Health Promotion International最新文献

{"title":"'Just normal', 'calming' and 'well looked after': a qualitative exploration of adolescents' constructions of active mobility and place in Australia.","authors":"Himashini Whitley, Shannon Sahlqvist, Octavia Calder-Dawe, Anna Timperio, Jenny Veitch","doi":"10.1093/heapro/daaf155","DOIUrl":"10.1093/heapro/daaf155","url":null,"abstract":"<p><p>The active mobility experiences of adolescents intersect with those of younger children and older youth in many ways. However, existing research informing health promotion is limited in its exploration of the distinct features that differentiate adolescent active mobilities and the differences within adolescence. Drawing on interviews and audio-recorded walking tours with 12 adolescents aged between 12 and 15 from urban areas of Australia, this paper examines adolescents' constructions of active mobility and place in their local areas. We adopted a constructionist epistemological approach and conducted a reflexive thematic analysis of adolescents' accounts. Our analysis suggests that adolescents construct mobility as an everyday, utilitarian practice, and understand clean, well-maintained places to constitute a 'good' neighbourhood. Unlike younger children, our analysis illustrates how urban risk was also constructed as an everyday aspect of mobility that adolescents could navigate with little effort. Mobility as offering connection (both socially and to self) was also a key theme generated by our analysis as a potentially distinct aspect of local active mobilities during the adolescencent years. Based on this, we recommend further critical enquiry into opportunities for enhancing connection in mobility among adolescents from diverse population groups.</p>","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/PMC12477423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187566","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}

{"title":"Correction to: Peer-led public service announcement creation workshops for adolescent sexual and reproductive health education in Kenya.","authors":"","doi":"10.1093/heapro/daaf172","DOIUrl":"https://doi.org/10.1093/heapro/daaf172","url":null,"abstract":"","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":"145259794","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}

{"title":"Understanding how leadership experience affects the educational attainment, employability, and wholistic wellness of Indigenous youth in Canada: a qualitative study.","authors":"Keatton Tiernan, Genevieve Montemurro, Leah J Ferguson, Tara-Leigh McHugh, Kate Storey","doi":"10.1093/heapro/daaf156","DOIUrl":"10.1093/heapro/daaf156","url":null,"abstract":"<p><p>The Indigenous Youth Mentorship Program (IYMP) is a youth-centred, community-based programme that fosters wholistic wellness and mino-pimâtisiwin ('the good life' in Cree) within Indigenous communities across Canada. IYMP uses a communal mentorship model, where Indigenous high school students, supported by programme leaders, facilitate healthy living activities for elementary-aged peers. This culturally grounded setting promotes leadership development, life skills, and community engagement. While youth leadership experience is known to influence education, employment and wellness, the culturally specific impact of IYMP on youth mentors remains underexplored. This study aimed to amplify youth voices to understand youth mentors' perspectives on how leadership experience, through IYMP, impacts their education, employment, and wholistic wellness. Focused ethnography was used as the guiding method. IYMP youth mentors (aged 14-19) were purposively recruited. Talking circles were the primary data generation tool, with 21 participants across three circles (n  = 5, n = 10, n = 6). Sessions were held in person, audio-recorded, and transcribed. Unstructured participant observations, documented as field notes, were used to supplement and contextualize the data. Thematic analysis was used to identify patterns within the data. Participants reported that leadership experiences enhanced their confidence and communication skills, which made school more enjoyable, improved employability, and impacted their wholistic wellness through healthy behaviours and strong social networks. Earning high school course credits through IYMP was a key motivator, making leadership more accessible and supporting high school completion. IYMP strengthens youth mentors' educational attainment, employability, and wellness by weaving together leadership experiences with the development of communication skills and confidence.</p>","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/PMC12463473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151927","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}

