American Journal of Health Promotion最新文献

{"title":"Conflicting and Changing Health Recommendations and Their Influence on Cancer Prevention: Social Media Use and Trust as Positive Mediators.","authors":"Mary Bruns, Soojung Gina Kim","doi":"10.1177/08901171251330398","DOIUrl":"10.1177/08901171251330398","url":null,"abstract":"<p><p>PurposeThis study examines the mediating roles of social media use and trust in the relationship between experts' health recommendations being conflicting and changing and their intention to receive cancer screening tests using the O₁-S-O₂-R model.DesignCross-sectional.SettingData were extracted from the Health Information National Trends Survey (HINTS) 6.SubjectsOf 6252 individuals, 5014 were used in the final analysis. The total weighted sample size is 255,489,241.MeasuresConflicting & Changing Health Recommendations (<i>O</i>_<i>1</i>): How often experts' health recommendations seem to conflict and change. Social Media Use (<i>S</i>): The use of social media to seek and share health information. Trust in Cancer Information (<i>O</i>_<i>2</i>): Trust in cancer information from doctors, government health agencies, and scientists. Interest in Cancer Screening in the next year (<i>R</i>).AnalysisMultiple and logistic regressions were performed with the weighted sample. A PROCESS mediation model with a 5000 bootstrapping sample was also performed.ResultsThe perception of health recommendations from experts conflicting was a positive, marginally significant predictor of social media use for seeking and sharing health information (<i>P</i> = .08), which generated higher trust in cancer information from government health agencies (<i>P</i> < .05) and higher intention to receive cancer screening tests within the next year (<i>P</i> < .01).ConclusionsWith strong digital health literacy and appropriate social media algorithms, social media could reinforce cancer screening behaviors.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1000-1009"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143951348","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":"\"Healthcare Doesn't Care\": A Mixed-Methods Study on Healthcare Stigma and PrEP Use Among Black Sexual Minority Men.","authors":"Rodman Turpin, Aaron D Camp, C J Mandell, Rochelle Davidson Mhonde, Julia Mandeville, Jamil Smith, Hongjie Liu, Typhanye Dyer, Kenneth Mayer, Bradley Boekeloo","doi":"10.1177/08901171251330710","DOIUrl":"10.1177/08901171251330710","url":null,"abstract":"<p><p>BackgroundPre-exposure prophylaxis (PrEP) is a critical tool for HIV-prevention, yet PrEP uptake among Black sexual minority men (BSMM) is relatively low, despite greater HIV vulnerability. Stigma in healthcare settings can be a substantial barrier to PrEP use among BSMM, with implications for the HIV epidemic. We used a sequential explanatory mixed-methods approach to assess quantitative relationships between anticipated healthcare stigma and reduced PrEP use among BSMM, and qualitatively explore stigmatizing experiences within healthcare settings among this population.MethodsWe utilized 2 data sources. First, cross-sectional data from a pilot sample of BSMM (n = 151) was collected in late 2020 in the United States. We tested for associations between healthcare stigma and PrEP use using modified Poisson regression. Subsequently, we selected participants (n = 23) from this sample in the D.C. metropolitan area for qualitative interviews starting in 2022; we used thematic analysis to investigate forms of experienced and anticipated healthcare stigma related to PrEP use.ResultsWe found 82% lower PrEP use associated with an interquartile range increase in anticipated healthcare stigma after adjustment (aPR = 0.18, 95% CI 0.06, 0.59). Subsequently, our qualitative investigation revealed that identity-specific stigma, negative socioeconomic assumptions, and assumptions of sexual risk were prevalent themes in the healthcare stigmatization experienced by BSMM. Identity-based and socioeconomic stigma were heavily interlinked due to longstanding structural racism and homophobia. Assumptions of sexual risk were particularly complex.ConclusionWe discovered a significant negative relationship between anticipated healthcare stigma and PrEP use, further elucidated in our qualitative findings. This builds upon our previous work exploring intracommunity PrEP stigma among BSMM. Healthcare stigma serves as an additional obstacle to accessing PrEP for BSMM. This highlights its importance as a target for provider-level health equity policy and research interventions. Future research exploring this stigma in specific healthcare settings is recommended.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"991-999"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762786","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":"The Relationship Between Diet Quality, Nutrition Self-Efficacy and Sources of Nutrition Information in Australian Pregnant Women: A Cross-Sectional Analysis.","authors":"Akela Phillips, Tamara Bucher, Penta Pristijono, Sasha Fenton","doi":"10.1177/08901171251336931","DOIUrl":"10.1177/08901171251336931","url":null,"abstract":"<p><p>PurposeTo assess diet quality and nutrition self-efficacy in pregnant women, the relationship between diet quality and nutrition self-efficacy, and differences in diet quality and self-efficacy when information obtained from health and non-health professionals.DesignObservational cross-sectional study.SettingOnline survey.SampleAustralian pregnant women.MeasuresAustralian Eating Survey measured diet quality, Ralf Schwarzer and Britta Renner nutrition