American Journal of Health Promotion最新文献_第6页

Age and Race Differences in the Association Between Social Support and Leisure-Time Physical Activity Among Adults With Cognitive Difficulty: Evidence From the 2023 BRFSS. 认知困难成人社会支持与休闲时间体育活动之间的年龄和种族差异：来自2023年BRFSS的证据

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-08-13 DOI: 10.1177/08901171261477211

Aditya Chakraborty, Mussammat Snigdha Sowrin, Acadia W Buro

{"title":"Age and Race Differences in the Association Between Social Support and Leisure-Time Physical Activity Among Adults With Cognitive Difficulty: Evidence From the 2023 BRFSS.","authors":"Aditya Chakraborty, Mussammat Snigdha Sowrin, Acadia W Buro","doi":"10.1177/08901171261477211","DOIUrl":"10.1177/08901171261477211","url":null,"abstract":"PurposeTo examine the association between perceived social/emotional support (PSES) and leisure-time physical activity (LTPA) among U.S. adults with self-reported cognitive disabilities, and to explore moderation by age and race.DesignCross-sectional analysis of 2023 Behavioral Risk Factor Surveillance System (BRFSS) data.SettingU.S., nationally representative telephone survey.Sample15 326 non-institutionalized adults with self-reported cognitive disability based on a BRFSS item.MeasuresPrimary exposure was self-reported PSES (good, medium, poor). Outcome was LTPA (yes/no). Covariates included race/ethnicity, age, sex, education, smoking status, household income, health insurance, depressive disorder, physical health, and mental health.AnalysisSurvey-weighted bivariate analyses and multivariable logistic regression examined associations between LTPA and PSES. Adjusted logistic regression models tested the moderating effects of age on association between PSES and LTPA, stratified by race/ethnicity.ResultsIn adjusted models, adults reporting poor vs good support had higher odds of physical inactivity (OR = 1.33, 95% CI: 1.08-1.63). Significant moderation was observed: among Black adults aged 55-64, poor support was linked to more than 2-fold higher odds of inactivity (poor vs good: OR = 2.79, 95% CI: 1.24-6.32; medium vs good: OR = 2.07, 95% CI: 1.15-3.76); among White adults, associations persisted across multiple age groups.ConclusionHigher PSES was associated with greater LTPA among adults with cognitive disabilities, with variation by age and race. Interventions should integrate culturally tailored support strategies.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261477211"},"PeriodicalIF":2.1,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148719549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Financial Hardship and Household Food Insecurity During the COVID-19 Pandemic: Evidence From the Panel Study of Income Dynamics. 2019冠状病毒病大流行期间的经济困难和家庭粮食不安全：来自收入动态小组研究的证据。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-08-08 DOI: 10.1177/08901171261474305

Lori Kowaleski-Jones, Caren J Frost, Taylor Holladay

{"title":"Financial Hardship and Household Food Insecurity During the COVID-19 Pandemic: Evidence From the Panel Study of Income Dynamics.","authors":"Lori Kowaleski-Jones, Caren J Frost, Taylor Holladay","doi":"10.1177/08901171261474305","DOIUrl":"https://doi.org/10.1177/08901171261474305","url":null,"abstract":"PurposeResearch has documented changes in food insecurity (FI) in the U.S. during COVID-19, including initial spikes and widening inequities followed by eventual declines. Yet a lack of representative longitudinal data has limited efforts to examine FI trajectories.DesignWe use data from the Panel Study of Income Dynamics (PSID) to examine household-level changes in U.S. FI status from pre-pandemic to pandemic periods, evaluate the relationship between experiencing pandemic-induced financial hardship (FH) and FI, and test for mediating and moderating effects of FH on FI.SettingUnited States.SampleThe analytic sample includes 8097 adults from the 2019 and 2021 waves.MeasuresThe outcomes are dichotomous measures of FI in 2019 (25%) and 2021 (22%) derived from the U.S. Food Security Survey Module. The independent variable is a dichotomous FH (22%) measure, measured in 2021.AnalysisWe charted the change in reporting FI from 2019 to 2021 using t-tests and identified which individuals in our sample had higher FI rates in 2021. Females (FI = 53%), Hispanic Americans (FI = 60%), single households (FI = 54%), and those with less than a college degree (FI = 52%) had higher FI in 2021. Using logistic regression techniques, we estimated the association between FH and FI in 2021.ResultsWe find that pandemic FH is significantly associated with experiencing FI, even when controlling for relevant individual and household characteristics and pandemic experiences (OR = 4.83, P < .01). Black respondents who experienced a pandemic-induced FH were almost 3 times more likely to experience FI, while the odds of experiencing FI amidst an FH were lower among respondents who did not identify as Black (OR = 2.7).ConclusionThe findings provide early evidence for the relevance - and unequal impact - of pandemic-induced FH on household FI throughout the pandemic.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261474305"},"PeriodicalIF":2.1,"publicationDate":"2026-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148696863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Wisconsin State Comprehensive Planning Requirements are Associated with Better Local Planning for Healthy Eating and Active Living: A Multilevel Policy Content Analysis. 威斯康星州综合规划要求与更好的地方健康饮食和积极生活规划相关：多层次政策内容分析。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-08-07 DOI: 10.1177/08901171261468183

