Public Health Education and Promotion Commons^™

Health Care Reform: Continuing The Prostate Screening Debate; Where Does Patient Navigation Belong?, Michael Preston

Michael Preston

Prostate cancer is the most commonly diagnosed cancer and second leading cause of cancer death in the US among men. Although overall incidence and mortality has decreased over time, disparities still exists among racial groups. Strategies to reduce disparities in cancer detection, treatment, and outcomes among racial/ethnic minorities and low-income patients have been gathering momentum with the introduction of patient navigation (PN) initiatives, supported by NIH National Cancer Institute.

Partnering With Community Institutions To Increase Access To Healthful Foods Across Municipalities

Lara Jaskiewicz

Hyptertension Among Haitians Living In The Bahamas, John Mazzeo

John Mazzeo, Ph.D.

For many Haitians in the Bahamas, migration and the process of adapting to life creates stress and may be correlated with high blood pressure. This study examines the social determinants of hypertension among Haitians in the Bahamas by exploring how experiences of migration create stress that is believed to cause high blood pressure. The Haitian explanatory model of high blood pressure, tansyon, explains the relationships between variables such as diet, stress, and poverty with the blood. Research was conducted in several Haitian communities in New Providence and Abaco using ethnographic methods such as interviews and participant observation. Information about hypertension …

Health Literacy And Cancer Prevention: It’S Not What You Say It’S What They Hear, Kathleen M. Mazor, Douglas W. Roblin, Andrew E. Williams, Paul J. K. Han, Mary E. Costanza, Sarah L. Cutrona, Terry S. Field, Bridget Gaglio, Joann L. Wagner, Brandi E. Robinson, Vinutha Vijayadeva

Mary E. Costanza

Background: A growing body of literature documents the relationship between health literacy and important health behaviors and outcomes. Most research to date has focused on print literacy–few studies have examined literacy with respect to spoken information (“spoken health literacy”). We sought to examine the extent to which responses to physician advice about cancer prevention and screening were associated with spoken health literacy.

Methods: Participants listened to 3 simulated physician-patient discussions addressing: 1) Prostate Specific Antigen (PSA) testing; 2) tamoxifen for breast cancer prevention; and 3) colorectal cancer (CRC) screening. The physician provided information on risks and benefits but did not …

Correlates Of Hiv Acquisition In A Cohort Of Black Men Who Have Sex With Men In The United States: Hiv Prevention Trials Network (Hptn) 061, Sheldon D. Fields

Sheldon D. Fields

No abstract provided.

University Students' Satisfaction With, Interest In Improving, And Receptivity To Attending Programs Aimed At Health And Well-Being, Patricia Tucker, Jennifer Irwin

Trish Tucker

The purpose of this pilot study is to investigate students' (a) satisfaction with nine health constructs, (b) interest in improving these health areas, and (c) receptivity to participating in programming targeting these areas. The study sample is composed of 1,778 undergraduate students from a Canadian university. Students complete a five-page paper-and-pencil questionnaire assessing the above objectives along a 5-point Likert-type scale. Students are most satisfied with their social health and report their lowest satisfaction with physical activity (M = 3.16, SD = 1.09). Overall, students are most interested in enhancing their physical activity (M = 4.10, SD = 0.79), followed …

Physical Activity Behaviors During The Preschool Years, Patricia Tucker, Jennifer Irwin

Trish Tucker

This is the first Canadian study to measure physical activity participation and opportunities for outdoor playtime among preschoolers. Preschoolers in the London, Ontario study spent significantly more time engaging in high-intensity indoor activity versus outdoor activity. Daycare providers reported the children in their care had access to approximately 2 hours of daily outdoor playtime. Nearly half the study‟s parents reported their preschoolers did not engage in physical activity at the level needed for health gains. Insufficient activity among such a large segment of preschoolers has potentially serious physical and psychological health implications. Daycare settings afford ample opportunity for physical activity …

Why Are There Delays In Seeking Treatment For Childhood Diarrhoea In India?, Nisha Malhotra

Nisha Malhotra

Abstract Aim To examine the barriers and facilitating factors for seeking treatment for childhood diarrhoea and to determine the main causes for delay in seeking treatment.

