{"title":"Considerations for diverse, equitable, and inclusive school food programs in the USA and Canada.","authors":"Preetama Badyal, Tina Moffat","doi":"10.1093/heapro/daaf015","DOIUrl":"10.1093/heapro/daaf015","url":null,"abstract":"<p><p>School food programs have been shown to support the nutrition of children and their long-term health outcomes in tandem with reducing nutritional inequities experienced by low-income, food insecure, and racialized populations. Understanding the specific needs and outcomes of these equity-deserving groups is crucial when enhancing program implementation and participation in school food programs. A scoping review of equitable, diverse, and inclusive considerations for school food programs was conducted on Canadian and American peer-reviewed and grey literature. The search strategy identified 18 peer-reviewed publications and three grey literature reports that supported the creation of five themes to be explored for school food programs: universal access, food preparation and delivery, sociocultural food preferences, partner involvement, and equitable nutrition. Analysis revealed that while literature surrounding these themes is developing, they serve as a crucial starting point for further research and consideration of the enhancement of school food programs. These themes can support the delivery of a program that is accessible to all students, accommodates their individualized needs, and is free of stigma.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032472","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}
Emily Brennan, Claudia Gascoyne, Kimberley Dunstone, Amanda Vittiglia, Gayathri Srinivasan, James F Thrasher, Janet Hoek, Melanie Wakefield, Sarah Durkin
{"title":"Tobacco package health warnings about product manipulations: an experimental study among Australian adults who smoke.","authors":"Emily Brennan, Claudia Gascoyne, Kimberley Dunstone, Amanda Vittiglia, Gayathri Srinivasan, James F Thrasher, Janet Hoek, Melanie Wakefield, Sarah Durkin","doi":"10.1093/heapro/daae210","DOIUrl":"10.1093/heapro/daae210","url":null,"abstract":"<p><p>The tobacco industry manipulates cigarettes to provide sensory cues that mislead people who smoke. We assessed the effectiveness of health warnings (HWs) focussed on the impact of misleading product attributes, including filter ventilation, menthol, and roll-your-own tobacco, which were called Product Attribute HWs. Australian adults who smoke (n = 2544) were randomly assigned to view: control medication warnings; new Standard HWs with smoking harm images; Product Attribute HWs; or Product Attribute HWs plus a video. At baseline, participants were exposed to seven condition-specific warnings (+ video for those in the Product Attribute HWs + Video condition), then they were potentially re-exposed to one warning daily for 7 days (+ up to six video viewings). Participants (n = 1414) were followed-up at 8 days. Compared to controls, exposure to Product Attribute HWs elicited: greater increases in concern when inhaling smoke with misleading favourable (e.g. smooth) and unfavourable (e.g. harsh) sensory cues; greater knowledge of industry manipulation; greater self-centric and industry-centric negative emotions; higher product-specific smoking dissonance; and a higher likelihood of past-week rumination about HWs. Compared to Standard HWs, Product Attribute HWs elicited greater knowledge of product manipulation and industry-centric negative emotions, but similar self-centric negative emotions and past-week rumination about warnings. Only the Product Attribute HWs + Video condition resulted in greater discussion and online information-seeking about warnings. Product Attribute HWs that challenge long-standing myths fostered by tobacco companies yield many similar outcomes to Standard HWs but also provide unique beneficial outcomes. Nations should consider including Product Attribute HWs in their suites of tobacco HWs.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11965984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774965","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":"Social media and the spread of misinformation: infectious and a threat to public health.","authors":"Emily Denniss, Rebecca Lindberg","doi":"10.1093/heapro/daaf023","DOIUrl":"10.1093/heapro/daaf023","url":null,"abstract":"<p><p>Misinformation has been identified as a major threat to society and public health. Social media significantly contributes to the spread of misinformation and has a global reach. Health misinformation has a range of adverse outcomes, including influencing individuals' decisions (e.g. choosing not to vaccinate), and the erosion of trust in authoritative institutions. There are many interrelated causes of the misinformation problem, including the ability of non-experts to rapidly post information, the influence of bots and social media algorithms. Equally, the global nature of social media, limited commitment for action from social media giants, and rapid technological advancements hamper progress for improving information quality and accuracy in this setting. In short, it is a problem that requires a constellation of synergistic actions aimed at social media users, content creators, companies, and governments. A public health approach