Social media content is one of the most visible sources of big data and is often used in health studies to draw inferences about various behaviors. Though much can be gleaned from social media data and mining, the approaches used to collect and analyze data are generally strengthened when examined through established theoretical frameworks. Health behavior, a theory driven field, encourages interdisciplinary collaboration across fields and theories to help us draw robust conclusions about phenomena. This pilot study uses a combined computer informatics and SNA approach to analyze information spread about mask-wearing as a personal mitigation effort during the COVID-19 pandemic. We analyzed one week’s worth of Twitter data (n = 10,107 tweets across 4,289 users) by using at least one of four popular mask-support hashtags (e.g., #maskup). We calculated network-measures to assess structures and patterns present within the Twitter network, and used exponential random graph modeling (ERGM) to test factors related to the presence of retweets between users. The pro-mask Twitter network was largely fragmented, with a select few nodes occupying the most influential positions in the network. Verified accounts, accounts with more followers, and those who generated more tweets were more likely to be retweeted. Contrarily, verified accounts and those with more followers were less likely to retweet others. SNA revealed patterns and structures theoretically important to how information spreads across Twitter. We demonstrated the utility of an interdisciplinary collaboration between computer informatics and SNA to draw conclusions from social media data.
{"title":"The importance of interdisciplinary frameworks in social media mining: An exploratory approach between Computational Informatics and Social Network Analysis (SNA)","authors":"Danny Valdez, Meg Patterson, Tyler Prochnow MEd","doi":"10.4148/2572-1836.1098","DOIUrl":"https://doi.org/10.4148/2572-1836.1098","url":null,"abstract":"Social media content is one of the most visible sources of big data and is often used in health studies to draw inferences about various behaviors. Though much can be gleaned from social media data and mining, the approaches used to collect and analyze data are generally strengthened when examined through established theoretical frameworks. Health behavior, a theory driven field, encourages interdisciplinary collaboration across fields and theories to help us draw robust conclusions about phenomena. This pilot study uses a combined computer informatics and SNA approach to analyze information spread about mask-wearing as a personal mitigation effort during the COVID-19 pandemic. We analyzed one week’s worth of Twitter data (n = 10,107 tweets across 4,289 users) by using at least one of four popular mask-support hashtags (e.g., #maskup). We calculated network-measures to assess structures and patterns present within the Twitter network, and used exponential random graph modeling (ERGM) to test factors related to the presence of retweets between users. The pro-mask Twitter network was largely fragmented, with a select few nodes occupying the most influential positions in the network. Verified accounts, accounts with more followers, and those who generated more tweets were more likely to be retweeted. Contrarily, verified accounts and those with more followers were less likely to retweet others. SNA revealed patterns and structures theoretically important to how information spreads across Twitter. We demonstrated the utility of an interdisciplinary collaboration between computer informatics and SNA to draw conclusions from social media data.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47291828","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}
Yexinyu Yang, K. Krupsky, Sarah Keim, R. McAdams, Kristin Roberts, Lara B McKenzie
Abstract Breastfeeding benefits infants, but support is often needed to meet breastfeeding goals. Social media may help disseminate infant feeding information to caregivers. The relationship between parents’ health information-seeking behaviors (HISB) on social media and infant feeding practices remains understudied. Based on social cognitive theory (SCT), parents’ self-efficacy and outcome expectations are two potential factors for improving online HISB. We aimed to use SCT to describe associations between outcome expectations, self-efficacy (eHealth literacy), and online HISB across infant feeding groups among a nationally representative sample of U.S. parents. Eligible participants (N = 580) completed a cross-sectional online survey assessing infant feeding practices (never breastfed, only pumped, only fed-at-the-breast, and both pumped and fed-at-the-breast), self-efficacy (using eHealth literacy as a proxy), outcome expectations in online HISB, parents’ online HISB on social media, and demographic information. Survey weighted linear and logistic regression models were constructed. No online activities differed by infant feeding practices. Parents who pumped only had significantly lower eHealth literacy than parents who never breastfed (adjusted β = -2.63, 95% CI: -4.73, -0.53). Parents who used both methods had 1.78 times greater odds of considering online tools useful for making health-related decisions (95% CI: 0.96, 3.28) and 1.49 