Health Promotion Perspectives最新文献

{"title":"Tracking the impact of dietary quality scores on metabolic health: Insights from the Azar Cohort on patients with type 2 diabetes mellitus.","authors":"Meysam Zarezadeh, Mehrdad Jamali, Elnaz Faramarzi, Parsa Jamilian, Nima Radkhah, Ahmad Saedisomeolia, Zohreh Ghoreyshi, Alireza Ostadrahimi","doi":"10.34172/hpp.025.44297","DOIUrl":"10.34172/hpp.025.44297","url":null,"abstract":"<p><strong>Background: </strong>This study examined the association between changes in diet quality-assessed using the healthy eating index-2015 (HEI-2015) and the dietary inflammatory index (DII)-and lipid profiles and glycemic control in adults with type 2 diabetes.</p><p><strong>Methods: </strong>In this longitudinal study, data were collected from 103 adults with type 2 diabetes at two time points, six years apart (baseline and reassessment). The main predictors were changes in HEI-2015 and DII scores over time. The primary outcome measures were lipid profile components (LDL, HDL, total cholesterol, triglycerides) and glycemic control (FBS). Associations were examined using regression models adjusted for age, sex, body mass index (BMI), and energy intake.</p><p><strong>Results: </strong>No statistically significant associations were observed between HEI-2015 or DII scores and lipid or glycemic outcomes in the overall sample. However, subgroup analyses based on adjusted models revealed reduced odds of LDL elevation among individuals aged>60 (OR: 0.14, 95% CI: 0.02-0.91) and those with BMI≥30 (OR: 0.15, 95% CI: 0.02-0.90) in the highest tertile of DII change. These effects were not observed consistently across other subgroups.</p><p><strong>Conclusion: </strong>While no significant associations were found in the overall cohort, subgroup analyses revealed that individuals over 60 and those with BMI≥30 had reduced odds of LDL elevation with higher DII scores. These findings suggest potential population-specific effects of dietary inflammation on lipid metabolism. Despite limitations such as a small sample size and wide confidence intervals, this study provides valuable exploratory evidence and underscores the need for larger, targeted investigations to confirm whether anti-inflammatory diets can improve metabolic outcomes in high-risk subgroups.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"15 2","pages":"173-188"},"PeriodicalIF":2.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132263","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":"A survey of health literacy among household health ambassadors in Azarbaijan province, Iran.","authors":"Parvin Reyhani, Leili Faraji, Hannaneh Reyhani, Kamyar Pirehbabi, Leila Zhianfar, Farzaneh Golboni","doi":"10.34172/hpp.025.44368","DOIUrl":"10.34172/hpp.025.44368","url":null,"abstract":"<p><strong>Background: </strong>Health literacy (HL) plays a crucial role in how people make decisions in their daily living activities. Considering the critical role of HL among household health ambassadors (HAs) in promoting their health and that of their households, this study aimed to examine the HL of household HAs in Iran.</p><p><strong>Methods: </strong>In this HL survey, a number of 2183 household HAs from 18 cities of East Azarbaijan province was recruited to participate in the study. The data were collected applying the Health Literacy for Iranian Adults (HELIA) Questionnaire via an online link, which were then analyzed applying multivariate linear regression with enter method by using SPSS version 19.</p><p><strong>Results: </strong>The results revealed an average HL score of 14.96 (SD 3.21). Among the participants, approximately 8% [95% confidence interval (CI): 5.13-11.62] (n=174) exhibited poor HL, while 41.2% [95% CI: 37.45-51.32] (n=899) demonstrated moderate and 50.8% [95% CI: 42.87-59.23] (n=1109) achieved good levels of HL.</p><p><strong>Conclusion: </strong>Our findings emphasized the urgent need to assess and enhance the HL of household HAs in a developing country, like Iran. Notably, about half of participants exhibited poor or moderate levels of HL. This trend underscores the vital role that HAs play in promoting HL and facilitating individual self-care within their communities. To empower these ambassadors, it is crucial to implement innovative and targeted strategies that effectively boost their HL.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"15 2","pages":"165-172"},"PeriodicalIF":2.