American Journal of Health Promotion最新文献

{"title":"Fall research funding in the US from 2018-2022 relative to fall-related mortality, disability-adjusted life years, and healthcare expenditures.","authors":"Maya S Samih, Melissa J Krauss, Susan L Stark","doi":"10.1177/08901171261449062","DOIUrl":"https://doi.org/10.1177/08901171261449062","url":null,"abstract":"<p><p>PurposeTo examine the relationship between fall-related mortality, disability-adjusted life years (DALY), healthcare expenditures, and research funding and determine whether fall prevention funding is proportional to fall-related public health impact.DesignCross-sectional.SettingUnited States.SampleNot applicable.MeasuresMortality rates (2018-2022) for leading causes of death were obtained from CDC WONDER. Disability-adjusted life-year (DALY) rates (2021) were obtained from the World Health Organization. Healthcare expenditures (2016) were obtained from the Institute for Health Metrics and Evaluation. Research funding data (2018-2022) were obtained from NIH ExPORTER and linked to causes of death using MeSH term searches.AnalysisLinear regression models were used with log-transformed research funding as the dependent variable and log-transformed mortality rates, DALY rates, and healthcare expenditures as predictors.ResultsFall mortality rate was 13.1 deaths per 100 000 individuals, fall-related DALY rate was 713.2 per 100 000, and fall-related healthcare expenditures were $106.6 billion. Falls ranked 12th in mortality, 8th in DALY, and 5th in healthcare costs but 20th in research funding, receiving $489 million over 5 years. Falls received significantly less funding than expected based on mortality rates (predicted $1.95 billion), DALY rates (predicted $3.27 billion) and healthcare expenditures (predicted $5.63 billion).ConclusionAlthough falls have a significant impact on older adults' health and mortality, fall research funding is disproportionately low. To reduce mortality and mitigate rising healthcare costs associated with falls, federal investment in fall prevention research should be a higher priority.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261449062"},"PeriodicalIF":2.4,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855636","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":"Body Politic: The Political Divide in Vaccine Uptake. A County-Level Analysis of COVID-19 and Flu Vaccination Rates Across the United States.","authors":"Anne Marie Novak, Yonatan Amir","doi":"10.1177/08901171261449021","DOIUrl":"https://doi.org/10.1177/08901171261449021","url":null,"abstract":"<p><p>PurposeTo examine the relationship between political county-level partisanship and COVID-19 and flu vaccination uptake in the United States following the 2020 and 2024 presidential elections.DesignEcological, cross-sectional analysis utilizing public datasets.SettingAll 3224 US counties and county equivalents.SampleData includes 3224 counties; 3192 had complete COVID-19 vaccination data, and 3125 had complete flu vaccination data.MeasuresDependent variables were county-level flu and full COVID-19 vaccination rates. Independent variables included 2020 and 2024 GOP vote share, median household income, education, healthcare access, and county-level health indicators.AnalysisSpearman correlation, independent t-tests, and multivariate linear regressions.ResultsGOP vote share is strongly negatively correlated with COVID-19 vaccination (<i>r</i> = -.699, <i>P</i> < .001) and moderately with flu vaccination (<i>r</i> = -.427, <i>P</i> < .001). Counties in the highest GOP quartile had significantly lower vaccination rates than Democratic quartile counties (COVID-19: 45% vs 60%, <i>t</i> = -39.64, <i>P</i> < .001; flu: 35% vs 46%, <i>t</i> = -23.10, <i>P</i> < .001). Each percentage-point increase in GOP vote share is associated with a 0.45% decrease in COVID-19 uptake in 2024 (<i>β</i> = -.449, <i>P</i> < .001) and a 0.13% decrease in flu uptake (<i>β</i> = -.128, <i>P</i> < .001), independent of socioeconomic controls.ConclusionsPartisan alignment has become a significant determinant of vaccination, with the divide persisting between 2020 and 2024. Findings underscore the need for localized, depoliticized public health strategies.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261449021"},"PeriodicalIF":2.