Health promotion in the city: A structured review of the literature on interventions to prevent heart disease, substance abuse, violence and HIV infection in us metropolitan areas, 1980–1995
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
To achieve its national public health goals, the US must improve the health of low-income urban populations. To contribute to this process, this study reviewed published reports of health promotion interventions designed to prevent heart disease, HIV infection, substance abuse, and violence in US cities. The study's objectives were to describe the target populations, settings, and program characteristics of these interventions and to assess the extent to which these programs followed accepted principles for health promotion. Investigators searched five computerized databases and references of selected articles for articles published in peer-reviewed journals between 1980 and 1995. Selected articles listed as a main goal primary prevention of one of four index conditions; were carried out within a US city; included sufficient information to characterize the intervention; and organized at least 25% of its activities within a community setting. In general, programs reached a diverse population of low-income city residents in a variety of settings, employed multiple strategies, and recognized at least some of the principles of effective health promotion. Most programs reported a systematic evaluation. However, many programs did not involve participants in planning, intervene to change underlying social causes, last more than a year, or tailor for the subpopulations they targeted, limiting their potential effectiveness. Few programs addressed the unique characteristics of urban communities.
- US Bureau of the Census.Statistical Abstract of the United States 1995. 115th edition. Washington, DC: GPO; 1995.
- Ginzberg E. The changing urban scene: 1960–1990 and beyond. In Cisneros H, ed.Interwoven Destinies: Cities and the Nation. New York: Norton and Company; 1993:33–47.
- Holmberg SD. The estimated prevalence and incidence of HIV in 96 large US metropolitan areas.Am J Public Health. 1996;86:642–654.
- Andrulis D, Ginsberg C, Shaw-Taylor Y, Martin V.Urban Social Health: a Chartbook Profiling the Nation's 100 Largest Cities. Washington, DC: National Public Health and Hospitals Institute; 1995.
- Currie E.Reckoning: Drugs, the Cities and the American Future. New York: Hill and Wang; York, 1993.
- Smith GD, Neaton JD, Wentworth D, Stamler R, Stamler, J. Socioeconomic differentials in mortality risk among men screened for the Multiple Risk Factor Intervention Trial: I. White men.Am J Public Health. 1996;86:486–496.
- Crain E, Weiss KB, Bijur PE, Hersh M, Westbrook L, Stein REK. An estimate of the prevalence of asthma and wheezing among inner-city children.Pediatrics. 1994;94:356–362.
- McCord C, Freeman H. Excess mortality in Harlem.N Engl J Med. 1990;322:173–178.
- Friedman LN, Williams MT, Singh TP, Frieden TR. Tuberculosis, AIDS and death among substance abusers on welfare in New York City.N Engl J Med. 1996;334:828–833.
- Hibbs JR, Benner L, Klugman L, et al. Mortality in a cohort of homeless adults in Philadelphia.N Engl J Med. 1994;331:304–309. CrossRef
- Pappas G, Queen S, Had W, Fisher G. The increasing disparity in mortality between socioeconomic groups in the United States, 1960 and 1986 [erratumN Engl J Med 1993; 329:1139].N Engl J Med. 1993;329:103–109. CrossRef
- Gornick ME, Eggers PW, Reilly TW, et al. Effects of race and income on mortality and use of services among Medicare beneficiaries.N Engl J Med. 1996;335:791–799. CrossRef
- Geronimus AT, Bound J, Waidman TA, et al. Excess mortality among blacks and whites in the United States.N Engl J Med. 1996;335:1552–1558. CrossRef
- US Department of Health and Human Services.Healthy People 2010. National Health Promotion and Disease Prevention Objectives. Conference ed. Washington, DC: US Department of Health and Human Services; 2000.
- Brownson RC, Newschaffer CJ, Ali-Abarghoui F. Policy research for disease prevention: challenges and practical recommendations.Am J Public Health. 1997;87:735–739.
