Health Promotion International最新文献

Vietnamese version of the Health Literacy Questionnaire: translation, linguistic validation, and assessment of cross-cultural adaptation. 越南版健康素养问卷：翻译、语言验证和跨文化适应评估。

IF 2.4 4区医学

Health Promotion International Pub Date : 2025-09-03 DOI: 10.1093/heapro/daaf149

An Thao Doan, Pol Van Nguyen, Hien Thi Bich Tran, Chuenjid Kongkaew, Susi Ari Kristina, Dwi Endarti, Shyamkumar Sriram, Trung Quang Vo

{"title":"Vietnamese version of the Health Literacy Questionnaire: translation, linguistic validation, and assessment of cross-cultural adaptation.","authors":"An Thao Doan, Pol Van Nguyen, Hien Thi Bich Tran, Chuenjid Kongkaew, Susi Ari Kristina, Dwi Endarti, Shyamkumar Sriram, Trung Quang Vo","doi":"10.1093/heapro/daaf149","DOIUrl":"10.1093/heapro/daaf149","url":null,"abstract":"Health literacy (HL) is a fundamental factor in raising health awareness and self-management, especially in contexts with increasingly complicated health systems. Its accurate and culturally appropriate measurement is necessary to support effective medical interventions. Accordingly, we translated the Health Literacy Questionnaire (HLQ) into Vietnamese and analysed its psychometric properties on the basis of data derived from respondents who completed the translated instrument. A cross-sectional study was performed with 585 residents (average age = 40.9 (SD = 14.7; youngest = 19 years old, oldest = 81 years old) of Ho Chi Minh City in December 2024. A reliability analysis showed that the Vietnamese HLQ had good reliability (Cronbach's alpha = 0.75 to 0.86). A nine-factor model was constructed using 44 items from the questionnaire, after which it was subjected to confirmatory factor analysis to determine its fit under the assumption that no correlated residuals or cross-loadings exist. The fit indices satisfied the cut-offs [χ2 (weighted least squares mean and variance) (866) = 2545.77, P < 0.001, CFI = 0.931, TLI = 0.924, RMSEA = 0.058, SRMR = 0.053], but the effects are less distinctive with regard to scales 6-9 (e.g. engagement with healthcare providers, understanding of health information). The results provide a solid scientific basis for using the questionnaire in research and practice. Its application is key to improving understanding of and access to community health information.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014445","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 practice of public health coordination in Sweden: roles, responsibilities, and realities. 瑞典公共卫生协调的实践：作用、责任和现实。

IF 2.4 4区医学

Health Promotion International Pub Date : 2025-09-03 DOI: 10.1093/heapro/daaf163

Isa Norvell Gustavsson, Frida Jonsson

{"title":"The practice of public health coordination in Sweden: roles, responsibilities, and realities.","authors":"Isa Norvell Gustavsson, Frida Jonsson","doi":"10.1093/heapro/daaf163","DOIUrl":"10.1093/heapro/daaf163","url":null,"abstract":"In response to increasingly complex and cross-sectoral public health challenges, coordination has emerged as a key strategy for aligning efforts across fragmented systems. However, despite its widespread endorsement, coordination remains conceptually ambiguous and difficult to operationalise in practice. This qualitative study explores how public health coordination is enacted at the local level in Sweden, where municipalities employ public health coordinators to promote population health and reduce inequalities. Semi-structured interviews with 21 public health coordinators across diverse Swedish municipalities were conducted and through an inductive thematic analysis four key themes were developed: driving targeted efforts and holding processes together; connecting activities to policy goals through purposeful planning; creating conditions for collaboration by engaging relevant stakeholders; and building a knowledge support function through acquiring and sharing new knowledge. The findings reveal that coordination is a dynamic and adaptive function requiring strategic thinking, relational skills, and contextual sensitivity. Effective coordination depends not only on individual competencies, such as communicative, diplomatic, and administrative abilities but also on structural conditions, including political mandates, formalised goals, and sufficient time and resources. Coordinators often operate without formal authority, relying on trust and leadership support to navigate complex and shifting responsibilities. The study concludes that coordination is essential for enabling collaboration, sustaining public health efforts, and aligning activities with policy goals. It highlights the need for clearer role definitions, supportive frameworks, and further research into how coordination contributes to long-term public health outcomes across different domains and local contexts.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186499","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