Methods Data from Indian Demographic and Health survey 2005–06 (NFHS-III) was used. Mothers were asked if their children (<5-years) had suffered from diarrhoea during the two weeks preceding the survey. Data were collected on the time of seeking treatment after start of the illness, and days waited to seek treatment after the diarrhoea started. Multivariate logistic regression analysis was performed to find the determinants of seeking treatment at the health facility and the factors responsible for the “delay” in seeking advice/treatment.

Results Out of a sample of 41,287 children, 3890 (9.4%) reportedly had diarrhoea. Sixty percent of children with diarrhoea were taken to a health facility. Mother's education till higher secondary and above (OR 1.65; 95% CI, 1.08 – 2.54), richest (OR 1.76; 95% CI, 1.24 – 2.48) wealth index, mother's lack of knowledge of oral …

A Tale Of Two Health Sciences Libraries Working To Improve Health Literacy [Poster], Margot G. Malachowski Mls, Kate Saylor Msi

Margot G Malachowski, MLS, AHIP

Educating And Transforming The Future Public Health Workforce: Lessons Learned From Developing & Implementing An Innovative, Interdisciplinary Mph Graduate Course For Public Health Practice, Leah Neubauer, Kristin Jacobson

Leah C. Neubauer

The Affordable Care Act allocated $250 million in 2010 for disease prevention via four critical priorities, including Public Health Training and Research & Tracking. Public health educators in academia have an opportunity to reexamine and reconstruct educative preparations for public health workers to adequately identify and address the environmental, social, and behavioral issues that impact health across the life span. Public health professionals are obligated to consider the larger political, social, and economic implications forces surrounding their work to affect the largest possible positive outcomes in communities ' health. This presentation will highlight the establishment of a graduate MPH course …

Anatase Titanium Dioxide Coated Single Wall Carbon Nanotubes Manufactured By Sonochemical-Hydrothermal Technique, Paul Clemens, Xin Wei, Bobby L. Wilson, Renard L. Thomas

Renard L Thomas

A novel, cost effective, sonochemical-hydrothermal technique was used for the deposition of nanosized anatase titanium dioxide (TiO2) onto single wall carbon nanotubes (SWCNTs). This technique is described and the characterization of the synthesized TiO2-SWCNTs is reported. The characterization techniques employed include scanning electron microscopy (SEM), Raman spectroscopy, and X-ray diffraction (XRD). From the characterization the size and morphology of the synthesized TiO2 nanoparticles (deposited on the SWCNTs) are reported. Furthermore, it is demonstrated that the created TiO2 nanoparticles are chemically attached to the SWCNTs. Also, an important correlation between calculated TiO2 crystal size and the red shifts in the lowest …

Review Of Physical Activity Prevalence Of Asian School-Age Children And Adolescents, Andre M. Müller

Andre M Müller

Overweight and obese populations in Asia are high and increasing rapidly. Physical activity prevalence studies have found low physical activity rates among Asian school-age children and adolescents. The purpose of this review is to establish a baseline for physical activity rates in Asian school-age children and adolescents and serve as a platform for additional research. Thirty articles published between 2000 and 2011 on physical activity prevalence of school-age children and adolescents were included in the review. Fourteen studies were conducted in East Asia, 10 in Southeast Asia, 2 in South Asia, and 2 in West Asia. Studies used subjective methods …

Environmental And Occupational Interventions For Primary Prevention Of Cancer: A Cross-Sectorial Policy Framework, Carolina Espina, Miquel Porta, Joachim Schüz, Ildefonso Hernández Aguado, Robert V. Percival, Carlos Dora, Terry Slevin, Julietta Rodriguez Guzman, Tim Meredith, Philip J. Landrigan, Maria Neira

Robert Percival

Nearly 13 million new cancer cases and 7.6 million cancer deaths occur worldwide each year; 63% of cancer deaths occur in low and middle-income countries. A substantial portion of all cancers are attributable to carcinogenic exposures in the environment and the workplace. The objective of this study was to develop an evidence-based global vision and strategy for the primary prevention of environmental and occupational cancer. The study concluded that opportunities exist to revitalize comprehensive global cancer control policies by incorporating primary interventions against environmental and occupational carcinogens.

Stubbing Out Cigarettes For Good, Richard Daynard

Richard A. Daynard

No abstract provided.

Male And Female Sluts: Shifts And Stabilities In The Regulation Of Sexual Relations Among Young Heterosexual Men, Michael Flood

Michael G Flood

No abstract provided.

