American Journal of Health Promotion最新文献

{"title":"Overcoming Challenges to Adopting Smoke-Free Multi-Unit Housing Policies in a Large U.S. Metropolitan Area: Insights and Recommendations From Affected Groups in 20 Los Angeles County Cities.","authors":"Lia W Marshall, Gladis Chavez-Sosa, Tonya Gorham Gallow, Claude Jovelle, Lori Fischbach, Andy Dang, Dana Guglielmo, Aimee Holmes, Tony Kuo","doi":"10.1177/08901171241293367","DOIUrl":"10.1177/08901171241293367","url":null,"abstract":"<p><strong>Purpose: </strong>Community members and non-academic partners (\"affected groups\") were asked to identify factors that can influence public support, impede adoption, and mitigate challenges related to adopting local smoke-free multi-unit housing policies.</p><p><strong>Approach: </strong>A series of key informant interviews were conducted with affected groups from a large U.S. metropolitan area.</p><p><strong>Setting: </strong>20 cities in Los Angeles County without a smoke-free multi-unit housing ordinance.</p><p><strong>Participants: </strong>Interviewees were recruited from affected groups with knowledge about their community's civic and political landscape (n = 63).</p><p><strong>Method: </strong>Data were collected and analyzed using thematic analysis to identify, code and compare themes.</p><p><strong>Results: </strong>Most interviewees indicated civic groups, those who do not smoke, and/or groups who are educated about the negative health effects of secondhand smoke exposure would be more likely to support smoke-free multi-unit housing policies. Interviewees reported several challenges to policy adoption, including competing city priorities, public disengagement, and the cost and social burden of enforcing these ordinances. To overcome them, interviewees recommended working synergistically with local governments to build diverse coalitions, educate the public, and develop clear enforcement plans.</p><p><strong>Conclusion: </strong>Insights and recommendations from affected groups in 20 U.S. cities suggest that communicating with the public and priming impacted communities to support smoke-free multi-unit housing policies are promising interventions for protecting at-risk families from secondhand smoke exposure in their homes.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"479-492"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142520709","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 University Students: The Mediator Role of Emotion Regulation Between Academic Stressors and Health Behaviors.","authors":"Mónica Cassaretto, Patty Vilela, Miguel Dávila, Arturo Calderón","doi":"10.1177/08901171241301969","DOIUrl":"10.1177/08901171241301969","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the role of Health Behaviors and Cognitive Emotion Regulation Strategies in the relationship between Health and Academic Stress.</p><p><strong>Design: </strong>A cross-sectional study with in-person administration of questionnaires.</p><p><strong>Setting: </strong>Data collection took place at nine public and private universities in Peru, involving a diverse group of students from different faculties.</p><p><strong>Sample: </strong>1640 students, a majority of them female (61.8%), ranging in age between 18 and 30 years old (<i>M</i> = 20.72; <i>SD</i> = 2.22).</p><p><strong>Measures: </strong>A sociodemographic form was used to collect participants' sociodemographic, academic, and health data. Academic stress was measured by the <i>Inventory of Academic Stress (SISCO)</i>. Health habits were assessed using the <i>University Students Lifestyle Questionnaire (CEVJU-Perú)</i>. The <i>Cognitive Emotion Regulation Questionnaire</i> (CER-Q) and the <i>SF-36 Questionnaire</i> were also used to evaluate cognitive emotion regulation strategies and health-related quality of life, respectively.</p><p><strong>Results: </strong>The SEM model results (<i>x</i>^<i>2</i><i>/df</i> = 2.30, <i>CFI</i> = .95, <i>RMSEA</i> = .03, <i>SRMR</i> = .04) reveal that Academic Stress has direct and indirect effects on Health. Negative Emotional Regulation have a negative impact on Health, this effect is direct; while Positive Emotional Regulation has an effect on Health, this effect is direct and indirect, the latter is through Sleep Management, Physical Activity and Leisure Management. In addition, Academic Stress maintains a direct effect on only one health behavior, Sleep Management.</p><p><strong>Conclusions: </strong>This study's findings contribute to a better understanding of the role played by emotion regulation, and by positive strategies in particular, in student health.