Andrea Tanner, A., Friedman, D. B., Bergeron, C.D., Zheng, Y., Schrock, C., Bornstein, D., Segar, M & Swift, N., Health Promotion Practice, in press
Thai, C. L., Taber, J. M., Oh, A., Segar, M., Blake, K. D., Patrick, H., American Journal of Health Promotion, in press
Segar, M.L., American College of Sports Medicine’s Health & Fitness Journal, (March/April 2019).
Kinsey, A.W., Segar, M.L., Barr-Anderson, Whitt-Glover, M.C., & Affuso, O., Racial and Ethnic Health Disparities, in press
Studying positive outliers, individuals who have achieved success with long-term physical activity engagement, may be an important approach for understanding strategies for improving leisure-time physical activity maintenance among African American women. This cross-sectional, mixed-methods study (1) examined the personal characteristics, physical activity patterns, and behavioral practices of positive outliers among African American women and (2) compared characteristics of those who maintain physical activity at recommended levels with those who maintain low volumes. Findings identify factors that may be important for successful physical activity maintenance among African American women and may help to inform the development of effective behavioral interventions to promote sustained, long-term physical activity engagement in this population.
Rahrig Jenkins, K., Fakhoury, N., Richardson, C., Segar, M., Krupka, E., & Kullgren, J., Health Promotion Practice, (June, 2018)
Many employers now incentivize employees to engage in wellness programs, yet few studies have examined differences in preferences for incentivizing participation in healthy behaviors and wellness programs. This survey of 2,436 employees of a large university about their preferences for incentivizing participation in different types of healthy behaviors found that preferences differed by employees’ socioeconomic and demographic characteristics. Organizations may consider using survey data on employee preferences for incentives to more effectively engage higher risk populations in wellness programs.
Mailey, E., Dlugonski, D. M., Hsu, W. & Segar, M., Journal of Physical Activity & Health (2018).
Many parents are insufficiently active. The purpose of this study was to sought to understand goals that drive sustained exercise participation among parents. The study concluded that only goals related to immediate affective outcomes were associated with both autonomous motivation and exercise behavior over time. These findings support recent calls to “rebrand exercise” as a means to improve daily well-being. Such goals may drive parents to prioritize exercise because they value the immediate benefits it provides.
Fant Brzoznowski, K., Janney, C., Richardson, C, Dopp, R., Segar, M., Ganoczy, D., Mooney, A., Aston Miller, L, Sellenraad S., Suttmann, T., Emerson, L, Valenstein, M., General Hospital Psychiatry (Volume 49: 63-66, 2017).
This study assessed the beliefs, barriers and preferences for physical activity among users of outpatient mental health services. Outpatient discussions with mental health providers were also evaluated.
Purkiss, A., Journal of Women’s History (Summer 2017).
In the early twentieth century, Americans began to stigmatize fatness and engage in purposeful exercise in search of thinness, health, and beauty. Historians, however, have excluded black women from this story. This article considers the relationship between notions of beauty, fatness, black womanhood, and the physical culture movement—a white-led fitness campaign that took place between 1900 and the 1930s. It argues that middle-class black women used physical culture to promote their ideals of beauty and the slender black female body at a time when thinness held new civic and political meaning. From the turn of the twentieth century, middle-class blacks began to reject fatness and encourage black women to slim down, beautify, and enhance their bodies through purposeful exercise. By examining this discussion of black anti-fat bias, this article seeks to challenge assumptions about black women’s ideas of beauty, fat acceptance, and their relationship to weight.
access via Project Muse
Segar, M., ACSM’S Health & Fitness Journal (July/August 2017).
Health economist Jane Sarasohn-Kahn recently noted research showing that wearable activity trackers and smart watches are among the fastest-growing segment in consumer electronic purchases. It seems as if there is a fitness tracker on every wrist, and people are more than happy to share their statistics about steps and reps and minutes spent moving. Because of their tremendous commercial success and burgeoning role in promoting physical activity within the fitness, wellness, and health care arenas, it is important to critically consider both the limitations and promises of activity trackers and wearables in cultivating sustainable motivation to move. This article will discuss some concerns regarding activity tracking alone to motivate behavior, describe science related to enhancing physical activity motivation more generally, and then show how this science can become an ally to tracking apps and wearables to boost their motivational potency, engagement, and the sustainability of physical activity.
