American Journal of Health Promotion最新文献_第3页

Balancing Act: Generative AI Tools and Scope of Practice in Health Coaching. 平衡行为：生成人工智能工具和健康教练的实践范围。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-05-15 DOI: 10.1177/08901171251340383

Natalie M Papini, Megan Meyer, Nikole D Squires, Dawn Clifford

引用次数: 0

Urban-Rural Differences in HIV Testing Uptake Among US Women Survivors of Traumatic Childhood Sexual Abuse: A Cross-Sectional Population-Based Study Using 2022 BRFSS Data. 美国女性创伤性儿童期性虐待幸存者艾滋病毒检测的城乡差异：使用2022年BRFSS数据的横断面人群研究

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-05-12 DOI: 10.1177/08901171251342394

Wah Wah Myint, Qiping Fan, Roaa Aggad, Benjamin N Montemayor

{"title":"Urban-Rural Differences in HIV Testing Uptake Among US Women Survivors of Traumatic Childhood Sexual Abuse: A Cross-Sectional Population-Based Study Using 2022 BRFSS Data.","authors":"Wah Wah Myint, Qiping Fan, Roaa Aggad, Benjamin N Montemayor","doi":"10.1177/08901171251342394","DOIUrl":"https://doi.org/10.1177/08901171251342394","url":null,"abstract":"PurposeTo assess the differences in Human Immunodeficiency Virus (HIV) testing among women survivors of traumatic Childhood Sexual Abuse (CSA) by urban-rural residency status.DesignCross-sectional survey.Setting2022 Behavioral Risk Factor Surveillance System (BRFSS).SampleAdult women (N = 6616) with a history of CSA from 12 US states.MeasureOutcome was HIV testing. Covariates included sociodemographic characteristics, health-risk behaviors, perceived health status, presence of any disability, and subjective cognitive decline.AnalysisWe conducted three multivariable logistic regression models for urban-only, rural-only, and both, summarizing associations between HIV testing and covariates using adjusted odds ratios (aORs) and survey-weighted estimates.ResultsLogistic regression analysis highlighted significant urban-rural differences in HIV testing among Women CSA (WCSA) survivors. Among urban women, those aged 45-55 (aOR = 4.96), Asians (aOR = 9.58), current smokers (aOR = 2.13), and those with subjective cognitive decline (aOR = 2.99) had higher odds of HIV testing compared to their counterparts. Among rural women, being Hispanic (aOR = 19.40) and a current smoker (aOR = 3.44) were associated with higher odds of HIV testing. All P-values < .05.ConclusionsFindings highlight the need for future research on interventions including raising awareness on different testing strategies for rural WCSA survivors with lesser education to enhance HIV testing uptake.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251342394"},"PeriodicalIF":2.5,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960866","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

Evaluation of a Produce Prescription (PRx) Program With Food Literacy and Culinary Medicine Education for Rural, Uninsured Patients With Type-2 Diabetes. 对农村无保险的2型糖尿病患者进行食品素养和烹饪医学教育的农产品处方（PRx）项目评估。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-05-09 DOI: 10.1177/08901171251340385

Brandon J Stroud, Lauren R Sastre

{"title":"Evaluation of a Produce Prescription (PRx) Program With Food Literacy and Culinary Medicine Education for Rural, Uninsured Patients With Type-2 Diabetes.","authors":"Brandon J Stroud, Lauren R Sastre","doi":"10.1177/08901171251340385","DOIUrl":"https://doi.org/10.1177/08901171251340385","url":null,"abstract":"PurposeProduce prescription (PRx) programs improve the nutrition and health of participants; however, best practices to optimize and sustain dietary changes have not been established. This study examined the acceptability and impact of food literacy and culinary education aligned with a PRx.DesignSingle-group pre-post design, process evaluation.Setting4 primary care safety-net clinics.Subjects150 rural, uninsured patients with type-2 diabetes.Intervention20-week PRx intervention with 9 food literacy and culinary-focused group classes.MeasuresAttendance, satisfaction, knowledge, food purchasing and consumption changes, food literacy scores, diet changes.AnalysisClosed-ended survey responses and sociodemographics were analyzed using descriptive statistics. Open-ended responses were analyzed thematically. Paired Sample t-tests and Wilcoxon signed-rank test compared pre- vs post-food literacy scores and diet changes; multiple linear regression examined the effect of program participation on food literacy scores.ResultsTaste testing had the greatest influence on food behavior changes followed by the PRx and nutrition education. Food literacy significantly increased (89.1 (19.5) to 100.9 (19.5)), (P < .001) and was positively predicted by group class attendance (B = 1.366, P = .044). Diet quality improved (whole grains, P < .001, fruits, P = .03, and vegetables, P < .001).ConclusionFood literacy and culinary-focused nutrition education within a PRx amplified healthy food behavior changes and should be examined for long-term effectiveness in promoting and sustaining dietary changes.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251340385"},"PeriodicalIF":2.5,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961665","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

