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

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.

  • Impact factor
    2.37
  • 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

Publications in this journal

  • American journal of health promotion: AJHP 09/2014; 29(1):v-vi.
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    ABSTRACT: Abstract Purpose . Poorly managed stress leads to detrimental physical and psychological consequences that have implications for individual and community health. Evidence indicates that U.S. adults predominantly use unhealthy strategies for stress management. This study examines the impact of a community-based mindfulness training program on stress reduction. Design . This study used a one-group pretest-posttest design. Setting . The study took place at the UCLA Mindful Awareness Research Center in urban Los Angeles. Subjects . A sample of N = 127 community residents (84% Caucasian, 74% female) were included in the study. Intervention . Participants received mindfulness training through the Mindful Awareness Practices (MAPs) for Daily Living I. Measures . Mindfulness, self-compassion, and perceived stress were measured at baseline and postintervention. Analysis . Paired-sample t-tests were used to test for changes in outcome measures from baseline to postintervention. Hierarchical regression analysis was fit to examine whether change in self-reported mindfulness and self-compassion predicted postintervention perceived stress scores. Results . There were statistically significant improvements in self-reported mindfulness (t = -10.67, p < .001, d = .90), self-compassion (t = -8.50, p < .001, d = .62), and perceived stress (t = 9.28, p < .001, d = -.78) at postintervention. Change in self-compassion predicted postintervention perceived stress (β = -.44, t = -5.06, p < .001), but change in mindfulness did not predict postintervention perceived stress (β = -.04, t = -.41, p = .68). Conclusion . These results indicate that a community-based mindfulness training program can lead to reduced levels of psychological stress. Mindfulness training programs such as MAPs may offer a promising approach for general public health promotion through improving stress management in the urban community.
    American journal of health promotion: AJHP 08/2014;
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    ABSTRACT: Abstract Purpose . The purposes of this study were to assess the effect of restricting school choice on changes in travel distance to school and transportation mode for elementary school students. Design . Study design was pre-post (spring 2010-fall 2010) quasi-experimental. Setting . Study setting was all public elementary schools in Minneapolis, Minnesota. Subjects . Subjects comprised approximately 20,500 students across 39 schools. Intervention . Study assessed a school choice policy change that restricted school choice to a school closer to the family's home. Measures . School district transportation data were used to determine distance to school. Direct observations of student travel modes (two morning and two afternoon commutes at each time point) were used to assess transportation mode. Analysis . Chi-square and independent-sample t-tests were calculated to describe the schools. Repeated measures general linear models were used to assess changes in travel distance to school and observed commuting behavior. Results . Distance to school significantly decreased (1.83 ± .48 miles to 1.74 ± .46 miles; p = .002). We failed to observe any significant changes in morning (+.7%) or afternoon (-.7%) active commuting (both p = .08) or the number of automobiles in the morning (-7 autos per school; p = .06) or afternoon (+3 autos per school; p = .14). Conclusion . The more restrictive school choice policy decreased distance to school but had no significant effect on active commuting. Policy interventions designed to increase active commuting to school may require additional time to gain traction and programmatic support to induce changes in behavior.
    American journal of health promotion: AJHP 08/2014;
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    ABSTRACT: Abstract Purpose . Identify and compare predictors of the existence of congregational human immunodeficiency virus (HIV) and other health programs. Design . Cross-sectional study. Setting . United States. Subjects . A nationally representative sample of 1506 U.S. congregations surveyed in the National Congregations Study (2006-2007). Measures . Key informants at each congregation completed in-person and telephone interviews on congregational HIV and other health programs and various congregation characteristics (response rate = 78%). County-level HIV prevalence and population health data from the Robert Wood Johnson Foundation's 2007 County Health Rankings were linked to the congregational data. Analysis . Multinomial logistic regression was used to assess factors that predict congregational health programs relative to no health programs; and of HIV programs relative to other health activities. Results . Most congregations (57.5%) had at least one health-related program; many fewer (5.7%) had an HIV program. Predictors of health vs. HIV programs differed. The number of adults in the congregation was a key predictor of health programs, while having an official statement welcoming gay persons was a significant predictor of HIV programs (p < .05). Other significant characteristics varied by size of congregation and type of program (HIV vs. other health). Conclusion . Organizations interested in partnering with congregations to promote health or prevent HIV should consider congregational size as well as other factors that predict involvement. Results of this study can inform policy interventions to increase the capacity of religious congregations to address HIV and health.
    American journal of health promotion: AJHP 08/2014;
