Public Health Commons^™

A84: Factors Influencing Parents' Intention To Involve Autistic Preschoolers In Outdoor Physical Activities, Hongchang Yang, Xiaoxia Zhang

International Journal of Physical Activity and Health

Purpose: Outdoor physical activities (OPA) can not only improve the physical fitness and health of autistic preschool children, but also provide an indispensable opportunity for their social learning and interaction. However, parents’ intentions of providing OPA for their autistic children are complex due to reasons such as potential risk. Theory of Planned Behavior（TPB）has conceptualized that attitude (AT), subjective norms (SN), and perceived behavioral control (PBC) are influential factors of behavioral intention. Perceived risk and perceived usefulness are suggested to associate with one’s intention, therefore, the purpose of this study was to test an extended TPB model on parent’s intention of …

A85: A Study On The Influence Of Different Media Choices On People's Exercise Behavior Post Covid-19, Guo Rong, Tang Ye

International Journal of Physical Activity and Health

Purpose: As modern technology advances swiftly, the significance of mobile media in people's lives is increasingly pronounced. Fitness software, rooted in mobile media, has permeated every facet of daily life, reshaping not only the traditional modes of exercise but also giving rise to a distinctive exercise culture. In the context of epidemic prevention and control, this study examined the impact of various media on individuals' exercise behavior, exploring how people's choice of media influences their post-epidemic exercise possibilities and self-efficacy. Methods: This study extensively reviewed literature to identify the questionnaire's origin and employs exercise behavior theories to construct a conceptual …

A68: Volleyball Coaches' Leadership Behaviors And Athletes' Competition Anxiety: A Mediating Effect Of Sport Self-Confidence, Sixu Yi, Ke Wang

International Journal of Physical Activity and Health

Purpose: Volleyball is not only a contest between technical and tactical levels, but also a duel between psychological and tactical aspects. Coaches' leadership behaviors play a key role in athletes' trust, team effectiveness and competition status. Coaches' leadership behaviors, as perceived from the athletes' perspective, have a greater impact on athletes' competition anxiety than the actual leadership behaviors of coaches. The purpose of this study was to examine how athletes perceived the possible role of coaches' leadership behaviors on college men's volleyball players' competition anxiety and the possible mediating effect of athletic self-confidence in it was examined. Methods: 216 athletes …

A106: Aerobic Exercise Modulates Gpcr/Camp/Pka Signaling Pathway And Complement-Microglia Axis To Prevent Synaptic Loss In App/Ps1 Mice, Jialun Yang, Shunling Yuan, Ye Jian, Yong Lei, Zelin Hu, Xinjun Yan, Wenfeng Liu

International Journal of Physical Activity and Health

Purpose: Synaptic failure serves as a primary contributor to memory dysfunction in Alzheimer's disease (AD). Physical exercise has demonstrated the potential to thwart and delay degenerative alterations in memory functions linked to AD. Investigating the underlying mechanisms may unveil crucial insights into early pathological changes, offering breakthroughs for both understanding and treating AD. Methods: We utilized 3-month-old APP/PS1 mice and subjected them to a 12-week aerobic exercise intervention. The spatial learning and memory functions of the mice were assessed using the Morris water maze test, while Golgi staining was employed to determine dendritic spine density in each mouse group. To …

A109: A Study Of The Relationship Between Exercise Adherence And Depression, Yujue Chen, Junrong Lei

International Journal of Physical Activity and Health

Purpose: As the social economy rapidly advances, and competition intensifies, university students are confronted with both increased opportunities and significant psychological pressures. Notably, the incidence of depression is on the rise, with approximately 20.3% of university students in China experiencing certain psychological issues. Against this backdrop, this study seeks to explore the interplay between exercise motivation, exercise adherence, and depression among university students. Methods: A cohort of 25 subclinical individuals experiencing psychological issues related to depression was chosen to partake in a 2-month exercise intervention study. The intervention involved Salsa dance, with a frequency of approximately 2 hours twice a …

