Health education & behavior : the official publication of the Society for Public Health Education最新文献

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Mediation and Moderation Effects in a Blended Physical Activity Intervention for Office Employees. 办公室员工混合体力活动干预的中介与调节作用。
IF 2.1
Yan Sun, Yang Gao, Xueying Wang, Alison Y T Ou, Dan Tao, Yaojie Xie, Dexing Zhang, Julien S Baker
{"title":"Mediation and Moderation Effects in a Blended Physical Activity Intervention for Office Employees.","authors":"Yan Sun, Yang Gao, Xueying Wang, Alison Y T Ou, Dan Tao, Yaojie Xie, Dexing Zhang, Julien S Baker","doi":"10.1177/10901981261490514","DOIUrl":"https://doi.org/10.1177/10901981261490514","url":null,"abstract":"<p><p>Physical inactivity is a critical global health challenge, especially for sedentary office employees. Blended interventions show promise for improving moderate-to-vigorous physical activity (MVPA), but their mechanisms remain understudied. This study investigated the mediation effects of theoretical determinants and the moderation effects of sociodemographic characteristics on MVPA changes. Data were drawn from a 24-week randomized controlled trial (<i>N</i> = 141) comprising a blended intervention, a web-based intervention, and a control group. The intervention, developed using Intervention Mapping and informed by dual-process perspectives on behavior change, incorporated motivational, self-regulatory, and habit-formation strategies to promote MVPA. The blended intervention combined web-based modules with live e-workshops to enhance engagement and support behavior change. Mediation analyses identified self-efficacy as the only significant mediator, specifically for the effect of the blended intervention versus control on MVPA change from baseline to follow-up 12 weeks after the intervention, suggesting its potential role in short-term maintenance of behavior change. Moderation analyses indicated that the relative effects of the blended intervention varied across sociodemographic subgroups, with stronger effects observed among males, participants aged 29 years or older, participants with lower education levels, and non-single participants in specific group comparisons and time points. These findings provide insights for optimizing MVPA interventions by strengthening self-efficacy and tailoring strategies to sociodemographic subgroups. Future research with larger, adequately powered samples, extended follow-up periods, and more diverse populations is needed to confirm these mediation and moderation pathways and further refine theoretical models underlying blended interventions.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261490514"},"PeriodicalIF":2.1,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229764","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}
引用次数: 0
Development of the Readiness to Change Diet Questionnaire (RCdQ) for Assessing Willingness to Adopt Anti-Inflammatory Diet Among Coronary Artery Disease Patients. 冠状动脉疾病患者饮食改变意愿调查问卷(RCdQ)的编制评估采用抗炎饮食的意愿。
IF 2.1
Shraddha Chauhan, Archna Singh, Simran Kaur, Sudha Bhushan, Suparna Ghosh-Jerath, Ambuj Roy
{"title":"Development of the Readiness to Change Diet Questionnaire (RCdQ) for Assessing Willingness to Adopt Anti-Inflammatory Diet Among Coronary Artery Disease Patients.","authors":"Shraddha Chauhan, Archna Singh, Simran Kaur, Sudha Bhushan, Suparna Ghosh-Jerath, Ambuj Roy","doi":"10.1177/10901981261495020","DOIUrl":"https://doi.org/10.1177/10901981261495020","url":null,"abstract":"<p><p>This study aimed to develop and validate a questionnaire to assess readiness to change for adopting an anti-inflammatory diet among patients with coronary artery disease. The Readiness to Change Questionnaire-Treatment Version (RCQ-TV) was adapted for dietary behavior, translated into Hindi, and evaluated using an e-Delphi approach for face validation. The study was conducted in the National Capital Region, India. Domain experts (<i>n</i> = 6) assessed the clarity, content, and structure of the adapted questionnaire across iterative rounds, and consensus-driven revisions were made. The validated tool was subsequently pilot tested among 25 participants. Scores for each stage of change were calculated using an established scoring template, with the highest scale score indicating stage of readiness. Open-ended expert feedback from each iteration was summarized to inform revisions, and internal consistency was assessed using Cronbach's alpha. Modifications included simplification of terminology, revision of instructions and specific items, addition of definitions, and simplification of the Hindi version. Pilot testing classified two participants in the pre-contemplation stage, 10 in contemplation, and 13 in the action stage. The questionnaire demonstrated acceptable internal consistency (Cronbach's α = .73). Participants reported the tool to be concise, with instructions, definitions, items, and response options understandable, relevant, and appropriate, although 10 participants required assistance to complete it. Overall, the adapted questionnaire demonstrated satisfactory face validity, internal consistency, and usability in both English and Hindi, suggesting wide applicability for assessing readiness to change dietary behavior in populations.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261495020"},"PeriodicalIF":2.1,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229761","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}
