Health behaviour and health promotion in a public health psychology: theoretical issues and empirical findings
Saved in:
| Main Author: | |
|---|---|
| Format: | Thesis Book |
| Language: | English |
| Published: |
Frankfurt am Main [u.a.]
Lang
2001
|
| Series: | Europäische Hochschulschriften
Reihe 6, Psychologie ; 672 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | 239 S. graph. Darst. |
| ISBN: | 363137464X 0820453528 |
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| 245 | 1 | 0 | |a Health behaviour and health promotion in a public health psychology |b theoretical issues and empirical findings |c Thomas von Lengerke |
| 264 | 1 | |a Frankfurt am Main [u.a.] |b Lang |c 2001 | |
| 300 | |a 239 S. |b graph. Darst. | ||
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| 490 | 1 | |a Europäische Hochschulschriften : Reihe 6, Psychologie |v 672 | |
| 502 | |a Zugl.: Chemnitz, Techn. Univ., Diss., 2000 | ||
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| 650 | 7 | |a Medische psychologie |2 gtt | |
| 650 | 4 | |a Clinical health psychology | |
| 650 | 4 | |a Health behavior | |
| 650 | 4 | |a Health promotion | |
| 650 | 4 | |a Public health | |
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7
CONTENTS
List of Tables 9
List of Figures 12
Abstract / Kumusammenfassung 13
Introduction 15
1 Health behaviour 21
1.1 Theories of health behaviour and its modification in health psychology 22
1.2 Policy and environmental approaches to modifying health behaviour 28
1.3 Implications for a public health psychology: Contextual factors for behaviour. 30
2 Health promotion 35
2.1 Psychology and health promotion: Contemporary accounts 36
2.2 Citizen participation and healthy policy: Foci of health promotion 39
2.3 Implications for a public health psychology: Multilevel health promotion action .42
3 Implications for evaluation research 53
3.1 Evaluation practices in the promotion of health behaviour and health 54
3.2 Policy rationality and impact, co production of health, and policy perception 55
3.3 Implications fora public health psychology: On policy and population levels .60
4 Research questions 63
4.1 Health behaviour 66
4.1.1 Motivational support: Which role do policy related actors play? 66
4.1.2 Instrumental support: Do policy inducible opportunities matter? 69
4.2 Health promotion 71
4.2.1 Participation: An extended multilevel health promotion model? 71
4.2.2 Health promotion policy: Specific determinants of policy impact? 74
4.3 Policy evaluation 77
4.3.1 Rationality and impact: Parallel policy and population views? 77
4.3.2 Policies as units of observations: A rationale for policy evaluation? 78
5 Methods and data 81
5.1 Policymaker survey 81
5.1.1 Survey method 82
5.1.2 Questionnaire development and overview 82
8
5.1.3 Sampling and realisation 84
5.1.4 Sample description 88
5.1.5 Operationalisation and measures 90
5.2 Population survey 92
5.2.1 Survey method 92
5.2.2 Interview schedule development and overview 93
5.2.3 Sampling and realisation 94
5.2.4 Sample description 98
5.2.5 Operationalisation and measures 98
6 Results 105
6.1 Health behaviour 105
6.1.1 Motivational support: Contrasting actors and their contributions m
6.1.2 Instrumental support: Contrasting contributions of opportunities 130
6.1.3 Contrasting motivational and instrumental support's contributions 136
6.2 Health promotion 139
6.2.1 Determinants of participation: Values, competence—and support 139
6.2.2 Participation and health: Behavioural patterns and political efficacy 148
6.2.3 Health promotion policies: Contrasting determinants of their impact 158
6.3 Policy evaluation 163
6.3.1 Parallel policymaker and population views I: Behaviour modification. 163
6.3.2 Parallel policymaker and population views II: Perception of outcome. 167
6.3.3 Policies as units of observations: Associations of behaviour prevalences. 170
7 Discussion 177
7.1 Contextual factors and policy support for health behaviours 180
7.2 Multilevel health promotion action, health, and policy impact 183
7.3 Intervention rationality, policy perception, and national policies 188
8 Conclusions 195
Epilogue 201
Refefonces 203
Appendix: Additional tables 233
1 9
List of Tables
Table 1.1.1: Classification of social relationships, and status of social support 24
Table 2.3.1: Predisposing conditions and barriers for citizen participation and
healthy public policy 51
Table 4.1: Classification of disease prevention and health promotion policies, and
related behaviours 63
Table 4.1.1.1: Dimensions of social support: State of the art, and foci / conceptual
extension in present study 67
Table 4.3.2.1: National policies as units of observations 79
Table 5.1.2.1: Overview of the policymaker questionnaire content 84
Table 5.1.3.1: Heuristic sampling scheme for policymaker survey 85
Table 5.1.4.1: Description of the MAREPS policymaker survey sample 89
