{"title":"Audience Interpretation of Risks in Health Promotion Campaigns About Underage Drinking: Qualitative Interviews With Parents of Adolescents","authors":"Hoang Van Nguyen","doi":"10.1002/hpja.70184","DOIUrl":"https://doi.org/10.1002/hpja.70184","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Underage alcohol use has been linked to risks of physical, mental, and social harms to young people. Despite the known risks, research shows that parents may choose to supply alcohol to their children on occasions for various reasons. This has prompted several health promotional campaigns aimed at parents to discourage the practice of parental supply of alcohol, but there has been little evidence of how the messages are received by the target audiences, i.e., parents of adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Grounded in the existing literature on alcohol-related harms, social dimensions and communication of risks, the current paper conducted a qualitative analysis of interviews with parents of adolescents to understand their interpretation of risks in a series of Australian health promotion campaigns that addressed underage drinking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>The study demonstrated how target audiences brought in their own lived experiences and social worldviews to interpret and internalise messaging about risks in ways that are nuanced and situational.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings demonstrated how parents' lived experiences and worldviews influenced their interpretation and alignment with the health promotion messages about parental supply of alcohol. While the ways the parents negotiated with the health promotion messages may not be scientifically-grounded, it was not always due to unawareness of risks but based upon strategies and assessment of risks in situational contexts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Understanding of how lived experiences inform interpretation of health promotion campaigns has implications for more effective alcohol-related risk communication aimed at behaviour change to reduce alcohol-related harms among young people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70184","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147686009","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}
Megan F. Lee, Julian Madsen, Jessica Bayes, Courtney P. McLean, Aiden Van Elst, Talitha Best
{"title":"“I Feel Like I'm Making a Good Difference to the World”: Interviews With Australian Men on Their Motivations to Become Vegan","authors":"Megan F. Lee, Julian Madsen, Jessica Bayes, Courtney P. McLean, Aiden Van Elst, Talitha Best","doi":"10.1002/hpja.70186","DOIUrl":"https://doi.org/10.1002/hpja.70186","url":null,"abstract":"<p>Australian vegan men face unique societal pressures, cultural norms and expectations of masculinity. Using a phenomenological approach, this semi-structured interview study explored the dietary motivations of 27 Australian vegan men. Thematic template analysis revealed three themes: (i)<i>Head and Heart Decisions: From Initial Motives to Deepened Ethical Commitment—</i>clarity of motives to initiate versus clarity of values to adhere to veganism, (ii) <i>Bridging Worlds: The Influence of Vegan and Non-Vegan Social Circles—</i>the importance of social connection in initiation of a vegan diet and (iii) <i>Resolving Cognitive Dissonance: Making a Difference, Promoting Kindness and Aligning Values</i>—the desire to align values to live a kinder life. Personal, ethical and social factors shape vegan men's dietary choices. These findings highlight opportunities for health promotion initiatives to support vegan men by fostering inclusive environments, addressing identity-related barriers, and promoting dietary choices that align with both personal values and holistic wellbeing.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70186","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147686206","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}
Judith Maher, Derlene Gray, Kirby Murtha, Muriel Bond, Kora Uhlmann, Kristen Tulloch, Sarah Burkhart, Tricia King, Lynne Stuart
{"title":"Practical Application of Ethical Research Principles: Developing and Implementing Grassroots Food Security Research With the Yarrabah Aboriginal Community.","authors":"Judith Maher, Derlene Gray, Kirby Murtha, Muriel Bond, Kora Uhlmann, Kristen Tulloch, Sarah Burkhart, Tricia King, Lynne Stuart","doi":"10.1002/hpja.70169","DOIUrl":"10.1002/hpja.70169","url":null,"abstract":"<p><strong>Introduction: </strong>Nutrition sensitive urban agriculture that supports self-determination for Aboriginal Peoples and Communities has the potential to promote food security, health, and wellbeing. This paper aims to (1) describe the evolving processes and pathways of a home gardening project development and (2) demonstrate the alignment of research practices with ethical principles for working and researching with Aboriginal Peoples and Communities.