Health Promotion International最新文献

{"title":"Rethinking the message on alcohol and breast cancer with UK women: a Delphi study.","authors":"Lindsey Coombes, Cathy Liddiard, Jennifer Seddon, Fiona A I Matley, Eila K Watson, Emma L Davies","doi":"10.1093/heapro/daaf092","DOIUrl":"https://doi.org/10.1093/heapro/daaf092","url":null,"abstract":"<p><p>Alcohol consumption is a well-established, yet, under-recognized risk factor for breast cancer (BCa) in women. Low public awareness of this link limits informed decision-making and undermines support for evidence-based alcohol policy. Existing communication strategies often neglect the socioemotional context in which such messages are received. This study offers a novel, participant-informed approach to message development, grounded in rigorous qualitative methods and public involvement. A Delphi study engaged 260 women aged 40-65-drinkers, ex-drinkers, and those with BCa-via an open-ended survey. Responses were explored in greater depth through seven online focus groups (n = 33) and a workshop (n = 7), to review themes and findings. Reflexive thematic analysis identified two overarching themes: (i) barriers to effective communication, including social norms, mistrust of public health messaging, psychological defence mechanisms, and fear of stigma and (ii) messaging strategies for overcoming these barriers, with narrative-based approaches (e.g. personal stories) identified as a promising alternative to hard-hitting or fear-based messaging. These findings extend existing literature by offering a framework for constructing public health messages that resonate with diverse audiences while avoiding unintended harms. By foregrounding the emotional and cultural dynamics of risk perception, this research contributes significant and timely evidence to inform cancer prevention campaigns and alcohol policy advocacy.</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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318710","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":"Routemap for health impact assessment implementation: scoping review using the consolidated framework for implementation research.","authors":"Tara Kenny, Ben Harris-Roxas, Sheena McHugh, Margaret Douglas, Liz Green, Fiona Haigh, Joanna Purdy, Paul Kavanagh, Monica O'Mullane","doi":"10.1093/heapro/daaf080","DOIUrl":"10.1093/heapro/daaf080","url":null,"abstract":"<p><p>Health Impact Assessment (HIA) provides a practical set of tools to appraise the potential health effects of a policy, programme, or project prior to implementation. HIA has gained significant attention in recent decades due to its utility in facilitating a broader understanding of health and bringing diverse stakeholders and evidence into decision-making processes. Despite this interest in HIA its implementation remains challenging within governance, decision making, and regulatory contexts. The Consolidated Framework for Implementation Research (CFIR) 2.0 provides a methodological framework to identify potential factors influencing implementation and the domains in which they operate, within the framework. For the purpose of this scoping review, implementation refers to the process of carrying out an HIA, and where applicable, the implementation of its recommendations. This review presents a novel exploration of HIA from an implementation science perspective. It provides a synthesis of the factors influencing HIA implementation and identifies a range of considerations and strategies that may facilitate and strengthen HIA implementation and support. The findings suggest that the earlier steps are critical in assisting the practical application and implementation of HIA. However, building wider HIA support, awareness, and capacity essential to progressing HIA is dependent on wider public health advocacy and addressing challenges specific to HIA as a method and tool. CFIR offers a useful and adaptable framework that could be used for supporting HIA planning, practice, and implementation.</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/PMC12208066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531107","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":"Promoting youth well-being: a qualitative study of Finnish YouTubers' mental health content.","authors":"Tuula Nygård, Pirjo Lindfors","doi":"10.1093/heapro/daaf074","DOIUrl":"10.1093/heapro/daaf074","url":null,"abstract":"<p><p>Social media has become an integral part of young people's daily lives. Influencers, such as YouTubers, can serve as role models who shape their followers' perceptions and management of mental health. This study analyzes the mental health content and characteristics of popular Finnish YouTubers who, except one, were not mental health professionals and were not primarily identified as health influencers. Data were collected from 19 YouTube channels between April 2023 and April 2024. Using qualitative