American Journal of Health Promotion最新文献

{"title":"Elevated Depression Symptoms, Elevated Anxiety Symptoms, and Frequent Loneliness Among US Adults With Children in Their Household: A Cross-Sectional Analysis of National Survey Data.","authors":"Molly E Waring, Caitlin E Caspi, Sandesh Bhusal","doi":"10.1177/08901171251403891","DOIUrl":"10.1177/08901171251403891","url":null,"abstract":"<p><p>PurposeTo examine demographic, socioeconomic, and family characteristics associated with elevated depression and anxiety symptoms and frequent loneliness among US adults with children.DesignCross-sectional survey.SettingUS Census Household Pulse Survey (July-September 2024).SubjectsUS adults with 1 or more children (0-17 years) in their household (N = 31 063, representing approximately 87 million US adults with children).MeasuresParticipants completed the Patient Health Questionnaire for Depression and Anxiety (PHQ-4); scores of 3+ out of 6 indicated elevated depression and anxiety symptoms, respectively. Participants reported how often they feel lonely. Frequent loneliness was indicated by responses of \"always\" or \"usually\" (versus \"sometimes\", \"rarely\", or \"never\"). Participants reported several demographic, socioeconomic, and family characteristics.AnalysisWe used unadjusted logistic regression models to compare the proportion of US adults with children experiencing elevated depression symptoms, elevated anxiety symptoms, or frequent loneliness by demographic, socioeconomic, and family characteristics. Analyses were weighted to represent US adults living with children.ResultsAmong US adults with children, 14.2% (SE: 0.4%) reported elevated depression symptoms, 19.2% (SE: 0.5%) reported elevated anxiety symptoms, and 13.5% (SE: 0.4%) reported usually or always feeling lonely; prevalences differed by several demographic, socioeconomic, and family characteristics.ConclusionsCollecting nationally-representative data about families is critical to inform efforts to support the mental and physical health of US parents and other adults who care for children.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"725-729"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145595789","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":"Peer Similarity in Physical Activity and Weight Status During Physical Education Class.","authors":"Tyler M Dregney, Tyler Prochnow, Joseph S Lightner, Craig A Johnston, Katherine R Hendel","doi":"10.1177/08901171251404905","DOIUrl":"10.1177/08901171251404905","url":null,"abstract":"<p><p>PurposeExamined how moderate-to-vigorous physical activity (MVPA) and weight status during physical education (PE) class was related to peer MVPA and weight status.DesignData collected during the first and last weeks of a semester-long PE class.SettingHouston, Texas charter school.ParticipantsAdolescents (n = 156; 13.51 ± 1.45 years old; 52.6% female; 85.4% Hispanic, 14.1% African American, 0.5% Asian) nominated up to 3 female and 3 male students they felt closest to in PE.MeasuresMVPA during PE was assessed by heart rate throughout the semester. Body mass index (BMI) z-score was calculated from height and weight measured at the beginning and end of the semester.AnalysisExponential random graph models explored friendship existence, formation, and maintenance in these networks. Separable temporal exponential random graph models examined how MVPA impacted friendships forming or maintaining over the semester.ResultsStudents with higher MVPA were more likely to receive a new nomination from a student throughout the semester (E = 0.007, <i>P</i> < .03), but not to send a new nomination themselves. Students with higher BMI z-scores were significantly less likely to send a nomination at baseline (E = -0.11, <i>P</i> = .04); however, this effect was not significant at semester's end.ConclusionsMVPA opportunities during PE may be a mechanism for youth to establish friendships, making PE important for adolescent social and physical health. Larger scale research is warranted.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"735-738"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12879913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145601843","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}

{"title":"Healthy Futures for Young Women With Obesity: A Mixed Methods Study.","authors":"Kristie Rupp, Jessica L Bryan, Catherine P Abel-Berei","doi":"10.1177/08901171251404004","DOIUrl":"10.1177/08901171251404004","url":null,"abstract":"<p><p>PurposeIn young women with obesity, we sought to explore their: (1) psychosocial health; (2) perceptions of their and engagement in current health behaviors; (2) motivation to change their health behaviors; and (3) desired characteristics of a health behavior intervention.ApproachConvergent-parallel mixed methods study.SettingFocus groups were conducted over zoom.Participants34 young women with obesity (M ± SD; age = 23.79 ± 4.22 years; BMI = 35.66 ± 5.56 kg/m²; 41.2% non-Hispanic White).MethodQuantitative data were collected via Qualtrics prior to focus groups. We conducted 8 semi-structured focus groups (2-7 participants per group; 32-93 minutes) to address the pre-specified objectives.ResultsParticipants reported