{"title":"Urban Green Space and Mental Health: Mediating Roles of Physical Activity and Social Cohesion.","authors":"Maruf Ahmad, Jinfeng Du, Md Jubaer Rashid","doi":"10.1177/08901171251388878","DOIUrl":"https://doi.org/10.1177/08901171251388878","url":null,"abstract":"<p><p>PurposeThis study investigates the relationship between urban green spaces (UGS) and residents' mental health in Dhaka, Bangladesh, with a focus on the mediating roles of social cohesion and physical activity.DesignMultilevel regression and mediation analysis with cross-sectional data were constructed.Setting10 UGS in Dhaka were selected based on spatial variation.SampleA total of 276 adult residents (response rate: 85.2%) were surveyed using quota sampling to ensure demographic diversity.MeasuresThe Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS) was used for mental health assessment, validity scales for social cohesion and IPAQ-SF for physical activity. UGS accessibility and quality were evaluated using NDVI, GIS buffers, and on-site audits.AnalysisMultilevel linear regression and Sobel tests were employed to examine direct and mediated effects of UGS on mental health.ResultsUGS-level factors explained 18% of the variance in mental health. UGS accessibility (β = 0.285***), safety (β = 0.212***), and amenities (β = 0.220***) were positively associated with mental health. Social cohesion (Z = 2.82***) and physical activity (Z = 2.15**) partially mediated these relationships.ConclusionUGS enhances mental health in dense urban environments through both direct and mediated pathways. Subgroup analysis reveals that high and medium-quality UGS have more substantial positive effects through physical activity and social cohesion on mental health. In contrast, the impact of low-quality UGS's is minor and insignificant. Respondents with higher education and income benefit more from UGS on their mental health. Future research using longitudinal data or experimental designs could enhance the robustness of causation.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":"40 4","pages":"459-470"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589316","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":"An 8-Month Follow Up of the Mindless to Mindful (M2M) Self-Regulation Intervention on Fat Mass Loss.","authors":"David Kawahata, Duke Biber","doi":"10.1177/08901171251378114","DOIUrl":"10.1177/08901171251378114","url":null,"abstract":"<p><p>PurposeTo assess the maintenance of fat mass loss and increases in exercise self-control and self-compassion at 8-months follow-up to the Mindless to Mindful (M2M) program.DesignThis was a single-group follow-up case study.SampleFor the analysis, 79 of the original 195 M2M participants (<i>n</i> = 40.51%) participated.InterventionThe eight-week M2M program provided goal-setting, group exercise, and goal monitoring to promote fat mass loss.MeasuresParticipants completed measures of body fat, the brief self-control scale, and the self-compassion scale-short form.AnalysisPaired sample t-tests were used to determine differences within and between groups (<i>P</i>-value < .05).ResultsThere was a significant increase in fat mass from post-test to follow-up (<i>t</i>(78) = 3.105, <i>P</i> = .001, <i>d</i> = .349), but participants did not revert to baseline. There was a significant decrease in self-control (<i>t</i>(78) = -3.381, <i>P</i> < .001, <i>d</i> = -.380) and self-compassion (<i>t</i>(78) = -2.670, <i>P</i> = .005, <i>d</i> = -.300). Further, team participants gained significantly more fat mass (<i>M</i> = 3.46, <i>SD</i> = 7.41), had diminished self-control (<i>M</i>= -2.87, <i>SD</i> =5.83), and decreased self-compassion (<i>M</i>= 0.16, <i>SD=</i> 0.38) when compared to individual participants.ConclusionParticipants maintained some fat mass loss at eight-month follow-up.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"496-499"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038944","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":"What Diet Trials Can and Can't Tell Us - Mitigating Misinformation in Nutrition Science.","authors":"Christopher D Gardner","doi":"10.1177/08901171261447136","DOIUrl":"https://doi.org/10.1177/08901171261447136","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261447136"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809571","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}
Kathryn Robinson-Tay, Ying-Chia Louise Hsu, Amanda D Boyd
