Health Education & Behavior最新文献_第2页

The Impact of Social Norms on Diffusion Dynamics: A Simulation of E-Cigarette Use Behavior. 社会规范对扩散动力学的影响：电子烟使用行为的模拟。

IF 2.1 3区医学

Health Education & Behavior Pub Date : 2025-08-01 Epub Date: 2025-03-27 DOI: 10.1177/10901981251327189

Sarah E Piombo, George G Vega Yon, Thomas W Valente

{"title":"The Impact of Social Norms on Diffusion Dynamics: A Simulation of E-Cigarette Use Behavior.","authors":"Sarah E Piombo, George G Vega Yon, Thomas W Valente","doi":"10.1177/10901981251327189","DOIUrl":"10.1177/10901981251327189","url":null,"abstract":"Diffusion of innovations theory can be used to understand how to prevent or slow the spread of harmful behaviors, such as e-cigarette use in adolescent social networks. This study explores how different network intervention strategies could impact diffusion dynamics through network simulations based on observed social norms and e-cigarette use data. Simulations were initialized with baseline network data collected from 10 schools in a prospective cohort study of adolescent social networks and health behaviors in Southern California. Diffusion conditions varied by changes in social norms for intervention nodes (pro-e-cigarette, anti-e-cigarette, or neutral norms) and intervention strategy, where greater pro- and anti-tobacco norms were assigned to 15% of the network based on four intervention seeding conditions: opinion leadership, betweenness centrality, segmentation, and random selection. For each network, simulations were run using the netdiffuseR package in R and multivariate generalized linear models were estimated to examine changes in diffusion dynamics. Diffusion prevalence and rate were greater in denser networks and networks with more initial e-cigarette users. Anti-e-cigarette norms significantly decreased average prevalence across all intervention conditions. Strategically selecting high betweenness centrality nodes and opinion leader nodes significantly decreased the average prevalence of e-cigarette use. The results of this study show that achieving a change in norms for 15% of a network can substantially impact e-cigarette use prevalence. Furthermore, this study enhances our knowledge of how personal and network factors affect diffusion dynamics and demonstrates that targeting social norms through network-based interventions is one avenue for slowing the spread of harmful behaviors.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"428-438"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dentamatics, a Board Game for Oral Health Education Using the Health Belief Model: A Qualitative Study. 基于健康信念模型的口腔健康教育棋盘游戏Dentamatics：质性研究。

IF 2.1 3区医学

Health Education & Behavior Pub Date : 2025-08-01 Epub Date: 2025-03-23 DOI: 10.1177/10901981251324130

Priyanga Chandrasekaran, Priyadharshini Ragavane, Bhargavi K, Vikneshan Murugaboopathy, Senthil Murugappan

引用次数: 0

Food Insecurity and Weight Discrimination: A Gender-Based Study. 粮食不安全和体重歧视：一项基于性别的研究。

IF 2.1 3区医学

Health Education & Behavior Pub Date : 2025-08-01 Epub Date: 2025-03-19 DOI: 10.1177/10901981251322406

Gabriele Ciciurkaite, Bethany Sky Jones

{"title":"Food Insecurity and Weight Discrimination: A Gender-Based Study.","authors":"Gabriele Ciciurkaite, Bethany Sky Jones","doi":"10.1177/10901981251322406","DOIUrl":"10.1177/10901981251322406","url":null,"abstract":"Food insecurity has been identified as an understudied risk factor for weight-based stigma and discrimination. This study leverages data from 1,904 working-age adults to examine the food insecurity-weight-based discrimination relationship, as well as tests gender differences for this association. Logistic regression models revealed that food insecurity was significantly associated with higher odds of reporting weight-based discrimination in both unadjusted and adjusted models. Importantly, this association was only significant in the female sample. Contrary to expectations, body mass index (BMI) did not moderate this relationship among women. These findings highlight the gendered nature of the food insecurity-weight discrimination link, underscoring the need for targeted interventions and policies addressing food insecurity and weight stigma, particularly among women. Specifically, public health practitioners should consider screening for both food insecurity and experiences of weight discrimination, especially when working with female patients. Furthermore, policymakers should consider the interconnected nature of food insecurity and weight discrimination when designing programs to address either issue. Finally, future research should explore the mechanisms underlying these associations and investigate potential interventions to mitigate the negative impacts of food insecurity and weight discrimination on health and well-being.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"404-411"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acknowledgment of Members of Health Education & Behavior's Review Panel. 感谢健康教育与行为审查小组成员。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2025-05-16 DOI: 10.1177/10901981251335026

