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Differences in Pain Severity and Interference between Latinx Combustible Cigarette Smokers and Dual Users with Current Pain. 拉美裔可燃卷烟吸食者与当前疼痛的双重吸食者在疼痛严重程度和干扰方面的差异。
IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2023-12-19 DOI: 10.1080/08964289.2023.2290480
Michael J Zvolensky, Justin M Shepherd, Bryce K Clausen, Joseph W Ditre, Tanya Smit, Brooke Redmond

Latinx individuals who smoke represent a tobacco health disparities group. Yet, limited research has focused on examining dual combustible and electronic cigarette use among Latinx populations. Importantly, Latinx persons who smoke also evince elevated rates of pain problems and symptoms and prior research has consistently linked pain problems and severity to smoking prevalence, maintenance, and behavior. Accordingly, the current study sought to build from the limited work that exists among dual combustible cigarette and electronic cigarette Latinx users comparing levels of pain severity and interference. The current sample consists of 196 adult Latinx daily cigarette smokers (35.48 years old; 39.4% female), of which 72 reported current daily dual use of an e-cigarette. Results indicated that Latinx dual users reported greater levels of pain severity (ηp2 = .12) and pain interference (ηp2 = .10) than exclusive combustible cigarette users. The study adds uniquely to the limited literature on the clinical importance of dual cigarette use in relation to pain severity and interference in that pain may serve as an important risk factor for the initiation and maintenance of dual use for increased analgesic nicotine effects.

吸烟的拉美裔人是烟草健康的一个不平等群体。然而,针对拉美裔人群使用双燃料烟和电子烟的研究却十分有限。重要的是,吸烟的拉美裔人群也表现出较高的疼痛问题和症状,而之前的研究一直将疼痛问题和严重程度与吸烟率、吸烟维持和吸烟行为联系在一起。因此,本研究试图在有限的工作基础上,对双重可燃香烟和电子香烟拉丁裔使用者的疼痛严重程度和干扰程度进行比较。目前的样本由 196 名每天吸烟的拉丁裔成人(35.48 岁;39.4% 为女性)组成,其中 72 人表示目前每天同时使用电子烟。结果表明,拉美裔双重使用者报告的疼痛严重程度(ηp2 = .12)和疼痛干扰程度(ηp2 = .10)高于纯可燃卷烟使用者。这项研究在有限的文献中对双重吸烟与疼痛严重程度和干扰的临床重要性进行了独特的补充,即疼痛可能是开始和维持双重吸烟以增加尼古丁镇痛效果的重要风险因素。
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引用次数: 0
Relationship between social support, life satisfaction, and smoking status among US adults with cardiovascular risks 美国成人心血管风险人群中社会支持、生活满意度和吸烟状况的关系
4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2023-09-25 DOI: 10.1080/08964289.2023.2259045
Biplab Kumar Datta, Steven S. Coughlin, Jihene Ayadi, Ban Majeed, Benjamin E. Ansa
AbstractSocial support and life satisfaction are important determinants of health behaviors and health outcomes. Cigarette smoking, a health risk behavior that increases the risk of cardiovascular diseases, is deemed to have association with perceived social support and life satisfaction. This study assessed this relationship among US adults with one or more cardiovascular (CV) risks, namely, hypertension, high cholesterol, diabetes, and obesity. Using nationally representative data from the 2021 National Health Interview Survey on 17,557 adults with at least one CV risk, we examined whether individuals with low life-satisfaction and weak social-support were more likely to smoke compared to those with high life-satisfaction and strong social support. At different levels of social support (strong and weak), the odds of smoking were higher among individuals with low level of life satisfaction. Likewise, at different levels of life satisfaction (high, medium, and low), smoking prevalence was the highest among individuals with weak social support. Estimates of the multivariable logistic regressions, with controls for various demographic and socioeconomic correlates, suggested that the adjusted odds of current smoking for individuals with low life-satisfaction and weak social-support were 3.07 (95% CI: 2.34, 4.03) times that of individuals with high life-satisfaction and strong social support. This association was robust across all four CV risk factors, and across different sociodemographic (i.e., sex, age, race and ethnicity) and socioeconomic (i.e., income, urban/rural residence) sub-groups.Keywords: cardiovascular diseasediabeteshigh cholesterolhypertensionlife satisfactionobesitysmokingsocial support Disclosure statementNo potential conflict of interest was reported by the author(s).Data availability statementData used in this study are publicly available from the National Center for Health Statistics: https://www.cdc.gov/nchs/nhis/2021nhis.htm.Additional informationFundingThis research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
摘要社会支持和生活满意度是健康行为和健康结果的重要决定因素。吸烟是一种增加心血管疾病风险的健康风险行为,被认为与感知的社会支持和生活满意度有关。本研究评估了具有一种或多种心血管(CV)风险(即高血压、高胆固醇、糖尿病和肥胖)的美国成年人的这种关系。我们使用2021年全国健康访谈调查(National Health Interview Survey)中具有全国代表性的数据,调查了17557名至少有一种CV风险的成年人,研究了与生活满意度高、社会支持强的人相比,生活满意度低、社会支持弱的人是否更有可能吸烟。同样,在不同的生活满意度水平(高、中、低)中,社会支持弱的个体吸烟率最高。对各种人口统计学和社会经济相关因素进行控制的多变量logistic回归估计表明,生活满意度低、社会支持弱的个体目前吸烟的调整几率是生活满意度高、社会支持强的个体的3.07倍(95% CI: 2.34, 4.03)。这种关联在所有四个心血管危险因素以及不同的社会人口统计学(即性别、年龄、种族和民族)和社会经济(即收入、城市/农村居住)亚组中都是稳健的。关键词:心血管疾病糖尿病高胆固醇高血压生活满意度肥胖吸烟社会支持披露声明作者未报告潜在利益冲突。数据可用性声明本研究中使用的数据可从国家卫生统计中心公开获取:https://www.cdc.gov/nchs/nhis/2021nhis.htm.Additional信息资助本研究没有从公共、商业或非营利部门的资助机构获得任何特定的资助。
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引用次数: 0
A Systematic Review of eHealth Interventions to Promote Physical Activity in Adults with Obesity or Overweight. 电子健康干预促进肥胖或超重成年人体育活动的系统综述。
IF 2.3 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2023-07-01 Epub Date: 2022-04-25 DOI: 10.1080/08964289.2022.2065239
Seungmin Lee, Priya Patel, Nicholas D Myers, Karin A Pfeiffer, Alan L Smith, Kimberly S Kelly

