Offers a social ecological analysis of health promotive environments, emphasizing the transactions between individual or collective behavior and the health resources and constraints that exist in specific environmental settings. Directions for future research on the creation and maintenance of health promotive environments also are examined. (JB)

Presents five principles to help communities establish school-based primary care centers linking community health and social services with educational systems. The principles encompass community participation; early assessment of community needs; integration of health and human services with educational services through an interdisciplinary,…

Presents a relatively simple costs/benefits analysis problem perfectly suited for an introductory economics course. Reveals that neither the health insurer (which bears only the hospitalization costs of acute care) nor the patient (who incurs lost earnings and psychological costs) has an adequate incentive to pay for preventive care. (MJP)

In the wake of the 1990 amendments to the Clean Air Act, localities across the United States initiated public information campaigns both to raise awareness of threats to air quality and to change behavior related to air pollution by recommending specific behavioral changes in the campaign messages. These campaigns are designed to reduce the health…

National statistics estimate that 1.2 million newborn males are circumcised annually in the United States (70% to 80%). Such values as sanctity, equity, fraternity, paternity and liberty affect circumcision rates in America. The value of sanctity allows freedom of religious beliefs and traditions that often overcome medical impetus in…

Children from low-income families are more likely than other children to have serious health problems. And, as Anne Case and Christina Paxson show, childhood health problems can prevent poor children from achieving economic success as adults. Income-related disparities in childhood health are evident at birth or even before, and the disparities…

Community Health Aides and Community Health Practitioners (CHA/Ps), the primary providers of healthcare in rural Alaska, share the importance of story as a culturally respectful way for creating meaning and broadening understanding. Story is woven into the fabric of cancer education courses for CHA/Ps. Between May 2004 and April 2007, 13 week-long…

This paper reviews past and current Acquired Immune Deficiency Syndrome (AIDS) education and prevention efforts, describes three specific phases of efforts, and analyzes AIDS education and prevention in relation to emancipatory models of education. First the paper reviews data measuring the transmission of Human Immunodeficiency Virus (HIV) among…

Primary prevention refers to activities directed to high-risk groups, within a community not yet labeled as psychiatrically ill. These activities have the purpose of preventing the onset of emotional disturbance and enhancing the level of mental health. In general, whatever contributes to human stress in a community so that the individual or group…

Studying the prevalence of Acquired Immune Deficiency Syndrome (AIDS) among American Indians and Alaskan Native populations reveals a low 1990 case rate but a rapid increase in diagnosed cases, at a rate higher than any other racial/ethnic group. Culturally sensitive prevention programs are required. (SLD)

Lung cancer is a serious health problem among blacks, with a mortality rate of 119 per 100,000 black males, compared to 81 per 100,000 for white males. Smoking cessation efforts are most successful when tailored to the black community, using black community networks and broadcast media for black audiences. (SLD)

The Urban Nutrition Initiative (UNI) is a University of Pennsylvania/West Philadelphia schools academically-based community service program that integrates academics, research, and service through service-learning and participatory action research. UNI is based academically within Penn's Department of Anthropology and administratively within the…

This article provides a review and summary of six years of research on food assistance and nutrition issues on Indian reservations across America that was carried out by tribal college faculty, staff, and students through a federal small grants program. An assessment of the impacts and implications of this unique research program on the tribal…

This book provides an organized, systematic overview of the basic aspects of health program management, nursing practice, and human relations issues in camp nursing. A foremost assumption is that health care in most camps needs improvement. Good health is dependent upon interventions involving social, environmental, and lifestyle factors that…

This booklet contains excerpted remarks by government and public health officials concerning social marketing and its use. It is noted that the agencies they represent are among those that are considered pioneers in applying social marketing to some of the toughest problems facing America. Topics concerning government, public health, and the use…