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Objective: This study examines the psychometrics of the 15-item version of the Five-Factor Mindfulness Questionnaire (FFMQ-15). Participants: An ethnically diverse sample of 538 college students participated in this study. Methods: The factor structure was evaluated through confirmatory factor analyses fitting 64 alternative models with and without method factors. Model fit as well as valid interpretations of the model parameters were considered in selecting the final model. Utilizing the final selected model, the relationship between mindfulness and the mindfulness facets with two related constructs, psychological inflexibility and emotional distress tolerance was examined. Results: The five-facet second-order model with a single-method factor best fitted to the data and provided sound, interpretable estimates. After accounting for the single-method effect, overall mindfulness was positively correlated with emotional distress tolerance and negatively correlated with psychological inflexibility. Conclusions: The FFMQ-15 was a valid measure of mindfulness among university students when accounting for the method factor.

Tobacco-free workplace policies (TFWPs) are underused evidence-based interventions that reduce the elevated use of tobacco among substance use treatment center (SUTC) employees and patients. SUTC employees' anticipated concerns about stakeholder pushback are barriers to TFWP adoption. Examination of discrepancies between anticipated and actualized employee-reported TFWP concerns arising from coworkers, patients, and community members in the context of leadership concerns and tobacco cessation care availability for employees may inform strategies to increase TFWP uptake. This study analyzed changes in employee-reported TFWP concerns from before to after a comprehensive tobacco-free workplace intervention that included TFWP implementation, using Chi-square/Fisher's exact tests. Preimplementation leadership policy concerns and tobacco cessation care availability were examined as moderators in generalized linear mixed models. Overall, 452 employees and 13 leaders provided data from 13 SUTCs collectively serving >82 000 patients annually. Results revealed significant decreases over time in employee-reported concerns about TFWP resistance from coworkers. Moderation analyses indicated that employee-anticipated concerns from coworkers and patients, respectively, were less likely to be actualized in SUTCs where leadership endorsed preimplementation TFWP concerns, whereas employee-reported patient concerns rose over time in SUTCs where leadership had no initial implementation concerns. Additionally, employee-anticipated concerns from coworkers were overestimated in SUTCs that did not offer tobacco cessation care to employees. Results supporting the nonactualization of anticipated employee concerns following TFWP implementation can be used to engage other SUTCs for TFWP adoption. Furthermore, moderation effects may suggest that center characteristics translate to greater attention to rollout, ultimately enhancing TFWP stakeholder acceptance. [ABSTRACT FROM AUTHOR]

This study examines the psychometrics of the 15-item version of the Five-Factor Mindfulness Questionnaire (FFMQ-15). An ethnically diverse sample of 538 college students participated in this study. The factor structure was evaluated through confirmatory factor analyses fitting 64 alternative models with and without method factors. Model fit as well as valid interpretations of the model parameters were considered in selecting the final model. Utilizing the final selected model, the relationship between mindfulness and the mindfulness facets with two related constructs, psychological inflexibility and emotional distress tolerance was examined. The five-facet second-order model with a single-method factor best fitted to the data and provided sound, interpretable estimates. After accounting for the single-method effect, overall mindfulness was positively correlated with emotional distress tolerance and negatively correlated with psychological inflexibility. The FFMQ-15 was a valid measure of mindfulness among university students when accounting for the method factor. [ABSTRACT FROM AUTHOR]

Introduction: We evaluated differences in yearly mammogram screening by smoking status in a sample of US women. We also examined differences in mammogram screening by race/ethnicity, age, and health care coverage.Methods: Data were from 1884 women participants in the 2018 Health of Houston Survey study. Binary logistic regression was used to assess the association between smoking status (current/former/non-smokers) and mammograms within 12 months. Moderators included race/ethnicity (Hispanic, Black, Asian, Other, White), age, and health care coverage.Results: In comparison to women who were non-smokers, current and former smokers showed lower odds to get a yearly mammogram (OR = 0.720; 95% CI = 0.709, .730 and OR = 0.702; 95% CI = 0.693, 0.710, respectively). Current smokers who identified as Hispanic or Black women and former smokers who identified as Hispanic, Asian, and other women showed lower odds of getting a mammogram (OR = 0.635, 95% CI = 0.611, 0.659; OR = 0.951, 95% CI = 0.919, 0.985) and (OR = 0.663, 95% CI = 0.642, 0.684; OR = 0.282, 95% CI = 0.263, 0.302; OR = 0.548, 95% CI = 0.496, 0.606) compared to White women. There were significant interactions by age and health care coverage.Conclusions: Women of color who are current and former smokers showed lower odds to engage in mammogram screening, thus increasing their risk of undiagnosed breast cancer when compared to non-smokers. Ethnically diverse women already experience increased health disparities and smoking puts them at exacerbated risk of health complications and death.Implications: Our findings suggest that smoking status is a modifiable behavioral risk factor that requires further attention in the prevention of breast cancer in ethnic minority women. Health care institutions and policymakers need to increase their awareness of and outreach efforts to women of color who smoke. These outreach efforts should focus on increasing access to smoking interventions and cancer screenings. [ABSTRACT FROM AUTHOR]