Weight loss beyond the short term is problematic for individuals with obesity. Especially for women, emotional eating is one of the greatest barriers and might require attention early in a behavioral weightloss program. Physical activity-associated mood improvement may be associated with reduced emotional eating. Women with obesity volunteered for a community-based weight-management treatment. Effects associated with the initial 10 weeks, which focused on behavioral support of physical activity (prior to addressing eating behavior change), were assessed. Groups were designated based on whether participants’ high total mood disturbance (TMD) scores reduced to a normal level (n = 45) or remained high (n = 27). Although significant overall improvements in emotional eating were found, F(1, 70) = 22.80, p < .001, its change scores did not significantly differ by group, F(1, 70) = 0.82, p = .370. Using aggregated data, the prediction of reduction in emotional eating by lowered TMD scores was not statistically significant. Adding change in self-efficacy for controlled eating into Step 2 of the regression model significantly increased the explained variance to R2 = .10, p = .014, with group not being a significant contributor when added in Step 3. TMD reduction was significantly predicted by increase in physical activity, β = -.23, p = .028, and completion of at least 3 bouts/week, rpb = -.22, p= .015. Because physical activity-related reductions in negative mood and increases in self-efficacy were associated with reduced emotional eating, viability for those behavioral factors as early treatment targets were signaled.
{"title":"Early Effects of Improved Mood on Propensity for Emotional Eating During the Physical Activity-only Phase of a Community-Based Behavioral Treatment for Obesity in Women with High Mood Disturbance","authors":"J. Annesi, Amelia A. Eberly","doi":"10.4148/2572-1836.1156","DOIUrl":"https://doi.org/10.4148/2572-1836.1156","url":null,"abstract":"Weight loss beyond the short term is problematic for individuals with obesity. Especially for women, emotional eating is one of the greatest barriers and might require attention early in a behavioral weightloss program. Physical activity-associated mood improvement may be associated with reduced emotional eating. Women with obesity volunteered for a community-based weight-management treatment. Effects associated with the initial 10 weeks, which focused on behavioral support of physical activity (prior to addressing eating behavior change), were assessed. Groups were designated based on whether participants’ high total mood disturbance (TMD) scores reduced to a normal level (n = 45) or remained high (n = 27). Although significant overall improvements in emotional eating were found, F(1, 70) = 22.80, p < .001, its change scores did not significantly differ by group, F(1, 70) = 0.82, p = .370. Using aggregated data, the prediction of reduction in emotional eating by lowered TMD scores was not statistically significant. Adding change in self-efficacy for controlled eating into Step 2 of the regression model significantly increased the explained variance to R2 = .10, p = .014, with group not being a significant contributor when added in Step 3. TMD reduction was significantly predicted by increase in physical activity, β = -.23, p = .028, and completion of at least 3 bouts/week, rpb = -.22, p= .015. Because physical activity-related reductions in negative mood and increases in self-efficacy were associated with reduced emotional eating, viability for those behavioral factors as early treatment targets were signaled.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46550635","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}
K. Shreffler, Christine N. Joachims, L. Ciciolla, Julie M. Croff, Machele Anderson
Prenatal smoking is associated with adverse pregnancy and birth outcomes as well as health problems in early childhood. Recent research determined that maternal adverse childhood experiences (ACEs) increase the odds of smoking during pregnancy. We consider the role of protective and compensatory childhood experiences (PACEs) in an effort to examine the extent to which positive childhood experiences are protective factors for maternal smoking behaviors. Between 2015-2018, 309 pregnant women in Oklahoma recruited from high-risk prenatal clinics, childbirth education classes, and social media were surveyed about their childhood experiences and smoking behaviors during pregnancy. Ordinal regression analysis was used to examine the association between ACEs, PACEs, and prenatal smoking frequency. Similar to prior studies, we found women with more ACEs reported smoking more frequently during pregnancy. Women with more PACEs reported significantly less frequent prenatal smoking. With both ACEs and PACEs in the model, however, ACEs was no longer a significant predictor of maternal prenatal smoking. Our findings suggest that protective and compensatory childhood experiences may be more salient for prenatal smoking behaviors than adverse childhood experiences. Identifying protective factors for pregnancy health risk behaviors such as smoking can offer a target for intervention and prevention.
