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American Journal of Health Behavior

Ruopeng An, Chenghua Guan, Mengmeng Ji, Sharon Donovan
Objective In this study, we assessed the impact of state laws governing competitive foods/beverages sold in schools on childhood overweight/obesity among children aged 10-17 years with and without special healthcare needs (SHCN). Methods Individual-level data from 2007-2008, 2011-2012, and 2016 National Survey of Children's Health (N = 108,009) were merged to data on state codified laws regulating competitive foods/beverages sold in schools based on children's residential state and survey year. State random-effect logistic regressions were performed to estimate the odds of childhood overweight/obesity in relation to the presence and strength of competitive food/beverage laws, adjusting for child/family characteristics and state soda sales tax...
November 1, 2018: American Journal of Health Behavior
Lesli Biediger Friedman, Monica Silva, Kenneth Smith
Objective In this study, we sought to determine technology acceptance of a mobile application (app) to facilitate healthy behaviors as perceived by English- and Spanish-speaking participants of the Supplemental Nutrition Program for Women, Infants, and Children (WIC). Methods Our sample was 48 mothers (78% Hispanic-American) at WIC clinics in south-central Texas. Through 6 focus groups, we explored user intention of a wireframe app prototype. Discussion probes were based on the construct of behavioral intention...
November 1, 2018: American Journal of Health Behavior
Ashley L Comiford, Dorothy A Rhoades, Paul Spicer, Kai Ding, Justin D Dvorak, Leslie Driskill, Theodore L Wagener, Mark P Doescher
Objective We assessed associations between electronic cigarette (e-cigarette) use and smoking-related measures among American Indians (AIs) who smoke. MethodsWe collected baseline survey and smoking biomarker data in a cohort of 375 adult AI smokers at a Cherokee Nation healthcare facility in Oklahoma. We used multivariate logistic and linear regression analyses to determine associations between e-cigarette use and smoking-related characteristics, including biomarkers. ResultsCurrent e-cigarette users were more likely than never users to report a quit attempt in the past 12 months (current vs never adjusted odds ratio (AOR) = 2...
November 1, 2018: American Journal of Health Behavior
Anushree Sharma, Maansi Bansal-Travers, Paula Celestino, Jeffrey Fine, Mary E Reid, Andrew Hyland, Richard O'Connor
Objective We assessed whether in-depth messaging delivered via a smoking cessation quitline results in participants: (1) speaking to their physician, or (2) insurance company regarding lung cancer screening (LCS). MethodsEligible participants lived in New York State and met the United States Preventive Services Task Force eligibility criteria for LCS (N = 1000). A randomized trial was conducted among New York State Smokers' Quitline participants to assess the impact of a brochure containing information on risks, benefits, and costs associated with LCS (control group) versus the brochure supplemented with phone-based in-depth messaging (treatment group)...
November 1, 2018: American Journal of Health Behavior
Sirpa Soini, Pertti Mustajoki, Johan G Eriksson, Jari Lahti
Objective The influence of personality traits on successful weight loss has been studied previously with conflicting findings. Much less is known about the influence of personality traits on weight maintenance after weight loss. The aims of this study were to assess how personality traits were associated with motivational factors, dietary habits, self-weighing frequency, need for support, and difficulties encountered during the weight loss process in formerly successful weight maintainers. MethodsThis study was based upon findings from the Finnish Weight Control Registry, including 158 (100 women and 58 men, age 18-60 years) formerly obese participants with ≥10% weight loss and who maintained it ≥ 2 years...
November 1, 2018: American Journal of Health Behavior
Yu Hongjun, Cao Chunmei, Ruopeng An
ObjectiveWhereas data collection on subjective anthropometric measures is inexpensive and sometimes may be the only feasible option for large-scale population-based surveys, self-reported height and weight can be susceptible to measurement error and social desirability bias. In this study, we aimed to assess the level of discrepancy between self-reported and device-measured height, weight, and obesity indicators, and to construct regression models to predict corrected anthropometric measures using self-reported data...
November 1, 2018: American Journal of Health Behavior
Jane C Hurley, Meg Bruening, Punam Ohri-Vachaspati, Marc A Adams
Objective Fruit and vegetable (FV) intake remains inadequate in youth and differs across demographic subgroups. We examined relationships between student demographic characteristics and amounts of fresh FV selected, consumed, and wasted at school lunch. MethodsRandomly selected students (N = 294) at 3 middle schools participated. Weights (g) of FV selected and wasted were measured. School-cluster adjusted regressions examined the association between student demographics and dependent variables. Two-way interactions were explored...
