Journal of Behavioral Medicine最新文献

Lost and not found: randomized controlled trial of cognitive behavioral therapy for weight-loss in patients with chronic kidney disease. 丢失和未找到：慢性肾病患者减肥的认知行为疗法的随机对照试验。

IF 2.8 3区医学

Journal of Behavioral Medicine Pub Date : 2025-06-19 DOI: 10.1007/s10865-025-00583-w

Katja Kurnik Mesarič, Jana Kodrič, Špela Bogataj, Andreja Marn Pernat, Aljoša Kuzmanovski, Bernarda Logar Zakrajšek, Jernej Pajek

{"title":"Lost and not found: randomized controlled trial of cognitive behavioral therapy for weight-loss in patients with chronic kidney disease.","authors":"Katja Kurnik Mesarič, Jana Kodrič, Špela Bogataj, Andreja Marn Pernat, Aljoša Kuzmanovski, Bernarda Logar Zakrajšek, Jernej Pajek","doi":"10.1007/s10865-025-00583-w","DOIUrl":"10.1007/s10865-025-00583-w","url":null,"abstract":"Introduction: Managing obesity in patients with chronic kidney disease is crucial for managing disease progression. Psychological interventions, particularly cognitive behavioral therapy, can support lifestyle changes. This study aimed to evaluate the efficacy of a cognitive behavioral therapy intervention for obesity management in patients with chronic kidney disease.Methods: Forty patients with chronic kidney disease (stages 2-4) were randomized to either an intervention group (nutritional and physical activity counseling and 16-week cognitive behavioral therapy) or a control group (nutritional and physical activity counseling only). Primary outcomes were body mass index (BMI) and proteinuria.Results: The intervention group lost an average of 5.42 kg (BMI decrease: 1.82 kg/m²), compared to 1.53 kg (BMI decrease: 0.53 kg/m²) in the control group. A significant group-by-time interaction was observed for BMI (F(1,36) = 32.24, p = 0.004, ŋ²=0.21), favoring the intervention group. Effects remained significant at three-month follow-up, with an average weight loss of 4.63 kg (BMI decrease: 1.59 kg/m²) in the intervention group and 2.51 kg (BMI decrease: 0.87 kg/m²) in control group (F(2,70) = 5.54, p = 0.026, ŋ²=0.12). Changes in proteinuria did not differ between groups.Conclusion: Cognitive behavioral therapy was effective and well-tolerated for promoting weight loss with most of the lost weight maintained at the three-month follow-up. This intervention may offer a valuable non-pharmacological treatment option for weight management in patients with chronic kidney disease.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334222","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

Cognitive fatigue did not significantly influence youth's total energy intake or snack food consumption during a randomized trial. 在一项随机试验中，认知疲劳对青少年的总能量摄入或零食消费没有显著影响。

IF 2.8 3区医学

Journal of Behavioral Medicine Pub Date : 2025-06-09 DOI: 10.1007/s10865-025-00577-8

Megan N Parker, Nichole R Kelly, Alexa Moore, Lucy K Loch, Jennifer Te Vazquez, Bess F Bloomer, Ejike E Nwosu, Julia Lazareva, Shanna B Yang, Amber B Courville, Nasreen A Moursi, Sheila M Brady, Cara H Olsen, Lisa M Shank, Marian Tanofsky-Kraff, Jack A Yanovski

