American Journal of Health Promotion最新文献

{"title":"In Briefs.","authors":"","doi":"10.1177/08901171251378814","DOIUrl":"https://doi.org/10.1177/08901171251378814","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":"39 8","pages":"1099-1103"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145197922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral and Sociodemographic Determinants of Influenza Vaccination Among Caregivers During the COVID-19 Pandemic.","authors":"Danika M Williams, Ann M Weber, Daniel M Cook, Minggen Lu, Wei Yang","doi":"10.1177/08901171251383862","DOIUrl":"https://doi.org/10.1177/08901171251383862","url":null,"abstract":"<p><p>PurposeTo assess whether caregiving status influenced influenza vaccination uptake during the COVID-19 pandemic and identify key sociodemographic, behavioral, and health-related determinants of vaccine receipt.DesignCross-sectional analysis using multivariable logistic regression models.SettingTwenty-six U.S. states that administered caregiver and marijuana modules in the Behavioral Risk Factor Surveillance System (BRFSS), 2021 and 2022.Sample105 384 adult BRFSS respondents; 21 965 identified as caregivers for individuals with health conditions or limitations.InterventionNot applicable.MeasuresPrimary outcome was self-reported influenza vaccination in the past 12 months. Primary exposure was caregiver status. Covariates included age, sex, race/ethnicity, income, education, healthcare access, and health-related risk behaviors (eg, smoking, binge drinking).AnalysisWeighted multivariable logistic regression assessed associations between caregiver status and vaccination. Interaction terms and caregiver-only models evaluated differential effects.ResultsCaregiver status was not significantly associated with influenza vaccination (AOR ≈ 1.0). Healthcare access (eg, recent check-up) strongly predicted vaccination (AOR ≈ 2.7), while risk behaviors reduced likelihood (AOR ≈ 0.7). Findings were consistent in analyses restricted to caregivers. Disparities were observed by race and sex.ConclusionCaregiver status alone did not predict influenza vaccination. Sociodemographic and behavioral factors, particularly healthcare access and risk behaviors were stronger influences. Interventions addressing structural barriers and behavioral risks may improve caregiver vaccination rates.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251383862"},"PeriodicalIF":2.4,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a Latino(a) Community Health Worker Led National Diabetes Prevention Program.","authors":"Nancy Wittmer, Abigail Steiner, Karen Uvina, Jayna DeRoeck, Amy Stein, Diana Pineda, Rocio I Pereira","doi":"10.1177/08901171251380847","DOIUrl":"https://doi.org/10.1177/08901171251380847","url":null,"abstract":"<p><p>PurposeTo evaluate the real-world effectiveness of a longstanding community-based National Diabetes Prevention Program (DPP) on participation and weight-loss for Latino(a) adults.DesignRetrospective cohort analysis.SettingThe yearlong program was delivered in an urban area of Colorado by a team of Latino(a) community health workers in partnership with a safety-net healthcare organization.SubjectsNational DPP participants between January 2014 and December 2023.MeasuresOutcome measures included National DPP sessions attended and achievement of ≥5% weight loss. Covariates included demographics, body mass index, self-reported physical activity, and health status.AnalysisDescriptive statistics and multivariable logistic regression analyses evaluated associations between demographic and program-related characteristics with program attendance and ≥5% weight loss.Results2377 participants were included; median age 44 years (IQR 37, 52), 86.1% female, 89.8% Latino(a), and 82.0% Spanish speakers. Among 1988 participants who attended ≥8 of 20 sessions within 6 months and had 2 or more weight values, 31.6% achieved ≥5% weight loss. Weight loss of ≥5% was associated with male sex, attendance of ≥16 of 26 sessions, participation in later cohorts, ≥20% sessions with ≥150 minutes per week physical activity, and high self-reported health status.ConclusionCommunity-based National DPP programs can be an effective strategy for increasing program participation and supporting weight loss among Latino(a) adults. Ongoing efforts to engage Latino men in such programs are needed.