A79: Epidemiology Of Athletic Injuries In China College Rock Climbing Athlete, Bingbing Tian, Dehong Gu

International Journal of Physical Activity and Health

Purpose: Originating from mountaineering, rock climbing has encountered fresh opportunities for growth since its inclusion in the Olympics, and there is a growing awareness of the associated injury risks. Methods: Using questionnaire survey and mathematical statistics methods, this paper studied the epidemiological characteristics of sports injuries among Chinese college rock-climbing athletes by 6 Chinese university rock-climbing teams. Results: The incidence of sports injury was as high as 87.10%, and the annual incidence of injury was 3.39 times/year. The number of injuries was mainly 1 time (43.55%), and the number of injuries was less in 4 (8.06%;) or 5 times (1.61%). …

A73: Associations Of Screen Time Changes With Body Mass Index And Obesity In Chinese Preschoolers, Sunyue Ye

International Journal of Physical Activity and Health

Purpose: To understand the longitudinal association of screen time (ST) and its changes on body mass index (BMI) and obesity in Chinese preschool children. Methods: Parents of 735 preschoolers participated in our studies at baseline and were followed up one year interval, in Jiaxing, China. Linear regression models and generalized linear models were used to analyze the prospective association of ST and its changes with BMI and obesity in preschool-aged children. Relative risks (RR) and 95% confidence intervals (CI) were used to describe the effect level of each factor upon BMI and obesity at follow-up. Results: A total of 624 …

A112: Effects Of Healthy Physical Education Curriculum Model Of China On Student Physical Fitness: A Meta-Analysis, Jiacheng Tang, Haohui Liu, Zhihua Yin, Sixian Wang

International Journal of Physical Activity and Health

Purpose: The development of Healthy Physical Education Curriculum Model of China (HPE-C) was aimed for students’ physical and mental health. Some studies have proved that the application of HPE-C can effectively improve Chinese primary and secondary school students' physical fitness. However, the results of these studies were not uniform due to the differences in intervention methods, experimental periods, and regions. Consequently, the purpose of this study was to specifically synthesize the evidence for HPE-C for Chinese primary and secondary school students’ physical fitness. Methods: An extensive online search, utilizing keywords such as 'Healthy Physical Education Curriculum Model of China,' 'Primary …

A114: Promoting Exercise Behavior For College Students By Compensating Intervention Of Beliefs, Mengqi Wang, Dong Wang

International Journal of Physical Activity and Health

Purpose: Compensatory Health Beliefs (CHBs) are essential to resolving the motivational conflicts between the desired and healthy goal in college students. Theory of Planned Behavior (TPB) framework is used to design a multidimensional training model, which compensates belief as a mediator, to research the influence of belief intervention compensation on promoting right exercise cognitive and behavior in college students. The purpose of this study was to discover whether this training model is able to inspire college students to attend exercise more effectively. Methods: A cohort of 218 college students from Guangzhou were involved in the research (20.04±1.5). The objects were …

A115: Revision Of The Chinese Version Of Physical Self-Description Questionnaire-Short For Middle School Students, Ruijin Wang, Xiaoling Yang, Liu Ji

International Journal of Physical Activity and Health

Purpose: The Physical Self-Description Questionnaire -Short (PSDQ-S) is one of the world's recognized effective tools for measuring Physical Self-Concept (PSC). However, Latent profile analysis of the physical self-description among Chinese adolescents only supported the 3-dimensional model of PSDQ-S, that is, it could only distinguish the Physical Activity (PA), Appearance, and Body Fat of Chinese children and adolescents, but could not effectively distinguish the 8 dimensions of Coordination, Flexibility, Strength, Endurance, Sport, Global Physical, Health, and Global Esteem. It cannot meet the needs of PSC measurement in the field of sports psychology in China. The purpose of this study was to …

A135: Challenges And Strategies Of Physical Fitness Course In Primary And Middle Schools, Yuxiao Lian, Haohui Liu, Zhihua Yin

