Health Psychology最新文献

{"title":"Effectiveness of spiritual and religious interventions in patients with cardiovascular diseases: A systematic review and meta-analysis of randomized controlled trials.","authors":"Havva Sert, Merve Gulbahar Eren, Aylin Meşe Tunç, Kübra Üçgül, Ayşe Çevirme","doi":"10.1037/hea0001415","DOIUrl":"https://doi.org/10.1037/hea0001415","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review and meta-analysis aimed to combine the physiological, psychological, and spiritual health effects of spiritual and religious interventions on cardiovascular disease patients.</p><p><strong>Method: </strong>Studies from January 1999 to December 2022 were sourced from ScienceDirect, PubMed, Web of Science, Scopus, Cochrane CENTRAL, and cumulative index to nursing and allied health literature databases. This meta-analysis adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Data were analyzed using Comprehensive Meta-Analysis Version 4. Heterogeneity was assessed using 95% confidence intervals (CIs), <i>p</i> values, and fixed or random-effects models.</p><p><strong>Results: </strong>This systematic review included 15 studies with 2,047 participants, while the meta-analysis focused on 12 studies. Spiritual and religion-based interventions notably reduced participants' heart rate (<i>g</i> = -0.287, 95% CI = [-0.552, -0.021]), anxiety (<i>g</i> = -1.081, 95% CI [-1.364, -0.831]), and depression (<i>g</i> = -1.346, 95% CI [-1.965, -0.726]). Moreover, these interventions significantly enhanced spiritual well-being (<i>g</i> = 0.692, 95% CI [0.459, 0.926]) and hope levels (<i>g</i> = 1.152, 95% CI [0.347, 1.956]) compared to control groups.</p><p><strong>Conclusion: </strong>This meta-analysis flashes on utilizing spiritual and religion-based interventions for nurses, chaplains, psychologists, social workers, and other professionals who might lead patient care to enhance health outcomes for cardiac patients. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multilevel facilitators of pediatric asthma outcomes: The role of caregiver self-efficacy.","authors":"David A Fedele, Gregory D Webster, Gabrielle Pogge, Jean Hunleth, Sienna Ruiz, James A Shepperd, Erika A Waters","doi":"10.1037/hea0001406","DOIUrl":"https://doi.org/10.1037/hea0001406","url":null,"abstract":"<p><strong>Objective: </strong>Caregivers' self-efficacy for managing their child's asthma appears to influence their success with managing their child's disease. We examined how caregiver self-efficacy operates in the context of multilevel social-environmental support factors to shape asthma outcomes.</p><p><strong>Method: </strong>Caregivers of children (< 18 years old) with asthma completed surveys at baseline (T1) and 3 months later (T2). At T1, caregivers (<i>n</i> = 814) rated health care provider communication, family collaboration, community resources, socioeconomic status (SES), objective numeracy, caregiver global health, and caregiver self-efficacy for managing their child's asthma. At T1 and T2 (<i>n</i> = 401), caregivers rated their asthma management behaviors and their child's asthma-related morbidity and quality of life. We used structural equation models to test whether caregiver self-efficacy mediated the associations between support factors and outcomes.</p><p><strong>Results: </strong>For T1 caregiver asthma management behavior, we observed positive indirect effects through self-efficacy for community resources and caregiver global health, and an unexpected negative indirect effect for SES. For T2 caregiver asthma management behavior, we observed no indirect effects. For T1 child asthma-related morbidity, we found positive indirect effects through self-efficacy for community resources and caregiver global health, and a negative indirect effect for SES. For child asthma-related morbidity at T2, the indirect effects found at T1 remained significant.</p><p><strong>Conclusions: </strong>Social-environmental factors may be an underrecognized driver of caregiver self-efficacy and its consequent child asthma outcomes. Interventions focused on building resources at the community level and strategies that promote caregiver health could empower caregivers with greater self-efficacy and improve asthma outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lung cancer patients' illness perceptions: Prognostic for psychological and physical health trajectories.","authors":"Thomas R Valentine, Kylie R Park, Carolyn J Presley, Peter G Shields, Barbara L Andersen","doi":"10.1037/hea0001416","DOIUrl":"10.1037/hea0001416","url":null,"abstract":"<p><strong>Objective: </strong>Advanced nonsmall cell lung cancer (NSCLC) is associated with the highest burden of mental and physical symptoms. Across illnesses, patients' subjective illness beliefs (i.e., illness perceptions [IPs]) correlate with psychological and physical health status. Despite this, IPs in NSCLC patients are understudied. To address this gap, previous research identified three profiles characterizing IPs of newly diagnosed NSCLC patients: \"coping\" (those more positive perceptions of NSCLC); \"coping but concerned\" (similar positive perceptions but high concern); and \"struggling\" (uniformly negative perceptions; Valentine et al., 2022). This extension seeks to determine if IPs are predictive. Would patients' psychological and physical health trajectories differ by IP profile?