引用次数: 0
'Sahjeevan' Community Events: Promoting Healthy Ageing and Caregiving Through Intergenerational Engagement in Rural India. “Sahjeevan”社区活动:通过印度农村代际参与促进健康老龄化和护理。
IF 2.1
Arjunkumar Jakasania, Chandrashekhar Bopche, Swati Misra, Rahul Raju Pethe, Amey Ashok Dhatrak, Manashri Bhuyar, Chetna Maliye, Subodh S Gupta, Rameshwar J Paradkar
{"title":"'Sahjeevan' Community Events: Promoting Healthy Ageing and Caregiving Through Intergenerational Engagement in Rural India.","authors":"Arjunkumar Jakasania, Chandrashekhar Bopche, Swati Misra, Rahul Raju Pethe, Amey Ashok Dhatrak, Manashri Bhuyar, Chetna Maliye, Subodh S Gupta, Rameshwar J Paradkar","doi":"10.1177/10901981261494554","DOIUrl":"https://doi.org/10.1177/10901981261494554","url":null,"abstract":"<p><p>Population ageing is an emerging public health priority that extends beyond medical care to include social inclusion, caregiving and community participation, particularly in rural settings. India is undergoing a rapid demographic transition, with a growing elderly population facing challenges related to social isolation, declining family support and limited access to age-friendly services. In response, the Enhancing Living Experiences of the Elderly initiative was implemented across 100 villages in the rural Wardha district to promote healthy, active and dignified ageing through self-care and intergenerational engagement. As part of this initiative, culturally rooted community gatherings - locally termed Sahjeevan Melawas (hereafter, 'Sahjeevan events') - were organized to address ageism, strengthen intergenerational relationships and translate training into community action. These events were embedded within the primary health care system and implemented through partnerships with health workers, local governance structures, schools and community groups. Older adults were positioned as active participants, mentors and caregivers rather than passive beneficiaries. A total of 30 community events were conducted, engaging approximately 1,800 older adults, 800 children and 169 Accredited Social Health Activist (ASHAs). The events facilitated health screening, self-care education, recreational and creative activities, and intergenerational interaction. Observed outcomes included high participation, improved health awareness, enhanced social connectedness and strengthened community ownership. This paper presents a community-engaged, practice-based model that demonstrates how participatory community platforms can promote healthy ageing, challenge ageist norms and support caregiving in rural contexts.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261494554"},"PeriodicalIF":2.1,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217954","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}
引用次数: 0
Integrating Cultural and Family Resilience Into Health Promotion Programs With Black Families. 将文化和家庭弹性融入黑人家庭健康促进计划。
IF 2.1
Mary Quattlebaum, Timothy Simmons, Dawn K Wilson, Pamela Martin
{"title":"Integrating Cultural and Family Resilience Into Health Promotion Programs With Black Families.","authors":"Mary Quattlebaum, Timothy Simmons, Dawn K Wilson, Pamela Martin","doi":"10.1177/10901981261494564","DOIUrl":"https://doi.org/10.1177/10901981261494564","url":null,"abstract":"<p><p>Growing evidence shows that cultural and family resilience resources may serve as a protective buffer of the deleterious impacts of racial stress on psychosocial and health-related outcomes among Black adolescents. Thus, we sought feedback from Black adolescents and parents on their use of resilience resources to cope with stress. Specifically, Black facilitators conducted qualitative in-depth interviews with 16 Black adolescents and parents (adolescents: ~63% male, <i>M</i>age = 15 ± 2.45, <i>M</i>BMI percentile 97.0 ± 3.31; parents: 100% female, <i>M</i>age = 49.19 ± 9.19, <i>M</i>BMI = 39.76 ± 6.84) to assess their experience with cultural and family resilience and to gather recommendations for integrating these resources into future resilience-based health promotion trials. Findings showed that families endorsed leaning on the core resilience resources of racial socialization (egalitarianism, preparation for racial bias, racial coping, cultural pride), racial identity (positive affirmations, Black history), cultural assets (spirituality, kinship, traditions around food), and family resilience (family meals, family bonding) to cope with stress. Families provided insightful recommendations of culturally relevant curriculum to integrate into future trials, including engaging in discussions and activities focused on family traditions and values of managing stress, racial coping skills, positive affirmations about Black identity, leaning on social support, and preparing for experiences of racial bias. Findings highlighted the value of core resilience resources as a critical buffer to stress among families. Participant insights guided the curriculum development for future resilience-based health promotion programs with Black families.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261494564"},"PeriodicalIF":2.1,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187770","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}
引用次数: 0
Perceptions of a Community-Based Perinatal Mental Health Intervention. 以社区为基础的围产期心理健康干预的认识。
IF 2.1
Carolyn R Ahlers-Schmidt, Jessica Provines, Marci Young, Ashley M Hervey
{"title":"Perceptions of a Community-Based Perinatal Mental Health Intervention.","authors":"Carolyn R Ahlers-Schmidt, Jessica Provines, Marci Young, Ashley M Hervey","doi":"10.1177/10901981261491342","DOIUrl":"https://doi.org/10.1177/10901981261491342","url":null,"abstract":"<p><p>Mental health concerns are the leading complication of childbearing and have long-lasting impacts on maternal outcomes and infants' social, emotional and cognitive development. The Growing Hope Kit was founded on an evidence-based intervention (hope box) and developed using the Social-Ecological Model, positive psychology framework and Sources of Strength. The Kit included information and activities to enhance distress tolerance, coping strategies based on cognitive behavioral and dialectical behavioral therapies, mental wellness and parenting skills. The Kit was pilot tested using cross-sectional evaluation of end-user perceptions through a statewide prenatal education program in a rural state. Participants who reported a mental health and/or substance use challenge received a brief intervention, referral and Growing Hope Kit. A 27-item survey was emailed 4 weeks after Kit distribution. Of 126/247 (51%) surveys received, 11 were incomplete and removed for a final sample of 115. Initial impressions were excited (62%), grateful (61%) and interested (57%). Most liked the look and size (94%). The most used, and useful items were the coloring book, mental health book and list of coping tools. Least used, although still useful, were the gun lock and specific handouts. Kits increased coping strategies (74%), parenting skills (61%) and access to mental health services (46%). Some reported decreased symptoms and harmful behaviors (38%-41%). Growing Hope Kits appear to be acceptable, increase access to tools/resources, parenting skills and coping strategies, and have some positive impacts on symptoms/behaviors, although causation cannot be assumed. Future research with a control group is needed.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261491342"},"PeriodicalIF":2.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171510","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}
引用次数: 0
The Challenges of Designing Intelligent Tutoring Systems for Health Care in Low-Income Latina Populations. 设计拉丁裔低收入人群医疗保健智能辅导系统的挑战。
IF 2.1
Francisco Iacobelli, Chantal Reyna, Abena Antobre, Nathaly Gonzalez, Cordelia De La Fuente, Renu Balyan
{"title":"The Challenges of Designing Intelligent Tutoring Systems for Health Care in Low-Income Latina Populations.","authors":"Francisco Iacobelli, Chantal Reyna, Abena Antobre, Nathaly Gonzalez, Cordelia De La Fuente, Renu Balyan","doi":"10.1177/10901981261490851","DOIUrl":"https://doi.org/10.1177/10901981261490851","url":null,"abstract":"<p><p>Conversational intelligent tutoring systems (CITS) have the potential to bring health education to low-income communities at scale. Although educational attainment is usually low, the health literacy spectrum within these communities can be wide. Therefore, special attention should be paid when designing and evaluating CITS within these communities. Visual, linguistic, subject matter, and cultural models must be considered. Moreover, evaluating CITS can be challenging. The instruments used to assess the impact of these systems must consider the levels of health literacy of the individuals who interact with them. In this work, we present a community-engaged design process of a breast cancer CITS for Latinas from low-income communities in Chicago. The system comprises an