引用次数: 0

Health Literacy Among Sexual and Gender-Diverse Adolescents in New York City. 纽约市性和性别多样化青少年的健康素养

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2024-12-30 DOI: 10.1177/10901981241307616

Abby Marshall, Grace Mackson, Farnaz Kaighobadi, Neal D Hoffman, Adam Ciarleglio, Theo G M Sandfort

{"title":"Health Literacy Among Sexual and Gender-Diverse Adolescents in New York City.","authors":"Abby Marshall, Grace Mackson, Farnaz Kaighobadi, Neal D Hoffman, Adam Ciarleglio, Theo G M Sandfort","doi":"10.1177/10901981241307616","DOIUrl":"10.1177/10901981241307616","url":null,"abstract":"This study explored sexual orientation and gender identity as predictors of health literacy among adolescents attending New York City (NYC) public high schools. Many studies have demonstrated disparities in sexual health among sexual and gender minority (SGM) adolescents. However, little is known about their health literacy. Health literacy, defined as the capacity to acquire, understand, appraise, and apply health information, especially in health decision-making, is a known predictor of health. Data came from a quantitative cross-sectional survey (N = 1,438) collected at 15 high schools in the Bronx, NYC. Four aspects of health literacy were explored: (1) knowledge of sexually transmitted infections (STIs), (2) knowledge of sexual health rights in New York State, (3) health access literacy and self-efficacy, and (4) health communication. Linear regression analysis was used to test predictors of health literacy. Contrary to our hypothesis, SGM adolescents did not score significantly lower on the health literacy variables compared with cisgender heterosexual adolescents. SGM adolescents scored significantly higher on knowledge of STIs and knowledge of health rights compared with cisgender heterosexual young men. Adolescents who were questioning their sexual identity scored significantly lower compared with both SGM and cisgender heterosexual adolescents on all four health literacy scales. Interventions are needed to ensure that in-school curricula are inclusive and address health literacy among questioning adolescents and cisgender heterosexual young men. Addressing the health needs of questioning adolescents is particularly important because adolescence is a critical time of decision-making around sexuality and health.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":"52 3","pages":"289-298"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimism Bias Among Gun Owners: Associations With Firearm Injury Prevention Practices and Policy Support. 枪支所有者的乐观偏差：枪支拥有者的乐观偏差：与枪支伤害预防措施和政策支持的关联。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2024-07-30 DOI: 10.1177/10901981241267212

