{"title":"Shifting perspectives to address epistemic injustices in Global Health: the role of early-career researchers from the Global North.","authors":"Rik U Lubbers, Charlotte M Hoffman","doi":"10.1177/17579759261456705","DOIUrl":"https://doi.org/10.1177/17579759261456705","url":null,"abstract":"<p><p>This perspective examines the role of Global North early-career researchers (GN-ECRs) in addressing epistemic injustices within Global Health. Despite growing efforts to decolonize Global Health, epistemic injustices continue to undermine the field. We argue that GN-ECRs need to critically engage with our roles to reduce epistemic injustices in Global Health. While we benefit from access to resources and platforms within the Global Health system, our authority within Global North academic hierarchies remains limited. Referring to the stages of awareness, deliberation and action, we outline how GN-ECRs must balance their roles at the intersection of privilege and constraint, and take responsibility for identifying feasible leverage points within existing structures. While the pursuit of equity and inclusivity is challenging and imperfect, each actor, including GN-ECRs, has a responsibility to contribute to a more just, inclusive and impactful system. By framing epistemic injustice through a consequentialist-positionality lens, this perspective offers a practical methodological tool for more equitable and effective Global Health research.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261456705"},"PeriodicalIF":1.5,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594097","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":"Mapeo de los activos para la salud y el bienestar del carnaval de Cádiz.","authors":"Mariano Hernán García, Luís Lloret Meilán, Blanca Valls Pérez, Carmen Lineros González","doi":"10.1177/17579759261429075","DOIUrl":"https://doi.org/10.1177/17579759261429075","url":null,"abstract":"<p><p>El carnaval puede relacionarse con la promoción del bienestar, tanto desde las teorías participativas como las socioecológicas y las salutogénicas, centradas en factores que promueven la salud y potencian recursos positivos para afrontar la vida. Quienes participan activamente en el carnaval callejero de Cádiz pueden aportar una perspectiva de interés sobre la promoción de la salud o el bienestar y el carnaval. Para conocer la opinión de estas personas e identificar los activos derivados de participar en el mismo, se desarrolló una investigación cualitativa utilizando entrevistas que aportan narrativas sustentadas en las vivencias expresadas por profesionales de la salud, la educación y el bienestar social con alta experiencia de participación activa en el carnaval callejero. El modelo teórico de partida del desarrollo comunitario basado en activos generó uno emergente que aporta resultados y nuevas hipótesis sobre la capacidad del carnaval como fuente de activos para la salud o el bienestar y también para el fortalecimiento del capital social. Se concluye que la participación activa en el carnaval callejero de Cádiz y en su proceso de desarrollo tiene significado relevante en la vida y la identidad cultural de quienes participan, aportando activos individuales, grupales o comunitarios que favorecen el bienestar y la salud emocional.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261429075"},"PeriodicalIF":1.5,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279045","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":"Perceptions of sugary drinks within the application of excise tax in Saudi Arabia: a qualitative study among undergraduate and postgraduate students.","authors":"Reem Alsukait, Noura Alomair, Badriyah Al-Mutairi, Samah Alageel","doi":"10.1177/17579759261445091","DOIUrl":"https://doi.org/10.1177/17579759261445091","url":null,"abstract":"<p><strong>Background: </strong>Saudi Arabia introduced one of the most significant beverage taxes globally (50% on sugar-sweetened drinks and 100% on energy drinks). This provides a unique opportunity to investigate the impact of taxes on perceptions and attitudes toward sugary drinks and whether consumers are substituting taxed beverages with healthy alternatives.</p><p><strong>Methods: </strong>A qualitative study using semi-structured interviews with university students in Riyadh, Saudi Arabia. Interviews were analysed using thematic analysis.</p><p><strong>Results: </strong>A total of 27 participants were interviewed. Four themes were identified from the data: <i>Health is beyond personal choice</i>, <i>The role of food companies in promoting health behaviour</i>, <i>What is excise tax and why do we need it?</i> and <i>The impact of taxation on consumer behaviour</i>. Social factors and the availability and prices of healthy and unhealthy products often restrict the ability to follow a healthy diet. Food companies have a role in facilitating access to nutritious products, and policies should be in place to regulate the process. Many participants needed to be made aware of the implementation of the excise tax and often confused it with the value-added tax. Participants who perceived themselves as light consumers of sugary drinks reported minimal impact of the taxation on their consumption. Those who perceive themselves as heavy consumers have reported being affected by taxation.