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Full-Text Articles in Social and Behavioral Sciences

Is Sleep Duration Associated With Obesity In Older Australian Adults?, Christopher A. Magee, Peter Caputi, Don C. Iverson Jun 2012

Is Sleep Duration Associated With Obesity In Older Australian Adults?, Christopher A. Magee, Peter Caputi, Don C. Iverson

Don C. Iverson

Objectives: To investigate the relationship between sleep duration and obesity in older Australian adults. Method: Self-reported health data were collected through the 45 and Up Study. Multinomial logistic regression models were used to test the relationship between sleep duration and body mass index, controlling for a range of demographic and health-related variables. Results: The sample included 45,325 Australian adults aged 55 to 95 years. The regression models demonstrated that short and long sleep were associated with obesity in 55- to 64-year-olds but not in those aged 65 years and above. Discussion: The present results suggest that the relationships between sleep …


The Danger Of Applying Uniform Clincal Policies Across Populations: The Case Of Breast Cancer In American Indians, Paul Nutting, Ned Calonge, Donald Iverson, Larry Green Jun 2012

The Danger Of Applying Uniform Clincal Policies Across Populations: The Case Of Breast Cancer In American Indians, Paul Nutting, Ned Calonge, Donald Iverson, Larry Green

Don C. Iverson

OBJECTIVES. This study examined the implications of annual screening mammography for cost and mortality in American Indian populations with differing baseline breast cancer rates. METHODS. A decision tree compared annual screening mammography and screening clinical breast examination with referral for diagnostic mammography when appropriate. The decision tree was constructed to examine the effect of different base-line cancer rates, stage at diagnosis, and stage-specific survival. Outcomes included 5-year relative survival, deaths prevented at 5 years, cost per death prevented, and total costs. RESULTS. The findings suggest that the total cost of breast cancer is 3.6 times higher with the screening mammography …


Workgroup Iv: Public Education. Uicc International Workshop On Facilitating Screening For Colorectal Cancer, Oslo, Norway 2002, R Hiatt, J Wardle, S Vernon, J Austoker, L Bistanti, S Fox, R Gnauck, Donald Iverson Jun 2012

Workgroup Iv: Public Education. Uicc International Workshop On Facilitating Screening For Colorectal Cancer, Oslo, Norway 2002, R Hiatt, J Wardle, S Vernon, J Austoker, L Bistanti, S Fox, R Gnauck, Donald Iverson

Don C. Iverson

The Workgroup on public education was brought together to formulate an international perspective on public education for the important public health challenge of increasing colorectal cancer screening. The focus of the group did not include professional education, which is an important channel for public education, since another Workgroup covered that topic. The results of the Workgroup represent an expression of expert opinion and did not include a comprehensive review of the literature. However, the recommendations for further research may stimulate a more in-depth examination of the literature in some areas and generate ideas for investigation.


A Link Between Chronic Sleep Restriction And Obesity: Methodological Considerations, Christopher Magee, Donald Iverson, Xu-Feng Huang, Peter Caputi Jun 2012

A Link Between Chronic Sleep Restriction And Obesity: Methodological Considerations, Christopher Magee, Donald Iverson, Xu-Feng Huang, Peter Caputi

Don C. Iverson

Emerging evidence suggests that chronicsleeprestriction contributes to obesity. Targeting short sleep duration may therefore offer a novel and effective method of preventing and treating obesity. However, this area of research is only in its infancy, and a complete understanding of how chronicsleeprestriction and obesity are linked is currently lacking. The aim of this paper is to briefly review epidemiological evidence for an association between chronicsleeprestriction and obesity in adults, and outline the key methodological limitations of these studies. Particular attention is paid to the methods used to measure sleep and obesity, as well as the need to control for potential …


A Study Of Headache In North American Primary Care: Report For The Ambulatory Sentinel Practice Network, L A. Becker, Donald C. Iverson, F M. Read, N Calogne, R S. Miller, W L. Freeman Jun 2012

A Study Of Headache In North American Primary Care: Report For The Ambulatory Sentinel Practice Network, L A. Becker, Donald C. Iverson, F M. Read, N Calogne, R S. Miller, W L. Freeman

