Global Health Promotion最新文献

{"title":"Tensions in empowerment- or community-based HIV prevention interventions: lessons learned from ETOILE, a collaborative France-US self-study project.","authors":"Tashuna Albritton, Anne Gosselin, Karna Coulibaly, Iris Zoumenou, Mark Q Paige, David Matthews, Caroline Davis, Caleb Garard, Victoria Frye","doi":"10.1177/17579759251379463","DOIUrl":"10.1177/17579759251379463","url":null,"abstract":"<p><p>In most high-income countries, human immunodeficiency virus (HIV) has concentrated among minoritized, discriminated against, or otherwise marginalized communities, such as queer people, people who migrated, people who exchange sex and/or use drugs, poor people and people of color. Suboptimal prevention and treatment uptake has led to the implementation of community-based and/or participatory research integrating 'empowerment' approaches in an effort to reach marginalized groups in high-income countries. Here we present results of a cross-national examination of how national contexts influence implementation of empowerment-based HIV prevention research projects in the United States (US) and France. ETOILE was a qualitative, self-reflective study collaboration conducted between 2019 and 2022. Three study teams (two from the US and one from France) engaged in self-reflective focus groups and intervisitations where both HIV prevention scientists and community-based organization partners discussed the following topics: HIV and community-based research landscapes, the notion of empowerment in traditional research contexts, within-project tensions around hierarchies/power, positionality and racial representation, and economic resources. We applied a grounded analytic approach to identify key emergent themes. The ability to communicate around structural racism differed across study teams; the French team had greater difficulty managing within-project tensions, reflecting the national context and history of community-based research. Whether and how epidemiological data is broken down (or not) by 'race,' ethnicity, and social class shape both research and popular understandings of HIV epidemics. The roles of community-based organization members and Black researchers in accessing communities and vouching for research is particularly challenging. Representation of Black researchers on study teams can critically influence research project implementation. We found that national contexts matter. We identified recommendations for conducting community-based research based on empowerment and participatory approaches in disempowering contexts.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251379463"},"PeriodicalIF":1.3,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935400","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":"Queer-decolonial pathways to planetary health promotion through Two-Spirit resistance and resurgence in the Deshkan Ziibi: a critical multi-methods analysis.","authors":"Jordan Ramnarine, Lewis Williams","doi":"10.1177/17579759251395055","DOIUrl":"https://doi.org/10.1177/17579759251395055","url":null,"abstract":"<p><strong>Background: </strong>The prevailing climate emergency continues to exacerbate health, economic and power inequities across the Global South and Global North. In particular, Two-Spirit people navigating their intersecting marginal identities confront health inequities stemming from colonially-induced climate disruptions, resource extractivism and land theft; yet, their perspectives are seldom considered in climate policy and practice. This is the case in the Deshkan Ziibi (the Thames River ecosystem in southwestern Ontario, Canada), where there is minimal climate-related literature that prioritizes Two-Spirit and Indigiqueer perspectives in the region.</p><p><strong>Objective: </strong>To assess the impacts of the climate crisis on Two-Spirit health in the Deshkan Ziibi and highlight how Two-Spirit kincentric worldviews foster planetary health.</p><p><strong>Methods: </strong>A critical multi-method approach was employed. A scoping review synthesized existing literature on Two-Spirit health and climate change, while traditional stories were analyzed through queer-decolonial frameworks to uncover alternative epistemologies and practices of multispecies relationality.</p><p><strong>Results: </strong>Findings reveal that Two-Spirit people in the Deshkan Ziibi experience heightened vulnerability to the climate crisis due to intersecting systems of oppression. However, the research also identifies sites of agency that expose the colonial legacies embedded in dominant climate justice paradigms.</p><p><strong>Conclusion: </strong>This work calls for a re-evaluation of planetary health promotion, governance and interventions by incorporating Two-Spirit worldviews of interconnectedness.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251395055"},"PeriodicalIF":1.3,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844262","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":"A photovoice examination of community strengths and challenges in mental health and wellbeing of young women in three urban communities in Kampala, Uganda.","authors":"Shannon McMorrow, Monica H Swahn, Jane Palmier, Anna Nabulya, Jacqueline Nassaka, Oluwasomidoyin O Bello, Andrew Fritz","doi":"10.1177/17579759251361818","DOIUrl":"10.1177/17579759251361818","url":null,"abstract":"<p><p>Uganda has a rapidly urbanizing population and the world's second youngest population. Further, gender inequities contribute to young women in urban Uganda experiencing multiple unmet health and wellbeing needs. However, their perspectives are rarely included in health research or decision making and their lives rarely examined to capture community strengths. We conducted a qualitative study using Photovoice with 15 women aged 18-24 years across three urban sites within Kampala, Uganda. To capture perceptions of strengths, we prompted participants to take photos reflecting 'TOPOWA', meaning 'don't give up' in Luganda. Researchers conducted inductive thematic analysis of photos and discussion transcripts and participants contributed to theme validation. Multiple themes emerged from the narrative and visual data across all three sites. This article focuses on the theme of wellbeing and mental health, which encompasses community strengths, protective factors and resilience. Findings provide evidence for health promotion for young women in urban Kampala and similar sub-Saharan African settings through unique, contextual visual and narrative evidence. Notably, existing community strengths are highlighted as potential areas to build upon for health promotion interventions for wellbeing and mental health. Furthermore, findings shaped an ongoing cohort study of mental health trajectories for young women in Uganda.