Obesity is a major pediatric public health problem. Adolescents are a priority population for intervention strategies. School nurses are in key positions to design intervention strategies to promote healthy lifestyles and prevent adolescent obesity in the students they serve. To design effective programs, school nurses need to know what components…

Organized afterschool programs have received increased attention over the past two decades because of changes in family demographics and in society's structures for supervising and socializing youth. The number of afterschool programs has been rapidly expanding to meet the increased need. However, not all youth in need are being reached, and the…

Background: The specific health services provided to students at school and the model for delivering these services vary across districts and schools. This article describes the characteristics of school health services in the United States, including state- and district-level policies and school practices. Methods: The Centers for Disease Control…

Background: Schools are in a unique position to promote healthy dietary behaviors and help ensure appropriate nutrient intake. This article describes the characteristics of both school nutrition services and the foods and beverages sold outside of the school meals program in the United States, including state- and district-level policies and…

More than 10 million children from birth through age six in the US live in low-income families. Although large investments in early childhood intervention programs are evident, is the field fully exploiting its potential to address the diverse needs of children and families? One means of addressing this question is to focus on the efficacy of…

Purpose: This study examined the awareness and impact of antitobacco media messages among rural, suburban, and urban youth. Method: Self-administered questionnaires were received from 1,622, 1,059, and 1,177 middle school (sixth, seventh, and eighth grade) students in rural, suburban, and urban locations, respectively. Logistic regression compared…

Participation in a health promotion program for 192 overweight and obese adults with mental retardation was associated with behavior change resulting in reduction of body mass index--BMI (weight in kg, divided by height in meters, squared) by the end of the program. We analyzed the mediating and intermediate factors contributing to weight…

Describes the feasibility of the peer leader component of a school-based nutrition intervention for young adolescents designed to increase fruit and vegetable consumption and lower fat consumption. Results from a multicomponent process evaluation involving participant feedback, observation, and teacher ratings and interviews indicated that…

Assessed the cost and effectiveness of contacting parents through schools, educating them about health insurance programs and preventive care, and helping them with insurance applications. Data analysis indicated that accumulative cost per enrolled child was $75. Schools located and assisted large numbers of uninsured children who had failed other…

Formative evaluation of a community health project providing and promoting low-fat foods in five restaurants in Montreal (Canada) shows that restaurateurs are willing to collaborate in project implementation but not in training waiters and that the project did not cause an increase in market demand for low-fat menu offerings. (SLD)

Article reviews the major school-based approaches implemented during the last two decades to reduce sexual risk-taking behaviors, examining their evidence for success and providing recommendations for effective programs and program evaluations. The article focuses on programs that educators believed would reduce unprotected sex. (SM)

This article argues that employee health promotion programs shift emphasis to "managed health" and health care demand and that colleges and universities may find them both cost effective and consistent with the teaching, research, and community missions of their institutions. Programs at Harvard, Duke, and Stanford universities are…

The overall effectiveness of patient education and counseling on preventive health behaviors was examined across published clinical trials, 1971-1994. The effectiveness of various approaches for modifying specific types of behaviors among patients without diagnosed disease was assessed. Multiple regression models indicated differences among…

Examines the networking strategy that was utilized to develop a rural health promotion cooperative in southwestern Ohio, with special emphasis on the success of this strategy as a technique for introducing change and reducing resistance to prevention programs. Also discusses the obstacles to, and the benefits of, such programs. (MDM)

A smoking prevention program for Hispanic immigrants in Canada was based on participatory community planning, cultural sensitivity, and a comprehensive health philosophy. After 12 educational sessions, participating children aged 8-14 engaged in more community activism and showed decreased intentions to smoke. Parents, children, and staff were…