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

{"title":"Effect of Peer Education on Health Responsibility, Beliefs, Knowledge, and Practices for Testicular Cancer.","authors":"Sabahat Coskun, Miraç Kençbesü, Nassaradine Abdoulaye Ahmat","doi":"10.1177/10901981251342790","DOIUrl":"https://doi.org/10.1177/10901981251342790","url":null,"abstract":"<p><p>Testicular cancer is the most common malignancy among young men in Türkiye. Self-testicular examination is a simple, cost-effective, and noninvasive method for early detection. In recent years, peer education has gained prominence as a complementary approach to traditional testicular self-examination (TSE) instruction. This study investigates the impact of peer education on health responsibility, health beliefs, knowledge, and practices related to the early detection of testicular cancer among university students. This randomized controlled trial was conducted between October 2023 and June 2024, involving 280 male students (140 in the experimental group and 140 in the control group). Data were collected using a sociodemographic questionnaire, the Testicular Cancer and Self-Examination Knowledge Test, and a Health Responsibility and Health Belief Model questionnaire at baseline and 6 months post-intervention. Statistical analyses included the chi-square test, independent <i>t</i> test, and paired <i>t</i> test (α = .05). At baseline, no significant differences were observed between the groups. However, post-intervention, the experimental group demonstrated significantly higher levels of knowledge, health responsibility, perceived susceptibility, perceived benefits, self-efficacy, and motivation (<i>p</i> < .05), while perceived seriousness and perceived barriers remained unchanged (<i>p</i> > .05). These findings suggest that peer education is an effective strategy for enhancing testicular cancer awareness and promoting self-examination practices. Nurses play a critical role in implementing such programs, particularly within university-based health education for young men, contributing to the strengthening of public health initiatives and policies.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981251342790"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164653","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 Effectiveness of Empowerment Versus Fear Messaging on Sugary Beverage Consumption Intentions Among Young Adult Latinas.","authors":"Mi Zhou, A Susana Ramírez, Dean Schillinger, Sandie Ha, Deepti Chittamuru","doi":"10.1177/10901981251341294","DOIUrl":"https://doi.org/10.1177/10901981251341294","url":null,"abstract":"<p><p>Excessive sugar-sweetened beverage (SSB) consumption poses a significant public health concern, particularly among historically marginalized populations targeted by industry marketing. This study compares the effectiveness of empowerment-based versus fear-based messaging on individual sugary beverage consumption intention and critical health literacy among Latinas aged 18 to 29 years (<i>N</i> = 231). Participants were randomized online to view either an empowerment-based video highlighting the risks of sugary beverage consumption and the beverage industry's manipulative practices or a usual care fear-based video centering on individual behaviors and risks. Between- and within-subject analyses were conducted using analysis of variance (ANOVA) and repeated ANOVA. Results revealed that empowerment-based messages were perceived as more effective (<i>p</i> < .001, η² = 0.12) and generated less reactance (<i>p</i> < .05, η² = 0.02). The empowerment-based messages also yielded significantly greater improvements in media literacy scores (<i>d</i> = 0.40 vs. 0.05, <i>p</i> < .01) and community control (<i>d</i> = 0.49 vs. 0.15, <i>p</i> < .01) and effectiveness of actions (<i>d</i> = 0.47 vs. 0.28, <i>p</i> < .05). Results suggest empowerment messaging strategies could effectively counter industry marketing while fostering critical awareness and collective action.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981251341294"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121745","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":"Influencing Health-Promoting Lifestyles Among Chronic Kidney Disease Patients and Significant Others: A Dyadic Analysis.","authors":"Tzu-Chia Lin, Miaofen Yen","doi":"10.1177/10901981251337663","DOIUrl":"https://doi.org/10.1177/10901981251337663","url":null,"abstract":"<p><p>The influence that significant others in social networks could have on chronic kidney disease patients' health-promoting lifestyles is far-reaching. Although studies have indicated that patients and significant others who have close relationships and share illness appraisals could benefit from communication and cooperation in implementing health-promoting lifestyles, few studies have concentrated on chronic kidney diseases. The aim of this study was to evaluate the influence of illness appraisal and relationship quality on health-promoting lifestyles among chronic kidney disease patients and their significant others. Ninety-one chronic kidney disease patient-significant other dyads were included. The Brief Illness Perception Questionnaire, seven-item Dyadic Adjustment Scale, Health Promotion Lifestyle