Global Health Promotion最新文献

{"title":"How norms-shifting interventions foster community-level social and behavior change: new insights from a synthesis of realist evaluations of community-level interventions.","authors":"Susan Igras, Mariam Diakité, Anjalee Kohli, Carley Fogliani","doi":"10.1177/17579759241277493","DOIUrl":"https://doi.org/10.1177/17579759241277493","url":null,"abstract":"<p><p>Social norms, the informal rules that influence behavior, play essential roles in shaping people's behavior. Community-based norms-shifting interventions (NSIs) identify gender and other social norms linked to unhealthy behaviors and implement activities to promote collective change by encouraging communities to reflect on and question these norms. Though NSIs are gaining international traction in social and behavior change programming for health promotion, how change occurs needs to be clearly understood in African and other contexts. To build understanding and guidance for future NSI design, the applied-research Passages Project and collaborating non-governmental organizations in West and Central Africa conducted realist evaluations of four NSIs focused on adolescent/youth sexual and reproductive health, operating in Democratic Republic of Congo, Niger, and Senegal. The evidence base for the realist synthesis came from four quasi-experimental outcome evaluations and 19 rapid implementation studies, which confirmed the four program Theories of Change. The synthesis findings identified eight norms-shifting mechanisms common across NSIs: information provision; dialogical, experiential approaches; role modeling; safe spaces; within-community meetings; planned diffusion; cross-community meetings of change agents; and community-service linkages. NSIs directly, at times indirectly, engaged reference groups that uphold norms, explaining their theoretical roles operationally. These findings led to middle-range theory showing how NSI activities, mechanisms, and reference group engagement should, over time, lead to norms-shifting outcomes. Design implications include developing a fuller understanding of how program components, as norms-change mechanisms, lead to effects; being deliberate about when and how to engage reference groups; and recognizing systems complexity and the subsequent need for NSI implementation elasticity.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241277493"},"PeriodicalIF":1.7,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013993","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":"Determinantes sociales del testeo de VIH en Chile: Resultados a partir de la Encuesta Nacional de Salud, Sexualidad y Género 2022-2023.","authors":"Mauro P Olivera, Y Solange De la Hoz","doi":"10.1177/17579759241309341","DOIUrl":"https://doi.org/10.1177/17579759241309341","url":null,"abstract":"<p><p>Dado el aumento constante en la tasa de incidencia del VIH en Chile, se han impulsado estrategias de prevención conjunta, con la promoción del testeo de VIH como uno de sus pilares fundamentales. El presente estudio se propuso identificar los determinantes sociales del testeo de VIH en la población chilena a partir de datos secundarios provenientes de la Encuesta Nacional de Salud, Sexualidad y Género 2022-2023. Se contó con un diseño transversal y una muestra representativa de 20392 adultos chilenos residentes en sectores urbanos. La variable dependiente fue la realización del test de VIH en los últimos 12 meses, mientras que las variables independientes fueron los determinantes estructurales (edad, género, macrozona de residencia, pertenencia a pueblos originarios y nivel educacional) e intermediarios (previsión de salud, religión, orientación sexual, situación de pareja, educación sexual, calidad de vida, salud percibida). Se llevaron a cabo modelos de regresión logística binomial múltiple, con estimaciones de datos basadas en encuestas para diseños de estudios complejos. De acuerdo con el modelo estimado, las personas de 40 años o más, de género masculino, con nivel educacional primario, orientación heterosexual, que no tenían pareja y con una mayor percepción de salud, tenían una menor probabilidad de haberse realizado un test de VIH en el último año. Es crucial identificar los determinantes sociales del testeo de VIH, con el fin de desarrollar políticas públicas e intervenciones de promoción efectivas. Los resultados presentados permiten identificar grupos de población que tienen un menor acceso a servicios de testeo, hacia los cuales orientar los esfuerzos para la promoción de la detección oportuna.