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251380847"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145197936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Perceived Nutrition is Associated With Physical, Mental, and Oral Health in Older Korean Americans Living in Subsidized Senior Housing.","authors":"Jane J Lee, Yeonwoo Kim, Yuri Jang","doi":"10.1177/08901171251384392","DOIUrl":"https://doi.org/10.1177/08901171251384392","url":null,"abstract":"<p><p>PurposeNutrition plays an important role in overall health, yet little is known about how perceived nutritional status relates to health outcomes among older Korean Americans.DesignCross-sectional survey design.SettingSurveys were conducted at six subsidized senior housing facilities in Los Angeles between April and June 2023.SampleThe sample included 318 Korean American adults aged 65 and older.MeasuresParticipants rated their nutritional status, as well as physical, mental, and oral health on a 5-point scale. Responses were grouped into two categories: <i>excellent/very good/good</i> = 0, <i>fair/poor</i> = 1.AnalysisLogistic regression models examined the health risks associated with perceived nutrition, adjusting for demographic and health-related covariates.ResultsHalf of participants (50.5%) rated their nutritional status as fair or poor. These individuals had significantly higher odds of reporting poor physical health (OR = 6.44, 95% CI = 3.53, 11.7), mental health (OR = 4.48, 95% CI = 2.43, 8.27), and oral health (OR = 2.97, 95% CI = 1.64, 5.37) compared to those with better perceived nutrition (all <i>P</i> < .001).ConclusionFindings underscore the value of self-perceived nutrition as an indicator of well-being and highlight the need for culturally informed approaches to improving nutritional status and health. This study contributes to the growing evidence on the interconnectedness of nutrition with various domains of health in older immigrants.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251384392"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145197941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scientific Integrity, Peer Review and an Interview With Dr Kerry Redican.","authors":"Paul E Terry","doi":"10.1177/08901171251384086","DOIUrl":"https://doi.org/10.1177/08901171251384086","url":null,"abstract":"<p><p>Scientists are experiencing unprecedented challenges to the time honored conventions that usually guide consensus building and health communications. This editorial offers a primer on this journal's peer review process and argues that professional societies, the private sector and non-governmental organizations need to fill the void being created by disinvestments in our federal and state public health infrastructure. The process that guides our peer reviewers and composite reviewers is described. The vital importance of peer reviewers sharing their expertise with fellow scientists via narrative feedback on studies is emphasized. An interview with an exemplary composite reviewer, our Associate Editor in Chief, Dr Kerry Redican, is offered as a way to underscore the rigor needed to preserve the integrity of the scientific method at a time when science is being threatened by ideological clashes.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251384086"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145197887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a 6-Week Walking Training Program on Physical Fitness and Cognitive Performance in Older People.","authors":"Pedro Ángel Latorre-Román, Juan Antonio Párraga-Montilla, José Carlos Cabrera-Linares, Jesús Sáez-Padilla, Karina Elizabeth Andrade-Lara, José Alberto Laredo-Aguilera, Juan Manuel Carmona-Torres, Victoria Mazoteras-Pardo, Esmeralda Santacruz-Salas, Ana Isabel Cobo-Cuenca, Ana De la Casa-Pérez","doi":"10.1177/08901171251379433","DOIUrl":"https://doi.org/10.1177/08901171251379433","url":null,"abstract":"<p><p>PurposeTo analyze the effects of a 6-week multidomain walking training program (MWTP) with mHealth technology on health status, cognitive performance, and physical function in older adults.DesignControlled longitudinal intervention study with pre- and post-intervention assessments.SettingCommunity-based, autonomous outdoor environments.SampleForty-nine sedentary older adults (mean age 69.9 ± 3.7 years) allocated to an experimental (<i>n</i> = 21) or control group (<i>n</i> = 28).InterventionThe experimental group followed a 6-week mHealth-supported MWTP combining endurance, strength, and dual-task cognitive exercises, with progressive intensity and volume. The control group maintained usual routines.MeasuresPhysical fitness (lower limb strength, walking speed, cardiorespiratory capacity), cognitive function (executive function), and health variables (anthropometric and psychosocial) were assessed using standardized tests.AnalysisData were analyzed using SPSS v.19.0. Descriptive statistics, normality and homogeneity tests, and appropriate parametric (2 × 2 repeated-measures ANOVA, ANCOVA) and non-parametric (Mann-Whitney U, Wilcoxon) tests were applied (α < 0.05).ResultsThe experimental group showed significant improvements in lower limb strength, walking speed, and cardiorespiratory capacity. Executive function was preserved in the experimental group but declined in the control group. No significant changes were found in anthropometric or psychosocial measures.ConclusionThe MWTP enhances physical fitness and preserves executive function in older adults. Its autonomous, mHealth-supported format offers a scalable and cost-effective strategy for promoting healthy aging.