Health Promotion Journal of Australia最新文献

{"title":"Food Environment Assessment in Two Socioeconomic Contexts in Queensland, Australia","authors":"Shanti Kadariya,&nbsp;Joy Parkinson,&nbsp;Lauren Ball","doi":"10.1002/hpja.70238","DOIUrl":"https://doi.org/10.1002/hpja.70238","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To assess the availability and affordability of healthy food options in restaurants and supermarkets across two communities with different socioeconomic contexts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The cross-sectional comparative study was conducted in Inala, a low socioeconomic status (SES) suburb and Springfield, a nearby, internationally recognised master-planned community in Queensland, Australia. A total of 60 restaurants and five supermarkets were assessed using the Nutrition Environment Measurement Survey (NEMS). Data were collected between July and September 2024 and compared using Fisher's exact test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Pronounced difference in food environment was observed between restaurants but not between supermarkets across the two study locations. No significant differences were observed in the availability (1.95 vs. 2.18, <i>p</i> &gt; 0.05) or quality (mean score of 3 for both, <i>p</i> &gt; 0.05) of healthy food items between the two suburb supermarkets and healthier food options were also more expensive than less healthy alternatives in both locations. In contrast, restaurants in Inala offered significantly fewer supports for healthy eating compared with Springfield restaurants (NEMS-R mean sub score = 0.93 vs. 2.45, <i>p</i> = 0.002). Additionally, individual restaurant meals were not cheaper than combo meals in either suburb.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Restaurant food environment in Inala was found less supportive of healthy eating compared with Springfield. Therefore, future initiatives in Inala should prioritise equitable access to and availability of nutritious food with a particular focus on restaurants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Relevance to Health Promotion</h3>\u0000 \u0000 <p>The study offered insights into the healthy eating environment in two Australian suburban communities. Findings deepen the understanding of environmental determinants of healthy eating and carry the scope to inform the co-design of future place-based and sustainable healthy eating initiatives.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70238","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784209","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":"Developing Language and Image Use Guidance for Communicating About Suicide, Mental Health Concerns and Alcohol and Other Drug Concerns: An Australian Delphi Study","authors":"Elizabeth Paton,&nbsp;Jennifer Peprah,&nbsp;Dara Sampson,&nbsp;Jaelea Skehan","doi":"10.1002/hpja.70236","DOIUrl":"https://doi.org/10.1002/hpja.70236","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>How people communicate about suicide, mental health concerns and alcohol and other drug (AOD) concerns matters. The words and images used can reinforce or reduce shame and stigma, or impact help-seeking and help-offering behaviours. In some cases, how people communicate may increase or decrease suicidal behaviour in Australia communities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This paper outlines findings from an Australian Delphi survey to find consensus on what constitutes best practice advice for communicating about mental health concerns, suicide, and AOD concerns. Three panels, including a panel of people with lived experience, were used by the researchers to achieve consensus amongst those considered experts where evidence and consistency was lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Consensus ratings and qualitative feedback were received from 40 experts across two Delphi survey rounds. In total, 70 of 106 statements were endorsed for inclusion in guidelines for image or language use relating to mental health, mental health concerns, suicide and AOD concerns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Consensus ratings and qualitative feedback provided clear, broad-level guidance that formed the foundation for two new sets of guidelines. This builds on existing language focused guidelines to deliver updated and evidence-informed guidelines for use in the media as well as other sites of communication where people may be exposed to harmful or helpful words and images.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>These new guidelines are designed to help Australian communities to communicate safely and sensitively, and with a more coherent voice, about suicide, mental health concerns and AOD concerns. In turn, they contribute to broader efforts to reduce stigma and distress across Australian communities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70236","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148754177","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":"Bridging Voices Through Food: Sub-Saharan African Young People's Perspectives of Food and Nutrition Policy in Victoria, Australia","authors":"Khalid Muse,&nbsp;Ayuba Issaka,&nbsp;Dheepa Jeyapalan,&nbsp;Nicola Miranda,&nbsp;Kevin Kapeke,&nbsp;Kathryn Backholer,&nbsp;Veronica Nunez,&nbsp;Sally Schultz,&nbsp;Hannah Jongebloed,&nbsp;Chioma Anidi,&nbsp;Christina Zorbas","doi":"10.1002/hpja.70234","DOIUrl":"https://doi.org/10.1002/hpja.70234","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Marginalised and non-white voices are under-represented in food and nutrition policy in Australia. To achieve equitable food systems that support healthy diets for all, the voices and lived experiences of people from diverse cultural backgrounds must be meaningfully included in decision-making. This research aimed to understand Sub-Saharan African (SSA) young people's experiences of food and nutrition and identify opportunities for culturally sensitive policies that can improve these experiences in Victoria, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative approach, grounded in critical theory, experience-based co-design and the Social and Emotional Wellbeing framework, was employed to attain a policy-relevant understanding of SSA young people's perspectives and engagement with food and nutrition in Australia. In-depth interview guides were co-designed with an advisory committee of multicultural