Public Health Asks of Community Psychology…

As the field of public health has increasingly recognized the social and behavioral aspects of the changing epidemiology of diseases and injuries, it has added social and behavioral scientists to the faculties of schools of public health and most federal and state public health agencies. Community psychology can play a crucial role in helping to bridge the dominant psychological theories with the family and community contexts in which individuals are conditioned and reinforced in their tendencies toward violent behavior. Public health asks of community psychology a helping hand in bridging the clinical endpoints of most NIH-sponsored behavioral research with the community endpoints of most CDC-sponsored programs such as injury control.     

Promotion of Sexual Health and Sexual Responsibility in Women’s Health and Men’s Health Magazines

This study analyzed the promotion of sexual health and sexual responsibility in Women’s Health and Men’s Health magazines as characterized by the Surgeon General’s Call to Action along with sexual health objectives targeted by Healthy People 2020 and sexual healthy behavior outcomes established by the Centers for Disease Control and Prevention. This study also identified the most frequently addressed sexual health topics included in Women’s Health and Men’s Health. Two coders conducted a content analysis of a total of 599 articles from 64 issues (32 Women’s Health and 32 Men’s Health) published between January 2009 and November 2012. More than half of all articles addressing sexual health were found to promote sexual health (57 %). Promotion of sexual responsibility was rare with variables such as ensuring that pregnancy occurs only when desired, recognition and tolerance for diversity, limiting the number of sexual partners, and using birth control consistently each mentioned in <3 % of articles in this study sample. Among topics coded, improving sex life (29 %), what men like (19 %), and what women like (18 %) were the most common in Women’s Health while What women like (46 %), improving sex life (27 %), and other men’s sexual health (16 %) were the most frequent topics in Men’s Health. Among the least common topics mentioned were homosexuality (0.16 %) and HIV/AIDS (0.33 %). No articles addressed rape or dating violence.     

Romantic Relationships and Health: An Examination of Individuals’ Perceptions of their Romantic Partners’ Influences on their Health

This study examines individuals’ perceptions of the impact their significant others have on their health and the extent to which these perceptions are associated with relationship quality and actual health. Two-hundred and ten participants (105 U.S. couples; mean age = 24.93) completed measures of their relationship quality and health along with an open-ended measure asking them to indicate how they felt their partner influenced their health. Results indicated that participants perceived their romantic partners to be primarily positive health influences, women believed their partners were more influential than did men, and eating and physical activity behaviors were believed to be most affected by partners. Participants’ relationship quality and health were associated with their reports of their perceived partners’ health influences. The research described in this report was supported by an award to Charlotte Markey from Rutgers University.     

A Qualitative Study of Faith Leaders’ Perceptions of Health and Wellness

The effectiveness of faith-based health and wellness interventions is moderated by the attitudes, perceptions, and participation of key leaders within faith-based organizations. This qualitative study examined perceptions about the link between health, spirituality, and religion among a volunteer sample of faith leaders (n = 413) from different denominations. The major themes included: influences on health and wellness promotion and a relationship between spirituality and health. The results indicated that perceptions about the link among health, spirituality, and religion vary among faith leaders, regardless of denomination. Future faith-based interventions should be developed with consideration for denomination as a socially and culturally relevant factor.     

The Assessment of Adult Health Care Orientations: Development and Preliminary Validation of the Multidimensional Health Profile–Health Functioning Index (MHP-H) in a National Sample

This paper describes the development and preliminary validation of the Multidimensional Health Profile–Health Functioning Index (MHP-H), a 69-item self-report instrument designed to assess a variety of behaviors, perceptions, attitudes, and beliefs presumed to influence health status and the pursuit of lay and professional health care. The MHP-H briefly measures adult health history, health habits, health care utilization, health beliefs and attitudes, and response to illness (help-seeking behaviors). A national sample of adults (N = 673) was assessed, comprising 3 age groupings (18–32, 33–50, and 51–89) crossed with gender and then further subdivided into several subsamples for purposes of reliability and validity assessment. In addition, a group of spouse key informants was also recruited. Preliminary validation of single-item indicators as well as confirmatory factor analyses of multi-item scales was achieved. The present findings support the psychometric and practical utility of the MHP-H and warrant its use by health psychologists in a variety of research and applied settings.     

Characteristics of Athletes’ Approach to the Question of Physical Health and Health Behaviors: Do Athletes Lead Healthy Lifestyles?

Athletes are people for whom physical health is a key value. Health promoting behaviors are an integral part of athletes’ success. The aim of this article is to identify health criteria and health-related behaviors among athletes and their determinants in terms of temperament and personality features. The concept of healthy lifestyle as understood by athletes and their most important health criteria were defined. Neuroticism and extraversion correlated with and were significant predictors of health behaviors; there were no significant relationships between health-promoting behaviors and temperament. Four groups of athletes, each characterized by a different approach to health, were identified. These groups were described with respect to various personality and temperamental determinants. Knowledge about the above-mentioned aspects of athletes’ performance can assist sport psychologists in providing athletes with more personalized support.     

