International Journal of Behavioral Medicine最新文献

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Brief Report: Determinants of Potential Sexual Activity Reduction in the Face of the Mpox Epidemic. 简要报告:面对麻风病疫情,减少潜在性活动的决定因素。
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-04-01 Epub Date: 2024-01-17 DOI: 10.1007/s12529-023-10252-4
Haoyi Wang, Kennedy J I d'Abreu de Paulo, Thomas Gültzow, Hanne M L Zimmermann, Kai J Jonas
{"title":"Brief Report: Determinants of Potential Sexual Activity Reduction in the Face of the Mpox Epidemic.","authors":"Haoyi Wang, Kennedy J I d'Abreu de Paulo, Thomas Gültzow, Hanne M L Zimmermann, Kai J Jonas","doi":"10.1007/s12529-023-10252-4","DOIUrl":"10.1007/s12529-023-10252-4","url":null,"abstract":"<p><strong>Background: </strong>The current mpox epidemic is most prevalent among men-who-have-sex-with-men (MSM). Vaccination programs are being rolled-out to curb the epidemic. Behavioural measures have been called for as well, for example, by the WHO and national public health authorities to reduce the number of sexual partners and sexual activity. We investigated intentions and determinants among Dutch MSM to follow such behavioural measures.</p><p><strong>Methods: </strong>Early in July 2022, in the context of a dynamic ongoing epidemic, 394 MSM answered an online questionnaire investigating concepts such as perceived mpox risk, vaccination and behavioural change intentions and collecting socio-demographic and sexual behaviour information.</p><p><strong>Results: </strong>The overall intentions to reduce number of partners and sexual activity were high, but only a minority had developed definite intentions. Determinant analysis revealed that dating/open relationship status was a positive predictor; vaccination intentions did not predict sexual behaviour change; those not on PrEP were more likely to change their sexual behaviour. Mpox infection concern was the main predictor for behaviour change intentions.</p><p><strong>Conclusions: </strong>Our results show that behavioural measures to avoid an mpox infection are present in majority of participants in our survey, but high intentions are held by a minority. Taking the historic complexity of behavioural change pleas among MSM into account sensitive, additional public health measures are necessary to reach and to inform MSM about potential benefits of sexual behaviour change.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"308-324"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486062","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}
引用次数: 0
Independent and Joint Associations of Physical Activity and Sleep on Mental Health Among a Global Sample of 200,743 Adults. 在全球 200,743 个成人样本中,体育锻炼和睡眠对心理健康的独立和联合关联。
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-04-01 Epub Date: 2024-03-26 DOI: 10.1007/s12529-024-10280-8
Denver M Y Brown, Itamar Lerner, John Cairney, Matthew Y Kwan
{"title":"Independent and Joint Associations of Physical Activity and Sleep on Mental Health Among a Global Sample of 200,743 Adults.","authors":"Denver M Y Brown, Itamar Lerner, John Cairney, Matthew Y Kwan","doi":"10.1007/s12529-024-10280-8","DOIUrl":"10.1007/s12529-024-10280-8","url":null,"abstract":"<p><strong>Background: </strong>Previous research has demonstrated that both sleep and physical activity (PA) are independently associated with various indicators of mental health among adults. However, their joint contribution to mental health has received limited attention. The present study used cross-sectional data from the Mental Health Million Project to examine the independent and joint effects of sleep and PA on mental health among a global sample of adults, and whether these effects differ among individuals receiving mental health treatment.</p><p><strong>Method: </strong>The sample included 200,743 participants (33.1% young adults, 45.6% middle-aged adults, 21.3% older adults; 57.6% females, 0.9% other) from 213 countries, territories, and archipelagos worldwide that completed a comprehensive 47-item assessment of mental health including both problems (i.e., ill-being) and assets (i.e., well-being): the Mental Health Quotient. Participants also reported their weekly frequency of PA and adequate sleep, and mental health treatment status. A series of generalized linear mixed models were computed.