healthy people 2020 - Society for Public Health Education

✯ Conference Abstracts ✯
friday | november 5
• Four objectives were retained as is from Healthy People 2010,
• Twelve objectives were retained but modified from Healthy People 2010,
• One objective moved from another Healthy People topic area,
• Four objectives were created new for Healthy People 2020, and
• Eight objectives were archived from Healthy People 2010.
The selection process for Healthy People 2020 looked at the status of
the 2010 objectives and tobacco use prevention and control trends.
The strength of Healthy People is directly tied to its collaborative process.
The development process utilized public and stakeholder input. It also
drew on the expertise of scientists in each subject matter area to ensure
that Healthy People 2020 addressed the significant risk factors and determinants
of health and the diseases that affect communities in the United
States. While significant progress was made towards reaching the Healthy
People 2010 objective targets, more aggressive efforts are needed to end
the tobacco epidemic in the future. If every state were to fully fund and
implement a comprehensive tobacco control program, hundreds of thousands
of premature tobacco related deaths would be prevented.
concurrent session a2
Room: Colorado I-J
innovative uses of health education &
promotion theory
The Use of the Expanded Model of the Theory of Planned
Behavior as a Guide in the Development of an Intervention
Promoting Mammography Screening Among American Indian
(AI) Women in Oklahoma.
Tolma Eleni, PhD, University of Oklahoma Health Science Center; Valerie
Skaggs, PhD, University of Oklahoma Health Science Center; Robert Hamm,
PhD, University of Oklahoma Health Science Center; Chasity Battertom,
MHA, University of Oklahoma Health Science Center
background: Despite efforts to promote breast cancer screening, the
number of Oklahoman women who died from breast cancer during the last
two decades did not substantially change, and women of ethnic minorities
were disproportionally under-screened. The purpose of this study was to
examine the relationship between personal beliefs and the decision to get a
future mammogram. The study took place at a tribal clinic in Oklahoma.
theoretical framework: An expanded theoretical framework of
the Theory of Planned Behavior (TPB) was used which included external
to the model constructs relevant to mammography screening (i.e. selfefficacy,
perceived susceptibility to breast cancer, fatalism) and to the AI
culture (i.e. cultural norms). Hypothesis: All cognitive constructs (i.e. TPB
constructs and those external to the model) will be associated with the
intention and receipt of future mammography screening of AI women.
methods: Through the use of qualitative and quantitative formative research,
the Women’s Health Survey (WHS) was developed and then administered
to a random sample of 162 women. The factor and reliability analyses
yielded 15 constructs/scales which were proven to be reliable. The statistical
analysis consisted of univariate and bivariate analysis and multivariate
analysis (ANOVA). Receipt of mammogram was assessed via record review.
Results: A total of 162 women (mean age: 50, 35% with an annual income
below $15,000, and 59% with private health insurance) participated in the
study. Sixty percent of the women intended to get a mammogram within the
next 6 months; among those only 48% actually got one. Bivariate data analysis
results showed that intention was associated with future mammography.
Among the TPB constructs, subjective norms-physicians and subjective
norms-family were highly correlated with intention, followed by negative attitude,
perceived behavioral control-barriers, positive attitude, and perceived
behavioral control-facilitators. Among the external to the TPB variables,
social modeling was the most highly correlated construct with intention.
Based on the ANOVA results, social modeling was strongly associated with
intention, followed by subjective norms-physician.
conclusion: The results of this study support the above hypothesis
and thus, in the development of theory-based interventions to promote
mammography screening among AI women the expanded TPB can be
used as a guiding model. Implications for practice: The results indicate that
emphasis should be in the promotion of subjective norms related to the
physician, and to social modeling. Interestingly enough, cultural norms
did not seem to play a major role in the decision-making process to get a
future screening mammogram
Health Promotion Agenda Setting: Promising
Innovative Advocacy and Policy Development for Health
Promotion Practitioners
Charles T. Kozel, PhD, MPH, CHES, New Mexico State University; Anne
P. Hubbell, PhD, New Mexico State University; Michael T. Hatcher, DrPH,
MPH, Toxicology and Environmental Medicine, ATSDR; Frank G. Pe’rez,
PhD, University of Texas at El Paso; Sharon Thompson, PhD, CHES,
University of Texas at El Paso
Health promotion practitioners must continuously address health
promotion issues using the most innovative strategies and research.
Agenda-setting theory postulates that mass media do not determine
what people think but do influence what they talk about. Agenda-setting
offers understanding of how issues move from relative unimportance
to the forefront of supportive action among the media, public, and
policymakers. Health Promotion Agenda-Setting (HPA-S), a subset of
agenda-setting research, has identified four factors that influence health
promotion policy agendas. These factors are characteristics of agendasetters,
HPA-S design and mechanism factors, and mass media content .
HPA-S provides practitioners a theoretical framework to guide environmental
change and achieve sustainable courses of practice for advocacy,
and policy development. HPA-S is used to specify and prioritize health
problems and alternative solutions by influencing the efficacy of the
above factors in policy development. The crucial link between agendasetting
and processes of establishing effective legislation, policy, and
programs has been researched. However, many health promotion practitioners
neither understand what agenda setting is, nor how to apply it
to advocacy and policy development. An interdisciplinary bi-national
research team examined how public health agendas are determined
within the Paso del Norte region of the U.S.-Mexico border. HPA-S findings
offer practitioners professional development opportunities to gain
new knowledge, skills, and methods to reshape and strengthen health
promotion advocacy and policy development practices. This research
identifies knowledge and cultural gaps in how mass media, public health
and policy agendas foster innovative health advocacy and policy development
opportunities to eliminate health disparities. Key words: Advocacy
and Policy Development Innovation through health promotion
research for promising health promotion practice to eliminate health
disparities. Acknowledgement The project described was supported by
a grant from the Paso del Norte Health Foundation through the Center
for Border Health Research located in the U.S.-Mexico border region. Its
contents are solely the responsibility of the authors and do not necessary
represent the official views of the Paso del Norte Health Foundation or
the Center for Border Health Research.
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sophe conference ✯ november 4-6, 2010