Health Promotion Journal of Australia最新文献

{"title":"Unhealthy Food and Beverage Marketing on Public Transport Infrastructure in Western Melbourne.","authors":"M Zsori, T Gardiner, T Boelsen-Robinson, F Romanes, C Alpren, V Graham, F Ampt","doi":"10.1002/hpja.70205","DOIUrl":"10.1002/hpja.70205","url":null,"abstract":"<p><strong>Background: </strong>Unhealthy and ultra-processed food (UPF) consumption leads to dietary pattern changes, a deterioration of diet quality, and increases the risk of chronic diseases. Marketing of UPF on government-owned assets, such as public transport infrastructure, contributes to their repeated exposure to the public, increasing consumption.</p><p><strong>Objective: </strong>To quantify food and beverage marketing on public transport infrastructure in Western Melbourne, assess the proportion of advertising for unhealthy and ultra-processed food, and explore the relationship between unhealthy advertising and socioeconomic disadvantage.</p><p><strong>Methods: </strong>We performed a cross-sectional study at all bus stops, tram stops and train stations in three local government areas (LGAs) in Western Melbourne. We grouped food advertisements using a modified classification from existing protocols and performed descriptive analysis by LGA and transport type. We evaluated the relationship between the proportion of unhealthy advertisements in each area and the index of relative socioeconomic disadvantage using Spearman's correlation.</p><p><strong>Results: </strong>Of 693 total advertisements, 229 promoted food or drinks. Three-quarters (174/229) advertised unhealthy products, most commonly sugar-sweetened beverages (49%) and unhealthy meals (28%). Overall, 73% of food advertisements promoted ultra-processed foods. Vending machines on train platforms accounted for 40% of all unhealthy advertisements. We found no statistically significant relationship between the proportion of unhealthy advertisements and socioeconomic disadvantage.</p><p><strong>Conclusions: </strong>Unhealthy and ultra-processed food marketing dominates public transport food advertising in Western Melbourne. Advertising on public transport has a meaningful impact on communities' exposure to unhealthy foods and the risk of obesity and chronic disease.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":"e70205"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13333319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392113","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":"Underinvestment, Corporate Power and Health Promotion's Moral Jeopardy.","authors":"Belinda Lunnay, Jonathan Hallett, Gemma Crawford","doi":"10.1002/hpja.70215","DOIUrl":"10.1002/hpja.70215","url":null,"abstract":"","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":"e70215"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13351803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425444","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":"Social Identity and Wellbeing of Australian Vegan Men: A Qualitative Interview Study.","authors":"Megan F Lee, Julian Madsen, Jessica Bayes, Courtney McLean, Angela Gilmour, Sophia Blom, Aiden Van Elst, Talitha Best","doi":"10.1002/hpja.70212","DOIUrl":"10.1002/hpja.70212","url":null,"abstract":"<p><strong>Introduction: </strong>With the global rise of veganism, shifting dietary habits are reshaping the social roles and identities of Australian vegan men. Despite a predominance of research in female experiences of veganism, this topic remains underexplored for men.</p><p><strong>Method: </strong>Using the social identity theory framework, this phenomenological, semi-structured interview study explores how 27 Australian vegan men perceive and navigate their social identities within their social relationships. Using reflexive thematic analysis, we found four main themes.</p><p><strong>Results: </strong>The first two illustrating out-group interactions: (i) masculinity and moral identity and (ii) navigating vegan identity: community and cultural integration and the final two illustrating within-group interactions, (iii) Negotiating dietary boundaries: whole-food and flexible veganism and (iv) close connections: strengthening personal bonds.</p><p><strong>Conclusion: </strong>Australian vegan men navigated their social identities through out-group dynamics involving masculinity, ethical commitments and community integration, and in-group dynamics marked by dietary boundary negotiation and solidarity with vegan communities. However, they also faced social isolation and strained relationships. SO WHAT?: Their experiences reflected identity negotiation processes shaped by moral values, subgroup tensions and the importance of supportive social relationships in sustaining vegan practices. We recommend awareness of vegan male experiences of stigma, false perceptions and struggles with masculine ideals versus masculine values.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":"e70212"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13317762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354084","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 Public Policy Must Build Capacity: Analysing the Implementation of 3.2.2A, Australia's New Food Safety Standard.","authors":"Jason Barnes, Harriet Whiley, Kirstin Ross","doi":"10.1002/hpja.70206","DOIUrl":"10.1002/hpja.70206","url":null,"abstract":"<p><strong>Issue addressed: </strong>The integration of a new standard for food safety in Australia signifies a notable step toward national unity in the adoption of Hazard Analysis and Critical Control Point (HACCP) principles and contemporary food safety management tools for the food service and retail sector. The standard introduces key measures, including certification of food safety supervisors, food safety training requirements for food handlers, and means for substantiating control of food safety hazards throughout key food handling processes.