Health Promotion Journal of Australia最新文献_第6页

Community Participation, Mediation and Advocacy to Harness the Developmental Benefits of Relocation of New Capital of Indonesia for Local Communities: Action Research Linking Community and Government Perspectives 社区参与、调解和倡导利用印尼新首都搬迁对当地社区的发展效益：将社区和政府观点联系起来的行动研究。

IF 1.5 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2025-10-07 DOI: 10.1002/hpja.70104

Ike Anggraeni, Scott Hanson-Easey, Titania Lestarianti, Ismi Mufidah, Lareesa Marie Ryan, Syarifah Masitah, Bramantyo Adi Nugroho, H. Fitriansyah, H. Jaya Mualimin, Subirman, Widi Sunaryo, Peng Bi, Mohammad Afzal Mahmood

Introduction

Indonesia's relocation of capital from Jakarta to Nusantara (Ibu Kota Negara [IKN], East Kalimantan) presents economic, educational, health and business opportunities for local communities, as well as their hopes and fears. However, the potential benefits arising from the relocation are contingent upon communities' and government stakeholders' readiness to collaborate with each other. This study aimed to invoke community and stakeholder participation, identify community perspectives on needs, and understand relevant government departments' approaches to avail themselves of opportunities.

Methods

A community survey (N = 402) was co-designed by the research team, local health stakeholders and delivered to participants by local primary care staff. Qualitative interviews were conducted with seven (n = 7) government stakeholders responsible for policy and planning in social welfare, health, environment, and sanitation, and a community organisation. A seminar with government stakeholders detailing the survey's findings included discussions about how to foster benefits for locals.

Results

Survey results highlighted that local communities held chiefly positive views on the impact of IKN development. These included enhanced transport networks, business and employment opportunities, and access to healthcare and education. Perceived challenges included local communities' relative disadvantage in competing with new, larger businesses; increased urbanisation; and environmental concerns, including dust pollution and flooding. The seven (7) interviews provided insights into the local and provincial government plans and actions with regard to employment and business opportunities, health, and the health care and the environment.

导言：印度尼西亚将首都从雅加达迁至努桑塔拉（东加里曼丹，Ibu Kota Negara [IKN]），为当地社区带来了经济、教育、卫生和商业机会，同时也给他们带来了希望和恐惧。然而，搬迁所带来的潜在利益取决于社区和政府利益相关者是否愿意相互合作。本研究旨在激发社区及持份者的参与，了解社区对需求的看法，并了解相关政府部门利用机会的方法。方法：由研究小组与当地卫生利益相关者共同设计社区调查（N = 402），并由当地初级保健人员交付给参与者。对7名（n = 7）负责社会福利、健康、环境和卫生政策和规划的政府利益相关者和一个社区组织进行了定性访谈。与政府利益相关者举行的研讨会详细介绍了调查结果，讨论了如何为当地人带来利益。结果：调查结果突出显示，当地社区对发展IKN的影响持积极态度。这些措施包括加强交通网络、商业和就业机会，以及获得医疗保健和教育的机会。感知到的挑战包括当地社区在与新的、更大的企业竞争时处于相对劣势；增加城市化;还有环境问题，包括粉尘污染和洪水。7次访谈深入了解了地方和省政府在就业和商业机会、卫生、卫生保健和环境方面的计划和行动。

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引用次数: 0

National Data on the Prevalence of Food Insecurity in Australia: Implications for Health Promotion 关于澳大利亚粮食不安全普遍性的国家数据：对健康促进的影响

IF 1.5 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2025-10-04 DOI: 10.1002/hpja.70112

