less than 6 hours”, “6 to 7 hours” and “8 hours and more”. Lifestyle risk factors including physical inactivity, insufficient breakfast consumption, current tobacco use, and current binge drinking were self-reported and dichotomized.AnalysisMultivariable logistic regression models were used to estimate associations between sleep duration and lifestyle risk factors, adjusting for confounders.ResultsCompared to students with 8 hours and more of sleep, students with 6 to 7 hours and less than 6 hours of sleep had 79% and 228% (P < .01) increased odds of insufficient breakfast consumption; and had 22% (P = 0.0014) and 74% (P < .01) increased odds of binge drinking, respectively. There is a significant interaction between sleep duration and sex (P < .05) for physical inactivity and current tobacco use.ConclusionInsufficient sleep is common among US adolescents and is associated with increased risks of multiple lifestyle risk factors, which suggests great needs for multilevel interventions to address sleep deprivation and promote good sleep hygiene among adolescents.
      Citation: American Journal of Health Promotion
      PubDate: 2025-01-04T01:08:30Z
      DOI: 10.1177/08901171241312507
       
  • State Physical Education and Physical Activity Laws and Regulations in the
           United States: Estimating Mandated Time in Public Schools

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      Authors: Yahan Liang, Xihe Zhu, Yubing Wang, Sheyla Martinez-Rivera; Xihe Zhu, Yubing Wang, Sheyla Martinez-Rivera1Department of Human Movement Studies Special Education, Darden College of Education & Professional Studies, 6042Old Dominion University, Norfolk, VA, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeThis study estimated mandated physical education (PE) and physical activity (PA) time stipulated by state laws in public schools across the 50 States and the District of Columbia, and compared these times between states with and without specified mandates across education levels.DesignDescriptive research.SampleState PE and PA regulation across 50 States and the District of Columbia.MeasuresRegulations were sourced from School Health Policy Database developed by the National Association of State Boards of Education State, Nexis Uni academic research database, Casetext, and state government websites.AnalysisFrequency analysis and two-way analysis of variance were used to compare estimated PE and PA time between states with and without specific mandates.ResultsAcross education levels, only 25.5% of the states mandated specific PA/recess time, 74.5% did not. About 51.0% mandated specific PE time, 45.1% mandated PE without specifying time, and 3.9% did not mandate PE. States with specified mandated PE and PA time averaged 76.54 and 131.41 minutes per week, respectively, showing significantly higher estimated PE and PA (P < 0.001) time compared to states without such mandates.ConclusionMany states mandate specific PA or PE times, but the average mandated time is significantly below the recommended 60 minutes of daily PA for school-aged children. This highlights the need to reassess current legislation to align with established recommendations.
      Citation: American Journal of Health Promotion
      PubDate: 2025-01-03T08:30:14Z
      DOI: 10.1177/08901171241312513
       
  • Association of Marijuana Use With Psychological Distress Among Adults in
           United States

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      Authors: Mona Pathak, Patricia A. Findley, Sophie Mitra, Chan Shen, Hao Wang, R. Constance Wiener, Usha Sambamoorthi; Patricia A. Findley, Sophie Mitra, Chan Shen, Hao Wang, R. Constance Wiener, Usha Sambamoorthi1Department of Pharmacotherapy, College of Pharmacy, 12376University of North Texas Health Science Center, Fort Worth, TX, USA2School of Social Work, 242698Rutgers University, New Brunswick, NJ, USA3Department of Economics, 5923Fordham University, Bronx, NY, USA4Department of Surgery, Penn State Cancer Institute, Hershey, PA, USA5Department of Emergency Medicine, 23240JPS Health Network, Integrative Emergency Services, Fort Worth, TX, USA6Department of Dental Public Health Professional Practice, 53422West Virginia University, Morgantown, WV, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeDetermine the association of marijuana use with serious psychological distress (SPD) among adults aged 18 years or older using a large, nationally representative sample of US households.DesignCross-sectional analysis.SettingData from the National Survey on Drug Use and Health, 2021.Subjects47,247 respondents representing 253.7 million adults (age>18 years) in the US.MeasuresMarijuana use was categorized as (1) None, (2) within the past month, (3) within 1 year, and (4) more than a year ago from the interview time. SPD was measured with the Kessler-6 distress scale.AnalysisBivariable and multivariable logistic regression analyses accounting for complex survey designs were conducted.ResultsAmong adults in the US, 50.9% never used marijuana, 13.7%, 6.0%, and 29.4% reported marijuana use in the past month, in the past year, and more than a year ago, respectively. Individuals using marijuana within the past month, within a year, and more than a year ago reported higher past month SPD (15.3%, 13.5%, and 6.8%, respectively) than never-users (4.9%). Adjusted logistic regression analysis revealed that marijuana use in the past month, past year (1-12 months), and over a year ago is associated with higher SPD (AOR [95% CI] = 2.06 [1.72, 2.45]; 1.82 [1.50, 2.21]; 1.53 [1.26, 1.87], respectively) compared to no marijuana use.ConclusionAdults who used marijuana more recently were more likely to report SPD.
      Citation: American Journal of Health Promotion
      PubDate: 2024-12-13T10:02:29Z
      DOI: 10.1177/08901171241307431
       
  • Comparing Cisgender and Trans-spectrum Postsecondary Student Alcohol and
           Substance Use: Results From the Arkansas Collegiate Substance Use
           Assessment

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      Authors: Adam Williams, Derek R. Slagle, Robert J. Blankenberger, Brittany M. Slagle, Thomas Wuerzer; Derek R. Slagle, Robert J. Blankenberger, Brittany M. Slagle, Thomas Wuerzer12814Nova Southeastern University, Fort Lauderdale, FL, USA214658University of Arkansas at Little Rock, Little Rock, AR, USA314682University of Illinois Springfield, Springfield, IL, USA412215University of Arkansas for Medical Sciences, Little Rock, AR, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeExamine self-reported substance use of cisgender and trans-spectrum students.DesignObservational Study, cross-sectional design.SettingArkansas post-secondary institutions.SubjectsActive students enrolled in 2021, sample responses n = 3659.Measures9 Demographics, 13 recent substance use outcomes, 1 weekly alcohol use outcome, and 1 COVID-related substance use outcome.AnalysisDemographic and geospatial descriptives; t test/Cohen’s d effect size; X2 Test for Independence/Cramer’s V effect size; OLS Regression/Standardized Beta coefficients/Adjusted R2 effect sizes; level of significance = .05.ResultsTrans-spectrum students are 1.8% of the sampled responses (n = 3315) with geographical variation. Weekly alcohol consumption is greater with trans-spectrum (MD = 0.74, d = .102), along with frequency of recent use of marijuana (V = .113), cocaine (V = .097), sedatives (V = .098), hallucinogens (V = .127), designer drugs (V = .087), and meth (V = .151). Suicidal thoughts (V = .112) and attempted suicide (V = .118) are greater and COVID increased use of substances (29.3% for trans-spectrum v 13.7% for cisgender, V = .073). Gender (B = .099), family history (B = .092), and campus policies (B = .084) impact weekly alcohol consumption (P < .001, R2 = .024).Discussion/ConclusionsTrans-spectrum students report higher usage rates, suicidal thoughts, and COVID impacts on usage. Family history and campus policies also show impact on weekly alcohol use. Future postsecondary substance use assessments should include trans-spectrum demographic categories.
      Citation: American Journal of Health Promotion
      PubDate: 2024-12-10T06:32:34Z
      DOI: 10.1177/08901171241307423
       
  • Associations of Combined Physical Activity and Body Mass Index with
           Metabolic Syndrome in American Adults: From the National Health and
           Nutrition Examination Survey, 2017–2020

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      Authors: Guang-Lei Zhang, Junga Lee; Junga Lee1Graduate School of Sport Sceince, 34983Kyung Hee University, Yongin-si, Republic of Korea
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeThe purpose of this study is to examine the combined associations of physical activity and body mass index with the prevalence of metabolic syndrome in a population-based sample of American adults.DesignCross-sectional study.SettingData from the 2017-2020 National Health and Nutrition Examination Survey (NHANES).SubjectsA total of 2945 American adults who participated in the NHANES 2017-2020.MeasuresParticipants' physical activity levels were categorized based on the Physical Activity Guidelines for Americans. Metabolic syndrome was determined using the National Cholesterol Education Program Adult Treatment Panel III guidelines.AnalysisThe prevalence of metabolic syndrome among the various groups was analyzed using binary logistic regression to observe differences in the associated risks of developing metabolic syndrome.ResultsAn increase in body mass index and a decrease in physical activity are both risk factors for metabolic syndrome. Statistical results show that the prevalence of metabolic syndrome in the obese and sedentary group is 22.31 times higher than that in the normal weight and active group (P = 0.000).ConclusionA combination of at least 600 MET-minutes of physical activity per week and a lower body mass index is significantly associated with the lowest prevalence of metabolic syndrome.
      Citation: American Journal of Health Promotion
      PubDate: 2024-12-10T02:32:54Z
      DOI: 10.1177/08901171241307434
       
  • Enhancing Disease and Management Knowledge Among Black Americans With
           Asthma or Chronic Obstructive Pulmonary Disease (COPD)

