Elizabeth Cavic, Allegra Cullen, Ginette Sims, Aaron S Breslow
{"title":"\"Dysphoria? Don't Know Them\": Applying the Health Belief Model in a Reflexive Thematic Analysis of Masculinizing Top Surgery-Related Content on TikTok.","authors":"Elizabeth Cavic, Allegra Cullen, Ginette Sims, Aaron S Breslow","doi":"10.1177/15248399251331948","DOIUrl":"https://doi.org/10.1177/15248399251331948","url":null,"abstract":"<p><p>Social media has become an important vehicle for digital health-related communication in recent decades. TikTok-a short form video-sharing application-contains many videos pertaining to masculinizing top surgery (MTS). In line with the health belief model, TikTok content may impact patients' health behaviors by acting on key health belief constructs. However, little is known about what specific content is generated regarding MTS on TikTok. To capture this information, our team utilized a reflexive thematic analysis to systematically describe MTS-related TikTok content on a sample of 250 videos created by 158 unique accounts. We found that our sample received a total of 79.9 million views, 11.9 million likes, 130.9 thousand comments, 581.8 thousand saves, and 176.7 thousand shares. The top five most popular content topics (defined as any topic mentioned within the video) were euphoria, scars, interpersonal support, pain, and nipples. The most common phenomenological themes (defined as the overarching focus of the video) included postoperative process, gender euphoria, and cost. Given the content present in these videos deals heavily with the surgical process, from consultation to full recovery, we suggest that such content may affect viewers' key health behavior motivations by providing information about the benefits of and barriers to treatment, as well as cues to action. We conclude by providing recommendations for research, policy, and practice, including updating patient education materials and advocating for policies that protect access to evidence-based gender-affirming care.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251331948"},"PeriodicalIF":1.6,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992381","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":"Six Years of Advocacy: How the WeEmbody Lab Trains Emerging Health Educators to Become Advocates.","authors":"Alvin Tran, Moushume Chowdhury, Selena Chom, Aishwarya Sreenivasan","doi":"10.1177/15248399251335633","DOIUrl":"https://doi.org/10.1177/15248399251335633","url":null,"abstract":"<p><p>Health advocacy is a critical yet underemphasized competency in public health education, with significant barriers limiting its integration into U.S.-based academic programs. Although advocacy is a cornerstone of public health practice, challenges such as faculty capacity, knowledge gaps, and curricular limitations hinder its inclusion in accredited public health curricula. In response, the WeEmbody (WE) Lab at the University of New Haven's School of Health Sciences developed a Health Advocacy and Equity Fellowship Program to address these gaps. Established in 2019, the WE Lab initially focused on engaging undergraduate and graduate students in research aimed at health equity. However, recognizing the absence of advocacy training in the university's public health programs, the WE Lab expanded its focus to include advocacy. The fellowship program provides hands-on training in research-to-policy translation, enabling students to effectively communicate evidence-based information to policymakers. Fellows participate in advocacy training through opportunities such as the SOPHE Advocacy Summit and engage with policymakers to address pressing health issues. Reflections from current and former fellows highlight the program's impact on their professional growth, critical thinking, and advocacy skills. These experiences underscore the value of integrating advocacy into public health training. The paper calls on faculty and administrators to adopt similar programs and leverage partnerships with professional organizations to overcome financial and institutional barriers. The WE Lab's model offers a scalable framework for enhancing advocacy education, fostering health equity, and preparing the next generation of public health leaders.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251335633"},"PeriodicalIF":1.6,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053349","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":"Cancer Advocacy Empowers Appalachian Kentucky Youth.","authors":"Lauren Hudson Rose, Holly Burke, Olivia Thornsbury, Kameron Jackson, Rebecca Spradlin, Nathan L Vanderford","doi":"10.1177/15248399251331947","DOIUrl":"https://doi.org/10.1177/15248399251331947","url":null,"abstract":"<p><p>Kentucky has the highest cancer incidence rate and second highest cancer mortality rate in the United States, and the Appalachian region of the state experiences a disproportionate cancer burden. Cancer-related advocacy, a movement that strives to provide support to cancer patients, families, and organizations, along with policy creation, could help address this disparity by enhancing cancer-related prevention and control efforts. The University of Kentucky Markey Cancer Center's Appalachian Career Training in Oncology (ACTION) Program partners with the American Cancer Society Cancer Advocacy Network (ACS CAN) to involve Appalachian Kentucky high school and undergraduate students in cancer advocacy activities at the Kentucky State Capitol in Frankfort. By meeting with state legislators, students are able to share stories regarding cancer's influence on their community and propose possible solutions. One notable outcome from ACTION's cancer advocacy activities is a proclamation from Kentucky Governor Andy Beshear declaring October as \"Cancer Education and Prevention Month.\" ACTION students say their participation in advocacy activities equipped them with new communication skills, empowered them to participate in future advocacy activities, and encouraged them to believe their words and actions can create meaningful change. Similar advocacy activities and partnerships can be implemented in other regions burdened with elevated cancer rates to improve cancer control and prevention efforts.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251331947"},"PeriodicalIF":1.6,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054784","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}
