American Journal of Health Promotion最新文献_第8页

Pharmacotherapy and Behavioral Cessation Methods Used by Adolescents Who Vape Nicotine. 青少年吸食尼古丁的药物治疗和行为停止方法。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-05 DOI: 10.1177/08901171261466869

Olufemi Erinoso, Wei Li, Ebbie Kalan, Olatokunbo Osibogun

{"title":"Pharmacotherapy and Behavioral Cessation Methods Used by Adolescents Who Vape Nicotine.","authors":"Olufemi Erinoso, Wei Li, Ebbie Kalan, Olatokunbo Osibogun","doi":"10.1177/08901171261466869","DOIUrl":"https://doi.org/10.1177/08901171261466869","url":null,"abstract":"PurposeTo examine the use of pharmacotherapy and behavioral cessation methods among U.S. adolescents who vape nicotine.DesignCross-sectional Analysis of Wave 7 data From the Population Assessment of Tobacco and Health Study.SettingUnited States.SampleAdolescents aged 12-17 years (N = 1181) who reported past-year nicotine vaping.MeasuresSelf-reported use of cessation methods (apps, nicotine replacement therapy [NRT], cessation medications) and past-year quit attempts.AnalysisDescriptive statistics and weighted logistic regression models using STATA 18.0, with significance set at alpha <0.05.ResultsOverall, 10.6% of adolescents reported using any cessation therapy, with NRTs being the most commonly used cessation method (4.4%), while medications (i.e., Varenicline or Bupropion) were the least commonly used method (3.3%). Adolescents with higher nicotine dependence (wanting to vape within 30 minutes of waking) (aOR: 2.83; 95% CI: 1.49, 5.36) and those planning to quit within 12 months (aOR: 1.88; 95% CI: 1.10, 3.20) had higher odds of using any cessation therapy. Among racial ethnic groups, Hispanic adolescents (vs. non-Hispanic White; aOR: 0.46, 95% CI: 0.25, 0.86) had lower odds of reporting any cessation therapy.ConclusionAmong U.S. youth who vape e-cigarettes, about 1 in 10 self-reported using any cessation aid. This low utilization rate suggests a need for tailored and equitable cessation interventions.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261466869"},"PeriodicalIF":2.1,"publicationDate":"2026-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148389806","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

Asthma as a Predictor of Depression, Anxiety and Their Comorbidity in Australian Men. 哮喘作为澳大利亚男性抑郁、焦虑及其合并症的预测因子

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-04 DOI: 10.1177/08901171261465985

Nnamdi Mgbemena, Eme E John, Anayochukwu E Anyasodor, Kam C Wong, Tracy MacFarlane, Kingsley Agho, Uchechukwu L Osuagwu

{"title":"Asthma as a Predictor of Depression, Anxiety and Their Comorbidity in Australian Men.","authors":"Nnamdi Mgbemena, Eme E John, Anayochukwu E Anyasodor, Kam C Wong, Tracy MacFarlane, Kingsley Agho, Uchechukwu L Osuagwu","doi":"10.1177/08901171261465985","DOIUrl":"https://doi.org/10.1177/08901171261465985","url":null,"abstract":"PurposeExamine the long-term association between asthma and mental health conditions in Australian men.DesignRetrospective cohort study.SettingTen to Men project from four waves (2014-2022).Subjects16,021 Australian men (aged ≥ 18 years) at baseline.MeasuresExposure was self-reported asthma. Outcome measures were depression, anxiety and their comorbidity, assessed through self-reports and validated screening tools. Key covariates included survey year (waves), sociodemographic, lifestyle variables and comorbidities.AnalysisChi-square test (χ²) of independence for prevalence analysis and generalised estimating equation models for examining associations between asthma and mental health conditions, adjusting for relevant covariates.ResultsAcross survey years, the prevalence of depression ranged from 12.8% to 33.2%, while anxiety ranged from 17.3% to 51.3%. Comorbid depression with anxiety ranged from 11% to 28%, with the highest prevalence reported in 2020. Asthma was significantly associated with higher risks of depression (RR = 1.23, 95% CI: 1.16, 1.30), anxiety (RR = 1.12, 95% CI: 1.05, 1.18), and comorbid depression with anxiety (RR = 1.27, 95% CI: 1.17, 1.38). Significant risk factors included survey year (2020 and 2022), sleep disturbances and being a former or current smoker.ConclusionA significant association between asthma and mental health disorders, particularly depression, anxiety, and their comorbidity was identified in Australian men. These highlight the need for an integrated approach to respiratory and mental health care, with particular emphasis on targeted screening and interventions.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261465985"},"PeriodicalIF":2.1,"publicationDate":"2026-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148381323","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

