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Public Health Behaviour-Change Intervention Model for Jamaicans: Charting the Way Forward in Public Health

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Author(s): Paul Andrew Bourne

Journal: Asian Journal of Medical Sciences
ISSN 2040-8765

Volume: 2;
Issue: 2;
Start page: 56;
Date: 2010;
Original page

Keywords: Public health | behavior change | health education | Jamaica

ABSTRACT
Health education and health promotion are driven based on understanding lifestyle practices of apopulation. The aims of the study are to construct health care demand and health promotion models, which areappropriate to the Jamaican population, and to determine the predictors of health care demand. The currentresearch extracted a sub-sample of 16,619 respondents from the survey, the Jamaica Survey of LivingConditions (JSLC), based on those who indicated having sought medical care in Jamaica. The sub-sample wastaken from a nationally cross-sectional survey of 25,018 respondents from the 14 parishes in Jamaica. It wasadministered by the Planning Institute of Jamaica and the Statistical Institute of Jamaica between July andOctober 2002. A self-administered questionnaire was used to collect the data. Majority of the respondents didnot have private health insurance coverage (88.2%); 53.6% had a partner; and 35.2% were poor; 50.4% had atmost primary level education. The predictors of health care demand are: health care demand in previousperiod (t-1) (OR = 0.049); illness (OR = 10.338); injury (OR = 2.370); social class (middle class: OR = 1.135;wealthy: OR = 1.394); per capita consumption (OR = 1.099); union status (OR = 0.845); gender (OR = 2.221);private health insurance coverage (OR = 1.942); age (OR = 1.022) and educational attainment ofrespondents (OR = 1.315). This study can be used to model critical health promotion emphasis in Jamaica, andany other country with similar socio-demographic and political characteristics.
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