Sasha A Fleary
Biographic Data
| ID | 75313 |
|---|---|
| NAME | Sasha A Fleary |
| GIVEN NAMES | Sasha A |
| FAMILY NAME | Fleary |
| SIGNATURE | FLEARY S A |
| AFFILIATIONS | Tufts University |
| ORCID | 0000-0001-9237-2407 |
| VERIFIED | Yes |
| TOTAL WORKS | 23 |
| TOTAL CITATIONS | 12 |
| AUTHOR COUNT | 23 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2018 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Strengthening the organizational health literacy capacity of community-based organizations to support Covid-19 precautionary behaviors in marginalized communities
In March 2021, the Biden administration announced the Advancing Health Literacy to Enhance Equitable Community Responses to COVID-19 initiative that encouraged local and state governments, as well as other public entities to apply for funding to improve COVID-19 prevention behaviors and vaccination among underserved populations in the United States. The initiative specifically called for projects to adopt an approach that included health literacy…
“Understanding the Sociopolitical Climate and What That Means for Me and My Existence in this Country”
A growing body of literature has characterized critical consciousness as a developmental asset, especially among minoritized adolescents, given its association with positive developmental outcomes. However, much is unknown about how critical action (a key component of critical consciousness) develops among Black immigrant youth who uniquely experience both anti‐Black racism and xenophobia in the United States. This qualitative study examines the …
Validation of the Assessments of Adult Health Literacy
Health literacy (HL) is implicated in medical adherence, preventive health, mental health help-seeking, and health decision-making. HL includes three core areas/qualities: functional, interactive/communicative, and critical. Though HL is important in health and health decision-making, research on HL is relatively limited, with most research focused on functional HL. A contributing factor to this research gap is the lack of interactive and critica…
Understanding the knowledge gap in parents’ and teens’ perceptions of cannabis laws
As recreational cannabis becomes legalized, parents and teens may keep up with these changing laws differently, resulting in knowledge gaps in their understanding of this topic. This study aimed to explore parents’ and teens’ knowledge of cannabis legalization in Massachusetts when the law was being implemented in 2018. Interviews were conducted with 42 parents and teens (08/2018-07/2019) to assess their knowledge of cannabis laws, teens’ access …
Designing Health Interventions to Meet the Needs and Experiences of Minoritized Adolescents
Engagement in preventive health behaviors (PHBs; i.e., healthy eating, sleep, and physical activity) during adolescence is associated with reduced risks for chronic conditions, such as diabetes, in adulthood. Although several interventions seek to improve adolescents’ engagement in health promoting behaviors, racial- and income-based disparities across PHBs persist and may be even more pronounced for adolescents with multiple minoritized identiti…
The Relationship Between a Healthy People 2030 Health Literacy-Related Objective (HC/HIT02) and Cancer Prevention and Screening Behaviors
Healthy People 2030 highlights the importance of both personal and organizational health literacy (HL) to improving population health. Yet, most research focuses on personal-level HL or fails to study the effect of both types of HL on health behavior. This study explored the relationships between organizational HL (Healthy People 2030 objective: decrease the proportion of adults who report poor communication with their health care provider), pers…
A Study on How Libraries Operate as Health Spaces in the United States
Benefits of Masks as a School-Based Prevention Intervention Outweigh the Risks
Adolescent health literacy
Adolescence is a critical period for health literacy (HL) development and for decision-making regarding substance use behaviors. Little is known about which sociodemographic factors are related to the three major components of HL (i.e. functional, interactive, critical HL) and the extent to which these components of HL moderate the relationship between sociodemographic determinants of substance use avoidance and avoidance for adolescents. This st…
Health literacy and health behaviors in parent-adolescent dyads
OBJECTIVE: Health literacy (HL), skills for accessing, appraising and using health information in health decision-making is implicated in adolescents' health behaviors. HL skills develop through scaffolding, modeling, practice and opportunity. Therefore, adolescents' HL skills are likely closely tied to parents' HL and health behaviors. Yet, no studies have examined the dyadic interdependence of the relationship between HL and health behaviors be…
Census Tract Demographics Associated with Libraries’ Social, Economic, and Health-Related Programming
Background : Public libraries can contribute to reducing economic, social, and health inequities through their programming and practices. However, the extent to which libraries regularly provide programming that improve the social determinants of health (SDH) in underserved communities is unclear. Objective : This study explored the relationship between census tract demographic characteristics and library programming implicated in the SDH for und…
Development and validation of assessments of adolescent health literacy
These assessments are the first test-based measures of adolescents' interactive and critical HL, the first test-based measure of functional HL designed for adolescents, and the first composite test-based assessment of all three major areas of HL. These assessments should be used to inform strategies for improving adolescents' HL, decision-making, and behaviors