Table 5.1.5.1: Measures from the MAREPS policymaker survey employed
in the present study 91
Table 5.2.2.1: Overview of the population interview schedule content 95
Table 5.2.4.1: Description of the MAREPS population survey sample 99
Table 5.2.5.1: Measures from the MAREPS population survey employed
in the present study 100
Table 6.1.1: Frequency of mammography for early detection of breast cancer for
women aged 35 or older 106
Table 6.1.2: Frequency of mammography for early detection of breast cancer for
women aged 50 69 106
Table 6.1.3: Frequency of manual breast examination by health professionals (pal¬
pation) for early detection of breast cancer for women aged 18 or older. 107
Table 6.1.4: Frequency of breast self examination for early detection of breast
cancer for women aged 18 or older 107
Table 6.1.5: Distribution of smoking behaviour 108
Table 6.1.6: Distribution of physical activity 109
Table 6.1.7: Political participation scale: Items, internal consistency, corrected item
total correlations (rcu), and internal validity of items (ra) 110
Table 6.1.8: Association between two indices of political participation 110
Table 6.1.9: Distribution of political participation for creating healthy living
and working conditions 111
Table 6.1.1.1: Rotated component matrix from principal component analysis of
motivational support items for early detection of breast cancer 112
Table 6.1.1.2: Rotated component matrix from principal component analysis of
motivational support items for not smoking 113
Table 6.1.1.3: Rotated component matrix from principal component analysis of
motivational support items for physical activity 113
Table 6.1.1.4: Rotated component matrix from principal component analysis of
motivational support items for political participation in improving
one's living and working conditions 114
; Table 6.1.1.5: Internal consistencies of motivational social support scales, and their
j intercorrelations within behavioural domains 114
10
Table 6.1.1.6: Differences in motivational social support sources across behavioural
domains (women) 117
Table 6.1.1.7: Differences in motivational social support sources across behavioural
domains (men) 118
Table 6.1.1.8: Differences in motivational social support by different sources within
behavioural domains (women) 119
Table 6.1.1.9: Differences in motivational social support by different sources within
behavioural domains (men) 120
Table 6.1.1.10: Mammography screening in terms of having at least had a baseline
mammography for women aged 35 or older regressed on nation, socio
demographics, and motivational support from different sources 121
Table 6.1.1.11: Mammography screening in terms of having a mammography at
least every 2 years for women aged SO to 69 regressed on nation,
socio demographics, and motivational support from different sources. .122
Table 6.1.1.12: Early detection of breast cancer in terms of having a palpation at least
once a year for women aged 18 regressed on nation, socio demographics,
and motivational support from different sources 122
Table 6.1.1.13: Early detection of breast cancer in terms of conducting a breast self exami¬
nation at least monthly for women aged 18 or older regressed on nation
socio demographics, and motivational support from different sources 123
Table 6.1.1.14: Non smoking regressed on nation, socio demographics, and
motivational support from different sources 124
Table 6.1.1.15: Ex smoking regressed on nation, socio demographics, and motivational
support from different sources 124
Table 6.1.1.16: Physical activity (yes/no) regressed on nation, socio demographics, and
motivational support from different sources 125
Table 6.1.1.17: Moderate (vs. vigorous) physical activity regressed on nation, socio
demographics, and motivational support from different sources 125
Table 6.1.1.18: Political participation (dichotomous criterion) regressed on nation,
socio demographics, and motivational support from different sources. .127
Table 6.1.1.19: Political participation (scale) regressed on nation, socio demographics,
and motivational support from different sources 127
Table 6.1.1.20: Summary table of hierarchical regression analyses for behaviours
regressed on motivational social support from different sources 128
Table 6.1.2.1: Behavioural indices for early detection of breast cancer regressed on na¬
tion, socio demographics, and instrumental policy support / opportunities. 130
Table 6.1.2.2: Smoking behaviour indices regressed on nation, socio demographics,
and instrumental policy support / opportunities 132
Table 6.1.2.3: Physical activity indices regressed on nation, socio demographics, and
instrumental policy support / opportunities 133
Table 6.1.2.4: Political participation indices regressed on nation, socio demographics,
and instrumental policy support / opportunities 134
Table 6.1.2.5: Summary table of hierarchical regression analyses for behavioural indi¬
