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PubMed1988

[Health behavior of developmentally disordered students--or the need for cooperation between teachers and physicians].

Presented are the findings of an examination of 28 students from the secondary school sector, level I, grades 7-9, undertaken at the special school for children with developmental disorders (= behavioural disorders) at the Fritz-Gansberg-Street in Bremen. Results show that the students, who generally speaking not only are known to display socially deviant behaviour but often also suffer from minimal brain dysfunction (MCD) and, occasionally, organic cerebral damage, increasingly "neglect themselves" in a medical sense, in particular relative to uncontrolled consumption of drugs and neglect of their overall physical development. Pertinent special educational problems should therefore not be dealt with within the school alone, but should equally be addressed from a social or even preventive medicine angle. Close cooperation between teachers at special schools and medical doctors should therefore be sought, and possibly introduction of outpatient services at the school or initiation of doctor/school sponsorships.

Adolescent↗
PubMed1988

Taking charge--strategies for self-empowered health behavior among older people.

RECENT campaigns aimed at increasing awareness of health issues amongst older people have contributed much to the debates about health education and health promotion. Unfortunately though, publicity campaigns fail to address the very practical aspects of how we might help older people develop self-empowered health behaviour. This article considers firstly what it means to be poor and powerless and describes seven key factors which facilitate self-empowered health behaviour. These are then related to an innovative health project being developed with older people in Stoke-on-Trent, funded jointly by the Beth Johnson Foundation and the EEC under its Second Poverty Programme.

Aged↗
PubMed2005

Self-assessed dental health, oral health practices, and general health behaviors in Chinese urban adolescents.

The objectives of this study were: to describe perceived dental health status and oral health-related knowledge, attitudes, and behavior in Chinese urban adolescents; to assess the associations of oral health variables with socio-economic status and school performance; and to analyse the relative effect of socio-behavioral risk factors on perceived dental health, perceived need for dental care, and experience of dental symptoms. A cross-sectional survey of 2662 adolescents was conducted in eight capital cities in China; the response rate was 92%. The study population was chosen by multistage cluster sampling and covered three age groups: 11, 13, and 15 years. Data on dental and general health were collected by self-administered questionnaires. Self-assessment of dental health of Chinese adolescents was generally good, only 12% of the students answered that their teeth were "poor" or "very poor", and 9% claimed having "poor" or "very poor" gums. Eleven percent of participants said that other students made fun of their teeth; 24% of the respondents were dissatisfied with the appearance of their teeth, and 41% claimed that they had experienced toothache or symptoms during the previous 12 months. Positive attitudes towards dental care were found in all age groups; 67% of adolescents brushed their teeth at least twice a day and 48% of the students used fluoridated toothpaste. Only 26% of the students visited a dentist during the previous 12 months. In all, 6% of the adolescents had tried cigarette smoking at least once, while 41% reported having tasted alcohol drinks. Multivariate regression analyses showed that perceived dental health status and needs were associated with gender, age, unhealthy lifestyles, poor school performance, and socio-economic status. The establishment of school-based health promotion programs in China is urgently needed, and promotion of oral health lifestyles should be integrated with other general health actions.

Adolescent↗
PubMed1996

Adherence enhancers in pill-related clinical trials: a health behavior in cancer prevention model-based approach.

Preventing non-adherence and treating adherence failure are important to consider in designing community-based clinical trials. The approach and methods for managing adherence are vital. This paper describes a practical and theoretically-based strategy for managing adherence in a small cancer prevention trial with subjects (n = 40) taking a non-steroidal anti-inflammatory drug, piroxicam. Average daily pill intake adherence was exceptionally high (97.4%) as measured by self-report calendar. Thus, the generalized adherence enhancement approach used in this study may have been a related factor, although statistical model-testing was not possible in this small trial. The generalized intervention took into account factors such as the potential barriers and benefits of being in the study, self-efficacy and satisfaction with the participant/staff relationship. These and other theoretical variables were incorporated into an overall adherence strategy that is discussed.

Aged↗
PubMed1987

Health behavior models compared.

This study compares the health belief, Fishbein/Ajzen, and PRECEDE models to predict changes in smoking, exercise, and consumption of sweet and fried foods over an eight-month interval. Data were collected from a panel of 326 adults in two large cities of the western United States. The PRECEDE model accounted for more variance in behavior than both the Fishbein/Ajzen and health belief models, but it required far more questions. Fishbein/Ajzen and PRECEDE provide a limited theoretical basis for selecting specific types of beliefs or predisposing factors without turning to the health belief model, making the health belief model complementary to either Fishbein/Ajzen or PRECEDE.

Adolescent↗
PubMed2004

[Women's knowledge of health behaviors in the puerperium].

