American Journal of Health Promotion最新文献

{"title":"Informing Vaccine Messaging and Community Outreach: Experience in Chicago with a Community-Based Participatory Approach.","authors":"Naseem Parsa, Mark Dworkin, Caesar Thompson, Cornelius Chandler, SangEun Lee, Aram Kang, Diana Ghebenei, Melissa Martin, Nadine Peacock, Jeni Hebert-Beirne, Emily Stiehl","doi":"10.1177/08901171241307435","DOIUrl":"https://doi.org/10.1177/08901171241307435","url":null,"abstract":"<p><strong>Purpose: </strong>In response to disparities in COVID-19 vaccine uptake in urban environments, we ascertained whether a community-engaged evaluation could rapidly determine why unvaccinated Chicago residents were hesitant to receive the COVID-19 vaccine.</p><p><strong>Approach: </strong>The assessment used a mixed-methods approach, grounded in community-based participatory research (CBPR) principles.</p><p><strong>Setting: </strong>Interviews were conducted by community partners between April and May 2022 in Chicago, in-person and via phone.</p><p><strong>Participants: </strong>A purposive sample of Chicagoans (n = 456), who were: (1) adults (≥18 years); (2) living in priority areas in Chicago heavily impacted by COVID-19; (3) who spoke English or Spanish; and (4) had not received the COVID-19 vaccine.</p><p><strong>Method: </strong>A transdisciplinary academic-community team co-developed an assessment tool. Members of Chicago's Community Health Response Corps (CHRC) (N = 115) interviewed participants, using a 46-item survey in Qualtrics. Interviews were analyzed using qualitative and quantitative software, including Dedoose for coding and SAS for descriptive statistics.</p><p><strong>Results: </strong>Over half of all respondents were not concerned about getting COVID-19. Respondents voiced concerns about side effects (36%), vaccine safety (27%), and trust in governmental institutions, given historical events involving unethical research. Participants also reported other social needs (e.g., food or housing insecurity) that made COVID-19 a lower priority.</p><p><strong>Conclusion: </strong>The collaborative research approach highlighted issues of trust, concerns about side effects and vaccine safety, issues that have informed vaccine messaging.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241307435"},"PeriodicalIF":2.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799018","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":"Associations of Combined Physical Activity and Body Mass Index with Metabolic Syndrome in American Adults: From the National Health and Nutrition Examination Survey, 2017-2020.","authors":"Guang-Lei Zhang, Junga Lee","doi":"10.1177/08901171241307434","DOIUrl":"https://doi.org/10.1177/08901171241307434","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to examine the combined associations of physical activity and body mass index with the prevalence of metabolic syndrome in a population-based sample of American adults.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Data from the 2017-2020 National Health and Nutrition Examination Survey (NHANES).</p><p><strong>Subjects: </strong>A total of 2945 American adults who participated in the NHANES 2017-2020.</p><p><strong>Measures: </strong>Participants' physical activity levels were categorized based on the Physical Activity Guidelines for Americans. Metabolic syndrome was determined using the National Cholesterol Education Program Adult Treatment Panel III guidelines.</p><p><strong>Analysis: </strong>The prevalence of metabolic syndrome among the various groups was analyzed using binary logistic regression to observe differences in the associated risks of developing metabolic syndrome.</p><p><strong>Results: </strong>An increase in body mass index and a decrease in physical activity are both risk factors for metabolic syndrome. Statistical results show that the prevalence of metabolic syndrome in the obese and sedentary group is 22.31 times higher than that in the normal weight and active group (<i>P</i> = 0.000).</p><p><strong>Conclusion: </strong>A combination of at least 600 MET-minutes of physical activity per week and a lower body mass index is significantly associated with the lowest prevalence of metabolic syndrome.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241307434"},"PeriodicalIF":2.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799099","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 Effect of Intervention Preference Matching on Outcomes and Engagement in a Post-cessation Weight Management Trial.","authors":"Kelsey Day, Erin Solomon, Jamie Zoellner, Zoran Bursac, Rebecca A Krukowski","doi":"10.1177/08901171241307429","DOIUrl":"10.1177/08901171241307429","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the effect of intervention treatment preference in a post-smoking cessation weight management trial.</p><p><strong>Design & setting: </strong>Participants were randomized to a weight management intervention (Stability, Loss, or Bibliotherapy); all participants received a standard smoking cessation program. Adults aged 18+ were recruited from Memphis, TN, and nationally.</p><p><strong>Participants: </strong>Individuals were eligible if they had a BMI of 22 kg/m² or greater.