Amanda J Aubel, Garen J Wintemute, Aaron B Shev, Nicole Kravitz-Wirtz

{"title":"Optimism Bias Among Gun Owners: Associations With Firearm Injury Prevention Practices and Policy Support.","authors":"Amanda J Aubel, Garen J Wintemute, Aaron B Shev, Nicole Kravitz-Wirtz","doi":"10.1177/10901981241267212","DOIUrl":"10.1177/10901981241267212","url":null,"abstract":"Optimism bias is common across health risk assessments, including firearm injury risk, and can have behavioral consequences. Using data from the 2018 California Safety and Wellbeing Survey, we examine whether optimism bias influences firearm injury prevention practices and policy support by comparing the characteristics, behaviors, and opinions of gun owners who believed having a gun at home is comparatively safer for themselves than for similar others (Optimism Bias group) with (1) those who unequivocally believe guns increase safety for themselves and others (Always Safer group), and (2) those who said they \"don't know\" or \"it depends\" in both the self and other scenarios (Uncertain group). Weighted multinomial logistic regression results indicated that gun owners in the Optimism Bias group were more often female, members of minoritized racial or ethnic groups, and new gun owners than the Always Safer and Uncertain groups; they also demonstrated greater support for 4 of 5 firearm injury prevention policies/interventions. Despite similar prevalence of owning a gun for protection, gun owners in the Optimism Bias group less often carried a loaded firearm or stored a gun in an unsecure way compared with the Always Safer group. Findings suggest that gun owners characterized by optimism bias, who acknowledged some risk associated with firearms, even if only or more so for others than for themselves, may represent a \"movable middle\" that is more receptive to firearm injury prevention efforts. Public health messages emphasizing other-oriented (vs. personal) risk and collective responsibility may be perceived as less threatening to the symbolic significance of guns to individual identity, thus enhancing effectiveness.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"266-277"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating Theory With a User-Centered Design Approach to Maximize mHealth Acceptability and Usability. 整合理论与以用户为中心的设计方法，以最大限度地提高移动医疗的可接受性和可用性。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2025-01-08 DOI: 10.1177/10901981241311232

A Susana Ramírez, Guadalupe Xochitl Ayala, Mary Murillo, Debora C Glik, Alma D Guerrero

{"title":"Integrating Theory With a User-Centered Design Approach to Maximize mHealth Acceptability and Usability.","authors":"A Susana Ramírez, Guadalupe Xochitl Ayala, Mary Murillo, Debora C Glik, Alma D Guerrero","doi":"10.1177/10901981241311232","DOIUrl":"10.1177/10901981241311232","url":null,"abstract":"Mobile phone interventions are evidence-based methods for preventing obesity among Latino adults and school-aged children; however, few such interventions exist to improve the obesogenic behaviors of children in the developmentally critical preschool years (ages 2-5). Focusing on this age group is important since over one-quarter of 2- to 5-year-old Latino children are overweight or obese. Moreover, most documented interventions target mothers exclusively, ignoring the influence that other caregivers such as fathers and grandparents have on the environment and the child's behaviors. We describe the development and refinement of a theory-informed mobile phone intervention using an iterative, user-centered approach that supports healthy weight-related behaviors in preschool-aged Latino children by engaging mothers, fathers, and grandparents. The resulting intervention, Familias Unidas, Niños Sanos (FUNS), is a culturally centered bilingual (Spanish/English), 12-week, web-based mobile phone intervention grounded in family systems theory. Through three to four weekly text messages and links to web-based interactive multi-media content, caregivers of 2- to 5-year-old Latino children learn evidence-based practices to support specific child behaviors in three domains: healthy eating, media viewing, and physical activity. Development of specific messages is grounded in social cognitive theory. Participants can connect with a virtual coach and other participants. The prototype received high levels of acceptability and usability among members of the target audience and is ready for feasibility testing. The systematic process of development and refinement of the intervention can serve as a model for other mHealth interventions, addressing the ongoing critique of the general lack of theoretical application in such intervention work.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"329-339"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acknowledgment of Members of Health Education & Behavior's Review Panel. 感谢健康教育与行为审查小组成员。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2025-05-16 DOI: 10.1177/10901981251334579

引用次数: 0

Caregivers' Perspectives on Supporting Sexual and Gender-Diverse Youth in Adolescent Relationship Abuse Prevention. 照顾者在青少年关系虐待预防中支持性和性别多元化青少年的观点。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2025-01-24 DOI: 10.1177/10901981241311216

Erin Mickievicz, Callie Laubacher, Coley Alston, Johanna Burnett, Alicyn Simpson, Lynz Sickler, Brian O'Connor, Jesse Mahler, Joseph Amodei, Elizabeth Miller, Daniel Shaw, Robert W S Coulter, Maya I Ragavan