UNLABELLED: The study was conducted on one hundred women hospitalized in obstetrical departments of hospitals in Bialystok. Material was collected using anonymous inquiry in the accordance with methodology of questionnaire creation. Over half responders (55%) correctly defined puerperium, however 19% of them couldn't explain what it means. Near 1/3 women answered that bloody puerperal excrements may be present to the end of puerperal period, 41% of women answered that during puerperium they are allowed to bath and only 22% of them considered physical exercises to be profitable. 52% of responders knew that newborn child should be breastfed for six months and that breastfeeding prevents breast from incidents of occlusion. 20% of mothers considered breastfeeding to be preventive from defects of bite and dental caries. CONCLUSIONS: 1. Definition of puerperium caused problems for most of women. 2. The period of puerperium affected the mode of lifestyle and hygiene of women but most of them did not consider physical exercises to be profitable. 4. The most of women knew that breastfeeding is necessary for appropriate growth of their children.

Adult↗
PubMed2006

Improving measurement in health education and health behavior research using item response modeling: comparison with the classical test theory approach.

This paper compares the approach and resultant outcomes of item response models (IRMs) and classical test theory (CTT). First, it reviews basic ideas of CTT, and compares them to the ideas about using IRMs introduced in an earlier paper. It then applies a comparison scheme based on the AERA/APA/NCME 'Standards for Educational and Psychological Tests' to compare the two approaches under three general headings: (i) choosing a model; (ii) evidence for reliability--incorporating reliability coefficients and measurement error--and (iii) evidence for validity--including evidence based on instrument content, response processes, internal structure, other variables and consequences. An example analysis of a self-efficacy (SE) scale for exercise is used to illustrate these comparisons. The investigation found that there were (i) aspects of the techniques and outcomes that were similar between the two approaches, (ii) aspects where the item response modeling approach contributes to instrument construction and evaluation beyond the classical approach and (iii) aspects of the analysis where the measurement models had little to do with the analysis or outcomes. There were no aspects where the classical approach contributed to instrument construction or evaluation beyond what could be done with the IRM approach. Finally, properties of the SE scale are summarized and recommendations made.

Data Interpretation, Statistical↗
PubMed2004

Severe acute respiratory syndrome epidemic and change of people's health behavior in China.

Severe Acute Respiratory Syndrome (SARS) has become a new worldwide epidemic whose origin was until recently unknown. It is the unpredictable nature of this epidemic that makes people want answers to some important questions about what they can do to protect themselves. This study presents an inquiry into people's knowledge and self-reported changes in behavior in response to the epidemic. Respondents were drawn from seven major occupational groups in the large central city of Wuhan. Although most respondents knew of SARS, there was still 8.4% who did not know about it. Knowledge was lowest among farmers who had come to the city for temporary work. Most respondents took action to avoid being infected by SARS, including, most commonly, efforts to improve indoor ventilation, to disinfect the indoor environment and to increase hand-washing frequency. Self-reported increases in hand-washing frequency were significant; however, among the seven occupational groups, reports of increased hand-washing were consistently greater among commercial service workers, students and farmers. While it seems that possible fears induced by the epidemic led to these changes, there are still about one-third of respondents who do not wash their hands as frequently as desired. There is also the challenge of devising strategies for maintaining the desired frequency of hand-washing among those who did change.

Adolescent↗
PubMed1994

Prevalence of health behaviors related to hypertension in three blood pressure treatment groups: the Minnesota Heart Health Program.

BACKGROUND: Lifestyle modifications have the potential to bring blood pressure under control or reduce the need for potentially harmful medications and, most importantly, to prevent high blood pressure from developing. Evaluation of the contribution of primary and secondary prevention efforts requires monitoring risk factors for hypertension among those with and without a history of the condition. METHODS: This study in the Minnesota Heart Health Program describes the prevalence of the major lifestyle risk factors for hypertension and other cardiovascular disease. Data are from men and women age 25-74 over a period of about 10 years (1980-1990). The study involved six communities, three received an education intervention, and three were used as comparison groups. Irrespective of observed blood pressure values, risk factor levels and time trends are compared among persons taking antihypertensive medication, persons with a history of hypertension but not currently medicated, and a general population, nonhypertensive group who report they were never told they were hypertensive. Analysis was done at the level of the city rather than the individual and involved a subset of the cross-sectional survey data. RESULTS: Significant differences were found between groups for knowledge about and control of high blood pressure, for body mass index, intent to lose weight, physical activity, sodium and fat intake, and total serum cholesterol level. No differences were found in intent to increase physical activity, in alcohol intake, or smoking prevalence. A group by time interaction was found only for frequent use of table salt and percentage of total kilocalories from fat. Most time trends were significant and in a favorable direction for prevention. Means for all groups indicated failure to meet national recommendations for dietary sodium, percentage of calories from fat, total cholesterol level, smoking, and possibly exercise. CONCLUSIONS: Efforts to prevent, treat, and control hypertension will require more intensive intervention. Continued monitoring of the knowledge and behaviors of hypertensives and the general population is needed to inform primary and secondary prevention efforts, especially in more diverse populations than this study represents.