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"461-468"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680571","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":"Traditional and Online Health Information Seeking Among Individuals With Limited English Proficiency in the United States: Cross-Sectional Study.","authors":"Christine Swoboda, Athena Stamos, Naleef Fareed","doi":"10.1177/08901171241302011","DOIUrl":"10.1177/08901171241302011","url":null,"abstract":"<p><strong>Purpose: </strong>We investigate how individuals with Limited English Proficiency (LEP) seek, access, and evaluate traditional and online sources they rely on for health information.</p><p><strong>Design: </strong>Retrospective cross-sectional survey analysis from the United States.</p><p><strong>Setting: </strong>Pooled Health Information National Trends Survey surveys (2013-2019).</p><p><strong>Subjects: </strong>The sample was comprised 15,316 respondents; 236/15,316 (1.54%) completed the survey in Spanish and 1727/14,734 (11.72%) had LEP (did not speak English \"very well\"). The sample was nationally representative across demographic categories.</p><p><strong>Measures: </strong>Independent and dependent variables were self-reported using validated measures.</p><p><strong>Analysis: </strong>Multivariable logistic regression models using jackknife replicate weights for population estimates.</p><p><strong>Results: </strong>Adults with LEP were less confident in their capacity to access health information (aOR = 0.59, CI: 0.47-0.75) and had less trust in health information from medical professionals (aOR = 0.57,CI: 0.46-0.72) than English proficient (EP) adults. Although LEP and EP adults were both most likely to use the internet as their first source of information, LEP adults were more likely than EP adults to consult health professionals, print sources like books, news or brochures, family and friends, television and radio. Spanish language survey respondents were more likely to trust health information from government agencies (aOR = 1.99, CI: 1.09-3.62) and watch health-related videos on the internet than respondents who took the survey in English (aOR = 2.51, CI: 1.23-5.12).</p><p><strong>Conclusion: </strong>Our results show how language barriers may contribute to health disparities experienced by linguistic minorities. Government agencies and health care organizations need to promote health information dissemination in underserved communities and may need to embrace the use of alternative information sources such as television, radio, and the internet to reach LEP populations.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"469-478"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680585","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-Prong Formative Evaluation of a Pediatric Clinical-Community Food Access and Nutrition Education Intervention.","authors":"Nick Hamdi, Kate Balestracci, Alison Tovar, Celeste Corcoran, Delma-Jean Watts, Fatima Tobar, Margaret Samson, Sarah Amin","doi":"10.1177/08901171241301886","DOIUrl":"10.1177/08901171241301886","url":null,"abstract":"<p><strong>Purpose: </strong>To understand pediatricians', community partners', and food insecure parent/caregivers' perspectives on addressing food access and nutrition education in clinical settings, and to conduct a formative evaluation of a clinical-community food access and nutrition education intervention.</p><p><strong>Design: </strong>A mixed-methods evaluation.</p><p><strong>Setting: </strong>Data was collected from pediatricians and parents/caregivers recruited from one urban pediatric primary care clinic, and from community partners involved in food access.</p><p><strong>Participants: </strong>Pediatricians (n = 14), parents at risk of food insecurity (n = 7), and community partner staff (n = 8) participated in qualitative interviews.</p><p><strong>Method: </strong>A cross-sectional survey among pediatricians assessing demographics, nutrition training, and knowledge of food access programs was administered. Semi-structured virtual interviews were conducted to understand experiences with food insecurity and food access programs, and to identify content and delivery preferences for a clinical-community intervention. Descriptive statistics were used to characterize the pediatrician and parent demographics and pediatrician nutrition knowledge. A hybrid deductive-inductive thematic analysis was used to identify emerging themes from qualitative interviews.</p><p><strong>Results: </strong>Few pediatricians (n = 3, 11%) reported receiving previous nutrition training, and knowledge-based food access program questions revealed significant gaps in pediatricians' understanding of program eligibility. Thematic analyses underscore challenges in addressing food insecurity in the clinical setting, gaps in clinical-community partnerships, and barriers to participating in food access programs.</p><p><strong>Conclusion: </strong>Findings provide recommendations for the development of clinical-community food access and nutrition education interventions.