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Relation of Changes in Body Satisfaction with Propensities for Emotional Eating Within a Community-delivered Obesity Treatment for Women: Theory-based Mediators 在社区提供的女性肥胖治疗中,身体满意度变化与情绪饮食倾向的关系:基于理论的中介
Pub Date : 2022-02-28 DOI: 10.4148/2572-1836.1113
J. Annesi
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.
由于女性瘦的社会压力,身体形象/身体满意度经常是有问题的。虽然已经提出了身体满意度、情绪性饮食和两者变化之间的联系,但它们并没有得到很好的理解,可能对减肥治疗有影响。基线时情绪性饮食倾向高(n = 65)或正常(n = 79)的社区肥胖治疗女性参与者(年龄= 41.4岁)在身体满意度、饮食相关自我调节、负面情绪和情绪性饮食的维度、运动和饮食行为以及基线和第3个月和第6个月的体重方面进行了测量。高情绪饮食组在消极情绪和情绪饮食方面得分明显较高,身体满意度明显较低。然而,与正常的情绪化进食组相比,这一组在这些指标以及水果/蔬菜和糖果摄入量方面表现出了更大的改善。身体满意度的变化与运动、体重和饮食测量的变化有显著的关系,不受组的影响。身体满意度的变化显著预测了情绪化进食的变化。然而,当自我调节和情绪测量的变化作为顺序中介时,整体中介模型显着而不显着。研究结果将为肥胖治疗目标提供信息,并提高降低参与者健康风险的潜力。
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引用次数: 0
Presidential Note: Celebrating the Academy 总统笔记:庆祝学院
Pub Date : 2022-02-28 DOI: 10.4148/2572-1836.1135
Katie M Heinrich
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引用次数: 0
Development and Validation of an Instrument Measuring Determinants of Bystander Intervention to Prevent Sexual Assault: An application of the Reasoned Action Approach 衡量旁观者干预预防性侵犯决定因素的工具的开发和验证:理性行动法的应用
Pub Date : 2022-02-28 DOI: 10.4148/2572-1836.1114
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.
旁观者干预(BI)是一种基于证据的方法,被政府组织视为减少大学性侵的黄金标准。很少有调查工具可以用来衡量学生参与BI的倾向。非常需要有效可靠的工具,尤其是那些适合BI的工具。本研究的目的是在美国两所大学的大学生中开发和验证一种基于理性行动方法的工具。完成了信念的启发,以告知调查项目(即行为、规范和控制信念)。然后,制定了一份初稿,并将其发送给一个专家小组,以确定其有效性。对本科生(n=291)进行了最后的测试,并对进一步的心理测量特性(结构有效性和内部一致性可靠性)进行了评估。将数据拟合到两个独立的模型中以评估拟合度。在第一个模型中,评估了四因素解决方案(意图、态度、感知规范和感知行为控制),虽然结果不多,但第二个七因素解决方案模型包含更好的拟合(意图、工具和经验态度、禁令和描述性规范、能力和自主性)。在大学里检查BI的研究人员和从业者可以使用这一工具来衡量BI的基于理论的决定因素,以减少性侵犯。
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引用次数: 0
The Relationship between Grade-Level and Breakfast Skipping among Adolescents: The Mediating Effects of Dietary Autonomy 青少年年级水平与不吃早餐的关系:饮食自主性的中介作用
Pub Date : 2022-02-28 DOI: 10.4148/2572-1836.1105
Jamil M Lane, S. Sörensen
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.