</p><p><strong>Measures: </strong>Participants were asked about their preferred weight intervention at screening. Weight change and self-reported point-prevalence abstinence were assessed (Month 12). Participants rated perceived effectiveness, difficulty (screening, Month 2), and intervention satisfaction (Month 12).</p><p><strong>Analysis: </strong>We examined the effect of intervention preference match on 12-month weight change, smoking cessation, perceived effectiveness, difficulty, and satisfaction.</p><p><strong>Results: </strong>Participants (n = 305) were majority female (68%); white (52%); and had overweight/obesity (87%). At screening, most participants perceived the Loss intervention as most effective; at Month 2, Stability was perceived as most effective. The Stability intervention was perceived as easiest at screening and Month 2. Those who were matched to their treatment preference had greater 12-month weight loss, but similar rates of smoking cessation.</p><p><strong>Conclusions: </strong>Participants who were matched to their preference were more successful in preventing post-cessation weight gain, compared to those who were not matched. Future research should systematically test intervention preference effects with the aim of precision health.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241307429"},"PeriodicalIF":2.5,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142783842","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":"Impact of a Culturally Targeted Lifestyle Course on Dietary and Weight Outcomes of Chinese Americans in Texas.","authors":"Danhong Chen, Furjen Deng, Helen Sun","doi":"10.1177/08901171241304702","DOIUrl":"https://doi.org/10.1177/08901171241304702","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to assess the impact of a culturally targeted lifestyle course on the dietary and weight outcomes of Asian Americans.</p><p><strong>Design: </strong>This was an observational study of participants for a culturally targeted lifestyle course taught online by a Nutrition Scientist and Board-Certified Holistic Health Practitioner.</p><p><strong>Setting: </strong>From 2021 to 2022, 284 participants were recruited through 4 community organizations in Texas and completed the informed consent.</p><p><strong>Subjects: </strong>140 Chinese Americans finished 3 surveys before, after, and 6 months after the course.</p><p><strong>Measures: </strong>Participants' fruit and vegetable consumption was assessed using the questionnaire from the Behavioral Risk Factor Surveillance System and their physical activities were evaluated by the Godin-Shephard Leisure-Time Exercise Questionnaire.</p><p><strong>Analysis: </strong>We conducted repeated measures ANOVA to compare participants' dietary and weight outcomes before, after, and 6 months after the course. Paired <i>t</i>-tests were performed to investigate how the outcomes differed from the baseline.</p><p><strong>Results: </strong>The participants' weights and BMI values at the 6-month follow-up were significantly lower than the baseline, though the changes were not significant immediately after the course. Rice consumption dropped significantly both after the class and at the 6-month follow-up. Participants also significantly reduced their intake of 100% juice and fried potatoes immediately after the class.</p><p><strong>Conclusion: </strong>Community-based Participatory Approaches might be used to improve the dietary and weight outcomes of Asian Americans.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241304702"},"PeriodicalIF":2.5,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765512","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":"Design for Dissemination: Leaders Suggest Local Strategies for Implementing a Health Communications Campaign.","authors":"Meg G Salvia, Jane Roberts, Andy S L Tan, Elaine Hanby, Bob Gordon, Ana Machado, Scout, Julia Applegate, Shoba Ramanadhan","doi":"10.1177/08901171241301967","DOIUrl":"https://doi.org/10.1177/08901171241301967","url":null,"abstract":"<p><strong>Purpose: </strong>Using evidence-based health communication campaigns (EBHCC) is critical for addressing disparities in tobacco-related health outcomes among LGBTQ+ populations; therefore, this study aimed to examine processes and supports for community-based organizations (CBOs) to integrate evidence-based solutions into practice using a design-for-dissemination framework.</p><p><strong>Approach: </strong>Qualitative interviews were conducted.</p><p><strong>Setting: </strong>CBOs serving LGBTQ+ populations.</p><p><strong>Participants: </strong>22 staff from U.S.-based CBOs participated in video interviews.</p><p><strong>Method: </strong>We used reflexive thematic analysis to generate themes.</p><p><strong>Results: </strong>3 key themes included: (1) leaders perceived storytelling as a desirable and effective way to operationalize hyperlocal adaptation of content, particularly when in-group stories came from the community and included video content (which was perceived to maximize reach); (2) researcher participation in content production/delivery was seen as a compelling implementation strategy; and (3) these requested components were seen as adding value rather than as substitutions for text- and image-based EBHCC content.Adaptations envisioned by participants are associated with increased demand for limited resources (ie, requiring more time or financial resources), on the part of CBOs, the research team, or both. Researcher strategies were identified to support meeting CBOs' needs given these contextual constraints.