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241309341"},"PeriodicalIF":1.7,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013941","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":"Factors associated with individual-level changes in BMI as a result of COVID-19 in the general- and migrant-origin populations in Finland.","authors":"T Prinkey, A Lundqvist, R García Velázquez, E Lilja, N Skogberg","doi":"10.1177/17579759241307946","DOIUrl":"https://doi.org/10.1177/17579759241307946","url":null,"abstract":"<p><strong>Aims: </strong>There is limited information on changes in body mass index (BMI) due to the COVID-19 pandemic among persons of migrant origin. The aim of the present study was to examine factors associated with changes in BMI among the general- and migrant-origin populations in Finland.</p><p><strong>Methods: </strong>Longitudinal data to explore individual-level changes in self-reported BMI among migrant-origin persons (<i>N</i> = 3313) were obtained from the FinMonik Survey conducted in 2018 and the MigCOVID Survey conducted 2020-2021. Data for the general population reference group were obtained from the FinHealth 2017 Study conducted 2017-2018 and its follow-up conducted in 2020 (<i>N</i> = 2982). Logistic regression was applied to examine whether age, sex, education, economic activity, length of residence in Finland, language skills, smoking, alcohol usage, sleep, physical activity, snacking, and fruit and vegetable consumption were associated with an increase or decrease in BMI. A change in BMI was defined as a 5% or greater increase or decrease.</p><p><strong>Results: </strong>Twenty-seven per cent of the migrant-origin population experienced an increase in BMI, while 14% had a decrease in BMI. These results corresponded to figures observed among the general population in Finland (27% and 14%). Persons of migrant origin who were other than students or employed faced greater odds of an increase in BMI of at least 5% (OR = 1.71). In the general population, an increase in BMI of at least 5% had greater odds of occurring among women (OR = 1.61), those who were other than students or employed (OR = 1.68), those who increased their alcohol intake (OR = 1.64), those who increased their snacking (OR = 1.40) and decreased their fruit and vegetable intake (OR = 1.85).</p><p><strong>Conclusions: </strong>Most examined factors applied differently to general- and migrant-origin populations and by migrant-origin group. These differences must be considered when planning future public health promotion efforts, particularly those during crisis situations.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241307946"},"PeriodicalIF":1.7,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013989","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":"Factores sociodemográficos-sanitarios sobre la decisión de interrupción del embarazo, Chile: un análisis de clases latentes.","authors":"María Angélica Saldías Fernández, Andrés González-Santa Cruz, Macarena Martínez Órdenes, Denisse Parra-Giordano","doi":"10.1177/17579759241257477","DOIUrl":"https://doi.org/10.1177/17579759241257477","url":null,"abstract":"<p><strong>Objetivo: </strong>identificar las características sociodemográficas y/o sociosanitarias comunes de quienes solicitaron prestaciones para la interrupción voluntaria del embarazo (IVE) en Chile mediante un análisis de clases latentes, con el fin de examinar la relación entre estos patrones y la decisión de interrumpir el embarazo.</p><p><strong>Métodos: </strong>análisis de clases latentes a partir de una cohorte retrospectiva basada en registros anonimizados a nivel nacional. Gestantes que solicitaron las prestaciones contempladas en la Ley 21.030 de la red sanitaria pública en Chile, entre los años 2018 y 2022 (<i>N</i> = 3789).</p><p><strong>Resultados: </strong>modelo de cinco clases latentes: C1 \"Extranjeras con alta vulnerabilidad que ingresan por violación\" (4.3 %), C2 \"Chilenas con baja vulnerabilidad\" (11.8 %), C3 \"Extranjeras con alta vulnerabilidad que ingresan por inviabilidad fetal o riesgo de vida para la persona gestante\" (13.3 %), C4 \"Chilenas con vulnerabilidad media\" (55.6 %) y C5 \"Chilenas con alta vulnerabilidad\" (15.1 %). Las gestantes pertenecientes a las C3 (OR = 0.91, IC 95 % [0.88, 0.95]) y C4 (OR = 0.87, IC 95 % [0.84, 0.90]) tienen menores probabilidades de interrupción en comparación con las que pertenecen a la C2. Las gestantes C3 (0.94 [IC 95 % = 0.88, 0.99]) son quienes presentan mayores probabilidades de solicitar IVE, seguidas por C2 (0.93 [IC 95 % = 0.90, 0.97]) y C5 (0.92 [IC 95 % = 0.89, 0.95]).