Lisa M Charron, Samantha I Moyers-Kinsella, James A LaGro

{"title":"Wisconsin State Comprehensive Planning Requirements are Associated with Better Local Planning for Healthy Eating and Active Living: A Multilevel Policy Content Analysis.","authors":"Lisa M Charron, Samantha I Moyers-Kinsella, James A LaGro","doi":"10.1177/08901171261468183","DOIUrl":"https://doi.org/10.1177/08901171261468183","url":null,"abstract":"PurposeTo determine whether the specificity of mandates in Wisconsin's state comprehensive planning statute is associated with the inclusion and actionability of healthy eating and active living items in local comprehensive plans.DesignRetrospective, cross-sectional, multilevel policy content analysis.SettingWisconsin.Sample93 local comprehensive plans, stratified by urbanicity and regional planning commission area.MeasuresLocal comprehensive plans were scored using the Healthy Living and Active Design Scorecard for Comprehensive Plans. Wisconsin's state comprehensive planning statute was evaluated for general or specific mandates for each item in the Scorecard.AnalysisDifference in weighted percentage of municipalities scoring for items not mandated, mandated with general language, and mandated with specific language; one-sided Welch difference of means tests.ResultsMandating an item with general language is associated with a 33.6 percentage point higher inclusion rate in local plans and mandating an item with specific language is associated with a 50.2 percentage point higher inclusion rate in local plans. All differences are statistically significant at the 0.05 confidence level.ConclusionHealthy eating and active living items that are mandated by state statute are more likely to be included in local comprehensive plans than items that are not mandated. Mandated items are also more likely to be included in local comprehensive plans in an actionable manner, which may make them more likely to be implemented.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261468183"},"PeriodicalIF":2.1,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148688311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determinants of High Screen Time Use and Physical Inactivity Among High School Students in Texas: A 2001-2023 Cross-Sectional Study. 德克萨斯州高中生高屏幕时间使用和缺乏身体活动的决定因素：2001-2023横断面研究

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-08-04 DOI: 10.1177/08901171261474441

Asha Collier, Justin Buendia, Colin Ferrel, Nimisha Bhakta

{"title":"Determinants of High Screen Time Use and Physical Inactivity Among High School Students in Texas: A 2001-2023 Cross-Sectional Study.","authors":"Asha Collier, Justin Buendia, Colin Ferrel, Nimisha Bhakta","doi":"10.1177/08901171261474441","DOIUrl":"https://doi.org/10.1177/08901171261474441","url":null,"abstract":"PurposeTo examine demographic, socioeconomic, and health related correlates of the combined behavioral pattern of high screen time and physical inactivity among Texas high school students.DesignCross-sectional study using Youth Risk Behavior Survey data.SettingTexas high schools.Sample32 227 students in grades 9-12 from 2001-2023.MeasuresScreen time was dichotomized as high (≥3 hours/day) vs low (<3 hours/day). Physical activity was categorized as low (0-3 days/week) vs high (>3 days/week of ≥60 minutes/day). Demographic, body mass index, mental health, substance use, and dietary variables were assessed.AnalysisWeighted prevalence estimates and multivariable logistic regression models were used, adjusting for potential confounders.ResultsApproximately 25% of students exhibited both high screen time and low physical activity. Female students had 75% higher odds (95% CI: 1.54-2.00) of this behavioral combination compared to males. Black, Hispanic, and Other/Multiracial students had 2-3 times higher odds compared to White students. Students perceiving themselves as very overweight had 2.5 times higher odds of both high screen time and low physical activity (95% CI: 1.82-3.50) compared to those who perceived themselves as having about the right weight. Depression and drug use were associated with increased odds, while fruit and vegetable consumption showed protective effects.ConclusionComprehensive, culturally tailored interventions targeting both behaviors simultaneously are needed, particularly among underrepresented racial/ethnic groups and students with mental health challenges.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261474441"},"PeriodicalIF":2.1,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148700527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prototyping a Methodology for Estimating the Economic Externalities Resulting From Commercial Products' Influence on the Health of Their Users. 一种估算商业产品对其用户健康影响所产生的经济外部性的方法。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-08-03 DOI: 10.1177/08901171261473735

