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Full-Text Articles in Public Health

Dukungan Suami Dalam Pemberian Asi Eksklusif Di Wilayah Kerja Puskesmas Air Tawar Kota Padang, Sumatera Barat, Mery Ramadani, Ella Nurlaella Hadi Jun 2010

Dukungan Suami Dalam Pemberian Asi Eksklusif Di Wilayah Kerja Puskesmas Air Tawar Kota Padang, Sumatera Barat, Mery Ramadani, Ella Nurlaella Hadi

Kesmas

Manfaat pemberian ASI yang sangat besar ternyata belum mampu meningkatkan angka cakupan ASI eksklusif. Hal tersebut terlihat pada tingkat pemberian ASI eksklusif di tanah air yang masih rendah berada pada kisaran 39%-40%. Tujuan penelitian ini mengetahui dukungan suami dalam pemberian ASI eksklusif di Wilayah Kerja Puskesmas Air Tawar, Kota Padang Tahun 2009. Rancangan penelitian potong lintang digunakan pada bulan Maret-April 2009 dengan responden ibu bayi usia 7-12 bulan. Hasil penelitian mendapatkan 55,4% ibu memberikan ASI eksklusif dan 57% ibu mendapat dukungan suami dalam pemberian ASI eksklusif. Ada hubungan antara dukungan suami dengan pemberian ASI eksklusif, ibu yang suaminya mendukung pemberian …


Forced Migration And The Survival Needs Of The Nigerian Child, Ngozi Diwunma Obidike Jun 2010

Forced Migration And The Survival Needs Of The Nigerian Child, Ngozi Diwunma Obidike

Journal of Global Initiatives: Policy, Pedagogy, Perspective

This article identifies the survival needs of the forced migrant Nigerian child as well as the extent to which the identified needs are satisfied. The population consisted of 600 forced migrant children and 10 emergency workers who were chosen based on their experiences being forced migrants. A questionnaire was used for the study. The result showed) among other things, that although the need for food, clean water, education, peace, and shelter were identified as the five most essential needs, other needs were also identified as necessary for the children's survival. Based on the results, recommendations were made.


Workers Killed While Collecting Solid Waste, Kentucky Injury Prevention And Research Center Jun 2010

Workers Killed While Collecting Solid Waste, Kentucky Injury Prevention And Research Center

Kentucky Haz Alerts--Motor Vehicle

To prevent solid waste collection injuries:

  • An applicable worker safety program should be established
  • Before the solid waste truck is moved, visible hand signal communication between the driver and tipper should be established
  • A standard operating procedure (SOP) should be established for stacking dumpsters as a result of a job hazard analysis
  • A drug testing program should be incorporated in a worker safety program
  • Pre-trip and post-trip vehicle inspections should be performed
  • An ANSI ISEA 107-1999 safety vest should be worn at all times when on duty
  • Do not ride on the steps if the truck is going faster than …


Stressors And Coping Mechanisms Of Married Female Physicians : A Qualitative Review, Eva Marie Starner Jun 2010

Stressors And Coping Mechanisms Of Married Female Physicians : A Qualitative Review, Eva Marie Starner

Loma Linda University Electronic Theses, Dissertations & Projects

Female physicians live and work in a very complex world fraught with professional demands and personal challenges. Twenty-seven married female physicians were interviewed for this study to assess demands and stressors endemic to them and to determine how they manage them. The breadth of this study looked at the demands and stressors of the female physician from the perspective of her work environment, home and family responsibilities, parenting responsibilities, and self-imposed demands in her perceived roles as a working wife and mother. Two main categories emerged during the development of grounded theory: System Challenge and System Adaptation. Additionally, work demands, …


Psychosocial Factors Associated With Nicotine Dependence Among College Students : Are There Differences Between Social And Regular Smokers?, Devan Rae Romero Jun 2010

Psychosocial Factors Associated With Nicotine Dependence Among College Students : Are There Differences Between Social And Regular Smokers?, Devan Rae Romero

Loma Linda University Electronic Theses, Dissertations & Projects

Background. Cigarette smoking, the primary source of tobacco used by adults 18-25, has remained stable, at around 21-25%, in the college population since 2003. Many college students report their smoking as primarily a “social” behavior, which may reflect an emerging type of smoker. Ambiguity exists in defining and categorizing smokers in the college population.

