National Health Education Research Articles

Mycosis Fungoides and Its Relationship to Atopy, Serum Total IgE, and Eosinophil Counts

IntroductionA recent serologic study and reports of increased serum total IgE (IgE-t) and eosinophil counts have suggested that the prevalence of atopy is more common in patients with mycosis fungoides (MF) than previously recognized. Patients and MethodsPatients with clinicopathologic features that were diagnostic and/or consistent with MF and/or the presence or absence of an atopic disorder (eg, allergic rhinitis, asthma, eczematous dermatitis), which was determined by patient history, eosinophil counts, and serum IgE-t obtained at evaluation, were selected from a patient registry. The MF population was divided into those with atypical and typical clinical presentations. We performed matching of controls using age, sex, and race from the 2005 to 2006 National Health Education Survey. ResultsA history of allergic rhinitis was recorded for 186 of 728 patients (25.5%) with typical MF and 71 of 229 patients (31%) with atypical MF. However, the prevalence of asthma and eczema was low. The IgE-t and eosinophil counts were higher for patients with typical MF than for controls and for patients with atopic diathesis than for patients without atopy. The IgE-t and eosinophil counts were higher for the patients with advanced-stage MF compared with those for the patients with less-advanced disease for both atopic and nonatopic cohorts. In the Cox model with age and clinical stage as covariates, a history of atopy, increased IgE-t, and blood eosinophilia (> 500 cells/mm3) did not correlate with overall survival. ConclusionThe findings from the present study did not reveal a significant association of atopy in patients with MF. However, atopy is a factor in the increased IgE-t and eosinophil counts observed in MF. Another factor is related to the disease stage, including possibly the influence of cytokines secreted by T-helper type 2-polarized neoplastic cells.

Families as a Cornerstone in 21st Century Public Health: Recommendations for Research, Education, Policy, and Practice.

Families are vastly overlooked in US initiatives to promote population health and health equity despite being the most proximal context for health across the life course. We urge the public health sector to take the lead in recognizing families as essential for promoting 21st century population health. We highlight ways families influence health by providing context, care, continuity, and connections. The dual private and public aspect of families has contributed to how they have been overlooked in the public health sector. We provide recommendations for better integrating families into population health initiatives through national health goals, research, education, policy, and practice.

Managing Stress and Emotional Wellbeing Unit Overview

This article examines stress and emotional wellness and provides an example of a skills-based health education unit for National Health Education Standard 7 for 9th grade.

Efficacy of School-based SEL Programs: Aligning with Health and Physical Education Standards

The Competencies and sub-competencies of the Collaborative of Academic and Social Emotional Learning (CASEL) are very closely aligned to skills-based health education based on the National Health Education Standards and SHAPE America Grade Level Outcomes but miles apart when it comes to recognizability, perceived need, efficaciousness, and implementation. It is the intent of this article to demonstrate how current research, which indicates the benefits of teaching and learning SEL skills, is related to the skills taught in health and physical education.

Designing authentic simulations in ROSE and EBUS for undergraduate laboratory medicine students

IntroductionSimulation-based education (SBE) has successfully been implemented in several healthcare professions, more so in the fields of medicine and nursing. Laboratory medicine courses prepare medical scientists for employment in pathology...

Declining Public Health Protections within Autocratic Regimes: Impact on Global Public Health Security, Infectious Disease Outbreaks, Epidemics, and Pandemics

Public health emergencies of international concern, in the form of infectious disease outbreaks, epidemics, and pandemics, represent an increasing risk to the world's population. Management requires coordinated responses, across many disciplines and nations, and the capacity to muster proper national and global public health education, infrastructure, and prevention measures. Unfortunately, increasing numbers of nations are ruled by autocratic regimes which have characteristically failed to adopt investments in public health infrastructure, education, and prevention measures to keep pace with population growth and density. Autocratic leaders have a direct impact on health security, a direct negative impact on health, and create adverse political and economic conditions that only complicate the crisis further. This is most evident in autocratic regimes where health protections have been seriously and purposely curtailed. All autocratic regimes define public health along economic and political imperatives that are similar across borders and cultures. Autocratic regimes are seriously handicapped by sociopathic narcissistic leaders who are incapable of understanding the health consequences of infectious diseases or the impact on their population. A cross section of autocratic nations currently experiencing the impact of COVID-19 (coronavirus disease 2019) are reviewed to demonstrate the manner where self-serving regimes fail to manage health crises and place the rest of the world at increasing risk. It is time to re-address the pre-SARS (severe acute respiratory syndrome) global agendas calling for stronger strategic capacity, legal authority, support, and institutional status under World Health Organization (WHO) leadership granted by an International Health Regulations Treaty. Treaties remain the most successful means the world has in preventing, preparing for, and controlling epidemics in an increasingly globalized world."Honesty is worth a lot more than hope…" The Economist, February 17, 2020.

