American Journal of Health Promotion最新文献

{"title":"The Cross-Sectional Association of Health Literacy With Healthy Lifestyle Behaviors in the Turkish Population: A Systematic Review and Meta-Analysis.","authors":"Gazi Ünlü, Selma Altındiş","doi":"10.1177/08901171241300190","DOIUrl":"10.1177/08901171241300190","url":null,"abstract":"<p><strong>Objective: </strong>To meta-analytically investigate the cross-sectional association between health literacy (HL) and healthy lifestyle behaviors (HLBs) in the Turkish population.</p><p><strong>Data source: </strong>Web of Science, PubMed, Scopus, EBSCO, DergiPark, TRDizin, and Türkiye Council of Higher Education Thesis Center.</p><p><strong>Exclusion criteria: </strong>Not accessible in Turkish or English in full text; not on the Turkish population; addressed e-HL, digital HL, mobile HL or corporate HL; addressed HL in a specific context; did not seek any association between HL and HLBs.</p><p><strong>Inclusion criteria: </strong>Cross-sectional studies that reported a correlation coefficient or any convertible equal statistical measure for the association between HL and HLBs.</p><p><strong>Data extraction: </strong>Two reviewers independently screened the articles, extracted the data from the included studies into a structured form and assessed their methodological quality.</p><p><strong>Data synthesis: </strong>We conducted meta-analyses and reported the characteristics, outcomes, and quality assessment of studies.</p><p><strong>Results: </strong>Of 3833 records accessed we included 52 that fulfilled the eligibility criteria. Our primary findings demonstrated positive low-to-moderate associations between HL and health-promoting behaviors (r = .32 [CI:.30-.35; I² = .00]), HL and physical activity (r = .23 [CI:.18-.27; I² = .12]), and HL and vaccination (r = .12 [CI:.07-.17; I² = .00]). In contrast, HL was not significantly associated with non-smoking (r = .02 [CI:-.02-.36; I² = .09]), healthy diet (r = .02 [CI:-.01-.06; I² = .00]), and screening (r = .07 [CI:.04-.11; I² = .07]). However, our sensitivity and meta-regression analysis results suggested that the association of HL with healthy diet seems to increase with age. On the other hand, we failed to find any convincing evidence of any of the included variables affecting the association between HL and all types of HLBs (r = .17, I² = 95.81%).</p><p><strong>Conclusion: </strong>HL has the potential to improve the HLBs of Turkish individuals, however, there is a need for better understanding of the possible underlying determinants of the association between them.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"520-536"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611991","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 of Physical Activity and Sedentary Behavior With Mental Distress According to Caregiver Status: Analysis of the Health Information National Trends Survey, 2022.","authors":"Babatope Ayokunle Ogunjesa, Otávio Amaral de Andrade Leão, Susan Aguiñaga, Andiara Schwingel, Minakshi Raj","doi":"10.1177/08901171241302019","DOIUrl":"10.1177/08901171241302019","url":null,"abstract":"<p><strong>Purpose: </strong>To (1) examine how physical activity and sedentary behavior are related to mental distress and (2) identify and compare how various levels of sedentary behaviors may differentially predict mental distress after accounting for physical activity, among caregivers vs non-caregivers.</p><p><strong>Design: </strong>Cross-sectional secondary data.</p><p><strong>Setting: </strong>National Cancer Institute's Health Information National Trends Survey Cycle 6 fielded online from March-November 2022.</p><p><strong>Participants: </strong>U.S. adults aged 18 and older.</p><p><strong>Measures: </strong>The Patient Health Questionnaire-4 was administered along with caregiving status, moderate weekly physical activity, sedentary behavior, and sociodemographic characteristics.</p><p><strong>Analysis: </strong>After applying population weights, we conducted multiple adjusted logistic regression models and estimated predictive margins to understand whether a specific dose of sedentary behavior (hours/day) is associated with risk of mental distress, at different levels of physical activity.</p><p><strong>Results: </strong>Caregivers (15.41% of sample) reporting 10-hour of daily sedentary behavior were significantly more likely to experience mental distress, than those reporting lower amounts of sedentary behavior (OR = 3.372, 95%CI = 1.968, 5.776, <i>P</i> < 0.001). Regardless of physical activity amount, 10 hours of sedentary behavior may be a risk factor for mental distress among non-caregivers. Just 6 hours of sedentary behavior may be related to mental distress among caregivers.</p><p><strong>Conclusion: </strong>Physical activity interventions tailored to caregivers' needs, responsibilities, and circumstances are required. Innovative methodologies are needed to understand caregivers' daily behaviors and the intensity of their caregiving activities.