Wasantha P. Jayawardene, M. Torabi, D. Lohrmann, Ahmed H. YoussefAgha
Notwithstanding recommendations and interventions, the percentage of 50 – 74-year-old U.S. women who reported having had a mammography in the past two years remained below target coverage. Social interactions may influence mammography rates. To measure characteristics of social interactions in a Midwestern city as they relate to social support for mammography received by women older than 40 years of age. A cross-sectional study was conducted in Bloomington, Indiana, sending mail surveys to 3,000 telephone directory addresses selected by simple random sampling. An anonymous, selfadministered, closed-ended, questionnaire with eight checklist items (for demographics) and six multipart semantic differential scale items (for social support), derived from validated instruments, was used. Social support for mammography in women who had undergone regular screening was analyzed using chi-square test and logistic regression. Of 450 respondents with valid responses, 91% were white; 47% were older than 80; 92% had good health insurance coverage; and 82% had undergone regular mammography. Healthcare workers provided the highest support, followed by children, siblings, and relatives. Friends, neighbors, and co-workers were least supportive. In social interactions, emotional support was the most prominent, followed by informational, appraisal, and instrumental supports. Having higher income and being married were associated with receiving greater support. Although mammography provides limited benefits after age 74, women older than 80 years of age received the highest support. Identifying the structural and functional characteristics of social interactions is important for: 1) designing interventions that enhance social support, and 2) expanding breast cancer screening via personalized approaches using existing social interactions.
{"title":"Mammography Social Support for Women Living in a Midwestern City: Toward Screening Promotion via Social Interactions","authors":"Wasantha P. Jayawardene, M. Torabi, D. Lohrmann, Ahmed H. YoussefAgha","doi":"10.4148/2572-1836.1067","DOIUrl":"https://doi.org/10.4148/2572-1836.1067","url":null,"abstract":"Notwithstanding recommendations and interventions, the percentage of 50 – 74-year-old U.S. women who reported having had a mammography in the past two years remained below target coverage. Social interactions may influence mammography rates. To measure characteristics of social interactions in a Midwestern city as they relate to social support for mammography received by women older than 40 years of age. A cross-sectional study was conducted in Bloomington, Indiana, sending mail surveys to 3,000 telephone directory addresses selected by simple random sampling. An anonymous, selfadministered, closed-ended, questionnaire with eight checklist items (for demographics) and six multipart semantic differential scale items (for social support), derived from validated instruments, was used. Social support for mammography in women who had undergone regular screening was analyzed using chi-square test and logistic regression. Of 450 respondents with valid responses, 91% were white; 47% were older than 80; 92% had good health insurance coverage; and 82% had undergone regular mammography. Healthcare workers provided the highest support, followed by children, siblings, and relatives. Friends, neighbors, and co-workers were least supportive. In social interactions, emotional support was the most prominent, followed by informational, appraisal, and instrumental supports. Having higher income and being married were associated with receiving greater support. Although mammography provides limited benefits after age 74, women older than 80 years of age received the highest support. Identifying the structural and functional characteristics of social interactions is important for: 1) designing interventions that enhance social support, and 2) expanding breast cancer screening via personalized approaches using existing social interactions.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43174169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew Lee Smith, Lorraine R. Reitzel, J. Rath, L. Scott, D. Seal
Mentorship is an essential component of professional development for young and emerging scholars. In partnership with the Kellogg Health Scholars Program, the American Academy of Health Behavior (AAHB) developed the 12-month Research Scholars Mentorship Program (RSMP) as a mechanism to facilitate high-quality mentorship interactions among junior and seasoned investigators within the Academy. This article provides a rationale, history, and description of the RSMP, as well as the collective scholarly achievements of the Cohorts and future directions. To date, 44 Pairs have initiated or completed the program. Products written and submitted by the Pairs during the 12-month mentorship period have included grants (n = 21), peer-reviewed manuscripts (n = 64), and book chapters (n = 2). Additionally, Pairs have collaborated to initiate new studies (n = 10) and develop new courses (n = 1). AAHB’s commitment to mentorship and professional development fueled the development of the RSMP to foster inclusive scholarship, expand membership, and promote productivity. The 12-month RSMP is a model for formal mentorship within professional organizations in that it facilitates Mentee-Mentor Pairs to enhance their professional and research trajectories through the execution of processes and development of products.