A Survey on the Recognition by Youth of Particulate Matter for Sustainable Residential Environment Education: Focused on the Jeonbuk Area

This study analyzes the need for appropriate response education in schools for national health and sustainable development education in connection with particulate matter, which has recently emerged as a serious environmental and social problem. The survey was conducted on 1,200 teenagers(middle and high school students) in North Jeolla Province. The results of the study are as follows. First, the survey results were generally low in terms of environmental attitude and response(actuality) as well as the level of knowledge of particulate matter. Second, particulate matter-related education is rarely conducted at school sites; therefore, it is also necessary to develop an environmental education programs that can be a significant educational experience along with a specific educational orientation that is required to ensure the achievement of sustainable residential environment education. Finally, we hope that this study will help raise awareness on sustainable residential environment education amid difficulties in accessibility. Issues that need further study include: the absence of education materials, environmental education related to particulate matter, and guidance on how to maintain healthy living for individuals that help increase interest in a sustainable living environment for future generations.

A Call to Action for Intermediate and Secondary School Lifestyle Medicine Education: Instating Healthy Teen Behaviors.

Chronic diseases, previously thought to require decades of risk factors, have become increasingly prevalent in America's youth. National Health Education Standards have been published since 1995, and yet nearly a fifth of schools fail to follow any state or national health education guidelines. Utilizing the phrase "lifestyle medicine" in childhood would elevate the importance and standardization of the core health guidelines. Several independent pilot programs taught by undergraduate and medical student volunteers have successfully demonstrated lifestyle medicine education models at intermediate and secondary schools. Preliminary feedback demonstrates that student interest in and consideration of behavioral change is possible within this age group. As with any life stage, significant behavior change in youth requires strategic planning of authentic learning practices and culturally competent lessons. We argue for the interdisciplinary development and implementation of community-engaged lifestyle medicine education for intermediate and secondary schools as a promising intervention to address and reverse the chronic disease trend in our youth.

Defining Food Education Standards through Consensus: The Pilot Light Food Education Summit.

Consistent with the Whole School, Whole Community, Whole Child Approach, food education encompasses nutritional status, culture, community, environment, and society. Unifying standards are needed to support food education integration in K-12 curricula. Pilot Light, a Chicago-based nonprofit, sought to generate such standards. This study reports a formative evaluation research process that led to the development of Food Education Standards (FES). Nine FES were drafted within the context of the National Health Education Standards. The 2-day Pilot Light Food Education Summit convened 26 experts and community members to review draft FES. A facilitated, consensus-building process generated refined FES and K-12 competencies. Drawing on Summit outcomes and expert feedback, a team of teachers subsequently drafted final FES. Summit participants completed pre- and post-Summit surveys to assess changes in food education priorities. The initial 9 FES were refined to 7. Comparison data indicated shifts in endorsed priorities for food education, moving from prioritizing specific knowledge, such as "categorizing food into food groups," toward "students having a conscious decision-making process around food." Developed with input from experts across multidisciplinary fields, the evidence-based Pilot Light FES can be feasibly implemented in multiple subjects across all school types and community socio-demographic levels.

Dietary Fiber Intake Shows Significant Inverse Association with Various Sleep Variables in Female and Male Subjects: Analysis of National Health and Nutrition Education Survey (NHANES 2005-2016)

Dietary Fiber Intake Shows Significant Inverse Association with Various Sleep Variables in Female and Male Subjects: Analysis of National Health and Nutrition Education Survey (NHANES 2005-2016)

Evidence-informed policymaking: Modelling nurses' career pathway from registered nurse to advanced practice nurse.

