American Journal of Health Promotion最新文献

{"title":"Overcoming Challenges to Adopting Smoke-Free Multi-Unit Housing Policies in a Large U.S. Metropolitan Area: Insights and Recommendations From Affected Groups in 20 Los Angeles County Cities.","authors":"Lia W Marshall, Gladis Chavez-Sosa, Tonya Gorham Gallow, Claude Jovelle, Lori Fischbach, Andy Dang, Dana Guglielmo, Aimee Holmes, Tony Kuo","doi":"10.1177/08901171241293367","DOIUrl":"10.1177/08901171241293367","url":null,"abstract":"<p><strong>Purpose: </strong>Community members and non-academic partners (\"affected groups\") were asked to identify factors that can influence public support, impede adoption, and mitigate challenges related to adopting local smoke-free multi-unit housing policies.</p><p><strong>Approach: </strong>A series of key informant interviews were conducted with affected groups from a large U.S. metropolitan area.</p><p><strong>Setting: </strong>20 cities in Los Angeles County without a smoke-free multi-unit housing ordinance.</p><p><strong>Participants: </strong>Interviewees were recruited from affected groups with knowledge about their community's civic and political landscape (n = 63).</p><p><strong>Method: </strong>Data were collected and analyzed using thematic analysis to identify, code and compare themes.</p><p><strong>Results: </strong>Most interviewees indicated civic groups, those who do not smoke, and/or groups who are educated about the negative health effects of secondhand smoke exposure would be more likely to support smoke-free multi-unit housing policies. Interviewees reported several challenges to policy adoption, including competing city priorities, public disengagement, and the cost and social burden of enforcing these ordinances. To overcome them, interviewees recommended working synergistically with local governments to build diverse coalitions, educate the public, and develop clear enforcement plans.</p><p><strong>Conclusion: </strong>Insights and recommendations from affected groups in 20 U.S. cities suggest that communicating with the public and priming impacted communities to support smoke-free multi-unit housing policies are promising interventions for protecting at-risk families from secondhand smoke exposure in their homes.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241293367"},"PeriodicalIF":2.5,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142520709","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":"Commercial Tobacco Cessation Interventions for American Indian and Alaska Native Persons Living in the United States: A Narrative Systematic Review of Effectiveness Using a Health Equity Lens.","authors":"Iris C Alcantara, Nicole Villaluz, Kelly McAleer, Inara Valliani, Leslie W Ross","doi":"10.1177/08901171241293419","DOIUrl":"10.1177/08901171241293419","url":null,"abstract":"<p><strong>Objective: </strong>Identify commercial tobacco cessation interventions for American Indian and Alaska Native (AI/AN) communities, focusing on strategies used to advance health equity, including strategies to address social determinants of health (SDOH), community engagement, and cultural tailoring.</p><p><strong>Data source: </strong>We searched Medline, Embase, PsycINFO, Cochrane Library, CINAHL, Scopus, ProQuest Central, Academic Search Complete, JSTOR, and Indigenous/Tribal health-related journals and databases.</p><p><strong>Study inclusion and exclusion criteria: </strong>We included peer-reviewed studies on commercial tobacco cessation for AI/AN persons published January 1998-April 2023 that reported quit rates/attempts. We excluded studies that only used pharmaceutical interventions.</p><p><strong>Data extraction: </strong>Two reviewers independently assessed each study against our inclusion/exclusion criteria. A reviewer extracted data, and another checked for completeness.</p><p><strong>Data synthesis: </strong>Synthesis focused on reported intervention effectiveness and strategies used for addressing SDOH, community engagement, and cultural tailoring. We used a synthesis matrix which allowed for comparison across studies.</p><p><strong>Results: </strong>We screened 1116 articles and included 12 for synthesis. Of the 12, five engaged community health workers; four included SDOH elements; and six were reported effective. Of these six, five included early-stage community engagement and four were culturally tailored.</p><p><strong>Conclusions: </strong>There are few commercial tobacco cessation interventions for AI/AN populations. Building capacity, including tribal capacity, to develop and test multi-level, culturally grounded cessation interventions that address relevant SDOH may advance commercial tobacco cessation efforts in these populations.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241293419"},"PeriodicalIF":2.5,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492838","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":"8901171241293369"},"PeriodicalIF":2.5,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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":"8901171241293412"},"PeriodicalIF":2.5,"publicationDate":"2024-10-16","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":"Analysis of Demographic Characteristics and Drinking Habits at a Southern College Provide Critical Information for Developing an Effective Prevention Program.","authors":"Rebecca M Toland, Tiera Rowan, Ivanna Caballero, Dawn Truong","doi":"10.1177/08901171241293359","DOIUrl":"https://doi.org/10.1177/08901171241293359","url":null,"abstract":"<p><strong>Importance: </strong>To examine the associations of basic demographics (age, race, and gender identity) on alcohol consumption among college students at a mid-sized university.