times greater odds of considering online tools important for accessing health information (95% Cl: 0.70, 3.15) than parents who never breastfed, though neither association was statistically significant. Understanding these associations between infant feeding practices and online HISB, as well as the two potential factors of parents’ self-efficacy and outcome expectations, may offer implications for tailoring online social media resources to promote breastfeeding outcomes. Abstract Breastfeeding benefits infants, but support is often needed to meet breastfeeding goals. Social media may help disseminate infant feeding information to caregivers. The relationship between parents’ health information-seeking behaviors (HISB) on social media and infant feeding practices remains understudied. Based on social cognitive theory (SCT), parents’ self-efficacy and outcome expectations are two potential factors for improving online HISB. We aimed to use SCT to describe associations between outcome expectations, self-efficacy (eHealth literacy), and online HISB across infant feeding groups among a nationally representative sample of U.S. parents. Eligible participants ( N = 580) completed a cross-sectional online survey assessing infant feeding practices (never breastfed, only pumped, only fed-at-the-breast, and both pumped and fed-at-the-breast), self-efficacy (using eHealth literacy as a proxy), outcome expectations in online HISB, parents’ online HISB on social media, and demographic information. Survey weighted linear and l
{"title":"Online Health Information Seeking Behaviors and Infant Feeding Practices: A Social Cognitive Theory Perspective","authors":"Yexinyu Yang, K. Krupsky, Sarah Keim, R. McAdams, Kristin Roberts, Lara B McKenzie","doi":"10.4148/2572-1836.1102","DOIUrl":"https://doi.org/10.4148/2572-1836.1102","url":null,"abstract":"Abstract Breastfeeding benefits infants, but support is often needed to meet breastfeeding goals. Social media may help disseminate infant feeding information to caregivers. The relationship between parents’ health information-seeking behaviors (HISB) on social media and infant feeding practices remains understudied. Based on social cognitive theory (SCT), parents’ self-efficacy and outcome expectations are two potential factors for improving online HISB. We aimed to use SCT to describe associations between outcome expectations, self-efficacy (eHealth literacy), and online HISB across infant feeding groups among a nationally representative sample of U.S. parents. Eligible participants (N = 580) completed a cross-sectional online survey assessing infant feeding practices (never breastfed, only pumped, only fed-at-the-breast, and both pumped and fed-at-the-breast), self-efficacy (using eHealth literacy as a proxy), outcome expectations in online HISB, parents’ online HISB on social media, and demographic information. Survey weighted linear and logistic regression models were constructed. No online activities differed by infant feeding practices. Parents who pumped only had significantly lower eHealth literacy than parents who never breastfed (adjusted β = -2.63, 95% CI: -4.73, -0.53). Parents who used both methods had 1.78 times greater odds of considering online tools useful for making health-related decisions (95% CI: 0.96, 3.28) and 1.49 times greater odds of considering online tools important for accessing health information (95% Cl: 0.70, 3.15) than parents who never breastfed, though neither association was statistically significant. Understanding these associations between infant feeding practices and online HISB, as well as the two potential factors of parents’ self-efficacy and outcome expectations, may offer implications for tailoring online social media resources to promote breastfeeding outcomes. Abstract Breastfeeding benefits infants, but support is often needed to meet breastfeeding goals. Social media may help disseminate infant feeding information to caregivers. The relationship between parents’ health information-seeking behaviors (HISB) on social media and infant feeding practices remains understudied. Based on social cognitive theory (SCT), parents’ self-efficacy and outcome expectations are two potential factors for improving online HISB. We aimed to use SCT to describe associations between outcome expectations, self-efficacy (eHealth literacy), and online HISB across infant feeding groups among a nationally representative sample of U.S. parents. Eligible participants ( N = 580) completed a cross-sectional online survey assessing infant feeding practices (never breastfed, only pumped, only fed-at-the-breast, and both pumped and fed-at-the-breast), self-efficacy (using eHealth literacy as a proxy), outcome expectations in online HISB, parents’ online HISB on social media, and demographic information. Survey weighted linear and l","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45825982","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}
