Health Behavior and Policy Review最新文献

{"title":"Innovative Approaches in Medical Student Training: A Pilot Study of the Supporting Tobacco-Related ONGoing Education and Research (STRONGER) Scholar Program.","authors":"Asfand B Moosa, Isabel Martinez Leal, Brian J Carter, Tzuan A Chen, Monisha Arya, Hinal Patel, Denise De La Cruz, Hannah Wani, Anastasia Rogova, Mhyank S Sekhar, Lorraine R Reitzel","doi":"10.14485/hbpr.13.1.2","DOIUrl":"10.14485/hbpr.13.1.2","url":null,"abstract":"<p><strong>Objectives: </strong>Tobacco use is the leading cause of preventable disease and death, disproportionately affecting marginalized groups. Addressing these disparities requires a workforce skilled in tobacco addiction research and intervention. The STRONGER Scholar Program trains medical students in tobacco dependence research and treatment and its intersection with health equity to meet workforce needs.</p><p><strong>Methods: </strong>Medical students (n = 7; national catchment) participated in the 10-week program. Scholars developed tobacco-related research projects with a faculty mentor and participated in interdisciplinary programming, including tobacco treatment specialist training, sessions on linking research knowledge to clinical practice, and a health promotion campaign masterclass. Mixed methods were used for program evaluation of this first scholar cohort.</p><p><strong>Results: </strong>Scholars showed gains in all targeted constructs and reported high satisfaction with programming, strongly agreeing that it advanced understanding of how their research connected with clinical practice. The health promotion campaign masterclass was lauded, among other innovative program components. Qualitative findings supported quantitative results.</p><p><strong>Conclusions: </strong>This pilot study of the STRONGER Scholar Program showed promise in preparing the future physician-scientist workforce to address patients' tobacco use through research-informed practice and yielded information for future improvement. Results and lessons learned can inform the design of other research education programs.</p>","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"3 1","pages":"2142-2162"},"PeriodicalIF":0.5,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13262959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Provider Trust in a Sample of Transgender Latinas in the US South.","authors":"Chyanne Thompson-Quartey, Thomas P McCoy, Lilli Mann-Jackson, Jorge Alonzo, Sandy K Aguilar-Palma, Amanda E Tanner, Benjamin D Smart, Scott D Rhodes","doi":"10.14485/hbpr.13.1.3","DOIUrl":"10.14485/hbpr.13.1.3","url":null,"abstract":"<p><strong>Objective: </strong>Low provider trust may further undermine care engagement, particularly in the United States (US) South where access to gender-affirming services remains uneven. Despite its importance, determinants of provider trust among transgender Latinas are understudied. This study examined factors associated with provider trust among transgender Latinas living in the US South.</p><p><strong>Methods: </strong>Using baseline data from an intervention trial conducted in North and South Carolina, we conducted mixed-effects regression analyses to assess associations between provider trust and demographic, behavioral, healthcare utilization, psychosocial, and structural factors, including acculturation, social support, discrimination, internalized transphobia, ethnic group pride, and patient activation (confidence in managing one's overall health).</p><p><strong>Results: </strong>The sample included 144 Spanish-speaking transgender Latinas. Higher patient activation was positively associated with provider trust (p < .001), whereas higher internalized transphobia pride scores were negatively associated with trust (p = .001).</p><p><strong>Conclusions: </strong>Patient activation may be an important correlate of provider trust and represent a modifiable target for behavioral interventions. At the same time, higher transgender pride was associated with lower trust, underscoring the need for healthcare environments that affirm identity while addressing potential vigilance or skepticism shaped by lived experiences of stigma.</p>","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"13 1","pages":"2163-2173"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13591472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impacts of Hurricane Helene on Queer Communities in Appalachia.","authors":"Lilli Mann-Jackson, John W Chaffin, Jorge Alonzo, Sandy K Aguilar-Palma, Amanda E Tanner, David M Kline, Jeanette M Stafford, Scott D Rhodes","doi":"10.14485/hbpr.13.1.4","DOIUrl":"10.14485/hbpr.13.1.4","url":null,"abstract":"<p><strong>Objective: </strong>Our community-based participatory research partnership sought to explore the impacts of Hurricane Helene on Appalachian queer communities.