descriptive analysis, we examined 1 987 vlogs, 161 of which contained mental health content. The YouTubers predominantly shaped their personal mental health challenges through recovery narratives. Emotional self-disclosure fosters authenticity, strengthens the parasocial relationship, and positions the YouTubers as both peer supporters and experiential experts. Anxiety and depression were the most frequently discussed mental health topics, along with panic disorder, eating disorder, physical appearance, and self-esteem. They offered numerous tips for supporting mental well-being, highlighting the importance of not being alone, seeking help, and promoting self-compassion and self-care strategies in alignment with positive psychology principles. These findings deepen our understanding of how mental health information can be communicated in ways that resonate with young people, providing them with valuable resources for social support and mental health promotion. Collaborating with YouTubers in health campaigns and interventions can help health promotion organizations reach young people who may be less receptive to traditional programs, ultimately contributing to greater mental health equity.</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/PMC12158547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276647","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":"Evolution of a sustained health promotion programme exploring adolescent metabolic health in the Cook Islands.","authors":"Jacquie L Bay, Tania John, Celeste Barrett-Watson, Karen Ngamata, Amy Renelle, Suzanne A Trask, Metua Bates, Mark H Vickers, Danielle Tungane Cochrane","doi":"10.1093/heapro/daaf069","DOIUrl":"10.1093/heapro/daaf069","url":null,"abstract":"<p><p>The non-communicable disease (NCD) burden in the Cook Islands is severe; 62% of adults 18-69 years live with 3-5 risk factors. Understanding NCD complexity and developing evidence-based actions to mitigate this burden is crucial. This article reports on the evolution of a sustained health promotion programme contributing to understanding adolescent metabolic health in Rarotonga. Ora'anga Tūmanava (established 2013) is a transdisciplinary initiative engaging adolescents in exploring NCD-related challenges through curriculum-linked learning. Community-based participatory research integrated within the Tivaevae framework guides co-design. In 2013, inclusion of health measures within this initiative was considered but rejected. Feedback in 2015 identified that, after examining population-level NCD burdens, adolescents wanted greater access to personal health information. Consequently, inclusion of health measures was revisited and agreed for trial alongside learning about metabolic health within a Year 9 programme. Data from 2016 to 2019 and 2022 to 2023 (n = 783; 65% total cohort; median age 13.8 years) indicated overweight 22.1%; obesity 37.6%; waist-to-height ratio > 0.5, 39.1%; elevated blood cholesterol, 8.1%; and elevated blood glucose, 15.6%. Where all measures were available (n = 321), 27.7% of students were living with ≥ 3 risk factors. Feedback confirmed the programme met student expectations, contributed to school-based health promotion, offered an acceptable strategy for tracking metabolic health indicators and highlighting NCD risk factors in this age-group, and encouraged health-related discussions. Alignment with curriculum-based learning and evidence-sharing has ensured sustained school-level support. This study highlights how transdisciplinary partnerships built via culturally appropriate co-design can support educational and health promotion goals and simultaneously inform public health in small island communities.</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/PMC12199598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499333","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":"How to improve smoking cessation support for pregnant women? Guideline implementation in The Netherlands.","authors":"Stella Weiland, Danielle E M C Jansen, Gera A Welker, Marjolein Y Berger, Jan Jaap H M Erwich, Lilian L Peters","doi":"10.1093/heapro/daaf084","DOIUrl":"10.1093/heapro/daaf084","url":null,"abstract":"<p><p>This study aimed to develop and evaluate plans for the implementation of the Dutch guideline 'Treatment of tobacco addiction and smoking cessation support for pregnant women'. Participatory action research was used for the development and evaluation of implementation plans for maternity collaboration units in the north of the Netherlands. Mixed methods were used to evaluate the implementation by using the Reach, Effectiveness, Adoption, Implementation and Maintenance framework. The maternity collaboration units implemented the intervention to refer pregnant women who smoke to a counsellor from addiction care. Twenty-one of the 50 midwifery care practices (42%) and two of the five obstetrics departments (40%) referred