{"title":"Maternal Adverse and Protective Childhood Experiences and Prenatal Smoking","authors":"K. Shreffler, Christine N. Joachims, L. Ciciolla, Julie M. Croff, Machele Anderson","doi":"10.4148/2572-1836.1126","DOIUrl":"https://doi.org/10.4148/2572-1836.1126","url":null,"abstract":"Prenatal smoking is associated with adverse pregnancy and birth outcomes as well as health problems in early childhood. Recent research determined that maternal adverse childhood experiences (ACEs) increase the odds of smoking during pregnancy. We consider the role of protective and compensatory childhood experiences (PACEs) in an effort to examine the extent to which positive childhood experiences are protective factors for maternal smoking behaviors. Between 2015-2018, 309 pregnant women in Oklahoma recruited from high-risk prenatal clinics, childbirth education classes, and social media were surveyed about their childhood experiences and smoking behaviors during pregnancy. Ordinal regression analysis was used to examine the association between ACEs, PACEs, and prenatal smoking frequency. Similar to prior studies, we found women with more ACEs reported smoking more frequently during pregnancy. Women with more PACEs reported significantly less frequent prenatal smoking. With both ACEs and PACEs in the model, however, ACEs was no longer a significant predictor of maternal prenatal smoking. Our findings suggest that protective and compensatory childhood experiences may be more salient for prenatal smoking behaviors than adverse childhood experiences. Identifying protective factors for pregnancy health risk behaviors such as smoking can offer a target for intervention and prevention.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49425271","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}
O. Oloruntoba, R. Aggad, Tasmiah Nuzhath, Qiping Fan, M. Smith
{"title":"Meeting The Mentorship Needs Of International Students In The United States","authors":"O. Oloruntoba, R. Aggad, Tasmiah Nuzhath, Qiping Fan, M. Smith","doi":"10.4148/2572-1836.1169","DOIUrl":"https://doi.org/10.4148/2572-1836.1169","url":null,"abstract":"","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48541446","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. Stamatis, Jessica L. Adams, Joel R. Martin, M. Smith, Italia Milani, S. Caswell, N. Cortes, A. Boolani
Grit has been associated with feelings of energy when measured as the opposite end of fatigue. During the COVID-19 pandemic, grit has been linked to positive health-related behaviors, which are known to influence feelings of energy and fatigue. The objective of this study was to identify the association between grit, time spent sitting, physical activity (PA), and feelings of mental and physical energy (ME, PE) and fatigue (MF, PF) during the early stages of the COVID-19 pandemic in the United States. Participants (n = 859) completed surveys once. Using a series of multivariate regression models, we assessed the association between grit, time spent sitting, PA and ME, MF, PE, and PF. When accounting for all factors, performing vigorous PA was associated positively with PE and ME and negatively with PF and MF, whereas sitting was related negatively with PE and ME and positively with PF and MF. Grit was not associated with the four moods. Study findings underscore the need to adopt healthy lifestyle behavior to improve feelings of energy and fatigue in the face of a pandemic. During this ongoing global health crisis, these findings present novel and important evidence with possible immediate applications for health behavior, such as informing already-established health behavior theories to, ultimately, design COVID-19-specific interventions.