</p><p><strong>Methods: </strong>This study explored the experiences and perspectives of local regulators regarding the implementation and feasibility of the new standard. Data were collected via an online survey and semi-structured interviews with Environmental Health Practitioners across two Australian states.</p><p><strong>Results: </strong>Findings reveal that implementation of the standard varied between states, largely shaped by the degree of support provided by respective state authorities. Six key barriers to effective implementation emerged from participant accounts.</p><p><strong>Conclusions: </strong>In response, five targeted recommendations are proposed, grounded in established health promotion principles. Until these challenges are adequately addressed, the standard risks remaining ineffectual, limiting its capacity to enhance public health outcomes. SO WHAT?: The key to effective implementation and realisation of Standard 3.2.2A as healthy public policy lies within the central tenets of public health theory and practice.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":"e70206"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13275183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273314","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":"Cervical Cancer Elimination Must Centre Aboriginal and Torres Strait Islander Women.","authors":"Candace Angelo, Kate Robinson","doi":"10.1002/hpja.70214","DOIUrl":"10.1002/hpja.70214","url":null,"abstract":"<p><p>Australia is on track to become the first country to eliminate cervical cancer as a public health problem. However, this achievement cannot be claimed equitably if Aboriginal and Torres Strait Islander women continue to be disproportionately affected by social and systemic barriers to screening and treatment. This commentary argues that cervical cancer elimination must be grounded in cultural safety, health system structural reform and Aboriginal-led health promotion. It calls for urgent investment in community-controlled approaches that centre Indigenous knowledges, relationships and leadership.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":"e70214"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13333209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392050","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":"Subsidy Schemes to Alleviate the Burden of Travelling for Healthcare: A Brief Report on Users' Experiences in Queensland, Australia","authors":"Leah Zajdlewicz,&nbsp;Belinda C. Goodwin,&nbsp;Emma Pearse,&nbsp;Fiona Crawford-Williams,&nbsp;Elizabeth A. Johnston","doi":"10.1002/hpja.70207","DOIUrl":"10.1002/hpja.70207","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>For people in rural and remote areas, government-funded travel subsidy schemes provide vital financial assistance and equitable access to specialist healthcare in city centres. However, few studies have examined users' experiences of these schemes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Adults travelling for healthcare in Queensland, Australia, completed an online survey capturing their most recent experience applying for the Patient Travel Subsidy Scheme (PTSS). Participants' responses were analysed using descriptive statistics and thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From 69 respondents (aged 29–80 years, 60% female, 88% most recent application for cancer-related care), 57% agreed information about the scheme was easy to access, although only 39% found the initial registration process easy. Most indicated that local hospital staff and PTSS officers were knowledgeable and helpful (65%–70%). Less agreed that staff were available to assist (48%) or that processes were well-coordinated across hospitals (42%). Of those who sought reimbursement for travel costs (75%), almost two-thirds (63%) were out-of-pocket post-reimbursement (mean = AU$725; range = AU$20–10 000). Delayed reimbursement was relatively common (60%) and contributed to financial hardship (36%). For some (13%), challenges accessing the scheme impacted treatment decisions. User feedback included improved visibility of online application and reimbursement status, and fast-tracking of high-risk, urgent and ongoing cases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While information about the scheme and interactions with frontline staff were viewed positively by most, several system-level challenges remain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Substantial out-of-pocket costs and reimbursement delays contribute to financial hardship and can affect treatment decisions. Increased subsidy reflecting actual travel costs, timely reimbursement, fast-tracking, and greater application assistance and coordination would improve user experiences.