Purpose. The purpose of this study was to examine psychosocial perceptions related to smoking among college students who currently smoke and those who do not smoke, and among different types of smokers. In addition, validation of self-reported smoking behavior with saliva cotinine was conducted in …


Semi Team Driver Dies After Being Ejected From Sleeper Berth, Kentucky Injury Prevention And Research Center May 2010

Semi Team Driver Dies After Being Ejected From Sleeper Berth, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Motor Vehicle

In the fall of 2009, a husband-wife semi driver team traveled south on a four-lane interstate. They were driving a semi-tractor trailer loaded with air freight. It was nighttime; the husband was driving, and the wife was in the sleeper berth. There was an unoccupied car parked on the right shoulder. The husband crossed the fog line on the right, sideswiped the car, traveled through a guardrail, and down an embankment toward a road below the interstate. During the trajectory of the semi-tractor trailer, the unit jackknifed; the trailer detached from the semi then struck the semi, and both the …


The Effects Of Strengthening And Rehabilitation Programs For The Collegiate Baseball Player, Briana Patton May 2010

The Effects Of Strengthening And Rehabilitation Programs For The Collegiate Baseball Player, Briana Patton

Honors Theses

Today, collegiate baseball players are doing everything that they can in order to excel and perform at their highest level. They are training their bodies through various strength and conditioning programs so that they can be in peak condition when game time arrives. In order to help these athletes, researchers are continually trying to find the next best routine or technique to enhance performance and to reduce injury for all athletes. The studies performed by these researchers have led to the development of many new and effective routine methods. Despite the fact that these new techniques' and routines' efficiency are …


Everything's Better In Moderation: Young Women's Gender Role Attitudes And Risky Sexual Behavior, Tamara Leech May 2010

Everything's Better In Moderation: Young Women's Gender Role Attitudes And Risky Sexual Behavior, Tamara Leech

Department of Public Health Scholarship and Creative Works

Purpose This study examines the association between gender role attitudes and risky sexual behavior among young women. Previous studies have posed seemingly contradictory arguments: that either traditional attitudes or egalitarian attitudes are associated with riskier behavior. Methods Data are based on the children of the National Longitudinal Survey of Youth, representing 520 sexually active 18–19-year-old women. Propensity radius matching was used to assess differences in rates of multiple sexual partners and sex outside of a committed relationship. Results Relative to moderate gender role attitudes, both egalitarian gender role attitudes and traditional gender role attitudes are associated with higher rates of …


Female Condom Knowledge, Attributes And Behavior: Barriers To Use And Potential For Acceptance Among Sexually Active Undergraduate Students, Paige Nuzzolillo 6368479 May 2010

Female Condom Knowledge, Attributes And Behavior: Barriers To Use And Potential For Acceptance Among Sexually Active Undergraduate Students, Paige Nuzzolillo 6368479

Honors Scholar Theses

Minimal research has been conducted on the acceptability of the female condom among college populations despite its existence in the world market since 1992. The FC2, an improved version of FC1, has recently been released in the United States, thus prompting the need for further acceptability studies. Due to increasingly high rates of STDs among those aged 15-24, every method of protection against STDs/HIV and pregnancy must be utilized. This study involved a campus-wide survey which examined University of Connecticut (Uconn) main campus (Storrs) undergraduate students’ knowledge of the female condom, perceptions of and attitudes towards the female condom as …


Depression Detection In Hospitalized Cardiac Patients, Martine S. Geddes May 2010

Depression Detection In Hospitalized Cardiac Patients, Martine S. Geddes

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Depression has been shown to increase an individual's risk for heart disease. Despite this finding, physicians are not identifying depression in their hospitalized cardiac patients. This study looked at hospitalized cardiac patients and determined whether their physicians were identifying depression in those that scored ≥ 5 on the PHQ-9 depression inventory. Methods included assessing patient depression during their stay at an intensive care unit using the PHQ-9. Those patients scoring ≥ 5 were determined as depressed. Chart audits were performed after the patient discharged from the hospital to discover whether physicians were identifying these patients as depressed. The results showed …


Improving Sexual Health, P.U.L.S.E., And E.R.O.S. At California Polytechnic State University, San Luis Obispo, Megan (Meg) Rust May 2010

Improving Sexual Health, P.U.L.S.E., And E.R.O.S. At California Polytechnic State University, San Luis Obispo, Megan (Meg) Rust

Psychology and Child Development

This project is designed to update and refine EROS educators’ knowledge of sexual health and to gain insight into Cal Poly students’ general knowledge of sexual health.  Educators are given extensive training during the entire quarter before they begin their positions, but information is constantly changing. This project intends to initiate up to date informational tools that can be revised as new psychological or medical discoveries are made in the realm of sexuality and sexual health.


