Health Promotion Journal of Australia最新文献_第5页

Intuitive eating predictors and outcomes in people with severe mental illness participating in a lifestyle intervention 参与生活方式干预的严重精神疾病患者的直观饮食预测和结果。

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2024-12-18 DOI: 10.1002/hpja.935

Irene Henry, Nicole Korman, Donni Johnston, Scott Teasdale, Tetyana Rocks, Sarah Childs, Anneliese Russell, Justin Chapman

Issue Addressed

People with severe mental illness (SMI) are at higher risk of preventable diseases than the general population; poor diet contributes to heightened risk. Adaptive approaches designed to improve intuitive eating may improve dietary behaviours in people with SMI. Aims of this study were to investigate predictors of, and assess the impact of a nutrition program on, intuitive eating in people with SMI.

Methods

This was a retrospective analysis of an exercise and nutrition program for people with SMI. The primary outcome was intuitive eating assessed using the Intuitive Eating Scale 2 (IES2); psychological distress was measured using the Kessler-6 scale. Regression analyses were conducted on baseline data; change in intuitive eating was assessed using Wilcoxon tests.

Results

A total of 93 participants had complete data for regression analyses, and 32 completed pre/post-assessments. The most common mental health diagnosis was psychotic disorder (35%); 74% had BMI > 25 kg/m². The regression model significantly predicted total IES2 score and three intuitive eating domains. Body mass index (BMI) was negatively associated with these outcomes (β = −0.234 to −0.248; p < 0.05). Both BMI and psychological distress were negatively associated with body-food choice congruence (B-FCC), and only B-FCC was improved at post-intervention.

Conclusions

Higher BMI and psychological distress were associated with lower intuitive eating in people with SMI. Nutrition interventions may improve B-FCC in people with SMI.

So What?

Given the interrelatedness of BMI and psychological distress with psychosocial stressors, nutritional interventions should be implemented alongside holistic approaches to improve health equality.

所处理的问题：患有严重精神疾病（SMI）的人患可预防疾病的风险高于一般人群；不良的饮食习惯会增加患病风险。旨在改善直觉性饮食的适应性方法可能改善重度精神障碍患者的饮食行为。本研究的目的是调查预测因素，并评估营养计划对重度精神障碍患者直觉饮食的影响。方法：这是一项针对重度精神障碍患者的运动和营养计划的回顾性分析。主要结果是使用直觉饮食量表2 （IES2）评估直觉饮食；采用Kessler-6量表测量心理困扰。对基线数据进行回归分析；使用Wilcoxon测试评估直觉饮食的变化。结果：共有93名参与者有完整的回归分析数据，32名参与者完成了前/后评估。最常见的心理健康诊断是精神障碍（35%）；74%的人体重指数为25kg /m2。回归模型显著预测了IES2总分和三个直观进食域。体重指数（BMI）与这些结果呈负相关(β = -0.234 ~ -0.248；结论：重度精神障碍患者的高BMI和心理困扰与较低的直觉性饮食有关。营养干预可能改善重度精神障碍患者的B-FCC。那又怎样?鉴于身体质量指数和心理困扰与社会心理压力源之间的相互关系，营养干预措施应与改善健康平等的整体方法一起实施。

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引用次数: 0

Dental Health Services Victoria health promotion messages for oral health: A modified Delphi study 维多利亚州口腔健康促进信息：一项改进的德尔菲研究。

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2024-12-18 DOI: 10.1002/hpja.941

Shelley Pham, Kelli Evans, Kishita Patel, Fiona Gallagher, Tan Minh Nguyen

Issue Addressed

The 2022 Oral health messages for Australia were reviewed, revised and published in 2023. This study adapted these messages from a value-based communication perspective to support Dental Health Services Victoria population health programs and resources.

Methods

A modified Delphi RAND/UCLA appropriateness method was adopted. An expert panel was convened, which included public oral health professionals and health promotion practitioners at Dental Health Services Victoria. The 2022 Oral health messages for Australia were reviewed and adapted to ensure consistency and relevance to consumers and health professionals. Once there was general agreement by the expert panel on the Dental Health Services Victoria health promotion messages for oral health, a follow-up anonymous survey was sent to the expert panel to rate their level of agreement. Additionally, the messages were evaluated for ease of readability with an anonymous survey of consumers.