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251379433"},"PeriodicalIF":2.4,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145123955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating Socioeconomic Disparities in Park Access Across Two Southeastern US Cities Using a Unique Park Metric: An Ecological Analysis.","authors":"Andrew T Kaczynski, Marilyn E Wende, Jasper Schipperijn, S Morgan Hughey, Ellen W Stowe, J Aaron Hipp, Farnaz Hesam Shariati, Mohammad Javad Koohsari","doi":"10.1177/08901171251380848","DOIUrl":"https://doi.org/10.1177/08901171251380848","url":null,"abstract":"<p><p>PurposeThis study aimed to demonstrate how ParkIndex values can be used to examine issues related to composite park access, and to investigate whether ParkIndex scores for block groups were significantly different by income, race/ethnicity, and population density.DesignCross-sectional, environmental justice analysis of spatial disparities.SettingGreenville County, South Carolina, and Raleigh, North Carolina.SubjectsPark access and quality data were collected for a total of 507 block groups across the study setting.MeasuresFor all study block groups, we empirically derived a multi-dimensional park access metric called ParkIndex representing the probability of park use based on three park availability and quality indicators. Block group median household income, race/ethnicity, and population density were obtained from the US Census Bureau's American Community Survey.AnalysisChoropleth maps were used to juxtapose ParkIndex values and neighborhood sociodemographic attributes. Analysis of variance was conducted to examine differences in ParkIndex values by multiple sociodemographic variables.ResultsNo significant differences in ParkIndex values were found by median household income (F = 0.15,<i>P</i> = .86), percent non-Hispanic White race/ethnicity (F = 0.22,<i>P</i> = .80), or population density (F = 0.70,<i>P</i> = .50).ConclusionThe current study contributes to the fast-growing body of literature examining whether access to quality parks is equitably distributed in diverse locations. Future research can investigate the utility and generalizability of this composite metric to identify and mitigate potential environmental injustices and health disparities.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251380848"},"PeriodicalIF":2.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145085070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Culinary Medicine Program Using Herbs and Spices to Increase Vegetable Consumption Among Adults with Hypertension: A Randomized Controlled Feasibility Study.","authors":"Michelle Alcorn, Allison Childress, Wasiuddin Najam, Shannon Galyean","doi":"10.1177/08901171251380839","DOIUrl":"https://doi.org/10.1177/08901171251380839","url":null,"abstract":"<p><p>PurposeUnhealthy diets contribute to hypertension. Culinary medicine (CM) combines cooking skills with medical science to improve eating behavior. This study assessed the feasibility of an electronic CM education program emphasizing herbs/spices to improve diet and health among adults with hypertension.Design/SubjectsSeventeen individuals with hypertension completed a 6-week, randomized, controlled, feasibility study, assigned to an eCulinary medicine (e-group) or control (c-group).Intervention/MeasuresThe e-group received CM and nutrition education videos focusing on herbs/spices to enhance vegetable consumption. Dietary intake, weight, and blood pressure were measured at baseline, every two weeks for six weeks, and one-month follow-up.Analysis/ResultsAt one month, the e-group showed significantly lower sodium (<i>P</i> = .008), caloric (<i>P</i> = .02), and fat intake (<i>P</i> = .005) compared to the c-group. Within the e-group, fiber intake (<i>P</i> = .01) and diastolic blood pressure (<i>P</i> = .003) improved significantly between baseline and one-month follow-up.ConclusionThis study suggests that a 6-week virtual CM program emphasizing herbs/spices was feasible and led to modest improvements in dietary behaviors and health outcomes in adults with hypertension.