{"title":"Health Information Seeking Behavior Among American Indian and Alaska Native Peoples.","authors":"Kathryn Robinson-Tay, Ying-Chia Louise Hsu, Amanda D Boyd","doi":"10.1177/08901171251383874","DOIUrl":"10.1177/08901171251383874","url":null,"abstract":"<p><p>PurposeAmerican Indian and Alaska Native (AI/AN) peoples face disproportionate health risks. Understanding how AI/ANs seek out information can inform effective campaigns design that can help address these risks. We investigate preferred communication sources, health information seeking behavior (HISB), self-efficacy, perceived importance of health information, and prevention orientation of American Indians and Alaska Natives (AI/ANs).DesignWe administered a survey at 3 cultural events.SettingThe National Tribal Health Conference in Bellevue, the University of Washington Winter and Spring Powwows in Seattle.SubjectsParticipants (N = 344) of the survey included people from tribes throughout the US, particularly from northwestern tribes.AnalysisIndependent samples t-tests and ANOVAs examined differences in HISB. Frequency analyses identified preferred health information. PROCESS tested the relationship between perceived importance and HISB, and moderation from prevention orientation and self-efficacy.ResultsPreferred health information source were doctor (M = 3.5), the internet (M = 3.32) and friends/relatives (M = 3.11). Females demonstrated more HISB than males (<i>P</i> < .01). Individuals with a college degree or higher showed greater HISB (<i>P</i> < .001). AI/ANs living on reservations (M = 2.34, SD = 1.53) preferred newspapers for health information more than those in metropolitan (M = 1.64, SD = .13) or rural areas (M = 1.45, SD = .16, <i>P</i> < .05). Perceived importance is a robust positive factor that predicts HISB (b = .48, t(315) = 9.67, <i>P</i> < .001).ConclusionThis study offers advice for scholars and practitioners to design messages to increase accessibility of health information.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"479-487"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12698028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145336176","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}
Danika M Williams, Ann M Weber, Daniel M Cook, Minggen Lu, Wei Yang
{"title":"Behavioral and Sociodemographic Determinants of Influenza Vaccination Among Caregivers During the COVID-19 Pandemic.","authors":"Danika M Williams, Ann M Weber, Daniel M Cook, Minggen Lu, Wei Yang","doi":"10.1177/08901171251383862","DOIUrl":"10.1177/08901171251383862","url":null,"abstract":"<p><p>PurposeTo assess whether caregiving status influenced influenza vaccination uptake during the COVID-19 pandemic and identify key sociodemographic, behavioral, and health-related determinants of vaccine receipt.DesignCross-sectional analysis using multivariable logistic regression models.SettingTwenty-six U.S. states that administered caregiver and marijuana modules in the Behavioral Risk Factor Surveillance System (BRFSS), 2021 and 2022.Sample105 384 adult BRFSS respondents; 21 965 identified as caregivers for individuals with health conditions or limitations.InterventionNot applicable.MeasuresPrimary outcome was self-reported influenza vaccination in the past 12 months. Primary exposure was caregiver status. Covariates included age, sex, race/ethnicity, income, education, healthcare access, and health-related risk behaviors (eg, smoking, binge drinking).AnalysisWeighted multivariable logistic regression assessed associations between caregiver status and vaccination. Interaction terms and caregiver-only models evaluated differential effects.ResultsCaregiver status was not significantly associated with influenza vaccination (AOR ≈ 1.0). Healthcare access (eg, recent check-up) strongly predicted vaccination (AOR ≈ 2.7), while risk behaviors reduced likelihood (AOR ≈ 0.7). Findings were consistent in analyses restricted to caregivers. Disparities were observed by race and sex.ConclusionCaregiver status alone did not predict influenza vaccination. Sociodemographic and behavioral factors, particularly healthcare access and risk behaviors were stronger influences. Interventions addressing structural barriers and behavioral risks may improve caregiver vaccination rates.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"449-458"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Murray Harber, Laurie P Whitsel, Robert E Anderson, Janet R Wojcik
{"title":"Public Policy to Support the Health of Caregivers in the Workforce.","authors":"Murray Harber, Laurie P Whitsel, Robert E Anderson, Janet R Wojcik","doi":"10.1177/08901171261434683","DOIUrl":"10.1177/08901171261434683","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"517-520"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147429965","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}
Joshua Chigozie Ogbuefi, Kathryn Costello, Taylor Thomas, Angelina Ortega, Jennifer Anne Bishop
