Breakfast skipping among adolescents in the United States is a public health issue because it has adverse consequences on dietary intake and body mass index. The primary aim of this study is to examine the relationship between grade level and reported breakfast skipping among adolescents and whether it is mediated by dietary autonomy. Analyses were based on self-reported data from Wave I of the National Longitudinal Study of Adolescent Health, a nationally representative sample of adolescents in the United States surveyed in 1995. Logistic regression analysis was used to evaluate the effects of grade level and dietary autonomy on adolescents’ reported breakfast skipping. Following MacKinnon and Dwyer, we tested whether the effect of grade level on breakfast skipping was mediated by adolescents’ dietary autonomy. After controlling for sex, race, exercise, parental education, and household income, both grade level (OR = 2.005, 95% CI = 1.684-2.387) and dietary autonomy (OR = 1.435, 95% CI = 1.157-1.780) were each significant predictors of breakfast skipping when tested separately. Mediation analysis showed that dietary autonomy partially mediated the relationship between grade-level and breakfast skipping. Since adolescents in higher grades and those with more dietary autonomy are more likely to skip breakfast, nutritional messages may need to continue beyond the lower grades and emphasize that healthy eating habits can demonstrate autonomy.

Elevations in body mass index (BMI) among World Trade Center (WTC) responders may be associated with poor mental health outcomes. The current study examined the association of BMI with anxious arousal, depressive, and insomnia symptoms among this group. Participants were 412 WTC responders (89.4% male, Mage = 55.3 years, SD = 8.66) who completed health monitoring assessments (self-report and objective) as part of the Long Island site of the WTC Health Program (LI-WTC-HP). Results suggested BMI was statistically significant only in relation to anxious arousal (sr2 = .02, p = .008), after accounting for age and sex. The current study suggests that weight management programs may aid in promoting additional benefits for WTC responders by reducing anxious arousal symptoms as a function of reduced BMI.

The purpose of the manuscript was to share the unfamiliar back story of the founding of The Academy. Noted is the unique dilemma and unforeseen obstacles the founder had to overcome to launch The Academy. The dream began with the recognition that most universities waged enormous lip service to quality teaching, however, handsomely rewarded research rarely teaching. Consequently, to overcome his own research limitations, the founder set upon forming a research organization to coalesce with researchers. Detailed is the negative feedback received from colleagues regarding forming The Academy and how he overcame his personal research limitations. The manuscript further notes how the initial founders were recruited, how gender criticism was dealt with, how the bylaws were established, how the meeting venues were selected and how The Academy narrowly missed being a conceivable casualty of 9/11. Similarly, thoughts are offered for keeping The Academy dream alive via the paramount Academy feature; meritocracy. Moreover, further comments are offered regarding Academy admission requirements, prevailing awards within The Academy, the short-lived official journal of The Academy and the limitation of membership. The overall tone is the recognition that organizations grow and change; however, the founder emboldens The Academy to always keep in mind the founding principles that make The Academy unique and distinct from other health organizations.

The ‘me too’ movement originated to help survivors of sexual violence by providing resources and building a community of advocates to exemplify the magnitude of sexual violence victimization. This movement gained momentum via Twitter due to the viral hashtag—#metoo. YouTube is often used as a means of expression in younger generations, thus sexual violence survivors began using the platform as a way to disseminate ‘me too’ narratives. Therefore, this study aimed to examine how sexual violence narratives resulting from the ‘me too’ movement are being told on YouTube and understand the components of the narratives related to self-blaming mindsets. Based on predetermined search criteria, researchers identified and screened YouTube videos of people sharing ‘me too’ narratives, and developed themes and codes (e.g., type of violence, perpetrator characteristics). Descriptive statistics and a logistic regression were conducted using demographic, experience, and attitudinal data to predict self-blaming mindsets. Sixty-two YouTube videos were included, consisting of 96 individual ‘me too’ stories. The sample was mostly female, and perpetrators were predominately strangers. The model explained 19.3% of the variance in self-blaming attitudes. Odds of self-blaming rose 4.589 times for those who experienced sexual harassment, and 6.109 times for those who experienced rape. If the perpetrator was not mentioned in the video, odds of self-blaming dropped by 89.4%. This study suggests self-blaming beliefs are prominent among victims, even when they have the space to share their story. Overall, our findings support the continued need for further education and support for victims.