A Systematic Review of the Biopsychosocial–Spiritual Health of Active Duty Women

Women make up approximately 15% of today’s active duty (AD) military. Not only are more women volunteering for military service now than ever before in America’s history, but due to recent policy changes, they are also allowed to apply for more jobs. Therefore, since the number of women in the military is continuing to rise and there are more job opportunities for women in the military, it is important to understand the unique health effects they experience that differ from civilian women and AD males. Although there is current literature on the biological, psychological, social, and spiritual health of veteran women, few researchers have explored the biopsychosocial–spiritual effects of military service on AD women. Thus, the purpose of this systematic review was to explore the existing research on the biopsychosocial–spiritual health factors associated with military service in AD women. The results of this study indicated that there is more data on the biological health compared to the psychological and social health of AD women. There is even less research demonstrating the interconnectedness among biological, psychological, social, and spiritual health with AD women. Future research recommendations and policy implications are provided.     

Does Lack of “Genetic-Relative Family Health History” Represent a Potentially Avoidable Health Disparity for Adoptees?

Many adoptees face a number of challenges relating to separation from biological parents during the adoption process, including issues concerning identity, intimacy, attachment, and trust, as well as (for older adopted children) language and other cultural challenges. One common health challenge faced by adoptees involves lack of access to genetic-relative family health history (GRFHx). Lack of GRFHx represents a disadvantage due to a reduced capacity to identify diseases and recommend appropriate screening for conditions for which the adopted person may be at increased risk. In this article, we draw out common features of traditionally understood “health disparities” in order to identify analogous features in the context of adoptees’ lack of GRFHx.     

Is Social Justice Relative When It Comes to Oral Health? The Realities of a Complex Health Issue

For decades pastoral theology has emphasized care for the whole person and, more recently, this focus has been expanded to include caring for the physical health of parishioners. However, an overlooked area of general fitness has been the importance of oral health. Dental caries and periodontal disease are among the most common chronic diseases that disproportionately affect the most vulnerable populations. Despite significant progress in preventing and managing these oral diseases, there is a large segment of the population that have not experienced the same gains. This paper seeks to begin to fill this gap by identifying key epidemiological, professional and ethical issues related to social justice and oral health. Disparities of oral disease and access to oral health care in the United States will be addressed by examining questions and issues related to social justice. Critical problems are identified, including inadequate financial resources, a disjointed infrastructure of care, separation from the general medical care system, and poor understanding of important oral health determinants. Furthermore, if oral health is integral to one’s overall health and general well-being, then the concept of a basic human right should be entertained. Faith-based groups could provide a link for bridging this disparity gap in oral health among their parishioners through active listening, advocacy and targeted educational programs.     

The Role of Existential Beliefs Within the Relation of Centenarians’ Health and Well-Being

The purpose of this study was to explore the role of existential beliefs in mediating the influence of health on centenarians’ well-being. A total of 80 centenarians (mean age 101.1; SD = 1.3; 81.3 % women) with no/minor cognitive impairment were included. The OARS questionnaire for diseases and functional capacity (ADL, IADL), the Satisfaction with Life Scale, and the existential beliefs subscale were used for data collection. The findings suggest that existential resources are a crucial element for mitigating the impact of health constraints in subjective well-being in this population. Appropriate models of intervention for very old age that recognize the importance of religion, spirituality, and meaning of life are to be considered.     

Concurrent Validity of the Multidimensional Health Profile—Health Functioning Scales (MHP-H) in the Pre-operative Assessment of Applicants for Gastric Bypass Surgery

The concurrent validity of a brief screening test, the Multidimensional Health Profile-Health Functioning (MHP-H) was examined in conjunction with a much more lengthy pre-operative assessment procedure in 449 applicants for gastric bypass surgery (GBS). The MHP-H is a 69-item screening inventory that assesses five areas of health functioning: Adult Health History, Health Habits, Health Care Utilization, Health Beliefs and Attitudes, and Response to Illness. The more lengthy procedure included a comprehensive 273-item structured interview plus the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), Basic Personality Inventory (BPI), and Beck Depression Inventory (BDI). The MHP-H showed significant correspondence with the more comprehensive assessment on measures of potential relevance to outcome in GBS, supporting the use of the MHP-H as a low-cost alternative to the more extensive procedure. The utility of the MHP-Psychosocial Functioning (MHP-P), a companion instrument to the MHP-H, was demonstrated in an earlier study.     

What is the Role of Culture in the Association of Relationships with Health?

