PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Mass Behavior”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 937 records · Page 52Linked to original sources
PubMed2005

Hormone use and patient concerns after the findings of the Women's Health Initiative.

OBJECTIVE: To assess behaviors and concerns related to hormone therapy after the findings of the Women's Health Initiative (WHI). DESIGN: A survey was mailed to a random sample of 1,200 women identified through the pharmacy database as taking one of two estrogen + progestogen therapies (EPT) during the 6-month period before the publication of WHI findings. Questions included hormone use history, changes in usage, an assessment of symptoms, symptom changes, health behavior changes, use of alternative therapies, and demographics. RESULTS: The response rate was 70%, with women in their 60s and those receiving hormone therapy for 5 or more years were more likely to respond (P < 0.05). The majority had started hormones for symptom relief (69%) and expected to continue use. Many reported discontinuation (63%) or modifying their medication (18%). Half of these women stopped then restarted, the other half changed products. Women in their 50s were more likely to remain on hormones than older women (P < 0.01), and those taking ethinyl estradiol and norethindrone acetate were more likely to remain on their medication than those on conjugated estrogens (43% vs 29%, P < 0.01). Little change was reported in exercise and 19% increased their calcium intake. Patient concerns fell into five major categories: long-term effects, symptom control, breast cancer risk, bone health, and cognitive function. CONCLUSIONS: Women seem to be heeding the warnings about hormones but remain concerned about the potential long-term sequelae and symptom control. More research is needed to identify safer approaches to symptom relief and to address the concerns expressed.

Adult↗
PubMed2004

Acculturation and cardiovascular disease risk in midlife immigrant women from the former Soviet Union.

This study examines relationships among acculturation, depression, and cardiovascular risk factors in midlife women from the former Soviet Union and identifies factors predicting Framingham Risk Scores. Data were collected at baseline and 1 year later from 218 participants in a longitudinal study of postimmigration health. The leading risk factors were obesity, dyslipidemia, and depression. Older women had lower American Behavioral Acculturation subscale scores, higher Russian Behavioral Acculturation subscale scores, and higher depression scores. Length of residence was significantly correlated with American behavioral acculturation but not Russian behavioral acculturation. Baseline body mass index, both acculturation scores, and depression scores predicted Framingham Risk Scores after 1 year, but serum glucose did not. The results suggest that contrary to findings in other immigrant groups, women from the former Soviet Union may decrease their risk for coronary heart disease as they assume a more American lifestyle. Nursing interventions to address the high cardiovascular disease risk in this population are suggested.

Acculturation↗
PubMed2006

Making up is hard to do, especially for mothers with high levels of depressive symptoms and their infant sons.

BACKGROUND: The goal of this study was to evaluate the interactions of mothers with normative or high levels of depressive symptomatology on the Center for Epidemiologic Studies-Depression Scale (CES-D) and their 3-month-old infants. Although successful mutual regulation of affect is critical to children's socio-emotional development, little is known about the factors that influence dyadic processes such as synchrony, matching, mismatching, and bi-directionality during early infancy. Therefore, this study evaluated the effects of maternal depressive symptom status, infant gender, and interactional context on mother-infant affective expressiveness and the dyadic features of their interactions. METHODS: Participants were 133 mothers and their healthy full-term infants. Mothers were classified into three groups on the basis of their total score on the CES-D at 2 months of infant age: a high symptom group (CES-D score > or = 16), a mid symptom control group (CES-D score = 2-12), and a low symptom group (CES-D score = 0-1). Mothers and infants were then videotaped in the Face-to-Face Still-Face paradigm at 3 months of infant age. The mothers' and infants' affect during the interactions prior to (first play) and following the still-face (reunion play) were coded microanalytically using Izard's AFFEX system. RESULTS: Results indicated that male as compared to female infants were more vulnerable to high levels of maternal depressive symptoms and that high symptom mothers and their sons had more difficult interactions in the challenging reunion episode. CONCLUSIONS: The findings suggest that a cycle of mutual regulatory problems may become established between high symptom mothers and their sons, particularly in challenging social contexts. The long-term consequences of this early social interactive vulnerability in terms of later development need to be further investigated.

Adult↗
PubMed2004

Indoor particle dynamics.