</p><p><strong>Methods: </strong>Project development and the journey through grassroots engagement, cultural connection and collaboration, and ethical considerations are described. The research team reports on how ethical principles that support respectful and reciprocal research in an Aboriginal Community were practically integrated.</p><p><strong>Results: </strong>The project unfolded in an iterative, nonlinear fashion, where community connections and reciprocity in practice were prioritised. We demonstrate the ways in which research team members applied the ethical principles of spirit and integrity, responsibility, respect, reciprocity, equity, and cultural continuity.</p><p><strong>Conclusions: </strong>Employing ethical and authentic engagement practices in research with Aboriginal and Torres Strait Islander Peoples and Communities is crucial for maintaining ongoing respectful research relationships.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 2","pages":"e70169"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624179","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}
Abdulaziz D Aloufi, Jake M Najman, Abdullah A Mamun
{"title":"The Impact of Adolescent Body Weight Misclassification on Dieting Behaviour From Adolescence to Adulthood: A Longitudinal Study.","authors":"Abdulaziz D Aloufi, Jake M Najman, Abdullah A Mamun","doi":"10.1002/hpja.70185","DOIUrl":"10.1002/hpja.70185","url":null,"abstract":"<p><strong>Introduction: </strong>Weight misclassifications and consequent uptake of weight loss activities may influence future eating habits and weight trajectories. This study examines the longitudinal association between body weight misclassifications in adolescence and its impact on dieting patterns from adolescence to adulthood.</p><p><strong>Methods: </strong>Data were retrieved from an Australian longitudinal birth-cohort study. The analytical sample (n = 1132) comprises participants whose measured and perceived body weight at 14 years of age were recorded and prospectively provided dieting information at 14, 21 and 30 years of age. Weight misclassification was determined by comparing measured body mass index with perceived body weight.</p><p><strong>Results: </strong>The proportion of participants who reported dieting increased from 19% at 14-year follow-up to 48% at 30-year follow-up. Among adolescents who reported dieting, 72% reported dieting again at 21-year follow-up and among those who reported dieting at the 21-year follow-up, 81% reported dieting at 30-year follow-up. Adolescents who overestimated their body weight had threefold higher odds of dieting compared to their counterparts at that age and were more likely to follow persistent dieting patterns into adulthood. After stratifying by BMI categories, normal weight adolescents who overestimated their weight had higher odds of dieting compared with normal weight adolescents who correctly estimated their weight; however, there was no significant association between weight underestimation and dieting behaviour.</p><p><strong>Conclusions: </strong>The prevalence of dieting behaviour increased from adolescence to adulthood. Adolescent weight overestimation was the most significant factor associated with dieting over the study period. SO WHAT?: Interventions targeting weight misclassification during adolescence may help prevent the adoption of unhealthy dieting behaviours.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 2","pages":"e70185"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692785","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":"Correction to ‟Geographical Disparities in Faecal Immunochemical Test-Based Colorectal Cancer Screening Participation and Positivity Rates: A Systematic Review and Meta-Analysis\".","authors":"","doi":"10.1002/hpja.70181","DOIUrl":"https://doi.org/10.1002/hpja.70181","url":null,"abstract":"","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 2","pages":"e70181"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575815","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":"Framing Migrant Drownings in Australia: News Media Representations Through the Lens of Critical Discourse.","authors":"Emma Derainne, Ryan Essex, Jagnoor Jagnoor","doi":"10.1002/hpja.70176","DOIUrl":"10.1002/hpja.70176","url":null,"abstract":"<p><strong>Introduction: </strong>Media reporting of migrant drowning deaths can serve multiple purposes, including advocacy, improving data, and supporting inclusive policy development. However, such drownings remain underexamined in both public discourse and academic research. This study investigates how migrants are portrayed in Australian newspaper coverage of drowning between 2020 and 2025, and how these portrayals shape public understanding, reinforce or challenge systemic inequities, and align with the equity goals of the Australian Water Safety Strategy 2030.</p><p><strong>Methods: </strong>A total of 82 articles from Australia's six highest-readership newspapers were analysed using Critical Discourse Analysis guided by Mullet's General Analytical Framework, alongside Braun and Clarke's thematic analysis to identify patterns of power, ideology, and representation. Media language was manually coded, and keyword frequencies were tallied to explore how responsibility and risk are framed.