{"title":"Physical Activity, Sitting Time, and Feelings of Energy and Fatigue During the Early Stages of the COVID-19 Pandemic: Does Grit Make a Difference?","authors":"A. Stamatis, Jessica L. Adams, Joel R. Martin, M. Smith, Italia Milani, S. Caswell, N. Cortes, A. Boolani","doi":"10.4148/2572-1836.1134","DOIUrl":"https://doi.org/10.4148/2572-1836.1134","url":null,"abstract":"Grit has been associated with feelings of energy when measured as the opposite end of fatigue. During the COVID-19 pandemic, grit has been linked to positive health-related behaviors, which are known to influence feelings of energy and fatigue. The objective of this study was to identify the association between grit, time spent sitting, physical activity (PA), and feelings of mental and physical energy (ME, PE) and fatigue (MF, PF) during the early stages of the COVID-19 pandemic in the United States. Participants (n = 859) completed surveys once. Using a series of multivariate regression models, we assessed the association between grit, time spent sitting, PA and ME, MF, PE, and PF. When accounting for all factors, performing vigorous PA was associated positively with PE and ME and negatively with PF and MF, whereas sitting was related negatively with PE and ME and positively with PF and MF. Grit was not associated with the four moods. Study findings underscore the need to adopt healthy lifestyle behavior to improve feelings of energy and fatigue in the face of a pandemic. During this ongoing global health crisis, these findings present novel and important evidence with possible immediate applications for health behavior, such as informing already-established health behavior theories to, ultimately, design COVID-19-specific interventions.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45491263","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}
The purpose of this study was to examine the reasoned action approach (RAA) in relation to the impact of COVID-19 on college athletes’ physical activity (PA). Participants were college athletes (ages 18-22 years) who were involved in university, club, and/or intramural sport. The RAA constructs were measured for the three different types of PA behaviors. Statistical analyses included ANOVA and multiple regression analyses to evaluate the RAA determinants of PA intentions. Results partially supported theoretical expectations. All RAA constructs had an impact on perceived norms indicating a dominant influence. Remote social interaction/training during isolation periods are suggested to promote sustained conditioning among college athletes.
{"title":"Reasoned action approach to analyze differences in athletes' physical activity during COVID-19","authors":"O. Branson, Karly S. Geller, Paul Branscum","doi":"10.4148/2572-1836.1132","DOIUrl":"https://doi.org/10.4148/2572-1836.1132","url":null,"abstract":"The purpose of this study was to examine the reasoned action approach (RAA) in relation to the impact of COVID-19 on college athletes’ physical activity (PA). Participants were college athletes (ages 18-22 years) who were involved in university, club, and/or intramural sport. The RAA constructs were measured for the three different types of PA behaviors. Statistical analyses included ANOVA and multiple regression analyses to evaluate the RAA determinants of PA intentions. Results partially supported theoretical expectations. All RAA constructs had an impact on perceived norms indicating a dominant influence. Remote social interaction/training during isolation periods are suggested to promote sustained conditioning among college athletes.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42846938","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}
Sidney Smith, Laura M Schwab Reese, Kilian Kelly, Tessa Bauman, Madison Wierenga, Anna Bohning, A. DeMaria
Managing personal and professional responsibilities may be challenging during the postpartum period, as employees navigate new roles, responsibilities, and family dynamics. The purpose of this paper was to understand the work/life balance experiences of diverse stakeholders and identify opportunities to improve the work environment. We conducted a series of in-depth focus groups with faculty, staff, and graduate students (n = 22), and in-depth interviews with administrators (n = 10) at a research-intensive university in the United States. A six-phase thematic analysis approach was used to examine the experiences and perspectives of individuals with different roles. Three themes with subsequent subthemes emerged: 1) employee role shapes perspectives on campus policies and practices; 2) confusion about policies exacerbates return-to-work issues; and 3) coworkers and supervisors are the primary sources of postpartum support in this workplace. Employees in our study expressed strong desires for clear, consistent institutional policies to ensure employees’ postpartum return-to-work experiences were not dependent on informal arrangements with coworkers and supervisors. Faculty, staff, and graduate student postpartum needs are shaped by individual, interpersonal, and community factors. Clear communication between individuals who make policy decisions and those who are subject to the policies may reduce employee issues during the postpartum period.
