Health Promotion Journal of Australia最新文献

{"title":"Health Promotion Opportunities for Lesbian, Gay and Bisexual People: Using Data From the New Zealand Health Survey","authors":"Jeffery Adams,&nbsp;Jintana Jankhotkaew,&nbsp;Sonja J. Ellis,&nbsp;Stephen Neville","doi":"10.1002/hpja.70077","DOIUrl":"https://doi.org/10.1002/hpja.70077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Health inequity for sexual minority (lesbian, gay and bisexual) people compared with heterosexual people is well documented globally. However, limited local data have been used to inform health policy and practice. This project analysed data from the New Zealand Health Survey to determine areas of inequity in health behaviours and identify opportunities for health promotion action.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used pooled data from six waves of the New Zealand Health Survey (from 2015/2016 to 2020/2021). The sample for analysis comprised 67 426 people aged 15 years and older, including 1224 sexual minority females and 703 sexual minority males. We applied multiple logistic regression to investigate the association between health behaviours and sexual identity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sexual minority people were found to have poorer health behaviours in comparison to heterosexual people in relation to alcohol consumption, smoking, drug use, physical activity and nutrition (eating fruit and vegetables). For example, compared to heterosexual females, female minorities were more likely to be binge drinkers (OR:1.61; 95% CI:1.60, 1.62), current smokers (OR:1.88; 95% CI:1.86, 1.90), drug users (OR:3.23; 95% CI:3.20, 3.25) as well as being less likely to meet fruit (OR:0.84; 95% CI:0.84, 0.85) and vegetable consumption guidelines (OR:0.94; 95% CI:0.93, 0.94). It shows similar patterns of the associations when compared to heterosexual males with male minorities. In relation to physical activity, female minority people were more likely to meet the guidelines compared to heterosexual females.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our results from the New Zealand Survey data are broadly consistent with the current international literature demonstrating health inequity for sexual minorities compared with heterosexual people in relation to alcohol consumption, smoking, drug use, physical activity and eating fruit and vegetables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Opportunities exist in New Zealand to improve the health behaviours of sexual minorities, and health promotion agencies should ensure their interventions address the needs of these groups. Health promotion agencies have an ethical and moral responsibility to address these areas of inequity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144635050","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":"Non-Linear Socioeconomic Inequality in the Distribution of Food Outlets in Metropolitan Melbourne and Regional Victoria, Australia","authors":"Melvin Barrientos Marzan,&nbsp;Lisa Hui,&nbsp;Heng Jiang,&nbsp;Wubet Worku Takele,&nbsp;Mari de Leon,&nbsp;J. C. Nacpil,&nbsp;Yichao Wang,&nbsp;Melissa Wake,&nbsp;Suzanne Mavoa","doi":"10.1002/hpja.70074","DOIUrl":"https://doi.org/10.1002/hpja.70074","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Socioeconomic disparities in food environments significantly impact diet quality and health outcomes, yet comparative evidence between metropolitan and regional areas remains limited. We examined spatial and temporal changes in food outlet availability in Victoria, Australia from 2019 to 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Geospatial data from OpenStreetMap was used to classify food outlets into healthy, less healthy, and unhealthy categories. Outlet densities were calculated within 500 m (walkable) and 2000 m (short driving) buffers from Statistical Area Level 1 centroids. Socioeconomic disparities were assessed using the Index of Relative Socio-economic Advantage and Disadvantage quintiles. Gini coefficients quantified inequality, while Kruskal-Wallis tests, Dunn's post hoc tests, and k-means clustering identified socio-spatial patterns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In metropolitan Melbourne, both highly disadvantaged (quintile 1) and affluent areas (quintiles 4–5) had significantly higher densities of food outlets (e.g., 2.3 vs. 2.7 healthy outlets per 1000 people within 500 m in 2023), while mid-range socioeconomic areas (quintiles 2–3) had notably lower availability. Regional Victoria exhibited similar trends, with mid-range areas consistently underserved. From 2019 to 2023, Melbourne's Gini coefficients for healthy outlet access improved slightly (0.45–0.43), whereas regional areas worsened (0.52–0.55). Clustering revealed limited healthy food availability in disadvantaged rural clusters and high densities of unhealthy options in urban regional centres.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Food outlet availability in Victoria shows distinct non-linear socioeconomic disparities, disproportionately disadvantaging mid-range socioeconomic areas.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What</h3>\u0000 \u0000 <p>Strategic urban planning and targeted policy interventions in underserved suburban and regional locations are essential for mitigating inequalities and promoting healthier communities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70074","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615084","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":"Participatory Health Impact Assessment for Health and Well-Being Policy at Local Level in Thailand","authors":"Nattaya Promthong,&nbsp;Suwicha Thaweesook,&nbsp;Phen Sukmak,&nbsp;Sirima mongkolsomlit,&nbsp;Patchana Hengboriboonpong Jaidee,&nbsp;Weerasak Putthasri","doi":"10.1002/hpja.70073","DOIUrl":"https://doi.org/10.1002/hpja.70073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Achieving the Sustainable Development Goals (SDGs) related to health and well-being requires diverse stakeholders' engagement. According to Thailand's constitution, the decentralisation of health promotion to Local Administrative Organizations (LAOs) has been increasingly implemented. The lessons learned from