Health Promotion Practice最新文献

{"title":"Incorporating the Concept of Nutrition Buddies to Improve the Knowledge of the Malaysian Healthy Plate: A Peer-Led Educational Intervention Approach.","authors":"Seok Tyug Tan, Seok Shin Tan, Chin Xuan Tan","doi":"10.1177/15248399251382835","DOIUrl":"https://doi.org/10.1177/15248399251382835","url":null,"abstract":"<p><p>It has been previously reported that 79.6% of adults in Malaysia are still unaware of the Malaysian Healthy Plate. Therefore, this study aims to assess changes in undergraduates' knowledge of the Malaysian Healthy Plate following a peer-led educational intervention. Fifteen active Bachelor's in Nutrition students, also known as nutrition buddies, were required to conduct a 30-minute workshop covering three topics: the key messages of the Malaysian Healthy Plate, practical guidelines for portioning food groups according to the Malaysian Healthy Plate, and estimating portion sizes using hand measures. A total of 194 undergraduates participated in this workshop. They were asked to self-report their gender, age, ethnicity, study stream, study year, and awareness of the Malaysian Healthy Plate before the workshop began. To assess the change in knowledge resulting from the peer-led educational intervention, all participants were asked to complete nine multiple-choice questions before (pre-intervention) and after (post-intervention) the intervention. The current findings indicate that the mean knowledge score on the Malaysian Healthy Plate significantly improved (t = -8.003, p < .001), rising from 5.25 ± 2.58 at pre-intervention to 6.75 ± 2.30 at post-intervention. It is also worth highlighting that pre-intervention knowledge scores differed significantly by gender, age, study stream, and awareness of the Malaysian Healthy Plate. In contrast, post-intervention knowledge scores showed significant differences only by gender and study stream. In conclusion, incorporating nutrition buddies into a peer-led educational intervention may be cost-effective in raising awareness and potentially fostering behavioral change related to nutrition-related issues among undergraduates.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251382835"},"PeriodicalIF":1.2,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Situational Awareness for Healthful Behaviors and the \"Self-Care Gap\" Among Non-Hispanic Black and Hispanic Men With Chronic Conditions.","authors":"Jeong-Hui Park, Cynthia L Cisneros Franco, Caroline D Bergeron, Ledric D Sherman, Tyler Prochnow, Arica A Brandford, Richard Zumwalt, Matthew Lee Smith","doi":"10.1177/15248399251370369","DOIUrl":"https://doi.org/10.1177/15248399251370369","url":null,"abstract":"<p><p>ObjectiveThis study sought to identify factors associated with (1) situational awareness (i.e., daily recognition of situations to make choices to act in the best interest of one's health) and (2) the self-care gap (i.e., not acting in one's best interest despite having recognized at least one opportunity to perform healthful behaviors).MethodsData from 1,761 non-Hispanic Black (58.4%) and Hispanic (41.6%) men aged 40 years or older with chronic conditions were collected using an internet-delivered questionnaire. Two linear regression models were fitted to assess factors associated with situational awareness and the self-care gap, respectively. Regression models were adjusted for sociodemographics, disease symptomatology, preventive screening activity, health behaviors, and health-related perceptions.ResultsSituational awareness levels were lower for older individuals (B = -.03, p < .001). Men who had higher fatigue (B = .11, p = .002), more stress (B = .07, p = .032), utilized more prevention screenings (B = .13, p = .001), adhered to physical activity guidelines (B = .36, p = .044), and received more social support (B = .89, p < .001) reported higher situational awareness. The self-care gap was more pronounced among non-Hispanic Black men (B = -.32, p = .026). Men who reported higher fatigue (B = .06, p = .041), clinical depression (B = .39, p = .039), more barriers to self-care (B = .11, p < .001), and higher frustrations with health care (B = .12, p < .001) were associated with greater self-care gaps.ConclusionsMen's recognition of healthful opportunities was largely driven by their disease symptomatology, greater engagement in preventive screenings, and receiving social support. However, the self-care gap was seemingly driven by mental health and challenges with disease self-management and health care interactions. Efforts are needed to narrow disparities in the self-care gap between non-Hispanic Black and Hispanic men.