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132255","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":"Regional health diplomacy as a health promotion strategy for robust health systems.","authors":"Vijay Kumar Chattu, Hamid Allahverdipour","doi":"10.34172/hpp.025.44898","DOIUrl":"10.34172/hpp.025.44898","url":null,"abstract":"","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"15 2","pages":"94-97"},"PeriodicalIF":2.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132165","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 of serum phospholipids levels with chronic liver diseases: A systematic review of observational studies.","authors":"Zahra Shahveghar Asl, Zohreh Ghoreishi, Faezeh Ghalichi, Meysam Zarezadeh, Alireza Ostadrahimi","doi":"10.34172/hpp.025.43444","DOIUrl":"10.34172/hpp.025.43444","url":null,"abstract":"<p><strong>Background: </strong>Chronic liver disease (CLD) influences the levels of diverse metabolites that may be related to its pathogenesis. The study aimed to indicate the relation between CLD and the levels of phospholipids.</p><p><strong>Methods: </strong>In this systematic review, PRISMA guidelines were considered for reporting the results. Up to November 2024, the databases of MEDLINE (through PubMed), Scopus, Web of Science, and Google Scholar were searched. Case-control (CC) and cross-sectional (CS) studies explored the link between CLD and serum phospholipids. The Newcastle-Ottawa scale (NOS) for CC studies and the modified NOS scale for CS studies were applied to evaluate the quality of the included articles.</p><p><strong>Results: </strong>A total of 11304 articles were included. Eleven thousand duplicates were removed, 9304 studies were excluded, and 343 full-text articles were reviewed. Fifteen CC studies and four CS studies were included in this study. Quality assessment using NOS revealed most studies had low to moderate risk of bias, with scores ranging from 4 to 8 out of 9.The included studies verified a significant association between the levels of total PL (TPL), phosphatidylcholine (PC), phosphatidylethanolamine (PE), phosphatidylserine (PS), phosphatidylinositol (PI), phosphatidic acid (PA), lysophosphatidylcholine (LPC), lysophosphatidylinositol (LPI) and lysophosphatidic acid (LPA) and liver diseases., with reported odds ratios ranging from 1.44 to 2.51 and correlation coefficients from -0.58 to 0.62.</p><p><strong>Conclusion: </strong>Phospholipid levels are associated with liver diseases. It is important to identify noninvasive ways to diagnose biological risk factors in patients with liver damage so they can be targeted for early treatment. Most of the included studies revealed significant alteration of phospholipid levels in CLD. Thus, the lipidome can predict liver dysfunction and prevent its attributed complications.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"15 2","pages":"110-121"},"PeriodicalIF":2.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132226","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":"Social Media and Mental Health Among Young Adults in Cameroon.","authors":"Jude Tsafack Zefack, Mbonjo Bitsie Dora, Brenda Mbouamba Yankam, Esua Alphonsius Fotindong, Vanessa Nkume, Nyeke James Tony, Ashu Martha Agbornyenty, Suh Colette Manka, Zita Wonjick Epse Khan Awa, Rose Nwenyoh Mbotoako, Abigail N N Abamukong, Sally Tabe Njoh","doi":"10.34172/hpp.025.43746","DOIUrl":"10.34172/hpp.025.43746","url":null,"abstract":"<p><strong>Background: </strong>Social media has become integral to daily life among young adults, offering opportunities for connection and self-expression and raising concerns about its impact on mental health. While global studies have examined these effects, evidence from Cameroon remains limited. This study assessed the relationship between social media use and psychological well-being among young Cameroonian adults.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted via Google Forms between September 2023 and April 2024 among Cameroonians aged 18-35. The questionnaire collected sociodemographic information, social media usage patterns, and self-reported mental health indicators. Descriptive statistics summarized platform use and engagement, while linear regression analysis examined associations between time spent on social media and mental health outcomes.