American Journal of Health Promotion最新文献

{"title":"Bidirectional Relationships Between Sleep Quality and Cognitive Function in Older Chinese Adults: Observational Analysis of SAWA Trial.","authors":"Shiyuan Qian, Chan Yong, Shiyi Li, Jie Peng, Xianlan Li, Qin Ye, Qianqian Liu, Nanyan Li, Julinling Hu, Qian Deng, Yufei Wang, Jingjie Zhu, Xing Zhao, Junmin Zhou","doi":"10.1177/08901171251326311","DOIUrl":"10.1177/08901171251326311","url":null,"abstract":"<p><p>PurposeTo examine the bidirectional relationships between sleep quality and cognitive function in older Chinese, and further examine the sex differences in the relationships using the random intercept cross-lagged panel model.DesignA secondary observational analysis of a physical activity clustered randomized controlled trial (The Stay Active While Aging).SettingEight villages in Sichuan, China.SubjectsA total of 511 adults aged 60 or older. The response rate was 97.3%.MeasuresThe Pittsburgh Sleep Quality Index was used to examine sleep quality. Cognitive function was assessed by the Telephone Interview for Cognitive Status.ResultsThe mean age was 71.0 (SD, 5.710) years and 227 (44.4%) were men. Sleep quality in the previous wave was associated with cognitive function in the subsequent wave (β = -0.135, [95%CI -0.244 to -0.026], wave 2 to 3; β = -0.108, [95%CI -0.204 to -0.013], wave 4 to 5). Cognitive function in the previous wave was associated with sleep quality in the subsequent wave (β = -0.404, [95%CI -0.566 to -0.242], wave 3 to 4; β = -0.224, [95%CI -0.392 to -0.055], wave 4 to 5). Such relationships were significant only in women.ConclusionsThere were bidirectional relationships between sleep quality and cognitive function in older adults, especially in women. Future cognition interventions may find it helpful to improve sleep quality, and vice versa, particularly in women.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"880-889"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613022","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":"Exploring How Neighborhood Environment Perceptions Moderate the Health Benefits of Movement Behaviors Among Latinos in Los Angeles.","authors":"Lilian G Perez, Gabriela Castro, Rachana Seelam, Deborah A Cohen, Bing Han, Michael A Mata, Anne Larson, Kathryn P Derose","doi":"10.1177/08901171251316378","DOIUrl":"10.1177/08901171251316378","url":null,"abstract":"<p><p>PurposeThis study examined how the potential health benefits of movement behaviors - physical activity (PA), sedentary time, and sleep - vary by neighborhood perceptions among Latinos.DesignCross-sectional analysis of baseline data from churchgoing Latino adults participating in an ongoing randomized controlled trial to promote PA.SettingEast Los Angeles, California, and surrounding neighborhoods.SampleSample of 728 churchgoing Latinos (77% female, mean age 52 years).MeasuresMovement behaviors included self-reported leisure-time PA and sleep duration, and accelerometer-based sedentary time. Survey assessed perceived neighborhood crime safety, traffic safety, aesthetics, and social cohesion. Outcomes included self-reported stress, depressive symptoms, diabetes, and hypertension; and objectively-measured body mass index.AnalysisLinear or logistic regression assessed associations of the movement behaviors with neighborhood measures, and their interactions, in relation to the health outcomes.ResultsSleep was associated with lower perceived stress [B(SE) = -0.41 (0.09), <i>P</i> < .0001] and major depression [OR, 95% CI = 0.54, 0.42-0.69]. Leisure-time MVPA was associated with lower obesity [OR, 95% CI = 0.60, 0.41-0.88] and sedentary time was associated with higher diabetes [OR, 95% CI = 1.03, 1.00-1.05]. Perceived neighborhood safety from crime, social cohesion, and aesthetics had significant interactions with movement behaviors (<i>P</i> < 0.05) in relation to four outcomes.ConclusionInteraction models suggest interventions targeting neighborhood crime safety, aesthetics, and social cohesion may be key for maximizing the health benefits of movement behaviors among Latinos.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"860-870"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12148682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424665","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":"The Mental Well-Being of Graduate Students in Canada: A Scoping Review.","authors":"Elham Javadizadeh, Abram Oudshoorn, Lori Letts, Skye Barbic, Carrie Anne Marshall","doi":"10.1177/08901171251326308","DOIUrl":"10.1177/08901171251326308","url":null,"abstract":"<p><p><b>Objective:</b> To review the literature exploring the mental health of graduate students in Canada. Data Source: Articles identified in EMBASE, CINAHL, PsycInfo, Medline, Sociological Abstracts, Nursing and Allied Health, and ERIC.Study Inclusion and Exclusion Criteria:Two independent reviewers screened articles that: (1) focused on graduate students' mental wellbeing; (2) used empirical study designs (3) were published in English; (4) were conducted in Canada.<b>Data Extraction:</b> Twenty-two articles met the inclusion criteria. Data was extracted on the following variables: author(s); year of publication; study design; methodology; clinical characteristics of participants; number of participants; demographic characteristics of participants, journal discipline and university.