Metastasis Suppression In Carcinoma And Melanoma Cells, Sherry Marie Baker May 2010

Metastasis Suppression In Carcinoma And Melanoma Cells, Sherry Marie Baker

Undergraduate Honors Capstone Projects

No abstract provided.


The Ecological Influences Of Community Trail Use And Physical Activity Among Female Trail Users, Sarah N. Moulton May 2010

The Ecological Influences Of Community Trail Use And Physical Activity Among Female Trail Users, Sarah N. Moulton

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Despite great effort to improve physical activity, little success has come to pass. Due to this, some researchers have shifted from individual approaches to promoting physical activity to multilevel environmental approaches. One of these multifaceted environmental approaches is through community trails. A small body of research has suggested that community trails may be a successful ecological approach to promoting physical activity. However, the research is minimal and inconsistent in supporting effectiveness of community trails for promoting physical activity.

This study sought to examine ecological factors to learn if and how they might influence trail use among women. The ecological factors …


Implementation Of The Wiegand Sun Safety Program Into Physicians’ Offices In Southern Nevada, Breanne Eddington May 2010

Implementation Of The Wiegand Sun Safety Program Into Physicians’ Offices In Southern Nevada, Breanne Eddington

UNLV Theses, Dissertations, Professional Papers, and Capstones

In this study Nevada Cancer Institute’s Wiegand Sun Safety Program was implemented in 14 clinics in Southern Nevada as a pilot run to increase awareness in children and their guardians through educational materials in pediatricians’ and family physicians’ offices. It was hypothesized that the increased display of information regarding sun safety and skin cancer in physicians’ offices would increase patient and guardian awareness of the subject and increase the likelihood of patients and/or guardians asking their physician questions about skin cancer and sun safety, resulting in an increase in preventive actions by guardians to protect their children from damaging rays …


Association Of Body Mass Index, Fruit And Vegetable Intake, And Acculturation In A Sample Las Vegas Hispanic Population, Anne L. Bolstad May 2010

Association Of Body Mass Index, Fruit And Vegetable Intake, And Acculturation In A Sample Las Vegas Hispanic Population, Anne L. Bolstad

UNLV Theses, Dissertations, Professional Papers, and Capstones

The U.S. is experiencing a rising prevalence of overweightedness that has been identified as the second leading cause for chronic health conditions threatening public health. Overweightedness has grown disproportionately among ethnic sub-groups. In the fastest going minority population in the U.S., Hispanic Americans are observed with disparately high body mass index, placing them at heightened risk for poor health outcomes. Research suggests five servings of fruit and vegetables, in any combination, provides a sound nutritional base for healthful living and helps to maintain normal body weight.

Americans are known to have poor eating habits while foreign-born populations have well balanced …


Belize As A Classroom, Jordan Norris, Molly Calico Apr 2010

Belize As A Classroom, Jordan Norris, Molly Calico

Impact Belize

During the week of January 7-14, 2010, Molly Calico and Jordan Norris participated in the Impact Belize program through the College of Health and Human Services. This program took place in Gales Point, a rural, underserved community in Belize. Impact students provided medical, dental and public health services to the community in an interdisciplinary service-learning format. As Master of Public Health students, Molly and Jordan directed health education initiatives and served on the Leadership Team for the program. Having participated in January of 2009 as well, Molly and Jordan were well prepared to conduct public health research and to assume …


Food Insecurity As A Barrier To Sustained Antiretroviral Therapy Adherence In Uganda, Sheri D. Weiser, David M. Tuller, Edward A. Frongillo Jr., Jude Senkungu, Nozmu Mukiibi, David R. Bangsberg Apr 2010

Food Insecurity As A Barrier To Sustained Antiretroviral Therapy Adherence In Uganda, Sheri D. Weiser, David M. Tuller, Edward A. Frongillo Jr., Jude Senkungu, Nozmu Mukiibi, David R. Bangsberg

Faculty Publications

Background: Food insecurity is emerging as an important barrier to antiretroviral (ARV) adherence in sub-Saharan Africa and elsewhere, but little is known about the mechanisms through which food insecurity leads to ARV non-adherence and treatment interruptions.