</p><p><strong>Results: </strong>Independent dose-response associations were observed, whereby greater amounts of PA and adequate sleep were each associated with better mental health. In addition, a synergistic interaction was observed in which the positive correlation of PA with mental health was strengthened with greater frequency of adequate sleep. These benefits were less pronounced among adults receiving mental health treatment.</p><p><strong>Conclusion: </strong>While findings suggest sleep can help to offset the negative influence of a physically inactive lifestyle (and vice versa), our results point to a \"more is better\" approach for both behaviors when it comes to promoting mental health.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"180-194"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295305","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}
引用次数: 0
Males Have Lower Anal Pap Smear Screening in a Miami Safety-Net HIV Clinic. 迈阿密一家安全网艾滋病诊所的男性肛门巴氏涂片检查率较低。
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-04-01 Epub Date: 2024-10-25 DOI: 10.1007/s12529-024-10325-y
Corinne B Ferrari, Emily J Ross, Maria Vermejo, Allan E Rodriguez, Amy Otto, Samantha E Dilworth, Isabella Rosa Cunha, Frank J Penedo, Michael H Antoni, Adam W Carrico
{"title":"Males Have Lower Anal Pap Smear Screening in a Miami Safety-Net HIV Clinic.","authors":"Corinne B Ferrari, Emily J Ross, Maria Vermejo, Allan E Rodriguez, Amy Otto, Samantha E Dilworth, Isabella Rosa Cunha, Frank J Penedo, Michael H Antoni, Adam W Carrico","doi":"10.1007/s12529-024-10325-y","DOIUrl":"10.1007/s12529-024-10325-y","url":null,"abstract":"<p><strong>Background: </strong>Although people with HIV have a markedly higher risk of anal squamous cell carcinoma (ASCC), there are few evaluations of anal Pap screening determinants within safety-net HIV clinics.</p><p><strong>Method: </strong>We conducted an evaluation of anal Pap screening correlates within a safety-net HIV clinic in Miami. Medical records were reviewed for 298 people ages 45 and older receiving HIV primary care. Demographic information and the prevalence of anal Pap screening over 1 year (i.e., 2018-2019) were extracted.</p><p><strong>Results: </strong>Between 2018 and 2019, approximately half (46%) of patients completed anal Pap screening although this varied by sex assigned at birth. More than three-fourths of females (77%) compared to one-fourth (23%) of males were screened between 2018 and 2019 (p < 0.0001).</p><p><strong>Conclusion: </strong>Findings underscore the need for multi-level intervention approaches to optimize anal Pap screening among males with HIV within the Miami-based safety-net clinic.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"288-292"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512848","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}
引用次数: 0
Can In-Task Affect During Interval and Continuous Exercise Predict 12-Month Physical Activity Behavior? Findings from a Randomized Trial. 任务中影响间歇和连续运动能预测12个月的体育活动行为吗?随机试验结果。
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-04-01 Epub Date: 2023-10-12 DOI: 10.1007/s12529-023-10224-8
Matthew J Stork, Alexandre Santos, Sean R Locke, Jonathan P Little, Mary E Jung
{"title":"Can In-Task Affect During Interval and Continuous Exercise Predict 12-Month Physical Activity Behavior? Findings from a Randomized Trial.","authors":"Matthew J Stork, Alexandre Santos, Sean R Locke, Jonathan P Little, Mary E Jung","doi":"10.1007/s12529-023-10224-8","DOIUrl":"10.1007/s12529-023-10224-8","url":null,"abstract":"<p><strong>Background: </strong>In-task affective responses to moderate-intensity continuous exercise training (MICT) have been shown to predict future physical activity behavior. However, limited research has investigated whether this affect-behavior relationship is similar for high-intensity interval training (HIIT) and whether it holds true over the longer term. This study aims to determine (1) if in-task affect during 2 weeks of supervised MICT and HIIT predicted changes to unsupervised moderate-to-vigorous physical activity (MVPA) behavior 12 months post-intervention and (2) if this predictive relationship was moderated by exercise type (MICT vs. HIIT).