Results

A total of 23 participants were invited on the expert panel, of which 16 agreed to participate. Considerations were made to reflect a broad perspective across disciplines in public oral health professionals encompassing expertise in policy, advocacy and health promotion. Broadly, there was agreement to adapt all of the 2022 Oral health messages for Australia. The level of agreement by the expert panel ranged from 73% to 100%. Amongst 13 consumer respondents to the survey, the level of agreement ranged from 62% to 100%.

Conclusion

There was sufficient rationale to adapt the 2022 Oral health messages for Australia for the Victorian context by using a value-based messaging approach.

So What?

This study demonstrated that adaption was necessary to the 2022 Oral health messages for Australia, potentially leading to more impactful health promotion messages for oral health in Victoria.

所解决的问题：对澳大利亚2022年口腔健康信息进行了审查、修订并于2023年出版。本研究从基于价值的沟通角度改编了这些信息，以支持维多利亚州牙科健康服务中心的人口健康计划和资源。方法：采用改进的Delphi RAND/UCLA适宜性法。成立了一个专家小组，成员包括维多利亚州牙科保健服务处的公共口腔卫生专业人员和促进健康的从业员。对澳大利亚2022年口腔健康信息进行了审查和调整，以确保与消费者和卫生专业人员的一致性和相关性。一旦专家小组对维多利亚州牙科保健服务的口腔健康促进信息达成普遍一致，就会向专家小组发送一份后续匿名调查，以评估他们的同意程度。此外，通过对消费者的匿名调查，对这些信息的可读性进行了评估。结果：共有23人被邀请参加专家组，其中16人同意参加。考虑到公共口腔卫生专业人员跨学科的广泛观点，包括政策、宣传和健康促进方面的专业知识。总的来说，各方同意调整2022年澳大利亚的所有口腔健康信息。专家小组的同意程度从73%到100%不等。在接受调查的13名消费者中，同意的程度从62%到100%不等。结论：通过使用基于价值的信息传递方法，有足够的理由使澳大利亚2022年口腔健康信息适应维多利亚时代的背景。那又怎样?这项研究表明，适应澳大利亚2022年口腔健康信息是必要的，这可能会导致维多利亚州口腔健康方面更有影响力的健康促进信息。

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引用次数: 0

Supporting equitable cervical cancer elimination for Australia's culturally and linguistically diverse communities: A call for intersectoral action 支持澳大利亚文化和语言多样化社区公平消除宫颈癌：呼吁采取部门间行动。

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2024-12-18 DOI: 10.1002/hpja.933

Kathleen Prokopovich, Frank Beard, Tanya Buchanan, Biljana Stanoevska, Caroline Scott, Annette Braunack-Mayer, Lyn Phillipson

Cervical cancer is a preventable disease and is related to persistent health equities. Whilst several priority populations face health inequities related to cervical cancer prevention, my co-authors and I bring special attention to those who identify as culturally and linguistically diverse (CALD). By reflecting on some of our research and work experiences, we propose four ways that governments and policymakers can enact the community engagement goals of the published and proposed cervical cancer prevention and treatment strategies for CALD communities. This includes: (1) Developing a culturally appropriate approach to collecting and interpreting cultural, ethnic and linguistic data; (2) Building and adapting the effective multicultural community policies and partnerships developed during COVID-19; (3) Incorporating national strategy recommendations across all relevant government policies and (4) Sustainably resourcing and supporting participatory health promotion activities and interventions. By implementing the recommendations above, Australia will continue to lead the elimination of cervical cancer as a public health problem. It will demonstrate how genuine and authentic CALD partnerships and collaborations can reduce national CALD health inequities.