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251370369"},"PeriodicalIF":1.2,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Listening to Community to Improve Breastfeeding Friendliness: Findings From a Community Readiness Assessment on Breastfeeding.","authors":"Tomeka Frieson, Amelia Reese Masterson, Victoria Tran, Frankie Douglass, Kathleen O'Connor Duffany","doi":"10.1177/15248399251362887","DOIUrl":"https://doi.org/10.1177/15248399251362887","url":null,"abstract":"<p><p>Breastfeeding is a key nutritional behavior for infants during their first years of life. While prenatal breastfeeding intentions do not differ significantly between non-Hispanic Black and White mothers, the ability to meet those intentions decreases over time, and to a greater extent among Black mothers. This is partially due to environments inadequately supportive of individuals' breastfeeding needs (i.e., not breastfeeding-friendly). The Community Readiness Assessment is a powerful tool to assess a community's readiness to take action on pressing health issues. While it is frequently used to understand readiness to prevent negative health outcomes, this study explores how it can be used to understand readiness to promote breastfeeding friendliness and subsequently identify appropriate intervention strategies. Between November 2020 and June 2021, we conducted interviews with 23 key respondents in New Haven, Connecticut, representing five community sectors. Respondents scored five dimensions of readiness on a 9-point scale (1 = no awareness, 9 = community ownership). The overall community readiness score was 4.2, denoting the \"preplanning\" stage of readiness. The highest-scoring readiness dimension was \"community knowledge about the issue\" (mean score: 4.5), and the lowest-scoring dimension was \"resources related to the issue\" (mean score: 3.3). Small business owners reported the highest readiness score by sector (mean score: 5.0), while large employers reported the lowest (mean score: 3.1). Scores stratified by both sector and dimension revealed specific areas within the community where readiness-level-appropriate interventions could be implemented. This study highlights the benefit of assessing community readiness prior to intervention to identify tailored, equitable, and effective intervention strategies.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251362887"},"PeriodicalIF":1.2,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimating the Early Impact of a Multi-Level, City-Wide Youth Sexual Health Initiative.","authors":"Annie D Smith, Beth Renee Dail Marshall, Arik V Marcell, Sachini Bandara, Terrinieka Powell, Kristin Mmari","doi":"10.1177/15248399251368310","DOIUrl":"https://doi.org/10.1177/15248399251368310","url":null,"abstract":"<p><p>Adolescence is a critical period for young people's sexual and reproductive health (SRH), emphasizing the need for support with regards to the prevention of unintended pregnancy or sexually transmitted infections. Multi-level, community-wide initiatives are a widely promoted approach to support young peoples' SRH, yet research evaluating their impact is scarce, limiting the opportunity for these initiatives to be incorporated into evidence-based practice. This study responds to this evidence gap by estimating the early effects of a city-wide youth sexual health initiative on population-level youth sexual health indicators (condom use, birth control use, combined method use, abstinence, early sex (<15 years), number of sexual partners). A quasi-experimental, difference-in-differences design with propensity weighting was employed using a nearby city as a comparison group and Youth Risk Behavior survey data from from 6,978 high school students. Estimates were generated using logistic regression. Overall, no statistically significant effects on youth sexual health indicators were detected, although the direction of non-significant findings was promising. Effect heterogeneity was detected by grade and race, suggesting that younger and Black/African American youth experienced more favorable impacts of the initiative. This study contributes to the small but growing evaluation research on multi-level, community-wide youth sexual health initiatives and provides a blueprint approach to evaluate similar initiatives using a publicly available data source. Findings highlight the potential for community-wide sexual health initiatives to address disparities in adolescent SRH, support continued effect estimation over longer time periods, and emphasize the value of culturally responsive sexual health programming.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251368310"},"PeriodicalIF":1.2,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empowering Internal Champions in Black/African American Churches: Facilitators, Barriers, and the Role of Academic Partners.","authors":"Covington Brown, Iris Young-Clark, Jennifer Lemacks, Alice Ammerman, Penny A Ralston","doi":"10.1177/15248399251376036","DOIUrl":"https://doi.org/10.1177/15248399251376036","url":null,"abstract":"<p><p>Health for Hearts United provides valuable insights into the role of Internal Champions (IC) in promoting health within church-based settings. ICs' success depends not only on their personal traits and motivation but also on the community support and social networks that academic partners can help facilitate. Our findings suggest that, beyond their traditional roles, academic partners can significantly contribute to program success by providing emotional support, fostering a sense of belonging, and nurturing community relationships. Moving forward, future research should further explore how academic partners can integrate more deeply into community dynamics to promote long-term sustainability and engagement in church-based health interventions.