</p><p><strong>Methods: </strong>In December 2024, our partnership conducted interviews with community-based peer navigators (N = 9) who were part of the trial of the Appalachian Access Project intervention designed to support use of prevention and care services among queer persons in Appalachia. Interviews examined effects of Helene on peer navigators and their communities and were analyzed by partnership members using constant comparison, an approach to developing grounded theory.</p><p><strong>Results: </strong>Four meta-themes and ten subthemes emerged: 1) queer community resilience (mutual aid and grassroots organizing, unity across identities, and renewed commitments to community support and advocacy); 2) increased challenges accessing resources for queer communities (infrastructure damage, communication barriers and misinformation, and disruption of essential and affirming health services); 3) mental health impacts for queer communities (trauma, anxiety, and uncertainty and the role of social networks); and 4) vulnerabilities for queer communities in hurricane recovery (economic hardship and systemic inequities in recovery resource access).</p><p><strong>Conclusions: </strong>Findings can inform policy and practice to address the effects of Helene and future disasters on marginalized communities. Integrating Appalachian queer community needs and assets into emergency preparedness and response is critical.</p>","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"13 1","pages":"2174-2184"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13313574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Helping Everyone Achieve a LifeTime of Health - Future Addiction Scientist Training Program Outcomes.","authors":"Asfand B Moosa, Christina M Segura, Ammar D Siddiqi, Hinal Patel, Tzuan A Chen, Anastasia Rogova, Marcy Zere, Ezemenari M Obasi, Lorraine R Reitzel","doi":"10.14485/HBPR.12.3.5","DOIUrl":"10.14485/HBPR.12.3.5","url":null,"abstract":"<p><strong>Objectives: </strong>Addiction to alcohol, tobacco, and/or other drugs (ATOD) remains a leading cause of cancer and a contributor to diabetes and cardiovascular diseases, disproportionately affecting marginalized and minoritized groups. Social and structural inequities including limited healthcare access, employment instability, inadequate housing, and environmental stressors increase these risks. A diverse scientific workforce is necessary to mitigate ATOD-related health disparities; yet underrepresentation persists in ATOD research. Helping Everyone Achieve a LifeTime of Health-Future Addiction Scientist Training (HEALTH-FAST) is a NIDA funded research education program that aims to reduce ATOD-related disparities by training future scholars in addiction science and health equity.</p><p><strong>Methods: </strong>From 2021-2023, 8 Doctoral Scholars, 2 Postdoctoral Fellows, and 6 Early-Stage Investigators (44% Black, 19% Hispanic, 63% women; 37.5% disadvantaged and/or first generation) were trained in the HEALTH-FAST Program.</p><p><strong>Results: </strong>The program achieved its objectives, showing gains in research knowledge (80% increase from baseline to program exit for Doctoral Scholars and 40% for Postdoctoral Fellows and Early-Stage Investigators, respectively), research self-efficacy (37% and 30% increases, respectively), and research preparation (47% and 35% increases, respectively). Scholars rated ATOD research presentations, professional development seminars, and other programming highly. Program satisfaction for both groups fell between 9 and 10; 10 = completely satisfied. As of April 2025, scholars produced 160 peer-reviewed publications and secured 41 grants.</p><p><strong>Conclusions: </strong>HEALTH-FAST can serve as a model research education program to train historically excluded scholars and diversify the ATOD health equity research workforce to address related health disparities.</p>","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"12 3","pages":"1956-1974"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender-related sociocultural factors impacting physical activity among female South Asians: A scoping review.","authors":"Afshan Rehman, Havisha Pedamallu, Jane Gou, Namratha Kandula, Milkie Vu","doi":"10.14485/hbpr.11.6.4","DOIUrl":"10.14485/hbpr.11.6.4","url":null,"abstract":"<p><strong>Objective: </strong>Describe the literature on the impact of gender-related social and cultural factors on physical activity (PA) among South Asian women and girls.</p><p><strong>Methods: </strong>Five databases were searched, 1,768 articles were identified, and 13 articles were included in this review. Themes were categorized based on three levels of influence: microsystem (interpersonal), mesosystem (environmental interactions), and macrosystem (cultural beliefs/values).