American Journal of Health Promotion最新文献

{"title":"Social Cognitive Predictors of Health Promotion Self-Efficacy Among Older Adults During the COVID-19 Pandemic.","authors":"Michelle C Yang, Gurkaran Singh, Brodie M Sakakibara","doi":"10.1177/08901171241256703","DOIUrl":"https://doi.org/10.1177/08901171241256703","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the relative importance of social cognitive predictors (ie, performance accomplishment, vicarious learning, verbal persuasion, affective state) on health promotion self-efficacy among older adults during COVID-19.</p><p><strong>Design: </strong>Cross-sectional.</p><p><strong>Setting: </strong>Data collected online from participants in British Columbia (BC), Canada.</p><p><strong>Subjects: </strong>Seventy-five adults (n = 75) aged ≥65 years.</p><p><strong>Measures: </strong>Health promotion self-efficacy was measured using the Self-Rated Abilities for Health Practices Scale. Performance accomplishment was assessed using the health directed behavior subscale of the Health Education Impact Questionnaire; vicarious learning was measured using the positive social interaction subscale of the Medical Outcomes Survey - Social Support Scale (MOS-SSS); verbal persuasion was assessed using the informational support subscale from the MOS-SSS; and affective state was assessed using the depression subscale from the Depression Anxiety Stress Scale (DASS-21).</p><p><strong>Analysis: </strong>Multiple linear regression was used to investigate the relative importance of each social cognitive predictor on self-efficacy, after controlling for age.</p><p><strong>Results: </strong>Our analyses revealed statistically significant associations between self-efficacy and performance accomplishment (health-directed behavior; β = .20), verbal persuasion (informational support; β = .41), and affective state (depressive symptoms; β = -.44) at <i>P</i> < .05. Vicarious learning (β = -.15) did not significantly predict self-efficacy. The model was statistically significant (<i>P</i> < .001) explaining 43% of the self-efficacy variance.</p><p><strong>Conclusion: </strong>Performance accomplishment experiences, verbal persuasion strategies, and affective states may be the target of interventions to modify health promotion self-efficacy among older adults, in environments that require physical and social distancing.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141178660","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}

{"title":"Examining the Relationship Between E-Cigarette Status and Wearable Device Use on Physical Activity Levels in U.S. Adults.","authors":"Gillian Tiralla, Nauris Tamulevicius, Mary P Martinasek, Willie Leung","doi":"10.1177/08901171241256712","DOIUrl":"https://doi.org/10.1177/08901171241256712","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this analysis is to investigate physical activity levels amongst e-cigarette users based on their wearable device use.</p><p><strong>Design: </strong>Cross-sectional secondary data analysis using 2017 Behavioral Risk Factor Surveillance Survey (BRFSS).</p><p><strong>Setting: </strong>Data from the 2017 BRFSS were used.</p><p><strong>Sample: </strong>5,562 U.S. adults (age 18+).</p><p><strong>Measures: </strong>Self-reported physical activity related variables from U.S. adults (age 18+).</p><p><strong>Analysis: </strong>Separate unadjusted and adjusted linear regression models were performed for each of the dependent variables using survey analysis.</p><p><strong>Results: </strong>Non-users of wearable devices and e-cigarettes account for 96.6% (95%CI [95.7, 97.6]) of the sample, whereas users of wearable devices and e-cigarettes account for 3.3% (95%CI [1.2, 5.4]) of the sample. Those who use e-cigarettes participate in almost 50% less vigorous physical activity minutes per week than nonusers, 46 (95%CI [0.43, 91.57]) and 93 (95%CI [80.59, 106.34]) minutes respectively. Individuals who use e-cigarettes and use wearable devices were found to spend significantly more time in total physical activity per week in both the unadjusted and adjusted linear regressions, <i>P = =0</i>.01 and <i>P</i> = =0.04 respectively.</p><p><strong>Conclusion: </strong>The use of e-cigarettes, wearable devices, or both technologies may influence the physical activity levels of its users. Additional research is needed to better understand the association between physical activity levels and the usage of these technologies.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141160509","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}

