Health Promotion Journal of Australia最新文献

{"title":"Factors Influencing Success and Long-Term Engagement With Aunty Roma's Falls Prevention Program","authors":"Lillian Newton,&nbsp;Katrina Filewood,&nbsp;Minh Pham,&nbsp;Amitabh Gupta,&nbsp;Jennifer Reath,&nbsp;Daniel Thomson","doi":"10.1002/hpja.70137","DOIUrl":"10.1002/hpja.70137","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>The use of Aboriginal and Torres Strait Islander health programs is linked to improved health outcomes for Aboriginal and Torres Strait Islander communities. This study sought to understand the strengths within Aunty Roma's falls prevention program that have facilitated successful implementation, continued engagement and improved health outcomes. This study is the first to explore perspectives surrounding an Aboriginal and Torres Strait Islander falls prevention program that has demonstrated long-term success in a hospital environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Indigenous methodologies were used to inform a qualitative descriptive research design and gather Aboriginal and Torres Strait Islander perspectives through a yarning circle and individual yarns. An Aboriginal Reference Group was established to provide community control over the research process and ensure prioritisation of local Aboriginal and Torres Strait Islander knowledge and cultural values. Thematic analysis was used to produce key themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Yarning was conducted with two healthcare workers and nine group members involved in Aunty Roma's. Themes emerging from the data included community ownership, staff commitment, cultural safety, flexibility, social connection and relationships and improved health access and outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This research demonstrates that through strong partnerships with staff and the community, and commitment to long-term implementation, hospital-based Aboriginal and Torres Strait Islander falls prevention programs can be culturally safe and successful in the long term.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>These findings will benefit the community involved through documentation of factors contributing to success, driving continual improvement of the program. The findings may also inform implementation of similar programs in the future.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702491","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":"Implementation of a Whole-School Relationship and Sexuality Education Project in Western Australian Schools: Evaluation Data From a Multiple, Embedded Case Study","authors":"Sharyn Burns,&nbsp;Roisin Glasgow-Collins,&nbsp;Hanna Saltis,&nbsp;Jacqueline Hendriks","doi":"10.1002/hpja.70138","DOIUrl":"10.1002/hpja.70138","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>School-based relationships and sexuality education (RSE) offers broad social, emotional and physical health benefits. However, many teachers feel unprepared to deliver comprehensive, contemporary RSE. To address this, the Curtin RSE Project supported schools in implementing whole-school RSE using a Health Promoting Schools framework, through a supported case study intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A multiple, embedded case study design was employed to evaluate implementation in participating case study schools. Of the four schools recruited, data were collected from one primary and one secondary school. This paper reports on student surveys (Grades 6 and 7–12) and focus group discussions and interviews with teachers, parents and students (Grades 9–12). Descriptive statistics were generated for the surveys and reflexive thematic analysis conducted for qualitative data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Students found RSE relevant, though some reported discomfort during sessions. The breadth of RSE topics in the primary school increased post-intervention. Four themes were reflexively identified to understand RSE implementation: <i>RSE is systematically not prioritised; Approaches to age-appropriate education; Schools are appropriate environments; and A whole-school approach for success.</i></p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Support from school leadership was essential for proper implementation of whole-school RSE, supported by passionate and well-supported school staff. Whole-school approaches ensured consistent messages within the school and home environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>There is a pressing need to embed RSE in pre-service teacher education and to provide coordinated, ongoing professional learning for in-service teachers. Provision of technical support for schools facilitates implementation. These strategies will ensure delivery of contemporary, high-quality RSE and support sustainable whole-school implementation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12676084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670287","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 Pressure to Do It All”: Qualitatively Exploring Body Image, Eating Attitudes and Mental Health in Postpartum Women","authors":"Natalie Ball,&nbsp;Angela Gilmour,&nbsp;Caitlin Liddelow,&nbsp;Karena J. Burke,&nbsp;Megan F. Lee","doi":"10.1002/hpja.70139","DOIUrl":"10.1002/hpja.70139","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>The postpartum period, a time known to instil joy and fulfilment, is dominated by unreasonable and often unattainable expectations for mothers to achieve perfection across multiple domains. Despite prior research confirming that body image dissatisfaction, disordered eating and postpartum depression are prevalent in the postpartum, mothers remain pressured to maintain active and healthy lifestyles while juggling the demands of parenthood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative phenomenological study investigated body image, eating attitudes and mental health of the lived experiences of 182 Australian postpartum women through open-ended survey questions. Mothers over 18 years (<i>M</i> = 33.50, SD = 7.22) with biological children under four years of age completed an online survey and were recruited through social media.