</p><p><strong>Results: </strong>The most common facilitator was social support (microsystem): husbands for women and parents for girls. The most common barrier was culturally dictating gender roles that discouraged PA (macrosystem). Culturally acceptable forms of PA (e.g., religious dance, daily prayers) and modesty norms varied by religion. Perceptions about participating in PA varied between first- and second-generation immigrants (mesosystem); however, the majority perceived women and girls' PA participation as \"Westernized\" behavior.</p><p><strong>Conclusions: </strong>Limited intervention studies have aimed to increase the PA of South Asian women and girls. Such interventions must address gender roles and norms and test whether enhanced social support and culturally acceptable forms of PA are effective strategies to increase PA levels in this population.</p>","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"11 6","pages":"1784-1797"},"PeriodicalIF":0.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internalized Homonegativity is Indirectly Associated with Smoking Status through Somatic Anxiety.","authors":"Ty A Robinson, Nathan Grant Smith, Ezemenari M Obasi, Lorraine R Reitzel","doi":"10.14485/hbpr.11.3.1","DOIUrl":"10.14485/hbpr.11.3.1","url":null,"abstract":"<p><strong>Objective: </strong>In this study, we examined how internalized homonegativity (IH), a non-adaptive cognitive response to lesbian, gay, and bisexual (LGB) minority stressors, related to the manifestation of somatic anxiety symptoms and reduced the likelihood of being a former smoker.</p><p><strong>Methods: </strong>Participants (N = 77) smoked ≥ 100 cigarettes in their lifetime, some of whom successfully quit their use (N = 23 former smokers). The Lesbian, Gay, and Bisexual Identity Scale and the State-Trait Inventory for Cognitive and Somatic Anxiety were used to assess IH and somatic anxiety.</p><p><strong>Results: </strong>Current smokers experienced higher IH rates than former smokers (former = 0, current = 1; b = .65, p < .05). IH was positively associated with somatic anxiety (b = .17, p < .001), and the association between IH and smoking status was mediated through somatic anxiety (b = .17; CI = [.0002, .6539]).</p><p><strong>Conclusion: </strong>One's experience with IH may be a risk factor for psychological distress and continued smoking. Current findings can aid in the development of future longitudinal or experimental studies to examine the causality between IH and somatic anxiety and include confounding variables.</p>","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"11 3","pages":"1549-1557"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11561749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping Social Support Sources for Rural Patients with Chronic Illness.","authors":"Tyler Prochnow, Bobbie L Johannes, Selena E Ortiz, Matthew Lee Smith","doi":"10.14485/hbpr.11.2.2","DOIUrl":"10.14485/hbpr.11.2.2","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated social support sources for rural residents with chronic conditions and examined associations between support sources and self-reported health status.</p><p><strong>Methods: </strong>Adults in rural zip codes across the United States (n=183; 48.6% female) participated in an online survey. Chronic disease status was determined through participant self-report of prior medical diagnoses. Support sources were elicited using scenarios that require illness assistance or emotional support. Self-rated physical and mental health were measured using 5-point Likert scales. Chi-square tests examined gender differences in preferred sources of social support. Ordinal logistic regressions assessed predictors of self-rated health status, including support source preferences.</p><p><strong>Results: </strong>Family and friends were found to be primary sources of social support for rural residents managing illness. Women tended to rely more heavily on close family members while men were open to more diverse sources. Gender differences were statistically significant (χ2(4)=20.66,p<.001). Those relying on close friends rather than family when sick also reported better physical health (B=1.79,Wald=4.91,p=.02).</p><p><strong>Conclusion: </strong>Findings indicate informal social ties are central for the health of rural populations. Gender differences in help-seeking patterns may necessitate tailored chronic disease interventions. Fostering community linkages and leveraging natural supports will be vital for addressing rural health disparities.</p>","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"11 2","pages":"1504-1510"},"PeriodicalIF":0.