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BEHAVIORAL SCIENCES - Universitatea de Medicină şi Farmacie

BEHAVIORAL SCIENCES - Universitatea de Medicină şi Farmacie

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- Take it easy with criticism or arguments. Stand your ground on<br />

what you believe is right, but make allowances for the other party. Search<br />

for the "positives" of an argument, of a critical person, as well as your own<br />

positive qualities.<br />

- Finally, if stress seems out of control, discuss it further with your<br />

doctor or health care professional. They may be able to direct you to other<br />

sources for help such as support groups or professionals trained in stress<br />

management.<br />

8.3. Behavior Change Communication<br />

Lifestyles are directly related to the health state. More over studies<br />

say that behavioral factors play a role in each of the twelve leading causes<br />

of <strong>de</strong>ath, including chronic diseases such as heart disease, cancer, and<br />

stroke. In United States and other <strong>de</strong>veloped countries the most common<br />

behavioral contributors to mortality, or <strong>de</strong>ath, in 1990 inclu<strong>de</strong>d the use of<br />

alcohol, tobacco, firearms, and motor vehicles; diet and activity patterns;<br />

sexual behavior; and illicit use of drugs. Behaviors such as these are<br />

thought to contribute to almost half of the <strong>de</strong>aths in the United States, and,<br />

according to J. McGinnis and W. Foege (1993), they were responsible for<br />

nearly 1 million <strong>de</strong>aths in the United States in the year of 1992 alone.<br />

The last two <strong>de</strong>ca<strong>de</strong>s of the twentieth century saw a rising interest in<br />

preventing disability and <strong>de</strong>ath through changes in health-related<br />

behaviors. Behavior change is not un<strong>de</strong>rstood as an even but a complex<br />

process that occurs in stages. It is not a question of someone <strong>de</strong>ciding one<br />

day to stop smoking and the next day becoming a nonsmoker for life.<br />

Likewise, most people won't be able to dramatically change their eating<br />

patterns all at once. Even where there is good initial compliance to a<br />

health-related behavior change, a relapse to previous behavior patterns is<br />

very common.<br />

Positive health-related changes come about when people learn about<br />

risks and ways of enhancing health, and when they <strong>de</strong>velop positive<br />

attitu<strong>de</strong>s, social support, self-efficacy, and behavioral skills. The main tool<br />

for acquiring this objective is communication.<br />

Communication has long been an important tool in health<br />

promotion. Although its roots date back hundreds of years (to Cotton<br />

Mather's smallpox vaccination campaign during Colonial American<br />

times), if not thousands of years (to Aristotle's theories of persuasion), the<br />

field of public health communication is very much an outgrowth of<br />

155

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