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

{"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}

{"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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146095384","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":"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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147518424","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":"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}

{"title":"Association Between Adherence to 24-Hour Movement Behavior Guidelines and Cardiovascular Risk Factors in Adolescents.","authors":"Rafael Moraes Silva de Santana, Leonardo Alex Volpato, Giulia Signori Lonardoni, Catiana Leila Possamai Romanzini, Enio Ricardo Vaz Ronque, Marcelo Romanzini","doi":"10.1177/10901981251411240","DOIUrl":"10.1177/10901981251411240","url":null,"abstract":"<p><p>This cross-sectional study analyzed the associations between adherence to the 24-hour movement behavior (24-HMB), which includes physical activity (PA), sedentary behavior (SB), and sleep, and the aggregation of cardiovascular risk factors (CVRF) in Brazilian adolescents. The CVRFs analyzed included body mass index (BMI), systolic blood pressure (SBP) and diastolic blood pressure (DBP), and cardiorespiratory fitness (CRF). Moderate-to-vigorous physical activity (MVPA) was measured using accelerometers, while SB and sleep were self-reported. Sex-stratified linear regression analyses revealed that, among boys, adherence to the MVPA recommendation was directly associated with CRF (β = 0.364; 95% CI = [0.068, 0.659]) and inversely associated with BMI (β = -0.481; 95% CI = [-0.929, -0.033] and CVRF score (β = -0.937; 95% CI = [-1.590, -0.285]. In girls, meeting both MVPA and sleep recommendations was directly associated with CRF (β = 0.323; 95% CI = [0.080, 0.565]). Overall, adherence to both MVPA and sleep recommendations was inversely associated with the CVRF score (β = -0.488; 95% CI = [-0.899, -0.077]). Total adherence to recommendations was inversely associated with BMI (β = -0.346; 95% CI = [-0.668, -0.024], and the number of recommendations met was directly associated with CRF (β = 0.109; 95% CI = [0.005, 0.213]). In conclusion, adherence to 24-HMB was beneficially associated with adiposity and CRF in adolescents, with associations differing by sex.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"429-439"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032708","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":"In Memoriam: Flora Bloom, M.A., M.S., Ed.D., CHES (1935-2025).","authors":"Julia Alber, Alyson Taub, John P Allegrante","doi":"10.1177/10901981261421509","DOIUrl":"https://doi.org/10.1177/10901981261421509","url":null,"abstract":"","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":"53 5","pages":"513-514"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889810","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":"Evaluation of an Empowerment Self-Defense Program Among Middle School Youth on a Rural Reservation.","authors":"Katie M Edwards, Lorey Wheeler, Stephanie Lim, Amanda Prokasky, J Gayle Beck, Vivian Aranda-Hughes, Thalia Wilson, Michael Nti Ababio, Gabby Miller, Skyler Hopfauf, Ramona Herrington, Preciouse Trujilo, Cassandra Saucedo, Bridget Diamond-Welch","doi":"10.1177/10901981251411244","DOIUrl":"10.1177/10901981251411244","url":null,"abstract":"<p><p>Indigenous girls experience alarmingly high rates of sexual violence (SV). In the only known study to evaluate the prevention of SV among Indigenous adolescent girls, IMpower, an empowerment self-defense (ESD) program, was found to be efficacious (e.g., reduced SV by 80%). In the current open pilot trial, we extended this previous work to examine the promise of the IMpower-ESD program on intermediary and secondary outcomes among middle school girls in another tribal community. Given previous research demonstrated the efficacy in reducing SV and goals of this open pilot trial, we focused on intermediary (e.g., self-defense knowledge) and secondary (e.g., educational and career success) outcomes only. The study took place on a rural tribal reservation in the Northern Great Plains. Participants were 69 middle school youth (82.6% Indigenous; 55.1% Indigenous only, and 27.5% multiracial), ranging in age from 10 to 14 years old. Over 90% identified as girls; gender minority youth were welcomed to attend. Youth completed surveys before and approximately 3 weeks after participating in IMpower as well as surveys after each session. Attendance and fidelity were also assessed. On average, the mean number of sessions attended was 3.72 (<i>SD</i> = 1.87, range: 0-6). Fidelity was high (<i>M</i> = 97.86%). Qualitative analysis of open-ended responses on the post-session surveys found that the program was acceptable and perceived as impactful (e.g., empowering). In relation to promise on outcomes using <i>t</i>-tests, confidence in resisting an attacker and knowledge of effective self-defense skills increased. In addition, emotional awareness and commitment to education/career success increased. There were no observed changes in connection to culture, depressive symptoms, or in two out of three domains of empowerment; one domain of empowerment (self-love) decreased. These promising findings shed light on additional outcomes, such as emotional awareness and educational/career commitment, that IMpower may impact.