{"title":"Analyse des conditions à l'utilisation de l'<i>évaluation réaliste</i> par des équipes de promotion de la santé : résultats d'une étude de cas multiples en région bruxelloise (Belgique).","authors":"Ségolène Malengreaux, Dominique Doumont, Anne-Sophie Lambert, Isabelle Aujoulat","doi":"10.1177/17579759241285588","DOIUrl":"10.1177/17579759241285588","url":null,"abstract":"<p><strong>Introduction: </strong>L'évaluation réaliste est de plus en plus plébiscitée dans le champ de la promotion de la santé. Pourtant, cette démarche d'évaluation est encore très peu utilisée par, ou même avec, des équipes de terrain, ce qui vient limiter sa portée pour les pratiques de terrain. Notre étude propose d'explorer les conditions favorables à la pratique de l'évaluation réaliste par des équipes de promotion de la santé.</p><p><strong>Méthodes: </strong>Cette étude s'inscrit dans le cadre d'une étude de cas multiples impliquant une chercheuse et quatre équipes de promotion de la santé en Région de Bruxelles-Capitale. Des données qualitatives ont été collectées tout au long de l'expérimentation de l'évaluation réaliste de projets de promotion de la santé avec les quatre équipes bruxelloises.</p><p><strong>Résultats: </strong>Nos résultats montrent l'intérêt de l'évaluation réaliste pour orienter les pratiques évaluatives des acteurs de terrain vers des pratiques favorables à la réflexivité. Ils montrent aussi les difficultés rencontrées et les ressources sur lesquelles s'appuyer pour les surmonter. Quatre conditions sont ainsi mises en évidence pour mener une évaluation réaliste de manière participative et capacitante.</p><p><strong>Conclusion: </strong>Notre étude encourage à envisager de nouveaux repères pour une pratique pragmatique de l'évaluation réaliste dans le champ de la promotion de la santé, axée sur la participation et la capacitation des parties prenantes.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241285588"},"PeriodicalIF":1.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591638","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}
Césaire Koukponou Djokpon, Oswald Goukodadja, David Houeto
{"title":"Accidents de la voie publique et inégalités sociales de santé à Cotonou en 2021.","authors":"Césaire Koukponou Djokpon, Oswald Goukodadja, David Houeto","doi":"10.1177/17579759241279541","DOIUrl":"https://doi.org/10.1177/17579759241279541","url":null,"abstract":"<p><p>Au Bénin, les accidents de la voie publique sont préoccupants et causent des décès et des blessures graves, surtout chez les motocyclistes. Les inégalités sociales de santé aggravent cette situation en affectant davantage les populations défavorisées. L'objectif de notre étude était de montrer que ces accidents suivent un gradient social, et d'orienter les interventions et les politiques visant à réduire les disparités en matière de sécurité routière. Il s'agissait d'une étude transversale, descriptive et analytique qui a porté sur 185 patients hospitalisés pour des lésions consécutives à un accident de la voie publique et en mesure de répondre à un questionnaire. Les données ont été collectées à partir des dossiers médicaux des patients et d'entretiens individuels. L'étude a révélé que les traumatismes de la voie publique étaient fréquents parmi les admissions (24,97 %), avec une prédominance chez les jeunes hommes (70,81 %). Parmi les sujets, 57,84 % des traumatisés avaient un niveau socio-économique bas. Les parties du corps les plus touchées étaient la tête et le cou, et les extrémités des membres. Les fractures étaient les lésions les plus fréquentes (62,70 %). Les accidents impliquant une moto représentaient 83,06 % des cas. La fréquence des fractures était plus élevée dans le groupe des accidentés ayant un niveau socio-économique bas et un niveau d'instruction bas. L'amélioration des conditions socioéconomiques et la promotion de moyens de transport alternatifs sûrs pourraient réduire les accidents de la voie publique et les inégalités sociales de santé. L'État pourrait y jouer un rôle clé.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241279541"},"PeriodicalIF":1.7,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559120","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":"Engagement communautaire et prise en compte de la détresse psychologique, de la peur et de la stigmatisation dans la surveillance et la gestion des épidémies de la maladie à virus Ebola dans l'approche « Une seule santé » en République démocratique du Congo.","authors":"Dieudonné Kazadi Mwamba, Christina Zarowsky, Célé Depaul Manianga, Serge Kapanga, Grégory Moullec","doi":"10.1177/17579759241277117","DOIUrl":"https://doi.org/10.1177/17579759241277117","url":null,"abstract":"<p><strong>Introduction et objectif: </strong>Une réponse efficace aux crises sanitaires telle la maladie à virus Ebola (MVE) nécessite l'engagement des communautés. Cette étude explore les enjeux psychosociaux influant sur la réponse des communautés congolaises aux épidémies de MVE, et comment la détresse et la résilience communautaire s'intègrent dans l'approche « Une seule santé » selon les perceptions des communautés.