Co-Active Life Coaching As A Treatment For Adults With Obesity, Courtney Newnham-Kanas, Jennifer Irwin, Don Morrow

Donald Morrow

This study evaluates the impact of one-on-one coaching on the waist circumference, BMI, self-esteem, self-efficacy, physical activity, and functional health status of adults with obesity. A one-group within- subjects, pre-test post-test study design was used. The study took place at the University of Western Ontario from June-October 2007. A total of 20 men and women aged 35-55, with a BMI ≥ 30 participated in the study. Each engaged in six to eight 35-minute sessions with a Certified Professional Co-Active Coach during which they explored desired changes and how to achieve them. Paired t-tests were used to analyse the pre- and …

Co-Active Coaching As An Intervention For Obesity Among Female University Students, Melissa Van Zandvoort, Jennifer Irwin, Don Morrow

Donald Morrow

Purpose: The purpose of this study was to assess the impact of Co-active coaching on obese female university students’ body mass index (BMI), waist circumference (WC), functional health status and self-esteem, and conjointly to identify the coaching skills and primary agenda topics that facilitate coaching’s efficacy as an intervention for obesity.

Design: A multiple-baseline, single-subject research design was utilized.Methods: Two certified coaches provided an average of nine, 35-minute, one-on-one sessions with five students whose BMI?30kg/m2 (obesity threshold). Measures included BMI, WC, the Short-Form 36 (SF-36) Health Survey, and the Rosenberg Self-Esteem Scale. Visual inspection was used to analyze changes in …

The Impact Of Co-Active Life Coaching On Female University Students With Obesity, Melissa Van Zandvoort, Jennifer Irwin, Don Morrow

Donald Morrow

The purpose of this qualitative study was to explore the impact of Co-active life coaching on obese female university students. Five obese (BMI ≥ 30kg/m2), female university students received an average of nine weekly, 35-minute, one-on-one sessions with a certified coach. Semi- structured, in-depth interviews before and after participating in the coaching intervention were conducted, and inductive content analysis was utilized. Strategies to enhance data trustworthiness were incorporated throughout. Participants initially reported: struggling with barriers and experiencing pressure from family to lose weight; negative relationships with themselves; feeling self-conscious and remorse for their size and lifestyle choices. At the conclusion …

The Impact Of Co-Active Coaching On Physically Inactive 12 To 14 Year Olds In Ontario, Paul Gorczynski, Don Morrow, Jennifer Irwin

Donald Morrow

This study assessed the impact of life coaching on physical activity participation, self-efficacy, social support, and perceived behavioural control among physically inactive youth between the ages of 12 and 14 years in London, Ontario. The multiple-baseline across participants single case-experimental design study consisted of five 12 to 14 year olds. Six coaching sessions were conducted over two months by a certified professional Co-active coach. Physical activity increased for one participant while the other participants’ physical activity remained unchanged. No significant changes occurred in self-efficacy, social support, and perceived behavioural control with specific regard to becoming more physically active. Results indicted …

Health Promotion Theory In Practice: An Analysis Of Co-Active Coaching, Jennifer Irwin, Don Morrow

Donald Morrow

According to the World Health Organization (1986), “health promotion is the process of enabling people to increase control over, and to improve their own health.” To bring this process and its desired outcomes to fruition, many theories and models for understanding and altering health behaviours have been designed and utilized (Ajzen, 1988; Bandura, 1986; Fishbein & Ajzen; 1975; Freire, 1973, 1974; Jessor & Jessor, 1977; Prochaska, 1979). Practitioners of behaviour change implementation are legion, as therapists, counsellors, social workers and so forth. Coaching (in various iterations such as life coaching, personal coaching, executive coaching) is a recent and growing behavioural …

The Impact Of A One-Day Applied Training In Motivational Interviewing On Health Practitioners' Perceived Competence, Autonomy, Efficacy, And Attitudes To Facilitate Behavior Change: A Pilot Study, Erin Wiley, Don Morrow, Jennifer Irwin

Donald Morrow

Objective: Because the practical application of motivational interviewing (MI) for health practitioners has been highlighted as a limitation to the approach, the purpose of this pilot study was to assess the impact of a one-day training workshop in MI applied through Co-Active life coaching (CALC) skills on health care practitioners’ perceived competence, autonomy and attitudes toward facilitating health-behavior changes. Methods: A pre-test/post-test multiple baseline design was used with 10 health care practitioners. Data was collected beginning 25 days prior and for 4 weeks post-training. Participants received a 7.5 hour interactive workshop in January 2011. The Perceived Competence Scale, the Perceived …

