HPV vaccine delay and refusal among unvaccinated Mexican American young adult women: a qualitative investigation of Mexican-born and US-born HPV vaccine decision narratives
AbstractLow HPV vaccination rates among Latina young adults perpetuate HPV-associated cancer disparities. Using qualitative methods, this study explored individual, interpersonal, and community factors that influence HPV vaccine delay and refusal among Mexican- and U.S.-born Mexican American young adult women. Participants (N = 30) between 18 and 26 years old were purposively sampled from two federally qualified health centers in Orange County, California. The National Institute on Minority Health and Health Disparities research framework and narrative engagement theory guided semi-structured phone interviews coded in...
Source: Journal of Behavioral Medicine - May 25, 2022 Category: Psychiatry Source Type: research

Impacts of two behavior change interventions on determinants of medication adherence: process evaluation applying the health action process approach and habit theory alongside a randomized controlled trial
AbstractInvestigating the mechanisms of behavior change interventions provides a more fulsome understanding of how and why interventions work (or don ’t work). We assessed mechanisms of two interventions (mailouts alone, and mailouts plus telephone support, informed by the Health Action Process Approach (HAPA) and Habit Theory), designed to increase medication adherence after myocardial infarction. We conducted a process evaluation alongside a pragmatic trial. Medication adherence was assessed via self-report at 12-months in the trial, and participants in all trial groups were invited to contemporaneously complete an add...
Source: Journal of Behavioral Medicine - May 20, 2022 Category: Psychiatry Source Type: research

Exploring pain experience and anxiety sensitivity among Latinx adults in a federally qualified health center
AbstractThe Latinx population is the largest minority group in the United States (U.S.) and is expected to continue to grow through at least 2050. Although there is growing recognition of the importance of pain among Latinx individuals, few studies have examined individualized psychological processes governing pain severity and disability in Latinx populations. One psychological factor that has shown promise in relation to pain experience specifically and clinical conditions more generally is anxiety sensitivity. The present investigation sought to (1) characterize the severity of pain among an unselected sample of adult L...
Source: Journal of Behavioral Medicine - May 14, 2022 Category: Psychiatry Source Type: research

The roots of COVID-19 vaccine hesitancy: evidence from Hungary
This article utilizes data from in-person public opinion research conducted in Hungary (March 2021,N = 1000). Government supporters, older people (60 +) and COVID-19 survivors were more likely to accept vaccination, but these variables lose significance, once controlling for personal fears and pandemic-related attitudes. COVID-19 related fears and precautious behavior reduce, while general l evel of fears increase the probability of vaccine hesitancy. Fear from partner’s aggression and higher levels of financial security negatively correlate with vaccine hesitancy. Our study separately analyzes the effect of variou...
Source: Journal of Behavioral Medicine - May 14, 2022 Category: Psychiatry Source Type: research

Vaccinating across the aisle: using co-partisan source cues to encourage COVID-19 vaccine uptake in the ideological right
In this study, we investigate the effectiveness of messages from co-partisan sources in reducing vaccine hesitancy. In a large (N  = 3000) and demographically representative survey, we find that exposing “Middle-of-the-Road” partisans to pro-vaccine messages from co-partisan source cues reduces vaccine hesitancy. However, for those who identify as “Strong” or “Weak” partisans, we find no statistically significa nt differences in vaccination intentions when exposed to pro-vaccine messages from co-partisan sources. We conclude by discussing how our findings are helpful for vaccine communication efforts. (Sour...
Source: Journal of Behavioral Medicine - May 11, 2022 Category: Psychiatry Source Type: research

The effects of social-media based social comparison information and similarity mindsets on COVID-19 vaccination uptake cognitions
AbstractVaccine hesitancy —delays in vaccine uptake when one is readily available—is an important public health issue. During the COVID-19 pandemic, the role of psychosocial factors in influencing cognitions and behaviors related to vaccine uptake have been examined. Using an online sample of unvaccinated U.S. adults (N = 300), we examined the influence of COVID-19-related social media-based comparison information (e.g., others’ attitudes about taking the vaccine)—as well as the moderating impact of (dis)similarity mindsets and indirect influence of affective associations, norm perceptions, and self-evalua tion...
Source: Journal of Behavioral Medicine - May 6, 2022 Category: Psychiatry Source Type: research

Baseline depressive symptoms, personal control, and concern moderate the effects of preoperative psychological interventions: the randomized controlled PSY-HEART trial
This study examined whether baseline (3 –14 days pre-surgery) levels of (i) depressive or (ii) anxiety symptoms and (iii) illness beliefs moderate the effects of additional preoperative interventions before coronary artery bypass graft surgery on (i) depressive or (ii) anxiety symptoms and (iii) illness beliefs 1 day before surgery, 1  week and 6 months after surgery. In the PSY-HEART trial, 115 patients were assessed. They were randomized into one of three groups: 1. receiving standard medical care only (SMC), additional psychological interventions: 2. aiming to optimize patients’ expectations (EXPECT), or 3. focu...
Source: Journal of Behavioral Medicine - May 6, 2022 Category: Psychiatry Source Type: research

Is disgust proneness prospectively associated with influenza vaccine hesitancy and uptake?
AbstractAlthough various demographic and psychosocial factors have been identified as correlates of influenza vaccine hesitancy, factors that promote infectious disease avoidance, such as disgust proneness, have been rarely examined. In two large national U.S. samples (Ns  = 475 and 1007), we investigated whether disgust proneness was associated with retrospective accounts of influenza vaccine uptake, influenza vaccine hesitancy, and eventual influenza vaccine uptake, while accounting for demographics and personality. Across both studies, greater age, higher educ ation, working in healthcare, and greater disgust pronen...
Source: Journal of Behavioral Medicine - May 4, 2022 Category: Psychiatry Source Type: research

