American Journal of Health Promotion最新文献

{"title":"Exploring Context-specific Physical Activity and Sedentary Behavior Patterns Among Youth Enrolled in Kansas 4-H Programming.","authors":"Denver M Y Brown, Peter Stoepker, Greg J Welk","doi":"10.1177/08901171261491561","DOIUrl":"https://doi.org/10.1177/08901171261491561","url":null,"abstract":"<p><p>PurposeTo characterize context-specific patterns of moderate-to-vigorous physical activity (MVPA) and sedentary behavior among Kansas youth in 4-H programming, and to examine differences and interactions by gender, grade, and urban/rural status.DesignCross-sectional, observational survey.SettingOnline survey administered in April-May 2025 to youth participating in 4-H programming across Kansas, a Cooperative Extension-led community-based youth development program.Sample796 Kansas youth (ages 7-17 years; 53% female; 94% White; 70% rural).MeasuresYouth self-reported MVPA and sedentary behavior using the Youth Activity Profile, which provides accelerometer-calibrated estimates across six contexts: average daily, weekday, weekend, school-, and home-based MVPA, and home-based SB.AnalysisLinear regression models examined main and interaction effects between gender, grade, and urban/rural status for each outcome.ResultsParticipants averaged 67.6 minutes of daily MVPA and 4.2 hours of home-based sedentary behavior. Significant main effects of grade and gender were found across all outcomes (<i>P</i> < .05), with MVPA declining by grade and lower among girls. Significant grade-by-urban/rural status interactions were observed for weekday (B = -1.18, SE = 0.58, <i>P</i> = .04) and school-based MVPA (B = -0.90, SE = 0.44, <i>P</i> = .04), indicating steeper age-related declines among urban youth. No other interactions were significant (<i>P</i> > .05).ConclusionWhile average MVPA levels met the 60-minute/day recommendation, age-related declines and persistent gender disparities - especially among high school girls - highlight the need for developmentally appropriate, gender-responsive physical activity promotion strategies within community-based youth programs such as 4-H.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261491561"},"PeriodicalIF":2.1,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149023695","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":"Decreasing Young Children's Sugar Intake Through Pediatricians and Social Marketing (DC-SIPPY): Formative Research to Inform an Intervention to Reduce Sugary Drink Intake Among Black Young Children in Washington, D.C.","authors":"Jasmine Charter-Harris, Natalie Vallone, Nia Bodrick, Becky Copper, Tala Abukoush, Mariana F Grilo, Natalie Lueders, Jennifer M Sacheck, William D Evans, Allison C Sylvetsky","doi":"10.1177/08901171261491559","DOIUrl":"https://doi.org/10.1177/08901171261491559","url":null,"abstract":"<p><p>PurposeDesign a community-informed, parent-focused intervention (\"DC-SIPPY\") to reduce sugary drink consumption and increase water intake among Black young children.DesignSemi-structured in-depth qualitative interviews to elicit feedback on DC-SIPPY concept and prototype messaging and graphics.SettingPediatric primary care clinic in a historically under-resourced area of Washington, D.C.ParticipantsParents (n = 12) of children 1-5 years old. To be eligible for the study, parents also had to use social media, identify as Black or African American, and report habitual sugary drink consumption for both themselves and their children.MethodsIn-depth interviews were conducted, during which parents were asked to share their opinions about the intervention concept and provide feedback about the design and content of prototype graphics and messaging, which were developed based on extensive prior formative research with the target population. Interviews were recorded, transcribed, and coded independently by two coders. Thematic analysis was conducted to identify key themes and subthemes, which informed subsequent refinements to the intervention concept and content. Parents also completed a brief demographic survey and beverage intake questionnaire.ResultsFive key themes were identified: (1) Parents are optimistic that DC-SIPPY will reduce sugary drinks among their children, (2) Parents are enthusiastic about participating in DC-SIPPY, (3) Parents found the information communicated in DC-SIPPY prototype graphics and messaging useful and relatable; and (4) Parents recommended aesthetic improvements to DC-SIPPY graphics such as more relevant beverage examples.ConclusionsParents' positive feedback on the intervention concept and content suggests DC-SIPPY may hold promise for reducing Black young children's sugary drink intake.