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Responses to six open-ended questions were examined using thematic template analysis, which generated three themes: (i) <i>Grieving Old Self: Finding Acceptance Amidst Changes to Appearance</i>, (ii) <i>Convenience is Key: Balancing Child-Centred Nutrition and Mindful Choices Amid Time Constraints</i>, and (iii) <i>The Cognitive Load: Demands of Motherhood Supersede Positive Mental Health</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings demonstrated the complexities that mothers experience and emphasised that the postpartum period is a time of personal transformation and growth, as well as considerable vulnerability toward the development of adverse physical and psychological outcomes. Mothers continue to experience body image dissatisfaction, are too time-poor to eat healthily and are cognitively burdened by increased responsibility. <b>So what?</b> Significant attention and robust resources are needed from healthcare providers to mitigate these likely outcomes, offer preventative strategies to decrease risks to psychological health, and normalise mothers' experiences.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655955","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":"Commitments to Improve Food Environments in Western Australia: A Review of Local Government Public Health Plans","authors":"Frith Klug,&nbsp;Sharonna Mossenson,&nbsp;Claire Elizabeth Pulker,&nbsp;Clare Whitton,&nbsp;Elizabeth J. Cook,&nbsp;Catrina McStay,&nbsp;Gina Trapp","doi":"10.1002/hpja.70130","DOIUrl":"10.1002/hpja.70130","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Food environments are significant drivers of obesity and diet-related diseases, making them key targets for interventions that support healthier food choices. The role of Local Government Authorities (LGAs) is pivotal in shaping community food environments. However, the specific intervention commitments of these authorities remain unclear. The aim of this study was to identify Western Australian (WA) LGA commitments to improve food environments, as specified in their Local Public Health Plans (LPHPs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Between July and October 2023, all WA LGA (<i>n</i> = 139) websites were reviewed to identify publicly available LPHPs. All commitments relating to food environments were identified, summarised and thematically analysed using a document analysis methodology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-five percent of LGAs (<i>n</i> = 48) had publicly available LPHPs. Within these LPHPs, there were 11 food environment-related focus areas containing a total of 412 commitments. All LPHPs addressed at least two focus areas; the most prevalent being alcohol reduction (<i>n</i> = 44; 92%), food quality and safety (<i>n</i> = 43; 90%) and healthy food/drink policy or provision in LGA settings (<i>n</i> = 37; 77%). Overall, the commitments within each focus area lacked clarity and a clear strategy for how they would be achieved and evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It is commendable that WA LGAs are committed to enhancing food environments through their LPHPs. For their efforts to be successful, ensuring LPHPs are well-informed, adequately resourced and supported is essential.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Without increased support for LGAs to deliver on their LPHP commitments, food environment advancements may be limited. Future research should assess the implementation of LGA LPHP commitments and subsequent impacts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649681","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":"Three Years Later: Healthiness of Food in New Zealand Primary School Canteens Following Implementation of the Healthy Food and Drink Guidance","authors":"Danika Pillay,&nbsp;Ajmol Ali,&nbsp;Carol Wham","doi":"10.1002/hpja.70135","DOIUrl":"https://doi.org/10.1002/hpja.70135","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>One-third of children in New Zealand (NZ) are overweight or obese, with suboptimal dietary patterns. The NZ government implemented the Healthy Active Learning (HAL) initiative and the ‘Healthy Food and Drink Guidance for Schools’ (2020) to improve school food environments. This study aimed to evaluate the impact of these guidelines over 3 years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A convenience sample of 89 primary schools (4.6% of NZ primary schools) provided menus at baseline (2020/2021) and follow-up (2023/2024). Food items were categorised according to the guidance using a traffic-light criteria (green, amber, red).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>‘Green’ menu items increased from 15.5% to 21.2%. ‘Amber’ items decreased from 44.4% to 33.8% (<i>p</i> = 0.005). ‘Red’ items showed minimal change (35.4% to 37.5%). There were reductions in the presence of sugar-sweetened beverages (40% to 31%) and ultra-processed savoury snacks (42% to 33%). Schools in affluent areas reduced ‘amber’ foods, while schools in high deprivation areas saw minimal change in ‘green’ foods (8.6% to 7.2%) and ‘red’ foods (32.4% to 29%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The guidance implementation led to modest improvements in the healthiness of school menus, particularly reducing ‘amber’ foods and ultra-processed snacks. The limited increase in healthy ‘green’ foods and the persistent presence of unhealthy ‘red’ foods highlight the need for further intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>This study emphasises the importance of sustained efforts to improve the nutritional quality of school food, particularly in communities facing socioeconomic challenges. National consistency, monitoring, and feedback are needed to support policy implementation and ensure children have equitable access to healthy food at school.