healthy people 2020 - Society for Public Health Education

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✯ Conference Abstracts ✯ intervention: Based on research, and using social marketing principles and methodology, we developed an online resource presenting three different implementation strategies focused on policy and environmental change that research shows are effective at influencing produce consumption among limited-income populations: Improving the Retail Food Environment – Create a healthier food retail environment in neighborhoods considered “food deserts.” Through partnerships, bring stores to underserved areas through financial incentives and improve facilities and increase produce supply at existing stores. Collaborating with Local Food Policy Councils – Partner with state or local Food Policy Councils to promote promising strategies aimed at increasing access to fruits and vegetables in limited-income communities. Establishfriday | november 5 responding items: nutrition practices (42-items); nutrition attitudes (17-items); dieting behaviors (9-items); physical activity practices (6-items); physical activity attitudes (22-items); peer/family involvement (10-items); demographics (10-items). Face and content validity were established by distributing the survey to a panel of three experts in survey research and health behavior. results: Students reported higher levels of consumption on a “typical day” compared to what they had “yesterday.” Mean values did not meet the recommended daily values for any of the food groups. Almost 60% of students reported being “healthier” in comparison to other college students. Students reported having family or friends who ate healthy with them would be of more help than encouragement (alone) to eat healthy. Students selected having healthy foods available on campus (70.8%) and at home (73.1%), knowing how to prepare healthy foods (71%), and being able to afford healthy foods (72%) as those strategies which would help them to eat healthy. On average, students reported participating in vigorous physical activity 3.2 days/week and moderate physical activity 2.9 days/week. A majority of the students indicated they were motivated to be physically active (71.6%) and liked being physically active (88.9%). Conversely, students reported watching television 2.3 hours/day and spent 3.0 hours/day on the computer, indicating high levels of sedentary activity. A small percentage of students indicated they would rather watch television than be physically active (13.1%). conclusions and implications for practice: A better understanding of demographic and behavioral characteristics of college students who are most likely to make poor nutrition and/or physical activity choices may aid the design of future programs and campus initiatives to promote these healthy behaviors. With the existing educational infrastructure on college campuses, it creates an opportunity to impact these health-related behaviors some students continue to struggle with. An Exploration/Assessment of Health Promotion Lifestyle Factors and Degree of Stress Experienced by College Student. Billie Lindsey, EdD, CHES, Western Washington University; Ying Li, PhD, CHES, Western Washington University background: Healthy People 2020 will continue its emphasis on objectives related to mental health issues, particularly depression. During the call for public comments, professionals encouraged the inclusion of adolescents and young adults in the mental health objectives. On college campuses, there has been increased attention given to mental health issues, including stress and depression. The Centers for Disease Control and Prevention report that frequent distress is a key indicator for depression. purpose: This study was undertaken to gain a better understanding of the relationship of college student stress and the practice of various health behaviors that may serve as protective factors for students experiencing stress. methods: In Fall 2008, 319 students from a mid-size university participated in a cross-sectional survey utilizing the Perceived Stress Scale (PSS) and the Health Promotion Lifestyle Profile II (HPLP II). The data were entered into SPSS 16.0 and analyzed using descriptive and inferential statistics. Results: This study identified a group of health-related behaviors and ways of thinking that may protect students from stress. Also, a dose response was suggested. Specifically, lower stressed students (PSS M =16.96 SD =4.05) were more likely than higher stressed students (PSS M = 28.95, SD =4.21) to routinely practice 19 of 52 health-promoting behaviors or ways of thinking. For example, respectively, 62.2% vs. 35.5% believe their life has purpose (p =.000); 58.2% vs. 32.7% look forward to the future (p=.000); and 58.7% vs. 33.9% (p =.000) take some time each day for relaxation. With the exception of one dietary behavior, 30 sophe conference ✯ november 4-6, 2010 there were no differences between lower and higher stressed students in terms of the frequency of behaviors related to physical activity and exercise, dietary practices, and health responsibilities, such as seeking medical advice. implications: These findings