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"503-513"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142674880","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":"Test Validity of a Single-Item Food Insecurity Screening Assessment Among College Students.","authors":"Jocelyn E Jarvis, Jacqueline Perez, David Himmelgreen, Amber D Dumford, Kyaien Conner, Marilyn Stern, Rita DeBate","doi":"10.1177/08901171241302001","DOIUrl":"10.1177/08901171241302001","url":null,"abstract":"<p><strong>Purpose: </strong>Given the high prevalence of food insecurity among college students, there is an interest in identifying whether the use of a single item can adequately screen for food insecurity. The current study aimed to determine the validity of a single-item food insecurity screening question among college students.</p><p><strong>Design: </strong>Cross-sectional study exploring food insecurity among racial and ethnic undergraduate college students.</p><p><strong>Setting: </strong>Large urban U.S. research university.</p><p><strong>Sample: </strong>Undergraduate students (n = 667) 18 years or older.</p><p><strong>Measures: </strong>Food Insecurity screening was assessed via a single-item from the USDA Household Food Security Short Form (USDA FSSM-SF). Food security was assessed via the USDA FSSM-SF, a validated six-item scale that assesses food insecurity and hunger.</p><p><strong>Analysis: </strong>Logistic regression assessed the validity of the single-item food insecurity question tested against the USDA FSSM-SF.</p><p><strong>Results: </strong>The full model was statistically significant, χ2(1) = 161.44, <i>P</i> < .001 explaining 54.5% of the variance in food insecurity status correctly classifying 95.7% of cases. Sensitivity of the model was found to be 97.6%; specificity was found to be 69.6%. Positive predictive value was calculated to be 97.74%; negative predictive value was computed to be 68.09%.</p><p><strong>Conclusion: </strong>Results support for the test validity of a single-item screening question that can be used to detect food insecurity among college students and inform secondary prevention programs aimed at food insecurity.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"514-519"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142674881","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 Cross-Sectional Association of Health Literacy With Healthy Lifestyle Behaviors in the Turkish Population: A Systematic Review and Meta-Analysis.","authors":"Gazi Ünlü, Selma Altındiş","doi":"10.1177/08901171241300190","DOIUrl":"10.1177/08901171241300190","url":null,"abstract":"<p><strong>Objective: </strong>To meta-analytically investigate the cross-sectional association between health literacy (HL) and healthy lifestyle behaviors (HLBs) in the Turkish population.</p><p><strong>Data source: </strong>Web of Science, PubMed, Scopus, EBSCO, DergiPark, TRDizin, and Türkiye Council of Higher Education Thesis Center.</p><p><strong>Exclusion criteria: </strong>Not accessible in Turkish or English in full text; not on the Turkish population; addressed e-HL, digital HL, mobile HL or corporate HL; addressed HL in a specific context; did not seek any association between HL and HLBs.</p><p><strong>Inclusion criteria: </strong>Cross-sectional studies that reported a correlation coefficient or any convertible equal statistical measure for the association between HL and HLBs.</p><p><strong>Data extraction: </strong>Two reviewers independently screened the articles, extracted the data from the included studies into a structured form and assessed their methodological quality.</p><p><strong>Data synthesis: </strong>We conducted meta-analyses and reported the characteristics, outcomes, and quality assessment of studies.</p><p><strong>Results: </strong>Of 3833 records accessed we included 52 that fulfilled the eligibility criteria. Our primary findings demonstrated positive low-to-moderate associations between HL and health-promoting behaviors (r = .32 [CI:.30-.35; I² = .00]), HL and physical activity (r = .23 [CI:.18-.27; I² = .12]), and HL and vaccination (r = .12 [CI:.07-.17; I² = .00]). In contrast, HL was not significantly associated with non-smoking (r = .02 [CI:-.02-.36; I² = .09]), healthy diet (r = .02 [CI:-.01-.06; I² = .00]), and screening (r = .07 [CI:.04-.11; I² = .07]). However, our sensitivity and meta-regression analysis results suggested that the association of HL with healthy diet seems to increase with age. On the other hand, we failed to find any convincing evidence of any of the included variables affecting the association between HL and all types of HLBs (r = .17, I² = 95.81%).</p><p><strong>Conclusion: </strong>HL has the potential to improve the HLBs of Turkish individuals, however, there is a need for better understanding of the possible underlying determinants of the association between them.