American journal of health promotion: AJHP (AM J HEALTH PROMOT)

Publisher: American Journal of Health Promotion

Journal description

Founded in 1986, the American Journal of Health Promotion was the first peer reviewed journal devoted to health promotion and it remains the largest. Our editorial goal is to provide a forum for the many diverse disciplines that contribute to health promotion and to reduce the gap between health promotion research and practice. This is the journal of the Heart-Centered Therapies Association.

Current impact factor: 2.37

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2009 Impact Factor 1.547

Additional details

5-year impact 2.65
Cited half-life 8.30
Immediacy index 0.32
Eigenfactor 0.00
Article influence 0.91
Website American Journal of Health Promotion website
Other titles American journal of health promotion, Health promotion, AJHP
ISSN 0890-1171
OCLC 13830677
Material type Periodical
Document type Journal / Magazine / Newspaper

Publisher details

American Journal of Health Promotion

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  • Classification

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Much research has identified a sea of factors related to unhealthy diets to make sense of why people struggle to eat healthy diets. However, little is known of factors that empower healthy eating. Antonovsky's salutogenesis provides an innovative framework to study these factors and identify resources and mechanisms underlying healthy eating practices. We give recommendations for future research and provide examples of how salutogenesis has inspired our own research to gain new insights into the origins of healthy eating. Lastly, implications of using future findings in designing novel nutrition promotion strategies are outlined.
    American journal of health promotion: AJHP 11/2016; 30(2):71-73. DOI:10.4278/ajhp.140127-CIT-46
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    ABSTRACT: Purpose . China has a high prevalence of smoking, but the characteristics of social smoking in Chinese college students have not been investigated. We examined the pattern of social smoking and explored the association between social smoking and personal cessation efforts and mental health factors among Chinese male college students. Design . Study design was a cross-sectional survey. Setting . P. R. China was the setting of the study. Subjects . Participants were a random sample of 1327 male college students. Measures . All participants completed a self-administered questionnaire that examined their smoking behaviors and a group of specific mental health factors (loneliness, self-harm, suicide, depression, and anxiety). Analysis . Analysis was conducted using descriptive statistics, χ(2) analysis, and multivariate logistic regression. Results . Of a total of 207 current smokers, 102 (49.3%) were identified as social smokers. Compared with nonsmokers, social smokers had increased risks for depression (odds ratio, 1.74; 95% confidence interval, 1.15-2.65). Among daily smokers, social smokers were less likely to have an intention to quit smoking than nonsocial smokers (odds ratio, .08; 95% confidence interval, .01-.57). Conclusion . This study reveals unique psychologic characteristics related to social smoking. College students are a particular group of interest because unhealthy behaviors initiated during adolescence may continue through adulthood. Our findings provide evidence for future tobacco control intervention among this population.
    American journal of health promotion: AJHP 11/2015; DOI:10.4278/ajhp.141001-QUAN-494
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    ABSTRACT: Purpose . To explore barriers, facilitators, and motivators to adopting and maintaining regular physical activity among women with obesity who have undergone bariatric surgery. Approach . Individual interviews with women 3 to 24 months post-bariatric surgery. Setting . Participants were recruited from a bariatric clinic in Montreal, Canada. Participants . Twelve women were recruited (mean age = 47 ± 9 years) using poster advertisements and word of mouth. Participants were on average 15 months postsurgery. Method . Each woman was interviewed once using a semistructured interview protocol. Recruitment was conducted until data saturation (i.e., no new information emerged). The interviews were transcribed, coded, and analyzed using inductive thematic analysis. Results . Three interrelated themes emerged: the physical body, appraisal of the physical and social self, and the exercise environment. Barriers included weight-restricted mobility, side effects of surgery, body dissatisfaction, compromised psychological health, competing responsibilities, a lack of exercise self-efficacy and social support, reduced access to accommodating facilities, lack of exercise knowledge, and northern climate. Participants reported postsurgical weight loss, weight and health maintenance, enjoyment, body image, and supportive active relationships, as well as access to accommodating facilities and exercise knowledge, as facilitators and motivators. Conclusion . Suggested physical activity programming strategies for health care professionals working with this unique population are discussed. Physical activity and health promotion initiatives can also benefit from a cultural paradigm shift away from weight-based representations of health.