Segar, M., Taber, J., Patrick, H., Thai, C., and Oh, A. BMC Public Health (May 2017).
In a new study funded internally by the National Cancer Institute, Dr. Michelle Segar and co-investigators analyzed what women say makes them feel happy and successful, and how their expectations and beliefs about exercise foster or undermine those things.
The findings, which appear in the journal BMC Public Health, show that both active and inactive women report the same ingredients for feeling happy and successful, including connecting with others, relaxing and being free of pressures, and accomplishing goals. But the study also found that for inactive women, their beliefs and expectations about exercise actually thwarted the things that make them feel happy and successful. For example, inactive women believe “valid” exercise must be intense, yet they want to feel relaxed during their leisure time; they feel pressured to exercise for health or to lose weight, yet during their leisure time they want to be free of pressures; and, they believe that success comes from achieving goals, yet their expectations about how much, where and how they should be exercising means they can’t achieve these goals.
“There are important implications from this study on how we can help women better prioritize exercise in their day-to-day life,” Segar concludes. “We need to re-educate women that they can move in ways that will renew instead of exhaust them, and more effectively get the message across that any movement is better than nothing. To increase motivation to be physically active, we need to help women to want to exercise instead of feeling like they should do it.”
Djuric, Z., Segar, M., Orizondo, C., Mann, J., Faison, M., Pedireddy, N., Paletta, M. & Locke, A., Journal of the American Board of Family Medicine (2017).
Background: Health coaching is potentially a practical method to assist patients in achieving and maintaining healthy lifestyles. In health coaching, the coach partners with the patient, helping patients discover their own strengths, challenges, and solutions.
Methods: Two medical assistants were provided with brief training. The 12-week program consisted of telephone coaching with in-person visits at the beginning and end of the program. Coaching targeted improvements in diet, physical activity, and/or sleep habits using a self-care planning form.
Results: A total of 82 subjects enrolled in the program, 72% completed 8 weeks and 49% completed 12 weeks. Subjects who completed assessments at 12 weeks had significant weight loss despite the fact that weight loss was not a study goal. There also were improvements in diet and physical activity. Subject who completed the study were highly satisfied with the program and felt that health coaching should be available in all family medicine clinics. The main barrier providers voiced was remembering to refer patients. The medical providers indicated high satisfaction with the study and valued having coaching available for their patients.
Conclusions: Medical assistants can be trained to assist patients with lifestyle changes that are associated with improved health and weight control.
Woolford, S., Woolford-Hunt,C., Sami, A., Blake, N., Williams, D., BMC Obesity (July 2016).
Are lower levels of physical activity among African-American teens related to hair care?
This recently-published small study included 36 African-American girls ages 14 to 17 in three states. The authors found a consistent theme among participants: Adolescent girls preferred straightened hair, which was viewed as the most “attractive” style, and said they avoided getting wet or sweating during exercise because they worried it would ruin their hairstyle.
Segar, M., Heinrich, K., Zieff, S., Lyn, R., Gustat, J., Tompkins, N.O., Perry, C., Meyer, M.R.U., Bornstein, D., Manteiga, A., Eyler, A., Journal of Transport & Health (July 2016).
Population-wide initiatives aim to educate individuals about the benefits of walking, such as Step It Up! (United States), Walking for Health (England), and Canada Walks (Canada). Low-income women are a strategic group to target for walking communications because lower-income individuals and women have lower rates of physical activity than the general population and men. For messages to motivate mothers to walk, however, they need to frame walking in ways that makes walking sufficiently relevant and compelling. The study authors investigated what walking means to low-income urban mothers as a first step toward identifying more compelling and motivating ways to frame and communicate about walking to them. These data offer insights into preliminary suggestions for framing walking to boost its daily relevance, desirability, and usefulness to low-income urban mothers.
Segar, M., Guérin, E., Phillips, E., Fortier, M., Current Sports Medicine Reports (July/August 2016).
Through research on decision-making, motivation, consumer behavior, and meaningful goal pursuit, this article features six evidence-based issues to help clinicians make physical activity more relevant and compelling for patients to sustain in ways that concurrently support patient-centered care. Physical activity prescriptions and counseling can evolve to reflect affective and behavioral science and sell exercise so patients want to buy it.