Don C. Iverson

Headache is a common symptom in primary care about which surprisingly little is known. Over a 14-month period 3847 patients making 4940 consecutive visits for headache to 38 primary care practices in the USA and Canada were studied. The clinical characteristics of patients, as well as the diagnostic and therapeutic strategies employed by their doctors, were examined. Visits for headache represented 1.5% of all visits during this period. Most patients (72.0%) made only one visit, and nearly half of the headaches reported were new. Only a small number of patients (3.0%) received a computerized tomographic scan; other investigations were used …


Involving Providers And Patients In Cancer Control And Prevention Efforts. Barriers To Overcome, Donald Iverson Jun 2012

Involving Providers And Patients In Cancer Control And Prevention Efforts. Barriers To Overcome, Donald Iverson

Don C. Iverson

Although progress has been made in providing cancer prevention and control services to the population, there remain sizeable segments of the population that are either uninvolved or underinvolved with national and state efforts. One method of reaching most of the population, including those segments currently not involved or underinvolved, is through primary care clinicians. Effective, albeit imperfect, strategies to increase the involvement of primary care clinicians in cancer prevention and control are available, and there is emerging evidence that these strategies are making a difference. Unfortunately, the progress made to date is at risk of being lost because of economic …


What Australians Know And Believe About Bird Flu: Results Of A Population Telephone Survey, Sandra Jones, Donald Iverson Jun 2012

What Australians Know And Believe About Bird Flu: Results Of A Population Telephone Survey, Sandra Jones, Donald Iverson

Don C. Iverson

The avian influenza A (A/H5N1) virus has attracted the attention of governments and health organizations throughout the world because of its pandemic potential. Despite the emerging nature of A/H5N1, there is limited research on public knowledge and perceptions of this disease. This study is based on a computer-assisted telephone interviewing survey conducted in May 2006 to determine the Australian publics knowledge of A/H5N1, their willingness to engage in preventive behaviors, and their acceptance of potential messages for communication campaigns. Awareness and concern about bird flu is low (lower than a recent survey of U.S. residents). There appears to be widespread …


Worksite Health Promotion In Colorado, Mary Davis, Karen Rosenberg, Donald Iverson, Thomas Vernon, Jeff Bauer Jun 2012

Worksite Health Promotion In Colorado, Mary Davis, Karen Rosenberg, Donald Iverson, Thomas Vernon, Jeff Bauer

Don C. Iverson

No abstract provided.


Verification Of Data Reported By Practices For A Study Of Spontaneous Abortion, L Green, F Reed, R Miller, Donald Iverson Jun 2012

Verification Of Data Reported By Practices For A Study Of Spontaneous Abortion, L Green, F Reed, R Miller, Donald Iverson

Don C. Iverson

Little is known about the accuracy of data reported in practice based primary care research. The Ambulatory Sentinel Practice Network (ASPN) undertook a 100% audit of 226 patients included in a study of spontaneous abortion (SAB). The audit was conducted to assess the feasibility of conducting audits in primary care research networks dispersed over large geographic areas, verify that patients met inclusion criteria, and assess the frequency of reporting errors using the medical record as a standard. Of the originally reported SABs, 24% could not be verified. The overall error rate was 4.5%, a total of 106 errors out of …


Physician Communication Skills: Results Of A Survey Of General/Family Practitioners In Newfoundland, F Ashbury, Donald Iverson, Boris Kralj Jun 2012

Physician Communication Skills: Results Of A Survey Of General/Family Practitioners In Newfoundland, F Ashbury, Donald Iverson, Boris Kralj

Don C. Iverson

Purpose: To describe the attitudes related to communication skills, confidence in using commnication skills, and use of communication skills during the physician-patient encounter among a population-based sample of family physicians. Procedures: A mailed survey, distributed to all family physicians and general practitioners currently practicing in Newfoundland. The questionnaire was designed to collect data in five general areas participant demographics, physician confidence in using specific communication strategies, perceived adequacy of time spent by physicians with their patients, physician use of specific communication strategies with the adult patients they saw in the prior week, and physician use of specific communication strategies during …


Feasibility Studies Of Low-Fat Diet To Prevent Or Retard Breast Cancer, P Greenwald, C Clifford, R Butrum, Donald Iverson Jun 2012

Feasibility Studies Of Low-Fat Diet To Prevent Or Retard Breast Cancer, P Greenwald, C Clifford, R Butrum, Donald Iverson

Don C. Iverson

No abstract provided.