Katherine Kent

<p>The Australian Bureau of Statistics (ABS) has released new data showing that one in eight Australian households experienced food insecurity in 2023 [<span>1</span>]. This marks the first nationally representative prevalence estimates collected by the federal government in a decade, and importantly, the first time the ABS has adopted an internationally comparable, validated and sensitive measure of household food insecurity. The findings confirm that food insecurity is a mainstream public health and equity challenge, warranting urgent attention from health promotion professionals, policymakers and researchers.</p><p>In high-income countries, food insecurity is best understood as the inability to consistently acquire adequate, nutritious and culturally acceptable food in socially acceptable ways [<span>2</span>]. Beyond food availability, this definition incorporates the concept of agency—the capacity to exercise choice and autonomy over what foods are eaten, when, and how [<span>3</span>]. Food insecurity therefore includes not only hunger or inadequate dietary intake, but also constrained dietary choices, reliance on food charity and loss of dignity in food acquisition [<span>4</span>]. This broader framing is important for health promotion, as it acknowledges that health and wellbeing are undermined not just by a lack of food, but by erosion of control, cultural appropriateness and social participation [<span>5</span>].</p><p>Until now, national prevalence data on food insecurity in Australia came from the 2011 to 2012 National Nutrition and Physical Activity Survey [<span>6</span>]. At that time, the ABS employed a two-item measure, which asked whether households had run out of food in the last 12 months and whether they could afford to buy more. In 2011–2012, 4.0% of Australians lived in a household that had run out of food and could not afford to buy more, and 1.5% lived in a household where someone went without food because they could not afford to buy any more [<span>6</span>]. This measure provided a useful but limited snapshot of food insecurity. It was unable to capture the full range of food insecurity experiences, such as anxiety about food, compromised dietary quality or reductions in social acceptability [<span>7</span>].</p><p>The use of the USDA-HFSSM means the new ABS prevalence figures are not directly comparable with the 2011–2012 results, and earlier prevalence estimates under-represented the true extent of the problem [<span>7</span>]. The 2023 ABS survey therefore provides both a more realistic estimate and a richer understanding of the diverse household experiences of food insecurity.</p><p>It also allows international benchmarking, though with some caveats. Canada and the United States routinely use the 18-item USDA HFSSM to monitor food insecurity, which contains the 10 adult items plus an additional eight child-referenced questions. Australia's 2023 survey applied only the adult 10-item scale, which means results are d

