Health Promotion International最新文献_第7页

A systematic scoping review and content analysis of organizational health literacy responsiveness assessment tools. 对机构卫生知识响应性评估工具进行系统的范围界定和内容分析。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-06-01 DOI: 10.1093/heapro/daae064

Teresa Cheng-Chieh Chu, Rebecca K Kelly, Yih-Jin Hu, Shandell Elmer, Rosie Nash

{"title":"A systematic scoping review and content analysis of organizational health literacy responsiveness assessment tools.","authors":"Teresa Cheng-Chieh Chu, Rebecca K Kelly, Yih-Jin Hu, Shandell Elmer, Rosie Nash","doi":"10.1093/heapro/daae064","DOIUrl":"https://doi.org/10.1093/heapro/daae064","url":null,"abstract":"The characteristics of health literate organizations have been variously described in recognition that it is important for organizations to respond to the diversity of people's health literacy strengths and challenges. A systematic scoping review was conducted to identify, assess and classify international self-assessment tools aimed at measuring the capability of organizations to embody health literate characteristics. Following the JBI Scoping Manual, a search was conducted in six databases and identified 2693 articles. After screening, 16 studies published between 2007 and 2023 across eight countries were eligible for inclusion. Results were summarized and a finite list of items from existing tools was generated. Content analysis was performed to classify these items. Whilst most assessment tools in the included studies were healthcare-focused, other settings included schools and government departments. The 16 assessment tools included a total of 661 items, and 647 items were retained that met the definition of health literacy responsiveness. Items were classified into six domains (communication; navigation of resources; culture; policies and practice; involvement or engagement and workforce development), with high agreement between two researchers (91.5%). The 647 items were reviewed to exclude items that were too contextually specific, focused solely on service users, were too broad or had suitable alternatives; 210 items were finally retained. This research is two-fold: provides a synthesis of existing organizational health literacy responsiveness assessment tools across settings; and provides a list of items, which will be essential to developing context specific assessment tools through Delphi methods in the future.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452178","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}

引用次数: 0

Examining the creation of synergy in community coalitions for smoke-free environments in Armenia and Georgia. 研究亚美尼亚和格鲁吉亚无烟环境社区联盟的协同作用。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-06-01 DOI: 10.1093/heapro/daae058

Michelle C Kegler, Varduhi Hayrumyan, Ana Dekanosidze, Lilit Grigoryan, Arevik Torosyan, Zhanna Sargsyan, Lela Sturua, Alexander Bazarchyan, Carla J Berg

{"title":"Examining the creation of synergy in community coalitions for smoke-free environments in Armenia and Georgia.","authors":"Michelle C Kegler, Varduhi Hayrumyan, Ana Dekanosidze, Lilit Grigoryan, Arevik Torosyan, Zhanna Sargsyan, Lela Sturua, Alexander Bazarchyan, Carla J Berg","doi":"10.1093/heapro/daae058","DOIUrl":"https://doi.org/10.1093/heapro/daae058","url":null,"abstract":"Community coalitions depend on their members to synergistically pool diverse resources, including knowledge and expertise, community connections and varied perspectives, to identify and implement strategies and make progress toward community health improvement. Several coalition theories suggest synergy is the key mechanism driving coalition effectiveness. The Community Coalition Action Theory (CCAT) asserts that synergy depends on how well coalitions engage their members and leverage their resources, which is influenced by coalition processes, member participation and satisfaction and benefits outweighing costs. The current study used mixed methods, including coalition member surveys (n = 83) and semi-structured interviews with leaders and members (n = 42), to examine the process of creating collaborative synergy in 14 community coalitions for smoke-free environments in Armenia and Georgia. Members, typically seven per coalition representing education, public health, health care and municipal administration sectors, spent an average of 16 hr/month on coalition-related work. Common benefits included making the community a better place to live and learning more about tobacco control. The greatest cost was attending meetings or events at inconvenient times. Members contributed various resources, including their connections and influence, skills and expertise and access to population groups and settings. Strong coalition processes, greater benefits and fewer costs of participation and satisfaction were correlated with leveraging of member resources, which in turn, was highly correlated with collaborative synergy. Consistent with CCAT, effective coalition processes created a positive climate where membership benefits outweighed costs, and members contributed their resources in a way that created collaborative synergy.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441151","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}

