American Journal of Health Promotion最新文献

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Misaligned Supports: Differences in Reported Health Care Worker Well-being Supports Provided and Needed During the COVID-19 Pandemic. 错位支持:在 COVID-19 大流行期间,所提供和所需要的医护人员福利支持的报告差异。
IF 2.5 4区 医学
American Journal of Health Promotion Pub Date : 2025-01-01 Epub Date: 2024-06-21 DOI: 10.1177/08901171241255764
Nabeel Qureshi, Shreya S Huilgol, George Timmins, Lisa S Meredith, Courtney A Gidengil
{"title":"Misaligned Supports: Differences in Reported Health Care Worker Well-being Supports Provided and Needed During the COVID-19 Pandemic.","authors":"Nabeel Qureshi, Shreya S Huilgol, George Timmins, Lisa S Meredith, Courtney A Gidengil","doi":"10.1177/08901171241255764","DOIUrl":"10.1177/08901171241255764","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the well-being supports provided to health care workers (HCWs) during the COVID-19 pandemic in health centers and hospitals.</p><p><strong>Design: </strong>Cross-sectional qualitative interviews before and after implementation of a peer-based support intervention.</p><p><strong>Setting: </strong>Purposively sampled hospitals and health centers across the US.</p><p><strong>Participants: </strong>28 site leaders and 56 HCWs sampled from 16 hospitals and 12 health centers.</p><p><strong>Method: </strong>Site leaders and HCWs were asked to describe supports available to HCWs during the COVID-19 pandemic. Thematic and content coding and analysis of interview responses were conducted using Dedoose.</p><p><strong>Results: </strong>Both site leaders and HCWs identified a range of support resources available. Communication resources were the most frequently cited in both groups. Health care workers reported bi-directional communication, while one-way communication was emphasized by site leaders. Hospitals highlighted counseling support, particularly Employee Assistance Programs (EAP), while health centers prioritized community support. Wellness activities were more prevalent in hospital settings, while health centers offered specific workplace-provided training for HCWs. Health care workers encountered barriers when accessing support, including limited time, fear of stigma, and disruptions to their existing support networks attributable to the pandemic.</p><p><strong>Conclusion: </strong>While there are resources for HCWs, the available supports may not align with their needs and barriers to access may limit the effectiveness of these supports. Continued engagement between leaders and HCWs could help better align resources with needs.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"63-75"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440041","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
Lifestyle Behaviors and Needs After Breast Cancer Diagnosis: A Qualitative Assessment. 乳腺癌确诊后的生活方式和需求:定性评估。
IF 2.5 4区 医学
American Journal of Health Promotion Pub Date : 2025-01-01 Epub Date: 2024-07-20 DOI: 10.1177/08901171241266562
Rachel M Sauls, Acadia W Buro, Nashira Brown, Diane Riccardi, Melissa Mallory, Susan Hoover, Christine Laronga, Smitha Pabbathi, Tiffany L Carson
{"title":"Lifestyle Behaviors and Needs After Breast Cancer Diagnosis: A Qualitative Assessment.","authors":"Rachel M Sauls, Acadia W Buro, Nashira Brown, Diane Riccardi, Melissa Mallory, Susan Hoover, Christine Laronga, Smitha Pabbathi, Tiffany L Carson","doi":"10.1177/08901171241266562","DOIUrl":"10.1177/08901171241266562","url":null,"abstract":"<p><strong>Purpose: </strong>There is a need to gain a deeper understanding of facilitators and barriers involving lifestyle behaviors among newly diagnosed breast cancer patients. Design: Research team explored influences (e.g., social, cultural, environmental) for healthy lifestyle behaviors (nutrition, physical activity (PA), and self-care).</p><p><strong>Method: </strong>One researcher conducted semi-structured interviews. Qualitative data were analyzed through content analysis. Demographic data were collected via survey, and descriptive statistics were generated.</p><p><strong>Setting: </strong>Patients were recruited, and interviews conducted via Zoom or phone.