Health Promotion International最新文献

'Are we getting through to them? And in what way?' Communicating physical activity with adolescents. “我们说服他们了吗？”以什么方式？”与青少年沟通身体活动。

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-07-01 DOI: 10.1093/heapro/daaf062

Caera L Grady, Elaine Murtagh, Kwok Ng, Enrique García Bengoechea, Catherine B Woods

{"title":"'Are we getting through to them? And in what way?' Communicating physical activity with adolescents.","authors":"Caera L Grady, Elaine Murtagh, Kwok Ng, Enrique García Bengoechea, Catherine B Woods","doi":"10.1093/heapro/daaf062","DOIUrl":"https://doi.org/10.1093/heapro/daaf062","url":null,"abstract":"The Active School Flag (ASF) is a multi-stage, multi-component, whole-of-school physical activity (PA) programme. This study explored relationships between Irish adolescents' health literacy, PA knowledge, beliefs and awareness and their efforts to communicate PA messages. Schools (n = 17) newly enrolled in the ASF programme were invited to participate in a mixed methods study. A questionnaire assessing adolescents' health literacy, PA knowledge and beliefs about the consequences of behaviour, and ASF programme awareness was completed in five schools. Statistical analysis involved a hierarchical multiple linear regression. Focus groups (n = 11) were conducted with ASF programme implementers in ten schools to understand current practices of communicating PA messages. Data were analysed using a reflexive thematic analysis. Males comprised 62.3% of the sample (N = 483), and 57.1% were junior students (1st-3rd year). The overall model significantly predicted adolescents' health literacy, F(4, 464) = 56.241, P < .001. Gender (B = -1.09, P = .02), knowledge of PA (B = 0.4, P = .04), and beliefs about the consequences of behaviour (B = 2.3, P < .001) were significant predictors of health literacy, accounting for 33.2% of the variance. Challenges included low awareness of, engagement with, and maximizing support for implementing ASF. The gap identified between the messages communicated and awareness of ASF requires further research to develop an effective, structured, and standardized PA communication plan for schools to facilitate policy and practice. Improving adolescents' knowledge and beliefs about the consequences of PA could improve overall health literacy levels. Therefore, providing support and guidance to whole-of-school programme implementers for communicating PA messages will help influence practice and policy.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638695","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

Mental health literacy in Nova Scotia's education system: 15 years after the evergreen framework. 新斯科舍省教育系统中的心理健康素养：常绿框架实施15年后。

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-07-01 DOI: 10.1093/heapro/daaf121

Damian Page, Chris Gilham, Brandon Hamilton, Chloe Vukosa

{"title":"Mental health literacy in Nova Scotia's education system: 15 years after the evergreen framework.","authors":"Damian Page, Chris Gilham, Brandon Hamilton, Chloe Vukosa","doi":"10.1093/heapro/daaf121","DOIUrl":"10.1093/heapro/daaf121","url":null,"abstract":"This study examined the current state of mental health literacy (MHL)-related educator training, certification, and policy in Nova Scotia, Canada. It addressed three research questions: (i) How has Nova Scotia's educational policy landscape responded to the Evergreen Framework's (EF's) strategic directions? (ii) What are the strengths and gaps in current MHL-related policies? (iii) What sources of MHL training are available to preservice educators through Bachelor of Education (B.Ed.) and early childhood education (ECE) programs and to in-service educators through Master of Education (M.Ed.) programs and professional development (PD). A deductive content analysis was used to evaluate the alignment of provincial policies with the EF. An environmental scan and systematic analysis were conducted across ECE, B.Ed., and M.Ed. programs, as well as PD offerings and curriculum content. Findings indicate that while aspects of MHL are embedded within inclusive education policies and select course offerings, explicit training in MHL is limited and inconsistently implemented. PD opportunities and regional education center resources vary widely, and MHL competencies are not mandated for certification. The study provides recommendations for policy and training reform.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683548","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

Evaluation of an intervention limiting food industry influence on public food policy processes in Ghana. 评价加纳限制食品工业对公共食品政策进程影响的干预措施。

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-07-01 DOI: 10.1093/heapro/daaf081