Connell, C., McLaughlin, S., Janevic, M., Journal of Aging and Health (July 2015).
In this investigation, SHARP Pilot Grant recipient Cathleen Connell (Public Health, U-M) examined engagement in physical activity over a 6-year period among older U.S. adults with diabetes and the impact of gender on physical activity over time. Findings showed less than half of older adults with diabetes were physically active at baseline, with the percentage of men engaging in physical activity greater than for women. Over the 6-year period, the probability of engaging in physical activity declined by more than 30%, with no significant variation by gender. Although men and women experienced similar declines in physical activity, the physical activity trajectory for women started and remained less favorable than for men.
Segar, M. L. & Richardson, American Journal of Preventive Medicine (2014).
Leveraging insights from key affective and behavioral science, this open-access Commentary in the American Journal of Preventive Medicine discusses how to make walking communications more relevant and persuasive to foster long-term motivation and behavioral maintenance.
Segar, M. L. Updegraff, J., Zikmund-Fisher, B., & Richardson, C., Journal of Obesity, (Special Issue on Motivation, Self-regulation, and Weight Control, 2012).
This paper describes a randomized experiment investigating which benefits from exercise are more motivating to overweight and obese men and women and suggests that differences exist by gender and BMI.
Segar, M. L., Eccles, J. S., & Richardson, C., International Journal of Behavioral Nutrition and Physical Activity (2011).
This paper describes a study investigating which benefits from exercise are most valued and predict the most and least participation over time and suggests that a gap exists between what people say they value about exercising what motivates the most participation.
Veliz, P., McCabe, S.E., Eckner, J., Schulenberg, J., JAMA (September 2017).
Little is known about the prevalence and correlates of concussions among US adolescents. A regional study of Canadian adolescents found that approximately 20% had sustained a concussion. Providing a national baseline of concussion prevalence and correlates is necessary to target and monitor prevention efforts to reduce these types of injuries during this important developmental period.
Veliz, P., McCabe, S.E., McCabe, V., Boyd, C., American Journal of Preventative Medicine (November 2017).
Although sport participation among adolescents has been found to lower the risk of traditional cigarette smoking, no studies to date have assessed if this type of physical activity lowers the risk of e-cigarette use among adolescents.
Veliz, P., McCabe, S.E., Boyd, C., Journal of Adolescent Health (2017).
This study examined the prevalence of nonmedical use of prescription opioids and heroin use, among high school athletes.
Researchers examined data from more than 21,000 high school seniors surveyed between 2006 and 2014. Overall, they didn’t find any differences in prescription or illegal opioid use between students who played at least one competitive sport and non-athletes. The study did, however, find an increased risk with three sports: hockey, weightlifting and wrestling.
Veliz, P., Schulenberg, J., Patrick, M., Kloska, D., Zarrett, N., McCabe, S.E., International Review for the Sociology of Sport (2017).
The objective of this study is to examine how participation in different types of competitive sports (based on level of contact) during high school is associated with substance use 1 to 4 years after the 12th grade. The analysis uses nationally representative samples of 12th graders from the Monitoring the Future Study, who were followed 1 to 4 years after the 12th grade. The longitudinal sample consisted of 970 12th graders from six recent cohorts (2006–2011). The analyses, which controlled for 12th grade substance use, school difficulties, time with friends, and socio-demographic characteristics, found that respondents who participated in at least one competitive sport during the 12th grade had greater odds of recent binge drinking 1 to 4 years after the 12th grade, when compared to their peers who did not participate in sports during their 12th grade year. Moreover, respondents who participated in high-contact sports (i.e. football, ice hockey, lacrosse, and wrestling) had greater odds of binge drinking and engaging in marijuana use 1 to 4 years after the 12th grade when compared to their peers who did not participate in these types of sports during their 12th grade year.
Accordingly, the findings indicate important distinctions in sport participation experiences on long-term substance use risk that can help inform potential interventions among young athletes.
Veliz, P., Boyd, C., McCabe, S.E., Pediatrics (August 2016).
Teen athletes are less likely to abuse prescription opioids and heroin than non-athletes, indicating that sports participation may have a “protective factor,” according to a new study by researchers Philip Veliz, Carol Boyd and Sean Esteban McCabe.