</p><p><strong>Méthodes: </strong>Cette étude de cas qualitative inclut des entretiens individuels (<i>n</i> = 36) avec des informateurs clés et trois groupes de discussion avec des participants (<i>n</i> = 28) issus de diverses associations locales, Cette étude de cas qualitative menée au Nord-Kivu inclut. Le cadre MATCH de l'engagement communautaire, adapté, structure l'analyse thématique.</p><p><strong>Résultats: </strong>Les participants ont tous reconnu le vécu douloureux - la peur, le rejet, la stigmatisation - des communautés et des professionnels de santé, et le rôle crucial des communautés dans la réponse aux épidémies. Ils ont souligné l'importance d'impliquer ces communautés dans l'élaboration et la mise en œuvre des stratégies pour éviter l'« Ebola business ». Les perceptions face à la maladie des différentes catégories de participants sont influencées par des croyances, les rôles sociaux et des considérations religieuses. Concernant l'approche « Une seule santé », les participants ont reconnu la nécessité d'impliquer toutes les couches sociales de la communauté.</p><p><strong>Conclusion: </strong>Un modèle innovant de gestion des épidémies et urgences de santé publique intègre les essentiels de l'engagement communautaire dont la détresse psychologique.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241277117"},"PeriodicalIF":1.7,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477476","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}
Sergio Montalt-García, Israel Villarrasa-Sapiña, Gonzalo Monfort-Torres, Javier Molina-García
{"title":"La conducta de actividad física durante el horario escolar: contribución a las recomendaciones diarias en edad infantil.","authors":"Sergio Montalt-García, Israel Villarrasa-Sapiña, Gonzalo Monfort-Torres, Javier Molina-García","doi":"10.1177/17579759241270980","DOIUrl":"https://doi.org/10.1177/17579759241270980","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241270980"},"PeriodicalIF":1.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394177","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}
Cyprien Zinsou, Ghyslain Guedegbe, Alexandra Angel, Paul Bouanchaud, Ashley Jackson, Isidore Kikissagbe, Beth Brogaard
{"title":"Comprendre l'adoption et la continuation de l'utilisation du diaphragme Caya au Bénin : une étude à méthodes mixtes.","authors":"Cyprien Zinsou, Ghyslain Guedegbe, Alexandra Angel, Paul Bouanchaud, Ashley Jackson, Isidore Kikissagbe, Beth Brogaard","doi":"10.1177/17579759241283740","DOIUrl":"https://doi.org/10.1177/17579759241283740","url":null,"abstract":"<p><p>RésuméLe diaphragme Caya, de taille unique, est une méthode de contraception efficace dans multiples contextes. Pourtant, la recherche sur son acceptabilité, utilisation, et continuation en Afrique de l'Ouest francophone reste limitée. Ce projet pilote a introduit Caya à Cotonou et Bohicon, Bénin pour mieux comprendre comment Caya est utilisé. 225 adoptantes ont participé à une enquête, six mois après avoir choisi la méthode. 30 adoptantes, 15 hommes de la communauté et 15 prestataires ont participé à des entretiens approfondis. L'étude a révélé que les adoptantes choisissent la méthode parce qu'elle était non hormonale et ne provoque pas d'effets secondaires. Six mois après avoir adopté Caya, 76,4 % des adoptantes continuaient à l'utiliser ; celles moins instruites et avec 1 enfant ou plus, étaient plus susceptibles de continuer à utiliser Caya. Cela indique que dans ce contexte, Caya est une méthode acceptable qui ajouterait de la valeur aux autres méthodes contraceptives.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241283740"},"PeriodicalIF":1.7,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394176","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}
Andrea Lutz, Olivier Duperrex, Aude Gendre, Karin Zürcher
{"title":"Health promotion and prevention in early times of the COVID-19 pandemic: insights from a Delphi study in Switzerland.","authors":"Andrea Lutz, Olivier Duperrex, Aude Gendre, Karin Zürcher","doi":"10.1177/17579759241277116","DOIUrl":"https://doi.org/10.1177/17579759241277116","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 pandemic and confinement measures had a major impact on the health and well-being of the population. Health promotion and prevention (HP&P) professionals had to rethink their practices to respond to the challenges raised by the pandemic context. This study aimed to build a professional consensus on the HP&P priorities (apart from the COVID-19 fight) in the early times of the pandemic in Switzerland and to identify the most relevant interventions to respond to these issues.</p><p><strong>Methods: </strong>HP&P experts from the three main linguistic regions of Switzerland reached a consensus through a two-round Delphi methodology with online questionnaires in June-July and October-November, 2020. Out of 282 experts contacted, 121 (43%) contributed in the first round and 99 (35%) in the second.