Health Education Journal最新文献

Students', parents' and teachers' perspectives on comprehensive school-based sleep promotion. 学生、家长和教师对全面校本睡眠促进的看法。

IF 1.1 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2024-11-01 Epub Date: 2024-09-30 DOI: 10.1177/00178969241286660

Pamela Mellon, Genevieve Montemurro, Samuel Sukmin Yang, Lauren Sulz, Brian Torrance, Kate Storey

Objective: Sleep deprivation is common among children and schools are ideal settings in which to influence children's sleep. Children spend a significant amount of time at school during key developmental periods, and programmes that influence students' well-being also benefit academic achievement. Comprehensive School Health (CSH) is an approach that prioritises school, home and community partnerships by supporting the development of health behaviours. However, sleep is often unaddressed in the school environment. The objective of this study was to integrate multiple partner perspectives to inform how to strengthen school-based sleep promotion using a CSH approach.

Design: A secondary qualitative analysis of student aged 9-11 (n = 45), parent/guardian (n = 24) and teacher (n = 19) interviews from participants representing elementary (Kindergarten - Grade 6) schools and communities in Alberta, Canada was conducted. Data were examined using an a priori framework in alignment with the four components of the CSH approach: social and physical environment, teaching and learning, policy and partnerships and services. Inductive content analysis was used to develop categories followed by subthemes within each CSH component.

Results: Subthemes identified within each component were as follows: social and physical environment (culture of healthy sleep habits; students influence each other); teaching and learning (formally integrate sleep-specific learning into curricula; school, teacher and parents/guardian collaboration); policy (sleep-positive classroom policies) and partnerships and services (community partnerships; school-home collaboration).

Conclusion: This research identifies recommendations from student, parent/guardian and teacher interviews to inform and strengthen school-based sleep promotion when taking a CSH approach. Findings can support school partner efforts to foster a school culture (or ethos) of healthy sleep habits leading to improvements in student sleep behaviours.

目的：睡眠不足在儿童中很常见，而学校是影响儿童睡眠的理想场所。儿童在成长的关键时期有大量时间在学校度过，影响学生健康的计划也有利于提高学习成绩。学校全面健康（CSH）是一种通过支持健康行为的发展，优先考虑学校、家庭和社区伙伴关系的方法。然而，睡眠问题在学校环境中往往得不到解决。本研究旨在综合多个合作伙伴的观点，为如何利用 CSH 方法加强校本睡眠促进提供信息：设计：对来自加拿大艾伯塔省小学（幼儿园至六年级）和社区的 9-11 岁学生（45 人）、家长/监护人（24 人）和教师（19 人）的访谈进行了二次定性分析。我们使用一个先验框架对数据进行了研究，该框架与 CSH 方法的四个组成部分相一致：社会和物质环境、教学、政策、合作伙伴关系和服务。采用归纳式内容分析法对 CSH 的每个组成部分进行分类，并在每个组成部分下确定次主题：结果：在每个组成部分中确定的次主题如下：社会和物质环境（健康睡眠习惯的文化；学生之间的相互影响）；教学（将睡眠方面的学习正式纳入课程；学校、教师和家长/监护人之间的合作）；政策（积极睡眠的课堂政策）以及合作与服务（社区合作；学校与家庭之间的合作）：本研究通过对学生、家长/监护人和教师的访谈，提出了一些建议，以指导和加强校本睡眠促进活动。研究结果可以支持学校合作伙伴努力培养健康睡眠习惯的校园文化（或精神），从而改善学生的睡眠行为。

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引用次数: 0

The effect of an educational intervention on healthy lifestyle knowledge and behaviour among middle-aged women 教育干预对中年妇女健康生活方式知识和行为的影响

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2024-09-17 DOI: 10.1177/00178969241279272

Maryam Mohammadi, Sahar Mohammadnabizadeh, Leila Mowlaei, Ali Ramezankhani, Fatemeh Rakhshan, Mahsa Soleimanzadeh

