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

COVID-19 Vaccine Adverse Events by Country Income Level: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. 按国家收入水平划分的COVID-19疫苗不良事件：随机对照试验的系统评价和荟萃分析

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2025-08-05 DOI: 10.1177/08901171251365229

Poliana do Carmo Pimenta, Thais Cristina de Aquino Lima, Vitoria Gabriele Souza Geraldine, Fillipe Silva Tourinho, Murilo César do Nascimento, Rômulo Dias Novaes, Lívia Maris Ribeiro Paranaíba Dias

{"title":"COVID-19 Vaccine Adverse Events by Country Income Level: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Poliana do Carmo Pimenta, Thais Cristina de Aquino Lima, Vitoria Gabriele Souza Geraldine, Fillipe Silva Tourinho, Murilo César do Nascimento, Rômulo Dias Novaes, Lívia Maris Ribeiro Paranaíba Dias","doi":"10.1177/08901171251365229","DOIUrl":"https://doi.org/10.1177/08901171251365229","url":null,"abstract":"PurposeTo synthesize evidence on the incidence of COVID-19 vaccine-related adverse events across countries by income level.DesignSystematic review and meta-analysis of randomized trials.SettingStudies published 2020-2025, retrieved from EMBASE, PubMed/MEDLINE, and Scopus.SampleEleven trials with 7841 participants; seven from high-income and four from upper-middle-income countries.MeasuresIncidence per 100 vaccinated. Countries by income: low (≤$1145), lower-middle ($1146-4515), upper-middle ($4516-14,005), high (>$14,005). Inter-reviewer agreement assessed by kappa (0.684). Risk of bias evaluated with Cochrane RoB 2.AnalysisMantel-Haenszel random-effects models estimated relative risks (RR) with 95% confidence intervals. Heterogeneity assessed by I2. Subgroup analyses by income and dose.ResultsAEFI incidence was consistently higher in high-income vs upper-middle-income countries, especially after dose 2. Injection-site pain (68.1 vs 26.3 per 100), headache (45.7 vs 14.1), myalgia (42.5 vs 9.2), and fatigue (33.8 vs 11.4) were most common. Meta-analyses showed higher pooled RR in high-income settings: any AEFI after dose 1, RR = 1.83 (95% CI: 1.39-2.42); local, RR = 3.15; systemic, RR = 2.05. After dose 2, overall RR reached 2.94; local, 4.37; systemic, 2.48. All subgroup differences were significant.ConclusionHigher-income countries showed a greater incidence of mostly mild adverse events, particularly after the second dose. mRNA vaccines had the highest rates. Findings reveal income-based disparities and inform equitable post-vaccination monitoring.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251365229"},"PeriodicalIF":2.4,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144787988","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

Loneliness as a Mediator in the Association Between Food Insecurity and Multiple Sleep Problems: Evidence From the 2021/22 UK Household Longitudinal Study. 孤独在食物不安全与多重睡眠问题之间的中介作用：来自2021/22年英国家庭纵向研究的证据

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2025-08-05 DOI: 10.1177/08901171251366077

Lei Chai, Zhuofei Lu

{"title":"Loneliness as a Mediator in the Association Between Food Insecurity and Multiple Sleep Problems: Evidence From the 2021/22 UK Household Longitudinal Study.","authors":"Lei Chai, Zhuofei Lu","doi":"10.1177/08901171251366077","DOIUrl":"https://doi.org/10.1177/08901171251366077","url":null,"abstract":"PurposeThis study examines whether loneliness mediates the association between food insecurity and multiple sleep problems.DesignQuantitative, cross-sectional.SettingData were drawn from the 2021/22 wave of the UK Household Longitudinal Study, which-for the first time in the main survey-included a validated measure of food insecurity.SubjectsThe analytic sample included 21,650 individuals aged 18 and older.MeasuresSleep problems were assessed across six dimensions using items from the Pittsburgh Sleep Quality Index. Loneliness was measured using the UCLA three-Item Loneliness Scale. Food insecurity was assessed using the Food Insecurity Experience Scale. Sociodemographic variables were included as covariates.AnalysisOrdinary Least Squares and logistic regression models were used to examine associations between food insecurity and sleep outcomes. The Karlson-Holm-Breen method was employed to assess mediation by loneliness.ResultsIndividuals experiencing food insecurity reported worse outcomes across all sleep problems compared to those without food insecurity (from b = .154, P < .001 for greater daytime dysfunction to b = .470, P < .001 for longer sleep latency; OR = 2.531, P < .001 for short sleep duration). Loneliness mediated all associations, explaining between 14.75% and 27.24% of the total effect.ConclusionPublic health interventions that address both food insecurity and loneliness may help improve sleep health.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251366077"},"PeriodicalIF":2.4,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144783251","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