</p><p><strong>Objective: </strong>To evaluate the drinking habits of students using the survey tool that will measure basic demographics to collect data.</p><p><strong>Design: </strong>A cross-sectional study that included college students ages 17-21 at Columbus State University in the fall of 2021.</p><p><strong>Setting: </strong>Columbus, Georgia.</p><p><strong>Participants: </strong>University students (n = 260, mean age 20.5 ± 3.8).</p><p><strong>Analysis: </strong>One-way ANOVA and independent t-tests were used to test differences in age on alcohol consumption and binge drinking. Chi-Square tests and Fisher's Exact were used to estimate differences in proportions of binge drinking for race and gender.</p><p><strong>Results: </strong>Underage students (57.7%) reported having consumed alcohol in the past. Frequency of alcohol consumption increased with age (<i>P</i> = 0.004). Caucasian students reported drinking most frequently, with 14.8% (n = 12) drinking at least once a week, compared to 0 African American students reporting they drank at least once per week (<i>P</i> < 0.001). There were no significant findings when examining differences in binge drinking for demographics assessed in this sample (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>and Relevance: In this cross-sectional research study, the prevalence of underage drinking among college-aged students, there is a need for targeted prevention methods to reduce adverse health outcomes among this vulnerable population.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241293359"},"PeriodicalIF":2.5,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455852","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":"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":"8901171241293365"},"PeriodicalIF":2.5,"publicationDate":"2024-10-14","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":"Early Childhood Routines and Adolescent Health & Well-Being: Associations From a US Urban Cohort of Children With Socioeconomic Disadvantage.","authors":"Carol Duh-Leong, Chidiogo Anyigbo, Caitlin F Canfield, Kristyn A Pierce, Arthur H Fierman, Katherine L Yo, Anne E Fuller","doi":"10.1177/08901171241286862","DOIUrl":"https://doi.org/10.1177/08901171241286862","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate longitudinal associations between the presence of early childhood routines- predictable and repeatable functional practices that promote healthy growth, development, and relationships - and adolescent health outcomes.</p><p><strong>Design: </strong>Secondary data analysis.</p><p><strong>Setting: </strong>20 large U.S. cities.</p><p><strong>Subjects: </strong>2943 children with socioeconomic disadvantage from the Future of Families cohort.</p><p><strong>Measures: </strong>Routines at age 3 (shared family meals, bedtime routine, daily reading); outcomes later in the same children at age 15 (healthy routines, overall health, psychological well-being).</p><p><strong>Analysis: </strong>Descriptive statistics, regression analyses.</p><p><strong>Results: </strong>We detected longitudinal associations between early childhood routines and later adolescent routines (increased count of shared family meals by parent report [IRR 1.13, 95% CI: 1.03, 1.24, <i>P</i> = 0.007], bedtime routine and daily reading by adolescent report [aOR 1.34, 95% CI: 1.08, 1.67, <i>P</i> = 0.008; aOR 1.18, 95% CI: 1.01, 1.38, <i>P</i> = 0.04; respectively]). A bedtime routine in early childhood was associated with excellent health in adolescence (aOR 1.42, 95% CI: 1.12, 1.79, <i>P</i> = 0.004]. Adolescent routines were concurrently associated with overall health and psychological well-being. We also detected two longitudinal patterns of associations suggesting multiple mechanisms for how early childhood routines influence later health and well-being.</p><p><strong>Conclusion: </strong>Early childhood routines predict adolescent routines, and may contribute to long term adolescent health outcomes. Future studies may promote childhood routines during critical developmental stages as a strength-based strategy to promote long-term health and well-being.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241286862"},"PeriodicalIF":2.5,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455870","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 Effect of Person-First Language on Obesity Stigma.","authors":"Rebecca K Hoffman, Stacy M Post, Tonya Dodge, Michelle L Stock","doi":"10.1177/08901171241284551","DOIUrl":"https://doi.org/10.1177/08901171241284551","url":null,"abstract":"<p><strong>Purpose: </strong>To test the assumption that person-first language (PFL) reduces obesity stigma, mediated by perceived personal responsibility for obesity.</p><p><strong>Design: </strong>Cross-sectional, experimental.</p><p><strong>Setting: </strong>Online, United States.</p><p><strong>Participants: </strong>299 young adults.</p><p><strong>Measures: </strong>Participants read a vignette using PFL or identity-first language (IFL) or about someone without obesity. Participants reported perceived personal responsibility for obesity, and 3 operationalizations of obesity stigma: prejudice, stereotypes, and support for punitive policies. Mediation analyses were used to test if the manipulation affected obesity stigma, through perceived personal responsibility.