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

  • Pre-print
    • Author cannot archive a pre-print version
  • Post-print
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  • Classification
    ​ white

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Purpose . To examine the effects of a smoking cessation campaign. Design . Data from the 2010-2011 Taiwan Adult Tobacco Surveys were analyzed. Setting . The study was set among a nationally representative sample of adults in Taiwan. Subjects . The surveys included 16,282 and 16,886 adults in 2010 and 2011, respectively, while our analyses focused on current smokers, 2518 and 2507 adults in 2010 and 2011, respectively. Intervention . In 2010 the Taiwanese government launched a national smoking cessation campaign through mass media in conjunction with community-based smoking cessation programs throughout the nation. Measures . Outcome variables include awareness of cessation services, quit attempts, intention to quit, and use of quitting method. Analysis . Multivariate logistic regressions were used to analyze data. Results . The implementation of the national smoking cessation campaign was associated with an increase in awareness of cessation services (odds ratio [OR] = 1.36; 95% confidence interval [CI] = 1.20-1.53), in quit attempts (OR = 1.12; 95% CI = 1.01-1.25), in use of unassisted quitting methods (OR = 1.39; 95% CI = 1.13-1.72), and in intention to quit smoking (OR = 1.15; 95% CI = 1.02-1.30). Conclusion . The implementation of the national smoking cessation campaign through media and community programs was effective in increasing smokers' awareness of cessation services, quit attempts, and intention to quit.
    American journal of health promotion: AJHP 09/2015; DOI:10.4278/ajhp.140922-QUAN-457
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    ABSTRACT: Purpose . Employers are increasingly exploring health benefits that incentivize lifestyle change for employees. We used early data from an ongoing study of one such model-the Health Engagement Model (HEM), which Oregon implemented for all public employees in 2012-to analyze variation in employee participation and engagement. Design . A survey was designed to assess program engagement, opinions of the program, and self-reported lifestyle changes. Setting . Data were collected in 2012, about 9 months after HEM launched. Subjects . A representative random sample of 4500 state employees served as the study subjects. Measures . Primary measures included whether employees signed up for the program, completed its required activities, and reported making lifestyle changes. Analysis . Logistic regression was used to analyze survey results. Results . Most employees (86%) chose to participate, but there were important socioeconomic differences: some key target populations, including smokers and obese employees, were the least likely to sign up; less educated employees were also less likely to complete program activities. Despite mostly negative opinions of the program, almost half of participants reported making lifestyle changes. Conclusion . Oregon's HEM launch was largely unpopular with employees, but many reported making the desired lifestyle changes. However, some of those the program is most interested in enrolling were the least likely to engage. People involved with implementing similar programs will need to think carefully about how to cultivate broad interest among employees.
    American journal of health promotion: AJHP 09/2015; DOI:10.4278/ajhp.150120-QUAN-678
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    ABSTRACT: Subjects: Studied were residents of two South Bronx neighborhoods deemed high need. Measures . Food purchasing and consumption were examined via surveys and 24-hour dietary recalls before and at two points after the supermarket opened (1-5, 13-17 months). Analysis . Data were analyzed using difference-in-difference models controlling for gender, race and ethnicity, age, education, marital status, and self-reported income. Ordinary least squares and logistic regression models were estimated for continuous and binary outcomes, respectively. Results . At baseline, 94% to 97% of consumers shopped at a supermarket. There was a 2% increase in this behavior in the intervention community (p < .05) not seen in the comparison community. One year later there was a 7% net increase in eating at home (p < .1) and a 20% decrease in drinking sugary beverages (p < .05), but no appreciable change in fruit/vegetable consumption or overall dietary quality. Conclusion . The new supermarket did not result in substantial or broad changes in purchasing patterns or nutritional quality of food consumed, though smaller, positive changes were observed over a 1-year period. Future work should examine different contexts and a broader set of outcomes, including economic development.
