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Health Education Research - current issue

A cluster-analytical approach towards physical activity and eating habits among 10-year-old children
Sabbe, D., De Bourdeaudhuij, I., Legiest, E., Maes, L. Tue, 16 Sep 2008 00:00:00 -0000
The purpose was to investigate whether clusters—based on physical activity (PA) and eating habits—can be found among children, and to explore subgroups' characteristics. A total of 1725 10-year olds completed a self-administered questionnaire. K-means cluster analysis was based on the weekly quantity of vigorous and moderate PA, the excess index (weekly consumption of sugar and/or fat) and the daily diversity index. Chi-squares tested gender differences in clusters and associations with socio-economic status (SES), overweight, controlling for gender. Following distribution was reliable: Sporty Healthy Eaters (n = 242; high vigorous PA, average moderate PA, low excess, higher diversity), Sporty Mixed Eaters (n = 288; high overall PA, very high excess, high diversity), Moderate Active Healthy Eaters (n = 221; average vigorous PA, highest moderate PA, lower excess, higher diversity), Unsporting Unhealthy Eaters (n = 276; below average on all indexes, diversity extremely low) and Sedentary Healthy Eaters (n = 318; lowest overall PA, higher excess, highest diversity). The Sporty Healthy Eaters and Sporty Mixed Eaters comprised more males, Sedentary Healthy Eaters more females. No associations with SES or overweight were found for the clusters. Co-occurrence of healthy and unhealthy behaviour exists. Only Sporty Healthy Eaters combine high levels of PA with low excess index and higher dietary diversity index. Effective ways of directing children to selective, individual relevant recommendations should be developed.
The impact of an appearance-based educational intervention on adolescent intention to use sunscreen
Olson, A. L., Gaffney, C. A., Starr, P., Dietrich, A. J. Tue, 16 Sep 2008 00:00:00 -0000
During adolescence, there is a steady decline in the use of sun protection and increased use of indoor tanning lights. Previous health education efforts have changed knowledge but not these behaviors. Middle school students (n = 113) received a single educational class that included personal viewing of skin changes visible under ultraviolet (UV) filtered light. Pre-/post-surveys assessed past, current and future intent to use sunscreen, as well as sun benefit and sun risk attitudes. Prior to the session, 42% were sunscreen non-users and 21% were consistent users. At post-test, one-third of students who had not previously intended to use sunscreen in the next month now intended to use it. Among students who had seen skin damage, 59% reported intention to use sunscreen in the next month versus 35% who did not see skin changes (P = 0.04). Viewing sun damage was an independent predictor of intent to use sunscreen in the next month (OR 2.9, P = 0.04), as was older age (OR 2.6, P = 0.04) and previous consistent sunscreen use (OR 6.1, P = 0.004). A brief educational intervention that emphasizes risk-to-appearance and personalizes the risks of UV exposure has the potential to influence early adolescent sun protection. Long-term studies of this approach are needed.
Young people and mental health: novel methods for systematic review of research on barriers and facilitators
Oliver, S., Harden, A., Rees, R., Shepherd, J., Brunton, G., Oakley, A. Tue, 16 Sep 2008 00:00:00 -0000
This paper describes how barriers to, and facilitators of, good mental health amongst young people (11–21 years) were elucidated from a systematic review of studies of young people's views and how these barriers and facilitators were compared with effectiveness studies to identify effective and appropriate interventions, promising interventions needing further evaluation and the need for further intervention. All studies were published before 2000. No clear pattern for effectiveness emerged in terms of mental health promotion focus, the type of intervention, intervention provider or young people. Well-evaluated interventions neither always target what we know young people themselves see as important barriers to their mental health (for instance, loss of friends and family, violence and bullying) nor always build on what they see as key facilitators, particularly their preferred coping strategies. In particular, while young people see material and physical resources as major influences on their mental health, few evaluated interventions targeted these. Rigorously evaluated interventions more often addressed priorities not raised by young people themselves and populations at low risk for mental health problems. These innovative review methods can inform intervention development and evaluation in a new way based on the strengths and needs identified by the target population.

Public Health News From Medical News Today

Report Looks At Racial, Ethnic Disparities In Self-Rated Health Status Among Those With Or Without Disabilities
Mon, 06 Oct 2008 06:00:00 -0700
"Racial/Ethnic Disparities in Self-Rated Health Status Among Adults With and Without Disabilities," Morbidity and Mortality Weekly Report: The report examines differences in self-rated health status by race/ethnicity and disability. The findings are based on an analysis of data from the 2004 through 2006
Erie County, Pa., Community Organizations Respond To Report On Racial Health Disparities By Improving Health Care Access, Editorial States
Mon, 06 Oct 2008 05:00:00 -0700
In Erie County, Pa., "[P]rogress ... has been made in delivering health care to minorities and in educating people about health risks," an Erie Times-News editorial states. A 2007 county
Physician Joins The American Medical Association To Lead Initiatives In Health Care Disparities And Patient And Physician Health
Mon, 06 Oct 2008 04:00:00 -0700
The American Medical Association (AMA) welcomes Sonja Boone, M.D. as Director of Physician Health and Health Care Disparities to lead AMA efforts to address the nation's minority health and physician health efforts. Dr. Boone will also work with the "Building a Healthier Chicago" project, an effort of the AMA, Department of Health and Human Services, and the Chicago Department of Public Health that aims to improve the health and wellness of Chicago residents.

 
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Sites:

Aboriginal and Islander Health Worker Journal: National publication written by indigenous health workers. Includes table of contents and subscription details.

Aboriginal and Torres Strait Islander Health: This page lists publications that were produced by and for the Office for Aboriginal and Torres Strait Islander Health.

Aboriginal and Torres Strait Islander Peoples' Complementary Action Plan: The National Drug Strategy Aboriginal and Torres Strait Islander Peoples' Complementary Action Plan 2003-2006 was endorsed by the Ministerial Council on Drug Strategy on 1 August 2003 to help provide a nationally co-ordinated and integrated approach to reduce drug-related harm among the Aborigina...

Australian Indigenous HealthInfoNet: Our mission is to contribute to improving the health of Australia's Indigenous people by making relevant, high quality information easily accessible

Cape York Indigenous Issues: A report by the Australian National Council on Drugs. Includes information regarding drug and alcohol use amongst Indigenous Australians, as well as the availability of specific services.

Indigenous Drug and Alcohol Projects: Published by the National Drug Research Institute. Details the prison-based and community-based programmes, with an historical overview of previous interventions.

Indigenous Health Cultural Exchange Group: Group consisting of Indigenous Health and Medical degree students making contributions to indigenous health issues.

Indigenous Health Research Development Program: Building a career structure for students in Aboriginal health as well as assisting communities to address health issues in Ontario, Canada.

Indigenous Psychological Services: Indigenous Psychological Services

National Aboriginal and Torres Strait Islander Health Strategy: A submission by the Alcohol and Other Drugs Council of Australia concerning the draft Strategy. Expresses concerns that the proposals do not place sufficient priority on addressing substance misuse, and suggests amendments.

Rural and Remote Festivals: A Guide for Health Workers and Communities: Provides information on cultural activities which may provide opportunities for health promotion in remote areas, with suggestions for involving schools and community groups.

Strategies for Working with Aboriginal and Torres Strait Islander People: An article from the Northern Rivers Aboriginal Health Service lists ways in which culture and beliefs can affect healthcare delivery.

Working With Indigenous Peoples With Disabilities: Provides information for allied health professionals and carers working in remote areas of Australia. Features bibliography of specific articles and reviews of available equipment.

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