Health Promotion Practice最新文献_第7页

Advancing Accessibility to Improve Civic Health Equity. 促进可及性，改善公民健康公平。

IF 1.5

Health Promotion Practice Pub Date : 2026-09-01 Epub Date: 2026-05-19 DOI: 10.1177/15248399261448738

Leah A Roman, Nailah Henry

{"title":"Advancing Accessibility to Improve Civic Health Equity.","authors":"Leah A Roman, Nailah Henry","doi":"10.1177/15248399261448738","DOIUrl":"10.1177/15248399261448738","url":null,"abstract":"Voting is a cornerstone of civic engagement and health equity, influencing policy at the local, state, and federal levels. Despite laws that have improved access, people with disabilities still face barriers to voting and full engagement in the civic process. With approximately one-fourth of the 2020 United States electorate (an estimated 67.6 million eligible voters) reporting either having a disability or sharing a household with someone who has a disability, the impact of these barriers is significant. Accessibility challenges affect all aspects of the voting experience, from accessing digital health and voting materials to completing the in-person or mail-in voting process. We highlight population and individual-level health benefits of voting, examine how public health professionals are uniquely positioned to integrate civic health equity into all phases of their work from assessment to evaluation, and discuss inaccessibility as a key barrier to voting and civic engagement. We present specific action steps to help our field meet technical accessibility standards, create team-based approaches to accessibility planning, and advocate against current threats to voting rights and access. We encourage public health professionals to look beyond compliance to apply a human rights lens to accessibility and civic health equity work.","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"844-847"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976537","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}

引用次数: 0

Effectiveness of Social Cognitive Theory-Based Oral Cancer Awareness Module Among Adolescents: An Interventional Study. 基于社会认知理论的口腔癌认知模块在青少年中的有效性：一项介入研究。

IF 1.5

Health Promotion Practice Pub Date : 2026-08-28 DOI: 10.1177/15248399261478888

Tejaswini B Darukaradhya, Shwetha Kanyaloor Mallikarjuna, Pushpanjali Krishnappa, Anju James

{"title":"Effectiveness of Social Cognitive Theory-Based Oral Cancer Awareness Module Among Adolescents: An Interventional Study.","authors":"Tejaswini B Darukaradhya, Shwetha Kanyaloor Mallikarjuna, Pushpanjali Krishnappa, Anju James","doi":"10.1177/15248399261478888","DOIUrl":"https://doi.org/10.1177/15248399261478888","url":null,"abstract":"Oral cancer remains a significant public health challenge, particularly in India, where it accounts for a substantial global burden. Despite its preventability, awareness levels among adolescents remain low. Schools provide an ideal platform for health education interventions, yet traditional approaches often fail to yield lasting behavioural change. This study aimed to evaluate the effectiveness of a social cognitive theory (SCT)-based oral cancer awareness module in enhancing adolescents' knowledge and self-efficacy. A cluster-randomized controlled trial was conducted between June and October 2017 in two high schools in Kaiwara, Karnataka. Adolescents aged 13-16 years (N = 524) were randomly assigned to an SCT-based intervention group or a control group receiving conventional education. The intervention, delivered by trained teachers and peer leaders, incorporated interactive teaching tools such as flipcharts, videos, and PowerPoint presentations. Knowledge and self-efficacy were assessed at baseline, immediately post intervention, at 1 month, and 3 months using a validated questionnaire. The intervention group demonstrated a significant improvement in knowledge (baseline: 6.22 ± 2.4; 3 months: 12.93 ± 0.8) and self-efficacy (baseline: 4.48 ± 2.9; 3 months: 8.61 ± 1.3) compared to the control group (p < .05). The role of teachers and peer leaders in reinforcement contributed to sustained learning. The SCT-based intervention was effective in enhancing oral cancer awareness among adolescents. Implementing theory-driven, school-based educational strategies can play a crucial role in long-term behaviour modification and cancer prevention.","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261478888"},"PeriodicalIF":1.5,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841686","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}

引用次数: 0

Lessons Learned From Digital Inclusion Initiatives in Rural Communities. 农村社区数字包容倡议的经验教训。

IF 1.5

Health Promotion Practice Pub Date : 2026-08-25 DOI: 10.1177/15248399261477403

Julianna Nieuwsma, Leslie E Cofie, Abby J Schwartz, Alice R Richman, Nate Mizell, Leslie Sanchez

