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

{"title":"Understanding Influenza Vaccination During Pregnancy in Canada: Attitudes, Norms, Intentions, and Vaccine Uptake.","authors":"Devon Greyson,&nbsp;Ève Dubé,&nbsp;William A Fisher,&nbsp;Jocelynn Cook,&nbsp;Manish Sadarangani,&nbsp;Julie A Bettinger","doi":"10.1177/10901981211001863","DOIUrl":"https://doi.org/10.1177/10901981211001863","url":null,"abstract":"<p><p>To improve uptake of influenza vaccine in pregnancy, it is important to understand the factors that predict prenatal vaccination. The aim of this study was to test the capability of the theory of planned behavior, augmented with information constructs, to predict and explain influenza vaccination uptake in a sample of 600 pregnant individuals in Canada. A baseline survey at the start of influenza season assessed beliefs, norms, perceived control, and information-seeking behavior related to influenza vaccination in pregnancy, as well as respondent demographics. A follow-up survey at the conclusion of influenza season assessed self-reported influenza vaccine uptake as well as infant vaccination intentions. Multivariable analysis indicated that attitudes toward influenza vaccination in pregnancy, subjective norms, information seeking, and past vaccination behavior predicted intentions to be vaccinated, and intentions predicted vaccine uptake. Neither perceived control nor demographics were significant predictors of intentions or vaccine uptake. These findings suggest that presumptive offering of vaccination in pregnancy by health care providers, as well as patient and public health educational interventions, may be effective in communicating norms and strengthening positive attitudes and intentions concerning influenza vaccination in pregnancy, resulting in higher vaccine coverage.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"680-689"},"PeriodicalIF":4.2,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211001863","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38892341","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":"What Anansi Did for Us: Storytelling's Value in Equitably Exploring Public Health.","authors":"David O Fakunle,&nbsp;David T Thomas Mph,&nbsp;Kathy A M Gonzales,&nbsp;Denise C Vidot,&nbsp;LaShaune P Johnson","doi":"10.1177/10901981211009741","DOIUrl":"https://doi.org/10.1177/10901981211009741","url":null,"abstract":"<p><p>There is growing implementation of storytelling as a specific application of narrative in public health. As the field's latest epoch evolves to consider cultural determinants, reimagination of how scientists conceptualize, operationalize, and capture populations' unique elements is necessary, and storytelling provides a genuine and efficacious methodology that can assist with that reimagination. Professionals are creating more spaces that demonstrate how storytelling elucidates, promotes, and supports contextual factors that are not captured by orthodox methodologies. However, more opportunities are needed to exhibit storytelling's impact on capturing the nuances in human experiences, such as those of historically and systemically underrepresented populations. This study synthesizes the past decade of research in public health and related fields that primarily utilized storytelling and reports significant implications. Additionally, this study highlights explorations in public health that primarily use storytelling as a research and practice approach. Each case study includes a description of the background and aims, elaborates on storytelling's utilization, and discusses findings, observations, and future directions. Finally, this study discusses conceptual issues in public health raised by use of storytelling, such as how to best capture impact on human beings and the importance of context. This article's goal is to present current evidence of critical reevaluations to the epistemological, conceptual, and practical paradigms within public health through storytelling. Additionally, this article aims to provide support and empowerment to public health scientists considering creative approaches to better acknowledge and appreciate humanity's inherent subjectivity.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"352-360"},"PeriodicalIF":4.2,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211009741","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39056305","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":"Hispanic/Latino Ethnic Identity and Diabetes: An Examination of Underlying Acculturation Processes and the Hispanic/Latino Health Advantage.","authors":"Jeannie B Concha,&nbsp;Kristen Kelly,&nbsp;Briana Mezuk","doi":"10.1177/10901981211010083","DOIUrl":"https://doi.org/10.1177/10901981211010083","url":null,"abstract":"<p><p><i>Background.