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

A Framework for Advancing Colorectal Cancer Screening, Follow-Up, and Care Delivery for All. 促进结直肠癌筛查、随访和护理提供的框架。

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2025-07-11 DOI: 10.1177/10901981251346803

Sarah Kobrin, Sujha Subramanian, Sonja Hoover, Sharon McCarthy, Sheila F Castañeda, Shiraz I Mishra

{"title":"A Framework for Advancing Colorectal Cancer Screening, Follow-Up, and Care Delivery for All.","authors":"Sarah Kobrin, Sujha Subramanian, Sonja Hoover, Sharon McCarthy, Sheila F Castañeda, Shiraz I Mishra","doi":"10.1177/10901981251346803","DOIUrl":"https://doi.org/10.1177/10901981251346803","url":null,"abstract":"Increasing colorectal cancer (CRC) screening requires delivery and adaptation of evidence-based and theory-guided interventions. The Accelerating Colorectal Cancer Screening and Follow-up through Implementation Science (ACCSIS) consortium is funded by the National Cancer Institute, with a primary goal of increasing the availability and use of approaches to CRC prevention and control, from screening through follow-up testing, diagnosis, and referral to care. In this article, we present a framework for improving CRC, follow-up, and referral to care among populations that have low CRC screening rates. We used a multistep, consensus- and data-driven approach to develop the ACCSIS framework. Eight collaborating Research Projects of the ACCSIS consortium evaluated the draft; they provided feedback in relation to their study designs, settings, populations, and methods. They also used evaluation results to refine the framework until they reached consensus. The current framework reflects common elements, expected intervention and screening outcomes, and is intended to contribute to future ACCSIS analyses and others' intervention and research plans. The framework recognizes the iterative nature of CRC screening programs and emphasizes multiple levels of influence-from baseline factors affecting selection of intervention components through measurement of process, screening, and implementation outcomes. Future researchers and practitioners can adapt the ACCSIS framework to advance CRC screening and to improve other cancer prevention and control research and practices that have created and perpetuated health disparities.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981251346803"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610871","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

Care-Based Approaches for Responding to Emergencies: How Unarmed Non-Police Programs Address Inequities. 以关怀为基础的紧急应对方法：非武装的非警察项目如何解决不平等问题。

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2025-07-07 DOI: 10.1177/10901981251353505

Wolfgang V Bahr, Alexandra Parks, Hannah Mesa, Paul J Fleming

{"title":"Care-Based Approaches for Responding to Emergencies: How Unarmed Non-Police Programs Address Inequities.","authors":"Wolfgang V Bahr, Alexandra Parks, Hannah Mesa, Paul J Fleming","doi":"10.1177/10901981251353505","DOIUrl":"https://doi.org/10.1177/10901981251353505","url":null,"abstract":"The American Public Health Association has identified police violence as a major public health concern and driver of inequities. Unarmed non-police response (UNPR) programs have emerged as significant interventions to promote community well-being and safety. The research presented in this article sheds light on how these programs impact community health, focusing on operational efficacy and the breadth of health benefits they offer communities. We conducted 11 semi-structured interviews with UNPR staff from six different programs across the country to examine the impact of programs on community health. Our findings reveal that UNPR programs serve as critical hubs for community safety, including chronic disease management, infectious disease prevention, violence reduction, and jail time reduction. We found that UNPR programs address health inequities through four key pathways: (a) referrals to health-promoting social services, (b) direct health care provision, (c) conflict de-escalation, and (d) reducing entry into the criminal legal system. Staffing these programs and building trust with communities are key to ensuring that historically marginalized communities, which often distrust police and experience poor health outcomes, view them as a valuable resource. Our findings provide important insights into the functioning and impact of UNPR programs, highlighting their value in promoting safety, public and community health, and equity, while also underscoring the importance of UNPR programs as health promotion interventions to build care and connection to community resources.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981251353505"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144586105","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