{"title":"A Qualitative Investigation of Individual, Interpersonal, and Institutional Contributions to Postpartum Work-Family Balance","authors":"Sidney Smith, Laura M Schwab Reese, Kilian Kelly, Tessa Bauman, Madison Wierenga, Anna Bohning, A. DeMaria","doi":"10.4148/2572-1836.1144","DOIUrl":"https://doi.org/10.4148/2572-1836.1144","url":null,"abstract":"Managing personal and professional responsibilities may be challenging during the postpartum period, as employees navigate new roles, responsibilities, and family dynamics. The purpose of this paper was to understand the work/life balance experiences of diverse stakeholders and identify opportunities to improve the work environment. We conducted a series of in-depth focus groups with faculty, staff, and graduate students (n = 22), and in-depth interviews with administrators (n = 10) at a research-intensive university in the United States. A six-phase thematic analysis approach was used to examine the experiences and perspectives of individuals with different roles. Three themes with subsequent subthemes emerged: 1) employee role shapes perspectives on campus policies and practices; 2) confusion about policies exacerbates return-to-work issues; and 3) coworkers and supervisors are the primary sources of postpartum support in this workplace. Employees in our study expressed strong desires for clear, consistent institutional policies to ensure employees’ postpartum return-to-work experiences were not dependent on informal arrangements with coworkers and supervisors. Faculty, staff, and graduate student postpartum needs are shaped by individual, interpersonal, and community factors. Clear communication between individuals who make policy decisions and those who are subject to the policies may reduce employee issues during the postpartum period.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41380063","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}
Charles F. Hodgman, E. LaVoy, C. Johnston, Ezemenari M. Obasi, Rosenda Murillo, Sandra Yan, D. O'Connor, Lorna H. McNeill, Lorraine R. Reitzel, D. Hernandez
{"title":"Measuring Pro- and Anti-Inflammatory Biomarkers Among Low-Income Hispanic Adults: A Feasibility and Pilot Assessment","authors":"Charles F. Hodgman, E. LaVoy, C. Johnston, Ezemenari M. Obasi, Rosenda Murillo, Sandra Yan, D. O'Connor, Lorna H. McNeill, Lorraine R. Reitzel, D. Hernandez","doi":"10.4148/2572-1836.1143","DOIUrl":"https://doi.org/10.4148/2572-1836.1143","url":null,"abstract":"","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42602931","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}
Eric D. Schisler, Paul Branscum, Lydia Buckley, Rebecca McCann, Emily Richardson, Abbie Luzius, P. Dobbs
Social determinant research has noted educational attainment to be among the strongest influencing factors for tobacco use during pregnancy. Concurrently, maternal e-cigarette use has doubled in recent years, with some citing it as a safer alternative to combustible cigarettes. To better understand the decision-making practices of pregnant persons based on educational attainment, the reasoned action approach (RAA) was used to evaluate factors that may be associated with the intention to switch from cigarettes to e-cigarettes. A sample of U.S. pregnant persons (n = 267) between 18-40 years of age, who smoked at least one cigarette in the past 30 days, completed an online survey about switching from cigarettes to e-cigarettes. RAA constructs (e.g., intentions, instrumental attitudes, etc.) were measured using a pre-validated scale. Using structural equation modeling, the variability of latent variables (i.e., RAA constructs) and their interaction with one another were analyzed by educational attainment via two regression models: one for those who had college experience or had completed a college degree and another for those who had not attended college. Instrumental attitudes, experiential attitudes, and descriptive norms were significantly associated with intention to switch from cigarettes to e-cigarettes among both groups; however, autonomy was only significantly associated with intention among those who had not attended college. The RAA offers a valuable framework for understanding pregnant persons’ decision to switch from cigarettes to e-cigarettes during pregnancy; however, the RAA constructs may be related to intentions differently based on upstream factors, such as educational attainment.