子宫颈癌是一种可预防的疾病，与持久的健康问题有关。虽然一些重点人群面临与宫颈癌预防相关的健康不平等，但我和我的共同作者特别关注那些文化和语言多样性（CALD）的人群。通过反思我们的一些研究和工作经验，我们提出了四种政府和政策制定者可以为CALD社区制定已发表和建议的宫颈癌预防和治疗策略的社区参与目标的方法。这包括：(1)制定一种文化上适当的方法来收集和解释文化、种族和语言数据；(2)建立和调整在2019冠状病毒病期间制定的有效的多元文化社区政策和伙伴关系；(3)在所有相关政府政策中纳入国家战略建议；(4)可持续地为参与式健康促进活动和干预措施提供资源和支持。通过执行上述建议，澳大利亚将继续带头消除作为公共卫生问题的宫颈癌。它将展示真正和真实的结核病发展伙伴关系和合作如何能够减少国家结核病发展卫生不平等现象。

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引用次数: 0

Associations Between Food Security, Housing and Health in South Australia 南澳大利亚州食品安全、住房和健康之间的关系。

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2024-12-17 DOI: 10.1002/hpja.950

Tuong-Vi Phan, Katina D'Onise, Annapurna Nori, Kamalesh Venugopal, Suresh Joshi

Issue Addressed

Food security is becoming increasingly difficult to achieve for many households. Research has shown that food insecurity is associated with socioeconomic disadvantage, including housing pressures, and may contribute to poor health outcomes. There is lack of data on these associations in the South Australian setting, where food security is not consistently monitored.

Methods

A population health survey was administered to South Australian participants in April 2023. Descriptive analysis was conducted on data regarding food insecurity, housing circumstances, chronic and mental health conditions. Multivariate logistic regression analysis was performed to assess associations between food security and health outcomes.

Results

From a sample of 3002 participants, 16.4% reported low and very low food security. These participants tended to be renting, facing housing cost pressures, and lacking infrastructure to store and prepare food. When controlling for confounders, food insecurity was found to be associated with increased likelihood of having at least one chronic condition, mental health condition, and decreased overall wellbeing.

Conclusion

Food security is itself a determinant of health. Regular monitoring of the prevalence of household food insecurity and addressing the structural factors influencing food affordability and availability are required. Further research on its links to health outcomes is warranted.

So What?

Evidence-based action to address food insecurity will become more pressing as the crises of cost-of-living, housing, health system pressures and environmental disasters converge.

所处理的问题：对许多家庭来说，粮食安全越来越难以实现。研究表明，粮食不安全与包括住房压力在内的社会经济劣势有关，并可能导致健康状况不佳。在南澳大利亚没有持续监测粮食安全的情况下，缺乏有关这些关联的数据。方法：于2023年4月对南澳大利亚参与者进行人口健康调查。对有关粮食不安全、住房情况、慢性病和精神健康状况的数据进行了描述性分析。进行多变量logistic回归分析以评估食品安全和健康结果之间的关联。结果：在3002名参与者的样本中，16.4%的人报告粮食安全水平较低和非常低。这些参与者倾向于租房，面临住房成本压力，缺乏储存和准备食物的基础设施。在控制混杂因素后，发现粮食不安全与患至少一种慢性病、精神健康状况的可能性增加和整体幸福感下降有关。结论：粮食安全本身就是健康的决定因素。必须定期监测家庭粮食不安全的普遍情况，并解决影响粮食负担能力和供应的结构性因素。有必要进一步研究其与健康结果的联系。那又怎样?：随着生活成本、住房、卫生系统压力和环境灾害等危机的汇聚，解决粮食不安全问题的循证行动将变得更加紧迫。

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引用次数: 0

‘I can't relate to it’: Exploring autistic and non-autistic adults' perceptions of the Australian Physical Activity and Sedentary Behaviour Guidelines “我无法理解它”：探究自闭症和非自闭症成年人对澳大利亚体育活动和久坐行为指南的看法。

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2024-12-17 DOI: 10.1002/hpja.944

C. Thompson, T. Gorey, T. Lawler, G. Watson, B. Wells, J. A. McVeigh

Background

Despite sufficient physical activity (PA) being strongly associated with better health outcomes, half of the Australian population does not meet the Australian PA and Sedentary Behaviour Guidelines. This shortfall is more pronounced among autistic adults, who exhibit poorer health outcomes and lower PA levels than non-autistic adults. Despite these disparities, there is a limited understanding of how autistic and non-autistic individuals perceive and interpret the PA guidelines.

Methods

This study investigated how autistic and non-autistic adults perceive and comprehend the Australian PA guidelines. This study used interpretative phenomenological analysis.

