Health Promotion International最新文献

{"title":"Alcohol lobbying in Canada: a quantitative analysis of the federal registry of lobbyists.","authors":"Aaron Grinberg, Kate Vallance, Elizabeth K Farkouh, Norman Giesbrecht, Ashley Wettlaufer, Timothy S Naimi","doi":"10.1093/heapro/daaf141","DOIUrl":"https://doi.org/10.1093/heapro/daaf141","url":null,"abstract":"<p><p>Although alcohol is a leading cause of health and social harms in Canada, policies directed at alleviating the public health burden created by alcohol are rarely adopted and often reversed. This study analyses alcohol-related policy lobbying activity to better understand how lobbying might impact policy development in Canada. This was deemed not human subjects research. A cross-sectional analysis was conducted using data from the federal Canadian Registry of Lobbyists to characterize the frequency and nature of alcohol industry and public health lobbying activities between May 2022 and May 2023. In this period, there was substantially more lobbying activity by alcohol industry representatives compared to public health stakeholders. Over three-quarters of lobby groups represented alcohol industry organizations (n = 13) compared to public health organizations (n = 4), with industry recording a majority of registered lobbyists (81.3%), meetings reported (66.2%), and number of officials lobbied (71.2%). Alcohol industry organizations predominantly lobbied bureaucrats in policy making/governance roles (54.2% of industry meetings), while public health stakeholders mainly lobbied legislators (60.4% of public health meetings). The alcohol industry's dominance in federal lobbying activities may enable corporate influence over alcohol policy development and undermine public health approaches. The nature of lobbying in Canada has international implications for the regulation of a product that is an important commercial determinant of health, showing the potential role lobbying may play in weakening alcohol regulation.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978617","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":"Sociodemographic and lifestyle factors and the first 1000 days of life associated with obesity in Vietnamese preschool children.","authors":"Thi Tuyet Le, Bui Quang Minh Pham, Nam Khanh Do, Thi Trung Thu Nguyen, Thi Hong Hanh Nguyen","doi":"10.1093/heapro/daaf129","DOIUrl":"10.1093/heapro/daaf129","url":null,"abstract":"<p><p>Childhood overweight and obesity (OW&OB) have become major public health concerns worldwide, including in Vietnam, where rapid urbanization and lifestyle transitions may contribute to this trend. This study aims to examine the associations between sociodemographic factors, lifestyle behaviors, and exposures during the first 1000 days of life with OW&OB in Vietnamese preschool children. A cross-sectional study was conducted among 14 740 preschool children representative of three socioeconomic areas of Hanoi, Vietnam. Data on sociodemographic characteristics, lifestyle behaviors, and prenatal and postnatal factors were collected via parental and teacher reporting. Anthropometric measurements were recorded, and OW&OB were defined using World Health Organization standards. The generalized estimating equation model was used to examine associations. Factors found to be significantly and positively associated with both OW&OB include gestational weight gain >20 kg (OR*OW = 1.71, OR*OB = 2.05), birth weight >4000 grams (OR*OW = 1.90, OR*OB = 2.10), meal duration <20 min (OR*OW = 2.19, OR*OB = 3.49), preference for fatty foods (OR*OW = 1.48, OR*OB = 2.20), and bedtime snack (OR*OW = 1.39, OR*OB = 1.73). Place of residence, gestational age, delivery mode, and breastfeeding practice are also significantly associated with OW, but not with OB. The results of this study highlight the multifactorial nature of childhood obesity, emphasizing the need to focus on parental education, urban planning, and early-life nutrition as essential aspects to address this growing epidemic in public health interventions.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762283","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":"Learning from community narratives about the COVID-19 pandemic in Papua New Guinea.","authors":"Elisabeth Schuele, Odette Toloube, Karika Anea, Rhonda Wohemani, Colin MacDougall, Joseph G Giduthuri","doi":"10.1093/heapro/daaf139","DOIUrl":"https://doi.org/10.1093/heapro/daaf139","url":null,"abstract":"<p><p>In this paper we use constructivism to explore community members' accounts of how socio-cultural and behavioral factors provided meaning to the COVID-19 pandemic in Papua New Guinea, adherence to \"niupela pasin\" (new normal), and vaccination acceptance. We purposively selected 50 participants including community members, leaders, and church representatives for semi-structured interviews from urban and rural areas of Madang and Eastern Highlands Provinces. Data were analyzed using inductive thematic analysis. The findings showed how people applied risk prevention strategies and actively sought localized solutions to deal with the pandemic. The pandemic also disrupted socio-cultural norms, such as communal gatherings, care for the sick, and attending funerals, leading to distress and interruptions of interpersonal relationships