A review of research on prevention of alcohol abuse among American Indians found that they experience many alcohol-related health problems. Indians have earlier age of first involvement with alcohol, more frequent drinking, and more negative consequences than non-Indians. Prevention programs must consider American Indian heterogeneity and cultural…

Examines cultural factors associated with pregnancy among Hispanic adolescents, highlighting policy areas within the health care delivery system that must be addressed. The paper discusses migratory patterns and service needs, acculturation and pregnancy, valuing of children, access to health services, the role of the health practitioner, and…

Discusses the development of reference services in developing countries and describes some of the functions of libraries and information services. Topics discussed include meeting users' needs; criteria for the planning and organization of services; and technology, including electronic dictionaries, computerized community information files,…

PATCH (Planned Approach to Community Health), a cooperative program of technical assistance from the Centers for Disease Control, strengthens state and local health departments' capacities to plan, implement, and evaluate community-based health promotion activities for priority health problems. The article describes its origin, concepts, and…

This study evaluated the effectiveness of a community health promotion project to increase HIV knowledge in an urban, immigrant Latino community in Chicago. Latino participants (N = 704) answered questions on HIV before and after an education intervention given by community health workers. Outcomes included changes in knowledge and self-perceived…

Purpose: This study explored similarities and differences in social support, home health service utilization, and health outcomes across four racial-ethnic groups of elders. Design and Methods: 1999 Outcomes Assessment Information Set records for 7,374 home care recipients who were 75 years of age or older and who were discharged to self-care were…

We searched nine electronic databases for randomized controlled trials (RCTs) about care at the end of life and found 23 RCTs. We assessed their quality using the criteria of the Cochrane Collaboration. The RCTs researched three themes: (a) the effect of providing palliative care through dedicated community teams on quality of life, on the…

Many library communities are establishing various services to cope with increasing demand for consumer health information (CHI). This study was engaged to ascertain what is currently being done by the medical libraries in the Akron-Canton-Youngstown (Ohio) region to provide this type of information, particularly what policies, practices, and…

Rural areas lag behind urban areas in access to information technologies. Public institutions play a critical role in extending the benefits of information technologies to those who would not otherwise have access. The most successful rural telecommunications plans address barriers to use, such as unawareness of the benefits, technophobia, the…

Health promotion redirects thinking about health by: reasserting its social and political aspects; ensuring the people the power to define their own health concerns; and placing health more clearly in the context of other aims in life. This compilation of 41 articles in 8 sections attempts to document this process of redirection of thought. The…

This guide is for parents of children with disabilities who require the help of a machine or device for some life-sustaining activity such as breathing or eating. Following an introduction, chapter 1 is on preparing for the child's return home including parent training, community-based services, and obtaining funding for home care. Chapter 2, on…

This document is the final report on the Pregnant Adolescent Substance Abuse Project (PASAP) conducted in Prince Georges County (Maryland) in 1987 and 1988. The PASAP consisted of two components that operated independently: an Early Intervention Program that increased the proportion of pregnant adolescent substance users who were using various…

This report of an 18-month planning study presents recommendations concerning the development and promotion of improved child care services for Texas children with and without disabilities. A mail survey of child care centers (588 programs surveyed) and a telephone survey of 495 family day care providers found a need for on-site training and…

This document provides guidelines for communities interested in developing public cholesterol education and screening programs. It contains information to use in considering a program and protocols to follow in conducting a program that meets standards established by the National Cholesterol Education Program. An introduction summarizes content.…

This curriculum was designed to train approximately 250 community health representatives (CHRs), to teach visually impaired and blind Indian elders and their families necessary independent living skills. The curriculum aims to sensitize CHRs to the impact of visual impairment upon elderly persons and their families, and to provide basic…