Christopher Bailey, I. Prichard, C. Drummond, Murray Drummond
{"title":"Australian adolescents’ views about healthy eating and the effects of food advertising on dietary behaviour: Perspectives of athletes and non-athletes","authors":"Christopher Bailey, I. Prichard, C. Drummond, Murray Drummond","doi":"10.1177/00178969231215455","DOIUrl":"https://doi.org/10.1177/00178969231215455","url":null,"abstract":"Food-related advertisements have been identified as influential factors affecting Australian adolescents’ food preferences and dietary habits. This study aimed to investigate adolescents’ (athletes and non-athletes) views about healthy eating, the advertising of discretionary foods and beverages, and the effects of food advertising on dietary behaviours. Qualitative study involving the analysis of data from seven focus group discussions with young people aged 12–17 years ( N = 27; 10 males and 17 females; 14 elite athletes, 13 non-athletes) from three different socioeconomic status secondary schools. Both athlete and non-athlete participants discussed the importance of how social media is used for food advertisements. Many adolescents exhibited scepticism about the intent of advertising discretionary foods and beverages targeted toward adolescents. Three themes were identified from the data analysis: (1) physical and cognitive benefits of healthy eating; (2) scepticism, mistrust and ethical concerns about food and beverage advertisements targeted toward adolescents; and (3) portrayal of thin and fit ideals in social media. Health educators and policymakers addressing adolescent healthy eating behaviours should focus more fully on the influence of social media food advertising. Greater promotion of the importance of good nutrition during adolescence may optimise training performance and improve young people’s nutritional knowledge and healthy eating habits.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"5 4","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139009829","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":"Assessing cultural intelligence among health education specialists","authors":"Raffy R. Luquis, Miguel A Perez","doi":"10.1177/00178969231217085","DOIUrl":"https://doi.org/10.1177/00178969231217085","url":null,"abstract":"Over the past three decades, cultural competence has been widely promoted in the health disciplines, including in health education and promotion, as a tool to address health disparities and promote health equity among diverse populations. Cultural intelligence (CQ), or the individual’s capability to adjust to cultural situations based on multiple factors including cognitive, metacognitive, motivational and behavioural characteristics, can be another useful tool when addressing the needs of diverse groups. The goal of this study was to assess the level of CQ among health education specialists and its relationship with cultural competence skills (CCS) among members of this group. Five hundred and forty randomly selected health education specialists in the USA completed an online survey. The survey included questions to assess CQ, CCS and demographic information. Descriptive statistics and analysis of variance were used to analyse the data. Results from the study showed that there was a significant variation in CQ among health education specialists based on race/ethnicity, education, the percentage of cultural/racial/ethnic diverse people they serve, and participation in professional development training. There was also a positive correlation between CQ and CCS, and between each of the CQ capabilities and CCS. Finally, both CQ metacognitive and cognitive capabilities were significant predictors of the overall CCS score. Findings from this study showed that CQ is associated with CCS among health education specialists. The results of the study suggest that health education specialists should consider CQ a useful tool with which to increase CCS.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"93 7","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139008300","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}
Rune Müller Kristensen, Kevin Dadaczynski, O. Okan, V. Simovska
{"title":"Relationships between COVID-related health literacy, mental health and workload of school leaders","authors":"Rune Müller Kristensen, Kevin Dadaczynski, O. Okan, V. Simovska","doi":"10.1177/00178969231211853","DOIUrl":"https://doi.org/10.1177/00178969231211853","url":null,"abstract":"Studies have shown that school leaders’ health literacy is key to supporting health development in school. During the COVID-19 pandemic, the importance of school leaders’ health literacy became evident, as school leadership was characterised with uncertainty and demanded high levels of alertness to the need to implement rapidly changing health-related measures at short notice. This study sought to explore school leaders’ health literacy, mental health and work-related characteristics in Danish public primary and lower secondary schools during the pandemic. Selecting schools from the national Danish register of institutions a sample of 220 complete responses was achieved in a cross-sectional survey. School leaders or a member of the school management team completed a self-administered version of the COVID-HL: School Principals Survey, which assessed health literacy, three domains of mental health, sense of coherence and workload. Data were analysed using chi-square tests and logistic regression. The majority of school leaders (71.4%) demonstrated a sufficient level of health literacy. However, there was a significant difference in workload increase between those with sufficient (66.0%) and insufficient (81.6%) health literacy. A high general workload was associated with lower well-being, while an increase in workload during the COVID-19 pandemic was linked to psychosomatic complaints. Sense of coherence explained variations in well-being, emotional exhaustion and psychosomatic complaints. This study highlights the importance of enhancing the health literacy of Danish school leaders, enabling them to deal effectively with complex health-related information and make informed decisions during health crises. Strengthening health literacy is crucial to promoting overall health and well-being in schools under normal circumstances, as well as navigating health crises.