Georgie Tran, Bridget Kelly, Sarah T Ryan, Megan Hammersley, Erin Kerr, Jennifer Norman, Mel Leedham, Cecilia Vuong, Karen Wardle, Anthony Okely
{"title":"Web-Based Tool for Australian Family Day Care to Promote Healthy Lifestyles: Randomized Controlled Trial.","authors":"Georgie Tran, Bridget Kelly, Sarah T Ryan, Megan Hammersley, Erin Kerr, Jennifer Norman, Mel Leedham, Cecilia Vuong, Karen Wardle, Anthony Okely","doi":"10.1177/15248399251328360","DOIUrl":"https://doi.org/10.1177/15248399251328360","url":null,"abstract":"<p><p>Food and physical activity environments in family day care can be improved to better support healthy behaviors. A 6-month two-arm parallel randomized controlled trial evaluated the effectiveness of a web-based tool to promote healthier practices through quality improvement planning among Australian service providers and their educators. Service providers were randomized 1:1 into the intervention group (using the tool for a minimum of 1 month alongside regular quality improvement plan processes) and control group (regular quality improvement plan processes). The primary outcome of change in the quality of the improvement plan (in relation to the incorporation of healthy practices) was assessed using a checklist designed specifically for the study. Secondary outcomes were self-ratings of awareness and knowledge of various topics assessed using a 5-point Likert-type scale. Eight service providers and 22 educators participated (four service providers and 10 educators in the intervention group; four service providers and 12 educators in the control group). Intention-to-treat analyses found significant change in quality of the revised improvement plan for the intervention group. The intervention group showed an increase in self-rated awareness and knowledge on healthy practices and National Quality Standards, and confidence in identifying priority areas. This is the first-known web-based tool designed specifically for family day care to promote healthier practices. There are several opportunities for the tool to be embedded in practice, including delivery of the tool as part of support programs or training. This trial is registered with Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12623000369628.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251328360"},"PeriodicalIF":1.6,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754981","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}
Jessica G Burke, Grace Checo, Annika Agarwal, Betsy Hawley, Leslie P Scheunemann, Cassie M Grassmyer, Tara Hackwelder, Megan Leinbach, Maureen Pentz, Allyson Weber, Renusha Indralingam, Sara Baumann
{"title":"Parental Grief and Bereavement: Exploring the Impact of Collaboratively Created Films on Audience Members.","authors":"Jessica G Burke, Grace Checo, Annika Agarwal, Betsy Hawley, Leslie P Scheunemann, Cassie M Grassmyer, Tara Hackwelder, Megan Leinbach, Maureen Pentz, Allyson Weber, Renusha Indralingam, Sara Baumann","doi":"10.1177/15248399251327962","DOIUrl":"https://doi.org/10.1177/15248399251327962","url":null,"abstract":"<p><p>Film documentaries are an important approach for capturing the public's attention and elevating discussions about uncomfortable or hidden topics such as death and dying, yet little attention has been given to documenting the grief experience of bereaved parents. This article focuses on one specific Collaborative Filmmaking project, Visualizing Loss, and explores the impact of participant-created film from the perspective of the audience members who attended a premiere screening. Audience members were invited to complete a post-screening survey that included questions assessing their knowledge, attitudes and reflections about grief, bereavement, palliative care, and the film. The quantitative data was summarized using descriptive statistics, and the qualitative data was organized and indexed according to common themes, supported by illustrative quotes. Seventy-eight (29%) of the 270 audience members completed the post-screening survey. A majority reported that they were absorbed in the screening (81%) and that the film screening inspired or empowered them (76%). Qualitative comments illustrated that the film deeply resonated with audience members by evoking empathy for parents experiencing loss, offering comfort to those with personal connections, and raising awareness about a rarely discussed issue. These findings underscore the Visualizing Loss film's impact in raising awareness and fostering empathy, making it an effective resource for educating and supporting those affected by grief and loss.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251327962"},"PeriodicalIF":1.6,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744208","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}
Alexandra Parks, William D Lopez, Jamie Abelson, Davon Wheeler, Daphne C Watkins, Paul J Fleming