Interactive SBOT for Health Education and Active Living. 交互式SBOT健康教育和积极生活。

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2025-07-01 DOI: 10.1177/10901981251351259

Yi-Fan Wang, Mei-Hua Hsu, Max Yue-Feng Wang, Chi-Ting Lee

{"title":"Interactive SBOT for Health Education and Active Living.","authors":"Yi-Fan Wang, Mei-Hua Hsu, Max Yue-Feng Wang, Chi-Ting Lee","doi":"10.1177/10901981251351259","DOIUrl":"https://doi.org/10.1177/10901981251351259","url":null,"abstract":"Physical inactivity is a global health issue contributing to chronic conditions like obesity and cardiovascular diseases, with regular exercise often hindered by sedentary lifestyles and aging populations. This study introduces SBOT, a gamification-driven chatbot that combines personalized exercise guidance with engaging features, such as challenges and rewards, to promote physical activity (PA). The aim is to evaluate SBOT's impact on improving physical fitness, enhancing motivation, and increasing user satisfaction with exercise interventions across different age groups. A six-month randomized controlled trial involving 48 participants was conducted, with the experimental group receiving SBOT and the control group undergoing self-directed training. PA metrics (squats, running time, jumping jacks) and motivation levels were assessed pre- and post-intervention. Results showed that the experimental group had significant improvements in fitness and motivation, with higher levels of engagement and achievement, especially in the Attention, Relevance, Confidence, and Satisfaction (ARCS) Learning Motivation dimensions. The findings highlight SBOT's potential as an effective, gamified tool for enhancing PA, motivation, and overcoming exercise barriers.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981251351259"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546851","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

Associations Between School Start Times and Adolescent Dietary Intake: Results From a National Study. 学校开学时间与青少年膳食摄入量之间的关系：来自一项全国性研究的结果。

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2025-06-28 DOI: 10.1177/10901981251349526

Katherine M Kidwell, Megan A Milligan, Arleigh Perkins, Abigail Silverman, Aesoon Park, Les A Gellis, Maryam Yuhas

{"title":"Associations Between School Start Times and Adolescent Dietary Intake: Results From a National Study.","authors":"Katherine M Kidwell, Megan A Milligan, Arleigh Perkins, Abigail Silverman, Aesoon Park, Les A Gellis, Maryam Yuhas","doi":"10.1177/10901981251349526","DOIUrl":"https://doi.org/10.1177/10901981251349526","url":null,"abstract":"Earlier school start times have been associated with poorer adolescent health outcomes. However, there is limited research on the associations between school start times and diet. The present study aimed to assess associations between school start times and dietary intake in a national sample of US adolescents. Earlier school start time was expected to predict greater energy-dense, nutrient-poor food intake and less healthful/beneficial food intake concurrently. Participants (n = 1371, Mage = 14.51 years, 51% female) were from the National Cancer Institute's Family Life, Activity, Sun, Health, and Eating (FLASHE) study. Weighted least-squares regressions (with raked weights adjusting for the US population demographics) assessed school start time as a predictor of top-coded eating scales, controlling for demographic and socioeconomic factors. Adolescents who attended schools with earlier start times consumed more energy-dense, nutrient-poor foods which was largely accounted for by greater intake of sugar-sweetened beverages and teaspoons of sugar. Surprisingly, earlier start times were also associated with greater fruit intake. Post hoc analyses of separate variables indicated earlier school start time predicted cups of fruit but not vegetables. Future researchers are encouraged to examine school start time associations with dietary consumption using longitudinal designs and greater nuance in dietary assessment.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981251349526"},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532817","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

All My Friends Are Doing It: Perceived Social Norms Predict Heavier Sports Betting Behavior Among Young Adults. 我所有的朋友都在这样做：感知社会规范预测年轻人更倾向于体育博彩行为。

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2025-06-28 DOI: 10.1177/10901981251350877