</p><p><strong>Method: </strong>Ninety-nine adults (69.7% female; 50.9 ± 9.4 years) who were low active and overweight were randomized to 2 weeks of exercise training of MICT (n = 52) or HIIT (n = 47), followed by 12 months of accelerometry-assessed free-living MVPA.</p><p><strong>Results: </strong>The pooled moderation model was not significant, F(3, 94) = 2.54, p = .07 (R<sup>2</sup> = 0.085), with a non-significant group by affect interaction (p = .06). The conditional effect for MICT was significant (B = 17.27, t = 2.17, p = .03), suggesting that 12-month change in MVPA increased by 17.27 min/week for every one-point increase in in-task affect. The conditional effect for HIIT was not significant (p = .85), suggesting that in-task affect was not predictive of 12-month change in MVPA.</p><p><strong>Conclusion: </strong>The current findings raise important questions about whether the affect-behavior relationship may vary depending on exercise type. For HIIT-based exercise in particular, additional psychological constructs beyond in-task affect should be considered when attempting to predict future physical activity behavior.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"157-167"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41220042","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}
引用次数: 0
Pain-Related Smoking Expectancies and Smoking Behavior Among U.S. Adult Cigarette Smokers with Chronic Pain. 美国慢性疼痛成年吸烟者的疼痛相关吸烟期望和吸烟行为。
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-04-01 Epub Date: 2023-11-07 DOI: 10.1007/s12529-023-10239-1
Romano Endrighi, Belinda Borrelli
{"title":"Pain-Related Smoking Expectancies and Smoking Behavior Among U.S. Adult Cigarette Smokers with Chronic Pain.","authors":"Romano Endrighi, Belinda Borrelli","doi":"10.1007/s12529-023-10239-1","DOIUrl":"10.1007/s12529-023-10239-1","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the factor structure of a measure of pain-smoking interrelations and expectancies (pain and smoking inventory (PSI)) and examined associations with risk factors for smoking maintenance among smokers with chronic pain (CP).</p><p><strong>Method: </strong>Participants (n = 504; M age = 46 ± 13 years; 58% female) completed an online survey about health-related factors and smoking characteristics. Data were analyzed using Horn's parallel analysis (PA) and multiple linear regression.</p><p><strong>Results: </strong>PA indicated that a single-dimension structure was the best fit for the PSI. Our regression model accounted for 34% of the variance in PSI score. The PSI was associated with younger age, higher education, poorer physical functioning, greater pain severity and pain intensity, higher psychological distress, greater nicotine dependence, lower self-efficacy and greater perceived difficulty quitting, and lifetime use of behavioral treatment for quitting smoking.</p><p><strong>Conclusion: </strong>This research is the first step in identifying potential targets for smoking cessation approaches tailored to smokers with CP.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":"238-247"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488890","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}
引用次数: 0
The Role of Social Support and Depressive Symptoms in Mediating the Association Between Hearing Loss and Self-neglect Among Older Adults in China. 社会支持和抑郁症状在中国老年人听力损失与自我忽视之间的中介作用
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-03-05 DOI: 10.1007/s12529-025-10361-2
Teng-Fei Li, Guo-Qing Jiang, Ye-Ke He, Jian-Wei Li, Yu-Ting Liang, Qi-Rong Qin, Yuan-Yuan Zhao, Fen Huang, Ye-Huan Sun, Jie Li