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251361818"},"PeriodicalIF":1.3,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844275","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":"A tailored approach for health impact assessment in a context of uncertainty and resource constraints: a case study in Québec.","authors":"David Demers-Bouffard, Thomas Pilote, Bonaventure Mukinzi, Pierre-Paul Audate, Alexandre Lebel, Thierno Diallo","doi":"10.1177/17579759251395057","DOIUrl":"https://doi.org/10.1177/17579759251395057","url":null,"abstract":"<p><p>Health impact assessment (HIA) can magnify the positive impacts of health promotion in practice, but practitioners face many challenges in implementing it, from the difficulties of intersectoral work to a lack of resources. These challenges require flexibility and sometimes involve adapting best practices in health promotion and the typical HIA process. This article presents an agile approach to conducting HIA when the window of opportunity is short, resources are scarce, and the expected value of appraisal is uncertain. Accordingly, this approach prioritizes the recommendations step over the appraisal step, while proposing an iterative and co-constructive process involving a limited number of stakeholders. The approach is exemplified through a case study of an HIA conducted in Québec on a guide promoting green, active and safe transportation networks. We argue that the adapted method can, in certain circumstances, lead to better results than a typical HIA. The article also suggests contextual criteria that allow HIA practitioners to assess whether this approach is suitable for their needs.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251395057"},"PeriodicalIF":1.3,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662347","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":"Updating the IUHPE Core Competencies for Health Promotion: a scoping review and consultation with the health promotion community.","authors":"Patricia Harte, Barbara Battel-Kirk, Margaret M Barry","doi":"10.1177/17579759251395062","DOIUrl":"https://doi.org/10.1177/17579759251395062","url":null,"abstract":"<p><p>Competency frameworks play an important role in strengthening workforce capacity for promoting population health and wellbeing. However, competencies need to be periodically reviewed and revised to maintain their relevance to changing practice and contexts. This paper reports on the process of reviewing and updating the International Union for Health Promotion and Education (IUHPE) Core Competencies for Health Promotion. A multistage process was employed, which involved conducting a scoping review of the literature on health promotion competencies (2012-2022), based on which suggested revisions to the IUHPE Core Competency statements were made. An online consultation was then undertaken with the health promotion community, as represented by practitioners and members registered with the IUHPE Accreditation System, to consider the updated Revised Draft Framework with proposed changes. There was a high level of consensus concerning the proposed changes among respondents, based on which a revised version of the Competency Framework was produced. This was then forwarded to the IUHPE Global Accreditation System Management Committee and Executive Board for approval. The findings from this updating process are discussed and the implications for future developments are considered.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251395062"},"PeriodicalIF":1.3,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662382","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, Solange De la Hoz","doi":"10.1177/17579759241309341","DOIUrl":"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":"72-80"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","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":"Vers une approche systémique de la santé à l'école : travailler les conditions et leviers de déploiement.","authors":"Marie-Renée Guével, Emmanuelle Godeau, Marion Porcherie, Carine Simar","doi":"10.1177/17579759241296870","DOIUrl":"10.1177/17579759241296870","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"23-27"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717589","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":"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.Métodos: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":"61-71"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12705888/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges and prospects for research into health promotion in schools and the fight against cancers.","authors":"Jérôme Foucaud, Carine Simar, Anne-Fleur Guillemin, Chantal Vandoorne, Sylvain Gautier","doi":"10.1177/17579759251393596","DOIUrl":"https://doi.org/10.1177/17579759251393596","url":null,"abstract":"<p><p>With the 40th anniversary of the Ottawa Charter approaching, it is worth reflecting on its legacy in health promotion, particularly in schools. This short yet aspirational text marked a turning point by establishing the basis for a new public health system that takes a comprehensive, intersectoral approach to social determinants. Rather than being merely an awareness-raising tool, the Charter promotes health education as a means of emancipation and of acting on living conditions, notably enabling the fight against cancers. This article provides a critical analysis of developments in health promotion research in schools. First, it identifies the initial challenge of moving beyond isolated interventions towards comprehensive, integrated and participatory approaches. It then explores the obstacles and incentives associated with the transferability of interventions and the development of implementation science. The third axis calls for the research field to be structured, with clear objectives, shared indicators and greater consideration given to practical knowledge. Finally, it stresses the need to place the reduction of social inequalities in health at the heart of interventions, adopting methodologies that are sensitive to the differentiated effects according to social contexts. In conclusion, research into health promotion in school settings must evolve towards a transdisciplinary systemic approach that is grounded in practice. Such an approach plays a strategic role in building truly equitable schools that promote the health and well-being of all by taking action to reduce cancers from an early age.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":"32 1_suppl","pages":"129-134"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758017","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":"Déploiement de la démarche ICAPS dans des établissements de l'enseignement secondaire en 2022-2023.","authors":"Florence Rostan, Anne-Juliette Serry, Florent Boucher, Fabrice Dosseville","doi":"10.1177/17579759251330648","DOIUrl":"https://doi.org/10.1177/17579759251330648","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":"32 1_suppl","pages":"12-22"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757683","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}