</p><p><strong>Method: </strong>Patients with Stage IV NSCLC (<i>N</i> = 186) from a prospective cohort (2017-2019; NCT03199651) enrolled at diagnosis participated and completed an IP measure and anxiety, depression, physical symptom, and health status outcome measures monthly for 8 months. Linear mixed models tested profile membership (see above) as predictive of outcome trajectories, with those \"struggling\" having the poorest outcomes.</p><p><strong>Results: </strong>Eight-month trajectories for anxiety and some physical symptoms showed significant improvement, whereas depression, dyspnea, pain, and self-rated health did not. As anticipated, profile membership was predictive: \"struggling\" profile patients reported significantly worse anxiety and depression symptoms, physical symptoms, and health compared to \"coping\" patients. There were no interactions between profile and time. Generalization to samples from U.S. states with greater racial/ethnic diversity is unknown.</p><p><strong>Conclusion: </strong>Novel data show \"struggling\" profile patients to have uniformly negative outcomes and specify IP content relevant for inclusion in cognitive behavioral therapies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Discrimination, religious affiliation, and arterial stiffness in African American women and men.","authors":"Jason J Ashe, Peter H MacIver, Shuyan Sun, Antione D Taylor, Michele K Evans, Alan B Zonderman, Shari R Waldstein","doi":"10.1037/hea0001424","DOIUrl":"https://doi.org/10.1037/hea0001424","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the interactive relations of experienced interpersonal discrimination, sex, and religious affiliation with pulse wave velocity (PWV), a noninvasive measure of arterial stiffness and indicator of subclinical cardiovascular disease (CVD) prognostic for clinical CVD.</p><p><strong>Method: </strong>We used multivariable linear regression analyses with cross-sectional data from 797 African American midlife adults in the Healthy Aging in Neighborhoods of Diversity Across the Life Span study in Baltimore, Maryland, to examine the interactive relations of both linear and quadratic discrimination, religious affiliation status, and sex with PWV in models adjusted for age and poverty status.</p><p><strong>Results: </strong>Findings revealed a significant three-way interaction of Discrimination² × Religious Affiliation Status × Sex with PWV (<i>B</i> = 0.004, <i>SE</i> = 0.001, <i>p</i> = .004). Simple effect analyses showed a <i>U</i>-shape relation for only religiously affiliated men (<i>B</i> = 0.001, <i>SE</i> = 0.001, <i>p</i> = .008). Both lower and higher levels of discrimination were related to higher PWV. No such relations emerged among unaffiliated men or women. Findings remained robust after sensitivity analyses adjusted for depressive symptoms, cigarette use, obesity, marital status, hypertension, Type 2 diabetes, CVD medical history, cholesterol, lipid-lowering medication use, systolic blood pressure, and heart rate.</p><p><strong>Conclusion: </strong>Religiously affiliated African American men who reported the lowest and highest experienced discrimination showed a heightened risk for subclinical CVD. Having a religious identity might either play a role in suppressing men's unwanted memories of discrimination or increase men's susceptibility to and salience of mistreatment, which might manifest in adverse cardiovascular health outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Better sleep, lower blood pressure, and less stress following sex: Findings from a large-scale ecological momentary assessment study.","authors":"Yoobin Park, Amie M Gordon, Aric A Prather, Wendy Berry Mendes","doi":"10.1037/hea0001423","DOIUrl":"10.1037/hea0001423","url":null,"abstract":"<p><strong>Objective: </strong>Previous cross-sectional studies have shown that more (vs. less) sexually active individuals tend to be mentally and physically healthier, but little is known about the proximal mechanisms underlying such associations.</p><p><strong>Method: </strong>We analyzed two experience sampling data sets (<i>N</i> = 8,452, 66,181 observations; 72% male, age <i>M</i> = 46.42, 76% White) to examine changes in sleep, cardiovascular responses, and affect in the morning following sex, putative processes implicated in long-term mental and physical health benefits of sex.</p><p><strong>Results: </strong>Consistent with previous findings, our results showed significant between-person associations, suggesting more positive daily health outcomes for more sexually active individuals. Further, we found significant within-person associations suggesting that when people reported having (vs. not having) sex the previous night, they experienced better sleep quality, fewer sleep disturbances and shorter wake after sleep onset, lower blood pressure, less stress, more positive affect, and better coping in the morning. None of these associations were moderated by gender or relationship status.</p><p><strong>Conclusions: </strong>Our findings provide novel evidence suggesting short-term psychological and physiological benefits of sex, which may accrue to create better health over time. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distress tolerance and perceived cancer-related cognitive impairment in nonmetastatic breast cancer.","authors":"Estefany Saez-Clarke, Emily A Walsh, Padideh Lovan, Rachel Plotke, Molly Ream, Paula Popok, Dolores Perdomo, Bonnie Blomberg, Michael H Antoni","doi":"10.1037/hea0001417","DOIUrl":"https://doi.org/10.1037/hea0001417","url":null,"abstract":"<p><strong>Objective: </strong>Cancer- and cancer treatment-related cognitive impairment (CRCI) is reported by many women with breast cancer (BC). Distress tolerance (DT) refers to both the perceived capacity and behavioral act of withstanding uncomfortable/aversive/negative emotional and/or physical experiences. Poor DT has been associated with worse cognitive performance, including executive dysfunction. Importantly, DT can be improved through psychological interventions. However, DT research in cancer has been limited. This study aimed to examine the relationship between DT and CRCI in women with BC.</p><p><strong>Method: </strong>Women with nonmetastatic BC (<i>n</i> = 107, age ≥ 50 years) were recruited between 2016 and 2023, post BC surgery (54.2% lumpectomy and 38.3% mastectomy) but prior to adjuvant therapy, completed the Distress Tolerance Scale and the Functional Assessment of Cancer Therapy-Cognitive Scale, self-report measures of DT and CRCI, respectively. Hierarchical linear regression was used to test the associations between the DTS-Total Score (DTS-T) and CRCI on the Functional Assessment of Cancer Therapy-Cognitive subscales.</p><p><strong>Results: </strong>DTS-T was significantly associated with perceived cognitive impairment (CogPCI, <i>p</i> = .015), perceived cognitive abilities (CogPCA, <i>p</i> < .001), and quality of life impact (CogQOL, <i>p</i> = .010), after controlling for age and days since surgery. DTS-T explained 12%, 27%, and 12% of the variance in CogPCI, CogPCA, and CogQOL, respectively.</p><p><strong>Conclusion: </strong>Women with BC with greater ability to tolerate distress reported less CRCI, including less CogPCI, less CogQOL, and better CogPCA. Future directions should involve the use of objective measures of CRCI and longitudinal testing of its association with DT. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Online and offline gendered racial microaggressions and sleep quality for Black women.","authors":"Vanessa V Volpe, Abbey Collins, Eric S Zhou, Donte L Bernard, Naila A Smith","doi":"10.1037/hea0001408","DOIUrl":"10.1037/hea0001408","url":null,"abstract":"<p><strong>Objective: </strong>Poor sleep quality affects Black women in the United States. Black young adult women experience stress from gendered racial microaggressions (i.e., subtle unfair treatment from being a Black woman). Studies of exposure to this stressor have focused on in-person contexts (i.e., offline). Yet Black young adults are nearly constantly online. The current study examines the associations between online and offline gendered racial microaggressions and sleep quality.</p><p><strong>Method: </strong>Data came from a convenience sample of Black young adult women (<i>N</i> = 478; ages 18-35) and were collected online in the fall of 2021. Participants completed an online survey in which they self-reported demographics and COVID-19 stress covariates, online and offline exposure to gendered racial microaggressions, and sleep quality. Utilizing linear (outcome: continuous sleep quality score) and logistic (outcome: dichotomized clinically significant poor sleep quality) regression models, we examined direct and vicarious online gendered racial microaggressions.</p><p><strong>Results: </strong>Most participants (67.2%) reported poor sleep quality. More offline gendered racism (β = .14) and vicarious online gendered racism (β = .14) were each uniquely associated with poorer sleep quality. However, only exposure to vicarious online gendered racism was uniquely associated with a 33% increased odds of clinically relevant poor sleep quality (95% confidence interval [1.09, 1.63]).</p><p><strong>Conclusions: </strong>Offline and online gendered racial microaggressions are stressors with sleep quality implications. Vicarious online gendered racial microaggressions are uniquely associated with lower sleep quality and therefore may be a new avenue for future research and intervention. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The more the merrier? Two online experiments on how decoys can increase vaccine uptake.","authors":"Lars Korn, Robert Böhm, Ana Paula Santana, Cornelia Betsch","doi":"10.1037/hea0001378","DOIUrl":"https://doi.org/10.1037/hea0001378","url":null,"abstract":"<p><strong>Objective: </strong>During the COVID-19 pandemic, individuals in some countries had the option to choose from different vaccines, some of which were perceived as less favorable than others. Research on the decoy effect suggests that the preference for an option (target) increases when an inferior option (decoy) is added to the choice set. However, it is unknown whether the decoy effect occurs in vaccination decision making.