November 1, 2018: American Journal of Health Behavior
Rebecca J Perry, Katherine Treiman, Stephanie M Teixeira-Poit, Julia Kish-Doto, Thomas J Hoerger, Miriam Tardif-Douglin
ObjectiveWe examined Medicaid enrollees' experiences and satisfaction with financial incentives-based chronic disease prevention programs in 10 states. MethodsThis cross-site study of the Medicaid Incentives for Prevention of Chronic Diseases model used a mixed-methods approach to assess Medicaid enrollees' experiences and satisfaction with the incentive programs. We conducted 31 in-person focus groups with 212 program participants, followed by a mail survey in English and Spanish (N = 2274). We used both the qualitative focus group data and the quantitative survey data to examine participant satisfaction with the incentives, along with differences by program and incentive characteristics...
November 1, 2018: American Journal of Health Behavior
Ziggi Ivan Santini, Line Nielsen, Carsten Hinrichsen, Charlotte Meilstrup, Ai Koyanagi, Josep Maria Haro, Robert J Donovan, Vibeke Koushede
Objective Act-Belong-Commit is the world's first population-wide, community-based mental health promotion campaign. We assessed the associations between baseline indicators of Act-Belong-Commit behavioral domains and wellbeing at 2-year follow-up in a population-based sample of Irish older adults. MethodsData from 2 waves of the Irish Longitudinal Study on Ageing were analyzed. The sample consisted of 6098 adults. Outcomes were quality of life (QoL), life satisfaction (LS) and self-rated mental health (SRMH)...
November 1, 2018: American Journal of Health Behavior
Wenxin Wang, Hao Zhang, David J Washburn, Hongmei Shi, Yinghua Chen, Shinduk Lee, Yuxian Du, Jay E Maddock
Objective We investigated the level of physician trust in China and how it is influenced by various demographic factors. MethodsWe surveyed 12 public hospitals from which inpatients were randomly selected using hospitalization ID and outpatients were selected using census sampling to participate in the interview. Trust in physicians was measured using the Chinese version of Wake Forest Physician Trust Scale. Mixed-effects and logistic models were employed to study correlates of trust. ResultsThe distribution of scale mean was left skewed, which implied a subpopulation bearing low levels of trust towards physicians...
November 1, 2018: American Journal of Health Behavior
Niko S Wasenius, Merja K Laine, Sara Savola, Mika Simonen, Katriina Tiira, Hannes Lohi, Johan G Eriksson, Minna K Salonen
Objective We investigated the association between dog ownership during the life course and leisure-time PA (LTPA) in late adulthood. Methods We included 714 participants (mean age = 70.8 ± 2.6 years) from the Helsinki Birth Cohort Study (HBCS). Dog ownership for every decade of life, current dog ownership, and current LTPA in metabolic equivalents of task (MET) were assessed with questionnaires. Age and sex adjusted generalized estimating equation models and analysis of regression were applied for the analyses...
November 1, 2018: American Journal of Health Behavior
Benjamin H Greiner, Julie Croff, Denna Wheeler, Bridget Miller
Objective We analyzed the constructs of social cognitive theory that explain adherence to the Mediterranean diet in patients diagnosed with cardiovascular disease. Methods A cross-sectional study of 337 cardiac patients using a validated questionnaire was conducted and analyzed at an outpatient cardiology clinic, employing social cognitive theory (SCT) as the theoretical framework. Results Dietary adherence was associated with statistically significant improvements in the SCT constructs. Self-regulation to consume healthy diet groups, negative perceived outcomes, and self-efficacy had the most influence on patient ability to maintain the Mediterranean diet...
November 1, 2018: American Journal of Health Behavior
Betelihem Getachew, Jackelyn B Payne, Milkie Vu, Drishti Pillai, Jill Shah, Hagai Levine, Carla J Berg
Objectives With increased alternative tobacco product (ATP) use and lagging public health action, we explored perceptions of ATPs, anti-tobacco messaging, and tobacco regulation among young adults. Methods Semi-structured interviews were conducted with 60 Georgia college students aged 18-25 using: (1) cigarettes, little cigars/cigarillos (LCCs), smokeless tobacco, or e-cigarettes ≥15 days of the past 30; or (2) hookah ≥10 of the past 30 days (due to lower frequency of use). Of 99 participants recruited, 80 consented, and 60 participated...