</p><p><strong>Results: </strong>Coverage consistently portrayed migrants as at-risk 'newcomers', with official voices represented by lifesaving bodies, councils, and aquatic educators, shaping responses. Drowning risk was often individualised, while structural determinants such as access to lessons or facilities were inconsistently reported. Parallel narratives positioned aquatic participation as a marker of 'Australian' identity, implicitly othering migrants. At the same time, some reports highlighted multilingual programs, subsidised lessons, and infrastructure investment, pointing to systemic interventions. These representations both reinforced individual responsibility and underscored structural inequities.</p><p><strong>Conclusions: </strong>Australian news media shape public understanding of drowning risk, but coverage tends to emphasise individual adaptation over structural causes. Greater consistency in reporting systemic barriers and prevention initiatives is needed to support equity-oriented water safety strategies. SO WHAT?: Aligning media representation with the Australian Water Safety Strategy 2030 requires greater inclusion of migrant voices, consistent reporting of systemic barriers, and framing prevention in equity-oriented terms. Collaboration between journalists and water safety agencies could help shift coverage from episodic tragedy to sustained public health communication.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 2","pages":"e70176"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13008571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505527","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}
Natasha Harding, Mark Chenery, Skye McPhie, Sophie Fredheim, Nataly Bovopoulos, Craig Martin, Cinzia Marrocco
{"title":"Addressing Parental Supply of Alcohol to Teens: Development and Message Testing of the Keep Their Future Bright Campaign.","authors":"Natasha Harding, Mark Chenery, Skye McPhie, Sophie Fredheim, Nataly Bovopoulos, Craig Martin, Cinzia Marrocco","doi":"10.1002/hpja.70174","DOIUrl":"10.1002/hpja.70174","url":null,"abstract":"<p><strong>Issue addressed: </strong>Due to potential harm to the developing brain, alcohol is not recommended before age 18, even in small quantities. With parents being a key source of alcohol supply to their teenagers, changing parental attitudes towards underage drinking is key to reducing alcohol-related harm in young people. This study provides an overview of the development and message testing of the 'Keep Their Future Bright' campaign, aimed at discouraging parents from supplying alcohol to children.</p><p><strong>Methods: </strong>Phase 1-Development of message guide: Scoping activities included a literature review, qualitative interviews with 15 alcohol and other drug harm prevention advocates, and discourse analysis of 2227 text samples from media and other public sources. Data from eight focus groups (n = 72) and an online survey with parents of teenagers (n = 1728) were integrated with findings from scoping activities to create the message guide. Phase 2-Generation of campaign materials: these were informed by the message guide created in Phase 1. Phase 3-Message testing: Pre-post national survey among parents to test message effectiveness (n = 817).</p><p><strong>Results: </strong>Phase 1: Differences were identified between the views of alcohol and other drug harm prevention advocates and the dominant public narrative. Parents expressed concern about brain development, mental health, and the carcinogenic effects of alcohol. Phase 3: After viewing the campaign, there were reductions in the proportion of parents who agreed that (1) it was acceptable to supply children with alcohol in the home and (2) intended to provide alcohol in the future. Compared to pre-exposure, more parents agreed that underage alcohol consumption was associated with (1) disruptions to brain development, (2) poor mental health, (3) accidents, (4) embarrassing behaviour, (5) sexual assault and (6) risk of developing cancer.</p><p><strong>Conclusions: </strong>The message testing demonstrated that emphasising the harms of moderate alcohol consumption and challenging perceptions that parental supply is protective was persuasive. SO WHAT?: Evidence-based communication strategies and public health campaigns are needed to address broader cultural perceptions and support long-term behavioural change.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 2","pages":"e70174"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13030916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533509","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}
Babatunde A Balogun, A Hogden, L Yang, M Agaliotis, N Kemp
