healthy people 2020 - Society for Public Health Education

More documents

Recommendations

Info

✯ 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. 16 sophe conference ✯ november 4-6, 2010
✯ Conference Abstracts ✯ friday | november 5 When Politics and Public Health Collide: How Can Policy Theory Improve Public Health Advocacy? Tyler Watson, MPH, CHES, Health Science/Brigham Young University-Idaho This presentation explores how dominant policy theory should be used the advance public policies by using an indoor smoking ban as a case study. background: Public health officials are trained in rational-scientific methods. The importance of clear goals, procedures and rigorous research methodologies in such official’s formal training influences how these officials analyze problems, develop policy options, and ultimately promote a favored policy. Indeed, discussion of smoking by health advocates has traditionally been dominated by the rational model of decision making which includes policy ideas like increased taxation, health care coverage for tobacco cessation programs, tobacco education programs and indoor clean air acts (Franks et. Al, 2007). Health officials press forward with convincing scientific evidence that smoking tobacco is harmful to a person’s body and that all efforts should be employed to stop the practice. But increasingly there is evidence that such rational appeals do not work. Lindstrom (2008) argues about the increased international use of labeling on cigarette packages, “But such warnings don’t work. Worldwide people continue to inhale 5.7 trillion cigarettes annually –a figure that doesn’t even take into account duty-free or black-market cigarettes.” theoretical basis: Yet, increasingly, literature in political science and public policy argues that policy formulation and adoption is far from a rational process. That is, policies are adopted not because of their rational appeal but rather because they have an emotional appeal (Stone, 2002), a favorable image (Baumgartner and Jones, 1994), or because they meet the policy beliefs and power interests of various political actors (Sabatier and Jenkins-Smith). In this presentation, different policy theories are explored by empirically examining a case study of smoking bans in the Midwest of the United States. methods: A content analysis of newspaper articles was conducted to evaluate the arguments for and against an indoor smoking ban and in order to identify the groups advocating for each policy position. The public health coalition eventually “won” the policy debate and an indoor smoking policy was passed. Implications for enhanced practice: Increasingly, public health professionals must engage in political advocacy. Just as behavior intervention specialists would never approach programming without using behavior theory, policy advocates should understand policy theory in order to be more effective change agents. This presentation will explain how to utilize policy theory to advance public health policy. Theory in Practice: Is Self-Efficacy Different in Minority Children? Melvena Wilson, DrPH, MPH, CHES, Florida A & M University; Saleh Rahman, MBBS, PhD, MPH, Florida A & M University Overweightness in childhood is a serious public health concern. Approximately 31% of 6- to 19-year-old children in the United States are overweight or at risk of overweight, as defined by a Body Mass Index (BMI) at or above the 85th percentile. Avoiding sedentary behavior may be a key in fighting the obesity epidemic. The purpose of this study was to explore the associations among those variables and how they in turn influence overweightness among African American children. Guided by the Social Cognitive Theory, this study hypothesized that perceived parental support influences youth self-efficacy related to sedentary behavior avoidance, and would be inversely associated with child’s BMI. This study also explored the relationship among self-efficacy and self-reported sedentary behavior, and hypothesized that there would be an association between perceived parental supports, self-efficacy, selfreported sedentary behavior avoidance and overweightness as reported body mass index (BMI) percentile. methods: A primary data analysis was done on data collected by Dr. Wilson in Leon County Schools and Gadsden County Schools among 4th- 8th graders. Data from US Census