Daniel Cavanagh, Anthony Jorm, Nicola Reavley, Shawnee Basden, Laura M Hart
{"title":"Mental health literacy of adolescents in Bermuda, according to age, gender and race.","authors":"Daniel Cavanagh, Anthony Jorm, Nicola Reavley, Shawnee Basden, Laura M Hart","doi":"10.1093/heapro/daae131","DOIUrl":"10.1093/heapro/daae131","url":null,"abstract":"<p><p>Mental health literacy (MHL) is an important part of the help-seeking process, yet there is a lack of knowledge about the MHL of adolescents in the Caribbean. This region is important to study as it is underrepresented in mental health research globally. The aim of this study is to explore the ability of adolescents in Bermuda to recognize depression and social phobia (social anxiety) and their beliefs about the sources of help for a peer with these mental health problems. This cross-sectional study surveyed middle and high school students aged 10-19 years in Bermuda. Online surveys conducted between November 2022 and June 2023 gathered demographic data including age, gender and race, and assessed the ability to recognize depression and social anxiety from descriptions provided in randomly assigned vignettes, and beliefs about sources of help. Across 15 middle and high schools, 2423 adolescents (out of 3593 eligible participants) completed all demographic and MHL survey questions (1139 males, 1272 females). Recognition rates for depression and social anxiety were 60% and 53%, respectively. Compared to females, males endorsed a greater variety of help sources. Reporting symptoms of depression or anxiety reduced the likelihood of endorsing multiple sources of help. MHL of adolescents in Bermuda is sub-optimal, particularly for social anxiety. Mental health promotion programs may be useful in improving recognition rates.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11471998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480681","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}
Melanie Crane, Karen Lee, Luke Wolfenden, Philayrath Phongsavan, Adrian Bauman
{"title":"Real-world public health interventions demonstrate how research evidence informs program scale-up.","authors":"Melanie Crane, Karen Lee, Luke Wolfenden, Philayrath Phongsavan, Adrian Bauman","doi":"10.1093/heapro/daae111","DOIUrl":"10.1093/heapro/daae111","url":null,"abstract":"<p><p>Evidence-based population interventions rely on intervention testing (efficacy and effectiveness trials) to determine what works to improve public health. We investigated the characteristics of real-world public health interventions to address obesity and explored the extent to which research testing was undertaken prior to scale-up. We identified 90 population health interventions targeting physical activity, nutrition or obesity-related health behaviours and collected publicly available information on their key characteristics and outcomes. We then assessed the differences between interventions that followed a research pathway and those that did not. Two-thirds (n = 60) of the interventions were reported as having followed a research pathway. Univariate logistic regression analysis revealed that these interventions were more likely to be health education interventions [odds ratio (OR): 5.56; 95% confidence interval (CI): 1.38-22.38], developed by research institutes (OR: 12.81; 95% CI: 3.47-47.34), delivered in North America (OR: 4.13; 95% CI: 1.61-10.62), and less likely to be owned (OR: 0.35; 95% CI: 0.14-0.88) or funded by government organizations (OR: 0.37; 95% CI: 0.14-0.95). Interventions that followed a research pathway were nearly three times more likely to have a positive impact on population health (OR: 2.72; 95% CI: 1.04-7.14). Interventions that followed a research pathway to scale-up were no more likely to be sustained longer than those that did not. Differences exist across real-world interventions between those that follow a research pathway to population-scale delivery and those that do not, regarding organizational and environmental context. A key benefit of research pathway to scale-up is the impact it has on health outcomes.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11419317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309140","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}
Elise Rivera, Lauren Arundell, Kate Parker, Jenny Veitch, Jo Salmon, Nicola D Ridgers, Anna Timperio, Shannon L Sahlqvist, Venurs H Y Loh