Objectives:This study aimed to assess the impact of an educational intervention on middle-aged women’s knowledge and behaviour regarding various aspects of a healthy lifestyle.Design:Quasi-experimental study involving 150 middle-aged women (divided into experimental and control groups).Setting:Participants were selected from health centres of Tehran, Iran.Method:Data collection included demographic information, knowledge of a healthy lifestyle and healthy lifestyle behaviour. Participants in both the intervention and control groups completed the questionnaires before and 2 months after the educational intervention. The intervention involved 10 minutes of face-to-face training followed by distribution of training booklets provided by the Ministry of Health in Iran. Statistical analyses were conducted using SPSS.Results:Within the intervention group, significant differences were observed in total healthy lifestyle knowledge and subscales for physical activity knowledge, anthropometry knowledge, healthy diet knowledge, and smoking knowledge, between the pre- and post-intervention periods. Other than for smoking behaviour, there was no significant difference in healthy behaviours pre- and post-intervention for the experimental and also the control group.Conclusion:While there was an increase in knowledge about healthy lifestyles following the intervention, this knowledge increase was not associated with a change in healthy lifestyle behaviours. Attention should therefore be given to other influences including socio-economic factors, mental health status, environmental factors, cultural influences, duration of the intervention and psychological factors if changes in healthy behaviour are to be achieved.

目的：本研究旨在评估教育干预措施对中年妇女有关健康生活方式各方面的知识和行为的影响。干预组和对照组的参与者分别在教育干预之前和之后 2 个月完成了问卷调查。干预措施包括 10 分钟的面对面培训，然后分发伊朗卫生部提供的培训手册。结果：在干预组中，总的健康生活方式知识以及体育锻炼知识、人体测量知识、健康饮食知识和吸烟知识等分量表在干预前和干预后有显著差异。结论：虽然干预后健康生活方式知识有所增加，但这种知识的增加与健康生活方式行为的改变无关。因此，如果要实现健康行为的改变，还应该关注其他影响因素，包括社会经济因素、心理健康状况、环境因素、文化影响、干预持续时间和心理因素。

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引用次数: 0

Men’s experiences of HeadsUpGuys: A strength-based case study 男性在 HeadsUpGuys 的经历：基于力量的案例研究

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2024-09-14 DOI: 10.1177/00178969241279649

John S Ogrodniczuk, Joshua Beharry, Quinn K Storey, John L Oliffe

Objective:Suicide is one of the leading causes of death of men. This article reports on men’s experiences of using an e-mental health resource, HeadsUpGuys, which was designed to support men’s management and recovery from depression and suicidality.Design:Survey methodology was used to report men’s experiences of using the website. Constructs of interest included mental health literacy, stigma, attitudes, taking action, help-seeking and satisfaction with the resource. Survey items were developed specifically for the study.Setting:The survey was conducted online.Methods:Participants were recruited via the HeadsUpGuys website ( headsupguys.org ) and invited to participate in the survey if they were (a) male, (b) visiting the site for help with their own health, (c) 18 years of age or older and (d) able to read English.Results:A total of 443 men participated in the study. A high proportion indicated that visiting HeadsUpGuys helped improve their knowledge of suicidality among men and better recognise symptoms of male depression. The majority reported a reduction in their stigmatising beliefs about depression and suicidality among men. An increased sense of hope for recovery was reported by many participants. The majority of men also reported feeling inspired to take action towards recovery and having a better understanding of the steps they needed to take. Furthermore, a high proportion indicated they were more likely to seek help from both peers and professionals after visiting the site. Most men reported being satisfied with the HeadsUpGuys resource and would recommend it to others.Conclusion:A tailored mental health resource for men has the capacity to facilitate important shifts in constructs that play a critical role in shaping help-seeking behaviours among men. Considering the dearth of free public health resources to support men’s mental health, the HeadsUpGuys programme not only helps to fill this gap, but also provides an example of effective engagement of men to guide the development of other tailored programmes.