Physical Activity Domains, Intensities, and Sedentary Behavior: Associations with Depression in U.S. Adults. 体育活动领域、强度和久坐行为：与美国成年人抑郁症的关系。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-05-05 DOI: 10.1177/08901171251340390

Yubing Wang, Anqi Deng

{"title":"Physical Activity Domains, Intensities, and Sedentary Behavior: Associations with Depression in U.S. Adults.","authors":"Yubing Wang, Anqi Deng","doi":"10.1177/08901171251340390","DOIUrl":"https://doi.org/10.1177/08901171251340390","url":null,"abstract":"PurposeThis cross-sectional study examined associations between various physical activity (PA) domains and intensities-recreational vigorous PA (VPA), recreational moderate PA (MPA), work-related VPA, work-related MPA, and transport-related PA-and sedentary behavior with depression, and evaluated whether meeting PA guidelines through these domains and intensities confers comparable protective effects.DesignCross-sectional study.Setting2007-2020 National Health and Nutrition Examination Survey (NHANES).Subjects12,488 U.S. adults.MeasuresDepression was assessed using the Patient Health Questionnaire-9 (PHQ-9), with scores ≥10 indicating clinically significant depression. PA was measured by the Global Physical Activity Questionnaire; sedentary time was self-reported daily sitting hours. Covariates included demographic, lifestyle, and health factors.AnalysisWeighted logistic regression under a complex sampling design, adjusting for covariates.ResultsRecreational VPA showed the strongest association with lower odds of depression, with each additional hour per week linked to a 3%-5% decrease (P < 0.01). Each additional hour of sedentary time per day was associated with a 3%-5% increase in the odds of depression (P < 0.01). Compared to inactivity, meeting guidelines through recreational VPA was linked to a 65%-79% lower odds of depression (P < 0.01). Recreational MPA or work-related PA was associated with approximately 40% lower odds of depression, whereas transport-related PA showed no significant association.ConclusionsRecreational VPA was linked to the greatest reduction in the odds of depression, emphasizing the importance of domain and intensity in PA guidelines and the need to limit prolonged sedentary behavior for mental health benefits.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251340390"},"PeriodicalIF":2.5,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960044","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

Exploring Perceptions, Barriers, and Facilitators of Participation in an Exercise Snack Intervention Among U.S. Office Workers: Findings From a Pilot Study. 在美国办公室工作人员中探索参与运动零食干预的认知、障碍和促进因素：一项试点研究的结果。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-05-04 DOI: 10.1177/08901171251338217

Astrid N Zamora, Amanda B Zeitlin, Jessie B Moore, Marily Oppezzo

{"title":"Exploring Perceptions, Barriers, and Facilitators of Participation in an Exercise Snack Intervention Among U.S. Office Workers: Findings From a Pilot Study.","authors":"Astrid N Zamora, Amanda B Zeitlin, Jessie B Moore, Marily Oppezzo","doi":"10.1177/08901171251338217","DOIUrl":"https://doi.org/10.1177/08901171251338217","url":null,"abstract":"Purpose'Exercise snacks'- brief, intermittent sessions of moderate-to-high intensity activity- offer a novel and promising solution for sedentary office workers. However, perceptions and experiences related to engaging in this approach are limited or largely unknown.Approach and ParticipantsThis qualitative study employed semi-structured interviews with 20 office workers who completed a pilot exercise snack intervention called Move Often eVeryDay (MOV'D). The sample consisted of 10 participants from the MOV'D intervention group and 10 participants from the self-monitoring group.SettingInterviews were conducted remotely via Zoom.MethodsInterview transcripts were analyzed using open-coded, thematic analysis, with themes and subthemes identified both a priori and inductively during the analysis.ResultsThe mean (SD) age of participants was 43.8 (11.3) years, 80% identified as women or transgender women, and 35% reported being Non-Hispanic White. Emergent themes included enjoyment of study components, increased motivation and physical activity awareness, and knowledge gained. Common barriers included time constraints and competing obligations. Facilitators of engagement included behavioral adaptations and the minimal space needed for activities. Key suggestions for future iterations included having more reminders throughout the study, enhanced social connection, and adjustments to intervention materials.ConclusionAlthough exercise snacks are brief and accessible, findings highlight the need to refine the intervention to reduce participation barriers and support long-term habit formation. The insights garnered from the present pilot study offer actionable recommendations for enhancing this and other similar health promotion behavioral interventions.Trial registrationThe trial was registered on May 3, 2022 (before recruitment began) at https://clinicaltrials.gov/study/NCT05360485, clinical trial number: NCT05360485.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251338217"},"PeriodicalIF":2.5,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961677","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