Discrimination experiences, resilience, and cardiovascular disease risk factors among sexual minority women
AbstractResilience, or the process of adapting to adversity, may protect against the harmful effects of minority-related stressors on the cardiovascular health of sexual minority women (SMW). An online survey was conducted in a sample of cisgender, non-heterosexual women to evaluate resilience as a moderator of the association between discrimination experiences and key cardiovascular disease (CVD) risk factors: stress, tobacco-smoking, hazardous alcohol consumption, poor diet quality, physical inactivity, and sedentary behaviors. Overall, 191 women (mean age  = 29.34,SD = 6.92; 84.5% White) completed the survey and...
Source: Journal of Behavioral Medicine - May 3, 2022 Category: Psychiatry Source Type: research

Activity-induced pain as a predictor of physical activity behavior among individuals with chronic pain: the role of physical activity enjoyment
AbstractNearly 70% of adults with chronic pain experience increased pain during activity, and this may reduce enjoyment of physical activity (PA), and subsequent PA intention/behavior. The goal of this study was to examine increased pain during activity as a predictor of PA, via its effects on PA enjoyment. Participants included 178 overweight/obese midlife adults with chronic pain who completed an online prospective survey. Results indicated that greater increases in pain during activity were associated with less PA enjoyment, and, in turn, lower intention to exercise over the next week (p <  0.05). Activity-induce...
Source: Journal of Behavioral Medicine - April 30, 2022 Category: Psychiatry Source Type: research

Doubt in store: vaccine hesitancy among grocery workers during the COVID-19 pandemic
The objective of this study was to assess the influence of workplace safety conditions alongside the World Health Organization ’s model of the “3 Cs”, on grocery store workers’ vaccine hesitancy concerning COVID-19. Data for this study come from the Arizona Frontline Workers Survey, a longitudin web-based survey of 770 grocery store workers in the state of Arizona (US) collected in July 2020 and January 2021. We uti lized ordinary least squares and multinomial logistic regression analyses to assess predictors of hesitancy at our Wave 2. Thirty-nine percent of our sample reported being unlikely to get vaccinated aga...
Source: Journal of Behavioral Medicine - April 30, 2022 Category: Psychiatry Source Type: research

COVID-19 vaccine uptake and attitudes towards mandates in a nationally representative U.S. sample
AbstractWidespread uptake of COVID-19 vaccination is vital to curtailing the pandemic, yet rates remain suboptimal in the U.S. Vaccine mandates have previously been successful, but are controversial. An April 2021 survey of a nationally representative sample (N  = 1208) examined vaccine uptake, attitudes, and sociodemographic characteristics. Sixty-seven percent were vaccine acceptors, 14% wait-and-see, and 19% non-acceptors. Compared to wait-and-see and non-acceptors, acceptors were more likely to have a household member over age 65, have received a f lu shot, have positive COVID-19 vaccine attitudes, and view COVID-1...
Source: Journal of Behavioral Medicine - April 29, 2022 Category: Psychiatry Source Type: research

Factors associated with latino sexual minority men ’s likelihood and motivation for obtaining a COVID-19 vaccine: a mixed-methods study
AbstractMinoritized communities are underreached by biomedical interventions, such as the COVID-19 vaccine. This mixed-methods study identified factors associated with vaccine likelihood (VL) and uptake (VU) among 187 Latino sexual minority men (LSMM) in South Florida. Regression models with LASSO variable selection and Classification and Regression Trees (CART) assessed determinants of VL and VU while open-ended questions were evaluated using thematic content analysis. VL (range 1 –7; M = 6.00, SD = 1.84) and VU (63.6%) was high. LASSO modeling identified being insured, worrying about others, fear of transmittin...
Source: Journal of Behavioral Medicine - April 27, 2022 Category: Psychiatry Source Type: research

Perceived social support predicts self-reported and objective health and health behaviors among pregnant women
AbstractPerinatal health and health behaviors play a crucial role in maternal and neonatal health. Data examining psychosocial factors which predict self-reported health and health behaviors as well as objective indicators downstream of health behaviors among pregnant women are lacking. In this longitudinal study design with 131 pregnant women, perceived social support was examined as a predictor of self-rated health and average levels of sleep quality, health-promoting and health-impairing behaviors, and red blood cell (RBC) polyunsaturated fatty acids across early, mid, and late pregnancy. Participants provided a blood s...
Source: Journal of Behavioral Medicine - April 21, 2022 Category: Psychiatry Source Type: research

Binge size and loss of control as correlates of eating behavior and psychopathology among individuals with binge eating disorder and higher weight
AbstractStudies comparing individuals with loss of control (LOC) eating who do and do not have objectively large binge episodes have found that degree of LOC is more important than binge size to psychological and behavioral outcomes. However, the relative importance of these characteristics has not been investigated in a population with binge eating disorder (BED), who by definition all have objectively large binge episodes. Persons with BED and higher weight (N = 34) were enrolled in a BED treatment trial and completed the Loss of Control Over Eating Scale, the Eating Disorder Examination, and measures of eating behav...
Source: Journal of Behavioral Medicine - April 21, 2022 Category: Psychiatry Source Type: research