<b>Data Synthesis:</b> We used Dedoose, a qualitative data management program, to perform qualitative content analysis and characterize the data and identify emerging themes.<b>Results:</b> The content analysis led to three related themes from the included studies: Determinants of mental health in graduate students are myriad; 2) Coping Strategies for Graduate Student Stress; and 3) Bridging Support: Enhancing Mental Well-Being.<b>Conclusion:</b> Our study's findings highlight the significance of investigating the mental well-being of graduate students in Canada. This review showed that by promoting mental well-being, universities and institutions can create a supportive atmosphere that encourages open dialogue, provides access to counseling and other mental health resources, and implements strategies to mitigate the challenges faced by graduate students.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"921-935"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612751","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":"Role of Illness Perception in Explanation of Influenza Vaccination Intention and Behavior in Patients With Cardiovascular Disease: A Cross-Sectional Survey.","authors":"Jiaxue Fan, Qin Wang, Ying Deng, Junyan Liang, Hua You","doi":"10.1177/08901171251356270","DOIUrl":"https://doi.org/10.1177/08901171251356270","url":null,"abstract":"<p><p>PurposeTo investigate the impact of illness perception and its three measures on vaccination in patients with cardiovascular disease (CVD), and the importance of each influencing factor.DesignA cross-sectional survey.SettingThis study was conducted in two large comprehensive medical institutions in Jiangsu Province, China.Sample602 eligible patients with CVD were recruited from cardiovascular departments.MeasuresA self-administered questionnaire with feasible reliability and validity was used to investigate the demographic characteristics and illness perception.AnalysisBinary logistic regression analyses were performed using intention (total population) and behavior (willing population) as dependent variables and illness perception and its three measures as independent variables. Furthermore, the importance of the variables was ranked using a random forest model.ResultsIllness perception in patients with CVD negatively influences vaccination intention (OR = 0.560, 95%CI: 0.496.0.633, <i>P</i> < 0.001) and actual vaccination behavior (OR = 0.780, 95%CI: 0.675, 0.900, <i>P</i> < 0.001). In the order of importance of the influencing factors, illness perception was dominant. Among the specific measures of illness perception, cognitive response and emotional response were more important than illness comprehensibility.ConclusionsThis study identified a negative association between illness perception (across all three measures and both influenza vaccination intention and behavior. Assessing the level of illness perception in patients can help identify those who are reluctant to receive the vaccine. The association between illness perception and vaccine hesitancy should be considered when developing future intervention strategies for influenza vaccine hesitancy in patients with CVD.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251356270"},"PeriodicalIF":2.5,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144525999","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":"Depression and Alcohol Drinking Behavior: Association and Sex Differences Among Brazilian Adults.","authors":"Tcm Caldeira, Les Silva, P C Freitas, R M Claro, T M Sousa","doi":"10.1177/08901171251353330","DOIUrl":"10.1177/08901171251353330","url":null,"abstract":"<p><p>PurposeTo evaluate the association of alcohol drinking behaviors with depression and sex differences among Brazilian adults.DesignCross-sectional study.SettingBrazilian National Health Survey of 2019.SubjectsPopulation-based sample of 88 531 Brazilian adults.MeasuresAlcohol drinking behaviors (heavy episodic drinking; alcohol-related impairment; alcohol-induced blackout), depression (Patient Health Questionnaire-9), and socioeconomic information (sex; age; education; income; geographic region; partner/spouse).AnalysisLogistic regression models for the association between alcohol drinking behaviors and depression in the total population, stratified by sex and with interaction effect between depression and sex. Models were adjusted by socioeconomic variables.ResultsHeavy episodic drinking was reported by 40.5% and associated with depression in the total population (<i>Odds Ratio</i> - OR1.31; 95%CI 1.14-1.51) and among women (OR1.30; 95%CI 1.10-1.54). Alcohol-related impairment was reported by 4.6% and associated with depression in the total population (OR2.47; 95%CI 1.88-3.23), among men (OR3.24; 95%CI 2.24-4.68) and women (OR1.85; 95%CI 1.27-2.70). Alcohol-induced blackout was reported by 9.7% and associated with depression in the total population (OR2.27; 95%CI 1.88-2.76), among men (OR2.39; 95%CI 1.82-3.12) and women (OR2.18; 95%CI 1.67-2.85). Men presented higher chance of alcohol-related impairment associated with depression than women (OR1.77; 95% CI 1.04-3.02).ConclusionSex differences in alcohol drinking behaviors associated with depression were observed. These results emphasize the need for gender-specific approaches to tackle issues on mental health and alcohol consumption.