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855633","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":"Differences in Parents' Perspectives on Pediatric COVID-19 Vaccination by Child's Age.","authors":"Sarah Schaffer DeRoo, Beth A Tarini, Tia Tyson, Sherrie Flynt Wallington","doi":"10.1177/08901171261448688","DOIUrl":"https://doi.org/10.1177/08901171261448688","url":null,"abstract":"<p><p>PurposeUptake of Coronavirus Disease 2019 (COVID-19) vaccines among children has been lackluster with significant disparities by age. We explored how child's age influences parental COVID-19 vaccine decision making.DesignSemi-structured interviews were conducted using a phenomenological approach.SettingA network of five outpatient pediatric clinics.ParticipantsParents of children <18 years old presenting for well or sick telemedicine visits.MethodWe conducted a focused analysis of themes by age groups with different vaccine doses and recommendations: 6 months to 4 years, 5 to 11 years, and 12 to 17 years.ResultsWe interviewed 26 parents between June 2022 and January 2023. Fourteen (54%) interviewees had a child ≤4 years old, 16 (62%) had a child 5 to 11 years old, and 8 (31%) had a child ≥12 years old. Factors related to three broad themes contributed to age-specific differences in COVID-19 vaccine decision making: (1) perceptions about COVID-19 infection risk; (2) perceptions about COVID-19 vaccine safety; and (3) logistical considerations.ConclusionSeveral factors influencing age-specific COVID-19 vaccine uptake during rollout continue to hinder vaccine uptake among children. Logistical barriers - specifically supply shortages and availability - that impeded the COVID-19 vaccine rollout for the youngest children also hindered the recent RSV immunization promotion efforts. Lessons learned from our study should inform ongoing vaccine promotion efforts, new vaccine rollouts, and pandemic preparedness.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261448688"},"PeriodicalIF":2.4,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832479","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":"A Time and a Place for Everything: Are Pullup Bars in Airports the Best Option to Promote Fitness.","authors":"Ross Arena","doi":"10.1177/08901171261448664","DOIUrl":"https://doi.org/10.1177/08901171261448664","url":null,"abstract":"<p><p>Previous work highlights issues surrounding stigma related to participation in physical activity, defined as a personal characteristic that is \"deeply discrediting\". Through the lens of stigmatization, let us assess a new Federal initiative - placing pullup bars in airports. On the surface, 1 may conclude this is a positive step for the promotion of population health through increased opportunities for physical activity. Below the surface, this initiative may create a situation for stigmatization and deter individuals from considering a more physically active lifestyle, as the few with power and able to do pullups discredit the many who are unable.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261448664"},"PeriodicalIF":2.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832496","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":"Equitable Learning Outcomes Among Community Health Workers Following a Modified Smoking Cessation Training: A Pre-Post Intervention Study.","authors":"Andres Mauricio Garcia-Sierra, Victoria Nassar-Abuabara, Tianqu Lu, Cynthia Tang, Anna Veluz-Wilkins, Marcia Tan","doi":"10.1177/08901171261449023","DOIUrl":"https://doi.org/10.1177/08901171261449023","url":null,"abstract":"<p><p>PurposeTo examine whether sociodemographic or professional characteristics predicted learning gains among community health workers (CHWs) immediately after completing a modified World Health Organization (WHO) smoking cessation training.DesignSecondary analysis of pre-post educational intervention conducted between October 2022 and June 2025 in Chicago, Illinois and San Joaquin Valley, California.Sample149 CHWs employed or in training, recruited through community-based organizations, public health agencies, and CHW certification programs in Chicago and San Joaquin Valley.InterventionA three-hour culturally adapted WHO 5A's/5R's training emphasizing motivational interviewing, structural determinants of health, and community-centered cessation support.MeasuresPre-post self-administered surveys assessed tobacco-related knowledge (10-item test), motivation, readiness, and confidence (10-point scales). Independent variables included age, gender, race/ethnicity, education, prior tobacco training/coursework, and time in position.AnalysisPaired-sample t-tests evaluated pre-post differences; multivariable linear regressions examined predictors of change using STATA 19.ResultsSignificant improvements were observed in knowledge (ΔM = 3.02, <i>P</i> < .001), motivation (ΔM = 0.90, <i>P</i> < .001), readiness (ΔM = 2.16, <i>P</i> < .001), and confidence (ΔM = 2.09, <i>P</i> < .001). Regression models showed no consistent sociodemographic predictors of change. Younger age (<i>P</i> = .024) and postgraduate education (<i>P</i> = .033) predicted greater readiness gains.ConclusionThe training produced substantial, equitable improvements across learning domains, indicating that culturally adapted, practice-oriented curricula can enhance CHW competence regardless of background. Findings support inclusive, community-responsive training as a mechanism of workforce equity.