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"36 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139199657","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":"Head teacher perspectives on school lunch: At variance with national policy","authors":"L. Berggren, M. Waling, Cecilia Olsson","doi":"10.1177/00178969231215718","DOIUrl":"https://doi.org/10.1177/00178969231215718","url":null,"abstract":"Previous research indicates that head teachers in Sweden frequently fail to see school lunch as part of the educational activities of a school. This study contributes to an understanding of how head teachers in Sweden perceive and experience current national policy intentions related to school lunch. Qualitative inquiry. Ten municipal state schools in Sweden. Individual semi-structured interviews were conducted with 10 head teachers responsible for the compulsory education of 6- to 15-year-olds in state schools. Data from digitally recorded and transcribed interviews were thematically analysed. Head teachers primarily saw school lunch as a means to ensure pupils were fed and energised. Their focus tended to be on what followed after school lunch in the form of academic performance and mood, rather than the stated intentions of national school meal policy. Head teachers stressed the value of a free and nutritious school lunch for social equality, and the importance of good collaboration with food service managers and school meal personnel, despite the difficulty of achieving this. This paper highlights a gap between head teachers’ perspectives with respect to school lunch and official intentions stated in Swedish national school meals policy. The meanings head teachers saw as connected to school lunch were those of social equality and ensuring pupils were fed, rather than the wider potential envisioned by the authorities. This paper identifies factors that affect the possibility of realising national policy intentions for school lunch in Sweden.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":" 29","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139207153","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":"Gender consciousness and sun protection patterns among Chinese youth: A cross-sectional analysis","authors":"Jiaxing Li, Rui Zhang, Yingyi Luo, Lixin Na","doi":"10.1177/00178969231213193","DOIUrl":"https://doi.org/10.1177/00178969231213193","url":null,"abstract":"In contrast to previous research that has primarily focused on gender differences in health behaviour compliance, this study explored the association between gender consciousness and sun protection in China – a cultural setting in which there is a pronounced gender bias towards sun protection. These article is the first attempt to examine gender norms concerning sunscreen use among Chinese individuals, encompassing both young women and young men. Cross-sectional analysis conducted on one Chinese campus. Utilising data from the 2020 cohort of first-year students (549 male students and 1,489 female students) at a local university in Shanghai and employing OLS regression analysis, our analysis sheds light on gendered patterns of sun protection use among young individuals in China. Findings reveal that gender attitudes affect women’s sun protection frequency without influencing their choice of specific products. Conversely, men’s gender conciousness shapes their sun protection methods but not their overall frequency of sun protection. In addition, despite lower aggregate levels of sun protection, young women exhibit higher heterogeneity in their responses than young men. Socioeconomic status, health awareness and gender consciousness are all significant factors influencing sun protection among female students; however, among men, only health awareness shows a positive correlation with the use of sun protection. The results of this study exhibit some differences from initial expectations, suggesting that the full adoption of sun protection measures is still a work in progress. However, despite the differences identified, findings provide valuable insights to inform future public health efforts to promote sun protection among youth.