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145626374","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":"Send in the Squad—Podsquad! Using Design Thinking as a Framework to Develop a Public Health Promotion Programme","authors":"Rebecca Farletti,&nbsp;Jacqueline L. Walker,&nbsp;Li Kheng Chai,&nbsp;Miranda Campbell,&nbsp;Joanna Munro,&nbsp;George Thomas,&nbsp;John Cairney,&nbsp;Robyn Littlewood","doi":"10.1002/hpja.70136","DOIUrl":"https://doi.org/10.1002/hpja.70136","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Innovative public health approaches are needed to support children and their families to adopt and maintain healthy behaviours. This study aimed to use design thinking as a framework to develop an interactive online public health promotion programme for children (5–12 years) and their families, enabling sustainable health-promoting behaviour change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An iterative design thinking approach, underpinned by behaviour change theory was applied. Workshops and focus groups with project team members and key stakeholders fostered collaboration, identified family needs and generated solutions. Children and families were actively engaged in the co-design production phase through surveys, interviews and prototype testing. External stakeholders were consulted through advisory groups, expert panels and interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Key programme elements, including mode of delivery, features and content, were identified through these forums. Additionally, programme enablers and challenges were identified and discussed. More than 300 children and families participated in co-design activities shaping the visual identity, narrative, game play and messaging of the programme, which was delivered as a purpose-built App entitled Podsquad.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The iterative approach to programme development enabled the seamless integration of consumer and expert input, creating an App that meets users' needs and expectations for improving healthy eating, physical activity and sleep habits. Further feasibility testing, outcome measurement and systems integration are recommended.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>A comprehensive understanding of the co-design process behind the development of the Podsquad App enables public health practitioners and researchers to appreciate and contextualise the challenges, enablers and key success factors when co-designing a health promotion programme for children and families.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145626373","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":"How Do Australians' Attitudes to Diagnostic Testing and Screening Risks Relate to Health Literacy, Broader Health Beliefs and Demographic Factors? A Survey Study","authors":"Tomas Rozbroj,&nbsp;Alexandra Gorelik,&nbsp;Romi Haas,&nbsp;Jason A. Wallis,&nbsp;Denise A. O'Connor,&nbsp;Rachelle Buchbinder","doi":"10.1002/hpja.70122","DOIUrl":"10.1002/hpja.70122","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>We investigated Australian adults' attitudes to diagnostic testing and screening risks and the associations of these attitudes with (i) broader healthcare beliefs, (ii) health literacy, (iii) perceived healthiness, and (iv) demographic characteristics. These associations were poorly understood, hindering the development of much-needed communication strategies explaining medical testing risks to lay people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted an online, cross-sectional survey of adults (18+) living across Australia. Adjusted multivariate regression analysis examined predictors of the perceived importance of querying risks when offered diagnostic and screening tests. Bivariate analysis examined test risk perceptions in relation to four clinical scenarios.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most (86% of <i>n</i> = 774) participants believed it important to query risks when offered tests. Greater perceived importance of querying risks was predicted by being female, older, greater perceived healthiness, greater perceived ability to appraise health information, and stronger belief in holistic health. We identified complex relationships between risk perceptions regarding specific tests and perceived importance of querying their risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings highlight new directions for communication strategies about medical testing risks. They include targeting broader belief systems that influence testing choices, promoting health literacy skills, and relying less on risk–benefit statistics. Our findings also highlight potential communication pitfalls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What</h3>\u0000 \u0000 <p>Our insights matter for improving public health messaging and shared decision-making. They suggest that the norm of providing risk/benefit information might not adequately support individuals in making informed testing choices. It is also important to focus on the ways that individuals think about tests and on fostering their skills and empowerment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606870","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":"An Analysis of the School Catering Management System of Thailand Through HiAP's Four Pillars","authors":"Nanoot Mathurapote,&nbsp;Tipicha Posayanonda,&nbsp;Khanitta Sae-iew","doi":"10.1002/hpja.70114","DOIUrl":"10.1002/hpja.70114","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Despite the 1992 Primary School Lunch Program Fund Act, Thai children were nutritionally deficient and had low fiber consumption. Although having three ministries—public health, education and interior—involved with the school catering management system, the coordination was inadequate. In 2014, Thailand National Health Assembly (NHA) discussed this issue for better multi-sectoral solutions, and it was considered successful. This study explored the application of WHO Health in All Policies (HiAP)'s four pillars in the implementation of the NHA resolutions on ‘School Catering Management System’. Enabling factors and challenges were also studied.