Young adults across the United States struggle to meet physical activity recommendations and consume healthy diets, and they often suffer from issues related to body image. Social media influencers dedicated to fitspiration (i.e., fitness inspiration) are purported to have a goal of inspiring others to lead healthier lifestyles. The purpose of this study was to explore the relationships between fitspiration and exercise and body image perceptions amongst college students. Participants (n = 361, mean age = 20.2 years, 78% female) completed surveys that included sociodemographic information, social media usage, fitspiration content engagement, exercise, and body satisfaction. An independent samples t-test assessed differences in exercise by fitspiration viewership, and a chi-square analysis determined relationships between fitspiration and body satisfaction. Participants were routinely active on social media (91% use it for > 1 hour per day), and 61.5% were exposed to fitspiration content. Approximately 41% of respondents have followed exercise advice from fitspiration influencers, though only 11% reported having purchased products. No relationships were reported between following fitspiration and days per week of exercise (M∆ = .02(.20), p = .91). Participants that followed fitspiration were more likely to be dissatisfied with their bodies, X2 (1, n = 316) =7.77, p = .005, compared to participants who did not. Findings demonstrate fitspiration was not related to exercise and was related to poorer body image perceptions among college students. These results are supported by previous findings and indicate a critical misalignment between the purported purpose of fitspiration and the outcome of its viewing.
{"title":"Is Fitspiration Truly an Inspiration? Relationships between Fitspiration, Exercise, and Body Image","authors":"Anna K Bowles, Shana M. Walsh, Thomas L. Andre","doi":"10.4148/2572-1836.1101","DOIUrl":"https://doi.org/10.4148/2572-1836.1101","url":null,"abstract":"Young adults across the United States struggle to meet physical activity recommendations and consume healthy diets, and they often suffer from issues related to body image. Social media influencers dedicated to fitspiration (i.e., fitness inspiration) are purported to have a goal of inspiring others to lead healthier lifestyles. The purpose of this study was to explore the relationships between fitspiration and exercise and body image perceptions amongst college students. Participants (n = 361, mean age = 20.2 years, 78% female) completed surveys that included sociodemographic information, social media usage, fitspiration content engagement, exercise, and body satisfaction. An independent samples t-test assessed differences in exercise by fitspiration viewership, and a chi-square analysis determined relationships between fitspiration and body satisfaction. Participants were routinely active on social media (91% use it for > 1 hour per day), and 61.5% were exposed to fitspiration content. Approximately 41% of respondents have followed exercise advice from fitspiration influencers, though only 11% reported having purchased products. No relationships were reported between following fitspiration and days per week of exercise (M∆ = .02(.20), p = .91). Participants that followed fitspiration were more likely to be dissatisfied with their bodies, X2 (1, n = 316) =7.77, p = .005, compared to participants who did not. Findings demonstrate fitspiration was not related to exercise and was related to poorer body image perceptions among college students. These results are supported by previous findings and indicate a critical misalignment between the purported purpose of fitspiration and the outcome of its viewing.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47789027","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}
R. McAdams, Kristin J Roberts, E. Klein, J. Manganello, L. McKenzie
Social media (SM) offers an opportunity for injury professionals to disseminate reliable safety recommendations to parents, yet little is known about the reach and impact of SM messages on parental safety knowledge and safety behavior adoption. It is also unclear whether electronic health (eHealth) literacy level is associated with understanding of messages. Parents of children (< 7 years) were recruited from a nationally representative consumer panel to complete an online survey assessing their Internet and SM usage and eHealth literacy level using the eHealth Literacy Scale (eHEALS). Participants were shown three safety SM posts where images and text matched or did not match. A post-exposure survey captured participant understanding of SM post message. Five-hundred eighty parents completed the survey. A majority of participants were female (58.6%) with high eHealth literacy (84.5%). Compared to low eHealth literate parents, a larger proportion of high eHealth literate parents correctly identified the message in mismatched posts (safe sleep: p = .0081; poison prevention: p = .0052), while similar proportions of parents with high and low eHealth literacy correctly identified a matched post for bike safety (p = .7022). Within each eHealth literacy level, high eHealth literate parents were more often able to correctly identify SM post messaging when the photo and text matched. Parents are using SM to acquire safety, health, and parenting information; therefore, it is incumbent upon disseminators to create content with clear messages. SM posts should utilize matching text with imagery that illustrates the recommended safety behavior to facilitate parental understanding of safety recommendations, regardless of audience eHealth literacy level.