目的：自杀是导致男性死亡的主要原因之一。本文报告了男性使用电子心理健康资源 "HeadsUpGuys "的经历，该资源旨在帮助男性管理抑郁症和自杀倾向，并帮助他们从抑郁症和自杀倾向中恢复过来。调查内容包括心理健康知识、耻辱感、态度、采取行动、寻求帮助以及对资源的满意度。调查项目是专门为本研究开发的。调查地点：调查在网上进行。调查方法：通过 HeadsUpGuys 网站（headsupguys.org）招募参与者，并邀请符合以下条件的男性参与调查：（a）男性；（b）访问该网站以寻求自身健康方面的帮助；（c）18 岁或以上；（d）能够阅读英语。大部分人表示，访问 HeadsUpGuys 有助于提高他们对男性自杀问题的认识，并能更好地识别男性抑郁症的症状。大多数人表示，他们对男性抑郁和自杀的鄙视观念有所减少。许多参与者表示对康复抱有更大的希望。大多数男性还表示，他们感到自己受到了鼓舞，决心采取行动实现康复，并对自己需要采取的步骤有了更好的了解。此外，有很大一部分人表示，在访问该网站后，他们更有可能向同伴和专业人士寻求帮助。大多数男性对 HeadsUpGuys 的资源表示满意，并愿意向他人推荐。考虑到支持男性心理健康的免费公共卫生资源十分匮乏，"HeadsUpGuys "项目不仅有助于填补这一空白，还提供了一个让男性有效参与的范例，以指导其他定制项目的开发。

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引用次数: 0

Listening ‘with’ children ‘to’ the more-than-human world: A diffractive analysis of the child and the challenge of sustainability 与 "儿童一起 "倾听 "超越人类的世界"：对儿童和可持续性挑战的衍射分析

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2024-09-10 DOI: 10.1177/00178969241272865

Kathleen Theresa Bailey

Objective:Listening to children has been frequently adopted by researchers working within a child’s rights paradigm, as an uncontested method that veritably represents children’s ‘voices’. Whether children can be understood to participate, and their voices represented veritably, when their lives are culturally situated and co-constructed with significant adults is debatable. The data this paper engages with were created by adopting Barad’s posthumanist methodology of diffraction to listen with children to the more-than-human world.Design/Method:Diffraction was deployed as both a creative knowledge-making practice and an analytical framework that sought insight into the ways in which children are affected by, and affect, ideologies of sustainability. Art-making was adopted as a method to enable children a medium for communication and expression. As children make sense of their social and material worlds through play, I considered it to be a form of performance art during the research. The art-making took place within a ‘wild’ park space in the UK with children age 18 months to 9 years old.Results:This paper engages with a sense-making story created during the research analysis to highlight one way in which children’s possibilities to know become foreclosed when they are filtered through societal constructions of the child as ‘vulnerable’ and how ideas of food production become framed as ‘taboo’ when talking to children.Conclusion:Children’s possibilities to contribute to discussion on issues that create sustainability dissonance seem to become limited. The agency attributed to children tasked with bringing about sustainability change seems questionable and implications for their health and well-being need to be considered.

目标：在儿童权利范式下开展工作的研究人员经常采用倾听儿童的方法，将其视为一种能够真实代表儿童 "声音 "的无可争议的方法。当儿童的生活处于文化环境中并与重要的成年人共同建构时，他们是否能被理解为参与其中，他们的声音是否能被真实地表达出来，这一点值得商榷。设计/方法：衍射既是一种创造性的知识创造实践，也是一种分析框架，旨在深入了解儿童受可持续发展意识形态影响的方式。艺术创作作为一种方法，为儿童提供了交流和表达的媒介。由于儿童通过游戏来理解他们的社会和物质世界，因此我认为这是研究期间的一种行为艺术形式。结果：本文通过研究分析过程中创造的一个感性认识故事，强调了当儿童被社会构建为 "弱势 "时，他们的认识可能性被剥夺的一种方式，以及当与儿童交谈时，食品生产的想法是如何被框定为 "禁忌 "的。儿童在实现可持续发展变革中的作用似乎值得怀疑，他们的健康和福祉也需要考虑。

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引用次数: 0

Anatomically correct models for visually impaired learners: Teachers’ perspectives 为视障学习者制作正确的解剖模型：教师的观点

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2024-08-28 DOI: 10.1177/00178969241274708