International Journal of Physical Activity and Health

Purpose: Developing students’ overall competencies and physical health is an important goal of physical education and health curriculum (PEHC). PEHC Standards for Compulsory Education (2022) and PEHC Standards for Senior High Schools (2017) both designate Physical Fitness as a required course to achieve this goal. To date, it’s not clear about how the course has been implemented and its effectiveness. Therefore, this study was to identify problems associated with teaching Physical Fitness courses in primary and middle schools in China and to propose strategies for an improved implementation. Methods: First, the literature from CNKI, East China Normal University Library was …

A140: Comparing Perceived Exercise Benefits Between Exercising And Non-Exercising College Students, Yanli Pang, Cunnian Xia, Yue Xia

International Journal of Physical Activity and Health

Purpose: Regular exercise leads to physiological and psychological benefits. University is a key venue to promote physical activity behavior in young adults. However, it is reported nearly 50% Chinese college students are not reaping the benefits due to insufficient amount of exercise. Therefore, it is necessary to investigate what challenges prevent college students from exercising. Thus, this study was to assess perceived exercise benefits and barriers in Chinese college students and compare the differences between students do exercise and who do not. Methods: The Exercise Benefits/Barriers Scale (EBBS) was used to examine perceived benefits and barriers in 118 non-exercising and …

A108: Mood State Of The University Students During The Covid-19 And Its Influencing Factors: A Longitudinal Analysis Based On Three-Year Data, Liqiang Zhang, Huina Gao, Xiaozan Wang

International Journal of Physical Activity and Health

Purpose: Employing a stratified random sampling approach, we conducted an investigation into the mental state and its influencing factors among 10,285 college students across 80 universities in 20 provinces (cities), spanning Beijing, Fujian, Gansu, Guangdong, Guizhou, Henan, Hubei, Hunan, Jiangxi, Jilin, Liaoning, Ningxia, Qinghai, Shandong, Shanxi, Shaanxi, Sichuan, Tibet, Zhejiang, and Chongqing. This study, conducted in 2020, 2021, and 2022, aims to effectively enhance the mental well-being of college students within the context of the COVID-19 pandemic. Methods: Frequency was employed to examine the basic characteristics of the respondents. The Pearson chi-square test was then utilized to test the rates …

A157: The Effect Of Whole-Body Vibration Therapy On The Motor Abilities Of Patients With Sarcopenia, Haixia Wang, Mingjie Hu, Guangxin Wang, Xin-An Zhang

International Journal of Physical Activity and Health

Purpose: The highly morbid condition known as sarcopenia affects middle-aged and elderly people and is characterized by a progressive loss of whole-body muscle mass accelerated by aging. It is also accompanied by a decline in muscle strength and physiological function. These weakening functions manifest as impaired physical movement, increased risk of falls, disability, lower quality of life, and even death. Sarcopenia is progressively emerging as a new public health issue in China with a quickly aging population, making it vital to investigate effective exercise therapies for sarcopenic patients. Methods: Sixty sarcopenic patients (aged 60-75) from a local hospital in northeast …

A159: Effects Of Social Supports On Chinese Adolescent Perceived Physical Literacy, Junyi Bian, Benjamin Colin Cork

International Journal of Physical Activity and Health

Purpose: Levels of physical activity in children have gradually declined from elementary to high school. This trend necessitates a greater need of perceived physical literacy (PPL) to achieve a healthy lifestyle. Because social supports for physical confidence (PC) and understanding (PU) are key to nursing PPL, this study investigated effects of perceived family support (PFS), perceived physical education support (PPES), and perceived community support (PCS) on PPL among a group of Chinese adolescents. Methods: The study was based on a retrospective investigation. A total of 3820 participants completed self-reported questionnaires assessing PFS, PPES, PCS. PPL was assessed by an eight-item …

A132: The Impact Of Baby Swimming On Motor Development Of Toddlers, Jiayu Gu, Yuhong Wen

