This paper examines factors which may influence successful preventive health education for all persons and especially poor persons. The discussion is organized within a tramework which includes cognitive factors, affective factors and skills. Types of health information and methods for information dissemination are discussed within the cognitive area. The discussion of emotional responses to preventive care examines organizational and individual factors which may be related to utilization. Finally, specific skills which enable an individual to utilize services are defined. Within each section a general presentation is followed by a discussion of implications for poor populations.
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References
1.
Olsen DM, Kane RL, Proctor PH A controlled trial of multiphasic screeningNew Engl J Med294:925-930, 1976
2.
Kegeles SS, Kirscht JP, Haefner DP, Rosenstock IM Survey of beliefs about cancer detection and taking papanicolaou testsPublic Health Rep80:815-823, 1966.
3.
Nolan RL, Schwartz JL, Simonian K.: Social class differences in utilization of pediatric services in a prepaid direct service medical care programAm J Public Health57:34-47, 1967
4.
Bullough B.Poverty, ethnic idency and preventive careJ Health Soc Behav23: 347-358, 1972
5.
Fink R., Shapiro S., Roester R.: Impact of efforts to increase participation in repetitive screenings for early breast cancer detectionAm J Public Health62:328-336, 1972
6.
Greenlick MR , Freeborn DK, Columbo TJ, Prussin JA, Saward EW: Comparing the use of medical care services by a medically indigent and a general membership population in a comprehensive prepaid group practice programMed Care10:187-200, 1972
7.
Coburn D., Pope CRSocioeconomic status and preventive health behaviorJ Health Soc Behav15:67-78, 1974.
8.
Slessinger DP , Tessler RC, Mechanic D.: The effects of social characteristics on the utilization of preventive medical services in contrasting health care programs. Med Care14:392-404, 1976
9.
Comptroller General, Report to the Congress of the United States: Are Neighborhood Health Centers Providing Services Etticiently and to the Most Needy? (Government Printing Office, HRD 77-124, June 20, 1978)
10.
Antonovsky A., Katz R.: The model dental patient, An empirical study of preventive health behaviorSoc Sci Med4:370-380, 1970
11.
Markland RE , Durand DEAn investigation of socio-psychological factors affecting infant immunizationsAm J Public Health66:168-169, 1976
12.
Cornely PB, Bigman SKSome considerattons in changing health attitudesChildren10:23-28, 1963
13.
Perkins MR: Does availability of health services ensure their use? Nurs Outlook22:496-498, 1974
14.
Rogers EM, Shoemaker FFCommunication ot Innovations: A Cross Cultural Approach. New York, The Free Press, 1971
15.
Robertson LS , Kelley AB, O'Neill B., Wixon CW, Eiswirth RS, Haddon W.A controlled study of the effect of television messages on safety belt use. Am J Public Health64:1071-1080, 1974
16.
Rosenstock IMWhy people use health services. Milbank Mem Fund Q44:94-127, 1966.
17.
Becker MH, Haefner DP, Kasl SV, Kirscht JP, Maimon LA, Rosenstock IM: Selected psychosocial models and correlates of individual health-related behaviors . Med Care15:27-46, 1977.
18.
Higbee KL: Fifteen years of fear arousal: Research on threat appeals: 1953-1968. Psych Bull72:426-444, 1969
19.
Leventhal H., Singer R., Jones S.: Effect of fear and specificity of recommendations upon attitudes and behaviorJ Pers Soc Psych2:20-29, 1965
20.
Leventhal H., Jones S., Trembley G.: Sex differences in attitude and behavior change under conditions of fear and specific instructionsJ Exper Soc Psych2:387-399, 1966.
21.
Leventhal H., Singer RPAffect arousal and position of recommendations in persuasive communicationsJ Pers Soc Psych3:137-146, 1966
22.
Luft HSWhy do HMO's seem to provide more health maintenance services. Milbank Mem Fund Q56:140-168, 1978
23.
Coulehan JL: Screening yield in an urban low income practiceAm J Public Health65:474-479, 1975.
24.
Rountree P., Frasier TS Multiphasic Screening in an indigent populationJ Arkansas Med Soc72:128-129, 1975
25.
Suchman EA: Social factors in medical deprivationAM J Public Health55:1725-1733, 1965.
26.
Hingson R., Lin N., Hingson RA: Achieving higher immunization receptivityPublic Health Rev6:93-117, 1977
27.