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266587","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":"Young Adults' Views on Priority Health Issues and Their Involvement in Shaping Responses: A Qualitative Exploration in South Australia","authors":"Patience Castleton,&nbsp;Zahra Ali Padhani,&nbsp;Jaameeta Kurji,&nbsp;Stuart Vass,&nbsp;Sara Ataie,&nbsp;Salima Meherali,&nbsp;Zohra S. Lassi","doi":"10.1002/hpja.70202","DOIUrl":"10.1002/hpja.70202","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Young people must be central to health response design to ensure they are relevant and effective. It requires a clearer understanding of the opportunities and expectations surrounding youth engagement. Therefore, this study aims to gain a deeper understanding of the health priorities of young adults residing in South Australia (SA) and their engagement in the design of health programmes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In-depth interviews were conducted with 13 young adults aged 18–24 years (all genders) in SA to identify priority health concerns, contributing factors and preferred solutions. We also explored their interest and expectations of being involved in the health programme design. Thematic analysis was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Mental health and vaping emerged as the predominant health concerns. Key drivers of health concern amongst young adults included a lack of awareness of vaping and eating disorders, peer pressure, living costs, poor work-life balance and limited mental health services. Participants recommended early, school-based interventions, and free accessible services. They underscored the need for structural changes at policy-level to create supportive environments. Participants expressed interest in contributing to intervention design when aligned with their interests, skills and availability, but reported limited opportunities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Young adults are eager to be involved in health programme design and have unique skills that should be better leveraged upon through co-design of research and programmes. Effective solutions to pressing health concerns must align with the lives of young adults and actively involve them in the design, implementation and evaluation of programmes and policies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> What's Next?</h3>\u0000 \u0000 <p>The study results suggest employing the motivation and insights of young adults can lead to more relevant, effective and engaging health solutions tailored to their needs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70202","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165196","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":"A Qualitative Study to Inform Cultural Adaptations of a Healthy Lunchbox Programme for Schools With High Aboriginal Enrolment in the Hunter New England Region of Australia","authors":"Daniel Groombridge,&nbsp;Cassandra Lane,&nbsp;Jessica Daniel,&nbsp;Katie Robertson,&nbsp;Sarah Harwood,&nbsp;Matilda Stephenson,&nbsp;Luke Wolfenden,&nbsp;Rachel Sutherland","doi":"10.1002/hpja.70201","DOIUrl":"10.1002/hpja.70201","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Issue Addressed&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;SWAP IT is a school-based nutrition programme that promotes healthier lunchbox choices for children in Australia. As part of the programme scale-up, ensuring that implementation responds to the social and cultural determinants that shape food and nutrition practices for Aboriginal and Torres Strait Islander communities is important for equitable impact. To inform the cultural adaptation of SWAP IT, this study aimed to explore the experiences and perspectives of Aboriginal school staff regarding the implementation of SWAP IT in schools with high Aboriginal and/or Torres Strait Islander enrolments.&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;An exploratory qualitative study was conducted within the Hunter New England (HNE) region of NSW Australia—a large and geographically diverse area (132 000 km&lt;sup&gt;2&lt;/sup&gt;) and one of 15 Local Health Districts in NSW. The study was led by an Aboriginal Program Manager from the Population Health Unit of HNE Local Health District, with further cultural oversight provided by programme governance groups. Grounded in Indigenous methodology, data were collected using yarning (an Aboriginal communication method and data collection tool) through individual and group yarns with 11 staff from seven SWAP IT schools. Data were analysed using Thematic Analysis and group yarns to inductively identify and refine key themes.&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;Eight themes were identified. Four themes captured participants' direct experiences and perspectives of SWAP IT, including positive perceptions of its value (1A), and opportunities to strengthen cultural responsiveness in programme processes (1B), resources and content (1C) and distribution methods (1D). A second set of four themes reflected broader contextual considerations that emerged through the yarns and were seen to influence implementation, including preferences for culturally responsive materials and methods (2A), food access and insecurity as a significant challenge (2B), potential barriers to family engagement (2C) and sustainability concerns (2D).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Incorporating surface level adaptations (e.g., Aboriginal artwork) and deep-level adaptations (e.g., cultural food practices) will enhance the programme's cultural responsivity for equitable delivery. Additional implementation strategies that account for the broader considerations may maximise impact for Aboriginal children and communities. Co-designing and piloting an adapted programme with Aboriginal communities is a critical next step.