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251376036"},"PeriodicalIF":1.2,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of an LGBTQ+ Sexual Health and Culture Training to Improve HIV Prevention Support From Black Women in Social Networks of Young, Black Sexual Minority Men.","authors":"Madeline Lynam, Latesha Elopre, Antonio Newman, Sarah Dougherty Sheff, Lisa Hightow-Weidman, John A Schneider, Janet M Turan, Michael Mugavero, Sophia A Hussen","doi":"10.1177/15248399251376044","DOIUrl":"https://doi.org/10.1177/15248399251376044","url":null,"abstract":"<p><p>Young, Black sexual minority men (YBSMM) in the South experience disproportionately high HIV incidence rates, related to experiences of intersectional stigma. Black women are often key support figures for YBSMM. This observation led to the development of \"PrEP Utilization through Increasing Social Capital among YBMSM Networks with Women\" (US NoW), an intervention in which Black women serve as facilitators of sexual health discussions with groups of YBSMM to enhance social capital, reduce impacts of intersectional stigma, and promote pre-exposure prophylaxis (PrEP) uptake. However, during formative qualitative interviews, numerous women selected as facilitators expressed homophobic views that could jeopardize intervention success and participant safety if left unaddressed. We therefore developed a facilitator training curriculum specifically for Black women in the South, with a goal to mitigate these risks and strengthen support offered to YBSMM. The curriculum is rooted in established cultural competence and humility educational frameworks, with training delivery informed by learner-centered teaching methods. The completed training-facilitated by a researcher who identifies as a Black sexual minority man-utilized interactive activities and discussions to teach women about bias, cultural competence and humility, HIV, and LGBTQ-focused sexual health topics. Overall, this training resource aims to equip Black women facilitators with the knowledge, skills, and attitudes necessary to effectively engage with YBSMM in a PrEP intervention. More broadly, we highlight the importance of addressing bias to provide non-stigmatizing sexual health support to LGBTQ+ individuals.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251376044"},"PeriodicalIF":1.2,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health System Strategies to Improve the Uptake of Cervical Cancer Screening in Sub-Saharan Africa: A Scoping Systematic Review.","authors":"Daniela Rivero-Mendoza, Klea Gjoka, Lashmi Singh, Lauren Adkins, Carma L Bylund, Stephanie A S Staras, Ramzi G Salloum, Elizabeth Shenkman, Nafissa Cisse Egbounye, Rahma S Mkuu","doi":"10.1177/15248399251370668","DOIUrl":"https://doi.org/10.1177/15248399251370668","url":null,"abstract":"<p><p>Globally, Sub-Saharan Africa (SSA) has the highest rate of cervical cancer incidence and mortality. Cervical cancer screening (CCS) is essential for identifying and treating pre-cancer and early-stage cancer. However, CCS rates throughout SSA are substantially low due to a multitude of health system barriers, including poor access to CCS services and limited skilled providers and or resources. The aim of this scoping systematic review was to identify evidence-based health system-level strategies addressing barriers to implementing CCS in SSA. A systematic literature search was conducted across multiple databases, including PubMed and EMBASE, published in English from January 2010 to March 2024. The article review process involved independent screening by three trained research team members using Covidence software. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. The systematic search returned 4,682 articles, 42 of which were included in the final analysis. The included studies were conducted in 17 SSA countries. Most effective implementation strategies included offering women the option of human papillomavirus (HPV) self-collection, single-visit CCS and treatment, providing CCS services at nonclinical community settings, training nonclinical providers to deliver CCS via task-sharing, and integrating CCS into existing nonprimary care or gynecologic settings such as HIV screening clinics. We identified successful strategies to address health system barriers to CCS in SSA. Health care systems should consider implementing these strategies to maximize the outcome of reaching the World Health Organization's cervical cancer elimination goal of screening 70% of women.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251370668"},"PeriodicalIF":1.2,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nourishing Futures: Career Development Through Food Is Medicine and Community Advocacy.","authors":"Morgan D Stanley, Rokiyah Hobbs, Nayla McClure, Wykendrick Jones","doi":"10.1177/15248399251379838","DOIUrl":"https://doi.org/10.1177/15248399251379838","url":null,"abstract":"<p><p>Lack of access to healthful foods and food insecure environments are among the most significant issues in the United States, exacerbating health disparities especially among racially minoritized populations. Structural racism and other social determinants of health contribute to racial inequities in food and nutrition security. Many people of color in the United States do not have access to culturally relevant health care services, due to the impact of structural racism on health care access and