</p><p><strong>Conclusion: </strong>This research explores supports and processes requested by CBOs serving LGBTQ+ populations as part of the adaptations envisioned in implementing EBHCCs and highlights possible avenues to better meet CBOs' needs in effectively utilizing interventions.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241301967"},"PeriodicalIF":2.5,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765511","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":"E-cigarette Smoking and Colorectal Cancer Screening.","authors":"Eugene Annor, Joseph Atarere, Quarshie Glover, Nneoma Ubah, Chinenye Odo, Yakubu Bene-Alhasan, Vwaire Orhurhu, Jamal Hasoon, Wisdom Chinonyelu Ufondu, Moyasar Osman, Christopher Thompson","doi":"10.1177/08901171241304726","DOIUrl":"https://doi.org/10.1177/08901171241304726","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate how CRC screening practices differ between e-cigarette users and non-users.</p><p><strong>Design: </strong>Cross-sectional study design.</p><p><strong>Setting: </strong>National Cancer Institute's Health Information National Trends Survey (HINTS 5).</p><p><strong>Subjects: </strong>Respondents aged 45 to 75 years.</p><p><strong>Measures: </strong>Demographics, CRC screening, e-cigarette use, cancer history, presence of comorbidities, and access to a primary care provider.</p><p><strong>Analysis: </strong>The demographic characteristics of the study participants were evaluated by their e-cigarette smoking status using chi-squared tests. The differences in CRC screening between e-cigarette users and non-users were evaluated using a multivariate logistic regression model.</p><p><strong>Results: </strong>We identified a total of 6963 participants, of which 181 (2.6%) were e-cigarette users. The prevalence of e-cigarette use was inversely related to age. A significant portion were uninsured (10.7% vs 5.9% of non-users), and almost half (49.9%) were current tobacco smokers. E-cigarette users were as likely to undergo CRC screening compared to non-users [OR 1.40; 95% CI (0.74, 2.66)]. Increasing age, educational level, health insurance, comorbidity, access to a primary care provider, personal history of cancer, and presence of a comorbidity were associated with increased participation in CRC screening. However, e-cigarette use was not associated with increased screening.</p><p><strong>Conclusion: </strong>Our study found no significant difference in CRC screening rates between e-cigarette users and non-users. While screening behaviors appear unaffected for now, ongoing surveillance is important as more users reach screening age given the uncertainties surrounding the long-term effects of e-cigarette use.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241304726"},"PeriodicalIF":2.5,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738086","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 and Wellness Coaching Can Improve Tobacco Quit Rates and Weight Management Efforts in an Employee Population.","authors":"Rachel Sauls, Shreya Thakkar, Briana Evers, Alexander Yates, Nhan Tran, Mark Latif, Kelly Johnson, Michelle K Alencar","doi":"10.1177/08901171241302926","DOIUrl":"https://doi.org/10.1177/08901171241302926","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to investigate gender differences in tobacco quit rates and weight gain among employees undergoing a cessation program with a health and wellness coach.</p><p><strong>Design: </strong>This project was a retrospective observational study of an employee population.</p><p><strong>Setting: </strong>All data were collected during health coaching sessions by nationally certified health coaches.</p><p><strong>Subjects: </strong>211 men and women (116 males, 95 females, age 51.3 ± 9.9 years) enrolled in a Tobacco cessation health coaching program (TCHC) between January 2020 and December 2021.</p><p><strong>Measures: </strong>Data were compared between genders for quit rate, weight, body mass index (BMI), and nicotine replacement therapy (NRT) usage across 12-month follow-ups.</p><p><strong>Analysis: </strong>Descriptive statistics, repeated measures ANOVA, and independent samples t-test.</p><p><strong>Results: </strong>Significantly more men than women successfully quit by the goal date set with their coach (<i>P</i> < 0.05). There was a significant reduction in tobacco use across 12 months, leading to the participant's quit date (<i>P</i> < 0.001). Women (Weight lost ± SD= 1.49 lbs. ±16.06 lbs.) lost significantly more weight than men (0.7 lbs. ± 8.5 lbs.; <i>P</i> < 0.001). NRT users lost significantly more weight than non-users (<i>P</i> = .007).</p><p><strong>Conclusion: </strong>Health and wellness coaching was effective for participants to successfully stop tobacco use while in this program by their quit date. The coaching program also elicited weight loss while achieving smoking cessation for both men and women.