experiences in implementing well-being tools and engaging stakeholders in diverse local and cultural contexts offer practical benefits. This article describes the development of participatory policy using health impact assessment (HIA) in selected LAOs across Thailand, alongside bottom-up policy formulation, to support sustainable social well-being and community empowerment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative research approach was applied to examine HIA implementation in 12 purposively selected LAOs across Thailand. Data collection included document reviews, participatory observations of HIA meetings/activities and 156 in-depth interviews with key informants (KIs) who were actively involved in the HIA process. The analysis specifically examined the roles of community and stakeholder engagement, the implementation processes and the resulting outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The 12 LAOs selected a diverse range of challenges for HIA applications, including waste management, water pollution, elderly care, occupational health and community tourism. Community consultation with government personnel, academics and community members was conducted as the preparation phase to identify priority issues. Most participants emphasised that meaningful and inclusive participation through the HIA process was crucial for creating ownership and ensuring compliance with agreements. The influencing step of HIA was significant in securing commitment and continued support from local governments. Participants also mentioned increased motivation, active citizenship, community empowerment and collective leadership development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings indicate that the HIA is a social tool effectively implemented in the community. Various issues and challenges of health and well-being are manifest in deployment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Inclusive participation through the policy development process at the local level is clarity to support sustainable social well-being and community empowerment.</p>\u0000 </sect","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615063","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 “Increasing the Effectiveness of Rural, Regional and Remote Food Security Initiatives Through Place-Based Partnerships—A Qualitative Study”","authors":"","doi":"10.1002/hpja.70067","DOIUrl":"https://doi.org/10.1002/hpja.70067","url":null,"abstract":"<p>S. L. Godrich, I. Chiera, M. Stoneham, J. Doe, A. Devine, and E. Humphreys, “Increasing the Effectiveness of Rural, Regional and Remote Food Security Initiatives Through Place-Based Partnerships—A Qualitative Study,” <i>Health Promotion Journal of Australia</i> 36 (2025): e70048, https://doi.org/10.1002/hpja.70048.</p><p>In the first version of the above article, second and third authors should be swapped as originally agreed by our team; Isabelle Chiera should be listed as second author and Melissa Stoneham as third author.</p><p>The online article has been amended.</p><p>We apologise for this error.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615061","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":"Cancer Risk Perceptions in South Australia: A Descriptive Analysis of a Population Survey","authors":"Nur Sofia Sapian,&nbsp;Ryan Calabro,&nbsp;Daniel Coro","doi":"10.1002/hpja.70075","DOIUrl":"https://doi.org/10.1002/hpja.70075","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cancer is a major health issue in Australia, significantly contributing to the total disease burden. Despite well-known modifiable risk factors, engagement in healthy behaviours remains inconsistent. This study examines perceived cancer risk for various modifiable factors among a South Australian population and analyses changes over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected from the Population Health Survey Module System in 2022, with 3002 participants completing the survey. The survey included questions on perceived cancer risk for various factors, using a 5-point Likert scale, and sociodemographic factors. Simple linear regressions were used to examine trends in cancer risk perceptions and changes over time (2018–2022).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Perceived risk was high for smoking and sun exposure, while risks associated with alcohol consumption and lack of immunisation were perceived as moderate. Sociodemographic predictors indicated varying perceptions based on age, gender, socioeconomic status, and cultural background. Trends over time showed slight downward perceptions for being unimmunised, spending too much time in the sun, carrying excess body fat, and smoking cigarettes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings highlight the need for targeted public health campaigns and greater public education to address gaps in awareness where perceptions were lower than expected, particularly regarding alcohol consumption and immunisation based on robustness of established evidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Persistent gaps in public cancer risk awareness, especially for alcohol consumption and immunisation, highlight the need for targeted education. Beyond raising awareness alone, structural and systemic barriers must also be addressed to support meaningful and sustained behaviour change.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70075","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615083","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":"‘Diabetes Makes You Lose Your Leg’: Footcare Self-Management Amongst I-Taukei Fijians—A Wearable Camera Study","authors":"Keresi Rokorua Bako,&nbsp;Masoud Mohammadnezhad,&nbsp;Dianne Sika-Paotonu,&nbsp;Amanda D'Souza,&nbsp;Louise Signal","doi":"10.1002/hpja.70076","DOIUrl":"https://doi.org/10.1002/hpja.70076","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Footcare is an integral part of diabetes self-management, yet there is limited research on diabetes footcare self-management. This paper explores footcare self-management and the impact of diabetes foot complications amongst I-Taukei Fijians in Fiji.