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      Authors: Lorriane A. Odhiambo, Peggy C. Stephens, Vinay K. Cheruvu, Melissa D. Zullo; Peggy C. Stephens, Vinay K. Cheruvu, Melissa D. Zullo1Department of Biostatistics, Data Science Epidemiology, School of Public Health, 1421Augusta University, Augusta, GA, USA2College of Public Health, 4229Kent State University, Kent, OH, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeLack of knowledge contributes to disparate outcomes among Americans with asthma or chronic obstructive pulmonary disease (COPD). This study assessed the impact of an educational intervention on disease knowledge and management in Black Americans with asthma or COPD.DesignPre-post study design with 9-month follow-up.SettingUrban church community.SubjectsBlack American adults (N = 38) with self-reported asthma (18) and COPD (20), of which 76.3% (N = 29) completed the intervention.InterventionThe Asthma COPD (ACOPD) Workshop consisted of three 1-hour classes focused on disease knowledge and management behaviors (physical activity, nutrition, and avoiding triggers) delivered in 16 sessions over six months.MeasuresKnowledge questionnaire.AnalysisMcNemar’s tests for paired proportions.ResultsKnowledge of disease concepts increased post-intervention, then decreased at the 9-month follow-up. There was a significant difference in the proportion of participants that provided correct answers to questions about ‘two diseases that constitute COPD’ (P = .04), ‘main cause of COPD’ (P = .01), 'written action plan' (P = .04), and 'untrue statement about asthma,' (P = .02).ConclusionThe ACOPD Workshop increased knowledge of basic disease concepts, risk factors, and management. Regular delivery of educational sessions in the community can support knowledge retention and practice of healthy behaviors.
      Citation: American Journal of Health Promotion
      PubDate: 2024-12-09T09:47:56Z
      DOI: 10.1177/08901171241307432
       
  • Informing Vaccine Messaging and Community Outreach: Experience in Chicago
           with a Community-Based Participatory Approach

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      Authors: Naseem Parsa, Mark Dworkin, Caesar Thompson, Cornelius Chandler, SangEun Lee, Aram Kang, Diana Ghebenei, Melissa Martin, Nadine Peacock, Jeni Hebert-Beirne, Emily Stiehl; Mark Dworkin, Caesar Thompson, Cornelius Chandler, SangEun Lee, Aram Kang, Diana Ghebenei, Melissa Martin, Nadine Peacock, Jeni Hebert-Beirne, Emily Stiehl114681University of Illinois Chicago, School of Public Health, Chicago, IL, USA2Breakthrough Urban Ministries, Chicago, IL, USA3Chicago Cook Workforce Partnership, Chicago, IL, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeIn response to disparities in COVID-19 vaccine uptake in urban environments, we ascertained whether a community-engaged evaluation could rapidly determine why unvaccinated Chicago residents were hesitant to receive the COVID-19 vaccine.ApproachThe assessment used a mixed-methods approach, grounded in community-based participatory research (CBPR) principles.SettingInterviews were conducted by community partners between April and May 2022 in Chicago, in-person and via phone.ParticipantsA purposive sample of Chicagoans (n = 456), who were: (1) adults (≥18 years); (2) living in priority areas in Chicago heavily impacted by COVID-19; (3) who spoke English or Spanish; and (4) had not received the COVID-19 vaccine.MethodA transdisciplinary academic-community team co-developed an assessment tool. Members of Chicago’s Community Health Response Corps (CHRC) (N = 115) interviewed participants, using a 46-item survey in Qualtrics. Interviews were analyzed using qualitative and quantitative software, including Dedoose for coding and SAS for descriptive statistics.ResultsOver half of all respondents were not concerned about getting COVID-19. Respondents voiced concerns about side effects (36%), vaccine safety (27%), and trust in governmental institutions, given historical events involving unethical research. Participants also reported other social needs (e.g., food or housing insecurity) that made COVID-19 a lower priority.ConclusionThe collaborative research approach highlighted issues of trust, concerns about side effects and vaccine safety, issues that have informed vaccine messaging.
      Citation: American Journal of Health Promotion
      PubDate: 2024-12-09T01:24:37Z
      DOI: 10.1177/08901171241307435
       
  • The Effect of Intervention Preference Matching on Outcomes and Engagement
           in a Post-cessation Weight Management Trial

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      Authors: Kelsey Day, Erin Solomon, Jamie Zoellner, Zoran Bursac, Rebecca A. Krukowski; Erin Solomon, Jamie Zoellner, Zoran Bursac, Rebecca A. Krukowski1University of Virginia, Charlottesville, VA, USA2University of Memphis, Memphis, TN, USA35450Florida International University, Miami, FL, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeThis study examined the effect of intervention treatment preference in a post-smoking cessation weight management trial.Design & SettingParticipants were randomized to a weight management intervention (Stability, Loss, or Bibliotherapy); all participants received a standard smoking cessation program. Adults aged 18+ were recruited from Memphis, TN, and nationally.ParticipantsIndividuals were eligible if they had a BMI of 22 kg/m2 or greater.MeasuresParticipants were asked about their preferred weight intervention at screening. Weight change and self-reported point-prevalence abstinence were assessed (Month 12). Participants rated perceived effectiveness, difficulty (screening, Month 2), and intervention satisfaction (Month 12).AnalysisWe examined the effect of intervention preference match on 12-month weight change, smoking cessation, perceived effectiveness, difficulty, and satisfaction.ResultsParticipants (n = 305) were majority female (68%); white (52%); and had overweight/obesity (87%). At screening, most participants perceived the Loss intervention as most effective; at Month 2, Stability was perceived as most effective. The Stability intervention was perceived as easiest at screening and Month 2. Those who were matched to their treatment preference had greater 12-month weight loss, but similar rates of smoking cessation.ConclusionsParticipants who were matched to their preference were more successful in preventing post-cessation weight gain, compared to those who were not matched. Future research should systematically test intervention preference effects with the aim of precision health.
      Citation: American Journal of Health Promotion
      PubDate: 2024-12-06T01:58:32Z
      DOI: 10.1177/08901171241307429
       
  • Impact of a Culturally Targeted Lifestyle Course on Dietary and Weight
           Outcomes of Chinese Americans in Texas

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      Authors: Danhong Chen, Furjen Deng, Helen Sun; Furjen Deng, Helen Sun1School of Agricultural Sciences, 4038Sam Houston State University, Huntsville, TX, USA2Department of Sociology, 4038Sam Houston State University, Huntsville, TX, USA3Light Salt Association, Houston, TX, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeThis study aimed to assess the impact of a culturally targeted lifestyle course on the dietary and weight outcomes of Asian Americans.DesignThis was an observational study of participants for a culturally targeted lifestyle course taught online by a Nutrition Scientist and Board-Certified Holistic Health Practitioner.SettingFrom 2021 to 2022, 284 participants were recruited through 4 community organizations in Texas and completed the informed consent.Subjects140 Chinese Americans finished 3 surveys before, after, and 6 months after the course.MeasuresParticipants’ fruit and vegetable consumption was assessed using the questionnaire from the Behavioral Risk Factor Surveillance System and their physical activities were evaluated by the Godin-Shephard Leisure-Time Exercise Questionnaire.AnalysisWe conducted repeated measures ANOVA to compare participants’ dietary and weight outcomes before, after, and 6 months after the course. Paired t-tests were performed to investigate how the outcomes differed from the baseline.ResultsThe participants’ weights and BMI values at the 6-month follow-up were significantly lower than the baseline, though the changes were not significant immediately after the course. Rice consumption dropped significantly both after the class and at the 6-month follow-up. Participants also significantly reduced their intake of 100% juice and fried potatoes immediately after the class.ConclusionCommunity-based Participatory Approaches might be used to improve the dietary and weight outcomes of Asian Americans.
      Citation: American Journal of Health Promotion
      PubDate: 2024-12-03T03:41:47Z
      DOI: 10.1177/08901171241304702
       
  • Design for Dissemination: Leaders Suggest Local Strategies for
           Implementing a Health Communications Campaign