{"title":"Cognitive fatigue did not significantly influence youth's total energy intake or snack food consumption during a randomized trial.","authors":"Megan N Parker, Nichole R Kelly, Alexa Moore, Lucy K Loch, Jennifer Te Vazquez, Bess F Bloomer, Ejike E Nwosu, Julia Lazareva, Shanna B Yang, Amber B Courville, Nasreen A Moursi, Sheila M Brady, Cara H Olsen, Lisa M Shank, Marian Tanofsky-Kraff, Jack A Yanovski","doi":"10.1007/s10865-025-00577-8","DOIUrl":"https://doi.org/10.1007/s10865-025-00577-8","url":null,"abstract":"Resource-based models of self-regulation propose that fatigue-induced depletion of cognitive resources is an impetus for overeating. Data provide preliminary support for resource-based models for eating in adults, but the relevance of this pathway for youth is unknown. The aim of this study was to test a resource-based model of eating behavior in youth. It was hypothesized that energy intake would be greater following the completion of a cognitive fatigue (versus control) condition. Using a randomized crossover design, each participant completed two, 2-h experimental paradigms (cognitive fatigue [an attention demanding computer task], control [watching movies]), on separate days. Immediately following the conditions, participants were presented with a buffet-style meal from which their energy intake (kcal) and proportion of intake from palatable snack foods (e.g., cookies, chips) were measured. Participants (N = 90) had an average age of 12.5 years (SD = 2.5y) and were 50% female, 50% non-Hispanic White, 20% non-Hispanic Black, and 13% Asian. Participants did not differ in total energy intake (p = 0.72) or palatable food intake (p = 0.40) across the two conditions. Our findings do not provide support for resource-based models of eating behavior. More comprehensive investigations of resource-based models of eating behavior among youth are needed, including tests of potential moderators, to determine the relevance of these models for pediatric eating behavior. The aims of this study were retrospectively registered on 12/07/2024 ( https://clinicaltrials.gov/study/NCT02390765 ).","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250280","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

Normative influence in a time of distrust and polarization: how perceived social norms predict COVID-19 vaccination intentions among Black Americans. 在不信任和两极分化时期的规范影响：感知的社会规范如何预测美国黑人的COVID-19疫苗接种意图。

IF 2.8 3区医学

Journal of Behavioral Medicine Pub Date : 2025-06-09 DOI: 10.1007/s10865-025-00578-7

Tong Lin, Yuan Wang, Kathryn Thier, Xiaoli Nan

{"title":"Normative influence in a time of distrust and polarization: how perceived social norms predict COVID-19 vaccination intentions among Black Americans.","authors":"Tong Lin, Yuan Wang, Kathryn Thier, Xiaoli Nan","doi":"10.1007/s10865-025-00578-7","DOIUrl":"https://doi.org/10.1007/s10865-025-00578-7","url":null,"abstract":"This study examined the impact of social norms-descriptive, injunctive, and subjective norms-on COVID-19 vaccination intentions among Black Americans. It also investigated how Black Americans affiliated with Democrats and Republicans perceived norms within their groups and how such perceptions influenced their COVID-19 vaccination intentions. We conducted an online national survey with Black Americans (N = 1497) between February and March 2021. Results showed that all three types of norms were significantly and positively associated with vaccination intentions, with subjective norms exerting the strongest effect. Additionally, higher subjective norms amplified the positive relationship between descriptive norms and vaccination intentions. Republicans were influenced by both in-group and out-group norms, while Democrats were primarily guided by in-group norms, underscoring the potential of bipartisan messaging to boost vaccine uptake. These findings highlight how social norms impact COVID-19 vaccination intentions and reveal that individuals with differing party affiliations are influenced differently based on their perceived identification with reference groups. The study provides insights for designing targeted interventions to improve vaccine uptake among Black Americans and for developing broader public health messaging strategies. It contributes to the literature by revealing how the interplay of descriptive, injunctive, and subjective norms shapes vaccination intentions and by offering a novel perspective on the differentiated effects of in-group and out-group norms based on partisan identity.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250281","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

The role of sleep difficulties in the relation between pain and smoking cessation processes. 睡眠困难在疼痛和戒烟过程之间的关系中的作用。

IF 2.8 3区医学

Journal of Behavioral Medicine Pub Date : 2025-06-06 DOI: 10.1007/s10865-025-00580-z

Jessica M Thai, Jacqueline J Charles, Tanya Smit, Brooke Y Redmond, Thomas P Giordano, Joseph W Ditre, Lorra Garey, Michael J Zvolensky

引用次数: 0

Psychosocial predictors of diabetes self-efficacy in young adults with youth-onset type 2 diabetes. 青年2型糖尿病患者糖尿病自我效能的社会心理预测因素

