Recall of AIDS public service announcements and their impact on the ranking of AIDS as a national problem.

The efficacy of two public service announcements from Phase V of the "America Responds to AIDS" (ARTA) campaign was assessed at two sites. Participants were randomly assigned to view a local news program, one with an ARTA public service announcement appearing six times and the other with no AIDS public service announcements. During telephone interviews with 907 participants 1 to 3 nights after viewing, 21% at Site A and 59% at Site B could correctly recall the ARTA public service announcements. Absolute mentions of AIDS as an important national issue increased.     

Public service application of an effective clinic approach to smoking cessation

A unique partnership has been established between researchersat Iowa State University and the American Lung Association ofIowa. This partnership has resulted in the statewide applicationof an effective clinic method for smoking cessation.From a verymodest beginning (four public service clinics were held in the1979–1980 fiscal year) the program has evolved to a totalof 103 clinics in the 1987–1988 fiscal year. The publicservice clinics are continually revised to reflect current laboratoryfindings. Long-term follow-up data are routinely collected onall clinic participants. Costs are kept at relatively modestlevels through use of lay facilitators and donated clinic sites.Quality control and evaluation are systematically maintained.One-year abstinence levels have averaged 33%. The clinics arenow continuing under the auspices of the American Lung Associationof Iowa. This model of laboratory research combined with fieldapplication should be replicable in other locations and withadditional types of public health problems.     

The smoking habits of pregnant women and their husbands, and the effect on their infants

A survey of the smoking habits of 3,025 couples, whose infants were receiving medical examinations, was conducted before and after pregnancy to determine the effect of smoking patterns of the parents on the newborn infant. Of the husbands 55.2% were smoking before pregnancy; 53.4% during pregnancy; and 51.8% after delivery. During pregnancy proportion of smokers decreased by only 1.8%. The percentages for wives, on the other hand, were 13.9%, 4.4%, and 5.3% respectively showing a reduction of 9.5% during pregnancy. Young couples, under 24 years of age, those with low educational backgrounds, and self-employed husbands showed the highest proportion of smokers. Examination of the relation between parents' smoking habits and their effect on the newborn infants, showed no difference in weeks of gestation nor in height. However, the infants of smoking parents were on the average 99.6 grams lighter at birth (p less than 0.02) and the rate of SFD was higher (p less than 0.05). The relative risk for SFD appearance was 1.21 with a smoking father, and 1.39 with both parents smoking. Husbands who decreased or stopped smoking during the pregnancy were largely in the 30 to 34 year old category, university graduates, and those whose wife was having their first baby. A remarkable decrease was observed in the average weight at birth of infants with a mother smoking 6 cigarettes a day or with father smoking 20 cigarettes a day compared to non-smoking parents, especially in the case of female infants.(ABSTRACT TRUNCATED AT 250 WORDS)     

Transition through stages of smoking: the effect of gender and self-concept on adolescent smoking behavior.

PURPOSE: To determine whether self-concept, gender, and age are significant factors in an adolescent's transition through stages of smoking to regular smoking. METHODS: A questionnaire composed of 29 items (nine questions pertaining to smoking behavior and 20 to four self-concept variables: physical, family, social, and peer self-concept) was administered to 368 randomly selected high school adolescents (188 males and 180 females) aged 12-17 years during regular contact (roll call) time. RESULTS: Overall, 40.5% of the sample had tried tobacco (excluding chewing tobacco) (42.8% of females and 38.3% of males). Although prevalence of smoking varied according to the stage of smoking, it increased with age. With reference to self-concept, Scheffe post hoc contrasts revealed a statistically significant difference between physical self-concept and the remaining measures of self-concept (peer, family, and social) and at each stage of smoking. The effect for male students was less than for females. CONCLUSION: Programs aimed at prevention and intervention should incorporate strategies which are commensurate with female lifestyles and the more positive aspects that individuals might experience on quitting.     