Use of information and communication technology to improve health, known as eHealth, is an emerging concept in healthcare that may present opportunities to promote physical activity in adults with obesity. The purpose of this research was to systematically review eHealth intervention studies to promote physical activity in adults with obesity. Five electronic databases were used. Two authors screened articles, assessed risk of bias, and extracted data independently. A qualitative data synthesis for summarizing the findings was performed using harvest plots. In the search, 2276 articles were identified, and 18 studies met all inclusion criteria. Study quality ranged from poor to good. The included studies varied in intervention technology (e.g., web-based), physical activity assessment (e.g., device-based), and control group (e.g., wait-list). Behavioral change techniques used in the included studies were consistent with some techniques (e.g., self-monitoring) known as effective in face-to-face interventions, but more efficiently employed in eHealth using information and communication technology. Overall, this systematic review showed that a web-based or physical activity monitor-based eHealth intervention had the potential to effectively promote physical activity in adults with obesity. Some recommendations for future eHealth interventions to promote physical activity in adults with obesity were provided (e.g., use of theory, accelerometers).

利用信息和通信技术改善健康,即电子健康,是医疗保健领域的一个新兴概念,可能为促进肥胖成年人的体育活动提供机会。本研究的目的是系统地回顾电子健康干预研究,以促进肥胖成年人的体育活动。使用了五个电子数据库。两位作者对文章进行筛选,评估偏倚风险,并独立提取数据。使用收获图进行了定性数据综合,以总结研究结果。在搜索中,共发现2276篇文章,18项研究符合所有入选标准。学习质量从差到好不等。纳入的研究在干预技术(如基于网络)、身体活动评估(如基于设备)和对照组(如等待名单)方面各不相同。纳入研究中使用的行为改变技术与一些在面对面干预中有效的技术(如自我监测)一致,但在电子健康中使用信息和通信技术更有效。总体而言,这项系统综述表明,基于网络或身体活动监测的电子健康干预措施有可能有效促进肥胖成年人的身体活动。提供了一些关于未来电子健康干预措施的建议,以促进肥胖成年人的体育活动(例如,使用理论、加速度计)。
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引用次数: 6
Health Behavior Changes after a Diabetes Diagnosis: The Moderating Role of Social Support. 糖尿病诊断后的健康行为变化:社会支持的调节作用
IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2023-07-01 Epub Date: 2022-03-29 DOI: 10.1080/08964289.2022.2050670
Weidi Qin