{"title":"Planning and Implementing Social Media Communication in a Public Health Crisis: An Analytical Perspective.","authors":"Babatunde A Balogun, A Hogden, L Yang, M Agaliotis, N Kemp","doi":"10.1002/hpja.70179","DOIUrl":"10.1002/hpja.70179","url":null,"abstract":"<p><strong>Issue addressed: </strong>The use of social media as a public communication tool by public health service organisations (PHSOs) gained prominence during the COVID-19 pandemic. However, as the pandemic evolved into a prolonged public health crisis, PHSOs faced challenges in effectively engaging the public with crisis directives. Despite its growing importance, there is scant research on how PHSOs formulated and implemented their social media communication plans as part of their pandemic management.</p><p><strong>Methods: </strong>Textual analysis and quality appraisal of the first COVID-19 pandemic management plans and the post-COVID reports of Australia's foremost federal and jurisdictional PHSOs were undertaken. The Prevention-Preparedness-Response-Recovery framework for emergency management informed the analyses.</p><p><strong>Results: </strong>Sixteen documents were identified as relevant for inclusion in the review. Textual analysis revealed that Australia's PHSOs initially exhibited inertia in recognising social media as a strategic tool for public communication, as the documents were primarily focused on the response phase of the pandemic. The documents contained insufficient evidence of goals and metrics that could have informed how social media was used for public engagement. Jurisdictions varied in their perception of pandemic risks and in their use of social media to communicate public health directives.</p><p><strong>Conclusion: </strong>The content of the PHSOs' strategic pandemic management plans for COVID-19 played a major role in how social media communication of public health directives was implemented. SO WHAT?: This study offers actionable insights on public health communication for pandemic management to practitioners, highlighting aspects of social media communication plans to support timely implementation.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 2","pages":"e70179"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624165","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}
Emma Heard, Carmel Williams, Meg Crawford, Anikka Way
{"title":"From Regulation to Health Promotion: Leveraging Australia's Social Media Restriction to Advance Digital Wellbeing for Young People.","authors":"Emma Heard, Carmel Williams, Meg Crawford, Anikka Way","doi":"10.1002/hpja.70182","DOIUrl":"https://doi.org/10.1002/hpja.70182","url":null,"abstract":"","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 2","pages":"e70182"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595726","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":"Assessment and Use of Electronic Patient Records for Smoking Cessation Support in Hospital Setting: A Cross-Sectional Study.","authors":"Stephen Barrett, Gabrielle Barrett, Tim Milroy","doi":"10.1002/hpja.70167","DOIUrl":"10.1002/hpja.70167","url":null,"abstract":"<p><strong>Issue addressed: </strong>Tobacco use remains a leading cause of preventable illness and death. Hospital admissions offer a critical opportunity to support smoking cessation. Electronic patient record (ePR) systems can enable systematic identification and coordination of cessation care; however, clinician engagement with smoking-related ePR functionality is not well understood. This study examined smoking-related assessment and documentation practices, and determinants influencing use of the ePR for smoking cessation support in a regional Australian hospital.</p><p><strong>Methods: </strong>A cross-sectional survey was distributed to clinicians working on inpatient wards. The survey assessed how often clinicians asked about smoking, what information they collected and documented, and clinicians' knowledge and use of ePR functionality to support cessation. Barriers and enablers were explored using the NASSS (Non-adoption, Abandonment, Scale-up, Spread, Sustainability) framework, which considers technology use across clinical, organisational and system levels.</p><p><strong>Results: </strong>Of the 101 respondents, 93% reported routinely asking about smoking status. However, only 50% indicated that they knew how to identify smoking status within the ePR, and fewer than 20% reported confidence in using the system to assess nicotine dependence or provide structured cessation support. Only 6% had received relevant training. Reported barriers included lack of knowledge, limited training, low system usability and competing priorities within workflows.</p><p><strong>Conclusions: </strong>While most clinicians ask about smoking, effective use of the ePR to deliver comprehensive cessation support remains limited. SO WHAT?: Improving smoking cessation support in hospital settings requires more than clinician intent. Training, embedded decision support and better system integration are needed to close the gap between clinical opportunity and evidence-based care.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 2","pages":"e70167"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624209","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}