IF 2.8 3区医学

Journal of Behavioral Medicine Pub Date : 2025-06-01 Epub Date: 2025-03-05 DOI: 10.1007/s10865-025-00554-1

Paula M Trief, Hui Wen, Barbara J Anderson, Brian Burke, Jane Bulger, Ruth S Weinstock

{"title":"Psychosocial predictors of diabetes self-efficacy in young adults with youth-onset type 2 diabetes.","authors":"Paula M Trief, Hui Wen, Barbara J Anderson, Brian Burke, Jane Bulger, Ruth S Weinstock","doi":"10.1007/s10865-025-00554-1","DOIUrl":"10.1007/s10865-025-00554-1","url":null,"abstract":"The aim of this study was to identify psychosocial factors associated with, and predictive of, diabetes self-efficacy (DSE) in young adults with youth-onset type 2 diabetes (T2D), a vulnerable, understudied group. In this observational, longitudinal study (T1 = baseline, T2 = 1 year later), 348 participants in the TODAY2 multi-center study of youth-onset T2D, completed valid measures of: diabetes self-efficacy, beliefs about medicines, depression and anxiety symptoms, diabetes distress, attitudes, self-management support, and need insecurities. Multivariable logistic regression models evaluated independent associations of each psychosocial factor with the likelihood of being in the high/low DSE tertile groups. Multivariable linear regression models assessed associations with DSE as a continuous variable. Participants' mean age was 26 years, 67.9% were women, mean diabetes duration was 12.4 years, with mean of 2.5 diabetes-related complications. Greater self-care support increased the odds of high DSE at T2. Beliefs that medicines are overused, moderate-to-severe depressive or anxiety symptoms, and unmet material needs, decreased the odds of high DSE at T2. More support, fewer depressive and anxiety symptoms, and fewer unmet material needs at T1 predicted T2 DSE scores. Cognitions (beliefs that medicines are overused), emotions (depressive/anxiety symptoms), and social factors (self-management support, unmet material needs), were significant longitudinal predictors of DSE in young adults with youth-onset T2D. These potentially modifiable factors should be considered when screening for, and designing, interventions to enhance DSE, to improve health behaviors and forestall the development of complications in this at-risk group.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"500-512"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558446","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

Self-control, food choices, and affective well-being in daily life: an experience sampling study. 日常生活中的自我控制、食物选择和情感幸福感：一项经验抽样研究。

IF 2.8 3区医学

Journal of Behavioral Medicine Pub Date : 2025-06-01 Epub Date: 2025-02-20 DOI: 10.1007/s10865-025-00549-y

Patrycja Sleboda, Michael Sobolev, Frederick Muench, Sarah-Jeanne Salvy, Geetanjali D Datta

{"title":"Self-control, food choices, and affective well-being in daily life: an experience sampling study.","authors":"Patrycja Sleboda, Michael Sobolev, Frederick Muench, Sarah-Jeanne Salvy, Geetanjali D Datta","doi":"10.1007/s10865-025-00549-y","DOIUrl":"10.1007/s10865-025-00549-y","url":null,"abstract":"Food-related decisions are one of the most frequently subject to self-control failure and play a significant role in regulating mood and emotions. Failure to exercise self-control itself is associated with negative outcomes, including poor mental health and happiness. As such, prior research examined the link between food related lack of self-control as a personality trait or experiences of loss of control in food choices with emotional states, general affect and mood, referred to as affective well-being. However, these studies often focused on either trait or state self-control. This study examines how individual differences in eating-related lack of self-control and daily experiences of loss control in food choices are jointly related to affective well-being, captured daily as feelings and dimensional affect. In a 21-day study among a non-clinical sample of adults (N = 97), baseline individual differences in lack of self-control over eating was positively associated with the proportion of days participants reported experiencing loss of self-control in food choices. These individual differences in lack of self-control were positively associated with daily feeling of distraction, boredom, shame, tiredness, loneliness, aimlessness, and negatively associated with positive affect averaged across 21-days. Daily experiences of loss of self-control in food choices were associated with feeling more distracted, ashamed, tired, and experiencing less positive affect on the next day. This study provides preliminary evidence of the complementary associations of trait self-control, daily experiences of loss of control around food selection and affective well-being in daily life.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"430-441"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459906","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

