American Journal of Health Promotion最新文献_第7页

Work Hours, Physical Activity, Sedentary Behavior, and Breastfeeding Status Among Postpartum Women: Insights From NHANES. 产后妇女的工作时间、体力活动、久坐行为和母乳喂养状况：来自NHANES的见解。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-27 DOI: 10.1177/08901171261472677

Kailey Snyder, Natalie Koziol, Mingqi Li, Amanda Prokasky, Danae Dinkel

{"title":"Work Hours, Physical Activity, Sedentary Behavior, and Breastfeeding Status Among Postpartum Women: Insights From NHANES.","authors":"Kailey Snyder, Natalie Koziol, Mingqi Li, Amanda Prokasky, Danae Dinkel","doi":"10.1177/08901171261472677","DOIUrl":"https://doi.org/10.1177/08901171261472677","url":null,"abstract":"PurposeBreastfeeding provides substantial health benefits for infants and postpartum parents, yet many parents in the United States do not breastfeed for the recommended duration. This study examined associations among employment, demographic characteristics, physical activity, sedentary behavior, and current breastfeeding status among postpartum individuals.MethodsCross-sectional data from 4 cycles of the National Health and Nutrition Examination Survey (NHANES; 2011-March 2020) were analyzed for 568 postpartum individuals. Logistic regression models examined associations between work hours, demographic characteristics, physical activity, sedentary behavior, and breastfeeding status. Moderation analyses assessed whether physical activity or sedentary behavior modified the relationship between work hours and breastfeeding.ResultsParticipants working ≥35 hours per week had significantly lower odds of breastfeeding than those not working (OR = 3.76, 95% CI [1.91, 7.40]) or working fewer than 35 hours per week (OR = 6.68, 95% CI [3.01, 14.82]). Older age, higher educational attainment, being married or partnered, and having a normal body mass index were associated with greater odds of breastfeeding, whereas increasing months postpartum was associated with lower odds. Recreational physical activity demonstrated a small moderating effect that was not significant after correction for multiple comparisons. Sedentary behavior was not associated with breastfeeding.ConclusionsFull-time employment was associated with reduced breastfeeding among postpartum individuals. Workplace policies and support that facilitate breastfeeding continuation may improve breastfeeding duration among employed parents.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261472677"},"PeriodicalIF":2.1,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148597616","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

"Sleep Duration and Metabolic Syndrome in U.S. Adults: Evidence of a U-Shaped Association From NHANES 2005-2020". “美国成年人的睡眠时间和代谢综合征：NHANES 2005-2020的u形关联证据”。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-27 DOI: 10.1177/08901171261472674

Hafiz M Ahmed, Abdullah Dar, Muhammad Owais, Ubaid Ur Rehman, Riyan Ali, Jawad Hussain Shah

{"title":"\"Sleep Duration and Metabolic Syndrome in U.S. Adults: Evidence of a U-Shaped Association From NHANES 2005-2020\".","authors":"Hafiz M Ahmed, Abdullah Dar, Muhammad Owais, Ubaid Ur Rehman, Riyan Ali, Jawad Hussain Shah","doi":"10.1177/08901171261472674","DOIUrl":"https://doi.org/10.1177/08901171261472674","url":null,"abstract":"PurposeTo examine the association between sleep duration and metabolic syndrome (MetS) prevalence in U.S. adults.DesignCross-sectional analysis of National Health and Nutrition Examination Survey (NHANES) data.SettingUnited States.Sample14 982 adults (≥18 years) from 7 NHANES cycles (2005-2020) with complete data on sleep, MetS components, and covariates.MeasuresSelf-reported sleep duration (short: <7 h, normal: 7-9 h, long: >9 h). MetS was defined by NCEP ATP III criteria. Covariates included age, sex, race/ethnicity, sedentary time, and smoking.AnalysisSurvey-weighted logistic regression modeled sleep as continuous linear and quadratic terms. Sensitivity analyses included restricted cubic splines and component-wise assessment.ResultsA U-shaped association was observed between sleep duration and MetS. Compared with normal sleep, both short (<7 h) and long (>9 h) sleep were associated with higher odds of MetS in fully adjusted models. Linear (OR = 0.68, 95% CI: 0.56-0.82) and quadratic (OR = 1.03, 95% CI: 1.01-1.04) terms confirmed nonlinearity (P < 0.001). The model-derived sleep duration associated with the lowest predicted odds of MetS was 7.52 h/night (95% CI: 6.81-8.24 h). Age, sedentary time, and smoking independently increased MetS risk. The U-shaped pattern persisted across most individual MetS components and was supported by spline analyses.ConclusionBoth short and long sleep durations were significantly associated with higher odds of metabolic syndrome, highlighting sleep duration as a potential indicator for cardiometabolic risk screening.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261472674"},"PeriodicalIF":2.1,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148597633","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