Commentary: Sex Differences in the COVID-19 Vaccine Uptake in the United States. 评论：美国COVID-19疫苗摄取的性别差异。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2025-08-04 DOI: 10.1177/08901171251362791

Mana Moghadami, Seyed M Karimi

{"title":"Commentary: Sex Differences in the COVID-19 Vaccine Uptake in the United States.","authors":"Mana Moghadami, Seyed M Karimi","doi":"10.1177/08901171251362791","DOIUrl":"https://doi.org/10.1177/08901171251362791","url":null,"abstract":"Objective: This commentary critically evaluates a recent scoping review on differences in COVID-19 vaccine intentions and uptake in the United States (U.S.) by gender or sex.Data Source: The reference articles in the scoping review titled \"A Scoping Review on Gender/Sex Differences in COVID-19 Vaccine Intentions and Uptake in the United States\" and other published articles on the subject.Study inclusion and exclusion criteria: Peer-reviewed articles in the English language that studied COVID-19 vaccine uptake in the U.S. population and evaluated sex/gender differences in vaccination were included. Studies that only assessed COVID-19 vaccine intentions in the U.S. population were excluded.Data extraction: Not applicable to this study.Data synthesis: Not applicable to this study.Results: The commentary findings on gender/sex differences are drawn from limited evidence, many with particular subpopulations (e.g., healthcare workers and military personnel) and an unbalanced gender/sex mix. Additionally, several studies use data from small surveys. By contrast, analyses using immunization registry data and large nationally representative surveys consistently find a higher COVID-19 vaccine uptake among women than men overall and in most age groups.Conclusion: This commentary argues for the inclusion of higher-quality, population-representative data sources within reviews to illustrate gender/sex differences in vaccine coverage more accurately.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251362791"},"PeriodicalIF":2.4,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144783250","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

Adolescent Concern for Body Weight and Engagement in Unhealthy Weight Control Behaviors. 青少年对体重的关注和参与不健康的体重控制行为。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2025-07-29 DOI: 10.1177/08901171251362807

Stephanie M McCoy, Jessica L Bryan, Kristie Rupp

{"title":"Adolescent Concern for Body Weight and Engagement in Unhealthy Weight Control Behaviors.","authors":"Stephanie M McCoy, Jessica L Bryan, Kristie Rupp","doi":"10.1177/08901171251362807","DOIUrl":"https://doi.org/10.1177/08901171251362807","url":null,"abstract":"PurposeTo explore associations between adolescent's concern for their body weight/shape/size and engagement in unhealthy weight control behaviors (UWCBs).DesignSecondary data analysis.Setting2022 National Survey of Children's Health.SubjectsAnalyses included 23 357 (51.8% male) adolescents, ages 10-17 years (mean 13.8 ± 2.3 years).MeasuresReported concern for body weight/shape/size, and UWCBs including skipping meals/ fasting; low interest in food; picky eating; binge eating, purging; diet pills; and over-exercising.AnalysisLogistic regression models assessed the odds of engaging in UWCBs by reported concern for body weight/shape/size.ResultsEngagement in UCWBs was low with 21.1% reporting picky eating, 13.5% fasting, 11.7% low interest in food, 5.3% binge eating, and <2% purging, over-exercising, or using diet pills. Compared to adolescents who were not at all concerned about their body weight/shape/size, adolescents who were somewhat or very much concerned had significantly higher odds (P's < 0.05) of engaging in all UCWB outcomes except for using diet pills or laxatives, which was only significant for adolescents who reported being very concerned (OR = 12.74; CI: [19.16, 36.94]). Further, after stratification by gender and age, there was a significant p-for trend (P's < 0.05), in engagement in UWCBs by concern for body weight/shape/size except for using diet pills or laxatives in 10-11- and 12-14-year-olds.ConclusionExpressing concern for body weight/image/size is associated with an increased likelihood of engaging in UCWB in adolescents, regardless of gender or stage of adolescence.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251362807"},"PeriodicalIF":2.4,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144740899","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