{"title":"Working Toward Structural Change: Visions and Tension Points for a City-Wide Unarmed Response Program to Enhance Health Equity.","authors":"Alexandra Parks, William D Lopez, Jamie Abelson, Davon Wheeler, Daphne C Watkins, Paul J Fleming","doi":"10.1177/15248399251328686","DOIUrl":"https://doi.org/10.1177/15248399251328686","url":null,"abstract":"<p><p>Amid growing evidence and high-profile incidents highlighting the dangers of current police practices, many are questioning the role of armed police in their communities. Police violence is a public health issue and unarmed nonpolice response programs represent one potential solution for addressing this issue. In this article, we describe local visions and key tension points for an unarmed public safety program to reduce police violence and improve the health and well-being of its residents. We report on interviews (<i>n</i> = 15) conducted with local leaders, activists, and social service providers in a small-sized Midwestern city that had allocated funding to pilot an unarmed response program. To supplement the interviews, we also systematically followed local news stories and city council meetings and participated as members of a coalition working toward implementing an unarmed response program. Our analysis focused on participants' visions and expectations for an unarmed safety program and identified several key concerns related to program logistics, including program reach, response time, funding, impact, and staffing. We found that key concerns raised by activists and leaders-including the scope of the program, the satisfaction the community has with the program, how it will be evaluated, and how community members will be involved-are similar to concerns raised in a typical health promotion program planning process. The visions and tensions detailed in this article can inform organizing efforts in other municipalities and suggest a role for public health practitioners in developing and implementing these programs.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251328686"},"PeriodicalIF":1.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732319","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}
Isabel G Sternthal, Frannie MacKenzie, Carmen H Logie, Moses Okumu, Suliat Fehintola Akinwande, Bay Bahri, Robert Hakiza, Daniel Kibuuka Musoke, Brenda Katisi, Aidah Nakitende, Peter Kyambadde
{"title":"Urban Refugee Youth's Recommendations for Sexual and Mental Health Promotion: Qualitative Insights From Kampala, Uganda.","authors":"Isabel G Sternthal, Frannie MacKenzie, Carmen H Logie, Moses Okumu, Suliat Fehintola Akinwande, Bay Bahri, Robert Hakiza, Daniel Kibuuka Musoke, Brenda Katisi, Aidah Nakitende, Peter Kyambadde","doi":"10.1177/15248399251327951","DOIUrl":"https://doi.org/10.1177/15248399251327951","url":null,"abstract":"<p><p>Refugee youth in Kampala, Uganda, face a unique sexual reproductive health and mental health risk environment requiring focused interventions. Resource limitations and access barriers complicate the provision of relevant supports. Few studies have engaged refugee youth's recommendations for satisfying their sexual and mental health needs. This cross-sectional, qualitative study aimed to identify urban refugee youth's sexual and mental health promotion preferences. We administered a structured survey to refugee youth in Kampala (n = 54) between July and November 2023 using the qualitative data collection platform, Sensemaker and analyzed survey responses using inductive thematic analysis (ITA). Two themes emerged: health promotion and youth empowerment. Participants proposed sexual and mental health promotion recommendations directed at distinct stakeholder groups including policymakers/service providers and peers. There were several points of overlap between the sexual and mental health promotion recommendations, including calls for counseling services, health education, and employment opportunities. Youth empowerment was a central theme underwriting both sexual and mental health recommendations. By differentiating between recommendations directed at distinct stakeholder groups, this study identified opportunities for non-governmental actors to contribute to promoting the sexual and mental health of refugee youth in Kampala. Participant insights show how engagement with urban refugee youth's health promotion recommendations can empower youth and ensure that service design and delivery is consistent with their knowledge, needs, and preferences.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251327951"},"PeriodicalIF":1.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711629","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}
Matthew Lyons, Roman Palitsky, Kevin B Gittner, Anna Nabulya, Wendasha Hall, Jane Palmier, Monica H Swahn
{"title":"Social Drivers of Infectious Disease Transmission and Treatment Among Young Women in Kampala, Uganda's Informal Settlements: A Qualitative Analysis of Focus Group Data From a Community-Based Cohort Study.","authors":"Matthew Lyons, Roman Palitsky, Kevin B Gittner, Anna Nabulya, Wendasha Hall, Jane Palmier, Monica H Swahn","doi":"10.1177/15248399251328332","DOIUrl":"https://doi.org/10.1177/15248399251328332","url":null,"abstract":"<p><p>Young women in informal settlements in sub-Saharan Africa (SSA) experience significant health disparities. Despite growing understanding that population health outcomes are socially determined, the social determinants of health among young women in the informal settlements of SSA are not well understood. Furthermore, young women's emic perspectives on the pathways that contribute to health risk are rarely reported in scientific