July 1, 2018: American Journal of Health Behavior
Jie Lin, Kangmin Zhu, Aida M Soliván-Ortiz, Stacy L Larsen, Thomas R Schneid, Craig D Shriver, Sukhyung Lee
ObjectivesThe prevalence of smokeless tobacco use in the US military is alarmingly high. We aimed to identify factors related to smokeless tobacco use among active duty service members. Methods Participants (N = 2465) from Fort Bragg Army Base, North Carolina and Lackland Air Force Base, Texas completed a self-administered questionnaire. We performed stepwise logistic regression analysis to identify factors statistically associated with smokeless tobacco use. Results The prevalence of use was higher at the Army base than the Air Force base (32...
July 1, 2018: American Journal of Health Behavior
Amanda L Huffman, Julie E Bromberg, Erik M Augustson
Objectives In this study, we attempt to elucidate the relationship between lifetime mental illness (LMI), particularly a depression diagnosis, and smoking cessation. Methods Data were drawn from a previous study and include LMI, demographics, mood, and smoking cessation outcomes. We evaluated the relationship between multiple LMIs and smoking cessation at 7 months post-intervention, and depression in combination with another LMI. Results At 7 months, the adjusted odds of cessation for those with one LMI, including depression, were 0...
July 1, 2018: American Journal of Health Behavior
Yang Yu, Saul Shiffman, Jeffrey M Rohay, Qianheng Ma, Susan M Sereika, Ran Sun, Lora E Burke
Objectives We assessed the psychometric properties of the Relapse Situation Efficacy Questionnaire - Weight (RSEQ-W) including internal consistency reliability, criterion-related validity (concurrent and predictive validity) and construct validity (convergent validity and factor analysis). Methods We administered the RSEQ-W at baseline, and at 6 and 12 months in a 12-month prospective behavioral weight loss study. Spearman correlations were used to examine the convergent and concurrent validity; multivariate linear regression was used to assess the predictive validity; exploratory factor analysis was conducted using principal component analysis...
July 1, 2018: American Journal of Health Behavior
Melissa A Lewis, Jennifer M Cadigan, Jessica M Cronce, Jason R Kilmer, Brian Suffoletto, Theresa Walter, Christine M Lee
Objectives The aim of this study is to evaluate how community college students with hazardous drinking perceived the usefulness of alcohol protective behavioral strategy text messages (TM-PBS). Methods Community college students with past hazardous single occasion or weekly drinking (N = 48; 60% female) were randomized to receive 2 TM-PBS on 3 typical drinking days per week for 2 weeks selected by: (1) research investigators (ie, based on clinical and theoretical application); (2) participants (ie, messages highly rated at baseline by the participants); or (3) a random process...
July 1, 2018: American Journal of Health Behavior
Layton Reesor, Steven Canales, Yanely Alonso, Nipa P Kamdar, Daphne C Hernandez
Objectives In this study, we examined how self-reported health is related to low-income, Hispanic women's underestimation and concerns of weight status. Methods Seventy Hispanic women from Houston-area community centers reported their perceptions and concerns about their weight and health. Height and weight were measured to calculate body mass index. Cross-tabulations and Cohen's kappa determined agreement between women's perception of their weight status and measured weight status. Covariate-adjusted OLS regression models analyzed the association between women's self-reported health as a predictor of weight underestimation and concerns about becoming overweight...
July 1, 2018: American Journal of Health Behavior
Roberta E Emetu, Gabriela Rivera
Objectives A plethora of research exists concerning determinants prior or during the sexual identity disclosure process; yet, information is limited concerning internal and external experiences after one discloses his or her sexual identity to their social support system. Through the lenses of the Social Ecological Model, the purpose of this study was to further understand the current lived experiences of persons in post-sexual identity disclosure. Methods Semi-structured interviews were conducted among 15 lesbian, gay, and bisexual young adults...
July 1, 2018: American Journal of Health Behavior
Junhyoung Kim, May Kim, Areum Han
Objectives The purpose of this study was to examine which types of leisure activities are associated with social support, health perception, and life satisfaction among Korean individuals who have physical disabilities. Methods Using a purposive sampling strategy, a total of 238 individuals who have physical disabilities participated in this study. Results This study showed that participation in cultural activities and volunteer activities predicted life satisfaction. Engagement in cultural and social activities was positively associated with social support from family and friends...
July 1, 2018: American Journal of Health Behavior
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