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"17 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139238636","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":"Experiencing being objectified? A critical investigation of basic pedagogical categories in digital health education","authors":"S. Ruin, Martin Giese","doi":"10.1177/00178969231212290","DOIUrl":"https://doi.org/10.1177/00178969231212290","url":null,"abstract":"In this paper, we explore the role digital health education can play in physical education. We argue that the use of digital media and technologies has been accompanied by fundamental changes in basic sports pedagogical categories such as body, movement and experience. In doing so, we advance the thesis that increasing digitalisation offers multi-layered and partly paradoxical opportunities and risks for health education, which have not yet been sufficiently discussed from a sports pedagogical perspective in a digitalised world. To develop a deeper understanding of these changes, we aim to analyse the mechanisms, opportunities and challenges created by digital health education in physical education, with a focus on the use of tools such as wearables. We draw on a Bildung-oriented perspective rooted in German-speaking pedagogy. With this in mind, we first look at the possibilities and limits for digital health education in physical education at the surface level, before we offer a deeper investigation of body, movement and experience in a digitalised world. This leads us to critical reflection at a structural level. Supposedly clear distinctions between ‘virtual’ and ‘real’, and ‘digital’ and ‘analogue’, are increasingly untenable. On the one hand, the use of digital technologies can convey reductionist images of humankind and a narrow understanding of education. On the other hand, students can experience differences between supposedly objective and subjective views of their bodies and their movement behaviour using digital technologies. This can lead to Bildung processes in which the relationship between oneself and the world is questioned, which in a sense constitutes a form of Bildung-oriented digital health education.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"35 30","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139252592","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}
Veronica Vitali, Giulia Tiboldo, Elena Castellari, Biljana Meshkovska
{"title":"Teachers’ perspectives on the EU Fruit and Vegetable Scheme implementation in Italy","authors":"Veronica Vitali, Giulia Tiboldo, Elena Castellari, Biljana Meshkovska","doi":"10.1177/00178969231210933","DOIUrl":"https://doi.org/10.1177/00178969231210933","url":null,"abstract":"Objective: School-based fruit and vegetable provision programmes can improve children’s eating patterns and health by ensuring access to fruit and vegetables and providing nutrition education. However, the effectiveness of these programmes may be significantly affected by the implementation quality. The objective of this study was to identify barriers and facilitators to the implementation of the EU School Fruit and Vegetables Scheme according to Italian teachers’ perspective. Design, Setting, and Method: We carried out semi-structured interviews with teachers in two elementary schools in Italy that had participated in the EU School Fruit and Vegetables Scheme for several years. The interview protocol was based on domains, constructs and sub-constructs from the Consolidated Framework for Implementation Research (CFIR). Qualitative data from the interviews were coded deductively using the CFIR to identify the main barriers and facilitators to implementing the EU School Fruit and Vegetables Scheme. Results: Among the main facilitators of implementation of the EU School Fruit and Vegetables Scheme were the quality and variety of the products, as well as the educational intentions behind the scheme, and teachers’ overall level of engagement. Barriers were to be found in lack of teacher training, an absence of accompanying measures, limited knowledge about a healthy diet, the low involvement of parents, and finally, problems with product delivery. Conclusions: Providing more comprehensive teacher education and training and extending access to accompanying measures may improve the EU School Fruit and Vegetables Scheme’s implementation quality and effectiveness. Moreover, allowing greater flexibility in between suppliers and accounting for each geographic area’s unique character are crucial to overcoming the delivery problems that currently act as barriers to the implementation of the scheme.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"36 34","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134954269","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}
Denise A M Peeters, Tessa R D van Deelen, Anton E Kunst, Bas van den Putte, Mirte A G Kuipers
{"title":"The role of the local retail environment in the tobacco-purchasing behaviour of underage adolescents in Amsterdam","authors":"Denise A M Peeters, Tessa R D van Deelen, Anton E Kunst, Bas van den Putte, Mirte A G Kuipers","doi":"10.1177/00178969231210212","DOIUrl":"https://doi.org/10.1177/00178969231210212","url":null,"abstract":"Objective: Despite a nationwide ban on tobacco sales to people under 18 years of age, adolescents can still buy tobacco products in Amsterdam. This study aimed to understand the influence of the retail environment in adolescents’ activity spaces on their tobacco-purchasing behaviour. Method: Interviews were conducted with 13 adolescents (aged 14–19 years) who went to school in Amsterdam and had ever bought tobacco products. Questions were based on the capability, opportunity, motivation, behaviour (COM-B) model. City maps showing all tobacco outlets were used to visualise respondents’ activity spaces and purchasing areas. Transcripts were analysed thematically. Results: Adolescents preferred purchasing tobacco at shops where they had successfully purchased it before, instead of going to just any shop close by. They purchased tobacco products mostly in small shops. Supermarkets were avoided, as employees complied with age-verification procedures. The city centre provided easy access because the density of small shops was high. In adolescents’ residential area, acquaintances behind the counter might facilitate tobacco purchase, while it was a barrier for minors who secretly smoked. At school, adolescents developed a collective knowledge of shops that sold tobacco products to minors either near school or further away. Tobacco was also bought on the black market because it was cheaper or because it was possible to buy specific products (e.g. snus). Conclusion: Tobacco purchasing by minors is less about the proximity and more about which stores in their activity spaces sell tobacco products to minors. Policies should therefore be aimed at the enforcement of age limits and reducing the number of small shops selling tobacco.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"124 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136351318","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}