澳大利亚统计局（ABS）发布的新数据显示，2023年，八分之一的澳大利亚家庭经历了食品不安全。这是十年来联邦政府收集的第一个具有全国代表性的流行率估计，重要的是，ABS首次采用国际可比的、经过验证的、敏感的家庭食品不安全衡量标准。研究结果证实，粮食不安全是一项主流的公共卫生和公平挑战，值得健康促进专业人员、政策制定者和研究人员紧急关注。在高收入国家，粮食不安全的最佳理解是无法以社会可接受的方式持续获得充足、有营养和文化上可接受的食物[10]。除了食物的可获得性，这个定义还包含了能动性的概念——对吃什么、什么时候吃、怎么吃行使选择和自主的能力。因此，粮食不安全不仅包括饥饿或膳食摄入不足，还包括饮食选择受限、对粮食慈善机构的依赖以及在获取粮食方面丧失尊严。这一更广泛的框架对促进健康很重要，因为它承认，健康和福祉受到损害的不仅是缺乏食物，还有对控制、文化适宜性和社会参与的侵蚀。到目前为止，澳大利亚关于粮食不安全的全国流行数据来自2011年至2012年的全国营养和体育活动调查。当时，澳大利亚统计局采用了两项衡量标准，即询问家庭在过去12个月里是否没有食物，以及他们是否有能力购买更多食物。2011-2012年，4.0%的澳大利亚人生活在没有食物的家庭，买不起更多的食物，1.5%的人生活在没有食物的家庭，因为他们买不起更多的食物。这一措施提供了有用但有限的粮食不安全概况。它无法捕捉到粮食不安全的全部经历，例如对食物的焦虑、饮食质量受损或社会可接受性下降。使用USDA-HFSSM意味着新的ABS患病率数据不能与2011-2012年的结果直接比较，而且早期的患病率估计没有充分反映问题的真实程度。因此，2023年澳大利亚统计局的调查既提供了更现实的估计，也更丰富地了解了家庭在粮食不安全方面的不同经历。它也允许国际基准，尽管有一些警告。加拿大和美国经常使用美国农业部的食品安全监测机制（HFSSM）的18个项目来监测食品不安全状况，其中包括10个成人项目和另外8个儿童相关问题。澳大利亚2023年的调查只采用了成人10项量表，这意味着只有没有孩子的家庭的结果才有直接可比性。考虑到这一点，加拿大最近报告17.8%的家庭处于食品不安全状态。据报道，美国有13.5%的家庭在1年的时间里经历过粮食不安全[10]，但与加拿大和澳大利亚不同的是，美国没有将边际粮食不安全计算在其普遍性估计中。在同类基础上，澳大利亚的13.2%略低于加拿大的估计，与美国相似。然而，这些差异可能会受到方法决定的影响，如是否包括边际不安全感，以及是否询问儿童参考项目，都可能显著改变患病率[10]。虽然国家数据仍然是政策和国际比较的基石，但澳大利亚的证据基础越来越多层次。一些国家建立了监测系统，以更细致的方式捕捉粮食不安全的普遍情况和决定因素。这些监测系统的时间和采用的工具各不相同，使得州际流行率比较变得困难，但它们对区域“热点”和高危群体产生了重要的见解，加强了地方行动的证据基础。在南澳大利亚，患病率估计是通过使用不同工具的多次调查得出的。例如，自2020年以来，人口健康调查监测系统已经应用了18个项目的USDA HFSSM，而SA人口健康调查通常包括一个单项措施[14]。这些定量数据得到了丰富的生活经验数据的补充，这些数据与部门合作一起为南非粮食救济宪章和其他国家战略的制定提供了信息。在西澳大利亚州，健康和福利监测系统在2017年至2021年期间整合了HFSSM，提供了第一个全州范围的患病率估计，尽管由于资金限制，没有足够的区域抽样。在维多利亚州，自2014年以来通过各种调查收集了粮食不安全数据，包括人口健康调查，直接为议会对粮食安全的调查、制定健康食品救济准则和其他州级卫生倡议提供了信息。在塔斯马尼亚州，学术研究bbb和州人口一级的健康数据已被用于制定国家主导的粮食救济以增强复原力战略bbb，并支持最近针对粮食不安全的政策应对措施，如普及学校供餐。地方和社区研究bbb10通过捕捉生活经验和指导量身定制的地方健康促进对策，进一步深化了这些统计数据。综合起来，国家、州和地方监测形成了一个分层的证据基础，加强了设计既符合国家要求又符合地方要求的干预措施的能力。粮食不安全是一个基本的健康促进问题。它反映了健康的经济、社会和环境决定因素之间的相互作用，并对营养、身心健康和社会福利产生深远影响。新的ABS数据为更有针对性和循证的健康促进战略创造了机会。10年来，澳大利亚首次有了具有全国代表性的家庭粮食不安全数据。数据证实，粮食不安全影响到相当大比例的家庭，其影响涉及营养、慢性病预防、心理健康和公平。健康促进专业人员必须抓住这一时机。现在的挑战不仅是承认粮食不安全的规模，而且是将证据转化为行动。定期监测、以公平为重点的干预和系统性政策变革至关重要。《国家粮食安全战略》的制定为加强澳大利亚的应对提供了及时的机会。要想有效，这种战略必须超越农业生产，还要认识到贫困、营养、健康和影响粮食获取的更广泛的社会决定因素。需要一种联合的、跨部门的方法，以强有力的国家监测为依据，以州和地方的见解为支持，并以受影响最严重的人的生活经验为基础。有了正确的战略，澳大利亚可以确保粮食不安全不再是健康状况不佳的一个沉默、隐藏的决定因素，而是健康促进实践的一个可预防的核心挑战。作者没有什么可报道的。作者声明无利益冲突。

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引用次数: 0

Berrembi Jarragboo-Boorroo Wajawoorroo Men'Gawoom Gijam (Gija Healthy Skin Story): Two-Way Learning for Healthy Skin 贝伦比·贾拉格布-布尔鲁·瓦贾沃鲁鲁男士瑜伽瑜伽（Gija健康皮肤故事）：健康皮肤的双向学习。

IF 1.5 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2025-10-02 DOI: 10.1002/hpja.70111

Stephanie L. Enkel, Hannah M. M. Thomas, Rebecca Famlonga, Madeline Purdie, Cherylene Nocketta, Shirley Purdie, Eileen Bray, Tracy McRae, Abbey Ford, Tammy Gibbs, Cheryl Bridge, Asha C. Bowen

Issue Addressed

Remote-living Aboriginal children in Australia contend with higher rates of skin infections than non-Indigenous children. This work was embedded within a stepped-wedge, cluster randomised controlled trial aiming to halve the rate of skin infections in remote Kimberley communities. It outlines and reflects upon the co-development of a health promotion resource in partnership with the East Kimberley community of Warmun, whilst understanding community perceptions of its impact.