Bureau were combined with this data for further analysis on geo-location. results/conclusions: The multinomial regression model, at the 95th percentile (overweight category) self-efficacy was moderately significant (AOR=1.40; CI=1.01-1.93). County was significant (AOR=1.68; CI=1.08-2.61), Gender was also significant (COR=1.41; CI=1.00-2.00), enrollment in the free/reduce lunch program was significant (AOR=0.61; CI=0.39-0.93). Indicating that those participants who had increased perceived self-efficacy were approximately 1.4 times more likely to be overweight than their counterparts, and those who lived in Gadsden County were 1.7 times more likely to be overweight. Finally, that those enrolled in the free/reduced lunch program were 7% less likely to be overweight than their normal counterparts. These findings imply that further research with a sample that is predominantly minority need to be conducted. Given the lack of association with self-efficacy, another theoretical model may offer a better fit, including a larger focus on cultural and environmental variables. The study findings also highlight the importance of possible differences among African American children and White children in perceived self-efficacy, as well as difference among urban and rural overweightness. concurrent session a3 Room: Denver 5-6 electronic media: new avenues for reaching healthy people goals Increasing the Quality of Health Web Sites: An Action Agenda Stacy Robison, MPH, CHES, CommunicateHealth, Inc.; Sandra Williams Hilfiker, MA, Office of Disease Prevention and Health Promotion, USDHHS; Sean Arayasirikul, MSPH, CHES, Office of Disease Prevention and Health Promotion, USDHHS; Xanthi Scrimgeour, MHEd, CommunicateHealth, Inc. Health communication and Health IT is a cross-cutting topic in Healthy People 2020. This decade, health IT objectives have increased in number and scope to reflect the expanding role of health IT in public health. Healthy People 2020 includes an objective to increase the proportion of quality, health-related Web sites, and more specifically, to increase the proportion of health-related Web sites that follow established usability principles. To assist health professionals in meeting this objective, the Office of Disease Prevention and Health Promotion (ODPHP), U.S. Office of Health and Human Services, has published Health Literacy Online: A Guide to Creating Easy to Use Health Web Sites. The guide synthesizes lessons learned from ODPHP’s original research with more than 700 Web users, most of whom had limited literacy skills and limited experience using the Web. This presentation will discuss the implications of the Healthy People objective on Web site quality and review specific strategies for creating understandable, actionable health Web sites that adhere to established principles of usability and good Web design. Pre-conceived Expectations not Always Predictive of Actual Ability: E-health Literacy Skills among College Students. Michael Stellefson, PhD, University of Florida; Bruce Hanik, MS, Texas A&M University; J. Don Chaney, PhD, CHES, University of Florida; Beth Chaney, PhD, CHES, University of Florida Innovations in health communication and education have brought about the utilization of the internet to transmit health information to a wide variety of audiences. E-health is the emerging field intersecting sophe conference ✯ november 4-6, 2010 17
Page 1 and 2: healthy people 2020: society for p
Page 3 and 4: healthy people 2020: Scaling New He
Page 5 and 6: ✯ 2010 SOPHE Awards ✯ Join us i
Page 7 and 8: ✯ 2010 SOPHE Awards ✯ ✯ 2009-
Page 9 and 10: THURSDAY | NOV 4 7:30 am - 6:00 pm
Page 11 and 12: ✯ Detailed Schedule ✯ Relations
Page 13 and 14: ✯ Detailed Schedule ✯ saturday
Page 15 and 16: ✯ Conference Abstracts ✯ thursd
Page 17: ✯ Conference Abstracts ✯ friday
Page 21 and 22: ✯ Conference Abstracts ✯ friday
Page 31 and 32: ✯ Conference Abstracts ✯ backgr
Page 35 and 36: ✯ Conference Abstracts ✯ saturd
Page 41 and 42: ✯ Conference Abstracts ✯ plenar
Page 43 and 44: ✯ Poster Presentations ✯ thursd
Page 45 and 46: ✯ Poster Abstracts ✯ thursday -
Page 63 and 64: ✯ ✯ 2010 Schedule-at-a-Glance S
Page 65 and 66: ✯ Schedule-at-a-Glance ✯ time e
Page 68:
[ macrh 5-7, 2011 ] 14th annual hea
show all

healthy people 2020 - Society for Public Health Education

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?