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THE SCIENCE OF HEALTH PROMOTION
  iv Editor’s Notes: How Big Is the Health Promotion Market? Small but Getting Big, With Medicare Leading the Way
  1 Recipient of the 2006 Robert F. Allen Symbol of
H.O.P.E. Award
  65 Author Index for Volume 20
  69 Subject Index for Volume 20
  77 Instructions to Authors
  82 Call for Conference Proposals
Interventions    
    Fitness
Viviene A. Temple
Georgia C. Frey
Heidi I. Stanish
2 Physical Activity of Adults With Mental Retardation: Review and Research Needs Fourteen studies aimed at characterizing the physical activity levels of adults with mental retardation are reviewed. Preliminary evidence suggests that about one-third of adults with mental retardation are sufficiently active relative to published health guidelines. This paper outlines the need for more research on this topic, as well as highlights methodological issues that should be addressed in future research.
    Nutrition
Sara C. Folta
Rick Bell
Christina Economos
Stewart Landers
Jeanne P. Goldberg
13 Psychosocial Factors Associated With Young Elementary School Children’s Intentions to Consume Legumes: A Test of the Theory of Reasoned Action
This study examined the usefulness of using the Theory of Reasoned Action (TRA) to assess the intentions of a multicultural sample of 336 children in grades 1-3 to consume legumes. Logistic regression analysis was used to assess the strength of the relationship between attitude and subjective norm and intention. The results showed that the TRA constructs did not predict the intention to consume legumes among this group of young children, and hedonic factors (such as preference), rather than reasoned judgments, may be more important.
    Smoking Control
Sean C. Lucan
David L. Katz
16 Factors Associated With Smoking Cessation Counseling at Clinical Encounters: The Behavioral Risk Factor Surveillance System (BRFSS) 2000
This cross-sectional analysis of data from the 2000 Behavioral Risk Factor Surveillance System (BRFSS) survey assessed the factors associated with smoking-cessation counseling in various clinical settings. Respondents were 10,582 adult smokers who reported one or more clinical encounters in the previous year. Almost 55% of respondents were advised to quit smoking. Those who saw a physician were more likely to be counseled to quit smoking than those who saw a dentist. Young men were advised to quit smoking least often. The authors suggest developing educational strategies to improve rates of smoking cessation counseling by varied health professionals in clinical settings.
Applications    
    Health Promoting Community Design
Abby C. King
Deborah Toobert
David Ahn
Ken Resnicow
Mace Coday
Deborah Riebe
Carol E. Garber
Shannon Hurtz
Jessica Morton
James F. Sallis
24 Perceived Environments as Physical Activity Correlates and Moderators of Intervention in Five Studies
Cross-sectional relationships among adults’ (N = 639) perceived environmental variables and physical activity were assessed in samples residing in San Francisco, CA, Eugene, OR, Atlanta, GA, Kingston, RI, and Memphis, TN. Signal detection methods identified perceived environmental variables as the most effective means of differentiating subgroups as either achieving or failing to achieve national physical activity recommendations. Neighborhood aesthetics, time to video store, and satisfaction with ease of neighborhood walking were all important features. Interestingly, and counter to some of the transportation literature that suggests that those people living in denser and more compact neighborhoods are more likely to report walking, in the present study people that lived in neighborhoods that were characterized by single-family, detached houses reported greater satisfaction with the ease of walking in one’s neighborhood and a greater likelihood of meeting the national physical activity recommendations.
Rickelle Richards
Chery Smith
 
36 Shelter Environment and Placement in Community Affects Lifestyle Factors among Homeless Families in Minnesota.
This qualitative study explored the impact of the homeless environment on lifestyle factors influencing families’ health and examined how shelter placement in the community affects these factors. Focus groups were conducted at two shelters in Minneapolis, Minnesota with low income families with children aged 3 to 12 years. Fourteen open ended questions were asked about living arrangements, eating and exercise behavior. Thematic analysis was conducted using N-Vivo software and food sources in the community were mapped using Geographic Information Systems software. Temporary shelter structure and placement in the community were dominant themes influencing behavioral lifestyle factors, including food choices and availability, exercise behaviors, job access, and day care issues. The health status of homeless families is affected by the combined effects of inadequate affordable food, reliance on walking for transportation, finding employment and affordable daycare, and the constraints of rules in the shelter environment.
    Underserved Populations
Claudia G. Collins
Jamie Benedict
 
45 Evaluation of a Community-based Health Promotion Program for the Elderly: Lessons from Seniors CAN
The study evaluated the effects of a 16 week community-based educational program designed to promote health by enhancing older adults’ mastery while decreasing loneliness and stress. The intervention resulted in significant improvements in constructs associated with better health and a higher quality of life for independent-living older adults.
Research Methods    
    From Evidence-Based Practice to Practice-Based Evidence
Gary T.C. Ko 49 Both Obesity and Lack of Physical Activity are Associated with a Less Favorable Health-Related Quality of Life in Hong Kong Chinese
A cross-sectional study involving 876 Hong Kong Chinese participants (32.9% men and 67.1% women, mean age: 34.8 ± 7.9 years) was used to investigate the relationships among obesity, physical activity, and quality of life (QOL). Overall, 16% of participants (31% of men and 9% of women) were classified as obese. Obese women who had no regular physical activity had lower scores on the QOL sub-scales than obese women who had some regular physical activity.
Abstracts 53 13 abstracts are featured from a variety of publications.
DataBase: Research and Evaluation Results 58 Four new studies are critiqued and added to the DataBase chart.

The Art of Health Promotion

Joseph Leutzinger
Mark Pirner
William Landschulz
Richard Lewis Nevins
Sean Sullivan
Cheryl Silberman
1 Metabolic Syndrome and Worksite Health Promotion
Metabolic Syndrome represents a relatively new clinical condition whose individual risk parameters have been associated with a variety of additional or excess costs for working populations. This article reviews much of the current clinical findings on this condition and provides suggestions for employers. The worksite represents one of the most promising settings for early detection and follow-up interventions. The most technically promising response from those responsible for employee health management is not clear at the present time.
 
  11 Selected Abstracts
Abstracts are provided for four (4) peer review articles that address facets of Metabolic Syndrome for working populations.
Larry S. Chapman 12 Closing Thoughts
Editorial comments on the implications of Metabolic Syndrome with four (4) questions of interest are offered.

 

American Journal of Health Promotion 248-682-0707

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