Promoting Active Schools in the United States: A Feasibility Study Applying the Interactive Systems Framework. 促进美国活跃学校：应用互动系统框架的可行性研究。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-22 DOI: 10.1177/08901171261471044

Taemin Ha, Peter Stoepker, Gregory Welk, Brian Dauenhauer

{"title":"Promoting Active Schools in the United States: A Feasibility Study Applying the Interactive Systems Framework.","authors":"Taemin Ha, Peter Stoepker, Gregory Welk, Brian Dauenhauer","doi":"10.1177/08901171261471044","DOIUrl":"https://doi.org/10.1177/08901171261471044","url":null,"abstract":"PurposeThis feasibility study explored the application of the Interactive Systems Framework for Dissemination and Implementation (ISF) to promote physical activity (PA) in elementary schools, leveraging resources from Active Schools.ApproachA convergent parallel mixed-methods design was used to examine implementation efforts and student PA outcomes.SettingData were collected from eight elementary schools across the United States.ParticipantsThe study included eight Active Schools Champions (physical education teachers) and 371 students.MethodsChampions completed the School Wellness Readiness Assessment (SWRA) and the Comprehensive School Physical Activity Program (CSPAP) Policies and Practices Questionnaire. A survey and interview based on the Consolidated Framework for Implementation Research (CFIR) also captured barriers and facilitators. Concurrently, student PA patterns were assessed using the Youth Activity Profile (YAP).ResultsSchools demonstrated moderate readiness (mean SWRA = 3.7) and implemented an average of 64% of CSPAP best practices. Student PA exceeded national recommendations, averaging 70 minutes per day, with most of this activity occurring during the school day. Organizational barriers, such as a lack of administrative support, were identified.ConclusionThe findings document the successful implementation of CSPAP and provide insights into organizational barriers and facilitators. This study highlights the value of accessible, evidence-based resources and needs assessment tools, while also revealing challenges related to time-intensive professional development and disparities in readiness across different school locales. The results will inform future interventions and resources to promote more equitable PA opportunities.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261471044"},"PeriodicalIF":2.1,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560565","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

Multilevel Factors Associated With Sedentary Behavior Reduction Among Office Workers in Korea. 韩国办公室职员久坐行为减少的多重因素

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-21 DOI: 10.1177/08901171261470225