Optimizing Implementation of Food is Medicine Interventions in a Community-Based Healthcare Setting: Nutrition360 Pilot Intervention Results. 在社区卫生保健环境中优化实施食品即药物干预措施：Nutrition360试点干预结果。

IF 2.1 4区医学

American Journal of Health Promotion Pub Date : 2026-07-02 DOI: 10.1177/08901171261467245

Jennifer L Lemacks, Sermin Aras, Tammy Greer, Shantoni Holbrook, June Gipson

{"title":"Optimizing Implementation of Food is Medicine Interventions in a Community-Based Healthcare Setting: Nutrition360 Pilot Intervention Results.","authors":"Jennifer L Lemacks, Sermin Aras, Tammy Greer, Shantoni Holbrook, June Gipson","doi":"10.1177/08901171261467245","DOIUrl":"https://doi.org/10.1177/08901171261467245","url":null,"abstract":"PurposeThe aim of this study was to optimize essential components for Food is Medicine (FIM) interventions by selecting the modes with the least participant burden and lowest cost-to-burden ratio delivery in community-based outpatient settings.DesignRandomized crossover (Phase 1) and parallel (Phase 2) design pilot trials.SettingCommunity-based outpatient healthcare clinic in Jackson, Mississippi.ParticipantsForty-eight participants were randomized and 32 completed the program.InterventionThe 12-week, phase 2 trial included an integrated and a traditional delivery of two psychosocial-structural combinations of study arms.MeasuresThe primary outcomes were participant burden and cost-to-burden ratio.AnalysisRepeated measures ANOVA were used to analyze differences across time, in intervention arms, and within groups ANOVA to analyze for modality combination differences.ResultsParticipants were mostly women, had a mean age of 40, all identified as Black or African American, and about one-third had not attained a 4-year degree or higher. The study found that face-to-face delivery had the lowest cost-to-burden ratio and achieved higher attendance and satisfaction compared to virtual modalities, though both formats showed high use of meals/vouchers and reduced added sugar intake over time (F(3) = 5.62, P = .001). Attrition was more common among younger (P < .01), less-educated (P = .02), and lower-income participants (P < .01), with recruitment largely driven by social networks.ConclusionThe face-to-face modality was found to be a better approach than the virtual modality, with limited impact of an integrated delivery in this population.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171261467245"},"PeriodicalIF":2.1,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148374230","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 Partner Input: Improving Usability and Feasibility of a Community Physical Activity Intervention. 社区合作伙伴的意见：提高社区体育活动干预的可用性和可行性。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-07-01 Epub Date: 2025-11-28 DOI: 10.1177/08901171251404292

Bree Bode, Cailyn A Van Camp, Lauryn Lin, Jocelyn Hayward, Kerri Raymond, Marci Scott

{"title":"Community Partner Input: Improving Usability and Feasibility of a Community Physical Activity Intervention.","authors":"Bree Bode, Cailyn A Van Camp, Lauryn Lin, Jocelyn Hayward, Kerri Raymond, Marci Scott","doi":"10.1177/08901171251404292","DOIUrl":"10.1177/08901171251404292","url":null,"abstract":"PurposeAssess how modifications from community partners changed usability and feasibility (U/F) of a pilot physical activity (PA) intervention.DesignMixed-Methods.SettingMichigan communities that are under-resourced.SubjectsPartners from 13 community-based organizations (n = 7 key informant interviews (KII); n = 12 organization survey responses).InterventionRec-Connect™: A Physical Activity Demonstration Playbook, a community-based PA intervention.MeasuresKIIs (2021) and surveys (2023) assessed what ways and/or to what extent modifications to the PA pilot (e.g., guidance, materials, curriculum, partnerships, PA-based policy, systems, and environmental changes (PSE)) improved implementation.AnalysisContent analysis was applied to KII; descriptive statistics were generated from surveys.ResultsThree primary themes were derived from KIIs which explained how modifications improved U/F: (1) effective communication across and within socio-ecologic spheres transformed U/F and illuminated best practices, (2) explicit community engagement guidance made implementation more responsive to PA needs, and (3) stronger and increased collaborations reduced deterrents to PA. Survey results supported themes and explicated modification benefits, which increased communications with entities (44%), identification of community champions (35%), new partnerships (43%), and new PSE changes to address (43%).ConclusionIncorporating partner modifications improved intervention U/F, enhanced facilitation and engagement practices, and strengthened implementation with organizations and champions. Including partner input resulted in a more transformative PA intervention exemplified by increased partnerships and collaborations to address PSE changes.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"739-747"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145627592","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