International Journal of Physical Activity and Health

Purpose: Infancy and early childhood are important stages of basic motor skills formation. Baby swimming provides a unique opportunity for toddlers aged 2–3 to develop motor skills. The literature documents that baby swimming can promote physical growth in toddlers, but how it affects motor development remains unclear. Therefore, the present study aims to address this gap. Methods: Using interviews, field investigations, assessment tools, this study was conducted in two stages. Stage 1 focused on the instructional information about baby swimming courses, and Stage 2 examined the difference in body indices and motor competencies between two groups of toddlers recruited through …

A69: Data Visualization Of Core Literacy Of Physical Education: A Case Study Of Sci-Tech Empowerment, Ling Xiao, Feifei Li, Wenxue Yuan

International Journal of Physical Activity and Health

Purpose: Physical education (PE) in colleges and universities in the new era focuses on mastering smart PE technology, deepening the connotation of big data education, and cultivating and achieving disciplinary core literacy. The paper designs a monitoring plan based on three key aspects of core literacy, namely, athletic capabilities, health-related actions, and PE morality. It aims at strengthening the value of AI-powered methods in core literacy cultivation, providing more teaching methods to traditional PE classroom teaching, and promoting students’ core literacy. Methods: The paper selects 105 college students from 5 classes who voluntarily take part in the research. It also …

A89: Experimental Study On Effects Of ‘Micro-Exercise’ On Pupils' Attention And Performance, Wei Jiang, Fenghui Lei, Jieyi Huang

International Journal of Physical Activity and Health

Purpose: Extended periods of desk-based study in schools often result in diminished attention and reduced learning efficiency among students. This study aims to investigate exercise methods and implementation approaches that can enhance the attention and academic performance of primary school students. Methods: This study randomly selected 90 students（44 in the experimental group and 46 in the control group）from two classes of Grade 3 in Shenxhen Yantian Foreign Language primary School Donghe Branch. The students from the experimental group received two rounds of 12-week 10 minutes of micro-exercise every day. The attention index (D2) and the academic performance (Chinese, Math, and …

Racial/Ethnic Disparities In The Association Between Patient Care Experiences And Receipt Of Initial Surgical Breast Cancer Care: Findings From Seer-Cahps, Mariana Arevalo, Trevor A Pickering, Sally W Vernon, Kayo Fujimoto, Melissa F Peskin, Albert J Farias

Faculty, Staff and Student Publications

PURPOSE: We determined whether racial/ethnic differences in patient experiences with care influence timeliness and type of initial surgical breast cancer treatment for a sample of female Medicare cancer patients.

METHODS: We conducted a retrospective cohort study using the linked Epidemiology and End Results-Consumer Assessment of Healthcare Providers and Systems (SEER-CAHPS) dataset. The outcomes were: (1) time-to-initial surgical treatment, and (2) type of treatment [breast conserving surgery (BCS) vs. mastectomy]. The indicators were reports of four types of patient experiences with care including doctor communication, getting care quickly, getting needed care, and getting needed Rx. Interaction terms in each multivariable logistic …

An Increase In Food Insecurity Correlated With An Increase In Plasma Triglycerides Among Latinx Children, Keally Haushalter, Marissa Burgermaster, Erin Hudson, Matthew J Landry, Shreela V Sharma, Jaimie N Davis

Faculty, Staff and Student Publications

BACKGROUND: Food insecurity and metabolic diseases both disproportionately affect Hispanic children. Cross-sectional studies have linked food insecurity with adverse cardiometabolic markers, including elevated plasma triglycerides and glucose concentrations. However, the association between changes in food insecurity and changes in cardiometabolic markers in children remains to be explored. Furthermore, few studies have assessed the impact of school-based nutrition interventions on household food insecurity.