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This mixed-method research examines data from the innovative Fijian Diabetes Cam study, consisting of photographic images, photo-elicitation interviews, and researcher observation. A strategic sample of 30 I-Taukei Fijian adults with diabetes participated. Participants wore a camera that photographed their activities, behaviour, and environment every 7 s for 4 days. Images were used in semi-structured photo-elicitation interviews at home, with the images as prompts. Image data and observation were descriptively analysed, while photo-elicitation responses were thematically analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>While all participants said they performed footcare, for most this was limited to looking for cuts and wounds. Those with foot complications such as amputations have to leave employment. Facilitators included family and community support. Key barriers included the lack of preventive health services and support; poor resourcing and accessibility of dressing supplies, blood sugar testing kits and mobility aids and the warm climate hindering the wearing of closed shoes. Access to appropriate housing and transportation were also key barriers for those with amputations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study suggests that I-Taukei patients recognise the need for footcare self-management and are largely motivated to do it. However, there is a lack of health education and the health service lacks the resources and trained staff to meet the needs of the people. The underfunded and under-resourced health system is a major contributor. Nevertheless, there are opportunities to improve health promotion actions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Health promotion approach to diabetes footcare self-management in Fiji could significantly improve the lives of people living with diabetes and reduce the risk of complications and amputation. Donor countries and WHO need to consider the support provided to assist Fiji to manage this increasingly challenging public health issue.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144598235","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":"The Perceived Role of Green Spaces on Mental Well-Being in Adults Living in Regional Communities: A Qualitative Study","authors":"Hirbo Shore Roba,&nbsp;Stuart J. H. Biddle,&nbsp;Tracy Kolbe-Alexander","doi":"10.1002/hpja.70072","DOIUrl":"https://doi.org/10.1002/hpja.70072","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Research in Australia has shown that green spaces enhance mental health. However, most studies focused on urban areas, leaving regional settings underexplored. This study explores the perceived role and features of green spaces in supporting the mental health and well-being of adults in regional Southeast Queensland, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with 11 community residents aged 42–76 years from the Toowoomba Regional Council (TRC) area, and two focus group discussions (FGDs) were held with eight council officers. Transcripts were analysed thematically using NVivo.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three key themes were identified regarding the role of green spaces: stress relief and restoration, spaces for physical and social activities, and barriers to and facilitators of green space use and activity engagement. Participants described green spaces as retreats from daily demands, fostering stress recovery, emotional balance and self-reflection. Green spaces also supported physical activity and encouraged social interaction. Accessibility, perceived safety, maintenance and environmental conditions were identified as factors influencing usage and associated health benefits of green spaces.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Green space in regional settings offers multifaceted benefits for mental health and well-being, including restorative effects, opportunities for physical activity and social connection. However, accessibility, safety and seasonal challenges influence the use of green spaces and health outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>This study highlights the importance of green spaces for mental health in regional Australia, underscoring the need for context-specific planning and management to optimise health benefits. These findings may inform policies and interventions to enhance green space quality, accessibility and utilisation in regional contexts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144598236","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":"Prevalence of Physical Activity Initiatives in Australian Primary Schools: A Cross-Sectional Survey","authors":"Kate M. O'Brien,&nbsp;Jessica Bell,&nbsp;Luke Wolfenden,&nbsp;Nicole Nathan,&nbsp;Sze Lin Yoong,&nbsp;Adrian Bauman,&nbsp;Christophe Lecathelinais,&nbsp;Lucy Leigh,&nbsp;Rebecca K. Hodder","doi":"10.1002/hpja.70071","DOIUrl":"https://doi.org/10.1002/hpja.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Schools are a key setting for influencing children's physical activity and sedentary behaviour. The broad adoption of guideline-informed initiatives is essential to achieve population-wide health benefits. However, there is limited evidence on the implementation of recommended physical activity initiatives in Australian primary schools. This study aims to assess the implementation of these initiatives and their associations with school characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study surveyed a nationally representative sample of Australian primary school principals (August 2022–October 2023) regarding 32 physical activity initiatives across four opportunities for physical activity: in the classroom; outside the classroom/during break times; outside of school/involving families; and other. Initiatives were identified from recent systematic reviews aligned with Australian and global guidelines. Prevalence estimates were weighted to the national school population, and logistic regression models examined associations with school characteristics (school size, remoteness, socio-economic status).