Health Promotion International最新文献_第10页

CPR training as a gender and rights-based healthcare issue. 心肺复苏培训是一个基于性别和权利的医疗保健问题。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-12-01 DOI: 10.1093/heapro/daae156

Rebecca Amalia Szabo, Kirsty Forrest, Peter Morley, Stephanie Barwick, Komal Bajaj, Kellie Britt, Sarah A Yong, Jocelyn Park-Ross, David Story, Jessica Stokes-Parish

{"title":"CPR training as a gender and rights-based healthcare issue.","authors":"Rebecca Amalia Szabo, Kirsty Forrest, Peter Morley, Stephanie Barwick, Komal Bajaj, Kellie Britt, Sarah A Yong, Jocelyn Park-Ross, David Story, Jessica Stokes-Parish","doi":"10.1093/heapro/daae156","DOIUrl":"10.1093/heapro/daae156","url":null,"abstract":"It is not understood how cardiopulmonary resuscitation (CPR) training, specifically the representation of sex in CPR manikins, contributes to inequitable outcomes in cardiac arrest survival. The aim of this study was to identify the sex and chest wall secondary sexual characteristics of CPR manikins on the global market. The secondary aim was to identify if manikin manufacturing companies had a publicly available sustainability policy or equivalent, and if these covered products were manufactured. We conducted an observational descriptive study of the secondary sex characteristics and named sex of CPR training manikins available on the global market, and equity, diversity and inclusion (EDI), human rights and sustainability policies of the companies that manufacture them. Nine CPR manikin manufacturers were identified. Twenty CPR manikins were included for analysis. Of the 20 manikins, 75% were identified as male (n = 8, 40%) or no gender specified (n = 7, 35%) and all these had flat torsos-one had a breast overlay available. One company had a 2020 sustainability report that addressed EDI for the workforce only, and a 2023 report addresses this for products manufactured. Adult CPR manikins available globally are largely homogenous, flat-chested and do not have secondary sex characteristics or a named sex. One company had a sustainability report that referenced workforce only and has since committed to EDI for products manufactured. We urge CPR training providers and manufacturers to collectively promote a rights-based approach to healthcare aligned with the commercial determinants of health by committing to improving the diversity of CPR training manikins.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683609","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

Recognizing the ethical complexity of food policies and the role of the food industry. 认识到食品政策的伦理复杂性和食品工业的作用。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-12-01 DOI: 10.1093/heapro/daae168

Safura Abdool Karim, Miriam Alvarado, Tess Johnson, Anne Barnhill

{"title":"Recognizing the ethical complexity of food policies and the role of the food industry.","authors":"Safura Abdool Karim, Miriam Alvarado, Tess Johnson, Anne Barnhill","doi":"10.1093/heapro/daae168","DOIUrl":"10.1093/heapro/daae168","url":null,"abstract":"Restrictive food policies are often contentious and controversial. Supporters of these policies view them as imperative for achieving public health aims while some opponents view them as overly paternalistic, infringing on consumer choice and potentially inequitable. As a consequence, their ethical status and permissibility are both contested and of importance in decision-making for policy. Traditional ethical analysis of these interventions has examined the ethical implications of the policies according to a direct, linear view of the relationships between government and consumer and the impact of government policy on the consumer. However, this approach to ethical analysis fails to take into account the role of the food industry as the subjects of the policies and intermediaries between government and consumers in the implementation and effectiveness of the policies. The actions of the food industry in response to a policy substantially determine how the policy translates to changes in the food supply and thus, the effect of the policy on consumers. This has significant implications for the ethical status of the policy. As a result, this article calls for complicating the common ethical approach to restrictive food policies by adopting a framing that recognizes the role of the food industry in the implementation of these policies. We then discuss three implications this framing has for ethical analysis: first that ethical analysis must be more nuanced and recognize the potentially complex outcomes of a policy, second that it must be dynamic and ongoing and third that underlying assumptions about policies' effects on choice, effectiveness and equity need to be reconsidered.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741221","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

Practitioners' perspectives on unintended effects of illicit drug use prevention public service announcements in Australia. 澳大利亚从业人员对预防非法药物使用公益广告意外影响的看法。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-12-01 DOI: 10.1093/heapro/daae185

