Melissa Flores, Celina I Valencia, Suzanna M Martinez, Jeanne Tschann
{"title":"A longitudinal study of perceived stress, tangible social support, and gender on Mexican American parental feeding practices.","authors":"Melissa Flores, Celina I Valencia, Suzanna M Martinez, Jeanne Tschann","doi":"10.1037/hea0001407","DOIUrl":"https://doi.org/10.1037/hea0001407","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the association between perceived stress and perceived tangible social support on parental feeding practices in a sample of Mexican American parents of young children. Tangible social support was examined as a potential moderator of perceived stress on parental feeding. Results by parent gender were also examined.</p><p><strong>Method: </strong>A secondary analysis of data from a 2-year, longitudinal cohort study of parental feeding practices and child weight status was used. The sample consisted of (<i>N</i> = 495) Mexican American parents. Random effects models that accounted for the interdependence of couples were used to test hypotheses.</p><p><strong>Results: </strong>Perceived stress was negatively associated with positive involvement, <i>b</i> = -0.07, <i>SE</i> = 0.03, 95% confidence interval [-0.12, -0.02], in both parent genders. Parent gender moderated the association between tangible social support and pressure to eat, <i>F</i>(1, 886) = 3.94, <i>p</i> = .048, with fathers reporting less pressure to eat behavior than mothers at high levels of support. Parent gender moderated the interaction between tangible social support and perceived stress on pressure to eat, <i>F</i>(1, 851) = 8.02, <i>p</i> = .005, such that for low-stress mothers, going from low to high tangible social support was associated with an increase in pressure to eat behavior. Also, for fathers with low tangible social support at baseline, going from low to high stress was associated with a decrease in pressure to eat.</p><p><strong>Conclusions: </strong>Perceived stress among Mexican American parents serves as a barrier to healthful feeding practices. However, both cultural and structural forces may influence pressure to eat behavior in this population. Implications for childhood health are examined. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332739","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}
Vanessa V Volpe, Abbey Collins, Eric S Zhou, Donte L Bernard, Naila A Smith
{"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":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929616/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily Fritzson, Caroline Salafia, Keith M Bellizzi, Crystal L Park
{"title":"Cascading pathways from physical symptom burden to distress in adults with cancer.","authors":"Emily Fritzson, Caroline Salafia, Keith M Bellizzi, Crystal L Park","doi":"10.1037/hea0001420","DOIUrl":"10.1037/hea0001420","url":null,"abstract":"<p><strong>Objective: </strong>Psychological distress in cancer survivors may be partially attributable to fear of cancer recurrence (FCR). Simonelli et al. (2017) proposed a conceptual model of FCR, which suggests that cancer cues (e.g., physical symptoms) may prompt maladaptive emotional processing leading to heightened FCR, and thus increased psychological distress. This prospective study tested this model by examining the cascading pathways by which physical symptom burden, emotion dysregulation, and FCR were associated with posttraumatic stress symptoms (PTSS) and anxiety among recently diagnosed cancer survivors.</p><p><strong>Method: </strong>Psychosocial and well-being data from 486 breast (63.7%), prostate (25.7%), and colorectal (10.7%) cancer survivors (<i>M</i><sub>age</sub> = 58.7 years; 31% male) were collected over 12 months as they transitioned off primary treatment into early survivorship. A path analysis was performed to examine whether physical symptom burden led to more emotion dysregulation and elevated FCR and, in turn, more psychological distress (PTSS and anxiety).</p><p><strong>Results: </strong>Greater physical symptom burden at Time 1 was associated with more emotion dysregulation at Time 2, which was related to heightened FCR at Time 3 and, in turn, more psychological distress at Time 4. Additionally, the indirect effect of physical symptom burden on FCR through emotion dysregulation and the indirect effects of emotion dysregulation on PTSS and anxiety through FCR were also significant.</p><p><strong>Conclusions: </strong>The findings support Simonelli et al.'s (2017) conceptual model of FCR and distress and highlight the importance of assessing and addressing physical symptom burden and improving emotional processing abilities to help mitigate heightened psychological distress among cancer survivors. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11919795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tao Jiang, Phoebe H Lam, Elizabeth J Brody, Sarah O Germer, Lauren E Wang, Gregory E Miller, Edith Chen