在美国,青少年不吃早餐是一个公共卫生问题,因为它会对饮食摄入和体重指数产生不利影响。这项研究的主要目的是检验青少年的年级水平和报告的不吃早餐之间的关系,以及它是否由饮食自主性介导。分析基于国家青少年健康纵向研究第一波的自我报告数据,该研究是1995年调查的一个具有全国代表性的美国青少年样本。采用Logistic回归分析来评估年级水平和饮食自主性对青少年不吃早餐的影响。继MacKinnon和Dwyer之后,我们测试了年级水平对不吃早餐的影响是否由青少年的饮食自主性介导。在控制了性别、种族、锻炼、父母教育和家庭收入后,单独测试时,年级水平(OR=2.05,95%CI=1.684-2.387)和饮食自主性(OR=1.435,95%CI=1.157-1.780)都是不吃早餐的显著预测因素。中介分析表明,饮食自主性在一定程度上介导了年级水平与不吃早餐之间的关系。由于高年级和饮食自主性更强的青少年更有可能不吃早餐,营养信息可能需要在低年级之后继续,并强调健康的饮食习惯可以表现出自主性。
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引用次数: 0
The Association Between Body Mass Index and Anxious Arousal, Depressive, and Insomnia Symptoms Among World Trade Center Responders. 体重指数与世贸中心受访者焦虑、抑郁和失眠症状之间的关系。
Pub Date : 2022-02-01 DOI: 10.4148/2572-1836.1107
Brooke Y Kauffman, Roman Kotov, Lorra Garey, Camilo J Ruggero, Benjamin J Luft, Michael J Zvolensky

Elevations in body mass index (BMI) among World Trade Center (WTC) responders may be associated with poor mental health outcomes. The current study examined the association of BMI with anxious arousal, depressive, and insomnia symptoms among this group. Participants were 412 WTC responders (89.4% male, Mage = 55.3 years, SD = 8.66) who completed health monitoring assessments (self-report and objective) as part of the Long Island site of the WTC Health Program (LI-WTC-HP). Results suggested BMI was statistically significant only in relation to anxious arousal (sr2 = .02, p = .008), after accounting for age and sex. The current study suggests that weight management programs may aid in promoting additional benefits for WTC responders by reducing anxious arousal symptoms as a function of reduced BMI.

世界贸易中心(WTC)响应者的体重指数(BMI)升高可能与不良的心理健康结果有关。目前的研究调查了这一群体中BMI与焦虑、抑郁和失眠症状的关系。参与者是412名WTC响应者(89.4%男性,Mage=55.3岁,SD=8.66),他们完成了健康监测评估(自我报告和目标),作为WTC健康计划(LI-WTC-HP)长岛站点的一部分。结果表明,在考虑了年龄和性别后,BMI仅与焦虑唤醒有关(sr2=.02,p=.008),具有统计学意义。目前的研究表明,体重管理计划可能有助于通过减少BMI降低引起的焦虑唤醒症状,为WTC反应者带来额外的好处。
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引用次数: 0
Associations of Psychological Inflexibility with Exercise Self-Efficacy and Fatigue Severity among Individuals Seeking Treatment for Weight-Related Behaviors. 寻求体重相关行为治疗的个体心理灵活性与运动自我效能和疲劳严重程度的关系。
Pub Date : 2022-01-01 DOI: 10.4148/2572-1836.1155
Kara Manning, Brooke Y Kauffman, Lorra Garey, Michael J Zvolensky

Rates of obesity are continuing to rise, contributing to several negative health outcomes and economic burden. Past work suggests that individuals with greater body mass index (BMI) are more likely to report feeling fatigue and are less likely to follow an exercise regimen, which may lead to weight-related problems. Psychological inflexibility, a rigid thinking style in which individuals attempt to over-control psychological reactions to discomfort, may be an underrecognized explanatory factor underlying greater fatigue and lower rates of exercise among individuals with weight-related concerns. The aim of the current study was to explore the relationship between psychological inflexibility and both exercise self-efficacy and fatigue severity among adults seeking treatment for weight-related behaviors. The current study is a secondary analysis and included 162 treatment-seeking adults who attended a baseline appointment for a larger randomized-controlled trial for weight-related behaviors. Results indicated that greater psychological inflexibility was significantly related to greater fatigue severity and lower exercise self-efficacy. These results provide initial empirical evidence that psychological inflexibility may be an important individual difference factor in terms of fatigue and exercise beliefs among adults seeking treatment for weight-related behaviors.

