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Delivering the Science
and the Art of Health Promotion |
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Robert F. Allen
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| In Brief |
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Editor's Notes: Access to Safe Drinking Water: More Important Than Health Promotion |
| THE SCIENCE OF HEALTH PROMOTION | ||
| Interventions | ||
| Nutrition | ||
| Patricia van Assema Mieke Steenbakkers Hanna Stapel Hilde van Keulen Gaby Ronda Johannes Brug |
309 | Evaluation of a Dutch
Public-private Partnership to Promote Healthier Diet A public-private sector partnership promoting healthy diets was evaluated using a pretest-posttest design. The intervention consisted of healthy diet promotions at local butcher shops. A total of 486 customers (242 experimental and 244 control participants) were assessed to determine campaign exposure, acceptability, and whether any behavioral effects occurred (e.g., purchasing more lean meats, using liquid cooking margarine). Those visiting the experimental butcher shops evaluated the campaign more favorably and felt more encouragement to buy lean meats compared to those visiting the control butcher shops. However, these predisposing, reinforcing, and enabling factors had no effect on behavior. This project demonstrates the short-term feasibility and acceptability of a public-private health promotion partnership, though this may not be enough to change customers’ behavior and the long-term institutionalization of such programs and projects remains unknown. |
| Smoking Control | ||
| Scott E. Sherman Elizabeth M. Yano Laura S. York Andy B. Lanto Bruce A. Chernof Brian S. Mittman |
313 | Assessing the Structure of Smoking
Cessation Care in the Veterans Health Administration Health care organizations can help smokers to quit by improving their process and structure of care. This pilot study assessed the structure of care in 18 Veterans Health Administration facilities using a 25-item checklist based on the Public Health Service guidelines for health care systems. The checklist survey was completed by key informants and compared with detailed site surveys. Although there was little agreement between the two survey methods, the checklist survey was easy to administer and highlighted several areas where facilities were performing well and where their structure of care can be improved. |
| Jeannine S. Schiller Hanyu Ni |
319 | Cigarette Smoking and Smoking
Cessation Among Persons With Chronic Obstructive Pulmonary Disease Attempts to quit smoking were examined in a sample of 11,238 adults aged 25 years and over who reported having chronic obstructive pulmonary disease (COPD) during the 1997 to 2002 National Health Interview Surveys (NHIS). Only one-half of smokers with COPD attempted to quit during the past year, and most (85%) were unsuccessful. Younger smokers were more likely to attempt quitting but older smokers with COPD were more likely to successfully quit. More than 20% of smokers with COPD reported that they had not received advice to stop smoking while visiting a health professional during the past year, underscoring the importance of implementing clinical guidelines on smoking cessation among health care providers. |
| Stress Management | ||
| Susan E. Walch Sandra M. Rudolph |
324 | Negative Affect and Risk for
Human Immunodeficiency Virus: One Size May Not Fit All The potential moderating role of gender and sexual orientation on anxiety, depression, and HIV-related risk behavior was examined within a sample of 185 men and women presenting themselves for anonymous HIV-counseling and testing at a community-based clinic. The gender/sexual orientation categories were: men who had sex with men only, men who had sex with men and women, men who had sex with women only, women who had sex with men and women, and women who had sex with men only (Note: the possible group of women who had sex with women only was dropped do to low participant numbers). Women who reported having sex with both women and men reported the highest levels of anxiety, depression, and HIV-related risk behavior. Men who had sex with men experienced the least depression, whereas men who had sex with women only experienced the least anxiety. Men who had sex with both men and women reported the second highest HIV-related risk behavior. Gender and sexual orientation may be important moderating variables associated with anxiety, depression, and HIV-related risk behavior. |
| Strategies | ||
| Behavior Change | ||
| Amii M. Kress Michael C. Hartzell Michael R. Peterson Thomas V. Williams Nancy K. Fagan |
334 | Status of U.S. Military Retirees