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      Authors: Meg G. Salvia, Jane Roberts, Andy S. L. Tan, Elaine Hanby, Bob Gordon, Ana Machado, Scout, Julia Applegate, Shoba Ramanadhan; Jane Roberts, Andy S. L. Tan, Elaine Hanby, Bob Gordon, Ana Machado, Scout, Julia Applegate, Shoba Ramanadhan1T.H. Chan School of Public Health, 1812Harvard University, Boston, MA, USA21855Dana Farber Cancer Institute, Boston, MA, USA3Annenberg School for Communication, 310547University of Pennsylvania, Philadelphia, PA, USA4Leonard Davis Institute of Health Economics, 310547University of Pennsylvania, Philadelphia, PA, USA521797Abramson Cancer Center, Tobacco Sexuality Studies, Ohio State University, Columbus, OH, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeUsing evidence-based health communication campaigns (EBHCC) is critical for addressing disparities in tobacco-related health outcomes among LGBTQ+ populations; therefore, this study aimed to examine processes and supports for community-based organizations (CBOs) to integrate evidence-based solutions into practice using a design-for-dissemination framework.ApproachQualitative interviews were conducted.SettingCBOs serving LGBTQ+ populations.Participants22 staff from U.S.-based CBOs participated in video interviews.MethodWe used reflexive thematic analysis to generate themes.Results3 key themes included: (1) leaders perceived storytelling as a desirable and effective way to operationalize hyperlocal adaptation of content, particularly when in-group stories came from the community and included video content (which was perceived to maximize reach); (2) researcher participation in content production/delivery was seen as a compelling implementation strategy; and (3) these requested components were seen as adding value rather than as substitutions for text- and image-based EBHCC content.Adaptations envisioned by participants are associated with increased demand for limited resources (ie, requiring more time or financial resources), on the part of CBOs, the research team, or both. Researcher strategies were identified to support meeting CBOs’ needs given these contextual constraints.ConclusionThis research explores supports and processes requested by CBOs serving LGBTQ+ populations as part of the adaptations envisioned in implementing EBHCCs and highlights possible avenues to better meet CBOs’ needs in effectively utilizing interventions.
      Citation: American Journal of Health Promotion
      PubDate: 2024-12-02T09:09:34Z
      DOI: 10.1177/08901171241301967
       
  • E-cigarette Smoking and Colorectal Cancer Screening

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      Authors: Eugene Annor, Joseph Atarere, Quarshie Glover, Nneoma Ubah, Chinenye Odo, Yakubu Bene-Alhasan, Vwaire Orhurhu, Jamal Hasoon, Wisdom Chinonyelu Ufondu, Moyasar Osman, Christopher Thompson; Joseph Atarere, Quarshie Glover, Nneoma Ubah, Chinenye Odo, Yakubu Bene-Alhasan, Vwaire Orhurhu, Jamal Hasoon, Wisdom Chinonyelu Ufondu, Moyasar Osman, Christopher Thompson1Department of Medicine, 17120University of Illinois College of Medicine, Peoria, IL, USA2Department of Medicine, 23438MedStar Union Memorial Hospital, Baltimore, MD, USA3Department of Medicine, 5229University of Wisconsin-Madison, Madison, WI, USA4Department of Medicine, 14342Montefiore St Luke’s Cornwall Hospital, Newburgh, NY, USA5Department of Public Health, 5229University of Wisconsin-Madison, Madison, WI, USA6Department of Anesthesiology, 6595University of Pittsburgh Medical Center, Williamsport, PA, USA7Department of Anesthesia Women’s Hospital, Boston, MA, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo evaluate how CRC screening practices differ between e-cigarette users and non-users.DesignCross-sectional study design.SettingNational Cancer Institute’s Health Information National Trends Survey (HINTS 5).SubjectsRespondents aged 45 to 75 years.MeasuresDemographics, CRC screening, e-cigarette use, cancer history, presence of comorbidities, and access to a primary care provider.AnalysisThe demographic characteristics of the study participants were evaluated by their e-cigarette smoking status using chi-squared tests. The differences in CRC screening between e-cigarette users and non-users were evaluated using a multivariate logistic regression model.ResultsWe identified a total of 6963 participants, of which 181 (2.6%) were e-cigarette users. The prevalence of e-cigarette use was inversely related to age. A significant portion were uninsured (10.7% vs 5.9% of non-users), and almost half (49.9%) were current tobacco smokers. E-cigarette users were as likely to undergo CRC screening compared to non-users [OR 1.40; 95% CI (0.74, 2.66)]. Increasing age, educational level, health insurance, comorbidity, access to a primary care provider, personal history of cancer, and presence of a comorbidity were associated with increased participation in CRC screening. However, e-cigarette use was not associated with increased screening.ConclusionOur study found no significant difference in CRC screening rates between e-cigarette users and non-users. While screening behaviors appear unaffected for now, ongoing surveillance is important as more users reach screening age given the uncertainties surrounding the long-term effects of e-cigarette use.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-28T10:00:10Z
      DOI: 10.1177/08901171241304726
       
  • Health and Wellness Coaching Can Improve Tobacco Quit Rates and Weight
           Management Efforts in an Employee Population

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      Authors: Rachel Sauls, Shreya Thakkar, Briana Evers, Alexander Yates, Nhan Tran, Mark Latif, Kelly Johnson, Michelle K. Alencar; Shreya Thakkar, Briana Evers, Alexander Yates, Nhan Tran, Mark Latif, Kelly Johnson, Michelle K. Alencar1inHealth Lifestyle Therapeutics, Inc., Los Angeles, CA, USA2College of Public Health, 7831University of South Florida, Tampa, FL, USA3College of Osteopathic Medicine, 149991Rocky Vista University, Bilings, MT, USA4College of Arts Sciences, 7831University of South Florida, Tampa, FL, USA5Department of Kinesiology, 14668California State University Long Beach, Long Beach, CA, USA6Department of Kinesiology Conway, 2672Coastal Carolina University, Conway, NC, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeThis study aims to investigate gender differences in tobacco quit rates and weight gain among employees undergoing a cessation program with a health and wellness coach.DesignThis project was a retrospective observational study of an employee population.SettingAll data were collected during health coaching sessions by nationally certified health coaches.Subjects211 men and women (116 males, 95 females, age 51.3 ± 9.9 years) enrolled in a Tobacco cessation health coaching program (TCHC) between January 2020 and December 2021.MeasuresData were compared between genders for quit rate, weight, body mass index (BMI), and nicotine replacement therapy (NRT) usage across 12-month follow-ups.AnalysisDescriptive statistics, repeated measures ANOVA, and independent samples t-test.ResultsSignificantly more men than women successfully quit by the goal date set with their coach (P < 0.05). There was a significant reduction in tobacco use across 12 months, leading to the participant’s quit date (P < 0.001). Women (Weight lost ± SD= 1.49 lbs. ±16.06 lbs.) lost significantly more weight than men (0.7 lbs. ± 8.5 lbs.; P < 0.001). NRT users lost significantly more weight than non-users (P = .007).ConclusionHealth and wellness coaching was effective for participants to successfully stop tobacco use while in this program by their quit date. The coaching program also elicited weight loss while achieving smoking cessation for both men and women.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-23T05:48:23Z
      DOI: 10.1177/08901171241302926
       
  • A Systematic Literature Review of the Relationships Between Social and
           Interpersonal Factors and Physical Activity Among Older Adults

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      Authors: Jeong-Hui Park, Tyler Prochnow, Jacqueline A. Vigil, Matthew Lee Smith; Tyler Prochnow, Jacqueline A. Vigil, Matthew Lee Smith1School of Public Health, 14736Texas A&M Health Science Center, College Station, TX, USA2Center for Health Equity Aging, 14736Texas A&M University, College Station, TX, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      ObjectiveThis systematic literature review’s purpose was to examine the social factors (e.g., social network, social support, social interaction, loneliness, and social environmental factors) associated with PA among older adults.Data SourceElectronic databases (PsycINFO, MEDLINE, Scopus, and Web of Science) were used in this study.Study Inclusion and Exclusion CriteriaStudies published in English focusing on individuals aged 65+ that assess social and intrapersonal factors influencing PA, with quantitative data on these relationships, were included, regardless of the PA measurement method.Data ExtractionTwo independent reviewers extracted data using a standardized form, capturing study design, sample size, participant characteristics, social factors assessed, and their relationship to PA behavior.Data SynthesisA descriptive summary of study characteristics and methodological quality was conducted.Results1560 articles were identified and 34 were included. Wider social networks, social support, social cohesion, social norms towards PA, and positive social interactions were positively associated with PA among older adults, whereas obstructive factors (e.g., loneliness and social isolation) of the social environment were negatively associated with PA.ConclusionsThe findings indicate that the social environment plays a strong role in determining PA levels among older adults. Interventions targeting PA enhancement in this population should prioritize strengthening social support and networks related to PA. Future research should focus on elucidating the mechanisms through which social factors impact PA in older adults.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-22T12:22:22Z
      DOI: 10.1177/08901171241302925
       
  • Health and University Students: The Mediator Role of Emotion Regulation
           Between Academic Stressors and Health Behaviors

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      Authors: Mónica Cassaretto, Patty Vilela, Miguel Dávila, Arturo Calderón; Patty Vilela, Miguel Dávila, Arturo Calderón1Department of Psychology of the Pontifical Catholic University of Peru (PUCP), Lima, Peru
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo determine the role of Health Behaviors and Cognitive Emotion Regulation Strategies in the relationship between Health and Academic Stress.DesignA cross-sectional study with in-person administration of questionnaires.SettingData collection took place at nine public and private universities in Peru, involving a diverse group of students from different faculties.Sample1640 students, a majority of them female (61.8%), ranging in age between 18 and 30 years old (M = 20.72; SD = 2.22).MeasuresA sociodemographic form was used to collect participants’ sociodemographic, academic, and health data. Academic stress was measured by the Inventory of Academic Stress (SISCO). Health habits were assessed using the University Students Lifestyle Questionnaire (CEVJU-Perú). The Cognitive Emotion Regulation Questionnaire (CER-Q) and the SF-36 Questionnaire were also used to evaluate cognitive emotion regulation strategies and health-related quality of life, respectively.ResultsThe SEM model results (x2/df = 2.30, CFI = .95, RMSEA = .03, SRMR = .04) reveal that Academic Stress has direct and indirect effects on Health. Negative Emotional Regulation have a negative impact on Health, this effect is direct; while Positive Emotional Regulation has an effect on Health, this effect is direct and indirect, the latter is through Sleep Management, Physical Activity and Leisure Management. In addition, Academic Stress maintains a direct effect on only one health behavior, Sleep Management.ConclusionsThis study’s findings contribute to a better understanding of the role played by emotion regulation, and by positive strategies in particular, in student health.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-21T10:11:07Z
      DOI: 10.1177/08901171241301969
       
