{"title":"Understanding the Past While Looking to the Future: American Academy of Health Behavior Presidential Note","authors":"A. Nguyen","doi":"10.4148/2572-1836.1158","DOIUrl":"https://doi.org/10.4148/2572-1836.1158","url":null,"abstract":"","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48645963","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}
E. Thompson, Sharice M. Preston, Jenny K. R. Francis, Serena A. Rodriquez, S. Pruitt, J. Blackwell, Jasmin A. Tiro, Midhat Z. Jafry, A. Tzuan, Chen, Michael, S., Businelle, Darla, E., Kendzor, Lorraine R. Reitzel
The American Academy of Health Behavior (AAHB) hosted its 22nd Annual Scientific Meeting at the Baker's Cay Resort in Key Largo, FL March 13-16, 2022. The meeting's theme was "The Science of Health Behaviors in Times of Crises". This publication describes the meeting theme and includes the refereed abstracts presented at the 2022 Annual Scientific Meeting.s presented at the 2022 Annual Scientific Meeting.
{"title":"The American Academy of Health Behavior 2022 Annual Scientific Meeting: \"The Science of Health Behaviors in Times of Crises\"","authors":"E. Thompson, Sharice M. Preston, Jenny K. R. Francis, Serena A. Rodriquez, S. Pruitt, J. Blackwell, Jasmin A. Tiro, Midhat Z. Jafry, A. Tzuan, Chen, Michael, S., Businelle, Darla, E., Kendzor, Lorraine R. Reitzel","doi":"10.4148/2572-1836.1159","DOIUrl":"https://doi.org/10.4148/2572-1836.1159","url":null,"abstract":"The American Academy of Health Behavior (AAHB) hosted its 22nd Annual Scientific Meeting at the Baker's Cay Resort in Key Largo, FL March 13-16, 2022. The meeting's theme was \"The Science of Health Behaviors in Times of Crises\". This publication describes the meeting theme and includes the refereed abstracts presented at the 2022 Annual Scientific Meeting.s presented at the 2022 Annual Scientific Meeting.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47964584","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}
Christopher Owens, S. Middlestadt, S. Dickinson, Kristina Hunter-Mullis, J. Macy
Understanding the beliefs about staying home is essential to inform stay-at-home policies to mitigate COVID-19 and future epidemics. This study (1) identified the salient advantages, disadvantages, and facilitating beliefs about staying home, and (2) examined the relationship between these beliefs and intention. U.S. adults from a nationally representative probability-based household panel completed an online reasoned action approach belief elicitation from April 10-20, 2020, about one month after stay-athome guidelines were implemented. First, we conducted an inductive content analysis to reveal salient beliefs about staying home. We identified eight advantages, 12 disadvantages, and 12 facilitators that broadly spanned across health domains: individual, population, interpersonal, occupational, financial, and leisure health. Then, we conducted three regression analyses, one for each of the three sets of beliefs, predicting intention to stay home for the next month from worker status and belief mentioned. In these regression analyses, four advantages, four disadvantages, and four facilitators made independent contributions to explaining intention. The breadth of the elicited beliefs suggests that COVID-19 is perceived to have impacted many dimensions of our lives, and that interventions need to be just as broad. Communication and educational interventions could help people understand the benefits of staying home to themselves, to their families, and to the wider community. Programs that keep essential supplies available could help people stay home. Structural interventions with financial safety nets and policies that help people stay employed during an epidemic might address people’s concerns about the impact of staying home on their financial and occupational health.