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"428-437"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142643688","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":"Results of an Organization-wide Physical Activity Promotion Intervention Within a Very Large Academic Health Care System.","authors":"Sean P Heffron, Krista O'Neill, Judy Zhong, Yuhe Xia, Margaret McCarthy","doi":"10.1177/08901171251324018","DOIUrl":"https://doi.org/10.1177/08901171251324018","url":null,"abstract":"<p><p>Although healthcare workers may be aware of the risks of physical inactivity, their levels of physical activity (PA) are similar to those of all US adults, with less than half engaging in sufficient PA. The purpose of this health promotion was to encourage daily PA among employees in a large academic healthcare system. We also tested whether individualized progress updates further influenced PA. This 10-week program was available to all employees of NYU Langone Health. Employees could sync their phone or accelerometer via app or web browser to count.it - the vendor chosen to monitor and manage step counts. Participants were asked to voluntarily provide basic information (age, sex, job role, work location) and complete the Physical Activity Vital Sign (minutes/week and intensity of PA) at enrollment and 10 weeks. For 10 weeks, participants were sent a message through their employee 'MyChart' portal with a link to information on the benefits of PA, and a reminder of that week's step-count challenge. Those meeting criteria for weekly challenges were included in gift card raffles. Participants were randomized 1:1 to receive the standard message ± additional emails detailing their progress. 3528 employees registered to participate (8% of all employees) although active users diminished over time (1225 at week 10). Average daily steps remained stable throughout (7319 + 4540 in week 1, 7229 + 5010 in week 10). Although there was no difference in any individual week, receipt of personalized feedback was associated with significantly higher average step counts throughout the 10-wk intervention as a whole (<i>P</i> = 0.01). Age and an urban work location were positively associated with steps, while female sex and a clerical job role were negatively associated with steps counts (all <i>P</i> < 0.005). Our findings provide important insight for workplace interventions to promote PA. They further suggest specific groups that may benefit from targeted efforts.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251324018"},"PeriodicalIF":2.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514331","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":"https://doi.org/10.1177/08901171251316378","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined how the potential health benefits of movement behaviors - physical activity (PA), sedentary time, and sleep - vary by neighborhood perceptions among Latinos.</p><p><strong>Design: </strong>Cross-sectional analysis of baseline data from churchgoing Latino adults participating in an ongoing randomized controlled trial to promote PA.</p><p><strong>Setting: </strong>East Los Angeles, California, and surrounding neighborhoods.</p><p><strong>Sample: </strong>Sample of 728 churchgoing Latinos (77% female, mean age 52 years).</p><p><strong>Measures: </strong>Movement 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.</p><p><strong>Analysis: </strong>Linear or logistic regression assessed associations of the movement behaviors with neighborhood measures, and their interactions, in relation to the health outcomes.</p><p><strong>Results: </strong>Sleep 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.</p><p><strong>Conclusion: </strong>Interaction 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":"8901171251316378"},"PeriodicalIF":2.5,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leveling the Playing Field: Opportunities for School Recess to Promote Wellness and Reduce Disparities in Elementary School Children.","authors":"Divya Konduru, Kerri M Lowrey, Erin R Hager","doi":"10.1177/08901171251319847","DOIUrl":"10.1177/08901171251319847","url":null,"abstract":"<p><p><b>Background:</b> School recess provides several benefits to elementary school students, including physical, emotional, and social health benefits. Despite these benefits, there is a growing shift toward reducing or reallocating recess time in school. Furthermore, not all students have equitable access to recess and its benefits due to disparities in recess policies and implementation by socioeconomic status of the communities served by the school and academic or behavioral conduct of individual students. <b>Conclusions:</b> Strong state-level legislation requiring recess for all elementary schools and for all elementary school children is necessary to ensure equitable access to recess and its benefits.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251319847"},"PeriodicalIF":2.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge About HIV/AIDS and its Transmission and Misconception Among Women in Thailand: A Structural Equation Modelling Approach.","authors":"Jahar Bhowmik, Lakma Gunarathne, Sunil Bhar, Udayan Bhowmik, Pragalathan Apputhurai","doi":"10.1177/08901171251318845","DOIUrl":"https://doi.org/10.1177/08901171251318845","url":null,"abstract":"<p><strong>Purpose: </strong>Asian and pacific region countries are considered to be high risk countries for Human Immunodeficiency Viruses (HIV). There is little literature quantifying the relationship between education of HIV/AIDS and its principal socioeconomic determinants through a spatial analysis. The purpose of this study was to assess the knowledge and awareness about HIV among the women in Thailand, and its direct and indirect association with sociodemographic factors including sexual education, level of education, area of living and wealth index through a structural equation modelling approach.