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

{"title":"Pluralistic Ignorance as a Contributing Factor to Concussion Underreporting.","authors":"Christine M Baugh,&nbsp;Craig A Foster,&nbsp;Brian R Johnson,&nbsp;Christopher D'Lauro","doi":"10.1177/1090198121995732","DOIUrl":"https://doi.org/10.1177/1090198121995732","url":null,"abstract":"<p><strong>Background: </strong>Concussion underreporting is endemic, and social norms are an established predictor of concussion reporting behavior. However, pluralistic ignorance-a situation in which most individuals in a group hold the belief that their peers' views differ from their own, despite views actually being similar-has not been studied in this context.</p><p><strong>Aim: </strong>To assess whether pluralistic ignorance contributes to concussion underreporting.</p><p><strong>Method: </strong>We surveyed 2,504 military service academy cadets. Each cadet was presented with a survey asking about their willingness to self-report a concussion, their perception of other cadets' willingness to report a concussion, and personal and demographic factors.</p><p><strong>Results: </strong>Most cadets viewed themselves as more willing to report a concussion than others (mean difference = 1.12, 95% CI [1.02, 1.21]), a belief consistent with pluralistic ignorance. Demographic characteristics were associated with holding this belief. For example, female cadets and upper-class cadets were more likely to show this disparity than male or under-class cadets, respectively. Collegiate athletes not only showed similar willingness to report concussion as nonathletes but also perceived other cadets as less likely to report concussions. Meanwhile, future pilots showed less self-report willingness and perceived that others were similarly unwilling to report concussions.</p><p><strong>Discussion: </strong>A majority of this economically and geographically diverse population displays characteristics of pluralistic ignorance: They largely share proconcussion reporting sentiments but incorrectly perceive that others do not. This belief is not held uniformly in all subpopulations, which may inform how these beliefs are developed and maintained.</p><p><strong>Conclusions: </strong>Pluralistic ignorance is an important consideration in concussion education efforts.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"340-346"},"PeriodicalIF":4.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1090198121995732","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25428444","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":"Psychosocial Factors Mediating the Effect of the CHoBI7 Mobile Health Program on Handwashing With Soap and Household Stored Water Quality: A Randomized Controlled Trial.","authors":"Christine Marie George,&nbsp;Md Sazzadul Islam Bhuyian,&nbsp;Elizabeth D Thomas,&nbsp;Tahmina Parvin,&nbsp;Shirajum Monira,&nbsp;Fatema Zohura,&nbsp;M Tasdik Hasan,&nbsp;Sanya Tahmina,&nbsp;Farzana Munmun,&nbsp;David A Sack,&nbsp;Jamie Perin,&nbsp;Munirul Alam","doi":"10.1177/1090198120987134","DOIUrl":"https://doi.org/10.1177/1090198120987134","url":null,"abstract":"<p><p>Household members of diarrhea patients are at higher risk of developing diarrheal diseases (>100 times for cholera) than the general population during the 7 days after the diarrhea patient is admitted at a health facility. There is growing evidence demonstrating that theory-driven water, sanitation, and hygiene (WASH) interventions are likely to yield greater behavior change than those based on health education alone. The Cholera Hospital-Based Intervention for 7-Days (CHoBI7) mobile health (mHealth) program is a theory-driven WASH intervention initially delivered to a diarrhea patient by a health promoter during a health facility visit and reinforced through weekly voice and text messages. In the recent randomized controlled trial (RCT) of the CHoBI7-mHealth program in Bangladesh, this intervention significantly reduced diarrheal disease and stunting, and increased handwashing with soap and stored drinking water quality over the 12-month program period. The aim of this study was to assess the underlying mechanism of change of this intervention. Handwashing with soap was measured by 5-hour structured observation. Stored drinking water quality was assessed by the presence of <i>Escherichia coli</i> during unannounced spot checks. Psychosocial factors were measured among 1,468 participants in the CHoBI7-mHealth RCT. Perceived susceptibility, response efficacy, self-efficacy, dirt reactivity, and diarrhea knowledge were mediators of the CHoBI7-mHealth program's effect on stored drinking water quality at the 1-week follow-up. Self-efficacy, response efficacy, and diarrhea knowledge were mediators of the intervention's effect on handwashing with soap habit maintenance and stored drinking water quality at the 12-month follow-up. This study demonstrates how theory-driven approaches for intervention design can facilitate WASH behavior change.