Images of public breastfeeding are viewed less favorably by men in the sample than are images of private breastfeeding. Knowledge and attitudes toward breastfeeding are positively associated with perception of breastfeeding images.

Public health enjoyed a number of successes over the twentieth century. However, public health agencies have arguably been ill equipped to sustain these successes and address the complex threats we face today, including morbidity and mortality associated with persistent chronic diseases and emerging infectious diseases, in the context of flat funding and new and changing health care legislation. Transformational leaders, who are not afraid of taking risks to develop innovative approaches to combat present-day threats, are needed within public health agencies. We propose the Public Health Innovation Model (PHIM) as a tool for public health leaders who wish to integrate innovation into public health practice. This model merges traditional public health program planning models with innovation principles adapted from the private sector, including design thinking, seeking funding from private sector entities, and more strongly emphasizing program outcomes. We also discuss principles that leaders should consider adopting when transitioning to the PHIM, including cross-collaboration, community buy-in, human-centered assessment, autonomy and creativity, rapid experimentation and prototyping, and accountability to outcomes.

BackgroundAlthough the Health & Fitness category of the Apple App Store features hundreds of calorie counting apps, the extent to which popular calorie counting apps include health behavior theory is unknown.ObjectiveThis study evaluates the presence of health behavior theory in calorie counting apps.MethodsData for this study came from an extensive content analysis of the 10 most popular calorie counting apps in the Health & Fitness category of the Apple App Store.ResultsEach app was given a theory score to reflect the extent to which health behavior theory was integrated into the app. The highest possible score was 60. Out of the 10 apps evaluated, My Diet Coach obtained the highest theory score of 15. MapMyFitness and Yumget received the lowest scores of 0. The average theory score among the apps was 5.6.ConclusionsMost of the calorie counting apps in the sample contained minimal health behavior theory.

Background Achieving gender equality and women’s empowerment is a major global priority. The purpose of this study was to determine whether the Building the Resilience of Vulnerable Communities in Burkina Faso (BRB) project, an agricultural development program, improved women’s empowerment, as measured by the project-level Women’s Empowerment in Agriculture Index (pro-WEAI). Methods This study used a longitudinal, quasi-experimental study design. Participants included both treatment and comparison groups (total N = 751) comprising female members of savings groups and their husbands or main male household member in Burkina Faso. All participants completed the pro-WEAI questionnaire at both baseline and endline. The treatment group received a comprehensive intervention package consisting of agriculture loans and services, microenterprise loans, and education, nutrition education, and women’s empowerment programs including gender-based discussions designed to facilitate personalized changes in gender relations. Results The proportion of the treatment group achieving empowerment did not change from baseline for women, but improved substantially for men. Women from the comparison group saw an increase in empowerment at endline while men saw a substantial decrease. Gender parity was high for women in both groups at baseline and increased slightly at endline. Women were more likely to have adequate empowerment in input in productive decisions, group membership, and membership in influential groups than men while men were more likely to have adequate empowerment in attitudes about domestic violence, control over use of income, and work balance than women. Participants from the treatment group reported an increase in the average number of empowerment indicators that they were adequate in while the comparison group saw a decrease in average adequacy over time (p = 0.002) after controlling for age, sex, and level of education. Conclusion Despite starting at an empowerment disadvantage, the treatment group experienced gains in individual indicators of empowerment while the comparison group men and women experienced mixed results, with the women gaining, and the men losing empowerment. This research suggests that the BRB intervention may have provided some protection for the treatment group when they faced an economic down-turn prior to the endline, indicative of household resilience. Future research should consider and strengthen relationships between resilience and empowerment.

One in three homes in Utah (USA) contains dangerous levels of radon. Except for a radon mitigation certification law, Utah’s radon laws are nonexistent. To determine public perception of state policies on radon testing and mitigation, a social cognitive theory-based 52-item questionnaire was administered to residents (N = 307) who visited the Utah County Health Department (UCHD) during the study period. Respondents were divided into an Environmental Health Group (n = 110), who purchased a radon kit, and Vital Records Control Group (n = 197), who filed/obtained birth/death certificates at UCHD. Ninety percent responded they had never tested their homes for radon, and 99% were not aware of state policies regarding radon. Support for various radon policies was significantly associated with older age (odds ratios (OR): 0.37–0.52), being female (OR: 2.60–7.79), lower annual family income (OR: 2.27), and theoretical constructs of behavioral modeling (OR: 2.31–2.55) and risk perception (OR: 2.55–3.71). To increase awareness, testing, and remediation, respondents suggested increasing public education/awareness, requiring testing in homes, businesses, and public buildings, and increasing access to testing. Multi-sectoral radon risk reduction programs could incorporate behavioral modeling and risk perception as components to create a radon testing and mitigation culture in Utah.