Objective: Few systematic studies have examined the contexts in which social-class variables will predict engagement in health-relevant behaviours. The current research examined whether the impact of social-class on health behaviours depends upon how social-class is assessed and the category of health behaviour under consideration.
Method: Our sample was drawn from the Health Information National Trends Survey in 2012 (N = 3959). Participants reported their income and education as well as their engagement in a variety of prevention and detection behaviours.
Results: Consistent with our hypothesised framework, we found that income predicted engagement in a variety of detection behaviours above and beyond education, whereas education predicted engagement in a variety of prevention behaviours above and beyond income.
Conclusions: Our findings suggest that income and education operate on health behaviours via different pathways and have implications for public health policy and intervention. 相似文献
Using the Brief Situational Confidence Questionnaire, the authors examined the refusal self‐efficacy of 105 Self‐Management and Recovery Training (SMART Recovery) members according to their affiliation length and meeting frequency. Results demonstrated that longer affiliation with SMART Recovery and higher meeting frequency significantly enhanced substance refusal self‐efficacy. 相似文献
The aim of the study was to describe incidents that facilitated gang entry among 10 Indigenous men who survived and exited from gang life in Canada’s Prairies. The critical incident technique was applied as participants responded to this question: What facilitated gang entry for you? A total of 103 incidents that facilitated gang entry for participants were sorted into 13 distinct categories. These events led to a progression of gang activity where the gang lifestyle provided validation, provided a site for dedication and learning, and generated traumatic consequences for participants’ actions. Qualitative textual data vignettes, counseling, and research recommendations are provided. 相似文献
The COVID-19 pandemic has universally threatened the building blocks of mental health, well-being, and quality of life, namely, expectations of safety, connectedness, hope, and individual and societal efficacy. Consequently, unprecedently large numbers of individuals are significantly stressed and many are at risk for relapse of mental health problems, exacerbations of existing mental and behavioral health problems, and new onset clinical problems. Because of the scope of the problem, a population-based public health perspective is needed, which in the context of disasters has well-established theories and prevention approaches. Public health approaches to disasters and pandemics focus on preventing subclinical problems from becoming clinical disorders, in comparison to clinical care approaches that focus on treating established disorders. Fortunately, specialty care clinicians who typically think about assessing and treating established disorders have the training and clinical competencies to deliver prevention-focused interventions. This paper is designed to help specialty care clinicians who use cognitive-behavioral strategies to understand the biopsychosocial impacts and resource deficits associated with COVID-19-related stressors and the public health perspective to address them. We also provide ways clinicians can help people who are suffering from significant stress and resource deficits bounce back and regain functioning. We describe psychological first aid, stress management, repeated ecological assessment, writing about stressors, problem-solving, and behavioral activation approaches to assist individuals at risk for enduring stress-linked problems. 相似文献
Few studies have examined the impact of advanced driver-assistance systems (ADAS) on police officers to improve driver safety and prevent crashes. This is in spite of police officers having higher driving-related mortality rates than average civilians. To fill this gap, a survey study was conducted on 73 police officers to assess their opinions on various ADAS features as well as their recommendations for improvement. Results of the correlation analyses indicated that officer behavior and opinion on ADAS features were influenced by the trust officers had in the available ADAS systems among other key factors such as ADAS training and perceived usefulness. On this basis, guidelines for future research and development of ADAS were provided to improve officer driving safety in police operations. The guidelines need to be further validated in future driving simulation or naturalistic studies. 相似文献
