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van de Geest JDS, Meijer P, Remmelzwaal S, Lakerveld J. Moderators and mediators of the association between the obesogenicity of neighbourhoods and weight status in Dutch adults. Health Place 2024; 90:103364. [PMID: 39357121 DOI: 10.1016/j.healthplace.2024.103364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2024] [Revised: 09/17/2024] [Accepted: 09/25/2024] [Indexed: 10/04/2024]
Abstract
This study aimed to assess sociodemographic, personality, and psychological moderators, and lifestyle behavioural mediators, of the association between obesogenicity of neighbourhoods and weight status in Dutch adults. This cross-sectional study used baseline data of 150,506 adult participants of the Lifelines study. To quantify obesogenicity of Dutch neighbourhoods, the Obesogenic Built Environment CharacterisTics (OBCT) index was used, calculated for 1000 m circular buffers around participant's residencies. Z-scores of components across food and physical activity (PA) environments were averaged, and rescaled from 0 to 100. Weight status was operationalised as objectively measured waist circumference. Stratified linear regression analyses by (self-reported) sociodemographic factors, perceived stress, impulsivity, self-discipline, and deliberation were conducted when interaction terms were significant (P < .01). Mediation by adherence to the Dutch PA guidelines and dietary behaviour was examined using the difference-in-coefficients approach. Every 10% increase in OBCT index was associated with a 0.65 (P < .001, 95%CI [0.59, 0.71]) centimetre larger waist circumference. The association was largest for respondents who were younger, had the lowest income, the highest educational level, the least self-discipline, the highest impulsivity scores and the most perceived stress. Adherence to PA guidelines and dietary behaviour mediated 13.3% of this association; however, the difference in coefficients was not statistically significant. Our findings enable to better target lifestyle interventions to individuals most vulnerable to obesogenic environments. Furthermore, they provide guidance for policymakers and urban planners in promoting health-enhancing environments.
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Affiliation(s)
- Jet D S van de Geest
- Epidemiology and Data Science, Amsterdam UMC Location Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081HV, Amsterdam, the Netherlands; Amsterdam Public Health Research Institute, 1105 AZ, Amsterdam, the Netherlands.
| | - Paul Meijer
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Str 6.131, PO Box 85500, 3508 GA, Utrecht, the Netherlands
| | - Sharon Remmelzwaal
- Epidemiology and Data Science, Amsterdam UMC Location Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081HV, Amsterdam, the Netherlands; Amsterdam Public Health Research Institute, 1105 AZ, Amsterdam, the Netherlands
| | - Jeroen Lakerveld
- Epidemiology and Data Science, Amsterdam UMC Location Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081HV, Amsterdam, the Netherlands; Amsterdam Public Health Research Institute, 1105 AZ, Amsterdam, the Netherlands
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Xu J, Zhang T, Zhang H, Deng F, Shi Q, Liu J, Chen F, He J, Wu Q, Kang Z, Tian G. What influences the public's willingness to report health insurance fraud in familiar or unfamiliar healthcare settings? a cross-sectional study of the young and middle-aged people in China. BMC Public Health 2024; 24:24. [PMID: 38166821 PMCID: PMC10763160 DOI: 10.1186/s12889-023-17581-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 12/26/2023] [Indexed: 01/05/2024] Open
Abstract
INTRODUCTION Young and middle-aged people are important participants in the fight against health insurance fraud. The study aims to investigate the differences in their willingness to report health insurance fraud and the factors influencing it when it occurs in familiar or unfamiliar healthcare settings. METHODS Data were obtained from a validated questionnaire from 828 young and middle-aged people. McNemar's test was used to compare the public's willingness to report under the two scenarios. Chi-square tests and multiple logistic regression analysis were used to analyze the determinants of individuals' willingness to report health insurance fraud in different scenarios. RESULTS Young and middle-aged people were more likely to report health insurance fraud in a familiar healthcare setting than in an unfamiliar one (McNemar's χ²=26.51, P < 0.05). Their sense of responsibility for maintaining the security of the health insurance fund, the government's openness about fraud cases, and the perception of their ability to report had significant positive effects on the public's willingness to report in both settings (P < 0.05). In a familiar healthcare setting, the more satisfied the public is with government measures to protect whistleblowers, the more likely they are to report (OR = 1.44, P = 0.025). Those who perceive the consequences of health insurance fraud to be serious are more likely to report than those who perceive the consequences to be less serious (OR = 1.61, P = 0.042). CONCLUSION Individuals are more likely to report health insurance fraud in familiar healthcare settings than in unfamiliar ones, in which their awareness of the severity of the consequences of health insurance fraud and their perceived risk after reporting it play an important role. The government's publicizing of fraud cases and enhancing the public's sense of responsibility and ability to maintain the safety of the health insurance fund may be a way to increase their willingness to report, regardless of whether they are familiar with the healthcare setting or not.
