American Journal of Health Promotion最新文献

{"title":"Conflicting and Changing Health Recommendations and Their Influence on Cancer Prevention: Social Media Use and Trust as Positive Mediators.","authors":"Mary Bruns, Soojung Gina Kim","doi":"10.1177/08901171251330398","DOIUrl":"https://doi.org/10.1177/08901171251330398","url":null,"abstract":"<p><p>PurposeThis study examines the mediating roles of social media use and trust in the relationship between experts' health recommendations being conflicting and changing and their intention to receive cancer screening tests using the O₁-S-O₂-R model.DesignCross-sectional.SettingData were extracted from the Health Information National Trends Survey (HINTS) 6.SubjectsOf 6252 individuals, 5014 were used in the final analysis. The total weighted sample size is 255,489,241.MeasuresConflicting & Changing Health Recommendations (<i>O</i>_<i>1</i>): How often experts' health recommendations seem to conflict and change. Social Media Use (<i>S</i>): The use of social media to seek and share health information. Trust in Cancer Information (<i>O</i>_<i>2</i>): Trust in cancer information from doctors, government health agencies, and scientists. Interest in Cancer Screening in the next year (<i>R</i>).AnalysisMultiple and logistic regressions were performed with the weighted sample. A PROCESS mediation model with a 5000 bootstrapping sample was also performed.ResultsThe perception of health recommendations from experts conflicting was a positive, marginally significant predictor of social media use for seeking and sharing health information (<i>P</i> = .08), which generated higher trust in cancer information from government health agencies (<i>P</i> < .05) and higher intention to receive cancer screening tests within the next year (<i>P</i> < .01).ConclusionsWith strong digital health literacy and appropriate social media algorithms, social media could reinforce cancer screening behaviors.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251330398"},"PeriodicalIF":2.5,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143951348","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":"Gun Violence as a Source of Anxiety and Stress in the US Population.","authors":"Thomas E Kottke, Brian A Palmer, Stephanie A Hooker, Nicolaas P Pronk, Ross Arena, Colin Woodard","doi":"10.1177/08901171251333563","DOIUrl":"https://doi.org/10.1177/08901171251333563","url":null,"abstract":"<p><p>PurposeThe impact of gun violence on mental health is not limited to individuals who have experienced a shooting. This report enumerates, for the entire US population, the prevalence of anxiety and stress about gun violence. It also describes evidence-informed interventions that may improve these symptoms by reducing gun violence.DesignSurveys representing the US population.SettingUnited States.SubjectsAdults and adolescents.MeasuresSelf-reported anxiety and stress.AnalysisDescriptive frequencies.ResultsOn 3 surveys of adults (N sizes 2015 to 3192), between 27% and 38% selected \"extremely anxious\", 26% to 35% selected \"somewhat anxious\", and 12% selected \"not at all anxious\" when asked about gun violence concerns. When asked, 37% of respondents stated that they had avoided going somewhere over the past 6 months due to fear or anxiety about gun violence. In a survey of teens (N = 743) and their parents (N = 1058), 25% of teens selected \"very worried\" and another 32% \"somewhat worried\" about the possibility of a shooting happening at their school. In response to the same question, 24% of parents selected \"very worried\" and another 39% \"somewhat worried\".ConclusionAnxiety and stress about gun violence are pervasive in America. Secure gun storage, universal background checks and extreme risk protection orders are among the interventions that reduce gun violence and may thereby reduce the anxiety and stress it generates.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251333563"},"PeriodicalIF":2.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966014","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":"\"Healthcare Doesn't Care\": A Mixed-Methods Study on Healthcare Stigma and PrEP Use Among Black Sexual Minority Men.","authors":"Rodman Turpin, Aaron D Camp, C J Mandell, Rochelle Davidson Mhonde, Julia Mandeville, Jamil Smith, Hongjie Liu, Typhanye Dyer, Kenneth Mayer, Bradley Boekeloo","doi":"10.1177/08901171251330710","DOIUrl":"10.1177/08901171251330710","url":null,"abstract":"<p><p>BackgroundPre-exposure prophylaxis (PrEP) is a critical tool for HIV-prevention, yet PrEP uptake among Black sexual minority men (BSMM) is relatively low, despite greater HIV vulnerability. Stigma in healthcare settings can be a substantial barrier to PrEP use among BSMM, with implications for the HIV epidemic. We used a sequential explanatory mixed-methods approach to assess quantitative relationships between anticipated healthcare stigma and reduced PrEP use among BSMM, and qualitatively explore stigmatizing experiences within healthcare settings among this population.MethodsWe utilized 2 data sources. First, cross-sectional data from a pilot sample of BSMM (n = 151) was collected in late 2020 in the United States. We tested for associations between healthcare stigma and PrEP use using modified Poisson regression. Subsequently, we selected participants (n = 23) from this sample in the D.C. metropolitan area for