to social media-based misinformation that includes tertiary, secondary, and primary prevention may help address immediate impacts, long-term consequences, and root causes of misinformation. Tertiary prevention to 'treat' this problem involves increased monitoring, misinformation debunking, and warning labels on social media posts that are at a high risk of containing misinformation. Secondary prevention strategies include nudging interventions (e.g. prompts about preventing misinformation that appear when sharing content) and education to build media and information literacy. Finally, there is an urgent need for primary prevention, including systems-level changes to address key mechanisms of misinformation and international law to regulate the social media industry. Anything less means misinformation-and its societal consequences-will continue to spread.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755788","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}
Rachel Sing-Kiat Ting, Hanoor Syahirah Zahari, Chiew Way Ang, Jee Kei Chan, Min Min Tan, Tin Tin Su
{"title":"Development and validation of a digital community-based mental health protocol (RELATE-ME) in Malaysia.","authors":"Rachel Sing-Kiat Ting, Hanoor Syahirah Zahari, Chiew Way Ang, Jee Kei Chan, Min Min Tan, Tin Tin Su","doi":"10.1093/heapro/daae169","DOIUrl":"10.1093/heapro/daae169","url":null,"abstract":"<p><p>To bridge the gaps of mental health service in Malaysia, we developed a digital intervention protocol (RELATE-ME) aiming to restore social connectedness and well-being during the COVID-19 pandemic lockdown. Co-designed with a cross-disciplinary panel, we integrate principles of digital mental health, support group modality, psychoeducation elements, and community engagement into a 2-week online group program. To validate the protocol, we trained three community health workers (CHWs) to facilitate a briefer version of RELATE-ME with two groups of participants (six elders and six youths) in suburban Malaysia. After 4 days, they were interviewed regarding the feasibility and acceptability of this program. The interview transcripts were coded by the research assistant through an inductive-deductive method. Results showed that the majority of the participants reported the relationship with CHWs and peers as a motivator to sustain their engagement and it took time to build trust with each other. They appreciated the engaging group contents (e.g. relaxing and pleasant activities), sharing of their peers and skill-building lessons (e.g. learning of goal setting, stress management and relationship building). However, they faced the challenge of time constraints, family duties, low English literacy and digital literacy, especially among the elderly group. This finding suggested that RELATE-ME is a feasible protocol to increase social connectedness and well-being in the suburban area of a middle-income Asian country like Malaysia. Its effectiveness could be further enhanced through capacity building of CHWs, translating all contents into local languages and implementation in a physical setting.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558682","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":"Advancing adolescent health promotion in the digital era.","authors":"Rebecca Raeside","doi":"10.1093/heapro/daae172","DOIUrl":"10.1093/heapro/daae172","url":null,"abstract":"<p><p>Adolescents globally are calling for high-quality digital services to support and improve their health and well-being. Digital technologies are playing an increasing role in healthcare and whilst today's adolescents have been exposed to digital media since birth, there are unique challenges to their use that must be considered. This review aims to synthesize the literature on adolescent health promotion in the digital era. It provides evidence from adolescent perspectives and identifies that community-based and 'digital only' settings hold scope for further research to advance the field. The article recommends that when working with adolescents to develop digital health promotion tools, we should look to use youth engagement frameworks that are relevant to their context. Secondly, it demands stronger governance over digital media to protect adolescents, whilst allowing safe digital access. Finally, it demonstrates how listening to adolescents may help to address the emerging digital determinants of health and avoid exacerbating health disparities. Adolescents are powerful advocates to make global change. Stakeholders across research, policy and practice should examine how they incorporate adolescent voices to drive change in health promotion in the digital era.