{"title":"Advancing academic careers through formal professional mentorship: The Research Scholars Mentorship Program (RSMP)","authors":"Matthew Lee Smith, Lorraine R. Reitzel, J. Rath, L. Scott, D. Seal","doi":"10.4148/2572-1836.1071","DOIUrl":"https://doi.org/10.4148/2572-1836.1071","url":null,"abstract":"Mentorship is an essential component of professional development for young and emerging scholars. In partnership with the Kellogg Health Scholars Program, the American Academy of Health Behavior (AAHB) developed the 12-month Research Scholars Mentorship Program (RSMP) as a mechanism to facilitate high-quality mentorship interactions among junior and seasoned investigators within the Academy. This article provides a rationale, history, and description of the RSMP, as well as the collective scholarly achievements of the Cohorts and future directions. To date, 44 Pairs have initiated or completed the program. Products written and submitted by the Pairs during the 12-month mentorship period have included grants (n = 21), peer-reviewed manuscripts (n = 64), and book chapters (n = 2). Additionally, Pairs have collaborated to initiate new studies (n = 10) and develop new courses (n = 1). AAHB’s commitment to mentorship and professional development fueled the development of the RSMP to foster inclusive scholarship, expand membership, and promote productivity. The 12-month RSMP is a model for formal mentorship within professional organizations in that it facilitates Mentee-Mentor Pairs to enhance their professional and research trajectories through the execution of processes and development of products.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42906090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article has no abstract. It serves as the editorial/overview for the special issue on mentorship. However, rather than simply introducing the special issue, a mentorship model is provided. As such, a commentary article type was selected.
{"title":"A Model for Research-Based Mentorship and Professional Development","authors":"Matthew Lee Smith","doi":"10.4148/2572-1836.1080","DOIUrl":"https://doi.org/10.4148/2572-1836.1080","url":null,"abstract":"This article has no abstract. It serves as the editorial/overview for the special issue on mentorship. However, rather than simply introducing the special issue, a mentorship model is provided. As such, a commentary article type was selected.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45984440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katherine R. Arlinghaus, D. Hernandez, C. Johnston
Low-income populations are at increased risk for experiencing negative hurricane exposures and food insecurity. However, little is known regarding how pre-hurricane food insecurity experiences are related to youth hurricane exposure. This study examined the types of hurricane disaster exposures low-income, ethnic minority adolescents experienced during Hurricane Harvey and examined the association between food insecurity and hurricane exposure. Low-income adolescents (n = 185) were recruited from a Houston-area school district. Two days before the hurricane, food insecurity was assessed. Adolescents with at least one affirmative answer on the 9-item USDA Child Food Security Survey Module were classified as food insecure. Adolescents self-reported hurricane exposure three weeks post-hurricane using both the National Child Traumatic Stress Network Hurricane and Assessment Referral Tool and Survey of Hurricane Katrina Evacuees. Affirmative answers to lacking access to food, water, or medicine, being rescued, home damage, and displacement were each given a score of one and summed to create an overall hurricane exposure score. A covariate-adjusted linear regression model regressed overall hurricane exposure onto food insecurity. Separate covariate-adjusted logistic regression models were performed where each individual hurricane exposure was regressed onto food insecurity. Prior to the hurricane, 46% of adolescents experienced food insecurity and 43% experienced hurricane exposure. Prehurricane food insecurity (p = 0.004) and being foreign born (p = 0.033) were associated with increased hurricane exposure. Adolescents who experienced food insecurity had 132% higher odds of lacking access to fresh water (p = 0.047) and 105% higher odds of lacking access to food (p = 0.034) during the hurricane. Food insecurity and immigrant status appear to be at-risk indicators for hurricane exposure. Schools serving underserved adolescents could consider assessing food security and immigration status as part of disaster preparedness programs.