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 ","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148144957","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":"“You Can Just Watch the Game for Fun”: Young People's Messages to Major Professional Sporting Organisations About the Relationship Between Gambling and Sport","authors":"Hannah Pitt,&nbsp;Simone McCarthy,&nbsp;Grace Arnot,&nbsp;Melanie Randle,&nbsp;Mike Daube,&nbsp;Samantha Thomas","doi":"10.1002/hpja.70200","DOIUrl":"10.1002/hpja.70200","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Many Australian young people now think that gambling is a normal part of sport. However, there is still resistance from sporting codes and governments to implementing evidence-based strategies that are known to protect young people from gambling messages during sport. This paper aimed to explore young people's views about the relationship between gambling and sport, the role of marketing, and their messages to major professional sporting organisations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Online focus groups (<i>n</i> = 22) with young people aged 12–17 years (<i>n</i> = 64) from Victoria and New South Wales, Australia. Reflexive thematic analysis was used to construct themes from the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants perceived that there was an entrenched relationship between gambling and sport in Australia that was largely normalised by marketing strategies. They described that gambling contributed to increased positive emotions relating to the sports viewing experience and engaged those who might not be otherwise interested in sport. Participants believed that sporting organisations should prioritise removing gambling advertising from sport because of the negative impact on young people. They called for measures that significantly reduce or limit gambling advertisements within sports.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Young people view gambling as culturally accommodated within sport. They have important insights into the link between gambling and sport, including policy strategies that should be used to safeguard them from the tactics of the gambling industry.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Public health has an important role to play in ensuring that young people's opinions and experiences are recognised in policy decisions about gambling.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70200","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044222","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 New Communities: An Equity-Based Population Health Approach to Improving Health Outcomes for Refugee and Migrant Communities","authors":"Paul Harris,&nbsp;Martina Bateson,&nbsp;Rell Oliver-Braddock,&nbsp;Edwin Lubari,&nbsp;Brooke Hutchison","doi":"10.1002/hpja.70204","DOIUrl":"10.1002/hpja.70204","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Culturally and linguistically diverse (CALD) communities have unique strengths, needs, and health seeking behaviours reflecting their cultural background. Therefore, top-down population-level health promotion initiatives with externally imposed performance indicators are frequently ineffective in CALD contexts. Accordingly, the Healthy New Communities (HNC) program implements an equity-based bottom-up commissioning model aimed at addressing socio-cultural factors impacting health seeking behaviours with people from refugee and migrant backgrounds.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In the first phase of a comprehensive evaluation of the HNC program commissioning model, stakeholders involved in the implementation of commissioned activities and programs shared their experiences with this innovative funding model pioneered by the Queensland Health Metro South Hospital and Health Services, Health Equity and Access Team. Their perspectives were gathered in focus groups and interviews and analysed using an inductive approach to thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings demonstrate the effectiveness of the HNC program commissioning model in engaging CALD communities in health promotion initiatives. Flexibility, responsiveness, trust, relationships, shared commitments, and cultural representation facilitated community members' participation in the commissioned activities. The impacts of the HNC program commissioning approach extend beyond the adoption of healthy lifestyles and include positive social, emotional, cultural, and physical impacts across a range of life domains and the creation of employment, training, and career pathways.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The HNC program demonstrates how socio-cultural determinants of health can be influenced by commissioning models that prioritise community engagement, relationships, co-design, and the culturally shaped health-seeking behaviours of CALD individuals, families, and communities in the funding, design, and implementation of health promotion initiatives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Phase one results are promising and lay the foundation for an in-depth investigation of the potential of equity-based commissioning models for improving health and wellbeing outcomes for CALD communities across Queensland and beyond.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70204","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018216","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}