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Literature review, focus group discussions and in-depth interviews of stakeholders at national and provincial levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis of the application of the HiAP approach on the NHA resolution on the school catering management system showed that it was complying with the four pillars: (1) governance and accountability; (2) leadership at all levels; (3) ways of working; and (4) resources, financing and capabilities. The NHA, Cabinet resolutions, and related official and unofficial mechanisms, as well as leadership were considered enabling factors leading to strong collaboration on school catering management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>To apply a health lens in non-health agencies using HiAP, it necessitates working through all of HiAP's four pillars. The legitimacy of governance bodies, ways of working and leadership along the process are enabling factors to improve coordination of this case with multi-sectoral collaboration. However, there are still challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>HiAP's four pillars are useful for the policy process. It needs to analyse what pillar is weak and needs to improve for its sustainability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70114","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565600","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":"Public Health Promotion Through Language Learning: Improving Migrants' Australian Beach Safety Knowledge Through a Reading Exercise for English Language Proficiency Tests","authors":"Masaki Shibata,&nbsp;Jasmin C. Lawes,&nbsp;Rebecca Stolper,&nbsp;Janice Ford,&nbsp;Amy E. Peden,&nbsp;Hideo Watanabe","doi":"10.1002/hpja.70132","DOIUrl":"10.1002/hpja.70132","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>While Australia attracts overseas tourists and residents for beach-related leisure and sports, coastal drowning is a serious issue in Australia, with 150 drowning deaths and about 9000 rescues recorded in 2023/2024. Culturally and linguistically diverse (CALD) communities are at high risk due to their unawareness, linguistic barriers, lack of rip current knowledge and limited access to water safety education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To provide further support for CALD communities, this study developed a new pedagogical tool, a reading exercise for standardised English exams such as IELTS, incorporating beach safety information; it examined to what extent this material would improve international students' knowledge of rip currents and safety strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Research Method</h3>\u0000 \u0000 <p>This study utilised a quasi-experimental design to measure the improvement of beach safety knowledge using a pre-test, post-test and follow-up test. Statistical data were analysed in SPSS and R Studio, utilising descriptive analysis, and generalised estimate equations. Additionally, a thematic analysis of textual responses was conducted in NVivo.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results show that there was a significant improvement (<i>p</i> &lt; 0.01) in the participants' knowledge of rips, beach flags and safety signage warnings after using the material. Additionally, participants started pointing out a wide range of characteristics when describing rip currents. Although some deterioration of knowledge (except regarding beach flags) was detected 4 weeks later, the improvement was still significant across all topics. So what? Considering the high demand for English language learning material among migrants in Australia, this material should be shared with CALD communities to improve beach safety knowledge.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565683","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":"Social Support Buffers the Association Between Alcohol Use and Depression in Australian Men","authors":"Jasleen Chhabra,&nbsp;Michael J. Wilson,&nbsp;Ruben Benakovic,&nbsp;Vincent Mancini,&nbsp;Vita Pilkington,&nbsp;Zac Seidler","doi":"10.1002/hpja.70134","DOIUrl":"10.1002/hpja.70134","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Alcohol use and depression are known correlates of one another, especially in men, and are influenced by a range of demographic and psychosocial factors. This study examined the association between alcohol use and depressive symptoms in a large representative cohort of Australian men. We also tested whether this association differed by men's age, household income, social support, illicit drug use and help-seeking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using data from four waves (2013–2022) of the Longitudinal Study of Men's Health (Ten to Men; <i>N</i> = 13 776), linear regression models were estimated using generalised estimating equations, with additive adjustment for confounders. Moderation was tested with the sequential addition of interaction terms to the fully adjusted models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Alcohol use was positively associated with depressive symptoms (<i>b</i> = 0.13, 95% CI 0.11–0.14), even after controlling for confounders. An interaction with social support was observed, whereby the association between alcohol use and depression decreased in strength among men with higher social support. No such interactions were observed for age, household income, illicit drug use or help-seeking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Results indicated that while alcohol use was a robust correlate of depression symptoms in men, higher social support buffered this association.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Findings underscore the value of social support as an important protective factor in men's mental health, especially with regard to co-occurring alcohol use and depression.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"37 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543014","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}