{"title":"Food Insecurity as a Predictor of Hurricane Exposure among Underserved Adolescents","authors":"Katherine R. Arlinghaus, D. Hernandez, C. Johnston","doi":"10.4148/2572-1836.1047","DOIUrl":"https://doi.org/10.4148/2572-1836.1047","url":null,"abstract":"Low-income populations are at increased risk for experiencing negative hurricane exposures and food insecurity. However, little is known regarding how pre-hurricane food insecurity experiences are related to youth hurricane exposure. This study examined the types of hurricane disaster exposures low-income, ethnic minority adolescents experienced during Hurricane Harvey and examined the association between food insecurity and hurricane exposure. Low-income adolescents (n = 185) were recruited from a Houston-area school district. Two days before the hurricane, food insecurity was assessed. Adolescents with at least one affirmative answer on the 9-item USDA Child Food Security Survey Module were classified as food insecure. Adolescents self-reported hurricane exposure three weeks post-hurricane using both the National Child Traumatic Stress Network Hurricane and Assessment Referral Tool and Survey of Hurricane Katrina Evacuees. Affirmative answers to lacking access to food, water, or medicine, being rescued, home damage, and displacement were each given a score of one and summed to create an overall hurricane exposure score. A covariate-adjusted linear regression model regressed overall hurricane exposure onto food insecurity. Separate covariate-adjusted logistic regression models were performed where each individual hurricane exposure was regressed onto food insecurity. Prior to the hurricane, 46% of adolescents experienced food insecurity and 43% experienced hurricane exposure. Prehurricane food insecurity (p = 0.004) and being foreign born (p = 0.033) were associated with increased hurricane exposure. Adolescents who experienced food insecurity had 132% higher odds of lacking access to fresh water (p = 0.047) and 105% higher odds of lacking access to food (p = 0.034) during the hurricane. Food insecurity and immigrant status appear to be at-risk indicators for hurricane exposure. Schools serving underserved adolescents could consider assessing food security and immigration status as part of disaster preparedness programs.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48433148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A common limitation to the design of public health sleep interventions is the overall lack of using theory. Previous researchers have utilized the theory of planned behavior and the reasoned action approach (RAA) to predict healthy sleep behaviors, however much of this research was done using reflective (or generalized) measures, which alone is likely inadequate to equip health practitioners with tangible information they can use to translate theory into practice. Therefore, the purpose of this study was to use formative (or belief-based) measures of the RAA to evaluate the determinants of attitudes, perceived norms, and perceived behavioral control (PBC) of healthy sleep behaviors among young adults. A survey was distributed via email using a university-wide listserv at a large southwestern university. Participants (n = 310) were on average 19.9 years old (+/-1.6), and reported sleeping five and a half hours (+/-0.7) per night. Associations between formative and reflective RAA measures were overall moderate to strong. Thinking clearly (r = 0.55; p < 0.001) was the strongest determinant of attitudes; friends (r = 0.27; p < 0.001) was the strongest referent of injunctive norms; children (r = 0.14; p < 0.05) was the strongest referent of descriptive norms; and having a lot of homework/studying (r = -0.25; p < 0.001) was the strongest determinant of PBC. Understanding the determinants of attitudes, perceived norms, and PBC will help health practitioners bridge the gap between theory and practice, and provide relevant information to aid in the development of effective public health sleep interventions.
{"title":"What determines young adults’ attitudes, perceived norms, and perceived behavioral control towards healthy sleep behaviors? A reasoned action approach","authors":"Paul Branscum, K. Fay","doi":"10.4148/2572-1836.1046","DOIUrl":"https://doi.org/10.4148/2572-1836.1046","url":null,"abstract":"A common limitation to the design of public health sleep interventions is the overall lack of using theory. Previous researchers have utilized the theory of planned behavior and the reasoned action approach (RAA) to predict healthy sleep behaviors, however much of this research was done using reflective (or generalized) measures, which alone is likely inadequate to equip health practitioners with tangible information they can use to translate theory into practice. Therefore, the purpose of this study was to use formative (or belief-based) measures of the RAA to evaluate the determinants of attitudes, perceived norms, and perceived behavioral control (PBC) of healthy sleep behaviors among young adults. A survey was distributed via email using a university-wide listserv at a large southwestern university. Participants (n = 310) were on average 19.9 years old (+/-1.6), and reported sleeping five and a half hours (+/-0.7) per night. Associations between formative and reflective RAA measures were overall moderate to strong. Thinking clearly (r = 0.55; p < 0.001) was the strongest determinant of attitudes; friends (r = 0.27; p < 0.001) was the strongest referent of injunctive norms; children (r = 0.14; p < 0.05) was the strongest referent of descriptive norms; and having a lot of homework/studying (r = -0.25; p < 0.001) was the strongest determinant of PBC. Understanding the determinants of attitudes, perceived norms, and PBC will help health practitioners bridge the gap between theory and practice, and provide relevant information to aid in the development of effective public health sleep interventions.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49229474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Layton Reesor-Oyer, Nadia Garcia Marroquin, D. Hernandez