{"title":"Using social media to disseminate injury prevention content: Is a picture worth a thousand words?","authors":"R. McAdams, Kristin J Roberts, E. Klein, J. Manganello, L. McKenzie","doi":"10.4148/2572-1836.1096","DOIUrl":"https://doi.org/10.4148/2572-1836.1096","url":null,"abstract":"Social media (SM) offers an opportunity for injury professionals to disseminate reliable safety recommendations to parents, yet little is known about the reach and impact of SM messages on parental safety knowledge and safety behavior adoption. It is also unclear whether electronic health (eHealth) literacy level is associated with understanding of messages. Parents of children (< 7 years) were recruited from a nationally representative consumer panel to complete an online survey assessing their Internet and SM usage and eHealth literacy level using the eHealth Literacy Scale (eHEALS). Participants were shown three safety SM posts where images and text matched or did not match. A post-exposure survey captured participant understanding of SM post message. Five-hundred eighty parents completed the survey. A majority of participants were female (58.6%) with high eHealth literacy (84.5%). Compared to low eHealth literate parents, a larger proportion of high eHealth literate parents correctly identified the message in mismatched posts (safe sleep: p = .0081; poison prevention: p = .0052), while similar proportions of parents with high and low eHealth literacy correctly identified a matched post for bike safety (p = .7022). Within each eHealth literacy level, high eHealth literate parents were more often able to correctly identify SM post messaging when the photo and text matched. Parents are using SM to acquire safety, health, and parenting information; therefore, it is incumbent upon disseminators to create content with clear messages. SM posts should utilize matching text with imagery that illustrates the recommended safety behavior to facilitate parental understanding of safety recommendations, regardless of audience eHealth literacy level.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41430971","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}
Chengbo Zeng, Xiaoming Li, Hongfei Du, Yunyu Xiao, D. Lin
Previous studies have documented that depression is positively associated with sexual risk behaviors (SRB) among rural-to-urban migrants. Existing literature has also suggested that acculturation and social capital might moderate this positive relationship. However, data regarding the moderating effects of acculturation and social capital have been inconsistent. The current study aims to examine the relationship between depression and SRB, as well as the moderating roles of acculturation and social capital in this relationship. A sample of 641 young rural-to-urban migrants was recruited through a venuebased sampling approach in Beijing, China. Results indicated that depression was positively associated with SRB. Both acculturation and social capital moderated this relationship, but they showed different moderating effects. Specifically, the level of acculturation was protective against SRB among migrants with a higher level of depression but not among migrants with a lower level of depression. Social capital played a protective role among migrants with a lower level of depression but became a risk factor for those with a higher level of depression. These findings suggested that targeted interventions aiming to reduce depression, improve acculturation stress management skills, and utilize social capital are needed to reduce SRB among rural-to-urban migrants.