</p><p><strong>Results: </strong>There was no indirect effect of PFL vs IFL on the 3 outcomes (95% CIs contained zero). However, the indirect effects of PFL vs no-obesity condition were significant (prejudice: <i>β</i> = -0.10, <i>SE</i> = 0.05, 95% CI [-0.22, -0.01]; stereotypes: (<i>β</i> = 0.07, <i>SE</i> = 0.03, 95% CI [0.01, 0.14]); punitive punishment: (<i>β</i> = -0.06, <i>SE</i> = 0.04, 95% CI [-0.15, -0.01]). Also, the indirect effects of IFL vs no-obesity condition on stereotypes (<i>β</i> = 0.07, <i>SE</i> = 0.04, 95% CI [0.0003, 0.15]) and punitive punishment (<i>β</i> = -0.06, <i>SE</i> = 0.04, 95% CI [-0.15, -0.0002]) were significant.</p><p><strong>Conclusion: </strong>PFL may not affect obesity stigma as it does in the context of other marginalized groups. The effect of PFL and IFL, compared to the no-obesity condition, suggests future routes for intervention.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241284551"},"PeriodicalIF":2.5,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387244","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 of Depression With Handgrip Strength and Muscle Mass in Young and Middle-Aged American Adults From NHANES 2011-2014: A Cross-Sectional Study.","authors":"Zhenzhen Jiang, Shunlei Jiang, Xia Ren, Xiaojie Ji, Hengheng Yu, Zhiqiang Zhao","doi":"10.1177/08901171241288349","DOIUrl":"https://doi.org/10.1177/08901171241288349","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate relationship between depression and handgrip strength (HGS) and appendicular lean mass (ALM) in Young and middle-aged adults.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Data from participants aged 20-59 from the 2011-2014 National Health and Nutrition Examination Survey.</p><p><strong>Sample: </strong>In a study of 4927 middle-aged Americans, 2564 (52.30%) were men and 2363 (47.7%) were women, with an average age of 38.57 ± 11.72. Among this group, 716 individuals (14.53%) experienced mild depression, while 385 individuals (7.81%) suffered from moderate to severe depression.</p><p><strong>Measures: </strong>Data of HGS and ALM were collected by handgrip test, and whole-body dual-energy X-ray absorptiometry scans. Depression was assessed using the Patient Health Questionnaire-9. Linear and logistic regression, restricted cubic spline regression analyses and subgroup analysis were conducted to evaluate the association.</p><p><strong>Results: </strong>Following multivariate logistic regression analysis, the study showed that a 1-point increase in the depression score was associated with a 4% increase in the probability of reduced grip strength for both males (95% CI: 1.01-1.07) and females (95% CI: 1.01-1.06). Additionally, for males, there was a 5% increase in the likelihood of decreased muscle mass (95% CI: 1.01-1.09), whereas the decline in muscle mass for females did not exhibit statistical significance. Subgroup analysis indicated that the inverse relationship between depression and grip strength, along with the negative association between depression and muscle mass among males, remained consistent in the 40-59 age range.</p><p><strong>Conclusion: </strong>This research revealed an inverse relationship between depression and grip strength in middle-aged and young individuals, and a negative association between depression and ALM was only noted in males. Early intervention could be beneficial from age 40.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241288349"},"PeriodicalIF":2.5,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339208","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 Weight Perception and Weight Status With Perceptions of the Body Positivity Movement","authors":"Kristie Rupp, Stephanie M. McCoy","doi":"10.1177/08901171241284695","DOIUrl":"https://doi.org/10.1177/08901171241284695","url":null,"abstract":"PurposeTo explore the relationships between weight status, weight perceptions, and perceptions of the body positivity movement on social media.DesignCross-sectional.SettingOnline through the Qualtrics platform.SubjectsParticipants (N = 521; mean 26.6 ± 5.1 years) were recruited using Qualtrics online panels.MeasuresThe study survey included questions about participant demographics, weight status, and weight perception. Subjects rated 6 study-specific viewpoint questions about the body positivity movement on a 5pt Likert scale.AnalysisMultinomial logistic regression models adjusted for relevant confounders assessed the associations between objective weight status, perceived weight status, and perceptions of the body positivity movement.ResultsObjective weight status was not associated with perceptions of the body positivity movement. Perceptions of weight status were associated with perceptions of the body positivity movement in young women, with those that perceived themselves as overweight more likely (OR = 1.67, P &lt; 0.05) to disagree with the statement that “the body positivity makes people less likely to lose weight.”. However, young women that perceived themselves as having a lower weight status were less likely (OR = 0.54, P &lt; 0.05) to agree with the statement that “the body positivity movement empowered women” as well as “being inclusive of people of all sizes” (OR = 0.56, P &lt; 0.05).ConclusionWeight perception, rather than objective weight status, may be a stronger predictor of weight bias and views of the body positivity movement.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":"1 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142248940","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}