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"326-339"},"PeriodicalIF":4.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1090198120987134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38950839","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":"Mask Wearing and Perceived Discrimination Associated With COVID-19 in the United States From March 2020 to May 2021: Three-Level Longitudinal Analyses.","authors":"Soyoung Kwon PhD","doi":"10.1177/10901981221076396","DOIUrl":"https://doi.org/10.1177/10901981221076396","url":null,"abstract":"<p><p>Although mask wearing has been demonstrated to be an effective strategy to combat the COVID-19 pandemic, it has become a contentious issue. This is evident in the policy shift regarding mask wearing during the pandemic and the varying mask mandates across different states in the United States. This study investigates the relationship between mask wearing and COVID-19-associated discrimination (CAD) over the course of the pandemic (March 2020 through May 2021), and differences between states with and without mask mandates. This study utilized three-level longitudinal analyses to analyze a longitudinal panel data from a nationally representative sample of U.S. adults enrolled in the Understanding America Study (UAS). The experiences of CAD were much higher for those wearing a mask than those not wearing a mask before August 2020, but this pattern was reversed afterward. Another notable finding was that mask wearers reported greater CAD in states with no mask-wearing mandate than the ones in states with mask mandates. In contrast, the pattern was reversed for nonmask wearers. The findings highlight the importance of inclusiveness and openness when relatively new health practice is introduced during a public health crisis.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"200-209"},"PeriodicalIF":4.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39613201","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":"Adolescent Energy Drink Consumption and Academic Risk: Results From the Monitoring the Future Study, 2010-2016.","authors":"Wanda E Leal,&nbsp;Dylan B Jackson,&nbsp;Cashen M Boccio","doi":"10.1177/10901981211043118","DOIUrl":"https://doi.org/10.1177/10901981211043118","url":null,"abstract":"<p><strong>Aims: </strong>The current study aims to examine the role of energy drink and energy shot consumption in school disengagement, low academic performance, and academic expectations, and investigates the robustness of these associations across sex, grade, race, and substance use history.</p><p><strong>Method: </strong>This study employs a pooled cross-sectional design and uses a nationally representative sample of 8th (ages 13-14 years) and 10th (ages 15-16 years) grade adolescents from seven recent cohorts (2010-2016) of the Monitoring the Future study. Logistic regression and negative binomial regression were employed to examine the association between energy drink and energy shot consumption and academic risk factors, controlling for sociodemographic factors and other health and social behaviors. Ancillary robustness checks across key subgroups in the data were also performed.</p><p><strong>Results: </strong>The results indicate that energy drink and energy shot consumers are significantly more likely to report all academic risk outcomes. Specifically, youth who heavily use energy drinks and shots have significantly higher odds of each of the academic risk outcomes relative to both less habitual users and nonusers. These patterns hold across subgroups, despite associations being somewhat stronger among females, younger participants, Whites, and youth with no substance use history.</p><p><strong>Conclusions: </strong>The current study suggests that energy drink consumption (particularly heavy consumption) may be an early warning sign of academic risk. It may be beneficial to limit adolescent energy drink consumption, provide early intervention for heavy adolescent consumers, and raise awareness of the dangers associated with their use.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"281-290"},"PeriodicalIF":4.