Public Health Messages (public + health_message)

Distribution by Scientific Domains


Selected Abstracts


Risk and protective behaviours of bisexual minority women: a qualitative analysis

INTERNATIONAL NURSING REVIEW, Issue 2 2005
J. D. Champion phd
Background, Public health messages urging women to seek health care services such as sexually transmitted diseases (STD) and cervical cancer screening or family planning services fail to address women who have sex with women (WSW). This negligence may have led to a false sense of security amongst WSW concerning sexual risk behaviour. Research has shown that WSW engaged in more high-risk sexual behaviours than heterosexual women. WSW has been identified as an important vector in the spread of STDs in all populations because of bisexuality. To prevent and reduce transmission of STDs amongst WSW, perceptions of risk for STD amongst WSW need to be understood so that effective interventions may be developed. Aim, To describe the relationship between sexual risk and protective behaviour and STD transmission amongst bisexual minority women with a history of STD. Methods, Life history methods were used to interview 23 African-American bisexual women with a history of STD. Findings, Various themes unfolded during analysis of the patient interviews, including bisexual women's perceptions of STD risk, the context of sexual relationships with women and STD prevention, screening, and treatment practices. Conclusions, The contexts of sexual relationships including multiple or concurrent partner relationships with both men and women placed these women at high risk for STD. Regardless of the type of relationship or belief it is possible to get an STD, protection was often not used. These circumstances identify an extremely high-risk population of women with need for more extensive research to identify strategies for health care interventions. [source]


The European Nutrigenomics Organisation: linking genomics, nutrition and health research

JOURNAL OF THE SCIENCE OF FOOD AND AGRICULTURE, Issue 7 2007
Siān B Astley
Abstract The science of nutrigenomics allows us to consider not only the response of our genes, proteins and metabolism to diet but also life-stage and lifestyle. Public health messages are failing to change people's behaviour and to counteract the flashy advertising promoting cheap nutritionally-empty foods. Proponents suggest that using the information supplied by nutrigenomics to develop personalised diet and lifestyle regimens would enable consumers to make healthier choices for themselves. For some this will mean accessing new food products and genetic testing but for others it will mean better dietary advice that can be applied in their situation. Opponents argue that this approach merely panders to the worried-wealthy-well , those least in need of intervention because they are already diet and health conscious , and that nutrigenomics fails to address the real issues associated with diet-related disease. Is nutrigenomics another over-hyped science, which will ultimately disappoint, or is it an ideal tool for nutrition research? Copyright © 2007 Society of Chemical Industry [source]


Do Not Delay: Breast Cancer and Time, 1900,1970

THE MILBANK QUARTERLY, Issue 3 2001
Robert A. Aronowitz
Until the 1960s, the central public health message about breast cancer was that women should not delay seeking medical attention for breast problems. Epidemiological, pathological, public health, and clinical writings, movies, and doctor-patient correspondence are analyzed in order to understand the durability and centrality of this "do not delay" message. Problematic assumptions about the natural history of cancer, the efficacy of surgery, and individual responsibility for disease contributed to the durability of the "do not delay" message. More important, the message catalyzed or sustained changes in the routines of ordinary women, general practitioners, surgeons, and pathologists, which led to the perception that the campaign against cancer was working. Thus a powerful set of reinforcing perceptions and behaviors maintained the centrality of the "do not delay" campaign until the era of mammography. [source]