OBJECTIVE: The objectives of this study are to assess the effect of the TX Sprouts intervention on household food insecurity and to examine the association between changes in household food insecurity and changes in cardiometabolic markers over 1 …

Park Use, Urban Environmental Justice, And Place Attachment In Parks In Low-Income Neighborhoods In New York City, Javier Eduardo Otero Peña

Dissertations, Theses, and Capstone Projects

This three-article dissertation brings environmental psychology themes and questions to a large-scale public health research project about a subset of community parks and park renovations in low-income neighborhoods in New York City (NYC). What attributes and perceived aspects of the physical and social environment of parks and their neighborhoods are associated with higher park use? How do residents of gentrifying low-income neighborhoods feel about park renovations that took place in their communities? What can be learned from parks, park renovations and place attachment from exploring user-generated content in the Google Maps platform? Each of the articles presented in this dissertation …

Facilitators To Cervical Cancer Screening In A Minority, Urban, Underserved Population, Noel Higgason, Linh Nguyen, Yen-Chi Le, Ogochukwu Juliet Ezeigwe, Tong Han Chung, Natalia Williams, Xochitl K Olguin, Abigail S Zamorano

Faculty, Staff and Student Publications

OBJECTIVES: Cervical cancer has markedly declined due to widespread use of screening, but Hispanic women continue to bear a disproportionate amount of the cervical cancer burden due to under-screening. Previous studies have explored barriers to screening but have failed to identify targetable facilitators in this group. We aimed to assess facilitators to cervical cancer screening among a predominantly urban, Hispanic population who presented to a no-cost, community-based clinic.

METHODS: Patients completed demographic and health information, a validated social determinants of health (SDOH) screen, and a self-reported facilitators survey on factors which enabled them to present to clinic. Descriptive statistics were …

Effectiveness Of Antibiotic Stewardship For Healthcare Providers At Urgent Care Clinics, Helen T. Adewole

Electronic Theses and Dissertations

Antibiotics have revolutionized modern medicine; however, the overuse in urgent care and primary care significantly contributes to the global burden of infections resistant to available antimicrobial medicines. Approximately 30% of the antimicrobials prescribed in acute care settings are unnecessary. Patient demand for antibiotics has seemingly skyrocketed following the recent COVID-19 pandemic. Practitioners must be knowledgeable about antibiotic stewardship initiatives, such as the wait-and-see approach, to reduce antibiotic overuse and improve the trajectory of antibiotic resistance and patient health outcomes. The gap in practice was the limited awareness of scientific evidence-based tools to partner with patients and improve antibiotic prescription patterns. …

Veterans Health Administration Enrollees’ Choice Of Care Setting Relates To The Expansion Of Care Options: Evidence From Screening Colonoscopies Before And After The Mission Act, Chase S Eck, Cheng Jiang, Laura A Petersen

Center for Medical Ethics and Health Policy Staff Publications

Objective: To estimate whether those enrolled in the Veterans Health Administration (VHA) were less likely to use VHA-delivered colorectal cancer screening colonoscopies after the MISSION Act.

Data sources and study setting: Secondary data were collected on VHA-enrolled Veterans from FY2017-FY2021.

Study design: This retrospective cross-sectional study measured the volume and share of screening colonoscopies that were VHA-delivered over time and by drive time eligibility-defined as living more than 60 min away from the nearest VHA specialty-care clinic. We used a multivariable logistic regression to adjust for patient and facility factors.

Data extraction: Data were extracted for VHA enrollees (n = …

Sex-Specific Disparities In Covid-19 Outcomes, Zubaid Rafique, Valerie Durkalski-Mauldin, William F Peacock, Kabir Yadav, Joshua C Reynolds, Clifton W Callaway

Faculty, Staff and Students Publications

OBJECTIVES: Sex-specific disparities in morbidity and mortality of COVID-19 illness are not well understood. Neutralizing antibodies (Ab) may protect against severe COVID-19 illness. We investigated the association of sex with disease progression and SARS-CoV-2 Ab response.

