AJHE Cover January February 2022
January / February 2022



AJHE: American Journal of Health Education

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  January/February 2022 (Volume 53, Issue 1)

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Table of Contents

Free Access Article
/Instagram Posts Related to Alcohol Use on College Football Game Days after Implementation of an Alcohol Sales Policy
 – Beth H. Chaney, Ryan J. Martin, Hunter Hart & Jordan Cobb

Background: Alcohol-use frequency likely has a causal impact on chronic conditions. Many university/college athletic departments have implemented policies that allow alcohol sales at sporting events. Few studies have assessed the social context and impact of sales at college football games on fan behavior. One method for retrospectively assessing such behavior is to analyze event-specific social media posts to capture behavior displayed as photographs and text captions on event days. Purpose: This study analyzed online data, specific to a Southeast university, posted on Instagram, after implementation of a policy to allow alcohol sales. Methods: The posts were coded by alcohol presentation, alcohol/account type, account owner’s gender, caption, context, likes, and comments present. Results: Key findings included: (i) an increase in alcohol images after policy implementation, although not statistically significant, (ii) alcohol posts portrayed alcohol in an overwhelmingly positive context, and (iii) alcohol content was posted more frequently by women and nonalcohol related businesses, and the primary alcohol present was beer in these posts. Discussion: The use of Instagram for assessing the social context of alcohol use among Instagram users did allow for a better understanding of social characteristics in the context of a specific social activity (i.e., sporting event). Translation to Health Education Practice: This research provides viable data collection methods for examining the social context of event-specific drinking (Area 1.2) and promotes discussions

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Calls to Action for Health Educators: Applying a Social-Ecological Framework for Patients with Limited English Proficiency
Ali Espevik and Michael Stellefson

Market Research–Health Literacy’s Missing Ramp
William Stone and Juliette C. Faughnan

Using Memes to Increase Health Literacy in Vulnerable Populations
Sely-Ann Headley, Tiffiny Jones, Amar Kanekar, and Jody Vogelzang

Accessibility, Readability, and Document Complexity of Medicaid Enrollment Materials and Resources
Bryan An, Varsha Prabu, and Lorraine S. Wallace

Where Do Brazilian Immigrant Parents Obtain Information to Support the Healthful Energy Balance-related Behaviors of Their Preschool-age Children?: A Cross-sectional Study
Ana Cristina Lindsay, Thaís Caires, Qun Le, Denise Lima Nogueira, Márcia M. Tavares Machado, and Mary L. Greaney

Improving Adolescent Self-Rated Health Using a Multiple Health Behavior Change Health Intervention
Katherine A. Seiwert, Lauren Butler, Dan Maynard, Mae Kinkade, and David T. Nill

Effectiveness of Obesity Prevention Program Developed for Secondary School Students
Sema Sal and Murat Bektas