  • Understanding Goal Setting and Behavior Change Mechanics in an Older Adult
           Sitting Reduction Intervention

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      Authors: Mikael Anne Greenwood-Hickman, Laura Yarborough, Lisa Shulman, David E. Arterburn, Julie Cooper, Kristin Delaney, Camilo Estrada, Beverly B. Green, Erika Holden, Jennifer B. McClure, Diana Romero, Dori E. Rosenberg; Laura Yarborough, Lisa Shulman, David E. Arterburn, Julie Cooper, Kristin Delaney, Camilo Estrada, Beverly B. Green, Erika Holden, Jennifer B. McClure, Diana Romero, Dori E. Rosenberg1343041Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA2Division of Health Systems Science, Kaiser Permanente Bernard J Tyson School of Medicine, Pasadena, CA, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeWe explored intervention fidelity, participant satisfaction, and the goals and reminder strategies participants chose to reduce sitting.ApproachMixed methods approach leveraging data collected during study coaching and fidelity monitoring.SettingA successful 6-month randomized controlled trial of a sedentary behavior (SB) intervention for adults ≥60 years in Washington, USA.ParticipantsN = 283 (140 intervention, 143 attention control); mean age 69, 66% women, 69% Non-Hispanic White.InterventionTheory-based SB reduction intervention structured around phone-based health coaching and goal setting. Attention control received equal coaching on non-SB health topics.MethodCoaches tracked all participant goals, and 8% of visits were randomly observed and fidelity coded using a structured template. Participants completed a satisfaction questionnaire at study end. Goals data were qualitatively grouped by reminder strategy and topic. Fidelity and satisfaction data were summarized and compared by study arm using two-sided paired t-tests.ResultsBoth participants’ satisfaction (>90% satisfied, between-group P = .195) and coach fidelity to intervention content and techniques were high (96% sessions set SMART goals, P = .343) across both arms. Intervention participants primarily set goals leveraging outward (e.g., fitness band prompts) and habit (e.g., adding standing to a daily meal) reminder strategies highly tailored to individual preferences and lifestyle.ConclusionParticipants’ SB-related goals varied widely, suggesting tailored intervention approaches are important to change sitting behavior, particularly for older adults with chronic conditions.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-21T07:49:32Z
      DOI: 10.1177/08901171241302137
       
  • Traditional and Online Health Information Seeking Among Individuals With
           Limited English Proficiency in the United States: Cross-Sectional Study

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      Authors: Christine Swoboda, Athena Stamos, Naleef Fareed; Athena Stamos, Naleef Fareed1CATALYST, Center for the Advancement of Team Science, Analytics, Implementation Science Research, College of Medicine, 2647The Ohio State University, Columbus, OH, USA2Department of Biomedical Informatics, College of Medicine, 2647The Ohio State University, Columbus, OH, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeWe investigate how individuals with Limited English Proficiency (LEP) seek, access, and evaluate traditional and online sources they rely on for health information.DesignRetrospective cross-sectional survey analysis from the United States.SettingPooled Health Information National Trends Survey surveys (2013-2019).SubjectsThe sample was comprised 15,316 respondents; 236/15,316 (1.54%) completed the survey in Spanish and 1727/14,734 (11.72%) had LEP (did not speak English “very well”). The sample was nationally representative across demographic categories.MeasuresIndependent and dependent variables were self-reported using validated measures.AnalysisMultivariable logistic regression models using jackknife replicate weights for population estimates.ResultsAdults with LEP were less confident in their capacity to access health information (aOR = 0.59, CI: 0.47-0.75) and had less trust in health information from medical professionals (aOR = 0.57,CI: 0.46-0.72) than English proficient (EP) adults. Although LEP and EP adults were both most likely to use the internet as their first source of information, LEP adults were more likely than EP adults to consult health professionals, print sources like books, news or brochures, family and friends, television and radio. Spanish language survey respondents were more likely to trust health information from government agencies (aOR = 1.99, CI: 1.09-3.62) and watch health-related videos on the internet than respondents who took the survey in English (aOR = 2.51, CI: 1.23-5.12).ConclusionOur results show how language barriers may contribute to health disparities experienced by linguistic minorities. Government agencies and health care organizations need to promote health information dissemination in underserved communities and may need to embrace the use of alternative information sources such as television, radio, and the internet to reach LEP populations.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-21T07:24:33Z
      DOI: 10.1177/08901171241302011
       
  • Moving With the Times: Updating the National Physical Activity Plan’s
           Media and Communication Strategies to Increase Population-Level Physical
           Activity

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      Authors: Emily L. Mailey, Kate Olscamp, Elroy J. Aguiar, Jay E. Maddock, Macey L. Levan, Michelle Segar; Kate Olscamp, Elroy J. Aguiar, Jay E. Maddock, Macey L. Levan, Michelle Segar1Department of Kinesiology, 5308Kansas State University, Manhattan, KS, USA2Independent Consultant, Washington, DC, USA3Department of Kinesiology, The 8059University of Alabama, Tuscaloosa, AL, USA4School of Public Health, 14736Texas A&M University, College Station, TX, USA5Department of Population Health, 12296NYU Grossman School of Medicine, New York, NY, USA6Institute for Research on Women Gender, 1259University of Michigan, Ann Arbor, MI, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      In 2022, an interdisciplinary team of subject matter experts was convened to substantially revise the Mass Media sector content of the National Physical Activity Plan. The updated version recognizes the rapid pace at which the media landscape is evolving and includes a new sector name (Media and Communications) and revised strategies and tactics that reflect progress in the development of a national physical activity campaign brand (Move Your Way ®). This commentary summarizes key changes and highlights the importance of ongoing collaboration between physical activity and media professionals to optimize promotion of physical activity through diverse channels.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-21T07:06:34Z
      DOI: 10.1177/08901171241302004
       
  • Health Care Provider E-Cigarette-Related Advice and E-Cigarette Harm
           Perceptions Among Youth

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      Authors: Osayande Agbonlahor, Delvon T. Mattingly, Joy L. Hart, Alison C. McLeish, Kandi L. Walker; Delvon T. Mattingly, Joy L. Hart, Alison C. McLeish, Kandi L. Walker1Department of Preventive Medicine, 21693University of Mississippi Medical Center, Jackson, MS, USA2Christina Lee Brown Envirome Institute, School of Medicine, 12254University of Louisville, Louisville, KY, USA3Department of Behavioral Sciences, College of Medicine, 12252University of Kentucky, Lexington, KY, USA4Center for Health, Engagement, Sciences, 5170University of Louisville, Louisville, KY, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeHealth care providers (HCP) are uniquely positioned to advise against electronic cigarette (e-cigarette) use, potentially influencing youth perceptions of e-cigarette harms. However, research examining these associations is scant. We examined whether HCP e-cigarette-related advice is associated with youth e-cigarette harm perceptions.DesignCross-sectional study.SettingNational Youth Tobacco Survey data (2022).Subjects21,254 youth aged 9-18 years.MeasuresE-cigarette harm perceptions (i.e., relative addictiveness, occasional use harm, and secondhand e-cigarette aerosol (SHA) harm) and HCP advice to abstain from using e-cigarettes (yes/no) were assessed.AnalysisAdjusted odds ratios were estimated using multinomial logistic regression models.ResultsAmong the sample, 33.9% perceived e-cigarettes as equally addictive to cigarettes, 39.9% perceived occasional e-cigarette use to cause a lot of harm, and 23.3% perceived SHA to cause a lot of harm. Youth who received HCP advice had higher odds of perceiving e-cigarettes as more addictive than cigarettes (OR: 1.64, 95% CI: 1.35-2.00) and causing a lot of harm (OR: 1.49, 95% CI: 1.16-1.90). Youth who received HCP advice had higher odds of perceiving SHA causing little harm (OR: 1.23, 95% CI: 1.04-1.44).ConclusionHCP advice was associated with youth e-cigarette harm perceptions and perceptions that SHA causes little harm. HCP e-cigarette counseling may help inform understanding of harms, which may reduce or prevent use.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-20T09:09:12Z
      DOI: 10.1177/08901171241301971
       
  • Multi-Prong Formative Evaluation of a Pediatric Clinical-Community Food
           Access and Nutrition Education Intervention

