American Journal of Health Promotion最新文献

{"title":"Perceived Harm of Using Electronic Cigarettes Moderates Grade Level and Past Month Use in a National Sample of Youth in the United States.","authors":"Jason J Burrow-Sánchez, Allison Cohen","doi":"10.1177/08901171251349322","DOIUrl":"https://doi.org/10.1177/08901171251349322","url":null,"abstract":"<p><p>PurposeTo examine if perceived harm moderates the relation between grade level and past 30-day use of electronic cigarettes for a nationally representative sample of youth in the United States.DesignSecondary data analysis of the 2022 National Youth Tobacco Survey (NYTS); a cross-sectional survey.SettingYouth in the United States.ParticipantsA nationally representative sample of the students in private and public schools, grades 6^th-12^th, collected via online questionnaire that included 341 schools and 28 291 participants.MeasuresDemographic variables and covariates (ie, sexual identity, sex, race/ethnicity), independent variables (ie, grade level 6-12, perceived harm of using electronic cigarettes) and dependent variable (ie, past 30-day use of electronic cigarettes).ResultsA binary logistic regression, including interaction F(6, 131) = 1.87, <i>P</i> = 0.000, indicated that perceived harm moderated the relation between grade level and electronic cigarette use in the past 30 days. As grade level increased so did the probability of using electronic cigarettes; however, the tested model extended these findings by including perceived harm as a moderator. Thus, the model allowed testing differences <i>within</i> and <i>between</i> grade levels. The highest probability of electronic cigarette use was for youth in 12^th grade with low perceived harm whereas the lowest use was in 6^th grade, regardless of perceived harm level.ConclusionWe believe our findings present novel ways to approach adolescent electronic cigarette health promotion, prevention, and education with the goal of influencing perceptions of harm for electronic cigarette use, especially with youth at lower grade levels.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251349322"},"PeriodicalIF":2.5,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144232936","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":"Should my Chatbot Health Coach be Certified and Regulated?","authors":"Paul E Terry","doi":"10.1177/08901171251329650","DOIUrl":"10.1177/08901171251329650","url":null,"abstract":"<p><p>Artificial intelligence shows both perils and promises as a way to address the difficulties in accessing professional support such as health coaching and health counseling. Chatbots are being used by millions of users to address their loneliness, to provide emotional support and to provide coaching and motivation. This editorial reviews the ethics and controversies attendant to the use of AI in mental health. ChatGPT is put to the test by this author, a trained health coach, who came away impressed with a Bot's capacity for connecting psychological theories to the practice of health coaching. Still, many unanswered questions need the attention of health promotion professionals to help distinguish between the benefits compared to the risks of employing AI in health coaching and mental health counseling.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"724-727"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143668635","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":"Baseline Participant Characteristics are Associated With Engagement in a Movement-Based RCT for Chronic Low-Back Pain.","authors":"Camille L Garnsey, Katherine E Gnall, Mariel Emrich, Crystal L Park, Angela R Starkweather, Wanli Xu, Erik J Groessl, Tania B Huedo-Medina","doi":"10.1177/08901171251315014","DOIUrl":"10.1177/08901171251315014","url":null,"abstract":"<p><p>PurposeExamine whether baseline participant characteristics predict engagement in a movement-based RCT for chronic low back pain (CLBP).DesignLongitudinal study within an RCT.SettingOnline.Subjects138 individuals with CLBP (18-79 years).InterventionParticipants were randomized to a 12-week intervention of twice-weekly synchronous online yoga OR stretching/strengthening classes, and received 20-min pre-recorded home videos to complete daily.MeasuresBaseline questionnaires assessed sociodemographic, psychosocial, and pain factors (100% response rate). Engagement was operationalized as minutes of class attended + minutes of home videos completed.ResultsBivariate correlations were computed between baseline variables and engagement. Three multivariate negative binomial generalized linear models (GLMs) were constructed to simultaneously examine predictors of engagement in the domains of sociodemographic, psychosocial, and pain-related