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At least 19 recordsLinked to original sources
PubMed1992

Nutrient contribution of the school lunch program: implications for healthy people 2000.

Cardiovascular disease-related nutrients were quantified in a school lunch program over a 15-year period. Methods included 24-hour dietary recall, menu weights, and recipe analysis. School lunch was eaten by 93% of students. School lunches provided 23% of daily kilocalories and 24%, 29%, and 20% of daily fat, protein, and carbohydrate intake, respectively, saturated fat and cholesterol from school lunch were 27% and 24% of daily total. School lunch provided 7% of daily sucrose and 32% of daily sodium. Children not eating school lunch had significantly greater polyunsaturated (p less than .001), carbohydrate (p less than .05), and sucrose (p less than .001) intakes. Though the school lunch contributed less than one-third of daily total nutrients, intakes of diet components related to cardiovascular disease risk were excessive. Sixty percent to 80% of children exceed daily total fat, saturated fat, cholesterol, and sodium intakes over recommended levels. Schools can influence childhood cardiovascular disease risk by providing students healthier foods, with education to promote positive lifestyles.

Adolescent↗
PubMed2003

Standards for adult immunization practices.

Since the Standards for Adult Immunization Practices were first published in 1990, healthcare researchers and providers have learned important lessons on how to better achieve and maintain high vaccination rates in adults. The success rate of childhood immunization far exceeds the success rate of adult immunization. Thus, information and practices that will produce higher success rates for adult vaccination are crucial, resulting in overall societal cost savings and substantial reductions in hospitalizations and deaths. The Standards, which were developed to encourage the best immunization practices, represent the collective efforts of more than 100 people from more than 60 organizations. The revised Standards are more comprehensive than the 1990 Standards and focus on the accessibility and availability of vaccines, proper assessment of patient vaccination status, opportunities for patient education, correct procedures for administering vaccines, implementation of strategies to improve vaccination rates, and partnerships with the community to reach target patient populations. The revised Standards are recommended for use by all healthcare professionals and all public and private sector organizations that provide immunizations for adults. All who are involved in adult immunization should strive to follow the Standards in order to create the same level of success achieved by childhood vaccination programs and to meet the Healthy People 2010 goals.

Adult↗
PubMed1997

Which parishes are most healthy?

Raw data for 21 health outcomes are ranked from 1 to 64 within each measure for all Louisiana parishes. The average of all ranked outcome measures is reported along with the individual ranked scores. This average rank for all parishes is also reported as a quartile score. The ranked measures are grouped in eight categories suggested by the Healthy People 2000 program, and a quartile score is reported for the average of each of the categories. The purpose of this rankings is to enable comparisons of health outcomes between and within the parishes. The diversity of the measures within parishes suggests strengths and weaknesses for each community. As suggested by the Healthy People 2000 program, health outcomes, when organized in the conceptual categories, suggest how behavior and attitude impact on health status.

Health Status↗
PubMed2002

[Health education and exercise stimulation for older people: development and evaluation of the program "Healthy and Vital"].

In order to promote health in people of 65 years and older, TNO Prevention and Health developed, evaluated, and implemented "Healthy & Vital" (also known as "Ageing Well and Healthily"). Healthy & Vital consists of six sessions of health education and low-intensity exercises. This paper reports on the theoretical basis of the intervention, the methods and results of a Randomised Controlled Trial (n = 50), and a Community Intervention Trial (in 8 municipalities, n = 448). A brief report is given of the implementation study. Healthy & Vital had a number of positive physiological effects, such as a decrease in blood pressure (effect size -0.55), the Body Mass Index (effect 0.62), and the level of blood glucose (1.00), especially in women and in elderly people who are less active physically. Participants' understanding of health and illness increased significantly (effect 0.78). Due to ceiling effects only a few effects on subjective general health were found, and they disappeared after 6 months. A positive effect on feelings of loneliness remained even after 6 months (p < 0.1). The most important effect of Healthy & Vital was the increase in physical activity, especially in the least active elderly (p < 0.001). Twenty-five per cent of the participants continued activities with More Exercise for Seniors, 28% were still considering this, and 19% continued at home with the exercises they had learnt. Currently, Healthy & Vital is being implemented nationally by the Local Policy for the Elderly Knowledge Centre (www.lokoud.nl).

Aged↗
PubMed2002

Promoting healthy adolescent behavior and development: issues in the design and evaluation of effective youth programs.

The problems of health and development faced by contemporary adolescents require that our communities have greater access to effective, adequately scaled, and sustained youth-serving programs. These 3 dimensions of youth programs are discussed, and the role of evaluations is specified, especially those aimed at program improvement and community empowerment, in facilitating efforts to promote the positive development of young people. These areas of development include competence, confidence, character, connection, and caring/compassion-the "five C's" of positive youth development. Ten features of effective positive youth development programs are described, and the importance of engaging policymakers in order to broadly disseminate and sustain effective programs is stressed.

Adolescent↗
PubMed1996

Inner-city older blacks have high levels of functional disability.