{"title":"Lessons Learned From Digital Inclusion Initiatives in Rural Communities.","authors":"Julianna Nieuwsma, Leslie E Cofie, Abby J Schwartz, Alice R Richman, Nate Mizell, Leslie Sanchez","doi":"10.1177/15248399261477403","DOIUrl":"https://doi.org/10.1177/15248399261477403","url":null,"abstract":"As researchers, policymakers, and community organizations continue to invest in digital inclusion initiatives in rural communities, it is important for stakeholders to build upon past efforts to enhance what has been effective and address previous challenges. The purpose of our study is to highlight and document community-based digital inclusion efforts in rural communities and to discuss the essential lessons learned from these implementation efforts to guide future digital inclusion projects in rural settings. Qualitative interviews were conducted with 15 key informants who have ties to rural communities and knowledge and experience with digital inclusion efforts. This included 10 library staff members and 5 community leaders living, working, and/or serving in Eastern North Carolina (ENC) rural counties. Thematic analysis was used to analyze interview data. Three key themes emerged regarding the digital inclusion efforts occurring in these communities. Themes included (a) Community-based digital inclusion efforts either past or present, (b) Library-based internet connection, and (c) Challenges in implementing digital inclusion efforts. Grassroots efforts in ENC rural communities have provided essential digital inclusion resources and services to community members. These endeavors play a critical role in closing both the digital divide and the health care divide experienced by rural residents. However, finding ways to sustain these efforts remains challenging and needs to be addressed by future researchers alongside local leaders and community members.","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261477403"},"PeriodicalIF":1.5,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814431","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}

引用次数: 0

A Needs Assessment for Type 2 Diabetes Prevention at a Community Food Bank in British Columbia, Canada. 加拿大不列颠哥伦比亚省社区食品银行2型糖尿病预防需求评估

IF 1.5

Health Promotion Practice Pub Date : 2026-08-25 DOI: 10.1177/15248399261477713

Jenna A P Sim, Sarah A Craven, Kaela D Cranston, Trevor R Moss, Mary E Jung

{"title":"A Needs Assessment for Type 2 Diabetes Prevention at a Community Food Bank in British Columbia, Canada.","authors":"Jenna A P Sim, Sarah A Craven, Kaela D Cranston, Trevor R Moss, Mary E Jung","doi":"10.1177/15248399261477713","DOIUrl":"https://doi.org/10.1177/15248399261477713","url":null,"abstract":"People experiencing food insecurity experience higher rates of type 2 diabetes (T2D) than those who are food secure. Small Steps for Big Changes (SSBC) is a T2D prevention program in Kelowna, British Columbia, Canada. This study aimed to learn the factors that influenced people experiencing food insecurity in the community's ability to engage in T2D prevention behaviors, participate in SSBC, and the food bank's ability to provide T2D prevention services to their users. Focus groups were held with food bank users and interviews with food bank employees to learn these factors. The focus groups and interviews were analyzed using reflexive thematic analysis followed by deductive barrier and facilitator coding to the theoretical domains framework (TDF). Three themes were constructed from the focus groups with food bank users: (a) Using the Food Bank: Pulled in Two Directions, (b) Knowledge is Both Opportunity and Responsibility, and (c) Competing Priorities. Two themes were constructed from interviews with food bank employees: (a) A Dream: The Desire to Help in All Aspects of Wellbeing and (b) The Reality: Under Pressure. The most prominent TDF barrier to engaging in SSBC was knowledge, and the most prominent barrier to T2D prevention behaviors was environmental context and resources. The most prominent TDF barrier to delivering T2D services was environmental context and resources. Results of this study highlight the complexities of T2D prevention while experiencing food insecurity and provide insights for how SSBC and other T2D prevention programs can support people experiencing food insecurity.","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261477713"},"PeriodicalIF":1.5,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814448","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}

引用次数: 0

An Integrated Approach to Ethical Considerations for Sexual and Reproductive Health and Rights Research in Climate-Affected Humanitarian Settings. 在受气候影响的人道主义环境中对性健康和生殖健康及权利研究的伦理考虑的综合方法。

