Health Promotion Journal of Australia最新文献

{"title":"Remote Food Security Research Project: Applying an Indigenist Research Lens","authors":"Ellie Chan,&nbsp;Caroline Deen,&nbsp;Kani Thompson,&nbsp;Emma Stubbs,&nbsp;Amanda Webb,&nbsp;Abdolvahab Baghbanian,&nbsp;Yvonne Cadet-James","doi":"10.1002/hpja.954","DOIUrl":"10.1002/hpja.954","url":null,"abstract":"<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":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-23","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":"Development and formative evaluation of website-based tool to support healthy lifestyles in family day care","authors":"Georgie Tran,&nbsp;Bridget Kelly,&nbsp;Sarah T. Ryan,&nbsp;Megan Hammersley,&nbsp;Erin Kerr,&nbsp;Jennifer Norman,&nbsp;Mel Leedham,&nbsp;Cecilia Vuong,&nbsp;Karen Wardle,&nbsp;Kainaat Syed,&nbsp;Anthony Okely","doi":"10.1002/hpja.947","DOIUrl":"10.1002/hpja.947","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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 (<i>n</i> = 3) and educators (<i>n</i> = 9) tested the tool for 4 weeks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results suggest that the tool was feasible, easy to use and relevant to practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-08","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":"An Exploration of Adults Transitioning Into Retirements' Perspectives on Vigorous Intermittent Lifestyle Physical Activity","authors":"Bingyan Pang,&nbsp;Joanne A. McVeigh,&nbsp;Craig Thompson,&nbsp;Cecilie Thøgersen-Ntoumani,&nbsp;Emmanual Stamatakis,&nbsp;Joanna C. Moullin","doi":"10.1002/hpja.957","DOIUrl":"10.1002/hpja.957","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Australian adults transitioning into retirement aged 55–75 years (&gt; 50%) do not meet the World Health Organization recommendation of physical activity (PA). One potential strategy to promote PA is through vigorous intermittent lifestyle physical activity (VILPA). This study aimed to investigate barriers and facilitators from adults transitioning to retirement about participation in VILPA and to identify strategies to promote and implement VILPA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Thirty adults transitioning to retirement (mean age = 64 years) were recruited to participate in focus groups to provide their perceptions on VILPA. All participants' PAs were measured by accelerometers. A set of semi-structured questions developed from the findings of a previous scoping review was used to guide focus groups with participants. To increase awareness of PA bouts and intensity, the focus group discussions were prompted by participants' individualised accelerometer-measured PA reports. The identified barriers and facilitators were mapped to the Theoretical Domains Framework. Intervention strategies were derived from the framework domains.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three focus groups were conducted. Participants perceived barriers to participation in VILPA stem from health constraints, insufficient awareness about VILPA, and adverse weather conditions. To promote VILPA, adults transitioning to retirement require a better understanding of PA intensities, knowledge of identifying VILPA opportunities, and monitoring and feedback for engagement. Intervention to promote VILPA should include elements of education, persuasion, incentivisation and enablement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Adults transitioning to retirement perceived VILPA as feasible and convenient for increasing their overall PA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>The study findings will directly inform the development of a targeted VILPA intervention with key stakeholders and an implementation plan to promote PA in adults transitioning to retirement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11739672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956585","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 Impacts of Engagement in Men's Sheds on Incidental Physical Activity and Wellbeing Outcomes","authors":"Briana Guerrini,&nbsp;James J. Clarke,&nbsp;Brendan J. Smith,&nbsp;Joanne A. McVeigh,&nbsp;Kirsten Holmes,&nbsp;James Wild,&nbsp;Rebecca Talbot,&nbsp;Jaxon Ashley,&nbsp;Peter M. McEvoy","doi":"10.1002/hpja.958","DOIUrl":"10.1002/hpja.958","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>As a large proportion of older adults are insufficiently active, it is imperative to identify ways to increase incidental physical activity. Men's Sheds, a mutual-aid, community-based organisation appear to be a promising approach for optimising wellbeing outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To investigate whether Men's Sheds attendance is associated with higher levels of physical activity, and the relationships between physical activity, health-related quality of life (HRQOL), and wellbeing in Men's Shed members.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants (<i>N</i> = 45) wore a hip accelerometer (Actigraph GTX-9) for 11 days. The majority (<i>n</i> = 30, <i>M</i>_age = 72.3 ± 9.4) also consented to complete an online questionnaire investigating HRQOL and wellbeing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Linear mixed models revealed members, on average, spent an additional 34 min in light physical activity, had an extra six breaks in sedentary behaviour, and took an extra 1193 steps on days they attended Men's Sheds, though, these effects were small. Physical activity was not significantly associated with HRQOL and wellbeing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Men's Sheds appear to be a valuable approach for increasing light intensity physical activity, breaks in sedentary behaviours, and step count in older adults. However, additional Men's Shed activities specifically targeting increased movement may be required to realise greater impacts on health-related quality of life and wellbeing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Men's Sheds may provide a valuable opportunity to increase some indices of physical activity, which may contribute to better overall health. While these effects may be small for active Men's Shed members, these effects may be more appreciable for more sedentary individuals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956591","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":"Priorities