</p><p><strong>Participants: </strong>Twenty-eight newly diagnosed, treatment naïve breast cancer patients were interviewed, a majority were non-Hispanic White women (n=23; 82%) with invasive (n=14; 50%) breast cancer.</p><p><strong>Results: </strong>Themes related to nutrition, PA, and self-care emerged, including influences (e.g., environmental, cultural, social), barriers, facilitators, and lived experiences. Most patients stressed the importance of maintaining healthy eating habits (n=23), and some were interested in understanding the relationship between nutrition and cancer (n=7). Sixteen reported sustaining their PA levels, while others (n=11) explained barriers, such as time, distance, and pain. All patients reported utilizing self-care strategies, and most reported increased engagement in self-care since being diagnosed (n=14).</p><p><strong>Conclusion: </strong>This study sheds light on factors influencing and hindering the adoption of healthy eating, PA, and self-care strategies among newly diagnosed breast cancer patients. The findings reflect the importance of healthy lifestyle behaviors as critical areas for upstream intervention.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"76-88"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733322","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 'Natural' Accord of DuBois and Washington: An Environmentally Racialized Consciousness. 杜波依斯和华盛顿的“自然”协议:一种环境种族化意识。
IF 2.5 4区 医学
American Journal of Health Promotion Pub Date : 2025-01-01 Epub Date: 2023-10-20 DOI: 10.1177/08901171231210071
Jennifer D Roberts
{"title":"The 'Natural' Accord of DuBois and Washington: An Environmentally Racialized Consciousness.","authors":"Jennifer D Roberts","doi":"10.1177/08901171231210071","DOIUrl":"10.1177/08901171231210071","url":null,"abstract":"<p><p>The conflict and discord between Booker T. Washington and W.E.B DuBois regarding their premise and approach to racial uplift for Black Americans have been very well documented. While Washington sought equality with accommodation, DuBois functioned through agitation. However, their biophilic accord and unity within the natural environment have been both underrecognized and underappreciated. As an honor to these esteemed racial and social justice giants, this special issue article reveals the universality of their environmental justice ideologies while also celebrating the beauty, power and foresight of their ecological language in script and speech.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"15-21"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673208","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
Vaccine Uptake and Perspectives Among Latina Immigrant Mothers in Rural Communities in a Midwestern State. 中西部某州农村社区拉丁裔移民母亲的疫苗接种率和观点。
IF 2.5 4区 医学
American Journal of Health Promotion Pub Date : 2025-01-01 Epub Date: 2024-07-20 DOI: 10.1177/08901171241266609
Na-Omi Hassane Dan Karami, Kimberly Greder, Juan Bao, Dahee Kim, Daniel Russell
{"title":"Vaccine Uptake and Perspectives Among Latina Immigrant Mothers in Rural Communities in a Midwestern State.","authors":"Na-Omi Hassane Dan Karami, Kimberly Greder, Juan Bao, Dahee Kim, Daniel Russell","doi":"10.1177/08901171241266609","DOIUrl":"10.1177/08901171241266609","url":null,"abstract":"<p><strong>Purpose: </strong>Examine the prevalence of and characteristics related to COVID-19 vaccine uptake.</p><p><strong>Design: </strong>Quantitative and qualitative data collected at two-time points via phone interviews.</p><p><strong>Setting: </strong>Rural Midwestern communities.</p><p><strong>Sample: </strong>109 Latina mothers with incomes < 185% FPL, at least one child < age 12 recruited from a Midwestern state based on two previous studies.</p><p><strong>Measures: </strong>Mothers responded to the following variables through a survey: Vaccine uptake measured by responses to, Have you received a vaccination shot for COVID-19. Tested predictors of vaccine uptake included: income, gender, education, immigration status, confidence in vaccine, belief the pandemic is over). Mothers' perspectives regarding the vaccine explored via responses to Why haven't you received COVID-19 vaccine?.