    American journal of health promotion: AJHP 11/2015; DOI:10.4278/ajhp.140609-QUAL-270
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    ABSTRACT: Purpose . The association between short sleep and obesity risk is well established. However, we explore a new pathway between short sleep and obesity: whether short sleep is linked to more time spent in secondary eating or drinking, that is, eating or drinking (beverages other than water, such as sugar-sweetened beverages) while primarily engaged in another activity, such as television watching. Design . This pooled cross-sectional study uses data from the American Time Use Survey (ATUS) from 2006 to 2008. Setting . The study takes place in the United States. Subjects . Subjects are 28,150 adults (55.8% female) aged 21 to 65 who were surveyed in the ATUS. Measures . Outcomes are time spent on (1) secondary eating and drinking and (2) primary eating and drinking. Our main predictor variable is sleep duration. Analysis . Controlling for demographic and socioeconomic characteristics of the respondents, we estimate multivariate regression-analysis models for the full sample, as well as by weekday/weekend status, race, and gender subgroups. Results . In multivariate models, compared to respondents reporting normal sleep, short sleep was associated with additional 8.7 (SE = 2.1) minutes per day of secondary eating (p < .01) and additional 28.6 (SE = 4.2) and 31.28 (SE = 5.0) minutes per day of secondary drinking on weekdays and weekends, respectively (p < .01). Conclusions . We find that short sleep is associated with more time spent in secondary eating and, in particular, secondary drinking. This potentially suggests a pathway from short sleep to increased caloric intake in the form of beverages and distracted eating and thus potential increased obesity risk, although more research is needed.
    American journal of health promotion: AJHP 11/2015; DOI:10.4278/ajhp.140509-QUAN-198
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    ABSTRACT: Purpose . To assess use, screening, and disclosure of perinatal marijuana and other illicit drugs during first obstetric visits. Design . Observational study that qualitatively assesses provider screening and patient disclosure of substance use. Setting . Study sites were five urban outpatient prenatal clinics and practices located in Pittsburgh, Pennsylvania. Participants . Pregnant patients and obstetric providers were recruited as participants. Methods . We audio recorded patient-provider conversations during first obstetric visits and obtained patient urine samples for drug analyses. Audio recordings were reviewed for provider screening and patient disclosure of illicit drug use. Urine analyses were compared with audio recordings to determine disclosure. Results . Four hundred and twenty-two pregnant patients provided complete audio recordings and urine samples for analyses. Providers asked about illicit drug use in 81% of the visits. One hundred twenty-three patients (29%) disclosed any current or past illicit drug use; 48 patients (11%) disclosed current use of marijuana while pregnant. One hundred and forty-five samples (34%) tested positive for one or more substances; marijuana was most commonly detected (N = 114, 27%). Of patients who tested positive for any substance, 66 (46%) did not disclose any use; only 36% of patients who tested positive for marijuana disclosed current use. Conclusion . Although marijuana is illegal in Pennsylvania, a high proportion of pregnant patients used marijuana, with many not disclosing use to their obstetric care providers.
    American journal of health promotion: AJHP 11/2015; DOI:10.4278/ajhp.141215-QUAL-625
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    ABSTRACT: Purpose . To explore the nutrition and physical activity perceptions of children for planning a healthy weight curriculum to address childhood obesity in African-American children living in the Lower Mississippi Delta (LMD). Design . Six children's focus group sessions. Setting . Two Louisiana parishes in the LMD. Subjects . Seventy 8- to 13-year-old African-American children, 46 (66%) females and 24 (44%) males, participated in the focus group sessions. Measures . Interview questions were based on personal and environmental determinants and content and strategies for a healthy lifestyle program for children. Analysis . Focus group discussions were audio recorded and transcribed, observer recorded, and analyzed to identify recurring trends and patterns among focus groups. Content analysis consisted of coding focus group transcripts for recurrent themes and review of data by an independent reviewer to confirm the themes. Results . Emerging themes were categorized as healthy lifestyle opinions within the social cognitive theory constructs of personal and environmental determinants and curriculum content. Conclusion . LMD youth recognized a healthy eating pattern and that overweight and obesity result from poor eating habits and physical inactivity. Children's food intake pattern did not reflect this understanding, suggesting a need for culturally tailoring an intervention to impact the poor food intake and physical inactivity in two low-income African-American Delta communities.
