Health Promotion International最新文献

{"title":"Barriers and facilitators to implementing nature prescriptions for child and youth health: a scoping review.","authors":"Sophie Paquet, Nicole A Struthers, Anna Gunz, Lesley Gittings","doi":"10.1093/heapro/daaf039","DOIUrl":"https://doi.org/10.1093/heapro/daaf039","url":null,"abstract":"<p><p>Spending time in and connecting with nature has been shown to have positive benefits across multiple health outcomes, including for children and youth. Growing in popularity, nature prescriptions are recommended by health providers, social providers, and educators to spend more time in nature. The health and well-being benefits from nature prescription programs hold great potential for children and youth. However, a key evidence gap remains on how nature prescriptions occur in practice in pediatric healthcare, social care, and education, including barriers and facilitators to the implementation of nature prescription programs. The purpose of this scoping review was to explore the barriers and facilitators to the implementation of nature prescription programs for child and youth health. Peer-reviewed, original studies published in English were systematically searched in six databases using search terms focusing on nature prescriptions and child and youth health. Following the recommendations of Arksey and O'Malley (2005), two reviewers independently screened 2111 titles and abstracts, 38 records were screened in full text, and 10 studies were included. Thematic analysis was conducted following Braun and Clarke's (2022) guidelines. Three themes were developed from thematic analysis: (i) safety considerations, (ii) materials, resources, and support, and (iii) program features. The results of this review can be used to guide future nature prescription program implementation strategies for child and youth 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/PMC11983687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994861","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":"Examining the health literacy and health behaviours of children aged 8-11 in Wales, UK.","authors":"Emily Marchant, Emily Lowthian, Michaela James, Nia Davies, Tom Crick","doi":"10.1093/heapro/daaf026","DOIUrl":"https://doi.org/10.1093/heapro/daaf026","url":null,"abstract":"<p><p>Childhood is a period of significant formative development where knowledge, skills, and capacities for adequate health literacy are acquired, particularly within school settings. The new Curriculum for Wales (CfW), phasing in from September 2022 for learners aged 3-16 years, places statutory focus on health and well-being and school-level curriculum design, providing unprecedented opportunities to empower children as agents in making health-enhancing decisions. Designing, tracking, and evaluating impacts of the CfW on children's health literacy requires scalable monitoring tools; however, research efforts have focused on adolescent populations. This national-scale scoping and pilot study, the first to explore children's health literacy in Wales, piloted the Health Literacy for School-Aged Children (HLSAC-5) within the existing nationwide Health and Attainment of Pupils in Primary EducatioN (HAPPEN-Wales) health and well-being survey to examine the health literacy of children aged 8-11 (n = 2607) and explore associations between health literacy and health behaviours. Children's health literacy was categorized as low (22.6%), moderate (50.4%), and high (27.0%). Multinomial logistic regression analyses suggest high health literacy compared to low health literacy was associated with higher sleep [relative risk ratio (RRR): 1.08, 95% CI 1.01-1.15], higher weekly physical activity (RRR: 1.13, 95% CI 1.03-1.25), fewer sedentary days per week (RRR: 0.89, 95% CI 0.81-0.99), and higher health-related well-being (RRR: 1.35, 95% CI 1.27-1.44). This study offers a sustainable measure of pre-adolescent children's health literacy and health behaviours and tracking of CfW impacts. This enables efforts to be tailored to person-centred (understanding children's health literacy needs), place-based (examining specific organizational health literacy context within schools and CfW design), and policy-focused approaches (re-energizing health literacy within current/emerging policies in Wales including the CfW).