AIDS public service announcements: effects of fear and repetition on predictors of condom use

An experiment examined the effects of varying levels of fear and message repetition in a radio public service announcement (PSA) on attitudes toward and intentions to use condoms. Predictions were derived from the Theory of Reasoned Action and Fazio's accessibility model. Results suggest that repetition and fear have important effects on intentions to use condoms and attitudes toward using condoms, even after accounting for inputs specified by the Theory of Reasoned Action In addition, frequency affected the relative weights of attitudinal versus normative effects on intentions, suggesting that PSAs may be able to affect attitudes and intentions through spontaneous attitude activation as described by Fazio (1990).     

Individual differences and context: factors mediating recall of anti-drug public service announcements

A sample of 597 participants was surveyed to examine factors that influence recall of antidrug public service announcements (PSAs). High sensation-seekers and polydrug users recalled somewhat more antidrug PSAs than low sensation-seekers and nonusers. Regression analyses indicated that total hours of television viewing did not predict recall of televised antidrug PSAs; instead, recall was predicted by preference for specific program genres, such as sports, news shows, action programs, sitcoms, and stand-up/comedy channel programs, and individual-difference variables such as sensation-seeking, drug use, and gender. The findings provide more evidence for the sensation-seeking targeting (SENTAR) approach and demonstrate the relevance of selective exposure and program contexts in reaching potential drug users.     

Work-site smoking policies: their population impact in Washington State.

This article presents data from a population-based, random-digit dialing telephone survey of 1228 employed adults in Washington State, conducted 1989 through 1990. Eighty-one percent of men and 91% of women reported work-site smoking restrictions. Employees in work sites with no-smoking policies were less likely to be current smokers; men in work sites with policies restricting smoking smoked fewer cigarettes on both workdays and nonworkdays. Forty-eight percent of male and 53% of female smokers reported reduced smoking as a result of work-site policy. Work-site smoking policies, intended to protect against smoke exposure, may also reduce employee smoking.     

Single mothers: their health and health service use.

STUDY OBJECTIVE: The aim of the study was to investigate differences in reported health and health service use in single mothers. DESIGN: The study was a survey of data derived from the General Household Surveys conducted by the Office of Population Censuses and Surveys (OPCS). SETTING: The OPCS data are derived from samples of households throughout Great Britain. PARTICIPANTS: OPCS data for 1983 and 1984 were used, comprising approximately 60,000 individuals, of whom 793 were single mothers. MEASUREMENTS AND MAIN RESULTS: Five different health outcomes were examined, two on perceived morbidity and three on the use of health services. The chief determinants of health and health services use among single mothers were housing tenure, employment status and the age of the youngest child. Single mother status did not consistently contribute to self reported morbidity and uptake of care when adjusted for other social variables, but there was a difference between categories of single mother, with those who were separated/divorced and those who were widowed reporting more acute illness than those who were married. CONCLUSION: The findings suggest that single mothers do not form a homogeneous group and that, if special consideration is to be given to them when planning and allocating health service resources, this needs to be taken into account in the context of other socioeconomic factors.     

Queer Quit: Gay smokers' perspectives on a culturally specific smoking cessation service

Background  The prevalence of smoking is high among gay males. The need for culturally specific support has been acknowledged, but little is known about gay men's perspectives on such adapted interventions.
Objective  To investigate smoking and intention to quit in gay smokers and to explore their attitudes towards a gay-specific smoking cessation programme.
Design  Quantitative survey and focus groups.
Setting and participants  A total of 325 gay smokers living in Zurich (Switzerland) completed an anonymous survey. Thirteen males participated in two focus groups, theoretically sampled to reflect heterogeneity in terms of age, HIV serostatus and smoking histories. Participants were personally recruited at a variety of events and through advertisements.
Results  Responders reported high consumption of cigarettes, and every second man stated that more than half of his gay friends smoke regularly. The majority planned their quit within the next 6 months. Idealizing attitudes towards smoking were very common. Men stated strong preferences towards a culturally adapted cessation programme for gay men. Higher age, high nicotine dependence, intention to quit, smoking stereotypes and fears for weight gain were significant predictors for interest in participation in the programme. Qualitative results indicate that men felt torn between their wish for support, bonding, and community alternatives to the 'smoking gay' environment and fears for failure and loss of reputation.
Conclusions  Gay men reported likely use of a gay-specific intervention. Such interventions may offer support in abstaining from smoking, without abstaining from gay social life. Health-care providers play an important role in communicating the serious threats caused by smoking to gay men.     