{"title":"Beliefs about Staying Home: Findings from a Nationally Representative Probability Sample of U.S. Adults in the Early Days of the COVID-19 Epidemic","authors":"Christopher Owens, S. Middlestadt, S. Dickinson, Kristina Hunter-Mullis, J. Macy","doi":"10.4148/2572-1836.1118","DOIUrl":"https://doi.org/10.4148/2572-1836.1118","url":null,"abstract":"Understanding the beliefs about staying home is essential to inform stay-at-home policies to mitigate COVID-19 and future epidemics. This study (1) identified the salient advantages, disadvantages, and facilitating beliefs about staying home, and (2) examined the relationship between these beliefs and intention. U.S. adults from a nationally representative probability-based household panel completed an online reasoned action approach belief elicitation from April 10-20, 2020, about one month after stay-athome guidelines were implemented. First, we conducted an inductive content analysis to reveal salient beliefs about staying home. We identified eight advantages, 12 disadvantages, and 12 facilitators that broadly spanned across health domains: individual, population, interpersonal, occupational, financial, and leisure health. Then, we conducted three regression analyses, one for each of the three sets of beliefs, predicting intention to stay home for the next month from worker status and belief mentioned. In these regression analyses, four advantages, four disadvantages, and four facilitators made independent contributions to explaining intention. The breadth of the elicited beliefs suggests that COVID-19 is perceived to have impacted many dimensions of our lives, and that interventions need to be just as broad. Communication and educational interventions could help people understand the benefits of staying home to themselves, to their families, and to the wider community. Programs that keep essential supplies available could help people stay home. Structural interventions with financial safety nets and policies that help people stay employed during an epidemic might address people’s concerns about the impact of staying home on their financial and occupational health.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49135648","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}
Amanda M. Palmer, B. Toll, Georges J. Nahhas, Kayla Haire, Brandon T. Sanford, K. Cummings, A. Rojewski
Hospital-based tobacco treatment programs provide tobacco cessation for a diverse array of admitted patients. Person-centered approaches to classifying subgroups of individuals within large datasets are useful for evaluating the characteristics of the sample. This study categorized patients who received tobacco treatment while hospitalized and determined whether demographics and smoking-related health conditions were associated with group membership. Chart review data was obtained from 4854 patients admitted to a large hospital in South Carolina, USA, from July 2014 through December 2019 who completed a tobacco treatment visit. Smoking characteristics obtained from the visit interview were dichotomized, and then latent class analysis (LCA) was conducted to categorize patients based on smoking history and interest in stopping smoking. Finally, logistic regressions were used to evaluate demographics and smoking-related health conditions as predictors of class membership. LCA generated 5 classes of patients, differentiated by heaviness of smoking and motivation to quit. Patients who were black/African American were more likely to be lighter smokers compared to white patients. Hospitalized patients with a history of hypertension, diabetes, and congestive heart failure were more likely to be motivated to quit and also were more likely to be lighter smokers at the time of hospitalization. Hospitalized patients who smoke and receive tobacco treatment are heterogeneous in terms of their smoking histories and motivation to quit. Understanding latent categories of patients provides insight for tailoring interventions and potentially improving tobacco treatment outcomes.
{"title":"Patterns and predictors of smoking by race and medical diagnosis during hospital admission: A latent class analysis","authors":"Amanda M. Palmer, B. Toll, Georges J. Nahhas, Kayla Haire, Brandon T. Sanford, K. Cummings, A. Rojewski","doi":"10.4148/2572-1836.1129","DOIUrl":"https://doi.org/10.4148/2572-1836.1129","url":null,"abstract":"Hospital-based tobacco treatment programs provide tobacco cessation for a diverse array of admitted patients. Person-centered approaches to classifying subgroups of individuals within large datasets are useful for evaluating the characteristics of the sample. This study categorized patients who received tobacco treatment while hospitalized and determined whether demographics and smoking-related health conditions were associated with group membership. Chart review data was obtained from 4854 patients admitted to a large hospital in South Carolina, USA, from July 2014 through December 2019 who completed a tobacco treatment visit. Smoking characteristics obtained from the visit interview were dichotomized, and then latent class analysis (LCA) was conducted to categorize patients based on smoking history and interest in stopping smoking. Finally, logistic regressions were used to evaluate demographics and smoking-related health conditions as predictors of class membership. LCA generated 5 classes of patients, differentiated by heaviness of smoking and motivation to quit. Patients who were black/African American were more likely to be lighter smokers compared to white patients. Hospitalized patients with a history of hypertension, diabetes, and congestive heart failure were more likely to be motivated to quit and also were more likely to be lighter smokers at the time of hospitalization. Hospitalized patients who smoke and receive tobacco treatment are heterogeneous in terms of their smoking histories and motivation to quit. Understanding latent categories of patients provides insight for tailoring interventions and potentially improving tobacco treatment outcomes.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41938757","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}
C. LoParco, Zheng-ta Zhou, D. Litt, Melissa A. Lewis
This study examined three-way interactions between baseline levels of willingness to engage in alcoholrelated sexual behaviors, facets of impulsivity (i.e., urgency, lack of premeditation, and sensation seeking) and biological sex on alcohol-related sexual behaviors 6 months later. Participants were a sample of highrisk 18–25 year olds (N = 321, mean age 22.44) from a larger randomized controlled trial with eligibility criteria including engaging in unprotected sexual behavior after drinking alcohol within the past month at baseline. Results indicated females reporting high urgency and willingness levels were the most likely to engage in alcohol-related sex and to use a condom/dental dam after drinking. Males reporting low urgency levels and high sensation seeking and willingness levels engaged in more alcohol-related sex compared to females. Interventions to decrease alcohol-related sexual behavior by reducing willingness could incorporate sex-specific and impulsivity-related content, particularly related to urgency.
