Health Promotion International最新文献

{"title":"Re-aligning social and behavior change to address structural determinants of health and improve health equity.","authors":"Carol R Underwood, Telesphore E L Kabore, Babafunke Fagbemi, Foyeke Oyedokun-Adebagbo, Arame Gueye Sène, Catherine Lengewa, Lynn M Van Lith","doi":"10.1093/heapro/daaf104","DOIUrl":"https://doi.org/10.1093/heapro/daaf104","url":null,"abstract":"<p><p>While social and behavior change (SBC) programs have a history of addressing multiple social determinants of health (SDH), those interventions have sought primarily to influence the behaviors of individuals, groups, and communities, often overlooking underlying social and political causes of health inequities and the multiple ways SBC could address them. The SDH include (i) 'structural mechanisms,' or the social and political contexts that produce and sustain social stratification via socioeconomic position (SEP), which comprise social class, income, education, race/ethnicity, gender, and/or marginalization, and (ii) 'intermediary determinants,' including psychosocial factors, behaviors, and the health system itself. Currently, SBC programs consistently address intermediary determinants, but rarely design approaches to affect structural determinants. To strengthen SBC programming, it will be necessary to: develop/expand social determinants competency; engage with groups most disadvantaged by SDH using an intersectional lens; advocate for, and respond to, funding for SBC programming that addresses both structural and intermediary determinants; collaborate with partners across sectors; measure and evaluate the efficacy of SDH interventions; develop and apply measurement benchmarks aligned with long-term change processes; and demonstrate how health equity approaches align with multilevel health and development priorities and goals. Political will, donor commitment, implementers' actions, and community engagement working in concert to shape actionable goals for social change that benefit underserved or unserved populations can reduce inequities in health practices and outcomes. As partners in reimagining SBC and shifting the paradigm, SBC practitioners have important roles to play; this paper speaks explicitly to their needs, concerns, and opportunities.</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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592931","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":"Restricting outdoor advertising of unhealthy food: can Australia's food category-based classification system be applied consistently?","authors":"Clare Whitton, Frith Klug, Alexia Bivoltsis, Georgina S A Trapp, Claire E Pulker","doi":"10.1093/heapro/daaf128","DOIUrl":"10.1093/heapro/daaf128","url":null,"abstract":"<p><p>Most outdoor food advertising (e.g. billboards and bus stops) features foods that are considered unhealthy. The most important technical challenge when designing policies to restrict unhealthy outdoor food advertising is defining 'unhealthy food'. To date, most restriction policies have used nutrient profiling models (i.e. foods are classified according to their nutritional composition) to determine which foods and beverages may be advertised. In Australia, state governments have endorsed a food category-based classification system, with no prescribed nutrient limits, which may create ambiguity when multiple users are identifying food advertisements to be restricted. This study aimed to assess the consistency of decisions (inter-rater reliability) using a food category-based system to assess outdoor advertisements. Three coders independently assessed outdoor food advertisements (n 550) around 64 schools in metropolitan Perth, Western Australia, using the Council of Australian Governments 'National interim guide to reduce children's exposure to unhealthy food and drink promotion'. Overall, 78.7% of outdoor advertisements were restricted by at least one of three coders and 25.5% by all three; inter-rater reliability was fair [0.29; 95% confidence interval (CI) 0.24, 0.34]. The strongest agreement was for confectionery (κ = 0.94; 95% CI 0.89, 0.99) and desserts, ice cream, and ice confections (κ = 0.99; 95% CI 0.94, 1.04) while the poorest agreement was for brand advertising (κ = 0.04; 95% CI -0.01, 0.09). This study found that the Australian-government-endorsed model could not be consistently applied to assess outdoor food advertising, apart from the narrowly defined categories of confectionery and desserts. Recommendations to reduce ambiguity and policy implications are discussed.