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261491559"},"PeriodicalIF":2.1,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149007729","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":"Reasons for Not Having Sex and Differences in Contraceptive Knowledge Among Sexually Active and Inactive College Students.","authors":"Allison R Casola, Natalie Khan, Olivia Rea, Pamela A Matson, Resa M Jones","doi":"10.1177/08901171261486287","DOIUrl":"https://doi.org/10.1177/08901171261486287","url":null,"abstract":"<p><p>PurposeTo examine reasons for not having sex and contraceptive knowledge disparities by sexual activity status among college students aged 18-24.DesignA cross-sectional survey assessing sexual activity status, reasons for not having sex, and contraceptive knowledge was conducted.SettingLarge urban university.SampleThe study included 700 college students (sexually active: n = 443; inactive: n = 76; never had sex: n = 181).MeasuresSexual activity status was self-reported, and contraceptive knowledge were measured using the Contraception Knowledge Assessment (score range: 0-25). Demographics included sex, race, education year, sexual orientation, and age.AnalysisDescriptive statistics and adjusted linear regression models were used to compare mean contraceptive knowledge scores between groups, controlling for demographic factors.ResultsAmong students, 26% never had sex, were primarily female (86%) and white (54%), and citied \"not finding the right person\" (65%) and religious or moral reasons (12%) as top reasons for not having sex. In adjusted analyses, sexually active students had higher contraceptive knowledge scores than peers who never had sex (14.3 vs 12.5).ConclusionStudents who never had sex had lower contraceptive knowledge, suggesting a need for informational sex preparedness. All students, regardless of activity status, need comprehensive sexual education to support informed decisions and safe sex practices.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261486287"},"PeriodicalIF":2.1,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148987771","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":"Why Gender Matters for the Quality of Life of University Students: The Role of Socioeconomic Status, Health Behaviors, and Clinical Conditions.","authors":"André Fabrício P Cruz, Wille Dingsor S Pereira, Natália G Ribeiro, Jaciara N Sousa, Mônica Thaís S Macedo, Thais de Oliveira F Baldo, Marcelo P Baldo","doi":"10.1177/08901171261489116","DOIUrl":"https://doi.org/10.1177/08901171261489116","url":null,"abstract":"<p><p>PurposeTo assess QoL and its associated factors among Brazilian university students, with analyses stratified by gender to identify gender-specific predictors.DesignCross-sectional epidemiological study.SettingUndergraduate students enrolled in higher education institutions located in Brazil.Subjects1.616 undergraduate students of both genders, aged 18 years or older.MeasuresParticipants completed a sociodemographic and health questionnaire and the EUROHIS-QOL-8 index.AnalysisDescriptive analyses, bivariate comparisons, multiple linear regression models, and moderation analyses, overall and stratified by gender, were applied to identify independent predictors of QoL.ResultsMale students reported higher overall QoL scores than females (3.7 ± 0.6 vs 3.5 ± 0.5; <i>P</i> < 0.001). In the total sample, lower QoL was associated with female gender, Black race/skin color, diabetes, and tobacco use. In contrast, higher income and regular physical activity were predictors of high QoL. Stratified models revealed that physical activity and family income positively predicted QoL in both genders, but smoking was a stronger negative predictor among men, while diabetes was associated with low QoL in women. The protective effect of physical activity was more pronounced in female students. Moderation analyses confirmed that sex significantly moderated the associations between family income and physical activity and QoL.ConclusionGender differences in QoL among university students reflect distinct behavioral and socioeconomic vulnerabilities. The moderating role of sex suggests that health promotion strategies may need to be tailored by gender.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261489116"},"PeriodicalIF":2.1,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148954715","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":"Employing the Arts to Promote Health and save Democracy: An Interview With Na Eng.","authors":"Paul E Terry","doi":"10.1177/08901171261486160","DOIUrl":"https://doi.org/10.1177/08901171261486160","url":null,"abstract":"<p><p>Employing the arts, such as music, theatre, dance or sculpture has well-documented effectiveness in health education and health promotion. From managing disabilities to fostering mental health, art can play a role in both prevention and cure. And what of the use of art as a catalyst for advancing the health of communities and society writ large? This editorial features the resources available via an action kit that aims for nothing less than \"saving democracy.\" In an interview with author, journalist and activist Na Eng, we examine how the arts can be deployed in the interest of greater belonging, inclusion and health equity.