- Goumans M, Springett J. From projects to policy: “Healthy Cities” as a mechanism for policy change for health?Health Promot Int. 1997;12:311–322. CrossRef
- Freudenberg N, Eng E, Flay B, Parcel G, Rogers T, Wallerstein N. Strengthening individual and community capacity to prevent disease and proimote health: in search of relevant theories and principles.Health Educ Q. 1995;22:290–306.
- Glanz K, Lewis FM, Rimer BK.Health Behavior and Health Education Theory, Research and Practice. 2nd ed. San Francisco, CA: Jossey Bass; 1997;3–36.
- Steckler A, Allegrante J, Altman D, et al. Health education intervention strategies: recommendations for future research.Health Educ Q. 1995;22:307–328.
- Green LW, Reuter MW.Health Promotion Planning: an Educational and Environmental Approach.3rd ed. Mountain View, CA: Mayfield 1999.
- Bracht N, ed.,Health Promotion at the Community Level. Newbury Park, CA: Sage; 1990.
- Cisneros H, ed.Interwoven Destinies: Cities and the Nation. New York: Norton and Company; 1993:17–29.
- Lyon P.The Community in Urban Society. Philadelphia, PA: Temple University Press; 1987.
- Wilson WJ.When Work Disappears: the World of the New Urban Poor. New York: Knopf; 1996.
- Kozol J.Amazing Grace: the Lives of Children and the Conscience of a Nation. New York: Crown; 1995.
- Stokols D. Establishing and maintaining health environments: towards a social ecology of health promotion.Am Psychol. 1992;47:6–22. CrossRef
- McLeroy KR, Steckler AB, Simons-Morton B, Goodman RM, Gottlieb N, Burdine JN. Social science theory in health education: time for a new model?Health Educ Res. 1993; 8:305–312.
- McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs.Health Educ Q. 1988;15:351–377.
- Flay BR, Petraitis J. The theory of triadic influence: a new theory of health behavior with implications for preventive interventions.Adv Med Sociol. 1994;4:19–44.
- Des Jarlais D, Padian N, Winkelstein W. Targeted and universal strategies for preventing HIV transmission.N Engl J Med. 1994;331:1452–1453.
- Freudenberg N, Zimmermann M. The lessons of AIDS prevention for public health practice. In: Freudenberg N, Zimmermann M, eds.AIDS Prevention in the Community: Lessons from the First Decade. Washington, DC: American Public Health Association; 1995:183–197.
- Freudenberg N. Community-based health education for urban populations: an overview.Health Educ Behav. 1998;25:11–23.
- Green LW. Health education's contributions to public health in the 20th century: a glimpse through health promotion's rear-view window.Ann Rev Public Health. 1999; 20:67–88. CrossRef
- Rotherman-Borus MJ, Koopman C, Haignere, C, Davies M. Reducing HIV risk behaviors among runaway adolescents.JAMA. 1991;266:1237–1241.
- Schorr LB.Common Purpose Strengthening Families and Neighborhoods to Rebuild America. New York: Anchor Books; 1997.
- Israel B, Schulz AJ, Parker EA, Becker AB. Review of community-based research: assessing partnership approaches to improve public health.Ann Rev Public Health. 1998;19:173–202. CrossRef
- Standards of Reporting Trial Group. A proposal for structural reporting of randomized clinical trials.JAMA. 1994;272:1926–1931.
- Health promotion in the city: A structured review of the literature on interventions to prevent heart disease, substance abuse, violence and HIV infection in us metropolitan areas, 1980–1995
Journal of Urban Health
Volume 77, Issue 3 , pp 443-457
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Health Promotion
- Heart Disease
- Substance Abuse
- Urban Health
- Author Affiliations
- 1. Hunter College, Program in Urban Public Health, 425 East 25th Street, 10010, New York, NY
- 2. Health Research Program Robert Wagner School of Public Policy, New York University, New York City
- 3. Hunter College Center on AIDS, Drugs and Community Health, New York City
- 4. Center on Occupational and Environmental Health at Hunter College, New York City