Global Health Promotion最新文献

{"title":"Examining the mediating and moderating roles of social marketing behavioural enhancers regarding consistent condom use.","authors":"Johan W De Jager, Lutete Christian Ayikwa","doi":"10.1177/17579759241228594","DOIUrl":"10.1177/17579759241228594","url":null,"abstract":"<p><p>Since their importance was highlighted by Ayikwa and De Jager, social marketing behavioural enhancers (SMBEs) have been investigated in terms of their causal and correlational relationships with the intention to use condoms (IUC) and consistent condom use (CCU), as people often fail to act on their intentions. However, scrutiny of their mediating and moderating roles could provide insights pertinent to the design of effective HIV and AIDS preventative programmes. This study examined whether perceived behavioural control (PBC) and IUC interact with exposure to HIV and AIDS information (EI), ease of access to condoms (EAC) and level of related knowledge (KN) in determining CCU. It also investigated whether PBC and IUC predict CCU through increasing EI, EAC, and KN. A quantitative approach was adopted and data were collected from 607 participants, aged at least 18, living in Gauteng Province, South Africa. The questionnaire administered included pre-existing items, validated through exploratory and confirmatory factor analysis procedures. Regression analyses of the data for mediation and moderation testing were performed using PROCESS macro software for SPSS. The results indicated that none of the SMBEs mediated the non-significant PBC-CCU relationship: <i>B</i> = -0.0258, SE = 0.0199, <i>p</i> = 0.195. Nor did they mediate the significant IUC-CCU relationship: <i>B</i> = 0.0395, SE = 0.0195, <i>p</i> = 0.043. Similarly, none of the SMBEs were found to moderate the PBC-CCU relationship (EI*PBC: <i>B</i> = 0.0034, SE = 0.0056, <i>p</i> = 0.540; KN*PBC: <i>B</i> = -0.0006, SE = 0.0064, <i>p</i> = 0.931; EAC*PBC: <i>B</i> = 0.0011, SE = 0.0059, <i>p</i> = 0.854) as IUC-CCU relationship (EI*IUC: <i>B</i> = 0.0036, SE = 0.0054, <i>p</i> = 0.513; KN*IUC: <i>B</i> = -0.0096, SE = 0.0060, <i>p</i> = 0.111; EAC*IUC: <i>B</i> = 0.0044, SE = 0.0061, <i>p</i> = 0.469). A recommendation is made to scrutinise the mediating and moderating roles of SMBEs in the context of health behavioural models other than the theory of planned behaviour, which was considered in this study.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"58-66"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876345","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":"Motivators and barriers to COVID-19 vaccine acceptance in Russia.","authors":"Elizabeth J King, Yuliya Averyanova, Peter Meylakhs, Ekaterina Aleksandrova","doi":"10.1177/17579759241254347","DOIUrl":"10.1177/17579759241254347","url":null,"abstract":"<p><p>Vaccine hesitancy is one of the major roadblocks to ending the COVID-19 pandemic. However, little is known about individuals' motivators and barriers to vaccination in Russia. We aimed to determine which factors were associated with COVID-19 vaccine acceptance in Russia. We conducted a cross-sectional, online survey across Russia at the end of 2021, during a time with increasing new cases of COVID-19. We used the Health Belief Model to test which of the constructs were associated with vaccine acceptance and controlled for demographic variables in the multivariate logistic regression analysis among our analytic sample of 550 respondents. About one-fifth (18.5%) of our study respondents reported vaccine hesitancy. Our multivariate analysis showed that perceived susceptibility, perceived benefits, perceived barriers, self-efficacy, and friends and family supporting vaccination (cue to action) all contributed to the likelihood of whether or not an individual was accepting of the COVID-19 vaccine. Analysis of our open-ended questions showed that individuals also considered the following factors in making decisions to vaccinate for COVID-19: policy restrictions, less worry, social responsibility, lack of trust, conspiracy theories, concerns about side effects and contraindications. Our results demonstrated the Health Belief Model to be a useful framework for understanding COVID-19 vaccine acceptance in Russia. Our study results highlight the need to focus on health beliefs in order to develop interventions to improve vaccine acceptance.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"116-124"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789457","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":"Creencias y prácticas de cuidado en gestantes indígenas nasa, un vínculo con la madre tierra.","authors":"Tania Alejandra Ferrer-Pérez, Luz Nidia Finscué-Pete, Y Juan Camilo Calderón-Farfán","doi":"10.1177/17579759241248628","DOIUrl":"10.1177/17579759241248628","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"39-47"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443544","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":"Perspectivas comunitarias frente a la malnutrición infantil de un pueblo indígena nasa.","authors":"Juan David Dussán Chaux, Leisy Cruz Rodríguez, Ingrid Yolercy Troche Gutiérrez, Juan Camilo Calderón Farfán","doi":"10.1177/17579759241312066","DOIUrl":"https://doi.org/10.1177/17579759241312066","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241312066"},"PeriodicalIF":1.7,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068477","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 mediation intervention at the base of a social housing complex in Seine-Saint-Denis, France: a mixed-methods, realistic evaluation protocol.","authors":"Roberto Calarco, Pol Prevot-Monsacre, Morgane Paternoster, Nicolas Vignier, Frédérique Trévidy, Johann Cailhol","doi":"10.1177/17579759241290781","DOIUrl":"https://doi.org/10.1177/17579759241290781","url":null,"abstract":"<p><p>Health mediation, similar to health navigation in the United States or Canada, is known by various terms worldwide. In France, health mediation has historically been implemented by civil society organizations to support hard-to-reach populations. Health mediation is increasingly considered by health authorities as a valuable tool for health promotion to reduce health inequalities. However, systematic evaluations of its effects are scarce, making it difficult for decision-makers to generalize health mediation as a health policy. Our study aims to bridge this gap, by framing a research protocol to evaluate a health mediation intervention. The intervention consists of setting up a biweekly mobile booth using an 'outreach' approach at the base of a social housing complex in 12 neighborhoods of Seine-Saint-Denis with marked indicators of social deprivation. We chose a realistic evaluation approach and a mixed-methods methodology, which is the best fit for assessing complex interventions such as the one we aim to assess. Realistic evaluation is a relatively new approach, and sharing studies based on this type of epistemological and methodological approach is required. This study aims to contribute to the reflection on and the production of standard tools to ensure that the use of this evaluation approach is improved.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759241290781"},"PeriodicalIF":1.7,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034520","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":"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}