An Overview And Analysis Of The Health Style Campaign, Mary Davis, Donald Iverson Jun 2012

An Overview And Analysis Of The Health Style Campaign, Mary Davis, Donald Iverson

Don C. Iverson

In 1981, the Office of Health Information and Health Promotion of the U.S. Department of Health and Human Services launched a national health promotion media campaign titled Health Style. The purposes of the Health Style campaign were: (1) to increase public awareness of the effects of life-style on health; (2) to enable persons to assess which life-style changes would be most conducive to their health; (3) to stimulate information-seeking behavior and; (4) to foster the development of local health promotion activities and referral networks. The campaign was implemented in nine test communities across the United States. This article: (1) provides …


Toddler Milk Advertising In Australia: Infant Formula Advertising In Disguise?, Nina Berry, Sandra Jones, Donald Iverson Jun 2012

Toddler Milk Advertising In Australia: Infant Formula Advertising In Disguise?, Nina Berry, Sandra Jones, Donald Iverson

Don C. Iverson

The Marketing in Australia of Infant Formula: Manufacturers' and Importers' Agreement prevents manufacturers and importers from advertising infant formula. However, toddler milks, which share brand identities with infant formula, are advertised freely; and recent research suggests consumers fail to distinguish between advertising for infant formula and for toddler milk. This study examined whether Australian parents recalled having seen advertisements for 'formula'. Most respondents (66.8%) reported seeing an advertisement for infant formula, with those who had only seen non-retail advertising more than twice as likely to believe that they had seen such an advertisement as those who had only seen retail …


Preventing Hiv Infection Among Adolescents: Evaluation Of A School-Based Education Program, D Main, Donald Iverson, J Mcgloin, S Banspach, J Collins, D Rugg, Lloyd Kolbe Jun 2012

Preventing Hiv Infection Among Adolescents: Evaluation Of A School-Based Education Program, D Main, Donald Iverson, J Mcgloin, S Banspach, J Collins, D Rugg, Lloyd Kolbe

Don C. Iverson

Background. This article reports the results of the impact of aschool-based HIV prevention intervention on students′ knowledge, attitudes, and behavior related to HIV infection. Methods. Seventeen schools within six Colorado school districts were assigned to either intervention or comparison conditions. Students in 10 schools received a 15-session, skills-based HIV prevention curriculum implemented by trained teachers. A total of 2,844 students completed at least one survey during the study period; surveys were matched using demographic questions, yielding a cohort of 979 students who had baseline and 6-month follow-up data. Results. Intervention students exhibited greater knowledge about HIV and greater intent to …


Spontaneous Abortion In Primary Care: A Report From Aspn, L Green, L Becker, W Freeman, E Elliott, Donald Iverson, F Reed Jun 2012

Spontaneous Abortion In Primary Care: A Report From Aspn, L Green, L Becker, W Freeman, E Elliott, Donald Iverson, F Reed

Don C. Iverson

The Ambulatory Sentinel Practice Network (ASPN) conducted an observational study of usual primary care of spontaneous abortion (SAB). Forty-nine practices in 18 states and four Canadian provinces reported and audited 171 SABs. Contrary to recommendations in some texts, 40 percent were managed completely in the office and/or at home, and only 51 percent had a dilation and curettage (D&C). SABs occurring later in pregnancy were more likely to be managed in the emergency room/hospital, receive consultation, and have a D&C. Patients managed with D&C had a greater frequency of excessive blood loss at diagnosis, but otherwise they did not differ …


Occupational Factors And Sick Leave In Australian Employees, Christopher Magee, Natalie Stefanic, Peter Caputi, Don Iverson Jun 2012