{"title":"Chronic stress and adiposity in youth-parent dyads: An actor-partner interdependence analysis.","authors":"Tao Jiang, Phoebe H Lam, Elizabeth J Brody, Sarah O Germer, Lauren E Wang, Gregory E Miller, Edith Chen","doi":"10.1037/hea0001412","DOIUrl":"10.1037/hea0001412","url":null,"abstract":"<p><strong>Objective: </strong>Obesity is one of the most prominent health issues in modern society. Although previous research has identified chronic psychological stress as a risk factor for obesity, much of this research only examined how an individual's own stress affects their adiposity. The current study utilized an actor-partner interdependence model to examine the unique associations of youths' and parents' chronic stress with both their own and each other's adiposity.</p><p><strong>Method: </strong>Five hundred sixty-nine dyads of youths (48.7% females, 49.9% Whites, <i>M</i><sub>age</sub> = 13.70 years) and one of their parents (82.6% females, 58.2% Whites, <i>M</i><sub>age</sub> = 45.38 years) participated in a cross-sectional lab study, where both youths and parents completed interviews and anthropometric measurements. Trained interviewers conducted the UCLA Life Stress Interview to assess chronic psychological stress of youths and parents, respectively. Youth and parent adiposity was measured using three indicators, including body mass index, waist circumference, and body fat percentage.</p><p><strong>Results: </strong>The actor-partner interdependence model showed that when both youths' and parents' chronic stress were included simultaneously in the model, youths' chronic stress was uniquely associated with both their own and their parents' adiposity, and parents' chronic stress was also uniquely associated with youths' adiposity.</p><p><strong>Conclusion: </strong>Chronic psychological stress of youths and parents is uniquely associated with each other's adiposity, over and above their own stress. Thus, the psychosocial experiences of close others can be linked to both youth and adult obesity. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11919789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wiebke Bleidorn, Alexander G Stahlmann, Christopher J Hopwood
{"title":"Big Five personality traits and vaccination: A systematic review and meta-analysis.","authors":"Wiebke Bleidorn, Alexander G Stahlmann, Christopher J Hopwood","doi":"10.1037/hea0001398","DOIUrl":"https://doi.org/10.1037/hea0001398","url":null,"abstract":"<p><strong>Objective: </strong>Despite the proven benefits of vaccination, people differ in their willingness to get vaccinated. These differences are the result of multiple factors, including social, cultural, and psychological variables. This meta-analysis estimated the effects of people's Big Five personality traits on their vaccination attitudes, intentions, and behaviors and examined the role of theoretically and empirically derived moderator variables.</p><p><strong>Method: </strong>We meta-analyzed data from 28 studies that sampled over 48,000 individuals to estimate the effects of Big Five personality traits on vaccination attitudes, intentions, and behaviors. In addition, we tested the moderating effects of age, gender, sample region, sample type (representative vs. convenience), vaccination measure (attitude, intention, behavior, compound), vaccination type (COVID-19, Influenza, or other), and reliability of the Big Five measure on the links between personality traits and vaccination.</p><p><strong>Results: </strong>People with high levels in agreeableness and extraversion, and low levels in neuroticism reported more positive attitudes toward vaccination, whereas open people reported stronger intentions to get vaccinated. Open and agreeable people were also more positive about novel COVID-19 vaccines, whereas extraverted people were more positive about influenza vaccines. There were no effects for conscientiousness. Overall, effect sizes were small but generalized across age. Other moderator effects suggested a more nuanced picture across cultural regions, sample types, and gender.</p><p><strong>Conclusions: </strong>The findings provide a compelling picture of significant, albeit small, effects of personality traits on vaccination. Questions remain about the processes through which personality traits may affect vaccination attitudes, intentions, and potentially also behavior. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301393","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}
Health PsychologyPub Date : 2024-09-01Epub Date: 2024-05-30DOI: 10.1037/hea0001373
Claire E Smith, Christina X Mu, Angelina Venetto, Arooj Khan, Soomi Lee, Brent J Small
{"title":"Be present now, sleep well later: Mindfulness promotes sleep health via emotion regulation.","authors":"Claire E Smith, Christina X Mu, Angelina Venetto, Arooj Khan, Soomi Lee, Brent J Small","doi":"10.1037/hea0001373","DOIUrl":"10.1037/hea0001373","url":null,"abstract":"<p><strong>Objective: </strong>Despite the popularity of mindfulness in research and interventions, information is missing about how and why mindfulness may benefit employee sleep health. Drawing from emotion regulation theory, we evaluate affective rumination, negative affect, and positive affect as potential mechanisms. We also explore differential effects of trait and state attentional mindfulness on both subjective (e.g., quality and sufficiency) and actigraphy-measured aspects (e.g., duration and wake after sleep onset) of sleep health.</p><p><strong>Method: </strong>Ecological momentary assessment and sleep actigraphy data were collected across two independent samples of health care workers (N1 = 60, N2 = 84). Ecological momentary assessment was also used to collect daily information on state mindfulness, affect, and rumination.</p><p><strong>Results: </strong>Our results support rumination and, to a less consistent extent, negative affect as mediators of the association between mindfulness and sleep health but not positive affect. Trait and state mindfulness demonstrate comparable benefits for employee sleep health, but these benefits largely emerge for subjective sleep dimensions than actigraphy-measured.</p><p><strong>Conclusions: </strong>These findings support emotion regulation as a sound theoretical framework for sleep and mindfulness research and may support more informed workplace mindfulness interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"650-662"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181594","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}
