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Robert F. Allen
Symbol of HOPE
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THE SCIENCE OF HEALTH PROMOTION
Interventions    
    Weight Control
Mei-Wei Chang
Linda C. Baumann
Susan Nitzke
Roger L. Brown
 
269 Predictors of Fat Intake Behavior Differ Between Normal-weight and Obese WIC Mothers
Predisposing, enabling, and reinforcing factors related to weight and nutrition were measured among a stratified convenience sample of 581 women. With fat intake as the dependent variable, structural equation modeling was conducted to determine if fat intake behaviors were the same for the two groups. For normal-weight women, only reinforcing factors were positively associated with fat intake behavior. For obese women, reinforcing and enabling , but not predisposing factors, were positively associated with fat intake behavior.
Strategies    
    Behavior Change

Emely de Vet
Jascha de Nooijer
Nanne K. de Vries Johannes Brug

 

278 Determinants of Forward Stage Transition From Precontemplation and Contemplation for Fruit Consumption
A cohort of 735 adults was drawn from a random sample of an existing Dutch Internet panel for this study of whether self-efficacy, decisional balance (pros and cons of making a behavior change), and fruit intake predicted the forward stage transition out of precontemplation and contemplation. Measures included electronic food frequency and other questionnaires. Self-efficacy, pros and fruit intake predicted forward stage transition from precontemplation; only self-efficacy predicted forward stage transition from contemplation. The study provided partial support for the Transtheoretical Model of behavior change.  
    Culture Change
Allen Cheadle
Sandra Senter
Alicia Procello
David Pearson
Gary D. Nelson
Howard P. Greenwald
William L. Beery
286 The California Wellness Foundation's Health Improvement Initiative: Evaluation Findings and Lessons Learned
Nine California communities received funding for 5 years to create broad-based Health Partnerships. The goal was to implement community-level systems changes to improve "population health," broadly defined to include social, economic, and cultural determinants of health, in addition to traditional health status indicators. Data were collected using key informant interviews, closed-ended surveys, and participant observation. At the end of the 5 years, six of the nine Partnerships had played a critical role in implementing sustainable systems changes that would likely have a significant impact in their target communities. Four "lessons learned" for working with coalitions are described.
Elizabeth M. Barbeau
Roberta Goldman
Cora Roelofs
Joshua Gagne
Elizabeth Harden
Kathleen Conlan
Anne Stoddard
Glorian Sorensen
297 A New Channel for Health Promotion: Building Trade Unions
Cross-sectional survey data obtained from a nationally-representative sample of 1109 unionized construction workers indicate that most members view their union as a source of information, material benefits, job opportunities, workplace protection (safety), and community (solidarity). The findings of focus group interviews among 88 union workers were used to develop intervention methods and materials. This paper describes the formative research phase of a large randomized, controlled trial designed to reduce smoking and increase fruit and vegetable consumption among union workers.
Applications    
    Health Promoting Community Design
Jennifer L. Atkinson
James F. Sallis
Brian E. Saelens
Kelli L. Cain
Jennifer B. Black

304 The Association of Neighborhood Design and Recreational Environments With Physical Activity
The association of neighborhood design factors and recreational environments was measured by using the Neighborhood Environment Walkability Survey, a survey on recreational environmental survey, self reported and accelerometer measures of moderate, vigorous and total physical activity of 102 randomly selected adults in two neighborhoods. Of the 11 environmental factors, only four had any statistically significant association with the physical activity measures. The standardized total environmental score was correlated with vigorous accelerometer (r = .23) and self reported (r = .28) physical activity, but not moderate or total physical activity. Residential density was moderately correlated with vigorous accelerometer (r = .39) and self reported (r = .35) physical activity, but not moderate or total physical activity. Connectivity was correlated with vigorous (r = .25) and total (r = .21) accelerometer physical activity. Home equipment was correlated with vigorous (r = .27) and total (r = .34) self reported physical activity.
Claudio Nigg
Jay Maddock
Jessica Yamauchi
Virginia Pressler
Betty Wood
Susan Jackson
310 The Healthy Hawaii Initiative: A Social Ecological Approach Promoting Healthy Communities
Funding from the state tobacco settlement has allowed creation of the Healthy Hawaii initiative which uses a social ecological approach to target smoking, poor nutrition, and physical inactivity. Programs include grants to 16 school complexes to support policy, environmental and systems changes, 8 workshops and conferences per year 1999–2002 for teachers, 26 community level grants to support policy, environmental and systems changes and five targeted grants, and a public education campaign.
Amy I. Zlot
Tom L. Schmid
314 Relationships Among Community Characteristics and Walking and Bicycling for Transportation or Recreation
Linking data from the Behavioral Risk Factor Surveillance System, the Nationwide Personal Transportation Survey, and the Trust for Public Land, estimates are provided for recreational walking/bicycling, utilitarian walking/bicycling, and parkland as a percentage of city acreage. Data are summarized according to 34 metropolitan statistical areas or cities. San Francisco (metropolitan statistical area) had the highest percentage of people who walked or bicycled for recreation (67.7%) and the highest percentage of parkland (19.8%). New York City had the highest percentage of people who walked or bicycled for transportation (33.6%). The association between utilitarian walking/bicycling and parkland acreage was significant (r = .62).
Research Methods    
Abstracts

DataBase: Research and Evaluation Results

 

318

321

10 abstracts are featured from a variety of publications

 Four new studies are critiqued and added to the DataBase chart.
 

The Art of Health Promotion

Larry S. Chapman 1 Presenteeism and its Role in Worksite Health Promotion
Presenteeism is a newer concept that addresses health-related losses to productivity while the individual is at work. This edition of The Art of Health Promotion provides a general overview and identifies the importance of the concept and how presenteeism can be addressed in the context of worksite health promotion programs. The burgeoning efforts at measurement and evaluation are briefly reviewed.
  8 Selected Abstracts
Abstracts are provided for 19 articles on presenteeism issues in working populations.
Larry S. Chapman 14 Closing Thoughts
Editorial comments on the main article are offered in the Closing Thoughts column.

 

American Journal of Health Promotion 248-682-0707

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