Occupational Factors And Sick Leave In Australian Employees, Christopher Magee, Natalie Stefanic, Peter Caputi, Don Iverson

Don C. Iverson

Objectives: To investigate occupational factors associated with sick leave over a 4-year period in Australian employees. Methods: Longitudinal data (self-report) from 2861 Australian full-time employees (69.4% male) were used. Occupational factors and relevant covariates were assessed at baseline with sick leave assessed yearly over a 4-year period. The data were analyzed using multinomial logistic regression models. Results: Job strain and longer commuting time were associated with long sick leave, whereas long work hours were inversely associated with long sick leave. Conclusions: These results provide further evidence that certain aspects of work are associated with sick leave, whereas other work aspects …


Implementing Comprehensive Health Education: Educational Innovations And Social Change, Lloyd Kolbe, Donald Iverson Jun 2012

Implementing Comprehensive Health Education: Educational Innovations And Social Change, Lloyd Kolbe, Donald Iverson

Don C. Iverson

The effectiveness of health education is ultimately determined by whether it is implemented, and how it is implemented. Although a given health education innovation may be designed and experimentally assessed to promote well-being with some measure of effectiveness and efficiency, the actual impact of the innovation will depend upon the manner in which it is disseminated, initiated, and maintained. The implementation of health education programs in schools or elsewhere is a function of the types of innovations available, certain characteristics of those innovations that influence their use, and the manner in which the innovations are brought into practice. This paper …


Utilizing A Health Behavior Model To Design Drug Education/Prevention Programs, Donald Iverson Jun 2012

Utilizing A Health Behavior Model To Design Drug Education/Prevention Programs, Donald Iverson

Don C. Iverson

The underlying philosophical and practical problems encountered when designing drug education/prevention programs are reviewed. The necessity for utilizing a health behavior model as the basis for any prevention program is discussed and the Health Belief Model is proposed as the model of choice. The Health Belief Model is described and its most relevant components are outlined. The drug education material and teaching methodology which complement the model are reviewed as well as specific suggestions regarding selection of the most appropriate material for inclusion in the program.


Evaluation Of Health Education And Promotion Programs:, P Mullen, R Mccuan, Donald Iverson Jun 2012

Evaluation Of Health Education And Promotion Programs:, P Mullen, R Mccuan, Donald Iverson

Don C. Iverson

No abstract provided.


Sleep Quality, Fatigue And Physical Activity Following A Cancer Diagnosis, Nancy Humpel, Donald Iverson Jun 2012

Sleep Quality, Fatigue And Physical Activity Following A Cancer Diagnosis, Nancy Humpel, Donald Iverson

Don C. Iverson

Research on physical activity for cancer survivors suggests a relationship with improved quality of life. The aim of this study was to explore if there was also a relationship of physical activity with sleep difficulties and fatigue, common effects of cancer and its treatments. Recruitment was by posters and flyers in medical waiting rooms and by letter of invitation. Thirty-two breast and 59 prostate cancer survivors completed the questionnaire. Poor sleep quality was reported by 57.8%. A greater proportion of breast cancer (36.7%) than prostate cancer survivors (15.5%) reported poor sleep latency, and sleep disturbance (48.4% vs. 17.2%). The mean …


An Investigation Of The Dimensionality Of The Pittsburgh Sleep Quality Index In Australian Adults, Christopher Magee, Peter Caputi, Donald Iverson, Xu-Feng Huang Jun 2012

An Investigation Of The Dimensionality Of The Pittsburgh Sleep Quality Index In Australian Adults, Christopher Magee, Peter Caputi, Donald Iverson, Xu-Feng Huang

Don C. Iverson

The Pittsburgh Sleep Quality Index (PSQI) is widely used to assess subjective sleep quality in clinical and non-clinical settings. Although the PSQI is routinely scored to provide a single sleep quality factor, two recent studies suggest that multiple factor scoring methods could be more appropriate. As a consequence, the present study investigated for the dimensionality and factor structure of the PSQI in 364 Australian adults aged 18 to 59 years. The results demonstrate that two factor and three factor scoring models were favored statistically over the single factor model. These results add to recent findings and suggest that scoring the …