</p><p><strong>Analysis: </strong>Binary logistic regression analysis was conducted. Demographic variables and attitudes toward the vaccine served as predictors of mothers' vaccine uptake. Qualitative data were analyzed to shed light on mothers' perspectives on receiving the vaccine.</p><p><strong>Results: </strong>Mother's confidence in the vaccine predicted vaccine uptake in 2021 (aOR=1.332, 95% CI: 1.07-1.65) and 2022 (aOR=1.48, 95%CI: 1.11-1.97). In 2021, income also predicted vaccine uptake (aOR=1; 95% CI: 1-1.002). Overarching themes: \"vaccination is not necessary\",\"mistrust of the vaccine\", and \"vaccine as protector\".</p><p><strong>Conclusion: </strong>Vaccinated mothers viewed the vaccine as a protection from being infected or gravely ill. For unvaccinated mothers, messages are needed that communicate the vaccine can protect them from virus transmission from household members who unknowingly are infected, as well as from different virus strains.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"22-27"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733324","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 Family-Based Approach to Promoting Pediatric Mental Health Recovery in Response to the COVID-19 Pandemic. 在应对 COVID-19 大流行时,以家庭为基础促进儿童心理健康恢复的方法。
IF 2.5 4区 医学
American Journal of Health Promotion Pub Date : 2025-01-01 Epub Date: 2024-07-21 DOI: 10.1177/08901171241266610
Yulissa Rodriguez-Hernandez, Jennifer A Horney, Rita V Burke
{"title":"A Family-Based Approach to Promoting Pediatric Mental Health Recovery in Response to the COVID-19 Pandemic.","authors":"Yulissa Rodriguez-Hernandez, Jennifer A Horney, Rita V Burke","doi":"10.1177/08901171241266610","DOIUrl":"10.1177/08901171241266610","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this scoping review is to identify strategies from existing literature, for school-based professionals to share with parents, that may be used on a family-level to help the recovery from the effects of the COVID-19 pandemic on pediatric mental health.</p><p><strong>Data source: </strong>This scoping review consists of a comprehensive PubMed, CINAHL, and Google Scholar database search.</p><p><strong>Study inclusion and exclusion criteria: </strong>Studies published between 2020 and 2023 that were written in English, originated in the United States, and evaluated pediatric mental health in the context of the COVID-19 pandemic were considered for inclusion in the scoping review.</p><p><strong>Data extraction and data synthesis: </strong>One researcher independently conducted the PubMed, CINAHL, and Google Scholar literature search. Subsequently, results were reviewed independently by two additional researchers.</p><p><strong>Results: </strong>Title and abstract review were conducted for 2563 articles. After excluding studies not written in English, studies with international origin, and studies which were not relevant to this scoping review, 101 studies remained for full-text review. After full-text review, 32 studies (31.68%) were deemed relevant and concordant with the inclusion criteria and were included in this scoping review. We identified five prominent themes: 1) maintaining daily life and routines, 2) the importance of physical activity and the pandemic's effect on student athletes' mental health, 3) the use of screen time, 4) the effect of parent and caregiver stress on their children's mental health, and 5) the effect of pandemic-related health disparities and racism on pediatric mental health.</p><p><strong>Discussion: </strong>This scoping review focused on interventions and practices which can be implemented at the family level to help children and adolescents recover from the effects of the COVID-19 pandemic on their mental health.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"153-161"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733320","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
Understanding Factors that Influence Parents' Provision of Beverages to Their Children: A Qualitative Evidence Synthesis. 了解影响父母向子女提供饮料的因素:定性证据综述。
IF 2.5 4区 医学
American Journal of Health Promotion Pub Date : 2025-01-01 Epub Date: 2024-07-21 DOI: 10.1177/08901171241266405
Natalie Vallone, Morgan Drake, Adam Dawer, Rachel Brill, Allison C Sylvetsky