    American journal of health promotion: AJHP 11/2015; DOI:10.4278/ajhp.130611-ARB-296
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    ABSTRACT: Clinical trial: Subjects . Thirty-four overweight participants were enrolled. Intervention . Commercially available NBSB or conventional snack foods as part of an ad libitum diet for 12 weeks. Measures . Primary outcome measures: body mass index, body weight, body composition, waist circumference. Secondary outcome measures: blood pressure, lipid profile, nutrients intake, hunger/satiety, quality of life. Analysis . Generalized linear models with time as repeated measure were used to analyze these data. Results . Daily consumption of NBSB for 12 weeks, as compared to daily consumption of conventional snacks, significantly reduced percentage body fat (-1.7% ± 10.8% vs. 6.2% ± 9.3%; p = .04) and visceral fat (-1.3 ± 5.9 vs. 2.7 ± 4.0; p = .03). There were no between-group differences (p > .05) for blood pressure, lipid panel, satiety, or quality of life measures. Conclusion . Our data suggest that daily consumption of NBSB for 12 weeks reduced body fat and had no adverse effects on weight, blood pressure, lipid profile, satiety, or quality of life in this small sample of overweight adults.
    American journal of health promotion: AJHP 11/2015; DOI:10.4278/ajhp.150120-QUAN-676
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    ABSTRACT: Purpose . To examine frequency, prominence, and content of local print media after a 4-year policy advocacy intervention. Design . This was a controlled community-based trial. Setting . The study took place in 39 rural counties (22 intervention, 17 comparison). Subjects . Subjects consisted of 2525 newspaper articles monitored over 18 quarters (July 2007 to December 2011). Intervention . One key element of the tailored policy advocacy intervention delivered by community advisors was building demand for smoke-free policy via media advocacy strategies. Measures . Media clips were coded to assess number of articles; percent of tobacco-related articles on the front page or bold heading section; percent of pro-health articles; and percent of articles with secondhand smoke (SHS)-relevant topics or themes. Analysis . Coded data were entered into Atlas.ti software. Article frequencies and attributes were compared between groups and over time using negative binomial regression for longitudinal data, with county-level demographics as covariates. Results . In the last 3 years, there were approximately twice as many articles in intervention than in comparison counties. Media clips from newspapers in intervention counties were between 1.4 and 2 times more likely to have front page placement and percent of relevant topic or theme than were those in comparison counties. There was no difference in rate of pro-health articles by group. Conclusion . The policy advocacy intervention to promote smoke-free policy increased media attention to SHS and may have increased public awareness of issues related to smoke-free policy.
    American journal of health promotion: AJHP 11/2015; DOI:10.4278/ajhp.140725-QUAN-364
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    ABSTRACT: Purpose . To examine attitudes toward smoke-free policies and perceptions of e-cigarette use among homeless adults. Approach . A cross-sectional qualitative study was conducted. Setting . Study setting comprised seven transitional homeless shelters with indoor smoke-free policies in San Diego County; facilities differed in outdoor restrictions on smoking. Participants . Sixty-six current or former smokers were the study participants. Method . Participants completed a questionnaire on smoking behaviors, perceived antitobacco norms, and attitudes toward smoke-free policies, and attended a focus group interview that explored these topics. We used a directed content analysis approach to analyze the focus group transcripts. Results . Clients in facilities with outdoor restrictions on smoking had stronger perceived antitobacco norms than those in facilities without such restrictions. We identified the following major themes: attitudes toward smoke-free policies, the use of e-cigarettes, the addictive potential of cigarettes, vulnerability to tobacco industry marketing, and interest in smoking cessation. The consensus was that smoke-free policies were important because they limited secondhand smoke exposure to nonsmokers and children. All were curious about e-cigarettes, particularly if they could be smoked in areas where smoking was prohibited and/or used as a cessation aid. Conclusion . In this study of homeless adults, there was strong support for indoor and outdoor smoke-free policies. However, misperceptions that e-cigarettes could be used indoors could threaten antitobacco norms, highlighting opportunities to educate about the potential risks of e-cigarette use among homeless individuals.