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13293554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic Factors, Movement Behavior Context, and Self-reported Physical and Mental Health in Adults Living in New York City","authors":"Ryan Burns, Christopher D. Pfledderer, You Fu","doi":"10.14485/hbpr.10.5.2","DOIUrl":"https://doi.org/10.14485/hbpr.10.5.2","url":null,"abstract":"Objective: The purpose of this study was to examine the associations of socioeconomic factors, movement behavior context, and self-reported physical and mental health in adults living in New York City. Methods: Participants were adults from the Physical Activity and Transit Survey (N = 3811; 53.2% female). The dependent variables were items asking about the number of days the participant experienced poor physical and mental health. Independent variables were socioeconomic factors and items asking about the frequency of physical activity (PA) within certain contexts and rest/sleep behaviors. Weighted multivariable negative binomial regression models examined the associations. Results: More days of bicycling transit (IRR = 0.79, p = .001) and higher levels of household income (IRR range = 0.44-0.66, p < .025) were associated with lower rates of poor physical health. More days of poor rest/sleep (IRR = 1.05, p < .001) and labor PA (IRR = 1.10, p < .001) were associated with higher rates of poor mental health, and higher household income (IRR range = 0.58-0.65, p < .01) were associated with a lower rate of poor mental health. Conclusions: The strength and direction of associations with self-reported health varied according to PA context. Poor rest/sleep and low household income were strongly associated with both poor physical and mental health.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139330046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to Cervical Cancer Screening among Sub-Saharan African Immigrant Women in the United States: A Qualitative Report","authors":"Ann Amuta-Jimenez, Itunu O. Sokale, Lorraine Reitzel","doi":"10.14485/hbpr.10.5.1","DOIUrl":"https://doi.org/10.14485/hbpr.10.5.1","url":null,"abstract":"Objective: Cervical cancer screening can prevent women across all age groups from developing cervical cancer (CC). However, Sub-Saharan African immigrant women (SAIW) sparsely engage in routine CC screening. Thus, developing prevention strategies to improve SAIW’s adherence to recommended CC screening guidelines is critical. To ensure that such strategies are successful, they must meet the needs of the target population. By conducting qualitative interviews with SAIW (N = 15), we aimed to get a deeper understanding of barriers to CC screening receipt. Methods: We asked SAIW about barriers to CC screening and possible ideas to facilitate their future screening behavior. Results: Our findings revealed that SAIW are especially affected by several major barriers: lack of awareness of CC guidelines, fear/fatalism, lack of resources (eg, a lack of time due to job and family commitment), other resource-related barriers (eg, unreliable mode of transport, and no health insurance), modesty, and overt bias. Participants indicated a preference for female healthcare providers for CC screening and suggested spousal involvement in CC intervention development to foster support. Conclusion: The identification of multi-level barriers indicates that multiple strategies are needed to improve the uptake of CC screening among SAIW.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"3 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139329669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Common Factors that Influence Physical Activity, Academic Self-efficacy, and Depression among Junior High School Students: A Literature Review","authors":"Dan Bai, Asha Hashim","doi":"10.14485/hbpr.10.5.4","DOIUrl":"https://doi.org/10.14485/hbpr.10.5.4","url":null,"abstract":"Objective: The objective of this study was to identify the common factors that impact physical activity (PA), academic self-efficacy, and depression in junior high school students. A systematic electronic search for studies on the factors of PA, academic self-efficacy, and depression in junior high school students was performed through July 10, 2023. Methods: The search was conducted using the PsycINFO, ERIC, Cochrane Library, PubMed, SPORT Discus, and Web of Science databases. Results: Mindfulness, social support, self-esteem, family structure, emotional intelligence, and school PA program engagement were identified as the common factors that enhance junior high school students’ PA, academic self-efficacy, and depression. Conclusions: At the practical level, the findings of this study will contribute to the development of a framework for improving junior high school students’ PA, academic self-efficacy, and depression.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"2 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139330921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}