    American journal of health promotion: AJHP 09/2015; DOI:10.4278/ajhp.150217-QUAN-733
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    ABSTRACT: Purpose . To develop a theory-based questionnaire to assess readiness for change in small workplaces adopting wellness programs. Design . In developing our scale, we first tested items via "think-aloud" interviews. We tested the revised items in a cross-sectional quantitative telephone survey. Setting . The study setting comprised small workplaces (20-250 employees) in low-wage industries. Subjects . Decision-makers representing small workplaces in King County, Washington (think-aloud interviews, n = 9), and the United States (telephone survey, n = 201) served as study subjects. Measures . We generated items for each construct in Weiner's theory of organizational readiness for change. We also measured workplace characteristics and current implementation of workplace wellness programs. Analysis . We assessed reliability by coefficient alpha for each of the readiness questionnaire subscales. We tested the association of all subscales with employers' current implementation of wellness policies, programs, and communications, and conducted a path analysis to test the associations in the theory of organizational readiness to change. Results . Each of the readiness subscales exhibited acceptable internal reliability (coefficient alpha range, .75-.88) and was positively associated with wellness program implementation (p < .05). The path analysis was consistent with the theory of organizational readiness to change, except change efficacy did not predict change-related effort. Conclusion . We developed a new questionnaire to assess small workplaces' readiness to adopt and implement evidence-based wellness programs. Our findings also provide empirical validation of Weiner's theory of readiness for change.
    American journal of health promotion: AJHP 09/2015; DOI:10.4278/ajhp.141204-QUAN-604
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    ABSTRACT: Purpose . To assess the feasibility of a new intervention, Ready~Steady, in terms of demand, acceptability, implementation, and limited efficacy. Design . Randomized controlled trial; repeated measures. Setting . Two rural communities in Itasca County, Minnesota. Subjects . Thirty participants were randomized to an intervention (n = 16) or attention-control (n = 14) group. Intervention . Ready~Steady combined two components: (1) motivational (motivational support, social network support, empowering education), and (2) fall-reducing physical activities (PAs; guidance to practice leg-strengthening, balance, and flexibility activities and walking). Measures . Acceptability questionnaire and Indices of Procedural Consistency (investigator developed), Community Health Activity Model Program for Seniors Questionnaire (confirmed with accelerometry), Short Physical Performance Battery, Perceived Environmental Support Scale, Social Support for Exercise Questionnaire, Goal Attainment Scale, Index of Readiness, and Index of Self-Regulation. Analysis . Descriptive statistics and a marginal approach to repeated-measures analysis of variance, using mixed-model procedures. Results . Attrition was 7% and mean attendance was 7.2 of 8 sessions, participants evaluated Ready~Steady as acceptable, and implementation fidelity was good. The intervention group improved significantly more than the attention-control group in PA behavior, F1,27 = 11.92, p = .002; fall risk (functional balance and strength), F1,27 = 14.89, p = .001; support for exercise from friends, F1,27 = 11.44, p = .002; and self-regulation, F1,26 = 38.82, p < .005. Conclusion . The Ready~Steady intervention was feasible as evidenced by low attrition and good attendance and implementation, as well as positive effects on targeted outcomes and theoretical mechanisms of change.
    American journal of health promotion: AJHP 09/2015; DOI:10.4278/ajhp.130522-ARB-265
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    ABSTRACT: Purpose . To investigate the influence of the intensity of telecommuting on employee health. Design . Study design comprised a longitudinal analysis of employee demographic data, medical claims, health risk assessment data, and remote connectivity hours. Setting . Data from Prudential Financial served as the setting. Subjects . Active employees ages 18 to 64 years who completed the health risk assessment between 2010 and 2011 were the study subjects. Measures . Measures included telecommuting status and intensity, and eight indicators of health risk status (obesity, depression, stress, tobacco use, alcohol abuse, poor nutrition, physical inactivity, and an overall risk measure), with employee age, sex, race-ethnicity, job grade, management status, and work location as control variables. Analysis . Health risks were determined for nontelecommuters and telecommuters working remotely ≤8, 9 to 32, 33 to 72, and ≥73 hours per month. Longitudinal models for each health risk were estimated, controlling for demographic and job characteristics. Results . Telecommuting health risks varied by telecommuting intensity. Nontelecommuters were at greater risk for obesity, alcohol abuse, physical inactivity, and tobacco use, and were at greater overall risk than at least one of the telecommuting groups. Employees who telecommuted ≤8 hours per month were significantly less likely than nontelecommuters to experience depression. There was no association between telecommuting and stress or nutrition. Conclusion . Results suggest that employees may benefit from telecommuting opportunities.
