American Journal of Health Promotion最新文献_第2页

Culinary Medicine Program Using Herbs and Spices to Increase Vegetable Consumption Among Adults with Hypertension: A Randomized Controlled Feasibility Study. 使用草药和香料增加高血压成人蔬菜摄入量的烹饪医学计划：一项随机对照可行性研究。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-05-01 Epub Date: 2025-09-13 DOI: 10.1177/08901171251380839

Michelle Alcorn, Allison Childress, Wasiuddin Najam, Shannon Galyean

{"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":"10.1177/08901171251380839","url":null,"abstract":"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 (P = .008), caloric (P = .02), and fat intake (P = .005) compared to the c-group. Within the e-group, fiber intake (P = .01) and diastolic blood pressure (P = .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.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"500-505"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","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}

引用次数: 0

Investigating Socioeconomic Disparities in Park Access Across Two Southeastern US Cities Using a Unique Park Metric: An Ecological Analysis. 使用独特的公园指标调查美国东南部两个城市公园通道的社会经济差异：生态学分析。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-05-01 Epub Date: 2025-09-18 DOI: 10.1177/08901171251380848

Andrew T Kaczynski, Marilyn E Wende, Jasper Schipperijn, S Morgan Hughey, Ellen W Stowe, J Aaron Hipp, Farnaz Hesam Shariati, Mohammad Javad Koohsari

{"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":"10.1177/08901171251380848","url":null,"abstract":"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,P = .86), percent non-Hispanic White race/ethnicity (F = 0.22,P = .80), or population density (F = 0.70,P = .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.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"407-413"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039233/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disparities in Cancer Health Literacy by Race/Ethnicity, Education, Income, Age, Sex, and Marital Status. 癌症健康素养在种族/民族、教育、收入、年龄、性别和婚姻状况方面的差异

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-05-01 Epub Date: 2025-10-14 DOI: 10.1177/08901171251390650

Levent Dumenci, Danial L Riddle

{"title":"Disparities in Cancer Health Literacy by Race/Ethnicity, Education, Income, Age, Sex, and Marital Status.","authors":"Levent Dumenci, Danial L Riddle","doi":"10.1177/08901171251390650","DOIUrl":"https://doi.org/10.1177/08901171251390650","url":null,"abstract":"PurposeTo identify primary sociodemographic factors contributing to cancer health literacy disparities in cancer and non-cancer samples.DesignCross-sectional study.SettingCancer and primary care clinics, healthcare events, community centers, and churches in the Mid-Atlantic region.SubjectsWe recruited U.S. adults with confirmed cancer diagnosis (n = 1306) and adults without cancer (n = 512).MeasuresThe Cancer Health Literacy Test-30 and a demographic questionnaire were administered using touchscreen tablets.AnalysisOne-factor model and measurement invariance were tested. Structural equation modeling was used in univariate and multivariable prediction models.ResultsOne-factor and scalar invariance models were uniformly supported. Race/ethnicity, education, and income were the strongest predictors of cancer health literacy. Age effect was non-significant in univariate analysis, but it was significant with a small effect size in multivariable analysis. A significant but small marital status effect in univariate analysis became non-significant after adjustment, similar to sex effect in non-cancer sample. A significant but small sex effect in cancer sample became non-significant after adjustment. Multivariable models explained 57%-59% variability in cancer health literacy.ConclusionsRace/ethnicity, educational attainment, and income are the primary drivers of disparities in cancer health literacy. Health promotion activities should target cancer health literacy in subpopulations self-identified as Non-Hispanic Black, low income, and low education, and adopt practical health promotion strategies to improve the health outcomes and wellbeing targeting these patients.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":"40 4","pages":"471-478"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589355","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}

引用次数: 0

Longitudinal Medical Costs and Hospitalization Risk Associated With Sustained Obesity. 与持续肥胖相关的纵向医疗费用和住院风险。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-05-01 Epub Date: 2025-08-31 DOI: 10.1177/08901171251371474

Lyudmyla Kompaniyets, Kakoli Roy, David Freedman, Brook Belay, Samantha Lange Pierce, Heidi M Blanck, Alyson B Goodman