肥胖率持续上升,造成了一些负面的健康后果和经济负担。过去的研究表明,体重指数(BMI)较高的人更有可能报告感到疲劳,也不太可能遵循锻炼方案,这可能会导致与体重相关的问题。心理灵活性是一种僵化的思维方式,个体试图过度控制对不适的心理反应,这可能是一个被低估的解释因素,在有体重相关问题的个体中,这是导致疲劳加剧和运动率降低的原因。本研究的目的是探讨因体重相关行为寻求治疗的成年人的心理灵活性与运动自我效能感和疲劳严重程度之间的关系。目前的研究是一项二级分析,包括162名寻求治疗的成年人,他们参加了一项针对体重相关行为的大型随机对照试验的基线预约。结果表明,心理灵活性越强,疲劳程度越严重,运动自我效能感越低。这些结果提供了初步的经验证据,表明在寻求治疗体重相关行为的成年人中,心理灵活性可能是疲劳和运动信念的一个重要个体差异因素。
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引用次数: 0
A Pilot Study to Examine Retailer Compliance Before and After Tobacco 21 in New Jersey. 一项检查新泽西州烟草21前后零售商合规性的试点研究。
Pub Date : 2022-01-01 DOI: 10.4148/2572-1836.1117
Mary Hrywna, Christopher Ackerman, Cristine D Delnevo

Despite rapid diffusion of Tobacco 21 (T21) laws in the last several years, research examining T21 compliance remains limited. This pilot study examined retailer compliance with carding before and after T21 as well as sales violations after T21 in New Jersey. A 19-year-old buyer made alternating cigar and cigarette purchase attempts in 15 licensed tobacco retailers weekly for five weeks before and 10 weeks following the T21 effective date for a total of 222 visits. We analyzed carding pre and post T21 and sales violations post T21, by store and product type. Failure to card declined post T21 (81.3% to 69.4%), particularly for cigarettes, but not cigars. Overall, 63.3% of retailers sold tobacco to the underage buyer post T21. Following New Jersey's T21 law, compliance with carding improved, but underage sales persisted. Future research examining T21 compliance should consider using a familiarity protocol to mimic real word conditions.

尽管烟草21 (T21)法律在过去几年中迅速传播,但检查T21遵守情况的研究仍然有限。这项试点研究检查了新泽西州零售商在T21前后对梳理的遵守情况,以及T21之后的销售违规行为。一名19岁的购买者在T21生效日期之前的5周和之后的10周内,每周在15家持牌烟草零售商中交替购买雪茄和香烟,共计222次。我们根据商店和产品类型分析了T21前后和T21后的销售违规情况。在T21后,未卡数量下降(81.3%至69.4%),尤其是香烟,但雪茄除外。总体而言,63.3%的零售商向T21后的未成年购买者出售烟草。在新泽西州颁布了T21法案后,大麻的守法程度有所提高,但未成年人吸食大麻的现象依然存在。未来检查T21遵从性的研究应该考虑使用熟悉协议来模拟真实的单词条件。
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引用次数: 2
The American Academy of Health Behavior 2021 Annual Scientific Meeting: "Transforming the Narrative to Meet Emerging Health Behavior Challenges" 美国健康行为学会2021年年度科学会议:“改变叙事,迎接新出现的健康行为挑战”
Pub Date : 2021-12-27 DOI: 10.4148/2572-1836.1121
L. Ann
The American Academy of Health Behavior (AAHB) hosted it's 21th Annual Scientific Meeting online in March 2021. The meeting's theme was "Transforming the Narrative to Meet Emerging Health Behavior Challenges". This publication describes the meeting theme and includes the refereed abstracts presented at the 2021 Annual Scientific Meeting.