The role of the working alliance in improving outcomes among veterans with Gulf War Illness: a longitudinal study. 工作联盟在改善海湾战争疾病退伍军人预后中的作用：一项纵向研究。

IF 2.8 3区医学

Journal of Behavioral Medicine Pub Date : 2025-06-01 Epub Date: 2025-02-27 DOI: 10.1007/s10865-024-00540-z

Anna M Gentile, Caroline O Rogers, Laura M Lesnewich, Shou-En Lu, Wilfred R Pigeon, Drew A Helmer, Lisa M McAndrew

{"title":"The role of the working alliance in improving outcomes among veterans with Gulf War Illness: a longitudinal study.","authors":"Anna M Gentile, Caroline O Rogers, Laura M Lesnewich, Shou-En Lu, Wilfred R Pigeon, Drew A Helmer, Lisa M McAndrew","doi":"10.1007/s10865-024-00540-z","DOIUrl":"10.1007/s10865-024-00540-z","url":null,"abstract":"Military Veterans with Gulf War Illness (GWI), a \"medically unexplained\" persistent physical syndrome (PPS), have difficult experiences of care, in part, due to non-concordant relationships with their healthcare providers. A critical factor in improving care for this population may be the working alliance, which is the extent to which patients and providers agree on the goals and tasks of treatment and have a shared bond. The present study examined if, for Veterans with GWI, perceptions of the working alliance over time predicted better experiences of care (i.e., patient satisfaction and treatment adherence) and improved health outcomes (i.e., reduced disability, depression symptoms, and physical symptoms). Positive Veteran perceptions of the working alliance at 4 weeks were related to better patient satisfaction and treatment adherence at 12 weeks. Veteran perceptions of the working alliance were not consistently related to reductions in disability, depression symptoms, or physical symptoms. The results of this study suggest that the working alliance is important for improving patient experiences of care but may not be sufficient to consistently impact health outcomes.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"478-487"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517103","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

Associations between sleep health and familial social support, intragroup marginalization, and conflict among Hispanic adults. 西班牙裔成年人中睡眠健康与家庭社会支持、群体内边缘化和冲突之间的关系

IF 2.8 3区医学

Journal of Behavioral Medicine Pub Date : 2025-06-01 Epub Date: 2025-03-13 DOI: 10.1007/s10865-025-00563-0

Miguel A Garcia, Ashley M Lindquist, Joshua I Torres, Anna D Drozdova, Theodore V Cooper

{"title":"Associations between sleep health and familial social support, intragroup marginalization, and conflict among Hispanic adults.","authors":"Miguel A Garcia, Ashley M Lindquist, Joshua I Torres, Anna D Drozdova, Theodore V Cooper","doi":"10.1007/s10865-025-00563-0","DOIUrl":"10.1007/s10865-025-00563-0","url":null,"abstract":"Sleep is vital for health and well-being, and familial relationships may impact sleep health. This study investigated the associations between sleep health and familial social support, familial intragroup marginalization, familial conflict, and living environment (i.e., living with parent(s) or legal guardian(s)) among Hispanic adults. Hispanic adult college students (n = 455) completed a survey assessing demographics, sleep quality, and familial social support, intragroup marginalization, and conflict. One hierarchical multiple linear regression model assessed the associations between these familial factors, living environment, and sleep quality. Results indicated that poorer sleep quality was associated with greater familial conflict in the full hierarchical regression model (i.e., Step 6). In Step 2 though, poorer sleep quality was inversely associated with familial social support, yet this association disappeared once familial intragroup marginalization was entered. Post-hoc mediation analysis revealed that familial social support was inversely indirectly associated with sleep quality through familial intragroup marginalization and conflict serially. Living environment did not moderate any relationships between familial factors and sleep quality. That familial social support was initially associated with enhanced sleep quality until familial intragroup marginalization was considered suggests that familial negativity may have a greater impact on sleep health than familial social support. Further, familial social support may influence sleep quality through familial negativity. Familial conflict may be particularly detrimental for sleep health. Clinical implications are discussed. Longitudinal studies are warranted to assess temporality.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"544-551"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626593","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