引用次数: 0

Stakeholder perceptions of cervical screening accessibility and attendance in Ireland: a qualitative study. 利益相关者对爱尔兰宫颈癌筛查可及性和就诊率的看法：一项定性研究。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-06-01 DOI: 10.1093/heapro/daae072

Sophie Mulcahy Symmons, Amanda Drury, Aoife De Brún

{"title":"Stakeholder perceptions of cervical screening accessibility and attendance in Ireland: a qualitative study.","authors":"Sophie Mulcahy Symmons, Amanda Drury, Aoife De Brún","doi":"10.1093/heapro/daae072","DOIUrl":"https://doi.org/10.1093/heapro/daae072","url":null,"abstract":"Organized cervical screening programmes are commonplace in high-income countries. To provide an equitable cervical screening service, it is important to understand who is and is not attending screening and why. Promotion of screening and service improvement is not possible without recognition and identification of the barriers and needs of communities that are less engaged with screening. This study explored stakeholder perceptions of cervical screening attendance and accessibility in Ireland. Semi-structured interviews were conducted with 12 healthcare professionals, policymakers and academics. Interviews were conducted online in 2022. Reflexive thematic analysis was used inductively to generate themes, supported by NVivo. Three themes were developed: (i) getting the right information out the right way, (ii) acceptability and accessibility of screening and (iii) trying to identify and reach the non-attenders. Participants felt public knowledge of cervical screening and human papilloma virus was low and communication strategies were not adequate. Individual, cultural, structural and service-level factors influenced the accessibility and acceptability of screening. Identifying and reaching non-attenders was considered challenging and community outreach could support those less likely to attend screening. Stakeholder perspectives were valuable in understanding the complexities of screening accessibility and attendance from individual to service-level factors. Cultural competency training, inclusive language and visual cues in waiting rooms would support engagement with some populations who may be hesitant to attend screening. Collaboration with community organizations has opportunities to promote screening and understand the needs of those less likely to attend screening.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11214098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472520","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}

引用次数: 0

Adolescent sexual and reproductive health literacy needs: a sub-national level assessment in Ghana. 青少年性与生殖健康扫盲需求：加纳国家以下一级的评估。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-06-01 DOI: 10.1093/heapro/daae065

Jacqueline Nkrumah, Aaron A Abuosi, Anita Asiwome Adzo Baku, Lily Yarney, Gordon Abekah-Nkrumah, Cecil Randolph Tettey

{"title":"Adolescent sexual and reproductive health literacy needs: a sub-national level assessment in Ghana.","authors":"Jacqueline Nkrumah, Aaron A Abuosi, Anita Asiwome Adzo Baku, Lily Yarney, Gordon Abekah-Nkrumah, Cecil Randolph Tettey","doi":"10.1093/heapro/daae065","DOIUrl":"https://doi.org/10.1093/heapro/daae065","url":null,"abstract":"This study assessed young adolescents' access and literacy challenges to sexual and reproductive health information and knowledge gaps in the Effutu Municipality in the Central Region of Ghana. We used a narrative design and a focus group discussion method to glean data from 52 in-school adolescents, aged 11-15. Focus group discussions were conducted using a discussion guide and data were processed using QDA Miner (version 6.0). We analyzed data thematically using an iterative process of data validation, coding and recording. The participants had poor knowledge of the concepts of sexual and reproductive health and its essential domains. Abstinence was the predominant sexual and reproductive health goal of the participants. Yet, many males admitted to having sexual partners. There was difficult linguistic and physical access to structured and safe information. Personal hygiene, signs of sexual maturation and abstinence were the predominant contents available to young adolescents. A revision of adolescent health policies and strategies to embrace actions for improving unrestricted access to easy-to-read educational materials and adolescent health literacy is essential. Creating adolescent corners and introducing peer education in schools within Effutu and other municipalities in the Central Region will be useful.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433359","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}

