Carey M I
Public Health Rep. 1984 Nov-Dec;99(6):614-20.
Health promoters in the United States need to address the challenge of reducing health risks in young adults. The conditions that lead to the largest percentages of early disabilities and deaths are related to lifestyle characteristics. As health care costs continue spiraling upward, many professionals question the use of solely medical solutions to health problems. Health leaders have called for a change in priorities from curing the sick to keeping people well. Reducing health risks will increase longevity, improve quality of life, and reduce health care costs. It is widely believed that during the adolescent and young adult years many important health habits are formed and set. An individual person's health destiny can, in fact, be greatly shaped by the attitudes, behavior, and knowledge adopted during the early years of independence. For these reasons, wellness and self-care programming for college students is vital and worthy of being rigorously explored and evaluated. In this health promotion proposal, peers deliver a Lifestyle Health Planning Program to university students. They can encourage an internal locus of control over health matters and a perception of choice in those they counsel. The peer advisors conduct one-on-one sessions and outreach programs in the subject areas of fitness, nutrition, health-impairing habits, stress management, and sexuality. Promoting self-responsibility during college years can set lifelong positive health habits. A group of trained peer health advisors can be an innovative device to implement a health promotion program in a university setting.
美国的健康促进者需要应对降低年轻人健康风险这一挑战。导致早期残疾和死亡比例最高的状况与生活方式特征有关。随着医疗保健成本持续螺旋式上升,许多专业人士质疑单纯使用医疗解决方案来解决健康问题的做法。健康领域的领导者呼吁将重点从治疗病人转向让人们保持健康。降低健康风险将延长寿命、提高生活质量并降低医疗保健成本。人们普遍认为,在青少年和青年时期会形成并确立许多重要的健康习惯。事实上,一个人在独立初期所采取的态度、行为和知识会极大地塑造其健康命运。基于这些原因,针对大学生的健康与自我保健规划至关重要,值得进行严格的探索和评估。在这份健康促进提案中,同龄人向大学生提供一项生活方式健康规划项目。他们可以鼓励在健康问题上形成内控点以及在他们所咨询的人群中形成选择意识。同龄人顾问在健身、营养、有害健康的习惯、压力管理和性健康等主题领域开展一对一辅导课程和外展项目。在大学期间促进自我责任感可以养成终身积极的健康习惯。一群经过培训的同龄人健康顾问可以成为在大学环境中实施健康促进项目的一种创新手段。