Global Health Promotion最新文献

{"title":"HIV-related stigma and self-management in young people living with HIV in rural South Africa: a socioecological perspective.","authors":"Wilson Majee, Ifeolu David, Regis R Marie Modeste, Ntombizodwa S B Linda, Jooste Karien","doi":"10.1177/17579759261485207","DOIUrl":"https://doi.org/10.1177/17579759261485207","url":null,"abstract":"<p><p>Despite progress toward UNAIDS 95-95-95 targets, HIV-related stigma continues to undermine self-management and health outcomes, particularly in rural areas. This study explored how stigma influences self-management among young people living with HIV (YPLHIV) in rural South Africa, applying a socioecological model to examine individual, social, institutional, and structural factors shaping health behaviors and cognitive functioning. Twenty interviews were conducted with YPLHIV aged 18-35 years. Data were thematically analyzed. Participants described intense internalized stigma and fear following diagnosis, often leading to shame, isolation, or suicidal ideation. Counseling, health education, and treatment success promoted self-efficacy and acceptance, enabling adherence and future-oriented goals. Family and caregiver support fostered resilience, while peer rejection reinforced stigma. Positive relationships with healthcare providers encouraged adherence, though gaps in communication around viral load and CD4 monitoring were noted. At the structural level, supportive health policies, free antiretroviral treatment, and routine testing enabled early diagnosis and treatment, but poverty and unemployment limited the ability to maintain healthy lifestyles. HIV-related stigma profoundly shapes the psychosocial well-being and self-management behaviors of YPLHIV. Interventions that strengthen self-efficacy, mental health support, and coping strategies, while simultaneously addressing family, community, and structural contexts, are essential to reduce the stigma's impact and promote sustained engagement in care.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261485207"},"PeriodicalIF":1.5,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent obesity in the UK: commercial determinants, policy gaps and community level solutions.","authors":"Moses Ifeatu Nwuzoh, Stanley Chinedu Eneh","doi":"10.1177/17579759261485222","DOIUrl":"https://doi.org/10.1177/17579759261485222","url":null,"abstract":"<p><strong>Background: </strong>Adolescent obesity remains a major public health challenge in the United Kingdom among those aged 10 to 19 years, with lasting consequences for health and wellbeing. Using the Commercial Determinants of Health framework, this perspective analyses how commercial dynamics interact with regulatory gaps and delayed policy implementation to sustain obesogenic environments for adolescents. Drawing on peer reviewed studies, surveillance data and international evidence, the analysis focuses on levels 3 and 4 of the framework, namely sectoral governance and the commercial configuration of food environments, to clarify how policy design and commercial adaptation shape adolescent exposure pathways. The paper argues that fragmented governance and regulatory pacing enable commercial strategies shaping food environments, including marketing, pricing and product placement, to persist despite existing policy measures such as the Soft Drinks Industry Levy and restrictions on products high in fat, sugar and salt. Limitations in national surveillance, particularly the under-representation of older adolescents within the National Child Measurement Programme, further constrain targeted policy responses.</p><p><strong>Conclusion: </strong>Evidence from the Young People at a Healthy Weight initiative illustrates how coordinated governance and community systems approaches can reshape local environments and reduce inequalities in adolescent obesity. By linking governance fragmentation with commercial adaptation, this perspective provides a structural explanation for the limited impact of isolated policy interventions and highlights the need for coordinated multilevel responses.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261485222"},"PeriodicalIF":1.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Drawing on lessons from the COVID-19 pandemic and seizing the opportunity for health promoting prisons.","authors":"Amanuel Kidane Hagos","doi":"10.1177/17579759261489518","DOIUrl":"https://doi.org/10.1177/17579759261489518","url":null,"abstract":"<p><p>Health promoting prisons is an approach that emphasises structural and whole of system response to health promotion in correctional settings. Three decades on since its initiation in 1995, progress in the health promoting prisons agenda has remained limited. This commentary takes a strengths-based stance to provide some insights from the COVID-19 pandemic to help progress the health promoting prisons agenda.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261489518"},"PeriodicalIF":1.