Health Promotion International最新文献

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Factors associated with low health literacy in unpaid caregivers of older people: a systematic review 与老年人无酬照护者健康素养低下相关的因素:系统性综述
IF 2.7 4区 医学
Health Promotion International Pub Date : 2024-09-18 DOI: 10.1093/heapro/daae118
Madson Alan Maximiano-Barreto, Ludmyla Caroline de Souza Alves, Diana Quirino Monteiro, Marisa Matias, Jed Montayre, Bruna Moretti Luchesi
{"title":"Factors associated with low health literacy in unpaid caregivers of older people: a systematic review","authors":"Madson Alan Maximiano-Barreto, Ludmyla Caroline de Souza Alves, Diana Quirino Monteiro, Marisa Matias, Jed Montayre, Bruna Moretti Luchesi","doi":"10.1093/heapro/daae118","DOIUrl":"https://doi.org/10.1093/heapro/daae118","url":null,"abstract":"Health literacy is a public health issue. Unpaid caregivers of older people with low health literacy may have difficulties providing care, exerting a negative impact on the care process. The aim of the present study was to perform a systematic review of the literature on factors associated with low health literacy in unpaid caregivers of older people. Searches for relevant articles were conducted in the Cochrane Library, Embase, LILACS, PubMed and Web of Science databases. A total of 1440 articles were identified, nine of which met the eligibility criteria and were included in the systematic review, which was registered in PROSPERO (CRD42024522986). A total of 2209 unpaid caregivers participated in the studies selected for this review. Most were women (67.2%). The average frequency of inadequate health literacy was 27.1%. Sociodemographic characteristics (i.e. advanced age, low educational level, the female sex), factors related to the care process (i.e. low acculturation, low empowerment, poor ability to read medication package inserts, lower care capacity, greater disease severity, hospitalization of care recipients), cognitive factors and factors related to quality of life/well-being (i.e. less social support, poorer quality of life, greater cognitive impairment, higher levels of burden) were associated with low health literacy. In conclusion, low health literacy in unpaid caregivers of older people is associated with sociodemographic, care-related and cognitive factors as well as factors related to quality of life/well-being. Low health literacy may exert a negative impact on the health of caregivers and, consequently, the quality of care provided to older people.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The financial burden of noncommunicable diseases from out-of-pocket expenditure in sub-Saharan Africa: a scoping review 撒哈拉以南非洲自费支出造成的非传染性疾病财政负担:范围界定审查
IF 2.7 4区 医学
Health Promotion International Pub Date : 2024-09-17 DOI: 10.1093/heapro/daae114
Adelakun Odunyemi, Md Tauhidul Islam, Khurshid Alam
{"title":"The financial burden of noncommunicable diseases from out-of-pocket expenditure in sub-Saharan Africa: a scoping review","authors":"Adelakun Odunyemi, Md Tauhidul Islam, Khurshid Alam","doi":"10.1093/heapro/daae114","DOIUrl":"https://doi.org/10.1093/heapro/daae114","url":null,"abstract":"The growing financial burden of noncommunicable diseases (NCDs) in sub-Saharan Africa (SSA) hinders the attainment of the sustainable development goals. However, there has been no updated synthesis of evidence in this regard. Therefore, our study summarizes the current evidence in the literature and identifies the gaps. We systematically search relevant databases (PubMed, Scopus, ProQuest) between 2015 and 2023, focusing on empirical studies on NCDs and their financial burden indicators, namely, catastrophic health expenditure (CHE), impoverishment, coping strategies, crowding-out effects and unmet needs for financial reasons (UNFRs) in SSA. We examined the distribution of the indicators, their magnitudes, methodological approaches and the depth of analysis. The 71 included studies mostly came from single-country (n = 64), facility-based (n = 52) research in low-income (n = 22), lower-middle-income (n = 47) and upper-middle-income (n = 10) countries in SSA. Approximately 50% of the countries lacked studies (n = 25), with 46% coming from West Africa. Cancer, cardiovascular disease (CVD) and diabetes were the most commonly studied NCDs, with cancer and CVD causing the most financial burden. The review revealed methodological deficiencies related to lack of depth, equity analysis and robustness. CHE was high (up to 95.2%) in lower-middle-income countries but low in low-income and upper-middle-income countries. UNFR was almost 100% in both low-income and lower-middle-income countries. The use of extreme coping strategies was most common in low-income countries. There are no studies on crowding-out effect and pandemic-related UNFR. This study underscores the importance of expanded research that refines the methodological estimation of the financial burden of NCDs in SSA for equity implications and policy recommendations.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diabetes in Liberia: a policy brief 利比里亚的糖尿病:政策简介