Langlie JK: Social networks, health beliefs and preventive health behaviorJ Health Soc Behav18:224-260, 1977
28.
Stewart JC, Crafton LLDelivery of Health Care Services to the Poor: Findings From a Review of the Current Periodical Literature. University of Texas at Austin , Center For Social Work Research, 1975
29.
Warneke R., Graham S., Montgomery E., Shotz W.: Contact with health guides and use of health services among blacks inBuffalo Public Health Rep90:213-230, 1975
30.
Columbo TJ, Freeborn DK, Mullooley JP, Burnham VR The effect of outreach worker's educational efforts on disadvantaged pre-school children's use of preventive services. AM J Public Health69:465-468, 1979.
31.
Lipowski ZT: Physical illness, the patient and his environment Psychosocial foundations of medicine. In S Arieti (Ed), American Handbook of Psychiatry (Vol IV, 2nd edition). New York, Basic Books, 1974-75
32.
Rosenstock IM : The health belief model and preventive helath behavior In MH Becker (ED), The Health Beliet Model and Personal Health Behavior. New Jersey, Charles B. Slack Inc, 1974.
33.
Becker MH, Kaback MM, Rosenstock IM, Ruth MV Some influences on public participation in a genetic screening programJ Community Health1:3-14, 1975
34.
Levental H. : Niles P.: A field experiment on fear arousal with data on the validity of questionaire measures. J Personality32: 459-479, 1964
35.
Leventhal H.Changing attitudes and habits to reduce risk factors in chronic diseaseAM J Cardiology31:571-580, 1973
36.
Korsch BM, Gozzi EK, Francis V.: Gaps in doctor-patient communication doctor-patient interaction and patient satisfactionPediatrics42:855-871, 1968
37.
Francis V., Korsch BM, Morris MJGaps in doctor-patient communication, patients response to medical adviceNew Engl J Med280:535-540, 1969
38.
Glogon E.Effects of health education methods on appointment breakingPublic Health Rep85:441-449, 1970
39.
Talkington DR: Maximiaing patient compliance by shaping attitudes of self-directed health care. J Fam Pract6:591-596, 1978
40.
Werner A., Schneider JM: Teaching medical students interactional skills, A research based course in the doctor-patient relationship. New Engl J Med290:1232-1237
41.
Bunning RL: Human relations training for medical technology studentsAM J Med Tech34:276-279, 1977
42.
Jackson E.: Convergent evidence for the effectiveness of interpersonal skill training for dental students. J Dent Educ42:517-523, 1978
43.
Kahn G., Cohen B., Jason H.: Teaching interpersonal skills in family practice, results of a national surveyJ Fam Pract8:309-316, 1979
44.
Robbins AS, Heinrich R., Abrass I., Kauss DR, Tamkin JA: Teaching interpersonal skills in a medical residency training program. J Med Educ53:988-990, 1978.
45.
Becker MH, Drachman RH, Kirscht JPContinuity of pediatrician: New support for an old shibbolethJ Pediatrics84:599-605, 1974.
46.
Parcel GS: Skills approach to health education: A framework for integrating cognitive and affective learningJ Sch Health46:403-406, 1976
47.
Jaccard J.: A theoretical analysis of selected factors important to health education strategiesHealth Educ Mongr3:152-167, 1975
48.
Berkanovic E. : Behavioral science and preventionPreventive Med5:92-105, 1976.
49.
Gurin G., Veroff J., Feld S.: Americans View Their Mental Health. New York, Basic Books Inc., 1960.
50.
Seeman M., Evans JwlAlienation and learning in a hospital settingAm Soc Rev27772-783, 1962 .
51.
Phares EJ, Ritchie DE, Davis WLInternal-external control and reaction to threat. J Pers Soc Psych10:402-405, 1968
52.
Battle E., Rotter JB Children's feelings of personal control as related to social class and ethnic groupJ Personality31:482-490, 1963
53.
Lefcourt HMInternal vs external control of reinforcement, a review. Psych Bull65:200-220, 1966
54.
Spiegel CH, Lindaman FCChildren can't fly. A program to prevent childhood morbidity and morality from window fallsAm J Public Health67:1143-1147, 1977
55.
Carkhuff RRHelping and Human Relations (Vols I & II) New York , Holt, Rinehart and Winston, Inc, 1969
