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Biomedical subjects

W A Oleckno

Publications and source records attributed to W A Oleckno.

15 recordsLinked to original sources

Achieving compliance with the radium standards for drinking water in a midwestern community: a case study.

The problem of elevated levels of radium in the drinking-water supply of DeKalb, Illinois, a Midwestern community about 65 miles west of Chicago with approximately 35,000 residents, has been a contentious issue for over a decade. The central players in the controversy include a group of concerned citizens, city officials, the Illinois Pollution Control Board, the Illinois Environmental Protection Agency, and the U.S. Environmental Protection Agency (U.S. EPA). Achieving a satisfactory resolution to the problem has been a long, drawn-out process that illustrates how ill-timed proposals, changing risk assessments, different perceptions of risk, and the high costs of compliance can influence the direction of risk management decisions. The purpose of this study is to analyze how these factors sustained the debate and prevented an expeditious solution to the problem. The study uses document analysis as its primary research tool. The questions raised by the controversy, along with their implications for environmental policy, are discussed, as are some of the more important lessons learned from the case. Because of many uncertainties, there were no clear winners in the controversy, although, in the context of the most recent U.S. EPA risk assessments, the community is now poised for better protection from the potential dangers of radium in drinking water than it might have been had citizen action been absent.

Carcinogens↗

Health-promoting behaviours in public health: testing the health promotion model.

A health-promoting lifestyle encompasses far more than preventing disease and is characterised by behaviours that lead to optimal well-being, self-actualisation, and personal fulfillment. This study was undertaken to investigate the health-promoting lifestyles of employees working in local public health departments (n = 602) and to test two research hypotheses suggested by the Health Promotion Model. The first hypothesis posited that public health professionals would report significantly more favourable health-promoting behaviours than support staff employed in the same departments. The second hypothesis postulated that occupational discipline in public health would be a significant predictor of health-promoting behaviours. Health-promoting behaviours were measured by the Health-Promoting Lifestyle Profile (HPLP), a psychometrically-validated measure of overall health-promoting lifestyle and six dimensions of health-promoting behaviours, which comprise the instrument's subscales. The findings of the study tended to support the research hypotheses. Overall, public health professionals tended to report more favourable health-promoting behaviours than departmental support staff, and occupational discipline was a significant predictor of a health-promoting lifestyle. In general, public health nursing personnel reported the highest mean levels of health-promoting behaviours compared to the other occupational disciplines examined.

Adolescent↗

Differences in self-reported health behaviors between public health professionals and support staff.

Differences in self-reported health behaviors between public health professionals and support staff were examined. 431 women working in nine county health departments in northern Illinois completed the Health-promoting Lifestyle Profile. The professionals reported a healthier lifestyle than the support staff. This result was significant after adjustment for age, race, educational attainment, and job tenure. The findings were discussed in the context of several theories of behavior and the Health Belief and Health Promotion Models. Suggestions for research are provided.

Adult↗

Establishing guidelines for the identification of occupational injuries: a systematic appraisal.

The workplace is a significant contributor to injuries and injury fatalities in the United States. Unfortunately, the systems in place for collecting and coding injury data suffer from a number of limitations that make it difficult, if not impossible, to enumerate accurately the true scope and import of occupational injuries and injury fatalities. At present, there are no nationally agreed upon standards for defining, reporting, and recording occupational (and nonoccupational) injuries. This article examines and evaluates the major surveillance systems for the collection and recording of data on occupational injuries and injury fatalities and presents guidelines for establishing a model system of occupational injury surveillance. These guidelines should be valuable in designing a national data system that can measure the impact and effectiveness of injury prevention and control programs in the United States.

Accidents, Occupational↗

Job satisfaction in public health: a comparative analysis of five occupational groups.

Five occupational groups of public health workers (health administrators, nursing personnel, environmental health personnel, other public health workers, and public health support staff) from nine county health departments in the midwestern United States were statistically compared to uncover similarities and differences in job satisfaction/dissatisfaction that might be important in planning effective intervention programmes designed to improve satisfaction on the job. Each participant in the study (n = 602) completed three validated job satisfaction/dissatisfaction instruments: the Job Descriptive Index, the Job in General scale and the Occupational Needs Questionnaire. Several discernable trends in job satisfaction/dissatisfaction were identified among the groups. In general, health administrators appeared to be more satisfied with their jobs compared to the other groups, especially with regard to the actual work performed. Public health support staff, on the other hand, seemed to be the least satisfied group, particularly with respect to pay. The greatest source of dissatisfaction among all the groups appeared to be the lack of promotional opportunities.

Adult↗

Relationship of religiosity to wellness and other health-related behaviors and outcomes.

The relationship of religiosity to health-enhancing attitudes and behaviors (wellness), health-compromising behaviors, and adverse health-related outcomes was examined in a sample of 1,077 college students from a large, comprehensive mid-western university. In general, religiosity was positively correlated with wellness and inversely correlated with health-compromising behaviors and illnesses. Interpretation of the findings was complicated in some instances by significant interactions between study variables.

Adult↗

Risk-taking behaviors and other correlates of seat belt use among university students.

A cross-sectional study of 1,077 students enrolled in a large, comprehensive Midwestern university in the United States was conducted to elicit a better understanding of the correlates of seat belt use. Examined were seven risk-taking behaviors, health-promoting behavior, and age, sex, and race. Overall, five of the seven risk-taking behaviors, including cigarette smoking status, drinking status, amount of alcohol consumed, drug use, and drinking and driving were inversely correlated with the frequency of seat belt use (P = 0.00). Health-promoting behavior, as measured by a 48-item index, was positively associated with seat belt use (r = 0.21; P = 0.00). Females and whites were more likely to wear seat belts than males or nonwhites, respectively. There was no significant difference in seat belt use by age. Regression analysis on all 11 variables examined revealed that drug use, smoking status, and sex were significant predictors of seat belt use. Overall, the 11 variables explained 13.3% of the variance in seat belt use. Stepwise regression showed that slightly more than half of the explained variance could be attributed to amount of alcohol consumed and drug use (R2 = 0.071; P = 0.00).

Adolescent↗

The marketing approach as a model for mental health needs assessment.

This article compares the marketing approach of private business to the mental health planning process as it relates to needs assessment. It is the authors' assumption that the future of mental health programs will depend on careful planning designed to exhibit fiscal responsibility and program accountability. It is concluded that private business is an appropriate resource for planning strategies in mental health, and one that mental health administrators can readily turn to, especially in time of shrinking revenues for human service programs.

Community Mental Health Centers↗

A multiple discriminant analysis of smoking status and health-related attitudes and behaviors.

Using multiple discriminant analysis, we examined several health-related attitudes and behaviors (HABs) simultaneously across groups of university students differing by smoking status (n = 1,077). Nine HABs were considered: health responsibility, exercise, nutrition, interpersonal support, stress management, alcohol consumption, drug use, caffeine consumption, and safety practices. Overall, the findings indicated that HABs, particularly those involving substance use, differed among the smoking and nonsmoking groups. Furthermore, current smokers, former smokers, and nonsmokers represented a continuum of less healthful to more healthful attitudes and behaviors. In general, compared to men, women exhibited more positive HABs with respect to interpersonal support, health responsibility, alcohol consumption, and drug use, but less positive HABs with respect to stress management. More complex relationships emerged in comparisons of occasional and regular smokers, light and heavy smokers, and consonant and dissonant smokers. We discuss implications of the findings for smoking intervention programs.

Adolescent↗