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251380839"},"PeriodicalIF":2.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145051455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screening for Hypertension and Diabetes in Laundromats in the Largest Hispanic-Majority City in the U.S.","authors":"Nicholas A McCann, Vanessa Schick, Jack Tsai","doi":"10.1177/08901171251375071","DOIUrl":"https://doi.org/10.1177/08901171251375071","url":null,"abstract":"<p><p>PurposeThis study aimed to assess the prevalence of hypertension and diabetes among laundromat users in San Antonio, Texas, and explore laundromats as a novel setting for health interventions regarding these 2 conditions.DesignThis descriptive, cross-sectional study involved demographic, blood pressure and HbA1c screenings to assess the health status of laundromat users.SettingThe study took place in 7 laundromats in low-income areas of San Antonio.SubjectsA total of 150 adults aged 18 and older who regularly used the laundromats and spoke either English or Spanish were eligible to participate.MeasuresHypertension was defined as a systolic BP ≥130 mmHg and/or diastolic BP ≥80 mmHg. Diabetes was defined as an HbA1c level ≥6.5%. A survey collected demographic and healthcare access data.Results61.1% (95% CI: 53.0%-68.6%) of participants screened positive for hypertension, significantly higher than county (31.1%), state (32.3%), and national (32.7%) rates (<i>P</i> < .001). The prevalence of diabetes was 14.1% (95% CI: 8.7%-21.1%), slightly higher than Bexar County (10.2%) and national (8.4%) rates, though not statistically significant. Gender and the number of children in the household were significantly associated with hypertension and diabetes, respectively.ConclusionLaundromats can effectively serve as sites for health screening and interventions for hypertension and diabetes, offering a unique opportunity to reach underserved populations and address health disparities.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251375071"},"PeriodicalIF":2.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prospective Associations Between Early Childhood Screen Time Trajectories During the COVID-19 Pandemic and Accelerometer-Measured Physical Activity by Age 5.","authors":"Rachel Surprenant, Daphnée Leroux-Maurais, David Bezeau, Félix Berrigan, Jérôme Leriche, Caroline Fitzpatrick","doi":"10.1177/08901171251379431","DOIUrl":"https://doi.org/10.1177/08901171251379431","url":null,"abstract":"<p><p>PurposeTo examine associations between preschooler screen time trajectories and physical activity outcomes at age 5.5.DesignA longitudinal cohort study of Canadian parents with preschoolers.SettingData were collected in Nova Scotia, Canada, during the COVID-19 pandemic in Spring/Summer 2020 and 2021, and Summer/Fall 2022.SampleA community-based convenience sample of 315 parents of preschool-aged children (54% boys) was followed longitudinally when children were 3.5 (2020), 4.5 (2021), and 5.5 years old (2022).MethodsParent-reported screen time at 3.5, 4.5, and 5.5 years was used to estimate preschooler screen time trajectories. Using growth mixture modeling (GMM), three groups were identified: low (mean = 0.89 h/day, 23%), average (mean = 2.96 h/day, 56%), and high (mean = 6.42 h/day, 21%) screen time trajectory groups. At age 5.5, physical activity was directly assessed using accelerometers to capture light, moderate, and vigorous-intensity physical activity. Parents also reported child sex, family configuration, and educational attainment.ResultsChildren in the high screen time trajectory group engaged in significantly less light-intensity physical activity (<i>b</i> = -29.98, <i>P</i> < .05) compared to children in the average screen time trajectory. No significant differences were observed between the low and average screen time trajectory groups for light-intensity physical activity. Additionally, no significant differences in moderate or vigorous-intensity physical activity were observed between the screen time trajectory groups.ConclusionsHigher screen time in preschoolers is associated with reduced engagement in light-intensity physical activity. These findings highlight the importance of monitoring screen time to ensure that children have opportunities to engage in light-intensity physical activities such as active and outdoor play. Limiting early childhood screen time may support healthier physical activity patterns and promote early childhood development.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251379431"},"PeriodicalIF":2.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145051391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}