{"title":"Longitudinal Medical Costs and Hospitalization Risk Associated With Sustained Obesity.","authors":"Lyudmyla Kompaniyets, Kakoli Roy, David Freedman, Brook Belay, Samantha Lange Pierce, Heidi M Blanck, Alyson B Goodman","doi":"10.1177/08901171251371474","DOIUrl":"10.1177/08901171251371474","url":null,"abstract":"PurposeTo assess the association of sustained obesity with medical expenditures and risk of hospitalization over time.DesignRetrospective cohort study.SettingThis study used linked data from ambulatory electronic medical records and medical claims.SampleAdults aged 17-64 years with (1) continuous enrollment in an insurance plan and (2) weight measured each year over ≥5 calendar years during 2013-2020.MeasuresOutcome variables were annual medical expenditures and annual risk of hospitalization. Covariates included sustained obesity or sustained severe obesity (reference: sustained healthy weight), year, age, sex, race, and US Census region.AnalysisGeneralized estimating equations were used to assess how excess costs and risk of hospitalization increased with sustained obesity or severe obesity over 8 years.ResultsObesity-associated excess expenditures grew from $1105 or 20% in year 1 to $5229 or 49% in year 8. The relative risk of hospitalization grew from 13% in year 1 to 159% in year 8 among persons with sustained obesity (versus those with sustained healthy weight). Differences were higher for those with severe obesity, and higher among females (compared to males) and those aged 40-64 years (compared to those aged 17-39 years).ConclusionsThis study's findings provide evidence of a compounding effect of sustained obesity on medical expenditures and hospitalization risk over time. These findings underscore the importance of efforts that promote and support healthy lifestyles, including community access to healthy foods and physical activity for all.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"398-406"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938876","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}

引用次数: 0

Effectiveness of a Latino(a) Community Health Worker Led National Diabetes Prevention Program. 拉丁裔(a)社区卫生工作者领导的国家糖尿病预防计划的有效性。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-05-01 Epub Date: 2025-10-01 DOI: 10.1177/08901171251380847

Nancy Wittmer, Abigail Steiner, Karen Uvina, Jayna DeRoeck, Amy Stein, Diana Pineda, Rocio I Pereira

{"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":"10.1177/08901171251380847","url":null,"abstract":"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.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"429-439"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039237/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Screening for Hypertension and Diabetes in Laundromats in the Largest Hispanic-Majority City in the U.S. 在美国最大的西班牙裔城市的自助洗衣店进行高血压和糖尿病筛查

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-05-01 Epub Date: 2025-09-13 DOI: 10.1177/08901171251375071

Nicholas A McCann, Vanessa Schick, Jack Tsai

{"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":"10.1177/08901171251375071","url":null,"abstract":"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 (P < .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.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"506-510"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039218/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Self-Perceived Nutrition is Associated With Physical, Mental, and Oral Health in Older Korean Americans Living in Subsidized Senior Housing. 生活在补贴老年住房中的韩裔美国老年人的自我感知营养与身体、心理和口腔健康有关。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-05-01 Epub Date: 2025-10-01 DOI: 10.1177/08901171251384392

Jane J Lee, Yeonwoo Kim, Yuri Jang

{"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":"10.1177/08901171251384392","url":null,"abstract":"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: excellent/very good/good = 0, fair/poor = 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 P < .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.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"440-448"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","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}

引用次数: 0

How Should We Prompt Engineer Our Health Coach Bots? Stoicism, Epicureanism or Something Else? 我们应该如何及时设计我们的健康教练机器人？斯多葛主义，伊壁鸠鲁主义还是别的？

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-05-01 Epub Date: 2026-01-15 DOI: 10.1177/08901171261416224

Paul E Terry

引用次数: 0

Ease the Compression: Organizational Support for the Sandwich Generation. 缓解压力：对三明治一代的组织支持。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-05-01 Epub Date: 2026-03-10 DOI: 10.1177/08901171261434680

Mary T Imboden

引用次数: 0

Strengthening America's Care Infrastructure by Recognizing and Supporting Sandwich Caregivers. 通过认可和支持三明治护理人员来加强美国的护理基础设施。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-05-01 Epub Date: 2026-03-18 DOI: 10.1177/08901171261434761

Alexandra Drane, Autumn Hansen, Renea Marsh Johnson, Kristen Purcell, Erin Stolte, Sarah Stephens Winnay

引用次数: 0