Results

A total of 15 autistic and 20 non-autistic adults were interviewed, and 4 themes that were largely similar between both groups were identified: (1) Lack of Awareness and Engagement with the PA Guidelines, (2) Misinterpretation of Key Terms and Concepts, (3) Perceived lack of Relevance and Relatability of the PA Guidelines and (4) Lack of Inclusivity.

Conclusion

The findings underscore the importance of crafting health communication and promotion materials that are more visible, clear, inclusive and engaging for non-autistic and autistic individuals in Australia.

So What?

This study highlights the potential for improving the number of people correctly understanding the PA guidelines by addressing dissemination methods, knowledge and interpretation of the guidelines as some components of the multifaceted process required to achieve behaviour change.

背景：尽管足够的身体活动（PA）与更好的健康结果密切相关，但一半的澳大利亚人口不符合澳大利亚PA和久坐行为指南。这种不足在自闭症成年人中更为明显，他们表现出较差的健康状况和较低的PA水平。尽管存在这些差异，但对自闭症和非自闭症个体如何感知和解释PA指南的理解有限。方法：本研究调查自闭症和非自闭症成人对澳大利亚PA指南的认知和理解情况。本研究采用解释性现象学分析。结果：共采访了15名自闭症成年人和20名非自闭症成年人，并确定了两组之间基本相似的4个主题：(1)缺乏对PA指南的认识和参与；(2)对关键术语和概念的误解；(3)认为PA指南缺乏相关性和相关性；(4)缺乏包容性。结论：调查结果强调了制定健康宣传和宣传材料的重要性，这些材料对澳大利亚的非自闭症和自闭症患者更明显、更清晰、更包容和更有吸引力。那又怎样?本研究强调了通过将传播方法、知识和对指南的解释作为实现行为改变所需的多方面过程的一些组成部分来解决正确理解PA指南的人数的潜力。

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引用次数: 0

The design and evaluation of a bone health teaching module for secondary school students in NSW, Australia 澳大利亚新南威尔士州中学生骨骼健康教学模块的设计与评估。

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2024-12-17 DOI: 10.1002/hpja.931

Jonathan Phuong, Rachel Lam, Rebekah Moles, Deborah Mason, Christopher White, Jacqueline Center, Stephen Carter

Issue Addressed

The growing prevalence of osteoporosis requires preventative management starting from an early age as peak bone mass is typically reached by age 30. However, current Australian adolescents are not adequately addressing key osteoprotective factors. Alarmingly, around 17% have insufficient vitamin D levels, 55% consume insufficient dietary calcium, and 79% are insufficiently active. Addressing these insufficiencies via bone health education and promoting healthier lifestyle choices are crucial to mitigate the risk of osteoporosis later in life.

Methods

A mixed methods study was undertaken to assess the design and effectiveness of four bone health education modules implemented in PDHPE lessons across NSW secondary schools. Pre- and post-module assessments included a multiple-choice questionnaire on osteoporosis knowledge, and a survey based on the Theory of Planned Behaviour domains to examine influences on healthy bone behaviour. Statistical analysis, qualitative interviews, and focus groups were used to evaluate changes in knowledge and behaviour resulting from the modules.

Results

Participation in bone health teaching modules improved students' knowledge and behaviours related to bone health. Subjective norms had the largest influence regarding behaviour changes. Both students and teachers engaged positively with the bone health modules, which were designed by clinicians and delivered by teachers.

So What?

The modules address knowledge gaps and provide strategies from an early age, empowering students and potentially contribute to improving long term bone health. There is a need to focus on promoting positive peer influence and facilitating easy access to bone-healthy behaviours in secondary education settings.