{"title":"Influence of park visitation on physical activity, well-being and social connectedness among Australians during COVID-19.","authors":"Elise Rivera, Lauren Arundell, Kate Parker, Jenny Veitch, Jo Salmon, Nicola D Ridgers, Anna Timperio, Shannon L Sahlqvist, Venurs H Y Loh","doi":"10.1093/heapro/daae137","DOIUrl":"10.1093/heapro/daae137","url":null,"abstract":"<p><p>This cross-sectional study examined associations of park visitation with physical activity (PA), well-being, and social connectedness among 1089 participants during the coronavirus disease 2019 pandemic. In August 2020, adolescents and adults in Australia self-reported demographics, usual park visitation, frequency and duration of park visits, PA, well-being and social connectedness. Multilevel linear regression models examined associations of park visitation with well-being and social connectedness. Multilevel mixed-effects negative binomial regression models examined associations between visitation and PA. Compared to not visiting a park, visitation was positively associated with well-being (B = 3.92, 95% confidence interval [CI] = 1.24, 6.60) and days/week performing PA for 30 min (B = 1.24, 95% CI = 1.11, 1.39) per day and negatively associated with social connectedness (B = -3.75, 95% CI = -7.11, -0.39). Compared to visiting a park less than once/week, visiting once/week was positively associated with well-being (B = 3.90, 95% CI = 0.53, 7.21). Visiting more than once/week was positively associated with days/week performing PA for 30 min (B = 1.37, 95% CI = 1.21, 1.58) and 60 min (B = 1.34, 95% CI = 1.09, 1.64) per day and with well-being (B = 4.19, 95% CI = 0.90, 7.49). Duration of park visits was positively associated with days/week performing PA for 30 min (B = 1.09, 95% CI = 1.04, 1.13) and 60 min (B = 1.09, 95% CI = 1.02, 1.17) per day. Our findings highlight the role of parks in positively influencing health-related outcomes and the 'dosage' of park use needed to attain health benefits.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11495220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512928","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}
Madson Alan Maximiano-Barreto, Ludmyla Caroline de Souza Alves, Diana Quirino Monteiro, Marisa Matias, Jed Montayre, Bruna Moretti Luchesi
{"title":"Factors associated with low health literacy in unpaid caregivers of older people: a systematic review","authors":"Madson Alan Maximiano-Barreto, Ludmyla Caroline de Souza Alves, Diana Quirino Monteiro, Marisa Matias, Jed Montayre, Bruna Moretti Luchesi","doi":"10.1093/heapro/daae118","DOIUrl":"https://doi.org/10.1093/heapro/daae118","url":null,"abstract":"Health literacy is a public health issue. Unpaid caregivers of older people with low health literacy may have difficulties providing care, exerting a negative impact on the care process. The aim of the present study was to perform a systematic review of the literature on factors associated with low health literacy in unpaid caregivers of older people. Searches for relevant articles were conducted in the Cochrane Library, Embase, LILACS, PubMed and Web of Science databases. A total of 1440 articles were identified, nine of which met the eligibility criteria and were included in the systematic review, which was registered in PROSPERO (CRD42024522986). A total of 2209 unpaid caregivers participated in the studies selected for this review. Most were women (67.2%). The average frequency of inadequate health literacy was 27.1%. Sociodemographic characteristics (i.e. advanced age, low educational level, the female sex), factors related to the care process (i.e. low acculturation, low empowerment, poor ability to read medication package inserts, lower care capacity, greater disease severity, hospitalization of care recipients), cognitive factors and factors related to quality of life/well-being (i.e. less social support, poorer quality of life, greater cognitive impairment, higher levels of burden) were associated with low health literacy. In conclusion, low health literacy in unpaid caregivers of older people is associated with sociodemographic, care-related and cognitive factors as well as factors related to quality of life/well-being. Low health literacy may exert a negative impact on the health of caregivers and, consequently, the quality of care provided to older people.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adelakun Odunyemi, Md Tauhidul Islam, Khurshid Alam
{"title":"The financial burden of noncommunicable diseases from out-of-pocket expenditure in sub-Saharan Africa: a scoping review","authors":"Adelakun Odunyemi, Md Tauhidul Islam, Khurshid Alam","doi":"10.1093/heapro/daae114","DOIUrl":"https://doi.org/10.1093/heapro/daae114","url":null,"abstract":"The growing financial burden of noncommunicable diseases (NCDs) in sub-Saharan Africa (SSA) hinders the attainment of the sustainable development goals. However, there has been no updated synthesis of evidence in this regard. Therefore, our study summarizes the current evidence in the literature and identifies the gaps. We systematically search relevant databases (PubMed, Scopus, ProQuest) between 2015 and 2023, focusing on empirical studies on NCDs and their financial burden indicators, namely, catastrophic health expenditure (CHE), impoverishment, coping strategies, crowding-out effects and unmet needs for financial reasons (UNFRs) in SSA. We examined the distribution of the indicators, their magnitudes, methodological approaches and the depth of analysis. The 71 included studies mostly came from single-country (n = 64), facility-based (n = 52) research in low-income (n = 22), lower-middle-income (n = 47) and upper-middle-income (n = 10) countries in SSA. Approximately 50% of the countries lacked studies (n = 25), with 46% coming from West Africa. Cancer, cardiovascular disease (CVD) and diabetes were the most commonly studied NCDs, with cancer and CVD causing the most financial burden. The review revealed methodological deficiencies related to lack of depth, equity analysis and robustness. CHE was high (up to 95.2%) in lower-middle-income countries but low in low-income and upper-middle-income countries. UNFR was almost 100% in both low-income and lower-middle-income countries. The use of extreme coping strategies was most common in low-income countries. There are no studies on crowding-out effect and pandemic-related UNFR. This study underscores the importance of expanded research that refines the methodological estimation of the financial burden of NCDs in SSA for equity implications and policy recommendations.