{"title":"Do impulsivity and biological sex moderate associations between alcohol-related sexual willingness and behavior among young adults?","authors":"C. LoParco, Zheng-ta Zhou, D. Litt, Melissa A. Lewis","doi":"10.4148/2572-1836.1122","DOIUrl":"https://doi.org/10.4148/2572-1836.1122","url":null,"abstract":"This study examined three-way interactions between baseline levels of willingness to engage in alcoholrelated sexual behaviors, facets of impulsivity (i.e., urgency, lack of premeditation, and sensation seeking) and biological sex on alcohol-related sexual behaviors 6 months later. Participants were a sample of highrisk 18–25 year olds (N = 321, mean age 22.44) from a larger randomized controlled trial with eligibility criteria including engaging in unprotected sexual behavior after drinking alcohol within the past month at baseline. Results indicated females reporting high urgency and willingness levels were the most likely to engage in alcohol-related sex and to use a condom/dental dam after drinking. Males reporting low urgency levels and high sensation seeking and willingness levels engaged in more alcohol-related sex compared to females. Interventions to decrease alcohol-related sexual behavior by reducing willingness could incorporate sex-specific and impulsivity-related content, particularly related to urgency.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47809860","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}
Pub Date : 2022-05-01Epub Date: 2022-08-12DOI: 10.4148/2572-1836.1140
E Melinda Mahabee-Gittens, Rebecca A Vidourek, Keith A King, Ashley L Merianos
Children who are socioeconomically disadvantaged face a myriad of environmental hardships in the neighborhoods in which they live. This study examined the associations between home tobacco smoke exposure (TSE) and neighborhood support, neighborhood safety, and school safety among U.S. school-aged children. Children ages 6-11 years were included in this secondary analysis of 2018-2019 National Survey of Children's Health data (N = 17,300). Children's home TSE status was categorized into three levels: (1) no TSE: Child did not live with a smoker; (2) Outside TSE only: Child lived with a smoker who did not smoke inside the home; and (3) Inside TSE: Child lived with a smoker who smoked inside the home. Parent-reported measures of perceived neighborhood support, and neighborhood and school safety were examined; covariates included the child's age, sex, and race/ethnicity; the parent's education; the family's household structure, and federal poverty level. Weighted logistic and ordinal regression models were built adjusting for the covariates. In total, 13.2% of children had outside TSE and 1.7% of children had inside TSE. Multivariable logistic regression model results indicated that children with outside TSE were at decreased odds (AOR = 0.79, 95%CI = 0.65-0.96) of living in a supportive neighborhood compared to children with no TSE. Ordinal regression model results indicated that children with outside TSE (AOR = 0.77, 95%CI = 0.61-0.97) and children with inside TSE were at decreased odds (AOR = 0.62, 95%CI = 0.39-0.99) of going to a school that was perceived as safe. Community-level programs, policies, and funding are needed to improve neighborhood characteristics among children with TSE to improve their future health outcomes.
