Health Promotion International最新文献

{"title":"Mitigating child health inequalities through equity, diversity, inclusion, and accessibility school practices in Canada.","authors":"Katerina Maximova, Camila Honorato, Flora I Matheson, Julia Dabravolskaj, Paul J Veugelers","doi":"10.1093/heapro/daaf142","DOIUrl":"https://doi.org/10.1093/heapro/daaf142","url":null,"abstract":"<p><p>Unhealthy lifestyle behaviours and mental disorders disproportionately affect children living in deprived neighbourhoods. In Canada, schools are encouraged to adopt equity, diversity, inclusion, and accessibility (EDIA) practices to tackle these inequalities. We examined whether integrating EDIA school practices into curriculum and programming mitigates the impact of neighbourhood deprivation on children's lifestyle behaviours and mental health. In 2023/2024, we surveyed 1970 students in grades 4-6 (aged 9-12) from 28 elementary schools in Alberta. Students self-reported diet, physical activity, screen time, and mental health and wellbeing. School principals reported on the extent (full vs. partial) of integrating EDIA school practices into curriculum and programming. The Canadian Index of Multiple Deprivation (i.e. residential instability, economic dependency, ethno-cultural composition, situational vulnerability) was used to capture neighbourhood deprivation. Over half (54%) of schools had fully integrated EDIA school practices into curriculum and programming, and were located primarily in areas with greater residential instability (50%), ethno-cultural diversity (57%), economic dependency and situational vulnerability (46%). In highly deprived neighbourhoods, students attending schools with fully integrated EDIA practices were less likely to have poor diets (0.9 vs. 1.6) and consume excessive intake of free sugar (1.3 vs. 1.8) and saturated fat (0.6 vs. 0.8). EDIA school practices did not appear to moderate the relationship of neighbourhood deprivation with physical activity, screen time, or mental health and wellbeing. These findings suggest that integrating EDIA school practices into curriculum and programming may help buffer some adverse effects of neighbourhood deprivation on children's health and diets in particular.</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/PMC12378021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978645","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":"Colonial harm in new packaging: Indigenous critiques of the tobacco industry's 'harm reduction' rhetoric.","authors":"Raglan Maddox, Christina Heris, Andrew Waa, Lani Teddy, Penney Upton, Patricia Nez Henderson, Chase Kornacki, Joseph Rodriguez, Juliet Lee, El-Shadan Tautolo, Sydney A Martinez, Shane Kawenata Bradbrook, Michelle Kennedy","doi":"10.1093/heapro/daaf111","DOIUrl":"10.1093/heapro/daaf111","url":null,"abstract":"<p><p>Over the last 75 years, we have learned that commercial tobacco use causes widespread disease and death. However, the commercial Tobacco and Nicotine Industry continues to promote, market, and sell tobacco and nicotine products to protect and expand profit. This reflects their legal obligation to act in shareholders' best interests. While the Tobacco and Nicotine Industry heavily promotes alternative products such as electronic cigarettes and nicotine pouches, for now, these represent a relatively small share of profits compared with combustible cigarette sales. The continued reliance on and expansion of these markets generates addiction, dependence, and a range of harms. These actions represent a modern manifestation of colonization-reproducing control and exploitation that affects people at all levels, particularly Indigenous peoples, whose lands, knowledges, and well-being have long been commodified and targeted. The Tobacco and Nicotine Industry and their collaborators employ misleading strategies, including co-opting terms like 'harm reduction' and making vague promises about a 'smoke-free' or 'noncombustible' future. These tactics distract from the continued promotion and sale of harmful products under the guise of public health and harm reduction. This narrative reframes structural and commercial determinants of health as matters of individual choice and enables the continued production of Tobacco and Nicotine Industry-driven harms. Everyone has the right to health, and it is crucial to have effective tobacco control and resistance programs and policies. Governments have a duty to protect people's health by preventing the creation of new generations addicted to people-harming products. Given the ongoing and disproportionate impact of tobacco and nicotine-related disease and death-particularly for Indigenous peoples-there is an urgent need for structural change to eradicate these harms and dismantle colonial and commercial systems that sustain them.