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Draft Recovery Objectives
Published in Sandra Rasmussen, Developing Competencies for Recovery, 2023
Healthy People 2030 has four categories of objectives: Health Conditions, Health Behavior, Populations, Settings and Systems. Health Conditions include addiction as well as mental illness and mental disorders. Health Behavior includes drug and alcohol use and tobacco use. These topics may be cross-listed in the Populations category with adolescents and drug and alcohol use or brief alcohol intervention in primary care in Settings and Systems.
Personal Health Engagement
Published in Salvatore Volpe, Health Informatics, 2022
In the Pew Internet study just cited, Ms. Fox notes that one of the enduring findings of the Pew Research Center is that health search is social – more than half of all health searches online are performed on behalf of someone else, even by people with multiple chronic conditions.58 Health is social in other ways as well. An analysis of 32 years of data from the Framingham study demonstrated that obesity is contagious. A person’s likelihood to become obese increased by 57% if he or she had a friend who became obese during a given interval.62 Similarly, research from 2017 shows that exercise is also socially contagious – for both good and ill.63 Online social networks use this relationship impact on health to support health behavior changes.64
Sociocultural Influences on Sexual Health
Published in Naomi M. Hall, Sexual Health and Black College Students, 2022
The HBCU context interacts with Black masculine ideals in ways that affect young Black men's sexual health. Many of the gendered barriers to men's health behavior may have to do with how men psychologically and behaviorally cope with being in an environment where they are under pressure to fulfill key social and cultural roles (Bowleg et al., 2013; Courtenay, 2002; Griffin, 2012). Qualitative studies with heterosexual men at HBCUs identified several factors that placed men at higher risk for contracting STIs. Two of the main factors included a gender ratio imbalance that favors men (on some HBCU campuses the imbalance is as high as 75% women and 25% men) and having a small network to choose from for sexual partners (Hall & Applewhite, 2013; Hall & Witherspoon, 2011; Mincey et al., 2017). When contrasted with the GRI from women's perspective, one sees that they are operating on opposite sides of the same coin but both having deleterious outcomes.
Comparing advance care planning between older adults with and without HIV
Published in AIDS Care, 2023
Annie L. Nguyen, Bo Young Park, Erin Thayer, Jeff Bailey, Christopher Christensen, Jeff Taylor
Mortality rates among people living with HIV (PLWH) are decreasing and long-term survival rates are increasing (CDC, 2021). Conventionally defined among PLWH as people ages 50 and over, older PLWH accounted for about half of all PLWH in the US in 2017 (High et al., 2012). Many older PLWH encounter comorbid health conditions such as cardiovascular disease, diabetes, and cancer (Cahill & Valadez, 2013), alongside age-associated chronic conditions, like frailty, which elevated the conditions that threaten independent living (Wong et al., 2010). The health challenges that can accompany aging with HIV calls attention to the importance of advance care planning (ACP), a process of articulating preferences for end-of-life care. ACP helps providers make care decisions that are most aligned with the individual’s values and has been conceptualized as a health behavior (Fried et al., 2010). An advance directive (AD) is an ACP tool. It is comprised of a living will, a legal document that conveys healthcare wishes, and a durable power of attorney for healthcare or healthcare proxy, someone who is legally designated to make decisions for the individual. Using the Transtheoretical Model of behavior change, ACP can be characterized through the five temporal dimensions of change: (1) pre-contemplation, (2) contemplation, (3) preparation, (4) action/maintenance (Prochaska & Velicer, 1997). Health behavior programs and interventions typically aim to move individuals towards “action” and “maintenance”.
When culture and health collide: feminine honor endorsement and attitudes toward catch-up HPV vaccinations in college women
Published in Journal of American College Health, 2023
Stephen Foster, Mauricio Carvallo, Hairong Song, Joyce Lee, Jongwon Lee
One limitation of the current study is that only behavioral intentions were measured, as opposed to actual commitment to receiving an HPV vaccine. Due to the multi-dose nature of an HPV vaccination, and the fact that each dose is separated by multiple months, it would take the setup of a longitudinal study in order to measure adherence to the traditional 3-wave vaccination in young women. However, one might consider the Health Belief Model78 as support for analyzing behavioral intentions in this instance. Perceived barriers, otherwise defined as the beliefs regarding “the tangible and psychological costs of the advised action”, have been shown to be the strongest predictor of actual health behavior.79 Given that the current study was centered around how feminine honor might heighten perceived stigma (e.g. beliefs that there would be social repercussions for receiving the vaccine), it is likely that the current study’s measurements were the most appropriate approach within a cross-sectional design.
Sharing Perspectives in African American Communities to Reduce Stroke Risk Through Community Listening Circles
Published in Journal of Community Health Nursing, 2023
Niloufar Niakosari Hadidi, Emily Gorzycki, Clarence Jones, Susan A. Everson-Rose, Zachary Taylor, Olga Gurvich
HELPS seeks to engage, educate, and empower participants in order to facilitate health behavior change and reduce the risk of stroke. We used Ryan’s (2009) Integrated Theory of Health Behavior Change (ITHBC) as a conceptual framework to achieve these goals. ITHBC suggests that change in health behavior can be fostered by strengthening three determinants: knowledge, self-regulating skills and abilities, and social facilitation (social influences and supports). ITHBC hypothesizes that these determinants impact capacity for self-management behavior (proximal outcome) and ultimately impact health status (distal outcome) (Ryan, 2009). These factors consist of subsections important for directing health behavior change (see Figure 1). Through the application of ITHBC, HELPS interventions are expected to enhance capacity for self-management of health to prevent or mitigate precursor conditions for stroke.