{"title":"Bridging knowledge and practice: Adolescent sexual reproductive health in Northern Vietnam's mountainous ethnic communities.","authors":"Huyen Thi Hoa Nguyen, Anh Phuong Hoang, Giang Huong Nguyen, Tran Ngoc Tran, Ngan Thi Thuy Nguyen, Quyen Thu Do, Anh Chau Nguyen, An Nguyen","doi":"10.1093/heapro/daaf157","DOIUrl":"10.1093/heapro/daaf157","url":null,"abstract":"<p><p>This study examines adolescent sexual and reproductive health (ASRH) awareness, confidence, and lived experience in a mountainous area of Northern Vietnam, focusing on the impact of cultural factors and local norms. A qualitative study using semistructured interviews and focus group discussions with adolescents aged 12-18 from ethnic minority groups in two communes of Thuan Chau district and four wards of Son La city. The interviews explored their knowledge and confidence in practicing ASRH, perceptions of ASRH services, and barriers to accessing care. Data were analyzed thematically to identify key trends in ASRH awareness and behaviors. The findings reveal a critical gap between knowledge and action: although many participants knew where to access contraceptives, they lacked the confidence to use them, driven by fear of judgment from family, peers, and healthcare providers. This gap is widened by deeply ingrained cultural norms, including traditional gender roles and expectations of early childbearing, which severely limit the decision-making autonomy of adolescents, particularly girls from ethnic minority communities. Addressing ASRH challenges in this context requires interventions that move beyond simple information dissemination. Efforts must focus on building adolescent confidence by developing youth-friendly, confidential ASRH services and implementing community-level interventions aimed at transforming the restrictive cultural beliefs and social stigma that hinder safe ASRH practices.</p>","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/PMC12504856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245781","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}

{"title":"The impact of a gender transformative school-based suicide prevention workshop in Australia: adolescent boys' perspectives.","authors":"Dana Meads, Katherine A Lawrence, Glenn Melvin, Anna Clark, Patty Chondros, Kylie King","doi":"10.1093/heapro/daaf160","DOIUrl":"10.1093/heapro/daaf160","url":null,"abstract":"<p><p>Elevated suicide rates among adolescent boys in Australia reflect a critical need to address restrictive masculine norms that hinder help-seeking. Tomorrow Man's 'Breaking the Man Code' workshop-a school-based gender transformative programme-aims to increase authentic self-expression and meaningful dialogue among adolescent boys. Evidence of the impacts of gender transformative programmes is limited. Within a cluster randomized trial, 183 boys (Years 10 upwards) from 11 Australian schools completed open-ended survey questions about their experiences of the 'Breaking the Man Code' workshop and its perceived impact on help-seeking with friends and family. Data were analysed using reflexive thematic analysis. Three themes were developed: (i) the workshop normalized struggle and strengthened connection, creating a safe space for self-expression and peer connection; (ii) defining the 'man code' postworkshop: many participants expressed desires for increased self-expression and to support others; and (iii) talking openly with friends and family postworkshop. Greater relational impacts were described with friends, including increased compassion, trust, connection, and use of active listening skills. Perspectives within themes varied: while many discussed positive attitudinal and behavioural change, others reported no changes. The lack of reported change was largely attributed to pre-existing open communication practices; others gave no explanation; some noted difficulties implementing changes. Future research should further explore varied impacts among diverse boys. Analysis suggests that many adolescent boys in this sample desired and perceived that they could shift towards a positive masculinity characterized by deeper social connections, providing examples of this change within their relationships with friends and family postworkshop.</p>","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/PMC12477532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187611","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}