Stephen J Downs, Sara J Singer, Carol Passarelli, Inah Golez, Evan Cook

{"title":"Prototyping a Methodology for Estimating the Economic Externalities Resulting From Commercial Products' Influence on the Health of Their Users.","authors":"Stephen J Downs, Sara J Singer, Carol Passarelli, Inah Golez, Evan Cook","doi":"10.1177/08901171261473735","DOIUrl":"https://doi.org/10.1177/08901171261473735","url":null,"abstract":"PurposeDetermine feasibility of estimating economic externalities associated with influences that products of individual corporations have on their customers' health behaviors.DesignOur methodology included four steps: (1) model influence of company product(s) on user behavior at the population level; (2) calculate relative risks of developing selected diseases/conditions associated with product use; (3) estimate the number of cases of selected disease/conditions that could be attributed to the company's influence; and (4) summarize annual cost of attributable cases.SettingUnited States.SampleThree companies: Burger King, Netflix and Niantic Labs.MeasuresAnnual US healthcare costs associated with the use of commercial products and services by adults.AnalysisWe estimated costs and benefits (costs avoided) by linking product use and population exposure with relative risks of major chronic conditions, as established in dose-response meta-analysis studies, to calculate population attributable fractions and then linking potentially attributable cases to annual healthcare costs.ResultsAnnual cost potentially attributable to Burger King was $4.9 billion and Netflix $32.4 billion; annual benefit attributable to Niantic Labs was $322 million.ConclusionWe demonstrated a methodology for estimating economic externalities that could be associated with the use of different commercial products/services.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261473735"},"PeriodicalIF":2.1,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148668260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Defining and Applying Age-Specific Retention Measures Among Infants and Children in the WIC Program. 在WIC计划中定义和应用特定年龄的婴儿和儿童保留措施。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-30 DOI: 10.1177/08901171261472612

Ana Beatriz Ronan, Emily M Melnick, Francesco Acciai, Shannon E Whaley, Nicole Vaudrin O'Reilly, Mindy Jossefides, Punam Ohri-Vachaspati

{"title":"Defining and Applying Age-Specific Retention Measures Among Infants and Children in the WIC Program.","authors":"Ana Beatriz Ronan, Emily M Melnick, Francesco Acciai, Shannon E Whaley, Nicole Vaudrin O'Reilly, Mindy Jossefides, Punam Ohri-Vachaspati","doi":"10.1177/08901171261472612","DOIUrl":"https://doi.org/10.1177/08901171261472612","url":null,"abstract":"PurposeAssessing continued participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is challenging due to the lack of standardized retention measures. We propose child-level retention and engagement metrics and demonstrate their application in evaluating associations between a specific WIC policy change-the increase in the cash-value benefit (CVB)-and retention.DesignLongitudinal observational study.SettingAdministrative data (March 2019-December 2023) from a tribal WIC state agency.Sample5,794 WIC participants enrolled as infants (0-11 months).MeasuresThree measures were constructed: (1) age-specific retention (2) a summary retention ratio, capturing participation over the entire eligibility period, and (3) an engagement measure based on household benefit redemption during certification periods.AnalysisCross-tabulations and t-tests were used to analyze retention and engagement. Logistic regression models estimated the odds of retention following the CVB policy change.ResultsRetention ranged from 63-72% across age groups. Retained participants redeemed benefits more frequently than non-retained participants during their prior certification period. Among children with full follow-up, 34% completed all eligible certifications. After CVB increase, retention from infancy to age one was four percentage points higher (P = .026).ConclusionThe proposed measures provide a practical framework for monitoring WIC retention and engagement and for examining changes over time, including in relation to policy changes.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261472612"},"PeriodicalIF":2.1,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148629092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ultraprocessed Foods and Public Policy: the Argument for Use-Case Consideration. 超加工食品和公共政策：用例考虑的论证。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-30 DOI: 10.1177/08901171261473029