IF 2.7 4区 医学
Health Promotion International Pub Date : 2024-08-23 DOI: 10.1093/heapro/daae109
Paulina Bleah, Joan Almost, Rosemary Wilson, Danielle Macdonald, Pilar Camargo-Plazas
{"title":"Diabetes in Liberia: a policy brief","authors":"Paulina Bleah, Joan Almost, Rosemary Wilson, Danielle Macdonald, Pilar Camargo-Plazas","doi":"10.1093/heapro/daae109","DOIUrl":"https://doi.org/10.1093/heapro/daae109","url":null,"abstract":"There is increasing awareness that diabetes is a growing public health threat in Liberia. The high mortality and morbidity associated with diabetes have significant implications for individuals, families and communities. The current response to diabetes in Liberia is limited to the management of acute complications. Long-term strategies for the prevention and control of diabetes are almost entirely absent from national health agendas. This brief provides policy options that Liberian policymakers can adopt to prevent diabetes, improve treatment and enhance the quality of life for people living with diabetes in Liberia.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coming back for more: individual participation patterns in the physical activity initiative parkrun in Australia. 再来一次:澳大利亚体育活动倡议跑酷的个人参与模式。
IF 2.3 4区 医学
Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae098
Anne C Grunseit, Bo-Huei Huang, Dafna Merom, Leonie Cranney, Adrian Bauman, Kris Rogers
{"title":"Coming back for more: individual participation patterns in the physical activity initiative parkrun in Australia.","authors":"Anne C Grunseit, Bo-Huei Huang, Dafna Merom, Leonie Cranney, Adrian Bauman, Kris Rogers","doi":"10.1093/heapro/daae098","DOIUrl":"10.1093/heapro/daae098","url":null,"abstract":"<p><p>Most physical activity (PA) maintenance research has concerned adherence to small-scale interventions or infrequent observation in cohort studies. We analysed individual attendance trajectories and their drivers in a large-scale 'real-world' community-based weekly PA event (parkrun) cohort in Australia. Data were weekly attendance (walking/running) of 223 224 unique parkrun participants over their first 3 years of participation. An unweighted moving average of participation in the preceding 12 weeks from the 12th week since the first participation to the 156th week was calculated and submitted to a cluster analysis of attendance patterns. Association of individual- (demographic, personal parkrun performance) and site-level (aggregated site-level participant characteristics and area-level measures) covariates with cluster membership was estimated with multinomial logistic regression models. We identified four groups: Few-Timers (76.4%), Decliners (12.4%), Low Maintainers (6.9%) and High Maintainers (4.3%). In the first 12 weeks, attendances averaged 2, 6, 5 and 7.5 times for each cluster, respectively, and by 52 weeks, they were 0.17, 1.9, 3.4 and 7.6 times, respectively. Continuing participation (vs Few-Timers) was strongly associated with faster personal finish times, but slower performance at the site level. Higher running club/group membership at a participant's parkrun predicted higher odds of being a High Maintainer. Our identification of a Low Maintainer group shows a community-based initiative may sustain interest, despite not requiring continuous or near-continuous attendance. Where someone is placed 'in the pack' locally and degree of identification with others in the group may be bidirectionally associated with attendance, underscoring the importance of considering social environment of PA maintenance.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sexual health interventions with social marketing approach targeting young people: a scoping review. 采用社会营销方法针对年轻人的性健康干预措施:范围界定综述。
IF 2.3 4区 医学
Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae106
Hanna Putkonen, Hanna Kallio, Jari Kylmä, Tiina Rissanen, Marjorita Sormunen