self-efficacy scale measured nutrition self-efficacy.AnalysisSpearman's correlation measured the association between diet quality and nutrition self-efficacy. Linear regression examined the influence of nutrition self-efficacy on diet quality. T-tests examined differences in diet quality and nutrition self-efficacy scores in groups who did/did not obtain nutrition information from health professionals.ResultsParticipants (n = 171) (mean (SD) age 32.5 (3.9) years, 81.9% born in Australia) reported a mean diet quality score of 33.9 (8.7) out of 73 and mean nutrition self-efficacy score of 14.7 (3.7) out of 20. A moderate positive linear relationship was observed between diet quality and nutrition self-efficacy (<i>r</i>_<i>s</i> = 0.27, <i>P</i> < .001). Nutrition information was obtained by 88%, most commonly via the internet. Diet quality scores were not significantly different when nutrition information was obtained from health professionals (<i>t</i>(24) = -0.823, <i>P</i> = .32), however, nutrition self-efficacy scores were significantly higher (<i>U</i> = 856, <i>z</i> = 2.18, <i>P</i> = .03).ConclusionPregnant women report poor diet quality. Improving nutrition self-efficacy may be effective for improving diet quality. Evidence-based nutrition information should be accessible via the internet and promoted by health authorities.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1027-1036"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12284333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955595","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":"Effectiveness of Co-Creation for Chronic Disease Management: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Xueying Huang, Yi Hou, Manyao Sun, Jiang Nan, Xueqiong Zou, Songxin Fu, Yuyu Jiang","doi":"10.1177/08901171251333564","DOIUrl":"10.1177/08901171251333564","url":null,"abstract":"<p><p>ObjectiveCo-creation is crucial for fostering active patient engagement in health management. However, the efficacy of co-creation in chronic disease management varies, and there is a lack of detailed description regarding co-creation practice. This study aimed to explore the effectiveness of co-creation on health outcomes and cost-effectiveness, detailing its implementation.Data SourcePubMed, Embase, Scopus, Cochrane Library and Web of Science.Study Inclusion and Exclusion CriteriaWe included peer-reviewed randomized controlled trials, published in English, that analyzed the effects of co-creation on physical health, participation outcomes, psychological health, self-efficacy and cost-effectiveness.Data ExtractionTwo researchers independently screened the articles and assessed the quality of the 16 included studies using a pre-prepared checklist.Data SynthesisMeta-analyses were conducted to summarize the characteristics, outcomes, and risk of bias of the included studies.ResultsThe results showed that co-creation significantly enhanced patients' physical health (<i>P</i> = 0.006) and participation outcomes (<i>P</i> = 0.009). Subgroup analysis revealed that co-creation combined with theory was better than co-creation without theory in improving physical health (<i>P</i> = 0.007). However, no significant difference was observed between the two groups regarding psychological health, self-efficacy and cost-effectiveness (<i>P</i> = 0.29) (<i>P</i> = 0.11) (<i>P</i> = 0.50).ConclusionCo-creation effectively improved patients' physical health and participation outcomes, without affecting psychological health, self-efficacy, and cost-effectiveness. Social determinants were found to play a more crucial role in influencing physical health of patients. Additionally, age disparities might impact the cost-effectiveness of co-creation. Future research should explore the influence of intergenerational co-creation on health promotion.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1068-1081"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953183","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":"Best Practices in Qualitative Research and an Interview With Dr Tsitsi Masvawure.","authors":"","doi":"10.1177/08901171251338076","DOIUrl":"10.1177/08901171251338076","url":null,"abstract":"<p><p>In this editorial, I feature the vital contributions that qualitative research methods make to the continuous improvement of health promotion practices. To discuss best practices in qualitative research I interviewed Dr Tsitsi Masvawure who is one of this journal's Associate Editors in Chief (AEIC). Masvawure's research most often employs qualitative research methods and she teaches a seminar on qualitative research methods. Our AEIC's play a central role in improving the quality of manuscripts submitted to this journal which often involves reviewing and offering feedback on multiple rounds of manuscript revisions. AEIC's make the final determination to accept or reject papers. It should go without saying but reviewing this journals submission guidelines is a first step toward a successful submission.