Health Promotion Practice最新文献

{"title":"\"We are all Human Beings That Deserve the Same Opportunities as Everyone Else\": Immigrant Perspectives on Health in Southeast Minnesota: A Photovoice Study.","authors":"Abby M Lohr, Jazlyn Vargas-Robles, Gladys B Asiedu, Yahye Ahmed, Hana Dirie, Luz Molina, Graciela Porraz Capetillo, Josh Schachter, Mark L Wieland, Irene G Sia","doi":"10.1177/15248399261429976","DOIUrl":"10.1177/15248399261429976","url":null,"abstract":"<p><p>Due to systemic barriers, policymakers in the United States may be unaware of immigrants' health-related priorities. In response, Rochester Healthy Community Partnership, a 22-year community-engaged partnership, collaborated with 14 Hispanic/Latino and Somali immigrant health promoters in fall 2023 using Photovoice to document their health-related assets and needs. After taking photos, the health promoters reflected, discussed the issues revealed in their images, and developed policy recommendations. Guided by Public Health Critical Race Praxis, we used thematic analysis to analyze health promoters' reflections. Three themes emerged: healthy choices, inclusion of people and cultural celebrations, and access to opportunity. Health promoters want to expand healthy choices in Southeast Minnesota by growing community garden programming, protecting the environment, making healthy options accessible, and opening an affordable gym. They highlighted the importance of integrating culture and community into youth education, access to culturally appropriate foods, and the need to address Islamophobia. Health promoters wanted increased access to job opportunities, affordable housing, and health care. They saw these opportunities as vehicles for self-improvement but emphasized time management as essential in the United States. Ensuring that immigrants have a meaningful voice in shaping policies that affect health is critical. Policymakers can leverage these findings by demonstrating responsiveness to community-identified priorities and acting on health promoters' policy recommendations. We encourage future Photovoice researchers to apply explicitly anti-racist frameworks, such as Public Health Critical Race Praxis, to document and challenge systemic oppression.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"812-821"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence-Based Social Marketing Campaign With Social Contact to Address Stigma Associated With Substance Use and Support for Harm Reduction in Indiana.","authors":"Ashley F Railey, Charmin Gabbard, Kristina Hunter-Mullis, Courtney Olcott, Luke Still, Alison Greene","doi":"10.1177/15248399251369501","DOIUrl":"10.1177/15248399251369501","url":null,"abstract":"<p><p>Stigma, or the negative beliefs and attitudes surrounding substance use disorders, is a complex process that acts as a barrier to expanding harm-reduction services. Communication campaigns with educational and social contact components show promise in addressing stigma but are similarly complex and require defining which existing community views to target and with what content. To this end, we leveraged a social marketing approach to integrate evidence on stigmatizing views from the community with expertise from academic researchers and product development from a marketing firm for the Connection is Hope: End Stigma campaign in Fayette County, Indiana. The resulting 6-month marketing plan included two components: social media (Facebook) and social contact (in-person networking and social events). Awareness of and information-seeking on harm-reduction activities in Fayette County and positive feedback to campaign products increased over the course of the campaign despite low implementation fidelity of the social contact component. A social marketing approach shows promise in triangulating expertise to create awareness for substance use and harm-reduction services, which can address inaccurate beliefs leading to stigma. However, triangulating expertise requires increased attention to participatory decision-making to ensure community ownership and create opportunities for positive social contact.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"917-926"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139019","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":"Beyond Clean Teeth: The Role of Dentists and Dental Hygienists in Ending the HIV Epidemic.","authors":"Anthony J Santella, Alvin Tran, Devin Flores, Leigh Foran","doi":"10.1177/15248399251366353","DOIUrl":"10.1177/15248399251366353","url":null,"abstract":"<p><p>Dental providers play a critical role in public health initiatives, contributing to broader health promotion efforts despite not treating systemic illnesses like HIV directly. Collaboration with nontraditional partners, such as dentists and dental hygienists, is essential for achieving the health promotion goal of ending the HIV epidemic (ETE) by 2030. This study recruited 15 dental providers (seven dentists and eight dental hygienists) from Connecticut via dental associations, academic programs, and social media. Participants completed a semi-structured interview guided by the Social Ecological Model and a brief survey to capture demographics and HIV knowledge. Data were analyzed using the RADar (Rigorous and Accelerated Data Reduction) technique. Participants were predominantly female (66.7%) and White (66.7%) and averaged 48.4 years old. The mean HIV knowledge score was 32 out of 41 (78%). Key themes included (1) continuing education, (2) knowledge of pre-exposure prophylaxis (PrEP) and HIV, (3) communication best practices, (4) care coordination best practices, and (5) the role of dental providers in ETE efforts. This study underscores the need for collaborative efforts between dental providers and health promotion practitioners to address HIV-related knowledge gaps, stigma, and care coordination through targeted training and communication strategies, while also calling for further research into organizational and policy-level changes that can better integrate dental care into HIV initiatives.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"927-937"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139029","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":"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":"938-947"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","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":"Healing the Vote: Recruiting Pre-Health and Health Professions Students for Voter Mobilization.","authors":"Shriya K Garg, Bhav Jain, Aakash Shah, Katherine McCabe","doi":"10.1177/15248399261439666","DOIUrl":"10.1177/15248399261439666","url":null,"abstract":"<p><p>Civic engagement shapes community health. Major health and policy bodies-including Healthy People 2030 and the American Medical Association-recognize civic engagement and voting as social determinants of health. Despite this, health professionals are seldom involved in voter mobilization efforts, and the gap begins early in training. Pre-health undergraduate students are less likely to participate in civic engagement compared to their peers in the social sciences. We offer a model for health care organizations and health care delivery systems to engage, train, and mobilize pre-health and health professions students to support nonpartisan voter registration in community settings, while also promoting greater civic engagement within the community. Furthermore, students who participated in this program often ended up registering to vote themselves. Drawing on the experience of Healing the Vote during the 2023 and 2024 U.S. elections, which recruited hundreds of volunteers and facilitated voter resource outreach to over 5,000 community members, we identify strategies for effective engagement. These included evidence-based presentations, low-barrier messaging, performance-based incentives, and consistent communication. We provide guidance for scaling this approach to strengthen civic engagement as a means of promoting public health and health equity. This initiative, and its success, allowed for students and health professionals to fulfill their dual mission of caring for the health and social well-being of patients, while also supporting the long-term sustainability of their community.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"839-843"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700362","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":"A Case Study in Implementing Voter Engagement in Health Care Spaces.","authors":"Jennifer Caputo-Seidler, Hannah Cho, Celeste Wilson","doi":"10.1177/15248399261425996","DOIUrl":"10.1177/15248399261425996","url":null,"abstract":"<p><p>Voting is increasingly acknowledged as a social determinant of health. Voter turnout is correlated with self-reported health and influences other social determinants, such as housing and education. Vot-ER, a nonprofit, nonpartisan organization, focuses on promoting voter engagement within health care settings. This article details a strategy implemented at a large academic medical center to encourage voter registration among both patients and staff. Two internal medicine physicians, after completing the Vot-ER Civic Health Fellowship, utilized existing academic platforms, specifically Grand Rounds presentations to various departments, to emphasize the importance of civic health and introduce Vot-ER tools. This approach successfully engaged colleagues and established a network of health care providers dedicated to voter engagement. To evaluate the initiative, institution-specific QR codes on Vot-ER badge cards were tracked. Between June 2022 and October 2025, 1,282 badge scans resulted in 489 voter registrations. Building on this success and in alignment with the Association of American Medical Colleges' guidance, an official Vot-ER student organization was formed in September 2023 to further increase voter registration and policy awareness among students and staff. Key lessons learned include the importance of understanding institutional culture and leveraging personal relationships to gain support and legitimacy for such initiatives. This strategy demonstrates a practical approach to integrating civic health into health care practice, with implications for improving community health outcomes through increased voter participation.