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"520-536"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611991","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 Person-First Language on Obesity Stigma.","authors":"Rebecca K Hoffman, Stacy M Post, Tonya Dodge, Michelle L Stock","doi":"10.1177/08901171241284551","DOIUrl":"10.1177/08901171241284551","url":null,"abstract":"<p><strong>Purpose: </strong>To test the assumption that person-first language (PFL) reduces obesity stigma, mediated by perceived personal responsibility for obesity.</p><p><strong>Design: </strong>Cross-sectional, experimental.</p><p><strong>Setting: </strong>Online, United States.</p><p><strong>Participants: </strong>299 young adults.</p><p><strong>Measures: </strong>Participants read a vignette using PFL or identity-first language (IFL) or about someone without obesity. Participants reported perceived personal responsibility for obesity, and 3 operationalizations of obesity stigma: prejudice, stereotypes, and support for punitive policies. Mediation analyses were used to test if the manipulation affected obesity stigma, through perceived personal responsibility.</p><p><strong>Results: </strong>There was no indirect effect of PFL vs IFL on the 3 outcomes (95% CIs contained zero). However, the indirect effects of PFL vs no-obesity condition were significant (prejudice: <i>β</i> = -0.10, <i>SE</i> = 0.05, 95% CI [-0.22, -0.01]; stereotypes: (<i>β</i> = 0.07, <i>SE</i> = 0.03, 95% CI [0.01, 0.14]); punitive punishment: (<i>β</i> = -0.06, <i>SE</i> = 0.04, 95% CI [-0.15, -0.01]). Also, the indirect effects of IFL vs no-obesity condition on stereotypes (<i>β</i> = 0.07, <i>SE</i> = 0.04, 95% CI [0.0003, 0.15]) and punitive punishment (<i>β</i> = -0.06, <i>SE</i> = 0.04, 95% CI [-0.15, -0.0002]) were significant.</p><p><strong>Conclusion: </strong>PFL may not affect obesity stigma as it does in the context of other marginalized groups. The effect of PFL and IFL, compared to the no-obesity condition, suggests future routes for intervention.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"388-393"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387244","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 Physical Activity and Sedentary Behavior With Mental Distress According to Caregiver Status: Analysis of the Health Information National Trends Survey, 2022.","authors":"Babatope Ayokunle Ogunjesa, Otávio Amaral de Andrade Leão, Susan Aguiñaga, Andiara Schwingel, Minakshi Raj","doi":"10.1177/08901171241302019","DOIUrl":"10.1177/08901171241302019","url":null,"abstract":"<p><strong>Purpose: </strong>To (1) examine how physical activity and sedentary behavior are related to mental distress and (2) identify and compare how various levels of sedentary behaviors may differentially predict mental distress after accounting for physical activity, among caregivers vs non-caregivers.</p><p><strong>Design: </strong>Cross-sectional secondary data.</p><p><strong>Setting: </strong>National Cancer Institute's Health Information National Trends Survey Cycle 6 fielded online from March-November 2022.</p><p><strong>Participants: </strong>U.S. adults aged 18 and older.</p><p><strong>Measures: </strong>The Patient Health Questionnaire-4 was administered along with caregiving status, moderate weekly physical activity, sedentary behavior, and sociodemographic characteristics.</p><p><strong>Analysis: </strong>After applying population weights, we conducted multiple adjusted logistic regression models and estimated predictive margins to understand whether a specific dose of sedentary behavior (hours/day) is associated with risk of mental distress, at different levels of physical activity.</p><p><strong>Results: </strong>Caregivers (15.41% of sample) reporting 10-hour of daily sedentary behavior were significantly more likely to experience mental distress, than those reporting lower amounts of sedentary behavior (OR = 3.372, 95%CI = 1.968, 5.776, <i>P</i> < 0.001). Regardless of physical activity amount, 10 hours of sedentary behavior may be a risk factor for mental distress among non-caregivers. Just 6 hours of sedentary behavior may be related to mental distress among caregivers.</p><p><strong>Conclusion: </strong>Physical activity interventions tailored to caregivers' needs, responsibilities, and circumstances are required. Innovative methodologies are needed to understand caregivers' daily behaviors and the intensity of their caregiving activities.