{"title":"Understanding Factors that Influence Parents' Provision of Beverages to Their Children: A Qualitative Evidence Synthesis.","authors":"Natalie Vallone, Morgan Drake, Adam Dawer, Rachel Brill, Allison C Sylvetsky","doi":"10.1177/08901171241266405","DOIUrl":"10.1177/08901171241266405","url":null,"abstract":"<p><strong>Objective: </strong>Understand parental perceptions of beverages and factors influencing the beverage choices they make for their children.</p><p><strong>Data source: </strong>A literature search was conducted using PubMed, Scopus, and CINAHL.</p><p><strong>Study inclusion and exclusion criteria: </strong>Included studies contained qualitative data examining parents' perceptions of beverages or factors that influence their child's beverage consumption, were conducted in the United States between 2000 and 2022, written in English, and enrolled parents of children aged 18 years or younger.</p><p><strong>Data extraction: </strong>Authors, titles, study aims, methods, qualitative results, and representative quotations were extracted using Covidence.</p><p><strong>Data synthesis: </strong>Qualitative findings were independently coded by two coders. Codes were compared and discrepancies resolved through discussion with a third team member. Themes and sub-themes were identified, and representative quotations selected.</p><p><strong>Results: </strong>13 studies met inclusion criteria. Five major themes emerged: 1) factors that influence parents' provision of beverages to their children, 2) parents' concerns about sugar-sweetened beverages (SSBs), 3) barriers to limiting children's SSB consumption, 4) strategies to lower children's SSB consumption, and 5) parents' perceptions of beverage healthfulness.</p><p><strong>Conclusion: </strong>Though most parents are aware of unfavorable health effects of frequent SSB intake, environmental and sociocultural factors pose barriers to limiting their child's SSB consumption. Changes to policy and the food environment are needed to initiate and sustain reductions in SSB intake, along with continued nutrition education efforts.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"141-152"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733323","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
Volunteering in Young Adulthood: Complex Associations With Later Health and Well-Being Outcomes. 青年时期的志愿服务:与日后健康和幸福结果的复杂关联。
IF 4.6 4区 医学
American Journal of Health Promotion Pub Date : 2025-01-01 Epub Date: 2024-08-14 DOI: 10.1177/08901171241273424
Julia S Nakamura, Renae Wilkinson, Marisa A Nelson, Etsuji Suzuki, Tyler J VanderWeele
{"title":"Volunteering in Young Adulthood: Complex Associations With Later Health and Well-Being Outcomes.","authors":"Julia S Nakamura, Renae Wilkinson, Marisa A Nelson, Etsuji Suzuki, Tyler J VanderWeele","doi":"10.1177/08901171241273424","DOIUrl":"10.1177/08901171241273424","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate whether <i>changes</i> in volunteering from adolescence to young adulthood are associated with subsequent health and well-being outcomes in adulthood.</p><p><strong>Design: </strong>Longitudinal cohort study.</p><p><strong>Setting: </strong>National Longitudinal Study of Adolescent to Adult Health.</p><p><strong>Subjects: </strong>U.S. adults from Wave IV (2008/2009; N = 12,234) and Wave V (2016-2018; N = 9,971).</p><p><strong>Measures: </strong>Any volunteering and nine types of volunteering (independent variables) and 41 health and well-being outcomes (dependent variables) using an outcome-wide approach with multiple linear-, logistic-, and generalized linear regressions.</p><p><strong>Results: </strong>Volunteering in young adulthood was associated with better health behaviors (e.g., 34% decreased risk of binge drinking, 95% CI [0.54, 0.81]) and improved psychosocial and civic outcomes (e.g., lower depressive symptoms (β = -0.08, 95% CI [-0.14, -0.02]) in adulthood. Volunteering showed little evidence of associations with other health and well-being outcomes (e.g., loneliness, (β = -0.04, 95% CI [-0.09, 0.01])). Assessing volunteering by organization types showed a range of positive and negative outcomes. For example, volunteering in hospitals/nursing homes was associated with a 36% increased risk of high cholesterol (95% CI [1.06, 1.73]) and volunteering with political clubs was associated with a 52% increased risk of an anxiety diagnosis (95% CI [1.13, 2.05]).