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Preventing Chronic Disease Dialogue

The Preventing Chronic Disease journal welcomes comments from readers on selected published articles to encourage dialogue between chronic disease prevention, researchers, practitioners and advocates.

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Consumption of Sugar-Sweetened Beverages Among US Adults in 6 States: Behavioral Risk Factor Surveillance System, 2011

ORIGINAL RESEARCH

Sohyun Park, PhD; Liping Pan, MD, MPH; Bettylou Sherry, PhD, RD; Heidi M. Blanck, PhD

Suggested citation for this article: Park S, Pan L, Sherry B, Blanck HM. Consumption of Sugar-Sweetened Beverages Among US Adults in 6 States: Behavioral Risk Factor Surveillance System, 2011. Prev Chronic Dis 2014;11:130304. DOI: http://dx.doi.org/10.5888/pcd11.130304.

PEER REVIEWED

Abstract

Introduction
Sugar-sweetened beverage (SSB) intake is linked to weight gain. Our objective was to examine state-specific SSB intake and behavioral characteristics associated with SSB intake.

Flavored Tobacco Use Among Canadian Students in Grades 9 Through 12: Prevalence and Patterns From the 2010–2011 Youth Smoking Survey

ORIGINAL RESEARCH

Leia M. Minaker, PhD; Rashid Ahmed, PhD; David Hammond, PhD; Steve Manske, EdD

Suggested citation for this article: Minaker LM, Ahmed R, Hammond D, Manske S. Flavored Tobacco Use Among Canadian Students in Grades 9 Through 12: Prevalence and Patterns From the 2010–2011 Youth Smoking Survey. Prev Chronic Dis 2014;11:140094. DOI: http://dx.doi.org/10.5888/pcd11.140094.

PEER REVIEWED

Abstract

Introduction
This study examined patterns of use of flavored tobacco products in a nationally generalizable sample of Canadian students in grades 9 through 12 after the implementation of a national ban on certain flavored tobacco products.

Methods
Data from the 2010–2011 Youth Smoking Survey, a nationally generalizable sample of Canadian students in grades 9 through 12 (n = 31,396), were used to examine tobacco product use. Logistic regression models were used to examine differences in use of flavored tobacco products (cigarettes, pipes, little cigars or cigarillos, cigars, roll-your-own cigarettes, bidis, smokeless tobacco, water pipes, and blunt wraps) by sociodemographic and regional characteristics.

Results
Approximately 52% of young tobacco users used flavored products in the previous 30 days. Flavored tobacco use varied by product type and ranged from 32% of cigarette smokers reporting menthol smoking to 70% of smokeless tobacco users reporting using flavored product in the previous 30 days. The percentage of last-30-day users who used flavored tobacco was significantly higher in Quebec than in Ontario and significantly higher among youths who received weekly spending money than among those who received no money.

Conclusion
More than half of tobacco users in grades 9 through 12 in Canada use flavored tobacco, despite a national ban on certain flavored tobacco products.

Using Written Narratives in Public Health Practice: A Creative Writing Perspective

TOOLS AND TECHNIQUES

Tess Thompson, MPH, MPhil; Matthew W. Kreuter, PhD

Suggested citation for this article: Thompson T, Kreuter MW. Using Written Narratives in Public Health Practice: A Creative Writing Perspective. Prev Chronic Dis 2014;11:130402. DOI: http://dx.doi.org/10.5888/pcd11.130402.

PEER REVIEWED

Abstract

Narratives have become an increasingly common health communication tool in recent years. Vivid, engaging writing can help audiences identify with storytellers and understand health messages, but few public health practitioners are trained to create such stories. A transdisciplinary perspective, informed by both creative writing advice and evidence-based public health practices, can help public health professionals use stories more effectively in their work. This article provides techniques for creating written narratives that communicate health information for chronic disease prevention. We guide public health professionals through the process of soliciting, writing, and revising such stories, and we discuss challenges and potential solutions.

A Feasibility Study of Wearable Activity Monitors for Pre-Adolescent School-Age Children

ORIGINAL RESEARCH

Sara E. Schaefer, PhD; Marta Van Loan, PhD; J. Bruce German, PhD

Suggested citation for this article: Schaefer SE, Van Loan M, German JB. A Feasibility Study of Wearable Activity Monitors for Pre-Adolescent School-Age Children. Prev Chronic Dis 2014;11:130262. DOI: http://dx.doi.org/10.5888/pcd11.130262.

PEER REVIEWED

Abstract

Introduction
Understanding physical activity is key in the fight against childhood obesity. The objective of this study was to examine the feasibility of using certain wearable devices to measure physical activity among children.

Methods
A qualitative study was conducted with 25 children aged 7 to 10 years to assess acceptability and compliance of wearable activity devices in this age group. During March through August 2012, children participated in a 4-week study of 3 accelerometer models and a heart rate monitor. Children were asked to use a different device each week for 7 consecutive days. Children and their parents completed structured interviews after using each device; they also completed a final exit interview.

Results
The wrist-worn Polar Active was the device most preferred by children and was associated with the highest level of compliance. Devices that are comfortable to wear, fit properly, have engaging features, and are waterproof increase feasibility and are associated with higher levels of compliance.

Conclusion
The wrist-worn device was the most feasible for measuring physical activity among children aged 7 to 10 years. These findings will inform researchers in selecting tools for measuring children’s physical activity.

The Relationship Between State Policies for Competitive Foods and School Nutrition Practices in the United States

PEER REVIEWED

Abstract

Introduction
Most students in grades kindergarten through 12 have access to foods and beverages during the school day outside the federal school meal programs, which are called competitive foods. At the time of this study, competitive foods were subject to minimal federal nutrition standards, but states could implement additional standards. Our analysis examined the association between school nutrition practices and alignment of state policies with Institute of Medicine recommendations (IOM Standards).