问题解决：骨质疏松症的日益流行需要从早期开始进行预防性管理，因为骨量高峰通常在30岁达到。然而，目前澳大利亚青少年没有充分解决关键的骨保护因素。令人担忧的是，大约17%的人维生素D水平不足，55%的人饮食中钙摄入不足，79%的人活动不足。通过骨骼健康教育和促进更健康的生活方式选择来解决这些不足，对于减轻晚年患骨质疏松症的风险至关重要。方法：采用一项混合方法研究来评估在新南威尔士州中学PDHPE课程中实施的四个骨骼健康教育模块的设计和有效性。模块前和模块后的评估包括关于骨质疏松知识的多项选择问卷，以及基于计划行为理论域的调查，以检查对健康骨骼行为的影响。使用统计分析、定性访谈和焦点小组来评估模块导致的知识和行为变化。结果：参与骨骼健康教学模块提高了学生的骨骼健康相关知识和行为。主观规范对行为改变的影响最大。学生和教师都积极参与由临床医生设计并由教师交付的骨骼健康模块。那又怎样?：这些模块解决了知识差距，并从早期开始提供策略，增强了学生的能力，并可能有助于改善长期的骨骼健康。有必要把重点放在促进积极的同伴影响和促进在中等教育环境中容易获得有益于骨骼健康的行为。

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引用次数: 0

Measuring Indigenous food security—A case for Indigenous designed tools 衡量土著粮食安全——土著设计工具的案例。

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2024-12-15 DOI: 10.1002/hpja.945

Caroline Deen, Simone Sherriff, Madeline Shelling, Alana Gall, Beau Cubillo, Lisa Te Morenga, Julie Brimblecombe, Veronica Matthews

Food insecurity disproportionately impacts Indigenous peoples, leading to significant health disparities. Indigenous peoples globally share a deep and interconnected relationship to their lands, waterways and seas that ensures optimum health, and cultural, spiritual, social and emotional wellbeing. However, food security definitions and assessment frameworks in research and policy predominantly stem from capitalist and colonial food system values. These frameworks often fail to recognise the Indigenous knowledge systems and cultural practices that support food security. Experiences of food security are culturally bound. Therefore, any instrument to measure the food security experiences of Indigenous peoples should be culturally grounded, appropriate and safe, plus include relevant dimensions such as access to traditional foods, community sharing practices and spiritual connections to the land.

粮食不安全对土著人民的影响尤为严重，导致健康方面的巨大差异。全球土著人民与他们的土地、水道和海洋有着深厚和相互关联的关系，这种关系确保了最佳的健康以及文化、精神、社会和情感福祉。然而，研究和政策中的粮食安全定义和评估框架主要源于资本主义和殖民主义的粮食系统价值观。这些框架往往没有认识到支持粮食安全的土著知识体系和文化习俗。粮食安全的经验与文化息息相关。因此，任何衡量土著人民粮食安全经验的工具都应具有文化基础、适当性和安全性，并包括相关方面，如获取传统食物、社区共享做法以及与土地的精神联系。

引用次数: 0

Effectiveness of cross-sector collaboration in strategy implementation and impact: Evaluation of the NSW Skin Cancer Prevention Strategy 2016–2022 战略实施和影响中跨部门合作的有效性：2016-2022年新南威尔士州皮肤癌预防战略评估

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2024-12-12 DOI: 10.1002/hpja.934

Gabriela Mercado, Irina Tupanceski, Nicola Scott, Nikki Woolley, Amanda Jayakody, Kate Reakes, Sarah McGill, Tracey O'Brien

Issues Addressed

Australia continues to have one of the highest rates of skin cancer in the world. In NSW, melanoma is the third most common cancer diagnosed. At least 95% of skin cancers are caused by overexposure to ultraviolet radiation (UVR) from the sun, making it a highly preventable cancer. The NSW Skin Cancer Prevention Strategy (the Strategy) aims to reduce overexposure to UVR through collaborative efforts across government and non-government partners and the private sector. An evaluation was required to inform the Skin Cancer Prevention Strategy 2023–2030 development and implementation.

Methods

The Strategy was evaluated using a mixed-methods approach, which included both process and outcome evaluation measures. Measures included population and campaign tracking surveys, administrative datasets, a document review of progress reports and meeting minutes, and semi-structured interviews and workshops with stakeholders.

Results

The evaluation outlined activities and achievements under each of the Strategy goals. Findings demonstrated improved understanding and awareness of sun protection policies and guidelines, improved access to adequate shade, increased measurability of shade availability and adequacy, and increased adoption of sun protection behaviours.