The study’s authors write, “The physical activity and positive social connections embedded within sport may serve as a positive developmental experience that can potentially deter youth from serious types of illicit substance use like NPOU (nonmedical prescription opioid use), heroin or cocaine.”
Eckner J.T., Seifert T., Pescovitz A., Xeiger M., Kutcher J. , Clin J Sports Med (July 2016).
The purpose of this study was to investigate the association between migraine headache and concussion in athletes. Controlling for between-group differences in age and sex, there was a significant positive association between concussion group status and history of migraine headache. However, when including a previous concussion history in the statistical model, this relationship failed to reach significance. These results suggest that there is an association between migraine headache and concussion in athletes, but the cause-effect nature of this relationship cannot be determined. Migraine headache should be considered a modifying factor when caring for concussed athletes.
Zdroik, J., Veliz, P. , Journal of Physical Activity & Health (2016).
School districts in the United States are turning towards new sources of revenue to maintain their interscholastic sports programs. One common revenue generating policy is the implementation of participation fees, also known as pay-to-play. One concern of the growing trend of participation fees is how it impacts student participation opportunities. This study looks at how pay-to-play fees are impacting participation opportunities and participation rates in the state of Michigan.
Veliz, P., Boyd, C., McCabe, S.E., Addictive Behaviors Report (June 2016).
Researchers published a secondary analysis of the Youth Risk Behavior Survey (2009-2013) which assessed adolescents’ past 30-day use of cigarettes, alcohol, and marijuana among sexual minority athletes, heterosexual athletes, heterosexual non-athletes, and sexual minority non-athletes. While a robust literature exists regarding substance use patterns among adolescent athletes, no studies have examined substance use among adolescent sexual minority athletes; a subpopulation of adolescents that may experience greater rates of substance use due to their marginalized status within the context of sport.
The results of the study suggest that the context of sport may not be an additional site for stress among adolescent athletes who identify as a sexual minority, and subsequently may have little impact on substance use behaviors. However, participating in sport may not serve as a protective context for adolescent sexual minorities given that substance use behaviors may be learned and reinforced.
Veliz, P., Epstein-Ngo, Q., Zdroik, J., Boyd, C., McCabe, S.E., Substance Use & Misuse (March 2016).
Researchers examined different types of substance use and diagnosis of substance use disorders among sexual minority collegiate athletes. Findings show that sexual minority collegiate athletes had greater odds of past 30-day cigarette use, past 30-day alcohol use, past 30-day marijuana use, and indicating being diagnosed or treated for a substance use disorder during the past 12 months when compared to either heterosexual collegiate athletes or heterosexual nonathletes, but had similar odds on these outcomes when compared to sexual minority nonathletes. Sexual minority collegiate athletes also had greater odds of binge drinking during the past 2 weeks when compared to either heterosexual nonathletes or sexual minority nonathletes, but had similar odds on this outcome when compared to heterosexual collegiate athletes. Additional analyses by gender reveal that male sexual minority athletes are at the greatest risk of being diagnosed or treated for a substance use disorder. The authors conclude that sexual minority collegiate athletes (particularly males) may be at a greater risk of substance use disorders in part because of the difficulty of trying to maintain an athletic identity within a social environment that is traditionally homophobic.
Veliz, P., Sabo, D., Health Behavior and Policy Review (March 2016).
Researchers sought to improve understanding of how inequalities based on sex, race/ethnicity, and socioeconomic status influence opportunities to participate in sports during adolescence. Data from the Monitoring the Future survey were merged to analyze attrition rates in 15 different organized sports in the United States. The average attrition rate between 8th and 12th grades was roughly 32%, with field hockey, gymnastics, and volleyball generating the highest attrition rates. Multivariate analyses confirm that sports with greater percentages of girls and minorities have significantly higher attrition rates.
Cooky, C., Messner, M.; Musto, M., Communication & Sport (June 2015).