Common themes from the extremes: using two methodologies to examine adolescents' perceptions of anti-violence public service announcements.

PURPOSE: To determine in what ways adolescents perceive public service announcements (PSAs) in general and, more specifically, anti-violence health messages. METHODS: Seventy-nine adolescents who were involved with the issue of violence (39 pro-social, 40 incarcerated) participated. These youth were from four sites (Philadelphia, Pennsylvania, Detroit, Michigan, Albuquerque, New Mexico, and Portland, Oregon) and were chosen at random from a pool recommended by community leaders. First, adolescents were questioned on their demographics and knowledge of, attitudes about, and experience with, violence. Then, adolescents rated eight PSAs on levels of interest, understanding, believability, and perceived effect. In semistructured individual interviews, the adolescents discussed each of the PSAs as well as how health messages can effectively reach young people. We used quantitative and qualitative methodologies to analyze the data. RESULTS: Adolescents had similar opinions about the presented messages and using PSAs. Across both the pro-social and incarcerated groups, adolescents (a) opposed celebrity spokespeople, (b) preferred authentic-looking characters and realistic situations, (c) dismissed messages directed at either younger or older audiences, (d) confused abstractions, (e) focused on visuals, and (f) suggested using graphic images. CONCLUSIONS: The similarities observed between the pro-social and incarcerated adolescents may arise from the fact that, although the nature of their experience varied, both groups had high levels of issue involvement. From this study, we can make three recommendations for creating messages: (a) use authentic-looking characters in realistic situations; (b) employ simple, visual, and graphic messages; and (c) do formative evaluations with target audiences.     

Decreasing smoking prevalence during pregnancy in Sweden: the effect on small-for-gestational-age births.

OBJECTIVES: This study examined whether recent changes in smoking prevalence among pregnant women have affected risks of small-for-gestational-age births. METHODS: With data for all live single births in Sweden from 1983 through 1992 (n = 1048139), odds ratios [ORs] and attributable risks of small-for-gestational-age births were calculated for 1983 through 1985, 1986 through 1989, and 1990 through 1992. RESULTS: Daily smoking decreased from 29.4% in 1983 to 21.8% in 1992. For the three time periods, the odds ratios of small-for-gestational-age births by maternal smoking were almost identical: 1-9 cigarettes/day OR = 2.1 or 2.2; for > or = 10 cigarettes/day, OR = 2.8. The attributable risk of smoking for small-for-gestational-age births declined from 26.2% in 1983 through 1985 to 20.9% in 1990 through 1992. CONCLUSIONS: The findings point to a true decrease in tobacco exposure during pregnancy and a reduction in the attributable risk for small-for-gestational-age births.     

U.S. federally funded television public service announcements (PSAs) to prevent HIV/AIDS: a content analysis

This article reports a content analysis of 56 English-language public service announcements (PSAs) for HIV/AIDS prevention produced since 1987 by the U.S. federal government for television broadcast. These PSAs do not lead target audiences through a logical sequence from awareness to motivation, skill building, and maintenance. The PSAs underutilize a strategy of "strategic ambiguity" to craft individual PSAs that can address the needs of and appeal to multiple target audiences, thereby directing information not only to heterosexuals, the primary target of these PSAs, but also to homosexuals and bisexuals. The PSAs largely ignore issues related to injection drug use and needle sharing. What drug-related portrayals there are focus on African American street junkies, which perpetuates racial stereotypes and fails to address occasional injection drug use. The PSAs exploit fear of HIV/AIDS to discourage drug use but do not offer drug treatment or counseling information. PSAs produced by the Clinton administration to promote condom use do not fully address key reasons why people fail to use condoms: concern about sexual pleasure, embarrassment about obtaining condoms, and lack of skills to negotiate condom use with sexual partners. Implications of these conclusions for the future of U.S. HIV/AIDS prevention are discussed.     

Passive smoking, active smoking, and education: their relationship to weight history in women in Geneva.