Silver Nanema, Mélissa Mialon, Akosua Pokua Adjei, Virginie Hamel, Amos Laar

{"title":"Evaluation of an intervention limiting food industry influence on public food policy processes in Ghana.","authors":"Silver Nanema, Mélissa Mialon, Akosua Pokua Adjei, Virginie Hamel, Amos Laar","doi":"10.1093/heapro/daaf081","DOIUrl":"10.1093/heapro/daaf081","url":null,"abstract":"This study evaluates the immediate effect of an educational intervention implemented among key policy actors in Ghana. The intervention focused on creating awareness and increasing competencies for countering food industry public food policy dilution strategies. The intervention was evaluated using a before-and-after design, collecting self-reported awareness, appropriateness, competencies, and skill level rating, and using frequencies, percentages, and non-parametric testing (Wilcoxon rank-sum test, with alpha set at 0.05) to report results. Thirty policy actors attended the workshop, but 23 and 17 participated in the evaluation (pre- and post-workshop, respectively). Most (82%) were health experts, with about 48% reporting two decades or more of professional experience. Before the intervention, policy actors reported receiving job offers, promotional material, and sponsored travel from the food industry. After the workshop, policy actors' overall mean appropriateness level rating of such strategies decreased (from 2.60 ± 0.87 to 1.95 ± 0.81; P = 0.013). Policy actors' overall awareness level rating of food industry using such strategies to influence public food policies increased after the workshop (from 4.27 ± 0.55 to 4.38 ± 0.59; P = 0.657). Similarly, their overall mean competencies and skill level rating for recognizing and countering public food policy dilution strategies increased (from 2.70 ± 0.54 to 3.13 ± 0.41; P = 0.012). The findings show the potential of an educational workshop serving as a preemptive intervention to protect public food policies from industry influence, and for such interventions to be incorporated into national food policy development processes.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585624","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 Tay adolescent girls and their female carers navigate sexual and reproductive health information. 青春期少女及其女性照顾者如何获取性健康和生殖健康信息。

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-07-01 DOI: 10.1093/heapro/daaf079

Lia Burns, Hannah Pitt, Doan To Thuy Mai, Minh Duc Pham, Peter Azzopardi, Samantha Thomas

{"title":"How Tay adolescent girls and their female carers navigate sexual and reproductive health information.","authors":"Lia Burns, Hannah Pitt, Doan To Thuy Mai, Minh Duc Pham, Peter Azzopardi, Samantha Thomas","doi":"10.1093/heapro/daaf079","DOIUrl":"10.1093/heapro/daaf079","url":null,"abstract":"Achieving equity in sexual and reproductive health (SRH) outcomes for adolescents across geography, ethnicity, and gender remains a global public health challenge. Access to accurate information is a basic and important determinant of SRH, but for many young people, social norms and expectations limit what they can access. We know little about how SRH knowledge is accessed in the Asia Pacific, a region diversely rich in culture and related norms, and with persistently wide inequities in SRH outcomes. This study conducted face-to-face interviews with 20 adolescent girls (16-18 years) and their female carers (n = 20) from the Tay community-the largest ethnic minority group in Vietnam. Reflexive thematic analysis was used to construct three themes from the data. First, SRH issues relating to pre-marital sex, unwanted pregnancy, and the repercussions were the most important topics for adolescent girls and their female carers. Second, SRH topics were considered sensitive and personal, inhibiting interpersonal communication about SRH between women, their families, and across generations. Third, adolescent girls were accessing conflicting SRH information from a diverse range of sources, and both adolescent girls and female carers were reliant on SRH sources online. There is an opportunity to ensure reliable SRH information is available through a variety of sources: by focussing content and delivery of comprehensive sexuality education on pregnancy prevention at the high school level, contextualizing community-based health promotion to address sensitivities around SRH, and expanding national-level programmes to provide online safety skills and digital literacy for adolescents and parents.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12215314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546126","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

Peer-led public service announcement creation workshops for adolescent sexual and reproductive health education in Kenya. 在肯尼亚为青少年性健康和生殖健康教育举办由同行领导的公共服务公告创作讲习班。

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-07-01 DOI: 10.1093/heapro/daaf035