Kirsteen Munro, Svetlana Bogomolova, Lucy Simmonds

{"title":"Practitioners' perspectives on unintended effects of illicit drug use prevention public service announcements in Australia.","authors":"Kirsteen Munro, Svetlana Bogomolova, Lucy Simmonds","doi":"10.1093/heapro/daae185","DOIUrl":"10.1093/heapro/daae185","url":null,"abstract":"Public service announcements (PSAs) or campaigns aimed at preventing harm can inadvertently risk creating additional harms. It remains unclear whether these unintended effects are considered during campaign development, if risk mitigation strategies are implemented, or how professionals involved perceive these issues. It is in the context of illicit drug use prevention PSAs that our research investigates and explores the perspectives of practitioners-health support professionals and advertising campaign designers and creators. Semi-structured expert interviews were conducted to capture and synthesize practitioners' perspectives which were then analysed by applying a framework to address the unintended effects of public health interventions. The results indicated that practitioners from both sectors are aware of unintended harms but place varying levels of importance on different aspects. In the case of illicit drug prevention PSAs, incorporating practitioners' perspectives in campaign development may result in mitigating the risk of potential unintended harmful effects.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830902","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

An assessment of cryptocurrencies as a global commercial determinant of health. 对加密货币作为全球健康商业决定因素的评估。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-12-01 DOI: 10.1093/heapro/daae190

Nathan Davies

{"title":"An assessment of cryptocurrencies as a global commercial determinant of health.","authors":"Nathan Davies","doi":"10.1093/heapro/daae190","DOIUrl":"10.1093/heapro/daae190","url":null,"abstract":"Through the commercial determinants of health framework, gambling has been identified as a powerful threat to health. This research critically examines cryptocurrency, which is promoted and sold as a highly gamblified product. Using the commercial determinants of health framework, the multifaceted ways in which cryptocurrency firm operations may impact health outcomes are highlighted. Political influence is exerted through substantial donations, with high-profile cases illustrating the sector's attempts to sway policy, whilst cryptocurrencies often operate in unregulated markets. Marketing strategies mirror those of traditional harmful industries, deploying immense advertising budgets and celebrity endorsements to promote highly speculative and risky financial products. Cryptocurrency mining, demanding considerable energy consumption, causes significant environmental damage. Financial practices include hundreds of outright frauds targeting low- and middle-income countries. Cryptocurrency investment, with 24/7 access and promises of huge wealth, mirrors gambling and is likely to result in public health harms through the same mechanisms as other forms of gambling. Despite the supposed potential of blockchain technology for improving payment and contract systems, the lack of realization of these benefits contrasts sharply with the immediate and growing costs associated with cryptocurrency speculation. Cryptoassets are a case study for the need for health promotion professionals to critically evaluate new technologies and advocate for regulatory measures to protect public health in the face of novel, high-risk products that overlap gambling and finance.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840378","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

Increasing access to pelvic health education for women in underserved communities: a mixed-methods study. 在服务不足的社区增加妇女盆腔健康教育：一项混合方法研究

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-12-01 DOI: 10.1093/heapro/daae180

Alexis Gillett, LaVona Traywick, Kara LaGorio, Anna Dold

{"title":"Increasing access to pelvic health education for women in underserved communities: a mixed-methods study.","authors":"Alexis Gillett, LaVona Traywick, Kara LaGorio, Anna Dold","doi":"10.1093/heapro/daae180","DOIUrl":"10.1093/heapro/daae180","url":null,"abstract":"It is essential to provide the community with evidenced-based care to optimize healthcare outcomes; more specifically, women in underserved communities with limited access to healthcare services. The purpose of this research was to determine the effectiveness of a single virtual movement-based pelvic health education session on women's pelvic health knowledge, adherence to performing pelvic exercises and confidence in performing the exercises. Forty-two female participants were recruited in Western Arkansas. Participants completed an online pre-session (pre) questionnaire and then received a single virtual education session led by a healthcare provider trained in pelvic health. A post-session (post-1) questionnaire was completed by each participant as well as a 1-month follow-up (post-2) questionnaire. Thirty-five women completed all three questionnaires and pelvic health knowledge, adherence to pelvic floor exercises and confidence in performing pelvic floor exercises were assessed. After the participants completed the post-2 questionnaire, they were invited for a semi-structured interview and 13 women participated. Results of this study suggest pelvic health knowledge increased after a single session of movement-based education, and this was retained 1 month later. Adherence and confidence to perform the exercises did not change; however, learning about pelvic health in a virtual movement-based method was a positive experience and initiated an eagerness to learn more about pelvic health. Pelvic health education can be implemented in a virtual approach to engage women in underserved communities to learn more about pelvic health through a positive experience for an educational baseline to gain healthcare autonomy.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830901","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 determinants of handwashing in humanitarian crisis setting during the COVID-19 pandemic: a multi-country analysis. COVID-19大流行期间人道主义危机背景下洗手的决定因素：一项多国分析

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-12-01 DOI: 10.1093/heapro/daae117