{"title":"Depression and Sexual Risk Behaviors among Rural-to-urban Migrants in China: The Moderating Roles of Acculturation and Social Capital","authors":"Chengbo Zeng, Xiaoming Li, Hongfei Du, Yunyu Xiao, D. Lin","doi":"10.4148/2572-1836.1104","DOIUrl":"https://doi.org/10.4148/2572-1836.1104","url":null,"abstract":"Previous studies have documented that depression is positively associated with sexual risk behaviors (SRB) among rural-to-urban migrants. Existing literature has also suggested that acculturation and social capital might moderate this positive relationship. However, data regarding the moderating effects of acculturation and social capital have been inconsistent. The current study aims to examine the relationship between depression and SRB, as well as the moderating roles of acculturation and social capital in this relationship. A sample of 641 young rural-to-urban migrants was recruited through a venuebased sampling approach in Beijing, China. Results indicated that depression was positively associated with SRB. Both acculturation and social capital moderated this relationship, but they showed different moderating effects. Specifically, the level of acculturation was protective against SRB among migrants with a higher level of depression but not among migrants with a lower level of depression. Social capital played a protective role among migrants with a lower level of depression but became a risk factor for those with a higher level of depression. These findings suggested that targeted interventions aiming to reduce depression, improve acculturation stress management skills, and utilize social capital are needed to reduce SRB among rural-to-urban migrants.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42626631","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}
Vijay Nitturi, Tzu-An Chen, Michael J Zvolensky, Lorna H McNeill, Ezemenari M Obasi, Lorraine R Reitzel
Background: Black adults experience high rates of overweight/obesity, which is linked to chronic diseases and is exacerbated by fast-food consumption. Anxiety sensitivity, a relative stable fear of anxiety-related sensations, has been linked to high caloric intake. Here, we examine whether anxiety sensitivity is associated with fast-food ordering habits within a convenience sample of Black adults.
Methods: Of 124 adults (79.4% women; Mage=49.3±11.6; 84.8% overweight/obese), 107 (86.3%) reported eating from a fast-food restaurant in the last month. Participants completed the Anxiety Sensitivity-Index 3, which has a total score and physical, cognitive, and social concerns subscales. Investigator-generated items queried frequency of ordering "supersized" quantities of fast-food (e.g., cheeseburgers, fries), and healthy items (e.g., salads, oatmeal, yogurt), respectively, from "never" to "always." Covariate-adjusted ordinal logistic regression models were used to assess relations between measures of interest.
Results: Anxiety sensitivity (total and physical concerns) was associated with greater odds of more frequently ordering supersized unhealthy fast-food; and anxiety sensitivity (total and cognitive concerns) was associated with lower odds of more frequently ordering healthy items from fast-food restaurants.
Conclusions: Results suggest that adults with greater anxiety sensitivity may engage in fast-food ordering habits that can contribute to the overweight/obesity epidemic. Future studies should replicate results and determine the potential for anxiety sensitivity-reduction interventions to affect dietary choices that contribute to overweight/obesity.
{"title":"Anxiety Sensitivity and Fast-Food Ordering Habits Among Black Adults.","authors":"Vijay Nitturi, Tzu-An Chen, Michael J Zvolensky, Lorna H McNeill, Ezemenari M Obasi, Lorraine R Reitzel","doi":"10.4148/2572-1836.1086","DOIUrl":"https://doi.org/10.4148/2572-1836.1086","url":null,"abstract":"<p><strong>Background: </strong>Black adults experience high rates of overweight/obesity, which is linked to chronic diseases and is exacerbated by fast-food consumption. Anxiety sensitivity, a relative stable fear of anxiety-related sensations, has been linked to high caloric intake. Here, we examine whether anxiety sensitivity is associated with fast-food ordering habits within a convenience sample of Black adults.</p><p><strong>Methods: </strong>Of 124 adults (79.4% women; M<sub>age</sub>=49.3±11.6; 84.8% overweight/obese), 107 (86.3%) reported eating from a fast-food restaurant in the last month. Participants completed the Anxiety Sensitivity-Index 3, which has a total score and physical, cognitive, and social concerns subscales. Investigator-generated items queried frequency of ordering \"supersized\" quantities of fast-food (e.g., cheeseburgers, fries), and healthy items (e.g., salads, oatmeal, yogurt), respectively, from \"never\" to \"always.