Effect of Masking to Prevent Covid-19 Transmission in Schools and the Responsibility of States to Protect Public Health
“The Way you Interpret Health”
BACKGROUND: Adolescents are required to take increased responsibility for their health. Although health literacy is implicated in adults' health decision-making and health behaviors, little is known about adolescents' health literacy and its relationship to their health behaviors. Furthermore, adolescent health literacy research overlooks adolescent development-specific needs and skills. Therefore, we qualitatively explored adolescents' (1) defin…
Disparities in Adolescents' Obesogenic Behaviors, 2005-2017
Objectives: Given the increasing national-level efforts to reduce disparities in obesogenic behaviors in youth, in this paper, we assessed the change in disparities in meeting guidelines for fruits and vegetables intake (FV), physical activity (PA), and sedentary behavior (SB) among adolescents in the United States in the last 13 years. Methods: Using the Youth Risk Behavior Surveillance System (2005-2017), overall and characteristic-specific (se…
Adolescents' Health Literacy and Decision-making
Objective: Adolescents assume increased responsibility for their health, particularly regarding health decision-making for lifestyle behaviors. Prior research suggests a relationship between health literacy (HL) and health behaviors in adolescents. Yet, the specific role of HL in adolescents' health decision-making is unclear. This study qualitatively explored adolescents' use of HL in their health decision-making. Methods: Six focus groups with …
Applying the information-motivation-behavioral skills model to explain adolescents’ fruits and vegetables consumption
“They give you back that dignity”
Approximately 33% of the homeless population in 2017 were families with children. Researchers have argued for interventions and services to employ an ecological perspective to mitigate some of the unintentional harm inherent in existing programs designed to serve homeless families. This paper utilized a case study of a transitional housing program to (1) determine how well the program met recommendations informed by the ecological perspective and…
The relationship between food parenting practices, parental diet and their adolescents’ diet
Adolescent health literacy and health behaviors
An Examination of Changes in Social Disparities in Health Behaviors in the US, 2003-2015
The results suggest health disparities in preventive health behaviors in the last 13 years have not improved. Tailored interventions, systemic and policy changes, and/or inclusive population efforts should be initiated to reduce disparities in preventive health for the most- divergent groups identified in the results
Validating Stages of Change for Obesogenic Behaviors Across Filipino and Other Asian-American and Pacific Islander Adolescents
Social Disparities in Obesogenic Behaviors in Adolescents
Adolescent health literacy and health behaviors
An Examination of Changes in Social Disparities in Health Behaviors in the US, 2003-2015
The results suggest health disparities in preventive health behaviors in the last 13 years have not improved. Tailored interventions, systemic and policy changes, and/or inclusive population efforts should be initiated to reduce disparities in preventive health for the most- divergent groups identified in the results
Validating Stages of Change for Obesogenic Behaviors Across Filipino and Other Asian-American and Pacific Islander Adolescents
Social Disparities in Obesogenic Behaviors in Adolescents
“They give you back that dignity”
Approximately 33% of the homeless population in 2017 were families with children. Researchers have argued for interventions and services to employ an ecological perspective to mitigate some of the unintentional harm inherent in existing programs designed to serve homeless families. This paper utilized a case study of a transitional housing program to (1) determine how well the program met recommendations informed by the ecological perspective and…
The relationship between food parenting practices, parental diet and their adolescents’ diet
Adolescents' Health Literacy and Decision-making
Objective: Adolescents assume increased responsibility for their health, particularly regarding health decision-making for lifestyle behaviors. Prior research suggests a relationship between health literacy (HL) and health behaviors in adolescents. Yet, the specific role of HL in adolescents' health decision-making is unclear. This study qualitatively explored adolescents' use of HL in their health decision-making. Methods: Six focus groups with …
Applying the information-motivation-behavioral skills model to explain adolescents’ fruits and vegetables consumption
“The Way you Interpret Health”
BACKGROUND: Adolescents are required to take increased responsibility for their health. Although health literacy is implicated in adults' health decision-making and health behaviors, little is known about adolescents' health literacy and its relationship to their health behaviors. Furthermore, adolescent health literacy research overlooks adolescent development-specific needs and skills. Therefore, we qualitatively explored adolescents' (1) defin…
Disparities in Adolescents' Obesogenic Behaviors, 2005-2017
Objectives: Given the increasing national-level efforts to reduce disparities in obesogenic behaviors in youth, in this paper, we assessed the change in disparities in meeting guidelines for fruits and vegetables intake (FV), physical activity (PA), and sedentary behavior (SB) among adolescents in the United States in the last 13 years. Methods: Using the Youth Risk Behavior Surveillance System (2005-2017), overall and characteristic-specific (se…
