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Objectives In this study, we examined the associations of various sedentary behaviors (SB) to health-related quality of life (HRQOL) and the possible mediating role of sleep quality in these relationships. Methods Participants were 363 middle-aged adults (Mage = 44.25, SD = 4.72, 64% male) from Amazon MTurk. Self-reported measures of socio-demographic status, time spent doing 10 different types of SB, sleep quality, and HRQOL were collected. Exploratory factor analysis was used to classify SB. Mediation analysis with PROCESS for SPPS examined the mediational paths. Results Exploratory factor analysis categorized 10 sedentary activities into Common Engaging SB, High Engaging/Leisure SB, and Less Engaging/Passive SB. SM04690 research buy Findings suggested that Common Engaging SB was negatively associated with HRQOL, whereas High Engaging/Leisure SB was positively related to HRQOL. Sleep quality appeared to mediate the associations of Common Engaging SB and High Engaging/Leisure SB to HRQOL. Conclusions Reducing sitting time, particularly Common Engaging SB, could be a useful strategy to improve HRQOL. Health promotion programs should support mentally engaging leisure activities because such activities might increase middle-aged adults' HRQOL. Additionally, health promotion programs are needed to raise public awareness regarding the importance of sleep quality.Objectives COVID-19 has become a global concern, affecting both physical and mental health. In this study, we measured knowledge, fear, anxiety, and psychological distress related to COVID-19 among residents of the United Arab Emirates (UAE). Methods A total of 1053 adult participants completed a Web-based cross-sectional survey. Results Our data revealed 75.7% of the sample to be knowledgeable about COVID-19, 15.3% had experienced anxiety and 50.4%, psychological distress about COVID-19. Being knowledgeable about COVID-19 was significantly associated with having spent one to 2 hours reading about COVID-19. There was also an association between being knowledgeable about COVID-19 and low levels of anxiety and psychological distress. Psychological distress was associated with a history of mental illness (76.2%), anxiety (85.1%), and fear of COVID-19 (21±6.6). Age, history of mental illness (OR = 3.70, 95% CI = 2.35-5.82, p less then .001), and COVID-19 anxiety (OR = 2.48, 95% CI = 1.48-4.13, p less then .001) and fear (OR = 1.17, 95% CI = 1.14-1.20, p less then .001) were risk factors for psychological distress. Conclusion Our results showed significant psychological distress in the UAE population. Providing pre-recorded workshops and continuous telemedicine on biopsychosocial perspectives of COVID-19 may enhance the COVID-19 insight and reduce the COVID-19 anxiety and psychological distress.Objectives Cross-sectional reports on weight gain during the COVID-19 shelter-at-home have raised concerns for weight increases as the pandemic continues. We examined behaviors that impact energy intake and/or energy expenditure among adults in the United States during shelter-at-home. Methods Cross-sectional data (N=1779; April 24 - May4, 2020) were collected on demographics, diet, physical activity, sleep, and food purchasing behaviors. Percent of participants reporting increase/ decrease/no change in these behaviors during the COVID-19 shelter-at-home were assessed. Each analysis was followed by comparing whether increases or decreases were more likely for each health behavior, in all participants and across sex (43.38% males). Results Increased consumption of healthy foods, energy-dense unhealthy foods, and snacks, and increased sedentary activities (p less then .001) was reported. Physical activity and alcohol intake declined (p less then .001). Females were more likely than males (p less then .001) to report ultra-processed foods/high-calorie snack intake, fruit/vegetable intake (p less then .001) and increase (p less then .01) sleep and sedentary behavior. Conclusion Acute behavioral changes supporting greater energy intake and less energy expenditure, especially in females, underscore the significance of COVID-19-related increase in unstructured time. Longitudinal assessment of body weight and health behaviors is warranted to understand the impact of pandemic.Objectives This qualitative study explored how African-American women perceived certain typical low-sodium dietary practices. Methods This research applied a single category focus group design; 22 African-American women (aged 18 years and older) having hypertension completed a demographic survey before focus group sessions. Constant comparison analysis helped to identify major themes. NVivo 11 aided in data storage, organization, and information management. Results We found that individuals tend to take action if they believe the action will address their health condition. Some participants indicated they were taking measures to reduce their sodium intake. However, other participants were not actively engaging in reducing their sodium intake despite acknowledging the positive benefits of doing so. Conclusions Study findings showed the participants perceived the potential benefits of dietary changes as being less significant than the perceived barriers to implementing them. Furthermore, these perceived barriers to taking action may have stemmed from these women's lack of motivation and self-efficacy.Objectives There are disparities in cardiovascular disease (CVD) among African-American women and culturally adapted interventions are needed for this population. The purpose of this study was to conduct qualitative research to inform a cultural adaptation of the evidence-based Strong Women - Healthy Hearts intervention for midlife and older African-American women. Methods Eligible participants were African-American women age ≥ 40 years, BMI ≥ 25, and sedentary. The study guide explored perceptions of heart disease and prevention using a