young people, including two young SSA Australians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty young people (15–25 years) with East and West African backgrounds were interviewed, mostly from metropolitan Victoria (75%). Four overarching themes were identified describing (i) young people's experiences of cultural food shaping their identity but being difficult to access due to systemic barriers, (ii) food affordability and economic opportunities influencing community wellbeing, (iii) the mixed relevance of dominant food and nutrition policy priorities and (iv) the need for stronger government prioritisation of migrants and equity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This research identifies food as a critical determinant of health and wellbeing among SSA youth, serving not only as a cultural factor but also as a pathway for economic and social advancement. Mainstream food and nutrition policies do not fully address the priorities of SSA youth and opportunities exist to develop more culturally sensitive policy options. Additional efforts are required from the public health community to address discrimination across food systems, starting with better inclusion of multicultural experiences and voices in research, policy and practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70234","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148753702","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":"Comparative Policy Analysis of Healthcare Healthy Eating Policies in Canada","authors":"Laura J. Kennedy,&nbsp;Sara F. L. Kirk,&nbsp;Alisson Dykeman,&nbsp;Meaghan Sim,&nbsp;Jeanna Parsons Leigh,&nbsp;Catherine L. Mah","doi":"10.1002/hpja.70231","DOIUrl":"10.1002/hpja.70231","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Healthy eating policies are of growing importance to the management of retail food environments in healthcare (e.g., hospital cafeterias). Several researchers have begun to analyse health promoting benchmarks within these policies. However, little is understood about the relationship between policy and continuous quality improvement (CQI) for health promotion in healthcare. Furthering our understanding of benchmarks within these policies could provide insight into how we can measure and create standards in health promotion. This policy analysis examined publicly accessible healthcare healthy eating policies in Canadian health authority jurisdictions, up until November 22, 2022.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Data was extracted using a monitoring and evaluation framework for evaluating nutrition policies in publicly funded institutions, with adaptations based on organisational CQI concepts. Policy components analysed included: policy design, nutrient profiling systems, nutrition standards, evaluation, and monitoring. A second reviewer independently extracted data and peer debriefing was completed on the extractions.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This analysis identified five healthy eating policies meeting the inclusion criteria, from Alberta, British Columbia, Newfoundland and Labrador, Nova Scotia, and Winnipeg, Manitoba. Policies included nutrient profiling, including benchmarks for selling healthy, moderately healthy, and less healthy food and beverages. Other benchmarks were mentioned but contained fewer indicators (e.g., fundraising, catering, and advertising). Policies included benchmarks about product and placement (e.g., healthier items in visible places) but less about price. The included policies promoted collaboration amongst healthcare providers but lacked details about evaluation and monitoring.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This policy analysis suggests that different healthcare settings may require different benchmarks, tailored to their contexts. Furthermore, standardisation may not be optimal if further experimentation is needed to identify benchmarks for health promotion practices, as is common in healthcare CQI. Policy implementation requires a combination of top-down and bottom-up approaches, and collaboration with multiple partners may be necessary for success. Benchmarking processes are a potential strategy for understanding improvements to other aspects of the food environment beyond nutrient standards.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 ","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70231","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714237","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":"Supporting Decision Making in Early Years Initiatives: Co-Designing a Child Health Evidence Dashboard","authors":"Brittany J. Johnson,&nbsp;Samantha Morgillo,&nbsp;Sarah Hunter,&nbsp;Lua Perimal-Lewis,&nbsp;Georgia Middleton,&nbsp;Jacqueline Anderson,&nbsp;Rebecca Perry,&nbsp;Sarah Eley,&nbsp;Annapurna Nori,&nbsp;Louise Wightman,&nbsp;Sarah Taki,&nbsp;Carmel Williams,&nbsp;Vicki Brown,&nbsp;Anna Lene Seidler,&nbsp;Kylie E. Hunter,&nbsp;Rebecca Golley","doi":"10.1002/hpja.70230","DOIUrl":"10.1002/hpja.70230","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Research has trialled many initiatives to support caregivers to shape young children's health behaviours. However, translating evidence to public health practice and policy is a challenge, in part due to access to such evidence. We aimed to co-design a child health evidence dashboard, and to understand the expected enablers and barriers to use of the dashboard with next-users (e.g., Australian child service managers, program planners).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using an integrated knowledge translation approach, we conducted a mixed-methods study involving five online co-design workshops. Next-users were invited to participate in the workshops and completed pre- and post-workshop surveys. Pragmatic data analysis occurred after each workshop to identify next-user requirements and inform iterative dashboard development alongside workshops.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>15 next-users participated in the workshop series (median of 9 per workshop). Next-user preferences were categorised into desired uses, content, features and functionality, and design for the dashboard. Key enablers to use of the dashboard included relevance, promotion and credibility of the dashboard, positive user experience, time and resources to support use of the dashboard.