</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/PMC11983690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053099","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":"Financing food environments: who has the power to drive healthier food investment in Australia?","authors":"Ashley Schram, Sharon Friel, Anne-Marie Thow, Sirinya Phulkerd, Carmen Huckel Schneider, Jeff Collin","doi":"10.1093/heapro/daaf032","DOIUrl":"https://doi.org/10.1093/heapro/daaf032","url":null,"abstract":"<p><p>This article explores the intersection of financialization and the commercial determinants of health (CDoH), with a focus on Australian food systems. While existing research highlights the food industry's role in shaping dietary patterns and health outcomes, the financial sector's influence on food systems governance remains underexamined. By investigating key actors in food systems investment policy and practice and the types of power they wield, this study contributes to a growing body of literature on CDoH. We conducted 22 semi-structured interviews with financial (e.g. investment banks and assets managers) and non-financial (e.g. food industry, government, and civil society) actors in Australia. Applying Moon's expanded power typology, we examined how financial and non-financial actors influence food systems investment, the disruptive potential of the financial sector on established power dynamics, and implications for the healthfulness of food environments. Our results identified economic power as the foundation of influence, but network and expert power were seen as critical, especially for financial actors to get deals done. Financial actors, including the 'responsible investment' sector, were perceived as potentially disrupting traditional power dynamics dominated by transnational food companies. Financial norms and practices manifested differently among different actors and areas of food systems. Governments were viewed as largely absent, with calls for them to articulate a clear investment policy vision to guide healthier food systems. This study provides novel insights into financial sector involvement in food systems, the disruption of traditional power dynamics, and opportunities for healthier food systems while also raising risks for increased market concentration through financialization.</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/PMC11983682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044537","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":"Healthy aging in Vietnam: results from national representative surveys on older persons.","authors":"Long Thanh Giang, Thu Dai Bui, Tien Thuy Ngoc Doan, Van Thi Truong, Anh Lan To","doi":"10.1093/heapro/daaf027","DOIUrl":"https://doi.org/10.1093/heapro/daaf027","url":null,"abstract":"<p><p>This study constructed the Healthy Aging Index (HAI) and identified its associated factors, using two waves of nationally representative data on the Vietnamese older persons in 2019 and 2022. HAI was constructed with 22 variables reflecting various domains of healthy aging, and its measurement ranged from 0 to 100. Descriptive statistics and multivariate Tobit regressions were conducted. We found that the overall HAI scores were relatively high in 2019 and 2022 (84.05 and 83.71, respectively), indicating that the Vietnamese older persons were relatively healthy. More advanced age, being women, living with at least a child, living with a spouse, being more affluent, having higher educational level, receiving social welfare benefits, performing household chores, and utilization of healthcare services were associated with the overall HAI scores as well as each factor of HAI scores. This study also discussed policies that can be designed to enhance well-being of older persons in Vietnam, including the investment in higher educational training, lifelong learning programs for older adults, increasing pension and social welfare benefits together with enhancing healthcare delivery for vulnerable groups, and the development of an integrated care model combining health and social care.</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":"144042772","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":"Longitudinal Study of Indigenous Children: adolescent never smoking and associations with individual, social, and environmental factors.","authors":"Abigail de Waard, Christina Heris, Eden M Barrett, Emily Rickard, Rubijayne Cohen, Makayla-May Brinckley, Michelle Kennedy, Tom Calma, Louise Lyons, Margaret O'Brien, Katherine A Thurber, Raglan Maddox","doi":"10.1093/heapro/daaf022","DOIUrl":"https://doi.org/10.1093/heapro/daaf022","url":null,"abstract":"<p><p>Fuelled by the tobacco industry, commercial tobacco use is a major cause of preventable morbidity and mortality among Aboriginal and Torres Strait Islander peoples. Preventing adolescent smoking initiation is critical to reducing uptake. Understanding individual, social, and environmental factors that are protective against smoking can inform prevention strategies. We analysed data from adolescents 12-15 years and their caregivers from Wave 11 (2018) of the Longitudinal Study of Indigenous Children (LSIC). Poisson regression was used to calculate adjusted prevalence ratios (PR) of never smoking in relation to individual, social, and environmental factors adjusted for age and remoteness. Never smoking was reported by 81.3% of adolescents. Half (51.3%) of those who had ever-smoked had smoked in the last year. Never smoking was significantly associated with peer never smoking, no substance use (including e-cigarettes), positive family and school environments, no boredom, no trouble with police, and no family experiences of racism. Never smoking prevalence was twofold among adolescents who had never (versus ever) tried e-cigarettes (PR = 2.10; 95%CI: 1.41, 3.14). Fostering positive social relationships, discouraging substance use, and eliminating racism and discrimination are important in preventing adolescent smoking, offering some protection against the exploitative practices of the tobacco industry. Culturally safe structural supports and comprehensive approaches to individual, social, and environmental wellbeing are required to prevent smoking and promote wellbeing.