The present study aims to investigate the relationship between a diagnosis of diabetes and health behavior changes among middle-aged and older adults, and whether self-efficacy and social support moderate the relationship. The study sample was selected from the 2006 to 2016 waves of the Health and Retirement Study (N = 13,143). A diagnosis of diabetes was ascertained by self-reported physician-diagnosed condition. Self-efficacy was measured using a 5-item scale. Social support from family and friends was measured separately by a same 3-item scale. Three health behaviors were assessed, including drinking, smoking, and physical activity. Mixed-effects regression models were conducted to test the study aims. Findings showed that participants reduced drinking after a diagnosis of diabetes. A significant interaction between social support from family and a diabetes diagnosis was found in predicting drinking reduction and smoking cessation. These findings suggest that a diagnosis of diabetes may trigger individuals' motivation to initiate health-promoting behaviors. Mobilizing social support from family may help individuals adopt health-promoting behaviors and manage diabetes after a diagnosis.

本研究旨在探讨糖尿病诊断与中老年人健康行为改变之间的关系,以及自我效能感和社会支持是否会调节这种关系。研究样本选自《健康与退休研究》(Health and Retirement Study)2006 年至 2016 年的波次(N = 13143)。糖尿病诊断通过自我报告的医生诊断情况确定。自我效能感采用 5 项量表进行测量。来自家人和朋友的社会支持采用相同的 3 项量表分别进行测量。对三种健康行为进行了评估,包括饮酒、吸烟和体育锻炼。研究采用混合效应回归模型来检验研究目的。结果显示,参与者在确诊糖尿病后减少了饮酒。在预测减少饮酒和戒烟方面,发现来自家庭的社会支持与糖尿病诊断之间存在明显的交互作用。这些研究结果表明,糖尿病诊断可能会激发个人开始健康促进行为的动机。动员来自家庭的社会支持可能有助于个人在确诊糖尿病后采取促进健康的行为并控制糖尿病。
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引用次数: 0
Using Protection Motivation Theory to Predict Adherence to COVID-19 Behavioral Guidelines. 利用保护动机理论预测COVID-19行为指南的遵守情况。
IF 2.3 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2023-07-01 DOI: 10.1080/08964289.2021.2021383
Gabriel Nudelman, Shanmukh Vasant Kamble, Kathleen Otto

COVID-19 has become a global pandemic. Throughout most of the pandemic, mitigating its spread has relied on human behavior, namely on adherence to protective behaviors (e.g., wearing a face mask). This research proposes that Protection Motivation Theory (PMT) can contribute to understanding differences in individual adherence to COVID-19 behavioral guidelines. PMT identifies four fundamental cognitive components that drive responses to fear appeals: perceptions of susceptibility (to the disease), severity (of the disease), self-efficacy (to protect oneself), and response efficacy (i.e., recommended behaviors' effectiveness). Two online self-report studies assessed PMT components' capacity to predict adherence to protective behaviors concurrently and across culturally different countries (Israel, Germany, India; Study 1), and again at six-week follow-up (Israeli participants; Study 2). Study 1's findings indicate excellent fit of the PMT model, with about half of the variance in adherence explained. No significant differences were found between participants from Israel (n = 917), Germany (n = 222) and India (n = 160). Study 2 (n = 711) confirmed that PMT components continue to predict adherence after six weeks. In both studies, response efficacy was the PMT component most strongly associated with adherence levels. This study demonstrates that PMT can serve as a theoretical framework to better understand differences in adherence to COVID-19 protective behaviors. The findings may further inform the design of adherence-promoting communications, suggesting that it may be beneficial to highlight response efficacy in such messages.