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261486160"},"PeriodicalIF":2.1,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148943832","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":"Life Satisfaction, Coping Resources, and Smoking Behavior: A Population-Based Analysis Among U.S. Adults.","authors":"Evans F Kyei, Olayemi Timothy Adekeye, Caesar M Abuga, Mercy N Mumba","doi":"10.1177/08901171261489232","DOIUrl":"https://doi.org/10.1177/08901171261489232","url":null,"abstract":"<p><p>PurposeExamine associations between life satisfaction, sociodemographic factors, and smoking behavior among U.S. adults to inform health promotion interventions within a stress and coping framework.DesignCross-sectional secondary analysis using the Stress and Coping Theory framework.SettingUnited States civilian, non-institutionalized population.Sample28,526 adults from the 2021 to 2023 National Health Interview Survey representing 233,334 680 weighted U.S. adults. The sample was 56.6% male and 43.4% female.MeasuresLife satisfaction (satisfied vs not satisfied), current smoking status, education, marital status, health status, and demographic characteristics.AnalysisWeighted logistic regression models examined associations and interaction terms using complex survey procedures.ResultsLife dissatisfaction was associated with higher odds of smoking (OR = 1.24-1.30, <i>P</i> < .001). Higher educational attainment was associated with lower odds of smoking, while individuals who were not married had higher odds of smoking. Interaction analyses indicated variation by marital status and across racial and ethnic groups, with higher education associated with higher odds of smoking among some subgroups.ConclusionSmoking behavior was associated with life satisfaction and coping resources, highlighting the importance of incorporating stress-related factors into smoking prevention strategies.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261489232"},"PeriodicalIF":2.1,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148943829","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":"Concussion Knowledge and Reporting Behaviors in Collegiate Equestrian Athletes: Implications for Health Promotion.","authors":"Kimberly I Tumlin, Bethany Stewart, Michaela M Keener, Susan Westneat, Devon Serrano","doi":"10.1177/08901171261483532","DOIUrl":"https://doi.org/10.1177/08901171261483532","url":null,"abstract":"<p><p>PurposeMost equestrian programs lack mandated injury care access despite an elevated risk of concussive injury. Thus, this research evaluated relationships between equestrian and non-equestrian sport participation and relationships to concussion education on perception of concussion injury and reporting behaviors among female collegiate athletes. Secondly, accessibility to athletic trainers (ATs) and impacts on willingness to report concussion injury was determined.DesignQuantitative, cross-sectional study.SettingCollegiate Athletics.Sample135 female athletes with 67% equestrians.MeasuresA survey was built by integrating constructs of education, reporting perceptions, and reporting behaviors adapted from prior injury reporting tools and constructs. The items included concussion education (4 items), concussion perception (9 items) and reporting behavior (6 items), with each scored as a summed composite.AnalysisInferential statistics included t-tests for group mean differences and chi-square tests for categorical relationships.ResultsEquestrian athletes reported less willingness to disclose concussion during high-stakes events (<i>P</i> = 0.036), and lower scores on key reporting behaviors (<i>P</i> = 0.08) than non-equestrians. Formal concussion education significantly improved both perception (<i>P</i> = 0.002) and reporting scores (<i>P</i> = 0.001), among equestrians. Access to ATs varied by race and ethnicity (<i>P</i> = 0.024), and team sport participants were more likely to report concussion symptoms than individual sport athletes (<i>P</i> = 0.033).ConclusionCollegiate equestrian athletes showed strong understanding of concussion symptoms, yet they demonstrated lower likelihood of reporting in competitive environments compared with non-equestrian peers. ATs are key facilitators of education and care, especially in decentralized or club sports. Adopting systems which encourage empowerment and reduce perceived punitive outcomes may reduce untreated injuries and improve long-term health outcomes.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261483532"},"PeriodicalIF":2.1,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900051","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":"Substitution Preferences for Sugar-Sweetened Beverages Among US Adults by Sociodemographic Characteristics - SummerStyles 2021.","authors":"Alexander H W Molinari, Seung Hee Lee, Samantha L Pierce, Brook Belay, Carrie Dooyema, Alyson B Goodman","doi":"10.1177/08901171251408282","DOIUrl":"10.1177/08901171251408282","url":null,"abstract":"<p><p>PurposeThis study examined preferences to consider low-calorie, no sugar substitution options for sugar-sweetened beverage (SSB) among US adults. This could help develop tailored public health strategies to reduce SSB consumption and related health risks.DesignQuantitative, cross-sectional study.SettingUnited States.SampleThis study used 2021 SummerStyles survey data for 2552 US adults recruited from an online panel of approximately 60 000 non-institutionalized adults.MeasuresThe outcome measure was considering a non-sugar SSB substitute (Yes or no) for six different beverage options among individuals consuming SSBs who would consider a substitute. Exposure measures were sociodemographic characteristics