Methods

Through a community participatory action research methodology over several years, relationship building and consultation identified there was a community preference for health promotion resources that documented both traditional and Western ways of supporting skin health. Two-way learning was prioritised throughout the development process. Yarning methodology informed evaluation activities, with data analysed thematically.

Results

The resulting resource Berrembi Jarragboo-boorroo Wajawoorroo Men'gawoom Gijam (Gija Healthy Skin Story) was launched in March 2023. To date, over 500 hard copies of this and the subsequent Kriol version—Dijan Wen Wi Tokin Bela Propa Good Wan Skin Gota Gija—have been distributed. Eight Warmun community members and service providers participated in the evaluation yarns with themes specific to the development of the book, an assessment of impact and community-identified strengths.

Conclusion

Berrembi Jarragboo-boorroo Wajawoorroo Men'gawoom Gijam (Gija Healthy Skin Story) exemplifies the elements of co-design emphasized across the Kimberley and Australia; opportunities for two-way learning, preference for community priorities and highlighting culture above all else.

So What?

Health promotion activities completed within remote Aboriginal communities should prioritize two-way understanding, authentic relationships, Aboriginal-led, local language inclusion, equitable resourcing and ongoing evaluation to ensure that the results and outcomes are impactful for the communities involved.

所处理的问题：澳大利亚偏远地区的土著儿童面临着比非土著儿童更高的皮肤感染率。这项工作是嵌入在一个楔形阶梯，集群随机对照试验，旨在将金伯利偏远社区的皮肤感染率减半。它概述并反映了与沃蒙东金伯利社区合作共同开发健康促进资源的情况，同时了解社区对其影响的看法。方法：通过多年来的社区参与行动研究方法，关系建立和咨询确定了社区对健康促进资源的偏好，这些资源记录了支持皮肤健康的传统和西方方式。双向学习在整个开发过程中被优先考虑。纺纱方法为评估活动提供信息，并对数据进行主题分析。结果：由此产生的资源Berrembi Jarragboo-boorroo Wajawoorroo Men’gawoom Gijam （Gija健康皮肤故事）于2023年3月推出。到目前为止，这本书和后来的Kriol版本（dijan Wen Wi Tokin Bela Propa Good Wan Skin Gota gija）已经分发了500多本硬拷贝。八名瓦门社区成员和服务提供者参与了针对本书开发的特定主题的评估纱线，评估了影响和社区确定的优势。总结：Berrembi Jarragboo-boorroo Wajawoorroo Men’gawoom Gijam （Gija健康皮肤故事）体现了金伯利和澳大利亚强调的共同设计元素；双向学习的机会，优先考虑社区优先事项，强调文化高于一切。那又怎样?*在偏远土著社区内完成的健康促进活动应优先考虑双向理解、真实关系、土著主导、融入当地语言、公平资源和持续评价，以确保结果和成果对有关社区产生影响。

{"title":"Berrembi Jarragboo-Boorroo Wajawoorroo Men'Gawoom Gijam (Gija Healthy Skin Story): Two-Way Learning for Healthy Skin","authors":"Stephanie L. Enkel, Hannah M. M. Thomas, Rebecca Famlonga, Madeline Purdie, Cherylene Nocketta, Shirley Purdie, Eileen Bray, Tracy McRae, Abbey Ford, Tammy Gibbs, Cheryl Bridge, Asha C. Bowen","doi":"10.1002/hpja.70111","DOIUrl":"10.1002/hpja.70111","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issue Addressed</h3>\u0000 \u0000 <p>Remote-living Aboriginal children in Australia contend with higher rates of skin infections than non-Indigenous children. This work was embedded within a stepped-wedge, cluster randomised controlled trial aiming to halve the rate of skin infections in remote Kimberley communities. It outlines and reflects upon the co-development of a health promotion resource in partnership with the East Kimberley community of Warmun, whilst understanding community perceptions of its impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Through a community participatory action research methodology over several years, relationship building and consultation identified there was a community preference for health promotion resources that documented both traditional and Western ways of supporting skin health. Two-way learning was prioritised throughout the development process. Yarning methodology informed evaluation activities, with data analysed thematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The resulting resource <i>Berrembi Jarragboo-boorroo Wajawoorroo Men'gawoom Gijam</i> (<i>Gija Healthy Skin Story</i>) was launched in March 2023. To date, over 500 hard copies of this and the subsequent Kriol version—<i>Dijan Wen Wi Tokin Bela Propa Good Wan Skin Gota Gija</i>—have been distributed. Eight Warmun community members and service providers participated in the evaluation yarns with themes specific to the development of the book, an assessment of impact and community-identified strengths.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p><i>Berrembi Jarragboo-boorroo Wajawoorroo Men'gawoom Gijam</i> (<i>Gija Healthy Skin Story</i>) exemplifies the elements of co-design emphasized across the Kimberley and Australia; opportunities for two-way learning, preference for community priorities and highlighting culture above all else.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> So What?</h3>\u0000 \u0000 <p>Health promotion activities completed within remote Aboriginal communities should prioritize two-way understanding, authentic relationships, Aboriginal-led, local language inclusion, equitable resourcing and ongoing evaluation to ensure that the results and outcomes are impactful for the communities involved.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47379,"journal":{"name":"Health Promotion Journal of Australia","volume":"36 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpja.70111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214168","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}