qualitative interviews starting in 2022; we used thematic analysis to investigate forms of experienced and anticipated healthcare stigma related to PrEP use.ResultsWe found 82% lower PrEP use associated with an interquartile range increase in anticipated healthcare stigma after adjustment (aPR = 0.18, 95% CI 0.06, 0.59). Subsequently, our qualitative investigation revealed that identity-specific stigma, negative socioeconomic assumptions, and assumptions of sexual risk were prevalent themes in the healthcare stigmatization experienced by BSMM. Identity-based and socioeconomic stigma were heavily interlinked due to longstanding structural racism and homophobia. Assumptions of sexual risk were particularly complex.ConclusionWe discovered a significant negative relationship between anticipated healthcare stigma and PrEP use, further elucidated in our qualitative findings. This builds upon our previous work exploring intracommunity PrEP stigma among BSMM. Healthcare stigma serves as an additional obstacle to accessing PrEP for BSMM. This highlights its importance as a target for provider-level health equity policy and research interventions. Future research exploring this stigma in specific healthcare settings is recommended.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251330710"},"PeriodicalIF":2.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762786","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":"Walking Interventions and Cognitive Health in Older Adults: A Systematic Review of Randomized Controlled Trials.","authors":"Jongwon Lee, Delia West, Christine Pellegrini, Jingkai Wei, Sara Wilcox, Jean Neils-Strunjas, A Caroline Rudisill, Daniela B Friedman, David X Marquez, Jenna Dzwierzynski, Joyce Balls-Berry, Rachelle Gajadhar, Chih-Hsiang Yang","doi":"10.1177/08901171251328858","DOIUrl":"10.1177/08901171251328858","url":null,"abstract":"<p><p>ObjectiveThis systematic review summarizes the effectiveness and the dose of walking interventions on specific cognition domains in older adults, including executive function, memory, attention, processing speed, and global cognition.Data sourcePublished randomized controlled trials in PubMed, Embase, and Web of Science until 10 May 2023.Study Inclusion and Exclusion CriteriaStudies include older adults without Alzheimer's or related dementias, involving a walking intervention and performance-based neuropsychological assessments for executive function, memory, processing speed, attention, or global cognition.Data ExtractionTwo independent research assistants reviewed 8424 studies and included 17 studies.Data SynthesisParticipant demographics, intervention features (type, intensity, time, frequency, duration, format, and context), cognitive assessment tools, and main findings.ResultsNine studies found a favorable effect of walking interventions on at least one cognitive domain. Walking interventions improved executive function (n = 6) and memory (n = 3). These studies delivered the intervention individually (n = 3) for at least 40 minutes (n = 6) each time, three times per week (n = 8), between 6 to 26 weeks (n = 8), and walking at a moderate to vigorous intensity (n = 7).ConclusionWalking interventions may improve specific domains of cognitive function in older adults, particularly executive function and memory. More standardized reporting of intervention design and participant compliance based on published guidelines is needed to determine the dose-response association and the long-term effect of walking interventions on cognition.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251328858"},"PeriodicalIF":2.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12284334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750589","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":"Preventive Behaviors, Knowledge of Esophageal Cancer and Relationships Socio-Demographic Characteristics Among Older Adults: A Cross Sectional Study.","authors":"Ayfer Bayindir Cevik, Hicran Yıldız, Havva Sert","doi":"10.1177/08901171251326322","DOIUrl":"https://doi.org/10.1177/08901171251326322","url":null,"abstract":"<p><p>PurposeThis study aimed to investigate the risks of esophageal cancer (EC), protective behaviors, and risk awareness among Turkish adults aged 50 years and older, as well as their relationships with sociodemographic characteristics.DesignCross-sectional. Recruitment took place between February-April 2022, via online google forms and WhatsApp.SettingParticipants completed the survey online throught WhatsApp.SampleAnalyses included 214 participants (≥50 years from three provinces of Turkey); 73.8% female (n:158), 62.6% between 50-60 years (n:134 ), 55.6% had a university education (n:47).MeasuresStudy-specific survey items included questions about demographics, risky conditions and diseases, preventive health behaviors and Esophageal Cancer Knowledge Test (ECRKT).AnalysesFrequency or Mean, Percentage, Independent Samples <i>t</i>-Test, one-way analysis of variance (ANOVA), post hoc analysis (Tukey, LSD), and Cohen's effect size and linear regression analysis.ResultsThe participants had low ECRKT scores (x:13.50 ± 9.33, Min:0, Max:31) and reported the most consumed hot beverages (36.9%) among negative EC preventive behaviors. Male gender, not working, not having previously received training on EC, low education and income status cause low knowledge and awareness