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Affiliation(s)
- Jinpeng Xu
- School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China
| | - Ting Zhang
- School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China
| | - Hongyu Zhang
- School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China
| | - Fangmin Deng
- School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China
| | - Qi Shi
- School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China
| | - Jian Liu
- School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China
| | - Fangting Chen
- School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China
| | - Jingran He
- School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China
| | - Qunhong Wu
- School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China
| | - Zheng Kang
- School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China.
| | - Guomei Tian
- Department of Nuclear Medicine, The Fourth Hospital of Harbin Medical University, Harbin, Heilongjiang, China
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Wardenaar FC, Morton L, Nam K, Lybbert H, Schott K, Shumate C, van der Mars H, Kulinna P. The Development and Efficacy of a High School Athlete Education Program for Safe Nutritional Supplement Use. J Diet Suppl 2023; 21:429-450. [PMID: 38131657 DOI: 10.1080/19390211.2023.2293845] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2023]
Abstract
Many high school athletes report using nutritional supplements. Due to a lack of education at the high school level, the use of safe for sports third-party tested nutritional supplements may be limited. To determine the impact of a short online nutritional supplement education program on safe dietary supplement behavior a cross-sectional repeated measures design was used. Therefore, a convenience sample of 106 high school athletes (14-19 years old) was recruited to measure pre-post education difference for nutritional supplement use and third-party tested (TPT) supplements. Additionally, it was analyzed if nutritional supplement related Theory of Planned Behavior (TPB) constructs were associated with athlete choices. The most popular supplements included protein powder (65%), caffeine from beverages (45%), and different types of vitamins (ranging from 38-44%). Consistent use of (safe) third-party tested individual supplements was low, ranging from 35-77% for the most frequently reported supplements. The combined TPB determinants explained 26% of the variance of the intention to use safe supplements (F3, 102 = 13.03, p < 0.001, Adj R2 = 0.26). The self-reported intention to use third-party tested supplements increased significantly (+7%-36% per individual supplement) after following the education program (Z = -3.288, p = 0.001) resulting in an intentional use of 54-94% TPT supplements. In conclusion, education resulted in more high school athletes reporting future third-party tested supplements use, and TPB construct scores did not change over time but could explain a substantial part of the variance of safe supplement use intentions.
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Affiliation(s)
- Floris C Wardenaar
- College of Health Solutions, Arizona State University, Tempe, Arizona, USA
| | - Lindsay Morton
- College of Health Solutions, Arizona State University, Tempe, Arizona, USA
| | - Kahyun Nam
- Mary Lou Fulton Teachers College, Arizona State University, Tempe, Arizona, USA
| | - Hannah Lybbert
- College of Health Solutions, Arizona State University, Tempe, Arizona, USA
| | - Kinta Schott
- College of Health Solutions, Arizona State University, Tempe, Arizona, USA
| | | | - Hans van der Mars
- Mary Lou Fulton Teachers College, Arizona State University, Tempe, Arizona, USA
| | - Pamela Kulinna
- Mary Lou Fulton Teachers College, Arizona State University, Tempe, Arizona, USA
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Shen Y. Determinants of problem sports betting among college students: moderating roles of betting frequency and impulsive betting tendency. BMC Psychol 2023; 11:352. [PMID: 37872630 PMCID: PMC10594762 DOI: 10.1186/s40359-023-01387-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Accepted: 10/10/2023] [Indexed: 10/25/2023] Open
Abstract
PURPOSE Given the risk and increased incidence of problem betting for young adults, the purpose of the current study was to understand what influences college students' problem sports betting behavior using the theory of planned behavior (TPB). METHODS An institutional-based cross-sectional study was conducted. Data were collected from 311 college students in the U.S. using a survey questionnaire and primarily analyzed using the partial least squares structural equation modeling (PLS-SEM) technique to investigate the relationships between the study variables. In addition, multi-group SEM analyses were conducted to investigate the moderating roles of betting frequency and impulsive betting tendencies regarding sports betting. RESULTS The results suggested that college students' sports betting intentions (SBI) were associated with attitude towards sports betting, motivation to comply with others, and subjective norm, in this order, but not with perceived behavioral control (PBC). Problem sports betting (PSB) was significantly positively related to their SBI and negatively correlated with PBC. In addition, multigroup analyses found the moderating roles of betting frequency and impulsive betting tendency, especially in the relationship between SBI and PSB. The SBI-PSB relationship was stronger with the infrequent/low-betting group and low-impulse betting group, compared to the frequent/high-betting and high-impulse betting group. CONCLUSION Overall, the results highlighted the importance of peer influence and attitude formation concerning sports betting. Recognizing what influences PSB and the roles of habitual and impulse sports betting in this population are recommended in developing proper public health programs to mitigate PSB issues.