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261449023"},"PeriodicalIF":2.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147831799","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 Internet Use and Patient Engagement: The Moderating Role of Patient-Centered Communication on Information Overload and Health Anxiety.","authors":"Hae Yeon Seo, Wei Peng, Sultana Ismet Jerin","doi":"10.1177/08901171261446080","DOIUrl":"https://doi.org/10.1177/08901171261446080","url":null,"abstract":"<p><p>PurposeThis study explores how internet use can undermine patient engagement through information overload and health anxiety, and how patient-centered communication (PCC) may buffer or reshape these effects.DesignA cross-sectional survey design was used.SettingThe study conducted online survey through Qualtrics.SampleA random sample of U.S. adults aged 18 or older completed online survey for $2.30 compensation. After excluding ineligible responses, the final sample was included for the analysis (<i>N</i> = 356).MeasuresKey variables included internet use, information overload, health anxiety, patient engagement, and PCC, demonstrating high reliability.AnalysisSimple mediation analysis and moderated mediation analysis were conducted.ResultsSimple mediation analysis showed that internet use was positively associated with information overload which increased health anxiety (indirect effect = 0.013, 95% CI [0.002, 0.027]). The indirect effect of internet use on engagement was significant at low (-1 SD; PCC = 2.798; <i>b</i> = -0.005, 95% CI [-0.011, -0.002]), and medium levels of PCC (mean; PCC = 3.731; <i>b</i> = -0.003, 95% CI [-0.007, -0.001]), but not at high levels.ConclusionThis study suggests that healthcare providers should take continuing PCC education to overcome generic barriers that patients encounter both online and in clinical settings, thereby improving health outcomes.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261446080"},"PeriodicalIF":2.4,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809435","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":"Quality and Reliability of Semaglutide-Related Short Videos on TikTok and Bilibili.","authors":"Junhao Zeng, Chenyang Leng, Xiufang Chen, Rong Tang, Qianrong Wang, Lingbo Zhang, Yifei Liu, Fansu Huang, Xia Li","doi":"10.1177/08901171261447644","DOIUrl":"https://doi.org/10.1177/08901171261447644","url":null,"abstract":"<p><p>PurposeThe rapid growth of semaglutide use for weight loss has been accompanied by a proliferation of patient-shared experiences and non-evidence-based claims on video platforms. This unchecked information environment poses significant risks to public health, including potential self-medication and misunderstanding of treatment risks, underscoring the urgent need to evaluate the quality of semaglutide-related video content to safeguard digital health literacy. This study assesses the quality, reliability, and user engagement of semaglutide-related short videos on TikTok and Bilibili.ApproachThis cross-sectional study analyzed the top 100 semaglutide-related videos from TikTok and Bilibili, using keyword searches. Videos were evaluated using JAMA benchmark criteria, Global Quality Scale (GQS), and DISCERN tools.SettingRetrieving top 100 videos from TikTok (Mar 4, 2025) and Bilibili (Mar 8, 2025) using \"\" (Semaglutide) as the search keyword.Participants200 videos and their characteristics.ResultsAmong 200 videos, no statistically significant inter-platform differences in JAMA, GQS or DISCERN scores were observed. Non-professional organizations achieved higher JAMA scores than individual creators (<i>P</i> < .01). Medical information videos scored higher than personal experience content (<i>P</i> < .0001). Engagement metrics (likes) correlated weakly with quality (r = 0.151, <i>P</i> < .05), while longer videos were associated with higher DISCERN scores (r = 0.273, <i>P</i> < .001) but not increased engagement.ConclusionsSemaglutide-related videos on TikTok and Bilibili show moderate quality, with medical professionals and institutions producing more reliable content. However, user engagement remains a poor indicator of quality. These findings call for platform governance to algorithmically promote evidence-based content and verify credible creators, while public health efforts should steer user attention from popularity to credibility, thereby protecting informed decision-making.