International Journal of Behavioral Medicine最新文献

{"title":"Pain is Associated with E-Cigarette Use and Dependence in Young Adults: Findings from Wave 7 (2022-2023) of the Population Assessment of Tobacco and Health (PATH) Study.","authors":"Victoria E Carlin, Joon Kyung Nam, Grant H Ripley, Jessica M Powers, Alexa G Deyo, Joseph W Ditre","doi":"10.1007/s12529-025-10396-5","DOIUrl":"https://doi.org/10.1007/s12529-025-10396-5","url":null,"abstract":"<p><strong>Background: </strong>Use of electronic cigarettes (e-cigarettes) among young adults (i.e., individuals aged 18 - 24) has increased substantially in recent years. Consistent with an established reciprocal model of pain and substance use, evidence demonstrates that pain increases risk for initiation and continued use of e-cigarettes, as well as dual use of e-cigarettes and other tobacco products. Meta-analytic findings also indicate that many young adults experience chronic pain (~ 12%); however, we are not aware of any prior research examining associations between pain, e-cigarette use, and dependence among young adults.</p><p><strong>Method: </strong>Data was drawn from 10,267 young adults (68% White; 50% Female) aged 18 - 24 who participated in Wave 7 (2022 - 2023) of the Population Assessment of Tobacco and Health (PATH) Study.</p><p><strong>Results: </strong>Logistic regression models indicated that moderate/severe pain (vs. no/low pain) was associated with greater odds of lifetime, current, and daily e-cigarette use. Moderate/severe pain was associated with greater odds of exclusive e-cigarette use, exclusive use of other tobacco products, and dual use of e-cigarettes and other tobacco products. Linear regression analyses further revealed that moderate/severe pain was positively associated with tobacco dependence.</p><p><strong>Conclusion: </strong>These findings suggest that moderate/severe pain may serve as a risk factor for e-cigarette use, dependence, and dual e-cigarette and other tobacco product use among young adults. Future prospective research is needed to clarify temporal precedence in the onset of moderate/severe pain and e-cigarette use among young adults. Clinical interventions focused on e-cigarette prevention and cessation among young adults with chronic pain may also be warranted.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding COVID-19 Vaccine Uptake and Hesitancy in Latinx Sexual and Gender Minority People in North Texas.","authors":"Sobur Ali, Stacey B Griner, Malinee Neelamegam, Nathaniel Webb, Nolan Kline","doi":"10.1007/s12529-025-10395-6","DOIUrl":"https://doi.org/10.1007/s12529-025-10395-6","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 vaccination disparities persist in the US, but few studies focus on Latinx sexual and gender minority (SGM) people. This study aimed to examine the factors shaping COVID-19 vaccine uptake and hesitancy among Latinx SGM people in North Texas.</p><p><strong>Method: </strong>In a cross-sectional study from June to July 2023, 134 Latinx participants completed a survey on COVID-19 vaccine rate, confidence, and hesitancy. Vaccination rates and hesitancy among SGM and cisgender heterosexual individuals were compared using the chi-square test. Fisher's exact test was used to examine the association between confidence in vaccine safety and (1) vaccine uptake and (2) vaccine hesitancy.</p><p><strong>Results: </strong>Among Latinx SGM participants, 27.8% were unvaccinated and 24% were vaccine hesitant. Furthermore, 25.9% demonstrated no likelihood of receiving the vaccine in the future. No significant difference was observed in vaccine uptake and hesitancy between SGM and cisgender heterosexual individuals. Latinx SGM individuals with high confidence in COVID-19 vaccine safety were more likely to be vaccinated than those with low confidence.</p><p><strong>Conclusion: </strong>Confidence in vaccine safety is strongly correlated with vaccination status, highlighting the need for interventions to build trust and address concerns among Latinx SGM people. Such interventions must focus on intersectional sources of social vulnerability among Latinx SGM people and the diversity of Latinx and SGM identities.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Exercise Interventions on Fertility-Related Indicators in Young Men: A Systematic Review and Meta-Analysis.","authors":"Tongnian Yang","doi":"10.1007/s12529-025-10393-8","DOIUrl":"https://doi.org/10.1007/s12529-025-10393-8","url":null,"abstract":"<p><strong>Background: </strong>In this paper, a meta-analytical approach was used to test the effect of exercise on the relevant indicators of fertility in young men, with a view to providing a scientifically sound exercise intervention program for male fertility.