Changing the Tide: An Internet/Video Exercise and Low Fat Diet Intervention with Middle School Students

The rising tide of obesity erodes the health of youths and many times results in adult obesity. The purpose of this investigation was to examine the effectiveness of an eight-session health promotion/transtheoretical model Internet/video-delivered intervention to increase physical activity and reduce dietary fat among low-income, culturally diverse, seventh-grade students. Those who completed more than half the sessions increased exercise, t(103) = −1.99, p = .05, and decreased the percentage of dietary fat, t(87) = 2.73, p = .008. Responses to the intervention by stage of change, race, and income are examined

Market Integration and Public Services in the European Union – Edited by M. Cremona

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/91174/1/j.1468-5965.2012.02247_2.x.pd

The future of Obamacare

The United States, among democracies, was late in establishing universal health care for the same reason that the health care it has established, the Affordable Care Act (aka Obamacare or ACA) is wildly complex by the standards of most health systems. The basic problem is that the United States has a deliberately fragmented and fragmenting political system, rife with “veto players” who can change or frustrate legislation. It is far easier to block legislation in the United States than in other rich democracies. As a result health legislation in the United States is rarer, far more complex and full of the compromises needed to get anything passed

Comorbidities and Race/Ethnicity Among Adults with Stimulant Use Disorders in Residential Treatment

Comorbid physical and mental health problems are associated with poorer substance abuse treatment outcomes; however, little is known about these conditions among stimulant abusers at treatment entry. This study compared racial and ethnic groups on baseline measures of drug use patterns, comorbid physical and mental health disorders, quality of life, and daily functioning among cocaine and stimulant abusing/dependent patients. Baseline data from a multi-site randomized clinical trial of vigorous exercise as a treatment strategy for a diverse population of stimulant abusers (N = 290) were analyzed. Significant differences between groups were found on drug use characteristics, stimulant use disorders, and comorbid mental and physical health conditions. Findings highlight the importance of integrating health and mental health services into substance abuse treatment and could help identify potential areas for intervention to improve treatment outcomes for racial and ethnic minority groups

Rules for Rights: E uropean Law, Health Care and Social Citizenship

Social citizenship is about equality. The obvious problem for E uropean social citizenship in a very diverse U nion is that Member States will not be able or willing to bear the cost of establishing equal rights to health care and similar aspects of social citizenship. Health care is a particularly good case of this tension between EU citizenship and M ember S tate diversity. The E uropean C ourt of J ustice ( ECJ ) strengthened the right to health care in other Member States, but this cannot create an equal right to health care when Member States are so different. In its efforts to balance a E uropean right, the C ourt has formulated ‘rules for rights’—not so much European social citizenship rights, as a set of legal principles by which it judges the decisions of the M ember S tates.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/102057/1/eulj12036.pd