Lara Miller, Hannington Odhiambo, Sayo Amboka, Beatrice Otieno, Kevin Kadede, Patricia Oketch, Sheila Owino, Maurice Opiyo, Fidel Opondo, Marion Hewa, Elsa Heylen, Hong-Ha M Truong

{"title":"Peer-led public service announcement creation workshops for adolescent sexual and reproductive health education in Kenya.","authors":"Lara Miller, Hannington Odhiambo, Sayo Amboka, Beatrice Otieno, Kevin Kadede, Patricia Oketch, Sheila Owino, Maurice Opiyo, Fidel Opondo, Marion Hewa, Elsa Heylen, Hong-Ha M Truong","doi":"10.1093/heapro/daaf035","DOIUrl":"10.1093/heapro/daaf035","url":null,"abstract":"Public service announcements (PSAs) are a type of media campaign aimed at creating awareness or influencing behavioral change among viewers. PSAs have been used to address a range of health issues aimed at varying populations and have frequently and successfully been used to target adolescents. Focus groups are conducted with adolescents to elicit ideas and topics, but the PSAs themselves are created by external media companies. In addition, few published studies describe the methods of their peer-led programming. The Maneno Yetu study aimed to fill these gaps by providing descriptions of our PSA creation workshop process that was peer-driven from conception to completion. Nine PSAs were created focused on sexual and reproductive health (SRH) issues including family planning, substance abuse, peer pressure, HIV and sexually transmitted infections prevention, and sexual assault. The workshop participants enjoyed learning about storytelling and filmmaking and appreciated participating in a project that could have a beneficial impact on their peers. Our novel PSA creation approach was peer-driven from ideation to production and centered on topics and messaging relevant to adolescents in the communities we were partnering with. Our approach provided a communication channel to convey important SRH information tailored to the needs of adolescents in the community. The PSAs were low-cost, making the approach accessible to adolescents outside of the framework of a study in resource-limited settings. Our peer-led PSA creation approach can be applied toward other public health interventions to generate messaging that resonates with adolescents.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638697","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

Disparities in children's sports participation and food advertising exposure in amateur sports settings in Canada. 加拿大业余运动环境下儿童运动参与和食品广告曝光的差异。

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-07-01 DOI: 10.1093/heapro/daaf107

Elise Pauzé, Marie-Hélène Roy-Gagnon, Catherine L Mah, Lana Vanderlee, Christine M White, David Hammond, Monique Potvin Kent

{"title":"Disparities in children's sports participation and food advertising exposure in amateur sports settings in Canada.","authors":"Elise Pauzé, Marie-Hélène Roy-Gagnon, Catherine L Mah, Lana Vanderlee, Christine M White, David Hammond, Monique Potvin Kent","doi":"10.1093/heapro/daaf107","DOIUrl":"10.1093/heapro/daaf107","url":null,"abstract":"This study examined social disparities in sports team participation and self-reported exposure to food advertising in amateur sports settings in Canada and examined differences in exposure between Quebec (where commercial advertising directed to children under 13 years, including sponsorship, is restricted) and other provinces (where there are no restrictions). Children aged 10-17 years (n = 3672) completed a cross-sectional online survey in 2019 and answered questions on sports team participation and exposure to food advertising on signs at their sporting events and on their sports equipment. Multivariable logistic regressions were performed to examine differences among socio-demographic subgroups and policy environments. Sports team participation was reported by 39.5% of children, with male children and those who perceived their family's income as adequate being more likely to report this. In Quebec, 30.5% and 33.9% of children aged 10-12 and 13-17 years who play sports, respectively, reported exposure to food advertising on signs and/or sports equipment compared with 44.8% and 40.0% in other provinces. Male children were more likely to report exposure on signs and children who perceived their family's income as inadequate were more likely to report exposure on sports equipment. Children outside Quebec were more likely to report exposure on both signs (AOR = 1.39, 95% CI: 1.04, 1.84) and sports equipment (AOR = 1.49, 95% CI: 1.06, 2.09). Overall, many children in Canada are exposed to food advertising in amateur sports settings with some subpopulations being more likely exposed. Despite Quebec's restrictions, children under 13 years in the province still reported exposure to food advertising. More research is needed to assess the effectiveness of Quebec's law.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12268325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651193","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