COVID-19已成为全球大流行。在大流行的大部分时间里,减轻其传播依赖于人的行为,即坚持保护行为(例如戴口罩)。这项研究表明,保护动机理论(PMT)可以有助于理解个体遵守COVID-19行为指南的差异。PMT确定了驱动对恐惧呼吁反应的四个基本认知组成部分:易感性(对疾病)的感知、严重程度(疾病)、自我效能(保护自己)和反应效能(即推荐行为的有效性)。两项在线自我报告研究评估了PMT成分同时预测保护行为依从性的能力,并在不同文化的国家(以色列、德国、印度;研究1),并在6周的随访中再次进行(以色列参与者;研究2).研究1的结果表明PMT模型非常适合,大约一半的依从性方差得到了解释。来自以色列(n = 917)、德国(n = 222)和印度(n = 160)的参与者之间没有发现显著差异。研究2 (n = 711)证实PMT成分在6周后继续预测依从性。在这两项研究中,反应疗效是与依从性水平最密切相关的PMT成分。这项研究表明,PMT可以作为一个理论框架,更好地理解COVID-19保护行为依从性的差异。研究结果可能会进一步为依从性促进通信的设计提供信息,表明在此类信息中突出响应效果可能是有益的。
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引用次数: 5
Mask On, Mask Off: Risk Perceptions for COVID-19 and Compliance with COVID-19 Safety Measures. 戴口罩、摘口罩:新冠肺炎风险认知和新冠肺炎安全措施合规性。
IF 2.3 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2023-07-01 Epub Date: 2022-01-20 DOI: 10.1080/08964289.2021.2021384
Daniel W Snook, Wojciech Kaczkowski, Ari D Fodeman

Since early 2020, COVID-19 has spread throughout the United States (US), killing more than 700,000. Mask-wearing, social-distancing, and hand hygiene can curb the spread of COVID-19 and other infectious diseases. However, the adherence to COVID-19 safety measures varies considerably among the US public, likely due to disparate perceptions of COVID-19's risk. The current study examines risk perceptions for COVID-19 (RP-C) in a nationally representative sample of US residents (N = 512), as well as their political preferences, news media consumption, COVID-19 safety attitudes (SA-C) and reported COVID-19 safety behaviors (SB-C; e.g., mask-wearing and social-distancing). Using structural equation modeling, we tested a comprehensive measure for RP-C with a single latent factor, finding good model fit. We found that higher RP-C was associated with being more liberal, consuming more traditional news media, having attitudes that supported compliance with COVID-19 safety measures, and having greater reported compliance with COVID-19 safety measures. In addition, factor loadings for RP-C items indicate that people's RP-C was more strongly determined by personal and family, rather than collective or societal risk, which suggests risk communication may be improved by focusing on personal and family risk. Public health efforts to combat COVID-19 are only as good as compliance allows, and RP-C's strong relationship with SB-C indicates a potential means for risk communicators to increase compliance with COVID-19 safety measures. This finding will remain important as new COVID-19 variants, such as the Delta variant, emerge.

自2020年初以来,新冠肺炎已在美国各地传播,造成70多万人死亡。戴口罩、保持社交距离和手部卫生可以遏制新冠肺炎和其他传染病的传播。然而,美国公众对新冠肺炎安全措施的遵守情况差异很大,这可能是由于对新冠肺炎风险的不同认识。目前的研究在具有全国代表性的美国居民样本中检查了新冠肺炎(RP-C)的风险认知(N = 512),以及他们的政治偏好、新闻媒体消费、新冠肺炎安全态度(SA-C)和报告的新冠肺炎安全行为(SB-C;例如,戴口罩和保持社交距离)。使用结构方程建模,我们测试了具有单个潜在因素的RP-C的综合测度,发现模型拟合良好。我们发现,较高的RP-C与更自由、消费更传统的新闻媒体、支持遵守新冠肺炎安全措施的态度以及报告的更遵守新冠肺炎安全措施有关。此外,RP-C项目的因子负荷表明,人们的RP-C更强烈地由个人和家庭决定,而不是集体或社会风险,这表明可以通过关注个人和家庭风险来改善风险沟通。抗击新冠肺炎的公共卫生努力只有在合规性允许的情况下才是好的,而RP-C与SB-C的牢固关系表明,风险沟通者有可能提高对新冠肺炎安全措施的合规性。随着新的新冠肺炎变异株(如德尔塔变异株)的出现,这一发现仍然很重要。
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引用次数: 1
Perceptions and knowledge of COVID-19 vaccine safety and efficacy among vaccinated and non-vaccinated obstetric healthcare workers. 接种疫苗和未接种疫苗的产科医护人员对COVID-19疫苗安全性和有效性的认知和知识。
IF 2.3 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2023-07-01 DOI: 10.1080/08964289.2021.2023456
Tiffany Wang, Tamar Krishnamurti, Miriam Bernard, Samia Lopa, Beth Quinn, Hyagriv Simhan