Conclusion

Cross-agency collaboration and commitment were a key strength of the Strategy. The continued prioritisation of settings (e.g. schools, workplaces, etc.) and populations outlined in the Strategy were supported by the evaluation's findings. Additional focus areas for the new Strategy were highlighted, including secondary prevention or early detection. Continued skin cancer prevention activities, including social marketing campaigns and public education programs, are essential to ensure the adoption of sun protection behaviours by priority populations.

解决的问题：澳大利亚仍然是世界上皮肤癌发病率最高的国家之一。在新南威尔士州，黑色素瘤是第三大最常见的癌症。至少95%的皮肤癌是由过度暴露于太阳紫外线辐射（UVR）引起的，这使它成为一种高度可预防的癌症。新南威尔士州皮肤癌预防战略（该战略）旨在通过政府、非政府合作伙伴和私营部门的合作努力，减少紫外线辐射的过度暴露。需要进行评估，以便为《2023-2030年皮肤癌预防战略》的制定和实施提供信息。方法：采用混合方法对该策略进行评价，包括过程评价和结果评价。措施包括人口和运动跟踪调查、行政数据集、进度报告和会议纪要的文件审查，以及与利益相关者的半结构化访谈和研讨会。结果：评估概述了每个战略目标下的活动和成就。调查结果表明，人们对防晒政策和指导方针的理解和认识有所提高，获得充足遮阳的机会有所改善，遮阳的可用性和充足性的可测量性有所提高，并增加了防晒行为的采用。结论：跨机构合作和承诺是该战略的关键力量。评估结果支持了《战略》中概述的环境（如学校、工作场所等）和人口的持续优先次序。强调了新战略的其他重点领域，包括二级预防或早期发现。持续的皮肤癌预防活动，包括社会营销活动和公众教育项目，对于确保重点人群采取防晒行为至关重要。

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引用次数: 0

Piloting a citizen science approach to auditing rural walkability in Tasmania 在塔斯马尼亚试行公民科学方法来审计农村的步行性。

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2024-12-11 DOI: 10.1002/hpja.936

Kim Jose, Samantha Rowbotham, Yvonne Laird, Oliver Stanesby, Leah Marks, Kate Garvey, Verity Cleland

Background

People living in ‘walkable’ areas are more active, but common approaches to assessing walkability using audit tools and geospatial data have limitations in rural areas. This project explored the feasibility, acceptability and benefits of using a citizen science approach to audit walkability in rural communities.

Methods

Using a citizen science approach, community members in rural towns completed audit tools and photographs to capture walkability. Researchers collated data and facilitated workshops with community members to identify priorities for action. The feasibility of applying a citizen science approach was evaluated through surveys and interviews with citizen scientists and project team members.

Results

Three rural Australian towns (population 300; 850; 2890) were included, with a total of 10 community members (1–6 per town) completing audits and 13 (4–9 per town) attending workshops. It was feasible for citizen scientists to complete audits to identify environmental and physical attributes and impediments to walking. It was less feasible for citizen scientists to audit local policies and programs. Workshops enabled a broader and deeper understanding of the data, and represent a crucial aspect of the citizen science process. Citizen scientists were motivated by a desire to improve their community. Lack of diversity among citizen scientists, safety and recruitment were limitations.

Conclusion/Discussion

Citizen science was a feasible and acceptable approach for auditing rural walkability, generating a rich and deep understanding of how the built environment impacts walking. Citizen science allows researchers, policy makers and community members to work together to generate data and establish priorities.

So What?

Citizen science has the potential to support the involvement of members of the public in research and decision-making in health promotion. Researchers need to adopt strategies to ensure diversity among citizen scientists as well as consider the support needs of citizen scientists when adopting this approach.