Census Tract Demographics Associated with Libraries’ Social, Economic, and Health-Related Programming
Background : Public libraries can contribute to reducing economic, social, and health inequities through their programming and practices. However, the extent to which libraries regularly provide programming that improve the social determinants of health (SDH) in underserved communities is unclear. Objective : This study explored the relationship between census tract demographic characteristics and library programming implicated in the SDH for und…
Development and validation of assessments of adolescent health literacy
These assessments are the first test-based measures of adolescents' interactive and critical HL, the first test-based measure of functional HL designed for adolescents, and the first composite test-based assessment of all three major areas of HL. These assessments should be used to inform strategies for improving adolescents' HL, decision-making, and behaviors
Effect of Masking to Prevent Covid-19 Transmission in Schools and the Responsibility of States to Protect Public Health
Adolescent health literacy
Adolescence is a critical period for health literacy (HL) development and for decision-making regarding substance use behaviors. Little is known about which sociodemographic factors are related to the three major components of HL (i.e. functional, interactive, critical HL) and the extent to which these components of HL moderate the relationship between sociodemographic determinants of substance use avoidance and avoidance for adolescents. This st…
Health literacy and health behaviors in parent-adolescent dyads
OBJECTIVE: Health literacy (HL), skills for accessing, appraising and using health information in health decision-making is implicated in adolescents' health behaviors. HL skills develop through scaffolding, modeling, practice and opportunity. Therefore, adolescents' HL skills are likely closely tied to parents' HL and health behaviors. Yet, no studies have examined the dyadic interdependence of the relationship between HL and health behaviors be…
Validation of the Assessments of Adult Health Literacy
Health literacy (HL) is implicated in medical adherence, preventive health, mental health help-seeking, and health decision-making. HL includes three core areas/qualities: functional, interactive/communicative, and critical. Though HL is important in health and health decision-making, research on HL is relatively limited, with most research focused on functional HL. A contributing factor to this research gap is the lack of interactive and critica…
Understanding the knowledge gap in parents’ and teens’ perceptions of cannabis laws
As recreational cannabis becomes legalized, parents and teens may keep up with these changing laws differently, resulting in knowledge gaps in their understanding of this topic. This study aimed to explore parents’ and teens’ knowledge of cannabis legalization in Massachusetts when the law was being implemented in 2018. Interviews were conducted with 42 parents and teens (08/2018-07/2019) to assess their knowledge of cannabis laws, teens’ access …
Designing Health Interventions to Meet the Needs and Experiences of Minoritized Adolescents
Engagement in preventive health behaviors (PHBs; i.e., healthy eating, sleep, and physical activity) during adolescence is associated with reduced risks for chronic conditions, such as diabetes, in adulthood. Although several interventions seek to improve adolescents’ engagement in health promoting behaviors, racial- and income-based disparities across PHBs persist and may be even more pronounced for adolescents with multiple minoritized identiti…
The Relationship Between a Healthy People 2030 Health Literacy-Related Objective (HC/HIT02) and Cancer Prevention and Screening Behaviors
Healthy People 2030 highlights the importance of both personal and organizational health literacy (HL) to improving population health. Yet, most research focuses on personal-level HL or fails to study the effect of both types of HL on health behavior. This study explored the relationships between organizational HL (Healthy People 2030 objective: decrease the proportion of adults who report poor communication with their health care provider), pers…
A Study on How Libraries Operate as Health Spaces in the United States
Benefits of Masks as a School-Based Prevention Intervention Outweigh the Risks
Strengthening the organizational health literacy capacity of community-based organizations to support Covid-19 precautionary behaviors in marginalized communities
In March 2021, the Biden administration announced the Advancing Health Literacy to Enhance Equitable Community Responses to COVID-19 initiative that encouraged local and state governments, as well as other public entities to apply for funding to improve COVID-19 prevention behaviors and vaccination among underserved populations in the United States. The initiative specifically called for projects to adopt an approach that included health literacy…
“Understanding the Sociopolitical Climate and What That Means for Me and My Existence in this Country”
A growing body of literature has characterized critical consciousness as a developmental asset, especially among minoritized adolescents, given its association with positive developmental outcomes. However, much is unknown about how critical action (a key component of critical consciousness) develops among Black immigrant youth who uniquely experience both anti‐Black racism and xenophobia in the United States. This qualitative study examines the …
Medicine (13 works) · Psychology (13 works) · Health Literacy and Information Accessibility (10 works) · Political science (10 works) · Gerontology (9 works) · Public health (9 works) · Developmental psychology (8 works) · Environmental health (8 works) · Health care (8 works) · Health literacy (8 works)