Health Promotion Journal of Australia最新文献

{"title":"Socio-Structural Factors as Predictors of Parents' Intentions to Enrol Their Children in Swimming Lessons","authors":"Kyra Hamilton,&nbsp;Amy E. Peden,&nbsp;Stephanie R. Smith,&nbsp;Jacob J. Keech,&nbsp;Daniel J. Phipps,&nbsp;Martin S. Hagger","doi":"10.1002/hpja.70183","DOIUrl":"10.1002/hpja.70183","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Swimming lessons are an effective drowning prevention strategy, yet uptake remains socially patterned. Socio-structural factors such as parent age, sex and family income may shape parents' decisions to enrol their children in swimming lessons. According to the Theory of Planned Behaviour (TPB), people's beliefs, reflected in their attitudes, subjective norms and perceived control, drive health-related intentions. Socio-structural characteristics may therefore influence parents' intentions indirectly by shaping these underlying beliefs. This study examined an untested pathway, assessing whether socio-structural factors shape parents' beliefs and, in turn, their intentions to enrol children in swimming lessons.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Parents (<i>N</i> = 323) of primary school–aged children without prior formal lessons completed an online survey. Latent variable structural equation modelling in R (Lavaan) tested direct and indirect relationships between socio-structural factors, TPB constructs and intention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The model demonstrated good fit. Parent age predicted attitudes, subjective norms and perceived control. Sex directly predicted intention, while income predicted perceived control. All three TPB constructs significantly predicted intention, mediating the effects of age and income. The model explained 70% of variance in intention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Parents' intention to enrol their children in swimming lessons is shaped indirectly by socio-structural characteristics through belief-based TPB constructs. This highlights the importance of integrating structural determinants into social cognition models to better understand inequities in preventive health behaviours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Strengthening positive attitudes, supportive social norms and parental confidence, while reducing financial and structural barriers to participation, may improve equitable access to swimming lessons and contribute to drowning prevention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13090427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718354","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":"Using the Theoretical Framework of Acceptability to Evaluate a Smoking Cessation Programme in Community Pharmacies","authors":"Cheryn Coleman,&nbsp;Stuart G. Ferguson,&nbsp;Rosie Nash","doi":"10.1002/hpja.70187","DOIUrl":"10.1002/hpja.70187","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Tobacco smoking disproportionately affects people experiencing socioeconomic disadvantage. Improving access to effective smoking cessation programmes and medications is crucial to reducing this gap. Here, we report on a programme trialling the provision of free nicotine replacement therapy to priority populations through community pharmacies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study evaluates the engagement and acceptability of this approach using a multiphase mixed methods design. Two groups were involved in the programme: community pharmacists (<i>n</i> = 8) and people who smoke cigarettes (<i>n</i> = 55). At the conclusion of the programme, 7 pharmacists and 10 smokers completed semi-structured interviews. Qualitative data collected through interviews were analysed using a hybrid approach of inductive and deductive thematic analysis. An inductive reflexive thematic analysis was performed first, followed by a deductive thematic analysis to code the data into the seven constructs of the Theoretical Framework of Acceptability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analyses revealed pharmacists and smokers were mostly positive about the pilot programme. Although the burden was perceived to be considerable by pharmacists, and the self-efficacy and opportunity costs appear to have limited the engagement of some smokers in the programme.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This evaluation provides insights into what works to support people from priority populations who want to quit smoking. It highlights that both engagement with and acceptability of smoking cessation support are influenced by practical considerations and the service setting. Furthermore, it highlights the important role that existing health destinations, such as community pharmacies, can play in the delivery of public health interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718393","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":"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}

{"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,&nbsp;Julian Madsen,&nbsp;Jessica Bayes,&nbsp;Courtney P. McLean,&nbsp;Aiden Van Elst,&nbsp;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}