The Cumulative Impact And Associated Costs Of Multiple Health Conditions On Employee Productivity, Donald Iverson, Kate Lewis, Peter Caputi, Sascha Knospe Jun 2012

The Cumulative Impact And Associated Costs Of Multiple Health Conditions On Employee Productivity, Donald Iverson, Kate Lewis, Peter Caputi, Sascha Knospe

Don C. Iverson

Objective: This study investigates and provides comparative data on the relative contributions of multiple physical and psychological health conditions on work productivity. Methods: A total of 667 employees from the headquarters office of a multinational consumer goods manufacturing firm in Germany completed a purpose-designed self-report questionnaire addressing the presence of 13 common health conditions, and associated absenteeism and presenteeism. Adjustments for comorbidity and self-report bias were made using an innovative approach. Results: A total of 34.8% of participants experienced absenteeism and 78.4% experienced presenteeism for at least one health condition. The overall annualized productivity loss due to the 13 health …


Sleep Duration And Obesity In Middle-Aged Australian Adults, Christopher A. Magee, Donald C. Iverson, Peter Caputi Jun 2012

Sleep Duration And Obesity In Middle-Aged Australian Adults, Christopher A. Magee, Donald C. Iverson, Peter Caputi

Don C. Iverson

The present study examined the association between sleep duration and obesity in 40,834 middle-aged Australian adults. Multinomial logistic regression was used to test the relationship between sleep duration and obesity while controlling for important demographic and health covariates; separate models were tested for males and females. Short sleep (i.e., <7 h a night) was found to be independently associated with obesity in males and females. To our knowledge, this is the first study to report an association between short sleep and obesity in Australian adults. Although more research is required, interventions targeting short sleep could aid obesity treatment and prevention.


The Effects Of An Education Intervention Program For Juvenile Drug Abusers And Their Parents, Donald Iverson, Stephen Jurs, Lawrence Johnson, Rita Rohen Jun 2012

The Effects Of An Education Intervention Program For Juvenile Drug Abusers And Their Parents, Donald Iverson, Stephen Jurs, Lawrence Johnson, Rita Rohen

Don C. Iverson

The Juvenile Intervention Program represents an attempt to intervene in the development of juvenile drug dependence. The program involves the early identification of juvenile drug abusers followed by the recruitment of the juveniles and their parents into the program. The program utilizes the principles of family involvement and peer pressure throughout the program, while the basis of the program involves the education of the participants in such areas as family architecture, family communication patterns and drug knowledge.


It's All Formula To Me: Women's Understandings Of Toddler Milk Ads, Nina Berry, Sandra Jones, Don Iverson Jun 2012

It's All Formula To Me: Women's Understandings Of Toddler Milk Ads, Nina Berry, Sandra Jones, Don Iverson

Don C. Iverson

This study utilised semi-structured interviews to investigate how women expecting a first baby perceived print advertisements for 'toddler milks' in order to determine whether they function as indirect advertising for infant and follow-on formula. Examination of the marketing literature, analysis of the advertisers' websites and the advertisements themselves provided sources of triangulation. Fifteen women expecting a first baby were recruited from antenatal classes conducted by staff of the Northern Sydney Central Coast Area Health Service. These respondents clearly understood toddler milk advertisements to be promoting a range of products that included infant and follow-on formula and accepted their claims quite …


Circumventing The Who Code? An Observational Study, Nina J. Berry, Sandra C. Jones, Donald C. Iverson Jun 2012

Circumventing The Who Code? An Observational Study, Nina J. Berry, Sandra C. Jones, Donald C. Iverson

Don C. Iverson

Background This study compares the formula milk advertisements that appeared in parenting magazines published in two countries that have enacted measures to restrict the advertising of infant formula products in response to the international code with two that have not. Methods Content analysis was used to compare the type and frequency of formula milk advertisements that appeared in parenting magazines collected from the USA, Canada, the UK and Australia during 2007, and to examine whether there was a relationship between these frequencies and advertising regulations. Findings Advertisements that promoted formula products or brands occurred in all of the magazines sampled …


