Editor's Notes


BASKET CONTENTS CHECKOUT

Delivering the Science and the Art of Health Promotion

Robert F. Allen Symbol of HOPE Award

Michael P. O'Donnell	iv	Editor’s Notes: Legislation to Solidify the Foundation of Health Promotion: Health Promotion FIRST".
THE SCIENCE OF HEALTH PROMOTION
Interventions
		Nutrition
Brian C. Castrucci Kathleen L. Hoover Suet Lim Katherine G. Maus	410	Availability of Lactation Counseling Services Influences Breastfeeding among Mothers of Infants Admitted to Neonatal Intensive Care Units The presence of an International Board Certified Lactation Consultant makes a difference in breastfeeding rates among women whose infants were admitted to a neonatal intensive care unit (NICU). This study used cross-sectional data obtained from 21,313 birth certificates issued by the Pennsylvania Department of Health in 2003 and 2004 and was limited to mother-infant pairs in which the infant required a NICU admission in one of 10 Philadelphia hospitals. The researchers found that among 2132 infants admitted to a NICU, nearly 50% of mothers who delivered their infants at hospitals with a board-certified lactation consultant chose to breastfeed prior to their infant’s hospital discharge compared with 36.9% of mothers who delivered at hospitals without a board-certified lactation consultant.
		Smoking Control
Kate Uslan Jean L. Forster Vincent Chen	416	Smoking Policies in Small Worksites in Minnesota Owners or managers of 233 Minnesota offices and factories/warehouses with 5-50 employees were surveyed to their determine knowledge and attitudes regarding the Minnesota Clean Indoor Air Act (MCIAA) rules. About two-thirds of the worksites claimed to have a smoking policy, but only 26% of the total sample had a policy in writing. Only about one-third of the businesses had heard of the MCIAA rule changes. This research shows that many of those businesses outside the service sector have no smoking policies, and very few have written smoking policies, indicating that many of those employed at small worksites are at risk for second hand smoke exposure.
Margaret Maglione Carrie Larson Tierney Giannotti Pauline Lapin	422	Use of Medicare Summary Notice Inserts to Generate Interest in the Medicare Stop Smoking Program This study tested the effects of including envelope-sized advertisement inserts with Medicare Summary Notices as a supplemental recruitment strategy for the Medicare Stop Smoking Program. Average call volume to the enrollment center increased by more than 200% in the demonstration states. About one-third of all enrollees indicating they learned about the project through the inserts even though the inserts were introduced late into the recruitment period.
Strategies
		Behavior Change
Danielle D. Wadsworth Jeffrey S. Hallam	426	The Use of the Processes of Change Across the Exercise Stages of Change and Across Varying Intensities and Frequencies of Exercise Behavior The study examined the use of the processes of change across the exercise stages of change and across varying intensities and frequencies of exercise behavior in 699 college students. Results showed all ten processes of change were significant between the exercise stages of change and differing frequencies of moderate and vigorous exercise behavior. Post hoc analyses identified seven significant processes between adjacent exercise stages of change, ten significant processes between differing frequencies of moderate exercise behavior and nine significant processes between differing frequencies of vigorous exercise behavior. The results for this study suggest that intensity and frequency may be factors in the use of the POC.
		Health Policy
Kerry Robinson Tracy Farmer Barb Riley Susan J. Elliott John Eyles	430	Realistic Expectations: Investing in Organizational Capacity Building for Chronic Disease Prevention This multiple case study involving both qualitative and quantitative data is based on seven provincial dissemination projects involved in the Canadian Heart Health Initiative. Data on investment, number and type of capacity building activities, and capacity changes come from a questionnaire, key informant interviews, and project report analysis. The findings reveal that capacity building for chronic disease prevention requires a long-term investment and is context-specific. Even limited investment can produce interventions that appear to positively influence capacity for chronic disease prevention.
		Population Health
Judy Kruger Michelle M. Yore Deborah R. Bauer Harold W. Kohl	439	Selected Barriers and Incentives for Work-Site Health Promotion Pervices and Policies This study assesses employees’ attitudes toward potential barriers to and incentives for their likely use of work-site health promotion services. A volunteer mail survey of 2,337 employed adults examined selected barriers, incentives, and potential use of work-site health promotion programs. The most common reported barriers to use of work-site services were no time during the work day (42.5%) and no time before or after work (39.4%). More than 70% of employees responded that the following incentives would promote their interest in participating in a free work-site wellness program.
Applications
		Health Promoting Community Design
Anne Vernez Moudon Chanam Lee Allen D. Cheadle Cheza Garvin Donna B. Johnson Thomas L. Schmid Robert D. Weathers	448	Attributes of Environments Supporting Walking Environmental audits are useful tools for identifying neighborhoods that support active living. This study used a telephone survey of 608 adults, sampled at random within King County, Washington, and 200 environmental variables to develop a framework for auditing neighborhoods that support walking. Neighborhood walking was positively associated with routine daily destinations like grocery stores and restaurants; with shorter distances to such destinations; with the presence of long sidewalks along major streets; and with a medium residential density. Walking was supported by having a dog and using transit, although – and perhaps this is no surprise – it was not associated with environments that included offices.
Research Methods
		Financial Analysis
Eric A. Finkelstein Hong Chen Malavika Prabhu Justin G. Trogdon Phaedra S. Corso	460	The Relationship Between Obesity and Injuries Among U. S. Adults A cross sectional analysis of a sample of 42,304 adults drawn from the 1999-2000, 2000-2001 and 2001-2002 Medical Expenditures Panel Survey found that 1 in 5 adults sustains an injury each year that requires medical treatment. Compared to people with normal BMI (18.6-24.9), the odds of sustaining an any injury was 15% higher for BMI 25-29.9, 24% for BMI 30 –34.9, 29% for BMI 35-39.9 and 48% for BMI greater than 40. Odds of sustaining an injury from falling were even greater as BMI increased: 15%, 31%, 37% and 79% higher respectively. Trends were most consistent for strains and sprains. These trends were not found for sports injuries or motor vehicles accidents. The odds of sports injuries were 7% higher for those who were physically active. The cost per injury did not increase as BMI levels increased.
Abstracts	469	8 abstracts are featured from a variety of publications.
DataBase: Research and Evaluation Results	473	Four new studies are critiqued and added to the DataBase chart.
	478	Call for Conference Proposals
*The Art* of Health Promotion**
Larry S. Chapman	1	Fedeeral Regulatory and Tax Issues for Worksite Wellness Programs Worksite wellness programs continue to grow and find expression in employer organizations of all types. As these programs mature and are offered to larger and larger numbers of employees in more worksites increased opportunity exists for regulatory problems. Applicable legislation and major federal regulatory issues affecting worksite wellness programs are explored and categorized. Final rules regarding Title I non-discrimination provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) are described and implications for employers are identified. Due to the increasing importance of incentive rewards in programming, the tax implications of various types of program expenditures are also described. Finally, suggestions for legislative amendments and regulatory changes that would enhance wellness program effects are described.
	12	Selected Abstracts Abstracts are provided for two (2) articles that address regulatory and tax issues are provided.
Larry S. Chapman	12	Closing Thoughts Editorial comments on the implications of the identified regulatory and tax issues are provided.

American Journal of Health Promotion | 248-682-0707

Privacy Policy