Citation Context

...rs, health promotion specialists have stressed the importance of multiple interventjons aimed both at individuals who are at health risk, and at risk-producing environments and policies (Milio, 1980; =-=McLeroy et al., 1988-=-; Pentz et al., 1989; Winett et al., 1989). The current emphasis on multiple interventions at multiple levels of the ‘social ecology’ is a response to the severity and complexity of chronic health con...

Citation Context

...environment. Economic forces, demographic features, and other structural aspects of society outside the individual’s control play an important role in epidemiological factors and individual behaviors =-=[25, 26]-=-, including sexual behaviors [27], transmission of STIs [25], and other health outcomes [28–34]. Community attributes—including poverty, rates of substance abuse, sex roles, norms for sexual behavior,...

Citation Context

...gree of pleasure, enjoyment or benefit. As one moves up the continuum of gambling risk, the negative outcomes begin to outweigh any potential benefits. As a result, adolescent gamblers begin to experience a wide array of impaired personal, health and social consequences. DETERMINANTS AND RISK FACTORS Problem gambling is governed by a complex set of interrelating factors, causes and determinants ranging from biology and family history to social norms and existing statutes. An ecological approach to health behaviour requires one to view gambling behaviour from multiple perspectives. Proposed by McLeroy et al. (1988), an ecological health promotion model focuses on addressing health behaviour from both an individual and socio-environmental level; strategies are directed at shifting intrapersonal, interpersonal, 70 C. Messerlian et al. Youth gambling problems: a public health perspective 71 institutional, community and public policy factors. It is the interplay of these five factors that determine one’s propensity to develop a gambling-related problem (Jacobs, 1986). An ecological perspective on gambling predicates moving beyond simply offering problem gamblers treatment and counselling; instead, intervent...

Citation Context

...lanning, educational efforts, and increased opportunities and encouragement for physical activity will serve to increase activity levels among youth populations [1, 5]. In keeping with this notion, several researchers are now advocating the use of social ecological models to understand and facilitate health behavior change [6, 7]. Specifically, social ecological models put forward the idea that multiple levels of factors influence health behaviors, and that multiple fields and sectors should work together to bring about desired population-level behavior change [6]. For example, McLeroy et al. [8] proposed five levels of factors in their ecological model (i.e., intrapersonal, interpersonal, organizational or institutional, community, and public policy), and Sallis et al. [7] describe how the perspectives of diverse disciplines can be valuable in creating active living communities. L. R. Potwarka (&) A. T. Kaczynski A. L. Flack Department of Recreation and Leisure Studies, University of Waterloo, Waterloo, ON, Canada N2L 3G1 e-mail: lrpotwar@ahsmail.uwaterloo.ca 123 J Community Health DOI 10.1007/s10900-008-9104-x In social ecological research on physical activity and obesity, the c...

Citation Context

... social ecological and political economy of health frameworks. These frameworks also generally informed the questions included in the focus group guides. For example, the social ecological framework (=-=McLeroy, Bibeau, Steckler, & Glanz, 1988-=-) recognizes that health behaviors are influenced at multiple levels: intrapersonal, interpersonal, organizational, community, and policy. Because these factors are seen to affect the decisions about ...

Citation Context

...ent with an ecological perspective, which suggests that efforts to promote health behavior can be enhanced by interventions that reflect the interplay of individual, system, and environmental factors =-=(59, 62, 63)-=-. Contextual, financial, organizational, and geographic factors should be considered, in addition to individual patient and provider factors. The strongest interventions addressed structural, economic...

Citation Context

...ong-term commitment to the initiative was apparent, partners began reflecting on a common purpose and operating principles. LA VIDA partners agreed to uphold a set of operating principles as follows: =-=(1)-=- mutual respect and equal participation among all partners, (2) recognition that all partners have knowledge and expertise to share, and (3) recognition that community-based efforts to prevent IPV req...