{"title":"Evidence Mapping: Healthy Eating and Physical Activity Practice Elements in Early Childhood Education and Care.","authors":"Melanie Lum, Alice Grady, Luke Giles, Heidi Turon, Nicole Pearson, Ana Renda, Luke Wolfenden, Sze Lin Yoong","doi":"10.1002/hpja.70170","DOIUrl":"10.1002/hpja.70170","url":null,"abstract":"<p><strong>Background: </strong>Many health and government organisations have developed recommendations to promote the healthy eating and physical activity of children attending early childhood education and care (ECEC) settings. However, the evidence supporting these recommendations is not well described. An examination of the current evidence is needed to support decision-makers to understand and prioritise practices for implementation.</p><p><strong>Aim: </strong>To utilise a novel systematic evidence-mapping process which: (i) examines the evidence-base underpinning ECEC-based healthy eating and physical activity practice elements; and (ii) classifies practice elements according to the World Health Organization (WHO) Standards for Healthy Eating, Physical Activity, Sedentary Behaviour and Sleep in Early Childhood and Care Settings to examine alignment with current global guidelines.</p><p><strong>Methods: </strong>We undertook a two-stage, five-step systematic process, involving identifying existing evidence and conducting a secondary data analysis and synthesis of the evidence underpinning practice elements.</p><p><strong>Results: </strong>Sixteen healthy eating and 19 physical activity practice elements were assessed as likely beneficial. Most of these mapped to WHO Standard 2: Creating supportive environments. Seven practice elements were assessed as possibly beneficial, two as possibly not beneficial and none as not beneficial. There was insufficient evidence to assess 39 practice elements.</p><p><strong>Conclusions: </strong>This study provides insights into the evidence underpinning practice elements included in ECEC-based guidelines, identifies evidence-based practice elements not included in existing guidelines and highlights opportunities where evidence can be strengthened. SO WHAT?: The evidence underpinning guideline recommendations is variable or non-existent. Evaluation around the implementation of guidelines within funded programs is needed.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 2","pages":"e70170"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12982912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445510","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 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":2.0,"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":"Exploring the Swimming and Water Safety Behaviour Among Indian and Vietnamese Adults in Australia.","authors":"Lian Low, Hannah L M Graefe, Stacey M Willcox-Pidgeon, Lisa M Barnett","doi":"10.1002/hpja.70163","DOIUrl":"10.1002/hpja.70163","url":null,"abstract":"<p><strong>Issue addressed: </strong>From 2011 to 2021, drowning caused over 2.5 million preventable deaths, with Asia carrying the highest burden of drowning deaths. India and Vietnam are among the top 10 birth countries of people who drown in Australia. This study aimed to understand how Asian adults living in Australia develop health literacy in relation to swimming ability and water safety and how these skills are implemented in different aquatic environments.</p><p><strong>Methods: </strong>Three men and nine women between 20 and 79 years old born in India and Vietnam and living in Victoria, Australia were recruited using convenience and snowball sampling. Semi-structured online interviews were audio recorded, transcribed and thematically analysed using a deductive approach.</p><p><strong>Results: </strong>Three interrelated themes emerged. First, there were cultural differences in how participants related to aquatic environments in their birth countries compared to Australia and the impact this had on their health literacy. Secondly, family influence on perceptions of aquatic environments determined participants' perception of risk and safety in aquatic environments. The last theme related to the differences in access, affordability and availability of swimming and water safety education and how this impacted participants' swimming ability.</p><p><strong>Conclusions: </strong>A multisectoral approach is recommended involving councils, key multicultural organisations and community leaders to increase awareness of drowning prevention related health literacy within Asian communities and to implement targeted water safety education and swimming programmes.</p><p><strong>So what: </strong>Targeted education, engagement and co-designing programmes with community leaders are needed to respond to the emerging trend of fatal drowning in Asian communities in Australia.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 2","pages":"e70163"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12953056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345216","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":"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":2.0,"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}

{"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":2.0,"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}

{"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":2.0,"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}