</p><p><strong>Method: </strong>We systematically searched PubMed, MEDLINE, PsycINFO, SportDiscus, Web of Science, CNKI (China National Knowledge Infrastructure), and Wanfang Database for randomized controlled trials and quasi-experimental studies examining the relationship between exercise and male fertility, with the search conducted up to July 31, 2025. Primary outcomes were semen concentration and sperm motility; secondary outcomes included testosterone, pregnancy rate, and live birth rate. Review Manager 5.3 was used for risk of bias assessment, heterogeneity testing, subgroup/effect size analysis, and sensitivity analysis.</p><p><strong>Results: </strong>(1) A total of 10 studies were included (n = 1511). (2) Exercise was effective in improving semen concentration (SMD=0.35, 95% CI (0.16, 0.54), P < 0.001), sperm motility (SMD = 0.79, 95% CI (0.31, 1.28), P < 0.01), testosterone (SMD = 1.21, 95% CI (0.84, 1.58), P < 0.001), pregnancy rate in young men (RR, 12.60; 95% CI (2.43, 65.35); P < 0.01), live birth rate (RR, 1.90; 95% CI (1.04, 3.46); P < 0.05), and other fertility-related indicators. (3) Three to four times/week (SMD = 0.51, 95% CI (0.12, 0.90), P < 0.05), 30-60 min per intervention (SMD=0.34, 95%(0.14, 0.54), P < 0.001), and duration of 2-8 weeks (SMD = 0.70, 95% CI (0.14, 1.26), P < 0.05), moderate-intensity (SMD = 0.36, 95% CI (0.06, 0.67), P < 0.05) exercise was more effective as an intervention for semen concentration in young men. (4) Three to four times/week (SMD = 1.01, 95% CI (0.60, 1.42), P < 0.001), with a duration of 30-60 min per intervention (SMD = 0.76, 95% CI (0.19, 1.33), P < 0.05), and lasting 9-16 weeks (SMD = 0.66, 95% CI (0.16, 1.15), P < 0.01), moderate-intensity (SMD = 0.82, 95% CI (0.16, 1.48), P < 0.05) exercise was optimal for sperm motility intervention in young men.</p><p><strong>Conclusion: </strong>Moderate exercise can increase semen concentration, sperm motility, and testosterone levels in men, increasing pregnancy rates and the number of live births. The ideal exercise intervention program to improve men's reproductive health consists of moderate exercise for 3-4 sessions per week, lasting 30-60 min each, over a total of 2-8 weeks.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Physical Activity Intervention on Depression Symptoms in Children and Adolescents: A Meta-analysis of Randomized Controlled Trials.","authors":"Shaodi Ma, Haixia Liu, Peng Xie, Chenyu Sun, Muzi Meng, Yuemeng Jiang, Birong Wu, Juan Gao, Linya Feng, Weihang Xia, Guangbo Qu, Yehuan Sun","doi":"10.1007/s12529-025-10397-4","DOIUrl":"https://doi.org/10.1007/s12529-025-10397-4","url":null,"abstract":"<p><strong>Purpose: </strong>Depression is the second most prevalent mental disease among adolescents, yet only a small percentage seek or receive treatment for the disease. Physical activity (PA) interventions hold promise as an alternative or adjunct to clinical treatment for depression. However, previous studies have been inconsistent regarding the relationship between PA and depressive symptoms in children and adolescents. The purpose of this study was to assess the effect of PA intervention on depressive symptoms in children and adolescents through a meta-analysis.</p><p><strong>Methods: </strong>Literature from 10 electronic databases and 4 registries was systematically searched. Combined estimates (standardized mean difference, SMD) and 95% CIs were calculated using a random-effects model to assess the effect of PA on depressive symptoms in adolescents. Relevant subgroup analyses and sensitivity analyses were also performed.</p><p><strong>Results: </strong>Results showed that PA improved depressive symptoms in children and adolescents (SMD = -0.707, 95% CI: -0.901 to -0.514). Subgroup analyses showed that PA improved adolescent depressive symptoms in different regions, different types of PA, moderate- to vigorous-intensity PA, different single-session time PA, different frequency PA, and different duration PA.</p><p><strong>Conclusions: </strong>PA interventions could be used to reduce depressive symptoms in children and adolescents. A mixed program and vigorous-intensity PA intervention was the most effective in improving depressive symptoms in children and adolescents. The selection of a 4 to 8-week, no less than 4 times per week, single-session PA program of no more than 30 min may yield desirable results.