{"title":"The Role of Social Support and Depressive Symptoms in Mediating the Association Between Hearing Loss and Self-neglect Among Older Adults in China.","authors":"Teng-Fei Li, Guo-Qing Jiang, Ye-Ke He, Jian-Wei Li, Yu-Ting Liang, Qi-Rong Qin, Yuan-Yuan Zhao, Fen Huang, Ye-Huan Sun, Jie Li","doi":"10.1007/s12529-025-10361-2","DOIUrl":"https://doi.org/10.1007/s12529-025-10361-2","url":null,"abstract":"<p><strong>Background: </strong>Hearing loss is highly prevalent among the older population, and elder self-neglect will become a prominent issue worldwide as the population ages. The purpose of this study was to examine if hearing loss is associated with self-neglect in old adults.</p><p><strong>Method: </strong>Data are from the wave 3 (2494 participants) of the Ma'anshan Healthy Aging Cohort (MHAC) in China. Multiple linear regression models and structural equation models were adopted to examine the relationship between hearing loss, social support, depressive symptoms, and the self-neglect.</p><p><strong>Results: </strong>The results showed that hearing loss, social support, depression, and self-neglect were significantly correlated (P < 0.001). Hearing loss could not only have a direct positive impact on self-neglect older adults (β = 0.046; 95% CI, 0.036, 0.056), but also indirectly affect self-neglect through three pathways: an independent mediating effect of social support (β =  - 0.014; 95% CI, 009, 0.019), an independent mediating effect of depression (β = 0.029; 95% CI, 0.022, 0.037), and a chain mediating effect of social support and depression (β = 0.003; 95% CI, 0.002, 0.004).</p><p><strong>Conclusion: </strong>Hearing loss is associated with self-neglect, in which social support and depressive symptoms partly mediate the association. The findings suggest that the measures such as preventing and controlling hearing loss are crucial for reducing the severity of self-neglect in older adults.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558777","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}
引用次数: 0
Mediating Role of Delay Discounting in the Link Between Depressive Symptoms and Diabetes Onset: Findings from a Prospective Survey of a Community Sample. 延迟折扣在抑郁症状与糖尿病发病之间的中介作用:来自社区样本的前瞻性调查结果
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-02-26 DOI: 10.1007/s12529-025-10354-1
Ken Kurisu, Briana N DeAngelis, Kazuhiro Yoshiuchi, Mustafa al'Absi
{"title":"Mediating Role of Delay Discounting in the Link Between Depressive Symptoms and Diabetes Onset: Findings from a Prospective Survey of a Community Sample.","authors":"Ken Kurisu, Briana N DeAngelis, Kazuhiro Yoshiuchi, Mustafa al'Absi","doi":"10.1007/s12529-025-10354-1","DOIUrl":"https://doi.org/10.1007/s12529-025-10354-1","url":null,"abstract":"<p><strong>Background: </strong>The positive relationship between higher delay discounting, an indicator of increased impulsivity, and reduced engagement in diabetes care has been investigated. However, the association between delay discounting and diabetes onset, likely linked through unhealthy behaviors, has not been well investigated. Additionally, although depression has been linked to an increased risk of diabetes and greater delay discounting, studies examining associations among all three factors are scarce. The present study aimed to determine the association between depressive symptoms and the onset of diabetes, with delay discounting as a mediator of this relationship.</p><p><strong>Methods: </strong>Using data from a three-phase online prospective survey of a community sample, cross-sectional and longitudinal mediation analyses were conducted to examine diabetes prevalence from Phase 1 and incidence from Phases 2 and 3 as the outcomes, with depressive symptoms at Phase 1 as the independent variable and delay discounting at Phase 1 as the mediator.</p><p><strong>Results: </strong>Delay discounting was positively associated both with diabetes prevalence (coefficient = 0.170; 95% confidence interval [CI] = 0.066 to 0.278; P = 0.002) and incidence (coefficient = 0.306; 95% CI = 0.098 to 0.540; P = 0.006). Furthermore, through delay discounting, depressive symptoms were indirectly associated with diabetes prevalence (indirect coefficient = 0.091; 95% bootstrap CI = 0.034 to 0.149) and incidence (indirect coefficient = 0.138; 95% bootstrap CI = 0.037 to 0.256), respectively.</p><p><strong>Conclusions: </strong>Delay discounting may increase the risk of diabetes onset by mediating the positive association between depressive symptoms and diabetes onset.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517309","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}