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenging the status quo in the global response to HIV: a call for meaningful youth engagement.","authors":"Isaac Olushola Ogunkola, Aurelio Orta Resendiz, Stefanie Vaccher, Martin Plymoth","doi":"10.1177/17579759261485173","DOIUrl":"https://doi.org/10.1177/17579759261485173","url":null,"abstract":"<p><p>The HIV epidemic continues disproportionally to affect adolescents and young people globally. There is a need for a paradigm shift in our approach to the HIV/AIDS epidemic to address the challenges of stigma, awareness, and access and adherence to care.In this article, drawing on outcomes of unstructured group discussions among youth peer advocates from diverse backgrounds and geographical contexts, we identify key focus areas with the vision to engage and empower youth, contextualize these within the existing evidence base and present actionable recommendations directed at youth and policymakers. These key areas include: (i) the role of social media and peer-led initiatives to disseminate accurate information and reduce HIV-related stigma; (ii) improving access to comprehensive sexuality education and peer-mentoring globally; (iii) strengthening training, stigma reduction and youth-related education among current and future healthcare workers; (iv) empowering young people, particularly young women and vulnerable populations, and promoting equitable access to comprehensive health services; (v) promoting youth participation and leadership in advocacy, policy development, and decision making; and (vi) encouraging collaboration between networks across intersecting HIV and human rights-related agendas.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261485173"},"PeriodicalIF":1.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health promotion in an era of disruption: applying enduring principles in a changing world.","authors":"Theresa Tam","doi":"10.1177/17579759261484913","DOIUrl":"https://doi.org/10.1177/17579759261484913","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261484913"},"PeriodicalIF":1.5,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Crianza migrante en Chile: ¿Cómo las políticas de salud y migración impactan el bienestar de las madres?","authors":"Tamara Jara, Margarita Bernales, Angélica Farías, María Olaya Grau","doi":"10.1177/17579759261459112","DOIUrl":"https://doi.org/10.1177/17579759261459112","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261459112"},"PeriodicalIF":1.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hygiene promotion behavioral change interventions on household latrine construction and utilization in rural sub-Saharan Africa: Systematic review.","authors":"Eneyew Talie Fenta, Mickiale Hailu, Amare Mebrat Delie, Alemwork Abie, Molla Getie Mehari, Dereje Esubalew, Tenagnework Eseyneh Dagnaw, Liknaw Workie Limenh, Mihret Melese, Nigus Kassie Worku","doi":"10.1177/17579759261459422","DOIUrl":"https://doi.org/10.1177/17579759261459422","url":null,"abstract":"<p><strong>Background: </strong>Safe sanitation is a basic human right and is essential to improve public health. Ninety percent of the 673 million people who continue to practice open defecation live in the countryside of Asia and sub-Saharan Africa.</p><p><strong>Methods: </strong>The review was done using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis checklist. The Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument was used to assess quality of articles.</p><p><strong>Result: </strong>The study summarizes evidence from 22 studies conducted in eight countries in sub-Saharan Africa. Most of the studies reported that behavioral change interventions are effective in promoting latrine construction and use in rural areas. Contextual, psychological, and other factors interact to influence an individual's decision to construct and use a latrine. Theory-based behavior change interventions provide a systematic and evidence-based approach to addressing complex challenges in rural sanitation.</p><p><strong>Conclusion: </strong>The review covers a range of interventions aimed at promoting behavior change related to hygiene practices, with a specific focus on latrine construction and utilization. These interventions included educational campaigns, community mobilization with community-led total sanitation, infrastructure improvements, and other strategies designed to encourage the adoption of hygienic behaviors. Participatory methods, practical demonstrations, and community involvement can improve communities' hygiene practices and motivate individuals to adopt healthier behaviors. It is important to recognize that contextual, psychological, and other factors interact with the structural and design elements of latrines to influence an individual's decision to build and use them. Theory-based behavior change interventions offer a systematic approach to addressing complex challenges such as rural sanitation by identifying the underlying factors that influence behavior and designing interventions that effectively target those factors. Therefore, combining behavior change interventions with community-led approaches can promote latrine construction and use and help reduce the burden of hygiene-related diseases in rural communities.