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261447644"},"PeriodicalIF":2.4,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809536","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":"Rethinking Social Media in Youth Health Promotion: Navigating Ethics, Equity, and Algorithmic Risk.","authors":"Acadia W Buro, Molly M Serena Gomes","doi":"10.1177/08901171261448035","DOIUrl":"https://doi.org/10.1177/08901171261448035","url":null,"abstract":"<p><p>BackgroundSocial media platforms offer scalable opportunities for youth-focused health behavior interventions, but their commercial design, data extraction practices, and algorithmic content delivery raise ethical, legal, and equity-related concerns.MethodsThis commentary examines how these platform features may introduce unintended risks for youth participants, including surveillance, screen time-related harms, and digital exclusion.ResultsKey risks include (1) data collection and surveillance practices that may undermine privacy and informed consent; (2) engagement-driven platform features that may increase screen time exposure, amplify exposure to harmful ot conflicting content, and contribute to adverse psychosocial outcomes; and (3) structural inequities in digital access, literacy, and targeted content that may exacerbate health disparities. Platform-specific affordances further shape exposure to risks such as social comparison, misinformation, and algorithmic bias.ConclusionSocial media-based interventions hold promise but require careful evaluation of platform environments. Research should prioritize transparency in data practices, evaluate psychosocial and equity-related outcomes, and incorporate safeguards to support safer, more equitable youth health promotion.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261448035"},"PeriodicalIF":2.4,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809561","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":"Perceptions of a Menthol Cigarette Ban: Focus Group Study With US Adults who Smoke Menthol Cigarettes.","authors":"Mayank Sakhuja, Shayna Farris, Rhyan N Vereen, Jennifer Mendel Sheldon, Chisom Ojukwu, Emmanuel Saint-Phard, Sarah D Mills, Carrie Rosario, Kurt M Ribisl, Allison J Lazard, Paschal Sheeran, Noel T Brewer, Marissa G Hall","doi":"10.1177/08901171251388871","DOIUrl":"10.1177/08901171251388871","url":null,"abstract":"<p><p>PurposeThis study examined perceptions of a proposed US menthol cigarette ban among adults who smoke menthol cigarettes.DesignFocus group discussions.SettingVirtual focus groups with 7-9 participants each.Participants50 US adults (age 21+) who currently smoke menthol cigarettes participated in six focus groups: two with Black participants; two lesbian, gay, or bisexual participants; and two general population groups.MethodsEach 90-minute session was audio-recorded and transcribed. We used qualitative thematic analyses to examine participants' views on reasons for the ban and its potential impact on tobacco use, with a focus on differences across the three identity-based groups.ResultsMany participants, across all group types, believed the ban aimed to protect youth and future generations due to menthol's appeal and higher addictiveness. Some viewed the ban as government overreach, racially targeted, and economically or politically motivated. Several indicated they would seek menthol cigarettes through illicit markets that might emerge post-ban. Some considered switching to non-menthol cigarettes, vapes, or marijuana. However, several felt the ban could help them reduce smoking and quit entirely, citing non-menthol cigarettes' lower appeal and concerns about vaping's addictiveness and harms. Black participants expressed specific concerns about over-policing, racial profiling, community safety, and potential increases in crime related to menthol access.ConclusionsConcerns about over-policing and targeted enforcement align with tobacco industry narratives, illustrating the pervasiveness of negative industry messaging. Findings underscore the importance of proactive communication about the ban's public health goals, while addressing community concerns about policing and racial equity.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"488-495"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145306726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","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":"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":"414-428"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","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}