METHODS: In this exploratory analysis of the phase 3, multicenter, randomized, placebo-controlled Convalescent Plasma in Outpatients (C3PO) trial, we examined whether sex was associated with progression to severe illness, defined as a composite of all-cause hospitalization, emergency/urgent care visit, or death within 15 days from study enrollment. Patients had a positive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) test, symptom onset within 7 days, …

Profiles Of Activity Engagement And Depression Trajectories As Covid-19 Restrictions Were Relaxed, Jonathan L. Chia, Andree Hartanto, William Tov

Research Collection School of Social Sciences

Given elevated depression rates since the onset of the pandemic and potential downstream implications, this research examined the association between activity engagement and depression among middle-aged and older adults postlockdown. This study aimed to (a) identify activity engagement profiles among middle-aged and older adults, (b) understand factors associated with profile memberships, and (c) compare depression trajectories across profiles as COVID-19 restrictions eased over 16 months in Singapore. This longitudinal study involved 6,568 middle-aged and older adults. Latent growth analysis was first conducted to obtain estimates of depression trajectories for each individual. Latent profile analysis was then conducted to identify different …

Public Service Motivation And Job Satisfaction Amid Covid-19: Exploring The Effects Of Work Environment Changes, Seulki Lee, Chongmin Na

Research Collection School of Social Sciences

The COVID-19 pandemic has brought critical changes to job demands and resources, which in turn affect employee motivation and outcomes. This study explores how COVID-19–induced work intensity and COVID-19–related organizational support influence public service motivation (PSM) and job satisfaction. Using survey data from a nationally representative sample of 1,430 South Korean central government employees collected during the pandemic (May–June 2020), we find that COVID-19–induced work intensity is positively associated with PSM, which in turn has a positive association with job satisfaction. We also find that COVID-19–related organizational support has both direct and indirect associations with job satisfaction through PSM. These …

Human Zoo Healthcare At The 1904 World’S Fair, Angel Blake

Undergraduate Research Symposium

Human Zoo Healthcare at the 1904 World’s Fair

Were precautions taken or put into place for the Human Zoo performers at the 1904 World’s Fair? This topic has been overlooked and understudied by historians, there are few articles written and we do not know the true death toll which shows the racism towards these indigenous peoples. The research for this project was conducted at the State Historical Society of Missouri, the St. Louis Mercantile Library, Newspapers.com, Archives.com, St. Louis Public Library, and the Missouri Historical Society, including research on primary sources such as official World’s Fair committee meeting minutes, hospital …

The Influence Of The Green Hospital Implementation Policy On The Energy Saving Behavior Of Xyz Hospital Employees Using The Theory Of Planned Behavior Approach, Dika Asmawati, Wiku Bakti Bawono Adisasmito, Masyitoh Basabih

Journal of Indonesian Health Policy and Administration

This research uses the Theory of Planned Behavior as the theoretical framework to analyze the relationship between the implementation of green hospital policy and energy-saving behaviors of employees in the hospital environment. The study's sample consists of 150 permanent employees, and the statistical data are analyzed using the Structural Equation ModelingPartial Least Square (SEM-PLS) technique. The analysis results indicate that implementing the green hospital policy influences the supportive factors of behavior: attitudes, subjective norms, and perceived behavioral control. However, the tests also reveal that subjective norms do not positively correlate with the energy-saving behaviors of employees at the hospital. The …

Development Of A Culinary Medicine Toolkit To Improve Implementation Of Virtual Cooking Classes For Low-Income Adults With Type 2 Diabetes, David Ai, Natalia I Heredia, Vanessa Cruz, Diana C Guevara, Shreela V Sharma, Dolores Woods, Melisa Danho, John Wesley Mcwhorter

Faculty, Staff and Student Publications

Culinary medicine (CM) addresses diseases through nutrition and culinary education. To promote access to educational material for people with diabetes and engagement in virtual classes, we created a virtual culinary medicine toolkit (VCMT) sensitive to literacy levels and language preferences. The VCMT was developed to accompany existing virtual CM programs and help improve participant interaction and retention, offering educational materials for providers and participants. The provider VCMT offers level-setting education to reduce mixed nutrition messaging, including educational resources discussing inclusive nutrition and mindful eating topics. Each handout has a QR code and link to engaging, animated videos that provide further …