</p><p><strong>Conclusion: </strong>Our findings suggest more work is needed to determine the conditions under which volunteering is health promoting and to minimize potential adverse effects associated with some types of volunteering.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"39-51"},"PeriodicalIF":4.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141981490","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
Association of Marijuana Use With Psychological Distress Among Adults in United States. 美国成年人大麻使用与心理困扰的关系。
IF 2.5 4区 医学
American Journal of Health Promotion Pub Date : 2024-12-13 DOI: 10.1177/08901171241307431
Mona Pathak, Patricia A Findley, Sophie Mitra, Chan Shen, Hao Wang, R Constance Wiener, Usha Sambamoorthi
{"title":"Association of Marijuana Use With Psychological Distress Among Adults in United States.","authors":"Mona Pathak, Patricia A Findley, Sophie Mitra, Chan Shen, Hao Wang, R Constance Wiener, Usha Sambamoorthi","doi":"10.1177/08901171241307431","DOIUrl":"https://doi.org/10.1177/08901171241307431","url":null,"abstract":"<p><strong>Purpose: </strong>Determine the association of marijuana use with serious psychological distress (SPD) among adults aged 18 years or older using a large, nationally representative sample of US households.</p><p><strong>Design: </strong>Cross-sectional analysis.</p><p><strong>Setting: </strong>Data from the National Survey on Drug Use and Health, 2021.</p><p><strong>Subjects: </strong>47,247 respondents representing 253.7 million adults (age>18 years) in the US.</p><p><strong>Measures: </strong>Marijuana use was categorized as (1) None, (2) within the past month, (3) within 1 year, and (4) more than a year ago from the interview time. SPD was measured with the Kessler-6 distress scale.</p><p><strong>Analysis: </strong>Bivariable and multivariable logistic regression analyses accounting for complex survey designs were conducted.</p><p><strong>Results: </strong>Among adults in the US, 50.9% never used marijuana, 13.7%, 6.0%, and 29.4% reported marijuana use in the past month, in the past year, and more than a year ago, respectively. Individuals using marijuana within the past month, within a year, and more than a year ago reported higher past month SPD (15.3%, 13.5%, and 6.8%, respectively) than never-users (4.9%). Adjusted logistic regression analysis revealed that marijuana use in the past month, past year (1-12 months), and over a year ago is associated with higher SPD (AOR [95% CI] = 2.06 [1.72, 2.45]; 1.82 [1.50, 2.21]; 1.53 [1.26, 1.87], respectively) compared to no marijuana use.</p><p><strong>Conclusion: </strong>Adults who used marijuana more recently were more likely to report SPD.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241307431"},"PeriodicalIF":2.5,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817054","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 Cisgender and Trans-spectrum Postsecondary Student Alcohol and Substance Use: Results From the Arkansas Collegiate Substance Use Assessment. 比较顺性别和跨谱系中学后学生的酒精和药物使用情况:阿肯色州大学生药物使用评估结果》。
IF 2.5 4区 医学
American Journal of Health Promotion Pub Date : 2024-12-10 DOI: 10.1177/08901171241307423
Adam Williams, Derek R Slagle, Robert J Blankenberger, Brittany M Slagle, Thomas Wuerzer
{"title":"Comparing Cisgender and Trans-spectrum Postsecondary Student Alcohol and Substance Use: Results From the Arkansas Collegiate Substance Use Assessment.","authors":"Adam Williams, Derek R Slagle, Robert J Blankenberger, Brittany M Slagle, Thomas Wuerzer","doi":"10.1177/08901171241307423","DOIUrl":"https://doi.org/10.1177/08901171241307423","url":null,"abstract":"<p><strong>Purpose: </strong>Examine self-reported substance use of cisgender and trans-spectrum students.</p><p><strong>Design: </strong>Observational Study, cross-sectional design.</p><p><strong>Setting: </strong>Arkansas post-secondary institutions.</p><p><strong>Subjects: </strong>Active students enrolled in 2021, sample responses n = 3659.