Methodology: We conducted in-depth, open-ended interviews with 47 individuals (30 women, 17 men) living with HIV/ AIDS recruited from AIDS treatment programs in Mbarara and Kampala, Uganda to understand how food insecurity interferes with ARV therapy regimens. Interviews were transcribed, coded for key themes, and analyzed using grounded theory.

Findings: Food insecurity was common and an important barrier to accessing medical care and ARV …


Pemanfaatan Tanaman Obat Keluarga Di Kelurahan Tanah 600, Medan, Ulina Karo-Karo Apr 2010

Pemanfaatan Tanaman Obat Keluarga Di Kelurahan Tanah 600, Medan, Ulina Karo-Karo

Kesmas

Pemanfaatan Tanaman Obat Keluarga (TOGA) tidak hanya sebagai bumbu masakan dan obat, tetapi jika ditekuni dengan sepenuh hati akan memberi nilai kepuasan, bahkan sebagai penopang kehidupan. Penelitian kualitatif dengan metode ‘Individual’s life history’ pada satu keluarga yang telah memanfaatkan tanaman obat sejak lama di Tanah 600 Kecamatan Medan Marelan. Tujuan penelitian untuk mengetahui pengalaman satu keluarga yang berhasil memanfaatkan tanaman obat keluarga sebagai sumber pendapatan keluarga. Pengumpulan data dilakukan dengan teknik pengamatan dan wawancara mendalam. Penelitian dilakukan pada periode Februari-April 2009. Informan adalah Mak Intan, dilengkapi dengan keterangan suami, anak, menantu dan orang lain yang mengenal Mak Intan. Analisis data …


Impact Belize 2010 Executive Report, Ritchie D. Taylor, Jordan Norris, Molly Calico, Bernie Strenecky, Daniel Carter, Dawn Garrett Wright, Eve Main, Bonny Petty, Molly Kerby, Jill Norris Apr 2010

Impact Belize 2010 Executive Report, Ritchie D. Taylor, Jordan Norris, Molly Calico, Bernie Strenecky, Daniel Carter, Dawn Garrett Wright, Eve Main, Bonny Petty, Molly Kerby, Jill Norris

Impact Belize

No abstract provided.


An Approaching Epidemic: Exploring Diabetes Awareness & Care In Mombasa, Kenya, Benjamin Marhan Dropkin Apr 2010

An Approaching Epidemic: Exploring Diabetes Awareness & Care In Mombasa, Kenya, Benjamin Marhan Dropkin

Independent Study Project (ISP) Collection

The prevalence of Type II Diabetes Mellitus (T2DM) has become an increasing problem in virtually every city in the world due to lifestyle changes in recent decades that have greatly reduced healthy eating habits as well as exercise. Research has shown that T2DM is largely preventable through healthy lifestyle choices. It is crucial for every country’s population to be aware of the risk factors and complications of diabetes so that they can take active steps to avoid the monumental physical and financial burden of the disease. This study attempted to gauge diabetes awareness among patients living with diabetes and to …


Salud Reproductiva De Mujeres En Edad Fertil De La Zona De Intag: Deteccion Oportuna Del Cancer Cervico Uterino (Doc) Papanicolaou, Astia Roper-Batker Apr 2010

Salud Reproductiva De Mujeres En Edad Fertil De La Zona De Intag: Deteccion Oportuna Del Cancer Cervico Uterino (Doc) Papanicolaou, Astia Roper-Batker

