Health Promotion Perspectives最新文献

{"title":"A pragmatic multi-setting healthy lifestyle intervention to improve BMI status in a middle-income population: A potential strategy for individuals at risk.","authors":"Reza Yari-Boroujeni, Leila Cheraghi, Parnian Parvin, Fatemeh Shiravi, Hasti Masihay-Akbar, Amirabbas Momenan, Arash Ghanbarian, Parvin Mirmiran, Davood Khalili, Fereidoun Azizi, Parisa Amiri","doi":"10.34172/hpp.43196","DOIUrl":"10.34172/hpp.43196","url":null,"abstract":"<p><strong>Background: </strong>To evaluate a multi-setting lifestyle intervention's effect on body mass index (BMI) across the entire spectrum in a middle-income adult population over 15 years.</p><p><strong>Methods: </strong>This pragmatic interventional study included 5153 adults (≥20 years) from a middle-income community, followed for over 15 years with five follow-ups. A multi-setting intervention (school, family, community) aimed to promote healthy lifestyles. The lambda-mu sigma (LMS) method and quantile regression model were used to analyze changes in BMI percentiles (10^th-90^th) by sex and intervention group.</p><p><strong>Results: </strong>The intervention showed modest effects on BMI percentiles. In men, it lowered BMI at the 40^th and 70^th percentiles (overweight/obesity onset) at the first follow-up (β=-0.16, 95% CI: -0.33, -0.001 and β=-0.21, 95% CI: -0.38, -0.04 respectively). In women, the effect emerged later (second follow-up) at the 20^th (β=-0.39, 95% CI: -0.60, -0.18), 30^th (β=-0.27, 95% CI: -0.49, -0.04), and 60^th (β=-0.20, 95% CI: -0.39, -0.02) percentiles (overweight risk), extending to more overweight percentiles (20^th-50^th) in the third follow-up (βs ranged from -0.28 until -0.26).</p><p><strong>Conclusion: </strong>Our results indicated the effectiveness of a practical lifestyle intervention to control rising trend of BMI at the onset of overweight and obesity in a middle-income population. These findings can be useful for planning obesity prevention programs in communities with similar socioeconomic statuses.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 4","pages":"369-379"},"PeriodicalIF":2.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Climate change's impact on the nervous system: A review study.","authors":"Mohammad-Reza Sadeghi, Parna Ghannadi, Alireza Lotfi, Hamidreza Ashayeri","doi":"10.34172/hpp.43089","DOIUrl":"10.34172/hpp.43089","url":null,"abstract":"<p><strong>Background: </strong>Global warming is caused by increased carbon dioxide and other industrial gases, which shift the climate of human habitat and environment, impacting human health globally. In this review, we tried to overview the current knowledge of climate change's impact on neurological disease.</p><p><strong>Methods: </strong>A comprehensive search on PubMed, Web of Science (WOS), and Scopus was conducted to find the relevant original studies. Language, sex, age, date, or country of study were not restricted. Included studies report increased Alzheimer's disease mortality and hospital admission.</p><p><strong>Results: </strong>This increase was seen from the first day with high temperature to 3-4 days later. Parkinson's disease (PD) subjects were more vulnerable to high temperatures compared to dementia patients (RR for dementia: 1.29 and for PD: 1.41). Global warming was linked to the increase in the incidence of Tick-borne encephalitis (TBE) (from 0.1% to 5.4%), Japanese encephalitis (OR: 2 when floods occur), and ciguatera fish poisoning (CFP) (RR: 1.62 for each 1 ^◦C increase per month).</p><p><strong>Conclusion: </strong>Health-related consequences of climate change are inevitable. The burden of medical problems related to the elderly population (especially the elderly with dementia), infectious diseases, and CFP on the healthcare system will naturally increase. Studying global warming trends could empower us with more precise predictions of the future and better planning to face climate change-related challenges.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 4","pages":"336-342"},"PeriodicalIF":2.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of empagliflozin in patients with type 1 diabetes: Results of a 12-week, double-blind, randomized, placebo-controlled clinical trial.","authors":"Mostafa Najafipour, Farzad Najafipour, Alireza Ostadrahimi, Maryam Ghavami, Zohreh Razaghi, Helda Tutunchi, Naimeh Mesri Alamdari","doi":"10.34172/hpp.42486","DOIUrl":"10.34172/hpp.42486","url":null,"abstract":"<p><strong>Background: </strong>Sodium-glucose cotransporter-2 (SGLT-2) acts as a key element in the reabsorption of glucose in the kidney. Currently, SGLT-2 inhibitors are FDA-approved for the treatment of type 2 diabetes. It is suggested that the mechanism of action may operate in the treatment of type 1 diabetes mellitus (T1DM), as well. This study aimed to evaluate the application of empagliflozin as an adjunctive to insulin in patients with T1D.</p><p><strong>Methods: </strong>In this double-blind placebo-controlled randomized clinical study, 60 type 1 diabetic patients were randomly assigned to have either once-daily empagliflozin 10 mg or placebo, as an addition to insulin for 12 weeks. The hemoglobin A1C, fasting blood sugar (FBS), 2-hour post-prandial blood sugar, and anthropometric indices were measured before and after 12 weeks intervention.