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558754","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":"Shared reading interventions to promote psychosocial well-being in older adults: a systematic review.","authors":"Chiara Milani, Claudia Biagi, Ester Palmieri, Claudia Rosi, Diletta Buresta, Francesco Iocca, Fiorenza Wetzell Cabrera, Patrizio Zanobini, Chiara Lorini, Guglielmo Bonaccorsi","doi":"10.1093/heapro/daaf036","DOIUrl":"https://doi.org/10.1093/heapro/daaf036","url":null,"abstract":"<p><p>Participatory interventions, such as art therapy and group activities, have been shown to promote healthy aging. However, the effectiveness of shared reading among older adults requires further evidence. The aim of this systematic review was to explore the impact and effectiveness of shared reading groups in slowing cognitive impairment, improving social interaction, promoting psychosocial well-being, and enhancing functional aspects among older adults living in the community. The selection criteria included studies published in English after 2000 focusing on individuals aged 60 and above and examining the benefits of shared reading. The studies also included participants with cognitive or psychiatric conditions who were independent. Seven databases were queried for this research. A total of 11 articles met the inclusion criteria. A descriptive analysis of the included studies revealed the tools used to measure the impact of interventions on outcomes and the key results obtained. Despite variability in methodology and outcomes, the results showed that group activities can improve self-rated health and reduce depressive symptoms in older adults. Interventions that include reading as a form of cognitive stimulation enhance communication skills, contribute to well-being, improve quality of life, reduce loneliness, and increase social engagement. Shared reading has positive effects on satisfaction with social relationships and community support. The findings suggested that shared reading groups represent a promising, non-pharmacological intervention for promoting psychological health, well-being, and social interaction. This review gathers existing literature and highlights the need for further studies to explore the effectiveness of this approach and to improve its implementation.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050992","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}
Bridget McGlinchy, Moira Smith, Marcus Gurtner, Amanda D'Souza, Janet Hoek, Louise Signal
{"title":"Clearing the haze: novel methodology objectively assessing children's online exposure to tobacco and vape marketing.","authors":"Bridget McGlinchy, Moira Smith, Marcus Gurtner, Amanda D'Souza, Janet Hoek, Louise Signal","doi":"10.1093/heapro/daae193","DOIUrl":"10.1093/heapro/daae193","url":null,"abstract":"<p><p>Marketing of tobacco and vape products is effective at recruiting new users; yet, little is known about children's online exposure to such material. This research aimed to develop a methodology for assessing children's exposure to, and engagement with, online tobacco and vape marketing. This pilot study used data from the innovative Kids Online Aotearoa Study in which 156 11-13-year-olds from schools in the Wellington region of Aotearoa New Zealand used Zoom teleconferencing software to record real-time, screen-shared internet use for four consecutive days. We developed a coding framework to analyse the nature and extent of exposure to tobacco or vape marketing and applied it to a strategic subset of children's (n = 16) data. Twenty-one instances of tobacco or vape marketing were identified from 12 participants; four participants had no identified exposures. The findings show that children are exposed to such marketing online, despite legislation that should protect them; these insights improve understanding of the online marketing environment and may help to support global health promotion efforts in tobacco and nicotine control given the borderless nature of the online world. The Kids Online Aotearoa tobacco and vape marketing methodology and coding framework enables the direct assessment of children's exposure to online tobacco and vape marketing and is a valuable research tool to monitor and provide evidence to inform social and political action to protect children from online harm.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558756","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}
Delaney L Johnson, Aislin R Mushquash, Kathryn E Sinden, Lindsey Wachter, Erin S Pearson
{"title":"Impact of a virtual workshop on mental health literacy and self-efficacy among Canadian postsecondary educators.","authors":"Delaney L Johnson, Aislin R Mushquash, Kathryn E Sinden, Lindsey Wachter, Erin S Pearson","doi":"10.1093/heapro/daaf025","DOIUrl":"10.1093/heapro/daaf025","url":null,"abstract":"<p><p>Mental health concerns are increasing for postsecondary students and often exceed supportive capacity. Research highlights the importance of mental health literacy (MHL) training for educators; few studies have evaluated a program designed to improve it. The purpose was to assess the impact of a two-session, virtual workshop offered 10 weeks apart for postsecondary educators on MHL and self-efficacy to recommend mental health resources to students. Content was co-created and delivered in collaboration with the university's Student Health and Wellness department. Validated questionnaires were used to assess MHL, self-efficacy, and psychological well-being before and after each session. Open-ended questions were posed following the second session to explore experiences. Educators at the host institution who did not enrol were invited to complete the same quantitative measures to serve as comparative data. Seven participants attended both workshops and were included in the analysis. Scores for MHL and self-efficacy increased following each session and were highest following the second, revealing medium and large effect sizes, respectively. Post-workshop MHL and self-efficacy scores were higher for workshop attendees compared to their institutional counterparts (n = 28). Positive experiences (e.g. group camaraderie, improved empathy and understanding, workshop utility) were noted qualitatively. Findings suggest that this type of virtual workshop may be valuable for equipping educators with knowledge and self-efficacy to enhance student mental health. Postsecondary wellness centre partnerships should be considered to facilitate reach of mental health education and resources. Involving educators who have direct contact with students can foster a whole campus approach to mental health.