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Social influence and motivation to change health behaviors among mexican-origin adults: implications for diet and physical activity.
Abstract Purpose . To evaluate whether influence from social network members is associated with motivation to change dietary and physical activity behaviors. Design . Baseline assessment followed by mailing of family health history-based personalized messages (2 weeks) and follow-up assessment (3 months). Setting . Families from an ongoing population-based cohort in Houston, Texas. Subjects . 475 adults from 161 Mexican-origin families. Out of 347 households contacted, 162 (47%) participated. Measures . Family health history, social networks, and motivation to change behaviors. Analysis . Two-level logistic regression modeling. Results . Having at least one network member who encourages one to eat more fruits and vegetables (p = .010) and to engage in regular physical activity (p = .046) was associated with motivation to change the relevant behavior. About 40% of the participants did not have encouragers for these behaviors. Conclusions . Identification of new encouragers within networks and targeting natural encouragers (e.g., children, spouses) may increase the efficacy of interventions to motivate behavioral changes among Mexican-origin adults
Hispanic Lesbians and Bisexual Women at Heightened Risk or Health Disparities
Abstract available at publisher's website
Ethnic Differences in the Home Food Environment and Parental Food Practices Among Families of Low-Income Hispanic and African-American Preschoolers
Abstract available at publisher's website
Applying Anthropology to Eliminate Tobacco-Related Health Disparities
Abstract available at publisher's website
ASTHO Climate Change Population Vulnerability Screening Tool
Population vulnerability assessments are a key tool for climate change preparedness and are
needed to guide policy makers in planning efforts to address climate change impacts. As climate
change mitigation and adaptation strategies move from legislation to regulation, there will be a
need to identify communities with elevated health risks from climate change, allowing for
regulatory structures and regional and municipal planning efforts that protect communities
vulnerable to climate change
The Income Divide in Health Care: How the Affordable Care Act Will Help Restore Fairness to the U.S. Health System
The new Commonwealth Fund Health Insurance Tracking Survey of U.S. Adults finds nearly three of five adults in families earning less than 133 percent of the federal poverty level were uninsured for a time in 2011; two of five were uninsured for one or more years. Low- and moderate-income adults who were uninsured during the year were much less likely to have a regular source of health care than people in the same income range who were insured all year. In addition, uninsured lower-income adults were more likely than insured adults in the same income group to cite factors other than medical emergencies as reasons for going to the emergency room. These included needing a prescription drug, not having a regular doctor, or saying that other places cost too much. The Affordable Care Act will substantially narrow these inequities through an extensive set of affordable coverage options starting in 2014
Role of Epigenetics in Cancer Health Disparities
Abstract available at publisher's website