MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Health Promotion International' source. Sat, 20 Mar 2010 15:32:31 +0100 http://www.medworm.com/index.php?rid=3286521&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F137%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286521 Thu, 18 Feb 2010 19:31:43 +0100 3286521 http://www.medworm.com/index.php?rid=3286520&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F136%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286520 Thu, 18 Feb 2010 19:31:43 +0100 3286520 http://www.medworm.com/index.php?rid=3286519&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F134%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286519 Thu, 18 Feb 2010 19:31:43 +0100 3286519 http://www.medworm.com/index.php?rid=3286518&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F123%3Frss%3D1 Policies from non-health sectors have considerable impacts on the food environment and in turn on population nutrition. Health impact assessment (HIA) methods have been developed to identify the potential health effects of non-health policies; however, they are underused both within and outside the health sector. HIA and other assessment methods and tools can be used more extensively in health promotion to assist with the identification of the best policy options to pursue to improve and protect health. A participatory process is presented in this paper which combines HIAs with feasibility and effectiveness assessments. The intention is to enable health promoters to more accurately identify which policy change options would be most likely to improve diets, considering both impact and likel... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286518 Thu, 18 Feb 2010 19:31:43 +0100 3286518 http://www.medworm.com/index.php?rid=3286517&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F115%3Frss%3D1 Participatory health research (PHR) has emerged as an important approach for addressing local health issues, including building capacity for health promotion. Increasingly, PHR is drawing the attention of communities, funders, decision-makers and researchers worldwide. It is time to consolidate what we know about PHR in order to secure its place as a source of knowledge and action for public health. This can be achieved through an International Collaboration on Participatory Research for Health to addresses the following issues:Set a framework in which information can be exchanged, decisions can be reached and information can be disseminated on central issues in PHR. Provide an international forum to discuss standards and quality. Produce guidelines for researchers, practitioners and com... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286517 Thu, 18 Feb 2010 19:31:43 +0100 3286517 http://www.medworm.com/index.php?rid=3286516&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F107%3Frss%3D1 From 2000 to 2008, the International Union for Health Promotion and Health Education transformed the Internet Journal of Health Promotion it had inherited into an innovative electronic multilingual capacity building experiment, the Reviews of Health Promotion & Education Online <http://rhpeo.net/index2.html>. Using a variety of sources (content analysis of the papers, site consultation statistics, users’ survey), this paper analyzes reflexively the strengths and weaknesses of this experiment that was replaced in October 2009 by an Internet forum: Views on Health Promotion Online <http://vhpo.net>. (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286516 Thu, 18 Feb 2010 19:31:43 +0100 3286516 http://www.medworm.com/index.php?rid=3286515&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F94%3Frss%3D1 This article introduces Healthy Universities; reports on a qualitative study exploring the potential for a national programme contributing to health, well-being and sustainable development; and concludes with reflections and recommendations. The study used questionnaires and interviews with key informants from English higher education institutions and national stakeholder organizations. The findings confirmed that higher education offers significant potential to impact positively on the health and well-being of students, staff and wider communities through education, research, knowledge exchange and institutional practice. There was strong support for extending the healthy settings approach beyond schools and further education, through a National Healthy Higher Education Programme that pro... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286515 Thu, 18 Feb 2010 19:31:43 +0100 3286515 http://www.medworm.com/index.php?rid=3286514&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F85%3Frss%3D1 Our objectives in this cross-sectional descriptive study were to analyze to what extent freshmen exhibit healthy behaviors, which socio-demographic variables predict healthy or unhealthy lifestyle, and what is the strength of the relationship. Three hundred seven Mexican University students were assessed. t-Test and adjusted multiple regression analysis were computed. Life style was measured by use of the HPLP-II questionnaire and socio-demographics data. The results showed that most students presented a non-healthy lifestyle profile. Overall, the health behavior score was predicted by sex, mother's education and socio-economic level (R2 = 0.104; p = 0.00001). When controlling for the other variables, nutrition was partially predicted by mother's education (R2 = 0.048; p = 0.001); physical... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286514 Thu, 18 Feb 2010 19:31:43 +0100 3286514 http://www.medworm.com/index.php?rid=3286513&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F73%3Frss%3D1 This analysis of data from the Global School-based Student Health Survey examined the prevalence of bully victimization in middle-school students in 19 low- and middle-income countries and also explored the relationship between bullying, mental health and health behaviors. In most countries, boys were more likely than girls to report being bullied and the prevalence of bullying was lower with increasing age. Students who reported being bullied in the past month were more likely than non-bullied students to report feelings of sadness and hopelessness, loneliness, insomnia and suicidal ideation. Bullied students also reported higher rates of tobacco use, alcohol use, drug use and sexual intercourse. (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286513 Thu, 18 Feb 2010 19:31:43 +0100 3286513 http://www.medworm.com/index.php?rid=3286512&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F63%3Frss%3D1 The implementation of school policies to support the adoption of physical activity is one of the main strategies recommended to increase physical activity levels among this age group. However, documentation of the effect of such policies is so far limited. The purpose of this study was to explore policy-related practices to support physical activity in Norwegian secondary schools and their association with recess physical activity. Emphasis was given to examine the association between policies and physical activity, over and beyond, individual level interests and environmental factors and to examine cross-level interaction effects. This cross-sectional study was based on a nationally representative sample of Norwegian secondary schools and grade 8 students who participated in the Health Be... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286512 Thu, 18 Feb 2010 19:31:43 +0100 3286512 http://www.medworm.com/index.php?rid=3286511&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F54%3Frss%3D1 This study investigated cyclists' attitudes toward environmental and policy measures that would encourage them to cycle more, particularly for a trip to work. A cross-sectional analysis was undertaken using baseline data obtained from the Taupo Bicycle Study, a web-based longitudinal study. The study population comprised 2469 cyclists, aged 16 years or over, who had enrolled in the 2006 Wattyl Lake Taupo Cycle Challenge. The majority (88%) reported the provision of bicycle lanes as an important factor that would encourage them to cycle more often, followed by bicycle paths (76%), better bicycle security (64%), reduced motor vehicle speed (55%) and bike friendly public transport (38%). Of those who reported travelling to work at least once a week (N = 2223), varying proportions reported sho... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286511 Thu, 18 Feb 2010 19:31:43 +0100 3286511 http://www.medworm.com/index.php?rid=3286510&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F42%3Frss%3D1 Poor environmental conditions and poor child health in remote Australian Aboriginal communities are a symptom of a disjuncture in the cultures of a disadvantaged (and only relatively recently enfranchised) minority population and a proportionally large, wealthy dominant immigrant population, problematic social policies and the legacy of colonialism. Developing effective health promotion interventions in this environment is a challenge. Taking an ecological approach, the objective of this study was to identify the key social, economic, cultural and environmental factors that contribute to poor hygiene in remote Aboriginal communities, and to determine approaches that will improve hygiene and reduce the burden of infection among children. The methods included a mix of quantitative and qualit... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286510 Thu, 18 Feb 2010 19:31:43 +0100 3286510 http://www.medworm.com/index.php?rid=3286509&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F33%3Frss%3D1 Issues of food security are of particular importance in urban areas in Africa and government policy advises on the household growing of vegetables for nutrition. The Siyakhana project is a food garden in the centre of Johannesburg which was established by a University Health Promotion Unit with the support of other stakeholders including the City authorities and a permaculture organization. It was set up with the objective of providing food for children attending early-childhood development centres and for the beneficiaries of non-governmental organizations providing home-based care for people living with HIV/AIDS. One year after start-up, an evaluation was conducted, based on the measures of outcome identified as significant by those involved in the project. Its impact on health is not ye... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286509 Thu, 18 Feb 2010 19:31:43 +0100 3286509 http://www.medworm.com/index.php?rid=3286508&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F24%3Frss%3D1 This study explored the differences between 35 child-focused and 52 adult-focused food advertisements sampled from 45 hrs of British television. More child-focused advertisements contained claims of health benefits; scientific information; were shot in ‘Leisure’ settings; with male characters; had cartoons; and were often fantasy-based. Conversely, significantly more adult-focused advertisements contained price/value information; were shot in ‘Shop’ settings; with female characters; and starring celebrities. Child-focused advertisements were mainly for convenience foods and snacks which are of considerable interest to health promotion policy makers. (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286508 Thu, 18 Feb 2010 19:31:43 +0100 3286508 http://www.medworm.com/index.php?rid=3286507&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F14%3Frss%3D1 The hierarchy of effects (HOE) model is often used in planning mass-reach communication campaigns to promote health, but has rarely been empirically tested. This paper examines Canada's 30 year ParticipACTION campaign to promote physical activity (PA). A cohort from the nationally representative 1981 Canada Fitness Survey was followed up in 1988 and 2002–2004. Modelling of these data tested whether the mechanisms of campaign effects followed the theoretical framework proposed in the HOE. Campaign awareness was measured in 1981. Outcome expectancy, attitudes, decision balance and future intention were asked in 1988. PA was assessed at all time points. Logistic regression was used to sequentially test mediating and moderating variables adjusting for age, sex and education. No selection... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286507 Thu, 18 Feb 2010 19:31:42 +0100 3286507 http://www.medworm.com/index.php?rid=3286506&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F5%3Frss%3D1 While mass media campaigns have been shown to contribute to reductions in smoking prevalence, little research has been undertaken on the effectiveness of radio advertising as a communication medium. This is despite radio being less expensive and having greater reach than television in some low and middle income countries. We aimed to explore the potential of radio as an adjunct or alternative to televised campaigns by comparing reactions to a radio anti-smoking ad with three televised anti-smoking ads, all of which communicated the serious health consequences of smoking in an emotionally evocative way. In pre-exposure interviews, 18–59-year-old daily smokers (n = 306) were asked to listen to a particular radio time slot/watch a particular television program that they usually listened... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286506 Thu, 18 Feb 2010 19:31:42 +0100 3286506 http://www.medworm.com/index.php?rid=3286505&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F25%2F1%2F1%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=3286505 Thu, 18 Feb 2010 19:31:42 +0100 3286505 http://www.medworm.com/index.php?rid=2987776&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F445%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987776 Fri, 13 Nov 2009 14:38:19 +0100 2987776 http://www.medworm.com/index.php?rid=2987775&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F434%3Frss%3D1 This study shows that empirical examples of policy windows and policy entrepreneurs could be identified in child health promoting measures in Swedish municipalities. If policy makers could learn to predict the opening of policy windows, the planning of public health measures might be more straightforward. This also applies to policy makers’ ability to detect actors possessing policy entrepreneur resources. (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987775 Fri, 13 Nov 2009 14:38:19 +0100 2987775 http://www.medworm.com/index.php?rid=2987774&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F428%3Frss%3D1 The term ‘social vaccine’ is designed to encourage the biomedically orientated health sector to recognize the legitimacy of action on the distal social and economic determinants of health. It is proposed as a term to assist the health promotion movement in arguing for a social view of health which is so often counter to medical and popular conceptions of health. The idea of a social vaccine builds on a long tradition in social medicine as well as on a biomedical tradition of preventing illness through vaccines that protect against disease. Social vaccines would be promoted as a means to encourage popular mobilization and advocacy to change the social and economic structural conditions that render people and communities vulnerable to disease. They would facilitate social and pol... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987774 Fri, 13 Nov 2009 14:38:19 +0100 2987774 http://www.medworm.com/index.php?rid=2987773&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F416%3Frss%3D1 The aim of this systematic review was to identify the reported barriers to regular exercise among adults either at high risk or already diagnosed with type 2 diabetes (T2D), because of the importance of exercise in the prevention of T2D. We searched the MEDLINE, Cinahl and PsycINFO databases. All potentially relevant articles were reviewed by two researchers, and 67 titles were found, of which 13 papers met inclusion criteria. Internal and external barriers to exercise were identified among adults either at high risk of T2D or already diagnosed. Internal barriers were factors which were influenced by the individual's own decision-making, and external barriers included factors which were outside of the individual's own control. It is important for counselling to identify the internal and ex... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987773 Fri, 13 Nov 2009 14:38:19 +0100 2987773 http://www.medworm.com/index.php?rid=2987772&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F404%3Frss%3D1 This study systematically identifies and reviews published Indigenous-specific dissemination studies targeting SNAP interventions. An electronic search of eight databases and a manual search of reference lists of previous literature reviews were undertaken. Eleven dissemination studies were identified for review: six for nutrition and physical activity as a component of diabetes care, three for alcohol and two for smoking. The majority of studies employed continuing medical education (n = 9 studies), suggesting that improving health-care providers’ knowledge and skills is a focus of current efforts to disseminate best-evidence SNAP interventions in Indigenous health-care settings. Only two studies evaluated reminder systems, despite their widespread use in Indigenous-specific health-... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987772 Fri, 13 Nov 2009 14:38:19 +0100 2987772 http://www.medworm.com/index.php?rid=2987771&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F394%3Frss%3D1 This ethnographic study was conducted to explore ways of healthy aging and the influence of culture on health-related behaviors in a rural community in Northern Thailand. In-depth interviews, focus group discussions, participant observations and field notes were used to understand the lives of seven healthy Thai older adults aged 75 years and over. Data were collected from March 2007 to February 2008, with ongoing ethnographic analysis involving coding, identifying patterns, generalizing and making reflective notes to elucidate the cultural patterns of behavior. All informants perceived health as interrelated with their life styles, which was, in turn, closely related to their cultural roots, suggesting that culture influences the health of all members of smaller, closely knit communities,... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987771 Fri, 13 Nov 2009 14:38:19 +0100 2987771 http://www.medworm.com/index.php?rid=2987770&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F383%3Frss%3D1 Alcohol-related health outcomes show strikingly high incidence in Hungary. The effects of alcohol consumption are influenced not only by the quantity, but also the quality of drinks; therefore, wine production can have an important effect on public health outcomes. Nevertheless, the Hungarian wine sector faces several vital problems and challenges influenced by the country's accession to the European Union and by the need for restructuring. A comprehensive health impact assessment (HIA) based on the evaluation of the Hungarian legislation related to the wine sector has been carried out, aiming to assess the impact of the production of quality wine versus that of table wine, using a range of public health and epidemiological research methods and data as well as HIA guidelines. The study fin... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987770 Fri, 13 Nov 2009 14:38:19 +0100 2987770 http://www.medworm.com/index.php?rid=2987769&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F373%3Frss%3D1 Recognizing there have been few methodologically rigorous cross-national studies of youth alcohol and drug behaviour, state student samples were compared in Australia and the USA. Sampling methods were matched to recruit two independent, state-representative, cross-sectional samples of students in Grades 5, 7 and 9 in Washington State, USA, (n = 2866) and Victoria, Australia (n = 2864) in 2002. Of Washington students in Grade 5 (age 11), 10.3% (95% CI 7.2–14.7) of boys and 5.2% (95% CI 3.4–7.9) of girls reported alcohol use in the past year. Prevalence rates were markedly higher in Victoria (34.2%, 95% CI 28.8–40.1 boys; 21.0%, 95% CI 17.1–25.5 girls). Relative to Washington, the students in Victoria demonstrated a two to three times increased likelihood of reportin... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987769 Fri, 13 Nov 2009 14:38:19 +0100 2987769 http://www.medworm.com/index.php?rid=2987768&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F363%3Frss%3D1 This study has shown that social capital matters for young people's health, statistically significant relationships were found between the range of social capital indicators and the health and health-related outcomes selected for study. For example, young people with a low sense of family belonging and low involvement in the neighbourhood were almost twice as likely to report poor health (OR = 1.87 and 1.96, respectively). Low involvement in the neighbourhood was also highly associated with low consumption of fruit (OR = 2.48) and vegetables (OR = 2.62). Overall, however the strength of associations found varied across health behaviours and indicators of social capital and this requires further examination. (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987768 Fri, 13 Nov 2009 14:38:18 +0100 2987768 http://www.medworm.com/index.php?rid=2987767&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F353%3Frss%3D1 This study investigated the extent and key influences on the use of integrated planning to promote physical activity among six metropolitan councils in Melbourne Australia, which took part in the MetroACTIVE Project funded by the Victorian Health Promotion Foundation from 2005 to 2007. The evaluation entailed interviews conducted at the mid-term (N = 67) and completion (N = 50) of the project, and the review of relevant documents. Respondents included elected councillors, chief executive officers, officers from different council divisions and the project staff employed in each council. Three councils showed evidence of integrated planning for physical activity, whereas the remainder focused on the delivery of community participation programs. Leadership from senior management and an organi... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987767 Fri, 13 Nov 2009 14:38:18 +0100 2987767 http://www.medworm.com/index.php?rid=2987766&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F344%3Frss%3D1 This study examined changes to consumer food purchases after the introduction of traffic-light labels with the aim of assessing the impact of the labels on the ‘healthiness’ of foods purchased. The study examined sales data from a major UK retailer in 2007. We analysed products in two categories (‘ready meals’ and sandwiches), investigating the percentage change in sales 4 weeks before and after traffic-light labels were introduced, and taking into account seasonality, product promotions and product life-cycle. We investigated whether changes in sales were related to the healthiness of products. All products that were not new and not on promotion immediately before or after the introduction of traffic-light labels were selected for the analysis (n = 6 for ready meal... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987766 Fri, 13 Nov 2009 14:38:18 +0100 2987766 http://www.medworm.com/index.php?rid=2987765&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F334%3Frss%3D1 Cardiovascular disease (CVD) is a leading cause of death throughout the world. In high income countries, the greatest burden of disease is seen in those from lower socio-economic groups. It is therefore likely that CVD is an important issue for prisoners in the UK, the majority of whom were either unemployed or in non-skilled employment prior to imprisonment. However, there is little research examining this issue. The aim of this study was to examine the prevalence of five modifiable cardiovascular risk factors (smoking, physical activity, diet, body mass index and hypertension) in women prisoners on entry to prison and then 1 month after imprisonment. This was a prospective longitudinal study involving 505 women prisoners in England. Participants completed a questionnaire containing quest... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987765 Fri, 13 Nov 2009 14:38:18 +0100 2987765 http://www.medworm.com/index.php?rid=2987764&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F325%3Frss%3D1 The aim of the study is to describe the implementation of the Cardiovascular Health Awareness Program (CHAP) in 20 mid-sized communities across Ontario, Canada, and identify key factors in the successful multi-site delivery of a collaborative cardiovascular risk assessment and management program. Lead organizations were identified and contracted following a request for proposals. An Implementation Guide detailed steps in community mobilization and delivery of volunteer-led pharmacy-based cardiovascular risk assessment sessions. Process data were collected through final reports; a debriefing meeting; and interviews with program staff. All 20 communities successfully implemented CHAP. Overall, 99% (338/341) of family physicians agreed to receive assessment results and 89% (129/145) of pharma... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987764 Fri, 13 Nov 2009 14:38:18 +0100 2987764 http://www.medworm.com/index.php?rid=2987763&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F311%3Frss%3D1 Community-based interventions are an important component of obesity prevention efforts. The literature provides little guidance on priority-setting for obesity prevention in communities, especially for socially and culturally diverse populations. This paper reports on the process of developing prioritized, community-participatory action plans for obesity prevention projects in children and adolescents using the ANGELO (Analysis Grid for Elements Linked to Obesity) Framework. We combined stakeholder engagement processes, the ANGELO Framework (scans for environmental barriers, targeted behaviours, gaps in skills and knowledge) and workshops with key stakeholders to create action plans for six diverse obesity prevention projects in Australia (n = 3), New Zealand, Fiji and Tonga from 2002 to 2... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987763 Fri, 13 Nov 2009 14:38:18 +0100 2987763 http://www.medworm.com/index.php?rid=2987762&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F300%3Frss%3D1 As part of an evaluation of the California Healthy Cities and Communities (CHCC) program, we evaluated resident involvement, broad representation and civic engagement beyond the local CHCC initiative. The evaluation design was a case study of 20 participating communities with cross-case analysis. Data collection methods included: coalition member surveys at two points in time, semi-structured interviews with key informants, focus groups with coalition members and document review. Participating communities were diverse in terms of population density, geography and socio-demographic characteristics. Over a 3-year period, grantees developed a broad-based coalition of residents and community sectors, produced a shared vision, conducted an asset-based community assessment, identified a priority... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987762 Fri, 13 Nov 2009 14:38:18 +0100 2987762 http://www.medworm.com/index.php?rid=2987761&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F4%2F297%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2987761 Fri, 13 Nov 2009 14:38:18 +0100 2987761 http://www.medworm.com/index.php?rid=2677700&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F3%2F285%3Frss%3D1 ‘Health literacy’ refers to accessing, understanding and using information to make health decisions. However, despite its introduction into the World Health Organization's Health Promotion Glossary, the term remains a confusing concept. We consider various definitions and measurements of health literacy in the international and Australian literature, and discuss the distinction between the broader concept of ‘health literacy’ (applicable to everyday life) and ‘medical literacy’ (related to individuals as patients within health care settings). We highlight the importance of health literacy in relation to the health promotion and preventive health agenda. Because health literacy involves knowledge, motivation and activation, it is a complex thing to measur... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2677700 Wed, 05 Aug 2009 23:00:00 +0100 2677700 http://www.medworm.com/index.php?rid=2677699&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F3%2F277%3Frss%3D1 Although exposure is crucial to improve the public health impact of Internet-delivered interventions, it appears that in practice exposure to such interventions is low. Therefore, a conceptual framework, which incorporates elements of user experience of websites, is applied to Internet-delivered health behaviour change interventions aimed at adolescents and results from previous explorative research are incorporated. This framework, described from the point of view of an intervention's development team, can be used in practice to optimize user experience and therewith improving exposure rates to Internet-delivered interventions and increasing the number of revisiting users. (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2677699 Wed, 05 Aug 2009 23:00:00 +0100 2677699 http://www.medworm.com/index.php?rid=2677698&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F3%2F269%3Frss%3D1 The present study investigates attitudes towards aspects of health promotion in mental health services, as rated by patients and staff. The aim of the study was to investigate similarities and differences in attitudes towards health promotion interventions among patients and staff in mental health services, using a newly developed questionnaire, the Health Promotion Intervention Questionnaire (HPIQ). The study has a cross-sectional design and a sample of 141 patients and 140 staff were recruited to the study. The response rate was 59% for the patients and 50% for the staff. The participants were asked to rate the attitudes of the 19 items included in the HPIQ. The result showed that patients and staff in some cases share similar attitudes regarding aspects of health promotion intervention.... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2677698 Wed, 05 Aug 2009 23:00:00 +0100 2677698 http://www.medworm.com/index.php?rid=2677697&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F3%2F262%3Frss%3D1 The Smoke Free North East Office (SFNEO) is the first dedicated tobacco control office in the UK coordinating a regional tobacco control network, Smoke Free North East (SFNE). On the basis of ethnographic research conducted between 2006 and 2008, this article examines the context for SFNEO's emergence at this time and in this region of England, and the main policy and practice challenges it has faced in its early years. SFNE formed in a favourable political and cultural climate, although regional champions were crucial in setting it up. It has worked well in branding itself and in taking advantage of the opportunity to lobby in support of comprehensive smoke-free legislation, although the success of the legislation presents a risk that people will regard SFNE's work as finished. There is a... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2677697 Wed, 05 Aug 2009 23:00:00 +0100 2677697 http://www.medworm.com/index.php?rid=2677696&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F3%2F252%3Frss%3D1 The objective of this paper is to measure health literacy in a representative sample of the Australian general population using three health literacy tools; to consider the congruency of results; and to determine whether these assessments were associated with socio-demographic characteristics. Face-to-face interviews were conducted in a stratified random sample of the adult Victorian population identified from the 2004 Australian Government Electoral Roll. Participants were invited to participate by mail and follow-up telephone call. Health literacy was measured using the Rapid Estimate of Adult Literacy in Medicine (REALM), Test of Functional Health Literacy in Adults (TOFHLA) and Newest Vital Sign (NVS). Of 1680 people invited to participate, 89 (5.3%) were ineligible, 750 (44.6%) were n... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2677696 Wed, 05 Aug 2009 23:00:00 +0100 2677696 http://www.medworm.com/index.php?rid=2677695&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F3%2F243%3Frss%3D1 Models explaining the engagement of organizations in different policy sectors in health promotion policy implementation often utilize retrospective data. The current study attempted to model determinants of organizational readiness (goals, resources, obligation, opportunities) in supporting health policy implementation prospectively. Twenty qualitative interviews with representatives of organizations from different policy sectors, levels of government and organizational legal entities were conducted at the beginning of a project for the promotion of physical activity among women in difficult life situations. Organizational support in developing, implementing and disseminating the project was documented over 36 months. Results indicated that in most organizations, determinants were not favo... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2677695 Wed, 05 Aug 2009 23:00:00 +0100 2677695 http://www.medworm.com/index.php?rid=2677694&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F3%2F234%3Frss%3D1 This study demonstrated the three-fold role of micro grants as a vehicle to enable community action at an organizational level in terms of increased network activities between the local organizations, to set an agenda for the ‘health topic’ in non-traditional health agencies and to enable a number of health-promoting initiatives. Although these initiatives were attended by small groups of residents normally considered hard to reach, the actual public participation was limited. In their role as a distributing mechanism, the health panels were vital with regard to the achieved impact on the community action. However, certain limitations were also seen, which were related to the governance of the panels. This case study provides evidence to suggest that micro grants have the poten... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2677694 Wed, 05 Aug 2009 23:00:00 +0100 2677694 http://www.medworm.com/index.php?rid=2677693&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F3%2F223%3Frss%3D1 Research focusing on the relationship between organizational justice and health suggests that perceptions of fairness can make significant contributions to employee wellbeing. However, studies examining the justice–health relationship are only just emerging and there are several areas where further research is required, in particular, the uniqueness of the contributions made by justice and the extent to which the health effects can be explained by linear, non-linear and/or interaction models. The primary aim of the current study was to determine the main, curvilinear and interaction effects of work characteristics and organizational justice perceptions on employee wellbeing (as measured by psychological health and job satisfaction). Work characteristics were measured using the demand... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2677693 Wed, 05 Aug 2009 23:00:00 +0100 2677693 http://www.medworm.com/index.php?rid=2677692&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F3%2F211%3Frss%3D1 We report the evidence base that supported the decision to implement the first campus-wide hospital smoking ban in the Republic of Ireland with effect from 1 January 2009. Three separate data sources are utilized; surveillance data collected from patients and staff in 8 surveys between 1997 and 2006, a 1-week observational study to assess smoker behaviour in designated smoking shelters and an attitudinal interview with 28 smoker patients and 30 staff on the implications of the 2004 indoors workplace smoking ban, conducted in 2005. The main outcome measures were trends in prevalence of smoking over time according to age, sex and occupational groups and attitudes to the 2004 ban and a projected outright campus ban. Smoking rates among patients remained steady, 24.2% in 1997/98 and 22.7% in 2... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2677692 Wed, 05 Aug 2009 23:00:00 +0100 2677692 http://www.medworm.com/index.php?rid=2677691&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F3%2F203%3Frss%3D1 The paper compares the response of the South African Government to HIV and AIDS with the government's policy development concerning the use of tobacco. The high burden of disease from HIV and AIDS in South Africa and the morbidity and mortality from the use of tobacco are outlined. Using the framework of the Ottawa Charter for Health Promotion, the paper reviews and critiques the Government's different stance to building public policy, creating supportive environments, engaging community participation, developing personal skills and re-orienting the health services, for HIV/AIDS and tobacco. The result of these policy choices is described. The lack of adequate implementation of the key elements of the Ottawa Charter has resulted in high morbidity and mortality due to the spread of HIV infe... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2677691 Wed, 05 Aug 2009 23:00:00 +0100 2677691 http://www.medworm.com/index.php?rid=2677690&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F3%2F199%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2677690 Wed, 05 Aug 2009 23:00:00 +0100 2677690 http://www.medworm.com/index.php?rid=2401895&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F2%2F193%3Frss%3D1 Despite the Canadian record of concern with the social determinants of health (SDOH), actual public health activities consistent with such an approach are sporadic at best. Canadian research and advocacy activities in the service of strengthening the SDOH are so divorced from everyday public policy activity, media discourse and public awareness as to metaphorically suggest that SDOH researchers and advocates exist in a Phantom Zone of irrelevance. Why this might be the case and means of escaping from such irrelevance are presented. Implications for jurisdictions where the situation appears to be even worse—such as the USA—and for those where the situation may be somewhat better are also presented. (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2401895 Fri, 08 May 2009 04:00:00 +0100 2401895 http://www.medworm.com/index.php?rid=2401894&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F2%2F185%3Frss%3D1 Although it is commonly accepted that the basic concepts of ‘Health Promotion’ have been developed in the last two decades, they have their roots in ancient civilizations and in particular in Greek antiquity. As evident from medical and philosophical documents of the sixth to fourth centuries B.C., the ancient Greeks were the first to break with the supernatural conceptions of health and disease that had so far dominated human societies. The ancient Greeks developed the physiocratic school of thought, realizing that maintaining good health and fighting illness depend on natural causes and that health and disease cannot be dissociated from particular physical and social environments nor from human behavior. In this context, they defined health as a state of dynamic equilibrium b... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2401894 Fri, 08 May 2009 04:00:00 +0100 2401894 http://www.medworm.com/index.php?rid=2401893&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F2%2F177%3Frss%3D1 Local community participation is an important objective for many health promotion interventions, but it hinges on the incentives for local organizations to participate. Both aspects might be explored with information obtained from economic evaluations, illustrated in this study with data from a cost-effectiveness analysis of an elderly safety promotion programme implemented in Sweden. Previously, resource mobilization has been used as a process indicator for successful community participation. We propose that resource mobilization can be measured as the proportion of total intervention costs paid by collaborators. In the case presented here, local collaborators contributed 50 per cent of the total intervention costs (SEK 6.45 million, in Swedish krona 2004; 1 USD = 7.35 SEK), while partici... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2401893 Fri, 08 May 2009 04:00:00 +0100 2401893 http://www.medworm.com/index.php?rid=2401892&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F2%2F166%3Frss%3D1 In conclusion, we found not only a large difference among urban, semi-urban and rural schools but also clear differences in health promoting school status among schools within each study site in Lao PDR. Based on the results, we recommend that each school adopt a tailored approach for the health promoting school programme based upon an analysis of its own scores. (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2401892 Fri, 08 May 2009 04:00:00 +0100 2401892 http://www.medworm.com/index.php?rid=2401891&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F2%2F156%3Frss%3D1 This study investigated the factors associated with suicidal ideation and attempt among the secondary school students in Hong Kong by studying a representative sample of 3383 students with a self-administered questionnaire and analysed by multiple logistic regressions analysis. Youth risk behaviours, such as heavy smoking, episodic heavy alcohol drinking, early sexual experience, and feeling hopeless, were found to be associated with both suicidal thoughts and attempts, with ‘misuse of drugs’ as discriminating factor that solely related to attempt and ‘involvement in physical fight’ solely related to suicidal thoughts. Addition of suicidal ideation is a significant explanatory variable of suicidal attempt over and above health risk behaviours. Stratified analysis of... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2401891 Fri, 08 May 2009 04:00:00 +0100 2401891 http://www.medworm.com/index.php?rid=2401890&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F2%2F149%3Frss%3D1 This study compared the resilience scores between schools within the healthy school award (HSA) scheme (HPS group) and those not (non-HPS group). We conducted a cross-sectional survey of grade-one students (aged 12), all teachers and parents of mainstream secondary schools recruited by stratified random sampling in one large Territory of Hong Kong using validated resilience questionnaires during November–December 2005. Four non-HPS and four HPS secondary schools were recruited, respectively, involving 1408 students, 891 parents and 91 teachers, with similar baseline characteristics. The HPS students were found to have better scores than non-HPS students (average age 12.4 year-old in both groups) in all dimensions with significantly higher scores in ‘Peer Support’ (p = 0.0... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2401890 Fri, 08 May 2009 04:00:00 +0100 2401890 http://www.medworm.com/index.php?rid=2401889&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F2%2F140%3Frss%3D1 The Women and Children's Health Project was a large Australian funded aid Project that sought to improve the health of women and children in Papua New Guinea between 1998 and 2004. Community development and health promotion interventions aimed to increase community support for attended birth and children's health. Green and Kreuter's [Green, L. W. and Kreuter, M. W. (2005) Health Program Planning: An Educational and Ecological Approach, 4th edition. McGraw-Hill, New York] precede–proceed model of health program planning was applied retrospectively to critique the design, implementation and evaluation of the Project. An outcome evaluation (2006) provided data for this analysis and investigated long-term impact using a multi-methods approach. Application of the precede–proceed mo... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2401889 Fri, 08 May 2009 04:00:00 +0100 2401889 http://www.medworm.com/index.php?rid=2401888&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F2%2F130%3Frss%3D1 The demographic and economic transition that many developing countries, including Jordan, are undergoing is producing important changes in diet and lifestyle that greatly impact the development of chronic illness. The health behavior of adolescents in developing countries constitutes one of the most serious global challenges we face. The purpose of this study was to explore the wellness appraisal of Jordanian adolescents. It specifically describes the (i) self-care and health history pattern, (ii) to assess physical activity and nutrition appraisal, (iii) quality of life appraisal and (iv) school and outside activities appraisal. A self-administrated questionnaire collected the data from adolescent groups (boys and girls.). A multi-stage stratified random sample was obtained from six publi... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2401888 Fri, 08 May 2009 04:00:00 +0100 2401888 http://www.medworm.com/index.php?rid=2401887&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F2%2F120%3Frss%3D1 This study aimed to determine the most acceptable and effective front-of-pack food labelling system for Australian consumers. Consumers' preferences and ability to compare the healthiness of mock food products were assessed for different front-of-pack labelling systems. Four systems were tested, including two variations of the Percentage Daily Intake system (Monochrome %DI and Colour-Coded %DI), which displays the proportion of daily nutrient contribution that a serve of food provides; and two variations of the Traffic Light (TL) system (Traffic Light and Traffic Light + Overall Rating), which uses colour-coding to indicate nutrient levels. Intercept surveys with 790 consumers were conducted, where each participant was exposed to a single labelling system for performance testing. Participa... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2401887 Fri, 08 May 2009 04:00:00 +0100 2401887 http://www.medworm.com/index.php?rid=2401886&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F2%2F108%3Frss%3D1 In this large-scale study, we examined the relationship between an adolescent’s sexual behavior and drinking style. Three aspects of sexual risk-taking were included: early activity, unprotected sexual intercourse and having sex with multiple partners. A distinction was made between different drinking styles, i.e. alcohol drinking and drunkenness-related drinking. Cross-sectional school survey data from the School Health Promotion Study was collected in Finland in 2002–2003. The national sample consisted of adolescents from the eighth and ninth grades (n = 100 790). The mean ages were 14.8 and 15.8 years. Using logistic regression analysis, we investigated the association between sexual behavior and drinking style among teenagers. The likelihood of engaging in sexual intercours... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2401886 Fri, 08 May 2009 04:00:00 +0100 2401886 http://www.medworm.com/index.php?rid=2401885&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F2%2F105%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2401885 Fri, 08 May 2009 04:00:00 +0100 2401885 http://www.medworm.com/index.php?rid=2133880&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F103%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2133880 Mon, 26 Jan 2009 05:00:00 +0100 2133880 http://www.medworm.com/index.php?rid=2133879&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F94%3Frss%3D1 Despite the proposed ecological and systems-based perspectives of the settings-based approach to health promotion, most initiatives have tended to overlook the fundamental nature of ecosystems. This paper responds to this oversight by proposing an explicit re-integration of ecosystems within the healthy settings approach. We make this case by focusing on water as an integrating unit of analysis. Water, on which all life depends, is not only an integral consideration for the existing healthy settings (schools, hospitals, workplaces) but also highlights the ecosystem context of health and sustainability. A focus on catchments (also know as watersheds and river basins) exemplifies the scaled and upstream/downstream nature of ecosystems and draws into sharp focus the cross-sectoral and transdi... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2133879 Mon, 26 Jan 2009 05:00:00 +0100 2133879 http://www.medworm.com/index.php?rid=2133878&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F88%3Frss%3D1 Given the rise in obesity rates in North America, concerns about obesity-related costs to the health care system are being stressed in both the popular media and the scientific literature. With such constant calls to action, care must be taken not to increase stigmatization of obese people, particularly of children. While there is much written about stigma and how it is exacerbated, there are few guidelines for public health managers and practitioners who are attempting to design and implement obesity prevention programs that minimize stigma. We examine stigmatization of obese people and the consequences of this social process, and discuss how stigma is manifest in health service provision. We give suggestions for designing non-stigmatizing obesity prevention public health programs. Implic... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2133878 Mon, 26 Jan 2009 05:00:00 +0100 2133878 http://www.medworm.com/index.php?rid=2133877&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F78%3Frss%3D1 Over the past 20 years, the federal government and universities across Canada have directed resources towards the development of university-based health promotion research centres. Researchers at health promotion research centres in Canada have produced peer-reviewed papers and policy documents based on their work, but no publications have emerged that focus on the specific roles of the health promotion research centres themselves. The purpose of this paper is to propose a framework, based on an in-depth examination of one centre, to help identify the unique roles of health promotion research centres and to clarify the value they add to promoting health and advancing university goals. Considering the shifting federal discourse on health promotion over time and the vulnerability of social a... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2133877 Mon, 26 Jan 2009 05:00:00 +0100 2133877 http://www.medworm.com/index.php?rid=2133876&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F68%3Frss%3D1 In 2007, the World Health Organization, together with United Nations and international organization as well as experts, met to draw upon existing evidence and practical experience from regions, countries and individual schools in promoting health through schools. The goal of the meeting was to identify current and emerging global factors affecting schools, and to help them respond more effectively to health, education and development opportunities. At the meeting, a Statement was developed describing effective approaches and strategies that can be adopted by schools to promote health, education and development. Five key challenges were identified. These described the need to continue building evidence and capturing practical experience in school health; the importance of improving implemen... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2133876 Mon, 26 Jan 2009 05:00:00 +0100 2133876 http://www.medworm.com/index.php?rid=2133875&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F58%3Frss%3D1 Discussion Events incorporated material from Interest Group Meetings to stimulate wider discussion and make recommendations. This project highlights the potential value of intersectoral stakeholder discussions from the inception stage of research to stimulate intersectoral exchange and alliance building, inform advocacy, and catalyse the process of research into action. (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2133875 Mon, 26 Jan 2009 05:00:00 +0100 2133875 http://www.medworm.com/index.php?rid=2133874&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F46%3Frss%3D1 The objective of this study was to investigate the relationship between perceptions of neighbourhood user-friendliness and social participation while controlling for personal characteristics in a sample of seniors living in an urban environment. A convenience sample of older adults (n = 282) was recruited through community organizations located in high- average- and low-income Montreal neighbourhoods. Data were collected via an interviewer-administered questionnaire assessing social participation and various variables at the neighbourhood level (e.g. housing and social environment, walking environment and transportation, and services and amenities) and at the individual-level (e.g. health status and socio-demographic characteristics). Five variables emerged as independent predictors of soc... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2133874 Mon, 26 Jan 2009 05:00:00 +0100 2133874 http://www.medworm.com/index.php?rid=2133873&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F36%3Frss%3D1 This study examines the change in health-related quality of life (HRQoL) among (≥60 years) elderly persons as a result of health education intervention. A community-based intervention study was performed in eight randomly selected villages (Intervention: n = 4; Control: n = 4) in rural Bangladesh. A total of 1135 elderly persons was selected for this study. The analyses include 839 participants (Intervention: n = 425; Control: n = 414) who participated in both baseline and post-intervention surveys. Participants in the intervention area were further stratified into compliant (n = 315) and non-compliant (n = 110) groups based on the reported compliance to the intervention activities. The intervention includes, for example, physical activity, advice on healthy food intake and other aspect... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2133873 Mon, 26 Jan 2009 05:00:00 +0100 2133873 http://www.medworm.com/index.php?rid=2133872&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F26%3Frss%3D1 The purpose of this article is to examine the current health promotion orientation of youth sports clubs in Finland in view of the standards created previously for the health promoting sports club (HPSC). Ninety-seven youth sports clubs participated, and 273 sports club officials and 240 coaches answered the questionnaires. To describe clubs health promotion orientations, an HPSC index was created. The HPSC index was formulated on sub-indices by factor analysis. The sub-indices were: policy, ideology, practice and environment indexes. The results indicate that youth sports clubs are fairly health promoting in general. On average, the clubs fulfilled 12 standards for HPSC out of 22. Every fourth club was categorized as higher health promoting (≥ 15 fulfilled standards), and every third a... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2133872 Mon, 26 Jan 2009 05:00:00 +0100 2133872 http://www.medworm.com/index.php?rid=2133871&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F16%3Frss%3D1 Data from the European School Survey Project on Alcohol and other Drugs have shown that adolescent substance use is a growing problem in western and particularly Eastern European countries. This paper describes the development, implementation and results of the Icelandic Model of Adolescent Substance Use Prevention. The Icelandic Model is a theoretically grounded, evidence-based approach to community adolescent substance use prevention that has grown out of collaboration between policy makers, behavioural scientists, field-based practitioners and community residents in Iceland. The intervention focuses on reducing known risk factors for substance use, while strengthening a broad range of parental, school and community protective factors. Annual cross-sectional surveys demonstrate the impac... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2133871 Mon, 26 Jan 2009 05:00:00 +0100 2133871 http://www.medworm.com/index.php?rid=2133870&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F6%3Frss%3D1 This study evaluates the effectiveness of a holistic model for treating people living with AIDS in Africa; the model aims to improve knowledge about AIDS prevention and care, increase trust in the health centre, impact behaviour, and promote a high level of adherence to HAART. The study took place in the context of the DREAM (Drug Resource Enhancement against AIDS and Malnutrition) programme in Mozambique, designed by the Community of Sant'Egidio to treat HIV patients in Africa. It provides patients with free anti-retroviral drugs, laboratory tests (including viral load), home care and nutritional support. This is a prospective study involving 531 patients over a 12-month period. The patients, predominantly poor and with a low level of education, demonstrated a good level of knowledge abou... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2133870 Mon, 26 Jan 2009 05:00:00 +0100 2133870 http://www.medworm.com/index.php?rid=2133869&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F1%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=2133869 Mon, 26 Jan 2009 05:00:00 +0100 2133869 http://www.medworm.com/index.php?rid=1932802&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F380%3Frss%3D1 Echoing the rise of ‘evidence-based medicine’, the concept of evidence-based policy and practice in the inter-related fields of health promotion, public health and health improvement has attracted increasing attention over the past two decades. More recently, again with roots traceable to biomedical thinking, there has been growing interest in ethics in relation to these fields. This paper links these two topical themes in a practical way. It explores the extent to which policies and activities ‘on the ground’ can and should be based on evidence, and considers the relative places of evidence and ethics in decision-making. It goes on to present the ‘decision-making triangle’, a framework that gives primacy to a set of ethical principles—with availab... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1932802 Tue, 04 Nov 2008 05:00:00 +0100 1932802 http://www.medworm.com/index.php?rid=1932801&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F372%3Frss%3D1 This article summarizes factors found to be critical to the success of adapting a US disease management and health promotion programme for use in Italy and the UK. Using three illustrative case studies, it describes how in each region the programme needed to adapt (i) the form and content of the disease management service, (ii) the involvement and integration with local clinicians and services and (iii) the evaluation of programme outcomes. We argue that it is important to implement evidence-based practice by learning lessons from other countries and service initiatives, but that it is equally important to take into consideration the ‘3Ps’ that are critical for successful service implementation: payers, practitioners and patients. (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1932801 Tue, 04 Nov 2008 05:00:00 +0100 1932801 http://www.medworm.com/index.php?rid=1932800&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F365%3Frss%3D1 It is an article of faith in health promotion that health challenges cannot be confronted successfully by actors working in isolation. The synergy produced through collaboration is seen as vital. Yet, collaboration is arduous and many collaborations fade before their goals are met. Research is needed to identify factors and processes that promote as well as inhibit the production of synergistic outcomes. To this end, a case study was undertaken of the Global Programme for Health Promotion Effectiveness (GPHPE). The GPHPE reviews and disseminates evidence for the effectiveness of health promotion. Interviews with 20 GPHPE participants were conducted, transcribed and analyzed, and GPHPE documentation provided additional data. The results were used to develop the Bergen Model of Collaborative... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1932800 Tue, 04 Nov 2008 05:00:00 +0100 1932800 http://www.medworm.com/index.php?rid=1932799&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F354%3Frss%3D1 This randomized controlled study was performed to evaluate the effectiveness of an educational program entitled ‘Capacity building for community leaders in a healthy living environment,’ and to assess the usefulness of a participatory style of education and the applicability of an intersectoral approach in the educational process. An intervention group and a control group (consisting of 150 and 154 community leaders, respectively) were both evaluated, after the intervention group took part in a 5-day participatory-style educational program. Healthy living environment promotion competency (HPC) was evaluated by an instrument consisted of four competency areas: identifying the steps required for a healthy living environment; understanding the principles to reduce potential health... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1932799 Tue, 04 Nov 2008 05:00:00 +0100 1932799 http://www.medworm.com/index.php?rid=1932798&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F345%3Frss%3D1 Population nutrition problems have a diversity of contributory factors and, ideally, multi-sectoral solutions should be developed by the relevant stakeholders, based on a common understanding of these factors. The problem and solution tree approach is a participatory process of working through the layers of determinants and then developing potential interventions for a specific issue, using the available data and expertise. We tailored this approach for non-communicable disease-related nutrition problems in Pacific Islands and applied it in several countries. The process led to the identification of a considerable range of determinants of unhealthy diets and potential interventions to improve the situation. This practical approach also offered the additional benefit of developing stakehold... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1932798 Tue, 04 Nov 2008 05:00:00 +0100 1932798 http://www.medworm.com/index.php?rid=1932797&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F337%3Frss%3D1 This study aimed to measure children’s exposure to the use of persuasive marketing within television food advertisements. Advertisements broadcast on all three commercial Australian television channels were recorded for an equivalent 1 week period in May 2006 and 2007 (714 h). Food advertisements were analysed for their use of persuasive marketing, including premium offers, such as competitions, and the use of promotional characters, including celebrities and cartoon characters. Advertised foods were categorized as core, non-core or miscellaneous foods. Commercial data were purchased to determine children’s peak viewing times and popular programs. A total of 20 201 advertisements were recorded, 25.5% of which were for food. Significantly more food advertisements broadcast durin... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1932797 Tue, 04 Nov 2008 05:00:00 +0100 1932797 http://www.medworm.com/index.php?rid=1932796&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F328%3Frss%3D1 In spite of greater awareness of the need for action to reduce obesity, the evidence on sustainable community approaches to prevent childhood and adolescent obesity is surprisingly sparse. This paper describes the design and methodological components of the Sentinel Site for Obesity Prevention, a demonstration site in the Barwon-South West region of Victoria, Australia, that aims to build the programs, skills and evidence necessary to attenuate and eventually reverse the obesity epidemic in children and adolescents. The Sentinel Site for Obesity Prevention is based on a partnership between the region's university (Deakin University) and its health, education and local government agencies. The three basic foundations of the Sentinel Site are: multi-strategy, multi-setting interventions; bui... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1932796 Tue, 04 Nov 2008 05:00:00 +0100 1932796 http://www.medworm.com/index.php?rid=1932795&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F311%3Frss%3D1 This article examines how the usually separate strands of school health promotion and d/Deaf education might be woven together and illustrates research with Deaf community members that involves them and gives their perspective. The primary objective of this study was to map Deaf pilot bilingual education programmes in Spain—one of the first countries to ratify the Convention on the Rights of Persons with Disabilities (United Nations. (2006) Convention on the Rights of Persons with Disabilities, Resolution A/RES/61/106.)—with particular attention to their compliance to the Convention's article 24. Following pre-testing, 516 key informants were surveyed by mail (response rate: 42.08%) by using a snow-ball key-informant approach, within a Participatory Action Research framework, a... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1932795 Tue, 04 Nov 2008 05:00:00 +0100 1932795 http://www.medworm.com/index.php?rid=1932794&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F302%3Frss%3D1 The aim of the study was to investigate possible effects of a total smoke-ban in Norwegian bars and restaurants (introduced on June 1st 2004) on employees' job satisfaction. A national representative sample was randomly selected from the public registry of all companies in the hospitality business. A baseline survey was conducted in May 2004, follow-up measurements were performed in September/October 2004 and May 2005. Altogether, 1525 employees agreed to participate in the baseline survey. Among respondents at baseline, 894 (59.4%) remained in the sample at the first follow-up and 758 (49.7%) at the second follow-up. Analysis of variance for repeated measures revealed a significant three-way interaction between personal smoking behaviour, attitudes towards the ban before it was enacted an... