Global Health Promotion最新文献

{"title":"Let them eat (birthday) cake: reframing healthy eating in healthcare organizations.","authors":"Laura J Kennedy, Sara F L Kirk, Meaghan Sim, Jeanna Parsons Leigh, Helen Wong, Catherine L Mah","doi":"10.1177/17579759251318731","DOIUrl":"https://doi.org/10.1177/17579759251318731","url":null,"abstract":"<p><p>Healthy eating is influenced by myriad factors ranging from individual to societal. Healthcare organizations have recently adopted healthy eating policies to improve food environments; however, how such policies shape practice is still unknown. This qualitative study explores perspectives on continuous quality improvement (CQI) among healthcare staff and managers working in hospital foodservices post-implementation of a healthy eating policy aimed at improving food environments. We conducted semi-structured interviews with 12 foodservices staff at Nova Scotia Health. Participants varied in role (administrative, point-of-sale) and location (rural/urban). We analyzed findings using directed content analysis. Participants' approach to quality revealed a range of definitions of healthy eating, from health promotion efforts directed towards individual behavior change management to a broader emphasis on supportive food environments. This research also highlighted the complexity of the healthcare food environment in which health promotion was being implemented, a 'setting' as per the 'settings approach' to health promotion, but also revealing a 'setting within a setting': food environments within healthcare environments. These nested environments are alternatively more business or healthcare service-centric, within the larger healthcare environment. Healthcare practitioners' views on effective implementation of the policy also spanned many scales of healthy eating, informed by concepts within their core healthcare practice (dietetics: nutrients), the organization (historical nutrition contexts) and broader food culture (food trends and choice). This study has demonstrated that CQI for a healthier food environment within healthcare needs a broader focus to advance benchmarks for health promotion.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251318731"},"PeriodicalIF":1.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial/ethnic identity and perceived body image among Canadian adolescents.","authors":"Jana Bataineh, Sydney Bartlett, Ajwa Nayab, William Pickett","doi":"10.1177/17579759251317518","DOIUrl":"10.1177/17579759251317518","url":null,"abstract":"<p><p>The perception of one's own body image is an important determinant of adolescent health. While positive body image is associated with health-promoting behaviours, negative body image may be related to engagement in health-compromising risk behaviours. Hypothetically, an adolescent's perceived body image may also be influenced by racial/cultural ideals and related gendered expectations, governed by social norms within distinct cultural groups. Variations in perceived body image by race/ethnicity remain largely unexplored in Canada, even descriptively. A descriptive, cross-sectional study was employed using data from the 2017-2018 cycle of the Canadian Health Behaviour in School-aged Children (HBSC) study (weighted <i>n</i> = 18,766 participants). Self-perceptions of body image were described for Canadian adolescents, stratified by race/ethnicity and gender (boys vs. girls). There were two main findings. <i>First</i>, variations in perceptions of body image mainly varied by gender. Boys were more likely to report feeling 'too thin' while a higher proportion of girls reported feeling 'too fat'. These trends were observed across different races/ethnicities. <i>Second</i>, there was little variation in patterns of self-reported body image by race/ethnicity, while the gendered variations remained within all major racial/ethnic groups. Existing research on adolescent body image typically focuses on gender norms, overlooking the potential of racial and ethnic influences on body image perceptions. Our study confirms that adolescent body image does not appear to vary substantially on racial/ethnic lines among Canadian adolescents, consistent with existing studies that highlight the strong influence of gender norms on adolescent body image.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251317518"},"PeriodicalIF":1.