American Journal of Health Promotion最新文献

{"title":"Building Comprehensive Care Networks to Support Lifestyle Change in Patients Taking Obesity Management Medications.","authors":"Amy Bantham, Michael Hosking, Renee J Rogers","doi":"10.1177/08901171251335507d","DOIUrl":"https://doi.org/10.1177/08901171251335507d","url":null,"abstract":"<p><p>There is a sizable proportion of the U.S. population taking obesity management medications (OMMs), accessed through their primary care provider or a specialist. If healthcare providers are prescribing the medications as directed, and patients are taking the medications as directed, they should be doing so in combination with healthy lifestyle behaviors. Specialists in nutrition therapy, physical activity, behavioral counseling, and medical management should work together as a network providing truly comprehensive care. When trained, educated and credentialed in obesity care, this network of providers can coordinate and collaborate to build trust, combat weight stigma and bias, support lifestyle change, and achieve improved health outcomes.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":"39 5","pages":"841-843"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143956377","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":"The Critical Role of Lifestyle With the Use of Contemporary Obesity Management Medications.","authors":"Renee J Rogers, Michael Hosking, Karlijn Burridge, Maribeth Orr, Amy Bantham","doi":"10.1177/08901171251335507c","DOIUrl":"https://doi.org/10.1177/08901171251335507c","url":null,"abstract":"<p><p>The emergence of the latest generation of obesity management medications (OMMs) or commonly referred to as \"GLP-1s,\" are proving to be highly efficacious for the reduction of excess body weight. A comprehensive obesity care strategy in which patients are prescribed both lifestyle and medication therapy to promote holistic health and well-being are recommended. Lifestyle modification, through changes in eating and exercise behaviors, has long been a cornerstone of obesity treatment; however, there is a lack of evidence to fully demonstrate the role that lifestyle plays with the latest generation of OMMs compared to previous obesity pharmacotherapies. While obesity continues to be a significant public health problem, medical treatments for obesity have entered a new era with a promising outlook. However, there are key aspects that warrant further consideration to treat patients with obesity in a comprehensive manner that includes medical management, lifestyle, and behavioral health. Highlighted throughout are evidence-based aspects of obesity care, areas where there are gaps in evidence and critical questions remain, and opportunities for enhancing comprehensive obesity treatment.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":"39 5","pages":"836-840"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957869","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":"State Physical Education and Physical Activity Laws and Regulations in the United States: Estimating Mandated Time in Public Schools.","authors":"Yahan Liang, Xihe Zhu, Yubing Wang, Sheyla Martinez-Rivera","doi":"10.1177/08901171241312513","DOIUrl":"10.1177/08901171241312513","url":null,"abstract":"<p><p>PurposeThis study estimated mandated physical education (PE) and physical activity (PA) time stipulated by state laws in public schools across the 50 States and the District of Columbia, and compared these times between states with and without specified mandates across education levels.DesignDescriptive research.SampleState PE and PA regulation across 50 States and the District of Columbia.MeasuresRegulations were sourced from the School Health Policy Database developed by the National Association of State Boards of Education, Nexis Uni academic research database, Casetext, and state government websites.AnalysisFrequency analysis and two-way analysis of variance were used to compare estimated PE and PA time between states with and without specific mandates.ResultsAcross education levels, only 25.5% of the states mandated specific PA/recess time, 74.5% did not. About 51.0% mandated specific PE time, 45.1% mandated PE without specifying time, and 3.9% did not mandate PE. States with specified mandated PE and PA time averaged 76.54 and 131.41 minutes per week, respectively, showing significantly higher estimated PE and PA (<i>P</i> < 0.001) time compared to states without such mandates.ConclusionMany states mandate specific PA or PE times, but the average mandated time is significantly below the recommended 60 minutes of daily PA for school-aged children. This highlights the need to reassess current legislation to align with established recommendations.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"731-743"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142926242","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":"Association Between Diabetes Mellitus Education and Self-Management Pre- and Post-COVID-19.","authors":"Yejin Kim, Bomgyeol Kim, Vasuki Rajaguru, Sang Gyu Lee, Tae Hyun Kim","doi":"10.1177/08901171251316377","DOIUrl":"10.1177/08901171251316377","url":null,"abstract":"<p><p>PurposeThis study explored the association between diabetes education and self-management during different COVID-19 periods.DesignCross-sectional study.SettingKorea Community Health Survey (2019, 2021, and 2022) and the data from Korea Centers for Disease Control and Prevention Agency.Participants78, 860 individuals with diabetes who participated in the 2019, 2021, and 2022 KCHS.MeasureDiabetes education was categorized according to whether individuals received education