Health literacy strengths and challenges of Australian smokers: a cluster analysis. 澳大利亚吸烟者的健康素养优势和挑战：聚类分析。

IF 2.4 4区医学

Health Promotion International Pub Date : 2025-09-03 DOI: 10.1093/heapro/daaf164

Cheryn Coleman, Satish Melwani, Stuart G Ferguson, Rosie Nash

{"title":"Health literacy strengths and challenges of Australian smokers: a cluster analysis.","authors":"Cheryn Coleman, Satish Melwani, Stuart G Ferguson, Rosie Nash","doi":"10.1093/heapro/daaf164","DOIUrl":"10.1093/heapro/daaf164","url":null,"abstract":"Smoking tobacco continues to be a leading cause of death and disease. This study aimed to provide health literacy profiles which include strengths and challenges of Australian adults who smoke, to identify their needs and inform future smoking interventions. We conducted a cross-sectional survey using the Health Literacy Questionnaire to measure and describe the health literacy profiles. A total of 563 Australian adults who smoke completed the questionnaire. Data were analysed using hierarchical cluster analysis with Ward's method for linkage. Ten clusters were identified as the optimal cluster solution. These clusters had distinct health literacy profiles with diverse needs and demographic characteristics. Most participants self-reported strengths in understanding health information well enough to know what to do, but identified challenges in navigating the healthcare system. This cluster analysis revealed that Australian adults who smoke have varying health literacy competencies and needs. These findings can be used to educate stakeholders and to inform tailored interventions to support people who smoke to quit smoking.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12480200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193496","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

From policy to plate: stakeholder perspectives on nutrition policy in Australian early childhood education environments. 从政策到餐盘：利益相关者对澳大利亚幼儿教育环境中营养政策的看法。

IF 2.4 4区医学

Health Promotion International Pub Date : 2025-09-03 DOI: 10.1093/heapro/daaf165

Anna Aristova, Alison C Spence, Christopher Irwin, Penelope Love

{"title":"From policy to plate: stakeholder perspectives on nutrition policy in Australian early childhood education environments.","authors":"Anna Aristova, Alison C Spence, Christopher Irwin, Penelope Love","doi":"10.1093/heapro/daaf165","DOIUrl":"10.1093/heapro/daaf165","url":null,"abstract":"Early childhood education and care (ECEC) settings are pivotal in shaping children's dietary behaviours. While the importance of centre-based nutrition policies (CBNPs) in shaping early childhood nutrition environments is well established, little is known about how these policies are interpreted and implemented by those working in the sector. In particular, limited research has explored the perspectives of both service-level (ECEC employees) and agency-level (health/government organization) stakeholders, which are two groups central to supporting and enacting these policies in practice. This study used a qualitative exploratory design to understand stakeholder experiences and perspectives regarding the implementation of CBNPs and the broader challenges in fostering supportive ECEC nutrition environments. Semi-structured Zoom interviews were conducted with 9 ECEC employees and 10 agency-level representatives across 8 Australian jurisdictions. Interview data were analysed using reflexive thematic analysis. Three overarching themes were identified, reflecting how stakeholders understood the importance of CBNPs and what factors they believed were necessary for successful implementation: (i) the need for realistic rather than idealistic policy requirements, (ii) adaptation as a prerequisite for implementation, and (iii) the value of a multi-faceted approach in creating optimal nutrition environments. Findings point to the need for a multi-faceted approach that combines adaptable guidelines with targeted, practical support such as training and resources, tailored to the realities of ECEC settings. Strengthening partnerships between policymakers, educators, families, and health professionals is critical to supporting the sector and developing feasible strategies that enhance CBNP implementation and promote healthy eating among young children.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214412","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

Beliefs that explain mental health help-seeking intention among older men: a reasoned action approach. 解释老年男性心理健康求助意向的信念：理性行动方法。

