Life is sexually transmitted: Live with it

This article explores issues of sexual health relevant to client care that is, could, or should be offered by nurses in general practice. Sexual health is often the most important element of a person’s holistic health and well-being to be overlooked during consultations. Sadly, some professional carers consider it is not their job, is too embarrassing, morally ‘problematic’ or outside their area of expertise. Sexual health is part of life: not to address it means that health professionals fail to fully address all aspects of their clients’ holistic health and well-being. The result is selective or reduced—not holistic—care. This article will point to ways for practice nurses to remedy this situation

The nutrition digest

The digest recaps the Bureau of Community Nutrition Services and its divisions' past challenges and accomplishments

Activity book : activities and tips for healthy eating

This book contains puzzles and activities for teaching children healthy eating habits. There are also tips for parents

Private provider participation in statewide immunization registries

BACKGROUND: Population-based registries have been promoted as an effective method to improve childhood immunization rates, yet rates of registry participation in the private sector are low. We sought to describe, through a national overview, the perspectives of childhood immunization providers in private practice regarding factors associated with participation or non-participation in immunization registries. METHODS: Two mailed surveys, one for 264 private practices identified as registry non-participants and the other for 971 identified as registry participants, from 15 of the 31 states with population-based statewide immunization registries. Frequency distributions were calculated separately for non-participants and participants regarding the physician-reported factors that influenced decisions related to registry participation. Pearson chi-square tests of independence were used to assess associations among categorical variables. RESULTS: Overall response rate was 62% (N = 756). Among non-participants, easy access to records of vaccines provided at other sites (N = 101, 68%) and printable immunization records (N = 82, 55%) were most often cited as "very important" potential benefits of a registry, while the most commonly cited barriers to participation were too much cost/staff time (N = 36, 38%) and that the practice has its own system for recording and monitoring immunizations (N = 35, 37%). Among registry participants, most reported using the registry to input data on vaccines administered (N = 326, 87%) and to review immunization records of individual patients (N = 302, 81%). A minority reported using it to assess their practice's immunization coverage (N = 110, 29%) or generate reminder/recall notices (N = 54, 14%). Few participants reported experiencing "significant" problems with the registry; the most often cited was cost/staff time to use the registry (N = 71, 20%). CONCLUSION: Most registry participants report active participation with few problems. The problems they report are generally consistent with the barriers anticipated by non-participants, but did not impede participation. Recruitment efforts should focus on demonstrating the benefits of the registry to providers. In addition, many participants are not utilizing the full range of registry features; further study is needed to determine how best to increase use of these features

Creating a Mother-Friendly Environment for your Faith-Based Organization

Moms, babies and entire families benefit when infants are breastfed. The information provided in this toolkit is intended to assist your faith-based organization with promoting and supporting families’ decisions to offer the natural nutrition that breast milk provides by creating a mother-friendly environment

Improving patient outcomes

The Bureau of Community Health and Chronic Disease Prevention developed the following list of programs that are available to support health improvement. The programs fall under the headings: aging, cancer, cultural competency, diabetes, hypertension, healthy food and tobacco use

Asthma in South Carolina : Common, Costly, and Climbing

This paper gives statistics on asthma in South Carolina. Subjects covered are: asthma in the United States, asthma in South Carolina, asthma and tobacco use, asthma hospitalization and ED, what are symptoms of asthma?, what are some common triggers for an asthma attack?, what can you expect from proper asthma treatment?, to prevent asthma attacks, work closely with your health care provider and the cost of asthma