引用次数: 0
24-Hour Movement Behavior and Health-Related Physical Fitness in College Students: A Compositional Data Analysis. 大学生24小时运动行为与健康体质的成分数据分析
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-02-26 DOI: 10.1007/s12529-025-10360-3
Qiushi Yang, Junli Wang, Jianfei Bai
{"title":"24-Hour Movement Behavior and Health-Related Physical Fitness in College Students: A Compositional Data Analysis.","authors":"Qiushi Yang, Junli Wang, Jianfei Bai","doi":"10.1007/s12529-025-10360-3","DOIUrl":"https://doi.org/10.1007/s12529-025-10360-3","url":null,"abstract":"<p><strong>Background: </strong>Sedentary behavior and physical inactivity are primary factors contributing to college students' continued decline in health-related physical fitness (HRPF). This study aims to examine the associations between 24-h movement behavior and HRPF, and explore the dose-response relationship between the reallocation of movement behavior time and HRPF.</p><p><strong>Method: </strong>In total, 1032 college students (649 males and 383 females) aged 19.5 years from China University of Mining and Technology were recruited to participate in the study in October 2023. The 24-h movement behavior was measured using reliable items from the 24-h Movement Behavior Questionnaire (reliability coefficients 0.68 to 0.97). HRPF was assessed using the Fitness Test Battery, which measures BMI, vital capacity, sit-and-reach, stand-long-jump, pull-up/crunches, 50-m sprint, and the 800/1000-m run. The isotemporal substitution model was applied to evaluate the health effects of different movement components.</p><p><strong>Results: </strong>The 24-h movement behavior significantly influenced HRPF (p < 0.01, R<sup>2</sup> = 0.16). A positive correlation was found between HRPF and the proportion of moderate-to-vigorous physical activity (MVPA) (β<sub>MVPA</sub> = 1.03, p < 0.01) and learning sedentary (LSED) (β<sub>LSED</sub> = 2.41, p < 0.05), while a negative correlation existed with sleep (β<sub>SLP</sub> =  - 3.52, p < 0.01). Significant reallocations of 30 min from sleep to MVPA (+ 0.57, p < 0.05) and from screening sedentary (SSED) to MVPA (+ 0.39, p < 0.05) were observed. No significant associations were found between HRPF and reallocating from light-intensity physical activity to MVPA.</p><p><strong>Conclusion: </strong>In addition to MVPA, it is important to consider the health risks associated with SSED and excessive sleep and to maintain a balanced time structure of 24-h movement behavior to promote health.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517304","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}
引用次数: 0
Type of Social Support for Smoking Cessation Among Low-Income Postpartum Women. 低收入产后妇女戒烟的社会支持类型。
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-02-24 DOI: 10.1007/s12529-025-10359-w
Erin K Tagai, Megan Bradley, Kuang-Yi Wen, Enrique Hernandez, Suzanne M Miller
{"title":"Type of Social Support for Smoking Cessation Among Low-Income Postpartum Women.","authors":"Erin K Tagai, Megan Bradley, Kuang-Yi Wen, Enrique Hernandez, Suzanne M Miller","doi":"10.1007/s12529-025-10359-w","DOIUrl":"https://doi.org/10.1007/s12529-025-10359-w","url":null,"abstract":"<p><strong>Background: </strong>Efficacious programs to sustain smoking cessation are limited for postpartum women, particularly for those who are low-income. Social support may help enhance cessation efforts. However, the specific types of support potentially associated with cessation success are not well evaluated. The purpose of this study was to assess the relationship between different types of social support and smoking relapse among low-income women in the postpartum phase.</p><p><strong>Method: </strong>A secondary data analysis was completed using data from a single-arm pilot study assessing a smoking cessation intervention for low-income postpartum women. Women were recruited from Philadelphia Women, Infants, and Children clinics (N = 106) and completed a baseline and 1-month follow-up survey. Multivariable logistic regression analyses assessed the relationship between types of social support and smoking relapse, specifically cessation-specific support (Ways of Quitting social support subscale) as well as general (non-smoking focused) social support and its subdomains (i.e., emotional/informational, tangible, affectionate, social positive support (Medical Outcomes Study Social Support Survey)).