引用次数: 0

Addressing the effectiveness of health literacy programs within the Gulf Corporation Council: an integrative review. 海湾公司理事会内健康知识普及计划的有效性：综合回顾。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-06-01 DOI: 10.1093/heapro/daae062

J Johnson, H Mohamed, T Lowe, F Khraim, C Wolsey, S Haque, A Al-Farsi, D Schnurman, N Chowdhury, M M H Raihan, T C Turin

{"title":"Addressing the effectiveness of health literacy programs within the Gulf Corporation Council: an integrative review.","authors":"J Johnson, H Mohamed, T Lowe, F Khraim, C Wolsey, S Haque, A Al-Farsi, D Schnurman, N Chowdhury, M M H Raihan, T C Turin","doi":"10.1093/heapro/daae062","DOIUrl":"10.1093/heapro/daae062","url":null,"abstract":"Health literacy is an increasingly required need to help individuals, families and communities manage their health and health conditions. It is linked with better self-adherence to treatments, use of resources, access to care and overall reduced costs in healthcare. In the Gulf Cooperation Council (GCC), which comprises Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and the United Arab Emirates, various health literacy programs are implemented across states to address people's unique and complex healthcare needs. This article aims to examine the current literature and assess the factors that influence the outcomes of health literacy programs within the GCC. An integrative review methodology has been conducted to pursue a comprehensive understanding of health literacy interventions in the GCC. This investigative approach was shaped by Whittemore and Knafl's framework (2005), which includes problem identification, literature search, data evaluation, data analysis and presentation. The literature on the effectiveness of health literacy interventions and the factors that shape them are notably limited worldwide and within the GCC region. This integrative review addresses this knowledge gap and highlights the significance of key themes such as sessions, evaluation and improvement in shaping health literacy outcomes within the GCC region. Through this integrative review, the three main themes of sessions, evaluation and improvement were identified as influencing the outcomes of health literacy programs within the GCC.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11215791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472517","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}

引用次数: 0

Re-energizing health literacy in Wales: a testbed for health, education and prosperity for all. 为威尔士的卫生知识扫盲注入新的活力：全民健康、教育和繁荣的试验田。

IF 2.7 4区医学

Health Promotion International Pub Date : 2024-06-01 DOI: 10.1093/heapro/daae055

Emily Marchant

{"title":"Re-energizing health literacy in Wales: a testbed for health, education and prosperity for all.","authors":"Emily Marchant","doi":"10.1093/heapro/daae055","DOIUrl":"10.1093/heapro/daae055","url":null,"abstract":"A growing body of evidence demonstrates the importance of enhancing health literacy for improved health outcomes, self-reported health, lower health services use and disease prevention. Importantly, improving health literacy has great potential to reduce health inequities and inequalities. The World Health Organization (WHO) has identified health literacy as a global priority, viewing it as a right and a fundamental competency necessary to function within modern society. Building health literacy foundations should begin in early childhood, including focus within educational frameworks and school curricula. The WHO advocate for governments to embed it as an explicit goal. In response, it has received significant international policy and strategy focus, in addition to the development of country-level action plans. In Wales, UK, it was identified as a priority in 2010, but despite wider developments spanning health and social care, well-being, economy and education policy, growth in health literacy has stalled since. Optimizing health literacy would act as an indirect enabler to a range of Welsh policies and strategies. A promising avenue for strengthening the health literacy of current and future generations is through ongoing significant national education reforms and the introduction of the new Curriculum for Wales. One of four overarching purposes of this curriculum is healthy, confident individuals, and health and well-being constitutes one of six statutory curriculum areas. Tracking the impact of this on children and young people's health literacy offers opportunities for Wales to model and gain traction as a national-scale health literacy policy testbed. This requires re-energizing health literacy as a national priority.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11167397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307403","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}

引用次数: 0

Effectiveness of physical activity interventions on undergraduate students' mental health: systematic review and meta-analysis. 体育锻炼干预对大学生心理健康的影响：系统回顾和荟萃分析。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-06-01 DOI: 10.1093/heapro/daae054