</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/PMC12008743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041364","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":"Does outdoor advertising correlate with retail food purchases made by adolescents? A cross-sectional study in Canada.","authors":"Alexander Wray, Gina Martin, Jamie A Seabrook, Sean Doherty, Jason Gilliland","doi":"10.1093/heapro/daaf016","DOIUrl":"10.1093/heapro/daaf016","url":null,"abstract":"<p><p>Food marketing plays a substantial role in shaping adolescent diets, having wide-ranging ramifications for health behaviours and outcomes throughout the life course. Yet, there remains a dearth of research about how outdoor advertising as a specific channel of food marketing affects purchasing behaviours. We examine self-reported purchases made at retail food outlets by adolescents as it relates to the availability of outdoor food and beverage advertising around each participant's home, school, and along the journey to and from school. We also consider the impacts of sociodemographics and consumption attitudes on purchasing, as compared to the geographic availability of outdoor advertising. Data are drawn from a survey completed by 545 adolescents in 2018 across four secondary schools in the Middlesex-London region of Ontario, Canada. The availability of outdoor advertising in the home and school environment is marginally correlated with self-reported purchases made at fast food, table-based, grocery, and variety retail outlets. However, consumption attitudes, cultural background, and gender are significantly correlated with purchases, with substantially larger effect sizes. The overall results were consistent between estimating the availability of outdoor advertising in the immediate area surrounding the home and along the journey to and from school. There is considerable health promotion policy interest in regulating outdoor advertising around child-serving locations. However, scarce health promotion resources would be better allocated to educational programming that addresses the substantial role of consumption attitudes in affecting adolescent purchasing behaviour, as compared to the considerably weaker impact of outdoor food advertising observed in our analysis.</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/PMC11915500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659632","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":"Unhealthy food advertising on social media: policy lessons from the Australian Ad Observatory.","authors":"Tanita Northcott, Katherine Sievert, Cherie Russell, Abdul Obeid, Daniel Angus, Christine Parker","doi":"10.1093/heapro/daae192","DOIUrl":"10.1093/heapro/daae192","url":null,"abstract":"<p><p>The World Health Organization and public health experts are calling for urgent restrictions on the online marketing of unhealthy food. The harmful effects of exposure to advertising for 'unhealthy foods', including discretionary foods high in fat, salt or sugar, particularly for children, has prompted a proposed policy action in Australia to prohibit all online unhealthy food marketing. We used a novel data donation infrastructure, the Australian Ad Observatory, to create a dataset of 1703 ads promoting top-selling unhealthy food brands that had been placed by 141 different advertisers on 367 individual Australians' Facebook feeds. We used this dataset to identify any targeting of unhealthy food ads towards young people (18-24), investigate harmful marketing practices by four of the top advertisers (KFC, McDonald's, Cadbury and 7-Eleven); and demonstrate how online advertising may be made observable and accountable. We find indications that young people (18-24), especially young men, are being targeted by unhealthy food, especially fast food, ads. We also find that unhealthy food brands use potentially harmful marketing strategies to appeal to children, young people, parents and the broader community, including cartoon characters, and associations with popular sports and greenwashing. The policy implications of our findings are that a broad prohibition on all forms of unhealthy food advertising online is desirable to protect not only children but also young people and the broader community. Such a prohibition will go one step towards addressing the commercial and digital determinants of health caused by harmful industries' use of online automated advertising.