Health Promotion Journal of Australia最新文献

{"title":"'Our culture makes us strong': Understanding and working with community strengths among Aboriginal people in western Sydney.","authors":"K Gardner, S Graham, M Beadman, M Doyle, J Wilms, K Beetson, J Bryant, K Martin, C Treloar, D Murphy, S Bell, A Browne, P Aggleton, R Bolt","doi":"10.1002/hpja.906","DOIUrl":"10.1002/hpja.906","url":null,"abstract":"<p><strong>Background: </strong>Strengths-based approaches to health care are often seen as an alternative to deficit-based approaches and are common in Aboriginal health settings. Despite this, there is little existing research that describes Aboriginal peoples' perspectives about the strengths of their communities. This paper describes cultural strengths and resources as understood by Aboriginal people living in western Sydney.</p><p><strong>Methods: </strong>In-depth interviews were used to collect qualitative data from two communities on Dharug and Dharrawal Country in western Sydney Australia. Data come from a larger study, which focused on how cultural strengths supported sexual well-being. Fifty-two interviews were conducted with Aboriginal young people (aged 16-24 years) by trained peer interviewers. Additionally, 16 interviews with Aboriginal adults (25 years and older) were conducted by members of the research team.</p><p><strong>Findings and discussion: </strong>While opinions varied, four key areas of cultural strength were identified: (1) strong kinship relationships; (2) knowledge sharing; (3) shared experiences, identities, and values; and (4) knowing Country. Throughout these four themes, the sense of connection and belonging is viewed as an important overarching theme.</p><p><strong>Conclusion: </strong>Communities are not homogenous with regard to what they view as cultural strengths. Knowing Country and practising culture meant different things to different individuals while providing a similar sense of belonging, connection, and identity.</p><p><strong>So what: </strong>Health service providers, policies, and programs can use this information to understand the continuing impacts of past policies and events whilst recognising that each community has strengths that can be drawn upon to improve service engagement, knowledge sharing, and health outcomes.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":" ","pages":"e906"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126958","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":"Factors associated with not smoking among Aboriginal and Torres Strait Islander adolescents and young people: Analysis of data from the 2014 to 15 National Aboriginal and Torres Strait Islander Social Survey.","authors":"Emilie Cameron, Megan Freund, Sandra Eades, Nicole Turner, Robert Davis, Christina Heris, Jennifer Rumbel, Matthew Clapham, Jamie Bryant","doi":"10.1002/hpja.942","DOIUrl":"10.1002/hpja.942","url":null,"abstract":"<p><strong>Issue addressed: </strong>Smoking rates have been steadily declining among Aboriginal and Torres Strait Islander people. Examining the factors associated with not smoking in young people is crucial for understanding the motivations and influences that lead individuals to adopt healthy behaviours.</p><p><strong>Methods: </strong>Secondary analysis was undertaken of data collected as part of the National Aboriginal and Torres Strait Islander Social Survey (NATSISS) 2014-15 (n = 1456). Factors associated with not smoking were explored with three multivariate regressions: (1) socio-demographic characteristics; (2) health, social and emotional factors; and (3) cultural identity characteristics.</p><p><strong>Results: </strong>Overall, 66% of Aboriginal and Torres Strait Islander young people aged 15-24 years did not smoke. Factors associated with not smoking included being younger, female, and engaged in study or employment. Those who lived with no smoking in the house, had lower illicit drug and alcohol use, and participated in Aboriginal or Torres Strait Islander sports carnivals were also more likely to be non-smokers.</p><p><strong>Conclusions: </strong>Study findings reinforce the influence of social determinants on smoking behaviour. Efforts to reduce smoking among Aboriginal and Torres Strait Islander young people should focus on removing barriers to education and employment, promoting positive peer and family influences within households, taking a multi-drug approach to cessation, and considering cultural identity and its role in promoting healthy lifestyles. SO WHAT?: Understanding the protective factors associated with not smoking in young Aboriginal and Torres Strait Islander people will help with developing effective policies and initiatives to improve health outcomes.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":"e942"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899439","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":"Development and formative evaluation of website-based tool to support healthy lifestyles in family day care.","authors":"Georgie Tran, Bridget Kelly, Sarah T Ryan, Megan Hammersley, Erin Kerr, Jennifer Norman, Mel Leedham, Cecilia Vuong, Karen Wardle, Kainaat Syed, Anthony Okely","doi":"10.1002/hpja.947","DOIUrl":"10.1002/hpja.947","url":null,"abstract":"<p><strong>Issue addressed: </strong>Nutrition and physical activity practices in Australian family day care are suboptimal. A web-based tool was co-developed with family day care service providers and educators, health promotion staff and the New South Wales Ministry of Health to promote healthier nutrition and physical activity practices through an existing quality improvement process.