</p><p><strong>Conclusions: </strong>This study strengthens the idea that people's perception of the impact of taxation on their purchasing behaviour was influenced by their views regarding their consumption. A comprehensive approach is needed to reduce sugary drinks, including promoting healthy substitutes and enhancing understanding of public health interventions to maximise benefits.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261445091"},"PeriodicalIF":1.3,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220219","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}
Erwin H Hernandez Rincon, Juan G Garcia Manrique, Juanita Henao Girard, Daniela Barros Toro
{"title":"Implementation of the Health Promoting Universities initiative in Colombia: a scoping review.","authors":"Erwin H Hernandez Rincon, Juan G Garcia Manrique, Juanita Henao Girard, Daniela Barros Toro","doi":"10.1177/17579759251410569","DOIUrl":"https://doi.org/10.1177/17579759251410569","url":null,"abstract":"<p><strong>Objective: </strong>To map and analyze the available literature on Health Promoting Universities initiatives and health promotion activities in Colombian universities.</p><p><strong>Method: </strong>A scoping review was conducted following the Joanna Briggs Institute methodology, with searches performed in PubMed, BIREME, and Scopus databases.</p><p><strong>Results: </strong>From 1575 initial records identified, 14 studies met the inclusion criteria. The literature described various health promotion activities in Colombian universities, ranging from specific interventions to broader institutional initiatives. The review identified significant knowledge gaps regarding long-term outcomes and implementation frameworks specifically adapted to the Colombian context.</p><p><strong>Conclusions: </strong>The Colombian literature suggests that a systematic approach for health promotion in Colombian universities should involve continuous evaluation of health programs, interprofessional collaboration, stakeholder engagement from the university community, and strengthening of inter-university networks such as REDCUPS to promote best practice sharing. These strategies could potentially contribute to developing context-appropriate guidelines for Colombian universities.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251410569"},"PeriodicalIF":1.3,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220193","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":"Introducing polysectionality: an innovative multidimensional policy framework towards decolonising global health.","authors":"Papia Sengupta","doi":"10.1177/17579759261446310","DOIUrl":"https://doi.org/10.1177/17579759261446310","url":null,"abstract":"<p><p>Debates around decolonial global health (DGH) have gathered momentum post COVID-19 pandemic. Although there is disagreement among scholars about the use of the term 'decolonial' due to its usage by anti-democratic forces, it has become a buzzword in funding and scholarship in the Global North. Notwithstanding this disagreement, DGH claims to aim for a more inclusive health system, easy access for marginalised communities, equality and equity for women, minorities and low-economic classes, and the collusion of global health to include humans and non-humans in novel ways of thinking about holistic healthcare. The Eurocentric narrative of DGH by the Global North rooted in colonialism and violence is often followed blindly by the Global South countries, making the goals of equal access to healthcare - one of the primary United Nations Sustainable Development Goals - a distant dream. This paper critically analyses DGH and introduces a multidimensional policy framework for health called 'polysectionality', diversifying the ambit of DGH underlining equal access to health for all by breaking the North-South binary. I argue that the innovative polysectional conceptual framework will take the DGH conversation further in times of 'poly-crisis' by providing a blueprint to implement DGH policies effectively.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261446310"},"PeriodicalIF":1.3,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206562","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}
Sarah J Hoffman, Windy M Fredkove, Vanessa Voller, Patricia Broderick, Hsa Moo, Amanda Davis, Abigail H Gewirtz