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39557566","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":"Achieving Whole Health: A Preliminary Study of TCMLH, a Group-Based Program Promoting Self-Care and Empowerment Among Veterans.","authors":"Melissa Abadi,&nbsp;Bonnie Richard,&nbsp;Steve Shamblen,&nbsp;Connor Drake,&nbsp;April Schweinhart,&nbsp;Barbara Bokhour,&nbsp;Rachel Bauer,&nbsp;David Rychener","doi":"10.1177/10901981211011043","DOIUrl":"https://doi.org/10.1177/10901981211011043","url":null,"abstract":"<p><strong>Objective: </strong>An emerging literature suggests patients with chronic illnesses can benefit from integrated, person-centric approaches to health care, including group-based programs. However, much of the research in this area is disease specific. The objective of this study was to collect preliminary evidence on the efficacy of Taking Charge of My Life and Health (TCMLH), a Whole Health group-based program that emphasizes self-care and empowerment on the overall health and well-being of veterans, a population burdened with high rates of multiple chronic conditions.</p><p><strong>Method: </strong>Self-reported outcomes, including standardized survey measures, were collected at pretest, posttest, and 2-month follow-up from 77 participants across 15 groups at four VA sites. Random intercept mixed-model regressions were used to analyze data.</p><p><strong>Results: </strong>Results from this initial study showed high satisfaction with the program and facilitators, and high attendance. There were significant pre-post gains in self-care attitudes and behaviors, patient motivation, meaning and purpose, mental health, perceived stress, goal progress, and goal-specific hope. Outcomes were maintained at 2-month follow-up for patient motivation, perceived stress, goal-specific hope, and goal progress. Significant gains were observed in health care empowerment and physical health from pretest to follow-up.</p><p><strong>Conclusions: </strong>Preliminary findings support the efficacy of TCMLH, a Whole Health group-based program that emphasizes patient empowerment, self-care practices, and peer support. Future research priorities include a rigorous evaluation with a larger sample size and control group to assess effectiveness.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"347-357"},"PeriodicalIF":4.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211011043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38934384","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":"Key Informant Perspectives on Somali Adolescent Tobacco Use: Contextualizing Influences and Prevention Opportunities.","authors":"April K Wilhelm,&nbsp;Rebekah J Pratt,&nbsp;Michele L Allen","doi":"10.1177/10901981211052892","DOIUrl":"https://doi.org/10.1177/10901981211052892","url":null,"abstract":"<p><strong>Introduction: </strong>Somali American adolescent tobacco use has increased over the past decade amid a high prevalence of tobacco use among Somali American adults. While established adolescent tobacco use determinants may apply for Somali youth, a deeper understanding of these influences is imperative to the development of effective prevention strategies for this population. This study aimed to identify risk and protective factors influencing Somali American adolescent tobacco use decision making and potential family and community roles in tobacco prevention.</p><p><strong>Method: </strong>We conducted 15 semistructured, in-depth interviews with 12 Somali and 3 non-Somali professionals serving Minnesotan metropolitan Somali communities in clinical, educational, religious, and other community organizations. Grounded Theory informed our data collection and analysis.</p><p><strong>Results: </strong>Key informants cited three major influences on Somali adolescent tobacco use: evolving norms and increasing exposure to tobacco products in the United States, low risks perception, especially for waterpipes, and conflicting interpretations of faith. Informants highlighted the important roles of families in Somali youth tobacco prevention while acknowledging areas where families would benefit from greater support. Proposed sources of support included faith communities and nonparental, ethnically similar adult mentors. Informants acknowledged challenges to addressing youth tobacco prevention in clinics and underscored the importance of youth involvement in developing prevention strategies.</p><p><strong>Conclusions: </strong>Our results indicate Somali adolescent tobacco prevention efforts should address the evolving tobacco use exposures and norms, low risk perceptions, and clarify faith messaging. Effective strategies may include strengthening family-based tobacco prevention approaches that also engage faith and other community leaders along with youth themselves.