    American journal of health promotion: AJHP 09/2015; DOI:10.4278/ajhp.141027-QUAN-544
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    ABSTRACT: Purpose . To describe the prevalence and determinants of sodium-related knowledge, attitudes, and behaviors among U.S. adults Design . A cross-sectional survey was used. Setting . The study was set in the United States in 2012. Subjects . Participants were 6122 U.S. adults. Measures . Sodium-related knowledge, attitudes, and behaviors were measured. Analysis . Chi-squared tests were used to determine differences in sodium-related knowledge, attitude, and behaviors by respondent characteristics; multiple logistic regression was used to examine associations between selected respondent characteristics and health professional advice, reported action, or knowledge, attitudes, and behaviors (adjusted for all other respondent characteristics). Results . About three-fourths of respondents answered eating too much sodium is "somewhat" or "very" harmful to their health. Twenty-six percent reported receiving health professional advice, and 45% reported taking action to reduce their sodium intake. The prevalence of reported action was highest among adults receiving advice, those with hypertension, blacks, and those aged ≥65 years. Sixty-two percent who reported action agreed that most of their sodium comes from processed or restaurant foods. Of those reporting action, the most common tactics to reduce sodium intake were checking nutrition labels, using other spices than salt, and choosing low-sodium foods; requesting lower-sodium options when eating out was the least common tactic. Conclusion . Results suggest almost half of adults overall and the vast majority of those receiving health professional advice are taking some action to watch or reduce sodium intake. Although a substantial proportion report using recommended tactics to lower intake, many are not using the most effective tactics. In order to reach the general population, health communication messages could be simpler and focus on the most effective tactics to reduce sodium intake. Furthermore, health professionals can help reduce sodium intake by discussing the benefits of sodium reduction and tactics to do so, regardless of a hypertension diagnosis.
    American journal of health promotion: AJHP 09/2015; DOI:10.4278/ajhp.150102-QUAN-650
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    ABSTRACT: Objective . To systematically review the effectiveness of intervention studies promoting diet and physical activity (PA) in nurses. Data Source . English language manuscripts published between 1970 and 2014 in PubMed, Scopus, CINAHL, and EMBASE, as well as those accessed with the PICO tool, were reviewed. Study Inclusion and Exclusion Criteria . Inclusion criteria comprised (1) nurses/student nurses working in a health care setting and (2) interventions where PA and/or diet behaviors were the primary outcome. Exclusion criteria were (1) non-peer-reviewed articles or conference abstracts and (2) interventions focused on treatment of chronic conditions or lifestyle factors other than PA or diet in nurses. Data Extraction . Seventy-one full texts were retrieved and assessed for inclusion by two reviewers. Data were extracted by one reviewer and checked for accuracy by a second reviewer. Data Synthesis . Extracted data were synthesized in a tabular format and narrative summary. Results . Nine (n = 737 nurses) studies met the inclusion criteria. Quality of the studies was low to moderate. Four studies reported an increase in self-reported PA through structured exercise and goal setting. Dietary outcomes were generally positive, but were only measured in three studies with some limitations in the assessment methods. Two studies reported improved body composition without significant changes in diet or PA. Conclusions . Outcomes of interventions to change nurses' PA and diet behavior are promising, but inconsistent. Additional and higher quality interventions that include objective and validated outcome measures and appropriate process evaluation are required.
    American journal of health promotion: AJHP 09/2015; DOI:10.4278/ajhp.141107-LIT-562
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    ABSTRACT: Reviews of three new books that introduce approaches to enhance workforce health and well-being through culture and organizational change.
    American journal of health promotion: AJHP 09/2015; 29(6):TAHP10-1.
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    ABSTRACT: Why building a culture of well-being will require a concomitant analysis of environmental and health risk metrics that capture the time-honored definition of health as a state of complete physical, mental, spiritual, and social well-being.
    American journal of health promotion: AJHP 09/2015; 29(6):TAHP11-2.