引用次数: 0

Physical Activity, Sedentary Behaviour, and Screen Time Amongst Culturally and Linguistically Diverse Australian Children and Adolescents: A Scoping Review of Quantitative and Qualitative Studies 体育活动，久坐行为和屏幕时间在文化和语言多样化的澳大利亚儿童和青少年：定量和定性研究的范围审查。

IF 1.5 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2025-10-02 DOI: 10.1002/hpja.70109

Ana Maria Contardo Ayala, Kate Parker, Natalie Lander, Lauren Arundell, Niamh O'Loughlin, Nicola D. Ridgers, Susan Paudel, Anthony Walsh, Jo Salmon

Objectives

This scoping review synthesised evidence on the prevalence of, and factors influencing, physical activity (PA), sedentary behaviour (SB), and screen time (ST) among Culturally and Linguistically Diverse (CALD) children and adolescents in Australia.

Methods

Five databases were searched in May 2025. Eligible studies examined prevalence and factors influencing PA, SB and ST among CALD youth. Quantitative data were summarised descriptively. Qualitative findings were synthesised thematically using the socio-ecological model.

Results

Twenty-six studies (11 quantitative, 15 qualitative) were included. Quantitative findings showed that CALD youth generally had lower PA and ST than their peers; some groups reported higher SB. There was diversity across cultures, with each group facing unique factors influencing movement behaviours. PA barriers included cultural and gender norms, academic priorities, safety concerns and limited facilities, while facilitators included PA enjoyment, peer/parental support, and school-based opportunities. For SB and ST, facilitators of more ST included enjoyment, stress relief, lack of alternatives, social connections and safety concerns, while barriers included parental awareness of harms and imposed restrictions.

Conclusions

CALD youth face culturally specific barriers to increasing PA and reducing SB, with limited research on ST determinants.

目的：本范围综述综合了澳大利亚文化和语言多样性（CALD）儿童和青少年中身体活动（PA）、久坐行为（SB）和屏幕时间（ST）的患病率及其影响因素的证据。方法：于2025年5月检索5个数据库。符合条件的研究考察了CALD青年中PA、SB和ST的患病率和影响因素。定量数据进行描述性总结。使用社会生态模型对定性结果进行主题综合。结果：共纳入26项研究，其中定量研究11项，定性研究15项。定量结果显示，CALD青年的PA和ST普遍低于同龄人；不同文化之间存在差异，每个群体都面临着影响运动行为的独特因素。PA障碍包括文化和性别规范、学术优先、安全问题和有限的设施，而促进因素包括PA享受、同伴/父母支持和基于学校的机会。对于青少年和青少年来说，促进青少年性行为的因素包括享受、缓解压力、缺乏选择、社会关系和安全问题，而障碍包括父母对危害的认识和施加的限制。结论：CALD青年在增加PA和减少SB方面面临文化特异性障碍，对ST决定因素的研究有限。

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引用次数: 0

Exploring Fetal Alcohol Spectrum Disorder (FASD) From an Aboriginal Lens in Western Australia: Survey Results to Inform Cultural Security, Policy, and Service Delivery 从西澳大利亚原住民的视角探索胎儿酒精谱系障碍（FASD）：为文化安全、政策和服务提供信息的调查结果。