representation in health professions. Addressing inequities in food access and nutrition security calls for systematic approaches that involve not only providing people with wholesome foods but also enabling them to embrace healthier diets. In this Career Development commentary, we share our experience as undergraduate students participating in the Delta GREENS (Growing a Resilient, Enriching, Equitable, Nourishing food System) project and our state-level policy recommendations for expanding the reach of Delta GREENS throughout Mississippi. Our collective efforts aim to instigate lasting transformations that enhance health outcomes and reduce health inequities in Mississippi. As the next generation of public health, health care, and policymaking professionals, we look forward to using our experiences and our voices to improve public health for all.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251379838"},"PeriodicalIF":1.2,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building Community-Academic Research Partnerships to End the HIV Epidemic in Arizona: Findings to Inform Next Steps.","authors":"Alyssa G Robillard, Angel Algarin, Joseph A Daniels, Rachel Gur-Arie, Cho Hee Shrader","doi":"10.1177/15248399251368295","DOIUrl":"https://doi.org/10.1177/15248399251368295","url":null,"abstract":"<p><p>In 2022, Arizona saw an unprecedented 20% increase in new HIV infections and viral suppression rates of 61.8% among people with HIV. Existing local efforts to address HIV should be complemented with research to identify gaps and approaches to improve outcomes. Using CBPR as a guiding framework, we explored the potential for community-academic HIV research collaborations by hosting a Community-Academic HIV Research Partnership Series. Attendance across five workshop sessions totaled 123 attendees, with representation from nonprofit community-based organizations, clinic settings, city and state government, and the university. Meeting content was guided by the following broad ideas: (a) experiences and perceptions of research; (b) successful models of community-academic research partnerships; and (c) local HIV research needs. Thematic analysis of transcribed notes identified the following overall themes and selected parenthetical subthemes: Experiences and Perceptions of Research (Responsibilities of Research and Researchers, Benefits and Barriers of Research, and Required Knowledge for Researchers); Successful Community-Academic Research Partnerships (Mechanisms to Facilitate Successful Research Partnerships); and HIV Research Needs in Arizona. Communication, trust, transparency, cultural humility, mutual benefit, diversity and inclusivity, and genuine relationship-building were regarded by community attendees as priorities for community-academic partnerships. These findings have been instructive in cultivating relationships and laying the groundwork for a formal structure for community-academic HIV and equity research partnerships. Building on early HIV/AIDS activism that set the stage for advancements in clinical, social and behavioral research, we aim to expand local collaborative efforts that will maximize the expertise of communities and researchers to effectively end the HIV epidemic.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251368295"},"PeriodicalIF":1.2,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal Findings From a Land-Based HIV Prevention Study With Northern and Indigenous Youth, Canada.","authors":"Zerihun Admassu, Carmen H Logie, Aryssa Hasham, Shannen Rowe, Kayley Inuksuk Mackay, Shira B Taylor, Kiera Boulanger-Rowe, Renée Monchalin, Candice L Lys","doi":"10.1177/15248399251368869","DOIUrl":"https://doi.org/10.1177/15248399251368869","url":null,"abstract":"<p><p>The high prevalence of sexually transmitted infections (STIs) in the Northwest Territories (NWT), Canada underscores the need for culturally relevant, community-driven sexual health initiatives for HIV and STI prevention that prioritize youth engagement and Indigenous leadership. FOXY (Fostering Open eXpression among Youth), a Northern and Indigenous NWT-based community-based organization, conducted 1-week youth Peer Leader Retreats (PLRs) focused on HIV prevention and leadership using land- and arts-based approaches. We conducted a one-group pretest/posttest with youth PLR participants aged 13 to 17 in the NWT and combined the data across PLRs conducted from 2020 to 2022. Assessments were completed at preretreat baseline, immediately postretreat, and at 6-month follow-up to measure changes in study outcomes (safer sex self-efficacy [SSSE], condom use self-efficacy [CUSE], and HIV knowledge). Of <i>n</i> = 133 participants at baseline, 6-month follow-up data were available for n = 122 (92%) participants. Multivariate analyses showed significant improvements in all study outcomes from baseline to 6-month follow-up. SSSE, CUSE, and HIV knowledge scores increased postretreat and continued to improve at 6 months. These findings suggest that culturally relevant, community-driven peer leadership interventions hold promise in advancing HIV prevention cascade outcomes with Northern and Indigenous youth in the NWT.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251368869"},"PeriodicalIF":1.2,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}