and Their Spouses Toward Achieving Healthy People 2010 Objectives This study assessed the status of U.S. military retirees and their spouses relative to select Healthy People 2010 objectives and identified sociodemographic characteristics associated with those health behaviors. The military retirees and spouses sampled did not meet the Healthy People 2010 targets for healthy weight; daily fruit, vegetable, and grain consumption; physical inactivity, moderate physical activity, vigorous physical activity; binge drinking; cigarette use; and smoking cessation. |
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Jennifer Di Noia Steven P. Schinke James O. Prochaska Isobel R. Contento |
342 | Application of the
Transtheoretical Model to Fruit and Vegetable Consumption Among Economically
Disadvantaged African-American Adolescents: Preliminary Findings Scales for measuring decisional balance, situational self-efficacy, and processes of change for fruit and vegetable consumption were developed and pretested with 57 economically disadvantaged African-American adolescents, and then administered to a separate sample of 262 participants. Alpha coefficients of reliability for the scales ranged from .77 (experiential change processes) to .91 (pros). Participants in action/maintenance evidenced higher pros, self-efficacy, and fruit and vegetable consumption and significantly lower cons than participants in precontemplation and contemplation/preparation, respectively. These findings are consistent with the Transtheoretical Model and prior applications of the model to fruit and vegetable consumption in adults. |
| Communication | ||
| Eric T. Lee David O’Riordan Susan M. Swetter Marie-France Demierre Katie Brooks Alan C. Geller |
349 | Sun Care Advertising in Popular
U.S. Magazines Do sun care product advertisements placed in popular magazines reach populations at high risk of melanoma? The answer is, No, based on the findings of this survey. Cover-to-cover reviews of sun care product advertising in 579 issues of 24 top-selling magazines published between the months of May and September, 1997 to 2002, were examined. More than three-quarters (77%) of all sun care product advertisements were placed in women’s magazines. Most advertised sun care products were for either cosmetics (38%) or moisturizers (26%) containing sun protection factor (SPF). Few sun care products were advertised in magazines for men, travelers, outdoor recreation users, and parents/families, despite the high rate of excessive sun exposure in these groups. |
| Research Methods | ||
| Financial Analysis | ||
| Shirley Musich Dan Hook Stephanie Baaner Dee W. Edington |
353 | The Association of Two
Productivity Measures With Health Risks and Medical Conditions in an Australian Employee Population The relationship between a self-reported lifestyle risk factors, a self-reported measure of presenteeim and personnel records on absenteeism was measured among 244 employees of an Australian company. Presenteeism was higher for those reporting high stress, life dissatisfaction, and back pain, while absenteeism was higher for those we reported being overweight, having diabetes, and lower perceived health status. Those with five or more risk factors were 2.25 times more likely to have high presenteeism and 2.12 more likely to have excess absenteeism. |
| Abstracts | 364 | 17 abstracts are featured from a variety of publications. |
| DataBase: Research and Evaluation Results | 371 | Four new studies are critiqued and added to the DataBase chart. |
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The Art of Health Promotion |
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Seth Serxner Steven P. Noeldner Daniel Gold |
1 | Best Practices for an Integrated Population
Health Management (PHM) Program Large employers are beginning to create much more robust and potentially effective systems of integrated health management interventions. This organization-wide activity is referred to as a “Population Health Management” (PHM) approach. Best practices are also beginning to emerge in this area, and a number of technical developments are helping shape the patterns of response from innovative employers. This initiative is rapidly emerging as a critical part of overall business and health care strategy. |
| 10 |
Selected Abstracts Abstracts are provided for 10 peer-review articles that address facets of the use of best practices for population health management interventions. |
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| Larry S. Chapman | 13 |
Closing Thoughts Editorial comments on the societal implications of this approach and its relationship to major health care reform issues are noted. |
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American Journal of Health Promotion | 248-682-0707 |
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