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    ABSTRACT: Abstract Purpose . The present study investigated an unexplored health behavior pathway: the association between living with a smoker and physical inactivity. Design . The study performed an analysis of cross-sectional data from the second wave of the Survey of Midlife Development in the United States (2004-2006). Subjects . The sample included 1050 women and 945 men, ages 30 to 84 years (mean, 56.5 years). Measures . In addition to control variables, survey items indexed presence of a smoker in the respondent's home, and physical inactivity and low health commitment on the part of the respondent. Analysis . Analysis employed multiple logistic regression analyses, controlling for sociodemographic factors as well as health restrictions on physical activity and respondents' current smoking status. Results . Living with a smoker was linked to 56% higher odds of physical inactivity. Low health commitment mediated this association. Living with a smoker was linked to lower health commitment (B = .31), and low health commitment was linked in turn to increased odds of physical inactivity (odds ratio, 1.36). Conclusions . The increased health risk among individuals living with a smoker is assumed to be a function of exposure to secondhand smoke. We demonstrate an unexplored behavioral pathway involving a link between living with a smoker and physical inactivity. These findings suggest that household smoking bans may have broad health behavior effects beyond reducing smoking.
    American journal of health promotion: AJHP 08/2014;
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    ABSTRACT: Abstract Purpose . We investigated associations of acculturation with various types of activity (moderate-vigorous leisure-time physical activity [LTPA], moderate-vigorous work- and transportation-related physical activity, and sedentary activity), and whether these activities mediated the acculturation-obesity association among Mexican-Americans. Design . Cross-sectional. Setting . National Health and Nutrition Examination Survey (NHANES) 2007-2010. Subjects . Mexican-American NHANES participants aged ≥20 years (n = 1902). Measures . Demographic characteristics, physical activity, sedentary behavior, acculturation, and body mass index. Analysis . Multinomial logistic regression was used to estimate associations of acculturation with categories of self-reported activity. Path analysis was used to test whether the activity measures mediated acculturation-obesity associations. Results . In adjusted models, compared to U.S.-born Mexican-Americans, foreign-born Mexican-Americans living in the United States for less than 10 years were significantly less likely to be in the highest LTPA and sedentary activity categories, and more likely to be in the highest total and transportation activity categories. Foreign-born Mexican-Americans living in the United States for 10 years or more were significantly less likely to engage in high sedentary activity but more likely to engage in high transportation activity. Sedentary behavior was the strongest mediator of the acculturation-obesity association, accounting for 40.7% and 57.1% of the total effect of acculturation on obesity among foreign-born Mexican-Americans living in the United States for less than 10 years and for 10 years or more, respectively, compared to U.S.-born Mexican-Americans. Conclusion . Reducing sedentary behavior may lower the negative impact of acculturation on obesity.
    American journal of health promotion: AJHP 08/2014;
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    ABSTRACT: Abstract Purpose. To test the effects of a physical-cognitive exercise intervention on gait parameters under dual-task conditions in community-dwelling older adults. Design. A repeated-measures quasi-experimental design, with control and exercise groups, was used. Setting. Study participants consist of a convenience sample recruited from senior citizens' centers in Monterrey, Mexico. Subjects. A total of 143 sedentary participants ages 65 to 92 years per group participated. Intervention. A combined 45- to 60-minute program of physical and cognitive exercises was conducted in three weekly sessions during 12 weeks for the exercise group. Measures. The spatial gait parameters of speed (cm/s), step width, and stride length (cm); and the temporal parameters of single and double support time, cadence (steps per minute), and swing time (s) were measured using the GaitRite. Counting backwards or naming animals represented cognitive performance. Analysis. Two (groups: exercise group vs. control group) by three (time: baseline, week 6, and week 12) repeated-measures multivariate analysis of variance (MANOVA) was applied. Results. Repeated-measures multivariate analysis of variance revealed a significant group effect (Wilks lambda F4,279 = 6.78, p < .001); univariate analysis showed significant differences for gait speed (m/s), stride length, cadence, step width, and double support time. Time-by-group interaction showed significance in gait speed and stride length. Conclusion. The exercise group participants showed increased gait speed, cadence, and stride length, and reduced their step width and time spent with both feet on the ground. Walking while simultaneously performing a cognitive task might prepare older adults for competing/interfering demands from their environments. The protective health benefits of this intervention remain to be investigated.
    American journal of health promotion: AJHP 08/2014;
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    ABSTRACT: Abstract Purpose . Study goals were to (1) understand the attitudes of employees in low-wage industries toward workplace health promotion, including views on appropriateness of employer involvement in employee health and level of interest in workplace health promotion overall and in specific programs, and (2) determine the potential for extending workplace health promotion to spouses and partners of these employees. Approach . The study used 42 interviews of 60 to 90 minutes. Setting . Interviews were conducted with couples (married or living together) in the Seattle/King County metropolitan area of Washington State. Participants . Study participants were forty-two couples with one or more members working in one of five low-wage industries: accommodation/food services, education, health care/social assistance, manufacturing, and retail trade. Method . The study employed qualitative analysis of interview transcripts using grounded theory to identify themes. Results . Employees consider workplace health promotion both appropriate and desirable and believe it benefits employers through increased productivity and morale. Most have little personal experience with it and doubt their employers would prioritize employee health. Employees are most interested in efforts focused on nutrition and physical activity. Both employees and their partners support extending workplace health promotion to include partners. Conclusion . Employees and their partners are interested in workplace health promotion if it addresses behaviors they care about. Concern over employer involvement in their personal health decisions is minimal; instead, employees view employer interest in their health as a sign that they are valued.
