Inbrief: May/Jun 2000

Intervention Focus
	Fitness
Lesley D. Fox W. Jack Rejeski Lise Gauvin	Effects of Leadership Style and Group Dynamics on Enjoyment of Physical Activity Using a 2 x 2 factorial design, 90 students were randomly assigned to single-session aerobics classes with conditions of enriched or bland leadership style of the instructors and enriched or bland social dynamics of the class participants. Enjoyment ratings were 34% higher and intentions to continue in a similar activity were 28% higher in the enriched leadership and social dynamics class than in the bland leadership and social dynamics class.
	Mind, Body, Health
Robert E. Herron Stephen L. Hillis	The Impact of the Transcendental Meditation Program on Government Payments to Physicians in Quebec: An Update Medical payments to physicians among 1418 enrollees in the Quebec governmental health insurance agency who reported practicing Transcendental Meditation (TM) were tracked for 14 years and compared to 1418 enrollees who did not report practicing TM. Payments to physicians were essentially the same for both groups initially. Payments for those who did not practice TM increased approximately 6.5% to 11.73% per year while those who did practice TM dropped approximately 1% - 2% per year.
Applications
	Underserved Populations; Medical Self-care
Amelie G. Ramirez Lucina Suarez Larry Laufman Cristina Barroso Patricia Chalela	Hispanic Women's Breast and Cervical Cancer Knowledge, Attitudes, and Screening Behaviors A random digit dial telephone survey was conducted with 2383 Hispanic women from eight states to examine breast and cervical cancer-related knowledge, attitudes, and screening behaviors among different Hispanic populations in the US. Levels of knowledge, attitudes toward cancer and screening behaviors varied substantially among the different Hispanic groups. Knowledge of mammography guidelines ranged from 58.3% for those of Mexican descent to 71.8% for those of Cuban descent. Knowledge of Pap smear guidelines ranged fro 41.1% for those of Puerto Rican descent to 55.6% for those of Cuban descent. Those of Mexican and Puerto Rican descent had more negative or fatalistic views of cancer compared to those of Cuban or Central American descent. Knowledge was also significantly related to age, education, income, language preference and recent screening history. However, attitudes were not predictive of mammography or pap smear screening behaviors.
	Applied Research Brief: Underserved Populations;Social Health; Case Study
Sarina K. Behera Marilyn A. Winkleby Rakale Collins	Low Awareness of Cardiovascular Disease Risk Among Low-income African-American Women Focus groups were conducted with low-income African-American women in six different community settings in Northern California to assess their awareness of and concern for cardiovascular disease (CVD). These women had low awareness of the prevalence of CVD, attributed CVD to stress and low socioeconomic status, saw the media as an important source of health-related knowledge, and saw a need for more community awareness on CVD among African-American people.
	Underserved Populations; Behavior Change
Marci Kramish Campbell Irene Tessaro Brenda DeVellis Salli Benedict Kristine Kelsey Leigh Belton Carlos Henriquez-Roldan	Tailoring and Targeting a Worksite Health Promotion Program to Address Multiple Health Behaviors Among Blue-collar Women A 92 item questionnaire measuring demographics, perceived health status, body weight and height, health behaviors including smoking, exercise, diet, cancer screening, stage of change for each behavior, and choice of priority for change was completed by 859 women in 10 small blue-collar worksites in North Carolina. High risk behaviors tended to cluster, especially among smokers. Measures of stage of change were not always consistent with measures of first priority to change when women wanted to make multiple changes.

Abstracts	23 abstracts are featured from a variety of publications.
DataBase: Research and Evaluation Results	Four new studies are critiqued and are added to the DataBase chart.