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E J Roccella

Publications and source records attributed to E J Roccella.

45 records · Page 3Linked to original sources
PubMed1982

Selected roles of the federal government and health promotion/disease prevention focus on the worksetting.

The Federal government and industry share a common problem of controlling rising health care costs while simultaneously attempting to improve the health status of workers. It seems likely that some savings could be accrued if Americans were more aggressive in their health promotion and disease detection and control efforts. Self destructive behaviors account for a large share of the nation's health bill. The worksite has been identified as an ideal setting to conduct health promotion/disease prevention activities. Three roles of Federal government, leveraging, legitimation and information dissemination appear to be excellent investments for the federal dollar.

Government Agencies↗
PubMedDate not supplied

Hypertension knowledge, attitudes, and behavior: 1985 NHIS findings.

Data from the Health Promotion/Disease Prevention Supplement to the 1985 National Health Interview Survey provide an indication of progress made toward achieving the 1990 objectives for the nation. Survey results showed remarkably high levels of knowledge concerning the increased risks associated with uncontrolled high blood pressure. Nine of 10 adults in the United States knew that high blood pressure increases the risk of heart disease, and 3 of 4 knew that high blood pressure is the most significant risk factor for stroke. The majority of both the general public and the subgroup of the population identified as hypertensives reported knowing the results of their last blood pressure measurement; and, most importantly, almost two-thirds of the identified hypertensives reported that their pressures were under control at last measurement. Data examining professional advice, given and acted upon to achieve blood pressure goals, show that almost two-thirds of the hypertensives currently report taking antihypertensive medication. Results also suggest a degree of willingness by both professionals and hypertensives to attempt nondrug approaches to controlling pressures. The large majority of hypertensives who were advised by a health professional to cut down on sodium, lose weight, and exercise reported they were following this advice. These findings will be used to further refine high blood pressure education strategies and advance the progress toward meeting the 1990 hypertension objectives.

Adolescent↗
PubMedDate not supplied

Meeting the 1990 hypertension objectives for the nation--a progress report.

The National High Blood Pressure Education Program (NHBPEP) effort got underway in 1972 following hypertension research findings and continues to be influenced and, when necessary, redirected, by further findings. Its coordinating committee is composed of representatives from 32 national organizations, and the program itself includes several Federal agencies, all State health departments, and more than 2,000 community-based programs. The goals of NHBPEP and the 1990 prevention objectives for the nation center around the same basic theme: high blood pressure is a serious condition leading to major diseases and premature death. It can be easily detected and effectively brought under control. In the summer of 1984, Admire and co-workers provided a general review and status report of the 1990 Hypertension Objectives and the progress made in meeting those objectives. In the remarkably short period of time since that review, there is even more progress to report. There is good evidence of progress in preventing disease and premature death from hypertension, in bringing hypertension under long term control, and in giving Americans a better understanding of the consequences of uncontrolled high blood pressure. There is also evidence in the fact that while visits to physicians generally have increased only slightly, hypertension visits have increased more markedly. And there is evidence that stroke mortality continues to decline in an almost linear fashion.

Adult↗
PubMedDate not supplied

Hypertension control: meeting the 1990 objectives for the nation.

Hypertension (high blood pressure) is 1 of 15 health priorities of the Public Health Service set forth in the report, "Promoting Health/Preventing Disease: Objectives for the Nation." The nine objectives for hypertension include improved health status, reduced risk factors, increased public-professional awareness, improved services and protection, and improved surveillance-evaluation systems. A number of Federal agencies, coordinated by the National Heart, Lung, and Blood Institute, are working to reach the hypertension objectives in cooperation with State, local, and voluntary agencies and organizations. A great deal of progress has been made toward the objectives, as reflected by a variety of indicators. By 1980, for example, 34.1 percent of the population with hypertension had their blood pressure controlled at less than 160/95 mm Hg, but in 1972 only 16.5 percent were so controlled. Since 1972, the age-adjusted death rate has dropped 42 percent for stroke and 27 percent for coronary heart disease. Data indicate that the national goal for sodium ingestion (3-6 grams daily) may already have been met. Fifty-one percent of the population understand that hypertension may lead to stroke, meeting another objective. Public knowledge about hypertension as a "major likely cause of heart trouble" almost doubled in the 6-year period for which data are available. In 1982, 30 percent of processed food in grocery stores had sodium content labeling and almost 50 percent had calorie labeling, according to studies conducted by the Bureau of Foods of the Food and Drug Administration. Efforts are underway to develop a methodology for assessing incidence of hypertension and categories of hypertension control, a need spelled out in another objective.

Health Education↗