The effect of attribute framing on beliefs and attitudes toward branded and generic medications. 属性框架对品牌药和非专利药信念和态度的影响。

IF 2.8 3区医学

Journal of Behavioral Medicine Pub Date : 2025-06-01 Epub Date: 2025-03-13 DOI: 10.1007/s10865-025-00562-1

Emily K Spotts, Kelly S Clemens, Kate Faasse, Andrew L Geers

{"title":"The effect of attribute framing on beliefs and attitudes toward branded and generic medications.","authors":"Emily K Spotts, Kelly S Clemens, Kate Faasse, Andrew L Geers","doi":"10.1007/s10865-025-00562-1","DOIUrl":"10.1007/s10865-025-00562-1","url":null,"abstract":"Generic medications are developed to match brand-name medications in terms of active ingredients, quality, safety, and strength. Because generic medications cost less than their brand-name counterparts, they present an opportunity to reduce financial burden for patients and social institutions. Studies show, however, that patients often possess negative beliefs and evaluations of generic medications, thereby undermining use and effectiveness. In two pre-registered online experiments with community adults (Total N = 750), we tested the effect of attribute framing on attitudes, attitude certainty, and effectiveness beliefs regarding generic and brand-name medications. In both experiments, framing (positive vs. negative) and brand status (generic vs. brand name) of an allergy medication were manipulated in a 2 × 2 between-participant design. The results of both experiments produced strong effects of the framing and brand status manipulations. Specifically, allergy medicines were rated more favorably with a positive frame as compared to a negative frame. Also, branded allergy medicines were rated more positively than generic allergy medicines. In contrast with the pre-registered hypotheses, the two manipulated variables did not reliably interact to predict outcomes. These results held constant across multiple sets of stimuli and dependent measures. The findings support the position that positive framing can be employed to improve positive evaluations and effectiveness beliefs for both over-the-counter generic and branded medications.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"523-535"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626594","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

Racialized economic segregation and youth firearm carriage: community violence as a mediator. 种族化的经济隔离与青少年持枪：社区暴力的中介作用。

IF 2.8 3区医学

Journal of Behavioral Medicine Pub Date : 2025-06-01 Epub Date: 2025-03-10 DOI: 10.1007/s10865-025-00564-z

Daniel B Lee, Zainab Hans, Samantha L Aprill, Philip Stallworth, Marc A Zimmerman, Maureen A Walton, Patrick M Carter

{"title":"Racialized economic segregation and youth firearm carriage: community violence as a mediator.","authors":"Daniel B Lee, Zainab Hans, Samantha L Aprill, Philip Stallworth, Marc A Zimmerman, Maureen A Walton, Patrick M Carter","doi":"10.1007/s10865-025-00564-z","DOIUrl":"10.1007/s10865-025-00564-z","url":null,"abstract":"Firearm carriage poses a significant public health challenge, especially for youth (ages 14-24) living in predominantly Black communities that endured racial and economic segregation. Structural racism is a determinant of fatal and nonfatal firearm assaults, but the influence of structural racism on youth firearm carriage has received limited attention. Our study examines whether community violence exposure mediates the association between racialized economic segregation and youth firearm carriage. We analyzed data among 599 youths who sought emergency care and reported drug use within the past six months. Our mediation analysis revealed that increased racialized economic segregation was associated with higher perceived community violence. In turn, a heightened perception of community violence was associated with youth firearm carriage. Our findings advocate for upstream interventions that address the systemic marginalization of Black communities from economic isolation to mitigate community violence and, ultimately, reduce risk for youth firearm carriage.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"513-522"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597941","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