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      Authors: Nick Hamdi, Kate Balestracci, Alison Tovar, Celeste Corcoran, Delma-Jean Watts, Fatima Tobar, Margaret Samson, Sarah Amin; Kate Balestracci, Alison Tovar, Celeste Corcoran, Delma-Jean Watts, Fatima Tobar, Margaret Samson, Sarah Amin1College of Health Wellness, 6746Johnson & Wales University, Providence, RI, USA2Department of Nutrition, College of Health Sciences, 4260University of Rhode Island, Providence, RI, USA3School of Public Health, 174610Brown University, Providence, RI, USA4Warren Alpert School of Medicine, 12321Brown University, Providence, RI, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo understand pediatricians’, community partners’, and food insecure parent/caregivers’ perspectives on addressing food access and nutrition education in clinical settings, and to conduct a formative evaluation of a clinical-community food access and nutrition education intervention.DesignA mixed-methods evaluation.SettingData was collected from pediatricians and parents/caregivers recruited from one urban pediatric primary care clinic, and from community partners involved in food access.ParticipantsPediatricians (n = 14), parents at risk of food insecurity (n = 7), and community partner staff (n = 8) participated in qualitative interviews.MethodA cross-sectional survey among pediatricians assessing demographics, nutrition training, and knowledge of food access programs was administered. Semi-structured virtual interviews were conducted to understand experiences with food insecurity and food access programs, and to identify content and delivery preferences for a clinical-community intervention. Descriptive statistics were used to characterize the pediatrician and parent demographics and pediatrician nutrition knowledge. A hybrid deductive-inductive thematic analysis was used to identify emerging themes from qualitative interviews.ResultsFew pediatricians (n = 3, 11%) reported receiving previous nutrition training, and knowledge-based food access program questions revealed significant gaps in pediatricians’ understanding of program eligibility. Thematic analyses underscore challenges in addressing food insecurity in the clinical setting, gaps in clinical-community partnerships, and barriers to participating in food access programs.ConclusionFindings provide recommendations for the development of clinical-community food access and nutrition education interventions.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-20T07:27:33Z
      DOI: 10.1177/08901171241301886
       
  • Test Validity of a Single-Item Food Insecurity Screening Assessment Among
           College Students

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      Authors: Jocelyn E. Jarvis, Jacqueline Perez, David Himmelgreen, Amber D. Dumford, Kyaien Conner, Marilyn Stern, Rita DeBate; Jacqueline Perez, David Himmelgreen, Amber D. Dumford, Kyaien Conner, Marilyn Stern, Rita DeBate1Child & Family Studies, 7831University of South Florida, Tampa, FL, USA2College of Public Health, 7831University of South Florida, Tampa, FL, USA3Department of Anthropology, College of Arts Healthy Communities, 7831University of South Florida, Tampa, FL, USA4Department of Leadership, Policy, Lifelong Learning, College of Education, 7831University of South Florida, Tampa, FL, USA5School of Social Work, University of Pittsburgh, Pittsburgh, PA, USA6College of Public Health, Center for Applied Lifestyle Medicine, 7831University of South Florida, Tampa, FL, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeGiven the high prevalence of food insecurity among college students, there is an interest in identifying whether the use of a single item can adequately screen for food insecurity. The current study aimed to determine the validity of a single-item food insecurity screening question among college students.DesignCross-sectional study exploring food insecurity among racial and ethnic undergraduate college students.SettingLarge urban U.S. research university.SampleUndergraduate students (n = 667) 18 years or older.MeasuresFood Insecurity screening was assessed via a single-item from the USDA Household Food Security Short Form (USDA FSSM-SF). Food security was assessed via the USDA FSSM-SF, a validated six-item scale that assesses food insecurity and hunger.AnalysisLogistic regression assessed the validity of the single-item food insecurity question tested against the USDA FSSM-SF.ResultsThe full model was statistically significant, χ2(1) = 161.44, P < .001 explaining 54.5% of the variance in food insecurity status correctly classifying 95.7% of cases. Sensitivity of the model was found to be 97.6%; specificity was found to be 69.6%. Positive predictive value was calculated to be 97.74%; negative predictive value was computed to be 68.09%.ConclusionResults support for the test validity of a single-item screening question that can be used to detect food insecurity among college students and inform secondary prevention programs aimed at food insecurity.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-19T06:40:39Z
      DOI: 10.1177/08901171241302001
       
  • Evaluating the Acceptability and Impact of an Online, Lifestyle-Based
           Mental Well-Being Initiative Targeting School Communities in New York
           State – Lifting the School Community Project

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      Authors: Melanie Elise Renfrew, Darren Peter Morton, Leticia Joanne Maguire, Richard Paul Amundson, Danna Day Justis; Darren Peter Morton, Leticia Joanne Maguire, Richard Paul Amundson, Danna Day Justis1Lifestyle Medicine & Health Research Centre, 2677Avondale University, Cooranbong, NSW, Australia2Lift Lifestyle Medicine, Cooranbong, NSW, Australia3Smola Consulting, Rochester, NY, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo determine the acceptability and impact of an online, lifestyle-based mental well-being initiative in a school-based setting.ApproachA post-program evaluation survey was administered after the intervention.SettingFifty-seven New York State school districts.ParticipantsParticipating school districts invited all employees and community members to register for the intervention. A total of 4083 individuals participated, with 1060 (26%) responding to the post-program survey.InterventionThe 7-week intervention (The Lift Project) incorporated strategies from lifestyle medicine, positive psychology and neuroscience literature. The ten lessons included online, video-based content and related experiential learning exercises.MethodsThe post-program survey included Likert items that evaluated the participants’ perceived program acceptability, mental health enhancement, self-efficacy, and skill acquisition. Inductive thematic qualitative analysis assessed the participants’ likes and dislikes concerning the initiative.ResultsA high percentage of respondents indicated that the program improved their well-being (85%), enhanced their well-being-related self-efficacy (92%), and provided them with skills for supporting their long-term mental well-being (82%). Respondents liked the evidence-based, engaging content and design elements and the focus on personal well-being, community connection, and practical applicability. Some respondents desired more social connection, disliked certain design elements, lacked time and experienced technical issues.ConclusionThe initiative was acceptable and impactful, indicating that school districts may serve as an effective network for addressing the mental health epidemic.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-18T11:01:59Z
      DOI: 10.1177/08901171241302161
       
  • Making the Healthy Choice the Easy Choice: Examining the Food Environments
           Surrounding South Carolina’s Historically Black Colleges and
           Universities (HBCUs)

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      Authors: Lesley Joseph, Jessica Boakye, Tami Ashford-Carroll; Jessica Boakye, Tami Ashford-Carroll1Department of Civil Sport Management, 2616Benedict College, Columbia, SC, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo understand the distribution of healthy and unhealthy food stores and restaurants around historically Black colleges and universities (HBCUs) in South Carolina.DesignDatabaseUSA and ArcGIS Pro were used to identify, classify, and map food stores and restaurants near each HBCU.SettingThe study area included a 3-mile buffer radius around the eight South Carolina HBCUs.SubjectsA total of 654 food stores and restaurants were identified within a 3-mile radius of the HBCUs.MeasuresDemographic data for each HBCU was collected from the National Center for Education Statistics. The food stores and restaurants were identified using Standard Industrial Classification (SIC) codes and descriptions, and they were classified using previous research methodologies.ResultsBased on the analysis, 19 (2.9%), 237 (36.2%), and 398 locations (60.9%) were classified as healthy, intermediate, and unhealthy, respectively. Within a 0.5-mile radius of the HBCUs, there were no retail food stores classified as healthy, followed by 14 (2.1%) and 23 (3.5%) retail food stores and restaurants that were classified as intermediate and unhealthy, respectively.ConclusionsThis study shows that most food options around South Carolina HBCUs are unhealthy and that few places are available to purchase healthy food. Eating well will be difficult in the current food environment. Increasing healthy options should be part of a comprehensive approach to promoting good nutrition.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-18T02:25:11Z
      DOI: 10.1177/08901171241301972
       
  • Associations of Physical Activity and Sedentary Behavior With Mental
           Distress According to Caregiver Status: Analysis of the Health Information
           National Trends Survey, 2022

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      Authors: Babatope Ayokunle Ogunjesa, Otávio Amaral de Andrade Leão, Susan Aguiñaga, Andiara Schwingel, Minakshi Raj; Otávio Amaral de Andrade Leão, Susan Aguiñaga, Andiara Schwingel, Minakshi Raj1Department of Health Kinesiology, College of Applied Health Sciences, 14589University of Illinois Urbana-Champaign, Champaign, IL, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo (1) examine how physical activity and sedentary behavior are related to mental distress and (2) identify and compare how various levels of sedentary behaviors may differentially predict mental distress after accounting for physical activity, among caregivers vs non-caregivers.DesignCross-sectional secondary data.SettingNational Cancer Institute’s Health Information National Trends Survey Cycle 6 fielded online from March-November 2022.ParticipantsU.S. adults aged 18 and older.MeasuresThe Patient Health Questionnaire-4 was administered along with caregiving status, moderate weekly physical activity, sedentary behavior, and sociodemographic characteristics.AnalysisAfter applying population weights, we conducted multiple adjusted logistic regression models and estimated predictive margins to understand whether a specific dose of sedentary behavior (hours/day) is associated with risk of mental distress, at different levels of physical activity.ResultsCaregivers (15.41% of sample) reporting 10-hour of daily sedentary behavior were significantly more likely to experience mental distress, than those reporting lower amounts of sedentary behavior (OR = 3.372, 95%CI = 1.968, 5.776, P < 0.001). Regardless of physical activity amount, 10 hours of sedentary behavior may be a risk factor for mental distress among non-caregivers. Just 6 hours of sedentary behavior may be related to mental distress among caregivers.ConclusionPhysical activity interventions tailored to caregivers’ needs, responsibilities, and circumstances are required. Innovative methodologies are needed to understand caregivers’ daily behaviors and the intensity of their caregiving activities.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-16T11:55:46Z
      DOI: 10.1177/08901171241302019
       