Food insecurity is related to overweight/obesity among women. However, it is unknown whether food insecurity impacts individuals’ desired body composition, and whether this relationship differs by race/ ethnicity similar to perceived ideal weight status. This study aims to evaluate whether food insecurity is related to elevated preferred weight status (e.g., overweight/obese versus normal weight) among black, white, and Hispanic women classified as overweight/obese. Four waves of NHANES data (2007–2014) were merged and yielded a total of 907 black, 1,271 white, and 1,005 Hispanic non-pregnant adult (age 20 to 59) women classified as overweight/obese. Participants self-reported their preferred weight status, adult-level food security, and demographic covariates. Covariate-adjusted logistic regression models stratified by race/ethnicity evaluated the role of food insecurity related to preferred weight status. Among black women, those who were food insecure were at 51% increased odds of preferring an overweight/ obese weight status (OR: 1.51; 95% CI: 1.08 – 2.13; p = .02) relative to their food secure counterparts. Among white and Hispanic women, those who were food insecure had similar odds of preferring an overweight/obese weight status (White: OR: 1.07; 95% CI: 0.68 – 1.71; p = .76; Hispanic: OR: 0.95; 95% CI: 0.66 – 1.37; p = .77) relative to their food secure counterparts. Food insecurity results in the desire to be heavier among black women classified as overweight/obese. However, it does not impact white and Hispanic women classified as overweight/obese. Practitioners must consider weight preferences prior to providing obesity prevention information, particularly among food insecure black women.
{"title":"Adult Food Insecurity is Associated with Heavier Weight Preferences among Black Women","authors":"Layton Reesor-Oyer, Nadia Garcia Marroquin, D. Hernandez","doi":"10.4148/2572-1836.1066","DOIUrl":"https://doi.org/10.4148/2572-1836.1066","url":null,"abstract":"Food insecurity is related to overweight/obesity among women. However, it is unknown whether food insecurity impacts individuals’ desired body composition, and whether this relationship differs by race/ ethnicity similar to perceived ideal weight status. This study aims to evaluate whether food insecurity is related to elevated preferred weight status (e.g., overweight/obese versus normal weight) among black, white, and Hispanic women classified as overweight/obese. Four waves of NHANES data (2007–2014) were merged and yielded a total of 907 black, 1,271 white, and 1,005 Hispanic non-pregnant adult (age 20 to 59) women classified as overweight/obese. Participants self-reported their preferred weight status, adult-level food security, and demographic covariates. Covariate-adjusted logistic regression models stratified by race/ethnicity evaluated the role of food insecurity related to preferred weight status. Among black women, those who were food insecure were at 51% increased odds of preferring an overweight/ obese weight status (OR: 1.51; 95% CI: 1.08 – 2.13; p = .02) relative to their food secure counterparts. Among white and Hispanic women, those who were food insecure had similar odds of preferring an overweight/obese weight status (White: OR: 1.07; 95% CI: 0.68 – 1.71; p = .76; Hispanic: OR: 0.95; 95% CI: 0.66 – 1.37; p = .77) relative to their food secure counterparts. Food insecurity results in the desire to be heavier among black women classified as overweight/obese. However, it does not impact white and Hispanic women classified as overweight/obese. Practitioners must consider weight preferences prior to providing obesity prevention information, particularly among food insecure black women.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46816299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Raun, D. Persse, Gwendolyn Johnson, K. Ensor, Elizabeth Stevenson, M. Valerio, Erin K. Caton, L. Campos, H. Farber
The purpose of this needs assessment was to study the current state of asthma management in high-risk children in Houston, Texas to inform a theory-based approach to improving asthma management. The mixed-method assessment included multi-sectoral survey, quantitative, and geospatial data that address a range of social and community factors in family, community, home, and medical contexts. Houston Emergency Medical Services (EMS) provided ambulance-treated asthma data mapped by geographic area to identify where childhood asthma management was weakest. Texas Children’s Health Plan (TCHP) provided medication compliance rates and counts of children by zip code that TCHP considered high-risk according to claims data. Houston Independent School District (HISD) provided school nurse survey results from schools with high-rates of ambulance-treated asthma attacks regarding local barriers to asthma management. Elementary schools with children at highest risk were identified by overlaying the EMS data, TCHP data, and HISD school zone boundaries. Survey results from the high-rate schools indicate the priority challenges to childhood asthma management, including lack of resources, lack of communication, lack of knowledge of triggers, and inadequate time for quality care from providers. By weaving together EMS, TCHP, and HISD data, the needs assessment informed a socio-ecological view of gaps in high-risk childhood asthma management and control, specifically where and what to target. An assessment approach with multi-sectoral data, geospatial mapping, nurse input, current systems of care, education, and funding helped focus planning on a practical approach to asthma control solutions for high-risk children.
