Social and Behavioral Sciences Commons^™

A Longitudinal Examination Of Multiple Forms Of Stigma On Minority Stress, Belongingness, And Problematic Alcohol Use, Akanksha Das, Rose Marie Ward, Lauren Haus, Jackson Heitt, Jeffrey Hunger

Health Behavior Research

College students who experience stigma report problematic alcohol use. However, the stigma-health link focuses on one form of stigma, thereby excluding the intersectional oppression of experiencing multiple forms of stigma. The present work has two primary aims: 1) evaluating whether additive intersectional minority stress confers greater problematic alcohol use among multiply-stigmatized college students one year later, and 2) whether that link can be explained by 1) lower belongingness and 2) greater drinking to cope motives. Students (N=427) ranging in stigmatized identities (14.3% zero; 46.4% one; 29.5% two; 9.8% three or more), participated in an annual health survey at two subsequent …

Class Standing Differences In Bystander Intervention Intentions To Prevent Sexual Assault: A Reasoned Action Approach, Sarah E. Rush Griffin, Christine Hackman, Paul Branscum, Neha Gautam

Health Behavior Research

The purpose of this study was to examine differences in determinants of bystander intervention (BI) participation based on undergraduate students' year in school using the Reasoned Action Approach (RAA). Students (n = 291) were recruited from general education courses at two universities in the United States and completed an online survey evaluating intentions, attitudes, perceived norms, and perceived behavioral control (PBC) associated with engaging in BI. Next, attitudes, perceived norms, and PBC were used to predict intentions using separate linear regression models – one model with upper-level students and another model with first-year students. Both models significantly predicted intentions, with …

Associations Between Delta-8 Thc And Four Loko Retail Availability In Fort Worth, Texas, Cassidy R. Loparco, Sofia Olsson, Vishaldeep Sekhon, Kayla K. Tillett, Robert A. Yockey, Melvin D. Livingston, Pamela J. Trangenstein, Matthew E. Rossheim

Health Behavior Research

Alcohol and cannabis are two of the most widely used substances among young people, and availability and price are two of the most significant determinants of use. Four Loko products contain up to 5.5 standard alcoholic drinks in a single can, are one of the least expensive ready-to-drink alcohol products on the market and are commonly consumed by underage drinkers. Delta-8 THC is a psychoactive substance with no federal regulations regarding minimum purchase age, ingredients and synthesis, marketing, and testing for potency or contaminants. Delta-8 THC products can be inexpensively synthesized and are sold for low prices. Given that young …

Strategy For Expanding Nutrition Professionals’ Competency: A Pilot Case Study In Dissemination And Implementation Science Training, Ayron E. Walker, Elizabeth A. Claydon, Samantha E. Scarneo-Miller, Daniel Totzkay, Melissa D. Olfert

Health Behavior Research

Dissemination and Implementation (D&I) science trainings are essential to build knowledge among a variety of current and future health professionals.

The objective of this study was to pilot-test and assess implementation of a nutrition-specific D&I science training.

Participants (students enrolled in nutrition and public health programs) completed pre/post surveys and exit interviews. Descriptive statistics and a qualitative thematic analysis used deductive coding; in which coding and theme development are directed by existing concepts. Initial coding was completed by one researcher and validated by an additional researcher to describe and provide examples of the categories the Kirkpatrick Model and Implementation Outcomes …

Alcopops Disproportionately Consumed By Minors In Sexual Assault Cases, Matthew E. Rossheim, Kwynn M. Gonzalez-Pons, Kayla Tillett, Ryan D. Treffers, Pamela J. Trangenstein, Jennifer Lerch, Faye Taxman, Kaylin Greene, Cassidy Loparco, David H. Jernigan

Health Behavior Research

Alcohol is present in a large proportion of sexual assault cases. However, research largely overlooks the role that providing alcoholic beverages – particularly those with high-alcohol- content and/or whose flavors mask the taste of alcohol – may have in making young people more vulnerable to being assaulted. This research is especially important given the rise in the availability of sugar-sweetened alcopops and their high-alcohol-content counterparts “supersized alcopops,” which contain up to 5.5 standard alcoholic drinks. In the current study, we examined whether alcopops and supersized alcopops, relative to beer, were involved in disproportionately more sexual assault cases involving victims who …

