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Delivering the Science
and the Art of Health Promotion |
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Robert F. Allen
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| THE SCIENCE OF HEALTH PROMOTION | ||
| Commentary | ||
| Critical Issues and Trends | ||
| James H. Rimmer | 327 | The Conspicuous Absence of
People With Disabilities in Public Fitness and Recreation Facilities: Lack
of Interest or Lack of Access? More than 50 million Americans have a disability. These people face enormous physical, social, and attitudinal barriers toward their participation in physical and recreational activities that they need to maintain their health and wellness. Furthermore, the concept of being “healthy” and “disabled” or “physically active” and “disabled” is not a common visualization in the mainstream media. This paper calls for a more inclusive vision within public health messages that target physical activity participation among its citizens, especially those with disability who are at greater risk for developing health problems associated with sedentary living. |
| Karen Glanz James F. Sallis Brian E. Saelens Lawrence D. Frank |
330 | Healthy Nutrition Environments:
Concepts and Measures The authors provide a conceptual model of a healthy nutrition environment, then review the types of measures required to assess various aspects of this environment. Measures fall into priority categories of consumer and community environments. |
| Interventions | ||
| Smoking Control | ||
| Ross Shegog Alfred L. McAlister Shoahua Hu Kentya C. Ford Angela F. Meshack Ronald J. Peters |
334 | Use of Interactive Health
Communication to Affect Smoking Intentions in Middle School Students: A
Pilot Test of the "Headbutt" Risk Assessment Program Headbutt is an interactive Web-based tobacco risk assessment and tailored feedback program designed to reduce intentions to smoke and change prosmoking attitudes, self-efficacy expectations, and knowledge of negative consequences of smoking. The program is hosted by a stylized graphic armadillo character that uses rhyming rap. Among 2227 6th graders in 9 middle schools in Texas, Headbutt reduced intentions to smoke, prosmoking attitudes, and enhanced self efficacy and knowledge of negative consequences. |
| Sally J. Wendt | 339 | Smoking Cessation and Exercise
Promotion Counseling in Psychologists Who Practice Psychotherapy Psychologists practicing psychotherapy completed questionnaires on their health promotion behaviors and attitudes regarding smoking (N = 154) or exercise (N = 174). Over 80% of respondents felt smoking and exercise should be addressed in the psychotherapy context; over 45% advise smoking clients to quit and 50% advise sedentary clients to exercise. Two important predictors of health promotion behavior emerged: practitioners’ confidence in their health promotion counseling abilities and the extent to which they felt the behavior is a personal choice that shouldn’t be addressed in psychotherapy. |
| Abu Saleh M. Abdullah Yam HK |
346 | Intention to Quit Smoking,
Attempts to Quit, and Successful Quitting Among Hong Kong Chinese Smokers:
Population Prevalence and Predictors This cross-sectional survey of 11,779 Chinese persons living in Hong Kong aimed to examine the factors associated with three steps in the smoking cessation process. Data were obtained using a validated questionnaire administered during face-to-face interviews. Being married and not smoking to kill time were two factors associated with each step in the smoking cessation process: quitting smoking, past quitting attempts, and the intention to quit smoking. |
| Martha M. White Elizabeth A. Gilpin Sherry L. Emery John. P. Pierce |
355 | Facilitating Adolescent Smoking:
Who Provides the Cigarettes? This article uses data from the 1999 California Tobacco Survey to answer the question, “Who provides the cigarettes to adolescents who are using social and economic sources?” It builds on existing knowledge by surveying adolescents themselves, not adults, and noting differences according to the ages of adolescents and their smoking behavior (experimenters vs. heavy daily users). The findings have important policy implications. |
| Katherine Clegg Smith Melanie Wakefield |
361 | Textual Analysis of Tobacco
Editorials: How Are Key Media Gatekeepers Framing the Issues? A textual analysis was conducted of tobacco-related editorials that appeared in 310 daily newspapers. Editorials were randomly selected from one-third of the days per month during 2001. One hundred two (33%) of the newspapers included one editorial on tobacco, whereas 34 (33%) had more than one tobacco-related editorial. Most (71%) of the editorials were supportive of tobacco control efforts. Secondhand smoke was the most prominent theme (22%), and the need for policy level intervention was the most prevalent frame (26%). Interestingly, 15% of the editorials portrayed some form of system cynicism (e.g., health nazis, lawsuit fatigue) and there was very little coverage of the health effects or addictive nature of tobacco. |
| Spiritual Health | ||
| Patrick J. O'Connor Nicolaas P. Pronk Agnes Tan Robin R. Whitebird |
369 | Characteristics of Adults Who
Use Prayer as an Alternative Therapy Among 4404 members of a Minnesota health plan, 47.2% reported that they prayed, and 90.3% believe prayer improved their health. Rates of functional impairment, depressive symptoms, chronic disease, and health care charges were not different for those who prayed. Praying was more common among women (43%), those not working for pay (11%), married or widowed (7%), and those with more education. It was also more common among nonsmokers (15%), never smokers (23%), vegetable eaters (15%), those who improved their health in the past year (9%), and lower among heavy drinkers (33%). Prayer was also more common among those who used preventive services (10%), brushed their teeth 2 or more times per day (10%), women who had breast exams within 12 months. (7%), and those more satisfied with the health plan. |
| Research Methods | ||
| Financial Analysis | ||
| Jennifer D. Bartlett- Prescott Lisa M. Klesges Stephen B. Kritchevsky |
376 | Health Promotion Referrals in an
Urban Clinic: Removing Financial Barriers Influences Physician But Not
Patient Behavior Patient records were examined for patients in a low-income urban clinic to determine patterns in referrals to an affiliated wellness center and adherence to those referrals. Of 6321 patients, 1069 (16.7%) received referrals to the wellness center and only 184 (17.2%) visited the wellness center. Patients referred were likely to be African-American (1.20), female (OR = 1.32), employed (OR = 1.46), have free access to the wellness center through insurance coverage (OR = 1.23), and have a diagnosis related to a lifestyle behavior (OR = 2.64). Patients who followed the referral advice were more likely to be new patients. |
|
Abstracts DataBase: Research and Evaluation Results |
383 388
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12 abstracts
are featured from a variety of publications Four new studies are critiqued and added to the DataBase chart |
| 395 | Call for Proposals | |
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The Art of Health Promotion |
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| Emil E. Malizia | 1 | City and Regional Planning: A Primer for
Public Health Officials Recognizing that planners' decisions impact the public's health, some public health officials are becoming more involved in city and regional planning. This article describes city and regional planning fundamentals to help public health practitioners better understand plan making and plan implementation, including the development project review process. It provides examples of how three local public health agencies are currently involved in planning and discusses general strategies for such participation. With this information, public health officials could increase their influence on local planning with consequent public health benefits. |
| Larry S. Chapman | 14 |
Closing Thoughts Editorial comments on the main article are offered in the Closing Thoughts column. |
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American Journal of Health Promotion | 248-682-0707 |
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