</p><p><strong>Method: </strong>Two preregistered online experiments were conducted-a vignette experiment assessing hypothetical vaccination intentions (<i>N</i> = 1,268) and a behavioral experiment using an incentivized interactive vaccination game (<i>N</i> = 1,216)-and manipulated whether people were offered one vaccine (target) or two vaccines (target + decoy). Experiment 2 further tested four different types of decoys: the decoy was (a) a clone of the target or was inferior to the target in terms of (b) the probability of vaccine adverse events, (c) the severity of vaccine adverse events, or (d) vaccine effectiveness. The preference for the target vaccine (vs. nonvaccination) and the overall vaccine uptake were the main outcome variables.</p><p><strong>Results: </strong>Both experiments showed substantial decoy effects. In Experiment 2, decoys with more severe vaccine adverse events or reduced effectiveness increased the preference for the target vaccine and the overall vaccine uptake.</p><p><strong>Conclusion: </strong>Taken together, the results suggest that health communication programs must be designed carefully, as multiple options serve as evaluative anchors and might induce preference shifts. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of disordered eating and unhealthy weight control behaviors with cardiovascular health: The coronary artery risk development in young adults study.","authors":"Brittanny M Polanka, Cynthia Yoon, David R Jacobs, Pamela J Schreiner, Nancy E Sherwood","doi":"10.1037/hea0001413","DOIUrl":"10.1037/hea0001413","url":null,"abstract":"<p><strong>Objective: </strong>Few studies have investigated disordered eating and unhealthy weight control behaviors and cardiovascular health (CVH) outside of adolescence and early adulthood. We examined the cross-sectional and prospective associations of these behaviors and CVH in middle adulthood.</p><p><strong>Method: </strong>A total of 2,095 Coronary Artery Risk Development in Young Adults participants were assessed at Year 10 (Y10, 1995-1996) and Year 30 (Y30, 2015-2016). The Y10-administered Questionnaire on Eating and Weight Patterns-Revised was used to create the problematic relationship to eating and food (PREF) score (range 0-8). Higher scores indicated greater disordered eating and/or unhealthy weight control behaviors across eight components. PREF was modeled categorically: 0-1 (reference), 2-3, and 4-8. Diet, physical activity, smoking, blood pressure, cholesterol, glucose, and body mass index (BMI) were measured at Y10 and Y30 (diet at Y7 and Y20) and used to define CVH. CVH was modeled categorically: poor-to-intermediate (0-9) and ideal (10-14; reference). Logistic regression was used to evaluate associations between PREF and CVH categories and components.</p><p><strong>Results: </strong>PREF 4-8 was associated with Y10 poor-to-intermediate CVH (<i>OR</i> = 2.35, 95% confidence interval (CI) [1.78, 3.10]) but not Y30 (<i>OR</i> = 1.34, 95% CI [0.96, 1.87]) compared to PREF 0-1. PREF 2-3 was not associated with Y10 or Y30 CVH. Individual PREF components were not uniformly associated with individual CVH components, although all PREF components were associated with Y10 poor-to-intermediate BMI.</p><p><strong>Conclusions: </strong>Disordered eating and unhealthy weight control behaviors are cross-sectionally but not prospectively associated with poorer CVH during middle age. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of acculturation in the accuracy of type 2 diabetes risk perception: National Health and Nutrition Examination Survey 2011-2016.","authors":"Ashley M Splain, Tasneem Khambaty","doi":"10.1037/hea0001402","DOIUrl":"https://doi.org/10.1037/hea0001402","url":null,"abstract":"<p><strong>Objective: </strong>High rates of undiagnosed Type 2 diabetes mellitus (T2DM) necessitate additional efforts to increase risk awareness, particularly among marginalized and immigrant populations. We examined the association of acculturation with the likelihood of accurate perception of T2DM risk in a large nationally representative sample of adults at risk for T2DM.</p><p><strong>Method: </strong>Participants were 5,034 adults, <i>M</i> (<i>SD</i>) age: 53 (23) years, 48% female. Acculturation was operationalized as length of time in the United States, and whether participants predominantly spoke English or their native language at home. Adults were considered to have accurate risk perception if they (a) met American Diabetes Criteria for prediabetes, and (b) self-reported their risk.</p><p><strong>Results: </strong>Less than half of the sample (33%) accurately perceived their T2DM risk. Logistic regression models adjusting for age, race, sex, education, insurance status, smoking, alcohol use, waist circumference, and family history of T2DM revealed that adults living in the United States up to 15 years were 1.35-2.33 times (<i>p</i>s < .04) as likely to inaccurately perceive their risk for T2DM compared to adults living in the United States > 15 years and United States-born adults. Adults with lower versus higher English proficiency had a 41% (<i>p</i> = .03) increased likelihood of misperceiving their T2DM risk.</p><p><strong>Conclusions: </strong>Findings suggest that acculturation plays an important role in shaping T2DM risk perceptions among both nonimmigrant and immigrant populations. Increased cognizance of acculturation status (e.g., by healthcare providers) may be warranted to promote early T2DM risk detection and prevention at the population level. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}