Health PsychologyPub Date : 2024-09-01Epub Date: 2024-06-06DOI: 10.1037/hea0001369
Aliya Amirova, Ruth A Hackett
{"title":"Perceived discrimination and type 2 diabetes incidence: Findings from the Health and Retirement Study.","authors":"Aliya Amirova, Ruth A Hackett","doi":"10.1037/hea0001369","DOIUrl":"10.1037/hea0001369","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the prospective association between perceived everyday discrimination and Type 2 diabetes incidence in a large population-based sample.</p><p><strong>Method: </strong>Data were from the Health and Retirement Study of 14,900 individuals aged ≥ 50 years without a diabetes diagnosis. Participants self-reported experiences of everyday discrimination and diabetes status. Associations between baseline perceived everyday discrimination (one time point) and incident diabetes in the following 10 years were modeled using Cox regression, adjusting for potential confounders. Exploratory analyses assessed the association between repeated reports of perceived everyday discrimination (reports of everyday discrimination at more than one time point) and later diabetes onset.</p><p><strong>Results: </strong>A total of 917 (6.15%) of the 14,900 participants developed Type 2 diabetes over a maximum 10-year follow-up (<i>Mdn</i> = 6). Baseline perceived everyday discrimination was prospectively associated with an increased risk of diabetes (hazard ratio = 1.37, 95% confidence interval [1.15, 1.63], <i>p</i> < .001) independent of age, sex, wealth, race and ethnicity, and education. This association was robust to further adjustment for body mass index, hypertension, physical activity, smoking, alcohol consumption, and depression. In exploratory analyses, repeated reports of everyday discrimination were not significantly associated with incident diabetes.</p><p><strong>Conclusions: </strong>Individuals who perceive everyday discrimination are more likely to develop Type 2 diabetes than those who do not perceive everyday discrimination. Further research is needed to investigate the potential pathways linking discrimination and diabetes onset. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"694-704"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263381","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}
Health PsychologyPub Date : 2024-09-01Epub Date: 2024-03-21DOI: 10.1037/hea0001379
Olivia E Atherton
{"title":"Are there place-based disparities in mortality risk? Findings from two longitudinal studies.","authors":"Olivia E Atherton","doi":"10.1037/hea0001379","DOIUrl":"10.1037/hea0001379","url":null,"abstract":"<p><strong>Objective: </strong>Most work on place-based (e.g., rural-urban) health disparities has been conducted with population-level data, which is limited in its capacity for causal inferences about <i>individuals</i> and <i>lifespan health</i>. The present study leverages individual-level longitudinal data, spanning up to 29 years, to understand how rurality-urbanicity predicts risk for all-cause mortality; whether these associations hold above and beyond socioeconomic status (SES); and whether the association between rurality-urbanicity and mortality risk varies by sex, SES, race, ethnicity, and partner status.</p><p><strong>Method: </strong>The present preregistered study uses data from two large longitudinal studies of U.S. Americans (Health and Retirement Study and Midlife in the United States; total <i>N</i> = ∼55,000), who reported on their sociodemographic characteristics, had their addresses linked to geographical indicators (i.e., rural-urban continuum codes), and have data from the National Death Index regarding the vital status and survival time.</p><p><strong>Results: </strong>Using Cox proportional hazards regression models, findings showed that suburban and rural residents were at a 12% and 18% greater risk for earlier mortality compared to urban residents in Health and Retirement Study, but the associations between rurality-urbanicity and mortality risk were nonsignificant in Midlife in the United States. The longitudinal associations between rurality-urbanicity and mortality risk were largely independent of SES. Finally, there was only one statistically significant interaction effect, suggesting the strength and direction of the association between rurality-urbanicity and mortality risk was largely the same across sociodemographic subgroups.</p><p><strong>Conclusions: </strong>There is tentative evidence suggesting that rurality-urbanicity is an important social determinant of longevity, over and above other sociodemographic factors. Future studies should explore how to promote longer and healthier lives among rural residents. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"639-649"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177818","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}