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We identified what and how next-users want evidence on child health initiatives to inform policy and practice. Findings enabled development of an initial evidence dashboard prototype informed by next-user preferences. Understanding the enablers and barriers to using and engaging with the dashboard will inform ongoing development and implementation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70230","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714257","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":"Sustaining Health Promotion in Australian Supermarkets: Qualitative Perspectives From the Reach for the Stars Programme","authors":"Rebecca Bennett,&nbsp;Laura Duff,&nbsp;Kate Mallia,&nbsp;Steven Allender,&nbsp;Bettina Backman,&nbsp;Miranda Blake,&nbsp;Shaan Naughton,&nbsp;Carmen Vargas","doi":"10.1002/hpja.70228","DOIUrl":"10.1002/hpja.70228","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Supermarkets influence dietary behaviours, but sustaining health-promoting interventions in these settings is challenging. This study explored factors shaping the long-term sustainability of <i>Reach for the Stars</i>, a multi-component intervention promoting products rated four or five health stars in independent supermarkets in the Latrobe Valley, regional Victoria, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with health promotion staff, community members and supermarket owners and managers. Interviews were analysed using reflexive thematic analysis underpinned by a Big Q, constructionist approach, prioritising participants' experiences and perspectives rather than quantification.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants identified multiple factors influencing sustainability. Community engagement guided intervention design, ensuring materials met local needs, while trusting relationships between health promotion staff and retailers facilitated collaboration. Key challenges included limited ongoing funding, time constraints and inflexible organisational structures. Partnerships, adaptable resources and visible benefits to the community were highlighted as critical enablers. Participants also emphasised the importance of organisational support and leadership in sustaining programme practices over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Sustaining supermarket-based health promotion initiatives requires attention to relational, organisational and contextual factors beyond programme design. Active relationship-building, collaborative partnerships and responsiveness to local context supported programme viability and retailer engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>These findings provide practical insights for public health practitioners seeking to implement or maintain supermarket health initiatives. Emphasising community connection, partnership development and organisational support can strengthen the longevity and effectiveness of interventions aimed at promoting healthier food choices in retail settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70228","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707943","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":"How Does the Australian Media Report on the Health and Environmental Impacts of Meat Consumption and Production? A Media Analysis","authors":"Navid Teimouri,&nbsp;Katherine Sievert,&nbsp;Adam Hannah,&nbsp;Stephanie Meciar,&nbsp;Kerri Gill,&nbsp;Katherine Cullerton","doi":"10.1002/hpja.70233","DOIUrl":"10.1002/hpja.70233","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Australia is a high meat-producing and consuming country, yet little Australia-specific research has examined how news media frame meat's health and environmental impacts and related solutions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analysed 147 Australian print and online news articles published between 15 May 2020 and 15 May 2025 across 12 major outlets. Articles were coded for topic, headline and body framing, calls to action and cited sources, then examined using content analysis and descriptive and inferential statistics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Coverage focused mainly on environmental impacts (98/147), especially greenhouse gas emissions, while health-only coverage was less common (33/147). Most articles included a call to action, most often focused on industry action (56) or technological solutions (53), whereas policy change and individual choice were rare (14 each). Industry representatives were the most common sources (91/147) and their inclusion predicted more favourable framing, more technological and industry-led responses and lower odds of dietary-change calls. Framing also varied by outlet, with <i>The Australian</i> and <i>Daily Telegraph</i> more favourable towards meat and the <i>Sydney Morning Herald</i> more unfavourable.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Australian news coverage tended to privilege incremental, supply-side responses over broader dietary and policy approaches recommended in public health and sustainable food systems research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Australian news coverage may normalise industry-friendly and technology-led responses to meat-related harms while marginalising dietary and policy solutions, narrowing public and policy understanding of what effective health promotion requires. Strategic media engagement may help health promoters increase the visibility of evidence-based, structural solutions and support a more balanced public debate about meat-related harms. Greater government focus on meat-related harms could help advance public health objectives and policy action.