on how to manage the disease. Diabetes self-management was assessed using self-checking and screening of HbA1c levels.AnalysisMultiple logistic regression analysis and a subgroup analysis examined the regional impact of COVID-19 on this association.ResultsParticipants who received education before and after COVID-19 were more likely to self-manage their diabetes than those without education (pre-COVID-19 aOR = 2.11, post-COVID-19, 2022 aOR = 2.04, and post-COVID-19, 2021 aOR = 1.94). Those in regions with lower COVID-19 incidence had slightly higher self-management rates (pre-COVID-19 aOR = 2.37; post-COVID-19 2022 aOR = 2.33; post-COVID-19 2021 aOR = 2.02) compared to participants in high-incidence regions (pre-COVID-19 aOR = 1.96; post COVID-19 2021 aOR = 1.89 and post COVID-19 2022 aOR = 1.89).ConclusionsDiabetes education has a positive impact on self-management, which is especially important during public health crises such as the COVID-19 pandemic.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"777-785"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045239","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":"Knowledge About HIV/AIDS and its Transmission and Misconception Among Women in Thailand: A Structural Equation Modelling Approach.","authors":"Jahar Bhowmik, Lakma Gunarathne, Sunil Bhar, Udayan Bhowmik, Pragalathan Apputhurai","doi":"10.1177/08901171251318845","DOIUrl":"10.1177/08901171251318845","url":null,"abstract":"<p><p>PurposeAsian and pacific region countries are considered to be high risk countries for Human Immunodeficiency Viruses (HIV). There is little literature quantifying the relationship between education of HIV/AIDS and its principal socioeconomic determinants through a spatial analysis. The purpose of this study was to assess the knowledge and awareness about HIV among the women in Thailand, and its direct and indirect association with sociodemographic factors including sexual education, level of education, area of living and wealth index through a structural equation modelling approach.DesignCross-sectional analysis using data from the 2022 UNICEF Multiple Indicator Cluster Survey (MICS).SettingThailand.SubjectsA total of 3671 women from the 2022 MICS dataset.MeasuresKey variables included knowledge and misconceptions about HIV, sexual education, education level, area of residence, marital status, and wealth index.AnalysisStructural equation modeling was used to assess direct and indirect effects of sociodemographic factors on HIV-related knowledge and misconceptions.ResultsThe direct effect of sexual education on knowledge, transmission and misconception about HIV/AIDS is significant (β = 0.051, <i>P</i> = .002). The mediation effect test found that the sexual education and education indirectly affected knowledge, transmission and misconceptions about HIV/AIDS through the mediation effect of women's marital status (β = -0.068, <i>P</i> = .018) and wealth index (β = 0.007, <i>P</i> = <.001).ConclusionSexual education alone is insufficient to improve health literacy on HIV/AIDS, as other mediating factors such as education level, wealth index, marital status and area of residence are also key drivers. To achieve Sustainable Development Goal (SDG) 3 by 2030, it is essential to enhance HIV/AIDS related health education for women through multifaceted intervention programs that address these mediating factors.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"796-807"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12059230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373503","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":"Improving Social Determinants of Health via the Workplace.","authors":"Jeffrey R Harris, Peggy A Hannon","doi":"10.1177/08901171251316363","DOIUrl":"10.1177/08901171251316363","url":null,"abstract":"<p><p><b>Synopsis</b>: Social determinants of health (SDOH), such as food security and healthcare access, are key to maintaining and improving health. Publicly funded safety-net programs, such as Medicaid and the Supplemental Nutrition Assistance Program, address SDOH. Many low-wage employees are program-eligible, but there are substantial participation gaps. Providing information and assistance boosts program participation, and there are third-party organizations ready to aid employers in doing so. In an ideal world, everyone with a job would have the resources to thrive on their pay and benefits, but many do not. Employers could help bridge these gaps via promoting these programs via the workplace.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"728-730"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143031759","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":"Glucagon-Like Peptide 1 Receptor Agonists and the Deepening Health Equity Divide in America.","authors":"Kateri J Spinelli, Allison H Oakes","doi":"10.1177/08901171251335507b","DOIUrl":"https://doi.org/10.1177/08901171251335507b","url":null,"abstract":"<p><p>Glucagon-like peptide 1 receptor agonists (GLP-1 RAs) have changed the landscape of diabetes management, obesity treatment, and cardiometabolic health. As a result, GLP-1 utilization has increased significantly over the past few years. However, emerging evidence raises questions about the potential of these medications to widen existing health disparities. Cost, insurance status, and structural racism all are barriers to access, and these barriers hit hardest on underserved communities who are most in need of these drugs. This article discusses potential evidence of disparities in GLP=1 medication access, utilization, and availability, as well as potential solutions and frameworks that can be adopted with hopes of mitigating these disparities.