</i> Hispanics/Latinos in the United States experience both a health advantage and disadvantage in developing diabetes. Ethnic identity, a predictor of psychological well-being, has not been widely applied to physical health outcomes. The objective of this study is to apply what is known regarding ethnic identity and psychological health to physical health outcomes (diabetes) and to explore the moderating effect of education as a possible underlying mechanism of the Hispanic Health Advantage/Disadvantage. Specifically, this study examines (a) the association between ethnic identity and diabetes prevalence among adult Hispanics/Latinos and (b) determines whether education modifies this relationship. <i>Method</i>. Data come from the nationally representative adult U.S. household study, National Latino and Asian American Study (NLAAS), collected in 2001 to 2003 (<i>N</i> = 1,746). Multiple logistic regression was conducted to examine the relationship between ethnic identity, education, and their interaction with likelihood of diabetes. <i>Results</i>. Hispanics/Latinos with high ethnic identity have a higher odds of reporting diabetes among those with 13 to 15 years of education (odds ratio: 1.84; 95% confidence interval: 1.16-2.92) and a lower odds among those with 16+ years of education (odds ratio: 0.53; 95% confidence interval: 0.34-0.84). Ethnic identity is associated with diabetes prevalence and the relationship is moderated by educational attainment. <i>Conclusion.</i> Given the growth, diversity, and diabetes disparities among Hispanics/Latinos, our buffering and exacerbating findings exemplify the complexity and fluidity of theory in understanding psychological/behavioral processes. The findings highlight the importance of designing targeted health interventions that take into account the diverse psychosocial and educational experiences of Hispanics/Latinos.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"285-294"},"PeriodicalIF":4.2,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211010083","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39056309","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":"Analysis of Latina/o Sociodemographic and Health Data Sets in the United States From 1960 to 2019: Findings Suggest Improvements to Future Data Collection Efforts.","authors":"Ruth Enid Zambrana,&nbsp;Gabriel Amaro,&nbsp;Courtney Butler,&nbsp;Melissa DuPont-Reyes,&nbsp;Deborah Parra-Medina","doi":"10.1177/10901981211011047","DOIUrl":"https://doi.org/10.1177/10901981211011047","url":null,"abstract":"<p><p><i>Introduction.</i> Prior to 1980, U.S. national demographic and health data collection did not identify individuals of Hispanic/Latina/o heritage as a population group. Post-1990, robust immigration from Latin America (e.g., South America, Central America, Mexico) and subsequent growth in U.S. births, dynamically reconstructed the ethnoracial lines among Latinos from about 20 countries, increasing racial admixture and modifying patterns of health disparities. The increasing racial and class heterogeneity of U.S. Latina/os demands a critical analysis of sociodemographic factors associated with population health disparities. <i>Purposes.</i> To determine the state of available Latina/o population demographic and health data in the United States, assess demographic and health variables and trends from 1960 to the present, and identify current strengths, gaps, and areas of improvement. <i>Method.</i> Analysis of 101 existing data sets that included demographic, socioeconomic, and health characteristics of the U.S. Latina/o population, grouped by three, 20-year intervals: 1960-1979, 1980-1999, and 2000-2019. <i>Results.</i> Increased Latina/o immigration and U.S. births between 1960 and 2019 was associated with increases of Latino population samples in data collection. Findings indicate major gaps in the following four areas: children and youth younger than 18 years, gender and sexual identity, race and mixed-race measures, and immigration factors including nativity and generational status. <i>Conclusions.</i> The analysis of existing ethnoracial Latina/o population data collection efforts provides an opportunity for critical analysis of past trends, future directions in data collection efforts, and an equity lens to guide appropriate community health interventions and policies that will contribute to decreasing health disparities in Latina/o populations.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"320-331"},"PeriodicalIF":4.2,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211011047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39056844","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":"\"The Master's Tools Will Never Dismantle the Master's House\": Ten Critical Lessons for Black and Other Health Equity Researchers of Color.","authors":"Lisa Bowleg","doi":"10.1177/10901981211007402","DOIUrl":"https://doi.org/10.1177/10901981211007402","url":null,"abstract":"<p><p>Audre Lorde's provocative admonishment, \"The master's tools will never dismantle the master's house,\" is a fitting caution for Black and other scholars of color who seek to use traditional social and behavioral sciences research as a tool to achieve social justice and health equity in Black communities. Invoking Lorde, I use the \"master's tools\" as a metaphor for conventional theoretical and methodological approaches and \"dismantle the master's house\" as a metaphor for intersectional structures and systems of oppression that created and sustain health inequity in U.S. Black communities. Using a blend of personal narrative and insights from a 23-year career as a Black critical health equity researcher, I share 10 critical lessons for Black and other health equity researchers of color. And because the personal typically reflects the structural, I recommend system and structural-level mitigation strategies for departments, universities, extramural institutions (e.g., journals), and the government, for each critical lesson.