Sexual and gender minorities (SGM), including lesbian, gay, bisexual, transgender, and queer (LGBTQ+), communities, continue to face profound health disparities in the United States and globally. Although the terms SGM and LGBTQ+ are used as umbrella terms, the populations they describe are highly diverse. Currently, SGM persons are increasingly open and visible in the United States and many other parts of the world, and a modest body of knowledge on the health and well-being of some SGM subgroups currently exists. However, significant gaps exist in the emerging knowledge base, and there remains a profound need to promote health equity and reduce disparities. I am committed to advancing health behavior research to promote health equity and reduce disparities using community-based participatory research (CBPR) approaches. In this paper, based on the address I gave at the Scientific Meeting of the American Academy of Health Behavior (AAHB) on April 14, 2024, I describe what inspires me, a few things I have learned so far, and my future directions as I continue to partner with SGM communities to address health equity and reduce health disparities.

The American Academy of Health Behavior (AAHB) hosted its 24th Annual Scientific Meeting at The DeSoto Hotel in Savannah, Georgia on April 14-17, 2024. The meeting's theme was "Health Communication, (Mis-)Information, and Behavior: Leveraging Technology for Behavioral Interventions and Health Behavior Research". This publication describes the meeting theme and includes the refereed abstracts presented at the 2024 Annual Scientific Meeting.

Generalized anxiety disorders are among the most prevalent mental health concerns for college students. Resilience, one’s ability to recover from adversity, is a critical component in reducing anxiety. The association between resilience and anxiety may be strengthened by positive college experiences of institutional support and experiential learning, particularly among underrepresented students. This study explored whether positive college experiences (Gallup “Big Six”) moderated the association between resilience (Brief Resilience Scale) and anxiety symptoms (Generalized Anxiety Disorder-7) among underrepresented college students (N = 430; 73.5% first year; 38.1% first generation) at a large public institution. Controlling for demographic variables, greater resilience was associated with lower anxiety (β = -.42, p < .001). Positive college experiences were not directly associated with anxiety (β = -.04, p = .45); however, positive college experiences moderated the negative association of resilience and anxiety (β = -.14, p < .01) such that the association between greater resilience and lower anxiety was stronger for students reporting more positive college experiences. The final model accounted for 21% of the variance in anxiety symptoms (F11,418 = 10.22, p < .001). Findings support a beneficial role of positive college experiences on the association between resilience and anxiety.

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 (Mage = 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 follow-ups of learned self-regulatory skills monthly during a second treatment year (n = 74), were assessed on weight and waist circumference changes over 6 and 24 months and changes in body satisfaction and emotional eating over 12 months. Improvements on all measures were significant with no time × group interaction. In aggregated analyses, there were significant direct relationships between changes in weight over 6 and 24 months, between changes in body satisfaction and emotional eating, and between those psychosocial changes and weight changes. Within serial multiple mediation models incorporating lagged variable analyses, only the path from changes in weight from baseline–Month 6→body satisfaction from baseline–Month 12→weight from baseline–Month 24 was significant. Results were similar when waist circumference was entered in place of weight. Findings suggest body satisfaction requires an increased focus within behavioral treatments for women with obesity to maximize their maintenance or extension of early reductions in weight and waist circumference.

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.

Mentorship of international students is an enriching experience because international students studying in the United States enhance inclusion and diversity within the university environment by contributing their unique cultural and societal experiences and perspectives. International students have unique needs regardless of their country of origin and exposure. This paper provides the perspectives of international students on recommendations and strategies that mentors could employ to meet some of the identified needs of international students.

The purpose of this study was to examine the reasoned action approach (RAA) in relation to the impact of COVID-19 on college athletes’ physical activity (PA). Participants were college athletes (ages 18-22 years) who were involved in university, club, and/or intramural sport. The RAA constructs were measured for the three different types of PA behaviors. Statistical analyses included ANOVA and multiple regression analyses to evaluate the RAA determinants of PA intentions. Results partially supported theoretical expectations. All RAA constructs had an impact on perceived norms indicating a dominant influence. Remote social interaction/training during isolation periods are suggested to promote sustained conditioning among college athletes.

Professional conferences play an important role in the development of health behavior researchers. These venues are essential for applying academic coursework and advancing or strengthening skills in professional settings. Attending meetings enables students and early career scholars to interact with researchers and practitioners in the field for the purposes of sharing research findings, discussing practice strategies, and exploring career options through networking opportunities. Conference experiences can be enhanced by proper planning and execution before, during, and after the event. This editorial provides recommendations to junior conference attendees related to a variety of topics including time management, presentation etiquette, networking, locating mentors, and post-meeting follow-up procedures.

The Gerontological Society of America (GSA) is a multi-disciplinary organization dedicated to advancing the field of aging and improving the lives of older adults. With a long-standing commitment to mentorship and career development, this article focuses on GSA’s Mentoring Consultancies and Career Conversations events and their pivot to meet the needs and demands of current and future gerontologists amid the COVID-19 pandemic. This article provides a description of these events in the context of planning, content, and member engagement. Recommendations are provided to other organizations seeking to enrich their membership through mentorship and career development activities.

Hospital-based tobacco treatment programs provide tobacco cessation for a diverse array of admitted patients. Person-centered approaches to classifying subgroups of individuals within large datasets are useful for evaluating the characteristics of the sample. This study categorized patients who received tobacco treatment while hospitalized and determined whether demographics and smoking-related health conditions were associated with group membership. Chart review data was obtained from 4854 patients admitted to a large hospital in South Carolina, USA, from July 2014 through December 2019 who completed a tobacco treatment visit. Smoking characteristics obtained from the visit interview were dichotomized, and then latent class analysis (LCA) was conducted to categorize patients based on smoking history and interest in stopping smoking. Finally, logistic regressions were used to evaluate demographics and smoking-related health conditions as predictors of class membership. LCA generated 5 classes of patients, differentiated by heaviness of smoking and motivation to quit. Patients who were black/African American were more likely to be lighter smokers compared to white patients. Hospitalized patients with a history of hypertension, diabetes, and congestive heart failure were more likely to be motivated to quit and also were more likely to be lighter smokers at the time of hospitalization. Hospitalized patients who smoke and receive tobacco treatment are heterogeneous in terms of their smoking histories and motivation to quit. Understanding latent categories of patients provides insight for tailoring interventions and potentially improving tobacco treatment outcomes.