</p><p><strong>Results: </strong>Participants were predominantly non-Hispanic Black (64%), 33% lived with their significant other, and 71% had a household income below $15,000. Most participants had relapsed by the 1-month postpartum assessment (77%). In the final regression models, cessation-specific support was significantly associated with staying smoke free at 1 month postpartum. However, neither general social support nor its subdomains were associated with staying smoke free.</p><p><strong>Conclusion: </strong>Cessation-specific support may bolster women's cessation attempts during the stressful postpartum period. Smoking cessation interventions should consider integrating cessation-specific support to decrease relapse rates among low-income postpartum women.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494832","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}
引用次数: 0
Antiretroviral Therapy Adherence and Clinic Attendance Over Time Among People in Argentina Living with HIV and Lost to Care. 阿根廷艾滋病毒感染者和失去护理者抗逆转录病毒治疗依从性和门诊就诊情况。
IF 2 3区 心理学
International Journal of Behavioral Medicine Pub Date : 2025-02-24 DOI: 10.1007/s12529-025-10356-z
Omar Sued, Violeta J Rodriguez, Stephen M Weiss, Maria Luisa Alcaide, Diego Cecchini, Pedro Cahn, Isabel Cassetti, Chloe J Kaminsky, Deborah L Jones
{"title":"Antiretroviral Therapy Adherence and Clinic Attendance Over Time Among People in Argentina Living with HIV and Lost to Care.","authors":"Omar Sued, Violeta J Rodriguez, Stephen M Weiss, Maria Luisa Alcaide, Diego Cecchini, Pedro Cahn, Isabel Cassetti, Chloe J Kaminsky, Deborah L Jones","doi":"10.1007/s12529-025-10356-z","DOIUrl":"https://doi.org/10.1007/s12529-025-10356-z","url":null,"abstract":"<p><strong>Background: </strong>Although Argentina provides access to no cost HIV care, treatment adherence and retention in care remain suboptimal. This study aimed to explore factors associated with self-reported adherence and appointment attendance over time.</p><p><strong>Method: </strong>Participants (N = 360) were people living with HIV (PLWH) that were lost to care (i.e., three missed pharmacy pickups in the last 6 months, or had not attended a physician visit in the last 12 months). Participants were recruited from seven HIV clinics in four urban centers in Argentina and re-engaged in care. Demographic variables, predictors, i.e., alcohol use, self-efficacy, motivation, patient-provider communication, insurance type (private/public), and outcomes, i.e., missed infectious disease (ID) specialist appointments, other missed clinic and lab appointments, and self-reported adherence were assessed over 2 years. A logistic regression and Poisson regression model within a generalized linear mixed model framework was used to analyze the association between predictors, treatment adherence outcomes, and interactions with time.</p><p><strong>Results: </strong>Following re-engagement in care, increased alcohol use was associated with lower odds of antiretroviral therapy adherence over time, increased odds of missing ID specialist appointments, and missed clinic/lab appointments. Self-efficacy was associated with better medication adherence and fewer missed ID specialist appointments over time. Similarly, both motivation and patient/provider communication were associated with fewer missed ID specialist and clinic/lab appointments over time. Having private health insurance was also associated with less missed clinic/lab appointments.</p><p><strong>Conclusion: </strong>Findings suggest alcohol use reduction interventions could improve treatment outcomes in this population. Additionally, interventions targeting patient-provider communication and patient self-efficacy and motivation may enhance retention following re-engagement in care.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494782","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}
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