for research on improving health behaviours for optimal mental health of Australian university students: A twin-panel Delphi study","authors":"Melinda J. Hutchesson,&nbsp;Robert Stanton,&nbsp;Natalie Johnson,&nbsp;Rohan Francis-Taylor,&nbsp;Tracy Burrows,&nbsp;Daniel B. Fassnacht,&nbsp;Louise M. Farrer","doi":"10.1002/hpja.948","DOIUrl":"10.1002/hpja.948","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>University students are at risk of poor health behaviours which negatively affect mental health and wellbeing. Informing the implementation of appropriate strategies to support Australian university students' health and wellbeing, requires quality evidence. This study aimed to identify research priorities for improving health behaviours to optimise mental health of Australian university students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A twin-panel Delphi method comprising 32 experts across two panels (Panel 1: <i>n</i> = 24, Panel 2; <i>n</i> = 8), with three rounds of data collection, was utilised. In round one panellists identified up to five research priorities. Identified priorities were grouped into themes and in Round 2 panellists ranked their panels priorities using a 4-point Likert scale (1 irrelevant, 2 peripheral, 3 important, 4 essential), and in Round 3 they ranked the importance of the priorities identified by the other panel.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Panel 1 identified 35 research priorities in Round 1, and Panel 2 identified 11. Priorities were ranked based on the mean score, with strong, between-panel agreement in the rankings for Panel 1's priorities. (<i>r</i>_s = .68, <i>p</i> &lt; .001) but not Panel 2 (<i>r</i>_s = .32, <i>p</i> = .34). A list of 25 priorities was retained.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Priorities were derived from experts and provided a further call to action for research targeting suicide prevention, social determinants, co-design, behaviour change, and the effectiveness and accessibility of services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>With further input from students, universities and other stakeholders, these research priorities can guide research to optimise health behaviours and mental health of Australian university students.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956589","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":"The role of the health sector in responding to energy hardship: An Australian perspective","authors":"Nicholas J. R. Hunter,&nbsp;Virginia Lewis","doi":"10.1002/hpja.937","DOIUrl":"10.1002/hpja.937","url":null,"abstract":"<p>Energy hardship is increasingly recognised as a significant determinant of health, with evidence linking it to numerous negative health and wellbeing outcomes. The association between energy hardship and public health raises questions about what roles the health sector can or should play in addressing the issue. While there are limited examples in the literature, the role of health sectors to date has been predominantly as an intermediary connecting eligible individuals to energy hardship interventions, such as financial counselling and household upgrades to improve energy efficiency. Australia's response to energy hardship is likely to be strengthened by stronger and more strategic engagement of the health sector as part of coordinated cross-sectoral action.</p>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956595","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 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,&nbsp;Megan Freund,&nbsp;Sandra Eades,&nbsp;Nicole Turner,&nbsp;Robert Davis,&nbsp;Christina Heris,&nbsp;Jennifer Rumbel,&nbsp;Matthew Clapham,&nbsp;Jamie Bryant","doi":"10.1002/hpja.942","DOIUrl":"10.1002/hpja.942","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Secondary analysis was undertaken of data collected as part of the National Aboriginal and Torres Strait Islander Social Survey (NATSISS) 2014–15 (<i>n</i> = 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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-26","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":"An anti-junk food ad from a sports commercial break reduced junk food consumption inclinations, yet junk food ads had minimal to no impact","authors":"Ross C. Hollett,&nbsp;Julia Butt,&nbsp;Brennen Mills,&nbsp;Stephanie L. Godrich,&nbsp;Gina S. A. Trapp,&nbsp;Amanda Devine","doi":"10.1002/hpja.943","DOIUrl":"10.1002/hpja.943","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In Australia, there are concerns that unrestricted junk food advertising during sports broadcasts increases short-term junk food consumption among viewers. Therefore, the present study aimed to estimate the impact of junk food and anti-junk food advertising on consumption inclinations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a content analysis across a sample (<i>N</i> = 16) of Australian Football League (AFL) and National Rugby League (NRL) matches to determine the prevalence of junk food and anti-junk food advertising video clips. We also exposed participants (<i>N</i> = 428) to a single randomly selected junk food advertisement or a single anti-junk food advertisement and measured the immediate impact on craving and consumption intentions for both healthy weight and high body mass index (BMI) participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Junk food and anti-junk food advertising video clips comprised 10.85% and .003% of all advertisements across the broadcasts, respectively. For both healthy and overweight participants, junk food advertisement exposure did not increase immediate craving or consumption intentions. However, decreases were observed in craving and consumption intentions following an anti-junk food advertisement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Junk food advertising prevalence across national sports was high. Junk food advertisements did not increase immediate inclinations to consume junk food, but an anti-junk food advertisement was effective in reducing immediate craving and consumption intentions, particularly for healthy BMI participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Given the potential efficacy of health promotion adverts, governments should consider investing in a higher frequency of health messages during broadcasts that are known to readily promote junk food, such as national sports.