Kevin Huang, Emma M Beckman, Norman Ng, Genevieve A Dingle, Rong Han, Kari James, Elisabeth Winkler, Michalis Stylianou, Sjaan R Gomersall

{"title":"Effectiveness of physical activity interventions on undergraduate students' mental health: systematic review and meta-analysis.","authors":"Kevin Huang, Emma M Beckman, Norman Ng, Genevieve A Dingle, Rong Han, Kari James, Elisabeth Winkler, Michalis Stylianou, Sjaan R Gomersall","doi":"10.1093/heapro/daae054","DOIUrl":"10.1093/heapro/daae054","url":null,"abstract":"This systematic review and meta-analysis assessed the effectiveness of physical activity interventions on undergraduate students' mental health. Seven databases were searched and a total of 59 studies were included. Studies with a comparable control group were meta-analysed, and remaining studies were narratively synthesized. The included studies scored very low GRADE and had a high risk of bias. Meta-analyses indicated physical activity interventions are effective in reducing symptoms of anxiety (n = 20, standardized mean difference (SMD) = -0.88, 95% CI [-1.23, -0.52]), depression (n = 14, SMD = -0.73, 95% CI [-1.00, -0.47]) and stress (n = 10, SMD = -0.61, 95% CI [-0.94, -0.28]); however, there was considerable heterogeneity (anxiety, I2 = 90.29%; depression I2 = 49.66%; stress I2 = 86.97%). The narrative synthesis had mixed findings. Only five studies reported being informed by a behavioural change theory and only 30 reported intervention fidelity. Our review provides evidence supporting the potential of physical activity interventions in enhancing the mental health of undergraduate students. More robust intervention design and implementation are required to better understand the effectiveness of PA interventions on mental health outcomes.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11196957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447598","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}

引用次数: 0

Factors affecting cancer screening perception in Turkish women: the role of health literacy. 影响土耳其妇女癌症筛查认知的因素：健康知识的作用。

IF 2.7 4区医学

Health Promotion International Pub Date : 2024-06-01 DOI: 10.1093/heapro/daae053

Şafak Kıran, Ferit Sevim, Duygu Ürek, Osman Şenol

{"title":"Factors affecting cancer screening perception in Turkish women: the role of health literacy.","authors":"Şafak Kıran, Ferit Sevim, Duygu Ürek, Osman Şenol","doi":"10.1093/heapro/daae053","DOIUrl":"https://doi.org/10.1093/heapro/daae053","url":null,"abstract":"It is suggested that individuals with limited health literacy have less awareness about cancer and screening methods. However, there is a paucity of evidence regarding the relationship between cancer screening perception and health literacy levels among women. This study investigates the determinants of cancer screening perceptions in Turkish women, with a particular emphasis on the influence of health literacy. Employing a cross-sectional design, the study involved 428 women aged 18-69. Data were collected via online questionnaires. Hierarchical regression analysis was utilized to assess the effects of distinct variables on cancer screening perceptions. Exploratory and confirmatory factor analyses were employed to validate and ensure reliability. The results indicated that the constructed hierarchical regression model explicated around 10% of the variance in cancer screening perceptions. Among the various factors examined, health literacy emerged as the most potent predictor of screening perceptions. Individuals possessing higher health literacy demonstrated more favorable attitudes toward cancer screening. Additionally, age surfaced as another notable determinant, with advanced age correlating positively with awareness and receptiveness to screening. This research reveals the pivotal role of health literacy in shaping how Turkish women perceive cancer screening. While a few factors have an impact, the study highlights the urgent need to elevate health literacy levels to foster heightened awareness and engagement in cancer screening programs. The study's findings offer valuable guidance for devising targeted interventions to address disparities in cancer screening perception and participation, particularly among women in low- to middle-income countries such as Turkey.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263203","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}

引用次数: 0

A mixed-method analysis of the contribution of informal sport to public health in Australia. 采用混合方法分析非正式体育对澳大利亚公共卫生的贡献。