poor psychosocial health, with 100% meeting the cut-point indicative of significant depressive symptoms and 79.4% for clinically meaningful anxiety. Participants expressed the interconnectedness of their physical and mental health and desire to improve consistency in their eating and physical activity behaviors. However, participants did not want to emphasize weight loss as the primary focus of a health behavior intervention. Preferences for the characteristics of a health behavior intervention were in support of a hybrid format, with in-person meetings focusing on active engagement (e.g., cooking classes).ConclusionsOur findings support shifting the focus from a weight-normative to a weight inclusive approach to health behavior interventions to meet the needs and preferences of young women with obesity.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"713-724"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145627688","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":"What has Changed in Federal Health Policy and What Priorities Have Remained Intact?","authors":"Paul E Terry","doi":"10.1177/08901171261439272","DOIUrl":"10.1177/08901171261439272","url":null,"abstract":"<p><p>There has been mounting consternation among public health professionals that public health policy has become politicized. Many have concerns that federal health policies have all but abandoned a consensus building approach to proffering science-based recommendations. This editorial examines the similarities and differences between two major federal agency reports, the \"Make America Healthy Again\" report and the \"Healthy People 2030\" report. The former report was issued in 2025 under the current administration, and the latter was largely developed during the prior administration. I compared the reports with the intention of highlighting the health promotion strategies and objectives where there is strong agreement between the reports.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"651-653"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147571808","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":"Food Politics in an Era of Misinformation.","authors":"Marion Nestle","doi":"10.1177/08901171261447115","DOIUrl":"10.1177/08901171261447115","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"762-764"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148013062","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":"Rec-Connect™: A Physical Activity Demonstration Playbook: Qualitative Insights on Multi-Level Behavior Change Impacts and Connections.","authors":"Bree Bode, Lauryn Lin, Molly Stothard, Cailyn A Van Camp, Jocelyn Hayward, Marci Scott","doi":"10.1177/08901171251399543","DOIUrl":"10.1177/08901171251399543","url":null,"abstract":"<p><p>PurposeDescribe perceived impact of a 6-week community-based physical activity (PA) intervention on adult participants' PA knowledge and behaviors.DesignQualitative Case Study.SettingUnder-resourced Michigan communities.ParticipantsAdults (n = 26) aged 18-85 years represented urban (n = 11), suburban (n = 7), and rural (n = 6) environments, and diverse identities by race (n = 3 did not respond) White (46%, n = 11), African American (38%, n = 9), American Indian/Native American (4%, n = 1) and by intellectual or developmental disability (n = 7).InterventionRec-Connect™: A Physical Activity Demonstration Playbook.MethodSemi-structured focus groups (n = 3, n = 26 participants). Surveys measured knowledge and behavioral outcomes.Data CollectionFocus groups were conducted in person (n = 2) or over telephone (n = 1). Surveys were disseminated pre-post completion of at least 6 lessons of the intervention series; pre-post participant surveys were matched with focus group participants (n = 12).AnalysisHybrid analysis was used to generate themes from transcripts. Descriptive statistics were summarized from surveys.ResultsAnalysts generated 3 primary themes which demonstrated Rec-Connect's impact on PA behavior changes: 1) leveraged connections promoted PA outside of class, 2) educators are key to attitudes on PA and time spent in PA, and 3) multi-level (ie, socio-emotional-physical) behavior change impacts were achieved.ConclusionThis community-based PA intervention had multi-level impacts on adult participants. The socio-emotional connections made during Rec-Connect between educators and peers positively influenced time in and attitudes towards PA.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"701-712"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145585707","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":"Food Fact-Checks and Trust Scores: Countering Mis-Influencers to Safeguard Nutrition, Public Health, and Our Planet.","authors":"Robert Lockie","doi":"10.1177/08901171261447135","DOIUrl":"10.1177/08901171261447135","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"772-774"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147866387","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":"Supporting U.S. Caregivers' Mental Health: Analysis of Trends and Correlates Pre-COVID and COVID-Onward From the Health Information National Trends Survey, 2018-2022.","authors":"Jingxin Yao, Xiayu S Chen, Sasha Zhou, Minakshi