E-cigarette Smoking and Colorectal Cancer Screening. 吸电子烟与大肠癌筛查。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-05-01 Epub Date: 2024-11-28 DOI: 10.1177/08901171241304726

Eugene Annor, Joseph Atarere, Quarshie Glover, Nneoma Ubah, Chinenye Odo, Yakubu Bene-Alhasan, Vwaire Orhurhu, Jamal Hasoon, Wisdom Chinonyelu Ufondu, Moyasar Osman, Christopher Thompson

{"title":"E-cigarette Smoking and Colorectal Cancer Screening.","authors":"Eugene Annor, Joseph Atarere, Quarshie Glover, Nneoma Ubah, Chinenye Odo, Yakubu Bene-Alhasan, Vwaire Orhurhu, Jamal Hasoon, Wisdom Chinonyelu Ufondu, Moyasar Osman, Christopher Thompson","doi":"10.1177/08901171241304726","DOIUrl":"10.1177/08901171241304726","url":null,"abstract":"PurposeTo evaluate how CRC screening practices differ between e-cigarette users and non-users.DesignCross-sectional study design.SettingNational Cancer Institute's Health Information National Trends Survey (HINTS 5).SubjectsRespondents aged 45 to 75 years.MeasuresDemographics, CRC screening, e-cigarette use, cancer history, presence of comorbidities, and access to a primary care provider.AnalysisThe demographic characteristics of the study participants were evaluated by their e-cigarette smoking status using chi-squared tests. The differences in CRC screening between e-cigarette users and non-users were evaluated using a multivariate logistic regression model.ResultsWe identified a total of 6963 participants, of which 181 (2.6%) were e-cigarette users. The prevalence of e-cigarette use was inversely related to age. A significant portion were uninsured (10.7% vs 5.9% of non-users), and almost half (49.9%) were current tobacco smokers. E-cigarette users were as likely to undergo CRC screening compared to non-users [OR 1.40; 95% CI (0.74, 2.66)]. Increasing age, educational level, health insurance, comorbidity, access to a primary care provider, personal history of cancer, and presence of a comorbidity were associated with increased participation in CRC screening. However, e-cigarette use was not associated with increased screening.ConclusionOur study found no significant difference in CRC screening rates between e-cigarette users and non-users. While screening behaviors appear unaffected for now, ongoing surveillance is important as more users reach screening age given the uncertainties surrounding the long-term effects of e-cigarette use.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"574-580"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738086","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

Impact of a Culturally Targeted Lifestyle Course on Dietary and Weight Outcomes of Chinese Americans in Texas. 文化目标生活方式课程对德克萨斯州华裔美国人饮食和体重结果的影响。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-05-01 Epub Date: 2024-12-03 DOI: 10.1177/08901171241304702

Danhong Chen, Furjen Deng, Helen Sun

{"title":"Impact of a Culturally Targeted Lifestyle Course on Dietary and Weight Outcomes of Chinese Americans in Texas.","authors":"Danhong Chen, Furjen Deng, Helen Sun","doi":"10.1177/08901171241304702","DOIUrl":"10.1177/08901171241304702","url":null,"abstract":"PurposeThis study aimed to assess the impact of a culturally targeted lifestyle course on the dietary and weight outcomes of Asian Americans.DesignThis was an observational study of participants for a culturally targeted lifestyle course taught online by a Nutrition Scientist and Board-Certified Holistic Health Practitioner.SettingFrom 2021 to 2022, 284 participants were recruited through 4 community organizations in Texas and completed the informed consent.Subjects140 Chinese Americans finished 3 surveys before, after, and 6 months after the course.MeasuresParticipants' fruit and vegetable consumption was assessed using the questionnaire from the Behavioral Risk Factor Surveillance System and their physical activities were evaluated by the Godin-Shephard Leisure-Time Exercise Questionnaire.AnalysisWe conducted repeated measures ANOVA to compare participants' dietary and weight outcomes before, after, and 6 months after the course. Paired t-tests were performed to investigate how the outcomes differed from the baseline.ResultsThe participants' weights and BMI values at the 6-month follow-up were significantly lower than the baseline, though the changes were not significant immediately after the course. Rice consumption dropped significantly both after the class and at the 6-month follow-up. Participants also significantly reduced their intake of 100% juice and fried potatoes immediately after the class.ConclusionCommunity-based Participatory Approaches might be used to improve the dietary and weight outcomes of Asian Americans.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"581-588"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765512","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

Informing Vaccine Messaging and Community Outreach: Experience in Chicago with a Community-Based Participatory Approach. 疫苗信息传递和社区外展：芝加哥社区参与式方法的经验。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-05-01 Epub Date: 2024-12-09 DOI: 10.1177/08901171241307435