Exploring preventable lifestyle risk factors among newcomers in Montreal, Canada: a mixed-method study. 探索加拿大蒙特利尔新移民可预防的生活方式风险因素：一项混合方法研究。

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-07-01 DOI: 10.1093/heapro/daaf115

Geneveave Barbo, Anissa Jeeroburkhan

{"title":"Exploring preventable lifestyle risk factors among newcomers in Montreal, Canada: a mixed-method study.","authors":"Geneveave Barbo, Anissa Jeeroburkhan","doi":"10.1093/heapro/daaf115","DOIUrl":"10.1093/heapro/daaf115","url":null,"abstract":"Newcomers in Montreal, Quebec-including immigrants, international students, refugees, and asylum seekers-face lifestyle risk factors associated with chronic conditions. Gaps in the literature highlight methodological limitations in the previous studies as well as incomplete examination of physical activity, diet, smoking, alcohol use, and stress in this population. This study aims to examine these preventable lifestyle risk factors among Montreal newcomers and explore barriers and facilitators influencing them. Using a community-based participatory approach, we conducted a concurrent mixed-methods study, collecting data via surveys and focus groups. Survey data were analysed descriptively, and focus groups underwent thematic analysis. Among 149 survey and 55 focus group participants (equal gender distribution, mostly aged 18-29), engagement in physical activity varied. Barriers included weather, health issues, cultural adjustments, and lack of motivation; facilitators included social support and health concerns. Dietary habits favoured home-cooked meals, but significant fast-food consumption occurred due to time, cost, access, food quality challenges, dietary preferences, and nutritional awareness were facilitators. Smoking rates were low; many abstained from alcohol, with social influences as barriers and family support as facilitators. Stress levels were moderately high due to various pressures: coping strategies included therapy, physical activity, social support, and a positive mindset. Newcomers in Montreal display both healthy and risky lifestyle behaviours, with concerns around diet and stress. Targeted health promotion strategies addressing specific barriers and leveraging facilitators are needed to improve their health and well-being.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638696","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

Promoting health and equity in schools: environmental scan of outdoor learning spaces in Nova Scotia. 促进学校的健康和公平：新斯科舍省户外学习空间的环境扫描。

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-07-01 DOI: 10.1093/heapro/daaf101

Julie E Campbell, Michelle R Stone, Steve Machat, Hilary A T Caldwell, Daniel G Rainham, Son Truong, Sarah A Moore

{"title":"Promoting health and equity in schools: environmental scan of outdoor learning spaces in Nova Scotia.","authors":"Julie E Campbell, Michelle R Stone, Steve Machat, Hilary A T Caldwell, Daniel G Rainham, Son Truong, Sarah A Moore","doi":"10.1093/heapro/daaf101","DOIUrl":"10.1093/heapro/daaf101","url":null,"abstract":"Children are increasingly disconnected from nature, particularly within the school setting, despite the potential for schools to influence children's health and well-being. In 2021, government funding allowed for the creation of new outdoor learning (OL) spaces in elementary schools in Nova Scotia, Canada. We conducted an environmental scan to explore the state and impact of this OL funding for children's health and well-being. All Nova Scotia elementary schools (n = 289) were sent an online survey about elements included in their OL spaces, how diversity and accessibility were addressed, perceived benefits to students, and insights about the process. Quantitative and qualitative data were analyzed descriptively or through content analysis, respectively. Ninety-four (33%) surveys were returned. Most (65%) respondents had or were creating their OL spaces. Outdoor seating with a white/blackboard was the most common design (34.5%). Schools made some efforts to incorporate diversity and accessibility in the designs. Respondents perceived that the OL spaces increased student engagement, movement, and exposure to nature. Schools also noted that clearer communication about the funding was needed, including more school involvement in decision-making, more choice in design, and corresponding professional development for teachers. The OL spaces were perceived to support the creation of inclusive, supportive school environments that promote diversity and contribute to students' overall sense of well-being. Yet, the findings also underscore that the OL space infrastructure is only part of the equation and broader systemic, pedagogical, and cultural supports are essential to enabling meaningful and sustained OL.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12226451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561962","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