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899405","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":"Beyond banning: Our digital world must be made safer for young people","authors":"Nicholas Carah,&nbsp;Sandro Demaio,&nbsp;Louise Holly,&nbsp;Ilona Kickbusch,&nbsp;Carmel Williams","doi":"10.1002/hpja.938","DOIUrl":"10.1002/hpja.938","url":null,"abstract":"&lt;p&gt;Social media offers young people opportunities for connection, self-expression and learning, but not without increasingly evidenced health risks. A new report from the WHO suggests that 11% of adolescents show signs of problematic social media behaviours and experience negative consequences such as disrupted sleep.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; As governments around the world grapple to find the balance between access and protections, the question arises: can we build a safer, more balanced digital space for children?&lt;/p&gt;&lt;p&gt;The regulation of children's use of social media is a growing global public health priority.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; In the United States, legislation sets the age of 13 as the threshold for children creating new social media accounts. The European Union has considered raising the minimum age for social media access to 16, and in France, social media platforms must refuse access to children under 15 unless they have parental permission.&lt;/p&gt;&lt;p&gt;Australia's recently announced proposal is expected to go further, completely banning young people from social media.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; This controversial idea hinges on the outcomes of ongoing trials involving age verification and assurance technologies.&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; While discussions around banning children from social media are happening in several countries, Australia's approach could reshape how social media companies manage user access for minors. It focuses on the effectiveness of two key technological solutions: age assurance and age verification.&lt;/p&gt;&lt;p&gt;Age assurance includes a variety of techniques designed to estimate or determine a user's age. Methods include self-reporting or parental verification, and even using technology like facial recognition or analysing scrolling habits. These methods, however, can easily be circumvented by savvy teens making enforcement of any ban difficult.&lt;/p&gt;&lt;p&gt;Meanwhile, age verification involves confirming a person's age by matching their identity to a verified source of information, such as a government-issued document. However, concerns arise over privacy and security risks, whether personal data are managed by the social media companies themselves or with third parties.&lt;span&gt;&lt;sup&gt;5&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Beyond the technical challenges of determining user age, there are social and cultural risks associated with age verification systems. Young people often use social media to explore their identities and seek information they may not feel comfortable seeking from parents, teachers or peers.&lt;span&gt;&lt;sup&gt;6&lt;/sup&gt;&lt;/span&gt; Social media provides a level of anonymity, allowing them to ask questions about personal topics such as body image, sexuality and relationships. Age verification requirements could undermine this anonymity, stripping young users of their right to remain forgotten online.&lt;span&gt;&lt;sup&gt;7&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Another issue is the potential to exacerbate digital divides. Navigating age verification systems may prove more difficu","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.938","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855907","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":"Intuitive eating predictors and outcomes in people with severe mental illness participating in a lifestyle intervention","authors":"Irene Henry,&nbsp;Nicole Korman,&nbsp;Donni Johnston,&nbsp;Scott Teasdale,&nbsp;Tetyana Rocks,&nbsp;Sarah Childs,&nbsp;Anneliese Russell,&nbsp;Justin Chapman","doi":"10.1002/hpja.935","DOIUrl":"10.1002/hpja.935","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>People with severe mental illness (SMI) are at higher risk of preventable diseases than the general population; poor diet contributes to heightened risk. Adaptive approaches designed to improve intuitive eating may improve dietary behaviours in people with SMI. Aims of this study were to investigate predictors of, and assess the impact of a nutrition program on, intuitive eating in people with SMI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a retrospective analysis of an exercise and nutrition program for people with SMI. The primary outcome was intuitive eating assessed using the Intuitive Eating Scale 2 (IES2); psychological distress was measured using the Kessler-6 scale. Regression analyses were conducted on baseline data; change in intuitive eating was assessed using Wilcoxon tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 93 participants had complete data for regression analyses, and 32 completed pre/post-assessments. The most common mental health diagnosis was psychotic disorder (35%); 74% had BMI &gt; 25 kg/m². The regression model significantly predicted total IES2 score and three intuitive eating domains. Body mass index (BMI) was negatively associated with these outcomes (<i>β</i> = −0.234 to −0.248; <i>p</i> &lt; 0.05). Both BMI and psychological distress were negatively associated with body-food choice congruence (B-FCC), and only B-FCC was improved at post-intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Higher BMI and psychological distress were associated with lower intuitive eating in people with SMI. Nutrition interventions may improve B-FCC in people with SMI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Given the interrelatedness of BMI and psychological distress with psychosocial stressors, nutritional interventions should be implemented alongside holistic approaches to improve health equality.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855909","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}