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606622","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":"Facilitators and barriers to implementing smoke-free homes in Armenia: a qualitative study.","authors":"Arevik Torosyan, Lilit Grigoryan, Varduhi Hayrumyan, Zhanna Sargsyan, Palash Bhanot, Lillian Shaffer, Varduhi Petrosyan, Alexander Bazarchyan, Nour Alayan, Michelle C Kegler, Carla J Berg","doi":"10.1177/17579759251318728","DOIUrl":"10.1177/17579759251318728","url":null,"abstract":"<p><p>Smoke-free homes (SFHs) reduce secondhand smoke exposure (SHSe), which is particularly crucial where smoking prevalence is high and public smoke-free policies are nascent, as in some low- and middle-income countries (LMICs). This study examined perspectives regarding SFHs, including barriers and facilitators, among adults in Armenia, a LMIC with high male smoking prevalence and recently-implemented smoke-free policies. In February-March 2024, focus groups were conducted with adults reporting smoking and non-smoking, separately, in two Armenian communities (<i>n</i> = 39; <i>M</i>_age = 41.00, 46.2% female, 61.5% married, 74.4% children in household). Data were examined using thematic analysis. All participants reporting smoking (<i>n</i> = 18) were male, non-smoking participants (<i>n</i> = 21) were primarily (87.5%) female, 53.8% had no SFH restrictions and 12.8% partial. Commonly, smoking was allowed for certain people (e.g. guests) or rooms/spaces (e.g. kitchen, balcony). Common SFH motives were health of children and vulnerable adults (e.g. pregnant women). Salient challenges included high male smoking rates paired with hierarchical gender roles. When asked about strategies to promote SFHs, many suggested leveraging children by involving them in a SFH intervention or emphasizing SHSe's impact on children. While some suggested empowering women as change agents, others suggested targeting men. It is crucial that SFH interventions for Armenian households address Armenia's specific characteristics, such as high male smoking rates and more hierarchical social dynamics. Effective SFH interventions for Armenia may serve as models for other countries with similar characteristics.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251318728"},"PeriodicalIF":1.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606621","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":"Call for papers: Towards the sustainable development goals: progress, systemic barriers and opportunities for reimagination.","authors":"Erica Di Ruggiero","doi":"10.1177/17579759251326734","DOIUrl":"10.1177/17579759251326734","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"3-4"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671478","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 Healthy Timing and Spacing of Pregnancies (HTSP) project: improving family planning in Siaya County, Kenya.","authors":"Susan A Otchere, Isabellah Moraa, Vincent Rotich, Stephen Omunyidde, Kimberly Q Jillson","doi":"10.1177/17579759241252787","DOIUrl":"10.1177/17579759241252787","url":null,"abstract":"<p><strong>Background: </strong>Religious leaders are influential and can impact the uptake of family planning (FP). In this study of the Healthy Timing and Spacing of Pregnancies (HTSP) project, led in Siaya County, Kenya, from September 2017 to June 2019, we present findings from the project's evaluation, to determine changes in knowledge of the key HTSP messages; changes in the proportion of community members who correctly identify at least three methods of contraception; changes in knowledge of healthy child spacing; and changes in modern contraceptive prevalence rate.</p><p><strong>Methods: </strong>This is a two-staged (<i>baseline</i> and <i>endline</i>) cross-sectional study, designed to assess the knowledge, practice, and coverage of HTSP/FP services. Primary data was collected using a questionnaire adapted from the United States Agency for International Development. Focus group discussion participants included men, women, representatives of community groups, faith leaders, and community heath volunteers. Frequencies were calculated from the ODK platform. Bivariate analytics (paired <i>t</i> test) were performed.</p><p><strong>Results: </strong>At baseline, women respondents aged 20-29 years constituted 66.3% of the women participants, dropping to 60.9% at endline. Women aged 30-34 years constituted 11.9% and 22% of the entire women respondents, at baseline and endline, respectively. Men aged 20-29 constituted 45.2% of all men respondents at baseline, and 35.4% at endline. There were statistically significant increases in the knowledge of modern contraceptives among women (<i>p</i> = 0.0342), faith leaders (<i>p</i> = 0.0464), and the entire population (<i>p</i> = 0.0097), from baseline to endline.</p><p><strong>Conclusion: </strong>The HTSP model identifies success factors for FP interventions in Kenya and other low- and middle-income countries where faith leaders and community stakeholders are influential, and that women and faith leaders are much more easily impacted positively with these efforts, as measured by increased knowledge and awareness of modern contraceptive methods, compared with men.