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"304-312"},"PeriodicalIF":4.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39573329","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":"Income Inequality and Bullying Victimization and Perpetration: Evidence From Adolescents in the COMPASS Study.","authors":"Roman Pabayo,&nbsp;Claire Benny,&nbsp;Paul J Veugelers,&nbsp;Ambikaipakan Senthilselvan PhD,&nbsp;Scott T Leatherdale","doi":"10.1177/10901981211071031","DOIUrl":"https://doi.org/10.1177/10901981211071031","url":null,"abstract":"<p><p>Previous research indicates that the disproportionate distribution of income within society is associated with aggression and violence. Although research has been conducted identifying the relationship between income inequality and bullying victimization and perpetration, little is known about possible mediators. We investigated the association between income inequality and bullying perpetration and victimization among adolescents participating in the Cannabis, Obesity, Mental health, Physical activity, Alcohol use, Smoking, and Sedentary behavior (COMPASS) study. We identified whether school connectedness and psychosocial well-being mediated the relationship between income inequality and bullying behavior. This study used pooled cross-sectional data from 147,748 adolescents aged 13 to 18 from three waves (2015-2016, 2016-2017, 2017-2018) of the COMPASS study from 157 secondary schools in British Columbia, Alberta, Ontario, and Quebec (Canada). The Gini coefficient was calculated based on the school Census Divisions (CD) using the Canada 2016 Census and linked with student data. We used multilevel modeling to investigate the relationship between income inequality and self-reported bullying victimization and perpetration, while controlling for individual-, school-, and CD-level characteristics. A standard deviation increase in Gini coefficient was associated with increased odds for bullying victimization and perpetration. Findings were observed among girls; however, inequality was only associated with perpetration among boys. We identified social cohesion and psychosocial well-being as potential mediators. To counter the adverse effects of income inequality, school-based interventions designed to increase school connectedness and student psychosocial well-being should be implemented to protect against bullying.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"313-322"},"PeriodicalIF":4.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/47/7b/10.1177_10901981211071031.PMC9014770.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39726758","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":"Coaction of Obesity Treatment-Associated Changes in Physical Activity and Emotional Eating: Mediation by Body Satisfaction.","authors":"James J Annesi","doi":"10.1177/10901981211029251","DOIUrl":"https://doi.org/10.1177/10901981211029251","url":null,"abstract":"<p><strong>Background: </strong>Research on coaction suggests improvements in physical activity and emotional eating will occur in a reciprocal manner.</p><p><strong>Aims: </strong>To determine if changes in body satisfaction mediate relations between physical activity and emotional eating changes and if age affects degree of change in those variables.</p><p><strong>Method: </strong>Groups of early adult (<i>n</i> = 43) and middle-age (<i>n</i> = 52) women participants of a community-based obesity treatment were assessed on behavioral and psychological variables over 3 and 6 months.</p><p><strong>Results: </strong>Improvements in physical activity, anxiety-related emotional eating, body satisfaction, anxiety, and exercise self-efficacy were significant overall. Early adults demonstrated greater reductions in emotional eating. Physical activity increase over 3 months significantly predicted 6-month reduction in emotional eating but not vice versa. Body satisfaction change significantly mediated the physical activity-emotional eating relationships. Changes in anxiety and exercise self-efficacy moderated activity → emotional eating and body satisfaction → physical activity relationships, respectively.</p><p><strong>Conclusion: </strong>Findings can inform both theory and behavioral obesity interventions.