healthy people 2020 - Society for Public Health Education

✯ Poster Abstracts ✯
thursday – saturday | november 4-6
survey responses), goal-setting, and behavioral contracting provided in
two home visits and two telephone coaching calls over a six week period.
Preliminary results show positive changes in the home food environment.
Process evaluation data were collected from coaching logs, follow-up
phone surveys with participants, and focus groups with participating
families. These data identified aspects of the intervention that worked well
and possible areas for improvement. Coaching logs for each appointment
documented which actions each household chose to work on, their progress
in completing the actions, and facilitators and barriers to the actions.
Following the intervention, participants completed a phone survey which
included both closed- and open-ended questions about their views on
the coaching experience. Of 70 intervention households, 63 completed all
intervention activities, 4 participated in some activities, and 3 did not participate
in any activities. Participants’ ratings of their coach and the intervention
were overwhelmingly positive. Facilitators to the implementation
of actions included local access to and availability of healthy foods or other
neighborhood resources, family support/cooperation, being prepared or
planning ahead, motivators such as health concerns, and specific aspects
of the coaching process or intervention. Barriers to the implementation of
actions included insufficient access to healthy foods, not being prepared,
lack of family support, difficulty breaking habits and resistance to change,
and financial limitations. The findings support the potential of a coaching
approach to changing the home environment, and will be used to refine
and improve methods to be employed in a larger intervention trial.
11. Communicating H1N1 Risk to Hispanic College Students
Francisco Soto Mas, PhD, MPH, University of Texas El Paso
background: Communication is crucial in public health emergencies,
and the H1N1 pandemic put emergency communication systems to the
test. Since college-age students are particularly vulnerable to the H1N1
virus, universities struggled to inform students about prevention and
treatment measures. How students responded to H1N1 communication
efforts is not known. The purpose of this cross-sectional survey study
was to assess the knowledge, attitudes, and behaviors of Hispanic college
students with regards to the H1N1 virus.
theoretical framework: Health Belief Model (perceived vulnerability,
severity, benefits). The connection between knowledge/perception
and behavior was tested with the participating population.
hypothesis: Knowledge/perception score positively correlates with
preventive behavior scores.
methodology: Participants included graduate and undergraduate students
at a major university in South Texas. Data was collected through
a 24-item survey that included the main constructs of the Health Belief
Model. Descriptive statistics were conducted.
results: A total of 483 students completed the surveys. Results indicate
an acceptable level of knowledge, and the majority correctly answered
questions related to symptoms, vaccination, and treatment. Regarding
awareness and perception, 73% seemed to know where to obtain
information on the H1N1 virus, 70% knew that the H1N1 virus could
cause a serious disease, and 84% believed that they could avoid the virus.
As expected, knowledge and perceptions did not influence intentions or
behaviors: the majority indicated that they would still go to class as usual
if there were confirmed cases of H1N1 among students, had no plans to
get vaccinated against the H1N1 virus, and between 20% and 40% were
not taking preventive precautions such as washing hands more often,
covering nose and mouth with a tissue when coughing, or avoiding
touching eyes, nose and mouth.
an outlook for the future: Programs must be implemented not
so much to inform Hispanic students, but to persuade them to act on
the prevention of the H1N1 virus. To understand the components of
behavior-based communication strategies for Hispanic students, additional
quantitative and qualitative research is recommended.
innovative component: There are no other theory-based studies exploring
how to communicate potential H1N1 pandemic risk to Hispanic
college students.
12. Social Determinants of a Healthy People: Will Health Educators
Defend or Debunk the Rhetoric of Neoliberalism?
Robert Jecklin, MPH, PhD, University of Wisconsin-La Crosse
Even before the current financial crisis involving the loss of housing, jobs,
income, and benefits for millions of Americans—there was evidence of
growing inequality. According to historical data from the US Census
Bureau, the lower three quintiles of American households held a smaller
percentage of American aggregate income in 2008 than they did in 1998;
the highest quintile benefitted the most from this shift capturing 50% of
all income in 2008 while the lowest quintile fell to only receiving 3.4% of
all US income in that year. Some international scholars criticize the United
States for neoliberal rhetoric proposing less government, less regulation
of labor and finance, and more stimulation of commerce by eliminating
borders or barriers to the free movement of labor, capital, goods, and services;
those critical scholars assert that this rhetoric is a mask for practices
that promote inequalities in both quality of life and human health. Healthy
People is a federal initiative that has been setting and monitoring national
health objectives since 1979, a time associated with the popularization of
Neoliberalism by candidate and then two-term President Ronald Reagan.
Each decade since the 1980’s our understanding of being a healthy people
has been characterized by goals and objectives for improving the health
of our nation. As part of developing Healthy People 2020, the public was
invited to make comments and propose objectives about the Social Determinants
of Health. This presentation analyzes and interprets the Healthy
People 2020 website with special attention to comments and proposed
objectives about social determinants in order to answer several questions.
What evidence of neoliberal rhetoric is present on the website? Who made
comments and proposed objectives? What kinds of ideas and objectives
were proposed? How do these contributions compare to what is included
in the final Healthy People 2020 document? When it comes to social determinants,
will Healthy People 2020 defend or debunk the rhetoric
of Neoliberalism?
13. Theory of Planned Behavior Based Predictors of Sleep
Intentions and Behaviors of Undergraduate College Students at
a Midwestern University
Adam Knowlden, MBA, MS, PhD Candidate, University of
Cincinnati; Manoj Sharma, MBBS, CHES, PhD, University of Cincinnati
background: Sleeping 7 to 8 hours on a daily basis is a critical
component of optimum health. Epidemiological evidence has associated
both deficient (8 hr) with
increased rates of morbidity and mortality. Injurious health outcomes
associated with inadequate sleep duration include cardiovascular
disease, diabetes, depression, automobile and occupational accidents,
as well as learning and memory problems. The purpose of this study
is to apply the Theory of Planned Behavior (TpB) to predict the sleep
intentions and behaviors of full-time undergraduate college students
attending a large Midwestern University. In addition to the standard
TpB constructs, this study will also test sleep hygiene as a supplemental
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