  • Cancer Information Seekers’ Comprehension Level and the Association With
           Preventable Cancer Risk Factors: A Cross-Sectional Analysis From a
           Nationally Representative U.S. Adult Survey

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      Authors: Beomyoung Cho, Yining Pan, Mariel German, Sukwon Lee, Sericea Stallings-Smith; Yining Pan, Mariel German, Sukwon Lee, Sericea Stallings-Smith1Department of Public Health, College of Education, Health, Human Sciences, 4127University of Tennessee - Knoxville, Knoxville, TN, USA2Department of Public Health, Brooks College of Health, 14751University of North Florida, Jacksonville, FL, USA3School of Information Science, University of Wisconsin - Milwaukee, Milwaukee, WI, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo examine the association between U.S. adult cancer information seekers’ comprehension level and preventable cancer risk factors.DesignCross-sectional analysis.SettingHealth Information National Trends Survey-6, 2022.Subjects2,453 cancer information seekers.MeasuresFour cancer risk factors were dichotomized: cigarette smoking (have smoked ≥100 cigarettes and currently smoke every day/some days); experiencing sunburn (≥1 times/past 12 months); being overweight/obese (≥25 body mass index [kg/m2]); and binge drinking (≥5 [male] or ≥4 [female] alcoholic drinks on one occasion/past 30 days). Individuals who reported that cancer information was hard to understand were considered having comprehension difficulties.AnalysisBinomial and multinomial logistic regression analyses were conducted to examine the association of cancer information comprehension level with individual and cumulative cancer risk factors, adjusting for sex, race/ethnicity, age, annual household income, education level, metropolitan status, depressed mood, and cancer diagnosis history.ResultsCancer information seekers with comprehension difficulties had higher odds of binge drinking (aOR: 1.66, 95% CI: 1.12, 2.46), being overweight/obese (aOR: 1.46, 95% CI: 1.09, 1.96), and experiencing sunburn (aOR: 1.61, 95% CI: 1.23, 2.11), as well as having ≥3 (aOR: 3.38, 95% CI: 1.87, 6.09) cancer risk factors concurrently than cancer information seekers without comprehension difficulties.ConclusionDissemination of easy-to-understand cancer information would help better prevent cancer risk factors for cancer information seekers with comprehension difficulties.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-13T10:35:03Z
      DOI: 10.1177/08901171241300135
       
  • The Cross-Sectional Association of Health Literacy With Healthy Lifestyle
           Behaviors in the Turkish Population: A Systematic Review and Meta-Analysis
           

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      Authors: Gazi Ünlü, Selma Altındiş; Selma Altındiş1Graduate School of Business, 52992Sakarya University, Sakarya, Turkey2Department of Health Management, 52992Sakarya University, Sakarya, Turkey
      Abstract: American Journal of Health Promotion, Ahead of Print.
      ObjectiveTo meta-analytically investigate the cross-sectional association between health literacy (HL) and healthy lifestyle behaviors (HLBs) in the Turkish population.Data SourceWeb of Science, PubMed, Scopus, EBSCO, DergiPark, TRDizin, and Türkiye Council of Higher Education Thesis Center.Exclusion CriteriaNot accessible in Turkish or English in full text; not on the Turkish population; addressed e-HL, digital HL, mobile HL or corporate HL; addressed HL in a specific context; did not seek any association between HL and HLBs.Inclusion CriteriaCross-sectional studies that reported a correlation coefficient or any convertible equal statistical measure for the association between HL and HLBs.Data ExtractionTwo reviewers independently screened the articles, extracted the data from the included studies into a structured form and assessed their methodological quality.Data SynthesisWe conducted meta-analyses and reported the characteristics, outcomes, and quality assessment of studies.ResultsOf 3833 records accessed we included 52 that fulfilled the eligibility criteria. Our primary findings demonstrated positive low-to-moderate associations between HL and health-promoting behaviors (r = .32 [CI:.30-.35; I2 = .00]), HL and physical activity (r = .23 [CI:.18-.27; I2 = .12]), and HL and vaccination (r = .12 [CI:.07-.17; I2 = .00]). In contrast, HL was not significantly associated with non-smoking (r = .02 [CI:-.02-.36; I2 = .09]), healthy diet (r = .02 [CI:-.01-.06; I2 = .00]), and screening (r = .07 [CI:.04-.11; I2 = .07]). However, our sensitivity and meta-regression analysis results suggested that the association of HL with healthy diet seems to increase with age. On the other hand, we failed to find any convincing evidence of any of the included variables affecting the association between HL and all types of HLBs (r = .17, I2 = 95.81%).ConclusionHL has the potential to improve the HLBs of Turkish individuals, however, there is a need for better understanding of the possible underlying determinants of the association between them.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-13T03:07:05Z
      DOI: 10.1177/08901171241300190
       
  • A Survival Analysis of Rural-Urban Disparities in COVID-19 Vaccination
           Uptake in the United States

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      Authors: Biplab Kumar Datta, Jennifer E. Jaremski, Benjamin E. Ansa, Lorriane Odhiambo, Catherine Clary, K. M. Monirul Islam, J. Aaron Johnson; Jennifer E. Jaremski, Benjamin E. Ansa, Lorriane Odhiambo, Catherine Clary, K. M. Monirul Islam, J. Aaron Johnson1Institute of Public Epidemiology, 1421Augusta University, Augusta, GA, USA4Department of Community & Behavioral Health Sciences, 1421Augusta University, Augusta, GA, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeThough urban-rural disparities in COVID-19 vaccination coverage was documented at a point of time, little is known on the evolution of vaccination uptake over time. This study, using individual level time-to-event data, intend to assess the differences in monthly progression of vaccination uptake among U.S. adults by urban/rural residence.DesignSurvival analysis.SettingUrban and rural areas in 29 U.S. states.Subjects135,969 adults aged 18+ years.MeasuresTime (in months) to receive the first dose of COVID-19 vaccine since the U.S. Food and Drug Administration (FDA) Emergency Use Authorization of Pfizer-BioNTech- and Moderna- COVID-19 Vaccine in December 2020.AnalysisKaplan-Meier survivor functions and stratified Cox proportional hazard models were estimated for the event of being vaccinated by urban/rural residence for 25 months starting from December 2020. Monthly survival probabilities for urban- and rural- adults were further assessed within certain demographic and socioeconomic groups.ResultsWe found a gradual divergence of COVID-19 vaccination uptake in favor of urban adults, which was robust across sex, age groups, race and ethnicity, education, and income levels. In April 2021, after vaccine eligibility was expanded, 42.2% adults in urban and 53.3% adults in rural areas were unvaccinated. While only 19.3% urban adults remained unvaccinated in December 2022, this rate was 32.5% among rural adults. Compared to their urban counterparts, rural adults were 0.77 (95% CI: 0.76 - 0.79) times as likely to receive the first dose of COVID-19 vaccine.ConclusionsTime-to-event analysis of vaccination against COVID-19 indicated a lower uptake among rural adults, which was persistent across different demographic and socioeconomic groups.
      Citation: American Journal of Health Promotion
      PubDate: 2024-11-12T06:33:27Z
      DOI: 10.1177/08901171241300136
       
  • Overcoming Challenges to Adopting Smoke-Free Multi-Unit Housing Policies
           in a Large U.S. Metropolitan Area: Insights and Recommendations From
           Affected Groups in 20 Los Angeles County Cities

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      Authors: Lia W. Marshall, Gladis Chavez-Sosa, Tonya Gorham Gallow, Claude Jovelle, Lori Fischbach, Andy Dang, Dana Guglielmo, Aimee Holmes, Tony Kuo; Gladis Chavez-Sosa, Tonya Gorham Gallow, Claude Jovelle, Lori Fischbach, Andy Dang, Dana Guglielmo, Aimee Holmes, Tony Kuo1139058Columbia University School of Social Work, New York, NY, USA2Tobacco Control Translational Science Institute, Los Angeles, CA, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeCommunity members and non-academic partners (“affected groups”) were asked to identify factors that can influence public support, impede adoption, and mitigate challenges related to adopting local smoke-free multi-unit housing policies.ApproachA series of key informant interviews were conducted with affected groups from a large U.S. metropolitan area.Setting20 cities in Los Angeles County without a smoke-free multi-unit housing ordinance.ParticipantsInterviewees were recruited from affected groups with knowledge about their community’s civic and political landscape (n = 63).MethodData were collected and analyzed using thematic analysis to identify, code and compare themes.ResultsMost interviewees indicated civic groups, those who do not smoke, and/or groups who are educated about the negative health effects of secondhand smoke exposure would be more likely to support smoke-free multi-unit housing policies. Interviewees reported several challenges to policy adoption, including competing city priorities, public disengagement, and the cost and social burden of enforcing these ordinances. To overcome them, interviewees recommended working synergistically with local governments to build diverse coalitions, educate the public, and develop clear enforcement plans.ConclusionInsights and recommendations from affected groups in 20 U.S. cities suggest that communicating with the public and priming impacted communities to support smoke-free multi-unit housing policies are promising interventions for protecting at-risk families from secondhand smoke exposure in their homes.
      Citation: American Journal of Health Promotion
      PubDate: 2024-10-29T01:40:24Z
      DOI: 10.1177/08901171241293367
       