</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/PMC12305302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735359","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":"'Industry still has too loud a voice': expert views on government policy consultations about gambling marketing.","authors":"Samantha Thomas, Simone McCarthy, Hannah Pitt, Grace Arnot, Melanie Randle, Mike Daube","doi":"10.1093/heapro/daaf122","DOIUrl":"10.1093/heapro/daaf122","url":null,"abstract":"<p><p>Marketing is part of the suite of tactics used by the gambling industry and its allies to promote and normalize gambling. While there have been increased public calls for restrictions on gambling marketing, few governments have developed comprehensive policy responses to counter this public health threat. Consultation processes are widely seen as an important part of public decision-making and policy formation. However, there has been limited focus on these processes in gambling policy development. Using an online qualitative survey this study gathered opinions from 33 experts from Australia, the UK, and the USA (including from local governments, academia, not for profits, and lived experience organizations) about the consultation processes related to gambling marketing policy, and how current processes could be improved. A reflexive approach to thematic analysis was used to construct three themes from the data. First, participants perceived that current consultation processes were inconsistent with public health values and approaches with limited meaningful opportunities for community actors to shape and strengthen policy responses to gambling marketing. Second, participants stated that consultation practices prioritized industry views and concerns, with industry actors (and their allies) having disproportionate access to policymakers and decision-makers. Finally, participants commented that there were few mechanisms to ensure that policy developments related to gambling marketing are protected from vested interests. This paper provides new information about the factors that influence policy decisions about gambling marketing. Mechanisms to protect policy from vested interests are essential in developing comprehensive public health responses to gambling marketing.</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/PMC12308132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745964","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":"Adult migrants urgent need for drowning prevention in Australia: water safety perceptions, attitudes, and behaviours.","authors":"Stacey Willcox-Pidgeon, Susan G Devine, Richard C Franklin","doi":"10.1093/heapro/daaf109","DOIUrl":"10.1093/heapro/daaf109","url":null,"abstract":"<p><p>Drowning is a global public health issue with over 300 000 people fatally drowning annually. Inequities exist, with 90% of drowning concentrated in low- and middle-income countries. Populations more vulnerable to drowning across all countries and contexts include children, males, migrants, and First Nations peoples. In Australia, migrants account for 34% of drowning fatalities, therefore are a priority population for reducing drowning. This study aimed to explore the underlying factors influencing the knowledge, attitudes and behaviour towards water safety and drowning risk among adult migrants in Australia. A qualitative exploratory study was undertaken guided by the theory of planned behaviour. Fifty-seven adults residing across Australia participated in a semi-structured interview (n = 15) or a focus group (n = 42). Data were coded and thematically analysed using a deductive approach, guided by Braun and Clarke's framework. Participants originated from 19 different countries, 54% were female. Residential time in Australia ranged from 18 months to 25+ years. Four key thematic areas were identified: 'Water Safety experiences; Attitudes, beliefs and behaviour including cultural norms; Motivations and barriers to swimming; and Benefits of learning to swim'. This study highlighted that migrant's awareness, attitudes, and behaviour towards water safety were informed by factors linked to cultural norms and life experiences. Migrant adults perceived swimming as essential for inclusion in the Australian community. Identified risks included limited exposure to the water and a lack of safety knowledge and skills prior to migrating. These findings offer new insights to inform contemporary drowning prevention strategies that respond to changing population demographics, in Australia and globally.</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/PMC12311276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755114","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":"Navigating recruitment and retention challenges in a social media health intervention in francophone West Africa.","authors":"Nikolas Wianecki, Leona Ofei, Catherine M Crespi, Deffa Wane, Rabiatou Sangare, Alexandre Rideau, Mbathio Diaw, Philip M Massey","doi":"10.1093/heapro/daaf117","DOIUrl":"10.1093/heapro/daaf117","url":null,"abstract":"<p><p>Sexual and reproductive health (SRH) remains a concern for youth in West Africa, where access to health information and services is limited. Interventions on social media offer promising avenues for SRH promotion, but challenges related to participant recruitment, verification, and retention persist in research. This study evaluated recruitment and retention patterns in a digital SRH intervention conducted in Burkina Faso, Côte d'Ivoire, and Senegal from August 2023 to February 2024. A randomized factorial trial design was implemented, targeting youth aged 15-24 through Facebook advertisements featuring youth-centred visuals and participation incentives. Participants underwent a two-phase screening and verification process prior to enrolment and were randomized into four study groups. Key outcomes included attrition rates across recruitment, verification, enrolment, and survey completion stages. χ2 tests assessed demographic differences in retention. Of 7013 individuals recruited, 3803 passed initial screening, and 1412 were verified and randomized into study groups. Following drop-out during verification and attrition in the enrolment phase, 492 of the 1412 (34.8%) completed enrolment. χ² goodness-of-fit tests indicated that gender and age distributions remained consistent across study stages, but retention varied by country, with Senegalese participants exhibiting higher completion rates than those from Côte d'Ivoire (P < .001). Privacy concerns, technical barriers, and platform-specific limitations contributed to attrition. This study highlights both the potential and challenges of SRH interventions on social media. While Facebook effectively facilitated outreach, high attrition rates underscore the need for diverse platform engagement, automated verification tools, and localized retention strategies to enhance digital health interventions in West Africa.