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"978-981"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955428","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":"Longitudinal Medical Costs and Hospitalization Risk Associated With Sustained Obesity.","authors":"Lyudmyla Kompaniyets, Kakoli Roy, David Freedman, Brook Belay, Samantha Lange Pierce, Heidi M Blanck, Alyson B Goodman","doi":"10.1177/08901171251371474","DOIUrl":"10.1177/08901171251371474","url":null,"abstract":"<p><p>PurposeTo assess the association of sustained obesity with medical expenditures and risk of hospitalization over time.DesignRetrospective cohort study.SettingThis study used linked data from ambulatory electronic medical records and medical claims.SampleAdults aged 17-64 years with (1) continuous enrollment in an insurance plan and (2) weight measured each year over ≥5 calendar years during 2013-2020.MeasuresOutcome variables were annual medical expenditures and annual risk of hospitalization. Covariates included sustained obesity or sustained severe obesity (reference: sustained healthy weight), year, age, sex, race, and US Census region.AnalysisGeneralized estimating equations were used to assess how excess costs and risk of hospitalization increased with sustained obesity or severe obesity over 8 years.ResultsObesity-associated excess expenditures grew from $1105 or 20% in year 1 to $5229 or 49% in year 8. The relative risk of hospitalization grew from 13% in year 1 to 159% in year 8 among persons with sustained obesity (versus those with sustained healthy weight). Differences were higher for those with severe obesity, and higher among females (compared to males) and those aged 40-64 years (compared to those aged 17-39 years).ConclusionsThis study's findings provide evidence of a compounding effect of sustained obesity on medical expenditures and hospitalization risk over time. These findings underscore the importance of efforts that promote and support healthy lifestyles, including community access to healthy foods and physical activity for all.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251371474"},"PeriodicalIF":2.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938876","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":"Describing the Profile of Individuals at Heightened Risk for Cardiometabolic Multimorbidity: A Secondary Analysis of the Canadian Longitudinal Study on Aging Data.","authors":"Nicole I Ketter, Mary Jung, Suzanne Huot, Brodie M Sakakibara","doi":"10.1177/08901171251374738","DOIUrl":"10.1177/08901171251374738","url":null,"abstract":"<p><p>PurposeDevelop a parsimonious model of individuals at heightened-risk for 3-year cardiometabolic multimorbidity (CM) onset.DesignAn observational, secondary analysis of Canadian Longitudinal Study on Aging (CLSA) data.SettingCLSA is a national cohort study in Canada. Baseline data were collected between 2010-2015, and follow-up data were collected between 2015-2018.SubjectsCLSA included community-dwelling adults aged 45-85 at recruitment from across Canada.MeasuresHealth conditions: stroke, heart disease or heart attack and diabetes. Personal factors: age, sex, marital status, household income, education, and ethnicity. Environmental factors: social support, personal assistance, and location of residence. CM cases: at least two of stroke, heart disease and diabetes at follow-up assessment.AnalysisHierarchical logistic regression analyses with backwards elimination procedures were used to develop a parsimonious prediction model.ResultsThe sample consisted of 41 841 individuals, representing a weighted population of 13 741 119. The population had a mean age of 62.3 years (SD = 10.1), was 53% female, predominantly married or in common-law relationships (77%), post-secondary graduates (61%), white (95%), and lived in an urban area (81%). Males (OR:1.93, 95%CI:1.65-2.25, <i>P</i> < 0.001), ≥65 years (OR:1.51, 95%CI:1.29-1.76), <i>P</i> < 0.001), who had stroke (OR:20.09, 95%CI:12.88-30.35, <i>P</i> < 0.001), heart disease (OR:15.55, 95%CI:12.60-19.26, <i>P</i> < 0.001), or diabetes (OR:12.57, 95%CI:10.37-15.31, <i>P</i> < 0.001), not completed post-secondary (OR:1.30, 95%CI:1.04-1.61, <i>P</i> = 0.017), income of <50k (OR:1.29, 95%CI:1.10-1.52, <i>P</i> = 0.002), and received home care (OR:1.56, 95%CI:1.17-2.04, <i>P</i> = 0.002) were at heightened risk of CM.ConclusionsDeveloping a profile of high-risk individuals may enhance the efficiency of CM prevention and reduce disease onset. Critical limitations include the CLSA exclusion criteria, and the small proportion of minoritized individuals that restrict generalizability in these populations.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251374738"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938858","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":"The Role of a Chief Wellbeing Officer in Enabling Organizational Readiness, Resilience, and Performance.","authors":"Jennifer Posa","doi":"10.1177/08901171251367523","DOIUrl":"https://doi.org/10.1177/08901171251367523","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251367523"},"PeriodicalIF":2.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938791","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":"Chief Well-Being Officers: Igniting a Movement to Mitigate Clinician Burnout and Optimize Well-Being in the Veterans Health Administration.","authors":"Tanya Olmos-Ochoa, Alicia R Gable, Kristina Oishi, Jana Boehmer, Nicole Larkin, Mary Gallagher-Seaman, Tamara Schult, Kavitha Reddy","doi":"10.1177/08901171251367544","DOIUrl":"https://doi.org/10.1177/08901171251367544","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251367544"},"PeriodicalIF":2.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938824","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":"The Unique Role & Contributions of the Chief Well-Being Officer.","authors":"Dane K Friend","doi":"10.1177/08901171251367543","DOIUrl":"https://doi.org/10.1177/08901171251367543","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251367543"},"PeriodicalIF":2.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938789","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}