Health PsychologyPub Date : 2024-09-01Epub Date: 2024-04-25DOI: 10.1037/hea0001390
William D Marelich, Brandin Ali, Debra A Murphy, Marya T Schulte, Lisa Armistead
{"title":"Predictors of serostatus nondisclosure in mothers living with human immunodeficiency virus receiving a disclosure intervention: Analysis of a randomized clinical trial intervention arm.","authors":"William D Marelich, Brandin Ali, Debra A Murphy, Marya T Schulte, Lisa Armistead","doi":"10.1037/hea0001390","DOIUrl":"10.1037/hea0001390","url":null,"abstract":"<p><strong>Objective: </strong>The current study applied survival analysis to examine factors associated with nondisclosure of human immunodeficiency virus (HIV) serostatus among mothers living with HIV (MLH) who had participated in a cognitive-behavioral intervention to disclose their HIV status to their children.</p><p><strong>Method: </strong>Data were utilized from MLH in the intervention arm of the teaching, raising, and communicating with kids (TRACK; Schulte et al., 2021) trial focusing on serostatus disclosure/nondisclosure across four time points (baseline, 3, 9, and 15 months). MLH (<i>M</i><sub>age</sub> = 39.4) resided in California or Georgia and identified as Latina (33%), Black (54%), White (5%), or multiracial (8%). Physical, mental health, and psychosocial measures from the 3-month assessment were used to predict nondisclosure applying Cox regression survival analysis.</p><p><strong>Results: </strong>Nondisclosure was associated with MLH reporting better physical and mental health, less conflict with their child, better cohesion within their families, and less perceived stigma. MLH reporting better physical functioning were 58% less likely to disclose compared to those reporting physical limitations (hazard ratio [HR] = 0.42). Those reporting lower levels of disclosure self-efficacy were 59% less likely to disclose than those reporting higher levels (HR = 2.47); by 67 weeks into the study, the nondisclosure rate was 56% for those reporting lower self-efficacy compared to 24% for those reporting higher self-efficacy.</p><p><strong>Conclusions: </strong>Addressing the inclination not to disclose when the MLH is feeling healthy may be an aspect to incorporate into future interventions. Furthermore, improving disclosure self-efficacy to a high level appears to be a critical component to intervention success. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"663-672"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11872341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health PsychologyPub Date : 2024-09-01Epub Date: 2024-04-18DOI: 10.1037/hea0001392
Riley J Jouppi, Shannon D Donofry, Christine C Call, Yu Cheng, Rachel P Kolko Conlon, Sarah Niemi, Michele D Levine
{"title":"Associations between prenatal loss of control eating and cardiovascular health during pregnancy.","authors":"Riley J Jouppi, Shannon D Donofry, Christine C Call, Yu Cheng, Rachel P Kolko Conlon, Sarah Niemi, Michele D Levine","doi":"10.1037/hea0001392","DOIUrl":"10.1037/hea0001392","url":null,"abstract":"<p><strong>Objective: </strong>Loss of control (LOC) eating (feeling unable to control food type/amount eaten) during pregnancy is common and linked to risk for poor cardiovascular health (CVH), but it is unclear whether prenatal LOC eating directly relates to CVH during pregnancy. The current study tested associations between prenatal LOC eating and CVH during pregnancy in a sample with prepregnancy body mass index (BMI) ≥ 25.</p><p><strong>Method: </strong>At 12-20 weeks' gestation, participants (<i>N</i> = 124) self-reported: prenatal LOC eating, diet, physical activity, nicotine use, sleep; height/weight were measured. Data were collected during 2015-2017. We dichotomized LOC eating (0 = <i>absent</i>; 1 = <i>present</i>) and scored CVH metrics using Life's Essential 8 to create a composite CVH score (range = 0-100; higher = better). Linear and binary logistic regression models tested if LOC eating is related to composite CVH score and odds of scoring <i>low</i> (0)/<i>moderate-high</i> (1) on each CVH metric, respectively. All models employed propensity score adjustment, since those with/without LOC eating may differ in ways affecting CVH, and covaried for: age, gestational age, prepregnancy BMI, ethnicity, race, education, and income.</p><p><strong>Results: </strong>Compared to those without, participants with LOC eating had significantly poorer composite CVH scores (<i>b</i> = -9.27, <i>t</i>(111) = -2.70, <i>p</i> < .01) and lower odds of scoring moderate-high on nicotine use (OR = 0.20, 95% CI [0.04, 0.85], <i>p</i> = .03) and sleep duration (OR = 0.19, 95% CI [0.04, 0.83], <i>p</i> = .03) CVH metrics.</p><p><strong>Conclusions: </strong>Prenatal LOC eating was associated with poorer CVH during pregnancy in this sample with prepregnancy BMI ≥ 25, even after controlling for propensity of experiencing LOC eating and known risk factors for poor CVH. Thus, prenatal LOC may represent a modifiable factor related to prenatal health risk. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"673-683"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11708786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}