</p><p><strong>Results: </strong>Among 151 respondents, WhatsApp (97.7%, 95% CI: 93.7-99.5%), Facebook (66.9%, 95% CI: 58.3-74.7%), and TikTok (43.4%, 95% CI: 34.9-52.1%) were the most used platforms. More respondents (39.74%) reported using social media for over five hours daily. Greater daily usage was linked with poorer self-reported mental health scores. Over one-third (37.1%) reported feelings of inadequacy related to social media, and 21.9% perceived a decline in their mental health since using it. Regression analysis indicated that prolonged social media use and cultural factors were associated with poorer self-rated mental health, while other sociodemographic factors were not significant predictors.</p><p><strong>Conclusion: </strong>Social media is deeply embedded in the lives of young Cameroonians, but it may negatively impact their mental well-being when usage is excessive. These findings highlight the urgent need for culturally tailored mental health interventions, digital literacy programs, and policies promoting healthier online engagement among youth.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"15 2","pages":"138-145"},"PeriodicalIF":2.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132199","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":"Psychometric validation of the addiction potential questionnaire among Iranian children aged 12-18 years using confirmatory factor analysis.","authors":"Aboubakr Jafarnezhad, Haleh Ghaem Maralani, Ali Sahraian, Mohammad Aryaie, Jafar Hassanzadeh","doi":"10.34172/hpp.025.44299","DOIUrl":"10.34172/hpp.025.44299","url":null,"abstract":"<p><strong>Background: </strong>Drug addiction is a global social and health issue, with children being the most vulnerable group. This study aimed to validate the Addiction Potential Questionnaire for Iranian children aged 12 to 18 years using confirmatory factor analysis (CFA) and structural equation modeling (SEM).</p><p><strong>Methods: </strong>This cross-sectional study was conducted in 2023 on 600 students from Shiraz, Iran, using multi-stage sampling (stratified-cluster-simple random sampling). The Addiction Potential Questionnaire used in this study was originally developed by the research team to assess addiction potential among Iranian children. Construct validity was assessed through CFA, along with convergent and discriminant validity, and SEM. The reliability of the tool was calculated using Cronbach's alpha, intra-class correlation coefficient, and composite reliability.</p><p><strong>Results: </strong>Results from CFA indicated a χ²/df ratio of 2.80. Additional fit indices also confirmed a good fit for the final model, including goodness-of-fit index (GFI=0.9), parsimonious comparative fit index (PCFI=0.74), and comparative fit index (CFI=0.8). Assessing convergent and discriminant validity revealed that all dimensions met acceptable standards. SEM results showed strong positive relationships among latent variables, with correlations of 0.82 between environmental-social-spiritual (ESS) and physical-psychological, and 0.98 between ESS and Other (<i>P</i><0.001). The reliability indices for each factor were as follows: Other: Cronbach's alpha (α)=0.46, Omega (composite reliability, CR)=0.43, Maximal reliability (Max(R))=0.44, intraclass correlation coefficient (ICC) [95% confidence interval (CI)]=0.74 (0.64-0.81), Akaike information criterion (AIC)=0.12. Family: α=0.70, CR=0.72, Max(R)=0.73, ICC [95% CI]=0.72 (0.61-0.79), AIC=0.24. Physical-psychological: α=0.80, CR=0.82, Max(R)=0.83, ICC [95% CI]=0.84 (0.78-0.88), AIC=0.35. ESS: α=0.61, CR=0.60, Max(R)=0.66, ICC [95% CI]=0.69 (0.58-0.78), AIC=0.13. Total Questionnaire: α=0.89, CR=0.85, Max(R)=0.86, ICC [95% CI]=0.88 (0.83-0.91), AIC=0.39.</p><p><strong>Conclusion: </strong>The results indicated that the tool possesses good validity and reliability, making it a credible instrument for assessing addiction potential in Iranian children and for developing preventive programs.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"15 2","pages":"189-198"},"PeriodicalIF":2.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132242","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":"Association of major dietary patterns with obesity, hypertension, and cognitive function in older adults: A cross-sectional study.","authors":"Arezou Akhbari, Sevil Kiani, Sina Naghshi, Mahtab Rajabi-Jourshari, Hamid Allahverdipour, Maryam Saghafi-Asl","doi":"10.34172/hpp.025.43640","DOIUrl":"10.34172/hpp.025.43640","url":null,"abstract":"<p><strong>Background: </strong>There is limited data on the association between dietary patterns and health outcomes in older adults. The aim of this study was to investigate the association of major dietary patterns with obesity, hypertension, and cognitive function in this population. The aim of this study was to investigate the association of major dietary patterns with obesity, hypertension, and cognitive function in older adults.