{"title":"Caregivers' Perspectives on Supporting Sexual and Gender-Diverse Youth in Adolescent Relationship Abuse Prevention.","authors":"Erin Mickievicz, Callie Laubacher, Coley Alston, Johanna Burnett, Alicyn Simpson, Lynz Sickler, Brian O'Connor, Jesse Mahler, Joseph Amodei, Elizabeth Miller, Daniel Shaw, Robert W S Coulter, Maya I Ragavan","doi":"10.1177/10901981241311216","DOIUrl":"10.1177/10901981241311216","url":null,"abstract":"Adolescent relationship abuse (ARA) has significant sequelae and is more prevalent among sexual and gender-diverse youth (SGDY). Increased parental involvement and communication has been linked to decreased prevalence of ARA and associated health risks. Parents of SGDY may have unique needs and experiences regarding communicating with their children about ARA, yet little research has examined this area. This study explored caregivers' current practices around supporting their SGDY in healthy relationship formation and ARA prevention; caregivers' perceptions about ARA among SGDY; and their recommendations for developing ARA prevention-focused interventions for caregivers of SGDY. We conducted 24 semi-structured interviews with caregivers of SGDY aged 12 to 19. Transcripts were analyzed using thematic analysis. Some participants reported having positive, open communication with their SGDY about dating, while others struggled to understand and respond to the unique risks of ARA experienced by their adolescent. Caregivers discussed ways systemic discrimination affects SGDY experiences of relationships and ARA, and distinct dating challenges for gender-diverse youth. When considering caregiver-focused ARA prevention, participants supported a program including ARA education, communication skills building, and caregiver affirmation. Participants encouraged the use of digital and in-person mediums, experienced and relatable facilitators, and SGDY involvement. Caregivers of SGDY had significant strengths and challenges when engaging and communicating with their child around dating and ARA prevention. Caregivers at varying stages of acceptance and understanding believed they could benefit from a comprehensive and inclusive education program on SGDY ARA experiences and how they can support their child in preventing ARA.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"319-328"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

WOOP as a Brief Alcohol Intervention Led by Lay Coaches in College Settings. 在大学环境下由外行教练领导的短暂酒精干预。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2025-06-01 Epub Date: 2025-01-24 DOI: 10.1177/10901981241310216

Sandra Wittleder, Brianna Bhoopsingh, Peter M Gollwitzer, Melanie Jay, Elizabeth Mutter, Tim Valshtein, Gina Angelotti, Gabriele Oettingen

{"title":"WOOP as a Brief Alcohol Intervention Led by Lay Coaches in College Settings.","authors":"Sandra Wittleder, Brianna Bhoopsingh, Peter M Gollwitzer, Melanie Jay, Elizabeth Mutter, Tim Valshtein, Gina Angelotti, Gabriele Oettingen","doi":"10.1177/10901981241310216","DOIUrl":"10.1177/10901981241310216","url":null,"abstract":"Heavy drinking is a major public health concern, particularly among young adults who often experience fear of being stigmatized when seeking help for alcohol-related problems. To address drinking concerns outside clinical settings, we tested the feasibility of a novel imagery-based behavior change strategy led by student lay interventionists in a college setting. Participants were adults recruited on a college campus and were randomized to either learn the four steps of WOOP (Wish, Outcome, Obstacle, and Plan) or to learn a format-matched Sham WOOP (Wish, Outcome, \"Outcome,\" and Plan). Both WOOP and Sham WOOP interventions were taught by student lay interventionist. We found that the WOOP intervention group reported fewer heavy drinking days (≥ 5 drinks for men or ≥ 4 drinks for women, measured using the Alcohol Timeline Follow-Back Method) compared to the Sham group at the 1-month and 2-month follow-ups. WOOP, when taught by student lay interventionists in a single session, demonstrated the feasibility of reducing heavy drinking. WOOP shows promise as a low-cost and scalable intervention for reducing heavy drinking in nonclinical settings.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"299-308"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0