{"title":"Multi-Family Housing Environment and Physical Activity: A Systematic Review of the Literature.","authors":"Manasa Vigneshwar Hegde, Seokyung Park, Xuemei Zhu, Chanam Lee","doi":"10.1177/08901171241254940","DOIUrl":"https://doi.org/10.1177/08901171241254940","url":null,"abstract":"<p><strong>Objective: </strong>To identify environmental features of multi-family housing (MFH) and their surrounding neighborhoods that influence residents' physical activity (PA).</p><p><strong>Data source: </strong>Articles published between January 2000 and September 2023 were identified from major social science, medical, health, behavioral science, and urban studies databases.</p><p><strong>Study inclusion and exclusion criteria: </strong>Studies were included if they (a) were empirical studies published in peer-reviewed journals and written in English; (b) focused on the MFH environment or the surrounding neighborhood; and (c) had at least one PA outcome.</p><p><strong>Data extraction: </strong>Data was extracted regarding the study objective, location, study sample, research design, results related to MFH and neighborhood environment, and limitations.</p><p><strong>Data synthesis: </strong>Descriptive summary of study characteristics and analysis to identify emerging themes at three spatial scales (i.e., building, site<i>,</i> and neighborhood).</p><p><strong>Results: </strong>Findings from 35 identified articles revealed factors influencing MFH residents' PA. On the building level, typology <i>(apartment, townhouse)</i> and tenure <i>(public, market rent)</i> showed contrasting correlations with PA in different age groups. On the site level, the presence of PA facilities and safe, walking-friendly environments promoted PA. On the neighborhood level, safety, quality of PA and pedestrian infrastructure, upkeep, air quality, aesthetics, neighborhood satisfaction, street connectivity, walkability, land use mix, density, and public transport promoted PA.</p><p><strong>Conclusion: </strong>Study findings highlight the importance of the MFH environments in promoting PA, especially in older adults and young children. With increasing housing demand, understanding diverse MFH typologies and the impact of interventions on multi-spatial scales can help promote healthy and activity-friendly communities.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141086618","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}

{"title":"The Relationships Among Chronic Pain Subtypes, Motor Function, and Physical Activity in Community-Dwelling Japanese Older Adults: A Cross-Sectional Study.","authors":"Cen Chen, Takafumi Saito, Lefei Wang, Tsubasa Yokote, Harukaze Yatsugi, Xin Liu, Hiro Kishimoto","doi":"10.1177/08901171241253387","DOIUrl":"https://doi.org/10.1177/08901171241253387","url":null,"abstract":"<p><strong>Purpose: </strong>We investigated the relationships among motor function, physical activity, and the characteristics of chronic pain (the number of pain sites, pain intensity, and pain-type).</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>An ongoing community-based prospective study conducted in Itoshima, Japan.</p><p><strong>Subjects: </strong>Community-dwelling Japanese aged 65-75 years (n = 805; 401 men, 404 women).</p><p><strong>Measures: </strong>Chronic pain subtypes were examined in terms of the number of pain sites, pain intensity, and pain type. Motor function was evaluated by handgrip strength, walking speed, and the 5 Times Stand-up and Sit Test (FTSST). Locomotive activity, non-locomotive activity, and sedentary time were evaluated by a tri-axial accelerometer as physical-activity parameters.</p><p><strong>Analysis: </strong>Multiple regression model adjusting for age, sex, education level, employment status, subjective economic status, body mass index, cognitive function, comorbidity, current tobacco use, current alcohol consumption, and regular exercise.</p><p><strong>Results: </strong>In a multivariate analysis, the subjects' walking speed was negatively associated with multisite, moderate-to-severe, and neuropathic-like pain. The FTSST was positively associated with single-site, moderate-to-severe, and neuropathic-like pain. There was no significant association between handgrip strength and any chronic pain subtypes. Locomotive activity was negatively related to multisite, moderate-to-severe, and neuropathic-like pain, but there was no clear association between the amount of non-locomotive activity, sedentary time, and chronic pain subtypes.</p><p><strong>Conclusion: </strong>Severe chronic pain was associated with decreased locomotion-related motor function and physical activity.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141092256","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}