research. This research brief describes findings from a qualitative study and specifically addresses young women's insights into the social drivers of infectious disease transmission and treatment. We conducted focus groups including 60 young women participants aged 18 to 24 at three sites across Kampala, Uganda. Using thematic analysis, we identified four thematic clusters: (1) intersectional social injustices drive sexual exploitation and HIV transmission; (2) inadequate housing and sanitation contribute to the spread of infectious disease; (3) existing health care resources have limited capacity to address high infectious disease incidence; and (4) participants recommended building health promotion efforts on existing resources and developing community infrastructure to improve outcomes. This study highlights the social influences that contribute to the burden of infectious disease among young women living in Kampala's informal settlements. Young women named several ecological factors and resources which, if engaged, could promote health and well-being in their communities. Future research should engage young women in SSA's informal settlements as partners and peers in the development of community-owned research and intervention efforts to better understand community perspectives, address areas of most urgent need, and investigate barriers and facilitators to successful program implementation.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251328332"},"PeriodicalIF":1.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701433","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":"Establishing Proof-of-Concept for the Feasibility and Implementation of a Point-of-Sale Firearm Safety Counseling Program: A Qualitative Case Study.","authors":"Amanda Koong, Mike Henson-Garcia, Lauren Malthaner, Katelyn Jetelina, Belinda Hernandez, Sandra McKay","doi":"10.1177/15248399251323898","DOIUrl":"https://doi.org/10.1177/15248399251323898","url":null,"abstract":"<p><p>Safe firearm storage is critical for injury prevention, yet there is limited evidence surrounding effective interventions to promote storage behaviors among owners. One potential avenue for intervention is at the point-of-sale, a concept well-proven in the nutrition promotion and tobacco cessation space. This study explored firearm retailer attitudes toward a firearm storage intervention delivered at the point of sale. Seventeen in-depth interviews were conducted with firearm retailers from a suburban gun shop in Fort Bend, USA. This semi-structured interview assessed firearm retailer perceptions of the proposed point-of-sale intervention. Interviews were transcribed and independently coded to identify themes that emerged from participants' statements. Data were organized and analyzed using an inductive-deductive hybrid approach. Most retailers expressed high acceptability and appropriateness of implementing interventions at the point of sale. Six key themes were identified: (a) retailers viewed point-of-sale safe storage programs as acceptable; (b) the appropriateness of interventions varied depending on customer group; (c) specific program design considerations were important for successful implementation; (d) retailer self-efficacy differed across retailers; (e) barriers and (f) facilitators to consider for successful program implementation. Results indicate general favorability toward point-of-sale programs given supportive infrastructures. Interventions delivered through trusted relationships in firearm shops represent a promising approach to promoting safer storage. However, important nuances and barriers were also identified.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251323898"},"PeriodicalIF":1.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693957","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}
Noah Lenstra, Pam B DeGuzman, Rozalynd McConnaughy, Megan Weis
{"title":"How Do Public Library Partnerships Impact Health? A Scoping Review.","authors":"Noah Lenstra, Pam B DeGuzman, Rozalynd McConnaughy, Megan Weis","doi":"10.1177/15248399251323901","DOIUrl":"https://doi.org/10.1177/15248399251323901","url":null,"abstract":"<p><p>During the past decade, public libraries have been framed as key health promotion partners for everything from telemedicine to the opioid crisis. This study's goal was to evaluate the impacts of health promotion initiatives involving public libraries as collaborators. Using preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines, a search of three databases (PubMed, CINAHL Complete, and Library and information science abstracts (LISA)) for articles written in English referencing \"health\" and \"public libraries\" returned 985 unique citations, of which 67 papers were selected for review, based on the criteria of being peer-reviewed articles on health initiatives involving public libraries. All studies were published between 1957 and 2023, with 88% published in the 2000's, and 76% conducted in the United States. Most studies consisted of descriptive accounts of health promotion initiatives, with minimal reporting of outcome measures for the populations targeted. Better understanding the impacts of health promotion initiatives involving public libraries requires more rigorous assessment mechanisms, and the long-term success of these partnerships depends on stronger and sustained linkages between those working in health and those working in libraries, particularly public libraries.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399251323901"},"PeriodicalIF":1.6,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693960","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}