</p><p><strong>Methods: </strong>This cross-sectional study was performed on 337 participants aged 60 years or older. Dietary data were collected using a validated semi-quantitative food frequency questionnaire. Data regarding height, weight, waist circumference (WC), and blood pressure were collected using standard methods. Obesity was defined as body mass index (BMI)≥30 kg/m², and abdominal obesity was defined as WC≥95 cm for men and women. Hypertension was defined as blood pressure≥140/90 mm Hg or taking anti-hypertensive medications. Mini-Mental State Examination (MMSE) score validated for Iranians, was applied to assess cognitive function. Dietary patterns were identified using factor analysis procedure.</p><p><strong>Results: </strong>Three major dietary patterns including mixed, healthy, and unhealthy were identified. There was an inverse association between the mixed dietary pattern and both abdominal obesity (odds ratio [OR]: 0.39, 95% confidence interval [CI]: 0.20-0.76) and general obesity (OR: 0.49, 95% CI: 0.24-0.99). A higher score of mixed pattern was also associated with lower odds of hypertension (OR: 0.39, 95% CI: 0.20-0.78). Moreover, a significant positive association was observed between unhealthy dietary pattern and hypertension (OR: 1.86, 95% CI: 1.01-3.43). A significant positive association was also observed between the unhealthy dietary pattern and abdominal obesity (OR: 1.90, 95% CI: 1.05-3.44).</p><p><strong>Conclusion: </strong>Our findings underscore that higher consumption of certain types of healthy foods (loaded strongly in mixed dietary pattern) could be a viable strategy for prevention of obesity and hypertension.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"15 2","pages":"199-208"},"PeriodicalIF":2.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132172","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":"A culturally tailored community gardening approach to improving physical activity, fruit and vegetable consumption, and psychological health among African American women: A pre-post feasibility study.","authors":"Imani Canton, Vanesu Jakachira, Dawn Blackman, Heather Rose, Susan Aguiñaga","doi":"10.34172/hpp.025.43243","DOIUrl":"10.34172/hpp.025.43243","url":null,"abstract":"<p><strong>Background: </strong>African American (AA) women participate in low levels of physical activity (PA), under consume fruits and vegetables (FV), and experience poor psychological health. Increasing evidence suggests community gardening as an approach to positively affect health. The purpose of this study was to examine the feasibility of an 8-week culturally tailored community gardening intervention among middle-aged AA women.</p><p><strong>Methods: </strong>Eleven AA women (45-64 years) participated in a single group pre-posttest feasibility study during the summer of 2023 in Champaign, Illinois. The intervention included a novel approach to cultural tailoring by embedding Black History Knowledge (BHK) within the context of community gardening. Feasibility was assessed through a postintervention survey. Device-assessed PA (Fitbit Charge 3), FV consumption (Veggie Meter®), self-report PA, food frequency questionnaire, and psychological health were assessed at baseline and postintervention. Wilcoxon signed rank tests examined changes in pre-post measures. Effect size estimates were calculated using <i>r</i>.</p><p><strong>Results: </strong>Participants increased device-assessed daily step count (median 880 steps per day increase; r=0.53; <i>P</i>=0.028) and FV consumption (median 82-unit increase; r=0.51; <i>P</i>=0.016). There was a moderate effect on device-assessed light PA (r=0.45) and a small effect on device-assessed total PA (r=0.29), and perceived stress (r=-0.25). Sixty-seven percent (6/9) of women indicated that they would recommend this program to others.</p><p><strong>Conclusion: </strong>A culturally tailored, community-gardening intervention may be a feasible approach to increase device-assessed PA and FV consumption and improve psychological health among AA women, but future studies should be adequately powered.