\" Covariate-adjusted ordinal logistic regression models were used to assess relations between measures of interest.</p><p><strong>Results: </strong>Anxiety sensitivity (total and physical concerns) was associated with greater odds of more frequently ordering supersized unhealthy fast-food; and anxiety sensitivity (total and cognitive concerns) was associated with lower odds of more frequently ordering healthy items from fast-food restaurants.</p><p><strong>Conclusions: </strong>Results suggest that adults with greater anxiety sensitivity may engage in fast-food ordering habits that can contribute to the overweight/obesity epidemic. Future studies should replicate results and determine the potential for anxiety sensitivity-reduction interventions to affect dietary choices that contribute to overweight/obesity.</p>","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8445506/pdf/nihms-1737011.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39431056","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}
Physical activity (PA) is a widely accepted strategy to manage chronic diseases like type 1 diabetes; however, unique PA barriers likely result in lower PA levels among person(s) with type 1 diabetes (PWT1D), compared to person(s) without type 1 diabetes (PWOT1D). The integrated theory of health behavior change (ITHBC) (i.e., knowledge/beliefs, self-regulation, and self-management) provides a helpful framework for understanding PA and other health behaviors. This research aimed to determine differences in PA between adult PWT1D and PWOT1D, and characterize their PA-related behaviors using the ITHBC. Participants (N = 90; 86.7% female, 90% white) were recruited via social media and university listserv to complete an online questionnaire. Questions addressed demographics, anthropometrics, diabetes status, and PA-related behaviors. Participants were matched for race, gender, age, and body mass index. PA and related behaviors were compared between PWT1D and PWOT1D using independent samples t-tests and chi-square-tests. No significant differences were found between PWT1D and PWOT1D for weekly minutes of moderateor vigorous-aerobic PA, or weekly days of musclestrengthening PA (p > 0.05). Fifty-one percent of PWT1D and 53.3% of PWOT1D reported enough activity to meet PA guidelines. Almost twice as many PWT1D meeting PA guidelines reported using goal setting, a self-regulation behavior, compared to those who did not meet guidelines (82.6% versus 45.5%, p = 0.009). Targeting PA-related behaviors within ITHBC constructs may help reinforce or influence PA behaviors. These findings can inform future behavior change interventions with PWT1D that focus on educational practices for type 1 diabetes educators or healthcare providers for PWT1D so they can better aid patients.
{"title":"Physical Activity Behavior Comparisons Between Adults With and Without Type 1 Diabetes","authors":"C. Beattie, J. Stein, K. Heinrich","doi":"10.4148/2572-1836.1087","DOIUrl":"https://doi.org/10.4148/2572-1836.1087","url":null,"abstract":"Physical activity (PA) is a widely accepted strategy to manage chronic diseases like type 1 diabetes; however, unique PA barriers likely result in lower PA levels among person(s) with type 1 diabetes (PWT1D), compared to person(s) without type 1 diabetes (PWOT1D). The integrated theory of health behavior change (ITHBC) (i.e., knowledge/beliefs, self-regulation, and self-management) provides a helpful framework for understanding PA and other health behaviors. This research aimed to determine differences in PA between adult PWT1D and PWOT1D, and characterize their PA-related behaviors using the ITHBC. Participants (N = 90; 86.7% female, 90% white) were recruited via social media and university listserv to complete an online questionnaire. Questions addressed demographics, anthropometrics, diabetes status, and PA-related behaviors. Participants were matched for race, gender, age, and body mass index. PA and related behaviors were compared between PWT1D and PWOT1D using independent samples t-tests and chi-square-tests. No significant differences were found between PWT1D and PWOT1D for weekly minutes of moderateor vigorous-aerobic PA, or weekly days of musclestrengthening PA (p > 0.05). Fifty-one percent of PWT1D and 53.3% of PWOT1D reported enough activity to meet PA guidelines. Almost twice as many PWT1D meeting PA guidelines reported using goal setting, a self-regulation behavior, compared to those who did not meet guidelines (82.6% versus 45.5%, p = 0.009). Targeting PA-related behaviors within ITHBC constructs may help reinforce or influence PA behaviors. These findings can inform future behavior change interventions with PWT1D that focus on educational practices for type 1 diabetes educators or healthcare providers for PWT1D so they can better aid patients.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70869452","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}