A Smartphone Application for People Who are Not Ready to Quit Smoking: A Post-intervention Qualitative Assessment of the Phoenix Project. 一个智能手机应用程序的人谁还没有准备好戒烟：干预后定性评估凤凰项目。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-07-19 DOI: 10.1177/08901171251361470

Marshall K Cheney, Taylor Zingg, Krista M Kezbers, Audrey Montgomery, Catherine M Bain, Nadia Stanley, Summer G Frank-Pearce, Darla E Kendzor, Emily T Hébert, Michael S Businelle

{"title":"A Smartphone Application for People Who are Not Ready to Quit Smoking: A Post-intervention Qualitative Assessment of the Phoenix Project.","authors":"Marshall K Cheney, Taylor Zingg, Krista M Kezbers, Audrey Montgomery, Catherine M Bain, Nadia Stanley, Summer G Frank-Pearce, Darla E Kendzor, Emily T Hébert, Michael S Businelle","doi":"10.1177/08901171251361470","DOIUrl":"https://doi.org/10.1177/08901171251361470","url":null,"abstract":"PurposeTo assess the acceptability and feasibility of the Phoenix smoking cessation smartphone app in people who smoke and are not yet ready to quit.Approach/DesignPost-intervention telephone interview.SettingOklahoma and Texas.ParticipantsAdults who were not ready to quit smoking at baseline (71% female, 76% White, mean age 52.6 years).InterventionThis 26-week 3-arm randomized controlled trial examined the utility of the Phoenix app which encouraged and provided support for smoking cessation attempts through twice-daily messages and weekly surveys.MethodsParticipants (100/152) completed an audio-recorded interview that assessed app engagement including benefits, barriers, most useful features, and suggested app modifications. Transcribed interviews were coded and analyzed for themes.ResultsAdults who were not ready to quit smoking experienced few barriers to using Phoenix app content, and reported increased self-reflection, awareness of smoking behaviors, and motivation to quit smoking in response to the tailored messages and weekly assessments. Participants with less control over daily schedules wanted more access to missed messages and surveys. Messages and surveys were helpful, but participants suggested increasing the variety of message and survey content.ConclusionAdults not yet ready to quit smoking are receptive to using mHealth smoking cessation apps to reduce/quit smoking. mHealth applications can increase access to evidence-based smoking cessation interventions and may be an effective tool for reducing smoking disparities.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251361470"},"PeriodicalIF":2.5,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666825","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

Delayed Effects of Cigarette Graphic Warning Labels on Smoking Behavior. 香烟图形警告标签对吸烟行为的延迟效应。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-07-16 DOI: 10.1177/08901171251361791

Zhenhao Shi, An-Li Wang, Jiaying Liu, Janet Audrain-McGovern, Kevin G Lynch, James Loughead, Daniel D Langleben

{"title":"Delayed Effects of Cigarette Graphic Warning Labels on Smoking Behavior.","authors":"Zhenhao Shi, An-Li Wang, Jiaying Liu, Janet Audrain-McGovern, Kevin G Lynch, James Loughead, Daniel D Langleben","doi":"10.1177/08901171251361791","DOIUrl":"10.1177/08901171251361791","url":null,"abstract":"PurposeGraphic warning labels (GWLs) are widely employed to communicate smoking-related health risks. Most GWLs elicit a high level of emotional reaction (ER). Our recent study showed poorer efficacy of high-ER GWLs vs low-ER ones during a month-long naturalistic exposure. Here, we aimed to examine whether GWL effects persist after discontinuing the exposure.DesignA secondary analysis investigated the delayed GWL effects on smoking severity.SettingPhiladelphia Metropolitan Area, United States.Subjects96 adult smokers who completed a month-long exposure to high-ER or low-ER GWLs.MeasuresThe number of cigarettes smoked per day (CPD) was measured immediately and 4 weeks after the end of GWL exposure. Participants also indicated their subjective feeling of being relieved from having to see the GWLs.AnalysisGeneralized estimating equations examined the change in CPD across time and its association with sense of relief.ResultsWe found a significant reduction in CPD from the immediate to the 4-week post-exposure timepoint (11.69 vs 10.30, P = 0.001). There was no difference between the high-ER and low-ER groups in CPD reduction (P = 0.74). Higher sense of relief was associated with greater CPD reduction in the high-ER group (z = -2.14, P = 0.033).ConclusionOur study suggests lasting impact of GWLs on smoking behavior. The findings may be particularly important to high-ER GWLs, which appear less effective in reducing smoking during active exposure.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251361791"},"PeriodicalIF":2.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648270","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