IF 2.4 4区医学

Health Promotion International Pub Date : 2025-09-03 DOI: 10.1093/heapro/daaf170

Grant Duthie, Hao Xu, Amy Morgan, Nicola Reavley

{"title":"Beliefs that explain mental health help-seeking intention among older men: a reasoned action approach.","authors":"Grant Duthie, Hao Xu, Amy Morgan, Nicola Reavley","doi":"10.1093/heapro/daaf170","DOIUrl":"10.1093/heapro/daaf170","url":null,"abstract":"Older men seek help for mental health concerns at almost half the rate of older females. Efforts to motivate older men to seek help through health promotion messaging are an important public health initiative that can complement healthcare system changes. Guided by the reasoned action approach, this study aimed to identify the most salient beliefs that shape help-seeking intention among older men by region (i.e. city or rural area) to primarily inform campaign messaging and improve mental health help-seeking among older men. A mixed-methods enquiry was conducted across two samples of older men, comprising open-ended belief elicitation interviews (N1 = 23, M1 age = 74.91) and an online closed-question survey (N2 = 306 participants, M2 age = 75.28). Interviews identified 52 behavioural, normative, and control beliefs. Survey results showed salient beliefs influencing help-seeking intention (range β = 0.42 to β = 0.44), including encouragement from others, gaining new solutions, improved self-understanding, and being listened to and supported when seeking help, representing suitable messaging design candidates. The influence of salient beliefs on intention did not differ by region. The results suggest that health promotion efforts grounded in reasoned action approaches can support the development of tailored interventions to promote help-seeking for poor mental health. However, research is needed to evaluate how to effectively translate salient beliefs into carefully framed mental health messages, aligned with broader healthcare system-level reforms to promote help-seeking among older men.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12497511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234143","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 big is the medical writing industry? Why it matters. 医学写作行业有多大？为什么这很重要。

IF 2.4 4区医学

Health Promotion International Pub Date : 2025-09-03 DOI: 10.1093/heapro/daaf146

Maud Bernisson, Sergio Sismondo

{"title":"How big is the medical writing industry? Why it matters.","authors":"Maud Bernisson, Sergio Sismondo","doi":"10.1093/heapro/daaf146","DOIUrl":"10.1093/heapro/daaf146","url":null,"abstract":"Medical writing is a key element in pharmaceutical companies' efforts to shape the relevant medical science literature. As part of what is called 'publication planning', medical writing can influence the knowledge base on which prescribers make decisions, and can build specific claims in targeted sales efforts. Most publication planning is done by hired medical education and communication companies (MECCs), with the rest done by other commercial entities, such as units of pharmaceutical companies or of contract research organizations, that provide essentially the same services as MECCs. Here we provide an estimate of the number of MECCs and comparable entities contributing to the medical science literature in English. To identify these companies, we collected data from Web of Science (858 named firms from 20 498 papers mentioning medical writing assistance), LinkedIn (410 company profiles), and Google and DuckDuckGo (68 company websites). After removing duplicates and false positives, we found 1148 MECCs and other comparable entities providing medical writing services. More than 50% of Web of Science papers that acknowledged medical writing support are sponsored by only ten pharmaceutical companies. Most of the remaining papers in our database are sponsored by other pharmaceutical, device, and biotechnology companies. This study likely undercounts MECCs, because it depends on some level of transparency in publications or other leakage of information. Our combining multiple sources for the data should limit the undercount of MECCs. The study does not identify MECCs that work exclusively in languages other than English.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001893","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

Best practice indicators in workplace mental health promotion: development and expert validation. 促进工作场所心理健康的最佳做法指标：发展和专家验证。

IF 2.4 4区医学

Health Promotion International Pub Date : 2025-09-03 DOI: 10.1093/heapro/daaf147

Carlos Montes, Artur Hernández, Carlos Dopico-Casal

{"title":"Best practice indicators in workplace mental health promotion: development and expert validation.","authors":"Carlos Montes, Artur Hernández, Carlos Dopico-Casal","doi":"10.1093/heapro/daaf147","DOIUrl":"10.1093/heapro/daaf147","url":null,"abstract":"Most of our waking hours are spent in the workplace, where mental health significantly impacts workers' quality of life and overall well-being. Mental health can have both positive and negative consequences not only on the working population but also on organizations and society as a whole. In this context, best practices in Workplace Mental Health Promotion (WMHP) are essential for guiding initiatives aimed at fostering mental health in occupational settings. The main objective of this study was to develop and validate best-practice indicators for WMHP. For this purpose, a qualitative empirical design was employed. Drawing on a review of the WMHP literature, a list of potential indicators was generated and subsequently submitted to an expert panel for evaluation. The reliability of the expert judgments was assessed using the intraclass correlation coefficient (ICC). Content validity was evaluated through the content validity ratio (CVR) and the modified kappa statistic (K*). As a result, 27 validated, evidence-based indicators were obtained, which showed consistency with findings from previous research. These results have important theoretical and practical implications and can inform future research as well as guide practitioners and organizations in the implementation of WMHP practices.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092896","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

