Producing health, consuming health care

Evans, Robert G.; Stoddart, Greg L.

doi:10.1016/0277-9536(90)90074-3

Cited by 543 publications

(248 citation statements)

References 17 publications

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“…What distinguishes final from intermediate outcomes is their immediate relevance to the patient's sense of well-being (Hollandsworth 1988;Evans & Stoddard 1990;Bowling 1991). The distinction is between measures of goal attainment and measures which predict goal attainment (Read 1993).…”

Section: Methodsmentioning

confidence: 99%

The quiet revolution: Reporting of health outcomes in general medical journals

Seymour

Newell²,

Shiell³

1997

Aust. Health Review

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Section: Methodsmentioning

confidence: 99%

The quiet revolution: Reporting of health outcomes in general medical journals

Seymour

Newell²,

Shiell³

1997

Aust. Health Review

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“…First, the decision to develop a preconceptional as opposed to prenatal intervention program is based on the "integrated perinatal health framework" by Misra and her colleagues [25]. This framework incorporates a lifespan perspective on reproductive health and classifies risk factors for adverse pregnancy outcomes based on the Evans and Stoddart [28] model of health determinants. This classification distinguishes between "distal" (e.g., family context, genetic factors) and "proximal" (e.g., psychosocial stress, chronic conditions, etc.)…”

Section: Rationale For the Interventionmentioning

confidence: 99%

Design of the Central Pennsylvania Women’s Health Study (CePAWHS) Strong Healthy Women Intervention: Improving Preconceptional Health

Downs

Feinberg

Hillemeier

et al. 2008

Matern Child Health J

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Considerable evidence suggests that modifiable risk factors for adverse pregnancy outcomes such as preterm birth and low birthweight include obesity, sedentary behavior, and infections. There is a growing consensus that the preconceptional and interconceptional periods may be an ideal time for preventive intervention targeting these risk factors; enhancing health before pregnancy would subsequently reduce the risk for poor pregnancy outcomes. This paper provides an overview of the development of a health behavior intervention, Strong Healthy Women, that aims to improve women's preconceptional and interconceptional health. We describe the rationale, delivery, and targeted outcomes of the program, as well as the design of an ongoing trial currently testing program efficacy. The content areas are also discussed and include pregnancy-conception, stress, physical activity, nutrition, infection, sources of smoke in the home, and substance use. This intervention protocol may offer researchers and healthcare professionals a framework for designing other programs aiming to improve women's preconceptional health.

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“…With the exception of those pathways based on stress (neuroimmunological) mechanisms, the published frameworks in the behavioral sciences and epidemiological literature largely lack clearly stated, causal biologic connections to observed health outcomes. 2,4,5,7,10,11 On the other hand, the biologically oriented formulations poorly account for socioenvironmental and behavioral effect modifiers that may affect the pathogenesis of disease and the development of health disparities. [12][13][14][15] Secondly, the terminology used to characterize the effects of causal agents has not been standardized across disciplines and is derived from toxicology, biostatistics, epidemiology, sociology, 16 and the clinical/bench sciences.…”

Section: Introductionmentioning

confidence: 99%

The Sociobiologic Integrative Model (SBIM): Enhancing the Integration of Sociobehavioral, Environmental, and Biomolecular Knowledge in Urban Health and Disparities Research

et al. 2007

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Disentangling the myriad determinants of disease, within the context of urban health or health disparities, requires a transdisciplinary approach. Transdisciplinary approaches draw on concepts from multiple scientific disciplines to develop a novel, integrated perspective from which to conduct scientific investigation. Most historic and contemporary conceptual models of health were derived either from the sociobehavioral sciences or the biomolecular sciences. Those models deriving from the sociobehavioral sciences generally lack detail on involved biological mechanisms whereas those derived from the biomolecular sciences largely do not consider socioenvironmental determinants. As such, advances in transdisciplinary characterizations of health in complex systems like the urban environment or health disparities may be impeded. This paper suggests a sociobiologic organizing model that encourages a multilevel, integrative perspective in the study of urban health and health disparities.

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Producing health, consuming health care

Cited by 543 publications

References 17 publications

The quiet revolution: Reporting of health outcomes in general medical journals

The quiet revolution: Reporting of health outcomes in general medical journals

Design of the Central Pennsylvania Women’s Health Study (CePAWHS) Strong Healthy Women Intervention: Improving Preconceptional Health

The Sociobiologic Integrative Model (SBIM): Enhancing the Integration of Sociobehavioral, Environmental, and Biomolecular Knowledge in Urban Health and Disparities Research

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