Profile-II, and World Health Organization Quality of Life-Taiwanese version were used to assess illness appraisal, relationship quality, health-promoting lifestyle, and quality of life in chronic kidney disease patients and their significant others. An actor-partner interdependence model with the use of multilevel modeling was applied for data analysis. The results suggest that patients had more positive views of chronic kidney disease and perceived better relationship quality than significant others did. Patients and significant others with better relationship quality and more positive illness appraisals had higher levels of their own health-promoting lifestyle (actor effect). However, higher levels of relationship quality, as rated by significant others, were found to be associated with poor health-promoting lifestyles in patients. In conclusion, engaging in health-promoting lifestyles requires efforts from patients and their significant others. The influence of relationship quality, as perceived by significant others should be assessed in the context of the scope of care.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981251337663"},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096819","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":"Corrigendum to \"Associations Between 24-Hour Time Use and Academic Achievement in Australian Primary School-Aged Children\".","authors":"","doi":"10.1177/10901981221108114","DOIUrl":"https://doi.org/10.1177/10901981221108114","url":null,"abstract":"In this article, data from the CheckPoint module of the Longitudinal Study of Australian Children were used, and there was an error in how the accelerometry data were processed in the CheckPoint study. As a result, incorrect cut-points were used resulting in shorter physical activity estimates and longer sedentary time estimates. The authors repeated the analyses for this article and the corrected variables are highly correlated with the original variables. For the specific corrections, please see bolded text in sentences and shaded values in revised Tables 1 and 2:","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"1056-1057"},"PeriodicalIF":4.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40540191","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":"Exposure to E-Cigarette Product Placement in Music Videos Is Associated With Vaping Among Young Adults.","authors":"Anuja Majmundar,&nbsp;Jennifer B Unger,&nbsp;Tess Boley Cruz,&nbsp;Matthew G Kirkpatrick,&nbsp;Jon-Patrick Allem","doi":"10.1177/10901981211003867","DOIUrl":"https://doi.org/10.1177/10901981211003867","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of electronic-cigarette (e-cigarette) product placement in music videos is on the rise and currently unregulated. This promotional activity is concerning given the popularity of music videos among young adults.</p><p><strong>Aims: </strong>We examined associations between self-reported levels of exposure to music videos with any e-cigarette product placement or imagery and susceptibility to use e-cigarettes and e-cigarette use.</p><p><strong>Method: </strong>A representative sample of young adults (18-24 years of age), residing in California (<i>n</i> = 1,280), completed online surveys assessing self-reported exposure to music videos with e-cigarette product placement or imagery and susceptibility to use e-cigarettes and e-cigarette use. Adjusted and weighted regression analyses were used for statistical analyses.</p><p><strong>Results: </strong>Participants exposed to any e-cigarette product placement or imagery in music videos were more likely to report lifetime e-cigarette use (relative risk ratio [<i>RRR</i>]: 2.81) and past 30-day use (<i>RRR</i>: 3.64) compared with participants with no exposure. Additionally, participants with greater levels of exposure were more likely to report lifetime e-cigarette use (<i>RRR</i>: 1.13) and past 30-day use (<i>RRR</i>: 1.20) compared with participants with lower levels of exposure. Among those with any exposure, participants younger than 21 years of age (i.e., under the tobacco purchasing age in the United States) were more likely to report lifetime e-cigarette use (<i>RRR</i>: 4.68) compared with those aged 21 years and older.</p><p><strong>Discussion and conclusion: </strong>Restricting e-cigarette product placement or imagery in music videos may minimize marketing exposure and risk for vaping among young adults, especially among those under the tobacco purchasing age.