Naseem Parsa, Mark Dworkin, Caesar Thompson, Cornelius Chandler, SangEun Lee, Aram Kang, Diana Ghebenei, Melissa Martin, Nadine Peacock, Jeni Hebert-Beirne, Emily Stiehl

{"title":"Informing Vaccine Messaging and Community Outreach: Experience in Chicago with a Community-Based Participatory Approach.","authors":"Naseem Parsa, Mark Dworkin, Caesar Thompson, Cornelius Chandler, SangEun Lee, Aram Kang, Diana Ghebenei, Melissa Martin, Nadine Peacock, Jeni Hebert-Beirne, Emily Stiehl","doi":"10.1177/08901171241307435","DOIUrl":"10.1177/08901171241307435","url":null,"abstract":"PurposeIn response to disparities in COVID-19 vaccine uptake in urban environments, we ascertained whether a community-engaged evaluation could rapidly determine why unvaccinated Chicago residents were hesitant to receive the COVID-19 vaccine.ApproachThe assessment used a mixed-methods approach, grounded in community-based participatory research (CBPR) principles.SettingInterviews were conducted by community partners between April and May 2022 in Chicago, in-person and via phone.ParticipantsA purposive sample of Chicagoans (n = 456), who were: (1) adults (≥18 years); (2) living in priority areas in Chicago heavily impacted by COVID-19; (3) who spoke English or Spanish; and (4) had not received the COVID-19 vaccine.MethodA transdisciplinary academic-community team co-developed an assessment tool. Members of Chicago's Community Health Response Corps (CHRC) (N = 115) interviewed participants, using a 46-item survey in Qualtrics. Interviews were analyzed using qualitative and quantitative software, including Dedoose for coding and SAS for descriptive statistics.ResultsOver half of all respondents were not concerned about getting COVID-19. Respondents voiced concerns about side effects (36%), vaccine safety (27%), and trust in governmental institutions, given historical events involving unethical research. Participants also reported other social needs (e.g., food or housing insecurity) that made COVID-19 a lower priority.ConclusionThe collaborative research approach highlighted issues of trust, concerns about side effects and vaccine safety, issues that have informed vaccine messaging.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"647-653"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799018","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

Enhancing Disease and Management Knowledge Among Black Americans With Asthma or Chronic Obstructive Pulmonary Disease (COPD). 提高美国黑人哮喘或慢性阻塞性肺疾病（COPD）患者的疾病和管理知识。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-05-01 Epub Date: 2024-12-09 DOI: 10.1177/08901171241307432

Lorriane A Odhiambo, Peggy C Stephens, Vinay K Cheruvu, Melissa D Zullo

{"title":"Enhancing Disease and Management Knowledge Among Black Americans With Asthma or Chronic Obstructive Pulmonary Disease (COPD).","authors":"Lorriane A Odhiambo, Peggy C Stephens, Vinay K Cheruvu, Melissa D Zullo","doi":"10.1177/08901171241307432","DOIUrl":"10.1177/08901171241307432","url":null,"abstract":"PurposeLack of knowledge contributes to disparate outcomes among Americans with asthma or chronic obstructive pulmonary disease (COPD). This study assessed the impact of an educational intervention on disease knowledge and management in Black Americans with asthma or COPD.DesignPre-post study design with 9-month follow-up.SettingUrban church community.SubjectsBlack American adults (N = 38) with self-reported asthma (18) and COPD (20), of which 76.3% (N = 29) completed the intervention.InterventionThe Asthma COPD (ACOPD) Workshop consisted of three 1-hour classes focused on disease knowledge and management behaviors (physical activity, nutrition, and avoiding triggers) delivered in 16 sessions over six months.MeasuresKnowledge questionnaire.AnalysisMcNemar's tests for paired proportions.ResultsKnowledge of disease concepts increased post-intervention, then decreased at the 9-month follow-up. There was a significant difference in the proportion of participants that provided correct answers to questions about 'two diseases that constitute COPD' (P = .04), 'main cause of COPD' (P = .01), 'written action plan' (P = .04), and 'untrue statement about asthma,' (P = .02).ConclusionThe ACOPD Workshop increased knowledge of basic disease concepts, risk factors, and management. Regular delivery of educational sessions in the community can support knowledge retention and practice of healthy behaviors.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"654-657"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799011","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

Aligning Health Promotion Principles With Health Behavior Practice: Experiences With Qualitative Tuberculosis Research. 调整健康促进原则与健康行为实践：结核病定性研究的经验。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1177/08901171251332450c

Nancy Bedingfield, Charity Oga-Omenka, Joanne E Mantell, Tsitsi B Masvawure, Jennifer Furin, Andrew McDowell, Nora Engel, Amrita Daftary

引用次数: 0