Lindokuhle Ubisi, Wandile Tsabedze

Background:Despite anatomically correct models (ACMs) being recommended internationally for their ability to serve as real-life, age-appropriate, and practical models in comprehensive sexuality education (CSE) for learners with visual impairment, there is still limited research exploring South African teachers’ views regarding their use.Objectives:The aim of this study was to explore how South African teachers of learners with visual impairment view the use of ACMs during their CSE lessons.Method:This study used a qualitative approach and an exploratory, multiple case study research design. A total of 36 teachers from five schools for the blind were convenience sampled and data were generated via focus group discussions. The theory of planned behaviour underpinned this study, while data were analysed thematically.Results:Most teachers reacted with fear and resistance towards the use of ACMs in their teaching. Their responses were based on embarrassment, shame, and discomfort in handling the models. Part of the reason for this was that most teachers had not received prior teacher education about the use of the models. Some teachers falsely believed that ACMs were pleasure-enhancing devices. Others recommended their use only for blind learners, while yet others stated that they would use ACMs because of their practical value.Conclusion:Findings suggest that future research is needed on how best to engage the teachers of learners with visual impairment in self-awareness and desensitisation teacher training. Recommendations for a critical teaching framework, revisions to the CSE curriculum, as well as guidelines for teacher education are provided to facilitate teachers’ use of learners with visual impairment ACMs in their CSE lessons.

背景：尽管国际上推荐解剖正确模型（ACMs）在视障学习者全面性教育（CSE）中作为现实生活中的、与年龄相适应的实用模型，但南非教师对其使用看法的研究仍然有限。研究人员从五所盲人学校的 36 名教师中随机抽样，并通过焦点小组讨论获得数据。结果：大多数教师对在教学中使用单片机的反应是恐惧和抵制。他们的反应主要是尴尬、羞愧和对模型操作的不适。造成这种情况的部分原因是，大多数教师事先没有接受过有关使用模型的师范教育。一些教师错误地认为，ACM 是一种能提高愉悦感的设备。结论：研究结果表明，今后需要就如何更好地让视障学习者的教师参与自我意识和脱敏教师培训开展研究。研究建议建立一个关键的教学框架，修订 CSE 课程，并为教师教育提供指导，以促进教师在 CSE 课程中使用视障学习者单片机。

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引用次数: 0

Gender bias in generative artificial intelligence text-to-image depiction of medical students 生成式人工智能文本到图像描述医学生中的性别偏见

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2024-08-28 DOI: 10.1177/00178969241274621

Geoffrey Currie, Josie Currie, Sam Anderson, Johnathan Hewis

Introduction:In Australia, 54.3% of medical students are women yet they remain under-represented in stereotypical perspectives of medicine. While potentially transformative, generative artificial intelligence (genAI) has the potential for errors, misrepresentations and bias. GenAI text-to-image production could reinforce gender biases making it important to evaluate DALL-E 3 (the text-to-image genAI supported through ChatGPT) representations of Australian medical students.Method:In March 2024, DALL-E 3 was utilised via GPT-4 to generate a series of individual and group images of medical students, specifically Australian undergraduate medical students to eliminate potential confounders. Multiple iterations of images were generated using a variety of prompts. Collectively, 47 images were produced for evaluation of which 33 were individual characters and the remaining 14 images were comprised of multiple (5 to 67) characters. All images were independently analysed by three reviewers for apparent gender and skin tone. Consequently, 33 feature individuals were evaluated and a further 417 characters in groups were evaluated ( N = 448). Discrepancies in responses were resolved by consensus.Results:Collectively (individual and group images), 58.8% ( N = 258) of medical students were depicted as men, 39.9% ( N = 175) as women, 92.0% ( N = 404) with a light skin tone, 7.7% ( N = 34) with mid skin tone and 0% with dark skin tone. The gender distribution was a statistically significant variation from that of actual Australian medical students for individual images, for group images and for collective images. Among the images of individual medical students ( N = 25), DALL-E 3 generated 92% ( N = 23) as men and 100% were of light skin tone ( N = 25).Conclusion:This evaluation reveals the gender associated with genAI text-to-image generation using DALL-E 3 among Australian undergraduate medical students. Generated images included a disproportionately high proportion of white male medical students which is not representative of the diversity of medical students in Australia. The use of DALL-E 3 to produce depictions of medical students for education or promotion purposes should be done with caution.

