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Michael P. O'Donnell iv Editor’s Notes: Making Health Promotion Tax Deductible: Congressman Weller’s Personal Health Investment Today (PHIT) Act
THE SCIENCE OF HEALTH PROMOTION
Interventions    
    Fitness
Elizabeth Eakin
Wendy Brown
Kerry Mummery
Grant Schofield
Marina Reeves
225 General Practitioner Advice on Physical Activity—Who Gets It?
This study describes the prevalence and characteristics of Australian patients who received physical activity counselling from a general practitioner (GP). A telephone survey was used to collect data on advice received from GPs on physical activity, as well as demographic, medical and physical activity questions. Overall, 24.2% (483/1999) of respondents reported that they had received physical activity advice; advice was more likely to be given to males, overweight/obese people, those with chronic conditions and those more frequently visiting their general practitioner. The results of this study suggest that while GPs are offering physical activity advice to a substantial proportion of patients, especially to those who are most in need of this advice, there is ample room for improvement.
    Tobacco Control
Ana P. Martinez-Donate
Melbourne F. Hovell
C. Richard Hofstetter
Guillermo J. González-Pérez
Marc A. Adams
Anu Kotay
229 Correlates of Home Smoking Bans Among Mexican-Americans
A cross-sectional telephone survey of San Diego adult residents of Mexican descent (N=1,103) found that 90.6% of all respondents reported a ban on smoking in the home. Multivariate analyses indicated that home smoking bans are more likely among individuals that do not smoke, live with children, are more acculturated to U.S. society, report greater aversion to ETS, and/or report more social pressure against indoor smoking.
    Social Health
Jean Adams
Martin White
237 Are the Stages of Change Socioeconomically Distributed? A Scoping Review
A rapid scoping review was conducted to explore the hypothesis that socio-economic position is associated with more advanced stage of change for health behaviors. A total of 21 reports, published between 1982 and 2003, provided data on 188,850 individuals. Significant variations in the distribution of the stages of change were found according to socio-economic position, in the expected direction, in 16 (53%) reports representing 171,182 (91%) individuals. Thus, there is substantial published evidence that more affluent people tend to be in more advanced stages of change than more deprived people.
    Stress Management
Sheila Giardini Murta
Kristy Sanderson
Brian Oldenburg
248 Process Evaluation in Occupational Stress Management Programs: A Systematic Review
The purpose of this systematic review was to identify workplace stress management intervention studies that have incorporated process evaluation. Seven electronic databases were searched and 84 studies published between 1997 and 2003 were found. Only 52 (61%) reported findings on at least one of the key relevant process-relevant variables, and less than half of the studies presented any findings linking process evaluation and outcome evaluation. Researchers should give much more attention to process evaluation and clarify the relationship between dose received and reach, and the outcomes.
Strategies    
    Behavior Change
Usha Menon
Victoria Champion
Patrick O. Monahan
Joanne Daggy
Siu Hui
Celette Sugg Skinner
255 Health Belief Model Variables as Predictors of Progression in Stage of Mammography Adoption
This study examined predictors of change in mammography stage for 1245 women 50 years of age or older with no breast cancer diagnosis and nonadherent mammography screening behavior. Changes in barriers, benefits, and self-efficacy scores significantly predicted forward stage movement for women entering the study in precontemplation or contemplation suggesting that interventions tailored to both beliefs and stage of behavior adoption may be effective.
Kimberly A. Kaphingst
Rebecca Lobb
Martha E. Fay
Mary K. Hunt
Elizabeth Gonzalez Suarez
Robert H. Fletcher
Karen M. Emmons
262 Impact of Intervention Dose on Cancer-Related Health Behaviors Among Working-class, Multiethnic Community Health Center Patients
The study examined the relationship between intervention dose and health behavior change in Healthy Directions – Health Centers, an intervention designed to reduce cancer risk factors. The intervention had significant effects on fruit and vegetable and red meat consumption and multi-vitamin intake.
    Population Health
Olga A. Khavjou
Eric A. Finkelstein
Julie C. Will
267 The Impact of Medication Use in a Multicomponent Intervention: Results from the WISEWOMAN Program
The study assessed the impact of medication use on improvements in coronary heart disease risk among 2385 low-income uninsured women. Participants experienced statistically significant improvements in systolic and diastolic blood pressure, total and HDL cholesterol, and 10-year CHD risk. Medication use was responsible for 4% to 5% of the reduction in blood pressure, 32% of the reduction in total cholesterol, 3% of the increase in HDL cholesterol, and 31% of the reduction in 10-year CHD risk.
Applications    
    Health Promoting Community Design
Morton Kligerman
James F. Sallis
Sherry Ryan
Lawrence D. Frank
Philip R. Nader
274 Association of Neighborhood Design and Recreational Environment Variables with Physical Activity and Body Mass Index in Adolescents
The study examined the associations of neighborhood walkability and recreation variables with physical activity in 98 adolescents. The walkability index was related to minutes of moderate to vigorous physical activity, while recreation variables were not related to physical activity.
    Underserved Populations
Rodolfo Peña
Margarita Quintanilla
Kate Navarro
Jessica Martínez
Vilma Castillo
Wilton Pérez
Carina Källestål
278 From “Among Girl Friends” to “Among Mothers”- Baseline Research Adjusts a Health Promoting Intervention in Nicaragua
A sample of 592 girls aged 10-14 years in a poor area of Managua, Nicaragua, completed an interviewer-administered questionnaire as part of the baseline data collection for a peer-led intervention program on sexual health. Using the Theory of Reasoned Action, it was assumed that girlfriends were the referent person when girls wanted to talk about sexuality and pregnancies. Unexpectedly, for the majority of the girls it was their mother who was their referent person, whereas only a few said they would talk to friends. The study shows the importance of careful investigations into which groups are forming the norms and attitudes when planning an intervention which aims at changing behavior.
Abstracts 284 8 abstracts are featured from a variety of publications.
DataBase: Research and Evaluation Results 286 Four new studies are critiqued and added to the DataBase chart.

The Art of Health Promotion

Ron Z. Goetzel
Kimberly Reynolds
Lester Breslow
William L. Roper
David Shechter
David C. Stapleton
Pauline J. Lapin
J. Michael McGinnis
 
1 Health Promotion In Later Life: It’s Never Too Late
The clinical and epidemiological rationale for the health improvement benefits of Health Promotion in the later years of life are provided in this article. The authors review the emerging scientific consensus concerning the utility of lifestyle interventions for health improvement in the context of a narrowed definition of Health Promotion. Governmental initiatives for testing health promotion among Medicare beneficiaries are also discussed. Major research findings are reviewed and implications for Health Promotion practitioners are also provided.
  5 Selected Abstracts
Abstracts are provided for seven (7) peer review articles that address various facets of the research literature on Health Promotion issues for the later years are provided.
Larry S. Chapman 8 Closing Thoughts
Editorial comments on the implications of the author’s recommendations are addressed through five (5) questions.

American Journal of Health Promotion 248-682-0707

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