autonomous version and a wizard-of-Oz version-a system that appears to work autonomously to its users but is operated remotely by researchers to control for potential flaws in its artificial intelligence engine. Then, we present and contrast a case study of two women who interacted with the system. Although the two women in this paper would be traditionally grouped together for statistical analysis, the evaluations we obtained suggest that for one of them, the evaluation instruments do not seem to accurately capture her experiences interacting with the CITS. We conclude by highlighting the need for purposefully designed systems for low-income communities that rely on cultural models as well as language models and advocate for designing evaluation instruments that faithfully capture the experiences of all participants.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261490851"},"PeriodicalIF":2.1,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140245","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}
引用次数: 0
Clinical and Epidemiological Profile of Dolutegravir Use and Antiretroviral Resistance in Honduras. 洪都拉斯多来替韦使用和抗逆转录病毒耐药性的临床和流行病学概况
IF 2.1
Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2026-10-01 Epub Date: 2026-01-31 DOI: 10.1177/10901981251411221
Itzel C Fuentes-Barahona, Eleonora Espinoza-Turcios, Henry Noel Castro-Ramos, Iveth Lorenzana de Rivera, Fausto Muñoz-Lara, Manuel Sierra, Roberta L Gonçalves, Mario Cooper, Altay Lino de Souza, José Armada, Christian R Mejía, Lysien I Zambrano
{"title":"Clinical and Epidemiological Profile of Dolutegravir Use and Antiretroviral Resistance in Honduras.","authors":"Itzel C Fuentes-Barahona, Eleonora Espinoza-Turcios, Henry Noel Castro-Ramos, Iveth Lorenzana de Rivera, Fausto Muñoz-Lara, Manuel Sierra, Roberta L Gonçalves, Mario Cooper, Altay Lino de Souza, José Armada, Christian R Mejía, Lysien I Zambrano","doi":"10.1177/10901981251411221","DOIUrl":"10.1177/10901981251411221","url":null,"abstract":"<p><p>Comprehensive care services (SAIs) play a pivotal role in implementing preventive strategies by offering treatments that have demonstrated efficacy, as exemplified by dolutegravir (DTG). This medication has been employed in various clinical settings because of its pronounced genetic barrier and high tolerance. To characterize the clinical and epidemiological use of dolutegravir in people living with HIV (PLHIV) treated for SAI in Honduras. Cross-sectional studies and secondary analyses of the 2020 to 2021 phenotypic database were performed with SPSS (version 20.0). Ethics Committee approval (057-2021). Out of 2,984 records with sociodemographic data, 44% were women, and 56% were men. The population included 2,221 general population patients, 684 men who have sex with men (MSM), 185 Garifuna, 36 trans women, 8 bisexuals, 6 pregnant women, and 2 prisoners. The average age was 39.5 years. First-line ARVs are the most commonly used type of SAI. The National Cardiopulmonary Institute was the center with the highest use of dolutegravir, with 37.7% of patients receiving it. Among the 3,533 antiretroviral therapy (ART) patient records, 80.1% achieved complete viral suppression (viral load <1,000 copies), with a 95% confidence interval of 78.7%-81.3%. High viral loads were observed in PLHIV receiving ART, regardless of the population type. Monitoring of antiretroviral resistance through phenotypic and genotypic testing is crucial for optimizing HIV treatment in Honduras.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"487-495"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146095384","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}
引用次数: 0
Awareness and Use of the Ultraviolet Index Among U.S. Adults. 美国成年人对紫外线指数的认识和使用。
IF 2.1
Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2026-10-01 Epub Date: 2026-02-13 DOI: 10.1177/10901981261419032
Taylor C Nguyen, Dawn M Holman, Jin Qin, Julie S Townsend, Ginny Kincaid
{"title":"Awareness and Use of the Ultraviolet Index Among U.S. Adults.","authors":"Taylor C Nguyen, Dawn M Holman, Jin Qin, Julie S Townsend, Ginny Kincaid","doi":"10.1177/10901981261419032","DOIUrl":"10.1177/10901981261419032","url":null,"abstract":"<p><p>The Ultraviolet Index is a tool that can be used to reduce sun exposure and skin cancer risk. However, little is known about awareness and use of the Ultraviolet Index among U.S. adults. This study addresses this gap via a descriptive analysis of cross-sectional data from the 2020 Porter Novelli <i>SummerStyles</i> survey (<i>N</i> = 4,053) weighted to match the U.S. non-institutionalized adult population. Over 75% of respondents had seen or heard about the Ultraviolet Index from sources such as television (54.7%), a weather app (40.0%), or the radio (15.1%). However, only 6.7% of respondents had actively checked the Ultraviolet Index in the past month and reported that doing so prompted them to use sunscreen (73.9%), seek shade (57.4%), and/or limit time outside when the Ultraviolet Index was high (53.4%). Findings suggest that efforts to increase the use of the Ultraviolet Index could help to support and encourage sun-safe behaviors.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"496-500"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13014275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146184180","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}