On Health and Understanding: Signature Threats to Signal in an Age of Noise. 健康与理解：噪声时代信号的标志性威胁。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-07-01 Epub Date: 2026-05-25 DOI: 10.1177/08901171261447097

David L Katz

引用次数: 0

Ultra-Processed Food: Assessing Uncertainty in an Imperfect World. 超加工食品：评估不完美世界中的不确定性。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-07-01 Epub Date: 2026-05-25 DOI: 10.1177/08901171261447123

Samuel J Dicken

{"title":"Ultra-Processed Food: Assessing Uncertainty in an Imperfect World.","authors":"Samuel J Dicken","doi":"10.1177/08901171261447123","DOIUrl":"10.1177/08901171261447123","url":null,"abstract":"Food processing has existed for millennia to ensure food is edible, safe and palatable. This has largely been considered to date based on the physical extent of processing. However, recent approaches have expanded this to consider the purpose (i.e. the reason) for the processing. Most commonly, this has been defined by Nova classification.In this regard, mounting evidence links higher intake of ultra-processed food (UPF) with a range of poor health outcomes. However, the value of classifying food and drink by the extent and particularly the purpose of processing has been debated, with evidence limitations highlighted by scientific advisory committees for both UK and US governments to formulate dietary guidance.Unfortunately, evidence is not perfect and rarely clear cut, particularly so in the world of diet and nutrition. Therefore, when assessing links between nutrients, food and diets with health outcomes, we must the consider the sources and extent of uncertainty in the evidence, and then evaluate whether the uncertainty may meaningfully impact on the conclusions. The evidence regarding UPF and the Nova classification is no different.In this presentation, I outline in detail the Nova classification and what it captures in contrast to other processing classifications, before discussing sources of uncertainty and error when measuring UPF intake, including the latest evidence on validation assessments of diet assessment tools. I then review the evidence of associations in the observational literature between UPF and health outcomes, dissecting methodological aspects and sensitivity analyses to consider the extent of uncertainty and its impact on effect estimates. I consider alignment with experimental evidence, and conclude by summarising strengths and limitations of the evidence base, and key research recommendations to address current limitations.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"765-771"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148013017","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

Patient Perspectives and Experiences From Participation in the Glycemic Excursion Minimization Prediabetes Intervention: A Qualitative Study. 参与血糖偏移最小化前驱糖尿病干预的患者观点和经验：一项定性研究。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-07-01 Epub Date: 2025-11-24 DOI: 10.1177/08901171251399590

Antonio Calderon, Jessica A Parascando, Elizabeth Westfeldt, Britney Prince, Sean M Oser, Tamara K Oser

{"title":"Patient Perspectives and Experiences From Participation in the Glycemic Excursion Minimization Prediabetes Intervention: A Qualitative Study.","authors":"Antonio Calderon, Jessica A Parascando, Elizabeth Westfeldt, Britney Prince, Sean M Oser, Tamara K Oser","doi":"10.1177/08901171251399590","DOIUrl":"10.1177/08901171251399590","url":null,"abstract":"PurposeOf the 88 million American adults with prediabetes, 1.5 million transition to type 2 diabetes annually. Lifestyle changes could delay progression to type 2 diabetes development. Glycemic Excursion Minimization/Glucose Everyday Matters (GEM) is a self-guided intervention that empowers individuals via a guide paired with a continuous glucose monitor and activity monitor to understand how dietary and activity choices impact their blood glucose excursions. This qualitative study aimed to explore participant perspectives and experiences of GEM.DesignSemi-structured qualitative interviews.SettingThe study was conducted at an urban medical center. Interviews took place via HIPAA compliant Zoom.ParticipantsParticipants from a larger clinical trial who completed the GEM intervention for prediabetes (n = 16).MethodInterviews were audio-recorded and transcribed. Using two coders, iterative cycles of inductive thematic analysis was performed to yield overarching themes related to the GEM guide and intervention.ResultsAnalysis of 16 interviews revealed five major themes which highlighted the positive outcomes in health status, disease insight and support experienced during the GEM trial.ConclusionKey findings included increased knowledge on the relationship between lifestyle choices and glucose excursions, and positive insight on the GEM intervention and its components. Feedback from this study will be incorporated into further adoption of the GEM intervention for a prediabetes population.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"686-700"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145585677","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

Cross-Cultural Adaptation and Content Validity of the 2019 CDC Worksite Health ScoreCard for Use in Brazil. 2019年CDC工作场所健康记分卡在巴西使用的跨文化适应和内容有效性

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-07-01 Epub Date: 2025-11-24 DOI: 10.1177/08901171251400734

João Silvestre Silva-Junior, Alberto Jose Niituma Ogata, Victor Dias Roviello, Rafael Comini Barcelos, Tiago Boff Pedro, Cristiane Helena Gallasch

