An intrinsic-extrinsic model of motivation for smoking cessation is extended to a population-based sample of smokers (N = 1,137), using a previously validated Reasons for Quitting (RFQ) scale. Psychometric evaluation of the RFQ replicated the model that includes health concerns and self-control as intrinsic motivation dimensions and immediate reinforcement and social influence as extrinsic motivation dimensions. Compared to volunteers, the population-based sample of smokers reported equivalent health concerns, lower self-control, and higher social influence motivation for cessation. Within the population-based sample, women compared to men were less motivated to quit by health concerns and more motivated by immediate reinforcement; smokers above age 55 expressed lower health concerns and higher self-control motivation than smokers below age 55. Higher baseline levels of intrinsic relative to extrinsic motivation were associated with more advanced stages of readiness to quit smoking and successful smoking cessation at a 12-month follow-up. Among continuing smokers, improvement in stage of readiness to quit over time was associated with significant increases in health concerns and self-control motivation.

Adult↗

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Neonatal sex-steroid hormones and physical size at four years.

This study investigated the relationships of neonatal sex-steroid hormones to preschool children's size. Two measures of size were considered: a unidimensional measure of height and a weight-for-height ratio. Results showed a significant positive relationship between girls' neonatal progesterone and the weight-for-height ratio at age four. A negative association of this ratio with an estrogen composite measure was also found. High testosterone girls had higher weight-for-height ratios than low testosterone girls. A significant positive association between the estrogen composite and height was found for boys. These findings indicate that neonatal hormone levels are important complements to environmental factors (e.g., nutrition) in predicting later growth.

Androstenedione↗

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Support for restrictive tobacco policies among residents of selected Minnesota communities.

BACKGROUND: Tobacco related diseases remain the most important public health problem. Public policy approaches to tobacco control have been used historically, and remain a viable, though largely untested, tobacco control strategy. The purpose of this article is to report assessment of support for tobacco control policies among the general public. METHODS: A random sample of 821 residents from seven Minnesota communities was surveyed by telephone to assess their support for 12 measures designed to restrict smoking behavior and curb demand for tobacco. Some of these policies were similar to those already in place, while others had not yet been adopted. RESULTS: Over 50% of the respondents indicated that they strongly favored or somewhat favored each of the measures, suggesting that a constituency exists for further regulation of tobacco. Measures that restrict tobacco advertising, prohibit smoking in public places, increase the penalties for selling tobacco to minors, and reduce access of young people to tobacco are especially popular. Women, nonsmokers, and older people form the basis of support for these measures. CONCLUSIONS: These results suggest that Minnesota citizens are more supportive of restrictive tobacco control policies than policy makers might believe, and that more aggressive lobbying on behalf of such measures at the state and local level is warranted.

Adult↗

PubMedDate not supplied

Effects of intensity of staff training on program participation in religious organizations and worksites.

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Community Health Services↗

PubMedDate not supplied

Medical imaging improved beyond belief.

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Humans↗

PubMedDate not supplied

Assessment of community-level influences on individuals' attitudes about cigarette smoking, alcohol use, and consumption of dietary fat.

A basic premise of community-based health promotion is that enduring changes in health behaviors are facilitated by changing community norms or the standards of acceptable behavior in the community. We examine whether community-level influences on individuals' normative attitudes can be related to cigarette smoking, alcohol consumption, and dietary fat intake. We conducted a random-digit dialing survey of 8,849 adults in 15 communities in the western United States as part of the evaluation of the Henry J. Kaiser Family Foundation Community Health Promotion Grant Program. We found independent associations among attitudes for tobacco, alcohol, and diet and both individual-level and community-level characteristics. A significant community effect on attitudes remained even when we controlled for individual demographics and health behaviors, as well as for the overall prevalence of the target health behavior in the community. The specific community characteristics that account for this effect were not clear in our analyses, suggesting that influential characteristics vary from community to community.

Adult↗