Preventive health behaviors related to the ten leading causes of mortality of health-fair attenders and nonattenders.
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The role of symptom perceptions and utilization of health promoting practices in illness behavior were explored across the adult lifespan. The first study (N = 396) assessed the health practices and perceptions about illnesses in well adults (ages 20 to 89) as well as perceptions about symptoms associated with a group of six specific illnesses. The second community study (N = 614) examined how symptom qualities (symptom severity, duration, and illness label) affect attributions of symptoms to aging and coping strategies in response to the symptoms. The findings revealed that while the elderly report more frequent performance of health promoting activities, perceptions about illnesses and how to prevent them are comparable across adulthood. Symptoms used to identify illnesses are also equivalent across adulthood (and aging) except for the reduced usage of mild ambiguous symptoms in identifying illnesses by the elderly. The frequency with which mild, short-term symptoms are attributed to aging increases with age of the subjects and leads to greater acceptance of the illness symptoms and more passive coping strategies. Clinical implications and policy recommendations are discussed.
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Heart disease is the number one cause of death in the United States. Primary prevention efforts have focused on adult populations even though there is evidence that heart disease risk factors are sometimes present in early childhood. Due to the nature of the game, adolescent male football athletes may participate in behaviors that increase heart disease risk such as power weight training and no aerobic exercise, increased calorie and fat intake, and increased substance use.
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Attempts to promote compliance of children with preventive health practices are most successful when strategies for motivating self-care behavior change address the physical, cognitive, and affective components of individuals. This study evaluated the effectiveness of using a Self-Care Motivation Model and curriculum to promote oral health and hygiene behavior change among 92 third grade students randomly selected according to homeroom assignments in five Gloucester, Mass., public schools. Student gingival health and oral hygiene measures were obtained two weeks prior to, and two weeks, three months, and one year after educational sessions. Group one, comprised of mid-high socioeconomic status family students, served as an oral examination control. Groups two-five received educational sessions designed to teach students various aspects of oral health. Significant improvements (p less than .001) in gingival health and dental plaque scores were observed in all experimental groups for up to three months. During a period of three months to one year, mean group scores returned to baseline and worsened for all groups except group five, the lowest socioeconomic family status group and the only group receiving the full series of self-care motivation curriculum sessions. Experimental group teachers reported that most children responded favorably to the program, and specific attitude and behavior changes were observed in many children. Further research evaluating the efficacy of using this self-care motivation model in primary preventive health education programs is indicated.
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PURPOSE: This study evaluated factors associated with age-appropriate dental care utilization and preventive behaviors among preschool-aged children in Delaware. METHODS: In June 1994, child health questionnaires were mailed to a simple random sample of 1,005 Delaware caregivers whose children were ages 6 to 36 months. RESULTS: Only 12% of children > or = 12 months old had been to the dentist. Child's race, maternal education, maternal age, dental insurance, having a regular place for medical care, receiving information on tooth care from medical personnel, and family income were not associated with having a dental visit. CONCLUSIONS: Improving information provided to caregivers and health professionals on appropriate timing of dental services and preventive dentistry is recommended to enhance oral health for preschool-aged children.
During recent years the prevalence of family break-up has increased. Every third child growing up in Norway today may experience divorce among their parents. In this paper we try to illustrate to what extent experiencing divorce during childhood is related to subjective health and health behaviour in adolescence. The study is based on a self-administered questionnaire among 828 students in secondary schools in Førde (91% of all). Every fifth student reported experience of family break-up, and we compared this group with the rest concerning subjective health and health behaviour. We found significant differences in the disfavour of adolescents whose parents were divorced, with regard to both physical and emotional health complaints. We also demonstrated marked differences concerning health risk behaviour, especially smoking. The subjective assessment of wellbeing and performance in school were lower among adolescents with divorce experience. It is concluded that family break-up represents a major stressful event for children with marked health consequences in adolescence. Such consequences should be considered in plans for preventive health measures and health care for children and adolescents.
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The role of worry, regret, and perceived risk in preventive health decisions was explored in a longitudinal questionnaire study on influenza vaccination among 428 university employees. The study yielded 3 main findings. First, ratings of anticipated worry and regret were stronger predictors of vaccination than perceived risk and mediated the effect of risk on vaccination. Second, the anticipated level of emotions differed systematically from experienced emotions, such that vaccinated individuals anticipated more regret and less worry than they actually experienced. Third, anticipated and experienced emotions had implications for subsequent vaccination decisions. Those who did not vaccinate in the 1st year but had high levels of worry and regret were likely to be vaccinated the following year.
The frequency of symptoms of depression and selected health-related practices and events was measured in a sample of 572 students at a large midwestern university. Students reported many symptoms of depression, with women experiencing depression more often and to a greater degree than men. Depression was significantly correlated with 17 of the 22 practices and states of affect examined, but uncorrelated with certain health-related activities commonly identified with poor emotional well-being. Both the determinants and manifestations of depression among university students require further in-depth investigation. Implications for health professionals and other university personnel are discussed.