women to addiction care. The results showed that of the 558 women who smoked during pregnancy in 2021, 73 women (13%) were referred to addiction care, 58 (10%) started a coaching trajectory and 12 women of the 48 (25%) who finished a coaching trajectory stopped smoking. The results of interviews and focus groups gave insight into the challenges for referral and indicated that the communication between the midwife/counsellor and the pregnant woman is important for counselling. A minority of maternal care professionals referred women to a counsellor from addiction care and a small percentage of women managed to stop smoking. Opportunities in the repetition of implementation strategies and increasing skills in motivational interviewing for maternity care professionals could improve adoption of interventions in future implementation. To increase the effectiveness of the intervention, the counsellors could consider combining their counselling with nicotine replacement therapy, feedback or incentives.</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/PMC12203787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318707","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":"Predicting health literacy in Brazil: a machine learning approach.","authors":"Benjamin Miranda Tabak, Rubiane Daniele Cardoso de Almeida, Matheus Britto Froner, Débora Helena Rosa Cardoso, Laís Almeida da Conceição","doi":"10.1093/heapro/daaf046","DOIUrl":"https://doi.org/10.1093/heapro/daaf046","url":null,"abstract":"<p><p>Health literacy is essential for promoting well-being and the ability to make informed decisions. We investigated the level of health literacy in Brazil and identified the predictive factors that influence it. Our data contribute to the international context, with a focus on countries in the Global South and, in particular, Latin America. By analyzing health literacy in Brazil, this study sheds light on the challenges faced by populations with similar socioeconomic backgrounds in low- and middle-income countries, where disparities in access to education and health services are widespread. In addition to descriptive analysis, we used the Random Forest machine learning algorithm, which uses bootstrap aggregation (bagging). To make the results interpretable, we implemented Shapley's Additive exPlanation values. The results show a predominance of problematic levels of health literacy among the population. The analysis reveals that factors such as medication use, dependence on the Unified Health System (Sistema Único de Saúde), and educational level are significant predictors of health literacy. The findings highlight the need for public policies aimed at reducing socioeconomic disparities and improving the public health system in order to promote better access to and understanding of health information.</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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052162","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":"'I'm doomed!': audience responses to media reporting on the link between sleep and Alzheimer's disease.","authors":"Mary Breheny, Isabelle Ross, Rosemary Gibson","doi":"10.1093/heapro/daaf100","DOIUrl":"10.1093/heapro/daaf100","url":null,"abstract":"<p><p>The media are influential in shaping beliefs and attitudes towards health practices and behaviours, and the science of sleep is often disseminated through online news media. This paper explores audience responses to media reporting on the link between disrupted sleep and Alzheimer's disease. The news article analysed was based on a scientific publication reporting on the link between sleep disruption and Alzheimer's disease and the institutional press release about that publication. The online news article and the 536 Facebook comments posted in response were analysed using thematic analysis. Although the scientific article and institutional press release were guarded about the implications of the research for human health, the media article used sensationalist reporting on the impact of a single night's sleep disruption to emphasize the everyday implications of the findings. Audience members who identified as sleeping poorly responded fatalistically, whereas commentors who identified as sleeping well were reassured by the news article. The sensationalist framing provoked an affective response in audience members, which at times led to disbelief in the specific message or questioning of scientific research. Sensationalist media reporting of science has unintended consequences. Attempts to engage audiences with science communication that is simplistic and personal may encourage readers to reject scientific evidence as logically incoherent. This approach discounts the ability of audiences to weigh evidence and accept complexity.