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Parental Migration and Tobacco Use Among Adolescents in Western China: The Moderation Role of Tobacco Sales Near Schools and Mediation Role of Loneliness.","authors":"Yuhang Zhang, Shushu Wang, Zeying Qin, Chi Ruan, Yi Xiong, Qingyu Li, Jiayin Zheng, Siwen Huang, Jingtao Zhou, Yuxin Ma, Fuchang Ma, Sitong Luo","doi":"10.1007/s12529-025-10394-7","DOIUrl":"https://doi.org/10.1007/s12529-025-10394-7","url":null,"abstract":"<p><strong>Background: </strong>Tobacco use among adolescents remains an important public health issue. This study investigated the association between parental migration and adolescents' tobacco use among adolescents in western China, including its mediating and moderating mechanism.</p><p><strong>Method: </strong>This study was conducted in Qinghai Province, China, from April 1 to May 31, 2023. The participants were recruited via stratified random sampling. A total of 2811 adolescents were involved. Univariate logistic regressions were conducted to examine the associated factors of adolescents' tobacco use, including cigarette and electronic cigarette (e-cigarette) use. Pathway analysis was used to examine the moderation effect of tobacco sales exposure and mediation effect of loneliness in the relationship between parental migration and tobacco use.</p><p><strong>Results: </strong>The study found that the proportion of adolescents who had ever used cigarette and e-cigarette in the sample were 19.5% and 12.2%, respectively. Among adolescents who were exposed to tobacco sales, parental migration was directly associated with cigarette use (standardized b = 0.18, 95%CI 0.04, 0.32) and e-cigarette use (standardized b = 0.24, 95%CI 0.09, 0.38). Meanwhile, loneliness served as a mediator in the association between parental migration and both the use of cigarette (standardized b = 0.014, 95%CI 0.01, 0.02) and e-cigarette (standardized b = 0.02, 95%CI 0.01, 0.03) among adolescents who were not exposed to tobacco sales.</p><p><strong>Conclusion: </strong>The tobacco control strategies and surveillance should be strengthened in school neighborhood. Health education and interventions are warranted for adolescents, especially those with parental migration in underdeveloped areas in China.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concorde Syndrome in the Treatment of People with Cancer: Validation of a Measurement Instrument.","authors":"Ozgur Tanriverdi","doi":"10.1007/s12529-025-10392-9","DOIUrl":"https://doi.org/10.1007/s12529-025-10392-9","url":null,"abstract":"<p><strong>Background: </strong>Clinical decision-making in oncology is influenced not only by clinical guidelines but also by psychological, emotional, and social factors, especially in end-of-life care. One such influence is Concorde syndrome, known as the sunk cost fallacy, where past investments lead physicians to continue treatment even when it is no longer medically justified. Although discussed in behavioral science, this phenomenon has not been systematically measured in oncology practice. Therefore, this study aimed to develop and validate a psychometric instrument to assess the psychosocial factors contributing to potentially irrational continuation of treatment among medical oncologists managing patients with no remaining therapeutic options.</p><p><strong>Method: </strong>This cross-sectional psychometric study comprised both scale development and validation phases. Item generation was informed by literature review and expert consultation, followed by a two-round Delphi panel for content validation and pilot testing. The final 20-item CONCORD Scale underwent exploratory and confirmatory factor analyses, as well as assessments of internal consistency, test-retest reliability, and construct validity.</p><p><strong>Results: </strong>Exploratory factor analysis (EFA) was conducted with a sample of 116 medical oncologists, and confirmatory factor analysis with 337 participants in Turkey. EFA revealed a four-factor structure: (1) Emotionally Driven Decision-Making, (2) Impact of Prior Clinical Experience, (3) Professional Pressure and Anxiety, and (4) Patient-Centered Decision Conflict. These factors accounted for 74.2% of the total variance, with item loadings ranging from 0.594 to 0.754. Confirmatory factor analysis confirmed good model fit (CFI = 0.937, RMSEA = 0.052, GFI = 0.834). Cronbach's alpha coefficients ranged from 0.834 to 0.948 across subscales and reached 0.969 for the overall scale. Significant inter-subscale and total score correlations further supported structural validity.