美国健康行为学会(AAHB)于2021年3月在线举办了第21届年度科学会议。会议的主题是“改变叙述以应对新出现的卫生行为挑战”。本出版物描述了会议主题,并包括在2021年年度科学会议上提交的经审阅的摘要。
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引用次数: 0
An Observational Analysis of ‘Me Too’ Narratives from YouTube YouTube上“我也是”叙事的观察分析
Pub Date : 2021-08-19 DOI: 10.4148/2572-1836.1088
Jordan L. Nelon, Mandy N. Spadine, Meg Patterson, Sydney E. Brown, Christina L Bookout, Lauren M. Woods, Sara K. Fehr
Abstract The ‘me too’ movement originated to help survivors of sexual violence by providing resources and building a community of advocates to exemplify the magnitude of sexual violence victimization. This movement gained momentum via Twitter due to the viral hashtag—#metoo. YouTube is often used as a means of expression in younger generations, thus sexual violence survivors began using the platform as a way to disseminate ‘me too’ narratives. Therefore, this study aimed to examine how sexual violence narratives resulting from the ‘me too’ movement are being told on YouTube and understand the components of the narratives related to self-blaming mindsets. Based on predetermined search criteria, researchers identified and screened YouTube videos of people sharing ‘me too’ narratives, and developed themes and codes (e.g., type of violence, perpetrator characteristics). Descriptive statistics and a logistic regression were conducted using demographic, experience, and attitudinal data to predict self-blaming mindsets. Sixty-two YouTube videos were included, consisting of 96 individual ‘me too’ stories. The sample was mostly female, and perpetrators were predominately strangers. The model explained 19.3% of the variance in self-blaming attitudes. Odds of self-blaming rose 4.589 times for those who experienced sexual harassment, and 6.109 times for those who experienced rape. If the perpetrator was not mentioned in the video, odds of self-blaming dropped by 89.4%. This study suggests self-blaming beliefs are prominent among victims, even when they have the space to share their story. Overall, our findings support the continued need for further education and support for victims. Abstract The ‘me too’ movement originated to help survivors of sexual violence by providing resources and building a community of advocates to exemplify the magnitude of sexual violence victimization. This movement gained momentum via Twitter due to the viral hashtag—#metoo. YouTube is often used as a means of expression in younger generations, thus sexual violence survivors began using the platform as a way to disseminate ‘me too’ narratives. Therefore, this study aimed to examine how sexual violence narratives resulting from the ‘me too’ movement are being told on YouTube and understand the components of the narratives related to self-blaming mindsets. Based on predetermined search criteria, researchers identified and screened YouTube videos of people sharing ‘me too’ narratives, and developed themes and codes (e.g., type of violence, perpetrator characteristics). Descriptive statistics and a logistic regression were conducted using demographic, experience, and attitudinal data to predict self-blaming mindsets. Sixty-two YouTube videos were included, consisting of 96 individual ‘me too’ stories. The sample was mostly female, and perpetrators were predominately strangers. The model explained 19.3% of the variance in self-blaming attitudes. Odds of self-blaming rose 4.589 times f