</p><p><strong>Results: </strong>A strong consensus emerged about the importance of tackling mental health problems, non-communicable diseases and their main risk factors, as well as multiple social determinants of health. Although they believed that HP&P priorities changed in this context, experts reported that professional practices had only partially adapted to this new context due to multiple constraints (political, strategic, financial). The experts noted the need to adapt the means of communication to reach the different target groups. They underlined the potential of communication via digital technologies, but also drew attention to the risk of widening social inequalities due to the unequal access to these resources.</p><p><strong>Conclusions: </strong>This study generated new insights and confirmed pre-established knowledge regarding the orientations the field of HP&P should follow. While stressing the need to consolidate the traditional missions of the field (i.e. the fight against non-communicable diseases and the actions on social determinants of health), experts surveyed in this study also revaluated health priorities and rethought the way of developing HP&P actions in this specific context of the early pandemic of COVID-19.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241277116"},"PeriodicalIF":1.7,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381978","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":"Do social media epistemological beliefs and health perception impact parents' vaccine hesitancy? A mediation analysis.","authors":"Cahide Çevik, Ebru Yavuz, Fatma Çakmak, Reyhan Ündere, Asiye Doğan Cengiz","doi":"10.1177/17579759241270956","DOIUrl":"https://doi.org/10.1177/17579759241270956","url":null,"abstract":"<p><p>In recent years, there has been a notable increase in vaccine hesitancy among individuals. It is crucial to identify the factors contributing to vaccine hesitancy to effectively address this issue. This study aims to investigate the impact of social media-specific epistemological beliefs on vaccine hesitancy and the mediating role of health perception in this impact. This study is a cross-sectional study conducted with 444 parents. Data were collected using the Personal Information Form, the Social Media-Specific Epistemological Beliefs Scale, the Perception of Health Scale, and the Vaccine Hesitancy Scale. When there is no mediator variable, the total effect of social media-specific epistemological beliefs on vaccine hesitancy is statistically significant (β = -0.219, <i>p</i> < 0.001). However, it was found that health perception did not mediate the relationship between social media-specific epistemological beliefs and vaccine hesitancy (β = 0.0038, 95% confidence interval (-0.0090, 0.0205)). Furthermore, it was determined that social media-specific epistemological beliefs positively predicted health perception (β = 0.136, <i>p</i> < 0.01). Health perception was found to have no significant effect on vaccine hesitancy (β = 0.028, <i>p</i> > 0.05). It can be concluded that social media-specific epistemological beliefs negatively predict vaccine hesitancy, and this effect is independent of health perception. Primary healthcare professionals should consider incorporating interventions aimed at enhancing individuals' social media-specific epistemological beliefs into their health education programs related to vaccines.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241270956"},"PeriodicalIF":1.7,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381977","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}
Elizabeth Dodge, Katia Hazim N Abu Shihab, Basil H Aboul-Enein, Nada Benajiba, MoezAlIslam Faris
{"title":"Effectiveness of nutrition interventions targeting university-level student populations across the League of Arab States: a systematic scoping review.","authors":"Elizabeth Dodge, Katia Hazim N Abu Shihab, Basil H Aboul-Enein, Nada Benajiba, MoezAlIslam Faris","doi":"10.1177/17579759241270957","DOIUrl":"https://doi.org/10.1177/17579759241270957","url":null,"abstract":"<p><p>The university setting is an ideal setting to implement nutrition education interventions. Because the transition to college life often overlaps with young adults' increase in independence in food choice and nutrition related behavior, this is an optimal time to target this population and several models exist to best utilize the college setting to support nutrition education interventions. This review aimed to examine the effectiveness of nutrition interventions in university student populations across the League of Arab States. A scoping review following the PRISMA-ScR guidelines was conducted across 14 databases for relevant publications published through May 2023 to find studies conducted across Arab countries. Quality assessment was conducted using the Effective Public Health Practice Project tool. Seven primary studies were included in this review. Although the interventions and outcome measures were disparate, there were positive impacts of the interventions, including improved nutrition knowledge and nutrition habits, knowledge of nutrient sources, and knowledge about the relationship between diet and disease. Recommendations to maximize the efficacy of nutrition interventions conducted across the League of Arab States include purposeful design of the intervention based on a theoretical framework, the use of a control group in the research design, and follow-up measures to examine post-intervention effects. Consideration should also be given to intervention duration and availability in college-students' schedules. Adaptation of intervention materials, measures and delivery methodologies should emphasize local foods, food culture and dietary practices.