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"35-40"},"PeriodicalIF":4.2,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211029251","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39212415","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":"Inverse Association Between Health Literacy and Obesity Among Children in Greece: A School-Based, Cross-Sectional Epidemiological Study.","authors":"Aikaterini Kanellopoulou,&nbsp;Venetia Notara,&nbsp;George Antonogeorgos,&nbsp;Maria Chrissini,&nbsp;Andrea Paola Rojas-Gil,&nbsp;Ekaterina N Kornilaki,&nbsp;Areti Lagiou,&nbsp;Demosthenes B Panagiotakos","doi":"10.1177/1090198120982944","DOIUrl":"https://doi.org/10.1177/1090198120982944","url":null,"abstract":"<p><p>Children's health literacy is a crucial pillar of health. This study is aimed to examine the association between health literacy and weight status among Greek schoolchildren aged 10 to 12 years old. A population-based, cross-sectional observational study enrolling 1,728 students (795 boys), aged 10 to 12 years old, was conducted during school years 2014-2016. A health literacy index (range 0-100) was created through an item response theory hybrid model, by combining a variety of beliefs and perceptions of children about health. The mean health literacy score was 70.4 (±18.7). The majority of children (63.8%) had a \"high\" level (i.e., >67/100) of health literacy, 30.5% had a \"medium\" level (i.e., 34-66/100) of health literacy, while a small proportion of children (5.7%) had a \"low\" level (i.e., <33/100). Girls exhibited a higher level of health literacy than boys (71.7 ± 18.3 vs. 68.8 ± 19.1, <i>p</i> < .01). Regarding body weight status, 21.7% of children was overweight and 5.0% was obese. Linear regression models showed that the health literacy score was inversely associated with children's body mass index (regression coefficient [95% CI]: -0.010 [-0.018, -0.001]), after adjusting for dietary habits, physical activity levels, and other potential confounders. Health literacy seems to be a dominant characteristic of children's weight status; therefore, school planning, as well as public health policy actions should emphasize on the ability of children's capacity to obtain, process, and understand basic health information.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"54-65"},"PeriodicalIF":4.2,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1090198120982944","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38823999","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":"Chinese Americans' Family History of Colorectal Cancer Communication With Primary Care Physicians.","authors":"Yu-Lyu Yeh,&nbsp;Ming Li,&nbsp;Oi-Man Kwok,&nbsp;Ping Ma,&nbsp;Lei-Shih Chen","doi":"10.1177/10901981211009750","DOIUrl":"https://doi.org/10.1177/10901981211009750","url":null,"abstract":"<p><strong>Background: </strong>Colorectal cancer (CRC) is the third most common cancer for Chinese Americans. Family history (FH) plays an important role in clinical practice for CRC prevention. Nevertheless, Chinese Americans' FH of CRC communication with primary care physicians (PCPs) are still unknown.</p><p><strong>Aims: </strong>This study examined Chinese Americans' behavior and the underlying psychological factors for FH of CRC communication with PCPs.</p><p><strong>Method: </strong>A total number of 742 Chinese Americans completed a survey developed based on the health belief model, the theory of planned behavior, and the social cognitive theory. Data were analyzed using structural equation modeling.</p><p><strong>Results: </strong>Majority of the Chinese American participants (75.3%) had never discussed FH of CRC with their PCPs. Lack of inquiries from the PCPs was the main barrier. Structural equation modeling results suggested a good model fit between our theoretical model and the survey data (comparative fit index [CFI] = .946, root mean square error of approximation [RMSEA] = .070, and standardized root mean square residual [SRMR] = .020). Participants' FH of CRC communication with PCPs was positively associated with their intention (β = .30, <i>p</i> < .001), which was positively correlated to attitudes (β = .29, <i>p</i> < .001) and self-efficacy in discussing FH of CRC with PCPs (β = .57, <i>p</i> < .001). Their attitudes were positively associated with perceived susceptibility to CRC (β = .08, <i>p</i> < .05) and the perceived benefits of communicating FH of CRC (β = .52, <i>p</i> < .001).</p><p><strong>Conclusions: </strong>Given that most Chinese Americans in this study did not communicate their FH of CRC with their PCPs, it is important to promote such behavior among Chinese Americans. Our structural equation modeling findings can guide future interventions and education for this underserved racial/ethnic minority group.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"169-178"},"PeriodicalIF":4.2,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211009750","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39004861","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}