IF 2.7 4区医学

Health Promotion International Pub Date : 2024-06-01 DOI: 10.1093/heapro/daae048

Ruth Jeanes, Justen O'Connor, Dawn Penney, Ramon Spaaij, Jonathan Magee, Eibhlish O' Hara, Lisa Lymbery

{"title":"A mixed-method analysis of the contribution of informal sport to public health in Australia.","authors":"Ruth Jeanes, Justen O'Connor, Dawn Penney, Ramon Spaaij, Jonathan Magee, Eibhlish O' Hara, Lisa Lymbery","doi":"10.1093/heapro/daae048","DOIUrl":"10.1093/heapro/daae048","url":null,"abstract":"Informal sport is a growth area of sport participation but there has been limited examination of how informal and unstructured forms of participation may contribute to health outcomes that are important for public health. This article aims to address the current lack of data examining the health outcomes associated with informal sport participation and consider the potential role of informal sport within efforts to promote healthier communities through sport. The article seeks to broaden understanding of how informal sport participation can contribute to health outcomes, particularly with regard to increasing physical activity and enhancing mental health and social connection. The article discusses the findings of an Australian mixed-method study that draws on observation, survey, interview and focus group data to examine the prospective health and social benefits of informal sport participation for adults. The findings demonstrate that informal sport participation can contribute to physical and mental health outcomes and facilitate social connection. Analysis of the observation data enabled an examination of the economic value of informal sport in relation to the health benefits it affords. The study provides valuable evidence of the value of informal sport for enhancing community health and broadens understanding of how sport can be utilized as a health promotion resource. The article concludes by suggesting that through leveraging existing infrastructure and the self-organizing aspects of informal sport, local government and health stakeholders can harness its potential to improve public health outcomes and address health inequities.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11135211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161280","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}

引用次数: 0

Understanding ethnic inequities associated with tobacco use in Aotearoa New Zealand: a quantitative analysis. 了解新西兰奥特亚罗瓦地区与烟草使用相关的种族不平等现象：定量分析。

IF 2.3 4区医学

Health Promotion International Pub Date : 2024-06-01 DOI: 10.1093/heapro/daae060

Niveditha Gurram, Felix Carroll, Christine Ngā Hau Elers, Ririwai Fox, Sara Tepaeru Minster, Erena Wikaire, Lynsey Brown

{"title":"Understanding ethnic inequities associated with tobacco use in Aotearoa New Zealand: a quantitative analysis.","authors":"Niveditha Gurram, Felix Carroll, Christine Ngā Hau Elers, Ririwai Fox, Sara Tepaeru Minster, Erena Wikaire, Lynsey Brown","doi":"10.1093/heapro/daae060","DOIUrl":"10.1093/heapro/daae060","url":null,"abstract":"Despite the inclusion of both individual interventions and population-based measures in the Aotearoa New Zealand (Aotearoa NZ) Tobacco Control Programme, the gap between Māori, Pacific peoples and European/Asian/Other (EAO) populations in tobacco use has not decreased significantly. Tobacco control interventions that focus on individual behaviour change have produced little impact towards reducing tobacco smoking inequities for Māori and Pacific peoples in Aotearoa NZ. Using data from the New Zealand Health Survey (NZHS), this research investigates the impact of the wider determinants of health and individual-level factors on inequities in tobacco use between Māori, Pacific peoples and EAO. A conceptual framework was developed to support the theoretical positioning of this research and to inform data categorization, framing, discourse, analyses and interpretation. We conducted hierarchical regression to examine the effect of factors from each domain on ethnic inequities in tobacco use. We found that socioeconomic factors accounted for a significant amount of the disparity in adults currently smoking between Māori and Pacific peoples and EAO. Our results suggest that socioeconomic factors may be a more effective target of intervention than individual behaviours for reducing tobacco-related inequities. Addressing the broader determinants of health through comprehensive cross-agency cooperation to reduce ethnic inequities in tobacco use in Aotearoa NZ is likely to be more effective than individual behaviour change approaches.","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447599","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}

引用次数: 0