factors. Greater engagement was significantly associated with greater baseline age, educational attainment, energy, and emotional well-being, and less emotion regulation difficulties, cannabis use problems, and pain interference (|rs| = .19-.33). In the domain specific GLMs, education (B = .491, <i>P</i> = .017) and cannabis use problems (B = -.048, <i>P</i> = .027) were the only significant predictors in the sociodemographic and psychosocial models, respectively. Neither pain interference nor pain severity were significant in the pain model.ConclusionFactors identified can inform strategies to increase engagement in movement-based CLBP interventions, potentially improving research validity and outcomes. Limitations include lack of racial diversity and not testing how engagement fluctuates throughout the intervention.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"744-755"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998532","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 Association Between Father Support and Daughter Physical Activity: Insights From a Study Involving U.S. Latina Pre-Teens.","authors":"Taynara Formagini, Alma I Behar, Jennifer Schneider, Marisa Torres, Victoria M Telles, Scott Roesch, Guadalupe X Ayala, Tom Baranowski, Becky Marquez, Elva M Arredondo","doi":"10.1177/08901171251315022","DOIUrl":"10.1177/08901171251315022","url":null,"abstract":"<p><p>PurposeSocial support, particularly from family, is crucial for physical activity (PA) among youth. This study examined the association between father support and moderate-to-vigorous physical activity (MVPA) in Latina pre-teens and explored the moderating role of body mass index (BMI).DesignCross-sectional analysis.SettingBaseline data from a pilot randomized controlled trial in San Diego County. SubjectsSixty Latina pre-teen girls aged 8-11 years.MeasuresGirls' MVPA was measured via accelerometry. An exploratory factor analysis created a composite measure of father support, reported by mothers.AnalysisHierarchical linear regression models, adjusting for covariates, assessed the relationship between father support and MVPA. Interaction models tested the moderating effect of BMI z-score (zBMI).ResultsFather support was significantly associated with MVPA (b-range = 0.07 to 0.08, 95%CI = 0.02, 0.13) after adjusting for age, income, acculturation, and maternal support. However, this association became non-significant with the inclusion of zBMI (b = 0.06, 95%CI: -0.01, 0.11). The interaction model showed a significant positive association between father support and MVPA among girls with a healthy weight (b = 0.27, 95%CI: 0.27, 2.68) but not among those with overweight/obesity (b = 0.95, 95%CI: -0.38, 2.28).ConclusionOur findings indicate a potential association between father support and daughters' MVPA among girls with a healthy weight. Further research is needed to understand why this association is not observed in girls with overweight/obesity.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"756-765"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12059238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998507","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":"Access to GLP-1s: Where Do Employers Fit in?","authors":"Mary T Imboden","doi":"10.1177/08901171251335507a","DOIUrl":"https://doi.org/10.1177/08901171251335507a","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":"39 5","pages":"828-831"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962908","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":"Knowing Well, Being Well: well-being born of understanding: Access to GLP-1s: Where Do Employers Fit in?","authors":"Mary T Imboden","doi":"10.1177/08901171251335507","DOIUrl":"https://doi.org/10.1177/08901171251335507","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":"39 5","pages":"828-843"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959885","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":"Corrigendum to Exploring COVID-19 Vaccine Hesitancy Among Stakeholders in African American and Latinx Communities in the Deep South Through the Lens of the Health Belief Model.","authors":"","doi":"10.1177/08901171251340785","DOIUrl":"https://doi.org/10.1177/08901171251340785","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":"39 5","pages":"844"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958160","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":"In Briefs.","authors":"","doi":"10.1177/08901171251341694","DOIUrl":"https://doi.org/10.1177/08901171251341694","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":"39 5","pages":"717-723"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953188","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":"Burnout