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"48-57"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11992631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861245","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":"Evaluaciones económicas en promoción de la actividad física: una revisión sistemática.","authors":"David García-Álvarez, Núria Sempere-Rubio, Y Raquel Faubel","doi":"10.1177/17579759241245413","DOIUrl":"10.1177/17579759241245413","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"67-87"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861242","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":"Appel à contributions: Vers les Objectifs de développement durable : les progrès, les obstacles systémiques et les opportunités de réinterprétation.","authors":"Erica Di Ruggiero","doi":"10.1177/17579759251326786","DOIUrl":"10.1177/17579759251326786","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"5-6"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711584","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":"L'évaluateur et l'évaluation d'impact d'une intervention comme levier potentiel de l'<i>empowerment</i> au niveau communautaire : un exercice réflexif à partir de l'intervention MAKASI.","authors":"Andrainolo Ravalihasy","doi":"10.1177/17579759241258193","DOIUrl":"10.1177/17579759241258193","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"97-106"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861243","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":"Sense of coherence and its components under COVID-19: relative associations with personality and psychosocial variables.","authors":"Gil Zukerman, Avishai Antonovsky, Ephraim Shapiro, Liat Korn","doi":"10.1177/17579759241248168","DOIUrl":"10.1177/17579759241248168","url":null,"abstract":"<p><p>Sense of Coherence (SOC) is conceptualized as promoting resistance to stress. The study aimed to assess the impact of the Big Five personality traits and Social Capital (SC) on SOC levels during COVID-19, comparing associations with the pre-pandemic period. Another aim was to explore how personality and SC relate differently to SOC domains: Comprehensibility, Manageability, and Meaningfulness, reflecting perceptions of order, resource adequacy, and life's significance, respectively. SOC, Big Five personality traits, SC (using by the 13 items SOC scale, NEO-FFI and PSCS inventories, respectively) and demographic data were obtained from 2717 Israeli participants during the heights of the third COVID-19 wave (November 2020-March 2021). Strong relationships between SOC and personality traits have been found through regression analysis, but these associations differed between SOC domains. Big Five traits demonstrated comparable association with Comprehensibly and Manageability, but different from those with Meaningfulness, particularly in Neuroticism, Openness and Extraversion. Significant SC-SOC associations were observed, though weaker than those reported in the pre-pandemic period. Age and female sex were also associated with stronger SOC. Overall, effect sizes for SOC domains were medium to large for Big Five personality traits and small to medium for demographic variables. SC demonstrated a negligible effect size. Significant interactions of demographic, SC and personality traits were also observed. The study highlights SOC's strong links with personality and demographics, but weaker ties with psychosocial factors. Variations across SOC domains may explain diverse crisis effects.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"107-115"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11992637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187034","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":"Assessment of health perceptions, use of health services and traditional health practices of Afghan immigrants in Türkiye.","authors":"Canan Birimoglu Okuyan, Naile Bilgili","doi":"10.1177/17579759241243365","DOIUrl":"10.1177/17579759241243365","url":null,"abstract":"<p><p>Immigration, as a social determinant of health, encompasses several social and economic transformations. Neglecting to adequately address this issue could potentially worsen pre-existing challenges within health systems and in the management of migration. In the present study, we aim to evaluate the health perceptions, traditional health practices and use of health services of Afghan immigrants. We enrolled 1597 Afghan immigrants over 18 years old in the descriptive cross-sectional research. The mean age of the immigrants was 49.19 ± 1.6 years. The smallest number of points that can be achieved on the health perception scale is 15, while the greatest number is 75. We found that the health perception scale average score is 37.61 ± 7.32. Some factors, such as age 65 and over, female gender, postgraduate education level, good social insurance and economic status, being a public officer, not having any infectious diseases, and having a good Turkish level, have positively affected the health perception levels (<i>p</i> < 0.05). Moreover, we observed that cultural differences, expensive health care, a lack of social insurance, fear and anxiety, lack of language skills, waiting times and traditional health practices were the most common barriers to accessing healthcare services. Considering these issues in the health system, identifying the factors that negatively affect the perception of health and related to the use of health services can help immigrants increase their use of health services and improve their health.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"29-38"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187006","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}