Joseph Lambuth, Arvin Shaygan, Ty W Lostutter, Scott Graupensperger

{"title":"All My Friends Are Doing It: Perceived Social Norms Predict Heavier Sports Betting Behavior Among Young Adults.","authors":"Joseph Lambuth, Arvin Shaygan, Ty W Lostutter, Scott Graupensperger","doi":"10.1177/10901981251350877","DOIUrl":"https://doi.org/10.1177/10901981251350877","url":null,"abstract":"Sports betting is the fastest growing gambling behavior in the United States, particularly among young adults. Despite burgeoning evidence of the public health concerns associated with sports betting, antecedents of this addictive behavior are largely understudied. Informed by seminal psychological theories of conformity and existing norms-based prevention paradigms for high-risk behavior, the current study aimed to quantitatively examine perceived social norms as a potential explanatory factor for sports betting behavior. The sample was comprised of 221 young adults from 36 different U.S. states (Mage = 24.4; 77.7% male; 64.6% White). Eligibility criteria included betting on sports at least twice in the past month. At baseline, participants reported perceptions of friends' sports betting approval and engagement for the next 2 weeks and then 2 weeks later reported indices of their own sports betting behavior. Generally, young adults perceived their peers to wager much more on sports betting than they themselves reported wagering, suggesting potential normative misperceptions in line with social norms theory. Those who perceived their friends to be more accepting of, and more engaged in sports betting, reported engaging in more sports betting behaviors in the subsequent 2-week period. Injunctive norms more strongly predicted young adults' total number of bets, whereas descriptive norms more strongly predicted total amount wagered and negative consequences. Findings provide foundational evidence for peer influence processes on sports betting behaviors among young adults. These key early-stage findings inform how social norms may be leveraged within forthcoming prevention/intervention approaches aimed at stymieing the rapidly growing harms associated with sports betting.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981251350877"},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532816","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

Provider and Parent Perspectives on Pediatric Screening for Research on Early Life Adversity. 提供者和家长对儿童早期生活逆境筛查研究的看法。

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2025-06-24 DOI: 10.1177/10901981251342791

Sabrina R Liu, Candice Taylor Lucas, Megan Y Maxwell, Natasha G Lindert, Vanessa M Vargas, Dan M Cooper, Charles V Golden, Michael A Weiss, Laura M Glynn

{"title":"Provider and Parent Perspectives on Pediatric Screening for Research on Early Life Adversity.","authors":"Sabrina R Liu, Candice Taylor Lucas, Megan Y Maxwell, Natasha G Lindert, Vanessa M Vargas, Dan M Cooper, Charles V Golden, Michael A Weiss, Laura M Glynn","doi":"10.1177/10901981251342791","DOIUrl":"10.1177/10901981251342791","url":null,"abstract":"Growing evidence links early life adversity (ELA), including Adverse Childhood Experiences (ACEs) and unpredictability, to disrupted health and development. This knowledge has led to increased screening for ELA in primary care settings and provided new opportunities to further research associations between ELA and health. It is imperative to ensure that research on ELA and ELA screening is intentionally inclusive of populations traditionally underrepresented in research, especially given disproportionate rates of exposure to ELA among racially and ethnically minoritized and low-income communities. The SoCal Kids Study aims to examine the effects of ACEs and unpredictability on child neurodevelopment in Southern California. To inform this study, we employed Community Engagement Studios (CES) to consult with medical providers and allied health professionals involved in ELA screening, as well as local parents (N = 24). The goal of the CES was to gather community and practitioner insights on ELA screening and research. Using rapid qualitative analyses, we identified themes of trust, benefits to future generations, procedural recommendations and concerns, perspectives on questionnaire responses, and self-reflection. Key findings include the importance of clear communication and involving medical providers in recruitment, the study's potential benefits for future generations as a motivating factor, recommendations for culturally responsive research, suggestions for addressing under-reporting, and research as a vehicle to prompt self-reflection that positively impacts parenting practices and clinical care. This study underscores the importance of community-informed research to address impacts of ELA, including ACEs and unpredictability, and to cultivate trust and participation in research.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981251342791"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478478","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