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251353330"},"PeriodicalIF":2.5,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367736","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":"Truth, Opinions and Beliefs. Can They be Harmonized? An Interview With Dr Thomas Green.","authors":"","doi":"10.1177/08901171251350775","DOIUrl":"10.1177/08901171251350775","url":null,"abstract":"<p><p>Are we slipping into a post truth world? Congressional hearings to confirm the appointments of our nation's top leaders in public health and healthcare were rife with accusations that these nominees had a history of spreading falsehoods and, worse, they presented with an antipathy toward science writ large. Science organizations, academics and major media outlets alike are debating whether the cost of free speech has become too high. In this editorial, I interview Dr Thomas Green who parses between truths and beliefs and describes the criticality of access to reviewable evidence. Green reviews the genesis of vaccines and vaccine resistance to illustrate how discoveries can be positively transformational but how, even then, truth can and should be challenged when new evidence is found.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251350775"},"PeriodicalIF":2.5,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144339803","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":"Rural Public Library Lending Programs Advance Population-Based Radon Testing.","authors":"Ellen J Hahn, Stacy R Stanifer, Kathy Rademacher, Whitney Beckett, King Simpson, David A Gross, Amanda Thaxton Wiggins, Mary Kay Rayens","doi":"10.1177/08901171251353324","DOIUrl":"https://doi.org/10.1177/08901171251353324","url":null,"abstract":"<p><p>PurposeTo evaluate change in home radon testing after initiation of a public library radon detector lending program (LLP) in four rural counties; and describe the impact of LLP promotions on check-outs.DesignLongitudinal tracking of radon testing and description of LLP promotions.SettingFour rural Kentucky counties.Sample14,697 radon tests pre-LLP (charcoal-based test kits); 12,707 radon tests post-LLP (detector check-outs plus charcoal-based).InterventionLLP and promotional strategies including direct mail, radio, newsletters, social media, and in-library promotions and training.MeasuresRadon detector check-outs (03/2023-11/2024) comparing counties with and without LLP.AnalysisExamined change in radon testing pre- and post-LLP implementation using incidence rate ratios. Evaluated number of check-outs following promotions.ResultsThere was a 2.5-fold increase in the rate of radon testing in the four study counties (RR=2.5, 95% CI: 2.27-2.76; p<.001), while the testing rate fell in non-study counties. Two study counties exceeded their check-out goals multiple months in a row following direct mail campaigns. Social media, in-library signage, and billboards were reported most effective at promoting the program. The proportion of county-level renter-occupied housing fluctuated, potentially affecting differences in library check outs.ConclusionLLPs show promise in maximizing access to population-based radon testing. Mailing postcards to residents had a sustained impact on detector check-outs over 3-5 months in some counties.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251353324"},"PeriodicalIF":2.5,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332283","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":"Urban-Rural Disparities in Perceived Benefits and Challenges for Supplemental Nutrition Assistance Program (SNAP) Participation.","authors":"Tirna Purkait, Dipti A Dev, Natalie Koziol, Jaclyn A Saltzman, Jasmin Smith, Lisa Franzen-Castle","doi":"10.1177/08901171251352703","DOIUrl":"https://doi.org/10.1177/08901171251352703","url":null,"abstract":"<p><p>PurposeThis research investigates the perceived benefits and challenges of participating in the Supplemental Nutrition Assistance Program (SNAP) among households with young children across urban and rural Nebraska, aiming to address the limited exploration of disparities in its reach.DesignCross-Sectional (SNAP-Ed Needs and Assets Assessment).SettingHouseholds across Nebraska.ParticipantsLow-income families with at least 1 child aged 6 or younger (n = 1040).MeasuresPerceived benefits and challenges to SNAP participation across urban-rural populations, controlling for race, income, and education.AnalysisChi-square tests and logistic regression with Benjamini-Hochberg correction.ResultsOverall, financial need was perceived as the top reported benefit, while time and efforts for recertification were the top challenge. Rural residents perceived financial need (<i>P</i> < 001) and ability to have enough healthy food (<i>P</i> < 05) as major drivers for SNAP enrollment, whereas urban residents perceived previous SNAP-Ed participation (<i>P</i> < 001) and positive peer influence (<i>P</i> < 01) as benefits. Rural respondents perceived greater challenges in SNAP application requiring more time and effort (<i>P</i> < 001), while urban respondents had significantly higher concerns about native language accessibility (<i>P</i> < 001), poor customer service (<i>P</i> < 05), and unwillingness to depend on government agencies (<i>P</i> < 05).ConclusionGeographically and culturally tailored SNAP-Ed interventions and streamlined application processes are required to address the urban-rural disparities.