Modifying and Developing Health Behavior

Green, Lawrence W.

doi:10.1146/annurev.pu.05.050184.001243

Cited by 99 publications

(40 citation statements)

References 75 publications

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“…Consequently, perceived personal susceptibility and severity of health threats are modified by psychosocial factors, which thereafter can influence compliance with medical recommendations and perceived benefits of preventive action [60]. Benefits of access to regular care are not only preventive, but also associated with the responsibility placed on health care providers to inform and educate their patients about hazards of air pollution [61].…”

Section: Discussionmentioning

confidence: 99%

Air pollution and general practitioner access and utilization: a population based study in Sarnia, 'Chemical Valley,' Ontario

et al. 2011

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BackgroundHealth impacts of poor environmental quality have been identified in studies around the world and in Canada. While many of the studies have identified associations between air pollution and mortality or morbidity, few have focused on the role of health care as a potential moderator of impacts. This study assessed the determinants of health care access and utilization in the context of ambient air pollution in Sarnia, Ontario, Canada.MethodsResidents of Sarnia participated in a Community Health Study administered by phone, while several ambient air pollutants including nitrogen dioxide (NO2), sulphur dioxide (SO2) and the volatile organic compounds benzene, toluene, ethylbenzene, mp- and o-xylene (BTEX) were monitored across the city. Land Use Regression models were used to estimate individual exposures to the measured pollutants and logistic regression models were utilized to assess the relative influence of environmental, socioeconomic and health related covariates on general practitioner access and utilization outcomes.ResultsThe results show that general practitioner use increased with levels of exposure to nitrogen dioxide (NO2- Odds Ratio [OR]: 1.16, p < 0.05) and sulphur dioxide (SO2- OR: 1.61, p < 0.05). Low household income was a stronger predictor of having no family doctor in areas exposed to high concentrations of NO2 and SO2. Respondents without regular care living in high pollution areas were also more likely to report travelling or waiting for care in excess of 20 minutes (OR: 3.28, p < 0.05) than their low exposure counterparts (OR: 1.11, p > 0.05).ConclusionsThis study provides evidence for inequitable health care access and utilization in Sarnia, with particular relevance to its situation as a sentinel high exposure environment. Levels of exposure to pollution appears to influence utilization of health care services, but poor access to primary health care services additionally burden certain groups in Sarnia, Ontario, Canada.

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Section: Discussionmentioning

confidence: 99%

Air pollution and general practitioner access and utilization: a population based study in Sarnia, 'Chemical Valley,' Ontario

et al. 2011

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“…2,8,9 Rather than formulating a completely new definition, adapting universally accepted components of existing definitions was deemed more appropriate. Hence, the overall definition was based on Lawrence Green's definition, 10 which was reworded and extended to ensure that consumer participation and their control over their own health were highlighted as intentions of the health promotion process, as emphasised by the World Health Organisation. 2,9 Howat et al's definition 7 clearly embedded both behavioural and structural perspectives and the influence of social determinants on health and reduced the risk of misinterpretation and confusion of what health promotion truly is.…”

Section: Concept Of Health Promotionmentioning

confidence: 99%

We need a comprehensive approach to health promotion

Jancey¹,

Barnett²,

Smith³

et al. 2016

Health Promot J Austr

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“…13 Our literature review of the successful repair of combined VSD and pseudo-aneurysm following blunt trauma only found five such cases. 14-18 Once cardiac injury is suspected, structural cardiac damage should be overruled using echocardiography, the echocardiography should be repeated after several days, since delayed rupture is possible after blunt force trauma of. 9 …”

Section: Commentmentioning

confidence: 99%

Ventricular septal necrosis after blunt chest trauma

Sabzi¹,

Sahebjamee²,

Zokaei³

et al. 2012

J Inj Violence Res

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Abstract:Ventricular Septal Defect (VSD) after blunt chest trauma is a very rare traumatic affection. We report here a case of blunt chest injury-related VSD and pseudoaneurysm. A 30-year old male truck driver was referred from a trauma center to our hospital seven days after a blunt chest trauma and rib fracture. The patient had severe pulmonary edema and echocardiography showed large VSD. Several mechanisms are involved in the pathogenesis of this affection including an acute compression of the heart muscle between the sternum and the spine, leading to excessive changes in the intrathoracic and most likely the intracardiac pressure after blunt chest injury. Traumatical patients with the same symptoms may be at risk of sudden death. Therefore, a high grade of suspicion is mandatory even without solid evidence of myocardial damage on the initial evaluation. In continue some hidden angles of this case was discussed. Given the prognostic implications of traumatic VSD with associated pseudoaneurysm, its detection has critical value for preventing its clinical sequelae.

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Modifying and Developing Health Behavior

Cited by 99 publications

References 75 publications

Air pollution and general practitioner access and utilization: a population based study in Sarnia, 'Chemical Valley,' Ontario

Air pollution and general practitioner access and utilization: a population based study in Sarnia, 'Chemical Valley,' Ontario

We need a comprehensive approach to health promotion

Ventricular septal necrosis after blunt chest trauma

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