Alice Ma, J. Erausquin, A. Tanner, Eunyoung Y. Song, Manuel García, Jorge Alonzo, Lilli Mann-Jackson, S. Rhodes
Vulnerability can undermine positive health outcomes and challenge healthcare services access. However, to date, vulnerable populations research has been limited by overly broad definitions, lack of clear indicators, and failure to explore subtypes of vulnerability. Informed by literature and theory, this analysis used a specific operationalization of health vulnerability to identify typologies among a sample of Latinx sexual and gender minorities. We analyzed baseline data from Latinx sexual and gender minorities (N = 186) recruited for a community-based HIV intervention. We performed latent class analysis to operationalize vulnerability using eight socioeconomic stability, health care access, and social characteristics indicators. We identified three typologies of vulnerability from our sample: Low Education and High Social Support (63.4% of sample), High Education and Year-round Employment (18.8%), and High Education and High Discrimination (17.7%). Using specific indicators produced more nuanced vulnerability typologies which, after further testing, can assist in informing tailored health promotion
{"title":"Health Vulnerability Model for Latinx Sexual and Gender Minorities: Typologies with Socioeconomic Stability, Health Care Access, and Social Characteristics Indicators","authors":"Alice Ma, J. Erausquin, A. Tanner, Eunyoung Y. Song, Manuel García, Jorge Alonzo, Lilli Mann-Jackson, S. Rhodes","doi":"10.4148/2572-1836.1084","DOIUrl":"https://doi.org/10.4148/2572-1836.1084","url":null,"abstract":"Vulnerability can undermine positive health outcomes and challenge healthcare services access. However, to date, vulnerable populations research has been limited by overly broad definitions, lack of clear indicators, and failure to explore subtypes of vulnerability. Informed by literature and theory, this analysis used a specific operationalization of health vulnerability to identify typologies among a sample of Latinx sexual and gender minorities. We analyzed baseline data from Latinx sexual and gender minorities (N = 186) recruited for a community-based HIV intervention. We performed latent class analysis to operationalize vulnerability using eight socioeconomic stability, health care access, and social characteristics indicators. We identified three typologies of vulnerability from our sample: Low Education and High Social Support (63.4% of sample), High Education and Year-round Employment (18.8%), and High Education and High Discrimination (17.7%). Using specific indicators produced more nuanced vulnerability typologies which, after further testing, can assist in informing tailored health promotion","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70869365","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, Ashvita Garg, Katharine J. Head, Stacey B. Griner, Annalynn M. Galvin, T. Barnett
Revised U.S. guidelines for cervical cancer screening provide the option of primary human papillomavirus (HPV) testing, Pap testing, or co-testing. Primary HPV testing has not yet been an option for American women, and women may be reluctant to change screening methods. The purpose of this study was to assess correlates of women’s preferences for primary HPV testing decision-making (self, provider, or shared) for cervical cancer screening. Women, aged 30-65, completed an online survey in June of 2018 (n = 812). The outcome variable was preference for decision-making for an HPV test instead of a Pap test on a scale of, healthcare provider, me, or shared. Predictor variables included testing attitudes, social norms, information seeking, previous screening, and socio-demographics. Women who disagreed that people important to them think that they should get the HPV test instead of a Pap test, who were not willing to receive an HPV test instead of a Pap test, and who did not receive HPV vaccinations were less likely to include a provider in their decision-making. In contrast, women who were not up-to-date with their cervical cancer screenings, who had some college or technical level education, or who were over 50 years of age were more likely to prefer to have a healthcare provider included in their decision-making process. While some variation was discovered, women mostly preferred a shared decision or personal decision for HPV testing. Resources to facilitate the decision-making process about this new option for cervical cancer screening are needed.