{"title":"A reasoned action approach to pregnant smokers’ intention to switch to e-cigarettes: Does educational attainment influence theory application?","authors":"Eric D. Schisler, Paul Branscum, Lydia Buckley, Rebecca McCann, Emily Richardson, Abbie Luzius, P. Dobbs","doi":"10.4148/2572-1836.1141","DOIUrl":"https://doi.org/10.4148/2572-1836.1141","url":null,"abstract":"Social determinant research has noted educational attainment to be among the strongest influencing factors for tobacco use during pregnancy. Concurrently, maternal e-cigarette use has doubled in recent years, with some citing it as a safer alternative to combustible cigarettes. To better understand the decision-making practices of pregnant persons based on educational attainment, the reasoned action approach (RAA) was used to evaluate factors that may be associated with the intention to switch from cigarettes to e-cigarettes. A sample of U.S. pregnant persons (n = 267) between 18-40 years of age, who smoked at least one cigarette in the past 30 days, completed an online survey about switching from cigarettes to e-cigarettes. RAA constructs (e.g., intentions, instrumental attitudes, etc.) were measured using a pre-validated scale. Using structural equation modeling, the variability of latent variables (i.e., RAA constructs) and their interaction with one another were analyzed by educational attainment via two regression models: one for those who had college experience or had completed a college degree and another for those who had not attended college. Instrumental attitudes, experiential attitudes, and descriptive norms were significantly associated with intention to switch from cigarettes to e-cigarettes among both groups; however, autonomy was only significantly associated with intention among those who had not attended college. The RAA offers a valuable framework for understanding pregnant persons’ decision to switch from cigarettes to e-cigarettes during pregnancy; however, the RAA constructs may be related to intentions differently based on upstream factors, such as educational attainment.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41613057","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}
Kayleigh A Gregory, Keith A King, Rebecca A. Vidourek, A. Merianos
Chronic physical pain is a public health problem among adolescents in the United States. One important consideration for adolescent healthy development is participation in organized activities. Therefore, the study objective was to examine the associations between repeated or chronic physical pain and participation in organized activities overall and by activity type including sports, clubs, and other organized activities (e.g., dance) among U.S. adolescents. This secondary analysis utilized the 2018-2019 National Survey of Children’s Health (NSCH) combined two-year dataset, and included 24,680 adolescents ages 12-17 years. We conducted unadjusted and adjusted logistic regression analyses to examine the relationships between adolescent physical pain and participation in organized activities overall and by type (sports, clubs, other organized activities). Nearly 14% of adolescents had physical pain in the past 12-months. Unadjusted logistic regression model results indicated that adolescents with physical pain were less likely to participate in organized activities (odds ratio [OR] = 0.81, 95% confidence interval [CI] = 0.66, 0.99) compared to adolescents without physical pain. Concerning specific organized activity type, unadjusted (OR = 0.73, 95%CI = 0.61, 0.86) and adjusted (aOR = 0.83, 95%CI = 0.70, 0.99) model results indicated that adolescents with physical pain were less likely to participate in sports compared to adolescents without physical pain. The current study found that adolescents with physical pain had lower odds of overall participation in organized activities, and specifically sports, when compared to adolescents without physical pain. Findings should be considered when developing and implementing pain prevention and treatment programming for adolescents in school and community settings.