Jiyoung Lee, Dayoung Kang, Hee Yun Lee, Ji Won Kim
{"title":"The effects of authoritative source cue and argument strength of correction tweets on MMR vaccine-related misinformation credibility","authors":"Jiyoung Lee, Dayoung Kang, Hee Yun Lee, Ji Won Kim","doi":"10.1177/00178969231210215","DOIUrl":"https://doi.org/10.1177/00178969231210215","url":null,"abstract":"Objectives: This study aimed to examine the joint effect of two core message elements – authoritative source and argument strength – in correction tweets to counter conspiratorial misinformation about the measles, mumps and rubella (MMR) vaccine. Design/Method: An online experiment with US residents ( N = 404) was conducted in a 2 (authoritative correction sources: layperson vs US Centres for Disease Prevention and Control [CDC]) × 2 (correction argument strength: weak vs strong) design. Results: The results indicate that the correction employing strong arguments and a correction provided by the CDC heightened heuristic processing of the corrective information, which in turn increased the perceived credibility of the conspiratorial misinformation. The effect of the CDC correction on heuristic processing was heightened when it contained weak arguments. Notably, user-generated corrections with weak arguments reduced heuristic processing of the information and contributed to reducing the perceived credibility of the misinformation. Conclusion: Based on the findings, we argue that both communicator- and content-related cues jointly influence how audiences process corrective information. The current study discusses the potency of user-generated social media corrections to counter vaccine misinformation and provides practical implications for how user-generated social media correction can be utilised by health practitioners. Public health organisations should prioritise presenting corrective information in an easily understandable manner, using user-generated content that fosters a sense of connection and engagement with individuals.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"68 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135869009","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}
Health Education JournalPub Date : 2023-11-01Epub Date: 2023-07-13DOI: 10.1177/00178969231185652
Cherie Conley, Schenita Randolph, Annie Hardison-Moody, Rosa Gonzalez-Guarda, Edwin B Fisher, Isaac Lipkus
{"title":"Feasibility of dyadic peer support to augment a church-based healthy lifestyle programme.","authors":"Cherie Conley, Schenita Randolph, Annie Hardison-Moody, Rosa Gonzalez-Guarda, Edwin B Fisher, Isaac Lipkus","doi":"10.1177/00178969231185652","DOIUrl":"10.1177/00178969231185652","url":null,"abstract":"<p><strong>Objective: </strong>African Americans in the USA experience a disproportionate burden of chronic disease. Healthy lifestyle promotion programmes can help decrease this disease risk. This study determined the feasibility of using dyadic peer support to augment an existing healthy lifestyle programme in African American churches.</p><p><strong>Design: </strong>A prospective pre-post design was used with 80 participants from three churches in the southeastern USA over an 18-week period.</p><p><strong>Methods: </strong>Participants attended 9 weeks of group nutrition classes followed by 9 weeks of a dyadic peer support programme. Feasibility was measured by recruitment, acceptability, ability to collect peer support data, ability to implement the peer support component and preliminary health outcomes. Descriptive statistics and multilevel models were used to analyse the data.</p><p><strong>Results: </strong>Seventy-eight percent of participants completed group classes and peer support activities. Over 95% of participants would work with a partner again. Lay leaders and educators felt they had the resources and participant support to implement a dyadic peer support intervention. Participants achieved small but significant average increases of 1.1 fruit servings per day (<i>p</i> = .001) and 1.2 days of physical activity per week (<i>p</i> = .01) post-intervention. Significant changes in weight (-2.6 pounds, 95% confidence interval [CI] = -4.18, -1.1; <i>p</i> = .001) and vegetable intake (0.681 servings, 95% CI = 0.122, 1.241; <i>p</i> = .017) achieved during the first 9 weeks of the programme were maintained during the second 9 weeks.</p><p><strong>Conclusion: </strong>Dyadic peer support can successfully be used to augment existing healthy lifestyle promotion programmes within African American churches. Studies using control groups are needed to test the effectiveness of dyadic peer support on health outcomes more rigorously.</p>","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":" ","pages":"725-738"},"PeriodicalIF":1.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42338833","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}