</p><p><strong>Design: </strong>Cross-sectional analysis using data from the 2022 UNICEF Multiple Indicator Cluster Survey (MICS).</p><p><strong>Setting: </strong>Thailand.</p><p><strong>Subjects: </strong>A total of 3671 women from the 2022 MICS dataset.</p><p><strong>Measures: </strong>Key variables included knowledge and misconceptions about HIV, sexual education, education level, area of residence, marital status, and wealth index.</p><p><strong>Analysis: </strong>Structural equation modeling was used to assess direct and indirect effects of sociodemographic factors on HIV-related knowledge and misconceptions.</p><p><strong>Results: </strong>The direct effect of sexual education on knowledge, transmission and misconception about HIV/AIDS is significant (β = 0.051, <i>P</i> = .002). The mediation effect test found that the sexual education and education indirectly affected knowledge, transmission and misconceptions about HIV/AIDS through the mediation effect of women's marital status (β = -0.068, <i>P</i> = .018) and wealth index (β = 0.007, <i>P</i> = <.001).</p><p><strong>Conclusion: </strong>Sexual education alone is insufficient to improve health literacy on HIV/AIDS, as other mediating factors such as education level, wealth index, marital status and area of residence are also key drivers. To achieve Sustainable Development Goal (SDG) 3 by 2030, it is essential to enhance HIV/AIDS related health education for women through multifaceted intervention programs that address these mediating factors.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251318845"},"PeriodicalIF":2.5,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral Design Strategies Improve Healthy Food Sales in a Military Cafeteria.","authors":"Joel Kimmons, Nadine Budd Nugent, Diane Harris, Seung Hee Lee, Lyudmyla Kompaniyets, Stephen Onufrak","doi":"10.1177/08901171241293369","DOIUrl":"10.1177/08901171241293369","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the use of behavioral design strategies to improve healthier food sales.</p><p><strong>Design: </strong>A quasi-experimental, one-group, repeated measures design examined changes in food sales following behavioral design adjustments.</p><p><strong>Setting: </strong>United States military base hospital dining facility.</p><p><strong>Subjects: </strong>U.S. military service members, retirees, and civilian employees.</p><p><strong>Intervention: </strong>Behavioral design changes included placement, layout, messaging, default healthy bundling, a stoplight rating system, strategic positioning of healthy items on menu boards, and an increase in healthier snacks.</p><p><strong>Measures: </strong>Food sales were assessed by point-of-sales data.</p><p><strong>Analysis: </strong>T-tests examined total sales of each food adjusted weekly between baseline and intervention and intervention and post-intervention. 16 food items targeted by the intervention were examined. Weekly food sales were calculated for the 18-week baseline, 18-week intervention, and 9-week post-intervention. Further, analysis estimated negative binomial models for food item sales.</p><p><strong>Results: </strong>The hospital dining facility served 600 to 900 meals per day. Weekly foods sales decreased during the intervention for desserts, cooked starches, hummus, and yogurt (<i>P</i> <u><</u> 0.01). Sales increased during the intervention for fruit cups, cooked vegetables, vegetable and turkey burgers, grilled chicken, packaged salads, French fries, hamburgers, and hot dogs (<i>P</i> <u><</u> 0.02).</p><p><strong>Conclusion: </strong>This study demonstrates that a mixture of behavioral design strategies can be operationalized with reasonable fidelity and can lead to increases in the sales of some healthy foods in military worksites.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"234-243"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455869","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":"An Evaluation of the Mindless to Mindful (M2M) Intervention on Exercise Self-Regulation and Fat Mass Loss: A Case Study.","authors":"David Kawahata, Duke Biber","doi":"10.1177/08901171241293365","DOIUrl":"10.1177/08901171241293365","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the impact of the Mindless to Mindful intervention on fat mass loss in adults.</p><p><strong>Design: </strong>This was a single-group case study.</p><p><strong>Setting: </strong>A fitness center delivered by certified fitness professionals.</p><p><strong>Subjects: </strong>222 adults who participated in M2M as a team or as individuals, and 195 completed the entire intervention (attrition rate = 12.16%).</p><p><strong>Intervention: </strong>M2M was an 8-week behavior change intervention with tailored coaching, group moderate-to-vigorous exercise (MVE) and self-regulation techniques.</p><p><strong>Measures: </strong>Participants completed a demographic questionnaire, the Jackson-Pollock 4-site body fat measure, brief self-control scale, self-compassion scale, and a daily exercise log.</p><p><strong>Analysis: </strong>Paired sample <i>t</i>-tests were used to determine differences within groups and a one-way ANOVA was used to determine the differences between groups (<i>P</i>-value <.05).