Comparative Effects Of Weight Loss Associated With A Consistent Volume Of Exercise Within Education-Focused Vs. Self-Regulation-Focused Obesity Treatments In Women, James J. Annesi

Health Behavior Research

Although exercise is generally included in behavioral weight-management treatments, its association with weight loss cannot be reconciled by its corresponding energy expenditures in formerly low-active adults with obesity. It has been suggested that the self-regulation needed to maintain exercise carries over to more controlled eating (i.e., coaction) and weight loss, with exercise-associated mood improvements also having positive impacts on eating behaviors and weight. To clarify these findings to improve behavioral interventions, women randomly assigned to community-based obesity treatments with either a self-regulation focus (n = 40) or educational focus (n = 25) were included in the present reanalysis …

The Cigarillo Purchase Task: A Qualitative Analysis, Amanda J. Quisenberry, Sarah J. Koopman Gonzalez, Elizabeth Klein, Erika Trapl

Health Behavior Research

The cigarillo purchase task is a novel procedure modeled after the cigarette purchase task. This procedure can be used to assess the reinforcing value, or the positive behavioral response, to cigarillo products. Little research has used the cigarillo purchase task and the aim of the current study was to evaluate user’s understanding of and thoughts about a cigarillo purchase task. A convenience sample of young adults ages 21-28 were recruited online to participate in semi-structured interviews about cigarillo and e-cigarette use. The analysis included responses from participants who were current users of cigarillos (n=7) or cigarillos and e-cigarettes (n=8). Audio-recorded …

The Relationship Antecedents Of Smoking (Ras) Scale: A New Scale To Assess Couple-Focused Triggers To Smoke., Erin M. Tooley, Joseph L. Fava, Belinda Borrelli

Health Behavior Research

The purpose of this pilot study is to assess the reliability and construct validity of a measure of relationship-focused antecedents for smoking (RAS). The scale includes both positively-valenced items (e.g.. “I feel like smoking when I am relaxing with my partner”) and negatively-valenced items (e.g., “I feel like smoking when my partner criticizes me”). Participants included 123 individuals who smoke cigarettes with co-habitating smoking (n=63) or non-smoking (n=60) romantic partners. Participants completed the RAS and a series of measures associated with smoking outcomes. Principal component analysis with varimax rotation resulted in a 2-component solution. The RAS showed excellent internal consistency …

Investigating Moderation In The Prospective Relationship Of Marijuana Use To Subsequent Illicit Substance Use: Evidence From Add Health, Radhika Prasad, Ming Wen, Zobayer Ahmmad, Daniel Adkins

Health Behavior Research

Whereas socially normalized substances (e.g., marijuana) may increase the probability of subsequent progression to more harmful illicit substances, previous empirical research on the topic has yielded inconsistent results. Few studies have prospectively examined whether age of first documented current marijuana use is related to later harmful illicit substance use over multiple life course stages, or considered potential moderation of the process by age of first documented current marijuana use, gender, or race/ethnicity. To investigate this topic, data from five waves of the National Longitudinal Study of Adolescent to Adult (N=20,774), spanning ages 12-42, were used to analyze the prospective association …

Potentially Misleading Weight Loss Advertisements Targeting Men: Examining Influence Of Celebrity Athlete Endorsement On Ad Believability And Purchase Intentions, Andrew C. Pickett, Katie M. Brown, Zack J. Damon, Natasha T. Brison

Health Behavior Research

Given the prevalence of false or exaggerated claims in advertisements for weight loss products, as well as risks associated with use of unproven dietary supplements and exercise plans, they are subject to heightened scrutiny from regulators. However, celebrity athlete endorsers are increasingly featured in advertisements promoting weight loss products targeting men. This study employed a 2x2 (athlete endorser vs. non-celebrity; plausible vs. unrealistic advertising claim) experimental design, whereby participants (n= 292) were exposed to one of four ad conditions. Results suggest the athlete endorser was perceived as more credible than a non-celebrity, being rated as more expert. Significant …