</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/PMC12320485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785929","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":"Mixed methods systematic review of consumer engagement in rural health practice, research, and education.","authors":"Talisker Broadhurst, Yu Jin Cha, Caitlin Bartlett, Johanna Van Heerden, Lauren Smith, Lucylynn Lizarondo, Matthew McGrail, Bushra Nasir, Adam Hulme, Srinivas Kondalsamy-Chennakesavan, Priya Martin","doi":"10.1093/heapro/daaf140","DOIUrl":"https://doi.org/10.1093/heapro/daaf140","url":null,"abstract":"<p><p>This systematic review aimed to synthesize evidence on consumer engagement in rural health practice, research, and education. It was conducted using the JBI mixed methods methodology, specifically the convergent integrated approach. PubMed, PsychINFO, Cochrane Library, SCOPUS, Web of Science, EMBASE, and CINAHL were searched, along with gray literature sources-Google, ProQuest Dissertation, and Theses Global. Primary research studies published globally in English, from 2011 to 2024 were included. Dual reviewer screening occurred in two stages, title and abstract, then followed by full text. Critical appraisals of included studies were undertaken using McMaster Critical Appraisal Tool for quantitative and qualitative studies, respectively, and the Mixed Methods Appraisal Tool. Extracted data was synthesized to develop themes for reporting per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. This review identified 25 studies that explored the top three levels of consumer involvement in rural healthcare settings, namely Partnership, Involving, and Consumer-led, adapted from the 2011 National Framework for Consumer Involvement in Cancer Control. Five key themes were developed from the data: positive impacts of co-design, importance of relationship building, sustainability of interventions, power issues in co-design, and the importance of context. Findings showed that interventions utilizing the top three partnership levels (consumer-led, partnership, and involving) consistently lead to positive impacts on health outcomes of rural communities with higher levels of sustained engagement. Enablers and barriers were identified and categorized into a macro, micro, and meso framework for direct comparison between studies. Rural healthcare initiatives involving consumer engagement appear to have several benefits including strengthening community-researcher relationships, enhanced sustainability, and enriching local contexts while addressing power imbalances to enhance healthcare outcomes.</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/PMC12394724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978596","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":"Sports coaches' perception of health promotion: an exploratory study regarding philosophies, actions, barriers, and strategies.","authors":"Kevin Barros, Arthur Lefebvre, Susanna Geidne, Farid Bardid, Spartaco Grieco, Stacey Johnson, Sami Kokko, Barry Lambe, Aoife Lane, Linda Ooms, Jan Seghers, Vassilis Sevdalis, Anne Vuillemin, Benjamin Tezier, Aurélie Van Hoye","doi":"10.1093/heapro/daaf099","DOIUrl":"https://doi.org/10.1093/heapro/daaf099","url":null,"abstract":"<p><p>As front-line players in sports clubs, coaches can create a positive context influencing athletes' health decisions and behaviours. However, coaches rarely engage in health promotion (HP) practices due to various obstacles. Coaching philosophy, encompassing beliefs, principles, and values, significantly influences coaches' practices. However, its impact on HP remains unexplored, are the main factor influencing coaches' practices, has not yet been studied in regard to HP. The aim of this study was to explore coaches' perceptions of what they define as health in relation to their coaching philosophies, actions and strategies they undertake in relation to HP, as well as alignment or discrepancies between these three elements. An exploratory mixed-method survey design (QUAL=>quan) was used in this study. A sample of 299 sports coaches in Europe completed an online survey, including closed ended questions on their influence on sports participants health behaviours, barriers for HP and open-ended questions on coaching philosophies and associated health benefits, keywords linked to health, and strategies for HP. Qualitative and quantitative data were analysed using inductive thematic analysis and multivariate statistics respectively. While coaches define health mainly through keywords related to physical health (e.g. 'hydration', 'recovery'), their perceived coaching philosophies were focused around nine themes, related to social and mental health, predominantly using participant management and communication as implementation strategies. Furthermore, they identified lack of time, knowledge and human resources as the main barriers to pay attention to HP. The present findings highlight a gap between how coaches define health, what they consider they can influence and how they promote health. Further work is needed to explore the paradox between coaches' definition of health and self-reported actions focusing mostly on social and mental health mostly.