{"title":"Voices of Trust: A Thematic Analysis of Black News Media's Messaging to Promote COVID-19 Vaccination.","authors":"Joshua Chigozie Ogbuefi, Kathryn Costello, Taylor Thomas, Angelina Ortega, Jennifer Anne Bishop","doi":"10.1177/08901171261447070","DOIUrl":"https://doi.org/10.1177/08901171261447070","url":null,"abstract":"<p><p>PurposeThis descriptive study explores how a trusted information source within the Black community-the Black News Media-promoted COVID-19 vaccination during a time when this population experienced high rates of vaccine hesitancy and low COVID-19 vaccine uptake.ApproachTo explore the media's role in promoting COVID-19 vaccination, a multi-level sampling method was used to identify newspaper articles for review.SettingNewspaper articles discussing COVID-19 vaccination published by newspapers primarily serving Black communities between March 2021 and October 2022.ParticipantsNewspaper publishers were identified through the Black Media Initiative -a resource that catalogs media outlets in the U.S that primarily serve Black communities. Publishers were selected based on their publishing frequency and online accessibility.MethodOne hundred fifty newspaper articles were randomly sampled from a sample of 906 articles. Using an inductive thematic analysis, this study examined the key themes used to encourage vaccination among Africans Americans.ResultsThe study found five key themes the Black News Media used to promote vaccination: Protecting others, particularly the vulnerable, the unvaccinated, deadly decisions, responsibility, and return to normalcy.LimitationsSampling constraints, including uneven outlet representation across regions and the exclusion of difficult-to-search archives, may have limited the diversity of perspectives and themes identified. Moreover, the review may have excluded some viable articles.ConclusionSeveral of the themes used by media aligned with frames recognized as effective in promoting vaccination, making them well-suited to address high levels of vaccine hesitancy and skepticism toward the COVID-19 vaccine within Black communities.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261447070"},"PeriodicalIF":2.4,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809543","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}
Nicolaas P Pronk, Paul Anderson, Colin Woodard, Joseph L Dieleman, Ross Arena
{"title":"Mapping the Cultural Heterogeneity of HealthCare System Performance: Visualizing Health Promotion Potential Through Cultural and Health System Alignment.","authors":"Nicolaas P Pronk, Paul Anderson, Colin Woodard, Joseph L Dieleman, Ross Arena","doi":"10.1177/08901171261445269","DOIUrl":"https://doi.org/10.1177/08901171261445269","url":null,"abstract":"<p><p>PurposeTo visualize Triple Aim healthcare system performance according to cultural geography by mapping performance scores at the US county level.DesignCross-sectional, observational mapping of Triple Aim healthcare system performance for 2019.SettingUnited States of America at the county level.SampleData sources include healthcare system performance indicators of 3110 US counties for 2019. Data were mapped by aggregating county level Triple Aim performance scores according to the American Nations model. Regions with individualistic cultural ideologies and communitarian ones were grouped. Descriptive data for each were collated.MeasuresTriple Aim healthcare systems performance scores across US counties and aggregated across the American Nations.AnalysisDescriptive frequencies of adjusted performance scores are presented according to culturally distinct regional geographies.ResultsLarge heterogeneity in adjusted healthcare system performance scores was observed across the US and at the county level. For the American Nations (range = -1.43 to 0.16), population-weighted performance scores were highest for Greater Polynesia whereas First Nation scored the lowest. The 2019 mean (±SD) population-weighted performance scores for individualistic and communitarian American Nation region counties were -0.50 ± 0.83 and -0.36 ± 1.01, respectively.ConclusionVariation of healthcare system performance is large across US regions with distinct cultural phenotypes. Cultural geographies should be included as covariates in population-based analyses of healthcare system performance. Observed heterogeneity holds potential for identification of population-based health promotion opportunities at the county-level.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261445269"},"PeriodicalIF":2.4,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759565","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}