There is now widespread recognition that relationships have important implications for health. To better understand this linkage, scholars have called for greater bridging between relationship science and the study of health. The goal of this paper is to raise awareness of another factor that needs to be incorporated into this area of study: culture. I recommend three steps that researchers can take to systematically incorporate culture into the study of relationships and health. First, I suggest four possible culture patterns to study: similarity, moderation, mediation, and novel constructs. Second, I suggest that theoretically meaningful cultural variation and multiple cultures be concurrently studied. The value of this strategy is highlighted via examples from three contexts that emphasize distinct approaches to self and emotion in relationships. Third, I suggest that key relationship processes in families and couples, two relationships with extensive implications for health, be studied. Selected studies of four relationship processes known to be relevant for health – expectations, formation and maintenance, emotions, and social support – are briefly reviewed to highlight the value of this focus. The theoretical and applied benefit of incorporating culture into the study of the association of relationships with health is discussed.     

Religion as Moderator of the Sense of Control–Health Connection: Gender Differences

ABSTRACT

Objectives. Sense of personal control is a key marker of successful aging, yet little is known about its relation to religiousness and personal adversity among older adults. This study investigated the relation between two different religious orientations, a church-centered religiousness and a non-church-based spiritual seeking, sense of control, physical health, and gender in late adulthood.

Methods. The participants consisted of a community sample of men and women (N = 156) in their late sixties and mid-seventies who were born in the San Francisco Bay Area. Three-way ANOVAs were used to test in separate analyses, the effects of religiousness and spiritual seeking on sense of control among men and women who were either in good or poor physical health.

Results. Both religiousness and spiritual seeking buffered women, but not men, against loss of sense of control due to poor physical health. The buffering effect of religiousness and spiritual seeking was associated with different psychological characteristics: high life satisfaction for religiousness and engagement in life review for spiritual seeking. For men, the absence of a buffering effect of either religiousness or spiritual seeking was associated with disengagement from involvement in daily activities.

Discussion. Our findings highlight (1) the importance of employing multidimensional models of religion in studying its effect on psychosocial functioning in late adulthood and (2) the possibility that men and women who are high in religiousness and spiritual seeking regulate their sense of control using different adaptive strategies.     

The Social Determinants of Health: Why Should We Care?

A growing body of empirical research examines the effects of the so-called “social determinants of health” (SDH) on health and health inequalities. Several high-profile publications have issued policy recommendations to reduce health inequalities based on a specific interpretation of this empirical research as well as a set of normative assumptions. This article questions the framework defined by these assumptions by focusing on two issues: first, the normative judgments about the (un)fairness of particular health inequalities; and second, the policy recommendations issued on this basis. We argue that the normative underpinnings of the approach are insufficiently supported and that the policy recommendations do not necessarily follow from the arguments provided. Furthermore, while many of the policies recommended—such as improving people's living conditions and reducing inequalities in wealth and power—are justified in their own right, the way these recommendations are tied to health is problematic.     

Rabbis and Health: A Half-Century Review of the Mental and Physical Health Care Literature:1950–1999

Electronic searches were conducted on PubMed and the American Psychological Association's database (PsycINFO) for articles that discussed the role of rabbis in relation to some aspect of healthcare. The two searches were conducted in each electronic database using the search-terms: (1) (rabbi OR rabbinical OR synagogue) OR (2) (Judaism OR Jewish) AND (clergy OR chaplain). Articles were classified by the year of their publication, professional discipline, type of journal (either religious or secular), and type of article: either research, or narrative and expositional. Rabbis were discussed most often in psychology, psychiatry, and behavior-related fields, and close to two-thirds of the articles dealt with mental health concerns. A statistically significant increase in articles across decades was found in the secular journals, r=.98, p≤.01, with over 70% of the articles about rabbis in the secular journals being published between 1980 and 1999. Many of the articles addressed collaboration between rabbis, psychiatrists, and other and mental health professionals and discussed previously identified themes related to professional collaboration and referral.     

Caregivers’ Level of Trust in Their Children's Health Care Providers

Trust in healthcare providers is associated with clinical outcomes among adult patients. Children with disabilities have complex health needs that place stress on caregivers. Consequently, they are increasingly likely to rely on their children's health care providers to ensure children's health care needs are met. However, no studies have explored factors affecting caregivers’ trust in their children's providers. We assessed caregivers’ trust in their children's providers and identified predictive factors of trust. The results indicate that children's disability condition, functional status, age, the providers’ specialty, and the type of health care plan are significant predicators of caregiver's trust. Specifically, caregivers of children with emotional/behavioral disabilities and children with poor physical or emotional/behavioral functioning reported less trust in their children's providers compared to caregivers of children without physical disabilities or no disability and those having higher levels of physical or emotional/behavioral functioning. In addition, caregivers of younger children had more trust compared to caregivers of older children. Caregivers of children enrolled in a managed care plan for physical health care reported less trust compared to caregivers of children in other organizational arrangements. Finally, caregivers reported more trust in physical health providers compared to mental health providers.