add to our understanding of specific traits and behaviors, particularly in the psycho-social dimensions of health, which may contribute to stress prevention. Most of the 19 factors were related to positive thinking, interpersonal relationships, and possessing a future-oriented perspective. Although physical activity, healthy diets, and contact with healthcare professionals should not be discounted, the study points to the importance of other health dimensions that may serve as protective factors. As such, they become instructive for health professionals, including clinicians, counselors, and health educators. Furthermore, these factors may be used in the development of interventions to meet the mental health objectives of Healthy People 2020. current sessions c5 Room: Colorado E-F novel uses of electronic media: adapting to diverse audiences CDC Fruit & Vegetable Access Online Toolkit for State Coordinators: Addressing Disparities and Increasing Availability. Jennifer James, MPH, Account Director, Ogilvy Public Relations; Frances Heilig, MPA, Senior Vice President, Ogilvy Public Relations background: Fruit and vegetable consumption rates have not improved significantly in 20 years among Americans, and in particular among those with limited incomes. Cost and access remain significant barriers to produce consumption by limited-income populations. theoretical basis: In 2008, working with Ogilvy Public Relations, the CDC Division of Nutrition, Physical Activity and Obesity convened a strategy team of federal, state, non-profit, and private partners with specialized skills and knowledge in health promotion, specifically related to nutrition. Working with the CDCynergy tool, we selected limitedincome moms and their children as our priority audience and developed the following: A literature review focusing on our audience’s consumption and access to produce · An audience profile based on the literature · A situation analysis describing the environment surrounding our audience, including major factors that influence consumption, strategies that have worked to change behaviors of the audience, and gaps in what we know works to change behavior. objectives: Develop a communications resource for state fruit and vegetable coordinators to increase produce consumption of limitedincome moms and their children. Create a resource that can serve as a model for other programs seeking to utilize policy and environmental approaches to reach limited income populations.
✯ Conference Abstracts ✯ friday | november 5 ing Farmers Markets- Working with farmers, develop farmers markets in communities that lack grocery stores and access to produce to enable individuals to purchase regionally grown produce directly from farmers at community farmers markets and stands. evaluation measures and results: We are currently in the development phase of the online resource that by summer 2010 will be part of: http://www.fruitsandveggiesmatter.gov/. Our goal is that consumption of produce will be increased by a ½ cup daily among communities that implement one or more of the strategies. Exploring the Trends and Challenges of New Cancer Health Promotion Strategies to Reduce Social Inequities in Health Among Culturally and Linguistically Diverse Populations. Carolina Casares, MD, MPH, American Cancer Society Eliminating disparities in cancer screening, diagnosis, treatment, and mortality is an essential step toward achieving health equity, increasing access and improving health outcomes for patients with cancer. The American Cancer Society (ACS) is dedicated to eliminating cancer by actively promoting best practices in health promotion, initiating alliances and partnerships for promoting sound policies and synergistic practices related to chronic disease, and exploring trends and challenges in implementing media, culturally and linguistically appropriate for diverse populations. Much of the suffering and death from cancer could be prevented by creating opportunities for organizations to effectively communicate health information and resources. The ACS wants to develop population focused and competent tools as a resource for reaching out to minorities, migrants, vulnerable and disadvantage groups and providing them with health relevant services, while paying close attention to quality. These tools must be applicable in both trans-border and trans-national locations. However, there are significant challenges in developing these tools because of inequalities in access to care, language barriers, cultural differences, and racial discrimination. One promising tool is the internet. Internet use among typically very low use Latino adults has been increasing steadily in the last few years. The ACS is in the process of piloting a culturally and linguistically adapted web portal in Spanish for the Latino community, that will help promote community cancer awareness, increase the trust and credibility of the Society among this group and motivate them to use available resources and become involved by volunteering and supporting the organization. During the session we will explore several questions regarding the heterogeneity of Latinos, such as - How can we become relevant to all