Partner Perspectives on Cystic Fibrosis Sexual and Reproductive Health Care. 囊性纤维化性和生殖保健的合作伙伴观点。

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2025-06-17 DOI: 10.1177/10901981251346812

Brittany M Woods, Leigh A Bray, Janet Brown, Caitlin Campbell, Jessica Corcoran, Sigrid Ladores-Barrett

{"title":"Partner Perspectives on Cystic Fibrosis Sexual and Reproductive Health Care.","authors":"Brittany M Woods, Leigh A Bray, Janet Brown, Caitlin Campbell, Jessica Corcoran, Sigrid Ladores-Barrett","doi":"10.1177/10901981251346812","DOIUrl":"https://doi.org/10.1177/10901981251346812","url":null,"abstract":"Cystic fibrosis (CF) affects over 100,000 people worldwide. Despite advances in CF care, sexual and reproductive health (SRH) care continues to lag behind other care priorities. Although partners of females with CF play a critical role in providing support and care, their perspectives of SRH care remain unexplored. During a mixed-methods study, interviews were conducted with 20 partners of females with CF, transcribed verbatim, and analyzed using thematic analysis to determine SRH-related knowledge, experiences, preferences, and concerns. Findings indicate limited progression in CF-related SRH care. Patient-initiated discussions, paternalistic provider views, and a perceived lack of provider collaboration reinforce outdated notions that parenthood in CF is not an option. Partners provide tangible, daily support to reduce disease burden for females with CF and desire inclusion in the decision-making unit. Incorporating partners in SRH discussions and providing SRH-specific training for CF clinicians are imperative to improve patient-centered care.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981251346812"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144319183","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

Modeling COVID-19 Preventive Behavior: Impact of Neighborhood Characteristics, Cognitive Appraisals, and Information Use. COVID-19预防行为建模：社区特征、认知评估和信息使用的影响。

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2025-06-04 DOI: 10.1177/10901981251337678

Christopher E Beaudoin

{"title":"Modeling COVID-19 Preventive Behavior: Impact of Neighborhood Characteristics, Cognitive Appraisals, and Information Use.","authors":"Christopher E Beaudoin","doi":"10.1177/10901981251337678","DOIUrl":"https://doi.org/10.1177/10901981251337678","url":null,"abstract":"With bases in the Socio-Ecological Model (SEM), Protection Motivation Theory, and the Extended Parallel Process Model, this study builds a multilevel model including neighborhood risk factors, cognitive appraisals, and media information use with research hypotheses and questions developed at the individual, community, and cross levels. The research expectations are tested with 2020 individual-level survey data (N = 995) and 2019 and 2020 neighborhood-level data (N = 41) in New York City. In the context of COVID-19, multilevel modeling documented that the bulk of variance in the outcome variables was at the individual level. At the individual level, perceived efficacy, as well as its interaction with perceived threat, significantly predicted preventive behaviors, information scanning was significantly associated with perceived efficacy and threat, and information seeking was significantly associated with efficacy. At the community level, poverty rate was significantly associated with perceived efficacy and threat and preventive behaviors. At the cross level, community-level risk factors (e.g., poverty rate, crime rate) significantly moderated the effects of individual-level factors (i.e., perceived efficacy and information scanning) on preventive behaviors, which are indicative of the interdependence of factors at different levels in the SEM.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981251337678"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144228333","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

Breaking the Silence: The Role of Screening in Physician-Initiated Firearm Safety Conversations. 打破沉默：筛查在医生发起的枪支安全对话中的作用。

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2025-06-03 DOI: 10.1177/10901981251338864