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"639-646"},"PeriodicalIF":4.2,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211003867","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25579547","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":"Hierarchical Analysis of Disparities in Suicidal Outcomes With Intersection of Sexual Minority and Gender Among U.S. Youth, 2017.","authors":"Dylan Scoggins,&nbsp;Ali S Khan,&nbsp;Hongying Dai","doi":"10.1177/10901981211045933","DOIUrl":"https://doi.org/10.1177/10901981211045933","url":null,"abstract":"<p><p>Sexual minority youth have a higher risk of suicidal behaviors than their straight peers. Despite this alarming trend, there is limited information on how health-risk factors are systematically associated with suicidal outcomes in relation to the intersection of sex and sexual orientation identity. Data from the 2017 Youth Risk Behavior Survey (Grades 9-12, <i>N</i> = 14,108) were analyzed to examine three distinct suicidal outcomes (i.e., suicidal ideation, suicide planning, and suicide attempt). Separate hierarchical logistic regression models were performed to gradually adjust for influencing factors in examining the association between suicidal outcomes and sexual orientation identity (i.e., heterosexual, gay/lesbian, bisexual, and unsure), stratified by self-reported sex. There exist significant differences in youth suicidal behaviors based on sexual orientation identity and sex: lesbians (adjusted odds ratio [AOR] = 2.7, 95% CI [1.5, 5.0]), bisexual girls (AOR = 1.9, 95% CI [1.3, 2.6]) and bisexual boys (AOR = 2.6, 95% CI [1.3, 5.2]) had higher odds of suicide attempts than their straight peers. Unsure boys and girls also reported higher risks of suicidal ideation and suicide plan as compared with their straight peers. Having a very short sleep duration, reporting ever use of illicit drugs, being bullied, and feeling sad/hopeless were associated with elevated risks of suicidality across males and females. This study identified potential disparities in suicidal outcomes by sexual orientation identity as well as factors that attenuate or strengthen this relationship in a representative sample of adolescents across the United States. An improved understanding of the differences in suicidal outcomes will serve as an opportunity to ameliorate any potential inequalities and improve sexual minority youth' health outcomes.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"569-583"},"PeriodicalIF":4.2,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39501796","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":"<i>Guy Talk</i>: A Gender-Specific Sexual Education Program to Reduce Sexual Risk Behaviors With High School Males.","authors":"Craig Winston LeCroy,&nbsp;Skyler Milligan-LeCroy,&nbsp;Darlene Lopez","doi":"10.1177/10901981211010441","DOIUrl":"https://doi.org/10.1177/10901981211010441","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to investigate the feasibility and effectiveness of a gender-specific intervention targeted to adolescent males to reduce sexual risks.</p><p><strong>Method: </strong>This study used a randomized clinical trial comparing a broad-based male empowerment curriculum with a no-treatment control group. The sample (<i>N</i> = 580) was recruited from schools and was implemented in community-based settings mostly in an after-school context. Assessments were conducted at baseline, postintervention, and 3 months follow-up time periods.</p><p><strong>Results: </strong>There were significant differences between the two groups favoring the intervention group on several of the outcome indicators, including condom technical skills, attitudes toward women, social skills, peer assertiveness, and attitudes toward consent. Quality of implementation was rated high, and qualitative data suggest themes that reflect key lessons emphasized in the curriculum.</p><p><strong>Conclusions: </strong>Gender-specific programs for adolescent males can help reduce indicators that are related to sexual risk reduction. More long-term follow-up is needed to assess impact on sexual behaviors. Efforts directed at male populations should continue to be researched for potential in reducing sexual risks.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"593-602"},"PeriodicalIF":4.2,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211010441","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39004859","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 Association Between Fatalism and Mammography Use in Korean American Immigrant Women.","authors":"Mi Hwa Lee,&nbsp;Saahoon Hong,&nbsp;Joseph R Merighi","doi":"10.1177/10901981211029253","DOIUrl":"https://doi.org/10.1177/10901981211029253","url":null,"abstract":"<p><p>Fatalism is reported as a salient cultural belief that influences cancer screening disparities in racial and ethnic minority groups. Previous studies provide a range of measures and descriptions of cancer fatalism, but no studies to our knowledge have analyzed how fatalistic views cluster together within subgroups to form distinct profiles, and how these profiles can be predicted. This study identified subgroups of Korean American immigrants with similar fatalistic beliefs toward cancer and examined the influence of fatalism, health belief variables, and health literacy on mammography use. A cross-sectional survey design was used to obtain a convenience sample of 240 Korean American immigrant women in Los Angeles, California. Latent class analysis was used to identify unobserved subgroups of fatalism. Hierarchical logistic regression models were used to identify predisposing, enabling, and need factors associated with recent mammography use. The latent class analysis model identified three cancer fatalism subgroups: high fatalism (17.8%), moderate fatalism (36.7%), and low fatalism (45.5%). Women in the high fatalism subgroup were more likely to have had a mammogram within the past 2 years than women in the low fatalism subgroup. Regression analysis revealed three facilitators of recent mammogram use: level of fatalism, perceived barriers to mammogram, and family history of cancer. Although cultural beliefs can have a powerful influence on health-seeking behavior, it is important to weigh individual and contextual factors that may weaken or mediate the relationship between fatalism and engaging in preventive care such as having a mammogram.