{"title":"Cross-Cultural Adaptation and Content Validity of the 2019 CDC Worksite Health ScoreCard for Use in Brazil.","authors":"João Silvestre Silva-Junior, Alberto Jose Niituma Ogata, Victor Dias Roviello, Rafael Comini Barcelos, Tiago Boff Pedro, Cristiane Helena Gallasch","doi":"10.1177/08901171251400734","DOIUrl":"10.1177/08901171251400734","url":null,"abstract":"PurposeTo develop a cross-cultural adaptation and analyze evidence of content validity of the 2019 CDC Worksite Health ScoreCard (WHSC) for use in Brazil.DesignPsychometric study conducted according to international guidelines for cross-cultural adaptation and evidences of validity.SettingBrazil, November to December 2023.SampleFive independent bilingual reviewers evaluated linguistic equivalence; 18 experts in occupational health or psychometrics assessed content validity (response rate 52.9%); 10 occupational health and safety professionals participated in cognitive testing with gender parity.MeasuresSemantic, idiomatic, conceptual, and experiential equivalences; clarity, practical and theoretical relevance, and dimensionality of items.AnalysisContent Validity Ratio (CVR) was applied, with critical values ranging from 0.44 to 0.50; qualitative thematic analysis was performed on cognitive testing.ResultsInitial evaluations identified items with CVR <0.99 due to clarity issues, which were revised. In content validity assessment, CVR values ranged from 0.80 to 1.00 across all items, confirming acceptable agreement among experts. Cognitive testing confirmed comprehension and cultural adequacy, with participants suggesting inclusion of diversity-related items in future versions.ConclusionsThe Brazilian Portuguese version of the WHSC demonstrated strong linguistic quality and evidence of content validity with adequate clarity and cultural relevance for electronic administration. Limitations include reliance on a convenience sample of experts and the need for further evaluation of additional psychometric properties, such as internal structure and reliability.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"663-672"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145585711","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

Parent and Child Perceived Barriers to Health Behavior Change in a Family-Centered Obesity Intervention. 在以家庭为中心的肥胖干预中，父母和儿童感知到的健康行为改变障碍。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-07-01 Epub Date: 2025-11-24 DOI: 10.1177/08901171251403927

Melissa Goulding, Grace W Ryan, Christine Frisard, Sybil Crawford, Susan Druker, Barbara Olendzki, Jennifer Bram, Michelle Trivedi, Lori Pbert

{"title":"Parent and Child Perceived Barriers to Health Behavior Change in a Family-Centered Obesity Intervention.","authors":"Melissa Goulding, Grace W Ryan, Christine Frisard, Sybil Crawford, Susan Druker, Barbara Olendzki, Jennifer Bram, Michelle Trivedi, Lori Pbert","doi":"10.1177/08901171251403927","DOIUrl":"10.1177/08901171251403927","url":null,"abstract":"PurposeWe sought to explore perceived barriers to engaging in weight-related health behavior change among parent child dyads.DesignThis is a secondary analysis of data from a cluster-randomized controlled trial investigating the effectiveness of Fitline telephonic coaching vs Fitline workbook at improving weight-related health behaviors and body mass index for children 8-12 years old with overweight and obesity.SettingThe trial which the present data comes from was conducted within 20 pediatric primary care practices in Central Massachusetts.SampleData from 499 parent-child dyads were included.MeasuresBarriers to weight-related health behavior changes were assessed via 10 survey items answered by parents and the enrolled child at baseline, 6- and 12-month.AnalysisWe used frequencies to describe the distribution of parent and child reported behavior-change barriers as well as McNemar's and Bowker's tests to compare distributions of behavior-change barriers at baseline and change in report of behavior-change barriers at 6-month.ResultsWe found that barriers to weight-related health behavior change varied within parent child dyads with up to 30% of dyads disagreeing on behavior-change barrier perception at baseline. Additionally, up to 37% of dyads were not aligned on reported change in barriers to health behavior change at 6-month.ConclusionOur findings support the potential benefit of integrating behavior-change barrier assessment from both the parent and child perspectives into intervention delivery when developing and tailoring family-centered interventions.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"730-734"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12646504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145585754","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

Mitigating Misinformation in Health and Nutrition: Assessing Risk, Harm, and Scalable Solutions. 减少健康和营养方面的错误信息：评估风险、危害和可扩展的解决方案。

IF 2.4 4区医学

American Journal of Health Promotion Pub Date : 2026-07-01 Epub Date: 2026-05-25 DOI: 10.1177/08901171261447098

Alex Ruani

引用次数: 0