| 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. |