Can Australian meal kits support food literacy and healthy family meal provisioning? A qualitative study. 澳大利亚膳食包能支持食品素养和健康的家庭膳食供应吗？定性研究。

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-07-01 DOI: 10.1093/heapro/daaf105

Kylie Fraser, Penelope Love, Karen J Campbell, Alison Spence

{"title":"Can Australian meal kits support food literacy and healthy family meal provisioning? A qualitative study.","authors":"Kylie Fraser, Penelope Love, Karen J Campbell, Alison Spence","doi":"10.1093/heapro/daaf105","DOIUrl":"10.1093/heapro/daaf105","url":null,"abstract":"Cooking at home is a key recommendation to improve family nutrition. However, parents of young children face barriers to preparing healthy meals. Commercial meal kit subscription services (MKSSs) may support parents to overcome challenges and influence food literacy. This study explored how parents of young children (2-5 years) use MKSSs, examining how food literacy is supported and can be strengthened to promote healthy family meal provisioning. Twenty-five primary meal providers were recruited via social media (e.g. Facebook) for semi-structured interviews over phone or Zoom. Interviews were conducted with participants who had recently purchased meal kits from Australian MKSSs. Transcripts were analysed using inductive thematic analysis followed by deductive mapping to a food literacy framework consisting of four domains (plan and manage, select, prepare, and eat). Three themes captured participants' meal kit use: (i) managing the complexities of feeding a family with young children, (ii) shifting the mental load, and (iii) broadening culinary horizons for all. Mapping of each theme to the four food literacy domains highlighted that meal kits primarily supported the 'plan and manage' and 'prepare' domains of family meal provisioning by alleviating pressures in the feeding of young children. The 'select' and 'eat' domains were less supported. These findings suggest while meal kits may support aspects of food literacy, further guidance on selecting nutritious meals, modifying recipes, involving children, and fostering mealtime practices could strengthen their impact on healthy family meal provisioning. Further research is needed to explore how meal kits could be leveraged to improve parental food literacy and family nutrition.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585622","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 hidden toll: psychological and physical consequences of providing informal care to adults in China. 隐藏的代价：在中国，为成年人提供非正式护理的心理和身体后果。

IF 2.3 4区医学

Health Promotion International Pub Date : 2025-07-01 DOI: 10.1093/heapro/daaf110

Lu Zhang, Hai Gu, Yun Kou, Jinghong Gu

{"title":"The hidden toll: psychological and physical consequences of providing informal care to adults in China.","authors":"Lu Zhang, Hai Gu, Yun Kou, Jinghong Gu","doi":"10.1093/heapro/daaf110","DOIUrl":"https://doi.org/10.1093/heapro/daaf110","url":null,"abstract":"Rapid population ageing and insufficient formal care have led over 80% of Chinese older adults to rely on informal care. Yet, research on caregivers' health costs in developing countries remains scarce and inconclusive. This study aims to assess the relationship between informal caregiving and caregivers' multidimensional health and identify the vulnerable groups. Utilizing data from the Harmonized CHARLS, which includes 16 287 participants from 28 Chinese provinces, we assessed psychological health via the CES-D10 scale and physical health by chronic disease count. Ordinary least squares evaluated the association between informal caregiving and psychological health, and Zero-inflated Poisson regression examined the relationship with physical health. We also applied propensity score matching and placebo tests to mitigate potential endogeneity. Our findings reveal that informal caregivers have significantly higher CES-D10 scores [b = 0.859, SE = 0.339, P = 0.011, confidence interval (CI) (0.194, 1.525)] and a greater likelihood of chronic diseases [odds ratio (OR) = 1.213, SE = 0.039, P < 0.001, CI (1.117, 1.269)] compared with non-caregivers. The negative health effects are especially pronounced among women, rural hukou holders, and the employed. Our study argues that policies should prioritize the health deterioration of informal caregivers over their cost-effectiveness, particularly among vulnerable groups. It calls for adequate support for informal caregivers, including gender-sensitive subsidies for female caregivers, improved primary healthcare for rural caregivers, and flexible working arrangements for employed caregivers to reduce their burdens.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651194","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