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

{"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":"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":"149003264","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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032685","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":"Determining Barriers to Dietary Change Among Medically Underserved Men With Prostate Cancer.","authors":"M Smith, R S Garcia, D Cho, M Tariba-Edick, T Lawen, C Daniel, L McNeill, C Pettaway, J R Gregg","doi":"10.1177/10901981261421578","DOIUrl":"10.1177/10901981261421578","url":null,"abstract":"<p><p>Prostate cancer (PCa) disproportionately affects Black men and men of low socioeconomic status, who are more likely to experience higher incidence, disease progression, and mortality. Despite this, cardiovascular disease remains a leading cause of death among men with localized disease. Therefore, lifestyle interventions, particularly diet-based, provide an opportunity to drastically improve outcomes. Little is known about how underserved men with PCa and their families perceive barriers to dietary change, including adaptation of the cardioprotective Mediterranean diet (MD). This qualitative study explored dietary knowledge, cultural influences, and willingness to participate in dietary interventions among Black and Hispanic men with localized PCa at a county hospital. Six focus groups were conducted in English or Spanish with 31 total participants (men and their partners) recruited from a safety-net county hospital. Thematic analysis was guided by the health belief model and theory of planned behavior. Four themes emerged: First, the attitudes toward healthy diet and physician advice; second, the positive and negative influence of family, friends, and culture; third, the emotional and spiritual influences on dietary behavior; and finally, structural barriers and their impact on self-efficacy. Findings underscore the critical role of buy-in from family, the importance of education and instruction, and the value of maintaining space for emotion and spirituality. These results support the development of partner-engaged, culturally tailored dietary interventions for medically underserved populations with PCa.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"501-512"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13140757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147287082","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":"Mental Health Symptoms as a Predictor of E-Cigarette Initiation Among Youth and Young Adults.","authors":"Kenneshia N Williams, Brenda S Dimaya, Tatum L McKay, Madeleine F Aseltine, Elizabeth K Do, Elizabeth C Hair, Jessica M Rath","doi":"10.1177/10901981261425265","DOIUrl":"10.1177/10901981261425265","url":null,"abstract":"<p><p>Youth experiencing mental health symptoms have been found to be more susceptible to e-cigarette initiation. Limited research has examined predictors of e-cigarette use through longitudinal analysis. Understanding how mental health symptoms influence later use is essential for developing effective prevention strategies targeting youth and young adults. This study contributes to the literature by investigating the association between mental health symptoms and e-cigarette initiation using a longitudinal design. Data were drawn from the Truth Longitudinal Cohort, a nationally representative, probability-based U.S. cohort (<i>N</i> = 4,058; 15-24 years). Respondents were nicotine naïve at baseline (Spring 2018) and had data at follow-up (Fall 2019) for variables of interest. Mental health status was collected at baseline with one item per symptom (i.e., sadness/depression, attention issues, sleep issues). E-cigarette use was measured between baseline and follow-up: \"Have you ever used or tried any e-cigarettes or e-hookah?\" Results revealed a significant positive relationship between mental health symptoms at baseline and future e-cigarette initiation. For each unit increase in participants' mental health symptoms' scale score, the odds of initiating electronic nicotine delivery systems (ENDS) by follow-up increased by .07, on average (odds ratio [<i>OR</i>] = 1.07, 95% confidence interval [CI] = [1.02, 1.11]). In addition, post hoc sensitivity analyses were run testing mental health score thresholds to evaluate the robustness of the relationship with ENDS initiation. Results revealed a significant relationship between those reporting \"high\" versus \"low\" mental health symptoms (<i>OR</i> = 1.54, 95% CI = [1.10, 2.14]). This study revealed the predictive relationship between mental health symptoms and future e-cigarette initiation.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"551-557"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147506015","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":"Gathering Insights About Sexual Health Promotion From Adolescents' Adoption of COVID-19-Protective Behaviors.","authors":"Kimberly M Nelson, Julia C Bond, Shira I Dunsiger, Samantha Haiken, Crescent Alcid, Lynsie R Ranker, Michele L Ybarra","doi":"10.1177/10901981261426309","DOIUrl":"10.1177/10901981261426309","url":null,"abstract":"<p><p>This study aimed to understand how adolescent adoption of behaviors protective against different health risks relate to each other, as well as the role family and friends might play in the adoption of protective behaviors. We used data from adolescents (<i>N</i> = 1,803; age 13-17 years) who were recruited between April 2022 and June 2023 for the QuaranTeen Health study, an online, longitudinal survey assessing the impact of the COVID-19 pandemic on adolescent sexual health. We used data from the baseline questionnaire to calculate weighted correlations between friend and family norms about masking and vaccination and adolescents' COVID-19 protective behaviors, defined as 1) participant masking in the past two weeks and 2) receiving at least one COVID-19 vaccination shot. We used weighted logistic regression models to estimate associations between COVID-19-protective behaviors and sexual health-protective behaviors (i.e., condom use and hormonal contraception use at the most recent sex). We found that increased friend and family norms for COVID-19-protective behaviors were associated with participant masking (friends: ρ = .40, <i>p</i> < .01; family: ρ = .34, <i>p</i> < .01) and vaccine uptake (friends: ρ = .40, <i>p</i> < .01; family: ρ = .56, <i>p</i> < .01). Both behaviors were positively associated with condom use (masking: OR = 1.63, 95% CI = [1.05, 2.52]; vaccination: OR = 2.20, 95% CI = [1.32, 3.69]). Neither was associated with hormonal contraception use. Our findings suggest that family and friend norms for health-protective behaviors appear to be associated with health-protective behaviors among adolescents, at least when examining COVID-19-protective behaviors. Integrating friend and family norms may increase the effectiveness of future sexual health interventions designed to increase sexual health-protective behaviors among adolescents.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"541-550"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147494947","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}