and extended family structures. Economic hardship, particularly during lockdowns, disproportionately affected those people from lower socioeconomic levels. Strong Christian faith and prayer played a key role in either adhering to \"niupela pasin\" and COVID-19 vaccine acceptance or rejection of the vaccine. Conspiracy theories and misinformation often propagated through social media, fueled fears and doubts about vaccine efficacy. By articulating and understanding these culturally informed findings, the paper demonstrates how people undertook ordinary theorizing about their worlds to contextualize, modify, or significantly change the policies and strategies developed by experts using conventional science. Preparation for future pandemics can be enhanced by adding to public health policies and guidelines community perspectives and health promotion principles from the Ottawa Charter for Health Promotion.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978608","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":"Exploring ways to improve healthcare service access for people experiencing homelessness in Manchester, UK.","authors":"Alya Howard, Amanda Low, Natasha Howard","doi":"10.1093/heapro/daaf108","DOIUrl":"10.1093/heapro/daaf108","url":null,"abstract":"<p><p>Homelessness is a significant social issue in the UK, affecting the health and life chances of ∼320 000 people annually. This study aims to explore primary healthcare provision from the perspectives of people experiencing homelessness (PEH) in the Greater Manchester area. We conducted a qualitative multimethod study, including unstructured observations and semistructured interviews with 20 PEH across four homelessness day facilities in Greater Manchester during April-May 2023 and analysed data thematically using inductive coding. We generated five inductive themes consisting of PEH fears around communication, challenges navigating the health system, insufficient service signposting, travel as a barrier to healthcare access, and the crucial importance of outreach. The findings indicate that general practitioners can improve communication approaches, clarify pathways to care for PEH, and increase outreach services where feasible to help ensure PEH are better able to access needed services.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602244","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":"Diverse community perspectives on public health guidelines for social connection: a qualitative study in Canada.","authors":"Jocelle Refol, Shabnam Raufi, J Andrés Delgado-Ron, Kate Mulligan, Taylor G Hill, Cecilia Benoit, Robert J Coplan, Elizabeth C Pinel, Shayna Skakoon-Sparling, Peter J Helm, John L Oliffe, Pete Bombaci, Kiffer G Card","doi":"10.1093/heapro/daaf131","DOIUrl":"10.1093/heapro/daaf131","url":null,"abstract":"<p><p>Loneliness and social isolation harm mental and physical health, yet existing public health strategies often fail to reflect the lived realities of equity-owed communities. To address this gap, our team has been developing potential public health guidelines aimed at fostering social connection in Canada. This study sought to engage five communities facing structural inequities (i.e. 2S/LGBTQ+ individuals, racialized communities, Indigenous peoples, people living with disabilities, and migrants/immigrants/refugees) in reviewing and refining draft public health guidelines. Specifically, we conducted 12 focus groups and 11 one-on-one interviews with 60 participants. During these interviews, we presented our guidelines to the participants, explored their lived experiences of social connection in relation to the guidelines, and elicited direct feedback on how the guidelines could be improved to address unique barriers and facilitators in these communities. Through thematic analysis of these data, we characterized participants' perspectives relating to their (i) identity and belonging, (ii) safety and accessibility, (iii) structural and economic resources, (iv) the role of family, (v) social interactions shaped by discrimination, and (vi) recognized health impacts on social connection. Participants' perspectives highlighted the complex interplay of cultural identity, discrimination, financial constraints, and unmet accessibility needs that limit meaningful social engagement. Their feedback identified specific ways to ensure that newly developed guidelines for social connection address critical equity concerns, including improved cultural relevance, accessibility, and community-level supports. These consultations offer clear guidance on tailoring social connection recommendations to the realities of equity-owed groups, underscoring the importance of structured community engagement in guideline development. Integrating these community-informed insights will help shape public health guidelines that are equitable, inclusive, and responsive to diverse lived experiences.