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241270957"},"PeriodicalIF":1.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336813","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":"Noticing health warning labels and intentions to quit smokeless tobacco products: results from two Global Adult Tobacco Survey rounds, India.","authors":"Kirtan Rana, Madhur Verma, Pranay Lal","doi":"10.1177/17579759241270914","DOIUrl":"https://doi.org/10.1177/17579759241270914","url":null,"abstract":"<p><strong>Introduction: </strong>Health warning labels (HWLs) are one of the key strategies for tobacco control. The current study assessed the individual characteristics affecting the noticeability of HWLs and the thought of quitting smokeless tobacco (SLT) on noticing HWLs. We further estimated the temporal changes in noticeability and thought of quitting after noticing HWLs over time in India.</p><p><strong>Methods: </strong>Data from two rounds (2009-2010 and 2016-2017) of GATS (Global Adult Tobacco Survey) from India were analysed to understand the pattern of SLT usage and estimate the relative changes in the noticeability of HWLs and the thought of quitting SLT among those who noticed HWLs. Sampling weights were used during the analysis. Multivariate binary logistic regression was used to explore the determinants for the noticeability of HWLs and encourage the intention to quit SLT after noticing the HWLs.</p><p><strong>Results: </strong>About 25.9% and 20.6% of participants consumed SLT daily or non-daily in two rounds of GATS. Overall, there was a 14% relative increase in noticing the HWLs and a 20% increase in the thought of quitting in GATS-2 compared with GATS-1. The adjusted odds ratio of observing HWLs among SLT users was 1.51 times (95% confidence interval (CI), 1.44-1.58) in round 2 compared with round 1, while the odds ratio concerning the thought of quitting SLT after noticing HWLs was 1.95 times (95% CI, 1.84-2.06) in round 2 compared with round 1.</p><p><strong>Conclusions: </strong>We observe a consistent increase in the noticeability of HWLs and intentions to quit in SLT users, with significant variations across socio-demographic characteristics calling for concerted efforts. SLT being the major form of tobacco usage in India and Asian countries, HWLs alone cannot bring down the consumption rates, and it needs to be supported by strict implementation of SLT legislation for long-lasting impact.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241270914"},"PeriodicalIF":1.7,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298470","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 : 2024-09-01Epub Date: 2024-01-29DOI: 10.1177/17579759231220529
Mohammed Alkhaldi, Hamza Meghari, Marina AlBada
{"title":"Rethinking the World Health Organization's leadership of global health governance and the global health surveillance systems.","authors":"Mohammed Alkhaldi, Hamza Meghari, Marina AlBada","doi":"10.1177/17579759231220529","DOIUrl":"10.1177/17579759231220529","url":null,"abstract":"<p><p>Global health governance is a strategic priority for the World Health Organization (WHO), and the public health surveillance system (PHSS) is a fundamental element of the global health governance structure to timely identify emerging diseases and guide global public health decisions and actions. This analysis explores the overall landscape of global health governance, with a specific focus on the PHSS to understand whether the existing governance landscape facilitates or undermines the WHO's ability to formulate and implement global health policies and initiatives. To achieve this, the existing evidence was reviewed, and synthesized with the experts' perspectives. It is reported that fragmentation is the main drawback of the global health governance landscape, necessitating reorganization and restructuring. The disintegration of PHSS at the global, regional and local levels is associated with a lack of leadership, misalignment with global health priorities, imbalance in coverage of surveillance systems, inadequate innovative technology and digitalization, and fragmented data and information systems. The fragmentation and disintegration of global health governance undermine the effectiveness of the WHO's global health strategic directions and programmes and hinder its ability to govern and guide the global, regional and national public health emergency response. Strategic rethinking of the WHO's governance is essential because strong governance and leadership lead to a robust, aligned and effective PHSS.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"80-89"},"PeriodicalIF":16.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576847","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}