UNLABELLED: Airborne particulate matter is a diverse pollutant class whose excessive presence in indoor air contributes to an array of adverse health and material-damage effects. Particles are classified according to their diameter into three size modes: ultrafine (0.1 microm), accumulation (0.1-2 microm), and coarse (= 2 microm). These modes have largely distinct sources and composition, and they exhibit different dynamic behaviors. The concept of mass conservation or material balance provides a foundation for quantitatively and mechanistically linking important outcome variables, such as concentrations and exposures, to the influencing input parameters. The factors governing indoor particle concentrations include direct emissions from indoor sources, ventilation supply from outdoor air, filtration, deposition onto indoor surfaces, and removal from indoor air by means of ventilation. In some circumstances, transport and transformation processes within indoor environments may also play an important role in influencing particle concentrations and consequences. Such processes include mixing, interzonal transport, resuspension, coagulation, and phase change. PRACTICAL IMPLICATIONS: The paper gives a practical overview of issues related to particulate matter indoors, as well as valuable information for understanding filtration and how particles contribute to adverse health effects.

Air Movements↗
PubMed1996

Getting Black women to screen for cancer: incorporating health beliefs into practice.

Designing a culturally appropriate, user-friendly cancer screening and educational program is a challenge for nurse practitioners, particularly when working with populations having poor health promotion behaviors. Health beliefs have been identified as being influential in health promotion behaviors, particularly among African American women, making the understanding of specific health beliefs regarding cancer important for the nurse practitioner providing care. This paper presents a strategic plan to increase health promotion behaviors regarding cancer prevention and early detection among African American women by incorporating their health beliefs into clinical practice.

Black or African American↗
PubMed2004

Characterization of the fatty acid amide hydrolase inhibitor cyclohexyl carbamic acid 3'-carbamoyl-biphenyl-3-yl ester (URB597): effects on anandamide and oleoylethanolamide deactivation.

Fatty acid amide hydrolase (FAAH) is an intracellular serine enzyme that catalyzes the hydrolysis of bioactive fatty acid ethanolamides such as anandamide and oleoylethanolamide (OEA). Genetic deletion of the faah gene in mice elevates brain anandamide levels and amplifies the effects of this endogenous cannabinoid agonist. Here, we show that systemic administration of the selective FAAH inhibitor URB597 (cyclohexyl carbamic acid 3'-carbamoyl-biphenyl-3-yl ester; 0.3 mg/kg i.p.) increases anandamide levels in the brain of rats and wild-type mice but has no such effect in FAAH-null mutants. Moreover, URB597 enhances the hypothermic actions of anandamide (5 mg/kg i.p.) in wild-type mice but not in FAAH-null mice. In contrast, the FAAH inhibitor does not affect anandamide or OEA levels in the rat duodenum at doses that completely inhibit FAAH activity. In addition, URB597 does not alter the hypophagic response elicited by OEA (5 and 10 mg/kg i.p.), which is mediated by activation of peroxisome proliferator-activated receptor type-alpha. Finally, exogenously administered OEA (5 mg/kg i.p.) was eliminated at comparable rates in wild-type and FAAH-/- mice. Our results indicate that URB597 increases brain anandamide levels and magnifies anandamide responses by inhibiting intracellular FAAH activity. The results also suggest that an enzyme distinct from FAAH catalyzes OEA hydrolysis in the duodenum, where this lipid substance acts as a local satiety factor.

Amidohydrolases↗
PubMed2026

Behaviourally informed text message reminders to increase cervical screening attendance in people with severe mental illness: the OPTIMISE pilot randomised controlled trial.

OBJECTIVES: This study assessed the feasibility of both the delivery and evaluation of 'enhanced' (behaviourally informed) text message reminders containing links to existing co-designed resources supporting decision-making for people with severe mental illness (SMI) regarding attendance of cervical screening. DESIGN: A pilot randomised controlled trial (RCT). SETTING: 13 General Practice (GP) practices in London were recruited. PARTICIPANTS: GP practices identified people with SMI aged 24-64 years who were overdue cervical screening. Target sample size was 120 participants (60 per arm) based on existing guidance for pilot trials. INTERVENTION: In March 2025, participants were randomised (1:1) to receive either the enhanced (intervention) or the standard (control) SMS reminder. PRIMARY AND SECONDARY OUTCOME MEASURES: 18 weeks later, feasibility outcomes were collected (primary outcomes) and data analysis for a definitive RCT was rehearsed (secondary outcome). RESULTS: Of the 150 participants across 13 GP practices that were randomised (n=75 per arm), 132 (88%) texts delivered (intervention n=64/75 (85%), control n=68/75 (91%)). 10 practices (76.9%) provided follow-up data for 102 participants (intervention n=50, control n=52). Five participants (intervention n=4, control n=1) attended screening within the trial period. Participant survey response rate was low (9/132 (7%), intervention n=5, control n=4). Both SMS messages were low cost, with the intervention SMS a 50% higher cost to deliver (7.5p vs 5p per SMS). Primary feasibility measures of recruitment rate of GP practices (27%), retention of GP practices (77%) and participants (100%), SMS delivery (88%) and data completeness (64%) indicated viability, although survey response rate (7%) did not. CONCLUSIONS: Achieving adequate recruitment and retention, data completeness and comparable groups is viable with some amendments, although an alternative method is required to assess fidelity. Behaviourally informed SMS reminders are feasible to deliver to people with SMI, although it is uncertain if the extra resources are accessed and used. With changes to data collection, a definitive trial could be feasible. Given the low observed cervical screening attendance, additional intervention is needed for this group. TRIAL REGISTRATION NUMBER: ISRCTN12558681.

