healthy people 2020 - Society for Public Health Education

✯ Poster Abstracts ✯
thursday – saturday | november 4-6
important component to be addressed when researchers plan to devise a safer
sex intervention. Implications for practice: Using a theoretical framework is
essential to promote increased condom usage and to develop monogamous
relationships. Recommendations for conducting programs which change
attitudes and behaviors of college students are elaborated.
5. Monitoring Health People 2010 Arthritis Management
Objectives: Changes in Prevalence of Self-Management
Education and Provider Counseling for Weight Loss Exercise
Barbara Do, MSPH, APTR fellow, Centers for Disease
Control and Prevention
background: Three Healthy People 2010 objectives encourage selfmanagement
education (CLASS) and provider counseling for weight loss
(WT) and physical activity (PA) among adults with doctor-diagnosed
arthritis (DrDxA).
objective: To monitor the progress of these evidence-based arthritis
management objectives at both the national and state levels.
methods: Using identical questions in the 2002 and 2006 National
Health Interview Survey (NHIS) data for national estimates and 2003
and 2007 Behavioral Risk Factor Surveillance System (BRFSS) data for
state-specific estimates, we estimated the change in overall prevalence for
the CLASS, WT, and PA objectives among adults > 18 years with DrDxA.
Statistical weights accounted for the complex survey design; statistical significance
was determined by non-overlapping confidence intervals (CI).
results: Nationally, the prevalence of overweight/obese adults with
DrDxA that were counseled to lose weight increased significantly from
35.0% (95% CI: 32.8-37.2) to 41.3% (95% CI: 38.7-44.0); there was no
change in the prevalence of adults with DrDxA who had ever taken a
self-management education class (~11%) or had been advised to engage
in physical activity (~52%). Seventeen states asked the arthritis management
objectives in both 2003 and 2007; twelve of these states reported a
significant increase for the WT objective (change in median from 30.9%
to 42.3%), 2 reported significant increases for the PA objective (change
in median from 49.4% to 54.3%), and only 1 state reported a significant
increase for the CLASS objective (median ~11%).
conclusions: Significant progress has been made for weight counseling
among adults with DrDxA but is not being repeated for the other 2 arthritis
management objectives. This discrepancy may indicate a missed opportunity
to influence providers and a target for future intervention efforts.
6. A Decade of Achievement: Health Education and
Promotion in a Multidisciplinary Home Visitation Program -
Changing Lives One Family At A Time
Annemarie Martinez, RN, Palomar Pomerado Health Maternal Infant
Home Care Division and Clinical Outreach Services; Cindy Linder, RN,
Palomar Pomerado Health Welcome Home Baby Fist 5 Healthy Development
Services Program, North Inland Region, San Diego County
Health education in the context of Home Visitation Programs is a wave
moving across the country as a best practice for targeting hard to reach
populations and reducing health disparities. The goal of the renowned San
Diego County Welcome Home Baby (WHB) Home Visitation Program is
to improve the health and well-being of all children 0-5 and their families
and that children enter school ready to learn. This presentation will share
information about WHB’s theoretical background, funding sources,
program model including screenings and treatment services, health
education and promotion services, evidence-based tools, and objectives
and outcomes, including how we meet and exceed Healthy People 2010
objectives. Home visiting, case management, and parent education and
support services include evidence-based developmental, physical, and
psycho-social screening and assessment of the mother and infant, appropriate
intervention and support, and health education and promotion.
The health educator (HE) provides a series of health, developmental, and
safety education visits with the family. A curriculum, approved by a panel
of pediatricians, covers significant and common health and developmental
issues. The HE increases a family’s appreciation for the importance of early
reading and literacy. HEs provide a packet of literacy materials including
age-appropriate books in English and Spanish, and teach parents how to
access libraries in their area. During the home visits, the HE further assesses
the family’s needs and makes appropriate community referrals; the
visits increase awareness and utilization of existing community resources.
Welcome Home Baby multidisciplinary visits promote prevention and
provide early intervention, reaching diverse populations through bilingual
bicultural competence and strength-based relationship building. WHB,
established in 2000, has served over 27,438 families with over 64,000 home
visits. WHB collects, analyzes and reports on a significant amount of
outcome data. This presentation will share outcomes related to these and
other objectives: - Reduce infant emergency department visits - Reduce
infant hospital admissions - Increase breastfeeding longevity (based on
AAP recommendations) - 90% infants are current with immunizations
through twelve months of age - 100% infants are linked with a medical
home - Increase parents’ knowledge of community resources and parenting
skills - Increase early, age-appropriate literacy development - Increase
teen commitment to stay enrolled in high school and to return to school
if dropped out - Reduce infant exposure to second hand smoke Welcome
Home Baby health education and multidisciplinary services produce measurable
results that are changing lives one child and one family at a time.
7. Using the PEN-3 Cultural Model to Understand Child Febrile
Illness in Southwest Nigeria
Juliet Iwelunmor, BS, Doctoral Candidate, Penn State University;
Collins Airhihenbuwa, PhD, Penn State University
It is well recognized that maternal perceptions surrounding child febrile
illness is integral with patterns of treatment seeking behaviors for child
malaria. However, little is known about the positive, existential (unique)
or negative responses that influence decisions surrounding malaria management
and control. Drawing upon data collected through in-depth
interviews and using the PEN-3 cultural model, this study explores
maternal responses when faced with fever in a child. The results indicate
that the use of appropriate treatment coupled with the role of doctors
in health care facilities were important in generating positive responses
to child febrile illness. In addition, existential beliefs related to teething
patterns were critical in revealing the full extent of cultural values
and perceptions towards child febrile illness in this setting. Finally, the
belief that febrile illness is not all that severe despite noticeable signs and
symptoms was a common negative perceptions shared by some mothers
in this study. The implications of the findings and the use of PEN-3
cultural model in highlighting responses that are positive, acknowledging
unique responses, while discouraging response that are known to be
harmful to health are discussed.
sophe conference ✯ november 4-6, 2010 43