{"title":"Physical Pain and Participation in Organized Activities Among U.S. Adolescents","authors":"Kayleigh A Gregory, Keith A King, Rebecca A. Vidourek, A. Merianos","doi":"10.4148/2572-1836.1145","DOIUrl":"https://doi.org/10.4148/2572-1836.1145","url":null,"abstract":"Chronic physical pain is a public health problem among adolescents in the United States. One important consideration for adolescent healthy development is participation in organized activities. Therefore, the study objective was to examine the associations between repeated or chronic physical pain and participation in organized activities overall and by activity type including sports, clubs, and other organized activities (e.g., dance) among U.S. adolescents. This secondary analysis utilized the 2018-2019 National Survey of Children’s Health (NSCH) combined two-year dataset, and included 24,680 adolescents ages 12-17 years. We conducted unadjusted and adjusted logistic regression analyses to examine the relationships between adolescent physical pain and participation in organized activities overall and by type (sports, clubs, other organized activities). Nearly 14% of adolescents had physical pain in the past 12-months. Unadjusted logistic regression model results indicated that adolescents with physical pain were less likely to participate in organized activities (odds ratio [OR] = 0.81, 95% confidence interval [CI] = 0.66, 0.99) compared to adolescents without physical pain. Concerning specific organized activity type, unadjusted (OR = 0.73, 95%CI = 0.61, 0.86) and adjusted (aOR = 0.83, 95%CI = 0.70, 0.99) model results indicated that adolescents with physical pain were less likely to participate in sports compared to adolescents without physical pain. The current study found that adolescents with physical pain had lower odds of overall participation in organized activities, and specifically sports, when compared to adolescents without physical pain. Findings should be considered when developing and implementing pain prevention and treatment programming for adolescents in school and community settings.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70869198","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}
Public health responses to the COVID-19 pandemic have been insufficient at keeping the virus from spreading rapidly and threatening public health around the globe. Not only has society been challenged by biomedical issues of disease contagion, infection, morbidity, and mortality, but has also confronted complex cognitive challenges to making sense of this health threat, especially related to accurately evaluating and responding appropriately to the severity of the pandemic. Perceived severity is an important cognitive factor associated with public willingness to adopt needed prevention, protection, and treatment behaviors for responding to serious health risks, like COVID-19. Information avoidance and uncertainty are important constructs from powerful public health and communication theories, including the health belief model and Weick’s model of organizing, that guide this study by describing how information influences responses to health threats. We used survey data collected from 561 college students to clarify the relationships among information avoidance, beliefs about unpredictability, and the perceived severity of COVID-19. We found that higher information avoidance was associated with lower perceived severity, and that this association depended on people’s unpredictability beliefs. Specifically, for those who had low assessments about unpredictability, we observed a strong negative association between information avoidance and perceived severity. Among those who had high perceived unpredictability levels, we observed a weak negative association between information avoidance and perceived severity. This study evaluates influences of information avoidance and uncertainty on perceived severity of COVID-19. The findings can help guide strategies for enhancing public response to this pandemic and future health threats.
{"title":"Examining the Influences of COVID-19 Information Avoidance and Uncertainty on Perceived Severity of the Pandemic: Applications from the Health Belief Model and Weick’s Model of Organizing","authors":"Xuewei Chen, Jati Ariati, Ming Li, Gary L. Kreps","doi":"10.4148/2572-1836.1151","DOIUrl":"https://doi.org/10.4148/2572-1836.1151","url":null,"abstract":"Public health responses to the COVID-19 pandemic have been insufficient at keeping the virus from spreading rapidly and threatening public health around the globe. Not only has society been challenged by biomedical issues of disease contagion, infection, morbidity, and mortality, but has also confronted complex cognitive challenges to making sense of this health threat, especially related to accurately evaluating and responding appropriately to the severity of the pandemic. Perceived severity is an important cognitive factor associated with public willingness to adopt needed prevention, protection, and treatment behaviors for responding to serious health risks, like COVID-19. Information avoidance and uncertainty are important constructs from powerful public health and communication theories, including the health belief model and Weick’s model of organizing, that guide this study by describing how information influences responses to health threats. We used survey data collected from 561 college students to clarify the relationships among information avoidance, beliefs about unpredictability, and the perceived severity of COVID-19. We found that higher information avoidance was associated with lower perceived severity, and that this association depended on people’s unpredictability beliefs. Specifically, for those who had low assessments about unpredictability, we observed a strong negative association between information avoidance and perceived severity. Among those who had high perceived unpredictability levels, we observed a weak negative association between information avoidance and perceived severity. This study evaluates influences of information avoidance and uncertainty on perceived severity of COVID-19. The findings can help guide strategies for enhancing public response to this pandemic and future health threats.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43473198","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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