David L Katz, Christopher D Gardner

{"title":"Ultraprocessed Foods and Public Policy: the Argument for Use-Case Consideration.","authors":"David L Katz, Christopher D Gardner","doi":"10.1177/08901171261473029","DOIUrl":"10.1177/08901171261473029","url":null,"abstract":"The advent of an operational definition of \"ultraprocessed foods\" (UPFs) intrinsic to the Nova classification has meaningfully advanced research on the topic. A large volume of studies, including metabolic ward trials, have begun to enumerate the many potential harms of UPFs. This inventory of harms is in turn conducive to public policy responses. The connection between the two is on clear display in the 2025 Dietary Guidelines for Americans, which inveigh directly against consumption of \"hyperprocessed food,\" generally interpreted to mean UPFs. The harms of UPFs, however, are no less subject to the \"instead of what?\" consideration than any other component of diet. Whereas most UPFs displace more wholesome, more nutrient dense, more satiating alternatives from the diet; and whereas most foods in this category may be expressly engineered to minimize satiety and maximize consumption in the service of profit - there are notable exceptions with regard to intention, substitution, and effects. Salient among these is the category of plant-based meats, expressly designed to substitute for meat, and beef most particularly. The case is made that application of \"instead of what?\" as a use-case filter helps to differentiate between the majority of UPFs apt to confer net harm, and the rarer but potentially important exceptions to that rule. Another key consideration is variation by population and culture; the net effects of a subset of UPFs on overall diet quality could conceivably be favorable in one population, detrimental in another. These distinctions suggest the importance of nuance in the development of public policies responsive to the harms of UPFs, allowing for use cases with the potential to confer net benefit. Optimal policy responses to the burgeoning study of UPFs will accommodate the limited, but important, heterogeneity of that food class.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261473029"},"PeriodicalIF":2.1,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148629228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparing a Large Language Model to Human-Generated Retention Messages for a Family Healthy Weight Program. 一个家庭健康体重计划的大型语言模型与人工生成的保留信息的比较。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-29 DOI: 10.1177/08901171261472636

Kayla Norton, Ryan D Burns, Guilherme Del Fiol, Jennie L Hill, Kate Heelan, Caitlin A Golden, Ali Mercado, Paul A Estabrooks

{"title":"Comparing a Large Language Model to Human-Generated Retention Messages for a Family Healthy Weight Program.","authors":"Kayla Norton, Ryan D Burns, Guilherme Del Fiol, Jennie L Hill, Kate Heelan, Caitlin A Golden, Ali Mercado, Paul A Estabrooks","doi":"10.1177/08901171261472636","DOIUrl":"10.1177/08901171261472636","url":null,"abstract":"BackgroundText messaging can improve attendance and retention in community health programs; however, message development can be resource intensive.PurposeTo compare human and large language model (LLM)-generated retention messages in terms of creation time, clarity, appropriateness, and alignment with behavior change principles.DesignMixed methods using expert message ratings and qualitative feedback from message developers.SettingBuilding Healthy Families, a family healthy weight program.SampleExperts in behavioral science or related fields (n = 21) and message developers (n = 3).MeasuresMatched message pairs were rated on a 5-point Likert scale for clarity, appropriateness, and alignment with Social Cognitive Theory principles.AnalysisWilcoxon signed-rank tests compared message ratings. Equivalence testing using a ±10% equivalence interval and 90% confidence intervals assessed similarity between message types.ResultsLLM-generated messages yielded significantly higher ratings than human-generated messages for 4 of 5 message pairs on clarity and 3 of 5 rated on appropriateness (all P's < 0.05). Messages were statistically equivalent for 3 of 5 message pairs rated for behavior change theory alignment (all P's < 0.05). Time to develop the human- and LLM-generated messages was approximately the same with similar averaged Flesch-Kincaid grade level scores. However, the LLM-generated messages were shorter and more concise.ConclusionThis study suggests the potential for LLMs to create messages more efficiently and reduce, but not eliminate, workload for health promotion professionals.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261472636"},"PeriodicalIF":2.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148597699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Community Cafes as a Health Promotion Model: Evidence on Food Security, Diet, and Social Well-Being. 社区咖啡馆作为健康促进模式：关于食品安全、饮食和社会福利的证据。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-28 DOI: 10.1177/08901171261473018