引用次数: 0
When Training Pipelines Break: What NIH F31 Terminations Mean for the Future of Public Health Research. 当培训管道中断:NIH F31终止对公共卫生研究的未来意味着什么。
IF 2.1
Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2026-10-01 Epub Date: 2026-03-25 DOI: 10.1177/10901981261434187
Jahn Jaramillo, Audrey Harkness
{"title":"When Training Pipelines Break: What NIH F31 Terminations Mean for the Future of Public Health Research.","authors":"Jahn Jaramillo, Audrey Harkness","doi":"10.1177/10901981261434187","DOIUrl":"10.1177/10901981261434187","url":null,"abstract":"<p><p>National Institutes of Health (NIH) predoctoral fellowships, including the Ruth L. Kirschstein National Research Service Award (NRSA) Individual Predoctoral Fellowship (general F31 and F31-Diversity awards), have long served as mechanisms to support trainees, including those who are historically underrepresented in the biomedical and behavioral sciences. In 2025, many of these awards were unjustly terminated. Since then, the status of many grants has changed among a funding landscape of partial reinstatements and continued uncertainty. In this article, we summarize historical evidence of the impact of NIH-predoctoral fellowships and explore the implications of these terminations on trainee well-being and public health more broadly. One illustrative case example of a termination (and subsequent reinstatement) of a diversity-promoting F31 grant highlights the multifaceted costs of these disruptions amid ongoing political and policy shifts.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"558-564"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147518424","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}
引用次数: 0
Predictors of Preference for School-Based Health Center Services Among Urban High School Youth. 城市高中青少年对校本保健中心服务偏好的预测因素。
IF 2.1
Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2026-10-01 Epub Date: 2026-01-24 DOI: 10.1177/10901981251411250
Harpreet Kaur, Neal D Hoffman, Adam Ciarleglio, Susanna Lesperance-Banks, Margaret Paschen-Wolff, Theo G M Sandfort
{"title":"Predictors of Preference for School-Based Health Center Services Among Urban High School Youth.","authors":"Harpreet Kaur, Neal D Hoffman, Adam Ciarleglio, Susanna Lesperance-Banks, Margaret Paschen-Wolff, Theo G M Sandfort","doi":"10.1177/10901981251411250","DOIUrl":"10.1177/10901981251411250","url":null,"abstract":"<p><p>Understanding adolescents' health care preferences is of critical importance to support optimal use. School-Based Health Centers (SBHCs) are an important setting for adolescents to seek care, yet little is known about their perceptions of and preference for SBHC services. The purpose of this study was to test whether health literacy and greater trust in SBHC providers predicted a preference for receiving health care services at an SBHC. In addition, we tested whether this preference was associated with three categories of reasons for using or not using these services (accessibility, confidentiality, and trust). We conducted a cross-sectional survey in a sample of students at 15 New York City (NYC) high schools with onsite health care services. We assessed health literacy (knowledge of sexually transmitted infections [STIs], awareness of health care rights, health literacy, and communication efficacy) and level of trust in the SBHC and reasons why students would and would not use the SBHC, as well as their preference for receiving specific health care services at the SBHC. In total, 1,382 of 1,601 students who participated met inclusion criteria for this analysis. Multivariable models showed that a stronger preference for receiving services at an SBHC was (1) predicted by greater trust in SBHC providers and higher health literacy and (2) independently predicted by greater perceived accessibility, confidentiality, as well as trust in SBHC services. Our findings show a need for increased outreach efforts within school settings with an SBHC to enhance students' awareness of the SBHC's comprehensive services.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"461-471"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146042419","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}
引用次数: 0
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