Soo Kyoung Kim, Jiye Kim, Hyekyeong Kim

{"title":"Multilevel Factors Associated With Sedentary Behavior Reduction Among Office Workers in Korea.","authors":"Soo Kyoung Kim, Jiye Kim, Hyekyeong Kim","doi":"10.1177/08901171261470225","DOIUrl":"10.1177/08901171261470225","url":null,"abstract":"PurposeThis mixed-methods study investigated determinants of behaviors and intention related to sedentary behavior (SB) reduction among Korean white-collar workers by applying the Integrated Behavioral Model (IBM) in a collectivist workplace context.DesignSequential exploratory mixed-methods design.SettingKorean workplaces where excessive SB may be a concern.SampleTwenty-one workers participated in the qualitative phase, and 497 employees from 21 workplaces completed the survey.MeasuresThree semi-structured focus group interviews across job-position groups explored social norms and barriers to SB reduction. Insights informed selected survey items and interpretation. The survey assessed individual, job, and health factors, IBM constructs (attitudes, norms, self-efficacy, skills, intentions), SB reduction practices, and workplace factors.AnalysisData were analyzed using thematic coding and multilevel regression.ResultsParticipants reported high SB and often avoided standing to prevent drawing attention, though some developed strategies to reduce sitting. Intention to reduce SB was associated with positive emotions, beliefs that colleagues reduce sitting, high self-efficacy, low job stress, and lower job position. SB reduction behavior was associated with stronger intentions, better skills/abilities, and more sit-stand workstations.ConclusionApplying the IBM within a collectivist cultural framework underscores the relevance of perceived norms and hierarchical workplace dynamics for health-related behaviors. Workplace health promotion may benefit from emotional benefits, skill building, and position-specific, norm-based strategies acknowledging organizational hierarchy and employees' sensitivity to social norms, alongside practical support and supportive environments.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261470225"},"PeriodicalIF":2.1,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148534990","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 Mixed-Methods Approach to Evaluate a Social Media Nutrition Education Program Integrated With Home Food Delivery for Low-Income Pregnant Women. 混合方法评估社会媒体营养教育计划与低收入孕妇家庭食品配送相结合。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-17 DOI: 10.1177/08901171261470240

Heewon L Gray, David Himmelgreen, Deborah A Austin

{"title":"A Mixed-Methods Approach to Evaluate a Social Media Nutrition Education Program Integrated With Home Food Delivery for Low-Income Pregnant Women.","authors":"Heewon L Gray, David Himmelgreen, Deborah A Austin","doi":"10.1177/08901171261470240","DOIUrl":"https://doi.org/10.1177/08901171261470240","url":null,"abstract":"PurposeTo evaluate the feasibility and potential effects of a nutrition intervention in a private Facebook group and integrated with food delivery for urban low-income pregnant women.DesignOne-group pretest-posttest intervention design.SettingA private Facebook group was utilized to implement nutrition lessons along with home food delivery of cooking ingredients.SampleTwenty-six pregnant women enrolled in the study.InterventionSix weekly nutrition lessons with cooking videos and food delivery were implemented.MeasuresA mixed methods approach was used. Outcomes of the intervention were measured with Family Meal Questions, Food Behavior Checklist, and Perceptions of Meal Planning and Cooking Scale. Qualitative semi-structured interviews were also conducted.AnalysisDescriptive statistics and independent samples t-tests were performed. Interview data were analyzed using thematic codes.ResultsSweetened beverage intake decreased (Δ = -0.5; P = 0.035); using food labels when food shopping increased (Δ = 0.7; P = 0.046); and overall eating habits improved (Δ = 1.6; P = 0.015). Perceptions of \"meal planning\" and \"shopping and cooking\" significantly improved (both Δ = 0.5; P < 0.05). Self-reported general health rating significantly improved (Δ = 0.7; P = 0.045). Participants provided positive feedback on the cooking demonstrations, social media format, and dietary behavior changes.ConclusionImplementing nutrition lessons on a private Facebook group was feasible. Further studies are needed to confirm its impact on dietary behaviors and health outcomes among urban low-income pregnant women.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261470240"},"PeriodicalIF":2.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148468427","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

"The Disc Will Always Win!": Qualitative Pilot Study Findings on the Acceptability of Reusable Menstrual Products Among College Students on a U.S. Campus. “碟片永远会赢！”：美国校园内大学生对可重复使用月经用品可接受性的定性试点研究结果。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-17 DOI: 10.1177/08901171261469375