摘要“我也是”运动起源于通过提供资源和建立一个倡导者社区来帮助性暴力幸存者,以证明性暴力受害的严重性。由于#metoo这个病毒式的标签,这场运动在推特上获得了势头。YouTube经常被用作年轻一代的表达方式,因此性暴力幸存者开始使用该平台来传播“我也是”的叙事。因此,本研究旨在研究“我也是”运动产生的性暴力叙事是如何在YouTube上传播的,并了解叙事中与自责心态有关的成分。根据预先确定的搜索标准,研究人员识别并筛选了人们在YouTube上分享“我也是”故事的视频,并制定了主题和代码(例如,暴力类型、施暴者特征)。使用人口统计学、经验和态度数据进行描述性统计和逻辑回归,以预测自责心态。其中包括62个YouTube视频,由96个“我也是”的故事组成。样本大多是女性,犯罪者大多是陌生人。该模型解释了19.3%的自责态度的差异。在经历过性骚扰的人中,自责的几率上升了4.589倍,在经历过强奸的人中上升了6.109倍。如果视频中没有提到施暴者,自责的几率会下降89.4%。这项研究表明,自责的信念在受害者中很突出,即使他们有空间分享自己的故事。总的来说,我们的调查结果支持继续需要对受害者进行进一步教育和支持。摘要“我也是”运动起源于通过提供资源和建立一个倡导者社区来帮助性暴力幸存者,以证明性暴力受害的严重性。由于#metoo这个病毒式的标签,这场运动在推特上获得了势头。YouTube经常被用作年轻一代的表达方式,因此性暴力幸存者开始使用该平台来传播“我也是”的叙事。因此,本研究旨在研究“我也是”运动产生的性暴力叙事是如何在YouTube上传播的,并了解叙事中与自责心态有关的成分。根据预先确定的搜索标准,研究人员识别并筛选了人们在YouTube上分享“我也是”故事的视频,并制定了主题和代码(例如,暴力类型、施暴者特征)。使用人口统计学、经验和态度数据进行描述性统计和逻辑回归,以预测自责心态。其中包括62个YouTube视频,由96个“我也是”的故事组成。样本大多是女性,犯罪者大多是陌生人。该模型解释了19.3%的自责态度的差异。在经历过性骚扰的人中,自责的几率上升了4.589倍,在经历过强奸的人中上升了6.109倍。如果视频中没有提到施暴者,自责的几率会下降89.4%。这项研究表明,自责的信念在受害者中很突出,即使他们有空间分享自己的故事。总的来说,我们的调查结果支持继续需要对受害者进行进一步教育和支持*通讯作者:
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引用次数: 1
Social Media Use and COVID-19: A Cross-Sectional Study Examining Health Behaviors, Knowledge, and Mental Health Among University of Nevada, Reno Students 社交媒体使用与新冠肺炎:内华达大学雷诺分校学生健康行为、知识和心理健康的跨学科研究
Pub Date : 2021-08-19 DOI: 10.4148/2572-1836.1100
Molly M. Hagen, S. Hartzell, Paul G. Devereux
Reliance on social media for health information is widespread, yet impacts of social media use (SMU) on health behaviors during infectious disease pandemics are poorly understood. We used a random sample from a university student directory to invite students to take a cross-sectional online survey during the coronavirus pandemic. Survey questions assessed adherence to public health guidelines, knowledge of COVID-19/SARS-CoV2, and mental health symptoms. Students were classified based on their level of SMU for information on COVID-19 as: (1) none, (2) some use, or (3) main source. Weighted regressions were used to relate SMU to adherence (five-point scale) and knowledge (six-point scale), with higher scores representing higher adherence/knowledge, and to mental health (PHQ-8 and GAD-7 scales). The weighted prevalence of SMU for COVD-19 information was 71.3%, and 17.1% of students identified SMU as their main source of COVID-19 information (total N = 181). Mean adherence ranged from 3.71±0.17 (SEM) for none, to 3.94±0.14 (SEM) for main source, and differences were not statistically significant at the 95% confidence level. Knowledge scores decreased from 5.44±0.11 (SEM) for none, to 5.38±0.08 for some, and 5.23±0.16 for main source (p = 0.056). The weighted prevalence of depression was 38.7%, 43.1%, and 51.9% for none, some use, and main source; weighted prevalence of anxiety was 19.7%, 27.0%, and 36.7%, respectively. Effects of SMU for information during pandemics on health behavior merits further research, especially regarding adherence to public health guidelines. In the case of COVID-19, SMU may be negatively correlated with knowledge and mental health.
人们普遍依赖社交媒体获取健康信息,但人们对社交媒体使用对传染病大流行期间健康行为的影响知之甚少。我们使用大学生名录中的随机样本,邀请学生在冠状病毒大流行期间进行横断面在线调查。调查问题评估了对公共卫生指南的遵守情况、对新冠肺炎/SAS-CoV2的了解以及心理健康症状。根据学生的SMU水平,将其分类为:(1)无,(2)部分使用,或(3)主要来源。加权回归用于将SMU与依从性(五分制)和知识(六分制)联系起来,得分越高表示依从性/知识越高,并与心理健康(PHQ-8和GAD-7量表)联系起来。SMU对COVID-19信息的加权患病率为71.3%,17.1%的学生认为SMU是他们新冠肺炎信息的主要来源(总N=181)。平均依从性范围从无的3.71±0.17(SEM)到主要来源的3.94±0.14(扫描电镜),在95%置信水平下差异无统计学意义。知识得分从没有的5.44±0.11(SEM)下降到一些的5.38±0.08,主要来源的5.23±0.16(p=0.056)。没有、一些使用和主要来源的抑郁症加权患病率分别为38.7%、43.1%和51.9%;焦虑的加权患病率分别为19.7%、27.0%和36.7%。流行病期间信息SMU对健康行为的影响值得进一步研究,特别是在遵守公共卫生指南方面。在新冠肺炎的情况下,SMU可能与知识和心理健康呈负相关。
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引用次数: 1
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Health behavior research
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