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"237-249"},"PeriodicalIF":4.2,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211007402","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39056307","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":"Centering Ethnic Studies in Health Education: Lessons From Teaching an Asian American Community Health Course.","authors":"Dale Dagar Maglalang,&nbsp;Hillary Nicole Peregrina,&nbsp;Grace J Yoo,&nbsp;Mai-Nhung Le","doi":"10.1177/10901981211009737","DOIUrl":"https://doi.org/10.1177/10901981211009737","url":null,"abstract":"<p><p>Anti-Asian racism and violence dramatically increased during the COVID-19 pandemic. As a result, recent studies and reports are showing that the health and well-being of Asian Americans are negatively affected. To address this urgent problem, the field of health education and public health must be equipped with the critical frameworks and concepts to analyze racism and White supremacy and how it affects the health and well-being of Asian Americans. We argue that using an ethnic studies lens in health education can help educators, researchers, and practitioners teach and train health educators to address racism experienced by Asian Americans during COVID-19 in relation to their health. We will discuss the elements of ethnic studies and demonstrate how to use it as a lens in understanding health disparities in the Asian American population influenced and exacerbated by the COVID-19 pandemic.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"371-375"},"PeriodicalIF":4.2,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211009737","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39056308","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":"Racism Within: Special Journal Issue on Scholars of Color.","authors":"Jesus Ramirez-Valles","doi":"10.1177/10901981211012681","DOIUrl":"https://doi.org/10.1177/10901981211012681","url":null,"abstract":"","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"233-236"},"PeriodicalIF":4.2,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211012681","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39056840","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":"The Long Arm of Oppression: How Structural Stigma Against Marginalized Communities Perpetuates Within-Group Health Disparities.","authors":"Uchechi A Mitchell,&nbsp;Akemi Nishida,&nbsp;Faith E Fletcher,&nbsp;Yamilé Molina","doi":"10.1177/10901981211011927","DOIUrl":"https://doi.org/10.1177/10901981211011927","url":null,"abstract":"<p><p>Understanding and addressing health inequities calls for enhanced theoretical and empirical attention to multiple forms of stigma and its influence on health behaviors and health outcomes within marginalized communities. While recent scholarship highlights the role of structural stigma on between-group health disparities, the extant literature has yet to elucidate the mechanisms through which structural stigma gives rise to within-group health disparities. In this article, we review and use relevant literature to inform the development of a conceptual model outlining how structural stigma contributes to within-group health disparities by creating division and tension within communities marginalized due to their social statuses and identities. We specifically focus on disparities among (1) communities of color due to White supremacy, (2) gender and sexual minority communities due to patriarchy and heterosexism, and (3) the disability community due to ableism. We argue that the nature and extent of the stigma members of stigmatized communities face are intricately tied to how visible the stigmatized characteristic is to others. By visibility, we refer to characteristics that are more easily perceived by others, and reveal a person's social identity (e.g., race/ethnicity, nativity, relationship status, gender expression, and disability status). This paper advances the literature by discussing the implications of the model for future research, practice, and policy, including the importance of acknowledging the ways in which structural stigma intentionally disrupts the collective identity and solidarity of communities and consequently threatens health equity.