about EC (<i>P</i> < 0.05). Most of the participants had oral herpes (54.7%), vitamin deficiency (49.1%), and obesity (47.2%) in the past or now. Regarding the participants' EC risk knowledge and, female gender, being between 50-60 years old, and being employed had a weak effect (η²<0.01), while having previous EC training had a moderate effect (η² = 0.006), and having university or higher education had a large positive effect (η² = 0.14) (<i>P</i> < 0.05). Participants' level of education and previous educational experiences contribute significantly to esophageal cancer risk knowledge (<i>P</i> < 0.01).ConclusionThese findings highlight adults aged ≥50 years are exposed to significant EC risks, and have poor knowledge of EC risks. These results highlight the urgent need for educational campaigns to improve EC awareness.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251326322"},"PeriodicalIF":2.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741709","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":"Examining the Association of Economic Instability and Firearm Storage Behaviors.","authors":"Kelsey M Conrick, Samantha Banks, Sarah F Porter, Ali Rowhani-Rahbar","doi":"10.1177/08901171251330708","DOIUrl":"https://doi.org/10.1177/08901171251330708","url":null,"abstract":"<p><p>PurposeTo assess the association between secure firearm storage and economic instability.DesignCross-sectional survey.SettingCalifornia, Minnesota, Nevada, and New Mexico.SampleRespondents to the 2022 and 2023 Behavioral Risk Factor Surveillance System who reported presence of a firearm in or around the home.MeasuresEconomic instability was defined by receipt of food stamps, experiencing threats to shut off utilities, inability to pay bills, employment instability, unreliable transportation, and food insecurity. Firearm storage was dichotomized to \"loaded and unlocked\" or \"all other storage\".AnalysisLogistic regression with complex survey weights.ResultsAmong survey respondents who reported a firearm in or around the home (n = 29,977), 25.8% (95% CI: 24.7-26.8%) reported at least one indicator of economic instability, and 17.4% (95% CI: 16.5-18.3%) stored at least one firearm loaded and unlocked. After controlling for age, sex, and the presence of a child in the home, the odds of storing a firearm loaded and unlocked were 1.26 (95% CI 1.07-1.48) times higher for those experiencing economic instability compared to those who were not.ConclusionThese results provide evidence for the association between economic instability and firearm storage behaviors. In promoting secure firearm storage, economic instability may need to be considered as a correlate of that behavior.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251330708"},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143727375","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":"Native Hawaiian and Other Pacific Islanders: Disparities in the Prevalence of Multiple Chronic Conditions.","authors":"Josepha D Cabrera, Adolfo G Cuevas, Shu Xu, Virginia W Chang","doi":"10.1177/08901171251330397","DOIUrl":"10.1177/08901171251330397","url":null,"abstract":"<p><p>PurposeTo examine multimorbidity prevalence by race/ethnicity and unique health disparities for Native Hawaiian and Other Pacific Islanders (NHPI).DesignCross-sectional study.SettingThis study uses combined data from the 2014 National Health Interview Survey (NHIS) and the 2014 NHPI-NHIS.Sample38,965 adults, including a representative sample of 2,026 NHPIs.MeasuresSelf-reported diagnoses of ten chronic conditions and race/ethnicity, including Non-Hispanic (NH) Whites, NH Blacks, NH Asians, NH NHPIs, Hispanics and NH Mixed Race. Covariates include age, sex, marital status, education, family income, and employment status.AnalysisWe used multinomial logistic regression models to evaluate the adjusted association between race/ethnicity and number of chronic conditions: none, 1, and ≥ 2 (multimorbidity).ResultsCompared to Whites, Asians and Hispanics (aRRR = 0.39, <i>P</i> < .001 and aRRR = 0.59, <i>P</i> < .001) had significantly lower odds of having multimorbidity relative to no chronic condition. In contrast, Black Americans and NHPIs (aRRR = 1.27, <i>P</i> < .001 and aRRR = 1.22, <i>P</i> < .05) had significantly higher odds of multimorbidity compared to Whites. Of note, NHPIs showed significantly higher odds of multimorbidity compared to Asians (aRRR = 3.07, <i>P</i> < .001).ConclusionOur findings highlight significantly higher risk of multimorbidity for NHPIs relative to Whites as well as Asians. This underscores the importance of disaggregating NHPI data from Asians as a whole. Future studies should incorporate additional social factors relevant to the NHPI community.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251330397"},"PeriodicalIF":2.