To formulate, validate, and disseminate policy, modelling nurses' career pathway from registered to advanced practice nurse. The evidence-informed policy and practice pathway framework was utilized. Multiple methods were used, including scoping review of literature, consultation of key informants, survey study, and expert group round-table discussions during 5-year project between 2013 and 2018. Through (a) sourcing, (b) using, and (c) implementing the evidence, the expert group worked systematically to formulate a policy on a career pathway from registered to advanced practice nurse. The formulated career pathway includes three competence levels: registered nurse, specialized nurse, and advanced practice nurse, which includes the roles of nurse practitioner and clinical nurse specialist. In addition, validation and dissemination of the policy, as well as its effective implementation and the process of integrating it into practice, were examined. Evidence-informed policymaking is an effective, interactive way to work collaboratively in achieving consensus and translating knowledge into practice. The formulated policy will contribute to the increased awareness, acknowledgement, and implementation of the registered nurses' traditional and new roles within health care environments. Implementing and integrating the policy in national health care policy, legislation, education, and organizations across the country is a work in progress.

Health Education in the 21st Century: A Skills-based Approach

Effective health education can positively contribute to a student's school experience. Healthier students are more likely to be ready and able to learn, and students who are academically successful often engage in less risky behaviors. Health education programs can support students' skill development and knowledge acquisition in order to help them be healthy for a lifetime. In addition, health education can help address the critical issue of low levels of health literacy prevalent in today's society. However, in order to achieve these outcomes, health education must be aligned with the National Health Education Standards and implemented using best practices. This article outlines support for health education as a vital component of an educational system and articulates key considerations for developing and implementing effective programming in the PK–12 setting.

A cross-sectional assessment of knowledge, attitudes and self-perceived effectiveness of complementary and alternative medicine among pharmacy and non-pharmacy university students

BackgroundTraditional medicine has always been Pakistan’s cultural heritage, providing health care to a large part of its population. Thus, we aimed to assess and compare the knowledge, attitude, and perception about complementary and alternative medicine (CAM) between pharmacy and non-pharmacy students, the results of which may be helpful in devising national health-education policy.MethodsA cross-sectional study was conducted by enrolling 937 students, pharmacy (437) and non-pharmacy (500), of Punjab University, Lahore. A self-administered questionnaire was used for data collection. Data were analyzed using SPSS. (IBM v22).ResultsData suggested that majority of students knew about the use of traditional herbs and considered massage (P: 84.4%, NP: 82%, p = 0.099), homeopathy, herbs (P: 86.5%, NP: 81%, p = 0.064], yoga [P: 357 (81.7%), NP: 84%), p = 0.42] and spiritual healing (P: 85.6%, NP: 86.2%, p = 0.55) as effective and least harmful CAM modalities. The pharmacy students had better knowledge about CAM modalities compared to non-pharmacy students. Despite utilizing non-reliable sources of CAM information and their belief that CAM is practiced by quacks, the majority of students had positive attitudes and perceptions about CAM usage. Students also believed that CAM had a positive impact on health outcomes [P: 3.19 ± 1.04, NP: 3.02 ± 1.09, p = 0.008] and acceded to include CAM in the pharmacy curriculum. However, non-pharmacy students scored higher in their beliefs that CAM usage should be discouraged due to the non-scientific basis of CAM (P: 3.04 ± 0.97, NP: 3.17 ± 1.02, p = 0.028) and a possible threat to public health (P: 3.81 ± 1.74, NP: 4.06 ± 1.56, p = 0.02). On the other hand, pharmacy students believed that patients might get benefits from CAM modalities (P: 4.31 ± 1.48, NP: 4.12 ± 1.45, p = 0.02). Majority of students perceived that spiritual healing is the most useful and safer CAM modality, while acupuncture (P: 25.4%, NP: 21.8%, p = 0.0005), hypnosis (P: 26.8%, NP: 19.6%, p = 0.001) and chiropractic (P: 18.8%, NP: 11.6%, p = 0.0005) were among the harmful ones.ConclusionIn conclusion, despite poor knowledge about CAM, students demonstrated positive attitudes and beliefs regarding CAM. They exhibited better awareness about yoga, spiritual healing/prayer, herbs, and massage. Students also showed willingness to advance their knowledge about CAM and favored its inclusion in the curriculum.