</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/PMC12290507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709930","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":"Digital tools to promote or measure health literacy in children aged 3-5 years: scoping review.","authors":"Caron Molster, Jennifer Irvine, Amanda Devine, Ruth Wallace, Lennie Barblett, Leesa Costello","doi":"10.1093/heapro/daaf093","DOIUrl":"10.1093/heapro/daaf093","url":null,"abstract":"<p><p>Health literacy is a determinant of health that should be promoted and measured in early childhood. In the era of digitalization, this could involve digital platforms. However, little knowledge exists on the extent, range, and nature of literature on digital tools for promoting or measuring young children's health literacy. Addressing this gap, a scoping review was undertaken to explore what digital health literacy tools for children aged 3-5 years could be identified in the literature, what their key features were, how they were designed, whether children were codesigners, and whether the tools had been evaluated. Eligibility criteria included the literature being peer-reviewed, published between 2013 and 2024, and in English. Nine health and education databases were searched, and 19 articles met the inclusion criteria. Few of the reported tools covered the core dimensions of health literacy, underlying the need for digital tools that promote and/or measure young children's health-related knowledge and information-related skills. There was sparse description of design approaches, and little evidence children were engaged as active design partners, which is critical to address. Encouragingly, some evidence was usually provided to rationalize choices around specific digital technologies and/or design features, which could be further bolstered with evidence from the field of educational technology for children. There is strength in the literature's reporting of evaluation studies using well-respected design approaches; however, sample sizes were sometimes small, long-term follow-up did not often occur, and the influence of contextual factors on children's use of the tools was not explored.</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/PMC12214018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546125","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":"The effectiveness of podcasts in promoting health among young people: a scoping review.","authors":"Yixuan Zou, Albie Sharpe, Daniel Demant","doi":"10.1093/heapro/daaf102","DOIUrl":"10.1093/heapro/daaf102","url":null,"abstract":"<p><p>Health-related podcasts have gained popularity as a digital medium for health promotion, particularly among young people; however, their remains uncertain. This scoping review synthesizes existing evidence on the role of podcasts in shaping young people's health engagement, focusing on four key dimensions of effectiveness: awareness, knowledge, behaviour change, and health outcomes. The review followed the PRISMA extension for scoping reviews framework, including a systematic search to identify peer-reviewed studies examining podcast interventions targeting individuals aged 14-26 years. Findings indicate that health-related podcasts are an engaging and accessible tool for young audiences, with strong evidence supporting their role in increasing health awareness and knowledge. However, evidence regarding their influence on behaviour change and long-term health outcomes is inconsistent. Podcasts that incorporated interactive elements, expert-driven content, or relatable narratives appeared more effective in sustaining engagement and facilitating knowledge retention. Additionally, variations in podcast length, content style, and delivery format may influence their effectiveness, though these factors remain underexplored. Despite methodological differences across studies, the findings highlight podcasts as a promising avenue for youth-centred health communication. By synthesizing current evidence, this review provides insights into the characteristics that contribute to effective health-related podcasts for young people and underscores their potential as an innovative tool for digital health promotion.</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/PMC12223501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555737","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":"Building love and justice, ending harms: a framework for abolishing the tobacco and nicotine industry.","authors":"Raglan Maddox, Shane Kawenata Bradbrook","doi":"10.1093/heapro/daaf103","DOIUrl":"10.1093/heapro/daaf103","url":null,"abstract":"<p><p>The tobacco and nicotine industry, embedded in colonial exploitation and racialised harm, remains a leading cause of preventable disease, death, and intergenerational trauma. This article presents a transformative abolitionist public health framework, grounded in Indigenous-led principles of sovereignty, truth-telling, love, and justice. It aims to dismantle the structural drivers of harm perpetuated by the industry. We centre abolition as a moral and ethical imperative, but also as a practical necessity to uphold the human right to health, restore