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"452-460"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146042451","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":"A Mixed-Methods Pilot Study of a Youth-Led Digital Hypertension Education Intervention Among Parent-Youth Dyads.","authors":"Sara W Heinert, Mohammed I Ahmed, Kaylee Grullon, Sarah Oh, Pamela Ohman Strickland, Phillip Levy, Carolyn J Heckman, Kathryn Greene, Benjamin F Crabtree, Shawna V Hudson","doi":"10.1177/10901981261425263","DOIUrl":"10.1177/10901981261425263","url":null,"abstract":"<p><p>Involving youth in chronic disease health promotion with adults can benefit both adults and youth. In this mixed-methods pilot study, we explored the effects of a youth-led digital hypertension education intervention on knowledge, self-efficacy, and behavior outcomes, as well as participant feedback, in parent-youth dyads. High school students (14+ years) paired themselves with an interested adult (18+ years) to create 19 adult-youth dyads. We implemented a 6-week youth-led digital hypertension education intervention to guide youth through learning and then teaching their adult about hypertension. We employed an explanatory sequential mixed-methods design. Hypertension knowledge, confidence in helping an adult manage hypertension (youth), blood pressure (BP) self-care activities (adults), and self-efficacy to manage hypertension (adults with hypertension) increased from pre- to post-intervention. Participants deemed the intervention acceptable and feasible. Pilot findings suggest that involving youth as learners, teachers, and supporters of health promotion can be a catalyst for adult change.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"536-540"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13435799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147477889","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":"Mixed-Methods Evaluation of a Zine Promoting Healthier Chest-Binding Practices in Transgender and Gender-Diverse Populations.","authors":"Isabella E Rios, Maxwell J Hopkins, Kieran P Todd, Leland A Merrill, Maia Kobabe, Sarah M Peitzmeier","doi":"10.1177/10901981261425271","DOIUrl":"10.1177/10901981261425271","url":null,"abstract":"<p><p>Chest-binding is a common practice among transgender and gender-diverse youth, yet there are few studies on health promotion tools about healthy chest-binding practices directed to this population. This study overviews the creation of <i>Breathe: Journeys to Healthy Binding</i> and the evaluation of its effectiveness for promoting informed decision-making around chest binding in transgender and gender-diverse (TGD) individuals. In this mixed-methods pilot evaluation, participants (<i>n</i>=25) aged 18+ took a pretest survey measuring their knowledge around healthy binding practices before reading <i>Breathe</i> (provided in an online format), then took a posttest survey, re-measuring knowledge and measuring the zine's acceptability. Finally, participants joined focus groups to discuss how the zine affected their attitudes and behaviors around binding. Quantitative findings suggest the zine significantly increased participant knowledge about healthy chest binding practices and exercises to reduce side effects caused by binding, as well as increasing scores on healthy binding self-efficacy measures. Thematic analysis of the focus groups identified key themes in participants' reactions to the zine, including its characters, perceived utility, and intentions to change behavior after reading the zine. This study demonstrates how zines may be effective in shifting knowledge, attitudes, and behaviors in participants, particularly as a culturally congruent method of health communication for the transgender community.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"526-535"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470761","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":"Eating Behavior Traits and Success in Dietary Changes in Men with Prediabetes - the T2D-GENE Intervention.","authors":"Noora Koivu, Maria Lankinen, Ursula Schwab","doi":"10.1177/10901981251411226","DOIUrl":"10.1177/10901981251411226","url":null,"abstract":"<p><p>Sustained dietary change is essential for type 2 diabetes prevention, yet most Finnish men do not follow dietary recommendations. Eating behavior traits such as cognitive restraint, uncontrolled eating, and emotional eating may influence dietary success; however, their role in long-term adherence remains unclear. Moreover, men are underrepresented in eating behavior research. This study investigated whether baseline eating behavior traits predicted dietary goal achievement and changes in food intake during a 3-year lifestyle intervention among 370 older (50-75 years) men with prediabetes. The intervention promoted increased intake of vegetables, fruit, fiber, and unsaturated fats, while reducing saturated fat and sucrose. Diet was assessed with 4-day food records and eating behavior traits with the Three-Factor Eating Questionnaire-R18. Participants improved their diet quality, particularly fiber intake and fat quality. Although eating behavior traits did not predict overall success in reaching dietary goals, they were linked to specific food choices: Higher cognitive restraint predicted increased consumption of wholegrains, higher uncontrolled eating was linked to reduced intake of fatty pastries, and higher emotional eating was associated with increased nut and seed intake and decreased sugar-sweetened beverage consumption. Interestingly, traits typically associated with poorer eating habits were linked to healthier dietary changes. These results suggest that eating behavior traits may not determine overall adherence but can shape specific dietary patterns. Assessing these traits before intervention may support the design of tailored behavioral strategies. This study offers new insights into behavioral predictors of dietary change in older men with prediabetes, a group requiring personalized prevention strategies.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"440-451"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032685","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}