    American journal of health promotion: AJHP 11/2015; DOI:10.4278/ajhp.150318-QUAL-781
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    ABSTRACT: Purpose . To explore the sentiment and themes of Twitter chatter that mentions both alcohol and marijuana. Design . Cross-sectional analysis of tweets mentioning both alcohol and marijuana during 1 month was performed. Setting . The study setting was Twitter. Participants . Tweets sent from February 4 to March 5, 2014, were studied. Method . A random sample (n = 5000) of tweets that mentioned alcohol and marijuana were qualitatively coded as normalizing both substances, preferring one substance over the other, or discouraging both substances. Other common themes were identified. Results . More than half (54%) of the tweets normalized marijuana and alcohol (without preferring one substance over the other), and 24% preferred marijuana over alcohol. Only 2% expressed a preference for alcohol over marijuana, 7% discouraged the use of both substances, and the sentiment was unknown for 13% of the tweets. Common themes among tweets that normalized both substances included using the substances with friends (17%) and mentioning substance use in the context of sex or romance (14%). Common themes among tweets that preferred marijuana over alcohol were the beliefs that marijuana is safer than alcohol (46%) and preferences for effects of marijuana over alcohol (40%). Conclusion . Tweets normalizing polysubstance use or encouraging marijuana use over alcohol use are common. Both online and offline prevention efforts are needed to increase awareness of the risks associated with polysubstance use and marijuana use.
    American journal of health promotion: AJHP 11/2015; DOI:10.4278/ajhp.150205-QUAL-708
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    ABSTRACT: Purpose . Evaluate the perceived effectiveness of key antismoking messages among highly disadvantaged smokers and assess the impact of nicotine dependence and cessation cognitions on message processing. Design . The experimental crossover trial, undertaken between March and December 2012, randomly exposed participants to two of three antismoking advertisements delivered via touchscreen computer. Setting . Welfare recipients were recruited from a community service organization in New South Wales, Australia. Subjects . Subjects were 354 smokers (79% response rate). Participants resided in government rental housing (52%), earned less than AUD$400/wk (72%), and received their primary income from government welfare (95%). Intervention . Three 30-second antismoking television advertisements representing common campaign themes: why to quit (graphic imagery), why to quit (personal testimonial), or how to quit. Measures . An 11-item scale assessed perceived effectiveness and message acceptance. An eight-item cessation cognitions index assessed motivations and readiness to quit, and the heaviness of smoking index was used to classify nicotine dependence. Analysis . Descriptive statistics, generalized linear mixed models, and multiple linear regression analyses are reported. Results . Why-to-quit advertisements were perceived as significantly more effective than the how-to-quit advertisement (all p < .0001). Smokers with positive cessation cognitions were more likely to accept antismoking messages (p = .0003) and perceive them as effective (p < .0001). Nicotine dependence level did not influence message acceptance (p = .7322) or effectiveness (p = .8872). Conclusion . Highly emotive advertisements providing good reasons to quit may be the most effective in promoting the antismoking message among groups with high smoking rates.
    American journal of health promotion: AJHP 11/2015; DOI:10.4278/ajhp.141125-QUAN-593
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    ABSTRACT: Purpose . To compare two intensity levels (standard vs. enhanced) of a nutrition and physical activity intervention vs. a control (usual programs) on nutrition knowledge, body mass index, fitness, academic performance, behavior, and medication use among elementary school students. Design . Quasi-experimental with three arms. Setting . Elementary schools, students' homes, and a supermarket. Subjects . A total of 1487 third-grade students. Intervention . The standard intervention (SI) provided daily physical activity in classrooms and a program on making healthful foods, using food labels. The enhanced intervention (EI) provided these plus additional components for students and their families. Measures . Body mass index (zBMI), food label literacy, physical