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762281","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":"Perceptions of air pollution and health communication for people with asthma among Australia's Arabic-speaking communities.","authors":"Karima Laachir, Nigel Goodman, Bandana Saini, Mustapha Taibi, Penelope J Jones, Sotiris Vardoulakis","doi":"10.1093/heapro/daaf113","DOIUrl":"10.1093/heapro/daaf113","url":null,"abstract":"<p><p>Air pollution is a major public health risk factor globally and a significant threat to people with respiratory conditions. People with asthma, and particularly those from culturally and linguistically diverse (CALD) backgrounds, are disproportionally affected and have less capacity to protect themselves from air pollution. There is a critical lack of accessible resources and advice for people with asthma who are from CALD backgrounds. This qualitative study aimed to better understand Arabic-speaking Australians' perceptions of air quality, support their health literacy, and co-design resources to help them reduce their exposure to air pollution. A virtual roundtable discussion was conducted with key stakeholders from Australian Arabic-speaking communities to explore perceptions of air pollution and effective ways to communicate related public health messages to people with asthma within these communities. Australian Arabic-speaking communities generally have low awareness of air pollution. Although they use social media platforms and traditional media widely, more needs to be done to raise their awareness of air pollution and related health issues through targeted bilingual (English-Arabic) messaging and audiovisual material. The importance of religious and other community leaders in promoting environmental and public health messages within the diverse Arabic-speaking communities was highlighted. Future asthma-awareness and air pollution literacy campaigns should be designed in ways that reach CALD communities that have previously been underserved by public health promotion. Culturally sensitive health communication approaches are particularly important as Australia's population continues to diversify.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762282","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":"An analysis of social media strategies used to promote the e-cigarette brand Vuse.","authors":"Lucy Hardie, Christina Watts, Becky Freeman, Judith McCool","doi":"10.1093/heapro/daaf114","DOIUrl":"10.1093/heapro/daaf114","url":null,"abstract":"<p><p>Social media has been instrumental in the promotion of electronic cigarette (e-cigarette) brands globally. As a result of concerns around these types of promotions, many countries have introduced policies to restrict aspects of digital e-cigarette marketing, along with some restrictions introduced by social media platforms. This paper critiques the Instagram account of the leading global e-cigarette brand 'Vuse', owned by British American Tobacco. Focusing on the Instagram account @Vuse.Worldwide, this study explores the strategies and techniques used in this account to promote the Vuse brand in an international context. Using content analysis methods, we extracted images, videos, and metadata for the posts made by the Vuse account between 1 August 2023 and 31 July 2024. We identified the most viewed and liked content, associated social media influencers, and brand collaborations and assessed the potential reach of these strategies. We identified 405 posts for the study period: 128 images and 277 Reels (short-form videos). We found that content that tagged Formula 1 race team McLaren had the most views and likes. Other popular content linked to music festivals, DJs, art, and designers (n = 65) who were frequently tagged in the study sample. The Vuse Worldwide Instagram account used brand collaborations, such as a 'principal partnership' with Formula 1 team McLaren, to extend its brand reach and capitalize on the racing team's extensive global audience. Other collaborations with music festivals and influencers show that the company continues to deploy its product marketing strategies to position products within youth culture.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838580","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":"Delivering social and public health programmes through community arms of professional football clubs.","authors":"Jordan Maclean, Alice MacLean, Cindy M Gray, Stephanie Chambers, Craig Donnachie, Russell Jago, Kate Hunt","doi":"10.1093/heapro/daaf106","DOIUrl":"10.1093/heapro/daaf106","url":null,"abstract":"<p><p>Community arms of professional football clubs have become key third-sector players in mitigating health and social inequalities. This paper examines the factors affecting their capacity for delivering social and public health programmes in the community setting. Semi-structured interviews were conducted with 24 community staff members from the community arms of 22 professional football clubs and one non-professional club. This provided the basis for an interpretive thematic analysis which led to the development of three themes: 'from football club community departments to charitable arms', 'the reach of community programmes', and 'challenges and opportunities of delivering social and public health programmes via community football club arms'. Charitable status has created more funding opportunities, enabling community arms to better prioritize community needs. The expanding reach of community programmes delivers social and health benefits to children, adults, and older adults (65 and over) from diverse cultural and socioeconomic backgrounds. However, numerous challenges and opportunities were reported as affecting community arms' capacity to deliver these programmes. Safeguarding is a challenge, but partnerships offer an opportunity to address it. Co-dependency with the football club presents both challenges and opportunities for community arms. Staffing and facilities, funding applications and reporting on programmes, were all identified as challenges. Our findings highlight eight key recommendations specific to areas of oversight in the community arms of football clubs, including professional development, partnership working, board members, resourcing, funding, programme reporting, and conflicts of interest.