Platelet-lymphocyte ratio (PLR) and all-cause mortality in general population: insights from national health and nutrition education survey

Platelet lymphocyte ratio (PLR) is a novel marker of inflammation that has gained popularity, especially in prognostication of cardiac diseases and malignant conditions. Several studies have examined the relationship between PLR and disease-specific mortality but none has examined this relationship with all-cause mortality in general population. Therefore, we examined the relationship between PLR and all-cause mortality using data from the National Health and Nutrition Examination Survey (NHANES) from the year 1999 to 2010. The role of PLR in predicting all-cause mortality was evaluated using Cox proportional hazards model adjusting for age, race, gender, smoking history, diabetes, hypertension, serum cholesterol, estimated glomerular filtration rate, serum c-reactive protein, and body mass index. Differential effect of age was examined using difference of differences analysis. Of the 27321 individuals, 2581 died during 171223 person-year follow-up. Mean PLR was significantly higher in participants who died than those who were living at the end of follow-up (145.7 vs. 133.0, respectively, p < 0.001). Individuals in the fourth quartile of PLR were at significantly higher risk of mortality than those in the first quartile (HR = 1.26, 95% CI: 1.08–1.47, p = 0.004 and adjusted HR = 1.33, HR, 95% CI: 1.15–1.54, p < 0.001, respectively). When examining the differential effect of age, association between PLR and mortality was seen in the elderly but not in the middle age or younger participants. Elevated PLR is associated with increased all-cause mortality, especially in the elderly. Further studies examining the mechanism through which PLR may increase mortality are needed.

Identifying the Inclusion of National Sexuality Education Standards Utilizing a Systematic Analysis of Teen Dating Violence Prevention Curriculum.

Violent behaviors have devastating impacts on youth and adolescents. National standards offer a framework for age and developmentally appropriate health education expectations. This study provides findings from a systematic review and analysis of teen dating violence (TDV) prevention curricula using National Sexuality Education Standards (NSES) and National Health Education Standards (NHES). Evidence-based and/or practice informed interventions for TDV prevention were compiled and analyzed. We used a standardized review instrument to analyze each curriculum (N = 11); each curriculum was reviewed independently and results met inter-rater agreement requirements. Data were analyzed to determine NSES and NHES inclusion. This study provides findings from the TDV prevention curriculum analysis using the NSES. Five NSES topic areas were addressed in the TDV prevention curriculum and included personal safety, healthy relationships, identity, sexually transmitted diseases and human immunodeficieny virus, and pregnancy and reproduction. Personal safety was the most included topic and ranged from 37% to 77%. Healthy relationships were the second most included NSES and ranged from 11% to 53%. Inclusions of NHES skills, as they are embedded within the NSES, are identified. Curricula decision-makers gain insight by conducting reviews before recommendations are made or the adoption process is complete. The NSES and NHES support expectations for TDV prevention and can guide curricula adoption for a school or district. School professionals should work together to ensure TDV prevention curricula complements sexuality education units. While TDV curricula may cover critical topics, a singular focus on one content area cannot replace comprehensive sexuality education.

Facing the urban-rural gap in patients with chronic kidney disease: Evidence from inpatients with urban or rural medical insurance in central China.

BackgroundIn view of the irreversible pathology of progressive exacerbation, the societal burden of chronic kidney disease (CKD) is increasing along with the rise in total health expenditure. Meanwhile, disparities remain among urban and rural citizens with different types of health insurance. This study aimed to assess the socioeconomic disparities between hospitalized CKD patients in urban and rural areas.MethodA total of 501 CKD inpatients with urban or rural medical insurance (UMI or RMI, respectively) were selected from the top six tertiary hospitals in Wuhan. Demographic and socioeconomic data were collected as influencing factors. Data evaluation was performed using univariate and multivariate analyses.ResultSocioeconomic characteristics showed differences among hospitalized CKD patients with different health insurances. Patients with RMI were younger, and reported lower education levels, poor domestic economic conditions, shorter duration, and less frequent hospital stays than those with UMI (P<0.05). The predictors revealed varying associations between UMI and RMI. Among the hospitalized CKD patients with UMI, male and low-education individuals presented high hospitalization expenses (βgender = -0.406, βeducation level = 0.357, P<0.05). By contrast, no significant difference in this aspect was found among RMI inpatients.ConclusionsCare delivery and reimbursement models should be re-designed and implemented to improve equity among different CKD patients. The national health education should also be enhanced to prevent CKD and provide early treatment.

Community Resource Mapping: An Interactive Health Education Lesson

This article outlines a health education lesson that tasks students with identifying and advocating for resources in their community and is aligned with the National Health Education Standards.