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"15 2","pages":"122-137"},"PeriodicalIF":2.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132192","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":"A global snapshot of the silent brain injury epidemic: A descriptive observational study of concussion coverage on YouTube.","authors":"Aysha Jawed, Aryan Shabanpour, Nandita Gupta, Dennis Tudor, Yusuf Ghandi, Aria Mohebi","doi":"10.34172/hpp.025.44339","DOIUrl":"10.34172/hpp.025.44339","url":null,"abstract":"<p><strong>Background: </strong>Concussion is a prevalent form of traumatic brain injury worldwide with significant health consequences and far-reaching implications. Concussion protocols have been revised in recent years to protect athletes in increasing concussion reduction and timely treatment. Campaigns, news reports and mass media have also depicted coverage of concussions over the past decade especially in light of more athletes coming forward with long-term repercussions following repeated concussions.</p><p><strong>Methods: </strong>Previously, published studies have examined content pertaining to concussions across different social media platforms. Notably, the last comprehensive review of prevalent content across YouTube on concussions was ten years ago in 2014. Given updates in concussion protocols and clinical practice guidelines, increased news coverage and the movie release of Concussion in 2015, this study sought to examine and describe the sources, format and content covered among the top 100 widely viewed videos on YouTube a decade later.</p><p><strong>Results: </strong>Majority of the videos were posted by nongovernmental/organizational sources. Several testimonials by athletes on aftereffects of concussions were covered. Falls comprised the leading risk factor for concussions. Football, soccer, basketball and sailing represented the highest risk sports for concussions among the widely viewed videos. Many post-concussive symptoms were accounted for in the videos. Rest and activity limitations were featured as the leading treatments for concussions. Clinical, organizational, and health equity implications are presented.</p><p><strong>Conclusion: </strong>Recommendations to inform directions for patient and family education and clinical care on concussions are proposed.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"15 2","pages":"146-152"},"PeriodicalIF":2.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132235","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":"Leveraging Ottawa Charter strategies to enhance COVID-19 vaccination: A systematic review of global health promotion approaches.","authors":"Sara Pourrazavi, Behrouz Fathi, Zahra Fathifar, Haidar Nadrian, Hamid Allahverdipour","doi":"10.34172/hpp.025.43752","DOIUrl":"10.34172/hpp.025.43752","url":null,"abstract":"<p><strong>Background: </strong>Despite global vaccination efforts, many countries struggled to achieve sufficient COVID-19 vaccination coverage. The use of Ottawa Charter health promotion strategies in vaccination programs not only enhances coverage but also fosters sustainable public health outcomes. This systematic review aims to identify actionable strategies to improve vaccination efforts.</p><p><strong>Methods: </strong>This systematic review involved a comprehensive literature search across PubMed, Scopus, Web of Science, and Embase, targeting studies published between January 2020 and August 2024. The search focused on government-led health promotion strategies for enhancing COVID-19 vaccination rates. Strategies were categorized five main areas of the Ottawa Charter for health promotion.</p><p><strong>Results: </strong>A total of 22 health promotion strategies were identified globally, categorized into five key areas based on the Ottawa Charter for health promotion. Notable strategies included engaging community, addressing misinformation, expanding vaccination sites, and providing culturally tailored communication.</p><p><strong>Conclusion: </strong>The findings underscore the significance of utilizing the Ottawa Charter framework to design inclusive and adaptable public health strategies that ensure equitable vaccination coverage globally.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"15 1","pages":"9-22"},"PeriodicalIF":2.4,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200362","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}