{"title":"Healthcare providers' experiences of promoting health literacy in migrant women after pregnancy: a qualitative study.","authors":"Marie Jubran Leksell, Ulrika Müssener, Kajsa André, Pontus Henriksson, Josefin Wångdahl","doi":"10.1093/heapro/daaf162","DOIUrl":"10.1093/heapro/daaf162","url":null,"abstract":"<p><p>Low health literacy is linked to poorer health outcomes, higher mortality, and reduced quality of life. Forced migrant women may face disrupted health literacy upon arrival, leading to decreased healthcare seeking and delayed maternity care. As migrant reproductive health is a key public health priority, it is vital to understand how to effectively deliver postnatal health information. The aim of this study was to explore healthcare providers' experiences of providing health information after pregnancy to women who have migrated to Sweden. A qualitative interview study was conducted, in which purposive sampling was used to recruit twenty healthcare professionals with a variety of occupational backgrounds and expertise. Inclusion criteria included having experience working with migrant women who had given birth. Data were analyzed using reflexive thematic analysis. Three main themes were identified in the study. These include building trust and confidence at the organizational level, providing health information in native languages through various settings, and adapting information to the varied needs and circumstances of the target group. Migrant women's health literacy can be improved by fostering trust through continuous, culturally sensitive care that spans pregnancy and the postnatal period. Healthcare providers emphasized the need for personalized support and communication tailored to language, culture, and understanding. Organizational support such as interprofessional collaboration, continuity of care, and use of community-based resources was seen as essential. Providing information in native languages was identified as a key strategy for making health information accessible and actionable.</p>","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/PMC12492001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214379","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}

{"title":"\"It's all about the money.\" Australian women's perspectives about menopause and the commercial determinants of health.","authors":"Katrina Wood, Simone McCarthy, Hannah Pitt, Melanie Randle, Grace Arnot, Samantha Thomas","doi":"10.1093/heapro/daaf168","DOIUrl":"10.1093/heapro/daaf168","url":null,"abstract":"<p><p>With increased public attention on menopause, researchers have started to investigate the surge of commercial products and services which claim to provide solutions for menopausal symptoms. Few studies have explored the views of women about the commercial determinants of menopause. Using an online qualitative survey, this study sought insights from n = 509 Australian women aged 45-64 years about the factors that might influence the use of products and services for menopause, the risks associated with the increased promotion of commercial solutions for menopause, and the role of the pharmaceutical industry in sponsoring menopause-related women's health events. Three themes were constructed using a reflexive approach to thematic analysis. First, women perceived that commercial actors sought to exploit women's concerns to stimulate product demand through catastrophizing menopause, appearing to listen to experiences, and capitalizing on worries about ageing. Second, they stated that marketing, access, and perceived affordability of products and services intersected with lived experiences of menopause to amplify women's vulnerability to commercial tactics. Third, there were mixed views about the roles of the pharmaceutical industry in sponsoring women's health events. These ranged from significant scepticism about the motives of the pharmaceutical industry, to support for initiatives that helped increase information and awareness. This study highlights the risks associated with commercial practices related to menopause. It shows that women themselves are concerned about the exploitation of women's health for profit. It emphasizes the need for increased critical focus on the role of commercial determinants in shaping women's understandings and experiences of menopause.</p>","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/PMC12498948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234189","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}

{"title":"Scalability and scaling-up strategy of a physical activity policy intervention in Australian childcare centres.","authors":"Hayley Christian, Matthew Mclaughlin, Andrea Nathan, Emma Adams, Adrian Bauman, Patti-Jean Naylor, Trevor Shilton, Carol Maher, Stewart G Trost, Jasper Schipperijn","doi":"10.1093/heapro/daaf145","DOIUrl":"10.1093/heapro/daaf145","url":null,"abstract":"<p><p>There is an urgent need for scalable interventions to promote physical activity in early childhood. An early childhood education and care (ECEC) physical activity policy intervention with implementation support strategies (Play Active) has been proposed for scale-up in Australia. This study sought to assess the scalability of Play Active and describe the Play Active scaling-up strategy. The Intervention Scalability Assessment Tool was used to assess scalability. The PRACTical planning for Implementation and Scale-up (PRACTIS) guided the scaling-up strategy and involved: (i) characterizing the implementation setting; (ii) identifying existing/new partnerships; (iii) identifying barriers and facilitators to implementation; (iv) addressing barriers through adaptations. The Play Active scalability assessment domains with the highest scores (>2.5/3) were for the problem, intervention, reach and acceptability. Four additional domains scored highly (>2/3): fidelity and adaptation, delivery settings and workforce, implementation infrastructure, and strategic/political context. The lowest scores (<2/3) were the evidence of effectiveness, intervention costs and benefits, and sustainability domains. The PRACTIS guide showed that the implementation setting and existing and new partnerships were appropriate for scaling-up Play Active. The PRACTIS guide also identified key barriers (e.g. staff time) and enablers (e.g. staff professional development) to implementation at scale. Adaptations were identified to address these barriers (e.g. intervention delivery via a customised website). Overall, the scalability assessment revealed gaps in some scalability domains to be addressed through further research and adaptation of Play Active. The proposed scale-up trial evaluation is crucial to support decision-makers to fund, scale and institutionalize Play Active in the real world.</p>","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/PMC12404913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978579","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}

