Background: Cyberbullying is a critical public health issue that significantly impacts youth development and health. Adverse childhood experiences (ACEs) are known predictors of cyberbullying victimization. Although it is crucial to identify risk factors of both perpetration and victimization, the risk factors of cyberbullying perpetration remain unclear. Additionally, existing literature is limited as they focused on cumulative ACEs which may not capture the dimensional effects of ACEs such as threat (experiences related to abuse), or deprivation (e.g., neglect or lack of resources). The current study aimed to assess how different types of ACEs are associated with perpetration and victimization of cyberbullying.

Methods: We utilized data from baseline and second-year follow-up of the Adolescent Brain Cognitive Development (ABCD) Study, a longitudinal study of youth development and health outcomes in the United States. ACEs exposure was assessed through parent and adolescent responses and cyberbullying behaviors were assessed with a validated cyberbullying scale and recoded as binary variables. We conducted cross-sectional logistic regression analyses.

Results: Exposure to threat was associated with both cyberbullying victimization (OR = 1.34, 95% CI =1.12-1.62) and perpetration (OR = 1.43, 95% CI =1.05-1.96) controlling for age, sex, and race/ethnicity. Conversely, deprivation exposure was associated with cyberbullying victimization (OR = 1.14, 95% CI =1.08-1.21) and not perpetration while controlling for covariates.

Conclusion: These findings advance our understanding of the distinctive impact of different dimensions of ACEs on cyberbullying perpetration and victimization and underscore the need for increased efforts to mitigate the prevalence of ACEs, thereby promoting youth development and health.

Introduction
Access to healthy, affordable, and culturally appropriate food is essential for student well-being, yet international students often face barriers in obtaining such food. This study employed photovoice, a participatory research method that uses photography and storytelling to document experiences and advocate for change, to explore the challenges international students face in food access and identify actionable solutions.

Methods:
The study engaged international students at a Connecticut university. Participants (N=15) received training to learn how to use images to answer the research question: what are the barriers international students face when it comes to accessing affordable, healthy, and culturally-appropriate food? They were given two weeks to capture images, of which a select few were used for a follow-up focus group discussion. Using the SHOWeD technique—asking What do you See? What is really Happening? How does this relate to Our lives? Why does this problem or strength exist? What can we Do about it?—the research team facilitated discussions with the participants, analyzing the images to uncover underlying factors.

Results
Thematic analysis revealed key barriers, including limited culturally relevant food options on campus, high costs, transportation challenges, and restrictive meal plans. Recommendations included expanding culturally inclusive dining options, improving transportation access to diverse grocery stores, and increasing awareness of available resources.

Conclusions
This study highlights the need for institutional policies that enhance food access for international students. By centering student voices through participatory research, these findings offer insights for university leaders and other decision-makers to create a more inclusive, supportive campus environment.

Background: Insomnia increases risks of adverse cardiometabolic health outcomes, including hypertension, obesity, diabetes, and cardiovascular disease, with higher prevalence among rural adults. Resilience may alleviate insomnia symptoms by enhancing an individual’s ability to cope with stress. This study examines the relationship between insomnia and resilience, providing evidence on the protective effects of resilience against insomnia in rural adult populations.

Methods: Data were collected from adult participants within rural southeastern communities through the ongoing Short Sleep Undermines Cardiometabolic Health-Public Health Observational Study (SLUMBRx-PONS). Insomnia, the outcome variable, was assessed using the validated Insomnia Severity Index and binary coded (1=insomnia, 0=no insomnia). Resilience was measured using the validated Brief Resiliency Scale and categorized as low, normal, and high. A simple logistic regression was conducted to examine the relationship between insomnia and resilience levels.

Results: 46.7% of the participants (n=120) reported insomnia. 65.0% of the participants had normal resilience, followed by high resilience (18.3%) and low resilience (16.7%). Individuals with low resilience had significantly higher odds of reporting insomnia compared to those with normal resilience (OR=3.50, 95% CI: 1.16-10.58). Although those with high resilience had lower odds of reporting insomnia than those with normal resilience, the association was not statistically significant (OR=0.343, 95% CI: 0.12-1.02).

Conclusion: Results indicated an association between resilience and insomnia, with lower resilience linked to higher odds of insomnia. Examining the role of psychosocial factors like resilience in mitigating insomnia symptoms among rural adults is crucial, as improved sleep quality may offer a protective pathway against cardiometabolic disease progression.

Introduction

About 46% of health professionals’ experience burnout in the US, corresponding to detrimental burden on patient care. StressPal Frontline is an interactive, online resilience and burnout prevention program designed to engage participants, build psychological flexibility, stress resilience and a positive culture. This qualitative study aimed to analyze how participation in StressPal training influenced healthcare professionals’ perception of self-care for building resilience in their life.

Methodology

Participants included physicians, nurses, behavioral health specialists and entry-level health practitioners, who completed the StressPal training. We conducted thematic analysis of the qualitative responses from an open-ended question on: “how your personal concept of "self-care" has changed (after starting the StressPal Program) to include strategies to protect and build your resilience”.

Findings

Reluctancy about self-care, distressing thoughts, and stressful events in life put the participants in a difficult position to prioritize and honor their self-value. Participants emphasized that the StressPal training gave them an increased understanding of the significance of self-care investments (i.e., implications of detoxifying mind, observing emotions, and acknowledging stressors). As their self-awareness improved, participants reminded themselves to take moments to reflect on their emotions, take a break from ‘stressful events’ at work, question negative thoughts, and practice refocusing.

Conclusion

StressPal training worked as an ‘eye-opener’ to redefine perceived self-care among healthcare professionals, motivating a shift to a positive mindset and taking proactive action for building resilience. The importance of self-care training should be taken into account when formulating health workforce protection policies to ensure wellbeing for health workforce and address burnout.

Background: While patient trust and socio-demographics influence health behavior, few studies explore physician-patient concordance in vaccine decisions, particularly in regions with significant health disparities like Mississippi (MS). We examined how trust in physicians’ demographic attributes, shaped by favorable demographic concordance with MS participants (e.g., race, gender, and age), influence participants' intentions to get vaccinated. We also investigated whether these patterns persist when controlling other demographic variables such as medical insurance, education, income, marital status, and political affiliations.

Methods: This study conducted a secondary analysis of the "Mississippi State Department of Health Coronavirus (COVID-19) Vaccine Confidence Survey," among Mississippians (N=11,000) (Dec 2020–Mar 2021). Ordinal logistic regression assessed physician-patient demographic trust concordance on vaccination intentions, controlling for other demographics.

Results: Ordinal logistic regression analyses revealed that race-concordant physician trust consistently predicted lower vaccine intentions, likely due to historical (mis)trust in healthcare. Gender- and age-concordant physician trust initially had a negative effect but became positive when adjusting for demographic and socio-economic factors. Demographic-specific analysis showed race-concordant physician trust increased vaccine intentions for both White and Black participants, while gender-concordant physician trust was linked to lower intentions for men and women. Age-concordant physician trust was significant only among older participants, where it negatively influenced vaccine intentions. Education, income, and widowhood increased vaccine confidence, and private/no insurance and Republican affiliation lowered confidence.

Conclusions: While physician diversity, particularly racial concordance, may strengthen trust, MS’s physician shortages necessitate strategic efforts to enhance diversity where feasible as a practical supplement.