</p><p><strong>Conclusion: </strong>The CONCORD (Continuation Over Necessity: Cognitive and Overriding Reasons in Decision-making) Scale is the first validated instrument to quantify emotional, experiential, professional, and interpersonal factors that may lead oncologists to continue treatment beyond clinical necessity in end-of-life care. It offers a novel tool for both research and educational use in ethically sensitive clinical contexts.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Qualitative Exploration of Diagnostic Shifts and Medication Changes Among Young Adults with Mental Health Conditions.","authors":"Kathryn Sabella, Ian A Lane","doi":"10.1007/s12529-025-10390-x","DOIUrl":"https://doi.org/10.1007/s12529-025-10390-x","url":null,"abstract":"<p><strong>Background: </strong>Diagnostic shifts commonly occur in young adulthood and are often associated with medication changes. Such changes can have a profound influence on how an individual experiences and perceives mental health services. Prior research on how young adults experience and make meaning of diagnostic shifts and medication changes is limited. This exploratory study seeks to describe how young adults with serious mental health conditions (SMHC) in the United States experience diagnostic adjustments of their SMHC and associated medication changes.</p><p><strong>Method: </strong>Qualitative interviews were conducted among young adults (ages 25-30) with SMHCs in community-based settings in the Northeast region of the United States. Participatory research methods and qualitative descriptive analysis techniques were used to explore themes around SMHC diagnoses, symptoms, and treatment.</p><p><strong>Results: </strong>Most young adults identified as women, non-Hispanic, White, self-identified as having major depression or anxiety disorders, and had received multiple diagnoses from providers. Many young adults described being given alternate or \"corrected\" diagnoses to replace original diagnoses. Pharmacological treatment was common, and many reported periods of \"medication trial and error.\" Shifting diagnoses and changing medications were associated with confusion, ambivalence, and doubt. Medication changes were disruptive to young adults' ability to function in their daily lives.</p><p><strong>Conclusion: </strong>Diagnostic and medication changes can create \"secondary doubt and disruptions\" in the perceptions and lives of young adults. More research is needed to understand how secondary doubts and disruptions influence young adults' long-term mental health trajectories. Findings indicate the importance of clear communication and shared decision-making between provider and patient.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutri-Score and Nutrition Warning Labels Are Effective in Guiding Hypothetical Choice in Indonesia, Mexico, and Türkiye: Results from a Cross-Country Online Experiment.","authors":"Laura M König, Esra Akad, Gabriella Gunawan, Diana Victoria Rocha Gonzalez, Tim Dorlach","doi":"10.1007/s12529-025-10391-w","DOIUrl":"https://doi.org/10.1007/s12529-025-10391-w","url":null,"abstract":"<p><strong>Background: </strong>Front-of-Pack Nutrition Labeling (FOPNL) is a promising public health measure to promote healthier food choices in the population. The present study tested the impact of the Nutri-Score and warning labels on purchasing intentions and product perceptions in Indonesia and Türkiye, where no FOPNL system is currently in place, and Mexico, where warning labels are mandatory since October 2020.</p><p><strong>Method: </strong>Adult participants (N = 639; n_Indonesia = 212, n_Mexico = 203, n_Türkiye = 224) were randomly assigned to viewing eight product pairs (chips, instant noodles, meats, condiments, sweet spreads, cookies, yoghurt, fruit drinks) with either no label, a Nutri-Score, or warning labels, and indicated which product (or neither) they would rather buy, and which product was healthier, contained more calories, sugar, saturated fat, and sodium.</p><p><strong>Results: </strong>Nutri-Score influenced purchasing intentions for four categories; warning labels only for one. Overall, Nutri-Score was somewhat more effective in guiding consumers to identify healthier choices and products higher in nutrients that should be consumed in moderation compared to the warning labels, although effects varied substantially between product categories and nutrients.