Jiachen Miao, Hanhua Zhao, Di Wang, Eero A Haapala, Ying Gao
{"title":"Associations Between Adherence to 24-hour Movement Guidelines and Academic Achievement in School-Aged Children.","authors":"Jiachen Miao, Hanhua Zhao, Di Wang, Eero A Haapala, Ying Gao","doi":"10.1177/08901171261442049","DOIUrl":"https://doi.org/10.1177/08901171261442049","url":null,"abstract":"<p><p>PurposeThis study examined associations between adherence to the 24-hour movement guidelines (moderate-to-vigorous physical activity (MVPA), screen time, and sleep) and academic achievement in school-aged children.DesignCross-sectional study.SettingElementary schools in Hangzhou, China.SampleSample of 268 children aged 8-12 years (52% boys).MeasuresMVPA and sleep duration were measured using accelerometers, while screen time was self-reported. Academic achievement was assessed through grades in Chinese, Math, and English, standardized into Z-scores. Covariates included age, sex, school location, and body mass index z-score.AnalysisMultiple linear regression was conducted to assess associations between combinations of adherence to the 24-hour movement guidelines and academic achievement.ResultsMeeting two or more recommendations was significantly associated with higher overall academic achievement compared to those meeting none (<i>P</i> < 0.05). Specifically, adherence to the screen time guideline only (β = 0.39, 95% CI: 0.14, 0.64) and combined adherence to both screen time and sleep guidelines (β = 0.37, 95% CI: 0.04, 0.69) were positively associated with overall academic achievement. For subject-specific Z-scores, meeting at least two guidelines was linked to higher achievement in Chinese and Math (<i>P</i> < 0.05).ConclusionAdherence to multiple 24-hour movement guidelines, particularly limiting recreational screen time, is associated with higher academic achievement in school-aged children. These findings highlight the potential value of integrated movement behavior strategies for educational outcomes and underscore the need for longitudinal research to clarify underlying mechanisms.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261442049"},"PeriodicalIF":2.4,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147715797","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}
Mary Louise Pomeroy, Carolyn Faith Hoffman, Sravya Vunnam, Axucillia Moyo, Kathleen Butler, Ali A Weinstein, Debora Goetz Goldberg
{"title":"Workplace Wellness Programs for Employees at Risk for Cardiovascular Disease: A Systematic Review.","authors":"Mary Louise Pomeroy, Carolyn Faith Hoffman, Sravya Vunnam, Axucillia Moyo, Kathleen Butler, Ali A Weinstein, Debora Goetz Goldberg","doi":"10.1177/08901171261442457","DOIUrl":"10.1177/08901171261442457","url":null,"abstract":"<p><p>ObjectiveThis review summarized the literature on employer-sponsored workplace wellness programs (WWP) to reduce cardiovascular disease (CVD) risk factors in employees at-risk for CVD.Data SourceUsing keywords related to WWP and CVD, a comprehensive search was conducted for articles published between 2000-2024 in PubMed, CINAHL, PsycINFO, ABI/INFORM, and Web of Science.Study Inclusion and Exclusion CriteriaOriginal, peer-reviewed quantitative research articles comparing employer-sponsored WWP to a control or comparison group to reduce CVD risk factors in civilian adults that were at-risk for CVD were included.Data ExtractionSummary tables included program/intervention, occupation/industry category, employer size, participant sample size, participant characteristics, outcomes, and other key information.Data SynthesisIntervention results and overall quality of the articles were evaluated to determine the state of the literature and whether WWP yielded statistically significant improvements in CVD-related outcomes.ResultsEighteen articles met eligibility (including 7 randomized controlled trials). Systolic and diastolic blood pressure were the most commonly studied outcomes. Most studies reported non-statistically significant results, but nearly half found significant improvements in systolic blood pressure.ConclusionThis systematic review found mixed evidence on the effectiveness of WWP to improve CVD risk factors. By focusing on at-risk employees and objectively measured biometrics, this review provides a more targeted synthesis of the evidence. Future studies should consider longer interventions and a randomized approach to augment the rigor and interpretability of intervention findings.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261442457"},"PeriodicalIF":2.4,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147687720","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}