Mentoring relationships are characterized by a sustained, high quality, and skill‐building relationship between a protégé and mentor (Handbook of Youth Mentoring, Los Angeles, SAGE, 2014). Within prevention science, youth mentoring programs emphasize creating a specific context that benefits a young person. Program‐sponsored relationships between youth and adults allow for creating a mentor–mentee partnership, but do not require the establishment of a strong bond in order to deliver prevention‐focused activities and experiences (Handbook of Youth Mentoring, Los Angeles, SAGE, 2014). Motivational Interviewing (MI) is a counseling style used widely to promote health behavior change and in prevention interventions. As part of an upstream approach to HIV prevention, we combined mentoring and MI by training peer mentors to use MI skills in their interactions as part of a large RCT of a mobile life skills intervention for adolescent men who have sex with men (AMSM). Our training model developed for training peer mentors in MI skills resulted in peers reaching and exceeding established MI fidelity thresholds (e.g., mean percentage of complex reflections = 80%, mean reflection to question ratio = 2.2:1). We offer reflections on lessons learned and future directions for those researchers and practitioners who may benefit from adapting this blended approach for mentoring AMSM. 相似文献
BackgroundRecreational and medical legalization of cannabis or marijuana use in countries and states continues to increase. Young adults aged 16–24 years have the highest prevalence rates of cannabis use. Young driver cannabis use is an incompletely understood traffic safety issue.ObjectivesThe purposes of this scoping review were to characterize the predictors of driving under the influence of cannabis (DUIC) among healthy young drivers and to identify research gaps.Inclusion criteriaA self-reported measure of DUIC and a correlation (r, odds ratio, risk ratio) to demographic or behavioral variables such as age, gender and frequency of use was required for inclusionSources of evidenceAPA PsycInfo, SPORTDiscus, Academic Search Complete, Google Scholar, MEDLINE Complete, Scopus, Embase, ERIC, TRID and POPLINE databases were searched using an a priori protocol.MethodsThe PRISMA-ScR methods and checklist were used to conduct the scoping review. After the removal of duplicates, abstract screening (N = 999), and full-text review (N = 173), 19 primary studies met inclusion criteria. Predictors were coded and mapped into four primary thematic categories: social, individual, driving and substance use.ResultsOf the included studies, a total of 52,197 respondents were surveyed in-person or online and 51.8 percent were males. The predominant predictors of DUIC included being a male, high school senior, with lower grades, having a younger ‘age of first cannabis use’, a higher frequency of consumption, a reduced perception of danger, repeatedly binge drinking, a history of driving under the influence of alcohol and living with fewer parents.Research gapsIdentified research gaps include methods used to study young drivers, cannabis edibles, chronic user tolerance, driver adaptation, passengers of drivers who consumed cannabis, combined use with other legal and illicit drugs, and combined smartphone and cannabis use.ConclusionThe results of this scoping review can be used to develop and target general and specific predictors of DUIC in novice, teen and young drivers. Additional research designs will be required to gain a more complete evidence-based understanding of the effects of cannabis on young drivers. 相似文献
While receiving widespread attention, the fundamental issues in the research of artificial intelligence (AI) ethical risk prevention need to be probed and articulated. Although the relevant research is still at an initial stage with long-term tasks, it has a very important social significance. The strategic goals of AI ethical risk prevention research are clarifying ethical risks, taking flexible and effective measures, and providing ethical support for the development of AI technology. This paper argues that key tasks must be of the top priority, such as broadening the theoretical foundation, evaluating ethical risks, realizing ethical design and solving core ethical risks. Therefore, the research of AI ethical risk prevention can be substantially promoted. 相似文献
Considerable resources have been spent developing and rigorously testing HIV prevention intervention models, but such models do not impact the AIDS pandemic unless they are implemented effectively by community-based organizations (CBOs) and health departments. The Mpowerment Project (MP) is being implemented by CBOs around the US. It is a multilevel, evidence-based HIV prevention program for young gay/bisexual men that targets individual, interpersonal, social, and structural issues by using empowerment and community mobilization methods. This paper discusses the development of an intervention to help CBOs implement the MP called the Mpowerment Project Technology Exchange System (MPTES); CBOs’ uptake, utilization and perceptions of the MPTES components; and issues that arose during technical assistance. The seven-component MPTES was provided to 49 CBOs implementing the MP that were followed longitudinally for up to two years. Except for the widely used program manual, other program materials were used early in implementing the MP and then their use declined. In contrast, once technical assistance was proactively provided, its usage remained constant over time, as did requests for technical assistance. CBOs expressed substantial positive feedback about the MPTES, but felt that it needs more focus on diversity issues, describing real world implementation approaches, and providing guidance on how to adapt the MP to diverse populations. 相似文献