</p><p><strong>Conclusion: </strong>Both Nutri-Score and warning labels potentially promote healthier food choices, with Nutri-Score producing somewhat larger and more consistent effects. More research is needed on potential negative consequences of labels and the conditions under which they might appear to maximize public health benefit.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Migraine Meets People: A Qualitative Study on the Negative and Positive Influences of Episodic Migraine on Interpersonal Relationships.","authors":"Sheharyar Ahmad, Vincenzo Paolo Senese","doi":"10.1007/s12529-025-10389-4","DOIUrl":"10.1007/s12529-025-10389-4","url":null,"abstract":"<p><strong>Background: </strong>Episodic migraine carries a significant social burden beyond medical symptoms that disrupt interpersonal relationships with family, friends, and coworkers. This study aimed to explore its influence on interpersonal relationships from the perspective of patients.</p><p><strong>Method: </strong>A sample of N = 20 participants, including 10 males and 10 females, with an age range of 27 to 32 years, was engaged in semi-structured interviews. A reflexive thematic approach within a post-positivist framework was used to explore themes derived from qualitative data.</p><p><strong>Results: </strong>The analysis revealed a predominance of adverse impacts across the data, including work and productivity challenges (sub-themes: social and activity restrictions, impaired functioning at work, workplace stigma, and pressure) and interpersonal conflict and strain (sub-themes: reactions from friends and family, family life, and communication barriers). However, the results indicated positive impacts under the theme of growth (sub-themes: strengthened relationships and growth and adaptation). Network visualization was employed to represent these themes, with numeric codes (0 and 1) used to indicate the absence or presence of specific sub-themes in individual responses. The size of each node in the network was based on its dominance and significance in the analysis.</p><p><strong>Conclusion: </strong>This study highlighted that episodic migraine significantly disrupts interpersonal relationships. However, it can also strengthen interpersonal bonds and foster growth in some individuals. Future research should examine how interpersonal relationships function both as a source of strain and a potential source of strength. Understanding the factors contributing to growth and adaptation may offer valuable insights for individualized migraine management strategies.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changing Dietary Patterns among Chinese Older Adults: A Rural-Urban Comparative Analysis (2008-2018).","authors":"Cai Xu, Yen-Han Lee, Shante Jeune, Mack Shelley","doi":"10.1007/s12529-025-10388-5","DOIUrl":"https://doi.org/10.1007/s12529-025-10388-5","url":null,"abstract":"<p><strong>Background: </strong>Since the 1990s, Chinese residents have experienced rapid dietary shifts, with potential disparities emerging between rural and urban populations. This study examined dietary patterns and changes across these areas, particularly among older adults.</p><p><strong>Methods: </strong>Data from four waves (2008-2018) of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) were used, covering 20,945 older adults aged 65 and above. Latent class analysis identified dietary patterns based on five core food items (fresh vegetable, fruit, meat, egg, dairy products). Multinomial logistic regression assessed correlates of class membership for rural and urban participants.</p><p><strong>Results: </strong>The study sample included 11,357 rural and 9,588 urban residents. Dietary trends showed greater fluctuations among urban residents than rural residents. Four distinct dietary classes were identified: vegetable-dominant (27.39% rural vs. 37.66% urban), low-frequency (63.42% rural vs. 24.10% urban), balanced (5.10% rural vs. 15.84% urban), and egg-dominant (4.09% rural vs. 22.39% urban). Among rural participants, the odds of following a balanced or egg-dominant diet were significantly higher compared to the low-frequency group (reference group; odds ratio [OR] > 1). Among urban participants, those with formal education, regular exercise, or better self-rated health were more likely to follow vegetable-dominant, balanced, or egg-dominant diets compared to the low-frequency group (OR > 1).</p><p><strong>Conclusions: </strong>Targeted interventions addressing dietary disparities and promoting balanced diets may reduce nutritional inequality and improve health outcomes, particularly for rural residents.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}