{"title":"Participatory cultural adaptation of a multigenerational mindfulness-based program for war-exposed families with refugee status.","authors":"Sarah J Hoffman, Windy M Fredkove, Vanessa Voller, Patricia Broderick, Hsa Moo, Amanda Davis, Abigail H Gewirtz","doi":"10.1177/17579759261443506","DOIUrl":"https://doi.org/10.1177/17579759261443506","url":null,"abstract":"<p><strong>Background: </strong>Disseminating the details and processes involved in a participatory-based selection, adaptation, and implementation of evidence-based interventions (EBI) in support of refugee families in resettlement is paramount for an equitable, trauma-informed, public health approach to promoting family health and resilience. We describe the participatory cultural adaptation of EBIs to establish a multigenerational mindfulness-based and resilience enhancing family program for war-affected families with adolescent youth.</p><p><strong>Methods: </strong>The study team integrated conceptual and pragmatic approaches to the adaptation and implementation of an intervention program composed of two well-supported interventions to target intergenerational trauma in war-affected refugee families. The integration and adaptation of the program described in this report was conducted in partnership with members of the Karen refugee community (originating from Burma in Southeast Asia and resettled in the United States).</p><p><strong>Results: </strong>Based on three adaptation models and a FRAME-IS reporting structure, the process produced a focused set of contextual, content, and implementation adaptations. Most modifications were contextual, such as considering culturally responsive familial dynamics and selecting community-preferred delivery settings and facilitation. Content changes were limited and involved a careful examination of word choice and phrasing, and emphasized emotion-regulation and parenting strategies aligned with existing community practices. Implementation adaptations refined facilitator guidance and strengthened Community Health Worker Interventionist training. Iterative input from community experts enhanced relevance and feasibility while preserving the core intervention elements.</p><p><strong>Conclusion: </strong>Engaging members of a Community Leadership Board and Community Health Worker Interventionists in training, practice and feedback sessions informed the adaptation of evidence-supported interventions into a mindfulness-based family intervention to disrupt intergenerational trauma transmission in war-affected Karen families. We provide transparent intervention and program development documentation and guidance for other teams considering adaptations of health and resilience oriented EBIs for refugee families. The adapted program has the potential to be translated to other refugee populations.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261443506"},"PeriodicalIF":1.3,"publicationDate":"2026-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200413","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}
Jessica Haughton, Mariah R Blevins, Miguel A Fraga, Linda S Lloyd, Amanda C McClain, Benjamin Aceves, Noe C Crespo
{"title":"Factors associated with sugar-sweetened beverage and water consumption among adults in rural Baja California.","authors":"Jessica Haughton, Mariah R Blevins, Miguel A Fraga, Linda S Lloyd, Amanda C McClain, Benjamin Aceves, Noe C Crespo","doi":"10.1177/17579759261446309","DOIUrl":"10.1177/17579759261446309","url":null,"abstract":"<p><strong>Introduction: </strong>This study explored factors associated with sugar-sweetened beverage (SSB) and water consumption among adults in a small community in rural Mexico.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey using door-to-door sampling in an unincorporated community. Measures included self-reported consumption of beverages, personal preference, behavioral, and social environmental factors. Hierarchical multivariate linear regression models tested associations between social environmental factors and beverage consumption.</p><p><strong>Results: </strong>Participants (<i>n</i> = 89) reported consuming high amounts of sugar-sweetened beverages, averaging 29.9 oz (884.2 mL) per day. Daily water intake was approximately 33.9 oz (1002.5 mL) per day. Personal preference (β = 1.58; 95% CI 1.20, 2.04), behavioral (β = 1.38; 95% CI 1.10, 1.74), and social environmental factors (β = 1.38; 95% CI 1.02, 1.86) were associated with greater daily consumption of SSBs.</p><p><strong>Conclusions: </strong>Adults reported consuming high amounts of SSBs and low amounts of water. These behaviors correlated with personal preference, behavioral, and social environmental factors. A multidimensional approach that considers personal, behavioral, and social environmental factors could reduce SSB consumption and improve health outcomes in rural Mexican communities.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759261446309"},"PeriodicalIF":1.5,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13634606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164772","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}
Global Health PromotionPub Date : 2026-06-01Epub Date: 2025-08-09DOI: 10.1177/17579759251342820
Semiu Bello, Perpetua C Umeaku, Yusuf B Suleiman