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":"39 5","pages":"832-836"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952022","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":"The Impact of Media Literacy on Substance Use Behavior: Analyzing the Role of Media Consumption Behaviors as a Moderator.","authors":"Hae Yeon Seo, Erica Weintraub Austin","doi":"10.1177/08901171251315009","DOIUrl":"10.1177/08901171251315009","url":null,"abstract":"<p><p>PurposeTo investigate how media literacy and varied media consumption influenced substance use behavior.DesignA cross-sectional survey was conducted.SettingOnline survey was conducted June 22-July 18, 2020, with quality checks.SubjectsThe study recruited U.S. residents aged 18 and older who were proficient in English (<i>N</i> = 1264). Panel sampling using quotas reflecting U.S. census was employed as an alternative to random digit dialing sampling.MeasuresSubstance use behavior, media literacy for news, liberal media use, conservative media use, social media use, and demographics were assessed.ResultsHierarchical multiple regression analysis was conducted. Media literacy for news was negatively associated with substance use (<i>β</i> = -.15, SE = .08, <i>P</i> < 0.01, [95% CI: -.36, .06]) and interaction effect between social media use and media literacy for news on substance use behavior was significant (<i>β</i> = .47, SE = .05, <i>P</i> = 0.02, [95% CI: .02, .20]) in the final model (<i>F</i>(12, 1207) = 33.21, <i>R</i>² = 25%).ConclusionsMedia literacy for news has a negative association with substance use behavior. Social media use, specifically, diminishes the effect of media literacy skills on substance use behavior. The prediction is based on correlational data. Further investigations are required to examine how individuals' specific patterns of media use impact substance use behavior as part of media literacy intervention efforts.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"819-823"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998512","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":"Factors Associated With FDA-Approved Quit Medication Use Among a Sample of Adult Tobacco Users in a County in Central California.","authors":"Nicola Manalili, Jenelle Merzon, Julia Alber, Adrienne Lent","doi":"10.1177/08901171251315005","DOIUrl":"10.1177/08901171251315005","url":null,"abstract":"<p><p>PurposeTo examine associations between identified factors to accessing Food and Drug Administration-approved quit medication (FDAQM) and use among a sample of tobacco users.DesignCross-sectional, online survey.SettingCounty in Central California.SubjectsCurrent adult tobacco users (n = 76).MeasuresDemographics self-reported likelihood of quitting in the next month, contacting a healthcare provider about quitting, time since last healthcare visit, provider asking about tobacco/nicotine use, provider advice to quit, provider FDAQM prescription and FDAQM use in the past year.AnalysisLogistic regression.ResultsThose with a higher likelihood of quitting had a lower odds of FDAQM use (OR = 0.15, 95% CI = 0.03, 0.73) while those who had contacted a healthcare provider had a higher odds (OR = 15.39, 95% CI = 2.72, 87.05).ConclusionWhile the sample was limited, this research provides evidence in an understudied tobacco cessation area. More work is needed to understand the generalizability of these results and develop interventions that address these factors.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"813-818"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998540","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":"Associations Between Sleep Duration and Lifestyle Risk Factors Among Adolescents: A Cross-Sectional Study.","authors":"Yueqi Li, Jen Jen Chang, Thomas E Burroughs","doi":"10.1177/08901171241312507","DOIUrl":"10.1177/08901171241312507","url":null,"abstract":"<p><p>PurposeExamining the associations between sleep duration and lifestyle risk factors and assessed whether sex modify such associations among U.S. adolescents.DesignCross-sectional study among high school students from the 2015-19 national Youth Risk Behavior Survey.SettingUS, national.SubjectsHigh school students grade 9-12 (n = 31 871).MeasuresStudents reported hours of sleep on an average school night categorized into \"less than 6 hours\", \"6 to 7 hours\" and \"8 hours and more\". Lifestyle risk factors including physical inactivity, insufficient breakfast consumption, current tobacco use, and current binge drinking were self-reported and dichotomized.AnalysisMultivariable logistic regression models were used to estimate associations between sleep duration and lifestyle risk factors, adjusting for confounders.ResultsCompared to students with 8 hours and more of sleep, students with 6 to 7 hours and less than 6 hours of sleep had 79% and 228% (<i>P</i> < .01) increased odds of insufficient breakfast consumption; and had 22% (<i>P</i> = 0.0014) and 74% (<i>P</i> < .01) increased odds of binge drinking, respectively. There is a significant interaction between sleep duration and sex (<i>P</i> < .05) for physical inactivity and current tobacco use.ConclusionInsufficient sleep is common among US adolescents and is associated with increased risks of multiple lifestyle risk factors, which suggests great needs for multilevel interventions to address sleep deprivation and promote good sleep hygiene among adolescents.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"808-812"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142926240","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}