Effects Of Body Satisfaction And Emotional Eating On Obesity Treatment-Related Changes In Weight And Waist Circumference Over 2 Years: A Serial Multiple Mediation Analysis, James J. Annesi, Francine A. Stewart

Health Behavior Research

Maintenance of lost weight beyond 6 months in adults with obesity remains problematic. To reliably impact obesity over the long term, an improved understanding of treatment-associated changes in psychosocial factors is required. Women are especially susceptible to body image concerns and emotional eating; however, associations among those variables within weight-management processes have been limited to either cross-sectional or short-term analyses. Women with obesity (M_age = 47.4 years, SD = 8.6) who participated in either a year-long YMCA-based cognitive-behavioral treatment emphasizing self-regulation of exercise and eating (n = 54), or a similar treatment that also included brief phone …

Indirect Effect Of Self-Regulated Exercise On Mood Through Self-Efficacy Changes, James J. Annesi

Health Behavior Research

To improve deficient long-term effects, an improved understanding of psychosocial factors occurring within behavioral obesity treatments is required. The aim of this study was to suggest paths from changes in self-regulation toward reduced negative mood to inform the direction of more comprehensive investigations and treatment foci. Initially low active women (N = 87) participated in a theory-driven community-based behavioral obesity program emphasizing self-regulation and exercise. There were significant (ps < .001) improvements in exercise amounts, exercise-related self-regulation and self-efficacy, negative mood, and emotional eating during the weight loss phase of baseline–Month 6, and significant (ps < .01) deteriorations during the weight-loss maintenance phase of Month 6–Month 24. During both phases, significant paths (95% CIs [-0.31, -0.01], [-0.14, -0.01], and [-0.50, -0.01]) from changes in self-regulation toward reduced negative mood were through self-efficacy, but not exercise change itself. The mood change-emotional eating change relationships were significant (95% CIs [0.16, 0.39] and [0.19, 0.48]). Although extensions of this research are required to better understand long-term obesity intervention processes, the present findings suggest importance of treatment foci on identified psychological mechanisms of exercise treatment-mood change relationships.

A Field Test Of Popular Chatbots’ Responses To Questions Concerning Negative Body Image, Ruopeng An, Christopher W. Byron Jr., Chen Chen, Xiaoling Xiang

Health Behavior Research

Background: Chatbots are computer programs, often built upon large artificial intelligence models, that employ dialogue systems to enable online, natural language conversations with users via text, speech, or both. Body image, broadly defined as a combination of thoughts and feelings about one’s physical appearance, has been implicated in many risk behaviors and health problems, especially among adolescents and young adults. Little is known about how chatbots respond to questions about body image.

Methods: This study assessed the responses of 14 widely-used chatbots (eight companion and six therapeutic chatbots) to ten body image-related questions developed upon validated instruments. Chatbots’ responses were …

Emotional Eating And Diet-Related Self-Efficacy, Motivation, And Norms In Adolescents, Tyler Mason, Rachel Dayag, Anna Dolgon-Krutolow, Kathy Lam, Diana Zhang, Vivienne Hazzard, Kathryn Smith

Health Behavior Research

The objective of the current study was to examine the association between emotional eating and self-efficacy, motivation, and social norms for consumption of fruits and vegetables (F/V) and energy-dense, nutrient-poor (EDNP) foods and beverages, as well as interactions with body mass index-z score (BMI-z). Adolescents completed self-report measures of demographics, emotional eating, and dietary health behavior theory constructs. Emotional eating was associated with lower self-efficacy for consumption of F/V and for limiting EDNP foods/beverages; greater motivation for limiting of EDNP foods/beverages; lower social norms for consumption of F/V; and greater social norms for consumption of EDNP foods/beverages. There were no …