</p><p><strong>Conclusiones: </strong>los perfiles sociodemográficos de las personas solicitantes de la IVE revisten de complejidad y presentan características heterogéneas. En Chile, los patrones distintivos identificados en las personas gestantes que solicitaron la IVE durante el periodo de estudio apuntan a vulnerabilidades sociales que pueden limitar los derechos sexuales y reproductivos de las personas gestantes. Las políticas públicas debieran poner foco en personas migrantes que solicitan prestaciones IVE.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241257477"},"PeriodicalIF":1.7,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824655","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":"The association between fathers' childhood meal preparation experiences and current cooking skills in preparing healthy meals for children and foodwork involvement in Japan: a cross-sectional study.","authors":"Emi Yoshii, Misa Shimpo, Rie Akamatsu","doi":"10.1177/17579759241298263","DOIUrl":"https://doi.org/10.1177/17579759241298263","url":null,"abstract":"<p><p>To achieve 'Sustainable Healthy Diets', it is critical to address the observed gender discrepancy in meal preparation time allocation. Japanese fathers spend significantly less time on food-related housework (foodwork) than mothers. This study aimed to investigate the association between fathers' childhood meal preparation experiences and their current cooking skills in preparing healthy meals for their children, as well as their involvement in foodwork in Japan. An online cross-sectional study was conducted in November 2022 with 500 Japanese fathers living in dual-earner households with children aged 3-6 years. An analysis of covariance (ANCOVA) was used to examine the above-mentioned associations, with fathers' age and education as control variables. This study examined 463 fathers who did not live with their children's grandparents. We evaluated the fathers' cooking skills on a scale and obtained an average score of 6.9, ranging from 3 to 15; foodwork involvement was assessed similarly, resulting in an average score of 4.1, ranging from 0 to 8. ANCOVA results showed that fathers with experience in meal preparation from childhood were more likely to have higher cooking skills scores (adjusted mean (SEM) = 7.8 (0.35)) than fathers with no experience (adjusted mean (SEM) = 6.5 (0.24), adjusted <i>p</i> < 0.05). They were also more likely to have higher foodwork involvement scores (adjusted mean (SEM) = 4.9 (0.26)) than fathers with no experience (adjusted mean (SEM) = 3.8 (0.18)) or experiences from adulthood (adjusted mean (SEM) = 4.0 (0.28), adjusted <i>p</i> < 0.05). Therefore, fathers' childhood meal preparation experience may impact their current cooking skills and foodwork involvement. Hence, age-appropriate programs are required that continually encourage children to prepare meals at home.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241298263"},"PeriodicalIF":1.7,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802760","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":"The dark side of the moon: can critical health literacy offer solutions to the fundamental problems of health literacy?","authors":"Susie Sykes, Stephan van den Broucke, Thomas Abel","doi":"10.1177/17579759241298255","DOIUrl":"https://doi.org/10.1177/17579759241298255","url":null,"abstract":"<p><p>This commentary is intended as a response to ongoing concerns expressed about fundamental limitations of current research, policy, and practice surrounding health literacy. These concerns emphasise the individualistic and reductionist approaches which often dominate health literacy work, as well as a neglect of broader structural factors in addressing pressing public health issues. The potential of critical health literacy as a concept and practical approach which responds to these critiques is presented. A case is made that critical health literacy, as a concept that operates at both the community and individual level, offers an opportunity to address and eventually overcome these basic limitations in current health literacy approaches.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241298255"},"PeriodicalIF":1.7,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792661","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":"Caracterización y factores asociados a la malnutrición en menores de 5 años en el municipio de Neiva, Colombia.","authors":"Laura Daniela Torres Muñoz, Ingrid Yolercy Troche Gutiérrez, Brayant Andrade Méndez","doi":"10.1177/17579759241293450","DOIUrl":"https://doi.org/10.1177/17579759241293450","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241293450"},"PeriodicalIF":1.7,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792660","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":"SDGs and public health policies: implementing the S2D grid in the city of Lausanne, Switzerland.","authors":"Julien Forbat, Anne Roué Le Gall, Marion Porcherie, Christiane Gosset, Martine Bantuelle, Charlotte Marchandise, Pascal Thébault, Souhail Latrèche, Alexandre Bédat, Jean Simos","doi":"10.1177/17579759241238009","DOIUrl":"10.1177/17579759241238009","url":null,"abstract":"<p><p>Sustainable development goals (SDGs) and public health are often considered as separate policy fields, whereas there is a considerable potential in better coordinating their objectives and measures. Using an analytical grid (S2D grid) linking SDGs and public health objectives and comprising 6 thematic issues and 56 categories, the research team conducted an assessment of health promotion programs in the city of Lausanne, Switzerland. Their objective was to determine whether SDGs and public health concerns can translate into complementary policy objectives, and what was the level of achievement of Lausanne in terms of implementation, intersectoral collaboration and avoidance of redundancy, regarding the vast array of measures potentially dealing with SDGs and health promotion. Results show that measures implemented by Lausanne deal with 80% of categories included in the S2D grid, with a high level of intersectorality and a low level of redundancy. These results also emphasize the fact that linkages between SDGs and health promotion go well beyond the SDG 3 dedicated to 'good health and well-being', and that the S2D grid could be used as a tool in favor of organizational change, promoting the collaboration between stakeholders often reluctant to engage in public health policies.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"56-65"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La promotion de la santé doit être (ou devenir) la promotion de l'égalité.","authors":"Ted Schrecker","doi":"10.1177/17579759241297580","DOIUrl":"https://doi.org/10.1177/17579759241297580","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":"31 4","pages":"6-8"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814556","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":"Should organized sport characteristics be considered as a strategy for meeting physical activity guidelines in children?","authors":"Daniela Rodrigues, Aristides M Machado-Rodrigues, Augusta Gama, Maria-Raquel G Silva, Helena Nogueira, Cristina Padez","doi":"10.1177/17579759241237525","DOIUrl":"10.1177/17579759241237525","url":null,"abstract":"<p><strong>Background: </strong>A clearer understanding of the relationships between specific sport context with overall physical activity (PA) and sedentary time (ST) may contribute to the development of more accurate preventive strategies to increase children's engagement in PA.</p><p><strong>Purpose: </strong>This study aimed to examine how different organized sports contributed to children's daily PA and ST.</p><p><strong>Methods: </strong>PA was measured for seven days via accelerometers, in 410 children aged 6-10 years (49.8% boys). Of those, 332 (53.0% boys) were engaged in an organized sport and were further considered for statistical analyses. Parents reported children's sport participation (e.g. which sport, number of times per week, duration). The sports were classified into: indoor <i>vs</i>. outdoor; individuals <i>vs</i>. team; combat <i>vs</i>. individual aesthetic <i>vs</i>. racing <i>vs</i>. invasion. Children's height and weight were objectively collected. Multiple one-way analyses of covariance were used to examine the effects of sport characteristics on PA and ST. A linear regression, adjusted for children's sex, age, body mass index and father's educational level, determined the relationship between being involved in multiple PA and sedentary behaviours with Moderate to Vigorous PA (MVPA) levels.</p><p><strong>Results: </strong>Although engaged in an organized sport, only 30% of the children achieved the PA recommendations. Sport (compared with active commute and active play) was the best contributor to daily MVPA. Outdoor sports (<i>vs</i>. indoor) contributed the most to vigorous PA (VPA) and MVPA. Team sports (<i>vs</i>. individual) were significantly associated with lower ST. Children in combat sports accumulated more VPA and MVPA, while those in racing sports showed a higher ST.</p><p><strong>Conclusions: </strong>Sport participation alone does not guarantee children will reach the PA guidelines, and the type of sport can influence children's PA levels. Gender-stereotypes in sports may prevent girls from achieving their 60 minutes of MVPA daily.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"75-84"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}