</p><p><strong>Results: </strong>After 12 weeks, empagliflozin resulted in significant reductions of hemoglobin A1C -0.18 (95% CI: -0.37, 0.005, <i>P</i>=0.009), FBS -2.60 mg/dL (95% CI: -6.48, 1.28, <i>P</i>=0.035), 2-hour post-prandial blood sugar -22.56 mg/dL (95% CI: -35.15, 8.97, <i>P</i><0.0001), and total daily insulin dose -7.6 units (95% CI: -12.4, 2.8, <i>P</i>=0.003). Furthermore, empagliflozin reduced body mass index (BMI) by -0.560 kg (95% CI: -0.640, 1.46, <i>P</i><0.0001). Empagliflozin was well tolerated in the patients. Also, no case of hypoglycemia, genital and urinary infections, or diabetic ketoacidosis (DKA) was reported.</p><p><strong>Conclusion: </strong>The present study supported the use of empagliflozin alongside insulin as a treatment option for individuals with T1D.</p><p><strong>Trial registration: </strong>http://www.irct.ir, identifier: irct20130610013612N12, Registration date: 12/9/2022).</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 4","pages":"380-387"},"PeriodicalIF":2.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An analysis of health facility services readiness for non-communicable diseases in 8 LMICs in the universal health coverage era.","authors":"Shailender Singh, Meenakshi Kaul, Chandrashekhar J Rawandale","doi":"10.34172/hpp.43175","DOIUrl":"10.34172/hpp.43175","url":null,"abstract":"<p><strong>Background: </strong>The readiness of health facility services for non-communicable diseases (NCDs) is a critical aspect of global health infrastructure. NCDs, such as cardiovascular diseases, chronic respiratory diseases, and diabetes, pose significant challenges to public health systems worldwide. This study assesses health facility services readiness for NCDs in 8 low- and middle-income countries (LMICs).</p><p><strong>Methods: </strong>The data is collected using stratified random sampling method with a sample size of 7606 health facilities, the study assesses the health facility services readiness index for general and disease-specific health services by using the survey data from service provision assessment (SPA) between 2015 to 2021 for eight countries under the study. This service readiness index represents the percentage of items considered essential for providing general and specific health services issued by the World Health Organisation.</p><p><strong>Results: </strong>The mean values of the service readiness index at 95% confidence interval are 56.2%, 37.7%, 35.4%, and 36.5% for the general health services, diabetes, cardiovascular, and respiratory diseases, respectively. These results show substantial variations range from 1% to 20 % in the service readiness index by health facility types in the countries of this study. Overall, public facilities have achieved a higher service readiness index score and, thus, have demonstrated a greater level of preparation in providing general and disease-specific health services for chronic non-communicable diseases.</p><p><strong>Conclusion: </strong>A substantial number of health facilities in these countries are not adequately prepared to care for chronic NCDs. More investment in critical health infrastructure is urgently needed to strengthen the capacity of health systems in the countries of this study. The investment should focus on achieving universal health coverage (UHC) goals vis-à-vis reducing the burden of premature mortality from chronic diseases.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 4","pages":"343-349"},"PeriodicalIF":2.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modifying urban planning to promote child health: A scoping review of reviews.","authors":"Louise Wallerich, Jean Simos, Linda Cambon","doi":"10.34172/hpp.42995","DOIUrl":"10.34172/hpp.42995","url":null,"abstract":"<p><strong>Background: </strong>Children's health is shaped by their physical, natural, and socioeconomic environments. The objective of this study is to identify structural urban planning measures that can positively or negatively impact children's health. Specifically, we aim to explore how urban planning elements, such as housing, neighborhoods, play areas, and green spaces, influence children's well-being and health outcomes.</p><p><strong>Methods: </strong>We conducted a scoping review in accordance with the method developed by Arksey and O'Malley, Levac and colleagues' methodology advancement, and the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guideline. We explored eight databases, restricting our search to reviews, systematic reviews, and meta-analyses that report on structural measures aimed at modifying urban planning to promote child health.</p><p><strong>Results: </strong>A total of 41 studies were identified for inclusion in this review. The thematic analysis identified: i) interventions aimed at modifying streets; ii) interventions aimed at modifying play areas; iii) interventions aimed at modifying contact with nature; iv) interventions aimed at modifying deleterious exposures (exposure to tobacco, exposure to school); and v) housing. The second level of analysis enabled us to identify and evaluate the conditions for implementation and effectiveness.</p><p><strong>Conclusion: </strong>The review highlighted measures that are favorable to children's health at the level of neighborhood urban planning and questioned the conditions for implementation in a French context.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 4","pages":"319-335"},"PeriodicalIF":2.