{"title":"Self-Compassion, Resilience and Mental Health in Community Adults.","authors":"Shu Ping Chuang, Jo Yung Wei Wu, Chien Shu Wang","doi":"10.1177/08901171241254930","DOIUrl":"https://doi.org/10.1177/08901171241254930","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the associations among self-compassion, resilience and mental health of community residents.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Voluntary survey of web-based, posters-based platform.</p><p><strong>Participants: </strong>453 community residents.</p><p><strong>Methods: </strong>Participants living in Kaohsiung, Taiwan were recruited from posters, online advertisements based platforms and were assessed with the self-compassion scale (SCS), Connor-Davidson Resilience Scale (CD-RISC-25), Center for Epidemiological Studies Depression Scale (CES-D), The Satisfaction with Life Scale (SWLS) and The Positive Mental Health Scale (PMH-scale) measures during the period from March 1 to October 31, 2023.</p><p><strong>Results: </strong>After adjusting for age, gender and education, stepwise regression analysis revealed that isolation, self-judgment, and control accounted for 14% of the variance in depressive symptoms (CES-D) (adjusted <i>R</i>^<i>2</i> = .149, <i>P</i> < .05). Over-identification, self-kindness and control accounted for 26% of the variance in satisfaction with life (SWLS) (adjusted <i>R</i>^<i>2</i> = .263, <i>P</i> < .001). Over-identification, self-kindness, isolation, control and personal competence and tenacity accounted for 37% of the variance in positive mental health (PMH-scale) (adjusted <i>R</i>^<i>2</i> = .375, <i>P</i> < .05).</p><p><strong>Conclusions: </strong>Findings suggested that components of self-compassion and resilience may be important factors that promote positive mental health and provide potential interventions for professionals to increase the well-being of community residents.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080432","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}

{"title":"Characterizing the Perceived Need for CRC Screening among the Elderly Living in Rural Areas in the Pacific Northwest US: Roles of Miscommunication, Experience of Discrimination, and Dependence.","authors":"Qian Huang, Wei Peng, Jihae Han, Bingjing Mao","doi":"10.1177/08901171241257051","DOIUrl":"10.1177/08901171241257051","url":null,"abstract":"<p><strong>Purpose: </strong>Increasing the perceived need for CRC screening can facilitate undertaking CRC screening. This study aims to identify factors associated with the need for CRC screening in rural populations.</p><p><strong>Design: </strong>A cross-sectional online survey.</p><p><strong>Setting: </strong>The survey was conducted in June - September 2022 in the rural areas of Alaska, Idaho, Oregon, and Washington, US.</p><p><strong>Subjects: </strong>The subjects of this study were 250 adults (completion rate: 65%) aged 45-75 residing in rural Alaska, Idaho, Oregon, and Washington.</p><p><strong>Measures: </strong>Perceived need for CRC screening, internet usage for health purposes, demographics, and intrapersonal, interpersonal, community, and environmental characteristics.</p><p><strong>Results: </strong>Perceived need for CRC screening were negatively associated with patient-provider miscommunication (<i>β</i> = -.23, <i>P</i> < .001) and perceived discrimination (<i>β</i> = -.21, <i>P</i> < .001), cancer fatalism <i>(β</i> = -.16, <i>P</i> < .05), individualism (<i>β</i> = -.15, <i>P</i> < .05), and dependence on community (<i>β</i> = -.11, <i>P</i> < .05), but positively with compliance with social norms (<i>β</i> = .16, <i>P</i> < .05), trust in health care providers (<i>β</i> = .16, <i>P</i> < .05), knowledge about colorectal cancer (<i>β</i> = .12, <i>P</i> < .05).</p><p><strong>Conclusions: </strong>Our study showed potential individual and situational characteristics that might help increase colorectal cancer screening. Future efforts might consider addressing discrimination in health care settings, improving patient-provider communication, and tailoring messaging to reflect the rural culture.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080288","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}