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585623","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":"Organizational health literacy of schools in Germany: results of a cross-sectional study.","authors":"Sandra Kirchhoff, Cara Krudewig, Orkan Okan","doi":"10.1093/heapro/daaf112","DOIUrl":"10.1093/heapro/daaf112","url":null,"abstract":"<p><p>A social gradient in health literacy is prevalent in children and adolescents, with those from lower socioeconomic backgrounds often having lower levels. Interventions aiming at an entire setting, such as the organizational health literacy approach, seem promising to tackle these inequities. Schools represent unique environments to implement such interventions. The HeLit-Schools project aimed at developing an organizational health literacy framework for schools. The framework contains eight quality standards, each underpinned by six indicators, and was translated into a self-assessment tool (OHLS-Q). In this cross-sectional study, the German version of the OHLS-Q was used to assess the implementation status of organizational health literacy in schools in Germany for the first time. School management members completed the questionnaire via an online survey, including sociodemographic, personal, and school information. Descriptive statistics were reported. The n = 598 participants from five federal states were Ø 52.3 years old and mainly female (73.6%). 49.1% worked in primary, 37% in secondary, and 13.9% in special education schools. Overall, respondents reported that 65.1% of the standards and indicators of the framework were (rather) highly implemented. A great variance can be found between the individual standards and indicators. Schools already participating in school health promotion programs or networks showed a higher percentage of implementation across all standards. A lack of resources (financial, time, and personnel) is reported. The results reveal important insights into barriers and facilitators for the implementation of organizational health literacy in schools. Future studies should focus on interventions that overcome identified barriers, targeting specific standards and indicators.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776920","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":"Capacity to address determinants of health among a social justice coalition in the United States.","authors":"Ashley H Clawson, Ruofei Du, Dina M Jones, Sydney Baker, Elizabeth Taylor, Mohammed Orloff, Elaine Prewitt, Katherine Donald, Carol E Cornell, Pebbles Fagan","doi":"10.1093/heapro/daaf144","DOIUrl":"https://doi.org/10.1093/heapro/daaf144","url":null,"abstract":"<p><p>This study describes the Arkansas Social Justice Coalition and early pre-post changes in the capacity of participating community-based organizations to address social and structural determinants of health during the formative stage of this coalition. We utilized population-level data to understand the coalition's reach to counties experiencing health inequities. Community-based organizations (N = 29) involved in this coalition all served rural counties and counties with greater burden from COVID-19 hospitalizations, heart disease mortality, and cancer mortality. Food quality and access, economic stability, and education were identified by coalition members as the primary determinants of health impacting their communities. Coalition members completed a baseline survey, participated in coalition activities focused on addressing these primary determinants of health, and then completed a follow-up survey 3-months later. Coalition members reported significant increases in several domains of their community-based organizations' capacity to address select determinants of health across assessments. Specifically, there were significant increases in the average number of partnerships facilitated and the average number of educational sessions offered by the community-based organization that addressed economic stability, education, and food access and quality. The Arkansas Social Justice Coalition effectively created a network of 29 community-based organizations dedicated to addressing determinants of health to reduce the disproportionate burden of COVID-19, cardiovascular disease, and cancer affecting their communities. Engagement in the coalition resulted in early improvements in several capacity domains during our coalition's formative stage, which may translate to improvements in long-term outcomes related to promoting health equity at the community level.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978602","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}