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    ABSTRACT: A discussion about a value proposition for investment in employee health initiatives that necessitates a more comprehensive and multifaceted approach to optimizing the human capital within an organization.
    American journal of health promotion: AJHP 09/2015; 29(6):TAHP6-9.
  • American journal of health promotion: AJHP 09/2015; 30(1):v-vii. DOI:10.4278/ajhp.30.01.v
  • American journal of health promotion: AJHP 09/2015; 30(1):TAHP1. DOI:10.4278/ajhp.30.1.tahp
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    ABSTRACT: Purpose . To determine smoking abstinence rates and predictors of abstinence among college students enrolled in a campus-based Quit & Win contest. Design . Pre-post measure with no comparison group. Setting . Contests conducted on seven college campuses in 2007. Subjects . Subjects (N = 484) were 23.7 ± 6.8 years of age, 61% female, 16.3% nonwhite, and smoked 12.5 ± 7.8 cigarettes per day on 28.0 ± 4.8 days in the past month. Intervention . Participants abstinent for the 30-day contest were eligible for a lottery-based prize. Assessments were completed at baseline, end of contest, and 6 months after enrollment. Measures . The 6-month survey assessed retrospective abstinence during the contest period and the prior 6 months and 7- and 30-day point prevalence abstinence at the time of the survey. Analysis . Chi-square test was used to compare baseline characteristics among participants from 2- versus 4-year schools. Smoking abstinence was assessed by participant self-report. Both a simple imputation method (i.e., missing = smoking) and completers-only analyses were conducted. Stepwise logistic regression was used to determine baseline predictors of abstinence. Results . Thirty-day abstinence rate was 52.5% during the contest month and 20.5% at the 6-month follow-up. Baseline intention to stay quit (odds ratio [OR] = 1.56, p = .01), cigarettes smoked per day (OR = .67, p = .04), and 2-year (vs. 4-year) college (OR = 1.65, p = .05) predicted abstinence at 6 months. Conclusion . Intention to stay quit even without winning a prize, a measure of intrinsic motivation, predicted both short- and long-term abstinence.
    American journal of health promotion: AJHP 08/2015; DOI:10.4278/ajhp.140530-QUAN-249
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    ABSTRACT: Purpose . To test an iPad-delivered multiple behavior tailored intervention (Healthy Pregnancy: Step by Step) for pregnant women that addresses smoking cessation, stress management, and fruit and vegetable consumption. Design . A randomized 2 × 5 factorial repeated measures design was employed with randomization on the individual level stratified on behavior risk. Women completed three sessions during pregnancy and two postpartum at postdelivery months 1 and 4. Setting . Women were recruited from six locations of federally funded health centers across three states. Subjects . Participants (N = 335) were English- and Spanish-speaking women at up to 18 weeks gestation. Intervention . The treatment group received three interactive sessions focused on two priority health behavior risks. The sessions offered individually tailored and stage-matched change strategies based on the transtheoretical model of behavior change. The usual care group received March of Dimes brochures. Measures . The primary outcome was the number of behavior risks. Stage of change and continuous measures for all behaviors also were assessed. Analysis . Data were analyzed across all time points using generalized estimating equations examining repeated measures effects. Results . Women in the treatment group reported significantly fewer risks than those in usual care at 1 month (.85 vs. 1.20, odds ratio [OR] = .70) and 4 months postpartum (.72 vs. .91, OR = .81). Conclusion . Healthy Pregnancy is an evidence-based and personalized program that assists pregnant women with reducing behavior risks and sustaining healthy lifestyle behaviors.