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241302926"},"PeriodicalIF":2.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692570","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":"A Systematic Literature Review of the Relationships Between Social and Interpersonal Factors and Physical Activity Among Older Adults.","authors":"Jeong-Hui Park, Tyler Prochnow, Jacqueline A Vigil, Matthew Lee Smith","doi":"10.1177/08901171241302925","DOIUrl":"https://doi.org/10.1177/08901171241302925","url":null,"abstract":"<p><strong>Objective: </strong>This systematic literature review's purpose was to examine the social factors (e.g., social network, social support, social interaction, loneliness, and social environmental factors) associated with PA among older adults.</p><p><strong>Data source: </strong>Electronic databases (PsycINFO, MEDLINE, Scopus, and Web of Science) were used in this study.</p><p><strong>Study inclusion and exclusion criteria: </strong>Studies published in English focusing on individuals aged 65+ that assess social and intrapersonal factors influencing PA, with quantitative data on these relationships, were included, regardless of the PA measurement method.</p><p><strong>Data extraction: </strong>Two independent reviewers extracted data using a standardized form, capturing study design, sample size, participant characteristics, social factors assessed, and their relationship to PA behavior.</p><p><strong>Data synthesis: </strong>A descriptive summary of study characteristics and methodological quality was conducted.</p><p><strong>Results: </strong>1560 articles were identified and 34 were included. Wider social networks, social support, social cohesion, social norms towards PA, and positive social interactions were positively associated with PA among older adults, whereas obstructive factors (e.g., loneliness and social isolation) of the social environment were negatively associated with PA.</p><p><strong>Conclusions: </strong>The findings indicate that the social environment plays a strong role in determining PA levels among older adults. Interventions targeting PA enhancement in this population should prioritize strengthening social support and networks related to PA. Future research should focus on elucidating the mechanisms through which social factors impact PA in older adults.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241302925"},"PeriodicalIF":2.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142685814","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":"Understanding Goal Setting and Behavior Change Mechanics in an Older Adult Sitting Reduction Intervention.","authors":"Mikael Anne Greenwood-Hickman, Laura Yarborough, Lisa Shulman, David E Arterburn, Julie Cooper, Kristin Delaney, Camilo Estrada, Beverly B Green, Erika Holden, Jennifer B McClure, Diana Romero, Dori E Rosenberg","doi":"10.1177/08901171241302137","DOIUrl":"10.1177/08901171241302137","url":null,"abstract":"<p><strong>Purpose: </strong>We explored intervention fidelity, participant satisfaction, and the goals and reminder strategies participants chose to reduce sitting.</p><p><strong>Approach: </strong>Mixed methods approach leveraging data collected during study coaching and fidelity monitoring.</p><p><strong>Setting: </strong>A successful 6-month randomized controlled trial of a sedentary behavior (SB) intervention for adults ≥60 years in Washington, USA.</p><p><strong>Participants: </strong>N = 283 (140 intervention, 143 attention control); mean age 69, 66% women, 69% Non-Hispanic White.</p><p><strong>Intervention: </strong>Theory-based SB reduction intervention structured around phone-based health coaching and goal setting. Attention control received equal coaching on non-SB health topics.</p><p><strong>Method: </strong>Coaches tracked all participant goals, and 8% of visits were randomly observed and fidelity coded using a structured template. Participants completed a satisfaction questionnaire at study end. Goals data were qualitatively grouped by reminder strategy and topic. Fidelity and satisfaction data were summarized and compared by study arm using two-sided paired t-tests.</p><p><strong>Results: </strong>Both participants' satisfaction (>90% satisfied, between-group <i>P</i> = .195) and coach fidelity to intervention content and techniques were high (96% sessions set SMART goals, <i>P</i> = .343) across both arms. Intervention participants primarily set goals leveraging outward (e.g., fitness band prompts) and habit (e.g., adding standing to a daily meal) reminder strategies highly tailored to individual preferences and lifestyle.</p><p><strong>Conclusion: </strong>Participants' SB-related goals varied widely, suggesting tailored intervention approaches are important to change sitting behavior, particularly for older adults with chronic conditions.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171241302137"},"PeriodicalIF":2.5,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142685819","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":"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":" ","pages":"1140-1146"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","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}