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708005","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":"Finding Common Ground in Health Promotion in an Era of Growing Distrust and Polarization.","authors":"Paul E Terry","doi":"10.1177/08901171251314679","DOIUrl":"10.1177/08901171251314679","url":null,"abstract":"<p><p>In 2025 the changes in national leadership cast a surprising light and ineffable shadows on America's race, gender and class dynamics. Unexpectedly, women and people of color did not vote as a monolithic force in favor of one side or another of culture wars. In the health promotion discipline alarms are being sounded that America's new political leadership will use their newfound popularity among a wider constituency to question the integrity of public health and challenge the value of science writ large. This editorial argues that neither retreating from nor resisting expected changes to public health policies will be as effective as walking into the shadows and looking carefully for common ground. The three opportunities with the best chances for seeking compromise in polarized communities relate to personalized lifestyle medicine, repackaging diversity, equity and inclusion (DEI) initiatives and policy advocacy for health literacy in the digital age.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"381-383"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143050993","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":"Cancer Information Seekers' Comprehension Level and the Association With Preventable Cancer Risk Factors: A Cross-Sectional Analysis From a Nationally Representative U.S. Adult Survey.","authors":"Beomyoung Cho, Yining Pan, Mariel German, Sukwon Lee, Sericea Stallings-Smith","doi":"10.1177/08901171241300135","DOIUrl":"10.1177/08901171241300135","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the association between U.S. adult cancer information seekers' comprehension level and preventable cancer risk factors.</p><p><strong>Design: </strong>Cross-sectional analysis.</p><p><strong>Setting: </strong>Health Information National Trends Survey-6, 2022.</p><p><strong>Subjects: </strong>2,453 cancer information seekers.</p><p><strong>Measures: </strong>Four cancer risk factors were dichotomized: cigarette smoking (have smoked ≥100 cigarettes and currently smoke every day/some days); experiencing sunburn (≥1 times/past 12 months); being overweight/obese (≥25 body mass index [kg/m²]); and binge drinking (≥5 [male] or ≥4 [female] alcoholic drinks on one occasion/past 30 days). Individuals who reported that cancer information was hard to understand were considered having comprehension difficulties.</p><p><strong>Analysis: </strong>Binomial and multinomial logistic regression analyses were conducted to examine the association of cancer information comprehension level with individual and cumulative cancer risk factors, adjusting for sex, race/ethnicity, age, annual household income, education level, metropolitan status, depressed mood, and cancer diagnosis history.</p><p><strong>Results: </strong>Cancer information seekers with comprehension difficulties had higher odds of binge drinking (aOR: 1.66, 95% CI: 1.12, 2.46), being overweight/obese (aOR: 1.46, 95% CI: 1.09, 1.96), and experiencing sunburn (aOR: 1.61, 95% CI: 1.23, 2.11), as well as having ≥3 (aOR: 3.38, 95% CI: 1.87, 6.09) cancer risk factors concurrently than cancer information seekers without comprehension difficulties.</p><p><strong>Conclusion: </strong>Dissemination of easy-to-understand cancer information would help better prevent cancer risk factors for cancer information seekers with comprehension difficulties.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"417-427"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611984","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":"Health Care Provider E-Cigarette-Related Advice and E-Cigarette Harm Perceptions Among Youth.","authors":"Osayande Agbonlahor, Delvon T Mattingly, Joy L Hart, Alison C McLeish, Kandi L Walker","doi":"10.1177/08901171241301971","DOIUrl":"10.1177/08901171241301971","url":null,"abstract":"<p><strong>Purpose: </strong>Health care providers (HCP) are uniquely positioned to advise against electronic cigarette (e-cigarette) use, potentially influencing youth perceptions of e-cigarette harms. However, research examining these associations is scant. We examined whether HCP e-cigarette-related advice is associated with youth e-cigarette harm perceptions.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>National Youth Tobacco Survey data (2022).</p><p><strong>Subjects: </strong>21,254 youth aged 9-18 years.</p><p><strong>Measures: </strong>E-cigarette harm perceptions (i.e., relative addictiveness, occasional use harm, and secondhand e-cigarette aerosol (SHA) harm) and HCP advice to abstain from using e-cigarettes (yes/no) were assessed.</p><p><strong>Analysis: </strong>Adjusted odds ratios were estimated using multinomial logistic regression models.</p><p><strong>Results: </strong>Among the sample, 33.9% perceived e-cigarettes as equally addictive to cigarettes, 39.9% perceived occasional e-cigarette use to cause a lot of harm, and 23.3% perceived SHA to cause a lot of harm. Youth who received HCP advice had higher odds of perceiving e-cigarettes as more addictive than cigarettes (OR: 1.64, 95% CI: 1.35-2.00) and causing a lot of harm (OR: 1.49, 95% CI: 1.16-1.90). Youth who received HCP advice had higher odds of perceiving SHA causing little harm (OR: 1.23, 95% CI: 1.04-1.44).</p><p><strong>Conclusion: </strong>HCP advice was associated with youth e-cigarette harm perceptions and perceptions that SHA causes little harm. HCP e-cigarette counseling may help inform understanding of harms, which may reduce or prevent use.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"450-460"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142674879","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}