and frequency of SSB consumption.AnalysisLogistic regression models were used to estimate adjusted odds ratios (ORs) for preference to consider each substitution option.ResultsPlain water was considered by 71% of respondents as a substitute; 36% considered flavored water, 27% sparkling water, 25% herbal tea, 19% diet drinks, and 18% unsweetened coffee. Preferences varied by demographic characteristics. Individuals reporting an annual household income of <$35 000 had 0.6 (95% confidence interval (CI): 0.4, 0.9) times lower odds to consider plain water than those with income ≥$100 000, and individuals with obesity had 1.9 (95% CI: 1.4, 2.6) times greater odds of considering diet drinks compared to those with healthy weight or underweight.ConclusionPopulation subgroups of regular SSB-consuming adults exhibit varying preferences for SSB substitutes, which can inform tailored public health messaging and interventions.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"802-810"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145740488","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":"Supervised Exercise Interventions: Evidence, Outcomes, and Policy Implications for Chronic Disease Management.","authors":"Khansaa Abdullah, Elizabeth Ablah, Vicki Collie-Akers, Laurie P Whitsel","doi":"10.1177/08901171261462604","DOIUrl":"10.1177/08901171261462604","url":null,"abstract":"<p><p>ContextPhysical inactivity is a major contributor to chronic disease, disability, and premature mortality in the United States and is associated with substantial healthcare expenditures. Although regular physical activity improves health outcomes, individuals with chronic conditions often require structured supervision to exercise safely and effectively. Building upon this context, the objective of this review is to synthesize evidence on the clinical, psychosocial, and economic impacts of supervised exercise interventions (SEIs) and to examine policy and implementation factors influencing their adoption. To achieve this objective, a structured literature review was conducted, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework.Eligibility CriteriaStudies published in English between 2010 and 2024 that involved adults aged 18 years or older and evaluated supervised exercise interventions with reported clinical, psychosocial, economic, or policy-related outcomes were included.Study SelectionPubMed, Web of Science, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) were searched using predefined keywords. Reference lists of relevant studies were also reviewed to identify additional eligible articles.Main Outcome MeasuresClinical outcomes (eg, mortality, aerobic capacity, HbA1c), psychosocial outcomes (eg, adherence, depression, quality of life), and economic and policy outcomes (eg, cost-effectiveness, reimbursement).ResultsTwenty studies met the inclusion criteria. Across cardiovascular, metabolic, oncologic, pulmonary, and geriatric populations, SEIs were associated with improved clinical outcomes, including reduced rehospitalization and mortality, enhanced aerobic capacity, improved glycemic control, and reductions in fatigue and depressive symptoms. SEIs were cost-effective across disease categories, with several studies reporting healthcare cost savings within 1 year. However, disparities in referral and participation persisted among racial and ethnic minorities, rural populations, and individuals with lower socioeconomic status.ConclusionSEIs are effective and scalable strategies for managing chronic diseases and preventing secondary complications. Evidence indicates that supervised exercise improves clinical, psychosocial, and economic outcomes across diverse populations. Expanding reimbursement and strengthening integration within health systems will be critical to improving equitable access to SEIs.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"904-909"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148381424","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":"Navigating the Infodemic: A Perspective Study on Media Health Literacy in the MENA Region.","authors":"Parisa Hajibadali, Haidar Nadrian, Vahid Pakpour, Fatemeh Bakhtari Aghdam","doi":"10.1177/08901171251412962","DOIUrl":"10.1177/08901171251412962","url":null,"abstract":"<p><p>The COVID-19 infodemic underscored the urgent need to strengthen media health literacy (MHL) as a cornerstone of public health resilience. This perspective examines MHL within the complex sociopolitical, cultural, and digital landscape of the Middle East and North Africa (MENA) region, where misinformation, inequities, and limited institutional trust amplify health vulnerabilities. It proposes an integrated framework built on 4 pillars-policy and advocacy, multi-sectoral collaboration, empowerment of vulnerable populations, and technology-driven innovation-to foster equitable access to reliable health information. Advancing MHL in MENA is essential to building trust, enhancing informed decision-making, and promoting regional health equity.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"787-790"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145888468","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}