IF 1.5 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2025-09-28 DOI: 10.1002/hpja.70081

Robyn Williams, Miranda Farmer, Ken Kelly, Dorothy Badry, Jaya Dantas

Issue Addressed

The exploration of awareness and knowledge on FASD amongst the Noongar people in the Southwest region of Western Australia (WA) was the focus of this research. FASD is a neurodevelopmental disability caused by prenatal alcohol exposure resulting in lifelong disabilities impacting children, families, kinship caregivers, foster carers, and communities.

Methods

This Aboriginal led research was underpinned by Indigenous methodology utilising a developed culturally appropriate survey tool completed by 180 Aboriginal people in WA. Questions included the history of colonisation in Australia. Quantitative analysis of the survey results was undertaken.

Results

It was identified by 92% of respondents that they felt it was important to know about FASD and low awareness of FASD exists, and only 20% had received information on FASD. Participants wanted to receive more information on FASD and culturally preferred approaches to training included small groups, community forums, or one to one learning. The majority of participants identified that they had experienced the removal of an immediate member of their family or themselves, or were a member of the Stolen Generations.

Conclusions

The results highlight that awareness, knowledge, and education can contribute to the prevention of FASD and support effective interventions on country and in the community.

So What?

The impact of FASD, a neurodevelopmental disability, has largely gone unrecognised, prompting an urgent need to support children, families and communities in Australia.

所处理的问题：探索西澳大利亚州西南地区Noongar人对FASD的认识和知识是本研究的重点。FASD是一种由产前酒精暴露引起的神经发育障碍，导致儿童、家庭、亲属照顾者、寄养照顾者和社区终身残疾。方法：这项由土著居民主导的研究以土著方法为基础，利用一种开发的文化上适当的调查工具，由180名西澳大利亚土著人完成。问题包括澳大利亚的殖民历史。对调查结果进行了定量分析。结果：92%的受访者认为了解FASD很重要，对FASD的认识很低，只有20%的受访者收到了FASD的信息。参与者希望获得更多关于FASD的信息，文化上更喜欢的培训方法包括小组、社区论坛或一对一学习。大多数参与者表示，他们经历过家庭直系成员或他们自己被带走的经历，或者是被偷走的一代的成员。结论：研究结果强调，意识、知识和教育有助于预防FASD，并支持国家和社区的有效干预措施。那又怎样?FASD是一种神经发育障碍，其影响在很大程度上未被认识到，这促使澳大利亚迫切需要支持儿童、家庭和社区。

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引用次数: 0

Children's Health and Environmental Sustainability: A Call for Collaboration 儿童健康和环境可持续性：呼吁合作

IF 1.5 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2025-09-25 DOI: 10.1002/hpja.70110

Clare Hume, Adriana Milazzo, Carmel Williams

引用次数: 0

‘Oh! It's Like Taboo’: Perspectives of Religious and Community Leaders on AOD Use, Harms and Treatment in CALD Communities, Sydney “啊!这就像禁忌：宗教和社区领袖对CALD社区中AOD使用、危害和治疗的看法，悉尼。

IF 1.5 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2025-09-23 DOI: 10.1002/hpja.70105

Winifred Asare-Doku, Robert Stirling, Prince Peprah, Catherine Foley, Nirekha De Silva, Teguh Syahbahar, David Kelly, Stella Settumba

Objective

Alcohol and other drug (AOD) use is a growing social and health issue, and culturally appropriate treatment is important, especially for people from culturally and linguistically diverse (CALD) backgrounds. This study aimed to explore the views of religious and community leaders on AOD use and treatment in CALD communities in New South Wales, Australia.

Design

Using a qualitative exploratory approach, eight religious and community leaders were purposively selected from Sub-Saharan African, North African, Middle Eastern, East Asian and Pacific Islander communities. This approach is particularly suited to contexts where little prior research exists, allowing for in-depth insights into participants' views.