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251352703"},"PeriodicalIF":2.5,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324156","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 Sociodemographic Characteristics and Weight Loss in a Financial Incentive Intervention for Adults With Obesity Living in Low-Income Neighborhoods.","authors":"Joseph A Ladapo, Stephanie L Orstad, Amy J Sheer, Chi-Hong Tseng, Un Young Rebecca Chung, Suzanne B Shu, Noah J Goldstein, Melanie Jay, Soma Wali","doi":"10.1177/08901171251348223","DOIUrl":"https://doi.org/10.1177/08901171251348223","url":null,"abstract":"<p><p>PurposeTo evaluate the association between demographic characteristics and weight-loss in response to financial incentives designed using behavioral economics.DesignRetrospective analysis of randomized clinical trial (RCT).SettingFIReWoRk RCT (NCT03157713), which found that financial incentives were more effective than provision of weight-management resources only for weight-loss.Subjects668 adults with obesity (221 in resources-only group, 447 in incentive groups) living in low-income neighborhoods.MeasuresDemographic characteristics and weight-loss.AnalysisLinear mixed-effects models with interaction terms to examine effect of incentives on weight-loss in different demographic groups.ResultsMean age of participants was 47.69 years, 81.0% were women, 72.6% were Hispanic, and mean BMI was 37.95 kg/m². Financial incentives increased percent weight loss at 6 months (difference in percent weight loss between financial incentive and resources-only group = -2.41%; 95% CI -3.23% to -1.58%). In fully adjusted models, participants who were Black lost less weight than participants who were White (difference in percent weight loss = 2.12%; 95% CI 0.25% to 3.99%). Differences in percent weight loss by sex, age, education and neighborhood income were absent. Models that tested for interactions between group assignment and percent weight loss did not demonstrate evidence of a heterogenous effect of incentives in sociodemographic subgroups.ConclusionBlack participants in the FIReWoRk intervention lost less weight than White participants, but effectiveness of financial incentives generally did not vary significantly by sociodemographic characteristics. However, it remains important to evaluate potential impacts of financial incentive programs on health disparities.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251348223"},"PeriodicalIF":2.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257094","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 Trust in Healthcare Professionals and Perceptions of Modifiability of Dementia and Stroke Risks Through Maintaining or Changing Lifestyle Habits.","authors":"Sharon C W Ng, Jasper R Senff, Reinier W P Tack, Meara Maulik, Mark Jun Shah-Ostrowski, Sarah Ibrahim, Benjamin Y Q Tan, Savvina Prapriadou, Tamara N Kimball, Devanshi Choksi, Courtney Nunley, Amytis Towfighi, Cornelia van Duijn, Nirupama Yechoor, Koen Pouwels, Aleksandra Pikula, Jonathan Rosand, Christopher D Anderson, Sanjula D Singh","doi":"10.1177/08901171251348111","DOIUrl":"https://doi.org/10.1177/08901171251348111","url":null,"abstract":"<p><p>PurposeTo investigate the trust levels in health information sources from a United States (U.S.) sample, and to examine the relationships between trust in healthcare professionals (HCPs) and perceptions of modifiability of dementia and stroke risks through maintaining or changing lifestyle habits.DesignCross-sectional.SettingA survey distributed via the vendor platform Prolific to a sample of the U.S. population.ParticipantsData included on U.S. adults (n = 1478) in 2023.MeasuresOutcome variables were perceiving that dementia and stroke risk can be modified through maintaining or changing lifestyle habits. Independent variables were trust levels in HCPs.AnalysisDescriptive analysis was performed to assess levels of trust in information sources. Subsequently, we performed multivariable regression analyses between trust in HCPs and perceptions of risk modifiability in dementia and stroke. A hierarchal cluster analysis was conducted to characterize trust patterns in this cohort.ResultsParticipants with high trust in HCPs compared to those with low trust in HCPs were more likely to perceive that maintaining (adjusted odds ratio [aOR] = 1.57, 95% confidence interval [CI]:1.15-2.12) and changing lifestyle habits (aOR = 1.72, 95% CI: 1.26-2.33) could reduce risk of dementia. Similar associations were found for perceptions of stroke risk reduction through maintaining (aOR = 1.49, 95% CI: 1.07-2.04) and changing (aOR = 2.68, 95% CI: 1.72-4.12) lifestyle habits. Cluster analyses identified three trust patterns amongst the participants: (i) a generally trusting cluster, (ii) a trusting of \"official\" health sources only cluster, and (iii) a generally not trusting cluster.ConclusionThis study found statistically significant associations between trusting HCPs and the perceptions that maintaining or changing lifestyle habits can modify risks of dementia and stroke, highlighting the importance of trust when developing preventive strategies.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251348111"},"PeriodicalIF":2.5,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144245762","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}