Jenny Lamb, Astrid Hasund Thorseth, Amy MacDougall, William Thorsen, Sian White

{"title":"The determinants of handwashing in humanitarian crisis setting during the COVID-19 pandemic: a multi-country analysis.","authors":"Jenny Lamb, Astrid Hasund Thorseth, Amy MacDougall, William Thorsen, Sian White","doi":"10.1093/heapro/daae117","DOIUrl":"10.1093/heapro/daae117","url":null,"abstract":"The Wash'Em process was developed to improve the design of handwashing behaviour change programmes during outbreaks and humanitarian crises. It aims to rapidly create evidence-based, contextualized handwashing programmes. Wash'Em was widely used during the COVID-19 pandemic. This multi-country secondary data analysis compares data emerging from Wash'Em during the pandemic, to understand whether commonalities in programming constraints or the determinants of handwashing behaviour existed across countries. Wash'Em datasets (n = 38) were verified prior to inclusion in secondary data analysis; descriptively summarized and then statistical summaries of homogeneity were derived. Wash'Em was implemented as intended during the pandemic, typically taking a small number of humanitarian staff less than a week to complete. Most actors reported using the recommendations suggested by the process but did so within relatively short-term and poorly financed prevention programmes. Homogeneity in the responses to the Wash'Em tools was low indicating that the determinants of handwashing behaviour during the pandemic were predominantly shaped by pre-existing factors rather than the nature of the health threat. Hygiene programmes during outbreaks should avoid 'copying and pasting' interventions from one setting to another and instead make time to holistically understand the behavioural determinants in a specific context and develop programme activities that are designed to address these. Particular attention should be given to factors in the physical and social environment that may enable or constrain handwashing behaviour, pre-existing disease vulnerabilities and the secondary and non-health impacts of outbreaks. Wash'Em provides one feasible way of contextualizing handwashing interventions in outbreak or humanitarian settings.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856686","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

'It'll save your lungs': early insights into nicotine pouch use and perceptions among young Australians. 它能拯救你的肺"：对尼古丁袋的使用和澳大利亚年轻人的看法的初步了解。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-12-01 DOI: 10.1093/heapro/daae159

Christina Watts, Bronwyn McGill, Shiho Rose, Amelia Yazidjoglou, Lorena Chapman, Anita Dessaix, Becky Freeman

{"title":"'It'll save your lungs': early insights into nicotine pouch use and perceptions among young Australians.","authors":"Christina Watts, Bronwyn McGill, Shiho Rose, Amelia Yazidjoglou, Lorena Chapman, Anita Dessaix, Becky Freeman","doi":"10.1093/heapro/daae159","DOIUrl":"10.1093/heapro/daae159","url":null,"abstract":"Flavoured oral nicotine pouches, manufactured and marketed by global tobacco companies, such as Philip Morris International (PMI) and British American Tobacco, entered the Australian market in 2024. Despite it being illegal for Australian retailers to sell nicotine pouches, the products have been seized in government enforcement raids of Australian retailers, and have also been promoted to young people by Australian social media influencers. The Australian Federal Government has recognized and expressed concern about the rising profile of nicotine pouches in Australia and the promotion of these products as unproven vaping and smoking cessation aids. Yet to date, there has been no published research on nicotine pouches in Australia. Using focus group and interview data collected in early 2024 as part of Generation Vape, an ongoing Australian national study into adolescent and young adult vaping and smoking, we explored their attitudes to and perceptions of nicotine pouches, including first-hand experiences and drivers of use. The participants perceived an increase in the use and popularity of oral nicotine pouches, including PMI's Zyn brand, for reasons including claimed sport performance enhancement, vaping cessation and as part of partying and clubbing culture. Some participants perceived nicotine pouches to be a 'healthier' alternative to smoking or vaping. It is critical that research on nicotine pouches is collected now to inform public health policy and to prevent the proliferation of a new class of addictive recreational nicotine products in Australia.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683075","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

Commercial influences on patient and public involvement: a renewed call for research and action. 商业对患者和公众参与的影响：再次呼吁研究和行动。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-12-01 DOI: 10.1093/heapro/daae188