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Affiliation(s)
- Yawen Shen
- Department of Physical Education, Zhongyuan University of Technology, No. 41 Zhongyuan Rd, 450007, Zhengzhou, Henan Province, China.
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Lee PC, Huang CY, Liang LL, Huang MH, Hsu MJ. The choice of Taiwanese college students to vaccinate against severe special infectious pneumonia COVID-19 based on the integrated theory of planning behavior. Hum Vaccin Immunother 2022; 18:2148500. [PMID: 36415127 PMCID: PMC9762833 DOI: 10.1080/21645515.2022.2148500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Taiwan's coronavirus (COVID-19) vaccine procurement was delayed until October 2021. With the vaccine's introduction in Taiwan, the public will have an opportunity to choose vaccination. Choosing to vaccinate involves considerations regarding the trade-off between the protective power of the vaccine and its side effects, which is a planned behavior. College students have considered high-risk objects for COVID-19 outbreaks given their lifestyle, and their efficient vaccination may help reduce mutual infection between college students and the general public. This study obtained 707 valid questionnaires from Taiwan college students (20 years old and above). We investigated several factors during our college students' survey regarding vaccination. Among this integrated TPB model, "Attitude," "Subjective Norm," "Perceived Behavioral Control," and "COVID-19 Information Asymmetry" had a positive impact on vaccination "Behavioral Intention." COVID-19 information asymmetry positively and significantly affected behavioral intention through perceived behavioral control, while perceived behavioral control had a mediating effect. To promote the behavioral intention of college students to choose COVID-19 vaccination, public and private departments for epidemic prevention must aim to overcome the self-efficacy barriers of perceived behavioral control and promote the primary group influence effect of subjective norm and the self-interest factor of attitude. Governments and NGOs should also ensure prompt and accurate transmission of epidemic and vaccine information and actively investigate and prohibit misleading details from unknown sources and no scientific basis. Such a policy will generate trust, effectively increasing the vaccination rate and reducing cluster infection.
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Affiliation(s)
- Po-Chun Lee
- Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan,Department of Business Management, National Sun Yat-sen University, Kaohsiung, Taiwan,CONTACT Po-Chun Lee Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, 7F., No. 1, Ln. 218, Jianxing S. Rd., Kaohsiung, Pingtung County 900044, Taiwan (R.O.C.)