Humans↗
PubMed2003

Family history of hypertension and diabetes in relation to preeclampsia risk in Peruvian women.

In a case-control study of 169 preeclamptics and 201 controls, we assessed maternal parental history of chronic hypertension and diabetes in relation to preeclampsia risk among Peruvian women. Participants provided information on parental history of the two conditions and other covariates during postpartum interviews. Logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) adjusted for confounding by age, parity and prepregnancy adiposity. In this population, women were more likely to know the diabetes status of their parents than their hypertension status. Compared with women without a parental history of hypertension, women with a parental history of hypertension experienced a 20% increased risk of preeclampsia (OR = 1.2; 95% CI 0.7-2.2) that did not reach statistical significance. Women with a positive parental history for diabetes had a 3.4-fold increased risk of preeclampsia (95% CI 1.4-8.4). Women with a positive parental history of both hypertension and diabetes, as compared with those whose parents had neither condition, experienced a 4.6- fold increased risk of preeclampsia (OR = 4.6; 95% CI 0.9-23.0). Our results are generally consistent with the thesis that parental history of hypertension and diabetes reflects genetic and behavioral factors whereby women may be predisposed to an increased risk of preeclampsia.

Adult↗
PubMed1994

Influence of HDL subfractions on erythrocyte aggregation in hypercholesterolemic men. PCVMETRA Group.

Recent studies have suggested that rheological mechanisms may be involved in the pathogenesis of ischemic syndromes in hyperlipidemias. We investigated the association between erythrocyte aggregation and components of lipoproteins in the blood of 60 normotensive, hypercholesterolemic men aged 45 +/- 8 years. The rheological parameters assessed were aggregation index (AI) and disaggregation shear rate threshold (gamma t) as determined by laser reflectometry, plasma fibrinogen, total serum protein, and hematocrit. The lipoprotein variables included total cholesterol, triglycerides, high-density lipoprotein (HDL) cholesterol and its subfractions HDL2 cholesterol and HDL3 cholesterol, apolipoprotein (apo) B, apoA-I, HDL particles containing apoA-I without apoA-II (LpA-I), and HDL particles containing both apoA-I and apoA-II (LpA-I/A-II). Covariables considered for possible confounding effects were age, body mass index, and smoking behavior. Fibrinogen, total serum protein, and both aggregation parameters (AI and gamma t) were elevated in this hypercholesterolemic population. Univariate analysis showed that both AI and gamma t correlated positively with fibrinogen (P < .001) and total serum protein (P < .01) and negatively with HDL2 cholesterol (P < .01) and LpA-I (P < .01); gamma t also provided a positive correlation with LpA-I/A-II (P < .05). A multivariate model analysis demonstrated that HDL2 cholesterol, LpA-I, and LpA-I/A-II also emerged as significant factors influencing erythrocyte aggregation; 60% to 68% of the variance of AI and 47% to 64% of the variance of gamma t could be explained by these factors.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed2006

Physical activity intervention studies: what we know and what we need to know: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity); Council on Cardiovascular Disease in the Young; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research.

In this review, our first purpose is to provide an overview of existing physical activity intervention research, focusing on subpopulations and intervention modalities. Our reviews within each area are not exhaustive or quantitative, as each area has been reviewed in more depth in numerous other reports. Instead, our goal is to provide a single document that provides a qualitative overview of intervention research that emphasizes selected topics of particular importance for improving the population-wide impact of interventions. Therefore, in synthesizing this vast literature, we begin with existing reviews of physical activity research in each area and incorporate in our discussions recent reports of well-designed individual physical activity intervention studies that expand the existing research base and/or target new areas of research. Our second purpose is to offer new ideas and recommendations to improve the state of the science within each area and, where possible, to propose ideas to help bridge the gaps between these existing categories of research.