Adding Perspective to Employee Mental Wellness: A Population Health and Psychoeducational Approach to Screening and Care Connection. 增加员工心理健康的视角：人口健康和心理教育方法筛选和护理联系。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-07-05 DOI: 10.1177/08901171251357155

Matthew E Peters, Harriet Martyn, Susan M Carr, Yunzhi Wang, Cyd K Eaton, Allison M Bailey, Paul M Kim

{"title":"Adding Perspective to Employee Mental Wellness: A Population Health and Psychoeducational Approach to Screening and Care Connection.","authors":"Matthew E Peters, Harriet Martyn, Susan M Carr, Yunzhi Wang, Cyd K Eaton, Allison M Bailey, Paul M Kim","doi":"10.1177/08901171251357155","DOIUrl":"https://doi.org/10.1177/08901171251357155","url":null,"abstract":"PurposeDescribe the Perspectives of Psychiatry approach and how it was integrated into an employer-based mental health engagement program.DesignRetrospective cohort study.SettingWorkplace-based.Sample913 employees.InterventionThe Johns Hopkins Balance program is a novel, employer-initiated mental health engagement program. The Balance program integrates the Perspectives of Psychiatry (Perspectives) ideology for mental health care and takes a population health and psychoeducational approach to screening and care connection.MeasuresUtilization and engagement rates, algorithm-based mental health symptom risk, Perspectives-based risk.AnalysisChi squared tests for risk categorization associations, odds ratio high risk categorization, frequency and percentage of referral types.Results94% (860/913) of participants who registered completed the Balance assessment and 14% (130/913) completed a care concierge visit. Referrals were placed for 69% (90/130) of employees who completed a care concierge visit. A person identified as high risk by the standardized assessments had 6.74 (4.38, 10.71) times the odds of endorsing a concern on at least one of the Perspectives. An additional 28 participants were identified as high risk based on their own concern after scoring low risk on the standardized assessment. Of the 117 referrals placed, 96.6% (113/117) were in individuals scoring high risk on the assessment.ConclusionA population health and psychoeducational approach to employer-based mental health engagement can successfully identify risk and connect employees to care.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251357155"},"PeriodicalIF":2.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566986","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

Long COVID: Context, Considerations, and Calls for Change. 长COVID：背景、考虑因素和变革呼吁。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-07-01 Epub Date: 2025-06-08 DOI: 10.1177/08901171241308066a

Allison N O'Donnell, Mary Berghaus, Ian D Simon

引用次数: 0

Leveling the Playing Field: Opportunities for School Recess to Promote Wellness and Reduce Disparities in Elementary School Children. 公平的竞争环境：学校休息的机会，以促进健康和减少小学生的差距。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-07-01 Epub Date: 2025-02-10 DOI: 10.1177/08901171251319847

Divya Konduru, Kerri M Lowrey, Erin R Hager

引用次数: 0

Results of an Organization-wide Physical Activity Promotion Intervention Within a Very Large Academic Health Care System. 在一个非常大的学术卫生保健系统内组织范围内促进体育活动干预的结果。

IF 2.5 4区医学

American Journal of Health Promotion Pub Date : 2025-07-01 Epub Date: 2025-02-26 DOI: 10.1177/08901171251324018

Sean P Heffron, Krista O'Neill, Judy Zhong, Yuhe Xia, Margaret McCarthy

{"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":"10.1177/08901171251324018","url":null,"abstract":"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 (P = 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 P < 0.005). Our findings provide important insight for workplace interventions to promote PA. They further suggest specific groups that may benefit from targeted efforts.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"871-879"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","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}

引用次数: 0