The last quarter century has seen a dramatic movement of girls and women into sport, but this social change is reflected unevenly in sports media. This study, a 5-year update to a 25-year longitudinal study, indicates that the quantity of coverage of women’s sports in televised sports news and highlights shows remains dismally low. Even more so than in past iterations of this study, the lion’s share of coverage is given to the “big three” of men’s pro and college football, basketball, and baseball. The study reveals some qualitative changes over time, including a decline in the once-common tendency to present women as sexualized objects of humor replaced by a tendency to view women athletes in their roles as mothers. The analysis highlights a stark contrast between the exciting, amplified delivery of stories about men’s sports, and the often dull, matter-of-fact delivery of women’s sports stories. The article ends with suggestions for three policy changes that would move TV sports news and highlights shows toward greater gender equity and fairness.
To download a free PDF copy of the study, please go to: http://com.sagepub.com/content/early/2015/06/05/2167479515588761.abstract
Veliz, P., Schulenberg, J., Patrick, M., Kloska, D., Zarrett, N., McCabe, S.E., International Review for the Sociology of Sport (May 2015).
The objective of this study is to examine how participation in different types of competitive sports (based on level of contact) during high school is associated with substance use 1 to 4 years after the 12th grade. The analyses, which controlled for 12th grade substance use, school difficulties, time with friends, and socio-demographic characteristics, found that respondents who participated in at least one competitive sport during the 12th grade had greater odds of binge drinking during the past two weeks 1 to 4 years after the 12th grade, when compared to their peers who did not participate in sports during their 12th grade year. Moreover, respondents who participated in high-contact sports (i.e. football, ice hockey, lacrosse, and wrestling) had greater odds of binge drinking and engaging in marijuana use during the past 30 days 1 to 4 years after the 12th grade when compared to their peers who did not participate in these types of sports during their 12th grade year. Accordingly, the findings indicate important distinctions in sport participation experiences on long-term substance use risk that can help inform potential interventions among young athletes.
Veliz, P., Boyd, C., McCabe, S.E., Substance Use & Misuse (January 2015).
The major objective for this investigation is to examine the relationship between sports participation and substance use among adolescents and young adults. The impetus for this question stems from the unsettled debate regarding the role of sport in the development of adolescents and young adults. The paper concludes that parents, educators, and policy makers need to consider that some sporting contexts may be a catalyst to engage in risky behaviors like substance use.
Heinze, J., Heinze, K, Davis, M., Butchart, A., Singer, D., Clark, S., Youth & Society (October 2014).
Pay-to-play fees in public schools place more support for sport participation in the hands of parents; this may disproportionately affect the ability of girls to garner the benefits of sports. Using an online survey of a national sample of parents (N = 814), we examined the relationship between parents’ gender role beliefs, parents’ beliefs about the benefits and monetary value of sports, and the types of sports their daughters play. The results indicate that parents placed somewhat greater value on sport for sons, than for daughters, both ideologically and financially. Gender role beliefs played a small, but significant role, in shaping parents’ beliefs about their daughters’ involvement in sport, and the types of sports their daughters play.
Veliz, P., Epstein-Ngo, Q., Meier, E., Ross-Durow, P., Boyd, C., & McCabe, S., Journal of Adolescent Health (March 2014).
This manuscript analyzed the association between different types of sports participation and medical use and misuse of prescription opioids. Given the higher risk of injuries among adolescents who participate in sport, this study reports on the sports participants were at a greater risk to medically use or misuse opioid medications.
A Gender Specific Analysis of the Relationship Between Interscholastic Sports Participation and AP Enrollment.
Veliz, P., Shakib, S., Sociological Focus (January 2014).
Using a national sample of 4,644 public high schools during 2009-2010, this study investigates the association between gender and schools’ sport participation rates and schools’ advanced placement enrollment rates (AP math, AP science, AP foreign language, and overall AP enrollment).
Veliz, P., McCabe, S. & Boyd, C., American Journal of Public Health, (2013).
This manuscript analyzed the association between different types of sports participation and nonmedical use of prescription opioids. Certain high contact sports (i.e., wrestling and football) were found to be associated with a greater risk of nonmedical use of opioids (this could be the result of higher injury rates in high contacts sports).
Veliz, P., McCabe, S. & Boyd, C., Journal of Studies on Alcohol and Drugs, (2013).
A primary motive for adolescents and young adults to nonmedically use prescription stimulants is to help them study.Â Adolescents and young adults are using prescription stimulants, such as Adderall, as performance enhancers in certain social domains, including academics and sports. This exploratory study examined whether certain types of sports participation were associated with a greater risk to nonmedically use Adderall.