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"822-824"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460526","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 Power for Health: CARE's Community Health Leaders Program.","authors":"Alycia Santilli, Sofia I Morales, Nora Hodgson, Janice M Williams, Isabel Alvarez-Diaz, Ayeisha Cole, Jasmine Abrams, Jean M Breny, Kathleen O'Connor Duffany","doi":"10.1177/15248399261450598","DOIUrl":"10.1177/15248399261450598","url":null,"abstract":"<p><p>Individuals who face the daily impact of health inequities and their social drivers have knowledge and invaluable insights about solutions that are feasible at the local level. Community organizing is a dynamic and proven approach for building power among residents to identify community priorities, advocate for change, and co-create solutions to community issues, which has been applied to advance community priorities in the public health field. To build on evidence and further cultivate a pathway to strengthen community power and capacity within a public health framework, the Community Alliance for Research and Engagement (CARE), a health equity-focused partnership among Southern Connecticut State University, Yale School of Public Health, and the New Haven community, developed and implemented a new initiative, the Community Health Leaders (CHL) Program. The CHL program provides a model for community-centered leadership development as a strategy for advancing health equity. By equipping residents with the skills and support needed to advocate for change, CHL contributes to strengthening community power. Ultimately, continued investment in programs like CHL has the potential to create responsive public health programs and policies, reduce health inequities, and improve health outcomes.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"848-854"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148102234","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":"Church Committee Engagement in and Evaluation of an Online Faith-Based Training in a National Implementation Study.","authors":"Sara Wilcox, Ruth P Saunders, Jasmin Parker-Brown, Andrew T Kaczynski, Jessica Stucker, Deborah Kinnard, Kelsey R Day, Caroline Rudisill","doi":"10.1177/15248399251362162","DOIUrl":"10.1177/15248399251362162","url":null,"abstract":"<p><p>Training is a commonly used implementation strategy to prepare organizational change agents in a variety of settings. Online training has the potential for more efficient and cost-effective scale-up of evidence-based interventions, but in-depth analysis of training engagement, especially in settings such as churches, is lacking. This study reported engagement with and evaluation of an online training for churches in the national implementation study of Faith, Activity, and Nutrition (FAN), an evidence-based program that targets church practices. Churches (N = 107) from 23 U.S. states (74.8% predominantly African American) and 442 committee members enrolled. Church committees, led by FAN coordinators, registered for the eight-lesson online training. Regarding training engagement, committee members completed 4.8±3.7 of eight lessons, and most who started the training finished it. They posted 1.8±3.0 times on the discussion board. Lesson completion and discussion board posts were higher among FAN coordinators and women and those older and not employed (p <.05). Just below half (42%) of churches submitted a FAN program plan, with submission more likely when the FAN coordinator completed the training or when the pastor completed at least one lesson (p <.05). Furthermore, quantitative and qualitative data showed favorable evaluations of the online training. The absence of differences in training engagement by education and race and the more favorable associations with increased age are highly promising indicators that this training can be scaled up to reach diverse learners. FAN coordinators, however, may need strategies to engage other committee members to initiate training.