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disparities in diabetes and sedentary behavior across Florida counties.","authors":"Dottington Fullwood, Justine Gunderson, Opeyemi O Bolajoko, Randy Hale, Folakemi T Odedina","doi":"10.34172/hpp.43402","DOIUrl":"10.34172/hpp.43402","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to analyze the geographic distribution of diabetes and sedentary behavior across Florida counites, identifying high-risk areas to inform targeted public health interventions. We seek to inform targeted public health interventions and address health disparities, particularly in rural areas.</p><p><strong>Methods: </strong>Data from the 2017-2019 Florida Behavioral Risk Factor Surveillance System (BRFSS) were analyzed, among adults aged 18 years and older. Diabetes status was determined by self-reported diagnosis, and sedentary behavior was assessed based on physical activity participation. Respondents who declined to answer or were unsure were excluded.</p><p><strong>Results: </strong>The statewide prevalence of diabetes diagnosis in Florida was 11.7% (95% CI: 10.8-12.6), with substantial geographic variation across counties. Sedentary prevalence varied significantly across the state, compared to the statewide rate of 26.5% (95% CI: 25-28). Counties with high diabetes prevalence often had elevated rates of sedentary behavior. Rural northern panhandle counties had higher concentrations of both diabetes and sedentary behavior. BRFSS design variables and weights ensured representative estimates for Florida.</p><p><strong>Conclusion: </strong>This study highlights the elevated prevalence of diabetes and sedentary lifestyles in the northern counties of Florida. The geographic patterns underscore the need for targeted, county-level interventions. Despite troubling rise in diabetes and sedentary behavior, there is a significant opportunity to mobilized community and outreach services, ensuring they are effectively deployed to these high-risk areas.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 4","pages":"388-391"},"PeriodicalIF":2.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between sleep consolidation and growth and development in early childhood: A systematic review.","authors":"Maryam Bemanalizadeh, Mahan Parsapoor, Leila Emami, Vida Imani, Zahra Parsapour, Roya Kelisahdi","doi":"10.34172/hpp.43037","DOIUrl":"10.34172/hpp.43037","url":null,"abstract":"<p><strong>Background: </strong>Achieving sleep consolidation, during the first years of life can be a key factor affecting child growth and development. To our knowledge, for the first time, we aimed to systematically assess the relationships between sleep consolidation and growth and development in early childhood.</p><p><strong>Methods: </strong>Following the latest version of PRISMA, PubMed, Web of Science, and Scopus were searched up to February 2023. We included observational studies in which 0-3-year-old children were enrolled and the association between sleep consolidation and either children's growth or development were assessed. The quality assessment was done using the NIH quality assessment tool.</p><p><strong>Results: </strong>Out of the 342 studies initially screened, 18 studies met the eligibility criteria, encompassing a total of 10068 infants and toddlers under 3 years of age. Overall, not in all but in some studies sleep consolidation showed a significant association with better cognitive, social-emotional and language outcomes. However, the relationship between sleep consolidation and motor development was less clear, with no significant associations observed across the studies. Additionally, no significant connections were found between sleep consolidation and physical growth indices, such as body mass index (BMI) or weight gain.</p><p><strong>Conclusion: </strong>According to the existing evidence, at least, the potential associations between sleep consolidation and child development particularly cognitive, social-emotional, and language cannot be ruled out. However, due to the heterogenicity of results and inconsistent findings in some studies, we cannot still strongly declare that sleep consolidation is a remarkable predictor for child growth and development.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 4","pages":"312-318"},"PeriodicalIF":2.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing parental stress and self-efficacy: A multisite feasibility study of parent-mediated physical activity interventions for children with developmental disabilities.","authors":"Luis Columna, Scott McNamarra, Beth A Myers, Nienke Dosa, Ashlyn Barry, Kristi Roth, Christine E Ashby, Byungmo Ku, Timothy Davis, Nikkia Borowski, Lisa M Hooper","doi":"10.34172/hpp.43108","DOIUrl":"10.34172/hpp.43108","url":null,"abstract":"<p><strong>Background: </strong>Children with developmental disabilities often face barriers to engaging in physical activity (PA), impacting their health and quality of life. Parent-mediated interventions (PMIs) have shown promise to reduce these barriers, but little research explores online PMIs for parents of children with developmental disabilities. Thus, the purpose of this study was to assess the feasibility and impact of a multi-site collaborative online parent-mediated PA intervention on stress levels and self-efficacy among parents of children with developmental disabilities over a 12-week period.</p><p><strong>Methods: </strong>Participants (n=55) were parents of children with developmental disabilities, randomly assigned to intervention (n=27) or control (n=28) groups.