Tobacco and nicotine population health planning for Aboriginal and Torres Strait Islander population growth. 土著和托雷斯海峡岛民人口增长的烟草和尼古丁人口健康规划。

IF 2.4 4区医学

Health Promotion International Pub Date : 2025-09-03 DOI: 10.1093/heapro/daaf158

Rohan M Telford, Raymond Lovett, Christina Heris, Lisa J Whop, Michelle Kennedy, Catherine Chamberlain, Raglan Maddox

{"title":"Tobacco and nicotine population health planning for Aboriginal and Torres Strait Islander population growth.","authors":"Rohan M Telford, Raymond Lovett, Christina Heris, Lisa J Whop, Michelle Kennedy, Catherine Chamberlain, Raglan Maddox","doi":"10.1093/heapro/daaf158","DOIUrl":"10.1093/heapro/daaf158","url":null,"abstract":"Aboriginal and Torres Strait Islander population growth has important implications for tobacco and nicotine health planning. Using the Australian Bureau of Statistics (ABS) DataLab, we examined weighted estimates of the absolute number of Aboriginal and Torres Strait Islander peoples aged 18 years and over, drawing on the 2012-13 and 2018-19 National Aboriginal and Torres Strait Islander Health Surveys. We compared the absolute number of people who currently smoke, stratified by age, state/territory, and sex. There was a 2.5 percentage point decline in smoking prevalence over this period, but the estimated number of Aboriginal and Torres Strait Islander adults who smoke increased by ∼43 000, reaching 211 000 (95% confidence interval: 199 746-221 616) in 2018. This growth is largely attributable to population increases driven by higher birth rates. Absolute increases in both the number of people who smoked and those who did not smoke varied by age group, jurisdiction, and geography, with the largest increases observed among those aged 55-64 years and in areas experiencing the most rapid population growth. These findings highlight the need for programs, policies, and health services-including tobacco and nicotine resistance measures-to be adequately resourced and responsive to changing Aboriginal and Torres Strait Islander population dynamics. While progress is being made in reducing smoking prevalence, the expanding population means that the total number of people impacted by commerical tobacco remains high. This highlights the need for sustained future-focused planning and investment to eradicate tobacco-related death and disease.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12483546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202127","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

Health promotion in the algorithmic age: recognizing the information environment as a determinant of health. 算法时代的健康促进：认识到信息环境是健康的决定因素。

IF 2.4 4区医学

Health Promotion International Pub Date : 2025-09-03 DOI: 10.1093/heapro/daaf166

Tina D Purnat, Elisabeth Wilhelm, Becky K White, Orkan Okan, Rafaela Rosario, David Scales

引用次数: 0

Towards a digital planetary health perspective: generative AI and the digital determinants of health. 迈向数字地球健康前景：生成式人工智能和健康的数字决定因素。

IF 2.4 4区医学

Health Promotion International Pub Date : 2025-09-03 DOI: 10.1093/heapro/daaf153

Deborah Lupton

{"title":"Towards a digital planetary health perspective: generative AI and the digital determinants of health.","authors":"Deborah Lupton","doi":"10.1093/heapro/daaf153","DOIUrl":"10.1093/heapro/daaf153","url":null,"abstract":"The digital determinants of health have recently attracted attention in the medical and public health literature, but the environmental aspects of these determinants have rarely been considered. This Perspectives article calls for applying a planetary health lens to the digital determinants of health, with a focus on the impacts of novel generative AI technologies on the natural world. The argument is founded on the principle that human and planetary health are intertwined and that digital technologies such as generative AI affect the health of both humans and the other living things in ecosystems. The article discusses proposals of how generative AI tools can contribute to action on the climate, loss of biodiversity and pollution crises but also highlights how the expansion of generative AI infrastructure and operation has exacerbated the problems of e-waste, greenhouse gas emissions and major burdens on energy and water resources. It is argued that for progress to be made in improving human and planetary health, those working in health promotion and other public health domains must acknowledge that human and planetary health are interdependent, so that we can refer to the 'digital determinants of human and planetary health'. The article highlights this interdependence and the importance of fighting for multispecies justice and the rights of nature to promote the mutual flourishing of humans and the natural world. Actions are proposed that can be taken at the organization and community level to make visible and counter the impacts of generative AI on human and planetary health.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151897","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