  • Analysis of Demographic Characteristics and Drinking Habits at a Southern
           College Provide Critical Information for Developing an Effective
           Prevention Program

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      Authors: Rebecca M. Toland, Tiera Rowan, Ivanna Caballero, Dawn Truong; Tiera Rowan, Ivanna Caballero, Dawn Truong12634Columbus State University, Columbus, GA, USA2Fayetteville State University, Fayetteville, NC, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      ImportanceTo examine the associations of basic demographics (age, race, and gender identity) on alcohol consumption among college students at a mid-sized university.ObjectiveTo evaluate the drinking habits of students using the survey tool that will measure basic demographics to collect data.DesignA cross-sectional study that included college students ages 17-21 at Columbus State University in the fall of 2021.SettingColumbus, Georgia.ParticipantsUniversity students (n = 260, mean age 20.5 ± 3.8).AnalysisOne-way ANOVA and independent t-tests were used to test differences in age on alcohol consumption and binge drinking. Chi-Square tests and Fisher’s Exact were used to estimate differences in proportions of binge drinking for race and gender.ResultsUnderage students (57.7%) reported having consumed alcohol in the past. Frequency of alcohol consumption increased with age (P = 0.004). Caucasian students reported drinking most frequently, with 14.8% (n = 12) drinking at least once a week, compared to 0 African American students reporting they drank at least once per week (P < 0.001). There were no significant findings when examining differences in binge drinking for demographics assessed in this sample (P> 0.05).Conclusionand Relevance: In this cross-sectional research study, the prevalence of underage drinking among college-aged students, there is a need for targeted prevention methods to reduce adverse health outcomes among this vulnerable population.
      Citation: American Journal of Health Promotion
      PubDate: 2024-10-15T11:15:01Z
      DOI: 10.1177/08901171241293359
       
  • The Effect of Person-First Language on Obesity Stigma

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      Authors: Rebecca K. Hoffman, Stacy M. Post, Tonya Dodge, Michelle L. Stock; Stacy M. Post, Tonya Dodge, Michelle L. Stock111209Pacific Institute for Research Brain Sciences, 8367The George Washington University, Washington, DC, USA
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo test the assumption that person-first language (PFL) reduces obesity stigma, mediated by perceived personal responsibility for obesity.DesignCross-sectional, experimental.SettingOnline, United States.Participants299 young adults.MeasuresParticipants read a vignette using PFL or identity-first language (IFL) or about someone without obesity. Participants reported perceived personal responsibility for obesity, and 3 operationalizations of obesity stigma: prejudice, stereotypes, and support for punitive policies. Mediation analyses were used to test if the manipulation affected obesity stigma, through perceived personal responsibility.ResultsThere was no indirect effect of PFL vs IFL on the 3 outcomes (95% CIs contained zero). However, the indirect effects of PFL vs no-obesity condition were significant (prejudice: β = −0.10, SE = 0.05, 95% CI [−0.22, −0.01]; stereotypes: (β = 0.07, SE = 0.03, 95% CI [0.01, 0.14]); punitive punishment: (β = −0.06, SE = 0.04, 95% CI [−0.15, −0.01]). Also, the indirect effects of IFL vs no-obesity condition on stereotypes (β = 0.07, SE = 0.04, 95% CI [0.0003, 0.15]) and punitive punishment (β = −0.06, SE = 0.04, 95% CI [−0.15, −0.0002]) were significant.ConclusionPFL may not affect obesity stigma as it does in the context of other marginalized groups. The effect of PFL and IFL, compared to the no-obesity condition, suggests future routes for intervention.
      Citation: American Journal of Health Promotion
      PubDate: 2024-10-08T10:17:46Z
      DOI: 10.1177/08901171241284551
       
  • Association of Depression With Handgrip Strength and Muscle Mass in Young
           and Middle-Aged American Adults From NHANES 2011–2014: A Cross-Sectional
           Study

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      Authors: Zhenzhen Jiang, Shunlei Jiang, Xia Ren, Xiaojie Ji, Hengheng Yu, Zhiqiang Zhao; Shunlei Jiang, Xia Ren, Xiaojie Ji, Hengheng Yu, Zhiqiang Zhao166478Nanjing University of Chinese Medicine, Nanjing, China2Fengxian People’s Hospital, Xuzhou, China3665689Wuxi Huishan District Hospital of Traditional Chinese Medicine, Wuxi, China
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeTo investigate relationship between depression and handgrip strength (HGS) and appendicular lean mass (ALM) in Young and middle-aged adults.DesignCross-sectional study.SettingData from participants aged 20-59 from the 2011-2014 National Health and Nutrition Examination Survey.SampleIn a study of 4927 middle-aged Americans, 2564 (52.30%) were men and 2363 (47.7%) were women, with an average age of 38.57 ± 11.72. Among this group, 716 individuals (14.53%) experienced mild depression, while 385 individuals (7.81%) suffered from moderate to severe depression.MeasuresData of HGS and ALM were collected by handgrip test, and whole-body dual-energy X-ray absorptiometry scans. Depression was assessed using the Patient Health Questionnaire-9. Linear and logistic regression, restricted cubic spline regression analyses and subgroup analysis were conducted to evaluate the association.ResultsFollowing multivariate logistic regression analysis, the study showed that a 1-point increase in the depression score was associated with a 4% increase in the probability of reduced grip strength for both males (95% CI: 1.01-1.07) and females (95% CI: 1.01-1.06). Additionally, for males, there was a 5% increase in the likelihood of decreased muscle mass (95% CI: 1.01-1.09), whereas the decline in muscle mass for females did not exhibit statistical significance. Subgroup analysis indicated that the inverse relationship between depression and grip strength, along with the negative association between depression and muscle mass among males, remained consistent in the 40-59 age range.ConclusionThis research revealed an inverse relationship between depression and grip strength in middle-aged and young individuals, and a negative association between depression and ALM was only noted in males. Early intervention could be beneficial from age 40.
      Citation: American Journal of Health Promotion
      PubDate: 2024-09-30T05:08:33Z
      DOI: 10.1177/08901171241288349
       
  • Predictors of Intention to use Health Literacy Strategies in Patient
           Education among Health Care Professionals at Public Hospitals of Bahir Dar
           City: Application of Theory of Planned Behavior

    • Free pre-print version: Loading...

      Authors: Bezawit Mekonnen Fetene, Habtamu Wondiye, Zeamanuel Anteneh Yigzaw; Habtamu Wondiye, Zeamanuel Anteneh Yigzaw1Departement of Nursing, 601818Tibebe Ghion Comprehensive Specialized Hospital, Bahir Dar, Ethiopia2Department of Health Promotion Health Sciences, 128158Bahir Dar University, Bahir Dar, Ethiopia
      Abstract: American Journal of Health Promotion, Ahead of Print.
      PurposeHealth literacy strategies were using plain language, using visual aids, using the teach-back method, limiting the number of items provided, and providing culture-sensitive care. This study aimed to assess predictors of intention to use health literacy strategies in patient education among healthcare professionals.DesignAn institutional-based cross-sectional study, theory of planned behavior.SettingBahir Dar, Northwest Ethiopia, from March 10 to April 10, 2023.Subjects422 healthcare professionals.MeasuresSix items with a response range from 1 = strongly disagree to 5 = strongly agree each item was summed on a five-point Likert scale and its score range (6-30).AnalysisLinear regression, SPSS version 25.ResultsA total of 389 healthcare professionals participated with a response rate of 92.18%. The overall mean intention towards health literacy strategies score was 24.02 with (SD ± 3.84). Subjective norm [(β, .231; 95% CI: .129, .333)], attitude [β, .162; 95% CI: .072, .252], perceived behavioral control [(β, .121; 95% CI: .022, .221)], having got training [(β, .125; 95% CI: .348, .530)] and knowing health literacy [(β, .251; 95% CI: .131, .371)] were factors.ConclusionThe mean score of intention to use health literacy strategies was very low. Attitude, subjective norm, perceived behavioral control, training, and knowledge of health literacy strategies were predictors. Therefore, different strategies should be applied to increase the utilization of health literacy strategies.
      Citation: American Journal of Health Promotion
      PubDate: 2024-09-10T06:36:46Z
      DOI: 10.1177/08901171241282586
       