{"title":"Using Complex, Multi-Sectoral Data in a Needs Assessment to Inform Future Strategies in Childhood Asthma Management","authors":"L. Raun, D. Persse, Gwendolyn Johnson, K. Ensor, Elizabeth Stevenson, M. Valerio, Erin K. Caton, L. Campos, H. Farber","doi":"10.4148/2572-1836.1037","DOIUrl":"https://doi.org/10.4148/2572-1836.1037","url":null,"abstract":"The purpose of this needs assessment was to study the current state of asthma management in high-risk children in Houston, Texas to inform a theory-based approach to improving asthma management. The mixed-method assessment included multi-sectoral survey, quantitative, and geospatial data that address a range of social and community factors in family, community, home, and medical contexts. Houston Emergency Medical Services (EMS) provided ambulance-treated asthma data mapped by geographic area to identify where childhood asthma management was weakest. Texas Children’s Health Plan (TCHP) provided medication compliance rates and counts of children by zip code that TCHP considered high-risk according to claims data. Houston Independent School District (HISD) provided school nurse survey results from schools with high-rates of ambulance-treated asthma attacks regarding local barriers to asthma management. Elementary schools with children at highest risk were identified by overlaying the EMS data, TCHP data, and HISD school zone boundaries. Survey results from the high-rate schools indicate the priority challenges to childhood asthma management, including lack of resources, lack of communication, lack of knowledge of triggers, and inadequate time for quality care from providers. By weaving together EMS, TCHP, and HISD data, the needs assessment informed a socio-ecological view of gaps in high-risk childhood asthma management and control, specifically where and what to target. An assessment approach with multi-sectoral data, geospatial mapping, nurse input, current systems of care, education, and funding helped focus planning on a practical approach to asthma control solutions for high-risk children.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43582384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Physical activity could be associated with psychosocial correlates of changes in eating behaviors required for weight loss. This field investigation assessed relationships of physical activity with early changes in psychosocial variables such as depression, fatigue, and body satisfaction; and their effect on fruit/vegetable and sweets intake and weight change. Emerging adult women from a university setting (Mage = 20.4 years, SD = 2.0; n = 36) and adult women from a community health-promotion setting (Mage = 45.6 years, SD = 7.3; n = 36), participating in the same cognitive-behavioral weight-loss program that initiated physical activity prior to nutrition changes, were first contrasted on measures of physical activity, psychosocial changes, eating changes, and weight; then on their theory-based interrelations. The emerging adult women had significantly higher baseline scores on depression and physical activity, and significantly lower scores on fruit/vegetable intake. Improvements over 3 months in the psychosocial and behavioral variables and weight were significant, but did not significantly differ by group. Weight loss means were -3.89 kg and -4.16 kg, respectively. Using aggregated data, serial mediation analyses identified a significant path from change in physical activity, to change in depression, to change in intake of sweets, to change in weight. Paths were also significant when improvement in tension and fatigue was entered as the psychosocial variable. Age group did not moderate those relationships. Findings improved understandings of age effects, and interrelations of psychosocial and behavioral predictors of short-term weight loss that could help longer-term treatment targets.