Predictors of mental health help-seeking among Polish people living in the United Kingdom

BackgroundMigration has been shown to be associated with negative mental health outcomes. Moreover, migrants tend to underutilise mental health services. The current study aimed to assess the association between predictors, divided into three groups (predisposing, enabling and need), and two outcome variables: (1) past professional mental health help-seeking during the stay in the United Kingdom; (2) intentions of mental health help-seeking from a mental health professional within the next three months.MethodsThe study utilised a population-based cross-sectional survey with the final sample of 536 participants. Multivariate linear and logistic regression models were used to examine the association between predictors and the outcomes.ResultsWe found strong evidence that older age, mental health stigma and living circumstances (predisposing factors), as well as knowledge of the National Health Service, social support, and education (enabling factors) were associated with past and future help-seeking for mental health problems. Finally, mental health status was associated with both past help-seeking and intentions.ConclusionDue to large numbers of migrants in the UK it is vital to ensure that these populations receive adequate mental health support. Findings of the present study may inform development of policies and interventions better tailored to specific migrant populations.

Prevalence and factors affecting uncontrolled hypertension among hypertensive patients in a rural community, Thailand

Introduction Hypertension is a non-communicable disease, considered as a major problem of public health worldwide including Thailand. National Health Education Standards indicate that the prevalence of uncontrolled hypertension in hypertensive patients is about 19.5%. Thus, people in Thailand are likely to suffer from chronic disease as well as complications of hypertension, which potentially raises the risk of cardiovascular disease and kidney disease. These results in lower quality of life among hypertensive patients and further contribute to society and economic problems. Objective To determine the prevalence and associated factors of blood pressure control in hypertensive patients in Baan Na Yao community, Chachoengsao Province and Baan Phra Ploeng community, Sa Kaeo Province. Material and methods A cross-sectional study was performed. Blood pressure measurement and anthropometric data were measured and recorded. Standardized questionnaires were used in quantitative study to collect demographic data and factors associated with blood pressure control. The factors included dietary behaviors, physical activities, antihypertensive medication used and information of healthcare service. The collected data were processed using statistical analysis. Results The sample of hypertensive population from Baan Na Yao was 178 (43.8%) and Phra Phloeng was 228 (56.2%). The majority of hypertensive patients were female (72.4%). The prevalence of all age groups was mostly in the range between 60 to 69 years old (38.4%). The overall prevalence of uncontrolled hypertension among hypertensive patients was 54.4%. Multivariate logistic regression analysis was performed. The factors associated with uncontrolled hypertension including poor drug adherence, neck circumference more than or equals to 35.75 centimeters in male and 32.75 centimeters in female, adding fish sauce to meals, and sedentary hours of more than six per day. Conclusion Uncontrolled hypertension is a major problem in the rural community. Therefore, primary care unit (PCU) and village health volunteers have an important role to educate people and patients in the rural community to fully understand and be aware of their own disease condition in order to maintain their quality of life.

Quality Assurance in Professional Preparation of Community/Public Health Education Specialists: Contributions of SABPAC

The Society for Public Health Education and American Association for Health Education Baccalaureate Program Approval Committee (SABPAC) provided a valuable service to the health education profession in the United States for 27 years. From 1987 to its sunset in 2014, SABPAC offered a voluntary process whereby undergraduate community/public health education professional preparation programs could seek review and evaluation of their programs against published national health education criteria. Those programs meeting SABPAC criteria were granted “Approval.” SABPAC approval was instituted as one way by which the health education profession could strive to promote consistent professional preparation in the field and ensure that health education graduates were prepared for contemporary workforce demands. Over the years, SABPAC chairs, committee members, and volunteers devoted countless hours reviewing self-studies and conducting on-site visits of professional preparation programs and documenting how they met SABPAC criteria and/or could enhance compliance with guidelines. Seeking SABPAC approval provided many program benefits. Recognizing that accreditation is the “gold standard” in education, the health education profession applied a thoughtful and researched process beginning in 2001 to transition from SABPAC approval to undergraduate accreditation through the Council on Education for Public Health. Three national task forces developed recommendations, conducted events to foster communication about the change, and assisted professional preparation programs to prepare for and seek the Council on Education for Public Health accreditation. This brief article documents the genesis, organization, and processes of SABPAC in the United States, until its sunset as a major contributor to quality assurance in health education for more than a quarter of a century.