</p><p><strong>Measures: </strong>9 Demographics, 13 recent substance use outcomes, 1 weekly alcohol use outcome, and 1 COVID-related substance use outcome.</p><p><strong>Analysis: </strong>Demographic and geospatial descriptives; <i>t</i> test/Cohen's d effect size; X2 Test for Independence/Cramer's V effect size; OLS Regression/Standardized Beta coefficients/Adjusted R2 effect sizes; level of significance = .05.</p><p><strong>Results: </strong>Trans-spectrum students are 1.8% of the sampled responses (n = 3315) with geographical variation. Weekly alcohol consumption is greater with trans-spectrum (MD = 0.74, d = .102), along with frequency of recent use of marijuana (V = .113), cocaine (V = .097), sedatives (V = .098), hallucinogens (V = .127), designer drugs (V = .087), and meth (V = .151). Suicidal thoughts (V = .112) and attempted suicide (V = .118) are greater and COVID increased use of substances (29.3% for trans-spectrum v 13.7% for cisgender, V = .073). Gender (B = .099), family history (B = .092), and campus policies (B = .084) impact weekly alcohol consumption (<i>P</i> < .001, R2 = .024).</p><p><strong>Discussion/conclusions: </strong>Trans-spectrum students report higher usage rates, suicidal thoughts, and COVID impacts on usage. Family history and campus policies also show impact on weekly alcohol use. Future postsecondary substance use assessments should include trans-spectrum demographic categories.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241307423"},"PeriodicalIF":2.5,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142826928","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
Enhancing Disease and Management Knowledge Among Black Americans With Asthma or Chronic Obstructive Pulmonary Disease (COPD). 提高美国黑人哮喘或慢性阻塞性肺疾病(COPD)患者的疾病和管理知识。
IF 2.5 4区 医学
American Journal of Health Promotion Pub Date : 2024-12-09 DOI: 10.1177/08901171241307432
Lorriane A Odhiambo, Peggy C Stephens, Vinay K Cheruvu, Melissa D Zullo
{"title":"Enhancing Disease and Management Knowledge Among Black Americans With Asthma or Chronic Obstructive Pulmonary Disease (COPD).","authors":"Lorriane A Odhiambo, Peggy C Stephens, Vinay K Cheruvu, Melissa D Zullo","doi":"10.1177/08901171241307432","DOIUrl":"https://doi.org/10.1177/08901171241307432","url":null,"abstract":"<p><strong>Purpose: </strong>Lack of knowledge contributes to disparate outcomes among Americans with asthma or chronic obstructive pulmonary disease (COPD). This study assessed the impact of an educational intervention on disease knowledge and management in Black Americans with asthma or COPD.</p><p><strong>Design: </strong>Pre-post study design with 9-month follow-up.</p><p><strong>Setting: </strong>Urban church community.</p><p><strong>Subjects: </strong>Black American adults (N = 38) with self-reported asthma (18) and COPD (20), of which 76.3% (N = 29) completed the intervention.</p><p><strong>Intervention: </strong>The Asthma COPD (ACOPD) Workshop consisted of three 1-hour classes focused on disease knowledge and management behaviors (physical activity, nutrition, and avoiding triggers) delivered in 16 sessions over six months.</p><p><strong>Measures: </strong>Knowledge questionnaire.</p><p><strong>Analysis: </strong>McNemar's tests for paired proportions.</p><p><strong>Results: </strong>Knowledge of disease concepts increased post-intervention, then decreased at the 9-month follow-up. There was a significant difference in the proportion of participants that provided correct answers to questions about 'two diseases that constitute COPD' (<i>P</i> = .04), 'main cause of COPD' (<i>P</i> = .01), 'written action plan' (<i>P</i> = .04), and 'untrue statement about asthma,' (<i>P</i> = .02).</p><p><strong>Conclusion: </strong>The ACOPD Workshop increased knowledge of basic disease concepts, risk factors, and management. Regular delivery of educational sessions in the community can support knowledge retention and practice of healthy behaviors.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241307432"},"PeriodicalIF":2.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799011","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}
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