</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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585625","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":"Health literacy as a public health goal: 25 years on.","authors":"Don Nutbeam","doi":"10.1093/heapro/daaf119","DOIUrl":"https://doi.org/10.1093/heapro/daaf119","url":null,"abstract":"","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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644130","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":"False premises, false promises: celebrity endorsement of non-evidence-based anticancer interventions on social media.","authors":"Emma Grundtvig Gram, Ray Moynihan, Barnett S Kramer, Brooke Nickel","doi":"10.1093/heapro/daaf116","DOIUrl":"https://doi.org/10.1093/heapro/daaf116","url":null,"abstract":"<p><p>Most celebrities are not formally trained in evaluating medical evidence. Accordingly, their testimonials or endorsements may lack solid scientific backing, relying on 'anecdotal evidence', which can potentially convince consumers to seek unsafe or ineffective therapies. This is especially concerning when financial interests may inadvertently cloud judgement and generate personal endorsements of ineffective, or even harmful, medical interventions to the public. Cancer patients are particularly vulnerable to these messages, while the rest of the public is interested in avoiding life-threatening conditions such as cancer. Social media amplifies adverse consequences by allowing wide circulation and reach of such misleading information. In this paper, we showcase these trends, discuss the ethical considerations as well as implications for healthcare systems, and call for more effective scrutiny and enforcement of current regulation of celebrity testimonials and endorsements.</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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661074","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":"Preferences for eHealth interventions to improve sexual health and prevent HIV for Vietnamese young men who have sex with men.","authors":"Minh X Nguyen, Ingrid Mast, Sarah E Rutstein, Irving Hoffman, Ha V Tran, Le M Giang, Vivian F Go","doi":"10.1093/heapro/daaf060","DOIUrl":"10.1093/heapro/daaf060","url":null,"abstract":"<p><p>There is a lack of effective electronic health (eHealth) interventions focusing on sexual health among adolescent and young men who have sex with men (AYMSM), especially those in low-resource settings. We conducted a qualitative study with AYMSM in Vietnam and explored their perceptions and preferences on eHealth interventions to improve their sexual health and prevent HIV. From December 2022 to March 2023, we invited AYMSM in Hanoi and Ho Chi Minh City, Vietnam, to participate in in-depth interviews and focus group discussions. Qualitative data were thematically analyzed following a combination of deductive and inductive analytic approaches. Overall, 21 participants were enrolled in the study. Overall perceptions regarding eHealth interventions were positive. Perceived usefulness of eHealth interventions included improved knowledge of HIV and other sexually transmitted infections, facilitators of pre-exposure prophylaxis (PrEP) use, convenience, discreetness, affordability, and suitability for young people. Some concerns for eHealth interventions included confidentiality and trustworthiness. Mobile apps were the preferred format of eHealth interventions. Desirable features included connection with their peers and healthcare providers, tracking of behaviors and test results, support for PrEP use, delivery of test kits and condoms, and support for persons living with HIV. Participants suggested a variety of strategies to improve reach, credibility, and user interface of these interventions. To conclude, eHealth interventions have great potential to meet the diverse sexual health needs of AYMSM. Our findings suggest a need to address concerns on trustworthiness and confidentiality as well as employ creative strategies to make the interventions more appealing and accessible to AYMSM.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121495","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":"Beyond words: operationalizing inclusive language in Australian cervical screening health promotion policy.","authors":"Kerryn Drysdale, Nicola S Creagh, Claire Nightingale, Lisa J Whop, Angela Kelly-Hanku","doi":"10.1093/heapro/daaf058","DOIUrl":"10.1093/heapro/daaf058","url":null,"abstract":"<p><p>Health equity is a fundamental concern within the broader health promotion aim of creating equal opportunities for health and bringing health differentials down to the lowest level possible. Cervical screening is just one example of a preventative health program where a health promotion lens is required to address entrenched health inequities. We draw on theorizations of policy ecologies to provide a framework for better understanding the processes involved in operationalizing policy with greater inclusivity in language in health promotion. Twenty-eight semi-structured interviews were conducted with 29 key informants between April and October 2022 to explore the operationalization of inclusive language in health promotion in the context of a national program to promote cervical screening to currently underscreening communities in Australia. Four thematic categories emphasize the balance required between