{"title":"Health-Related Behaviors and Academic Achievement Among College Students.","authors":"Alyssa M Lederer, Sara B Oswalt, Mary T Hoban, Melissa N Rosenthal","doi":"10.1177/08901171241255768","DOIUrl":"https://doi.org/10.1177/08901171241255768","url":null,"abstract":"<p><strong>Purpose: </strong>College students' academic achievement has crucial implications for their future success. Students' health may be a key determinant of academic performance, but more research is needed to understand this relationship.</p><p><strong>Design/setting/subjects: </strong>Secondary analysis of the American College Health Association-National College Health Assessment III pre-COVID-19 Spring 2020 dataset. N = 39 146 undergraduates at 75 higher education institutions (14% mean response rate, comparable with other large-scale national college health surveys).</p><p><strong>Measures: </strong>Self-reported grade point average (GPA) and 33 health behaviors in the categories of dietary behavior, physical activity, sedentary behavior, substance use, sexual risk behavior, violence-related behavior, mental health, and sleep behavior.</p><p><strong>Analysis: </strong>Weighted cross-tabulations examining the association between GPA and health behaviors; multinomial logistic regressions assessing if behaviors predicted GPA, controlling for year, sex/gender, and race/ethnicity. Individual GPA categories were also compared to a D/F referent group.</p><p><strong>Results: </strong>There were gradient trends across GPA categories for A through D/F (18 behaviors) or A through C (12 behaviors) (<i>P</i> < .001). Each health behavior predicted GPA differences (<i>P</i> < .001), except heroin use (<i>P</i> = .052). The A GPA group was significantly different from the D/F GPA group for 27 behaviors (<i>P</i> < .001). In general, protective behaviors corresponded with higher GPAs and most risk behaviors were associated with lower GPAs.</p><p><strong>Conclusions: </strong>There is a link between numerous health behaviors and academic performance. Stakeholders invested in college students' health and academics should engage in mutually beneficial strategies to safeguard students' current and future well-being and success.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080426","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}

{"title":"Scale Validation and Attributional Analysis of Public Stigma in Early-Pandemic COVID-19.","authors":"Sang Qin, Carla Kundert, Carlo Vittorio Palermo, Reshma Rolle, Esha Raut, Lindsay Sheehan","doi":"10.1177/08901171241255761","DOIUrl":"https://doi.org/10.1177/08901171241255761","url":null,"abstract":"<p><strong>Purpose: </strong>To test the validity of a COVID-19 public stigma scale and an attributional model of stigma during the early stages of the pandemic.</p><p><strong>Design: </strong>We administered a cross-sectional survey that included scales related to COVID-19 stigma to U.S. adults.</p><p><strong>Setting: </strong>We used Amazon MTurk online survey panel to recruit participants in June 2020.</p><p><strong>Subjects: </strong>U.S. adults (N = 170) participated in the study. Participants were average age of 37 and majority were men (61.2%) and White (77.6%).</p><p><strong>Measures: </strong>The Stigma Towards Disease Scale (SDS) was adapted to measure public stigma directed towards COVID-19 (SDS-C19). Additional stigma-related measures were adapted for this study.</p><p><strong>Analysis: </strong>Factorial structure of SDS-C19 was assessed using confirmatory factor analysis (CFA). Validity of SDS was examined using Pearson correlations with other stigma measures. We evaluated the attributional model of stigma using structural equation modeling.</p><p><strong>Results: </strong>Internal consistency of SDS-C19 was high and a three-factor model reflecting cognitive, affective, and behavioral factors was supported (χ2 [71, N = 170] =140.954, <i>P</i> = .00, CFI= .946, TLI = .931, RMSEA = .076, SRMR = .087). The SDS-C19 had strong correlations with other stigma-related measures. A blame-mediated attribution model was supported (χ2 [8, N = 170] = 21.793, <i>P</i> = .00, CFI = .976, TLI =.956, RMSEA = .101, SRMR = .058).</p><p><strong>Conclusion: </strong>The SDS-C19 is a valid tool for assessing COVID-19 stigma. SDS-C19 and the attribution model can guide public health communication.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064830","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}

