Impressions of public health in Germany and Europe.
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Biomedical subjects
Publications and source records attributed to C Rissel.
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Community ownership and maintenance of heart health programs was a major study goal of the Minnesota Heart Health Program (MHHP), a community-based National Heart, Blood and Lung Institute (NIH)-funded demonstration project. A partnership between the University of Minnesota and three Upper Midwest intervention communities was initiated in 1981. Local citizen boards were instrumental in planning, implementing and incorporating programs. Through an 8 year process of community organization, training and volunteer involvement, MHHP educational program responsibility was transferred to existing community-based groups and organizations. In 1989, when federal funding was withdrawn, 70% of all heart health intervention programs initiated by MHHP were being continued by local sponsors and supported by local funds. By 1992, maintenance of programs had decreased to an average 60%. Differential results of program incorporation among the three intervention communities are presented including findings on community sectors that most frequently sponsored programs. Factors that facilitate or impede local ownership are discussed. Research on longer-term maintenance of heart health programs in the three communities continues.
Despite low mortality from heart disease in the New South Wales Vietnamese community, the prevalence of risk factors for heart disease has been increasing. This study sought to identify the prevalence of heart disease risk factors in the Vietnamese community in southwestern Sydney. In 1991, 389 randomly selected Vietnamese-born residents of southwestern Sydney (79.2 per cent response rate) were interviewed by telephone about their risk status. Sixty-one per cent of this sample agreed to a second interview in their homes where physical measurements were taken. Smoking prevalence was high in males (53 per cent), whereas raised blood pressure (5.1 per cent), high blood cholesterol (21.1 per cent) and overweight (14.0 per cent) had a low prevalence compared to National Heart Foundation data for the general population. Interventions targeting males about smoking should be a health promotion priority, and the maintenance of the traditional Vietnamese diet should be encouraged.
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People from non-English speaking backgrounds (NESB) tend to utilize Australian health and welfare services less than those people born in Australia. There is also evidence that migrants to Australia tend to increase their consumption of alcohol and other drugs once they have settled. Therefore, NESB people should be a priority focus for the provision of comprehensive services for the prevention and treatment of alcohol and other drug-related problems. To date there has not been a co-ordinated approach to the provision of alcohol and other drug services to NESB communities. This paper proposes a model for the provision of such services, and uses the Sydney Arabic-speaking Lebanese community as an example. This model draws upon available literature and incorporates strategies of community development, namely networking and dissemination of information, and directs efforts at three levels of intervention.
In some Western populations television is the principal source of health information. Such dependence on the media for health information is cause for concern when the reliability of health information is considered, and media promotion of 'unhealthy' products such as tobacco, alcohol and confectionery. The Australian Broadcasting Corporation television series Bodyshow, broadcast over 17 weeks in mid-1988, was the first general preventive health series screened on Australian television. This study aimed to assess the demographic profile of viewers of the Bodyshow series who responded to invitations for further information, the extent of exposure of these viewers to the series, and their perceptions of the series. The study involved a random sample survey of 500 people selected from 2080 New South Wales viewers who wrote to the ABC requesting further health information. A response rate of 79 per cent was achieved. Respondents were predominately female and married, aged 25 to 39 years, lived outside Sydney, and were well educated. Respondents had seen the majority of episodes and were overwhelmingly positive about the series. Popular aspects were the information provided, the 'human interest' segments and the nutrition information. Unpopular aspects were the Friday night time-slot and the artificially glamorous 'middle class' presentation. The study demonstrated that there is clearly an audience for a self-help preventive health television series. Television has considerable unrealised potential for education, particularly regarding nutrition.
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Project Northland task force members are typically female, have children, and belong to a number of other community or social groups. Members were likely to participate more in the task forces if they were relative newcomers to the community and if they got satisfaction from their participation. While explaining only a modest amount of the variance (15.5%), the explanatory power of the results are comparable to other studies of this nature, where 23% of explained variance predicting participation has been considered informative. Future models will need to consider other factors to increase the explained variance. Satisfaction with being a task force member was associated with the amount of control and ownership each member felt and the extent of agreement with the direction of the task force. These variables explained 26% of the variance. It may be that relative newcomers to the community, who tended to participate more, have lived elsewhere and been exposed to environments where alcohol was less frequently used, and this contrast contributed to their motivation and preparedness to work towards change. They may not be as integrated into the community as task force members who have lived in their communities for their entire lives, and may not be part of the dominant "alcohol culture" that exists in the region. If membership in community or social groups is an indicator of integration into the community, then the results suggest less integrated task force members were more active participants.(ABSTRACT TRUNCATED AT 250 WORDS)
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To evaluate the Mt Druitt Family Care Centre a number of variables were measured: clients' anxiety and confidence before and after attendance, feedback on their experiences at the Centre and mothercraft skills and abilities on disengagement. Forty-one new clients whose ages reflected those of the area's child-bearing population participated. Most frequently reported presenting problems were: children not sleeping, concern with play activities and feeding difficulties. After attending the Centre there was a significant increase in the confidence levels and a decrease in anxiety levels of the service users. Most reported satisfaction with the service.