IF 1.5

Health Promotion Practice Pub Date : 2026-08-22 DOI: 10.1177/15248399261477744

Carmen Helen Logie, Andie MacNeil, Manjulaa Narasimhan

{"title":"An Integrated Approach to Ethical Considerations for Sexual and Reproductive Health and Rights Research in Climate-Affected Humanitarian Settings.","authors":"Carmen Helen Logie, Andie MacNeil, Manjulaa Narasimhan","doi":"10.1177/15248399261477744","DOIUrl":"https://doi.org/10.1177/15248399261477744","url":null,"abstract":"Sexual and reproductive health and rights (SRHR) remain understudied within both climate change and humanitarian research, despite growing evidence that climate-related extreme weather events (EWE) and humanitarian crises are interconnected and disproportionately affect structurally marginalized populations. As EWE increase in frequency and severity, there is a pressing need to identify ethical approaches for conducting SRHR research in humanitarian and disaster-affected settings. Climate change intensifies existing social, gender, and structural inequities, shaping SRHR risks and access to health care across the life course. In this Frameworks article, we propose an integrated ethical approach for SRHR research in climate-affected humanitarian contexts that brings together principles from climate and health research ethics, humanitarian research ethics, and life course health equity. We argue that ethical SRHR research in these settings must account for intersecting climate and humanitarian vulnerabilities, recognize agency within constrained contexts, and attend to how risks and priorities are experienced differently across life stages. Drawing on established ethical frameworks, we center our framework on three guiding principles: protection from harm, equity and justice, and contextual relevance. We illustrate the application of this integrated approach through two case studies: climate-related SRHR vulnerabilities among youth in Pacific Island settings and sexual violence experienced by older adults in refugee settlements. These examples highlight how age-based silos may obscure evolving SRHR needs across the life course. We conclude by outlining implications for research and health promotion practice, emphasizing the importance of contextually responsive and equity-driven approaches that support immediate humanitarian needs and long-term SRHR in climate-affected settings.","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261477744"},"PeriodicalIF":1.5,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799701","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}

引用次数: 0

The Mindless to Mindful Program: Utilizing TEMPA to Understand Exercise Self-Regulation and Fat Loss. 无意识到正念计划：利用TEMPA了解运动自我调节和减肥。

IF 1.5

Health Promotion Practice Pub Date : 2026-08-21 DOI: 10.1177/15248399261477374

David Kawahata, Duke Biber

引用次数: 0

Promoting Health Through Empowerment: Pilot Evaluation of a Youth Participatory Action Research Program. 通过赋权促进健康：青年参与行动研究方案的试点评价。

IF 1.5

Health Promotion Practice Pub Date : 2026-08-18 DOI: 10.1177/15248399261474516

Nicholas Szoko, Tyia K Wilson, Ebonie Slade, Alana Fields, Keona Blankenship, Ti'yanna Risher, Marquise Wheeler, Elizabeth Miller, Alison J Culyba

{"title":"Promoting Health Through Empowerment: Pilot Evaluation of a Youth Participatory Action Research Program.","authors":"Nicholas Szoko, Tyia K Wilson, Ebonie Slade, Alana Fields, Keona Blankenship, Ti'yanna Risher, Marquise Wheeler, Elizabeth Miller, Alison J Culyba","doi":"10.1177/15248399261474516","DOIUrl":"https://doi.org/10.1177/15248399261474516","url":null,"abstract":"Youth participatory action research (YPAR) elevates youth as change agents in their schools and communities. The YPAR studies have demonstrated impact on psychological empowerment and civic engagement, both thought to lead to improved health. This exploratory evaluation assessed physical and emotional health among youth in a YPAR program. We implemented an eight-session YPAR program across four neighborhoods in Pittsburgh, PA. Surveys were administered at baseline, end-of-program (EOP), and 1 year from baseline (T3) to measure changes in the following: psychological empowerment, civic engagement, emotional health, health care access and quality of life, and substance use. Descriptive statistics were used to summarize variables at each timepoint. Generalized linear mixed models assessed changes in outcomes over time, with results presented as odds ratios (ORs) or parameter estimates (β) with 95% confidence intervals. Seventy-one youth completed baseline surveys, 58 completed EOP surveys, and 43 completed T3 surveys. Most youth identified as non-Hispanic Black. Compared to baseline, youth at EOP and T3 reported consistently higher levels of psychological empowerment (EOP: β = 0.39 [0.22-0.56]; T3: β = 0.36 [0.17-0.55]) and civic engagement (EOP: β = 0.34 [0.15-0.54]; T3: β = 0.34 [0.12-0.56]). Youth reported greater difficulties in emotion regulation (β = 0.26 [0.07-0.45]) and fewer activity limitations (OR = 0.31 [0.12-0.77]) at EOP, but findings did not persist at T3. There were no changes in measures of health care access or substance use. The YPAR is consistently associated with increases in psychological empowerment and civic engagement. Findings suggest opportunities to integrate health-related resources in YPAR programming and to assess health impacts of such interventions.","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261474516"},"PeriodicalIF":1.5,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799704","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}

引用次数: 0

The Impact of Covid-19 on Various Offerings Within a Worksite Wellness Program. Covid-19对工作场所健康计划中各种产品的影响。