Parks and Health: Aligning Incentives to Create Innovations in Chronic Disease Prevention

ESSAY

Meredith A. Barrett, PhD; Daphne Miller, MD; Howard Frumkin, MD, DrPH

Suggested citation for this article: Barrett MA, Miller D, Frumkin H. Parks and Health: Aligning Incentives to Create Innovations in Chronic Disease Prevention. Prev Chronic Dis 2014;11:130407. DOI: http://dx.doi.org/10.5888/pcd11.130407.

Federal, state, and local park agencies across the nation have faced budget cuts in recent years as a result of the economic downturn and sequestration, resulting in park closures, reduced hours, staffing cuts, and deferred maintenance. For example, California faced closure of 70 state parks in 2012 to trim $22 million from the strapped state budget. Although most parks were saved by contributions from various partners, future funding remains tenuous. Perhaps the initial proposal to shutter 25% of California’s state parks to save 0.14% of the state budget deficit would not have been made if we valued these lands not only for recreation and conservation but also as a critical public health resource. With health care reform shifting incentives toward prevention, now is the time to look for low-cost, high-yield wellness opportunities, such as those offered by parks and other green spaces.

Differences in the Delivery of Health Education to Patients With Chronic Disease by Provider Type, 2005–2009

ORIGINAL RESEARCH

Tamara S. Ritsema, MPH, MMSc, PA-C; Jeffrey B. Bingenheimer, PhD, MPH; Patty Scholting, MPAS, PA-C; James F. Cawley, MPH, PA-C

Suggested citation for this article: Ritsema TS, Bingenheimer JB, Scholting P, Cawley JF. Differences in the Delivery of Health Education to Patients With Chronic Disease by Provider Type, 2005–2009. Prev Chronic Dis 2014;11:130175. DOI: http://dx.doi.org/10.5888/pcd11.130175.

PEER REVIEWED

Abstract

Introduction
Health education provided to patients can reduce mortality and morbidity of chronic disease. Although some studies describe the provision of health education by physicians, few studies have examined how physicians, physician assistants, and nurse practitioners differ in the provision of health education. The objective of our study was to evaluate the rate of health education provision by physicians, physician assistants, and nurse practitioners/certified midwives.

The Economic Impact of Smoke-Free Laws on Restaurants and Bars in 9 States

ORIGINAL RESEARCH

Brett R. Loomis, MS; Paul R. Shafer, MA; Martijn van Hasselt, PhD

Suggested citation for this article: Loomis BR, Shafer PR, van Hasselt M. The Economic Impact of Smoke-Free Laws on Restaurants and Bars in 9 States. Prev Chronic Dis 2013;10:120327. DOI: http://dx.doi.org/10.5888/pcd10.120327.

PEER REVIEWED

Abstract

Introduction
Smoke-free air laws in restaurants and bars protect patrons and workers from involuntary exposure to secondhand smoke, but owners often express concern that such laws will harm their businesses. The primary objective of this study was to estimate the association between local smoke-free air laws and economic outcomes in restaurants and bars in 8 states without statewide smoke-free air laws: Alabama, Indiana, Kentucky, Mississippi, Missouri, South Carolina, Texas, and West Virginia. A secondary objective was to examine the economic impact of a 2010 statewide smoke-free restaurant and bar law in North Carolina.

Native American Race, Use of the Indian Health Service, and Breast and Lung Cancer Survival in Florida, 1996–2007

BRIEF

David J. Lee, PhD; Stacey L. Tannenbaum, PhD; Tulay Koru-Sengul, PhD; Feng Miao, MS; Wei Zhao, MD, MS; Margaret M. Byrne, PhD

Suggested citation for this article: Lee DJ, Tannenbaum SL, Koru-Sengul T, Miao F, Zhao W, Byrne MM. Native American Race, Use of the Indian Health Service, and Breast and Lung Cancer Survival in Florida, 1996–2007. Prev Chronic Dis 2014;11:130162. DOI: http://dx.doi.org/10.5888/pcd11.130162.

PEER REVIEWED

Abstract

We evaluated associations of race, primary payer at diagnosis, and survival among patients diagnosed in Florida with lung cancer (n = 148,140) and breast cancer (n = 111,795), from 1996 through 2007. In multivariate models adjusted for comorbidities, tumor characteristics, and treatment factors, breast cancer survival was worse for Native American women than for white women (hazard ratio [HR], 1.52; 95% confidence interval [CI], 1.05–2.20) and for women using the Indian Health Service than for women using private insurance (HR, 1.71; 95% CI, 1.33–2.19). No survival association was found for Native American compared with white lung cancer patients or those using the Indian Health Service versus private insurance in fully adjusted models. Additional resources are needed to improve surveillance strategies and to reduce cancer burden in these populations.

Online Grocery Store Coupons and Unhealthy Foods, United States

BRIEF

Andrea López; Hilary K. Seligman, MD, MAS

Suggested citation for this article: López A, Seligman HK. Online Grocery Store Coupons and Unhealthy Foods, United States. Prev Chronic Dis 2014;11:130211. DOI: http://dx.doi.org/10.5888/pcd11.130211.

PEER REVIEWED

Grocery store coupons influence shoppers’ food purchases. We performed a content analysis of online store coupons from 6 national grocery chains. Of 1,056 online store coupons available during the 4-week study period, 25% were for processed snack foods, candies, and desserts (the largest category). Approximately 12% of coupons were for beverages, more than half of which were for sodas, juices, and sports/energy drinks. Few coupons were available for fruits (<1%) or vegetables (3%). Grocery retailers may be uniquely positioned to positively influence Americans’ dietary patterns, and engaging retailers in efforts to provide store coupons for healthy food items may help address public health priorities.

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