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774931","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}
Brendan Churchill, Jennifer Ervin, Leah Ruppanner, Yamna Taouk, Tania L King
{"title":"Underemployment and mental health amongst working-age Australians: a gendered analysis using the HILDA survey (2002-2022).","authors":"Brendan Churchill, Jennifer Ervin, Leah Ruppanner, Yamna Taouk, Tania L King","doi":"10.1093/heapro/daaf030","DOIUrl":"10.1093/heapro/daaf030","url":null,"abstract":"<p><p>Underemployment is an increasingly persistent and pervasive feature of contemporary labour markets and there is some evidence to suggest that underemployment is an important social determinant of health and well-being. However, the evidence base has tended to focus on hours-based underemployment more than others like skills-based underemployment. Moreover, the gendered dimensions of underemployment remain under-researched despite evidence to suggest that women are more likely to be underemployed. Drawing on 21 annual waves (2002-22) of data from the Household, Income, Labour Dynamics in Australia survey, this longitudinal study employed Mundlak modelling to examine the association between two forms of subjective underemployment and mental health in working-age (25-64 years) Australians (n = 18,285). Underemployment was operationalized in two ways: (1) hours-related underemployment; and (2) skills-based underemployment. Mental health was assessed using the MHI-5 scale. All models were stratified by gender. Results suggest that hours-related underemployment has a more negative effect on women's mental health while skills-related underemployment has a more negative effect on men's. Theoretically, this article highlights how subjective forms of underemployment are like unemployment, acting as a stressor for mental health because they partially deprive workers of the benefits of full employment. This study provides robust longitudinal evidence of the detrimental impact of underemployment on the mental health of working-aged Australians, highlighting how inadequate forms of work have negative health consequences. Thus, greater effort from both governments and employers is needed to implement policies and programs that help workers reach their capacity to mitigate against the negative health effects of underemployment.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11965981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774969","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}
Hayleigh Frost, Lisa Te Morenga, Sally Mackay, Christina McKerchar, Victoria Egli
{"title":"Impact of unhealthy food/drink marketing exposure to children in New Zealand: a systematic narrative review.","authors":"Hayleigh Frost, Lisa Te Morenga, Sally Mackay, Christina McKerchar, Victoria Egli","doi":"10.1093/heapro/daaf021","DOIUrl":"10.1093/heapro/daaf021","url":null,"abstract":"<p><p>Unhealthy food and drink marketing exposure to children is known to influence children's dietary choices and the World Health Organization recommends governments protect children from the marketing of unhealthy commodities. This study aims to explore and synthesize children's unhealthy food and drink marketing exposure in New Zealand. A systematic search strategy was undertaken following the PRISMA guidelines. Eight databases were searched for studies from inception to January 2024 on marketing exposure of unhealthy food and drink to children aged 2-17 years. A deductive coding analysis was used, with codes sourced from a modified coding framework developed using a diagram sourced from the ASEAN and UNICEF (2023) report. The diagram demonstrates the pathway from marketing exposure to unhealthy food- and drink-related diseases. A total of 1019 studies were screened for eligibility. Forty-five studies met the inclusion criteria-five qualitative, 34 quantitative and four mixed-method studies. The results are presented in a narrative review format. Findings demonstrated children's exposure to unhealthy food/drink marketing is ubiquitous with clear links to dietary preference and consumption. To improve child health now and over the life course, unhealthy food/drink marketing needs to be subjected to greater restriction with enforceable legislation to protect children from exposure to unhealthy marketing, breaking the chain from exposure to ill health.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11965983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774935","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}