</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/PMC11879644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558684","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":"Involving children in global health policy and programming: practical guidance to get started.","authors":"Gabrielle Mathews, Bethany Jennings, Sarah Sterlini, Audrey Prost, Almaaz Mudaly, Kenneth Kwok, Jason Cohen, Irene Rizzini, Maree Foley, Sonora English, Srivatsan Rajagopalan, Toyyib O Abdulkareem, Sarah L Dalglish","doi":"10.1093/heapro/daaf041","DOIUrl":"https://doi.org/10.1093/heapro/daaf041","url":null,"abstract":"<p><p>Children face new and growing threats to their health and well-being, including rising rates of non-communicable diseases and mental health disorders linked to the influence of commercial determinants of health and climate change, among other issues. Yet despite their right to participation established under the United Nations Convention on the Rights of the Child, children are rarely invited to participate in global health processes meant to benefit them, whether by selecting priorities, designing policies and programming, advocating for their adoption or evaluating their implementation or impact. We call for greater involvement of children in global health initiatives, particularly those designed to benefit them, and lay out five principles to structure such engagement: (i) respect for children's right to participation, (ii) protection of children's safety and well-being as a foremost concern, (iii) age-appropriate interactions, (iv) reasonable inclusivity, and (v) transparency and accountability towards child participants. We provide practical recommendations for engaging with older children based on our experience with the Youth Advisory Board of the Children in All Policies 2030 initiative, which included 22 children aged 13-18 from 17 countries who provided input across all areas of our work. Finally, we show the benefits of engaging with children for organizations, the impact they seek to achieve, and child participants themselves.</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/PMC12015606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058026","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":"Health promotion and the digital determinants of health.","authors":"Louise Holly, Soe Yu Naing, Hannah Pitt, Samantha Thomas, Ilona Kickbusch","doi":"10.1093/heapro/daaf033","DOIUrl":"https://doi.org/10.1093/heapro/daaf033","url":null,"abstract":"","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":"143733078","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":"Community listening to understand determinants of healthy eating in an Australian priority community.","authors":"Shanti Kadariya, Joy Parkinson, Julie Marsh, Lauren Ball","doi":"10.1093/heapro/daaf040","DOIUrl":"https://doi.org/10.1093/heapro/daaf040","url":null,"abstract":"<p><p>Unhealthy dietary behaviour is associated with several adverse health outcomes. However, individual dietary choices aren't solely the function of personal habits and are influenced by various environmental factors. This study aimed to identify the social determinants of dietary behaviours in a priority Australian community. We utilized community listening to explore the priority community members' narratives and experiences about the determinants influencing their dietary behaviour. Those determinants were then categorized under the lens of the Socio-ecological Model. The suburb of Inala; a low socioeconomic, multiethnic community in Southwest Brisbane, Queensland, Australia was selected to listen to the voices of community members, health professionals, social workers, teachers, and community service providers. Researchers listened to hundreds of stories from 168 community members throughout the project. Participants identified personal interest in healthy eating, knowledge of healthy food and preparation; and time constraints for healthy food preparation, which were subsequently categorized under individual-level (microsystem) determinants of dietary behaviour. Family support, parental influence, and commitments were identified as other determinants that were categorized under social-environment level (mesosystem) determinants. Availability of fresh fruits and vegetables and ubiquity of fast-food outlets were the other factors identified, which were listed under physical-environment (exo-system) determinants; and finally, cost of living, inculturation, and dissatisfaction with health practitioners were identified and categorized under policy-level (macrosystem) determinants. The complex relationship between personal, sociocultural, and environmental factors with dietary behaviour presented in this study highlights the need for multi-component and culturally tailored initiatives to enable healthy eating in priority communities.</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/PMC12015609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065201","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}