Because of the high and rapidly increasing cost of health care, wellness has become a significant issue for both health care practitioners and the general public. This research examines the issue of wellness and seeks to develop a model that identifies the factors that are most significant in explaining why people engage in wellness activities. A questionnaire was mailed to a sample (n = 499) randomly selected from the general population of the United States. Predictor variables are the demographic variables of age, income, education and gender together with the cognitive variables of self-actualization, benefits of wellness behavior, health locus of control and threat to health. Dependent variables are the health-seeking behaviors of exercise, stress management, nutrition, health responsibility and social support. Canonical correlation, t-tests, regression and analysis of variance are used to analyze the data. Chapter one presents two existing health models. The first presents prevention or threat to health and the second proposes self-actualization as motivating wellness behavior. The research model combines the two models. Chapter two presents relevant studies in the literature regarding use of multivariate models in consumer behavior, dimensions of wellness and empirical findings of wellness-related research. Chapter three presents the research hypotheses, research design and techniques of analysis. Chapter four presents analysis of the data and results of statistical tests. Conclusions and limitations of the research are discussed in chapter five along with recommendations for further research. The study finds threat to health as the strongest driver of wellness behavior followed closely by self-actualization thus supporting the study model. Results indicate that older persons and females perform more wellness behaviors than do younger individuals and males. Two 3-way interactions were found: (1) Income, age and marital status; (2) Education, age and marital status. Internal locus of control was not found to influence wellness behavior.

This study examined relationships among ethnic identity, gay identity, sexual sensation seeking, and HIV risk-taking behaviors among 302 men of color recruited from gay bars, bathhouses, community agencies, and the 1998 United States Conference on AIDS. The sample included 24% African American, 28% Latino, 25% Asian/ Pacific Islander, 19% Caucasian, 1% American Indian, and 3% other ethnicity. Logistic regression analysis identified sexual sensation seeking, having an undefined gay identity, being in a sexually exclusive relationship, not being HIV seronegative, and length of stay in the country (for those born overseas) as significant predictors of unprotected anal intercourse (insertive and penetrative) among men of color who have sex with men.

Indiana University-Purdue University Indianapolis (IUPUI) / Oral health is crucial to overall health and a focus of the U.S. Health Center program, which provides preventive dental services in medically underserved communities. Dental hygiene is an oral health profession whose practice is focused on dental disease prevention and oral health promotion. Variations in the practice and regulation of dental hygiene has been demonstrated to influence access to dental care at a state level; restrictive policies are associated lower rates of access to care. Understanding whether and to what extent policy variations affect availability and access to dental care and the oral health of medically underserved communities served by grantees of the U.S. Health Center program is the focus of this study. This longitudinal study examines dental service utilization at 1,135 health center grantees that received community health center funding from 2004 to 2011. The Dental Hygiene Professional Practice Index (DHPPI) was used as an indicator of the state policy environment. The influence of grantee and state level characteristics are also considered. Mixed effects models were used to account for correlations introduced by the multiple hierarchical structure of the data. Key findings of this study demonstrate that state policy environment is a predictor of the availability and access to dental care and the oral health status of medically underserved communities that received care at a grantee of the U.S. Health Center program. Grantees located in states with highly restrictive policy environments were 73% less likely to deliver dental services and, those that do, provided care to 7% fewer patients than those grantees located in states with the most supportive policy environments. Population’s served by grantees from the most restrictive states received less preventive care and had greater restorative and emergency dental care needs. State policy environment is a predictor of availability and access to dental care and the oral health status of medically underserved communities. This study has important implications for policy at the federal, state, and local levels. Findings demonstrate the need for policy and advocacy efforts at all levels, especially within states with restrictive policy environments.