Tsitsi B Masvawure, Remilekun Durodola

{"title":"\"The Disc Will Always Win!\": Qualitative Pilot Study Findings on the Acceptability of Reusable Menstrual Products Among College Students on a U.S. Campus.","authors":"Tsitsi B Masvawure, Remilekun Durodola","doi":"10.1177/08901171261469375","DOIUrl":"https://doi.org/10.1177/08901171261469375","url":null,"abstract":"PurposeInterest in reusable menstrual products has expanded substantially over the last decade. However, there is limited published research on user experiences with these products in terms of their effectiveness in menstrual management. We assessed the acceptability of, and user experiences with, the menstrual disc-one of the newest types of reusable products-in terms of ease/difficulty of use (i.e., insertion, removal), leakages and overall comfort.Design/ApproachWe conducted a qualitative pilot study and provided students with menstrual discs to use over two menstrual cycles.SettingThe study was conducted on a mid-sized college campus in Massachusetts, U.S.ParticipantsWe recruited fourteen students who menstruate.MethodStudents completed two diary entries-one per menstrual cycle-about their experiences using the menstrual disc.ResultsThe menstrual disc was well received overall, and most students liked the long wear time, fewer changes required and the ability of the disc to self-empty. Although many students struggled with insertion initially, this improved with subsequent uses. Students noted that removal was easy but messy, which made changing in public bathrooms difficult. A few experienced major leakages when the disc became overfull. Almost all expressed willingness to use the disc as their main menstrual product.ConclusionThe menstrual disc potentially expands the range of more comfortable and convenient reusable menstrual products and should be included in reproductive health education.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261469375"},"PeriodicalIF":2.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148468370","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

Preparing for the Next Pandemic: Exploring Predictors of Vaccine Uptake in American Cities. 为下一次大流行做准备：探索美国城市疫苗摄取的预测因素。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-11 DOI: 10.1177/08901171261468529

Kasny Damas, Tong Chen, Charles E Menifield, Ann D Bagchi

{"title":"Preparing for the Next Pandemic: Exploring Predictors of Vaccine Uptake in American Cities.","authors":"Kasny Damas, Tong Chen, Charles E Menifield, Ann D Bagchi","doi":"10.1177/08901171261468529","DOIUrl":"10.1177/08901171261468529","url":null,"abstract":"PurposeCOVID-19 devastated communities globally, with the United States leading in fatalities despite extensive control efforts. In 2021, COVID-19 vaccines emerged as the most promising solution, with an efficacy rate exceeding 95% after full vaccination. However, herd immunity remains an elusive target with only 70% of the U.S. population fully vaccinated. This study investigates whether prior vaccination and medical history significantly predict COVID-19 vaccine acceptance and uptake.DesignUsing data collected from the 66th largest U.S. city after the widespread deployment of COVID-19 vaccines and boosters, we employed logistic regression to test whether an individual's history of vaccination and prior medical engagement positively influence COVID-19 vaccine-related decisions.SettingCross-sectional U.S. survey from July-October 2022 (N = 397) and November 2023-February 2024 (N = 429).SubjectsAdult Residents of the City of Newark, New Jersey (Aged 18+).MeasuresNewark Community Health Survey (2022, 2023).ResultsIndividuals with a history of preventive care, such as attending at least one non-emergency medical visit in the past year, receiving either the pneumococcal or influenza vaccine within the past year, strongly predicted COVID-19 vaccine acceptance. These predictors also demonstrated a strong positive association with the completion of the primary vaccine series and a higher overall total vaccine uptake.ConclusionFuture vaccine campaigns should prioritize \"low engagement\" populations who lack both recent routine medical visits and a history of previous vaccinations.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261468529"},"PeriodicalIF":2.1,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148417944","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

Seeing is Believing? Credibility and Behavioral Intentions Toward Evidence-Based and Misleading Health Information. 眼见为实？对基于证据和误导性的健康信息的可信度和行为意向。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-10 DOI: 10.1177/08901171261468506