Raj","doi":"10.1177/08901171251403993","DOIUrl":"10.1177/08901171251403993","url":null,"abstract":"<p><p>PurposeTo compare correlates of mental distress among non-professional caregivers vs non-caregivers and evaluate trends in non-professional caregivers' mental distress pre-vs COVID-onward.DesignCross-sectional study.SettingWe used nationally representative data from multiple cycles of the Health Information National Trends Survey (HINTS) from 2018 to 2022.Subjects15 318 participants age 18 and older were included, comprising non-professional caregivers (<i>n</i> = 1387) and non-caregivers (<i>n</i> = 13 931). Professional caregivers and caregivers of child (ren) were excluded from this study.MeasuresThe outcome (mental distress) was categorized based on the Patient Health Questionnaire-4 (PHQ-4) score. Caregivers were identified as those indicating that they provide care or make health care decisions for someone in a non-professional way.AnalysisWe analyzed the association between caregiving status and mental distress pre-COVID and COVID-onward and examined correlates of caregivers' mental distress pre-COVID and COVID-onward through logistic regression models.ResultsCaregivers reported a higher mean PHQ-4 score than non-caregivers overall (<i>|t</i>| = 4.81, <i>P</i> < .001). Caregiving status was significantly associated with mental distress pre-COVID (OR = 1.47; 95% CI = 1.13-1.92; <i>P</i> < .01) and COVID-onward (OR = 1.51; 95% CI = 1.01-2.26; <i>P</i> < .05). Being in fair or poor health status was associated with a higher likelihood of mental distress pre-COVID (OR = 2.58, 95% CI = 1.31-5.09, <i>P</i> < .01), while having a college education or higher was associated with a lower likelihood of mental distress COVID-onward (OR = 0.46, 95% CI = 0.21-0.99, <i>P</i> < .05).ConclusionCaregiving continues to present significant risks for mental distress. The COVID-19 pandemic may continue to present risks to caregivers' mental well-being, requiring policies and programs to improve caregiver mental health.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"673-685"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145585752","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":"What Diet Trials Can and Can't Tell Us - Mitigating Misinformation in Nutrition Science.","authors":"Christopher D Gardner","doi":"10.1177/08901171261447136","DOIUrl":"10.1177/08901171261447136","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"775-778"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809571","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 Cross-Sectional Study of Acceptability and Influence of HEALing Communities Study Communications Campaign Messaging Among Community Members in Four U.S. States.","authors":"Jamie Luster, Jennifer Reynolds, Rouba Chahine, Nicky Lewis, Michael D Stein, R Craig Lefebvre, Lauren D'Costa, Kat Asman, Kara Stephens, Nishita Dsouza, Michael D Slater","doi":"10.1177/08901171251398985","DOIUrl":"10.1177/08901171251398985","url":null,"abstract":"<p><p>PurposeUnderstanding reactions to health communication campaigns is essential to designing effective messaging. Multi-year campaigns through The Helping to End Addiction Long-term^® Initiative (HEALing) Communities Study (HCS) were implemented from April 2020 - June 2022. Responses to HCS campaign messages and statewide campaign messages were evaluated.DesignCross-sectional, self-reported surveys of different respondents at 3 timepoints.SettingN = 33 communities across Kentucky, Ohio, Massachusetts, and New York.SubjectsN = 2368 respondents recruited from Facebook/Instagram.MeasuresMessage acceptability survey items assessed attention, understandability, and visuals/text match. Message influence items assessed whether the message made the respondent want to carry naloxone, learn more about medications for opioid use disorder (MOUD), or seek help for OUD. Items were scaled from 1 (strongly disagree) to 5 (strongly agree).AnalysisAll outcomes were analyzed using linear mixed models adjusted for community as a random effect.ResultsAmong naloxone campaigns, HCS message acceptability was higher than statewide messages (3.98, 95% CI = 3.94-4.02 vs 3.93, 95% CI = 3.89-3.97, <i>P</i> = 0.002). HCS message influence was also higher than those of statewide messages (3.44, 95% CI = 3.38-3.50 vs 3.40, 95% CI = 3.34-3.46, <i>P</i> = 0.034). Among HCS campaigns, naloxone messaging had the highest acceptability (3.96, 95% CI = 3.92-4.00), followed by MOUD stigma (3.73, 95% CI = 3.70-3.77) and MOUD awareness (3.71, 95% CI = 3.68-3.75, <i>P</i> < 0.001). The HCS naloxone campaign was also highest rated in terms of influence (3.47, 95% CI = 3.43-3.51, <i>P</i> < 0.001).ConclusionThis analysis provides insight into acceptability and potential influence of locally-tailored, opioid-related health campaign messaging.This work was performed under the HEALing Communities Study, ClinicalTrials.gov Identifier: NCT04111939, https://clinicaltrials.gov/study/NCT04111939.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"654-662"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12834332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145522596","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}