    American journal of health promotion: AJHP 08/2015; DOI:10.4278/ajhp.140530-QUAN-248
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    ABSTRACT: Purpose . To evaluate an evidence-based workplace approach to increasing adult influenza vaccination levels applied in the restaurant setting Design . We implemented an intervention and conducted a pre/post analysis to determine effect on vaccination. Setting . Eleven Seattle-area restaurants. Subjects . Restaurants with 25+ employees speaking English or Spanish and over 18 years. Intervention . Restaurants received influenza vaccination promotion materials, assistance arranging on-site vaccination events, and free influenza vaccinations for employees. Measures . Pre/post employee surveys of vaccination status with direct observation and employer interviews to evaluate implementation. Analysis . We conducted descriptive analysis of employee survey data and performed qualitative analysis of implementation data. To assess intervention effect, we used a mixed-effects logistic regression model with a restaurant-specific random effect. Results . Vaccination levels increased from 26% to 46% (adjusted odds ratio 2.33, 95% confidence interval 1.69, 3.22), with 428 employees surveyed preintervention, 305 surveyed postintervention, and response rates of 73% and 55%, respectively. The intervention was effective across subgroups, but there were restaurant-level differences. Conclusion . An access-based workplace intervention can increase influenza vaccination levels in restaurant employees, but restaurant-level factors may influence success.
    American journal of health promotion: AJHP 08/2015; DOI:10.4278/ajhp.131216-ARB-643
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    ABSTRACT: Purpose . This study examined the effects of tai chi (TC) on biobehavioral factors associated with cardiovascular disease (CVD) risk in women. Design . A randomized trial used a wait-list control group, pretest-posttest design. Data were collected immediately before, immediately after, and 2 months following the intervention. Setting . The study was community based in central Virginia. Subjects . Women aged 35 to 50 years at increased risk for CVD. Intervention . The 8-week intervention built on prior work and was designed to impact biobehavioral factors associated with CVD risk in women. Measures . Biological measures included fasting glucose, insulin, and lipids as well as C-reactive protein and cytokines. Behavioral measures included fatigue, perceived stress, depressive symptoms, social support, mindfulness, self-compassion, and spiritual thoughts and behaviors. Analysis . A mixed effects linear model was used to test for differences between groups across time. Results . In 63 women, TC was shown to decrease fatigue (∂ [difference in group means] = 9.38, p = .001) and granulocyte colony stimulating factor (∂ = 12.61, p = .052). Consistent with the study model and intervention design, significant changes observed 2 months post intervention indicated that TC may help down-regulate proinflammatory cytokines associated with underlying CVD risk, including interferon gamma (∂ = 149.90, p = .002), tumor necrosis factor (∂ = 16.78, p = .002), interleukin (IL) 8 (∂ = 6.47, p = .026), and IL-4 (∂ = 2.13, p = .001), and may increase mindfulness (∂ = .54, p = .021), spiritual thoughts and behaviors (∂ = 8.30, p = .009), and self-compassion (∂ = .44, p = .045). Conclusion . This study contributes important insights into the potential benefits and mechanisms of TC and, with further research, may ultimately lead to effective strategies for reducing CVD risk in women earlier in the CVD trajectory.
    American journal of health promotion: AJHP 08/2015; DOI:10.4278/ajhp.140618-QUAN-287
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    ABSTRACT: Purpose . To examine the association between specific attributes of neighborhood environments and four social environment measures. Design . Data were collected as part of a baseline survey among participants enrolling in a walking intervention. Setting . Participants were recruited from a metropolitan area in a Southeastern state. Subjects . Participants (n = 294) were predominantly African-American (67%) and female (86%), with some college education (79%) and a mean age of 49. Measures . The International Physical Activity Questionnaire Environment Module assessed perceptions about neighborhood attributes. The social environment was assessed using three distinct scales: social cohesion, social interactions with neighbors, and social support for physical activity from family and friends. Analysis . Multiple regression models examined associations between neighborhood attributes and social environment measures, adjusting for demographic variables. Results . Having walkable destinations and having access to amenities and transit stops were associated with increased interactions with neighbors (b = 1.32, 1.04, and 1.68, respectively, p < .05). Attributes related to structural support for physical activity (sidewalks, street connectivity, recreation facilities) were associated with increased interactions with neighbors (b = 1.47, 1.34, and 1.13, respectively, p < .05). Bicycling facilities that were maintained (i.e., bike lanes, racks) were associated with social support for physical activity from family and friends (b = .43 and .30, respectively, p < .05). Conclusion . The study highlights key attributes of neighborhood environments that may be associated with the social context of such settings.
    American journal of health promotion: AJHP 08/2015; DOI:10.4278/ajhp.140307-ARB-99