ces regressed on instrumental social support in terms of opportunities 135
Table 6.1.3.1: Overview of types of social support covered in the study 136
Table 6.1.3.2: Associations of different types of social support parameters within
behavioural domains 136
Table 6.1.3.3: Overview of specific contributions of motivational and instrumental
social support parameters to behaviours (nation, gender, age, education,
and income controlled for in precedent steps) 138
11
Table 6.1.3.4: Summary table of hierarchical regression analyses for behaviours
regressed on different types of social support 139
Table 6.2.1.1: Principal component analysis of 10 items indicating theoretical
determinants of political participation in health promotion 140
Table 6.2.1.2: Political participation scale regressed on nation, socio demographics,
values, competence, instrumental policy support / opportunities, and
interactions 141
Table 6.2.1.3: Political participation regressed on nation, socio demographics, values,
competence, motivational support by personal environment, and
interactions 144
Table 6.2.1.4: Political participation regressed on nation, socio demographics, values,
competence, motivational support by policy system environment, and
interactions 144
Table 6.2.1.5: Political participation regressed on nation, socio demographics, values,
competence, instrumental policy support/opportunities, and motiva¬
tional support by personal and policy system environments 147
Table 6.2.2.1: Associations of political participation with behaviours from other
domains 148
Table 6.2.2.2: Self rated health by political participation and smoking:
analysis of variance 150
Table 6.2.2.3: Self rated health by political participation and physical activity:
analysis of variance 151
Table 6.2.2.4: Self rated health by political participation and political efficacy:
analysis of variance 152
Table 6.2.2.5: Self rated health by political participation, smoking, and
political efficacy: analysis of variance 154
Table 6.2.2.6: Self rated health by political participation, physical activity, and
political efficacy: analysis of variance 156
Table 6.2.3.1: Principal component analysis of 20 items indicating determinants
of health promotion policy impact (a) and 4 items indicating health
promotion policy impact (b) 159
Table 6.2.3.2: Simple slopes for policy determinants as regressors of policy impact
for four different policies 161
Table 6.3.1.1: Principal component analyses of policy behaviour modification
rationality items 163
Table 6.3.1.2: Behaviour modification: educational and psycho social orientations of
policymakers involved in four different policies (analysis of variance). 165
Table 6.3.1.3: Behaviour modification: educational and psycho social orientation of
population survey respondents with different policy priorities
(analysis of variance) 166
Table 6.3.2.1: Policy impact: output and outcome of four different policies as rated
by involved policymakers (analysis of variance) 169
Table 6.3.2.2: Policy impact: information on and appraisal of four different policies
by population survey respondents (analysis of variance) 170
Table 6.3.3.1: Associations of educational and psycho social orientations in national
policies with behavioural prevalence of policy specific behaviours 172
Table 6.3.3.2: Associations between individual behaviours with information about
policy related programs and appraisals of policy effectiveness 173
Table 6.3.3.3: Associations of information on and appraisal of policies with
prevalences of policy specific behaviours 175
12
List of Figures
Figure 1.3.1: Contextual factors for health behaviours 34
Figure 4.2.1.1: A multilevel health promotion model 72
Figure 4.2.2.1: A logical model of policy impact 75
Figure 6.1.1.1: Means for motivational support from different sources (women) 115
Figure 6.1.1.2: Means for motivational support from different sources (men) 115
Figure 6.2.1.1: Three way interaction values x competence x instrumental policy
support / opportunities. Dependent: political participation 142
Figure 6.2.1.2: Three way interaction values x competence x motivational support by
personal environment. Dependent: political participation 145
Figure 6.2.1.3: Three way interaction values x competence x motivational support by
policy environments. Dependent: political participation 146
Figure 6.2.2.1: Proportions of positive health self ratings by political participation
and smoking 150
Figure 6.2.2.2: Proportions of positive health self ratings by political participation
and physical activity 151
Figure 6.2.2.3: Proportions of positive health self ratings by political participation
and political efficacy 152
Figure 6.2.2.4: Proportions of positive health self ratings by political participation
and smoking for people with low vs. high political efficacy 155