Independent Study Project (ISP) Collection

El cáncer delcuello uterino es el segundo más frecuente tipo de cáncer entre las mujeres a nivel mundial (15). La falta de planificación resulta en una alta incidencia de partos y abortos. Estos factores, junto con otros, significan una predisposición al cáncer del cuello uterino (18). El tratamiento más efectivo en la lucha contra este cáncer, es la prevención a través de la detección temprana por el examen de papanicolaou (16, 15,17). En la zona de Intag, localizada en Ecuador, 289 mujeres se realizaron papanicolaou y fueron encuestadas sobre su salud reproductiva. El estudio presente tiene por objetivo determinar si …


A Pda Intervention To Sustain Smoking Cessation In Clients With Socioeconomic Vulnerability, Lynne Buchanan, Deepak Khazanchi Apr 2010

A Pda Intervention To Sustain Smoking Cessation In Clients With Socioeconomic Vulnerability, Lynne Buchanan, Deepak Khazanchi

Information Systems and Quantitative Analysis Faculty Publications

This article describes a pilot study to explore use of a personal digital assistant (PDA) to sustain smoking cessation after discharge in clients with socioeconomic vulnerability. The major aim is to describe technology acceptance (perceived ease of use, usefulness, and attitude), portability, technical difficulty, satisfaction, and use time. The sample includes 31 medical surgical clients with average age of 47.35 (±13.3), average household income of $13,629 (±8,204), average number in the household of 2.67 (±2.22), and average education of 11th grade. The results demonstrate mean use time of 9.28 (±3.23) hr, or about 1 hr over 8 weeks. Technology acceptance …


Effects Of Perceived Fitness Level Of Exercise Partner On Intensity Of Exertion, Thomas G. Plante, Meghan Madden, Sonia Mann, Grace Lee Mar 2010

Effects Of Perceived Fitness Level Of Exercise Partner On Intensity Of Exertion, Thomas G. Plante, Meghan Madden, Sonia Mann, Grace Lee

Psychology

Problem statement: Social comparison theory was used to examine if exercising with a research confederate posing as either high fit or low fit would increase the exertion in exercising. Approach: 91 college students were randomly assigned to one of three conditions: Biking alone, biking with a high fit confederate, or biking with a low fit confederate. All participants were instructed to complete 20 min of exercise at 60-70% of their maximum target heart rate. Results: Results indicated that participants in the high fit condition exercised harder than those in the low fit condition. However, no mood differences emerged between conditions. …


Who Guidelines For Antimicrobial Treatment In Children Admitted To Hospital In An Area Of Intense Plasmodium Falciparum Transmission: Prospective Study, Behzad Nadjm, Ben Amos, George Mtove, Jan Ostermann, Semkini Chonya, Hannah Wangai, Juma Kimera, Walii Msuya, Frank Mtei, Denise Dekker, Rajabu Malahiyo, Raimos Olomi, John A. Crump, Christopher J. M. Whitty, Hugh Reyburn Mar 2010

Who Guidelines For Antimicrobial Treatment In Children Admitted To Hospital In An Area Of Intense Plasmodium Falciparum Transmission: Prospective Study, Behzad Nadjm, Ben Amos, George Mtove, Jan Ostermann, Semkini Chonya, Hannah Wangai, Juma Kimera, Walii Msuya, Frank Mtei, Denise Dekker, Rajabu Malahiyo, Raimos Olomi, John A. Crump, Christopher J. M. Whitty, Hugh Reyburn

Faculty Publications

Objectives To assess the performance of WHO’s “Guidelines for care at the first-referral level in developing countries” in an area of intense malaria transmission and identify bacterial infections in children with and without malaria.

Design Prospective study.

Setting District hospital in Muheza, northeast Tanzania.

Participants Children aged 2 months to 13 years admitted to hospital for febrile illness.

Main outcome measures Sensitivity and specificity of WHO guidelines in diagnosing invasive bacterial disease; susceptibility of isolated organisms to recommended antimicrobials.

