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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
Ofra Walter, Asnat Bobrov, Snait Tamir
Objectives To determine the influence of educational sports nutrition programs on adolescent athlete's nutritional habits and on the general and academic self-efficacy of nutrition students who facilitated the program. MethodsAn intervention framework and a convergent mixed-methods approach were used for this study. A questionnaire to examine knowledge of sports nutrition and an eating diary were used for tracking results at 3 points in time; beginning, end of the program and 3 months follow up. Nutrition students completed questionnaires examining their general and academic self-efficacy at 4 points during the study...
July 1, 2018: American Journal of Health Behavior
Janine Omran, Linda Trinh, Kelly P Arbour-Nicitopoulos, Marc S Mitchell, Guy E Faulkner
Objective In this study, we examine the effect of providing an incentive for engagement in self-regulatory behaviors (ie, action planning), in inactive, office-based university employees participating in an 11-week, Web-based walking intervention. Methods Participants were randomly assigned to either control (intervention only) or incentive (intervention plus incentive; CAD $5.00 e-gift card delivered weekly for completing action plans over 4 weeks) conditions. Cohen's d was used to estimate the effect of the incentive on action planning and a RM-ANOVA examined differences in average steps/day, between the 2 conditions, before, during, and after the 4-week incentive period...
July 1, 2018: American Journal of Health Behavior
Olusegun Owotomo, Julie Maslowsky
OBJECTIVES: We examined perceptions and behaviors associated with smoking susceptibility among adolescents in the current tobacco landscape. METHODS: Participants were 8th and 10th grade never-smokers of conventional cigarettes (N = 19,853) from Monitoring the Future surveys (2014-2016). Using weighted multivariable logistic regression, we examined risk factors for smoking susceptibility: alternative tobacco product use (e-cigarettes, large cigars, little cigars/cigarillos, and flavored little cigars/cigarillos), ownership of tobacco promotional items (TPIs), access to cigarettes, perceived influence of antismoking advertisements, and perceived addictiveness of conventional cigarette smoking...
May 1, 2018: American Journal of Health Behavior
Ann M Swartz, Chi C Cho, Whitney A Welch, Michael E Widlansky, Hotaka Maeda, Scott J Strath
OBJECTIVES: We examined the pattern of change in sedentary behavior (SB) resulting from a physical activity (PA) intervention in older adults, and the influence of sex on changes in SB. METHODS: One hundred twenty (N = 120) inactive older adults from 2 12-week step/day-target interventions were included in this pooled reanalysis. Participants were randomly assigned to an intervention (STEP) or control group (CON). A Hip-worn accelerometer (Actigraph) was used to assess SB and PA...
May 1, 2018: American Journal of Health Behavior
Valerie Carson, Kristi Adamo, Ryan E Rhodes
OBJECTIVE: We examined the associations of the presence, number, and the age of children living in the household with adult physical activity, sedentary behavior (sitting and screen time), and sleep behaviors in a large representative sample. METHODS: Participants were 8312 adults aged 20-65 from the 2011-2014 cycles of the National Health and Nutrition Examination Survey (NHANES). Presence (yes/no), the number of children (none, 1, ≥2), the age of the youngest child (none, ≤5 years, 6-17 years) as well as leisure time physical activity, sitting, screen time, and sleep benchmarks were derived from the home interview...
May 1, 2018: American Journal of Health Behavior
Mitchell Nides, Gilbert Marava Shanga, Amanda Bishop, William D Becker
OBJECTIVES: Environmental cues may precipitate nicotine cravings in smokers. We present 2 studies exploring the efficacy of nicotine mini lozenges to reduce nicotine craving in smokers following behavioral provocation. METHODS: Healthy smokers aged ≥18 years enrolled. In Study 1, participants were stratified by number of cigarettes smoked daily; Study 2 enrolled only heavy smokers. After an abstinence period, participants engaged in behavioral provocation to induce nicotine craving before receiving a nicotine mini lozenge (Study 1: 1...
May 1, 2018: American Journal of Health Behavior
Donna M Winham, Shelly M Palmer, Traci L Armstrong Florian, Mack C Shelley
OBJECTIVES: We determined relationships between food behaviors and health-risk factors by acculturation among limited-income Hispanic and non-Hispanic white women. METHODS: Women aged 18-49 years were recruited from income-based programs in metro-Phoenix, Arizona. Self-administered surveys in English or Spanish included demographics, a 10-item food behavior checklist, health-risk factors, food security, and acculturation. Differences by 4 acculturation/ethnicity categories were assessed with chi-square and analysis of variance (ANOVA)...
May 1, 2018: American Journal of Health Behavior
Jonathon Whipps, Mark Byra, Kenneth G Gerow, Emily Hill Guseman
OBJECTIVE: We evaluated how nighttime media use is associated with sleep behaviors in firstsemester college students, and variation by weight status. METHODS: In September 2016, first-semester college students (N = 114) completed surveys evaluating nighttime media usage (NMU) and sleep behaviors. Height, weight, and waist circumference were measured, and weight status was determined by body mass index. RESULTS: Students reported a mean sleep duration of 7...
May 1, 2018: American Journal of Health Behavior
Lori A J Scott-Sheldon, Laura R Stroud
OBJECTIVE: We assessed preferences, perceptions, and intentions to use flavored waterpipe (hookah) tobacco (HT) among women of reproductive age in the United States. METHODS: A convenience sample of women 18-44 years of age (N = 238; mean age = 28; 74% white) were recruited via Amazon Mechanical Turk to complete a survey assessing preferences, perceptions, and intentions to use flavored HT. RESULTS: Of the women who had ever used hookah (62%), most (82%) used hookah sweetened with fruit flavors...
May 1, 2018: American Journal of Health Behavior
Matthew E Rossheim, Kaylin M Greene, Caroline J Stephenson
OBJECTIVES: This qualitative study explored activities and situations that often result in young adults driving while under the influence of alcohol in rural Montana. METHODS: Eleven focus groups were conducted in 8 rural counties across Montana, and 72 persons (50.7% female, 63.4% college students) aged 18 to 25 years old participated. Focus groups were audio-recorded, transcribed, and narrative text segments were coded independently by 2 researchers. RESULTS: Participants noted a variety of situations specific to rural settings that promoted drunk driving by young adults...
May 1, 2018: American Journal of Health Behavior
Andrew T Kaczynski, Danielle E Jake-Schoffman, Nathan A Peters, Caroline G Dunn, Sara Wilcox, Melinda Forthofer
OBJECTIVES: In this paper, we describe development and reliability testing of a novel tool to evaluate the physical environment of faith-based settings pertaining to opportunities for physical activity (PA) and healthy eating (HE). METHODS: Tool development was a multistage process including a review of similar tools, stakeholder review, expert feedback, and pilot testing. Final tool sections included indoor opportunities for PA, outdoor opportunities for PA, food preparation equipment, kitchen type, food for purchase, beverages for purchase, and media...
May 1, 2018: American Journal of Health Behavior
Ping H Johnson, James J Annesi
OBJECTIVES: We examined the reasons for weight gain and barriers to weight loss among emerging adults with obesity. METHODS: Eighty-one female undergraduate students with obesity completed 4-open ended questions in 2015-2016. Qualitative responses were analyzed using NVivo 11 Pro software. RESULTS: Most participants experienced weight gain prior to attending college. The most commonly reported reasons for weight gain include a lack of ability to control one's behaviors or overcome barriers (ie, poor eating habits, lack of physical activity, lack of time, easy access to food), emotional/mental health issues, physical health, and influence of significant others...
May 1, 2018: American Journal of Health Behavior
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