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paulina Bleah, Joan Almost, Rosemary Wilson, Danielle Macdonald, Pilar Camargo-Plazas
{"title":"Diabetes in Liberia: a policy brief","authors":"Paulina Bleah, Joan Almost, Rosemary Wilson, Danielle Macdonald, Pilar Camargo-Plazas","doi":"10.1093/heapro/daae109","DOIUrl":"https://doi.org/10.1093/heapro/daae109","url":null,"abstract":"There is increasing awareness that diabetes is a growing public health threat in Liberia. The high mortality and morbidity associated with diabetes have significant implications for individuals, families and communities. The current response to diabetes in Liberia is limited to the management of acute complications. Long-term strategies for the prevention and control of diabetes are almost entirely absent from national health agendas. This brief provides policy options that Liberian policymakers can adopt to prevent diabetes, improve treatment and enhance the quality of life for people living with diabetes in Liberia.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anne C Grunseit, Bo-Huei Huang, Dafna Merom, Leonie Cranney, Adrian Bauman, Kris Rogers
{"title":"Coming back for more: individual participation patterns in the physical activity initiative parkrun in Australia.","authors":"Anne C Grunseit, Bo-Huei Huang, Dafna Merom, Leonie Cranney, Adrian Bauman, Kris Rogers","doi":"10.1093/heapro/daae098","DOIUrl":"10.1093/heapro/daae098","url":null,"abstract":"<p><p>Most physical activity (PA) maintenance research has concerned adherence to small-scale interventions or infrequent observation in cohort studies. We analysed individual attendance trajectories and their drivers in a large-scale 'real-world' community-based weekly PA event (parkrun) cohort in Australia. Data were weekly attendance (walking/running) of 223 224 unique parkrun participants over their first 3 years of participation. An unweighted moving average of participation in the preceding 12 weeks from the 12th week since the first participation to the 156th week was calculated and submitted to a cluster analysis of attendance patterns. Association of individual- (demographic, personal parkrun performance) and site-level (aggregated site-level participant characteristics and area-level measures) covariates with cluster membership was estimated with multinomial logistic regression models. We identified four groups: Few-Timers (76.4%), Decliners (12.4%), Low Maintainers (6.9%) and High Maintainers (4.3%). In the first 12 weeks, attendances averaged 2, 6, 5 and 7.5 times for each cluster, respectively, and by 52 weeks, they were 0.17, 1.9, 3.4 and 7.6 times, respectively. Continuing participation (vs Few-Timers) was strongly associated with faster personal finish times, but slower performance at the site level. Higher running club/group membership at a participant's parkrun predicted higher odds of being a High Maintainer. Our identification of a Low Maintainer group shows a community-based initiative may sustain interest, despite not requiring continuous or near-continuous attendance. Where someone is placed 'in the pack' locally and degree of identification with others in the group may be bidirectionally associated with attendance, underscoring the importance of considering social environment of PA maintenance.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hanna Putkonen, Hanna Kallio, Jari Kylmä, Tiina Rissanen, Marjorita Sormunen
{"title":"Sexual health interventions with social marketing approach targeting young people: a scoping review.","authors":"Hanna Putkonen, Hanna Kallio, Jari Kylmä, Tiina Rissanen, Marjorita Sormunen","doi":"10.1093/heapro/daae106","DOIUrl":"10.1093/heapro/daae106","url":null,"abstract":"<p><p>In a fast-paced digital and global environment, sexual education must keep up with young people's sexual health needs. Social marketing is an approach that has been used in sexual health promotion for young people. The objective of the scoping review is to identify and map the use of social marketing in sexual health promotion for young people. Specifically, the content, delivery methods and effects of interventions on sexual health were researched. Six databases were systemically searched to capture the relevant peer-reviewed quantitative, qualitative and mixed methods articles without time restrictions that provided evidence of sexual health-related social marketing interventions targeting young people aged 11-25. An inductive and deductive content analysis was performed. Nineteen studies were