Increasing practice nurse access to alcohol training

DRUG AND ALCOHOL REVIEW, Issue 3 2002
ANN DEEHAN
Abstract Policy makers have repeatedly placed emphasis on the role of primary care in screening for at-risk alcohol consumption and delivering public health messages to the general population. Research has pointed to primary care staff holding negative attitudes towards alcohol misusing patients. Training has traditionally been seen as the key to increasing the capacity of the medical field to engage with alcohol misusing patients but little work has been undertaken to examine the potential barriers to training take up. Consequently, the aim of this study was to explore the willingness of practice nurses to be trained in alcohol screening and brief intervention, and whether identifiable barriers to training exist and how they may be overcome. All practice nurses (n = 82) in an outer London (UK) Health Authority Area were twice mailed an invitation to an alcohol training seminar and a telephone invitation was made to all of those who did not reply to the mailings. Those who did not attend (n = 66) were contacted to take part in a short structured telephone interview ,89% (59/66) were contacted successfully and interviewed. Respondents were experienced in primary care and viewed health promotional activity as a valid part of their role. Few had undertaken previous alcohol training and as a group they were highly active in attending training events with training undertaken tending to be related directly to perceived practice needs and priorities: thus this group could not be characterized as unwilling to be trained. Barriers to training at alcohol events were found to be either personal or work-related, with most nurses interested in receiving further training or information. These data imply that the ways in which training is organized and delivered require sensitivity to identifiable barriers if it is to reach and effect changing practice among practice nurses successfully. A range of possibilities are identified as alternative approaches to the provision of elective training events which may be more acceptable to the target population of health-care staff. [source]


Being ,fat' in today's world: a qualitative study of the lived experiences of people with obesity in Australia

HEALTH EXPECTATIONS, Issue 4 2008
Samantha L. Thomas PhD
Abstract Objective, To develop an in-depth picture of both lived experience of obesity and the impact of socio-cultural factors on people living with obesity. Design, Qualitative methodology, utilizing in-depth semi-structured interviews with a community sample of obese adults (body mass index ,30). Community sampling methods were supplemented with purposive sampling techniques to ensure a diverse range of individuals were included. Results, Seventy-six individuals (aged 16,72) were interviewed. Most had struggled with their weight for most of their lives (n = 45). Almost all had experienced stigma and discrimination in childhood (n = 36), as adolescents (n = 41) or as adults (n = 72). About half stated that they had been humiliated by health professionals because of their weight. Participants felt an individual responsibility to lose weight, and many tried extreme forms of dieting to do so. Participants described an increasing culture of ,blame' against people living with obesity perpetuated by media and public health messages. Eighty percent said that they hated or disliked the word obesity and would rather be called fat or overweight. Discussion and Conclusion, There are four key conclusions: (i) the experiences of obesity are diverse, but there are common themes, (ii) people living with obesity have heard the messages but find it difficult to act upon them, (iii) interventions should be tailored to address both individual and community needs and (iv) we need to rethink how to approach obesity interventions to ensure that avoid recapitulating damaging social stereotypes and exacerbating social inequalities. [source]


A survey of folate knowledge and consumer behaviours in Western Australia prior to the introduction of mandatory food fortification

AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 6 2009
Caron Molster
Abstract Objectives: Prior to the introduction of mandatory folic acid fortification in September 2009, this study collected baseline data on folate awareness, knowledge of pregnancy-relevant public health messages and consumer behaviours in Western Australia. Methods: One thousand residents aged 18 years or older participated in a cross sectional telephone survey in September 2006. Respondents were recruited randomly from the electronic residential telephone directory. Results: Most respondents reported knowing little or nothing about folate (86%). Women of childbearing age were more likely than other adults to know the association between folate intake and birth defects (82% v 56%) but 41% did not know that folate should be consumed periconceptionally to reduce the risk of spina bifida. Overall, half the respondents did not take supplements and two-thirds did not know if the food products they ate were fortified with folic acid. Associations were detected between knowledge, consumer behaviours and socio-economic indicators such as age, income, highest level of education, area of residence and parental status. Implications: A mix of public health strategies that includes mandatory fortification and the promotion of supplement use should improve the timely and sufficient intake of folate across all socio-economic strata of the Australian population. Strategies that support the introduction of mandatory fortification, such as awareness and education campaigns should be built on a solid understanding of the drivers and barriers to knowledge acquisition and desired consumer behaviours. [source]