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 669 participating schools, 360 completed the physical activity survey, with implementation rates ranging from 4% to 98%. The most implemented initiative inside the classroom was ‘Physical activity units of work in PDHPE/HPE’ (98%); outside the classroom/during break times was ‘School infrastructure that supports physical activity during breaks’ (96%); and outside of school/involving families was ‘School provides end-of-trip facilities to encourage active school travel’ (75%). Nine initiatives were associated with school size (6 initiatives), remoteness (4 initiatives), or socio-economic status (1 initiative).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Implementation rates of the 32 physical activity initiatives varied substantially and most initiatives had similar rates across school characteristics (school size, remoteness, socio-economic status).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>This first national study provides crucial information on the implementation of individual physical activity initiatives in Australian primary schools, highlighting areas where policy and practice investment is needed to support implementation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589512","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":"Factors Influencing Health Promoting Behaviours Among Arab-Australians: Perspectives of Health and Community Workers","authors":"Aymen El Masri,&nbsp;Nematullah Hayba,&nbsp;Jasmine Balluc,&nbsp;Justin M. Guagliano,&nbsp;Emma S. George","doi":"10.1002/hpja.70057","DOIUrl":"https://doi.org/10.1002/hpja.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Engaging Arab immigrant populations in health promotion interventions can be challenging due to their unique needs and preferences. Fewer studies have explored the experience of health and community workers on the factors influencing Arab-Australians' engagement in health initiatives and health promoting behaviours. The aim of this study was to explore the perspectives of health and community workers on recruitment, engagement, and experiences with co-design for health promotion initiatives targeting Arab-Australian adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative study sampled 10 health and community workers aged 42.6 ± 13.0 years from New South Wales, Australia, to participate in a semi-structured interview during 2023–2024. The interview topic guide focused on exploring health and community workers' experiences with recruitment, engagement, and co-design. Data were analysed using deductive and inductive thematic analysis techniques.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Recruitment strategies included using digital channels such as instant messaging or social media, directly engaging with established groups and networks, passive recruitment such as word-of-mouth, having or establishing trust with the community, and engaging community workers or champions. Engagement considerations included culture and religion, importance of family, importance of the facilitator, accessibility factors, content and approaches to delivery, and incentives. The themes related to co-design and collaboration were importance, approaches, and barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings of this study provide a unique insight into the factors influencing recruitment, engagement, and co-design approaches when targeting Arab-Australian adults for health promotion initiatives. These findings could be used by researchers or those working in the community to inform the development of health promotion initiatives for Arab-Australian adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589511","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":"Denominator Matters: Comparing the Impact of Estimated Resident Population Versus Medicare Enrolment Population on Healthcare Utilisation Analyses","authors":"Imaina Widagdo,&nbsp;Anna Kemp-Casey,&nbsp;Gereltuya Dorj,&nbsp;Andre Andrade,&nbsp;Nicole Pratt","doi":"10.1002/hpja.70069","DOIUrl":"https://doi.org/10.1002/hpja.70069","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>The Australian Bureau of Statistics (ABS) Estimated Resident Population (ERP) and the Medicare Enrolment population are commonly used denominators in calculating healthcare utilisation rates. The ERP is an estimate of all usual residents of Australia, even those ineligible for Medicare, while the Medicare population is limited to those eligible for Medicare. However, many researchers may be unaware of these differences, which can lead to inappropriate denominator use, misinterpretation of utilisation rates and suboptimal resource allocation. This analysis compared differences in utilisation rates based on whether ERP or Medicare populations were used as denominators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We compared General Practitioner (GP) utilisation rates across age groups, sex and jurisdictions in Australia. Data on GP attendance (Medicare item 23) and published per capita utilisation rates were obtained from the Medicare Statistics website. Per capita service use rates were recalculated using the ERP at June 2022 as the denominator, with the published number of claims as the numerator. The study analysed data from the financial year 2021–2022.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The ERP included 26 million people, while the Medicare population was 26.2 million. Nationally, GP attendance rates were about 2.3% higher using the ABS ERP than using the Medicare population. However, discrepancies varied by age and jurisdiction. In the ACT, ERP-based rates were around 16% lower than Medicare for persons aged 15–24, whereas in the NT, ERP-based rates for females aged 85+ were 21% higher than Medicare rates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nationally, differences between healthcare utilisation rates calculated using ABS ERP versus Medicare enrolment data were minimal. ERP-based rates were lower for younger adults, while Medicare-based rates were lower for older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Our findings emphasise the importance of carefully selecting and reporting denominators, considering their relevance to the population targeted by the service to ensure meaningful interpretation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144573579","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}