By Michelle Segar, Amacom (2015)
Translating twenty years of research on exercise and motivation into a simple four-point program, Michelle Segar helps readers broaden their definition of exercise, find pleasure in physical activity, and discover realistic ways to fit it into their lives. Activities we enjoy, we repeat—making this evidence-based system more sustainable in the long run than a regimen of intense workouts. No Sweat reveals that while “better health” or “weight loss” sound like strong incentives, human beings are hardwired to choose immediate gratification over delayed benefits.
Edited by Juan Luis Paramio Salcines, Kathy Babiak, Geoff Walters, Routledge (2014)
The Routledge Handbook of Sport and Corporate Social Responsibility is the first book to offer a comprehensive survey of theories and concepts of CSR as applied to sport, and the social, ethical and environmental aspects of sport business and management. It offers an overview of perspectives and approaches to CSR in sport, examines the unique features of the sport industry in relation to CSR, explores the tools, models, common pitfalls and examples of best practice on which managers can draw, and discusses how CSR and corporate citizenship can be integrated into the sport management curriculum.
January, 2018– SHARP scholar Philip Veliz coauthored a report examining the impact of sports participation on teen health, well-being and academic achievement, which was commissioned and published by the Women’s Sports Foundation. The study sought to understand how each sport impacts teen well-being, and whether the number of sports in which a teen participates influences their health. It also sought to better understand whether sports opportunities overall, as well as individual sports, are accessible to all teens across genders, race and ethnicities, levels of family income and regions. Finally, the report seeks to identify the unique benefits and opportunities for improvement that exist within each sport to maximize the health benefits for teens.
The full report and executive summary are available from the Women’s Sports Foundation website (link)
Gender Bias and Coaches of Women’s College Sports
June, 2016–Research Assistant Professor and SHARP scholar Philip Veliz coauthored a report on gender bias & women’s college sports coaches, which was published by the Women’s Sports Foundation. The study assessed the workplace experiences and views of female and male coaches across the spectrum of national, intercollegiate sports.
Beyond X’s & O’s is the largest ever nationally representative survey of female and male coaches of women’s college sports. The findings confirm there is systemic gender bias in the coaching workplace of women’s college sports, and that while many female coaches experience gender bias, few of their male counterparts perceive it.
Key findings and the full report are available at BeyondXandO.org.
Girls of Color and School Sports Opportunities
April, 2015–This report by the National Women’s Law Center and the Poverty & Race Research Action Council, with support from Active Living Research, the University of Michigan’s Sport, Health, and Activity Research and Policy Center, Institute for Research on Women and Gender, School of Kinesiology, and the Women’s Sports Foundation, examines sports participation opportunities by girls of color in U.S. high schools.
Title IX at 40 Conference White Paper
February, 2013–This white paper reviews the proceedings of Progress and Promise: Title IX at 40, a SHARP conference held at the University of Michigan, May, 9-11, 2012. Following the discussion of the conference themes and key takeaways are areas of future research discussed at the Title IX at 40 Conference and compiled by the SHARP Center. There is great opportunity for researchers to link Title IX with many of these future research directions.
An Analysis of Participation and Leadership Opportunities
April, 2013–SHARP has released its latest research report, which provides new insights into the generally poor representation of women in leadership roles and sports participation in the international and U.S. Olympic and Paralympic organizations. The ground-breaking report also assesses the extent that the International Olympic Committee (IOC), International Paralympic Committee (IPC), and United States Olympic Committee (USOC) are fulfilling their stated missions with respect to gender equality.
Gender Equity in High School Sports
Oct. 2012–This SHARP report provides valuable insights into the state of high school athletics and the inequalities that still exist in the US public school system, despite the passing of the landmark legislation, Title IX, 40 years ago.
Progress without Equity
The SHARP Center for Women and Girls is pleased to announce its participation in the first-of-its-kind report on gender and high school sports participation, recently released by our collaborator, the Women’s Sports Foundation. This report, “Progress Without Equity: The Provision of High School Athletic Opportunity in the United States, by Gender 1993-94 through 2005-06,” flows from an analysis of high schools that is unprecedented in its national and historical scope. It uses merged data from the Civil Rights Data Collection and the Common Core of Data, which is collected by the National Center for Education Statistics.