Community health advisors

v. 2 [NPIN 17931]: "This bibliography contains 133 citations of projects and programs being conducted by indigenous health workers at the community and neighborhood levels. These bibliographic abstracts describe programs from the 1960s through the present. The entries were selected to provide information to community health advisors on health promotion and disease prevention programs. Items in the bibliography are arranged into 17 sections: adolescents and teens; arthritis; asthma; cancer; college; diabetes; family; health promotion/disease prevention; injury/violence; maternal and child health; migrant workers; nutrition; quality of life; sexual behavior; substance abuse; tobacco control; and training programs. Among the data elements included in each citation are program name and contact, agency, program dates, health topics addressed, and the abstract. Availability information is provided when noted."v. 1. Models, research and practice, selected annotations-United States -- v. 2. Programs in the United States, health promotion and disease prevention -- v. 3. Workers, selected annotations and programs in the United States.prepared by Aspen Systems Corporation for the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Public Health Service, U.S. Department of Health and Human Services.Prepared by Aspen Systems Corporation under contract no. 200-92-0526.contract no. 200-92-052

Evolution of vaccination rates after the implementation of a free systematic pneumococcal vaccination in Catalonian older adults: 4-years follow-up

BACKGROUND: The systematic vaccination with 23-valent polysaccharide pneumococcal vaccine (PPV) was introduced as a strategic objective of health for all the people over 65 in Catalonia in 1999. We analysed the evolution of the pneumococcal vaccination rates from 2000 to 2003. METHODS: We conducted a retrospective population-based study including all the individuals 65 years or older assigned to 8 Primary Care Centres (PCCs) in Tarragona (Catalonia, Spain), who figured in the administrative population databases on 31 December 2003 (n = 10,410 persons). We assessed whether every person had received PPV during the last four years (2000 to 2003) or whether they had received it before January 2000. Data sources were the computerised clinical records of the 8 participating PCCs, which included adult vaccination registries and diagnoses coded of International Classification of Diseases 9(th )Review RESULTS: The overall vaccination uptake increased to 38.6% at the end of 2000. Global accumulated coverages increased more slowly the following years: 44.4% in 2001, 50.9% in 2002, and 53.1% at the end of 2003. Vaccine uptake varied significantly according to age (46.7% in people 65–74 years-old, 60.9% in people 75 years or more; p < 0.001) and number of diseases or risk factors (DRFs) for pneumonia (47.1% vaccinated in people without DRFs, 56.8% in patients with one DRF, and 62.2% in patients with two or more DRFs; p < 0.001). The highest coverages were observed among those patients with: diabetes (65.9%), active neoplasia (64.8%), history of stroke (63.7%), and chronic lung disease (63.5%). The lowest uptake was observed among smokers (48.7%). DISCUSSION: The pneumococcal vaccination coverage increased quickly after the introduction of the recommendation for free vaccination in all the elderly people (with and without risk factors), but two years after the improvement the coverage became stable and increased slowly

Incidences of obesity and extreme obesity among US adults: findings from the 2009 Behavioral Risk Factor Surveillance System

<p>Abstract</p> <p>Background</p> <p>No recent national studies have provided incidence data for obesity, nor have they examined the association between incidence and selected risk factors. The purpose of this study is to examine the incidence of obesity (body mass index [BMI] ≥ 30.0 kg/m²) and extreme obesity (BMI ≥ 40.0 kg/m²) among US adults and to determine variations across socio-demographic characteristics and behavioral factors.</p> <p>Methods</p> <p>We used a weighted sample of 401,587 US adults from the 2009 Behavioral Risk Factor Surveillance System. Incidence calculations were based on respondent's height and current and previous weights. Logistic regression was used to examine associations between incidence and selected socio-demographic characteristics and behavioral factors.</p> <p>Results</p> <p>The overall crude incidences of obesity and extreme obesity in 2009 were 4% and 0.7% per year, respectively. In our multivariable analyses that controlled for baseline body mass index, the incidences of obesity and extreme obesity decreased significantly with increasing levels of education. Incidences were significantly higher among young adults, women, and adults who did not participate in any leisure-time physical activity. Incidence was lowest among non-Hispanic whites.</p> <p>Conclusions</p> <p>The high incidence of obesity underscores the importance of implementing effective policy and environmental strategies in the general population. Given the significant variations in incidence within the subgroups, public health officials should prioritize younger adults, women, minorities, and adults with lower education as the targets for these efforts.</p