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"428-437"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142643688","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":"Results of an Organization-wide Physical Activity Promotion Intervention Within a Very Large Academic Health Care System.","authors":"Sean P Heffron, Krista O'Neill, Judy Zhong, Yuhe Xia, Margaret McCarthy","doi":"10.1177/08901171251324018","DOIUrl":"https://doi.org/10.1177/08901171251324018","url":null,"abstract":"<p><p>Although healthcare workers may be aware of the risks of physical inactivity, their levels of physical activity (PA) are similar to those of all US adults, with less than half engaging in sufficient PA. The purpose of this health promotion was to encourage daily PA among employees in a large academic healthcare system. We also tested whether individualized progress updates further influenced PA. This 10-week program was available to all employees of NYU Langone Health. Employees could sync their phone or accelerometer via app or web browser to count.it - the vendor chosen to monitor and manage step counts. Participants were asked to voluntarily provide basic information (age, sex, job role, work location) and complete the Physical Activity Vital Sign (minutes/week and intensity of PA) at enrollment and 10 weeks. For 10 weeks, participants were sent a message through their employee 'MyChart' portal with a link to information on the benefits of PA, and a reminder of that week's step-count challenge. Those meeting criteria for weekly challenges were included in gift card raffles. Participants were randomized 1:1 to receive the standard message ± additional emails detailing their progress. 3528 employees registered to participate (8% of all employees) although active users diminished over time (1225 at week 10). Average daily steps remained stable throughout (7319 + 4540 in week 1, 7229 + 5010 in week 10). Although there was no difference in any individual week, receipt of personalized feedback was associated with significantly higher average step counts throughout the 10-wk intervention as a whole (<i>P</i> = 0.01). Age and an urban work location were positively associated with steps, while female sex and a clerical job role were negatively associated with steps counts (all <i>P</i> < 0.005). Our findings provide important insight for workplace interventions to promote PA. They further suggest specific groups that may benefit from targeted efforts.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251324018"},"PeriodicalIF":2.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514331","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":"Exploring How Neighborhood Environment Perceptions Moderate the Health Benefits of Movement Behaviors Among Latinos in Los Angeles.","authors":"Lilian G Perez, Gabriela Castro, Rachana Seelam, Deborah A Cohen, Bing Han, Michael A Mata, Anne Larson, Kathryn P Derose","doi":"10.1177/08901171251316378","DOIUrl":"https://doi.org/10.1177/08901171251316378","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined how the potential health benefits of movement behaviors - physical activity (PA), sedentary time, and sleep - vary by neighborhood perceptions among Latinos.</p><p><strong>Design: </strong>Cross-sectional analysis of baseline data from churchgoing Latino adults participating in an ongoing randomized controlled trial to promote PA.</p><p><strong>Setting: </strong>East Los Angeles, California, and surrounding neighborhoods.</p><p><strong>Sample: </strong>Sample of 728 churchgoing Latinos (77% female, mean age 52 years).</p><p><strong>Measures: </strong>Movement behaviors included self-reported leisure-time PA and sleep duration, and accelerometer-based sedentary time. Survey assessed perceived neighborhood crime safety, traffic safety, aesthetics, and social cohesion. Outcomes included self-reported stress, depressive symptoms, diabetes, and hypertension; and objectively-measured body mass index.</p><p><strong>Analysis: </strong>Linear or logistic regression assessed associations of the movement behaviors with neighborhood measures, and their interactions, in relation to the health outcomes.</p><p><strong>Results: </strong>Sleep was associated with lower perceived stress [B(SE) = -0.41 (0.09), <i>P</i> < .0001] and major depression [OR, 95% CI = 0.54, 0.42-0.69]. Leisure-time MVPA was associated with lower obesity [OR, 95% CI = 0.60, 0.41-0.88] and sedentary time was associated with higher diabetes [OR, 95% CI = 1.03, 1.00-1.05]. Perceived neighborhood safety from crime, social cohesion, and aesthetics had significant interactions with movement behaviors (<i>P</i> < 0.05) in relation to four outcomes.</p><p><strong>Conclusion: </strong>Interaction models suggest interventions targeting neighborhood crime safety, aesthetics, and social cohesion may be key for maximizing the health benefits of movement behaviors among Latinos.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251316378"},"PeriodicalIF":2.5,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424665","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}