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70233","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707939","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":"True Co-Design: Buzzword or Breakthrough? The Value of Authentic Relationships in Aboriginal and Torres Strait Islander Health Promotion","authors":"Candace Angelo,&nbsp;Kate Robinson","doi":"10.1002/hpja.70227","DOIUrl":"10.1002/hpja.70227","url":null,"abstract":"<p>As Aboriginal women, Registered Nurses, and health promotion and public health academics, our perspectives are shaped by both our lived experiences and our professional practice. We have worked across clinical care, health promotion, public health, research, and academia, partnering with Aboriginal and Torres Strait Islander communities, health services, and organisations to improve health and wellbeing. These experiences have reinforced our understanding that meaningful and sustainable health promotion is built on relationships, trust, and shared decision-making, rather than simply the application of participatory methods. We wrote this commentary because we have become increasingly concerned that the term <i>co-design</i> is being used widely across research, policy and practice without always reflecting the principles it was intended to represent. Too often, co-design is reduced to consultation, workshops or the collection of community feedback, while decision-making power, and control remain with researchers, institutions or health services. In our experience, this not only undermines the intent of co-design but also risks reinforcing the very inequities that health promotion seeks to address. Our understanding of authentic co-design is informed by Aboriginal ways of knowing, being and doing, which recognise that relationships are not peripheral to the work; they are the work. Genuine partnership requires time to build trust, reciprocal relationships, mutual accountability, respect for community knowledge, and a willingness to share power throughout every stage of a project. These principles are not unique to Aboriginal and Torres Strait Islander contexts; rather, we believe they represent the foundations of effective health promotion with all communities. As nurses and health promoters, we have seen firsthand that programs developed <i>with</i> communities are more relevant, culturally safe, acceptable and sustainable than those developed <i>for</i> communities. Conversely, we have also witnessed the consequences of tokenistic engagement, where communities are invited to participate after key decisions have already been made. These experiences have shaped our conviction that authentic co-design is not a methodology to be applied, but a way of working that is grounded in humility, reciprocity and respect. We acknowledge that our perspectives are informed by our identities as Aboriginal women and by our professional experiences. While we do not claim to speak for all Aboriginal and Torres Strait Islander peoples or communities, we offer this commentary from a position of shared experience and commitment to strengthening health promotion practice. We hope this paper contributes to an ongoing conversation about moving beyond co-design as a buzzword and toward approaches that genuinely redistribute power, privilege community expertise and foster authentic relationships capable of creating meaningful and lasting health change.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70227","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707885","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":"Fostering Equity in and Through Sport: A Content Analysis of Sports Policies for Migrants in Australia","authors":"Siona Fernandes,&nbsp;Eleanor Holroyd","doi":"10.1002/hpja.70229","DOIUrl":"10.1002/hpja.70229","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Physical activity (PA) and sport are mechanisms that promote health and social belonging, yet evidence of policies promoting sports participation and inclusion for Australia's growing migrant population is limited. This study examined how Australian federal, Victorian state and local government (LG) policies address migrant inclusion and equitable sports participation, with a secondary focus on Asian Indians, Australia's largest Asian ethnic group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twenty public-facing policy documents drawn between 2014 and 2024 were systematically selected and thematically analysed (federal: <i>n = 10</i>, state: <i>n = 2</i>, LGs: <i>n = 8</i>) using content analysis with 10 predefined categories drawn from migrant-contextual PA domains and planning aspects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen documents referenced migrant-specific keywords. Key categories included social and cultural contexts, physical environment and target groups. Sociocultural framing in national and LG documents highlighted sport's role in migrant integration. Victorian LGs adapted the physical environment to accommodate informal and culturally specific sports (e.g., kabaddi), fee-free options and multisport facilities. Few national sport-sector documents distinctly target migrants. Immigration-sector documents identified new arrivals, highlighted cross-government partnerships that integrated sport within workplace initiatives, and adopted a migrant-focused evaluation framework. Most documents lacked actionable migrant-focused initiatives and details on budget, timeframes or legal compliance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Migrant inclusion is gaining attention in national sport policy initiatives but is insufficiently addressed in state-level documents. Intersectional approaches, targeted planning, collaboration between sport, immigration and health sectors, and increased political advocacy could advance migrant equity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690086","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":"Strengthening Preventive Care for Culturally and Linguistically Diverse People in Australia: The Case for Community Health Worker Programs","authors":"Sabuj Kanti Mistry,&nbsp;Uday Narayan Yadav,&nbsp;Soumyadeep Bhaumik,&nbsp;Zohra S. Lassi,&nbsp;Mark Harris","doi":"10.1002/hpja.70226","DOIUrl":"https://doi.org/10.1002/hpja.70226","url":null,"abstract":"<p>Australia is a multicultural country with half of its population from culturally and linguistically diverse (CALD) communities, who experience a disproportionately higher burden of chronic diseases. Yet, people from CALD communities continue to face significant barriers to accessing health and social care services that are essential for effective prevention of chronic diseases. In Australia, prevention is not happening in primary care, with a shortage of workforce and the public health system is underinvested in preventive strategies. In these realities, we highlight that community health workers can play a pivotal role in delivering culturally tailored preventive care in primary care and community settings for CALD communities in Australia.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70226","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647832","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}