导言：在澳大利亚，54.3% 的医科学生是女性，但她们在医学刻板印象中的代表性仍然不足。生成式人工智能（genAI）虽然具有潜在的变革性，但也有可能出现错误、歪曲和偏见。GenAI 文本到图像的生成可能会强化性别偏见，因此评估 DALL-E 3（通过 ChatGPT 支持的文本到图像 GenAI）对澳大利亚医科学生的表现非常重要。方法：2024 年 3 月，DALL-E 3 通过 GPT-4 生成了一系列医科学生的个人和群体图像，特别是澳大利亚本科医科学生，以消除潜在的混杂因素。使用各种提示多次重复生成图像。总共生成了 47 幅用于评估的图像，其中 33 幅为单个人物，其余 14 幅由多个（5 至 67 个）人物组成。所有图像均由三名审查员独立分析，以确定明显的性别和肤色。因此，有 33 个特征个体接受了评估，另有 417 个人物群体接受了评估（N = 448）。结果：总体而言（个体和群体图像），58.8%（N = 258）的医学生为男性，39.9%（N = 175）为女性，92.0%（N = 404）为浅肤色，7.7%（N = 34）为中肤色，0%为深肤色。在统计上，单个图像、群体图像和集体图像的性别分布与实际澳大利亚医学生的性别分布有显著差异。在医学生个人图像（25 张）中，DALL-E 3 生成的图像中有 92% （23 张）为男性，100% 为浅肤色（25 张）。生成的图像中白人男性医学生的比例过高，这并不代表澳大利亚医学生的多样性。在使用 DALL-E 3 生成用于教育或宣传目的的医学生图像时应谨慎。

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引用次数: 0

Health literacy development using a short drama programme for dengue fever control in Thailand 利用短剧节目在泰国开展登革热防治知识普及活动

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2024-08-22 DOI: 10.1177/00178969241274198

Natnapa Heebkaew Padchasuwan, Rittirong Junggoth, Naowarat Maneenin, Surachai Phimha, Jinthapa Benchamas, Krittiyanee Thammasarn

Background:Dengue is a viral infection that spreads from mosquitoes to people. It is especially prevalent in tropical and subtropical regions of the world. To address the challenges posed by dengue in countries such as Thailand, effective prevention and control to strengthen health literacy at the community level is needed. One way of achieving this goal is to work with village health volunteers (VHVs). This article documents the use of VHVs for dengue fever prevention in Mueang district, Khon Kaen province, northeast Thailand.Method:A quasi-experimental study was conducted. The experimental group comprised 45 people who received a programme that aimed to enhance health literacy through the provision of knowledge and social support by community-based volunteers accompanied by a short drama programme. A group of 45 people receiving health services without the drama programme comprised the comparison group. The duration of the activity was 12 weeks. Data were collected by means of a pre- and post-test survey and were analysed using descriptive statistics and a comparison of mean health literacy and practice scores before and after the intervention.Results:Following programme delivery, the experimental group had a mean health literacy score which was significantly higher than that of the comparison group, while the mean practice score of the experimental group was also higher than that of the comparison group.Conclusion:The results suggest that a health literacy programme which includes a short drama programme could be effective in bringing about desired changes with respect to dengue fever prevention. The programme provided in this study was effective and easy to understand. The model developed here could also be useful in other villages in epidemic areas.

背景：登革热是一种由蚊子传播给人的病毒感染。它在世界热带和亚热带地区尤为流行。为了应对登革热在泰国等国带来的挑战，需要采取有效的预防和控制措施，加强社区一级的卫生知识普及。实现这一目标的方法之一是与村卫生志愿者（VHVs）合作。本文记录了泰国东北部孔敬府 Mueang 区利用村卫生志愿者预防登革热的情况。实验组由 45 人组成，他们接受了一项旨在通过社区志愿者提供的知识和社会支持以及简短的戏剧节目来提高健康素养的计划。对比组由 45 人组成，他们在接受医疗服务的同时并未参加戏剧课程。活动为期 12 周。实验组的平均健康知识得分明显高于对比组，而实验组的平均实践得分也高于对比组。结论：结果表明，包含一个简短戏剧节目的健康知识普及项目可以有效地为登革热预防带来预期的改变。本研究提供的方案既有效又通俗易懂。在疫区的其他村庄也可采用本研究开发的模式。

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引用次数: 0

Hispanic and non-Hispanic parents’ health behaviour predicts preschool children’s behaviour in low-income communities in the United States 西班牙裔和非西班牙裔父母的健康行为预测美国低收入社区学龄前儿童的行为