{"title":"Sexual health interventions with social marketing approach targeting young people: a scoping review.","authors":"Hanna Putkonen, Hanna Kallio, Jari Kylmä, Tiina Rissanen, Marjorita Sormunen","doi":"10.1093/heapro/daae106","DOIUrl":"10.1093/heapro/daae106","url":null,"abstract":"<p><p>In a fast-paced digital and global environment, sexual education must keep up with young people's sexual health needs. Social marketing is an approach that has been used in sexual health promotion for young people. The objective of the scoping review is to identify and map the use of social marketing in sexual health promotion for young people. Specifically, the content, delivery methods and effects of interventions on sexual health were researched. Six databases were systemically searched to capture the relevant peer-reviewed quantitative, qualitative and mixed methods articles without time restrictions that provided evidence of sexual health-related social marketing interventions targeting young people aged 11-25. An inductive and deductive content analysis was performed. Nineteen studies were included in the data. The content of interventions was dominated by sexual risks and risk prevention, focusing particularly on sexually transmitted diseases, unwanted pregnancies and sexual violence. Additionally, interventions included topics of morals of sexual relationships and changes in the body. The delivery of interventions occurred through various media channels, events and activities, while the effects of interventions were monitored as improvements in sexual perceptions and sexual behaviour, limited gender-related effects, limited evidence of intervention attributed to behaviour and effects in different age groups. The social marketing approach was mostly preventive and concentrated on the risks, whereas the delivery methods were diverse and creative, combining modern and already well-established channels. Sexuality should be seen comprehensively, and interventions should respond to the full range of young people's needs.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11327497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of media-based mental health campaigns on male help-seeking: a systematic review. 基于媒体的心理健康宣传对男性寻求帮助的影响:系统性综述。
IF 2.3 4区 医学
Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae104
Grant Duthie, Nicola Reavley, Judith Wright, Amy Morgan
{"title":"The impact of media-based mental health campaigns on male help-seeking: a systematic review.","authors":"Grant Duthie, Nicola Reavley, Judith Wright, Amy Morgan","doi":"10.1093/heapro/daae104","DOIUrl":"10.1093/heapro/daae104","url":null,"abstract":"<p><p>More than half of all men do not seek professional help for depression, suicide and anxiety. Although media-based campaigns represent a promising health promotion intervention to improve male help-seeking, it is unclear what communication strategies in extant mental health media-based campaigns are effective for men. The aim of this systematic review was to synthesize information about the effectiveness of these campaigns on male help-seeking outcomes. A search was conducted of electronic databases and gray literature. Studies were eligible if they examined the effectiveness of a media-based campaign targeting male help-seeking attitudes, beliefs, intentions or behaviors in relation to mental disorders, distress, suicide or self-harm. Twenty-two studies of varying quality met the eligibility criteria. Most studies targeting mental health or depression were found to positively influence male help-seeking. There were mixed results for suicide prevention campaigns. Some evidence suggests that overall, brochure-based campaigns impact help-seeking. The use of male or mixed-gender campaign imagery produced similar results. The choice of message framing appeared to influence help-seeking outcomes. Despite substantial heterogeneity in campaign approaches and difficulties isolating the effects of campaign delivery from messaging, the review indicates that media-based campaigns can play a role in improving male help-seeking for mental health difficulties. Mounting evidence suggests that messaging and delivery should align with male communication preferences. However, high-quality, targeted research is required to evaluate the circumstances in which various campaign delivery and messaging components are effective in improving male help-seeking for poor mental health and suicidality.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11369358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How loss of nature through clear-cutting forestry affects well-being. 砍伐森林造成的自然损失如何影响人们的福祉。
IF 2.3 4区 医学
Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae110
Solvor Nesbakken, Grete Eide Rønningen, Steffen Torp