</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/PMC12210016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546164","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":"Ending nuclear weapons, before they end us†.","authors":"Kamran Abbasi, Parveen Ali, Virginia Barbour, Marion Birch, Inga Blum, Peter Doherty, Andy Haines, Ira Helfand, Richard Horton, Kati Juva, Jose F Lapena, Robert Mash, Olga Mironova, Arun Mitra, Carlos Monteiro, Elena N Naumova, David Onazi, Tilman Ruff, Peush Sahni, James Tumwine, Carlos Umaña, Paul Yonga, Chris Zielinski","doi":"10.1093/heapro/daaf064","DOIUrl":"10.1093/heapro/daaf064","url":null,"abstract":"","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/PMC12086140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095764","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":"Footprints in time: individual, social, and environmental factors and never-use of e-cigarettes among Indigenous adolescents.","authors":"Emily Rickard, Christina Heris, Eden M Barrett, Abigail de Waard, Katherine A Thurber, Makayla-May Brinckley, Rubijayne Cohen, Michelle Kennedy, Louise Lyons, Margaret O'Brien, Tom Calma, Raglan Maddox","doi":"10.1093/heapro/daaf024","DOIUrl":"10.1093/heapro/daaf024","url":null,"abstract":"<p><p>Electronic cigarette (e-cigarettes or vapes) use is becoming increasingly common, including among adolescents aged 12-15 years, who are often targeted through marketing and flavoured products. We aimed to investigate associations between individual, social, and environmental factors and e-cigarette never-use (hereafter referred to as never-use) among Aboriginal and Torres Strait Islander adolescents in 2018. This was a cross-sectional analysis of Wave 11 data from the Longitudinal Study of Indigenous Children (N = 440). Poisson regression was used to calculate prevalence ratios of never-use in relation to individual, social, and environmental factors. Never-use was reported by 89.3% of adolescents; 2.5% reported e-cigarette use with nicotine in the last 12 months. Never-use was associated with not using other substances (cigarettes, alcohol, or marijuana), positive social relationships as well as supportive home and education environments. We did not identify significant associations between e-cigarette use and (1) individual factors: suicidal ideation and physical activity; or e-cigarette use and (2) family factors: caregivers' perception of the child's friends and schooling. Never-use was common within a cohort of Aboriginal and Torres Strait Islander adolescents aged 12-15 years and was associated with supportive peer groups, school, and community environments. The factors identified as protective against e-cigarette use largely mirror those protective against cigarette use in this population.</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/PMC12096448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121463","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":"Measuring experiences and outcomes of mental distress-related presentations to Australian emergency departments: lived experience perspectives.","authors":"Stuart D M Thomas, Jo van Twest Farmer","doi":"10.1093/heapro/daaf091","DOIUrl":"10.1093/heapro/daaf091","url":null,"abstract":"<p><p>Emergency departments (EDs) represent a key contact point for people experiencing mental health-related distress. Lived experience accounts of presenting to the ED with mental health-related concerns report the ED experience as being highly stigmatizing and negative, with significantly deleterious impacts on people's wellbeing and future help-seeking behaviours being documented. However, little by way of empirical data on these experiences and outcomes are available to help inform evidence-based policy and practice change. This scoping study considered the potential utility of using patient-rated outcome measures (PROMs) and patient-rated experience measures (PREMs) in the Australian ED setting for people who present to an ED with mental health-related concerns. We interviewed eight people, all of whom had reported having presented to an ED for mental health-related reasons. Interviewees considered there being potential merit to measuring patient experiences and outcomes in this setting. Areas of focus for PROMs focussed on whether the presentation led to improvements in the person's health and whether they would return to the ED for future help. Focus areas for PREMs centred around respect for dignity, human rights being upheld, and having health needs met in a timely way. A number of concerns, challenges and opportunities are outlined. These should be used to inform larger-scale qualitative research that aims to develop patient-rated experience and outcome measures specifically for mental health-related ED presentations that are centred on, and are meaningful to, lived experience views and preferences.</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/PMC12203783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318709","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}