Adolescent↗
PubMed2006

Radiographic 2D:4D index in females: no relation to anthropometric, behavioural, nutritional, health-related, occupational or fertility variables.

BACKGROUND: The ratio of index finger to ring finger length (2D:4D index) may be an indicator of gonadal hormone exposure, because the differentiation of gonads, fingers and toes is influenced by the same HOXA and HOHD genes. Some previous studies have found significant associations between the 2D:4D index and sexual, psychological or behavioural variables. We studied the usability of the radiographic 2D:4D index as a potential predictor of several features in a large female sample. METHODS: 271 female dentists and 219 teachers (age 45 - 63 years) had their hands radiographed and their right 2nd and 4th fingers measured from the base of the bony proximal phalanxes to the tip of the distal phalanxes to define the radiographic 2D:4D index. The study subjects were classified into two distinctly separate clusters (by using cluster analysis with the K-means algorithm) in each of the following dimensions: anthropometric (including four items), behavioural (five items), nutritional (five items), health-related (seven items), occupational (Karasek job control and job demand scores) and fertility (four items). RESULTS: The radiographic 2D:4D index ranged from 0.845 to 0.981 (mean 0.925, SD 0.021). The intraclass correlation between three radiographers' measurements (31 cases) was 0.971. No differences concerning the 2D:4D index were found between clusters 1 and 2 in any studied dimension, nor did any of the items in clusters have relations with the 2D:4D index when tested separately with bivariate tests. CONCLUSION: Despite the ideal set-up of the measuring possibilities in a relatively large radiographic material the variables currently studied were not dependent on the length of finger bones. It can therefore be questioned whether any real associations between the bony 2D:4D index in adult life and (direct or indirect) hormone dependent effects exist. There may be a publication bias explaining that mostly positive findings have been the previously reported. However, the associations of the 2D:4D index with various features, if present, may be related to the soft parts of fingers rather than to the length of bones.

Adult↗
PubMed2004

Reaching unhealthy eaters: applying a strategic approach to media vehicle choice.

Founded upon the argument that unhealthy eaters need to be reached through strategic choices that are driven by adequate formative research, this article examines the media consumption patterns of unhealthy eaters. Based on an analysis of the 1999 Lifestyle data, the article points out that healthy and unhealthy eaters differ systematically in their media choices. While television news is the most effective channel for reaching healthy eaters, television sports and entertainment-oriented Internet are the two major media categories consumed by the unhealthy eater. Also, healthy eaters are more likely to be drawn to print media, suggesting that print-based healthy eating campaigns are unlikely to reach the at-risk group. The article recommends the exploration of alternative entertainment-oriented channels and content strategies to effectively reach the unhealthy eater.

Consumer Behavior↗
PubMed2006

Order out of chaos: the self-organization of communication following the anthrax attacks.

This article describes 5 communication challenges faced by the author as she managed the communication response by the Centers for Disease Control and Prevention to the anthrax attacks of 2001: communicating uncertainty, selecting credible spokespersons, collaborating with other organizations, satisfying a competitive 24/7 media, and speed. The lessons learned in responding to these challenges led to profound changes in the way communication was organized in the agency. These changes are described within the framework of chaos theory.

Anthrax↗
PubMed1999

Health behavior change models and their socio-cultural relevance for breast cancer screening in African American women.

Models of health behavior provide the conceptual bases for most of the breast cancer screening intervention studies. These models were not designed for and have not been adequately tested with African American women. The models discussed in this paper are: The Health Belief Model, the Theory of Reasoned Action/Theory of Planned Behavior, and the Transtheoretical Model. This paper will examine the socio-cultural relevance of these health behavior models, and discuss specific socio-cultural dimensions that are not accounted for by these paradigms. It is critical that researchers include socio-cultural dimensions, such as interconnectedness, health socialization, ecological factors and health care system factors into their intervention models with African American women. Comprehensive and socio-culturally based investigations are necessary to guide the scientific and policy challenge for reducing breast cancer mortality in African American women.

Black or African American↗
PubMed1997

Demarketing products which may pose health risks: an example of the tobacco industry.

This paper considers the concept of demarketing as it relates to the tobacco industry and cigarettes but application can be made to other industries which market potentially "unsafe" products. The focus of the paper is on cigarettes and their marketing and demarketing as mature products in the Product Life Cycle. Public policy and consumer education are discussed as methods to aid in the demarketing of mature products which may pose health risks.

Adolescent↗