OBJECTIVES: To describe the frequency and severity of functional problems in two groups of noninstitutionalized inner-city blacks aged 70 years and older contrasted with results from appropriate groups of white and black older adults and with the goals of the Healthy People 2000 program. DESIGN: Cross-sectional descriptive study. SETTING: Community-based samples. PARTICIPANTS: A population-based sample of 416 older adults living in a 3.5-square mile catchment area in north St. Louis (NSL), Missouri, and a sample of 197 older residents living in public housing in East St. Louis (ESL), Illinois. MEASUREMENTS: Health status, preventive health activities, health services utilization, and risks for progressive frailty were assessed by self report and observation using well validated, standardized instruments. Whenever possible, comparison data were derived from national datasets, original samples used to validate the measures, and other useful comparison groups. RESULTS: The NSL sample had somewhat better health status and risk for progressive disability than the ESL sample. However, compared with national or regional reference groups using age-gender adjustments, both study groups demonstrated increased levels of dependence in intermediate activities of daily living, restricted activity days, inability to walk one-half mile without assistance, reported poor vision, living alone, and limited income compared with both older whites and blacks, and increased levels of worsening health, inability to perform heavy work around the house, never walking a mile or more, and currently unmarried versus whites with variable decrements versus blacks. Contrasted with other comparison groups, the two samples had increased body fat; consistent decrements in gait speed, timed chair stands, timed one-leg balance, and frequency of preventive exercise; and lower levels of dental care; results relative to physician visits and hospital days were mixed. They also had high levels of measured visual and hearing impairments, unmet needs for home delivered meals, and problems with false teeth. Deficiencies compared with the goals of Healthy People 2000 were large. CONCLUSIONS: The special attributes of inner-city blacks, including poverty and access to and acceptance of remedial programs, will have to be considered if the goals of Healthy People 2000 are to be met in this important and growing segment of older Americans. 44:0000-0000, 1996.

Activities of Daily Living↗
PubMedDate not supplied

Preservice teachers' perceived confidence in teaching school violence prevention.

OBJECTIVE: To examine preservice teachers' perceived confidence in teaching violence prevention and the potential effect of violence-prevention training on preservice teachers' confidence in teaching violence prevention. METHODS: Six Ohio universities participated in the study. More than 800 undergraduate and graduate students completed surveys. RESULTS: Violence-prevention training, area of certification, and location of student- teaching placement significantly influenced preservice teachers' perceived confidence in teaching violence prevention. CONCLUSION: Violence-prevention training positively influences preservice teachers' confidence in teaching violence prevention. The results suggest that such training should be considered as a requirement for teacher preparation programs.

Adolescent↗
PubMed2002

Ethnic and racial minority students in U.S. entry-level dental hygiene programs: a national survey.

PURPOSE: The United States is rapidly becoming a more multicultural society. Although minority groups are the fastest growing segment of the U.S. population, minorities are not pursuing careers in health care professions in the same proportions. The literature suggests that increasing the number of minorities in the health care professions will increase access to health care for minority populations and help non-minority health care professionals become more aware of and sensitive to minority issues. The results reported here are part of a larger national survey that examined the commitment of entry-level dental hygiene programs to ethnic/racial diversity. METHODS: A 19-item survey was mailed in 1998 to all 233 entry-level dental hygiene program directors in the United States. The survey was piloted using a random sample of six entry-level dental hygiene program directors in the United States. Data were collected on demographics, formal written mission statements that support ethnic/racial diversity, minority recruitment programs, and recruitment mechanisms. Data were analyzed using frequencies, chi-square, t-tests, F-tests and Pearson correlation coefficients. The response rate was 60.1% (140). RESULTS: Results indicate that 10.5% of dental hygiene students and 6.7% of dental hygiene faculty are members of ethnic/racial minorities. Results also indicate that Asian and Pacific Islander (API) students are not underrepresented in U.S. entry-level dental hygiene programs, but Asian and Pacific Islander faculty are. CONCLUSIONS: A statistically significant relationship was found between the percentage of 1) minority faculty and students in entry-level dental hygiene programs; and 2) minority students and minorities in the state where the entry-level dental hygiene program resides.

Data Collection↗
PubMedDate not supplied

Access to and participation in breast cancer screening: a review of recent literature.

Recently, attention has been focused on the incentives for access to and participation in breast cancer screening programs. The Healthy People 2000 health goals for the nation calls for 60% of women aged 50 years and older to have had mammograms and clinical breast exams within the preceding 2 years. To achieve this objective, the incentives for access to and participation in breast cancer screening programs must be identified. The present review examines incentive-based hypotheses dealing with lower socioeconomic status, lack of insurance coverage, physician referral, and self-referral. Policy-oriented solutions that have attempted to correct the disincentives associated with low access and participation were analyzed. The sophistication of screening technology is of primary importance; however, this review provides additional information that can be used to ensure the implementation of quality mammography screening programs.

Adult↗
PubMed1984

Exercise and coronary heart disease: role in primary prevention.

Physical fitness programs for healthy people have gained popularity throughout the world. Available scientific studies, none of which is ideal, suggest that those engaged in vigorous activity at work or in leisure hours have a reduced risk of coronary events. The possible mechanisms for this have been reviewed. A balanced exercise program (including endurance, flexibility, and strength activities) should be prescribed on an individual basis, after appropriate baseline testing. Target heart rates should be assigned. Risks and precautions should be discussed.

Adult↗
PubMed2003

Facilitators of well-functioning consortia: national Healthy Start program lessons.

Social workers often are central to the work of community-based consortia to improve service delivery and enhance community participation in health initiatives. This article presents qualitative findings from a multisite case study of consortia in the federal Healthy Start Initiative to reduce infant mortality in high-risk communities. The authors examine the facilitators of well-functioning consortia in a framework of empowerment theory and community organizing with women of color. These facilitators include flexibility in the design of locally appropriate consortia structures; broad institutional support; diverse incentives for participation; adequate resources on multiple levels; and identification with the program and its mission. Implications for social work practice and for policy are provided.

Community Health Planning↗