included in the data. The content of interventions was dominated by sexual risks and risk prevention, focusing particularly on sexually transmitted diseases, unwanted pregnancies and sexual violence. Additionally, interventions included topics of morals of sexual relationships and changes in the body. The delivery of interventions occurred through various media channels, events and activities, while the effects of interventions were monitored as improvements in sexual perceptions and sexual behaviour, limited gender-related effects, limited evidence of intervention attributed to behaviour and effects in different age groups. The social marketing approach was mostly preventive and concentrated on the risks, whereas the delivery methods were diverse and creative, combining modern and already well-established channels. Sexuality should be seen comprehensively, and interventions should respond to the full range of young people's needs.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11327497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How loss of nature through clear-cutting forestry affects well-being.","authors":"Solvor Nesbakken, Grete Eide Rønningen, Steffen Torp","doi":"10.1093/heapro/daae110","DOIUrl":"https://doi.org/10.1093/heapro/daae110","url":null,"abstract":"<p><p>The United Nations declares that the global degradation of ecosystems represents a danger to human health. Deterioration of forests is one of several threats against the natural systems. The aim of this exploratory study was to investigate people's experiences with clear-cutting and how it had affected their health and well-being. Qualitative data from six people who valued forest ecosystems were collected through semi-structured interviews and analyzed in accordance with Graneheim and Lundman's qualitative content analysis (Graneheim, U. H. and Lundman, B. (2004) Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105-112). Clear-cutting was not regarded as an environment-friendly forestry method. The interviewees described emotional reactions such as grief and poor mental well-being when beloved forests were clear-felled. The grief was partly because of a personal loss of place and recreation area that was important for their physical and emotional well-being. Another part was grief on behalf of nature itself, that is, the loss of habitats of animals and plants and a worsening of the global climate. The interviewees held that emotions related to loss of nature were insufficiently communicated in public discourse. They felt powerless and unable to influence forestry because of what they experienced as an impenetrable industry. Clear-cutting of forests may result in poor well-being among people who value forest ecosystems. More focus on planetary health is needed, including healthy public policy promoting forest management that considers people's need for nature experiences and possible ecological grief when forests are totally and abruptly cleared.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tiana Thorne, Sean Taylor, Karla Canuto, Anthony S Leicht
{"title":"Identifying barriers and facilitators to physical activity and perceptions of Traditional Indigenous Games among Aboriginal and Torres Strait Islander women: a qualitative study.","authors":"Tiana Thorne, Sean Taylor, Karla Canuto, Anthony S Leicht","doi":"10.1093/heapro/daae108","DOIUrl":"10.1093/heapro/daae108","url":null,"abstract":"<p><p>Aboriginal and Torres Strait Islander women are key members of the community who have specific roles within their families that may result in lower levels of physical activity (PA) undertaken. Clearly identifying barriers for women to engage with PA, and exploring culturally based activities (i.e. Traditional Indigenous Games), may help to improve long-term health benefits. Subsequently, the aim of this study was to identify the barriers and facilitators for Aboriginal and Torres Strait Islander women engaging in PA, and their interest in participating in Traditional Indigenous Games. Seventeen Aboriginal and Torres Strait Islander women (34.3 ± 10.2 years) participated in focus groups. Through thematic analysis, participants experienced a range of common barriers such as lack of time due to family commitments, limited finances, ageing and poor physical and/or mental health. Common facilitators were also identified such as fun, access and improving mental and/or physical health. Importantly, unique themes were identified for Aboriginal and Torres Strait Islander women including barriers (e.g. racism, shame) and facilitators (e.g. culture, interactions with other Aboriginal and Torres Strait Islander women) that influenced PA participation. Notably, Traditional Indigenous Games were considered as an appealing PA mode to engage with their culture, experience nostalgia and be around other Aboriginal and Torres Strait Islander women. These key findings will guide future PA programs including Traditional Indigenous Games to improve health outcomes of Aboriginal and Torres Strait Islander women, vital members of the community.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11336665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}