The COVID-19 vaccines are highly effective in preventing COVID-19 illness; however, pregnant people were not included in the original COVID-19 vaccine trials, with resultant conflicting recommendations from health organizations regarding vaccinations for this high-risk population. Pregnant and lactating healthcare workers (HCWs), along with people planning a pregnancy, identified as "obstetric HCWs" in our study, were among the first to make decisions regarding vaccinating themselves against COVID-19. Given that HCWs are key sources of information and access to vaccinations, this study was conducted to understand the perceptions and knowledge of obstetric HCWs regarding the COVID-19 vaccine. An electronic survey to HCWs at a tertiary care institution in Pittsburgh, PA identified 83 obstetric HCWs, of which 65 (78.3%) received at least one dose of the either the Pfizer or Moderna COVID-19 vaccine, and 18 (21.7%) had not received any doses of vaccine. Pregnancy status influenced more people not to receive than to receive the vaccine. We found that both vaccinated and non-vaccinated obstetric HCWs had accurate knowledge regarding the COVID-19 vaccine. However, compared to non-vaccinated obstetric HCWs, vaccinated obstetric HCWs tended to endorse beliefs regarding herd immunity, believed they had a higher chance of acquiring COVID-19, and felt that the COVID-19 vaccine was safe for fetuses and people who were pregnant, lactating, breastfeeding, or planning a pregnancy. This study offers insight into obstetric individuals' perceptions and knowledge of the COVID-19 vaccine, and highlights areas where additional education and outreach may help obstetric individuals make informed decisions on receiving the COVID-19 vaccine.

COVID-19疫苗在预防COVID-19疾病方面非常有效;然而,最初的COVID-19疫苗试验并未包括孕妇,因此卫生组织对这一高危人群接种疫苗的建议相互矛盾。在我们的研究中,怀孕和哺乳的卫生保健工作者(HCWs)以及计划怀孕的人被确定为“产科卫生保健工作者”,他们是第一批决定为自己接种COVID-19疫苗的人。鉴于卫生保健员是疫苗接种信息和获取途径的主要来源,本研究旨在了解产科卫生保健员对COVID-19疫苗的认知和知识。对宾夕法尼亚州匹兹堡一家三级保健机构的HCWs进行的电子调查确定了83名产科HCWs,其中65名(78.3%)接受了至少一剂辉瑞或Moderna COVID-19疫苗,18名(21.7%)未接受任何剂量的疫苗。怀孕状况对不接种疫苗的影响大于对接种疫苗的影响。我们发现接种疫苗和未接种疫苗的产科卫生保健员都对COVID-19疫苗有准确的了解。然而,与未接种疫苗的产科医护人员相比,接种疫苗的产科医护人员倾向于支持群体免疫的信念,认为自己感染COVID-19的机会更高,并认为COVID-19疫苗对胎儿和怀孕、哺乳、哺乳或计划怀孕的人是安全的。这项研究深入了解了产科人员对COVID-19疫苗的看法和知识,并强调了在哪些领域,额外的教育和宣传可能有助于产科人员就接种COVID-19疫苗做出明智的决定。
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引用次数: 5
Substance Misuse among a Diverse Psychiatric Inpatient Sample: Suicidal Thoughts and Behaviors and Motivation to Change. 不同精神科住院病人药物滥用样本:自杀想法、行为及改变动机。
IF 2.3 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2023-07-01 DOI: 10.1080/08964289.2022.2065240
Julia D Buckner, Raymond P Tucker, Paige E Morris, Caroline R Scherzer, Kathleen A Crapanzano, Sarah Pardue-Bougeois