</p><p><strong>Methods: </strong>Formative evaluation was conducted in January-February 2023. An online survey included 13 questions relating to content, language, structure, ease of usage and participant satisfaction. Questions used Likert scales to rate participants' experience from poor to excellent. Tool usage data were extracted from the website to reflect user activity. Service providers (n = 3) and educators (n = 9) tested the tool for 4 weeks.</p><p><strong>Results: </strong>Survey questions were grouped into measures of perceived convenience, difficulty and helpfulness. All participants chose a rating of 'good' or 'excellent' across all questions, with a higher proportion of participants rating the questions as 'excellent'. All participants used the tool at least once. Perceived value of research was the main theme that emerged from the open text feedback.</p><p><strong>Conclusions: </strong>Results suggest that the tool was feasible, easy to use and relevant to practice. SO WHAT?: This is the first known tool designed for family day care to promote healthier nutrition and physical activity practices through an existing quality improvement process to implement change. An efficacy trial will follow to evaluate effectiveness. The tool is predicted to serve as a platform for identifying gaps between policy and practice and for facilitating practice improvements.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":"e947"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956587","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":"Implications of the latest release of the National Statement on Ethical Conduct in Human Research on health promotion practice in Australia.","authors":"Krysten Blackford, Gemma Crawford, Sharyn Burns","doi":"10.1002/hpja.888","DOIUrl":"10.1002/hpja.888","url":null,"abstract":"","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":" ","pages":"e888"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285010","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":"Healthy Me, Healthy Planet: Evaluation of a pilot planetary health library program.","authors":"Rebecca Patrick, Nicole Bruges, Hasini Gunasiri, Yifan Wang, Claire Henderson-Wilson","doi":"10.1002/hpja.882","DOIUrl":"10.1002/hpja.882","url":null,"abstract":"<p><strong>Issue addressed: </strong>The Healthy Me, Healthy Planet program was an evidence-informed pilot program conducted by a local libraries to promote the health co-benefits of action on climate change.</p><p><strong>Background: </strong>An impact evaluation of the Healthy Me, Healthy Planet program was conducted using a mixed methods research design including pre-, during, and post-program surveys and online focus groups.</p><p><strong>Methods: </strong>The evaluation included 136 participants aged 18+ years who were able to understand and communicate in English or simplified Chinese language. Descriptive analyses of the survey data were integrated with thematic analyses of focus group (N = 2) data to generate key themes.</p><p><strong>Results: </strong>Key impacts included individual and organisational capacity building, personal and social well-being, and pro-environmental knowledge, attitudes, and behaviour. Impacts on program participants included increased confidence, motivation, positive feelings, and personal well-being after taking part in the Healthy Me, Healthy Planet program. Participants reported enhanced social connections, mental well-being, and environmental benefits such as engaging within the community on environmental issues and feeling inspired to make sustainable lifestyle changes.</p><p><strong>Conclusion: </strong>Libraries play a key role in promoting the health of people and planet in the community because they are a trusted, safe, and supportive community setting, a curator of credible and reliable evidence-based information on health and planetary topics and a local and free provider for skills and literacy development.</p><p><strong>So what: </strong>The evaluation of the pilot suggests that participants improved their capacity to practice sustainable living and it is recommended that this program be expanded to other library settings to enhance community connection and support local planetary health initiatives.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":" ","pages":"e882"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297027","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":"Cultural blind spots: Identifying hidden psychosocial hazards in the workplace.","authors":"Theaanna Kiaos","doi":"10.1002/hpja.900","DOIUrl":"10.1002/hpja.900","url":null,"abstract":"<p><strong>Issue addressed: </strong>This article presents a framework to identify hidden psychosocial hazards and emerging mental health risks in the workplace, thereby assisting Persons Conducting a Business or Undertaking. The framework adds value to the processes outlined in SafeWork NSW's Code of Practice for Managing Psychosocial Hazards At Work. Specifically, the article documents a framework to analyse microcultures and back stage sites of enactment where psychosocial hazards and risks may be hidden or obscured in workplace settings.