{"title":"Open defecation in the Malete community of Kwara State, Nigeria: a study of residents' awareness level and practice.","authors":"Semiu Bello, Perpetua C Umeaku, Yusuf B Suleiman","doi":"10.1177/17579759251342820","DOIUrl":"10.1177/17579759251342820","url":null,"abstract":"<p><p>A clean and safe environment is necessary for healthy living. This explains why safe water and sanitation is a component of the Sustainable Development Goals, to achieve access to adequate and equitable sanitation and hygiene for all, and ending open defecation by 2030. However, with the snails pace of development and poor open defecation free initiatives, particularly in many developing countries, the 2030 target appears highly threatened. This study, therefore, examined the level of open defecation practice and awareness of the dangers associated with such a practice among residents of the Malete community of Kwara State. The study employed the survey method with a structured questionnaire to gather data from 228 participants out of the 10,547 community population. Among other findings, the study found a high prevalence of open defecation among Malate residents. It also discovered that through radio and interpersonal communication most respondents were exposed to messages on the significance of the regular use of enclosed toilet systems for defecation. Still, the respondents further confirmed that the spread of open defecation practice among them was exacerbated by poverty and lack of enclosed toilet facilities. However, in the case of the Malete community, the study found that there is no significant relationship between income level and involvement in open defecation. The study concluded that exposure to health messages via interpersonal and radio channels, provision of public toilet facilities, and awareness creation through education and community-driven campaigns could potentially improve behaviour.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"84-93"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805053","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}
Global Health PromotionPub Date : 2026-06-01Epub Date: 2026-07-06DOI: 10.1177/17579759261454255
Muriel Mac-Seing, Charity Oga-Omenka, Joanne Liu
{"title":"Bajo presión, pero firmes: redoblar los esfuerzos por una rendición pública de cuentas y una solidaridad interseccional en favor de la equidad en salud mundial.","authors":"Muriel Mac-Seing, Charity Oga-Omenka, Joanne Liu","doi":"10.1177/17579759261454255","DOIUrl":"https://doi.org/10.1177/17579759261454255","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":"33 2","pages":"11-14"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392059","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}
Global Health PromotionPub Date : 2026-06-01Epub Date: 2025-09-04DOI: 10.1177/17579759251353182
Amirreza Abouee-Mehrizi, Mohammad H Kazemi-Galougahi, Afsaneh Karami Juyani, Zahra Sadat Asadi, Sanaz Zargar Balaye Jame, Ramin Hamidi-Farahani, Amir M Rahnejat, Maryam Vasheghani Farahani
{"title":"Implementing a health empowerment model on COVID-19 preventive behaviors in Iranian men.","authors":"Amirreza Abouee-Mehrizi, Mohammad H Kazemi-Galougahi, Afsaneh Karami Juyani, Zahra Sadat Asadi, Sanaz Zargar Balaye Jame, Ramin Hamidi-Farahani, Amir M Rahnejat, Maryam Vasheghani Farahani","doi":"10.1177/17579759251353182","DOIUrl":"10.1177/17579759251353182","url":null,"abstract":"<p><p>Considering the high risk of contracting infectious diseases such as COVID-19 among employees of various industries, it is necessary to design and implement preventive and empowerment strategies in the face of these diseases. Understanding the communities and designing effective educational models can prevent the spread and transmission of this disease in different communities. This study was a quasi-experimental study from social methodology and in this study design the formation of groups is not randomized; the groups are naturally formed. Exploratory factor analysis was used to design the questionnaire as well as the multivariable logistic regression model to develop the educational empowerment model. The sample size in this phase was 347 men in the year 2022 in the center of Tehran City, Iran. Data were analyzed by SPSS version 23. The results of multivariable logistic regression showed that the perceived fear, perceived social barriers, and also the perceived individual barriers of COVID-19 prevention behavior could predict the COVID-19 individual preventive behaviors. Furthermore, there was a significant correlation between the perceived social barriers to COVID-19 prevention and the perceived fear of COVID-19 (P-value < 0.05). During the intervention phase, 100 men were educated and empowered in each intervention and control group. Comparing the pre-test and post-test with the statistical tests indicated that the designed educational model in this study significantly changed people's attitude toward COVID-19, the COVID-19 social preventive behaviors, and COVID-19 individual preventive behaviors (P-value < 0.05).</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"74-83"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993816","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}