novel construct, 'abundant life'. Twenty-two participants attended focus groups (N=5). A directed qualitative content analysis approach was used. Results Participants described an abundant life as lack of stress, good health, and supportive relationships. Facilitators of abundant life and cardiovascular health often overlapped, including healthy diet, exercise, positive family and community ties, and spirituality. Key barriers included family caregiving burdens and the enduring legacy of racism which contributed to stress, environmental barriers to healthy eating and physical activity, and discriminatory experiences in the healthcare system. Conclusion Participant responses were provided within the context of their personal values and social identities, providing insights that may support adaption of behavioral interventions for this high-need population.Objectives The positive health benefits of regular physical activity (PA) are widely known, yet PA levels remain low in the general population and those with neurological conditions like multiple sclerosis (MS). The goal of this study was to use the lens of behavioral economics to explore PA motivation for participation in PA-based MS charity fundraising events to elucidate the relationship between behavioral economics constructs and motivation. Methods Mixed-methods survey data were collected from 114 individuals (47 diagnosed with MS; 67 without MS) who had participated in a PA-based MS charity fundraiser event. Results Quantitative data showed 23 (41.8%) of participants without MS, and 16 (43.2%) of participants living with MS cited fundraising for MS as the primary reason for participation. Open-ended responses revealed behavioral economic constructs of framing, social support, and individual positive biases were key factors contributing to increased motivation for participation. Conclusion Habit formation for PA behaviors may emerge due to personal biases (perceived importance of fundraising) and a sense of relatedness. Involvement in MS charity events may alter social norms, frame events as enjoyable, and foster a sense of community, thereby increasing the likelihood of continued participation.Objectives Adolescent e-cigarette users are at risk of developing smoking intention, an established predictor of conventional cigarette smoking. In this study, we identify subgroups of adolescent e-cigarette users who are most likely to intend to smoke conventional cigarettes. Methods Cross-sectional data on 1357 8th and 10th grade e-cigarette users who had never smoked conventional cigarettes were obtained from 2014-2017 Monitoring the Future Surveys. We conducted latent class analysis to identify subgroups of adolescent e-cigarette users; through latent class regression analysis, we examined the association between subgroup membership and smoking intention. Results We identified 3 subgroups of adolescent e-cigarette users socially-protected (56.6%), peer-driven (29.8%), and market-vulnerable (13.6%). The peer-driven class reported the highest number of peers who smoke and the lowest proportion of friends who strongly disapproved of daily cigarette smoking. They were significantly more likely than the socially-protected and market-vulnerable classes to have smoking intention (AOR=2.46; 95% CI 1.84-3.28, and AOR=2.29; 95% CI 1.48-3.53, respectively). Conclusion Our findings provide insights on the constellation of risk and protective factors that contribute to smoking intention among adolescent e-cigarette users. It highlights peer influence as an important area of emphasis for adolescent smoking prevention programs.Objectives Information and communication technology (ICT) has emerged as an appealing approach to address the changing life satisfaction of the aging population. This study explores the influence of perceived benefit and social support on the life satisfaction of elderly individuals via the mediation of their ICT use, from a motivation perspective. Additionally, we explore the moderating effect of health consciousness on the relationship between perceived benefit, social support and ICT use for the elderly. Methods Using 237 valid samples from elderly individuals in China, we conducted a survey to evaluate their ICT use, perceived benefit, social support and life satisfaction. Results Perceived benefit and social support both can influence life satisfaction of elderly individuals, and the effects of these factors are mediated by elderly ICT use. Furthermore, health consciousness can moderate the relationship among perceived benefit, social support and ICT use for the elderly. Conclusions Both intrinsic and extrinsic motivations can influence ICT use by elderly individuals as well as their life satisfaction. ICT use plays an important role in life satisfaction for elderly people, and their individual health consciousness is a crucial factor.Objectives Amazon's Mechanical Turk (MTurk) has become a popular data collection tool in the addiction sciences. We sought to examine the psychometric properties of the AUDIT-C in an MTurk sample. Methods Data collection was facilitated via MTurk (N=309; 52.8% female), where an online survey assessed demographic data, alcohol use behaviors (AUDIT-C), and alcohol-related consequences (CAPS-r). Responses to the AUDIT-C were subjected to a principal component analysis to evaluate the structure of the 3-item measure. Alcohol-related consequences were used as a measure of convergent validity. Results Results provided evidence for a single-factor structure. Pearson's product-moment correlation coefficients between AUDIT-C scores and CAPS-r scores produced statistically significant results (r = 0.51, p less then .001). Using biological sex-based suggested cut-off scores for the AUDIT-C, hazardous drinkers (M = 19.15, SD = 8.27) demonstrated statistically significantly higher levels of alcohol-related consequences than non-hazardous drinkers (M = 12.
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