Suicidal thoughts and behaviors (STBs) are among the most common reasons for admission to psychiatric inpatient units and a large percentage of these patients also engage in substance misuse. Yet, no known studies have examined whether patients with STBs admitted to inpatient psychiatry units are motivated to change their substance misuse and, if so, whether they benefit from MET-CBT for substance misuse while on the inpatient unit. This study assesses the relationship between STB and motivation to improve substance misuse among 321 (61.1% male, Mage = 35.3 years, 59.8% non-Hispanic/Latin White) patients admitted to an inpatient psychiatric unit with a substance use disorder (SUD) or substance misuse who attended at least one group MET-CBT session, 50.2% of whom were admitted to an inpatient unit for STBs. Patients admitted for STBs reported greater motivation to reduce substance misuse than patients admitted without documented STB, and they did not differ from patients without documented STBs on the number of MET-CBT sessions attended, or ratings of session helpfulness (which were high). Patients admitted for STBs reported significantly increased motivation to change substance misuse after attending MET-CBT for SUD. These findings indicate that psychiatric inpatients with STBs report motivation to change substance misuse as well as willingness to attend MET-CBT for their SUD.

自杀念头和行为(STBs)是精神科住院病人入院的最常见原因之一,这些病人中很大一部分还从事药物滥用。然而,没有已知的研究调查过住院精神科的性传播感染患者是否有动机改变他们的药物滥用,如果有的话,他们是否从住院病房的药物滥用的MET-CBT中受益。本研究评估了321例(61.1%为男性,年龄为35.3岁,59.8%为非西班牙裔/拉丁裔白人)因物质使用障碍(SUD)或物质滥用而住进精神科住院的患者(至少参加过一次小组会议- cbt会议)的STB与改善物质滥用动机之间的关系,其中50.2%的患者因STB而住进了住院病房。与没有记录在案的STB患者相比,入院的STB患者报告了更大的减少药物滥用的动机,并且他们与没有记录在案的STB患者在参加MET-CBT会议的次数或会议有用性评级(高)方面没有差异。因性传播感染入院的患者报告说,在参加MET-CBT治疗SUD后,改变药物滥用的动机显著增加。这些发现表明,患有性传播感染的精神科住院患者报告了改变药物滥用的动机以及参加MET-CBT治疗其SUD的意愿。
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引用次数: 1
Age of Smoking Initiation in Relation to Multiple Health Risk Factors among US Adult Smokers: National Health Interview Survey (NHIS) Data (2006-2018). 美国成年吸烟者吸烟年龄与多种健康风险因素的关系:国家健康访谈调查(NHIS)数据(2006-2018)。
IF 2.3 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2023-07-01 Epub Date: 2022-04-25 DOI: 10.1080/08964289.2022.2060930
Seung Hee Choi, Manfred Stommel, Clifford Broman, Christina Raheb-Rauckis

The adverse effects of multiple health risk factors have been well-documented; however, still understudied are the effects of early smoking in the context of multiple health risk factors. This study aimed to examine the role of early smoking initiation in relation to several health risk factors, including heavy drinking, physical inactivity, and obesity in later life among ever smokers in the USA. The National Health Interview Survey (NHIS) data from 2006 through 2018 were analyzed. The primary dependent variables were presence of three other risk factors: heavy drinking, physical inactivity, and obesity. The independent variable was the age of smoking initiation. Logit regression models were constructed to evaluate the association between smoking initiation and multiple health risk factors. All analyses were done in 2022. Among US adult smokers, 18.2% started smoking before age 15 (early initiators), 55.9% at ages 15-18 (middle initiators), and 25.9% at age 20 or later (late initiators). Compared to late smoking initiators, the odds of engaging in additional health risk factors increased by 37.3% among early initiators (OR = 1.373, 95% CI = 1.316, 1.432) and 7.7% among middle initiators (OR = 1.077, 95% CI= 1.041, 1.116). Additionally, current smoking was associated with higher odds (OR = 1.369, 95% CI = 1.322, 1.417) of having additional health risk factors compared to former smoking, with one exception: current smokers had lower odds of obesity (OR = 0.566, 95% CI = 0.537, 0.597). Tobacco control programs to prevent adolescents from initiating smoking may have the potential to prevent other health risk factors in adulthood.