Patients With New Headache In Primary Care: A Report From Aspn, L Becker, Donald Iverson, F Reed, N Calonge, R Miller, W Freeman Jun 2012

Patients With New Headache In Primary Care: A Report From Aspn, L Becker, Donald Iverson, F Reed, N Calonge, R Miller, W Freeman

Don C. Iverson

From a consecutive series of 3,847 headache patients, 1,331 patients who made first visits for new headache to 120 primary care physicians were studied for usual care over a 14-month period. Either tension or vascular headache was the initial diagnosis in 23.8 percent and 12.8 percent of patients, respectively. Nearly one half (47.8 percent) were classified as having headaches other than tension or vascular. A total of 15.3 percent of headaches were undiagnosed or were regarded as a mixture of traditional diagnostic designations. At first visit, most patients (76.6 percent) were managed without diagnostic tests. Drugs were prescribed for 73.6 …


Do Australian Adolescent Female Fake Tan (Sunless Tan) Users Practice Better Sun-Protection Behaviors Than Non-Users?, Melinda Williams, Sandra Jones, Peter Caputi, Donald Iverson Jun 2012

Do Australian Adolescent Female Fake Tan (Sunless Tan) Users Practice Better Sun-Protection Behaviors Than Non-Users?, Melinda Williams, Sandra Jones, Peter Caputi, Donald Iverson

Don C. Iverson

Objective: To determine differences in sun-protection behaviours, and incidence of sunburn, between Australian adolescent female fake tan users and non-users. Design: Cross sectional survey. Method: 398 adolescent females aged 12 to 18 years participated in a survey at public venues, schools, and online. The main outcome measures were self-reported fake tan usage in the past 12 months, frequency of sunburns and habitual sun-protection behaviours. Setting: Surveys were completed in New South Wales, Australia. Results: The prevalence of self-reported use of fake tanning products in the past 12 months among Australian adolescent females was 34.5%. Female fake tan users were significantly …


The School Health Curriculum Project: Its Theory, Practice, And Measurement Experience, Lawrence Green, Phil Heit, Donald Iverson, Lloyd Kolbe, Marshall Kreuter Jun 2012

The School Health Curriculum Project: Its Theory, Practice, And Measurement Experience, Lawrence Green, Phil Heit, Donald Iverson, Lloyd Kolbe, Marshall Kreuter

Don C. Iverson

The School Health Curriculum Project(SHCP), initiated over a decade ago to provide a health education curriculum package for elemen tary students, has been widely and variously evaluated. In analyzing studies designed to assess the effectiveness of the SHCP, it was recognized that the measured impact of this project (or any health education intervention) would derive from the adequacy of the theory upon which the program is based, the adequacy of its implementation, and the adequacy of its measurement. Hence, an examination of the theoretical base of the SHCP and its variance in practice was conducted. In addition, a metaevaluation of …


Statistical Design Of The Women's Health Trial, Steven Self, Ross Prentice, Donald Iverson, Maureen Henderson, Donovan Thompson, David Byar, William Insull, Sherwood Gorbach, Carolyn Clifford, Susan Goldman, Nicole Urban, Lianne Sheppard, Peter Greenwald Jun 2012

Statistical Design Of The Women's Health Trial, Steven Self, Ross Prentice, Donald Iverson, Maureen Henderson, Donovan Thompson, David Byar, William Insull, Sherwood Gorbach, Carolyn Clifford, Susan Goldman, Nicole Urban, Lianne Sheppard, Peter Greenwald

Don C. Iverson

The National Cancer Institute has initiated a randomized trial to determine whether a low fat diet can reduce the incidence of breast cancer among women at increased risk for this disease. A feasibility trial involving 303 women has been conducted to examine recruitment strategies, study short-term compliance and, more generally, develop and refine trial procedures. The feasibility trial group also developed a detailed full-scale trial design plan, and randomization of participants to such a trial is currently underway. The purpose of this report is to describe the major design features of this Women's Health Trial, with particular emphasis on the …