{"title":"Home Tobacco Smoke Exposure and Neighborhood Support and Safety among U.S. School-aged Children.","authors":"E Melinda Mahabee-Gittens, Rebecca A Vidourek, Keith A King, Ashley L Merianos","doi":"10.4148/2572-1836.1140","DOIUrl":"10.4148/2572-1836.1140","url":null,"abstract":"<p><p>Children who are socioeconomically disadvantaged face a myriad of environmental hardships in the neighborhoods in which they live. This study examined the associations between home tobacco smoke exposure (TSE) and neighborhood support, neighborhood safety, and school safety among U.S. school-aged children. Children ages 6-11 years were included in this secondary analysis of 2018-2019 National Survey of Children's Health data (N = 17,300). Children's home TSE status was categorized into three levels: (1) no TSE: Child did not live with a smoker; (2) Outside TSE only: Child lived with a smoker who did not smoke inside the home; and (3) Inside TSE: Child lived with a smoker who smoked inside the home. Parent-reported measures of perceived neighborhood support, and neighborhood and school safety were examined; covariates included the child's age, sex, and race/ethnicity; the parent's education; the family's household structure, and federal poverty level. Weighted logistic and ordinal regression models were built adjusting for the covariates. In total, 13.2% of children had outside TSE and 1.7% of children had inside TSE. Multivariable logistic regression model results indicated that children with outside TSE were at decreased odds (AOR = 0.79, 95%CI = 0.65-0.96) of living in a supportive neighborhood compared to children with no TSE. Ordinal regression model results indicated that children with outside TSE (AOR = 0.77, 95%CI = 0.61-0.97) and children with inside TSE were at decreased odds (AOR = 0.62, 95%CI = 0.39-0.99) of going to a school that was perceived as safe. Community-level programs, policies, and funding are needed to improve neighborhood characteristics among children with TSE to improve their future health outcomes.</p>","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10722861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47671980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Because of social pressures for thinness in women, body image/body satisfaction is often problematic. Although associations between body satisfaction, emotional eating, and changes in both have been proposed, they are not well-understood and might have implications for weight loss treatments. Women participants of a community-based obesity treatment (Mage = 41.4 years) with either high (n = 65) or normal (n = 79) propensities for emotional eating at baseline were measured on body satisfaction, eatingrelated self-regulation, dimensions of negative mood and emotional eating, exercise and eating behaviors, and weight at baseline and Months 3 and 6. The high emotional eating group had significantly higher scores on the negative mood and emotional eating measures, and significantly lower body satisfaction. However, that group demonstrated significantly greater improvements on those measures, and on the intake of fruits/vegetables and sweets, than the normal emotional eating group. Body satisfaction change was significantly predicted by exercise, weight, and eating measure changes, unaffected by group. Changes in body satisfaction significantly predicted changes in emotional eating. However, when changes in self-regulation and the mood measures were entered as sequential mediators, the overall mediation models were significant but not those relationships. Findings will inform obesity treatment targets and improve potentials for reductions in the health risks of participants.
{"title":"Relation of Changes in Body Satisfaction with Propensities for Emotional Eating Within a Community-delivered Obesity Treatment for Women: Theory-based Mediators","authors":"J. Annesi","doi":"10.4148/2572-1836.1113","DOIUrl":"https://doi.org/10.4148/2572-1836.1113","url":null,"abstract":"Because of social pressures for thinness in women, body image/body satisfaction is often problematic. Although associations between body satisfaction, emotional eating, and changes in both have been proposed, they are not well-understood and might have implications for weight loss treatments. Women participants of a community-based obesity treatment (Mage = 41.4 years) with either high (n = 65) or normal (n = 79) propensities for emotional eating at baseline were measured on body satisfaction, eatingrelated self-regulation, dimensions of negative mood and emotional eating, exercise and eating behaviors, and weight at baseline and Months 3 and 6. The high emotional eating group had significantly higher scores on the negative mood and emotional eating measures, and significantly lower body satisfaction. However, that group demonstrated significantly greater improvements on those measures, and on the intake of fruits/vegetables and sweets, than the normal emotional eating group. Body satisfaction change was significantly predicted by exercise, weight, and eating measure changes, unaffected by group. Changes in body satisfaction significantly predicted changes in emotional eating. However, when changes in self-regulation and the mood measures were entered as sequential mediators, the overall mediation models were significant but not those relationships. Findings will inform obesity treatment targets and improve potentials for reductions in the health risks of participants.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45803073","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}
Christine L Hackman, Sarah E Rush Griffin, Paul Branscum, Arden Castle, M. Katague
Bystander Intervention (BI) is an evidence-based approach that is considered the gold standard by governmental organizations to reduce sexual assault in college. Few survey instruments are available to measure the predispositions students have towards engaging in BI. Valid and reliable instruments are greatly needed, especially those tailored to BI. The purpose of this study was to develop and validate an instrument based on the reasoned action approach with college students at two U.S. universities. An elicitation of beliefs was accomplished to inform survey items (i.e., behavioral, normative, and control beliefs). Then, an initial draft was developed and sent to an expert panel to establish validity. The final instrument was administered to undergraduate students (n = 291), and further psychometric properties (construct validity and internal consistency reliability) were evaluated. Data were fit into two separate models to evaluate fit. In the first model, a four-factor solution was evaluated (intentions, attitudes, perceived norms, and perceived behavioral control), and while results were modest, the second sevenfactor solution model contained a better fit (intentions, instrumental and experiential attitudes, injunctive and descriptive norms, capacity, and autonomy). Researchers and practitioners examining BI in college can use this instrument to measure theory-based determinants of BI to reduce sexual assault.