Tong Lin, Dylan D Wagner, Daphine Choy, Chelsie Hartman, Abigail Henck, Juliette A Louer, Laine O'Shaughnessy, Megan E Roberts

{"title":"Seeing is Believing? Credibility and Behavioral Intentions Toward Evidence-Based and Misleading Health Information.","authors":"Tong Lin, Dylan D Wagner, Daphine Choy, Chelsie Hartman, Abigail Henck, Juliette A Louer, Laine O'Shaughnessy, Megan E Roberts","doi":"10.1177/08901171261468506","DOIUrl":"https://doi.org/10.1177/08901171261468506","url":null,"abstract":"PurposeTo examine how adults respond to real-world health videos that vary in credibility.DesignRandomized, within-subjects online experiment.SettingOnline U.S. survey.Sample179 adults recruited from an online panel.InterventionParticipants viewed one misleading and one evidence-based health video, in randomized order.MeasuresBefore viewing, participants reported trust in traditional and social media. After each video, they rated perceived information credibility (PIC) and perceived source credibility (PSC), relevance, and behavioral intention to adopt the recommended behavior. Demographic data were also collected.AnalysisPaired-samples t-tests and hierarchical linear regressions examined responses to evidence-based vs misleading videos and associations among the variables.ResultsThe evidence-based video was rated higher for relevance (t (178) = -4.93, P < .001), PSC (t (178) = -11.36, P < .001), PIC (t (178) = -10.61, P < .001), and intention (t (178) = 5.73, P < .001). For both videos, PSC and relevance were positively associated with intention. Trust in traditional media was related to higher PSC (b = .43, P < .001) and PIC (b = .35, P < .001) of the evidence-based content, whereas trust in social media was related to higher PSC (b = .46, P < .001) and PIC (b = .33, P = .022) of the misleading content. Higher education was associated with a better ability to distinguish between the PSC and PIC of the two videos (ps < .01).ConclusionsFindings highlight psychological and contextual factors shaping engagement with online health information and the importance of speaker credibility and platform trust in promoting informed health decision-making.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261468506"},"PeriodicalIF":2.1,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148417952","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

Promoting Health Behaviors Among Latina Caregivers of Children With Intellectual and Developmental Disabilities Through Goal Setting. 通过设定目标促进智力和发育障碍儿童的拉丁裔照顾者的健康行为。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-08 DOI: 10.1177/08901171261466066

Yolanda Suarez-Balcazar, Amy Pei-Lung Yu, Weiwen Zeng, Mansha Mirza, Claudia Castillo Ayala, Christopher L Shepperd, Tana Holt, Deborah Parra-Medina, Pei-Chiang Lee, Sandy Magaña

{"title":"Promoting Health Behaviors Among Latina Caregivers of Children With Intellectual and Developmental Disabilities Through Goal Setting.","authors":"Yolanda Suarez-Balcazar, Amy Pei-Lung Yu, Weiwen Zeng, Mansha Mirza, Claudia Castillo Ayala, Christopher L Shepperd, Tana Holt, Deborah Parra-Medina, Pei-Chiang Lee, Sandy Magaña","doi":"10.1177/08901171261466066","DOIUrl":"https://doi.org/10.1177/08901171261466066","url":null,"abstract":"PurposeThis study explored the types of health-related goals, the strategies employed, and challenges experienced by Latina caregivers of children with intellectual and developmental disabilities (IDD).DesignThis study focuses on exploratory data on goal setting obtained through qualitative observations and documentation of the intervention arm from a two-site RCT.Setting & SampleTwenty-six Latina caregivers were recruited and assigned to receive the intervention across 2 sites-Texas and Illinois.InterventionA 10-session culturally tailored health promotion intervention was delivered to participants by promotoras addressing caregivers' wellness, physical activity, healthy eating, and navigating the environment and decision-making. Goal setting was incorporated throughout the intervention. Promotoras worked closely with participants to develop action plans and provided support as needed.MeasureTo analyze qualitative data, we used a deductive analytical approach based on transcript discussions and early data extraction. Qualitative data were categorized into types of goals, strategies used, subcategories, and barriers encountered.ResultsTwenty caregivers identified a total of 68 goals; 61.7% were achieved or in progress. Health promotion strategies included engaging in physical activity, changing nutrition/eating habits, participating in wellness activities, and using reminders. Caregivers experienced stress, feeling overwhelmed, and a lack of support.ConclusionThis study has some limitations, which are fully discussed. Despite the challenges they experienced, caregivers achieved or reported progress towards most of their goals.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261466066"},"PeriodicalIF":2.1,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148403464","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