    American journal of health promotion: AJHP 08/2014;
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    ABSTRACT: Abstract Purpose . To examine the role of pet play and dog walking in children's and adolescents' leisure time, and the relationship between these activities and physical activity. Design . The study design was observational. Setting . The study setting was metropolitan Perth and nonmetropolitan regions in Western Australia. Subjects . The study included 1097 primary school (mean age, 10.1 years; SD, 1.6 years) and 657 secondary school (mean age, 14.0 years; SD, 1.3 years) students. Measures . Validated measures of total physical activity, dog walking, and pet play activity (prevalence and time) were calculated. Analysis . Generalized linear models tested for differences between proportions, while adjusting for socioeconomic status, age, and school-level clustering. Results . Approximately one third of primary school and one quarter of secondary school students reported that they walked the dog at least once in the last week. Pet play was the most common play activity for primary and secondary school girls, and the second and third most popular play activity for secondary and primary school boys, respectively. Secondary school students who walked the dog or played with pets spent an average of 1 hour per week on each activity, and they were significantly more likely (p < .005) to meet national physical activity recommendations than secondary school students not reporting these activities. Conclusion . Given the significant proportion of young people who frequently engage in dog walking and pet play, and the high level of pet ownership in many Western countries, promotion of these activities to support young people's health is warranted.
    American journal of health promotion: AJHP 08/2014;
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    ABSTRACT: Abstract Purpose . Develop and demonstrate preliminary validation of a brief questionnaire aimed at assessing social cognitive determinants of physical activity (PA) in a college population. Design . Quantitative and observational. Setting . A midsized northeastern university. Subjects . Convenience sample of 827 male and female college students age 18 to 24 years. Measures . International Physical Activity Questionnaire and a PA stage-of-change algorithm. Analysis . A sequential process of survey development, including item generation and data reduction analyses by factor analysis, was followed with the goal of creating a parsimonious questionnaire. Structural equation modeling was used for confirmatory factor analysis and construct validation was confirmed against self-reported PA and stage of change. Validation analyses were replicated in a second, independent sample of 1032 college students. Results . Fifteen items reflecting PA self-regulation, outcome expectations, and personal barriers explained 65% of the questionnaire data and explained 28.6% and 39.5% of the variance in total PA and moderate-to-vigorous-intensity PA, respectively. Scale scores were distinguishable across the stages of change. Findings were similar when the Cognitive Behavioral Physical Activity Questionnaire (CBPAQ) was tested in a similar and independent sample of college students (40%; R(2) moderate-to-vigorous-intensity PA = .40; p < .001). Conclusion . The CBPAQ successfully explains and predicts PA behavior in a college population, warranting its incorporation into future studies aiming at understanding and improving on PA behavior in college students.
    American journal of health promotion: AJHP 08/2014;
  • American journal of health promotion: AJHP 07/2014; 28(6):TAHP12.
  • American journal of health promotion: AJHP 07/2014; 28(6):TAHP8-11.
  • American journal of health promotion: AJHP 07/2014; 28(6):TAHP2.
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    ABSTRACT: Abstract Purpose. To examine the efficacy of a novel intervention for problematic eating behaviors and body dissatisfaction. Design. Participants enrolled in the intervention or wait-list comparison group and were assessed at pre- and post-10 weeks. Setting. Midwestern university. Subjects. 124 female employees or partners/spouses. Intervention. Eat for Life is a 10-week group intervention integrating mindfulness and intuitive eating skills. Measures. Self-report questionnaires included the Intuitive Eating Scale, Body Appreciation Scale, Five-Facet Mindfulness Questionnaire, Questionnaire for Eating Disorder Diagnoses, and an author-constructed supplemental and demographic questionnaire. Analysis. ANCOVAs and ordinal regression measured group differences. Structural equation modeling examined mediation effects. Results. Significant differences between groups on body appreciation (F1,121 = 40.17, P = .000, partial eta squared = .25), intuitive eating (F1,121 = 67.44, P = .000, partial eta squared = .36) and mindfulness (F1,121 = 30.50, P = .000, partial eta squared = .20), with mean scores significantly higher in the intervention group than wait-list comparison group after 10 weeks. The intervention group was 3.65 times more likely to be asymptomatic for disordered eating than the comparison group. Mindfulness served as a partial mediator. Conclusion. Provides support for an intervention combining intuitive eating and mindfulness for treatment of problematic eating behaviors and body dissatisfaction, with limitations including self-selection and lack of active control group.
    American journal of health promotion: AJHP 07/2014; 28(6):380-388.
  • American journal of health promotion: AJHP 07/2014; 28(6):TAHP1.

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