{"title":"How loss of nature through clear-cutting forestry affects well-being.","authors":"Solvor Nesbakken, Grete Eide Rønningen, Steffen Torp","doi":"10.1093/heapro/daae110","DOIUrl":"https://doi.org/10.1093/heapro/daae110","url":null,"abstract":"<p><p>The United Nations declares that the global degradation of ecosystems represents a danger to human health. Deterioration of forests is one of several threats against the natural systems. The aim of this exploratory study was to investigate people's experiences with clear-cutting and how it had affected their health and well-being. Qualitative data from six people who valued forest ecosystems were collected through semi-structured interviews and analyzed in accordance with Graneheim and Lundman's qualitative content analysis (Graneheim, U. H. and Lundman, B. (2004) Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105-112). Clear-cutting was not regarded as an environment-friendly forestry method. The interviewees described emotional reactions such as grief and poor mental well-being when beloved forests were clear-felled. The grief was partly because of a personal loss of place and recreation area that was important for their physical and emotional well-being. Another part was grief on behalf of nature itself, that is, the loss of habitats of animals and plants and a worsening of the global climate. The interviewees held that emotions related to loss of nature were insufficiently communicated in public discourse. They felt powerless and unable to influence forestry because of what they experienced as an impenetrable industry. Clear-cutting of forests may result in poor well-being among people who value forest ecosystems. More focus on planetary health is needed, including healthy public policy promoting forest management that considers people's need for nature experiences and possible ecological grief when forests are totally and abruptly cleared.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identifying barriers and facilitators to physical activity and perceptions of Traditional Indigenous Games among Aboriginal and Torres Strait Islander women: a qualitative study. 确定土著居民和托雷斯海峡岛民妇女参加体育活动的障碍和促进因素以及对传统土著游戏的看法:一项定性研究。
IF 2.3 4区 医学
Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae108
Tiana Thorne, Sean Taylor, Karla Canuto, Anthony S Leicht
{"title":"Identifying barriers and facilitators to physical activity and perceptions of Traditional Indigenous Games among Aboriginal and Torres Strait Islander women: a qualitative study.","authors":"Tiana Thorne, Sean Taylor, Karla Canuto, Anthony S Leicht","doi":"10.1093/heapro/daae108","DOIUrl":"10.1093/heapro/daae108","url":null,"abstract":"<p><p>Aboriginal and Torres Strait Islander women are key members of the community who have specific roles within their families that may result in lower levels of physical activity (PA) undertaken. Clearly identifying barriers for women to engage with PA, and exploring culturally based activities (i.e. Traditional Indigenous Games), may help to improve long-term health benefits. Subsequently, the aim of this study was to identify the barriers and facilitators for Aboriginal and Torres Strait Islander women engaging in PA, and their interest in participating in Traditional Indigenous Games. Seventeen Aboriginal and Torres Strait Islander women (34.3 ± 10.2 years) participated in focus groups. Through thematic analysis, participants experienced a range of common barriers such as lack of time due to family commitments, limited finances, ageing and poor physical and/or mental health. Common facilitators were also identified such as fun, access and improving mental and/or physical health. Importantly, unique themes were identified for Aboriginal and Torres Strait Islander women including barriers (e.g. racism, shame) and facilitators (e.g. culture, interactions with other Aboriginal and Torres Strait Islander women) that influenced PA participation. Notably, Traditional Indigenous Games were considered as an appealing PA mode to engage with their culture, experience nostalgia and be around other Aboriginal and Torres Strait Islander women. These key findings will guide future PA programs including Traditional Indigenous Games to improve health outcomes of Aboriginal and Torres Strait Islander women, vital members of the community.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11336665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Replicability, adaptability and long-term impact of the 'Healthy Youngsters, Healthy Dads' program in Newcastle, Australia. 澳大利亚纽卡斯尔 "健康青少年、健康父亲 "计划的可复制性、适应性和长期影响。
IF 2.3 4区 医学
Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae095
Lee M Ashton, Jacqueline A Grounds, Alyce T Barnes, Emma R Pollock, Myles D Young, Stevie-Lee Kennedy, Anna T Rayward, Daniel R Lee, Philip J Morgan