{"title":"Who Should Decide? Decision-Making Preferences for Primary HPV Testing for Cervical Cancer Screening Among U.S. Women","authors":"E. Thompson, Ashvita Garg, Katharine J. Head, Stacey B. Griner, Annalynn M. Galvin, T. Barnett","doi":"10.4148/2572-1836.1106","DOIUrl":"https://doi.org/10.4148/2572-1836.1106","url":null,"abstract":"Revised U.S. guidelines for cervical cancer screening provide the option of primary human papillomavirus (HPV) testing, Pap testing, or co-testing. Primary HPV testing has not yet been an option for American women, and women may be reluctant to change screening methods. The purpose of this study was to assess correlates of women’s preferences for primary HPV testing decision-making (self, provider, or shared) for cervical cancer screening. Women, aged 30-65, completed an online survey in June of 2018 (n = 812). The outcome variable was preference for decision-making for an HPV test instead of a Pap test on a scale of, healthcare provider, me, or shared. Predictor variables included testing attitudes, social norms, information seeking, previous screening, and socio-demographics. Women who disagreed that people important to them think that they should get the HPV test instead of a Pap test, who were not willing to receive an HPV test instead of a Pap test, and who did not receive HPV vaccinations were less likely to include a provider in their decision-making. In contrast, women who were not up-to-date with their cervical cancer screenings, who had some college or technical level education, or who were over 50 years of age were more likely to prefer to have a healthcare provider included in their decision-making process. While some variation was discovered, women mostly preferred a shared decision or personal decision for HPV testing. Resources to facilitate the decision-making process about this new option for cervical cancer screening are needed.","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":"420 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70869098","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 study employs the Theory of Triadic Influence (TTI) which articulates the different variables that influence health-related behaviors into streams of influence—intrapersonal, social, and cultural—to better understand factors that influence positive drug use expectancies (PDE) among Hispanic adolescents. Data for the study came from Project RED, which included 1,963 high school students in Southern California. The relationships between participants’ drug expectancies and different streams of influence were examined using regression analysis. Participants were mostly females (54.2%); with a mean age of 17.13 years. Controlling for other covariates, there were no cultural stream variables associated with PDE (Model 1). Model 2, assessing social environment stream of influence, had a strong association with PDE (adjusted R2 = 0.25). PDE significantly increased with drug use consequences (β = .48) parent (β = 1.28) and sibling (β = 2.97) alcohol use, and peer approval of alcohol use (β = 2.0). PDE decreased with increasing parental communication (β = -.22) and peer disapproval of marijuana use (β = -5.2). Model 3, including intrapersonal factors, results showed a significant positive relationship between PDE and drug use consequences (β = .47), parent (β = 1.06) and sibling (β = 2.97) alcohol use, peer approval of alcohol use (β = 2.05), and stress (β = .23). There was a negative significant relationship with parental communication (β = -.21), peer disapproval of marijuana use (β = -5.2), and depression (β = -.09). Findings from this study help organize and clarify the important factors associated with PDE. Leveraging the ordering and categorizations suggested by the TTI sheds light on the social streams of influence as a prime target for interventions.
{"title":"Using the Theory of Triadic Influence to Examine Correlates of Positive Drug Expectancies Among Hispanic Adolescents","authors":"Wura Jacobs, Lauren A Bartoszek, J. Unger","doi":"10.4148/2572-1836.1053","DOIUrl":"https://doi.org/10.4148/2572-1836.1053","url":null,"abstract":"This study employs the Theory of Triadic Influence (TTI) which articulates the different variables that influence health-related behaviors into streams of influence—intrapersonal, social, and cultural—to better understand factors that influence positive drug use expectancies (PDE) among Hispanic adolescents. Data for the study came from Project RED, which included 1,963 high school students in Southern California. The relationships between participants’ drug expectancies and different streams of influence were examined using regression analysis. Participants were mostly females (54.2%); with a mean age of 17.13 years. Controlling for other covariates, there were no cultural stream variables associated with PDE (Model 1). Model 2, assessing social environment stream of influence, had a strong association with PDE (adjusted R2 = 0.25). PDE significantly increased with drug use consequences (β = .48) parent (β = 1.28) and sibling (β = 2.97) alcohol use, and peer approval of alcohol use (β = 2.0). PDE decreased with increasing parental communication (β = -.22) and peer disapproval of marijuana use (β = -5.2). Model 3, including intrapersonal factors, results showed a significant positive relationship between PDE and drug use consequences (β = .47), parent (β = 1.06) and sibling (β = 2.97) alcohol use, peer approval of alcohol use (β = 2.05), and stress (β = .23). There was a negative significant relationship with parental communication (β = -.21), peer disapproval of marijuana use (β = -5.2), and depression (β = -.09). Findings from this study help organize and clarify the important factors associated with PDE. Leveraging the ordering and categorizations suggested by the TTI sheds light on the social streams of influence as a prime target for 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":"49474391","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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