多种健康风险因素的不良影响已得到充分记录;然而,在多种健康风险因素的背景下,早期吸烟的影响仍然研究不足。这项研究旨在检验美国吸烟者早期吸烟与几种健康风险因素的关系,包括酗酒、不运动和晚年肥胖。分析了2006年至2018年的国家健康访谈调查(NHIS)数据。主要的因变量是存在其他三个风险因素:大量饮酒、缺乏运动和肥胖。自变量是开始吸烟的年龄。构建Logit回归模型来评估吸烟开始与多种健康风险因素之间的关系。所有分析均在2022年完成。在美国成年吸烟者中,18.2%在15岁之前开始吸烟(早期吸烟者),55.9%在15-18岁开始吸烟(中期吸烟者),25.9%在20岁或更晚开始吸烟(晚期吸烟者)。与晚期吸烟引发者相比,早期引发者参与额外健康风险因素的几率增加了37.3%(OR=1.373,95%CI=1.3161.432),中期引发者增加了7.7%(OR=1.077,95%CI=1.0411.116)。此外,与以前吸烟相比,目前吸烟与具有额外健康风险因素的几率更高(OR=1.369,95%CI=1.322,1.417)相关,但有一个例外:目前吸烟者肥胖的几率更低(OR=0.566,95%CI=0.537,0.597)。预防青少年吸烟的烟草控制计划可能有可能在成年后预防其他健康风险因素。
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引用次数: 1
Association of Weight Perception, Body Satisfaction, and Weight Loss Intention With Patterns of Health Risk Behaviors in Adolescents With Overweight and Obesity. 超重和肥胖青少年的体重感知、身体满意度和减肥意图与健康风险行为模式的关系
IF 2.3 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2023-07-01 DOI: 10.1080/08964289.2022.2057407
Samantha S D E Medeiros, Carla C Enes, Luciana B Nucci

Obesity is a public health issue and childhood is a critical window in which to establish healthy eating patterns and modify risk factors for overweight. This study aims to verify the association of weight perception, body satisfaction, and weight loss intention with patterns of health risk behaviors in adolescents with overweight and obesity. We analyzed health risk behavior from a school-based national survey conducted in 2015 in Brazil (n = 2,703 students with overweight or obesity, aged 13-17 years). We performed latent class analysis of alcohol consumption, tobacco use, physical activity, screen time, and eating habits for adolescents with overweight and identified four distinct health behavior patterns. The association of these patterns with weight perception, body satisfaction, and weight loss intention was analyzed through multinomial logistic regression. Adolescents who perceived themselves as "fat" or "very fat" were more likely to have a sedentary lifestyle and low consumption of fruit and vegetables. Body satisfaction was a protective factor against sedentary lifestyle. Students who reported weight loss intention were less likely to be in high-health-risk behavior groups (low consumption of fruit and vegetables; sedentary lifestyle; tobacco and alcohol use). Self-perception as overweight had detrimental associations, while body satisfaction was a protective factor for a healthy lifestyle. Weight loss intention still requires rigorous analysis due to inconsistencies in the literature. The complexity of the relationship between body image and obesity needs to be highlighted. Multicomponent strategies are required to control the global obesity pandemic.

肥胖是一个公共卫生问题,儿童时期是建立健康饮食模式和改变超重风险因素的关键时期。本研究旨在验证超重和肥胖青少年的体重感知、身体满意度和减肥意图与健康风险行为模式的关系。我们分析了2015年在巴西进行的一项以学校为基础的全国调查(n = 2703名13-17岁的超重或肥胖学生)的健康风险行为。我们对超重青少年的酒精消费、烟草使用、体育活动、屏幕时间和饮食习惯进行了潜在分类分析,并确定了四种不同的健康行为模式。通过多项逻辑回归分析这些模式与体重感知、身体满意度和减肥意图的关系。认为自己“肥胖”或“非常肥胖”的青少年更有可能有久坐不动的生活方式,水果和蔬菜的摄入量也很低。身体满意度是对抗久坐生活方式的保护因素。报告有减肥意向的学生不太可能属于高健康风险行为群体(低水果和蔬菜消费;久坐不动的生活方式;烟草和酒精使用)。超重的自我认知是有害的,而身体满意度是健康生活方式的保护因素。由于文献的不一致性,减肥意图仍然需要严格的分析。身体形象和肥胖之间关系的复杂性需要得到强调。控制全球肥胖流行需要多要素战略。
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引用次数: 2
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Behavioral Medicine
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