IF 1.5

Health Promotion Practice Pub Date : 2026-08-18 DOI: 10.1177/15248399261477409

Marilyn S Nehls, Adrianne N Caudill, David W Fardo, Carrie D Davidson, Martha C Riddell, Richard C Ingram

{"title":"The Impact of Covid-19 on Various Offerings Within a Worksite Wellness Program.","authors":"Marilyn S Nehls, Adrianne N Caudill, David W Fardo, Carrie D Davidson, Martha C Riddell, Richard C Ingram","doi":"10.1177/15248399261477409","DOIUrl":"https://doi.org/10.1177/15248399261477409","url":null,"abstract":"Worksite wellness programs are popular employer offerings as of the last few decades. The COVID-19 pandemic caused major shifts in behavior since these programs were implemented. The purpose of this study was to understand how the COVID-19 pandemic affected participation in a worksite wellness program. This study is a secondary analysis of a university worksite wellness program that compared monthly participation in 2019 (pre-pandemic) versus 2020 (after the onset of the COVID-19 pandemic). The main outcome measures included participation within two offerings (single-visit or ongoing programming) for each of the three arms (MoveWell, EatWell, and BeWell) of the worksite wellness program. Statistical analyses included the Shapiro-Wilk test for data normality, paired t-tests for year-to-year differences in overall participation, and Wald confidence intervals for year-to-year differences in specific offerings. Overall, participation in the worksite wellness program decreased during the pandemic when compared with participation of the previous year (p = .016). Participation in the BeWell and EatWell offerings had no significant change from 2019 to 2020. Among the MoveWell offerings, the group fitness classes (ongoing programming) were the only worksite wellness offering that showed decreased participation. Predictably, overall participation in a worksite wellness program decreased while employees were not physically in their workplace. However, it is noteworthy during the pandemic that employees were still participating in EatWell and BeWell programming such that participation was not significantly different from 2019. The results from this study could potentially be used to inform worksite wellness programming in future pandemics or other public health emergencies.","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261477409"},"PeriodicalIF":1.5,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799583","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}

引用次数: 0

From Intent to Action: Using Implementation Science to Guide Student-Led Street Medicine Outreach. 从意图到行动：用实施科学指导学生主导的街头医学推广。

IF 1.5

Health Promotion Practice Pub Date : 2026-08-17 DOI: 10.1177/15248399261461739

Max Felland, David Glanzer, Thomas Martin, Bradley Ray

引用次数: 0

Community-Identified Barriers and Strategies for Improving HPV Vaccination in South Texas. 南德克萨斯州社区确定的HPV疫苗接种障碍和改进策略

IF 1.5

Health Promotion Practice Pub Date : 2026-08-14 DOI: 10.1177/15248399261476034

Erika L Thompson, Miranda Cano, Corin Reyes, Tharani Ravi, Jasmine Rodriguez, Allison Grimes

{"title":"Community-Identified Barriers and Strategies for Improving HPV Vaccination in South Texas.","authors":"Erika L Thompson, Miranda Cano, Corin Reyes, Tharani Ravi, Jasmine Rodriguez, Allison Grimes","doi":"10.1177/15248399261476034","DOIUrl":"https://doi.org/10.1177/15248399261476034","url":null,"abstract":"Bexar County is a South Texas county with low human papillomavirus (HPV) vaccination rates, which hinders efforts to prevent HPV-related cancers. We conducted a community assessment from the perspective of community members who administer social/health services and/or coalitions in Bexar County. We aimed to assess perceived barriers and possible community solutions to HPV vaccination in Bexar County. Data were collected using an online quantitative survey measuring knowledge and attitudes toward HPV vaccination based on the Increasing Vaccination Model, as well as perceived barriers to HPV vaccination and potential solutions to improve vaccination. Participants included persons administering social/health services/part of coalitions in Bexar County from January to March 2025 (N = 45). Descriptive statistics were estimated. Most participants strongly agreed that HPV vaccination rates could be improved and that it was very important for 9- to 26-year-olds to get vaccinated for HPV. Primary barriers at the organizational level were competing health priorities, lack of provider knowledge/training, language barriers, and patient lack of awareness. Participants were asked to consider what community-level strategies could be deployed to increase HPV vaccination; the highest rated were mobile vaccination, public awareness campaigns, and financing for the vaccine. There is a strong community interest in improving HPV vaccination in Bexar County. Developing a multi-component intervention that addresses direct access issues, coupled with provider recommendations, could surmount the reported barriers to HPV vaccination in this community.","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261476034"},"PeriodicalIF":1.5,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764784","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}

引用次数: 0