{"title":"Development and Validation of an Instrument Measuring Determinants of Bystander Intervention to Prevent Sexual Assault: An application of the Reasoned Action Approach","authors":"Christine L Hackman, Sarah E Rush Griffin, Paul Branscum, Arden Castle, M. Katague","doi":"10.4148/2572-1836.1114","DOIUrl":"https://doi.org/10.4148/2572-1836.1114","url":null,"abstract":"Bystander Intervention (BI) is an evidence-based approach that is considered the gold standard by governmental organizations to reduce sexual assault in college. Few survey instruments are available to measure the predispositions students have towards engaging in BI. Valid and reliable instruments are greatly needed, especially those tailored to BI. The purpose of this study was to develop and validate an instrument based on the reasoned action approach with college students at two U.S. universities. An elicitation of beliefs was accomplished to inform survey items (i.e., behavioral, normative, and control beliefs). Then, an initial draft was developed and sent to an expert panel to establish validity. The final instrument was administered to undergraduate students (n = 291), and further psychometric properties (construct validity and internal consistency reliability) were evaluated. Data were fit into two separate models to evaluate fit. In the first model, a four-factor solution was evaluated (intentions, attitudes, perceived norms, and perceived behavioral control), and while results were modest, the second sevenfactor solution model contained a better fit (intentions, instrumental and experiential attitudes, injunctive and descriptive norms, capacity, and autonomy). Researchers and practitioners examining BI in college can use this instrument to measure theory-based determinants of BI to reduce sexual assault.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48477305","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}
Breakfast skipping among adolescents in the United States is a public health issue because it has adverse consequences on dietary intake and body mass index. The primary aim of this study is to examine the relationship between grade level and reported breakfast skipping among adolescents and whether it is mediated by dietary autonomy. Analyses were based on self-reported data from Wave I of the National Longitudinal Study of Adolescent Health, a nationally representative sample of adolescents in the United States surveyed in 1995. Logistic regression analysis was used to evaluate the effects of grade level and dietary autonomy on adolescents’ reported breakfast skipping. Following MacKinnon and Dwyer, we tested whether the effect of grade level on breakfast skipping was mediated by adolescents’ dietary autonomy. After controlling for sex, race, exercise, parental education, and household income, both grade level (OR = 2.005, 95% CI = 1.684-2.387) and dietary autonomy (OR = 1.435, 95% CI = 1.157-1.780) were each significant predictors of breakfast skipping when tested separately. Mediation analysis showed that dietary autonomy partially mediated the relationship between grade-level and breakfast skipping. Since adolescents in higher grades and those with more dietary autonomy are more likely to skip breakfast, nutritional messages may need to continue beyond the lower grades and emphasize that healthy eating habits can demonstrate autonomy.
{"title":"The Relationship between Grade-Level and Breakfast Skipping among Adolescents: The Mediating Effects of Dietary Autonomy","authors":"Jamil M Lane, S. Sörensen","doi":"10.4148/2572-1836.1105","DOIUrl":"https://doi.org/10.4148/2572-1836.1105","url":null,"abstract":"Breakfast skipping among adolescents in the United States is a public health issue because it has adverse consequences on dietary intake and body mass index. The primary aim of this study is to examine the relationship between grade level and reported breakfast skipping among adolescents and whether it is mediated by dietary autonomy. Analyses were based on self-reported data from Wave I of the National Longitudinal Study of Adolescent Health, a nationally representative sample of adolescents in the United States surveyed in 1995. Logistic regression analysis was used to evaluate the effects of grade level and dietary autonomy on adolescents’ reported breakfast skipping. Following MacKinnon and Dwyer, we tested whether the effect of grade level on breakfast skipping was mediated by adolescents’ dietary autonomy. After controlling for sex, race, exercise, parental education, and household income, both grade level (OR = 2.005, 95% CI = 1.684-2.387) and dietary autonomy (OR = 1.435, 95% CI = 1.157-1.780) were each significant predictors of breakfast skipping when tested separately. Mediation analysis showed that dietary autonomy partially mediated the relationship between grade-level and breakfast skipping. Since adolescents in higher grades and those with more dietary autonomy are more likely to skip breakfast, nutritional messages may need to continue beyond the lower grades and emphasize that healthy eating habits can demonstrate autonomy.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43969091","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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