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2024-08-19 DOI: 10.1177/00178969241269017

Julia M L Pangalangan, Jini E Puma

Objective:Despite public health efforts, most children in the United States do not meet nutrition and physical activity guidelines. Moreover, there are nutrition-related health disparities between non-Hispanic and Hispanic communities. Caregivers are critical role models that shape health behaviours in children. To promote healthy behaviours, health promotion interventions must consider the entire family unit. This study aimed to assess the impact of parent’s health behaviours on children’s health behaviours in a sample of non-Hispanic and Hispanic low-income parents.Design:A mixed-methods design was used to identify how parent health behaviours including fruit and vegetable intake, beverage intake, physical activity, and screen time influence corresponding child health behaviours. In addition, the study aimed to investigate whether the strength of association between parent and child health behaviours varied as a function of ethnicity. Survey data and semi-structured qualitative interviews were utilised for the analyses.Setting:The study was a part of the Culture of Wellness in Preschools Programme, a multi-level obesity prevention programme. The data were obtained from the parent wellness workshops, a direct education intervention aimed at increasing fruit and vegetable consumption and physical activity among parents and their children.Data Analysis:The quantitative analyses utilised survey data from the Family Wellness pre-survey. Hierarchical linear regression models assessed the relationship between parent–child-health behaviours. Interaction terms were created to understand if this relationship varied as a function of ethnicity. Data from qualitative interviews were analysed using thematic analysis to gain an in-depth understanding of the relationship between parent and child health behaviours.Results:Parent health behaviours significantly predicted child health behaviours across all models, and these relationships did not vary as a function of ethnicity. The quantitative data were supported by the qualitative analysis: parents modelled health behaviours and thus influenced their child’s health behaviour through a variety of mechanisms.Conclusion:Future efforts to promote a healthy lifestyle in children should engage with both family practices and the wider social context.

目标：尽管在公共卫生方面做出了努力，但美国大多数儿童仍未达到营养和体育锻炼指南的要求。此外，非西班牙裔和西班牙裔社区之间还存在与营养相关的健康差异。照顾者是塑造儿童健康行为的重要榜样。为了促进健康行为，健康促进干预措施必须考虑到整个家庭单位。本研究旨在以非西班牙裔和西班牙裔低收入父母为样本，评估父母的健康行为对儿童健康行为的影响。设计：本研究采用混合方法设计，以确定父母的健康行为（包括水果和蔬菜摄入量、饮料摄入量、体育活动和屏幕时间）如何影响相应的儿童健康行为。此外，该研究还旨在调查父母和儿童健康行为之间的关联强度是否因种族而异。研究采用了调查数据和半结构化定性访谈进行分析。研究背景：本研究是多层次肥胖预防计划 "学龄前儿童健康文化计划 "的一部分。数据分析：定量分析采用了家庭健康预调查的调查数据。分层线性回归模型评估了父母-子女-健康行为之间的关系。为了了解这种关系是否因种族而异，我们创建了交互项。采用主题分析法对定性访谈的数据进行了分析，以深入了解父母与子女健康行为之间的关系。结果：在所有模型中，父母的健康行为对子女的健康行为都有显著的预测作用，而且这些关系并不因种族而异。定量数据得到了定性分析的支持：父母以健康行为为榜样，从而通过各种机制影响子女的健康行为。结论：未来促进儿童健康生活方式的工作应同时涉及家庭实践和更广泛的社会背景。

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引用次数: 0

Two-year follow-up of a brisk walking programme on fitness, perceived health and physical activity engagement in postmenopausal women 快走计划对绝经后妇女的体能、健康感知和体育活动参与度的两年跟踪研究

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2024-08-17 DOI: 10.1177/00178969241269016