  • The 8 Rights of Organizational Health Equity Work

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      Authors: Maria Milagros Kneusel-Rivera
      Abstract: American Journal of Health Promotion, Ahead of Print.
      Health inequities are costing the US health care system an estimated $320 billion annually. Those costs are predicted to increase if inequitable care is not addressed. As a Health Equity Consultant for small community-based organizations and a large healthcare system I observe and advise on a variety of organizational attempts at advancing health equity. Over many years of doing this work I have developed what I call The 8 Rights of Organizational Health Equity Work. This well-organized approach outlines the most important things an organization must get right if they want to create meaningful and sustainable movement towards heath equity. Unless healthcare organizations are intentional and strategic about reducing health disparities, any progress we have made in recent years will lag and given the costs of disparities, the industry may find itself in a financial crisis that it may not recover from. The 8 Rights of Organizational Health Equity Work provides the structure that is needed to reduce health inequities in a concerted way.
      Citation: American Journal of Health Promotion
      PubDate: 2024-01-23T08:26:54Z
      DOI: 10.1177/08901171241227706
       
 
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  Subjects -> HEALTH AND SAFETY (Total: 1464 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (686 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (358 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (112 journals)
    - PHYSICAL FITNESS AND HYGIENE (117 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (686 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
ACM Transactions on Computing for Healthcare     Hybrid Journal  
Acta Scientiarum. Health Sciences     Open Access   (Followers: 2)
Adultspan Journal     Hybrid Journal   (Followers: 2)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 11)
Advances in Public Health     Open Access   (Followers: 34)
Adversity and Resilience Science : Journal of Research and Practice     Hybrid Journal   (Followers: 4)
African Health Sciences     Open Access   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 7)
Afrimedic Journal     Open Access   (Followers: 3)
Ageing & Society     Hybrid Journal   (Followers: 41)
Aging and Health Research     Open Access   (Followers: 6)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 9)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
Akademika     Open Access  
American Journal of Family Therapy     Hybrid Journal   (Followers: 8)
American Journal of Health Economics     Full-text available via subscription   (Followers: 26)
American Journal of Health Education     Hybrid Journal   (Followers: 38)
American Journal of Health Promotion     Hybrid Journal   (Followers: 24)
American Journal of Health Sciences     Open Access   (Followers: 12)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 35)
American Journal of Public Health     Full-text available via subscription   (Followers: 267)
American Journal of Public Health Research     Open Access   (Followers: 33)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 9)
Annals of Health Law     Open Access   (Followers: 7)
Applied Biosafety     Hybrid Journal   (Followers: 2)
Applied Ergonomics     Hybrid Journal   (Followers: 18)
Archives of Suicide Research     Hybrid Journal   (Followers: 14)
Archivos de Prevención de Riesgos Laborales     Open Access  
ASA Monitor     Full-text available via subscription   (Followers: 14)
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 7)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 12)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 5)
Asian Journal of Medicine and Health     Open Access   (Followers: 1)
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access   (Followers: 1)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 5)
Australian Family Physician     Full-text available via subscription   (Followers: 2)
Australian Indigenous HealthBulletin     Free   (Followers: 5)
Autism & Developmental Language Impairments     Open Access   (Followers: 19)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 7)
Biosafety and Health     Open Access  
Biosalud     Open Access  
BMC Oral Health     Open Access   (Followers: 5)
BMC Pregnancy and Childbirth     Open Access   (Followers: 20)
Brazilian Journal of Medicine and Human Health     Open Access  
British Journal of Health Psychology     Hybrid Journal   (Followers: 57)
Cadernos de Educação, Saúde e Fisioterapia     Open Access  
Cadernos de Saúde     Open Access  
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 16)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 1)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 31)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 2)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
CES Salud Pública     Open Access  
Child and Adolescent Obesity     Open Access   (Followers: 8)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 12)
Children     Open Access  
Ciencia & Salud     Open Access  
Ciencia & Trabajo     Open Access  
Ciencia y Salud     Open Access   (Followers: 1)
Cities & Health     Hybrid Journal   (Followers: 6)
Cleaner and Responsible Consumption     Open Access  
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 1)
Clocks & Sleep     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 1)
Conflict and Health     Open Access   (Followers: 8)
Contact (CTC)     Open Access   (Followers: 2)
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Cuaderno de investigaciones: semilleros andina     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 13)
Current Opinion in Environmental Science & Health     Hybrid Journal  
Das österreichische Gesundheitswesen ÖKZ     Hybrid Journal   (Followers: 2)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Design for Health     Hybrid Journal   (Followers: 1)
Digital Health     Open Access   (Followers: 10)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 12)
Discover Social Science and Health     Open Access   (Followers: 19)
Diversity and Equality in Health and Care     Open Access   (Followers: 10)
Diversity of Research in Health Journal     Open Access   (Followers: 1)
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Open Access   (Followers: 2)
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 26)
East African Journal of Public Health     Full-text available via subscription   (Followers: 3)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 24)
EcoHealth     Hybrid Journal   (Followers: 6)
Egyptian Journal of Nutrition and Health     Open Access   (Followers: 9)
Egyptian Journal of Occupational Medicine     Open Access   (Followers: 5)
electronic Journal of Health Informatics     Open Access   (Followers: 7)
ElectronicHealthcare     Full-text available via subscription   (Followers: 2)
Emerging Trends in Drugs, Addictions, and Health     Open Access   (Followers: 2)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 7)
EsSEX : Revista Científica     Open Access  
Ethics & Human Research     Hybrid Journal   (Followers: 4)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 9)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 6)
Ethnicity & Health     Hybrid Journal   (Followers: 17)
EUREKA : Health Sciences     Open Access  
European Journal of Health Communication     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 5)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 2)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 12)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Exploratory Research in Clinical and Social Pharmacy     Open Access   (Followers: 4)
F&S Reports     Open Access   (Followers: 2)
Face à face     Open Access  
Family & Community Health     Hybrid Journal   (Followers: 13)
Family Relations     Partially Free   (Followers: 12)
FASEB BioAdvances     Open Access   (Followers: 3)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 3)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 11)
Food Hydrocolloids for Health     Open Access  
Food Quality and Safety     Open Access   (Followers: 2)
Frontiers in Digital Health     Open Access   (Followers: 3)
Frontiers of Health Services Management     Partially Free   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 2)
Ganesha Journal     Open Access  
Geospatial Health     Open Access   (Followers: 1)
Gestão e Desenvolvimento     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 7)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Advances in Health and Medicine     Open Access  
Global Challenges     Open Access   (Followers: 2)
Global Health : Science and Practice     Open Access   (Followers: 8)
Global Health Annual Review     Open Access   (Followers: 2)
Global Health Innovation     Open Access   (Followers: 3)
Global Health Journal     Open Access   (Followers: 2)
Global Health Promotion     Hybrid Journal   (Followers: 16)
Global Journal of Health Science     Open Access   (Followers: 6)
Global Medical & Health Communication     Open Access   (Followers: 1)
Global Mental Health     Open Access   (Followers: 13)
Global Reproductive Health     Open Access   (Followers: 2)
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Global Transitions     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 7)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 7)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 24)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 21)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 10)
Health and Social Work     Hybrid Journal   (Followers: 63)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 5)
Health Behavior Research     Open Access   (Followers: 2)
Health Care Analysis     Hybrid Journal   (Followers: 13)
Health Equity     Open Access   (Followers: 4)
Health Information Management Journal     Hybrid Journal   (Followers: 28)
Health Policy     Hybrid Journal   (Followers: 48)
Health Policy and Technology     Hybrid Journal   (Followers: 5)
Health Policy OPEN     Open Access   (Followers: 1)
Health Promotion & Physical Activity     Open Access   (Followers: 9)
Health Promotion International     Hybrid Journal   (Followers: 27)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 9)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Prospect     Open Access  
Health Psychology Review     Hybrid Journal   (Followers: 46)
Health Research Policy and Systems     Open Access   (Followers: 16)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access   (Followers: 1)
Health Sciences and Disease     Open Access   (Followers: 2)
Health Security     Hybrid Journal   (Followers: 1)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 6)
Health Systems & Reform     Open Access   (Followers: 3)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 13)
Health, Risk & Society     Hybrid Journal   (Followers: 11)
Health, Safety and Environment     Open Access   (Followers: 35)
Healthcare     Open Access   (Followers: 2)
Healthcare Quarterly     Full-text available via subscription   (Followers: 9)
Healthcare Technology Letters     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription   (Followers: 2)
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
Histoire, médecine et santé     Open Access   (Followers: 1)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 5)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 3)
Horizonte Medico     Open Access  
Hua Hin Sook Jai Klai Kangwon Journal     Open Access  
Human Nutrition & Metabolism     Open Access   (Followers: 2)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 5)
IISE Transactions on Occupational Ergonomics and Human Factors     Hybrid Journal  
IJS Global Health     Open Access  
Implementation Science     Open Access   (Followers: 27)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Youth and Adolescent Health     Open Access  
Indonesian Journal of Public Health     Open Access  
interactive Journal of Medical Research     Open Access  

        1 2 3 4 | Last

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Heriot-Watt University
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Email: journaltocs@hw.ac.uk
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