Adult↗
PubMed2002

The Ironson-woods Spirituality/Religiousness Index is associated with long survival, health behaviors, less distress, and low cortisol in people with HIV/AIDS.

The purpose of this study was to determine the reliability and validity of an instrument that measures both spirituality and religiousness, to examine the relation between spirituality and religiousness and important health outcomes for people living with HIV and to examine the potential mediators of these relations. One aim was to determine whether subscales of spirituality, religiousness, or both would be independently related to long survival in people living with AIDS. The Ironson-Woods Spirituality/Religiousness (SR) Index is presented with evidence for its reliability and validity. Four factors were identified on the Ironson-Woods SR Index (Sense of Peace, Faith in God, Religious Behavior, and Compassionate View of Others). Each subscale was significantly related to long survival with AIDS. That is, the long-term survivor (LTS) group (n = 79) scored significantly higher on these factors than did the HIV-positive comparison (COMP) group (n = 200). Long survival was also significantly related to both frequency of prayer (positively) and judgmental attitude (negatively). In addition, the Ironson-Woods SR Index yielded strong and significant correlations with less distress, more hope, social support, health behaviors, helping others, and lower cortisol levels. The relation between religious behavior and health outcomes was not due to social support. Further analyses were conducted, which identified urinary cortisol concentrations and altruistic behavior as mediators of the relation between SR and long survival.

Adult↗
PubMed2004

Provider self-efficacy and the screening of adolescents for risky health behaviors.

PURPOSE: To examine the extent to which providers' perceived self-efficacy to deliver adolescent preventive services relates to their screening practices. METHODS: Screening rates were determined by both provider self-reported screening practices and the independent report of the adolescent patient. First, 66 pediatric providers (pediatricians and nurse-practitioners), working in three pediatric clinics within a managed care organization, completed surveys assessing: (a) self-efficacy for screening adolescent patients in the areas of tobacco use, alcohol use, sexual behavior, seat belt use, and helmet use; and (b) self-reported screening of adolescents during well-visits over the past month. Second, a sample of patients, aged 14 years to 16 years, reported on whether their clinicians screened them for these behaviors during a well-visit. Adolescents completed reports (N = 323) immediately following the well visit. Data were analyzed using Pearson product-moment correlation coefficients. RESULTS: Provider self-efficacy to deliver preventive services was correlated with self-reported screening in each of the five content areas, ranging from r = .24 (p < .05) for seat belt use to r = .51 (p < .001) for helmet use. Provider self-efficacy was significantly related to adolescent reports of screening in three of the five content areas; r = .25 (p < .05) for sexual behavior and tobacco use; and r = .23 (p = .06) for alcohol use. CONCLUSIONS: Providers' self-efficacy to screen adolescents for risky behaviors was significantly related to both clinician self-report and independent adolescent reports of screening during well-visits. These findings point to the importance of enhancing clinicians' sense of competence to deliver adolescent preventive services.

Adolescent↗
PubMed1994

Effect of lighting treatment on the productivity, health, behavior and sexual maturity of heavy male turkeys.

1. Turkey poults (1620) were used to compare the effects of three lighting programmes on heavy strain males reared to 188 d: constant light (24L:0D, CON); increasing light (6L:18D at 7 d gradually increasing to 20L:4D by 63 d, INC); a pattern identical to INC followed by a decrease in daylength from 84 d to 10L:14D at 112 d (DID). 2. Lighting affected growth pattern but had no effect on body weight at 118 d or overall food to gain ratio. 3. Both INC and DID lighting reduced overall mortality in comparison to CON light primarily because of a reduction in the incidence of skeletal disease and spontaneous cardiomyopathy. INC and DID lighting increased the incidence of cannibalism. 4. Turkeys given INC or DID lighting had a superior ability to walk in comparison to those birds given CON light. 5. INC and DID males stood, ate and drank more frequently, and sat less often than CON turkeys during behavioural observation. 6. There were no lighting effects on carcase composition except that INC and DID birds had heavier keel bones. The ultimate force per cm2 (stress) required to break femora was greater for turkeys given INC and DID lighting (P = 0.065). 7. Plasma testosterone concentrations at 117 d were 272.5, 115.2 and 29.5 pg/ml for turkeys given CON, INC and DID lighting, respectively (P = 0.072). Testosterone concentration was not related to growth rate.

Animal Husbandry↗