The Association Between Healthcare Provider Trust and Healthcare Avoidance: Findings From a HIV Mixed Serostatus Cohort Study. 医疗保健提供者信任与医疗保健回避之间的关系：一项HIV混合血清状态队列研究的结果

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-08 DOI: 10.1177/08901171261468527

Mekiayla Singleton, Michael Plankey, Lisa Bowleg, James B Brock, Sabina Haberlen, Beth D Jamieson, Mirjam-Colette Kempf, Deborah J Konkle-Parker, Jennafer Kwait, Jeremy Martinson, Matthew J Mimiaga, Christina M Ramirez, Valentina Stosor, Alexander C Tsai, Janet M Turan, Deanna Ware, Deborah Jones Weiss, Katherine C Wu, M Reuel Friedman

{"title":"The Association Between Healthcare Provider Trust and Healthcare Avoidance: Findings From a HIV Mixed Serostatus Cohort Study.","authors":"Mekiayla Singleton, Michael Plankey, Lisa Bowleg, James B Brock, Sabina Haberlen, Beth D Jamieson, Mirjam-Colette Kempf, Deborah J Konkle-Parker, Jennafer Kwait, Jeremy Martinson, Matthew J Mimiaga, Christina M Ramirez, Valentina Stosor, Alexander C Tsai, Janet M Turan, Deanna Ware, Deborah Jones Weiss, Katherine C Wu, M Reuel Friedman","doi":"10.1177/08901171261468527","DOIUrl":"10.1177/08901171261468527","url":null,"abstract":"PurposeTrust is a critical part of patient-provider relationships and has been shown to improve patient outcomes, including increased utilization of preventative services and greater adherence to medications. However, few studies have examined health care provider trust (HCPT) among older sexual minority men (SMM) and its association with healthcare avoidance.DesignCross-sectional secondary data analysis.Setting/Sample: Baseline data from the MACS/WIHS Combined Cohort Study's Stigma and Non-Communicable Disease Syndemic Sub-Study (N = 997).MethodsMultiple linear and multivariable logistic regression models were conducted to estimate associations between HCPT and past-year healthcare avoidance.ResultsParticipants had a mean age of 59 years (SD = 13.3); 64% were White, 30% Black, and 5% identified as other races. Fifty-six percent were living with HIV. HCPT was lower among Black SMM (b = -2.23; 95% CI = -4.46, 0.00) and was positively associated with multiple income groups and having 1 (b = 3.80; 95% CI = 1.49, 6.11), 2 (b = 2.96; 95% CI = 0.67, 5.25), and 3 (b = 3.03; 95% CI = 0.53, 5.53) chronic health conditions. Past-year healthcare avoidance was inversely associated with HCPT (aOR = 0.95; 95% CI = 0.94, 0.97) and age (age 26-45 years vs 65-75 years, aOR = 0.26; 95% CI = 0.11, 0.58).ConclusionThis work demonstrates various associations between healthcare provider trust and sociodemographic and health factors. Furthermore, lower HCPT was associated with a higher likelihood of avoiding medical care, indicating the importance of provider trust for accessing health services.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261468527"},"PeriodicalIF":2.1,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148410026","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}

引用次数: 0