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1932794 Tue, 04 Nov 2008 05:00:00 +0100 1932794 http://www.medworm.com/index.php?rid=1932793&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F299%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1932793 Tue, 04 Nov 2008 05:00:00 +0100 1932793 http://www.medworm.com/index.php?rid=1732864&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F290%3Frss%3D1 The Ontario (Canada) government has instituted a policy requiring elementary schools to offer at least 20 min of daily physical activity for students in Grades 1–8 and replace non-nutritious vending machine foods with healthier choices. These policy interventions represent ‘natural experiments’ offering unique opportunities for conducting research and evaluation. The use of natural experiments to contribute evidence on the effectiveness of policy interventions is identified as an underused tool for public health [Tudor-Locke, C., Ainsworth, B. E. and Popkin, B. M. (2001) Active commuting to school: an overlooked source of children’s physical activity? Sports Medicine, 31, 309–313; Petticrew, M., Cummins, S., Ferrell, C., Findlay, A., Higgins, C., Hoy, C. et al... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1732864 Tue, 26 Aug 2008 04:00:00 +0100 1732864 http://www.medworm.com/index.php?rid=1732863&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F283%3Frss%3D1 The field of men’s health has grown markedly over the past few decades. Increased activity specifically relating to men’s health promotion in both Australia and the UK has been noted during this period. There has, however, been a reticence to critically examine men’s health promotion work within a broader discourse relating to gender and gender relations. Indeed, the vast majority of health-related gender discussion to date has been focused on women’s health experiences and their health practices. In this paper, we argue that grounding men’s health within this broad gender discourse is important for building an evidence base in, and advancing, men’s health promotion work at a range of levels. We specifically explore the research, practice and policy cont... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1732863 Tue, 26 Aug 2008 04:00:00 +0100 1732863 http://www.medworm.com/index.php?rid=1732862&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F275%3Frss%3D1 Sedentary lifestyle, poor dietary behaviors and metabolic alterations associated with psychiatric medications contribute to poor health and high rates of obesity among individuals with serious mental illness (SMI). Interventions that increase engagement in physical exercise, dietary modifications, lifestyle changes and preventive health care can provide health benefits across the lifespan. These interventions have led to substantial physical improvements in some persons with SMI, while others have not improved or have experienced worsening physical health. We set out to identify characteristics of a health promotion program that persons with SMI associated with physical health improvements. Interviews were conducted with eight participants from the In SHAPE health-promotion program who los... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1732862 Tue, 26 Aug 2008 04:00:00 +0100 1732862 http://www.medworm.com/index.php?rid=1732861&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F269%3Frss%3D1 This study aimed to examine the psychometric properties of a brief measure to assess major components of communicative and critical HL among Japanese office workers, in order to consider its applicability to health promotion at workplace. The participants were 190 male office workers at a Japanese company. A self-administered questionnaire was distributed at the annual health checkup, in which HL, health-related behaviors and coping with job stress were asked. Also, the number of somatic symptoms reported by the worker was counted out of the eight symptoms in the health checkup questionnaire. The higher HL group was more likely to have regular eating patterns and exercise weekly, and tended to be a never smoker. In coping with job stress, those with higher HL were more likely to actively s... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1732861 Tue, 26 Aug 2008 04:00:00 +0100 1732861 http://www.medworm.com/index.php?rid=1732860&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F260%3Frss%3D1 Although Botswana supports a program for the prevention of mother-to-child-transmission of HIV (PMTCT), many women initially did not take advantage of the program. Using data from a 2003 survey of 504 pregnant and post-partum women, we assessed associations between exposure to a long-running radio serial drama that encourages use of the PMTCT program and HIV testing during pregnancy. Controlling for demographic, pregnancy and other variables, women who spontaneously named a PMTCT character in the serial drama as their favorite character were nearly twice as likely to test for HIV during pregnancy as those who did not. Additionally, multiparity, knowing a pregnant woman taking AZT, having a partner who tested, higher education and PMTCT knowledge were associated with HIV testing during preg... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1732860 Tue, 26 Aug 2008 04:00:00 +0100 1732860 http://www.medworm.com/index.php?rid=1732859&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F251%3Frss%3D1 In this paper, we present the evaluation results of an AIDS non-governmental organization (NGO) capacity building 20-month pilot initiative in five countries in southern Africa called the NGO Institute. A five-person international team conducted a 2 week evaluation of the pilot in 2004 to assess the strength of the model, designed and funded by Bristol-Myers Squibb Foundation. The NGO Institute functioned through a separate consortium in each country. Results of the pilot indicate variations in adaptation and implementation of the model in each of the five countries. Each consortium took considerable time to develop its own governance and management systems. There were examples of strengthened NGO capacity in each country although it was too soon to establish overall impact. The strengths ... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1732859 Tue, 26 Aug 2008 04:00:00 +0100 1732859 http://www.medworm.com/index.php?rid=1732858&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F240%3Frss%3D1 This study explores the feasibility and effectiveness of a brief counseling intervention targeted to women smokers of childbearing age who seek primary care in Santiago, Chile. A quasi-experimental design was used to compare the effect of an intervention based on the ‘5A’ model developed by the National Cancer Institute in the United States and the standard care provided in two control clinics. Women smokers seeking care at the three primary care clinics were contacted during a 2 months period and offer to participate in the study. Sampling was stratified according to the age groups to ensure comparability between cohorts. Quotas were calculated for each age group. Participants were asked about their willingness to quit, self-efficacy, smoking behavior, addiction level as well ... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1732858 Tue, 26 Aug 2008 04:00:00 +0100 1732858 http://www.medworm.com/index.php?rid=1732857&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F231%3Frss%3D1 JUMP-in is a systematically developed intervention aimed at promoting physical activity among primary school children. It is a joint project involving different authorities and entails six school-based programme components. Measuring effects of such an intervention is a complex challenge. A common problem is the lack of valid instruments to measure physical activity and its determinants. In addition, it usually takes years to find improvements in physical activity and related constructs like weight and fitness, or even in causal factors. For this reason different authors advocate for the establishment of ‘health promotion outcomes’; (i) health literacy, (ii) social action and influence and (iii) healthy public policy and organizational practice. It is presumed that these health... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1732857 Tue, 26 Aug 2008 04:00:00 +0100 1732857 http://www.medworm.com/index.php?rid=1732856&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F220%3Frss%3D1 This study focused on the extent to which participating schools implemented the HPS concept and improved their psycho-social environments (PSEs). Forty-nine of the 51 schools met China's HPS criteria. Schools with fewer resources and with substantial resources, i.e. schools in both rural and urban areas, met the criteria. Schools’ PSEs, as measured by the PSE Profile, improved as they became HPS. Findings from interviews and observations identified strong encouragement and support from officials, school personnel, students, parents and community leaders, and consistency of HPS with the national policy on quality education, as success factors. (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1732856 Tue, 26 Aug 2008 04:00:00 +0100 1732856 http://www.medworm.com/index.php?rid=1732855&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F209%3Frss%3D1 The objective was to evaluate SolSano's effects on students' knowledge, attitudes and practices about sun safety. A non-randomized, before/after, community intervention without control group, with schools as the unit of intervention, was used for the study. Five thousand eight hundred and forty-five children from 215 Aragonese Primary Schools (Grades 1–2) participated in the program in their classes during the 2004–2005 academic year. The educational package contained an activity guide for teachers, a workbook for each pupil, a poster and an informative pamphlet for families. The pre-test and post-test surveys were similar and were composed of two parts: the first part uses the ‘Draw and Write research strategy’ and the second part was a questionnaire. One thousand ... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1732855 Tue, 26 Aug 2008 04:00:00 +0100 1732855 http://www.medworm.com/index.php?rid=1732854&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F207%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1732854 Tue, 26 Aug 2008 04:00:00 +0100 1732854 http://www.medworm.com/index.php?rid=1453421&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F200%3Frss%3D1 In this paper, we analyse Canadian health promotion discourse past and present, in the context of selected federal and provincial government policy initiatives. Principally, we examine the health promotion discourse articulated in A New Perspective on the Health of Canadians, Achieving Health for All: A Framework for Health Promotion, the Ottawa Charter for Health Promotion, Improving the Health of Canadians, and Canada Health Action: Building on the Legacy—Volume II—Synthesis reports and Issue papers. We argue that the health promotion lessons of the past 30 years contained within these reports have largely been forgotten, overlooked or disregarded in policy implementation. We conclude, as have many before us, that successful health promotion policy needs to reflect a collecti... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1453421 Tue, 20 May 2008 04:00:00 +0100 1453421 http://www.medworm.com/index.php?rid=1453420&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F190%3Frss%3D1 Twenty years have passed since the philosophy and principals were formulated in the Ottawa Charter for health promotion. A critical reflection of the content and success of the Ottawa Charter was published before the IUHPE World Conference in Vancover in June 2007. This paper contextualizes and discusses Salutogenesis and Antonovsky in the development of health promotion practice and research and, further, relates the salutogenic concept Sense of Coherence (SOC) to the Ottawa Charter. An overview of the development of health promotion and the salutogenic theory of health is presented. In addition, this is illustrated in a new way using the metaphors of ‘health in the river of life’ and ‘SOC in a life course perspective’. Health promotion, including the Ottawa charte... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1453420 Tue, 20 May 2008 04:00:00 +0100 1453420 http://www.medworm.com/index.php?rid=1453419&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F173%3Frss%3D1 Body dissatisfaction, dieting, eating disorders and exercise disorders are prevalent among male and female university students worldwide. Male students are also increasingly adopting health-damaging, body-image-related behaviors such as excessive weight lifting, body building and steroid abuse. Given the severity and difficulty of treating eating disorders, prevention of these problems is a recognized public health goal. Health promotion and health education programs have been conducted in the university setting since the mid 1980s, but few have achieved significant improvements in target health attitudes and behaviors. In this paper, 27 large, randomized and controlled health promotion and health education programs to improve body dissatisfaction, dieting and disordered eating and exercis... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1453419 Tue, 20 May 2008 04:00:00 +0100 1453419 http://www.medworm.com/index.php?rid=1453418&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F160%3Frss%3D1 Physical inactivity and related diseases are of global public health concern. In many developing countries, levels of health promoting physical activity (PA) are falling despite government initiatives. Previous work has identified that periods of transition across a life course, or ‘life-change events’ have implications for drop out from PA. As yet, there has been little work to understand the life course as a whole and to furnish a complete list of possible life changes that might affect participation in PA. Our paper presents a review of the published literature in which life events have been studied in relation to their effect on participation in PA. A literature search was conducted for papers published between 1977 and April 2007 and referenced in Pubmed. Papers were revie... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1453418 Tue, 20 May 2008 04:00:00 +0100 1453418 http://www.medworm.com/index.php?rid=1453417&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F152%3Frss%3D1 Public health concerns underlie a considerable portion of the global burden of disease, increasing the utility and need for promoting and assessing the knowledge about public health issues. Health literacy is generally agreed upon as a means to find, understand, analyze and use information to make better decisions about health and to ultimately reduce inequities in health. A public health literacy knowledge scale was tested in China, Mexico, Ghana and India. A somewhat unexpected finding, which was that experts ‘scored’ less on the scale than the general public, led to consideration of differences between clinical and public health approaches to health literacy and their implications. These differences in perspective, for instance consideration of single case effects versus imp... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1453417 Tue, 20 May 2008 04:00:00 +0100 1453417 http://www.medworm.com/index.php?rid=1453416&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F144%3Frss%3D1 The paper draws on qualitative data collected in focus groups with primary school pupils in years three and five (ages 7–11 years), carried out as part of a wider study evaluating the Primary School Free Breakfast Initiative in Wales. A total of 16 focus groups were carried out across eight schools to examine pupil's perceptions of food and food related behaviour. A key finding was the way in which control over choice of food and access to healthy/unhealthy food options differed between younger and older pupils across home, school and eating out settings. While older participants experienced and valued high levels of control over food choice in all three settings, this was not the case for younger participants. Pupils in year three had little choice, particularly at home and school, ... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1453416 Tue, 20 May 2008 04:00:00 +0100 1453416 http://www.medworm.com/index.php?rid=1453415&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F134%3Frss%3D1 Mental ill-health is a major problem worldwide. It includes depression, aggressive behavior, feeling down and alcohol and drug abuse. Since all children go to school, the school is an obvious arena for health interventions. A set of educational techniques named Social and Emotional Learning, based on the use by teachers of cognitive and behavioral methods, which teaches students self-control, social competence, empathy, motivation and self-awareness, has shown promising results in the USA. This paper reports on the application of similar techniques in Sweden (the Social and Emotional Training [SET] program). The study has a quasi-experimental longitudinal design, with two intervention and two control schools. A wide range of instruments, both Swedish and international, are employed. In thi... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1453415 Tue, 20 May 2008 04:00:00 +0100 1453415 http://www.medworm.com/index.php?rid=1453414&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F127%3Frss%3D1 The application of knowledge on organization and leadership is important for the promotion of health at workplace. The purpose of this article is to analyse the leadership and organization, including the organizational culture, of a Swedish industrial company in relation to the health of the employees. The leadership in this company has been oriented towards developing and actively promoting a culture and a structure of organization where the employees have a high degree of control over their work situation. According to the employees, this means extensive possibilities for personal development and responsibility, as well as good companionship, which makes them feel well at work. This is also supported by the low sickness rate of the company. The results indicate that the leadership and or... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1453414 Tue, 20 May 2008 04:00:00 +0100 1453414 http://www.medworm.com/index.php?rid=1453413&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F119%3Frss%3D1 This paper reports on expectations for and community members' experience in the development of community indicators in a healthy communities initiative (HCI) in Alberta, Canada. The HCI process involved community visioning, the creation of action plans to further the vision by addressing key health priorities and/or community capacity building activities and the development of indicators to monitor and report on progress towards goals. Nineteen semi-structured interviews were conducted with community participants to discuss definitions of success in the HCI and participant experience in developing indicators. Three themes emerged: the formal indicators lacked relevance to community members; the community did not own the HCI indicators and participants instead drew upon measures of success ... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1453413 Tue, 20 May 2008 04:00:00 +0100 1453413 http://www.medworm.com/index.php?rid=1453412&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F109%3Frss%3D1 As part of an evaluation of the California Healthy Cities and Communities (CHCC) Program, we assessed the extent to which coalitions implementing the healthy cities and communities model demonstrated capacity to leverage financial resources, expand programs and influence organizational policies. The evaluation design was a multiple case study of 20 participating communities with cross-case analysis. Participating communities spanned the state’s diverse geographic regions and ranged from remote areas within rural counties to neighborhoods within large cities. Data included: semi-structured interviews with coordinators and community leaders, focus groups with coalition members and document review. Many CHCC coalitions were able to leverage significant financial resources across a diver... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1453412 Tue, 20 May 2008 04:00:00 +0100 1453412 http://www.medworm.com/index.php?rid=1453411&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F105%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1453411 Tue, 20 May 2008 04:00:00 +0100 1453411 http://www.medworm.com/index.php?rid=1228571&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F103%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1228571 Wed, 13 Feb 2008 05:00:00 +0100 1228571 http://www.medworm.com/index.php?rid=1228570&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F98%3Frss%3D1 The International Union for Health Promotion and Education, in collaboration with the Canadian Consortium for Health Promotion Research, and with support from the Public Health Agency of Canada, have formulated recommendations on priorities for action regarding the policies and system conditions necessary for sustainable and effective health promotion. The statement, launched in June in Vancouver at the IUHPE World Conference on Health Promotion and Health Education, and reproduced below, is the product of an international Project Advisory Group's reflections derived from a collection of commissioned field reports on renewing commitment to the path set out by the Ottawa Charter. The field reports themselves will be published in their entirety in a special issue of ‘Promotion & Ed... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1228570 Wed, 13 Feb 2008 05:00:00 +0100 1228570 http://www.medworm.com/index.php?rid=1228569&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F86%3Frss%3D1 This paper describes the Model for Outcome Classification in Health Promotion and Prevention adopted by Health Promotion Switzerland (SMOC, Swiss Model for Outcome Classification) and the process of its development. The context and method of model development, and the aim and objectives of the model are outlined. Preliminary experience with application of the model in evaluation planning and situation analysis is reported. On the basis of an extensive literature search, the model is situated within the wider international context of similar efforts to meet the challenge of developing tools to assess systematically the activities of health promotion and prevention. (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1228569 Wed, 13 Feb 2008 05:00:00 +0100 1228569 http://www.medworm.com/index.php?rid=1228568&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F78%3Frss%3D1 The Bangkok Charter for Health Promotion in a Globalized World has sparked lively dialogue. Welcomed by some as a Charter current to the times, there are others who see it as an unneeded and therefore unwelcome challenger to the Ottawa Charter for Health Promotion. Intended or not, the Bangkok Charter seems to signal a shift in discourse, from a social-ecological approach and an emphasis on individual and community capacity-building and empowerment, to an investment approach and an emphasis on globalization, macro-level factors and policy. Positively, the Bangkok Charter proclaims to build on Ottawa, and no one suggests it is meant to replace the Ottawa Charter outright. In concert with that, the dialogue today is not so much about the ascendancy of the one Charter over the other, but abou... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1228568 Wed, 13 Feb 2008 05:00:00 +0100 1228568 http://www.medworm.com/index.php?rid=1228567&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F70%3Frss%3D1 This study aimed to explore relations between Internet use, socio-economic status (SES), social support and subjective health. Participants were from representative samples between 15 and 80 years of age from seven different European countries. Two different survey datasets were used: (i) eHealth trends (eHT; N = 7934) and (ii) the European social survey (ESS2; N = 11248). Internet users who had used the Internet for health purposes were compared with Internet users who had not used it for health purposes. Structural equation modelling was used to assess the relationships between SES, Internet use, social support and subjective health. Use of other media was compared to Internet use in relation to social support and subjective health. Internet use was found to be more closely related to so... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1228567 Wed, 13 Feb 2008 05:00:00 +0100 1228567 http://www.medworm.com/index.php?rid=1228566&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F60%3Frss%3D1 The ability of communities to respond to the pressures of globalization is an important determinant of community health. Tourism is a rapidly growing industry and there is an increasing concern about its health impact on local communities. Nonetheless, little research has been conducted to identify potential mitigating measures. We therefore took advantage of the ‘natural experiment’ provided by the expansion of tourism in Cuba, and conducted four focus groups and key informants interviews in each of two coastal communities. Participants expressed concerns about psycho-social impacts as well as occupational and environmental concerns, and both infectious and chronic diseases. A wide array of programs that had been developed to mitigate potential negative were described. Some of... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1228566 Wed, 13 Feb 2008 05:00:00 +0100 1228566 http://www.medworm.com/index.php?rid=1228565&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F52%3Frss%3D1 Indigenous Australians experience poor oral health. Oral health perceptions among a group of rural-dwelling Indigenous Australians were explored so that a culturally appropriate, community-owned oral health promotion initiative might be developed. Focus group methodology was used, with prompt questions including oral health knowledge, oral health's role in general health, how community oral health had changed in recent times, the causes of poor oral health and ways to prevent poor oral health at a community level. Some 34 participants took part; age range 21–72 years. A core category emerged from the data and was labelled ‘cultural adaptation’. Five sub-categories were also identified; ‘lifestyle changes’, ‘oral health behaviours’, ‘barriers ... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1228565 Wed, 13 Feb 2008 05:00:00 +0100 1228565 http://www.medworm.com/index.php?rid=1228564&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F42%3Frss%3D1 A diet high in fruits and vegetables (F&V) has been associated with a decreased risk of certain cancers, reduced morbidity and mortality from heart disease, and enhanced weight management. Yet to date, most of the US population does not consume the recommended amount of F&V despite numerous interventions and government guidelines to promote consumption. Research has found various impediments to F&V consumption, such as high costs, an obesogenic environment and low socio-economic status. However, studies have not sufficiently focused on barriers and enablers to F&V intake among adult multi-ethnic populations. The present qualitative study examines 147 focus group participants' perceptions of impediments and enablers to F&V consumption. Twelve focus groups were conducted ... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1228564 Wed, 13 Feb 2008 05:00:00 +0100 1228564 http://www.medworm.com/index.php?rid=1228563&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F35%3Frss%3D1 There has been no systematic examination of issues surrounding pension funds and their tobacco shareholdings. This paper describes two studies designed to document the tobacco investment policies and practices of pension funds, and to assess community and fund member attitudes to pension fund shareholdings in the tobacco industry. Chief executives (n = 282) of Australian pension funds were mailed questionnaires. Of 241 eligible funds, 107 (44.4%) returned questionnaires, representing about 61% of total Australian primary superannuation accounts. Twelve percent indicated that they did not currently hold tobacco investments, 30% held tobacco shares and 58% did not know or failed to answer. Overall, 6% of respondents said that they held no tobacco investments and would not consider future inv... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1228563 Wed, 13 Feb 2008 05:00:00 +0100 1228563 http://www.medworm.com/index.php?rid=1228562&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F24%3Frss%3D1 Resource allocation is a critical issue for public health decision-makers. Yet little is known about the level and type of resources needed to build capacity to plan and implement comprehensive programs. This paper examines the relationships between investments and changes in organizational capacity and program implementation in the first phase (1998–2003) of the Ontario Heart Health Program (OHHP)—a province-wide, comprehensive public health program that involved 40 community partnerships. The study represents a subset of findings from a provincial evaluation. Investments, organizational capacity of public health units and implementation of heart health activities were measured longitudinally. Investment information was gathered annually from the provincial government, local p... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1228562 Wed, 13 Feb 2008 05:00:00 +0100 1228562 http://www.medworm.com/index.php?rid=1228561&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F16%3Frss%3D1 The feasibility of an action-oriented and participatory educational approach, where school children function as health change agents, in a rural community of (Magu district) Tanzania was explored. Observations, in-depth interviews and focus group discussions with pupils, teachers and parents were undertaken. Findings showed that study participants favoured an approach where school children played an active role as health change agents in a combined school and community health education project. This conclusion contradicts traditional views in many African cultures where power, status and wisdom are usually closely associated with old age. However, a number of barriers were found, including the curriculum, time constraints, class size, teaching materials and teachers' skills and working con... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1228561 Wed, 13 Feb 2008 05:00:00 +0100 1228561 http://www.medworm.com/index.php?rid=1228560&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F5%3Frss%3D1 This study documents the smoking patterns of Norway's restaurant and bar workers before and after the ban, to determine changes in smoking prevalence and explore which individual and environmental characteristics were related to cessation. A national sample of food service workers was surveyed by telephone or Internet immediately before the ban and at 4 and 11 months post-implementation. Results showed that between baseline measurement and 4 months post-implementation, there were significant declines in prevalence of daily smoking (–3.6% points, p < 0.005), daily smoking at work (–6.2% points, p < 0.001), number of cigarettes smoked by continuing smokers (–1.55, p < 0.001) and number of cigarettes smoked at work by continuing smokers (–1.63, p < 0.001). ... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1228560 Wed, 13 Feb 2008 05:00:00 +0100 1228560 http://www.medworm.com/index.php?rid=1228559&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F1%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1228559 Wed, 13 Feb 2008 05:00:00 +0100 1228559 http://www.medworm.com/index.php?rid=1035366&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F346%3Frss%3D1 Al Gore's movie An Inconvenient Truth and the British government's Stern Review of the economics of climate change have provided heightened awareness of how humans are over-stretching the Earth's life support systems. The health of human populations and the health of global ecosystems are inextricably linked and the need for fundamental changes in how we live is becoming impossible to ignore. While not the complete answer, education must be a part of imagining and transforming our patterns of living. Learning embedded in educational systems derived from worldviews that replicate unhealthy and unsustainable lifestyles and environments is not a part of the solution but a significant part of the problem. In Australia, two internationally implemented whole-school reform movements, health promo... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1035366 Mon, 19 Nov 2007 05:00:00 +0100 1035366 http://www.medworm.com/index.php?rid=1035365&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F337%3Frss%3D1 November 2006 marked the 20-year anniversary of the Ottawa Charter for Health Promotion and Canada's Epp Report. Encapsulating the tenets of health promotion (HP), these publications articulated a vision for reducing health inequities, and described a policy framework for achieving this vision, respectively. These documents also triggered the launch of the population health (PH) field, focused on elucidating the empirical relationships between socioeconomic gradients and population health inequities. Over two decades, a rich HP/PH theoretical and evidentiary base on socioeconomic gradients in health has established. Yet, despite valuable contributions from Canadian researchers, insufficient headway has been made in this country to achieve the Charter's vision. There are numerous challenges... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1035365 Mon, 19 Nov 2007 05:00:00 +0100 1035365 http://www.medworm.com/index.php?rid=1035364&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F327%3Frss%3D1 This study aimed to compare the implementation of health-promoting and quality-related activities in HPH and those which have not joined the HPH network (non-HPH). In the beginning of 2005, a postal survey was conducted among the top managers of 54 Estonian hospitals. The questionnaire was based on the WHO standards for HPH and on the set of the national quality assurance (QA) requirements for health services. The study demonstrated some significant differences in the uptake of health promotion and QA activities between HPH and non-HPH. For example, regular patient satisfaction studies were conducted in 83% of HPH and 46% of non-HPH (P < 0.03) and 65% of HPH and 46% of non-HPH cooperated with various patient organizations (P < 0.03). Systems for reporting and analysis of complication... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1035364 Mon, 19 Nov 2007 05:00:00 +0100 1035364 http://www.medworm.com/index.php?rid=1035363&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F316%3Frss%3D1 An evaluation framework, called the Hong Kong Healthy Schools Award, has been developed to enable comprehensive collection and analysis of data reflecting the status of health-promoting schools (HPS) in Hong Kong. The key findings revealed a high prevalence of emotional problems, unhealthy eating habits, physical inactivity and risk-taking behaviours, leading to both intentional and unintentional injuries among students with higher prevalence among secondary school students. The results indicated a substantial lack of health policies in schools; it also indicated health services in schools not readily accessible to students and staff, and insufficient staff training in health promotion and education. However, most schools have made initiatives in environmental protection, established safet... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1035363 Mon, 19 Nov 2007 05:00:00 +0100 1035363 http://www.medworm.com/index.php?rid=1035362&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F307%3Frss%3D1 This study aimed to analyse the agenda setting, formulation, initiation and implementation of the intersectoral public health policy and one tool of HiAP, health impact assessment (HIA), at the national and local level (exemplified by Stockholm County) in Sweden. A literature search was carried out of scientific and grey literature on intersectoral health policy and HIA in Sweden. The study was a policy analysis, using a content analysis method, and the theoretical framework of Kingdon where the results were examined through problem identification (why a window of opportunity opens for an intersectoral health policy and HIA), the factors and impact of politics (support for the formulation and implementation of policy) and policy (how best to solve the problem). The results showed that acto... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1035362 Mon, 19 Nov 2007 05:00:00 +0100 1035362 http://www.medworm.com/index.php?rid=1035361&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F299%3Frss%3D1 Improving community capacity for influencing actions on the determinants of health is an immediate outcome of many Public Health Agency of Canada-funding community-based programs. Despite the importance of this outcome, it has been difficult to measure and describe the contribution of funding programs to improving community capacity. This paper reports on a study conducted to develop and establish the psychometric properties of scales that measure community capacity to address health issues in the context of federally funded community-based programs. A literature review and national think tank with 21 experts informed the development of the first draft of the scales that outlined nine key domains of community capacity. Two focus groups with community practitioners provided information on t... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1035361 Mon, 19 Nov 2007 05:00:00 +0100 1035361 http://www.medworm.com/index.php?rid=1035360&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F292%3Frss%3D1 We developed the Emergence Model and introduced the concept of social and human capital into designing and evaluating the Healthy Cities/Municipalities project to ensure health promotion infrastructure. This model hypothesizes that through the interaction and utilization of the other forms of capital, namely financial, physical and natural, the emergence of collective action takes place in the community or municipal setting. Subsequently, collective action may influence health and quality of life determinants. Once health and quality of life improvements are achieved, the enhancement of the social, human and other capital may be brought about through positive feedback, and successive collective action is thereby facilitated. According to the model, practitioners and policy makers of the He... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1035360 Mon, 19 Nov 2007 05:00:00 +0100 1035360 http://www.medworm.com/index.php?rid=1035359&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F284%3Frss%3D1 The aim of this study was to assess the content and extent of food references and marketing within popular children's magazines in Australia. Sixteen popular Australian children's magazines were selected, as determined by readership and circulation data. Back copies of each magazine were purchased for publications released between January and December 2006 (n = 76). Each magazine was assessed for food references on the basis of 23 food categories and 7 food-referencing types and as either branded or non-branded food references. There were a high number of overall food references within the children's magazines, with the majority of these being for unhealthy food products (63.7% unhealthy versus 36.3% healthy foods, p < 0.001). The food groups with the highest proportion of branded food ... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1035359 Mon, 19 Nov 2007 05:00:00 +0100 1035359 http://www.medworm.com/index.php?rid=1035358&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F271%3Frss%3D1 The aim of this study was to evaluate the economic performance of 10 nutrition interventions. The interventions included Mediterranean Diet, Intensive Lifestyle Change (nutrition and physical activity) to Prevent Diabetes, Reduced Fat Diet for persons with IGT, Nutritional Counselling in GP (GP, general practice/primary care), Nurse Counselling in GP, Oxcheck Nurse Health Checks in GP, Gutbusters Workplace (for men), Talking Computer, Multi Media 2 fruit 5 veg Campaign and the FFFF (Fighting Fit, Fighting Fat) Media Campaign. Markov models were constructed in order to estimate economic performance expressed as cost per QALY (quality adjusted life year) gained. Data from original clinical trial reports were used to populate the models, supplemented by the wider literature where required. Pe... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1035358 Mon, 19 Nov 2007 05:00:00 +0100 1035358 http://www.medworm.com/index.php?rid=1035357&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F269%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=1035357 Mon, 19 Nov 2007 05:00:00 +0100 1035357 http://www.medworm.com/index.php?rid=827046&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F3%2F261%3Frss%3D1 The concept of well-being is now of interest to many disciplines; as a consequence, it presents an increasingly complex and contested territory. We suggest that much current thinking about well-being can be summarized in terms of four main discourses: scientific, popular, critical and environmental. Exponents of the scientific discourse argue that subjective well-being is now static or declining in developed countries: a paradox for economists, as incomes have grown considerably. Psychological observations on the loss of subjective well-being have also entered popular awareness, in simplified form, and conceptions of well-being as happiness are now influencing contemporary political debate and policy-making. These views have not escaped criticism. Philosophers understand well-being as part... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=827046 Wed, 29 Aug 2007 04:00:00 +0100 827046 http://www.medworm.com/index.php?rid=827045&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F3%2F254%3Frss%3D1 Governments and other public health agencies have become increasingly interested in evidence-informed policy and practice. Translating research evidence into programmatic change has proved challenging and the evidence around how to effectively promote and facilitate this process is still relatively limited. This paper presents the findings from an evaluation of a series of evidence-based health promotion resources commissioned by the Victorian Department of Human Services. The evaluation used qualitative methods to explore how practitioners for whom the resources were intended, viewed and used them. Document and literature review and analysis, and a series of key informant interviews and focus groups were conducted. The findings clearly demonstrate that the resources are unlikely to act as... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=827045 Wed, 29 Aug 2007 04:00:00 +0100 827045 http://www.medworm.com/index.php?rid=827044&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F3%2F246%3Frss%3D1 This paper reports results of a study that explored the relationship between the local environmental actions of Healthy Cities programs and the adverse health impacts of climate change. The analysis is primarily based on a limited literature review of climate change and health, with particular attention to the relationships between Healthy Cities and climate change, and on documentary analysis of information from organization reports and website content associated with Healthy Cities programs in Europe and Australia. Four semi-structured interviews with key people in two Healthy Cities programs in Europe and Australia were conducted to provide information to supplement and complement the published information and to verify theme identification. The main findings of this study are that, alt... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=827044 Wed, 29 Aug 2007 04:00:00 +0100 827044 http://www.medworm.com/index.php?rid=827043&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F3%2F236%3Frss%3D1 This study also examined the relationship between television viewing and students' dietary behaviour. Data are from a cross-sectional survey of 18 486 secondary students in 2005 from all Australian states except Western Australia. Participants reported their usual daily consumption (number of serves) of vegetables and fruit; their weekly consumption of unhealthy/non-core foods including fast food meals, snack foods and high-energy drinks; their engagement in moderate-vigorous physical activity over the previous week; and hours spent using electronic media for entertainment and doing homework on school days. The study found that 20% of students were meeting the daily requirement of four serves of vegetables, whereas 39% were eating the recommended three daily serves of fruit. Consumption of... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=827043 Wed, 29 Aug 2007 04:00:00 +0100 827043 http://www.medworm.com/index.php?rid=827042&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F3%2F227%3Frss%3D1 Despite growing literature showing associations of availability and accessibility of facilities to greater levels of physical activity, considerably less is known about the actual extent of use of these facilities. The purpose of this study was to examine the individual (sex, age, education and extent of involvement in vigorous physical activity) and local area characteristics (socioeconomic status, locations and number of physical activity organizations per 1000 residents) associated with the use of local facilities for involvement in physical activity. A telephone survey was conducted with 3191 randomly selected adults in 22 non-contiguous areas across Canada. Use of local facilities for involvement in physical activity was examined among a subset of 1006 physically active adults. Data w... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=827042 Wed, 29 Aug 2007 04:00:00 +0100 827042 http://www.medworm.com/index.php?rid=827041&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F3%2F218%3Frss%3D1 The Fresh Kids programme utilized the Health Promoting Schools (HPSs) framework to design a whole-of-school, multifaceted intervention targeting specific behaviours to promote healthy eating and reduce the risk factors associated with childhood obesity. The aim of the programme was to evaluate the effectiveness of the HPS framework to increase fruit and water consumption among primary school-aged children over a 2-year period. The study design was an interrupted time series. Four primary schools in the inner west of Melbourne, Australia, participated in the programme intervention. Baseline data were collected using a lunch box audit to assess the frequency of children with fresh fruit, water and sweet drinks, either brought from home or selected from canteen lunch orders. The lunch box aud... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=827041 Wed, 29 Aug 2007 04:00:00 +0100 827041 http://www.medworm.com/index.php?rid=827040&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F3%2F207%3Frss%3D1 Tobacco control programmes in multi-ethnic societies must take into account ethnic differences in the determinants of smoking. The I-Change Model, an extension of the Theory of Planned Behaviour, was used to investigate the factors related to smoking among a sample of 3378 Black African, Coloured and White, monthly and non-monthly smokers in the Southern Cape-Karoo Region, South Africa. Across the ethnic groups, non-monthly smokers reported a more positive attitude towards non-smoking, social influences that were more supportive of non-smoking, higher self-efficacy in stressful, routine and social situations, greater intention not to smoke in the next year and lower levels of depressive mood and risk behaviour. Regression analyses suggested that the weight of these determinants may differ ... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=827040 Wed, 29 Aug 2007 04:00:00 +0100 827040 http://www.medworm.com/index.php?rid=827039&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F3%2F198%3Frss%3D1 In light of the great threat that HIV/AIDS poses in sub-Saharan Africa, the current study assesses HIV/AIDS posters from this region with specific reference to health message frames, including HIV sources, consequences, self-efficacy, preventive means, and barriers and benefits to employing such means of prevention. There is a two-step methodology. First, the content of HIV/AIDS posters from 15 sub-Saharan African countries was coded for the six health message frames. Second, relationships between the health message frames and four social determinants (HIV rate, HIV awareness, condom use and uncertainty avoidance (UAI)) were assessed with hierarchical linear modeling (HLM). Analysis indicates that self-efficacy is the most common frame, but that almost one-quarter of the posters has none o... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=827039 Wed, 29 Aug 2007 04:00:00 +0100 827039 http://www.medworm.com/index.php?rid=827038&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F3%2F191%3Frss%3D1 The objectives of this study were to analyse the trends of bicycle-related head injuries based on their main diagnosis and external cause of injury by different age groups. Our study area was the whole population of Sweden from 1987 to 1996. Outcome evaluation was based on data from the Swedish National Hospital Discharge Register concerning all bicycle-related injuries from 1987 to 1996, which presented 49 758 reported in-patient care. The trends in incidence rates (IRs) were studied with regression analyses. The results show that children under 15 years had the highest IRs. For these children, the IR decreased by 46%. The head injuries in children decreased both in collisions with motor vehicles and in other accidents. Similarly, the IR of concussion and skull fracture decreased. For non... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=827038 Wed, 29 Aug 2007 04:00:00 +0100 827038 http://www.medworm.com/index.php?rid=827037&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F3%2F182%3Frss%3D1 This article outlines this HPH project, its development and evaluation and reports on the attitudes and contribution of hospital management as determined by questionnaires and interviews from 281 managerial employees from 106 Beijing hospitals (93 from pilot hospitals and 188 from control). The results of the evaluation indicate that long-term health promotion planning and health promotion specialized funds have been better established in pilot hospitals than in the control group and also that the concept of HPH is better understood by managerial staff in pilot hospitals than by those in control hospitals. The main perceived barriers faced in the development of HPH are shortages of funds, personnel, time management and professional skills. To further develop HPHs in China, effort needs to ... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=827037 Wed, 29 Aug 2007 04:00:00 +0100 827037 http://www.medworm.com/index.php?rid=827036&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F3%2F179%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=827036 Wed, 29 Aug 2007 04:00:00 +0100 827036 http://www.medworm.com/index.php?rid=607126&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F2%2F170%3Frss%3D1 Contemporary health promotion is now a well-defined discipline with a strong (albeit diverse) theoretical base, proven technologies (based on program planning) for addressing complex social problems, processes to guide practice and a body of evidence of efficacy and increasingly, effectiveness. Health promotion has evolved principally within the health sector where it is frequently considered optional rather than core business. To maximize effectiveness, quality health promotion technologies and practices need to be adopted as core business by the health sector and by organizations in other sectors. It has proven difficult to develop the infrastructure, workforce and resource base needed to ensure the routine introduction of high-quality health promotion into organizations. Recognizing the... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=607126 Thu, 17 May 2007 04:00:00 +0100 607126 http://www.medworm.com/index.php?rid=607125&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F2%2F163%3Frss%3D1 Large segments of the population in poor countries continue to suffer from a high level of unmet health needs, requiring macro-level, broad-based interventions. Healthy public policy, a key health promotion strategy, aims to put health on the agenda of policy makers across sectors and levels of government. Macro-economic policy in developing countries has thus far not adequately captured the attention of health promotion researchers. This paper argues that healthy public policy should not only be an objective in rich countries, but also in poor countries. This paper takes up this issue by reviewing the main macro-economic aid programs offered by international financial institutions as a response to economic crises and unmanageable debt burdens. Although health promotion researchers were la... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=607125 Thu, 17 May 2007 04:00:00 +0100 607125 http://www.medworm.com/index.php?rid=607124&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F2%2F155%3Frss%3D1 Ten years ago the Republic of Korea enacted the National Health Promotion Act, setting the stage for health promotion action in the country. A National Health Promotion Fund was established, financed through tobacco taxes, which is now one of the largest in the world. However, despite abundant financial resources, the infrastructure needed to plan, implement, coordinate and evaluate health promotion efforts is still underdeveloped. Currently, health promotion capacity mapping efforts are emerging in Korea. Two international capacity mapping tools have been used to assess the Korean situation, namely HP-Source and the Health Promotion Capacity Profile, which was developed prior to the sixth Global Conference of Health Promotion, held in August 2005 in Bangkok, Thailand. The article summariz... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=607124 Thu, 17 May 2007 04:00:00 +0100 607124 http://www.medworm.com/index.php?rid=607123&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F2%2F146%3Frss%3D1 This study examined the contextual factors associated with smoking initiation and cessation among women in Brazilian worksites (Curitiba, Paraná, Brazil). A total of 22 focus groups were conducted among 108 women in private and public worksites. The most frequently endorsed negative factors that contributed to smoking initiation included exposure to smoking-prompting behaviors through family members, peer pressure, media and easy access/low cost of cigarettes. Positive factors that served as protective mechanisms against initiation included smoking-related health effects and strong influence from parents and family members. The most salient negative factors associated with smoking cessation included stress/anxiety-relieving benefits, weight control, access/low cost of cigarettes, be... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=607123 Thu, 17 May 2007 04:00:00 +0100 607123 http://www.medworm.com/index.php?rid=607122&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F2%2F137%3Frss%3D1 Suboptimal diets, sedentary lifestyles, overweight and obesity expose two-thirds of women in England aged over 50 to a heightened risk of lifestyle-related morbidities. The UK's NHS Breast Cancer Screening Programme now reaches 75% of all women aged 53–64 but provides only mammography screening. This cross-sectional survey of 413 women attending two NHS breast screening clinics in North Yorkshire found that the majority of women were interested in having diet and exercise advice at screening clinics and anticipated a neutral or positive effect on their future screening appointments. Interest was highest among older, less educated and overweight women suggesting that this may be a particularly effective medium for reaching higher risk subgroups. Women showed most interest in problem-s... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=607122 Thu, 17 May 2007 04:00:00 +0100 607122 http://www.medworm.com/index.php?rid=607121&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F2%2F129%3Frss%3D1 A Micro-credit system (MCS) is a financial system to support the economic needs of the poor. It is thought of as a community-based method to solve various problems, including the lack of health-related knowledge. Participants are organized in groups that assemble in regular meetings. Hadi (Hadi in Health Promotion International 16, 219–227, 2001) investigated the MCS as a method to solve the lack of health-related knowledge among the poor in Bangladesh. His result among rural MCS participants shows a positive relationship between the duration of membership in a micro-credit group and health knowledge. Further, more knowledge was ascertained among participants than among non-participants. The present research investigated the effectiveness of the MCS in increasing health-related knowl... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=607121 Thu, 17 May 2007 04:00:00 +0100 607121 http://www.medworm.com/index.php?rid=607120&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F2%2F122%3Frss%3D1 This study used a randomized controlled design to evaluate an interactive web-based program that tailored advice about undertaking SBT activities. The participants were 280 people with an age range of 65–97 years recruited by advertising the website by email and the Internet. Those randomized to the tailored advice were presented with advice tailored to their personal self-rated balance capabilities, health problems and activity preferences. Those in the control group were presented with all the advice from which the tailored advice was selected. After reading the advice, those in the tailored advice group (n = 144) had more positive attitudes (p < 0.01) than those in the control group (n = 136), reporting greater perceived relevance of the SBT activities, greater confidence in th... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=607120 Thu, 17 May 2007 04:00:00 +0100 607120 http://www.medworm.com/index.php?rid=607119&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F2%2F112%3Frss%3D1 Although much research has been done on the existence and formation of risk and issue based health policies, there is only little insight in health policy development processes in a broader context. This hampers intervention in these policy processes to adequately develop integrated and effective health policies. Legislation in the Netherlands requires municipalities to develop and implement local health policies. These policies are supposed to aim at the promotion of health across sectors and with a strong community involvement. Health policy development processes have been studied in four Dutch municipalities. For each case, we identified a range of stakeholders and monitored the change or stability of their characteristics over 3 years. In addition, for each case, three overlaying maps ... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=607119 Thu, 17 May 2007 04:00:00 +0100 607119 http://www.medworm.com/index.php?rid=607118&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F2%2F102%3Frss%3D1 This article reports the results of a study of the attitudes of Canadian senior general managers (GMs) and human resource managers (HRMs) in the auto parts industry in Ontario, Canada towards the consequences of increasing discretionary spending on WHP, using Structural Equation Modelling and the Theory of Planned Behaviour. We identified factors that explain managers' intentions to increase discretionary spending on wellness programmes. While both senior GMs and HRMs are motivated primarily by their beliefs that WHP reduces indirect costs of health failure, GMs were also motivated by their moral responsibility towards employees (but surprisingly HRMs were not). Importantly, HRMs, who usually have responsibility for WHP, felt constrained by a lack of power to commit resources. Most importa... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=607118 Thu, 17 May 2007 04:00:00 +0100 607118 http://www.medworm.com/index.php?rid=607117&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F2%2F92%3Frss%3D1 This article describes results from an investigation of the health impacts of community gardening, using Toronto, Ontario as a case study. According to community members and local service organizations, these gardens have a number of positive health benefits. However, few studies have explicitly focused on the health impacts of community gardens, and many of those did not ask community gardeners directly about their experiences in community gardening. This article sets out to fill this gap by describing the results of a community-based research project that collected data on the perceived health impacts of community gardening through participant observation, focus groups and in-depth interviews. Results suggest that community gardens were perceived by gardeners to provide numerous health b... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=607117 Thu, 17 May 2007 04:00:00 +0100 607117 http://www.medworm.com/index.php?rid=607116&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F2%2F89%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=607116 Thu, 17 May 2007 04:00:00 +0100 607116 http://www.medworm.com/index.php?rid=434453&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F1%2F88%3Frss%3D1 (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=434453 Tue, 20 Feb 2007 07:00:00 +0100 434453 http://www.medworm.com/index.php?rid=434452&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F1%2F80%3Frss%3D1 This article first presents one such analytical instrument. Then, building on examples relating to socio-economic health inequities, the analytical instrument is applied to reveal how it can add value to health professionals' effectiveness in planning interventions for more health-promoting environments. (Source: Health Promotion International) Health Promotion International journals http://www.medworm.com/rss/comments.php?id=434452 Tue, 20 Feb 2007 07:00:00 +0100 434452 http://www.medworm.com/index.php?rid=434451&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F1%2F72%3Frss%3D1 The discourse of the 2005 Bangkok Charter for Health Promotion in a Globalized World represents a radical departure from that of the Ottawa Charter that, in 1986, staked a place for the health promotion field in mainstream public health. Via a critical analysis of the discourse in these two Charters, this paper illustrates a shift from a ‘new social movements’ discourse of ecosocial justice in Ottawa to a ‘new capitalist’ discourse of law and economics in Bangkok. The Bangkok Charter's content may identify ‘actions, commitments and pledges required to address the determinants of health in a globalized world through health promotion’, but this paper shows how its discourse works to naturalize and perpetuate many of detrimental determinants associated with... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=434451 Tue, 20 Feb 2007 07:00:00 +0100 434451 http://www.medworm.com/index.php?rid=434450&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F1%2F65%3Frss%3D1 Increasingly, researchers are exploring alternative ways of assessing the impact of ‘Health Promoting School’ (HPS) initiatives, in recognition of the model's emphasis on achieving change that is both enduring and far-reaching. However, it is still assumed that initiatives will lead to immediate change at the individual level. This paper challenges that view and argues that potential markers of success associated with process need to be identified earlier as a means of supporting schools and teachers. Notwithstanding differences in the way the HPS is conceptualized and implemented, four themes are highlighted that have relevance beyond any one school or country. These were drawn from a process evaluation of a European Network of HPSs Project in Scotland. They highlight the ways... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=434450 Tue, 20 Feb 2007 07:00:00 +0100 434450 http://www.medworm.com/index.php?rid=434449&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F1%2F53%3Frss%3D1 The over-use of antibiotics, in particular, inappropriate use to treat upper respiratory tract infections (URTIs), is a global public health concern. In an attempt to reduce inappropriate use of antibiotics for URTIs, and, in particular, to modify patient misconceptions about the effectiveness of antibiotics for URTIs, Australia's National Prescribing Service Ltd (NPS) has undertaken a comprehensive, multistrategic programme for health professionals and the community. Targeted strategies for the community, via the NPS common colds community campaign, commenced in 2000 and have been repeated annually during the winter months. Community strategies were closely integrated, using the same tagline, key messages and visual images, and were delivered in numerous settings including general practic... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=434449 Tue, 20 Feb 2007 07:00:00 +0100 434449 http://www.medworm.com/index.php?rid=434448&cid=s_30994_46_f&fid=30994&url=http%3A%2F%2Fheapro.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F1%2F44%3Frss%3D1 This article reviews the process and key recommendations derived from conducting a rapid participatory asset-focused health and social needs assessment in the small traditional rural village of Tulikup, Bali. The assessment aimed to develop recommendations for a community radio station based in Tulikup to promote social change and development. The health and social needs assessment utilized an asset-focused rapid participatory assessment cycle methodological framework, incorporating Annett and Rifkin's (1995) guidelines for rapid participatory appraisals (World Health Organization, Geneva), community-based action research (Sage Publications, California; Stringer, 1996) and asset-based community development. The study explored Tulikup's pre-existing assets and highlights the value of using ... Health Promotion International journals http://www.medworm.com/rss/comments.php?id=434448 Tue, 20 Feb 2007 07:00:00 +0100 434448