{"title":"Contrasting Adult and Emerging Adult Women on Possible Psychosocial and Behavioral Correlates of Short-Term Weight Loss","authors":"J. Annesi, Ping H. Johnson","doi":"10.4148/2572-1836.1058","DOIUrl":"https://doi.org/10.4148/2572-1836.1058","url":null,"abstract":"Physical activity could be associated with psychosocial correlates of changes in eating behaviors required for weight loss. This field investigation assessed relationships of physical activity with early changes in psychosocial variables such as depression, fatigue, and body satisfaction; and their effect on fruit/vegetable and sweets intake and weight change. Emerging adult women from a university setting (Mage = 20.4 years, SD = 2.0; n = 36) and adult women from a community health-promotion setting (Mage = 45.6 years, SD = 7.3; n = 36), participating in the same cognitive-behavioral weight-loss program that initiated physical activity prior to nutrition changes, were first contrasted on measures of physical activity, psychosocial changes, eating changes, and weight; then on their theory-based interrelations. The emerging adult women had significantly higher baseline scores on depression and physical activity, and significantly lower scores on fruit/vegetable intake. Improvements over 3 months in the psychosocial and behavioral variables and weight were significant, but did not significantly differ by group. Weight loss means were -3.89 kg and -4.16 kg, respectively. Using aggregated data, serial mediation analyses identified a significant path from change in physical activity, to change in depression, to change in intake of sweets, to change in weight. Paths were also significant when improvement in tension and fatigue was entered as the psychosocial variable. Age group did not moderate those relationships. Findings improved understandings of age effects, and interrelations of psychosocial and behavioral predictors of short-term weight loss that could help longer-term treatment targets.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45129324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Previous studies have suggested HIV knowledge and self-efficacy are important cognitive factors that might influence condom use behaviors. However, data were limited regarding their mediating effects on condom use during behavioral interventions. This study examined the mechanistic roles of these two factors on the effect of a community-based intervention aiming to increase condom use behaviors and intention among young rural-to-urban migrants in China. Data were derived from a community-based HIV behavioral intervention trial among 639 young sexually active rural-to-urban migrants in Beijing, China. Path analyses were used to examine the direct and indirect effects of the intervention program on condom use behaviors and intention over a 12-month follow-up. HIV knowledge and condom use selfefficacy at 6-month follow-up served as mediators in models. Path analyses revealed that intervention program increased condom use behaviors at 12 months through the increase of HIV knowledge at 6 months. Likewise, the intervention program increased condom use intention through the increases of HIV knowledge and condom use self-efficacy. The results suggested HIV knowledge played an important mediating role on the effect of the intervention program on condom use behaviors and intention. Additionally, condom use self-efficacy played an important role in increasing condom use intention. To increase condom use behaviors and intention among migrants, future studies are warranted that focus on improving HIV knowledge and helping migrants overcome cognitive barriers of condom use. Other efforts targeting structural and environmental barriers, such as limited healthcare access due to household registration status, are also needed to increase HIV protective behaviors.
{"title":"The Mechanism of Theory-based HIV Behavioral Intervention on Condom Use among Rural-to-urban Migrants in China: The Mediating Roles of HIV Knowledge and Condom Use Self-efficacy","authors":"Chengbo Zeng, Xiaoming Li, Hongfei Du, D. Lin","doi":"10.4148/2572-1836.1045","DOIUrl":"https://doi.org/10.4148/2572-1836.1045","url":null,"abstract":"Previous studies have suggested HIV knowledge and self-efficacy are important cognitive factors that might influence condom use behaviors. However, data were limited regarding their mediating effects on condom use during behavioral interventions. This study examined the mechanistic roles of these two factors on the effect of a community-based intervention aiming to increase condom use behaviors and intention among young rural-to-urban migrants in China. Data were derived from a community-based HIV behavioral intervention trial among 639 young sexually active rural-to-urban migrants in Beijing, China. Path analyses were used to examine the direct and indirect effects of the intervention program on condom use behaviors and intention over a 12-month follow-up. HIV knowledge and condom use selfefficacy at 6-month follow-up served as mediators in models. Path analyses revealed that intervention program increased condom use behaviors at 12 months through the increase of HIV knowledge at 6 months. Likewise, the intervention program increased condom use intention through the increases of HIV knowledge and condom use self-efficacy. The results suggested HIV knowledge played an important mediating role on the effect of the intervention program on condom use behaviors and intention. Additionally, condom use self-efficacy played an important role in increasing condom use intention. To increase condom use behaviors and intention among migrants, future studies are warranted that focus on improving HIV knowledge and helping migrants overcome cognitive barriers of condom use. Other efforts targeting structural and environmental barriers, such as limited healthcare access due to household registration status, are also needed to increase HIV protective behaviors.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49213723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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