groups and what kind of plan, or coordinated effort, would work for them? Improving the Cultural Competence of Cardiovascular, Cancer, and Pulmonary Disease Prevention and Early Detection Practices of Public Health, Mental/Behavioral Health and Health Care Providers through Online Training. Kathy Zavela Tyson, MPH, PhD, CHES, Director of Research Development, Professor Emeriti, Center for Research Strategies, University of Northern Colorado; Michael Bloom, MPA, CEO, North Colorado Health Alliance; Ramon Del Castillo, PhD, MPA, MSc, Metropolitan State College of Denver; Traci Mordell, BA, North Range Behvaioral Health – Latino Professional Development Program; Veronica Rivera, MS, CACIII, EMDRII, School of Education Colorado State University; Steve Del Castillo, PhD; Chris Del Castillo In Colorado, Latino/a adults have the highest rates of colorectal cancer and diabetes and risk for cardiovascular and pulmonary disease than any other ethnic/cultural group due to lifestyle risk factors. To reduce these health disparities, the North Colorado Health Alliance (NCHA) received funding from the Colorado Department of Public Health and Environment Office of Health Disparities to improve prevention and early detection of cancer, cardiovascular or pulmonary disease (CCPD) and patient compliance among this disparate population. NCHA contracted with North Range Behavioral Health to develop and pilot an on-line Cultural Competency Education Training curriculum. The curriculum, designed by North Range Behavioral Health professionals and consultants from Compasión Counseling and Training was based on cultural competency standards. The curriculum, focused on developing four skills or “Four Habits” to increase patient or client attendance for their visits, follow-up and medical or behavioral health compliance. The Four Habits include: (1) listening skills, (2) engaging patients/clients in sharing information about health issues, (3) involving patients/clients in developing treatment and (4) follow-up plans. The curriculum was piloted by providers and staff in behavioral health, health care and public health agencies in northern Colorado. The Center for Research Strategies, the project evaluator, developed an electronic Provider and Staff Survey to determine the impact of the curriculum on behavioral health and medical practices. The electronic link to the 25 question survey was distributed via email to 70 providers and staff who had initially enrolled in the online curriculum. A 54% response rate was obtained. Almost two-thirds of survey respondents (63%) indicated that they were part of integrated behavioral health or health care services and the majority (71%) worked with or within an integrated health care service program or team. Among the 19 who had completed the NCHA Cultural Competency Training online, almost all (95%) utilized listening skills with their patients or clients and more than half (53%) engaged patients or clients in sharing information about their health issues. To a lesser extent, they involved their patients or clients in developing treatment plans (37%) or follow-up plans (37%). The “Four Habits” described in the online training program can enhance provider skills that may ultimately impact patients’ behavioral health compliance. The inclusion of cultural competency training for behavioral health, health care and public health professionals who work with Latino/a populations is essential for improving practices and reducing health disparities. Identifying Demographic and Situational Factors that Influence the Use of an Electric Hematological Cancer Toolkit: A Multivariate analysis. Bruce Dotterrer, MS, University of Alaska, Institute for Circumpolar Health Studies (UAA); David Driscoll, PhD, MPH, Gabriel Garcia The purpose of this study is to identify the demographic and situational factors that influenced Toolkit users to make contact with national cancer organizations. Results from an online survey completed by users of the Toolkit (n=387) were evaluated to assess the influence of these factors. The mean age of survey participants was 52 years (SD = 15.5), 48% were college graduates, 56% were female, and 79% were white. A logistic regression was conducted to assess Toolkit usage. Logistic regression results indicate that women (OR = 2.8), and those involved with current cancer treatment (OR = 2.4) were significantly more likely to access and review web-based materials by national cancer organizations after using the Toolkit. These results suggest that the user’s stage of treatment must be considered when developing electronic site-specific cancer informational media. plenary session ii fri / nov 5 / 4:30 am – 6:00 am / Room: Colorado E-F Healthy People 2020: Mile High Expectations Shiriki Kumanyika, PhD, MPH, University of Pennsylvania School of Medicine; Rear Admiral Penelope Slade-Sawyer, PT, MSW, Office of Public Health & Science, DHHS Office of the Secretary; Doug Evans, PhD, The George Washington University sophe conference ✯ november 4-6, 2010 31
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healthy people 2020 - Society for Public Health Education

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