Predictors Among Direct Clinical Services Health Care Professionals in Community Health Centers: A Cross-Sectional Study.","authors":"Zaher M Kmail, Kathleen Shannon Dorcy, Sharon S Laing","doi":"10.1177/08901171251348220","DOIUrl":"https://doi.org/10.1177/08901171251348220","url":null,"abstract":"<p><p>PurposeAssess burnout prevalence, identify the healthcare professionals experiencing burnout, and identify organizational predictors of burnout in community health centers (CHCs) nationwide.ApproachIn 2022 the Health Resources and Services Administration administered surveys to assess health center workforce well-being among the 1400+ community health centers that it oversees. Our team statistically evaluated the findings to isolate the factors likely to predict burnout among center healthcare professionals.SettingData completed by staff in 694 CHCs.ParticipantsRespondents were 52 568 healthcare professionals.MethodsChi-squared tests derived homogeneity in burnout among occupations; proportion tests evaluated differences in burnout indicators; and structural equation modeling with latent variables estimated direct and indirect effects of organizational burnout predictors and mediators.ResultsUp to 77% of direct clinical service professionals endorsed at least one symptom of burnout and reported higher burnout rates than management (<i>P</i> < .001). The most significant burnout predictors were engagement (-0.263***), work-life balance (0.281***), workload (0.174***) and professional growth (0.143***). For engagement, a perception of disconnection with the CHC predicted heightened burnout. Work-life balance, workload, and professional growth each had a positive effect on burnout, demonstrating that higher perceived work demands, greater work-life imbalance, and increased professional growth opportunities equated to higher burnout.ConclusionResults highlight the need to redesign healthcare delivery models to mitigate burnout, promote provider engagement and enhance workforce well-being.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"8901171251348220"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144197994","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":"Efficacy of a Community- and Family-Based Intervention on Cardiovascular Fitness and Cardiometabolic Disease Risk Factors Among Primarily Latino Families.","authors":"Noe C Crespo, Sonia Vega-López, Jacob Szeszulski, Michael Todd, Alma I Behar, Frank Ray, Leopoldo Hartmann, Anabell Lorenzo Quintero, Eric T Hyde","doi":"10.1177/08901171251316926","DOIUrl":"10.1177/08901171251316926","url":null,"abstract":"<p><p>BackgroundTargeting cardiovascular fitness (CVF), rather than weight loss, may be a more acceptable and feasible outcome among Latinos.PurposeThe purpose of this study was to test the short-term efficacy of <i>Athletes for Life</i> (AFL), a fitness- and lifestyle-focused behavioral intervention to improve CVF and performance among Latino families.MethodsLatino parent-child dyads (n = 137) were randomized to either AFL program or a waitlist control condition. AFL consisted of 24 group family-based, nutrition and sport/fitness oriented 90-minute sessions (twice-weekly). Measures included 1-mile run/walk time, three-minute step test, accelerometer-measured physical activity, body mass index (BMI), waist circumference, DEXA-measured % body fat, cardiometabolic risk biomarkers, and sociodemographic characteristics. Group differences at post-intervention were tested using ANCOVA analyses adjusting for outcome values at baseline and demographic variables.ResultsParents were primarily female (93%), aged 38.3 ± 6.9 years, and 96% Latino and children were 8.8 ± 1.7 years old and 58% female. Intervention participants showed significantly faster adjusted post-intervention 1-mile run/walk times compared to control group participants (difference of -76.6 seconds <i>P</i> < 0.01 and -44 seconds <i>P</i> = 0.04, respectively). Parents also showed a significantly higher adjusted relative VO₂ max (ml/kg/min) compared to control group parents (43.91, SE = 0.41 vs 42.93, SE = 0.44, respectively, <i>P</i> < 0.01). There were no significant post-intervention group differences on physical activity, BMI, waist circumference, % body fat or cardiometabolic biomarkers <i>P</i> > 0.05.ConclusionsThe AFL program successfully improved aerobic performance among underserved Latino families with no observable changes in adiposity. These results support that fitness may be a more viable and acceptable outcome among Latino families than weight loss.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"786-795"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057727","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}