Results

The study identified four key themes in participants' perspectives on AOD use and treatment within CALD communities. First, cultural and contextual factors described how cultural and religious values influence community leaders' attitudes toward AOD. Second, community-wide impact captured the collective nature of CALD communities, where individual behaviours are seen as reflecting on the broader family and community. Third, enablers to access and engagement with AOD Services highlighted the factors that support access to and engagement with AOD services. Finally, barriers to access and engagement with AOD Services addressed the obstacles that prevent individuals from seeking treatment.

Conclusion

Our findings show that AOD use and harms can be influenced by contextual and cultural factors, requiring culturally appropriate and targeted interventions and strategies to prevent harm and to manage AOD treatment among CALD communities.

Implications for Public Health

Findings highlight the need for culturally tailored AOD prevention and treatment strategies that engage community and religious leaders to improve access, reduce stigma and increase uptake within CALD communities.

目的：酒精和其他药物（AOD）的使用是一个日益严重的社会和健康问题，在文化上适当的治疗是重要的，特别是对于来自文化和语言不同背景（CALD）的人。本研究旨在探讨澳大利亚新南威尔士州CALD社区宗教和社区领袖对AOD使用和治疗的看法。设计：采用定性探索性方法，有目的地从撒哈拉以南非洲、北非、中东、东亚和太平洋岛民社区中选择了8位宗教和社区领袖。这种方法特别适用于很少有事先研究存在的情况，允许深入了解参与者的观点。结果：该研究确定了参与者对CALD社区中AOD使用和治疗的四个关键主题。首先，文化和背景因素描述了文化和宗教价值观如何影响社区领导人对AOD的态度。其次，社区范围的影响体现了CALD社区的集体性质，个人行为被视为反映了更广泛的家庭和社区。第三，支持访问和参与AOD服务的因素强调了支持访问和参与AOD服务的因素。最后，获取和参与不良行为发展服务的障碍解决了阻碍个人寻求治疗的障碍。结论：我们的研究结果表明，AOD的使用和危害可能受到环境和文化因素的影响，需要在文化上适当和有针对性的干预措施和策略来预防危害并管理CALD社区的AOD治疗。对公共卫生的影响：调查结果强调需要制定符合文化特点的AOD预防和治疗战略，让社区和宗教领袖参与进来，以改善CALD社区的获取、减少耻辱感和增加吸收。

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引用次数: 0

A Qualitative Analysis of Stakeholders and Workers' Views of the Impact of a Suicide Prevention Program for the Australian Construction Industry 利益相关者和工人对澳大利亚建筑业自杀预防计划影响的看法的定性分析。

IF 1.5 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2025-09-23 DOI: 10.1002/hpja.70108

Kylie E. King, Sarah K. Liddle, Angela Nicholas

Issue Addressed

In Australia, construction workers have suicide rates twice that of other male workers. The Bluehats suicide prevention program aims to address this issue. Workplace suicide prevention programs are promising due to their potential reach and ability to address industry-specific risks. However, evidence of their effectiveness is limited.

Methods

We aimed to understand more about the impact of the program and the factors influencing successful implementation through a qualitative study that comprised interviews and open-ended survey responses from 8 construction industry stakeholders, 19 workers, and 5 Incolink service delivery staff. Data were analysed using Reflexive Thematic Analysis.

Results

Participants commented on the role of the Bluehats themselves, the scope of the Bluehats program, and industry-related factors that influenced the program's impact. Whilst participants reported positive impacts of the program, key recommendations included expanding the program's reach to small businesses, rural areas, and diverse cultural groups, as well as broadening its scope to include early intervention.

Conclusions

The study emphasises the importance of a supportive work environment and industry for the success of the Bluehats program. Effective suicide prevention in the construction industry requires addressing individual, social, and systemic factors through a systems-based approach.

So What?

The findings suggest that although the Bluehats program has a positive impact, an enhanced reach and scope could further improve its impact. Implementing these recommendations could lead to more effective suicide prevention in the construction industry and serve as a model for similar workplace interventions.