OBJECTIVES: This study was undertaken to determine the relationship of education and tobacco smoke to lifetime weight history in women. METHODS: Information on passive smoking, active smoking, and weight history was collected from 928 women aged 29 to 74 years selected from the general population of Geneva, Switzerland. Multivariate analysis of variance was performed for weight, weight at age 20, and weight changes since age 20. RESULTS: Education was inversely related to weight at age 20, current weight, and weight gain since age 20. The least educated group had a current weight of 4 kg more than the most educated group. Differences across smoking categories were small: passive smokers had the highest current weight (63.4 kg) and former active smokers had the lowest (60.4 kg). Weight gain since age 20 tended to be smaller in former and current active smokers (5.5 to 7.2 kg) than in passive smokers (8.3 to 10.4 kg) and those never exposed (9.1 kg). CONCLUSIONS: In this sample, education was an important predictor of women's current weight and weight history. Passive and active smoking had little long-term effect on weight.     

Breaking the silence surrounding hepatitis C by promoting self-efficacy: hepatitis C public service announcements

Hepatitis C virus (HCV) is the most common chronic bloodborne virus in the United States. Despite this fact, there is a startling lack of awareness about HCV among individuals who might have contracted the virus. In this study, grounded in self-efficacy theory, we analyze public service announcements for HCV. Using focus groups to contextualize the responses of individuals living with HCV, we conclude that stigma and structural barriers pose the greatest challenges for health communicators trying to reach at-risk populations. The findings suggest that expanded use of celebrity appeals, realistic drug-use portrayals, more extensive use of social networking in tandem with nontraditional media, tapping into veterans, and maximizing self-efficacy messages while minimizing fear tactics offer new hope for successful health communication strategies. With 3.9 million people in the United States infected with HCV, this study offers urgently needed communication strategies to address this silent epidemic.     

农村居民公共卫生服务需求影响因素分析

目的 了解河北省农村居民公共卫生服务需求现状及其影响因素,为有关部门制定相关政策提供依据。方法 采用自行设计的公共卫生服务需求调查表和影响因素调查表对河北省847名农村居民进行问卷调查。结果 河北省农村居民对预防接种服务的需求率最高（95.87%）,其次为医疗服务（87.96%）,而对厕所改造、垃圾处理需求率最低（61.75%）;单因素分析结果显示,不同性别、年龄、文化程度、收入、婚姻质量及慢性病史的农村居民公共卫生服务需求差异有统计学意义（P<0.05）;多因素分析结果显示,女性（OR=1.476,P=0.004）和年龄45~59岁（OR=3.262,P=0.000）是农村居民公共卫生服务需求的重点人群。结论 河北省农村居民公共卫生服务需求较高,相关机构应根据不同性别、年龄农村居民的需求制定公共卫生服务政策。     

Organisational justice and smoking: the Finnish Public Sector Study

OBJECTIVE: To examine the extent to which the justice of decision-making procedures and interpersonal relationships is associated with smoking. SETTING: 10 municipalities and 21 hospitals in Finland. Design and PARTICIPANTS: Cross-sectional data derived from the Finnish Public Sector Study were analysed with logistic regression analysis models with generalised estimating equations. Analyses of smoking status were based on data provided by 34,021 employees. Separate models for heavy smoking (> or = 20 cigarettes/day) were calculated for 6295 current smokers. RESULTS: After adjustment for age, education, socioeconomic position, marital status, job contract and negative affectivity, smokers who reported low procedural justice were about 1.4 times more likely to smoke > or = 20 cigarettes/day compared with their counterparts who reported high levels of justice. In a similar way, after adjustments, low levels of justice in interpersonal treatment was significantly associated with an increased prevalence of heavy smoking (OR 1.35, 95% CI 1.03 to 1.77 for men and OR 1.41, 95% CI 1.09 to 1.83 for women). Further adjustment for job strain and effort-reward imbalance had little effect on these results. No associations were observed between justice components and smoking status or ex-smoking. CONCLUSIONS: The extent to which employees are treated with justice in the workplace seems to be associated with smoking intensity independently of established stressors at work.