{"title":"Replicability, adaptability and long-term impact of the 'Healthy Youngsters, Healthy Dads' program in Newcastle, Australia.","authors":"Lee M Ashton, Jacqueline A Grounds, Alyce T Barnes, Emma R Pollock, Myles D Young, Stevie-Lee Kennedy, Anna T Rayward, Daniel R Lee, Philip J Morgan","doi":"10.1093/heapro/daae095","DOIUrl":"10.1093/heapro/daae095","url":null,"abstract":"<p><p>'Healthy Youngsters, Healthy Dads' (HYHD) targets fathers to improve the health of their preschool-aged children. In a previous randomized trial, fathers and children experienced meaningful improvements in physical activity and eating behaviours. The next phase is to test the replicability and adaptability of HYHD when delivered in the community by trained facilitators. Fathers/father-figures and children aged 3-5 years were recruited from Newcastle, Australia into a 9-week, non-randomized trial with assessments at baseline, 10 weeks, and 12 months. The primary outcome was achievement of pre-registered targets for recruitment (≥ 96 dyads), attendance (≥ 70%), compliance (completing ≥ 70% of home-based tasks), fidelity (≥ 80% of content delivered as intended) and program satisfaction (≥ 4/5). Secondary outcomes included physical activity, nutrition, screen time and parenting measures. Process targets were surpassed for recruitment (140 fathers, 141 children), attendance (79% for fathers-only workshops, 81% for father-child sessions), compliance (80% of home-tasks completed), fidelity (99% for education, ≥ 97% for practical) and program satisfaction (4.8/5). Mixed effects regression models revealed significant effects in fathers for moderate-to-vigorous physical activity, co-physical activity, dietary intake and parenting practises, which were maintained at 12 months. Significant effects were also established for screen time at 10 weeks only. For children, significant effects were observed for screen time and dietary intake at 10 weeks, while effects on energy-dense, nutrient-poor foods and healthy, nutrient-dense core food intake were maintained at 12 months. Findings demonstrate the replicability and adaptability of HYHD when delivered in the community by local trained facilitators. Further investigation into how to optimally scale-up HYHD is warranted.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11317530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shape-shifting versions of class in Australia and the pursuit of equity in public health. 澳大利亚阶级的转变与公共卫生领域的公平追求。
IF 2.3 4区 医学
Health Promotion International Pub Date : 2024-08-01 DOI: 10.1093/heapro/daae093
Megan Warin, Victoria Loblay
{"title":"Shape-shifting versions of class in Australia and the pursuit of equity in public health.","authors":"Megan Warin, Victoria Loblay","doi":"10.1093/heapro/daae093","DOIUrl":"10.1093/heapro/daae093","url":null,"abstract":"<p><p>The COVID-19 pandemic and current cost of living crisis have highlighted socioeconomically patterned health disparities, bringing renewed focus on equity in public health. Despite political rhetoric invoking cultural narratives of egalitarianism and opportunities for class mobility, social class remains a significant factor in health outcomes in the Australian context. For social scientists, class (despite robust critiques) is a key analytical concept that has been theoretically broadened to encompass social and cultural practices (habitus). In public health, however, concepts of social disadvantage have expanded toward frames such as health equity and socioeconomic status in ways that can obscure 'class' and habitus. Understandings and operationalization of concepts of class and equity not only impact collaborative and interdisciplinary relationships, but also the framing of public health problems and health promotion interventions and policies. In this article, we draw on our experiences as anthropologists conducting ethnography in and of Australian health promotion programs to map and re-evaluate the intersection of concepts of social class and equity. We trace how representations of class emerged in these programs, and the versions of class and equity that materialized across different public health contexts. We argue for a conceptual repositioning of class that recognizes its shape-shifting qualities and of its materializations in different politics, disciplines and everyday contexts. In doing so, we highlight 'class' as a salient dimension of the design, implementation and evaluation of health promotion programs.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11319935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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