</p><p><strong>Background: </strong>The article's framework aims to bring to the surface both the intra and interpersonal tensions employees experience in the social reality they inhabit while they perform their work, thereby positively contributing to organisations and PCBUs by helping them create healthy workplace cultures and psychological safety.</p><p><strong>Methods: </strong>Specifically, the article discusses partnering with an organisational ethnographer when a PCBU embarks upon psychosocial investigations to: gain access, select employee participants, start conversations, establish rapport, build trust, collect and analyse data.</p><p><strong>Conclusion: </strong>This article theoretically contributes to health promotion literatures by offering organisations a complementary way of extracting deeper insights and understandings of psychosocial hazards and emerging mental health risks which are not apparent with traditional methods of inquiry.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":" ","pages":"e900"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591724","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":"Negative prior aquatic experiences and children's aquatic competency: Do parent perceptions differ from reality?","authors":"Hannah L M Calverley, Lauren A Petrass, Loretta Konjarski","doi":"10.1002/hpja.907","DOIUrl":"10.1002/hpja.907","url":null,"abstract":"<p><strong>Issue addressed: </strong>Achieving aquatic competence is recommended for preventing childhood drownings, yet many children in Victoria, Australia do not meet aquatic benchmarks despite participating in swimming and water safety programs. While few studies have explored factors influencing aquatic competency development, negative prior aquatic experiences (NPAE) have surfaced as a potential influence. Research on children's NPAE has primarily focused on parental perceptions rather than the child's actual experiences.</p><p><strong>Methods: </strong>Parents and children (aged 10-12 years) completed reliable surveys for background information and NPAE-related data. Children also completed aquatic competency assessments against benchmark standards. Chi-square tests determined relationships between NPAE and aquatic competency, and thematic analysis categorised themes related to perceptions of the child's NPAE.</p><p><strong>Results: </strong>Most parents (82.9%) indicated their child had not had NPAE, while only half (51.0%) of children did not report NPAE. Children reporting NPAE often perceived incidents as nearly drowning (41%), encompassing swimming pool environments and underwater submersion. Similarly, parents reported varied situations, noting NPAE involving open water and the child's loss of control. Parent-reported NPAE was associated with children less likely to achieve knowledge, continuous swimming, and survival competency benchmarks (p < .05). Children reporting NPAE were less likely to achieve underwater competencies (p < .05).</p><p><strong>Conclusions: </strong>The disparity between parent and child perspectives of NPAE demonstrates the importance of considering both perspectives. This should assist in providing appropriate support for children to develop aquatic competencies. SO WHAT?: Using NPAE data, practitioners can customise swim teaching approaches to address and prevent NPAE, particularly as many children associate their NPAE with pools, the common setting for aquatic education.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":" ","pages":"e907"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972063","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":"Health literacy profiles of final year pre-service teachers in two initial education programs compared with the general population: A cross-sectional study using the Health Literacy Questionnaire.","authors":"Louisa R Peralta, Cassidy Kealy-Ashby, Katherine Owen, Lucy Corbett","doi":"10.1002/hpja.883","DOIUrl":"10.1002/hpja.883","url":null,"abstract":"<p><strong>Issue addressed: </strong>Health literacy (HL) can be developed throughout the lifespan starting from the early years highlighting that educational institutions, curriculum and teachers are powerful settings, places and people that can foster HL in youth. Current research shows that Australian teachers need more support to teach health education that promotes students' HL, with limited research focusing on pre-service teachers (PST). This study aims to identify the HL strengths and challenges of PST at one Australian university across two initial teacher education programs (HPE and primary) and compare their health literacy profiles with that of the Australian general population.</p><p><strong>Methods: </strong>The Health Literacy Questionnaire (HLQ) was administered in March and April, 2022 to measure HL in Australian PST. The research setting was a university in Sydney, Australia, with two of the University's undergraduate initial teacher education (ITE) programs (Health and Physical Education [HPE] and Primary). Of the 24 PST in the HPE cohort, 23 consented. Of the 70 PST in the Primary cohort, 34 consented. The results were compared with Australian Bureau of Statistics data.