Breastfeeding benefits infants, but support is often needed to meet breastfeeding goals. Social media may help disseminate infant feeding information to caregivers. The relationship between parents’ health information-seeking behaviors (HISB) on social media and infant feeding practices remains understudied. Based on social cognitive theory (SCT), parents’ self-efficacy and outcome expectations are two potential factors for improving online HISB. We aimed to use SCT to describe associations between outcome expectations, self-efficacy (eHealth literacy), and online HISB across infant feeding groups among a nationally representative sample of U.S. parents. Eligible participants (N = 580) completed a cross-sectional online survey assessing infant feeding practices (never breastfed, only pumped, only fed-at-the-breast, and both pumped and fed-at-the-breast), self-efficacy (using eHealth literacy as a proxy), outcome expectations in online HISB, parents’ online HISB on social media, and demographic information. Survey weighted linear and logistic regression models were constructed. No online activities differed by infant feeding practices. Parents who pumped only had significantly lower eHealth literacy than parents who never breastfed (adjusted β = -2.63, 95% CI: -4.73, -0.53). Parents who used both methods had 1.78 times greater odds of considering online tools useful for making health-related decisions (95% CI: 0.96, 3.28) and 1.49 times greater odds of considering online tools important for accessing health information (95% Cl: 0.70, 3.15) than parents who never breastfed, though neither association was statistically significant. Understanding these associations between infant feeding practices and online HISB, as well as the two potential factors of parents’ self-efficacy and outcome expectations, may offer implications for tailoring online social media resources to promote breastfeeding outcomes.

Previous studies have documented that depression is positively associated with sexual risk behaviors (SRB) among rural-to-urban migrants. Existing literature has also suggested that acculturation and social capital might moderate this positive relationship. However, data regarding the moderating effects of acculturation and social capital have been inconsistent. The current study aims to examine the relationship between depression and SRB, as well as the moderating roles of acculturation and social capital in this relationship. A sample of 641 young rural-to-urban migrants was recruited through a venue-based sampling approach in Beijing, China. Results indicated that depression was positively associated with SRB. Both acculturation and social capital moderated this relationship, but they showed different moderating effects. Specifically, the level of acculturation was protective against SRB among migrants with a higher level of depression but not among migrants with a lower level of depression. Social capital played a protective role among migrants with a lower level of depression but became a risk factor for those with a higher level of depression. These findings suggested that targeted interventions aiming to reduce depression, improve acculturation stress management skills, and utilize social capital are needed to reduce SRB among rural-to-urban migrants.

Recent developments have highlighted the importance of tailored health education efforts. However, little research has explored differential functioning of survey items for diverse populations. This work explores differences in statistical reliability for multiple scales across demographic groups. Understanding such differences is important in health research, given the rapid shifts occurring in global demographics. Study data were collected from eight years of the National College Health Assessment (n = 885,084), a large-scale annual survey of U.S. university students. Meta-analytic reliability generalization was used to compare reliability of two scale measures for multiple demographic groups. In nearly all cases, there were statistically significant differences in reliability across demographic groups. Researchers should consider relative functioning of any scale employed in their work. For certain demographic groups, various scales may not be sufficiently reliable. However, this may be obfuscated in larger samples, containing large numbers of individuals for whom the scale is sufficiently reliable. We suggest a thorough subsets analysis of data to ensure uniform functioning of items prior to use. Just as health interventions should be tailored to populations of interest, so too must research methods and tools.

The American Academy of Health Behavior (AAHB) anticipated hosting it's 20th Annual Scientific Meeting at the Embassy Suites by Hilton in Napa Valley, CA June 28-July 1, 2020. The meeting's theme was "Transforming the narrative to meet emerging health behavior challenges." This publication includes the refereed abstracts that were accepted for presentation at the 2020 Annual Scientific Meeting, prior to the meeting's cancellation.

Letter from the American Academy of Health Behavior President, Dr. E. Lisako Jones McKyer.

Social network analysis (SNA), both as theory and methodology, is a powerful framework for delimiting and studying health behaviors. Using SNA allows scholars to answer new research questions, innovatively investigate the social and systemic contexts of health and behavior, and collaborate on multi- or inter-disciplinary projects. As a result, SNA is growing in popularity within health behavior research and practice. Despite SNA’s contribution and appeal, few health behavior researchers and practitioners have access to formal SNA education; much of the current training efforts occur outside degree-granting curricula. Therefore, the aims of this paper were to: 1) assess the diffusion of SNA, over time, among scholars presenting at AAHB annual meetings; and 2) determine whether AAHB can function as a professional venue for fostering development of SNA-related skills, especially by capitalizing on mentoring relationships. To assess the “spread” of SNA among AAHB scholars, we conducted a network analysis to capture the connections among those presenting research posters between 2016 and 2019. Results indicated sizeable increases in adoption of, and exposure to SNA within this network. Based on these findings, we recommend responding to the growing trends of SNA use by providing conference-based training and education in SNA. We also propose utilizing mentorship ties as leverage points in diffusing SNA within a system of professional scholars and, as a result, advancing health behavior research and practice.