{"title":"Associations of health literacy, diet literacy with disability as mediated by diet quality.","authors":"Tu T Tran, Tuan V Tran, Nguyet T M Nguyen, Hong T U Mon, Quyen T Le, Dung T Nguyen, Sinh P Nguyen, Lan T P Nguyen, Giang T Nguyen, Nga H Dang, Huyen T Bui, Tuyen V Duong","doi":"10.1093/heapro/daaf150","DOIUrl":"https://doi.org/10.1093/heapro/daaf150","url":null,"abstract":"<p><p>We examined the association of health literacy (HL), digital healthy diet literacy (DDL), and diet quality on disability, and investigated the mediating effect of diet quality on the associations of HL and DDL with disability among community-dwelling elderly individuals. A cross-sectional study was conducted on 839 participants, aged 60-85 years, from January 2023 to April 2024. Data collection includes HL (using the 12-item short form HL questionnaire), DDL (using the 4-item DDL scale), disability (using the 12-item World Health Organization Disability Assessment Schedule II). A higher HL score indicates greater health literacy, and a lower disability score indicates less disability. Diet quality was assessed using the 11-item Dietary Approaches to Stop Hypertension Quality (DASH-Q) questionnaire. Linear regression models and mediation analysis were used to examine the associations. Higher scores of HL (regression coefficient, B = -0.23; P < .001), DDL (B = -0.08; P < .001), and DASH-Q (B = -0.16; P < .001) were associated with lower disability scores. Importantly, diet quality significantly mediated the associations of HL (indirect effect: B = -0.03; P < .001)) and DDL (indirect effect: B = -0.03; P < .001) with disability. In conclusion, HL, DDL, and diet quality were associated with lowering disability. The mediating effect of diet quality between HL and DDL with disability were identified. These factors should be integrated into strategic interventions to well-being in the elderly in the community.</p>","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":"145132755","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}

{"title":"A co-designed feasibility study to understand the impact of an emergency homelessness housing intervention in Ireland.","authors":"Kate Frazer, Andrew Darley, Nancy Bhardwaj, Christopher Duffy, Oonagh Doyle, Thilo Kroll","doi":"10.1093/heapro/daaf148","DOIUrl":"10.1093/heapro/daaf148","url":null,"abstract":"<p><p>Homelessness is a global challenge that impacts many population groups, including adults, families, and children. People become homeless for various reasons, and international data underestimates the prevalence of homelessness. The impact of homelessness on health and wellbeing is well described, including reduced life expectancy and significant morbidity. A lack of housing stock, increased waiting lists, and provision of temporary and emergency accommodation exist globally, with inconsistencies in approach and provision. Limited data are reported on the impact of the living conditions on health and wellbeing for people experiencing homelessness. This feasibility study was co-designed with one charitable partner organization that sought to understand the impact of providing a lower-density accommodation unit at the individual and service levels. The intention was to provide evidence of the impact to enable further funding and development. This paper reports on qualitative interviews with previous residents, service providers, and local key informants to understand the impact and experience of this type of accommodation unit. A workshop was subsequently facilitated to review the data and co-develop recommendations for practice. Ethical approval was provided (2023), and data collection was completed (October 2023 to February 2024). Thematic data analysis of interviews was completed, and four themes were reported: 'Sense of Home Environment', 'Empowerment to Independent Living', 'Building New Identities', and 'Future Planning'. Nine recommendations support the development of service planning and delivery. This study, which assessed the feasibility of a type of accommodation, demonstrates the strengths of using engaged research methods.</p>","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/PMC12449140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092611","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}