Indigenous authority, and eliminate systems that commodify addiction and death. Drawing on Indigenous health paradigms and abolitionist theory, we outline practical, policy-facing pathways to abolition. These include divesting from harm, reinvesting in care, defunding industry influence, and embedding reparative justice. Examples include legal liability mechanisms, profit caps, truth-telling commissions, trade reform, and Indigenous-led health infrastructure. We distinguish abolition from prohibition, framing it as a strategic, relational, and system-wide response that invests in life-affirming alternatives rather than punitive control. At the heart of this framework is love, a radical commitment to healing, collective well-being, and restoring power and agency to communities most harmed. Rather than placing responsibility on individuals, this framework offers a systems-wide approach to public health that targets the structural drivers of harm. This article contributes a new model for health-generative public policy, advancing abolition as an urgent strategy for equity, truth, and planetary and human health.</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/PMC12290506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709929","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":"Validation of the Swedish version of HLS19-Q12: a measurement for general health literacy.","authors":"Josefin Wångdahl, Maria Jaensson, Karina Dahlberg, Lina Bergman, Roger Keller Celeste, Megan Doheny, Janne Agerholm","doi":"10.1093/heapro/daaf132","DOIUrl":"10.1093/heapro/daaf132","url":null,"abstract":"<p><p>Health literacy (HL) is a critical determinant of health, as it affects health behavior and outcomes, in addition to equity in health. This study aimed to translate, culturally adapt, and validate the Swedish version of HLS19-Q12 (HLS19-Q12-SE). The HLS19-Q12 is a widely used instrument that consists of 12-items and is often used to assess HL in Europe. A convergent mixed-methods design was applied, including cognitive interviews (n  =  8) and psychometric testing with a survey sample (n  =  374) and test-retest group (n  =  28). The instrument was forward and backwards translated and culturally adapted. Data was analyzed using confirmatory and exploratory factor analysis, correlation testing, and reliability assessments. Cognitive interviews explored the clarity, interpretation, and contextual relevance of the items. Participants found the HLS19-Q12-SE clear and easy to understand, though some reported difficulties with unfamiliar health situations and uncertainty of the term \"health information.\" Based on the interviews, the examples for one of the items were culturally adapted. Psychometric testing showed good feasibility, no floor or ceiling effects on scale level, and moderate positive correlations with other HL instruments, supporting internal and external validity. Structural validity was confirmed, and internal consistency and test-retest reliability were satisfactory. However, ceiling effects were observed at the dichotomous item level, and correlations with self-rated health and social status were low. The HLS19-Q12-SE is a reliable and valid instrument for assessing general HL in Sweden. While psychometric properties were strong overall, future research should address ceiling effects on item level and explore the instrument's performance in more diverse populations.</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/PMC12314267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762284","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":"A qualitative study of how young women in a rural Canadian community plan their futures.","authors":"Alexa Ferdinands, Matt Ormandy, Stephanie Olsen, Maria Mayan","doi":"10.1093/heapro/daaf095","DOIUrl":"10.1093/heapro/daaf095","url":null,"abstract":"<p><p>Education and employment are well-acknowledged social determinants of health. However, little is known about how young women in rural, resource-dependent communities make decisions about postsecondary education, employment, and other aspects of their futures. To address this gap, we conducted a qualitative study with young women (ages 16-19) in a rural, oil and gas town in Alberta, Canada. Our overarching research question was, how do young women living in this town imagine and plan for their futures? We conducted 16 one-on-one interviews in 2022 and analysed them using reflexive thematic analysis. Through this process, we developed two main themes. The first main theme of 'challenging gendered social and economic relations' has three subthemes: (i) feeling frustrated with the inattention to girls' lives, (ii) admiring independent women who defy gender norms, and (iii) desiring financial self-sufficiency in response to economic instability. The second main theme of 'negotiating ambivalence about belonging' has three subthemes: (i) facing the double edge of belonging, (ii) transitioning professional, queer, and political identities, and (iii) holding space for ambivalence. Overall, this study generated insight into young women's experiences of growing up and living in a rural, oil and gas town, which helped us map out how these experiences shaped their future plans. Better understanding the perspectives of young women in resource-dependent communities is important for informing the design of interventions targeting their health and well-being, such as those encouraging the uptake of postsecondary education.</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/PMC12212420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546165","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}