Marita Hennessy, Tom Fahey, James Larkin

{"title":"Commercial influences on patient and public involvement: a renewed call for research and action.","authors":"Marita Hennessy, Tom Fahey, James Larkin","doi":"10.1093/heapro/daae188","DOIUrl":"10.1093/heapro/daae188","url":null,"abstract":"Patient and public involvement is increasingly advocated in health policy, research and practice. Patients and people with lived experience, carers and the general public should have a say in how policy is generated, how services are delivered and how research is conducted. Through this perspective article, we hope to stimulate discussion and debate around industry influence in patient and public involvement, specifically pertaining to patient organizations, which often play a key role in patient and public involvement activities. As momentum gathers around patient and public involvement in many countries, it is timely to discuss the nature and extent of commercial influences in such activities, the (un)anticipated consequences of industry-patient interactions, including conflicts of interest and motivated bias, and how we might better manage, or negate, such interactions. Patient and public involvement must be integral to research, policy and practice. While further research is needed to examine the interactions, and consequences of pharmaceutical industry interactions with patients, several practical steps can be taken in the interim. Structures, processes and supports, which are fit for purpose, are needed to ensure independence, power and legitimacy within patient and public involvement activities, and that patient advocates have their voices heard, and ultimately acted upon.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808616","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

Overcoming doubt: developing CDoH Essentials, a practical tool to introduce the commercial determinants of health. 克服疑虑：开发 CDoH Essentials，这是一个介绍健康的商业决定因素的实用工具。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-12-01 DOI: 10.1093/heapro/daae166

Anna Brook, Katherine Körner, May C I van Schalkwyk, Amy Barnes, Mark Petticrew

{"title":"Overcoming doubt: developing CDoH Essentials, a practical tool to introduce the commercial determinants of health.","authors":"Anna Brook, Katherine Körner, May C I van Schalkwyk, Amy Barnes, Mark Petticrew","doi":"10.1093/heapro/daae166","DOIUrl":"10.1093/heapro/daae166","url":null,"abstract":"Despite growing awareness of the importance of commercial determinants of health (CDoH), there has been limited development or evaluation of educational and practice-focused support for public health professionals. This article reports findings from an action-research approach bringing together people with academic and practice expertise (n = 16) to co-create workshop materials (called 'CDoH Essentials'), test and improve them through five trial workshops and explore their effects. Five English local public health teams co-facilitated the workshops in their organizations, with participants from public health teams and their internal partners (n = 94). Quantitative and qualitative data were collected throughout and analysed to understand: (1) whether the workshops met the expectations of participants, public health and academic observers, and (2) the effects of workshop participation on (a) participants' knowledge, understanding and critical CDoH literacy, and (b) subsequent working practices and attitudes. The co-created CDoH Essentials appeared effective in meeting expectations, improving knowledge and critical CDoH literacy and promoting action on CDoH. The proportion of participants reporting 'little' or 'no' CDoH knowledge fell significantly following the workshop (55.4% vs 2.7%). Participants' increased understanding supported reflection on the implications of the CDoH for their roles and for wider strategy and action. After 3 months, all five settings reported greater consideration of CDoH and had initiated or planned action. CDoH Essentials could be used to galvanize more effective public health action to tackle the CDoH in England and trialled in other public health contexts.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11582073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689682","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

Adolescent health literacy: sociodemographic determinants and its relationship with substance use avoidance. 青少年健康素养：社会人口统计学决定因素及其与物质使用避免的关系。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-12-01 DOI: 10.1093/heapro/daae194

Sasha A Fleary, Somya Rastogi, Venya Srivastava

{"title":"Adolescent health literacy: sociodemographic determinants and its relationship with substance use avoidance.","authors":"Sasha A Fleary, Somya Rastogi, Venya Srivastava","doi":"10.1093/heapro/daae194","DOIUrl":"https://doi.org/10.1093/heapro/daae194","url":null,"abstract":"Adolescence is a critical period for health literacy (HL) development and for decision-making regarding substance use behaviors. Little is known about which sociodemographic factors are related to the three major components of HL (i.e. functional, interactive, critical HL) and the extent to which these components of HL moderate the relationship between sociodemographic determinants of substance use avoidance and avoidance for adolescents. This study aimed to identify sociodemographic determinants of functional, interactive, critical and composite HL among adolescents, and to assess HL's role as a determinant and moderator of substance use avoidance. Data were collected from 675 adolescents (mean age = 15.5 years, ~53% girls, ~32% Hispanic/Latine) through Qualtrics survey panels and in school settings. Participants completed surveys on social and demographic factors, HL, and substance use. Binary and multinomial logistic regressions were used to address the study aims. In adjusted analyses, adolescents who were girls, Hispanic/Latine (vs. White), food secure, English proficient, had private communications with health providers, and those without impaired decision-making had higher odds of having high HL. Having higher functional, interactive and composite HL increased the odds of substance use avoidance and moderated the effect of age, with younger adolescents with higher HL (vs. low HL) having greater odds of substance use avoidance. Our findings suggest that HL may act as a protective factor against the initiation of substance use in younger adolescents. Thus, HL may be a good intervention strategy to delay substance use initiation for younger adolescents.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"39 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856684","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