Results Over one year, 3639 children were enrolled and 184 (5.1%) died; 2195 (60.3%) were blood slide positive for Plasmodium falciparum …


Workers Killed While Working With Forklifts, Kentucky Injury Prevention And Research Center Mar 2010

Workers Killed While Working With Forklifts, Kentucky Injury Prevention And Research Center

Kentucky Haz Alerts--Other

To prevent forklift injuries:

  • Do not operate a forklift without being certified and trained.
  • Forklift operators should wear their safety belts.
  • Do not jump from an overturning forklift. Keep your body inside the forklift frame. Ride it out and lean in the opposite direction of the overturn.
  • Do not place yourself between two forklifts.
  • Do not handle loads that are heavier than the load capacity of the forklift.
  • Make sure that the travel path of the forklift is clear from the floor to the height of the load being moved.
  • Do not step on elevated loads.
  • It is a violation …


Residential Tree Trimmers Killed While Working, Kentucky Injury Prevention And Research Center Mar 2010

Residential Tree Trimmers Killed While Working, Kentucky Injury Prevention And Research Center

Kentucky Haz Alerts--Falls

To prevent tree trimmer injuries:

  • Tree trimming or cutting should not be performed without appropriate safety training.
  • Appropriate personal protective equipment should be worn at all times while removing trees.
  • All trees and limbs should be inspected for structural weakness before work commences.
  • Safe work procedures should be used for climbing, felling, topping, and pruning trees.
  • A jobsite hazard assessment should be performed to identify hazards so that hazards can be controlled for.


Arborist Dies After Fall From Tree, Kentucky Injury Prevention And Research Center Feb 2010

Arborist Dies After Fall From Tree, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Falls

A 30-year old arborist was hired by a private resident to remove trees from a yard. At approximately 5:00 PM, the arborist, along with a ground person, arrived at the residence. The arborist donned climbing spurs, and a tree climbing saddle then spoke briefly with the homeowner. With the climbing line and spurs, the arborist climbed the first tree. After trimming limbs from the tree trunk, the arborist began cutting the tree trunk one section at a time. There was a power line near the trees. The arborist was working at the fork of the tree and had cut a …


Team Semi Driver Dies After Rig Is Struck By Impaired Driver, Kentucky Injury Prevention And Research Center Feb 2010

Team Semi Driver Dies After Rig Is Struck By Impaired Driver, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Motor Vehicle

During the early hours one fall morning, a husband and wife driving team were traveling west on a divided interstate highway. A concrete barrier separated the four east bound lanes from the four west bound lanes. The wife was driving while the husband was asleep in the sleeper berth. Driving conditions were dark and the pavement dry. They were traveling in the second lane from the median and there was a passenger car to the right of the semi in the third lane from the median traveling next to the front wheel well and bumper. The passenger car driver veered …


Culturally-Adapted And Audio-Technology Assisted Hiv/Aids Awareness And Education Program In Rural Nigeria: A Cohort Study, Ighovwerha Ofotokun, Jose Nilo G. Binongo, Eli S. Rosenberg, Michael Kane, Rick Ifland, Jeffrey L. Lennox, Kirk A. Easley Feb 2010

Culturally-Adapted And Audio-Technology Assisted Hiv/Aids Awareness And Education Program In Rural Nigeria: A Cohort Study, Ighovwerha Ofotokun, Jose Nilo G. Binongo, Eli S. Rosenberg, Michael Kane, Rick Ifland, Jeffrey L. Lennox, Kirk A. Easley

Faculty Articles

Background: HIV-awareness programs tailored toward the needs of rural communities are needed. We sought to quantify change in HIV knowledge in three rural Nigerian villages following an integrated culturally adapted and technology assisted educational intervention.

Methods: A prospective 14-week cohort study was designed to compare short-term changes in HIV knowledge between seminar-based education program and a novel program, which capitalized on the rural culture of small-group oral learning and was delivered by portable digital-audio technology.

Results: Participants were mostly Moslem (99%), male (53.5%), with no formal education (55%). Baseline HIV knowledge was low (< 80% correct answers for 9 of the 10 questions). Knowledge gain was higher (p < 0.0001 for 8 of 10 questions) in the integrated culturally adapted and technology-facilitated (n = 511) compared with the seminar-based (n = 474) program.


Conclusions: Baseline HIV-awareness was low. Culturally …


A Healthy Home For Everyone: The Guide For Families And Individuals, Center For Disease Control And Prevention, Atlanta Ga Jan 2010

A Healthy Home For Everyone: The Guide For Families And Individuals, Center For Disease Control And Prevention, Atlanta Ga

Mickey Leland Center Information Portal

The purpose of this booklet is to provide information about the connection between housing and health. You will find action steps for making your home healthy, definitions for words used in the booklet, and a resource section to find more information about a making your home a healthy home.