Jennifer Necci Dineen, Damion Grasso, Amanda Hoey, Amanda Rae Kahn, Kerri M Raissian

{"title":"Breaking the Silence: The Role of Screening in Physician-Initiated Firearm Safety Conversations.","authors":"Jennifer Necci Dineen, Damion Grasso, Amanda Hoey, Amanda Rae Kahn, Kerri M Raissian","doi":"10.1177/10901981251338864","DOIUrl":"https://doi.org/10.1177/10901981251338864","url":null,"abstract":"This article expands and investigates what physicians perceive as facilitators and barriers to initiating preventive health education, also called anticipatory guidance or medical education, around secure firearm storage in the home (safe storage) and outside the home (Emergency Risk Protection Orders [ERPO]). We employ in-depth qualitative interviews with 36 New Jersey physicians randomly selected from two national physician panels. Participants were screened for inclusions based on their specialty (family medicine or internist, obstetrics/gynecology, or pediatrics), practice setting (office-based rather than hospital-based), and time spent (80% or more) on direct patient care. Based on interviews, we identify five physician-perceived barriers to providing secure firearm storage counseling: inadequate screening mechanisms to prompt conversations, physician perceptions of who is at risk for firearm injury, time pressures, concerns about patient receptivity, and a need for physician training. Our findings indicate that there are structural barriers to physician-initiated firearm safety guidance. Interventions designed to increase physicians' willingness to have these conversations must first address why these conversations fail to occur. Physician participants expressed the need for revised patient screening tools, training on approaching conversations about secure firearm storage, and a mechanism to allocate sufficient time in a well-visit, among the many other topics they must discuss. Interview participants had minimal understanding of ERPO and how to counsel patients on petitioning for ERPO.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981251338864"},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210635","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

Perceived Discrimination in Medical Care Settings on A1c Data From the All of Us Program. 来自我们所有人计划的A1c数据在医疗保健机构中的感知歧视

Health education & behavior : the official publication of the Society for Public Health Education Pub Date : 2025-05-27 DOI: 10.1177/10901981251340650

Ya-Ching Huang, Ashley Kurian, Gang Han, Kelly Wilson

{"title":"Perceived Discrimination in Medical Care Settings on A1c Data From the All of Us Program.","authors":"Ya-Ching Huang, Ashley Kurian, Gang Han, Kelly Wilson","doi":"10.1177/10901981251340650","DOIUrl":"https://doi.org/10.1177/10901981251340650","url":null,"abstract":"Approximately 11.3% of the U.S. population has diabetes, mostly type 2 diabetes (T2DM), and maintenance of A1c levels is vital to prevent complications among patients. Perceived discrimination in medical care settings (PDMS) affects patient care, while social support may mitigate its impact. This study aims to explore the influence of PDMS on A1c levels in T2DM patients using the All of Us Research Program, which collects health data from diverse individuals across the United States. Our study included 135 T2DM-diagnosed participants. Measures included demographic info, A1c data, self-rated health, social support, and perceived discrimination. Descriptive and multivariable regression analyses were conducted. Participants were predominantly older, female, non-Hispanic White, and had relatively high levels of education and above-average income levels. Most rated their health positively. Social support, including marital status, was considered. The average A1c level was 6.72 ± 1.54. Notably, 42% experienced high PDMS, correlating with poorer self-rated health. Multivariable regression revealed significant associations between A1c and follow-up time, age, marital status, and PDMS. Specifically, PDMS significantly correlates with poorer A1c, indicating a potential impact on diabetes management. Findings emphasize the need for tailored interventions and anti-discrimination guidelines in clinical practice. Insights from this study inform interventions mitigating discrimination and enhancing diabetes care. Health care providers fostering inclusive environments can improve patient trust and adherence to treatment, leading to better outcomes. Cultivating inclusive environments through health care providers improves patient outcomes. Diverse population inclusion in future studies is crucial.","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981251340650"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153282","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