Xingguo Wang, Rodolfo Nayga, Lori Borchers, Heather Eicher-Miller, Rebecca A Seguin-Fowler, Jacob Szeszulski, Alexandra L MacMillan Uribe

{"title":"Community Cafes as a Health Promotion Model: Evidence on Food Security, Diet, and Social Well-Being.","authors":"Xingguo Wang, Rodolfo Nayga, Lori Borchers, Heather Eicher-Miller, Rebecca A Seguin-Fowler, Jacob Szeszulski, Alexandra L MacMillan Uribe","doi":"10.1177/08901171261473018","DOIUrl":"10.1177/08901171261473018","url":null,"abstract":"PurposeThis study examined whether the frequency and duration of participation in community cafes-nonprofit, pay-what-you-can restaurants-are associated with food security, dietary improvement, and psychosocial well-being among adult patrons.DesignCross-sectional, multi-site observational study using an instrumental-variables regression framework to reduce selection bias.SettingEleven community cafes operating under the pay-what-you-can model across the U.S.SampleThe analytic sample included 137 adult patrons who had eaten at a cafe within the past month (65% female, 65.7% White).MeasuresPrimary exposures were the frequency of cafe meals and the duration since first visit. Outcomes included food security (USDA six-item module), self-reported dietary improvement, social connectedness, and loneliness. Covariates included gender, race, and cafe site fixed effects.AnalysisTwo-stage instrumental-variable regression models used geographic distance as an instrument for cafe participation. Logistic regression estimated odds of food security, and linear models examined continuous outcomes (P < 0.05). Estimates are interpreted as local effects for patrons whose participation is influenced by access.ResultsLonger duration since first cafe visit was associated with higher odds of being food secure (OR = 2.93, 95% CI = 1.21-7.09). No significant associations were observed for dietary or psychosocial outcomes.ConclusionSustained engagement in cafes is associated with a greater likelihood of being food secure, indicating the importance of long-term participation in dignity-based health promotion strategies.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261473018"},"PeriodicalIF":2.1,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148597683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mental Health-Promoting Interventions in Elementary Schools: Availability and Alignment With Evidence-Informed Implementation Practices. 小学心理健康促进干预措施：可获得性与循证实施实践的一致性。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-28 DOI: 10.1177/08901171261473005

El Zahraa Majed, Roxy H O'Rourke, Erin K O'Loughlin, Robert J Wellman, Jennifer L O'Loughlin

{"title":"Mental Health-Promoting Interventions in Elementary Schools: Availability and Alignment With Evidence-Informed Implementation Practices.","authors":"El Zahraa Majed, Roxy H O'Rourke, Erin K O'Loughlin, Robert J Wellman, Jennifer L O'Loughlin","doi":"10.1177/08901171261473005","DOIUrl":"https://doi.org/10.1177/08901171261473005","url":null,"abstract":"PurposeThis study examined: (1) availability of mental health-promoting interventions (MHPIs) in Quebec elementary schools in relation to area-level socioeconomic advantage, prioritization of student mental health, parent and community engagement, school climate; and (2) the extent to which existing MHPIs incorporated evidence-informed implementation practices.DesignCross-sectional.SettingPublic elementary schools across Quebec, Canada (n = 171).SubjectsSchool principals and vice-principals (n = 171 for Objective 1; n = 43 for Objective 2).MeasuresStructured telephone interviews using standardized French or English closed-ended questionnaires.AnalysisDescriptive statistics and unadjusted association analyses.ResultsOnly 42% of schools offered an MHPI in the past year, with socioeconomically disadvantaged schools less likely and schools prioritizing mental health, engaging parents and community partners, and fostering supportive school environments more likely to do so. Most MHPIs incorporated multiple competencies and active learning approaches, were institutionalized, and were adapted to local contexts. Few MHPIs involved co-design with teachers, parents, or students, and only half incorporated staff training or formal evaluation.ConclusionMHPI availability in Quebec elementary schools was socially patterned. While many existing MHPIs demonstrated substantial alignment with evidence-informed implementation practices, important gaps remained in stakeholder engagement, capacity building, and evaluation. Strengthening funding, staff training, and implementation support may improve the reach, quality, and equitable delivery of school-based mental health promotion.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261473005"},"PeriodicalIF":2.1,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148597646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0