Sophie Garnier, Sandra Joffroy, Bernard Thon, Gérard Auneau, Pascale Mauriège

Objective:Brisk walking helps postmenopausal women to maintain body weight and fat mass losses as well cardiorespiratory fitness (CRF) and to feel better. However, these long-term benefits have not been fully examined. The aims of this study were to compare the effects of a 2-year follow-up with those of a 4-month walking programme on body composition, resting blood pressure (BP), CRF and perceived health of 248 sedentary postmenopausal women (60 ± 5 years) with overweight-to-moderate obesity (body mass index, BMI, 30 ± 4 kg/m2).Method:From the study-population, 196 women engaged in an outdoor walking programme consisting of three sessions of 45 minutes/week at 60% of their heart rate reserve (initially exercised, IEx, group), and another 52 formed the initial control group (ICo). Ninety-one IEx and 18 ICo women were re-examined 2 years later, for all outcomes.Results:In IEx women, decreased body weight, fat mass and BP versus the increased CRF (.0001 < p < .001) as well as improvements in four on six items of perceived health (.0001 < p < .05) were maintained at follow-up. In ICo women, reduced BP and improved perceived healthy balanced diet were the only benefits at follow-up ( p < .05). Of the 91 IEx women, 70 remained physically active (60 minutes/week), and 46 of them engaged in physical activity more than 150 minutes/week. In ICo women, 16 became physically active (60 minutes/week), while 9 of them reached 150 minutes/week.Conclusion:The regular practice of brisk walking in greenspaces could thus be considered a useful health education strategy for middle-aged women.

目的：快走有助于绝经后妇女保持体重和脂肪量的减少以及心肺功能（CRF），并使她们感觉更好。然而，这些长期益处尚未得到充分研究。本研究旨在比较为期 2 年的随访和为期 4 个月的步行计划对 248 名久坐不动、超重至中度肥胖（体重指数，BMI，30 ± 4 kg/m2）的绝经后妇女（60 ± 5 岁）的身体成分、静息血压（BP）、心肺功能和健康感知的影响。方法：在研究人群中，196 名妇女参加了户外步行计划，该计划包括每周三次、每次 45 分钟、心率储备为 60%（初始锻炼组，IEx），另有 52 名妇女组成初始对照组（ICo）。结果：在 IEx 组妇女中，体重、脂肪量和血压相对于 CRF 的增加均有所下降（.0001 < p <.001），6 个健康感知项目中的 4 个项目也有所改善（.0001 < p <.05）。在 ICo 妇女中，血压降低和健康均衡饮食感知的改善是随访时唯一的益处（p <.05）。在 91 名 IEx 妇女中，70 人保持体育锻炼（60 分钟/周），其中 46 人的体育锻炼时间超过 150 分钟/周。结论：因此，定期在绿地中快步行走可被视为针对中年女性的一项有用的健康教育策略。

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引用次数: 0

Teachers navigating the sociocultural challenges of teaching sexuality education to South African learners 教师在向南非学生传授性教育时如何应对社会文化挑战

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2024-08-14 DOI: 10.1177/00178969241265900

Jaqueline Naidoo, Elasmus Muza

Objective:Globally, South Africa has the highest rate of HIV infection, nevertheless, society and communities seem hesitant to entrust teachers with the responsibility to teach their children about sexuality issues. This study examined how Further Education and Training Life Orientation teachers navigate the sociocultural complexities of teaching sexuality education.Design:A qualitative, narrative study was conducted. Data were generated using narrative frames, collages, and lesson observations.Setting:Six Life Orientation teachers from six schools in the province of KwaZulu-Natal, South Africa participated.Results:Life Orientation teachers faced a range of sociocultural challenges when teaching sexuality education. The following strategies were used to mitigate these challenges: avoiding teaching about contradicting cultural and religious beliefs; using social media platforms; involving specialists, peer educators and role models; and adopting pastoral and parental roles.Conclusion:Collaborative opportunities between Life Orientation teachers, specialists, role models and community members or organisations could offer a supportive role and influence the teaching of sexuality education positively. Social media platforms and innovative teaching strategies could enhance the quality and teaching of sexuality education.

目的：在全球范围内，南非是艾滋病毒感染率最高的国家，然而，社会和社区似乎对教师是否有责任向孩子们传授性知识犹豫不决。本研究探讨了继续教育和培训生活定向教师如何应对性教育教学中复杂的社会文化问题。结果：生活指导教师在教授性教育时面临一系列社会文化挑战。结论：生活定向教师、专家、榜样和社区成员或组织之间的合作机会可以提供支持性作用，并对性教育教学产生积极影响。社交媒体平台和创新教学策略可提高性教育的质量和教学水平。

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引用次数: 0