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"342-351"},"PeriodicalIF":4.2,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211011927","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39056311","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":"Comparing Accelerometer and Self-Reported Treatment Effects in a Technology-Supported Physical Activity Intervention.","authors":"Whitney A Welch,&nbsp;Caroline P Groth,&nbsp;Siobhan M Phillips,&nbsp;Bonnie Spring,&nbsp;Juned Siddique","doi":"10.1177/1090198120971194","DOIUrl":"https://doi.org/10.1177/1090198120971194","url":null,"abstract":"<p><strong>Background and aims: </strong>To estimate and compare the change in moderate-to-vigorous physical activity (MVPA) between an accelerometer and technology-supported physical activity (PA) log across a 3-week PA intervention.</p><p><strong>Method: </strong>Participants (<i>N</i> = 204, 77% female, age = 33 ± 11 years, body mass index = 28.2 ± 7.1 kg/m²) were randomized to one of two activity-related intervention arms: (1) increase MVPA intervention or (2) decrease sedentary behavior active control. Participants wore an accelerometer while simultaneously completing a technology-based PA log every day for 5 weeks: a 2-week baseline assessment phase and a 3-week intervention phase. Bivariate linear mixed-effects models and correlations were used to characterize the relationship of MVPA between measurement methods throughout the intervention. Effect sizes were calculated to determine the intervention effect by measurement method.</p><p><strong>Results: </strong>At baseline, PA log MVPA was 28 minutes greater than accelerometer-based minutes of MVPA in the active control group. This difference was 35 minutes (95% CI [23.7, 46.1]) greater at follow-up than at baseline measurement in the MVPA intervention group. In the active control group, there was a significant 16-minute (95% CI [6.0, 26.5]) increase between the two measures from baseline to follow-up. The intervention effect size based on the PA log was 0.27 (95% CI [0.14, 0.39]) and 0.42 (95% CI [0.28, 0.56]) when using the accelerometer.</p><p><strong>Discussion and conclusions: </strong>Our results indicate that PA log MVPA and accelerometer MVPA estimate significantly different minutes per day of MVPA. It is important researchers use caution when comparing MVPA intervention outcomes from different measurement methods.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"34-41"},"PeriodicalIF":4.2,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1090198120971194","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38598409","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":"Associations Between the Child Care Environment and Children's In-Care Physical Activity and Sedentary Time.","authors":"Zhiguang Zhang,&nbsp;Nicholas Kuzik,&nbsp;Kristi B Adamo,&nbsp;Nancy Ogden,&nbsp;Gary S Goldfield,&nbsp;Anthony D Okely,&nbsp;Mitchell Crozier,&nbsp;Stephen Hunter,&nbsp;Madison Predy,&nbsp;Valerie Carson","doi":"10.1177/1090198120972689","DOIUrl":"https://doi.org/10.1177/1090198120972689","url":null,"abstract":"<p><strong>Background: </strong>Child care centers are important for children's behaviors.</p><p><strong>Aims: </strong>To examine the cross-sectional associations between child care environmental characteristics and physical activity and sedentary time in children.</p><p><strong>Methods: </strong>Participants were 124 toddlers and 118 preschoolers from 19 centers in Alberta and Ontario, Canada, in the supporting Healthy physical AcTive CHildcare setting (HATCH) study. In-care physical activity and sedentary time were assessed using Actigraph accelerometers. Child care environments, including structure (e.g., resources) and process (e.g., activities) quality, were measured using three instruments: (1) the Environment and Policy Assessment and Observation and (2) the Children's Physical Environments Rating Scale, and (iii) the Movement Environment Rating Scale. Mixed models were performed to examine the associations between environmental characteristics and children's sedentary time, light physical activity, and moderate-to-vigorous physical activity.</p><p><strong>Results: </strong>A few structure quality characteristics related to child care policy and indoor environment were associated with higher physical activity and lower sedentary time in toddlers. The overall structure quality (<i>B</i> = 0.04; 95% CI [0.003, 0.08]) and process quality (<i>B</i> = 0.08; 95% CI [0.02, 0.15]) of the child care environment were associated with log moderate-to-vigorous physical activity in preschoolers. Specifically, structure quality characteristics of the outdoor environment and physical activity time, and process quality characteristics relevant to curriculum and pedagogy, were associated with higher physical activity and lower sedentary time in preschoolers.</p><p><strong>Discussion and conclusion: </strong>The child care structure quality characteristics that are important for children' physical activity and sedentary behavior may vary by age group. Improving the overall process quality, in particular curriculum and pedagogy, of the child care environment, may promote more physical activity in preschoolers.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"42-53"},"PeriodicalIF":4.2,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1090198120972689","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38605281","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}