Figure 6.2.2.5: Proportions of positive health self ratings by political participation
and physical activity for people with low vs. high political efficacy 157
Figure 6.3.1.1: Behaviour modification rationales rated by policymakers involved in
one of four policies and population with different policy priorities 165
Figure 6.3.2.1: Policy impact rated by policymakers involved in one of four policies
and policy perception by population respondents with different policy
priorities 169
Figure 6.3.3.1: Behavioural prevalences by aggregated educational orientation of
policymakers 171
Figure 6.3.3.2: Behavioural prevalences by aggregated psycho social orientation of
policymakers 171
Figure 6.3.3.3: Behavioural prevalences by aggregated policy information in population. 174
Figure 6.3.3.4: Behavioural prevalences by aggregated policy appraisal in population. 174 |
| any_adam_object | 1 |
| author | Lengerke, Thomas von 1966- |
| author_GND | (DE-588)122612523 |
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| dewey-full | 613 |
| dewey-hundreds | 600 - Technology (Applied sciences) |
| dewey-ones | 613 - Personal health & safety |
| dewey-raw | 613 |
| dewey-search | 613 |
| dewey-sort | 3613 |
| dewey-tens | 610 - Medicine and health |
| discipline | Psychologie Wirtschaftswissenschaften Medizin |
| format | Thesis Book |
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| series | Europäische Hochschulschriften |
| series2 | Europäische Hochschulschriften : Reihe 6, Psychologie |
| spelling | Lengerke, Thomas von 1966- Verfasser (DE-588)122612523 aut Health behaviour and health promotion in a public health psychology theoretical issues and empirical findings Thomas von Lengerke Frankfurt am Main [u.a.] Lang 2001 239 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Europäische Hochschulschriften : Reihe 6, Psychologie 672 Zugl.: Chemnitz, Techn. Univ., Diss., 2000 Gedrag gtt Gezondheidsvoorlichting en -opvoeding gtt Medische psychologie gtt Clinical health psychology Health behavior Health promotion Public health Gesundheitsförderung (DE-588)4294611-6 gnd rswk-swf Gesundheitspolitik (DE-588)4113743-7 gnd rswk-swf Westeuropa (DE-588)4079215-8 gnd rswk-swf (DE-588)4113937-9 Hochschulschrift gnd-content Westeuropa (DE-588)4079215-8 g Gesundheitspolitik (DE-588)4113743-7 s Gesundheitsförderung (DE-588)4294611-6 s DE-604 Europäische Hochschulschriften Reihe 6, Psychologie ; 672 (DE-604)BV005881557 672 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009259522&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Lengerke, Thomas von 1966- Health behaviour and health promotion in a public health psychology theoretical issues and empirical findings Europäische Hochschulschriften Gedrag gtt Gezondheidsvoorlichting en -opvoeding gtt Medische psychologie gtt Clinical health psychology Health behavior Health promotion Public health Gesundheitsförderung (DE-588)4294611-6 gnd Gesundheitspolitik (DE-588)4113743-7 gnd |
| subject_GND | (DE-588)4294611-6 (DE-588)4113743-7 (DE-588)4079215-8 (DE-588)4113937-9 |
| title | Health behaviour and health promotion in a public health psychology theoretical issues and empirical findings |
| title_auth | Health behaviour and health promotion in a public health psychology theoretical issues and empirical findings |
| title_exact_search | Health behaviour and health promotion in a public health psychology theoretical issues and empirical findings |
| title_full | Health behaviour and health promotion in a public health psychology theoretical issues and empirical findings Thomas von Lengerke |
| title_fullStr | Health behaviour and health promotion in a public health psychology theoretical issues and empirical findings Thomas von Lengerke |
| title_full_unstemmed | Health behaviour and health promotion in a public health psychology theoretical issues and empirical findings Thomas von Lengerke |
| title_short | Health behaviour and health promotion in a public health psychology |
| title_sort | health behaviour and health promotion in a public health psychology theoretical issues and empirical findings |
| title_sub | theoretical issues and empirical findings |
| topic | Gedrag gtt Gezondheidsvoorlichting en -opvoeding gtt Medische psychologie gtt Clinical health psychology Health behavior Health promotion Public health Gesundheitsförderung (DE-588)4294611-6 gnd Gesundheitspolitik (DE-588)4113743-7 gnd |
| topic_facet | Gedrag Gezondheidsvoorlichting en -opvoeding Medische psychologie Clinical health psychology Health behavior Health promotion Public health Gesundheitsförderung Gesundheitspolitik Westeuropa Hochschulschrift |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009259522&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| volume_link | (DE-604)BV005881557 |
| work_keys_str_mv | AT lengerkethomasvon healthbehaviourandhealthpromotioninapublichealthpsychologytheoreticalissuesandempiricalfindings |