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"976-987"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13526200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Keeping the FAITH!: Psychosocial Factors and Healthy Lifestyle Among African-Americans During the COVID-19 Pandemic.","authors":"Carrie R McCoy, Ashya Burgess, Matthew P Johnson, Clarence Jones, Monisha Richard, Jamia Erickson, Irene G Sia, Mark L Wieland, Richard O White, Jennifer Weis, Adeline Abbenyi, Tabetha A Brockman, Chyke A Doubeni, LaPrincess C Brewer","doi":"10.1177/15248399251370692","DOIUrl":"10.1177/15248399251370692","url":null,"abstract":"<p><p>The COVID-19 pandemic caused unprecedented disruption of social networks and negatively impacted social determinants of health (SDoH, e.g., economic stability, mental health, health care access) among African Americans. The FAITH! (Fostering African-American Improvement in Total Health!) Program, an academic-community partnership with African American churches, pivoted to pandemic-related impacts on health behaviors of African Americans. This exploratory, cross-sectional study examined associations between multilevel factors influencing difficulty maintaining a healthy lifestyle during the early pandemic phase, including mental/emotional health and COVID-19 hardships (e.g., job/food/housing insecurity, paying utilities). An online survey was distributed via FAITH!-affiliated churches and social media. Logistic regression (odds ratios [ORs], adjusted for age/gender) and associated 95% confidence intervals [CIs]) examined associations between difficulty maintaining a healthy lifestyle and multilevel factors. Greater than half of respondents reported difficulty maintaining a healthy lifestyle (N = 169, 54% [91/169]). Adjusted odds of having difficulty maintaining a healthy lifestyle were greater for those reporting mental/emotional health issues (high-stress OR 4.0; 95% CI [1.9,8.9], p < .001); occasional symptoms of depression (OR 3.7; 95% CI [01.9,7.7]; p < .001); anger (OR 2.5; 95% CI [1.2,5.4]; p = .044), and anxiety (OR 2.8; 95% CI [1.4,6.0]; p = .008)). COVID-19 hardships of job insecurity (OR 1.4.; 95% CI [0.7, 2,8]; p = .015), difficulty paying rent (OR 4.4; 95% CI [2.1,9.9]; p < .001) or difficulty paying for food/utilities (OR 5.4; 95% CI [2.6,11.7]; p < .001) were associated with difficulty maintaining a healthy lifestyle. Our study revealed the negative impact of mental/emotional health and COVID-19 hardships on maintaining a healthy lifestyle among African Americans. This could inform SDoH-focused lifestyle interventions during future public health crises.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"963-975"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349277","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":"Tensions in Implementation: A Mixed-Methods Evaluation of a Lung Cancer Screening Shared Decision-Making Aid for People With HIV.","authors":"Nicholas R Murphy, Madison Snidarich, Jehan Z Budak, Meagan C Brown, Bryan J Weiner, Nicholas Giustini, Tanner J Caverly, Katherine Ross, Katie DeCell, Kristina Crothers, Matthew Triplette","doi":"10.1177/15248399251388644","DOIUrl":"10.1177/15248399251388644","url":null,"abstract":"<p><p>People with HIV (PWH) are at increased risk for lung cancer, but lung cancer screening (LCS) is understudied in this population. We previously adapted a shared decision-making (SDM) aid for PWH and demonstrated its efficacy in improving LCS knowledge. In this study, we conducted a mixed-methods evaluation of the implementation of this aid. Participants were LCS-eligible PWH. Forty participants reviewed HIV-adapted and individually tailored decision aids at SDM visits and completed pre-/post-visit surveys. Fifteen completed semi-structured interviews. Interviews were analyzed using thematic analysis guided by the Health Equity Implementation Framework and triangulated with surveys through joint displays. Participants generally approved of the SDM aid as it explained the risks and benefits of screening, but six key implementation tensions emerged: (1) Participants generally trusted clinician recommendations but highlighted how their lived experience with HIV informed some medical skepticism and desire for autonomy. (2) There was appreciation for HIV-focused material, but emphasis on individuality and the variable experiences of PWH. (3) Participants were interested and motivated regarding LCS but highlighted systemic barriers. (4) The aid improved comfort for many, but increased anxiety or confusion for others. (5) Some preferred SDM with their primary care clinician, while others prioritized the opinion of an LCS-focused clinician. (6) Several were motivated to quit smoking after SDM, while others were reassured to continue smoking by lower-than-expected risk estimates. This adapted decision aid was well-received, but interviews highlighted tensions in implementation. Iterative adaptation of the decision aid and communication strategies is needed to optimize SDM for PWH.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"948-962"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709778","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}