demands and domains: (i) the need for clinical guidelines and flexibility in their translation and interpretation; (ii) organizational mandates, clinical practice, and patient-centred care; (iii) socio-cultural norms, behaviours, and attitudes amid politicized/ing milieus; and (iv) community preferences and the need for medical accuracy. As such, we identified how the operationalization of inclusive language in policy is influenced by and influences other domains where cervical screening is promoted. These findings hold wider implications for how the historical legacies of and contemporary need for 'women's health' can be maintained and respected amid demands for greater gender inclusion. At the same time, the failure to trace diverse and diffuse modes and contexts of operationalization may (re)produce health inequities in practice if left unexamined.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112758","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 park features that encourage physical activity and social interaction among adults.","authors":"Jenny Veitch, Elise Rivera, Venurs Loh, Chahana Paudel, Nicole Biggs, Benedicte Deforche, Anna Timperio","doi":"10.1093/heapro/daaf063","DOIUrl":"10.1093/heapro/daaf063","url":null,"abstract":"<p><p>Urban parks are a critical setting that can support good health by providing opportunities for physical activity and social interaction. Therefore, it is necessary to better understand which park features are most important for encouraging active park use and social interaction. This study examined the perceived importance of park features for encouraging park visitation, park-based physical activity, and social interaction among adults in Australia. Participants [n = 232, 42.2 years (SD = 13.4), 53% female] rated images of 43 different park features. For each feature, mean scores (SD) were calculated for the overall sample and by gender and frequent/infrequent park visitors for each park-use behaviour (visit, active, social). 'Good maintenance and cleanliness' and 'trees' were the two highest-rated features for encouraging adults to visit a park and be active and social. A 'peaceful and relaxed setting' was ranked third for visitation and 'sense of safety from strangers' was ranked third for both physical activity and social interaction. Significant differences in rating scores were observed between frequent and infrequent park visitors for all three outcomes. The findings will assist those involved in park planning and design to create parks that are tailored to the specific needs of this important user group. This is critical for enhanced physical, social, and mental health at the population level.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12128928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210230","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":"From plate to post: exploring representations of #familymeals through a content analysis of Instagram.","authors":"Eloise-Kate Litterbach, Emily Denniss, Georgia Middleton","doi":"10.1093/heapro/daaf078","DOIUrl":"10.1093/heapro/daaf078","url":null,"abstract":"<p><p>Family meals are a popular topic on social media, where people regularly source and share food and nutrition information. However, no research has explored what family meal content is being shared on social media. This study employed a mixed-methods content analysis approach to explore how family meals are portrayed on Instagram. Four hashtags were identified through systematic screening: #familymeals, #familybreakfast, #familylunch, and #familydinner. All post details (video/image, caption, engagement, and account) were collected from the top 15 posts from each hashtag weekly for 14 weeks (February-May 2024). Data were analyzed using a coding framework in REDCap. A total of 564 posts from 359 unique accounts were included. Most account holders were women (86.3%). Recipe developers were the most common account type (38.4%). Most posts depicted food/drink (92.9%), predominantly plated meals (86.6%) and core foods (76.7%), and appeared staged (64.7%). Many captions included meal ideas (70.6%) linking out to or providing recipes (40% and 38.4%) and were described as \"quick\" or \"easy\" (38.9%). Differences in post and caption content across hashtags indicated perceptions of what family meals should look like depending on time of day, e.g. home-cooked meal at dinner, discretionary food at breakfast, family bonding at lunch. While some information provided in these hashtags may be useful for parents (e.g. quick and easy recipes), the portrayal of perfect meals and mealtimes may perpetuate harmful expectations. Further research is needed to understand how these representations impact parents, and how Instagram can be used to promote realistic, healthy family meals across the day.</p>","PeriodicalId":54256,"journal":{"name":"Health Promotion International","volume":"40 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12154203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276664","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}