</p><p><strong>Results: </strong>Recruitment rate was 58%, with an 80% retention rate. The feasibility of online delivery was demonstrated, allowing participation from various locations. An analyses of covariance (ANCOVA) with parental sex and education level as covariates revealed no significant interaction effect between group and time for parenting self-efficacy score (PSE), F(1, 104)=0.118, <i>P</i>=0.732, or PSI, F(1, 104)=0.196, <i>P</i>=0.659. The mean PSI difference (pre-post) was -0.38 (CI: -10.57 to 9.80) for the experimental group and 2.64 (CI: -9.61 to 14.91) for the control group, while the mean PSE difference was -4.41 (CI: -29.33 to 20.49) and 4.75 (CI: -23.22 to 32.73), respectively.</p><p><strong>Conclusion: </strong>Future research should explore the integration of hybrid PMIs in conjunction with qualitative measures to facilitate a deeper understanding of the multifaceted factors influencing parental engagement in PA interventions for children with developmental disabilities.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 4","pages":"350-359"},"PeriodicalIF":2.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges of palliative care integration into routine hospital care in Iran: A Q-method inquiry on key healthcare providers' prospects.","authors":"Seemin Dashti, Hassan Mahmoodi, Abdolreza Shaghaghi","doi":"10.34172/hpp.43513","DOIUrl":"10.34172/hpp.43513","url":null,"abstract":"<p><strong>Background: </strong>Inclusion of palliative care (PalC) in the routine provided healthcare of hospitals is emphasized by the World Health Organization (WHO) in the endorsed Health Promoting Hospitals (HPH) initiative. Nonetheless, an evidence gap exists about explicit barriers and operational complexities that might prevent embeddedness of PlaC in the Iranian National Healthcare System (INHS) and this was the main impetus for the conception of the current research.</p><p><strong>Methods: </strong>The Barry and Proops' recommended Q method procedures were used in 6 phases including concourse development through the scientific literature search and consultation with the 27 key informants, statements' selection, population set (P-set) selection, Q sorting and factor analysis. Principal component analysis and Varimax rotation were used in factor analysis and the values of factor loadings≥0.4 were considered satisfactory in assessing the degree to which a certain Q sort conforms to a particular factor.</p><p><strong>Results: </strong>The extracted four factors that accounted for 47% of the total observed variance were shortage of physical space and number of the healthcare providers (HCPs), inadequate involvement of the patient's family members in end-of-life treatment decisions, communication barriers, and inadequate training of HCPs for PalC provision.</p><p><strong>Conclusion: </strong>This study elicited important barriers of incorporating PalC into the routine hospital care and hence, importance of taking a multifaceted approach for achieving the goals of INHS in quality healthcare provision. Contrasting views of the approached HCPs could help development of the evidence-based national policies concordant with the HPH initiative in Iran.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 4","pages":"360-368"},"PeriodicalIF":2.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing universal considerations in infant mortality across the globe: A descriptive observational study of sudden infant death syndrome knowledge and reduction coverage on YouTube.","authors":"Aysha Jawed, Amy Hess, Molly Rye, Catherine Ehrhardt","doi":"10.34172/hpp.43055","DOIUrl":"10.34172/hpp.43055","url":null,"abstract":"<p><strong>Background: </strong>Sudden unexpected infant death (SUID) remains one of the leading causes of infant mortality worldwide and is largely driven by sudden infant death syndrome (SIDS). Although SIDS has received coverage and examination of content spanning Instagram, Facebook, and Twitter across the published academic literature, there is no study to date that has examined SIDS related content on YouTube.</p><p><strong>Methods: </strong>This descriptive observational study was conducted from December 2023 through January 2024 and sought to describe the sources, formats and content covered across the 100 widely viewed videos pertaining to SIDS on YouTube.</p><p><strong>Results: </strong>The majority of the videos published were by organizations (N=64) including healthcare systems, the American Academy of Pediatrics (AAP) and police departments. Several of the widely viewed SIDS-related content was disseminated by professionals (N=42). Multiple videos presented content on the symptomology pertaining to SIDS as well as contributing environmental risk factors. A wide range of resources were depicted as SIDS reduction measures. Notably, there was substantial emphasis on SIDS reduction postnatally across the widely viewed videos. There was limited representation of content on SIDS awareness and reduction outside of the United States.</p><p><strong>Conclusion: </strong>Clinical, public health, and organizational implications and recommendations are presented to inform future targets for intervention that can harness findings from this study on widely covered and uncovered content to address the totality of risk factors for SIDS. Future directions in health promotion across the SIDS reduction landscape are also reviewed to account for digital spaces globally, thereby contributing towards reducing infant mortality worldwide.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 3","pages":"248-257"},"PeriodicalIF":2.4,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}