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261459422"},"PeriodicalIF":1.5,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial discrimination in Latin American school settings: evidence from Brazilian adolescents.","authors":"Kezauyn Miranda Aiquoc, Maria do Socorro da Silva, Alessandra Aparecida da Silva Menezes, Mercês de Fátima Dos Santos Silva, Talita Araujo de Souza, Isabelle Ribeiro Barbosa","doi":"10.1177/17579759261469530","DOIUrl":"https://doi.org/10.1177/17579759261469530","url":null,"abstract":"<p><p>This study evaluated the prevalence and factors associated with perceived racial discrimination among Brazilian schoolchildren. A cross-sectional study used data from Sample 1 of the 2015 National School Health Survey. The prevalence of perceived racial discrimination and its association with individual, socioeconomic, health and school factors were analyzed using prevalence ratios (PR) with 95% confidence intervals (CIs). Multivariate analysis was performed using Poisson regression, accounting for sample weights from the complex survey design. Of 102,302 valid responses, 2333 students reported experiencing racial discrimination, corresponding to a prevalence of 2.58% (95% CI: 2.40-2.78). In multivariate analysis, perceived racial discrimination was associated significantly with being male (PR 1.69; 95% CI: 1.40-2.04), Black (PR 7.39; 95% CI: 5.49-9.96), Brown (PR 2.07; 95% CI: 1.53-2.80) or Indigenous (PR 4.95; 95% CI: 3.32-7.38); working (PR 1.48; 95% CI: 1.19-1.85); having a mother with no schooling (PR 1.74; 95% CI: 1.25-2.42); reporting frequent loneliness (PR 2.17; 95% CI: 1.67-2.81) and expecting to complete only high school (PR 1.50; 95% CI: 1.24-1.83). Results indicate that perceived racial discrimination among Brazilian adolescents is influenced by gender, socioeconomic status and psychosocial factors, highlighting the need for structural interventions to reduce discrimination in schools.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261469530"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can the organization of the Olympic Games be a tool to promote the development of healthy environments and habits?","authors":"Juan M Pérez Flórez, Erwin H Hernández Rincón, Daniel Jiménez Moya, Lizeth A Chavarro","doi":"10.1177/17579759251357598","DOIUrl":"https://doi.org/10.1177/17579759251357598","url":null,"abstract":"<p><strong>Introduction: </strong>The celebration of the Olympic Games corresponds to a millenary tradition of humanity. With the advent of modernity, the understanding of the positive effects they have on host cities in terms of urban and economic development has increased. The aim is to reflect on the health legacy that can enhance the development of healthy living habits in the inhabitants of host cities.</p><p><strong>Methodology: </strong>An integrative review was conducted through a search of the literature available to date in the PubMed, Taylor & Francis and Bireme databases; 11 articles were retrieved from 2012 to 2024, with emphasis on the positive effects and government policies at the level of healthy lifestyle habits and exercise.</p><p><strong>Results: </strong>The Olympic Games provided an ideal platform to promote the importance of exercise and healthy habits in public opinion. The analyzed articles reveal mixed effects of the Olympic Games on sports participation and urban infrastructure, underscoring the need for sustainable policies and inclusive planning to enhance public health benefits. The lack of long-term governmental actions prevented the maintenance of these effects over time.</p><p><strong>Conclusion: </strong>It is imperative to establish a cross-cutting action plan that favors the development of healthy lifestyle habits in the population, with emphasis on those in vulnerable situations, through platforms such as the Olympic Games. Implementing long-term strategies can maximize positive health outcomes and foster enduring healthy behaviors in host communities.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251357598"},"PeriodicalIF":1.5,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Universidades Promotoras de la Salud: la importancia de la participación multisectorial y multidisciplinaria.","authors":"Josefa Ippolito-Shepherd, Donato Vallín González, Enrique Oscar Abeyá Gilardon, Amanda Josefina Bravo Hernández, Maria Guadalupe Díaz Rentería, Erika Mayela Caballero Muñoz, Omar Fernández Vergara","doi":"10.1177/17579759261459111","DOIUrl":"https://doi.org/10.1177/17579759261459111","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261459111"},"PeriodicalIF":1.5,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}