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"740-749"},"PeriodicalIF":4.2,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39314710","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":"Baseline Concussion Testing Increases Agreement With Favorable Concussion Safety Decisions in Hypothetical Scenarios.","authors":"Christina Deuschle,&nbsp;Julian Keith,&nbsp;Kelly Dugan,&nbsp;Mark Williams,&nbsp;Sasi Taravath,&nbsp;Len Lecci","doi":"10.1177/10901981211003509","DOIUrl":"https://doi.org/10.1177/10901981211003509","url":null,"abstract":"<p><strong>Background: </strong>Dangers of sports-related concussion are well documented, and those participating in sports involving significant contact are at an even higher risk relative to the general population. Despite extensive concussion education, athletes still make decisions that would be considered unsafe, such as underreporting and continuing to play despite experiencing symptoms. Although baseline testing is an increasingly common practice at all levels of sport, little is known about its ability to improve player safety perceptions.</p><p><strong>Aims: </strong>The current study examines whether taking part in a standardized baseline concussion assessment changes athletes' knowledge, attitudes, or perceptions of concussion safety decisions.</p><p><strong>Method: </strong>A total of 229 club and National Collegiate Athletic Association athletes completed a modified Rosenbaum Concussion Knowledge and Attitudes Survey-Student Version (RoCKAS-ST), which was used to evaluate knowledge, attitudes, and perceptions of concussion safety decisions in hypothetical scenarios. Athletes were randomly assigned to either complete baseline concussion testing prior to the RoCKAS-ST or complete baseline testing after the RoCKAS-ST.</p><p><strong>Results: </strong>Athletes randomly assigned to complete baseline testing before the RoCKAS-ST demonstrated greater agreement with favorable concussion safety decisions in hypothetical scenarios relative to athletes completing baseline testing after the RoCKAS-ST. The two conditions did not differ with respect to concussion knowledge or attitudes.</p><p><strong>Discussion: </strong>Baseline testing appears to have an added benefit of resulting in more favorable perceptions toward making safe decisions following suspected concussions.</p><p><strong>Conclusion: </strong>Baseline testing may provide an effective means of improving a broader constellation of concussion safety behavior, particularly in club athletes, who are typically underserved in terms of concussion-related resources and care.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"732-739"},"PeriodicalIF":4.2,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211003509","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25588795","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":"Trained Volunteers With Type 2 Diabetes Experience Significant Health Benefits When Providing Peer Support.","authors":"Nikki J Garner,&nbsp;Martin Pond,&nbsp;Sara Auckland,&nbsp;Mike Sampson","doi":"10.1177/10901981211048823","DOIUrl":"https://doi.org/10.1177/10901981211048823","url":null,"abstract":"<p><p>Trained lay volunteers may have value in supporting lifestyle change programs in the prevention of type 2 diabetes, but the potential health benefits (or harms) experienced by these lay volunteers have not been well described. This is important, as this is an appealing model in terms of workforce planning. The aim of the prespecified quantitative study reported here, was to examine the possible health benefits or harms experienced by these trained lay volunteers with type 2 diabetes. In a large type 2 diabetes prevention program, we recruited and trained 104 lay volunteers with type 2 diabetes themselves, to act as diabetes prevention mentors and codeliver the lifestyle intervention. Mentors made motivational telephone calls to 461 participants randomized to one of the trial arms to encourage lifestyle changes. Weight, diet, physical activity, well-being, quality of life, diabetes-specific self-efficacy, and glycaemic control were measured at baseline, 12 and 24 months. Average mentor age was 62.0 years, 57 (54.8%) were male, 92 (88.5%) were overweight or obese (BMI>30 kg/m²). At 12 months, mentor dietary behaviors (fat and fiber intake) improved significantly, sedentary time spent fell significantly, and diabetes specific self-efficacy scores significantly increased. These significant improvements, with no evidence of harms, suggest lay volunteers with type 2 diabetes codelivering a lifestyle intervention, may themselves experience health benefits from volunteering.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"667-679"},"PeriodicalIF":4.2,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39862766","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}