</p><p><strong>Results: </strong>The participants' median age was 22.3(4.3) years (SD), age ranged from 20 to 54 years, with 36% of participants under the age of 22 years. When comparing the PST data with the general population there were two significant differences: (1) PST scored significantly higher than the general population for Domain 4 (Social support for health, 3.41 vs. 3.19; p < 0.001; d = 0.57); and (2) the PST scored significantly lower for Domain 9 (Understand health information enough to know what to do, 4.02 vs. 4.27; p < 0.01; d = -0.43). In addition, we found that primary PST had significantly lower scores for domains 5-9 (demonstrative of interactive and critical HL), compared with the general Australian population.</p><p><strong>Conclusions: </strong>Findings show that PST strengths are that they perceive that there they are able to access social support for health, however the PST find it more difficult to analyse and apply health information, compared with the general Australian population. SO WHAT?: Further understanding of health literacy profiles of Australian PST should influence the design of ITE programs and its health education curricular to ensure that PST are able to further develop their HL understandings and capabilities.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":" ","pages":"e883"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162948","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":"Remote Food Security Research Project: Applying an Indigenist Research Lens.","authors":"Ellie Chan, Caroline Deen, Kani Thompson, Emma Stubbs, Amanda Webb, Abdolvahab Baghbanian, Yvonne Cadet-James","doi":"10.1002/hpja.954","DOIUrl":"10.1002/hpja.954","url":null,"abstract":"<p><p>This paper aimed to reflect on how Rigney's model of Indigenist research informed the research design of a project which explored community-led solutions to improve food security in remote Aboriginal and Torres Strait Islander communities. The project was conducted in partnership with two Aboriginal Community Controlled Health Organisations (ACCHOs); Apunipima Cape York Health Council (Apunipima) and Central Australian Aboriginal Congress (Congress), communities in Central Australia and Cape York, Queensland and researchers from the University of Queensland, Monash University, Dalhousie University and Menzies School of Health Research. On reflection the principles of Indigenist research were evident providing a means of resistance to oppression through Indigenous stakeholders being in control of research to address social determinants, in this case food security. Aboriginal and Torres Strait Islander world views, lived experiences and knowledges were embedded in the research and informed governance, implementation and knowledge translation. ACCHOs and communities gained a political voice through advocacy and actions at the local, state and national levels. The development of a Community Framework led by ACCHOs and community stakeholders to address food security serves to talk to the three principles of 'Resistance, Political Integrity and Privileging Indigenous Voices'.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":"e954"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034610","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":"Understanding diabetes risk in the Y Community of Greater Brisbane: Findings from a cross-sectional survey.","authors":"Lucy E Campbell, Sjaan R Gomersall, Michael Tsiamis, Ana D Goode, Genevieve N Healy","doi":"10.1002/hpja.889","DOIUrl":"10.1002/hpja.889","url":null,"abstract":"<p><strong>Background: </strong>This cross-sectional study aimed to understand the need and desire for a diabetes prevention program within the Y (formerly YMCA: Young Men's Christian Association) of the Greater Brisbane region, Queensland, Australia.</p><p><strong>Methods: </strong>An anonymous online survey was distributed (March-April 2023) by The Y Queensland targeting adults within the Greater Brisbane Y community. Data were collected on Y membership and branch attended, postcode, diabetes risk in the next 5 years (low, medium, or high), and interest in participation in a diabetes prevention program. Data were analysed via descriptives and cross tabulation with statistical significance considered at p < .05.</p><p><strong>Results: </strong>Respondents (n = 575) were primarily female (65%), attending a Y branch located in the outer city (51%), and aged under 55 years (68%). Twenty Y sites were represented, with a mix of inner-city, outer-city, and regional areas. Overall, 46% (n = 241/530) of respondents were at high diabetes risk, with those living in relatively socio-economically disadvantaged areas more likely (p < .001) to be at high-risk (57%) than intermediate (26%) or low-risk (18%). Most (68%) respondents were interested/potentially interested in program participation; those at high risk of developing diabetes in the next 5 years were most interested (55%).</p><p><strong>Conclusions: </strong>The Y in Greater Brisbane may provide a suitable setting to host a community-based diabetes prevention program. Locations outside the inner city should be prioritised to target those who are relatively socio-economically disadvantaged to align with higher need and demand. SO WHAT?: Findings inform the implementation and prioritisation of a community-delivered diabetes prevention program.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":" ","pages":"e889"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141311947","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}