{"title":"Low-Income Participants' Preference Between Financial Incentives for Behavioral Goals vs Weight Loss Targets and Associations With Behavioral Goal Adherence.","authors":"Akshitha Adhiyaman, Melanie Jay, Un Young Rebecca Chung, Andres N Gronda, Chi-Hong Tseng, Judith Wylie-Rosett, Sandra Wittleder, Soma Wali, Joseph A Ladapo, Stephanie L Orstad","doi":"10.1177/08901171241254366","DOIUrl":"10.1177/08901171241254366","url":null,"abstract":"<p><strong>Purpose: </strong>Examine associations between whether participants' were matched to their preferred financial incentive design and behavioral goal adherence in a weight management intervention.</p><p><strong>Design: </strong>Secondary quantitative analysis incorporating qualitative survey data.</p><p><strong>Setting: </strong>Primary care clinics in socioeconomically disadvantaged communities in New York City and Los Angeles.</p><p><strong>Subjects: </strong>668 participants (mean age 47.7 years, 81.0% female, 72.6% Hispanic) with obesity were enrolled in the Financial Incentives foR Weight Reduction (FIReWoRk) intervention.</p><p><strong>Measures: </strong>We explored qualitatively participant's reasons for hypothetically choosing a behavioral goal-directed vs a weight loss outcome-based financial incentive program. Additionally, behavioral adherence to different goals was collected at the 6-month timepoint, categorized by match to preferred financial incentive design.</p><p><strong>Analysis: </strong>Logistic regression was used to examine if participants with certain demographic and higher psychosocial factors were more likely to choose goal-directed over outcome-based incentives. Additionally, logistic regression was used to test for associations between preference and behavioral adherence, using incentive type as an interaction term.</p><p><strong>Results: </strong>60.2% of participants preferred the goal-directed incentive, with the majority stating that it was more structured. Married participants were more likely to prefer goal-directed incentives (OR = 1.57, CI = 1.06-2.33, <i>P</i> = .025). Moderation analysis revealed that participants who preferred goal-directed and were matched to goal-directed had greater rates of behavioral adherence for program attendance and self-weighing, but not dietary tracking and physical activity tracking, compared to those who preferred outcome-based and were matched to outcome-based.</p><p><strong>Conclusion: </strong>Receiving one's preferred incentive design may not play a strong role in behavioral goal adherence during financially incentivized weight loss interventions.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140943763","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}

{"title":"Noticing Voluntary E-Cigarette Warning Labels and Associations With Harm Perceptions and Use Intentions: A Baseline Cross-Sectional Analysis of Wave 4 of the Population Assessment of Tobacco and Health Study Prior to the Food and Drug Administration Mandate.","authors":"Christina N Wysota, Zongshuan Duan, Yan Wang, Raymond S Niaura, Lorien C Abroms","doi":"10.1177/08901171241249144","DOIUrl":"https://doi.org/10.1177/08901171241249144","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the effect of e-cigarette warning labels (EWLs) prior to the August 2018 FDA-warning label mandate to establish a baseline for future research.</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Setting: </strong>United States.</p><p><strong>Participants: </strong>A cohort of adult participants in the Population Assessment of Tobacco and Health (PATH) study (n = 30,004) at Wave 4 (Dec 2016-Jan 2018).</p><p><strong>Measures: </strong>Correlates (e.g., sociodemographics, substance use, social influence, cigarette warnings, and mental health) of noticing EWLs in the past 30-days (noticed vs did not notice), perceived harm of e-cigarettes/nicotine (from 1 = not at all harmful to 5 = extremely harmful), relative harm of e-cigarettes (from 1 = less harmful to 3 = more harmful than cigarettes), intention to quit (yes/no) and intention to try e-cigarettes (from 1 = definitely not to 4 = definitely yes).</p><p><strong>Results: </strong>The prevalence of noticing EWLs was 22.1%. Those who currently use electronic nicotine products, established and experimentally, were more likely to notice EWLs relative to never users (aOR = 3.55; 95% CI: 2.96-4.25; <i>P</i> < .001 and aOR = 2.42; 95% CI: 1.88-3.10; <i>P</i> < .001, respectively). Those with past 30-day alcohol and cigarette use were less likely to notice EWLs (aOR = .27; 95% CI: .24-.31 and aOR = .91; 95% CI: .83-.99; respectively). Those who noticed cigarette warnings were more likely to notice EWLs (aOR = 12.00; 95% CI: 10.46-13.77; <i>P</i> < .001). Among those who noticed EWLs, there were higher odds of perceiving e-cigarettes to be equally or more harmful than cigarettes (aOR = 1.15; 95% CI: 1.02-1.30), but no association was found between noticing EWLs and perceived harm of e-cigarettes/nicotine or use intentions.</p><p><strong>Conclusion: </strong>Noticing voluntary EWLs was not associated with increased perceived harm of e-cigarettes and nicotine harm, or e-cigarette use intentions. Future research is warranted to examine the effect of the FDA mandated EWLs.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849734","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}