Addressing Economic Devastation And Built Environment Degradation To Prevent Violence: A Photovoice Project Of Detroit Youth Passages, Louis Graham, Armando Reyes, William Lopez, Alana Gracey, Rachel Snow, Mark Padilla

Louis Graham

This project increased awareness about issues of violence to youth, their communities, and policy makers through the technique of photovoice and its translation into photo exhibitions and other community events. Youth participants learned photography skills, engaged in critical communal discussions about important issues affecting their health, wrote reflective stories about their photos, and engaged in policy change efforts. Their photos depict the need to address economic devastation and built environment degradation to prevent violence in their communities. Youth presented policy makers and community leaders with an “insider’s perspective” of the issues facing their communities, with the hope of promoting policy …

Commentary: Critical Analysis Of Chiropractic At The Crossroads Or Are We Just Going Around In Circles., Dennis M. Richards

Dennis M Richards

This commentary presents critical analysis of a paper published by Dr John Reggars, and based, as he admitted, on his perceptions and opinions. Many of those are wrong. Others raise important questions. Sourced from a lecture presented by him at the 2010 annual conference of the Chiropractic and Osteopathic College of Australia (‘COCA’), this polemic is best understood in its historical and political contexts. COCA’s objects include political activity and Reggars is its vice president, which he failed to declare.

Vitalism And Value In Undergraduate Chiropractic Education, Dennis M. Richards

Dennis M Richards

Vitalism is a philosophical viewpoint with ancient origins. In more recent times it has been discussed as a reaction to dominant reductionist and mechanist models in science and health. A ‘new vitalism’ incorporates recent developments in philosophy and science.

Demographic changes, particularly ageing, are occurring in many societies. These changes and the rise of non-communicable diseases resulting from unhealthy lifestyles challenge biomedicine’s ability to address them and societies’ abilities to pay for treatment of them.

Chiropractic was founded on and continues to involve vitalist thinking. A vitalist approach by chiropractors might offer solutions to these challenges. Such an approach would …

Health Survey Of Us Long-Haul Trucker Drivers: Work Environment, Physical Health, And Healthcare Access, Yorghos Apostolopolous, Sevile Sonmez, Mona Shattell, Clifford Gonzales, Caitlin Fehrenbacher

Mona Shattell

No abstract provided.

E-Health Innovations, Collaboration, And Healthcare Disparities: Developing Criteria For Culturally Competent Evaluation, Gonzalo Bacigalupe, Sabrina Askari

Gonzalo Bacigalupe, EdD, MPH

E-Health alters how health care clinicians, institutions, patients, caregivers, families, advocates, and researchers collaborate. Few guidelines exist to evaluate the impact of social technologies on furthering family health and even less on their capacity to ameliorate health disparities. Health social media tools that help develop, sustain, and strengthen the collaborative health agenda may prove useful to ameliorate health care inequities; the linkage should not, however, be taken for granted. In this article we propose a classification of emerging social technologies in health care with the purpose of developing evaluative criteria that assess their ability to foster collaboration and positively impact …

The History Of The Hygiene Hypothesis, Jody Vogelzang

Jody L Vogelzang PhD, RDN, FAND, CHES

Since the beginning of the nineteenth century there has been a gradual rise in the prevalence of immunoregulatory problems. One attempt to explain the correlation between the rise in autoimmune diseases and allergies occurring during the urbanization period of the United States and parts of Europe is the Hygiene Hypothesis.

Gifts From The Elders: Honouring The Past For A Healthier Tomorrow, Chantelle Richmond, James Fortier

Chantelle Richmond

“Gifts from the Elders” follows five Anishinaabe youth on a summer research project with their Elders, whose stories guide them on a journey back to proceeding generations that lived a healthy lifestyle off of the land. Their stories chronicle the devastating impact that environmental and cultural dispossession had on the flow of knowledge from Elders to youth, and ultimately on the health of their people. As their summer comes to an end, the youth emerge with “gifts” of knowledge and teachings from their Elders, inspiring a renewed determination to forge a hopeful and healthy future for the next generation.

Finalarticleinpressruralhealthqrseh.Pdf, Rebecca Busanich

Rebecca Busanich

No abstract provided.