问题处理：在澳大利亚，建筑工人的自杀率是其他男性工人的两倍。蓝帽自杀预防项目旨在解决这个问题。工作场所自杀预防项目因其潜在的覆盖范围和解决特定行业风险的能力而前景光明。然而，证明其有效性的证据有限。方法：我们通过一项定性研究，包括对8个建筑行业利益相关者、19名工人和5名Incolink服务交付人员的访谈和开放式调查，旨在更多地了解该计划的影响和影响成功实施的因素。数据分析采用反身性主题分析。结果：参与者对Bluehats自身的作用、Bluehats项目的范围以及影响项目影响的行业相关因素进行了评论。虽然参与者报告了该计划的积极影响，但主要建议包括将该计划扩大到小企业、农村地区和不同文化群体，并扩大其范围，包括早期干预。结论：该研究强调了支持性工作环境和行业对Bluehats项目成功的重要性。有效的建筑行业自杀预防需要通过基于系统的方法解决个人，社会和系统因素。那又怎样?研究结果表明，虽然蓝帽项目有积极的影响，但扩大范围和范围可以进一步提高其影响。实施这些建议可能会导致建筑行业更有效地预防自杀，并作为类似工作场所干预的典范。

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引用次数: 0

Recommendations for Reporting Alcohol, Tobacco, and Other Drug Screening Tool Use With Pregnant Aboriginal and Torres Strait Islander Peoples 报告怀孕原住民和托雷斯海峡岛民使用酒精、烟草和其他药物筛选工具的建议

IF 1.5 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2025-09-22 DOI: 10.1002/hpja.70103

Christina A. Norris, Tahlia Johnson, Ashlea Bartram, Armin Muminovic, Alice McEntee, Jane Fischer, Alison Francis, Jacqueline A. Bowden

Alcohol, tobacco and other drug screening tools are essential components of health promotion strategies to help identify individuals at risk of harmful substance use and guide them towards timely and appropriate interventions. These tools play a particularly important role in antenatal care, where routine screening for pregnant women supports healthier pregnancies and promotes long-term wellbeing for mother and child. However, it is unclear whether there are culturally responsive, validated tools for use with pregnant Aboriginal and Torres Strait Islander peoples. A search of recent literature identified tools commonly used with Aboriginal and Torres Strait Islander populations but found limitations in how the use of these tools was reported. We outline key considerations for improving the implementation and reporting of alcohol, tobacco and other drug screening tools in Aboriginal and Torres Strait Islander populations. We discuss how prioritising cultural responsiveness, validation and acceptability in screening practices can enhance healthcare equity and improve outcomes for pregnant Aboriginal and Torres Strait Islander peoples affected by alcohol, tobacco, and other drug use.

酒精、烟草和其他药物筛查工具是促进健康战略的重要组成部分，有助于确定有使用有害物质风险的个人，并指导他们采取及时和适当的干预措施。这些工具在产前保健中发挥着特别重要的作用，对孕妇进行常规筛查有助于更健康的妊娠，并促进母亲和儿童的长期福祉。然而，目前尚不清楚是否有适合怀孕的土著和托雷斯海峡岛民使用的文化上有效的工具。对最近文献的搜索发现了土著居民和托雷斯海峡岛民普遍使用的工具，但发现这些工具的使用方式存在局限性。我们概述了在土著和托雷斯海峡岛民中改进酒精、烟草和其他药物筛查工具的执行和报告的关键考虑因素。我们讨论了在筛查实践中如何优先考虑文化响应性、有效性和可接受性，以提高医疗保健公平性，并改善受酒精、烟草和其他药物使用影响的怀孕土著和托雷斯海峡岛民的结果。

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引用次数: 0

Health Promotion in the Asia Pacific: Celebrating Success Stories and Tackling Challenges 亚太地区的健康促进：庆祝成功故事和应对挑战。

IF 1.5 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia

Pub Date : 2025-09-18 DOI: 10.1002/hpja.70106

Carmel Williams, Louise Signal, Louise Baldwin, Vivian Lin

This Special Issue of the Health Promotion Journal of Australia reflects on how health promotion principles and practices have been adapted across the Asia Pacific. Contributions highlight diverse approaches to advancing health promotion in different contexts, while underscoring the need for sustained political will, resources, and collaboration. By sharing knowledge and experiences, this Special Issue aims to strengthen the region's collective capacity to tackle shared and complex health and societal challenges.

《澳大利亚健康促进杂志》的这一期特刊反映了健康促进原则和做法在整个亚太地区是如何适应的。报告强调了在不同情况下推进健康促进的不同方法，同时强调需要持续的政治意愿、资源和合作。通过分享知识和经验，本期特刊旨在加强本区域应对共同和复杂的卫生和社会挑战的集体能力。

引用次数: 0