fitness, academic performance, behavior, and medication use for asthma or attention-deficit hyperactivity disorder (ADHD). Analysis . Multivariable generalized linear model and logistic regression to assess change in outcome measures. Results . Both the SI and EI groups gained less weight than the control (p < .001), but zBMI did not differ between groups (p = 1.00). There were no apparent effects on physical fitness or academic performance. Both intervention groups improved significantly but similarly in food label literacy (p = .36). Asthma medication use was reduced significantly in the SI group, and nonsignificantly (p = .10) in the EI group. Use of ADHD medication remained unchanged (p = .34). Conclusion . The standard intervention may improve food label literacy and reduce asthma medication use in elementary school children, but an enhanced version provides no further benefit.
    American journal of health promotion: AJHP 11/2015; DOI:10.4278/ajhp.140820-QUAN-413
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    ABSTRACT: Purpose . Many Americans continue to smoke, increasing their risk of disease and premature death. Both telephone-based counseling and in-person tobacco cessation classes may improve access for smokers seeking convenient support to quit. Little research has assessed whether such programs are effective in real-world clinical populations. Design . Retrospective cohort study comparing wellness coaching participants with two groups of controls. Setting . Kaiser Permanente Northern California, a large integrated health care delivery system. Subjects . Two hundred forty-one patients who participated in telephonic tobacco cessation coaching from January 1, 2011, to March 31, 2012, and two control groups: propensity-score-matched controls, and controls who participated in a tobacco cessation class during the same period. Wellness coaching participants received an average of two motivational interviewing-based coaching sessions that engaged the patient, evoked their reason to consider quitting, and helped them establish a quit plan. Measures . Self-reported quitting of tobacco and fills of tobacco cessation medications within 12 months of follow-up. Analysis . Logistic regressions adjusting for age, gender, race/ethnicity, and primary language. Results . After adjusting for confounders, tobacco quit rates were higher among coaching participants vs. matched controls (31% vs. 23%, p < .001) and comparable to those of class attendees (31% vs. 29%, p = .28). Coaching participants and class attendees filled tobacco-cessation prescriptions at a higher rate (47% for both) than matched controls (6%, p < .001). Conclusion . Telephonic wellness coaching was as effective as in-person classes and was associated with higher rates of quitting compared to no treatment. The telephonic modality may increase convenience and scalability for health care systems looking to reduce tobacco use and improve health.
    American journal of health promotion: AJHP 11/2015; DOI:10.4278/ajhp.140821-QUAN-424
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    ABSTRACT: Purpose . Increase physical activity in health care employees using health messaging, and compare e-mail with mobile phone short-message service (SMS) as delivery channels. Design . Randomized controlled trial Setting . U.K. hospital workplace. Subjects . Two hundred ninety-six employees (19-67 years, 53% of study Web site visitors). Intervention . Twelve-week messaging intervention designed to increase physical activity and delivered via SMS (n =147) or e-mail (n =149); content tailored using theory of planned behavior (TPB) and limited to 160 characters. Measures . Baseline and 6, 12, and 16 weeks. Online measures included TPB constructs, physical activity behavior on the Global Physical Activity Questionnaire, and health-related quality of life on the Short-Form 12. Analysis . General linear models for repeated measures. Results . Increase in duration (mean h/d) of moderate work-related activity and moderate recreational activity from baseline to 16 weeks. Short-lived increase in frequency (d/wk) of vigorous recreational activity from baseline to 6 weeks. Increase in duration and frequency of active travel from baseline to 16 weeks. E-mails generated greater changes than SMS in active travel and moderate activity (work and recreational). Conclusion . Minimal physical activity promotion delivered by SMS or e-mail can increase frequency and duration of active travel and duration of moderate intensity physical activity at work and for leisure, which is maintained up to 1 month after messaging ends. Both channels were useful platforms for health communication; e-mails were particularly beneficial with hospital employees.
    American journal of health promotion: AJHP 11/2015; DOI:10.4278/ajhp.140415-QUAN-143

  • American journal of health promotion: AJHP 11/2015; 30(2):v-viii. DOI:10.4278/ajhp.30.2.v

  • American journal of health promotion: AJHP 11/2015; 30(2):133-135. DOI:10.4278/ajhp.141001-QUAN-489