背景：生活在“可步行”地区的人们更活跃，但使用审计工具和地理空间数据评估可步行性的常用方法在农村地区存在局限性。本项目探讨了使用公民科学方法审核农村社区可步行性的可行性、可接受性和效益。方法：采用公民科学方法，在农村城镇社区成员完成审计工具和照片，以捕捉步行性。研究人员整理了数据，并为社区成员举办了研讨会，以确定行动的优先事项。通过对公民科学家和项目团队成员的调查和访谈，评估了应用公民科学方法的可行性。结果：三个澳大利亚农村城镇(人口300；850年;共有10名社区成员（每个镇1-6人）完成审计，13名社区成员（每个镇4-9人）参加研讨会。公民科学家完成审计以确定环境和物理属性以及行走障碍是可行的。公民科学家审核地方政策和项目是不太可行的。讲习班使人们能够更广泛、更深入地了解数据，并代表了公民科学进程的一个关键方面。公民科学家的动机是想要改善他们的社区。公民科学家缺乏多样性、安全性和招聘是限制因素。结论/讨论：公民科学是一种可行和可接受的方法来审计农村步行性，对建筑环境如何影响步行产生丰富而深刻的理解。公民科学允许研究人员、政策制定者和社区成员共同工作，生成数据并确定优先事项。那又怎样?公民科学具有支持公众成员参与健康促进研究和决策的潜力。科学家需要采取策略来确保公民科学家的多样性，并在采用这种方法时考虑公民科学家的支持需求。

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引用次数: 0

Investigating Aboriginal and Torres Strait Islander male health and wellbeing programs and their key elements: A scoping review 调查土著和托雷斯海峡岛民男性健康和福利方案及其关键要素：范围审查。

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2024-12-09 DOI: 10.1002/hpja.940

Kootsy Canuto, Celina Gaweda, Bryce Brickley, Rosie Neate, Courtney Hammond, Leah Newcombe, Graham Gee, Oliver Black, Douglas Clinch, James A. Smith, Karla J. Canuto

Issue Addressed

This scoping review aims to explore the size and scope of the body of literature relating to Aboriginal and Torres Strait Islander male health and wellbeing programs and describe key program elements.

Methods

This review considered unpublished and published literature from electronic peer-reviewed databases and grey literature sources. Included articles must refer to an Aboriginal and Torres Strait Islander male health and wellbeing program. Descriptive data synthesised, and seven key program elements were analysed: (1) Origin of Design, (2) Governance, (3) Leads/Facilitators, (4) Funding, (5) Length and Frequency, (6) Outcomes and Measures, and (7) Monitoring and Evaluation.

Results

The review identified 54 programs described in 49 publications that were published between 1998 and 2022. Only 20 publications were peer-reviewed articles. Most programs (n = 44) were instigated, co-designed or adapted by Aboriginal and Torres Strait Islander people to suit cultural and community needs. Reporting on key program elements varied, with only n = 25 of the included publications reporting governance systems.

Conclusions

This work is the first to synthesise the literature and describe the key elements of Aboriginal and Torres Strait Islander male health and wellbeing programs. Relatively few publications were found describing programs designed specifically for this population group.

So What?

While the descriptive findings of the programs and their key elements in this review can assist health promotion and primary care practitioners, further investment and research are required to strengthen the evidence base and achieve the best health and wellbeing outcomes for Aboriginal and Torres Strait Islander males.

所处理的问题：本范围审查旨在探讨与土著和托雷斯海峡岛民男性健康和福利方案有关的文献的规模和范围，并描述方案的关键要素。方法：本综述考虑了来自电子同行评议数据库和灰色文献来源的未发表和已发表文献。所载文章必须提及土著和托雷斯海峡岛民男性健康和福利方案。综合描述性数据，并分析了七个关键项目要素：(1)设计起源，(2)治理，(3)领导/促进者，(4)资金，(5)长度和频率，(6)结果和措施，以及(7)监测和评估。结果：该综述确定了1998年至2022年间出版的49份出版物中描述的54个项目。只有20篇出版物是同行评议的文章。大多数项目（n = 44）是由原住民和托雷斯海峡岛民发起、共同设计或改编的，以适应文化和社区需求。对关键项目要素的报告各不相同，只有n = 25的出版物报告了治理系统。结论：这项工作是第一个综合文献和描述土著和托雷斯海峡岛民男性健康和福利计划的关键要素。相对较少的出版物描述了专门为这一人群设计的方案。那又怎样?虽然本综述中对方案及其关键要素的描述性发现可以帮助健康促进和初级保健从业人员，但需要进一步的投资和研究来加强证据基础，并为土著和托雷斯海峡岛民男性实现最佳的健康和福祉结果。

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