| | - Ching-Yuan Huang
- Department of Marketing Management, SHU-TE University, Kaohsiung, Taiwan
| | - Li-Lin Liang
- Department of Business Management, National Sun Yat-sen University, Kaohsiung, Taiwan,Institute of Public Health, National Yang-Ming Chiao Tung University, Taipei, Taiwan
| | - Min-Hsin Huang
- Department of Business Management, National Sun Yat-sen University, Kaohsiung, Taiwan
| | - Meng-Jun Hsu
- Department of Hotel Management, National Kaohsiung University of Hospitality and Tourism, Kaohsiung, Taiwan
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Ma QS, Yao SJ, Jia HR. The effect of exercise intention on exercise behavior in the post-epidemic era: The moderator role of openness personality and the mediated role of exercise-induced feeling. Front Psychol 2022; 13:1050918. [PMID: 36600711 PMCID: PMC9807215 DOI: 10.3389/fpsyg.2022.1050918] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 11/25/2022] [Indexed: 12/23/2022] Open
Abstract
Objective Based on the theory of planned behavior, this study introduced personality traits and exercise-induced feelings and other third variables, aiming to explore the mechanism of personality traits and exercise-induced feelings between exercise intention and exercise behavior, and explore the internal mechanism of promoting exercise behavior of junior high school students. Methods This research adopts the Exercise Intention Questionnaire, Simple Big Five Personality Scale, Exercise-induced Feeling Inventory and Exercise Rating Scale, from the three cities of Anhui province 1,166 junior high school students selected from the group psychological measurement, and uses the SPSS23.0 and Process plug-in exercise intention in exercise behavior analysis of the direct and indirect effect. Results The results showed that: (1) Exercise intention significantly positively predicted exercise behavior (β = 0.265, t = 4.261, p < 0.01). (2) The moderating effect of openness personality between exercise intention and exercise behavior was significant (β = 0.093, t = 4.431, p < 0.01). (3) Exercise-induced feelings has a significant mediating effect on the relationship between exercise intention and exercise behavior regulated by openness personality. Conclusion Exercise intention can effectively predict exercise behavior, and the prediction level is affected by openness personality, and the moderating effect of openness personality is partially realized through the mediating variable of exercise-induced feelings.
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Affiliation(s)
- Qi-Shuai Ma
- School of Physical Education, Huaibei Normal University, Huaibei, China
| | - Shu-Jun Yao
- Department of Physical Education, Guang Dong Technology College, Zhaoqing, China
| | - Hua-Rui Jia
- Department of Recreational Sports, Mokpo National University, Muan, South Korea,*Correspondence: Hua-Rui Jia,
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Guo Y, Ma X, Chen D, Zhang H. Factors Influencing Use of Fitness Apps by Adults under Influence of COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15460. [PMID: 36497534 PMCID: PMC9740845 DOI: 10.3390/ijerph192315460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 11/16/2022] [Accepted: 11/19/2022] [Indexed: 06/17/2023]
Abstract
During the coronavirus disease 2019 (COVID-19) pandemic, many countries imposed restrictions and quarantines on the population, which led to a decrease in people's physical activity (PA) and severely damaged their mental health. As a result, people engaged in fitness activities with the help of fitness apps, which improved their resistance to the virus and reduced the occurrence of psychological problems, such as anxiety and depression. However, the churn rate of fitness apps is high. As such, our purpose in this study was to analyze the factors that influence the use of fitness apps by adults aged 18-65 years in the context of COVID-19, with the aim of contributing to the analysis of mobile fitness user behavior and related product design practices. We constructed a decision target program model using the analytic hierarchy process (AHP), and we analyzed and inductively screened 11 evaluation indicators, which we combined with an indicator design questionnaire. We distributed 420 questionnaires; of the respondents, 347 knew about or used fitness apps. Among these 347, we recovered 310 valid questionnaires after removing invalid questionnaires with a short completion time, for an effective questionnaire recovery rate of 89.33%. We used the AHP and entropy method to calculate and evaluate the weight coefficient of each influencing factor and to determine an influencing factor index. Our conclusions were as follows: first, the effect of perceived usefulness on the use of fitness apps by the study groups was the most notable. Second, personal motivation and perceived ease of use considerably influenced the adult group's willingness to use fitness apps. Finally, the perceived cost had relatively little effect on the use of fitness apps by adults, and the study group was much more concerned with the privacy cost than the expense cost.
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Affiliation(s)
- Yanlong Guo
- Social Innovation Design Research Centre, Anhui University, Hefei 203106, China
- Anhui Institute of Contemporary Studies, Anhui Academy of Social Sciences, Hefei 203106, China
| | - Xueqing Ma
- Social Innovation Design Research Centre, Anhui University, Hefei 203106, China
| | - Denghang Chen
- Department of Science and Technology Communication, University of Science and Technology of China, Hefei 203106, China
- Research Center for Science Communication, Chinese Academy of Sciences, Hefei 203106, China
| | - Han Zhang
- College of Environmental Science and Engineering, Ocean University of China, Qingdao 266100, China
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