</p><p><strong>Results: </strong>Participants engaged in an average of 4.88 h (<i>SD</i> = 2.04) of MVE per week. There was a significant decrease in fat mass (<i>M</i> = £7.65; <i>P</i> < .001) and increase in self-control (<i>t</i> = 6.248, <i>P</i> < .001, <i>d</i> = .300) and self-compassion (<i>t</i> = 4.314, <i>P</i> < .001, <i>d</i> = .165).</p><p><strong>Conclusion: </strong>Self-monitoring, group exercise, and individualized coaching can promote self-regulation and fat mass loss.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"295-298"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455851","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":"Adverse Childhood Experiences and Suboptimal Self-Rated Health in Adulthood: Exploring Effect Modification by Age, Sex and Race/Ethnicity.","authors":"Olatokunbo Osibogun","doi":"10.1177/08901171241293412","DOIUrl":"10.1177/08901171241293412","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined whether the relationship between adverse childhood experiences (ACEs) and self-rated health among adults in a nationally representative population is modified by age, sex, or race/ethnicity.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>United States.</p><p><strong>Sample: </strong>Data from the 2020 and 2021 Behavioral Risk Factor Surveillance System were obtained from 185 731 (weighted N = 47 862 016) persons 18 years or older.</p><p><strong>Measures: </strong>The ACE cumulative score (range: 0-11) was calculated using 11 questions about childhood emotional abuse, physical abuse, sexual abuse, and household dysfunction before age 18 and classified as 0 (reference), 1, 2, 3, or ≥4. Self-rated health was divided into (excellent/very good/good [reference]) and suboptimal (fair/poor) categories.</p><p><strong>Analysis: </strong>Multivariable-adjusted logistic regression was conducted to test for the interaction with age, sex, and race/ethnicity with ACEs. After adjustment for potential confounders, an increasing number of ACEs had statistically significantly higher odds of suboptimal self-rated health in a graded manner except for 1 ACE (1 ACE: aOR:1.09; 95% CI: 1.00-1.20, 2 ACEs: 1.16; 1.03-1.30, 3 ACEs: 1.17; 1.03-1.32 and ≥4 ACEs: 1.39; 1.26-1.53). There was a significant interaction between ACEs and age. Younger age (18-24 years) had the strongest association for ≥4 ACEs compared to the older age groups. There was no effect modification by sex or race.</p><p><strong>Conclusion: </strong>ACEs should be considered when creating health-promoting interventions to improve health.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"244-252"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455850","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":"Developing Infectious Disease Outbreak Emergency Communications for Populations With Limited English Proficiency: Insights to Sustain Collaborations Between Local Health Departments and Community-Based Organizations.","authors":"Gillian K SteelFisher, Hannah L Caporello, Rebekah I Stein, Keri M Lubell, Lindsay Lane, Shakila Moharam Ali, Lisa Briseño, Julio Dicent Taillepierre, Alfonso Rodriguez-Lainz, Alyssa Boyea, Laura Espino, Emma-Louise Aveling","doi":"10.1177/08901171241273349","DOIUrl":"10.1177/08901171241273349","url":null,"abstract":"<p><strong>Purpose: </strong>State and local public health departments (LHDs) are encouraged to collaborate with community-based organizations (CBOs) to enhance communication and promote protective practices with communities made vulnerable during emergencies, but there is little evidence-based understanding of practical approaches to fostering collaboration in this context. This research focuses on how collaboration enhances LHD capacity for effective communication for people with limited English proficiency (LEP) during infectious disease outbreaks specifically and strategies to facilitate productive LHD-CBO collaboration.</p><p><strong>Design: </strong>Qualitative, telephone interviews, conducted March-October 2021.</p><p><strong>Setting: </strong>Rural and urban jurisdictions with Chinese-speaking or Spanish-speaking populations across the United States.</p><p><strong>Participants: </strong>36 LHD and 31 CBO staff working on outreach to Chinese and Spanish speakers during COVID-19.</p><p><strong>Method: </strong>Interviews were audio-recorded, transcribed verbatim, and analyzed using a team-based, codebook approach to thematic analysis.</p><p><strong>Results: </strong>During COVID-19, CBOs extended LHD capacity to develop and disseminate effective communication, meaning communication that is rapidly in-language, culturally resonant, locally relevant, and trusted. Practical strategies to enable and sustain effective collaboration were needed to address operational dimensions (eg, material and administrative) and relational dimensions (eg, promoting trust and respect).</p><p><strong>Conclusion: </strong>Policies and financing to support LHD-CBO collaborations are critical to improving communication with people with LEP and addressing long-standing inequities in outcomes during outbreaks.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"274-282"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003336","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}