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Integrating Crime Prevention and Health Promotion Programs for School-Aged Children to Decrease Anti-Social Behaviours 综合预防犯罪及促进学龄儿童健康计划以减少反社会行为
IF 1.5 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-08-22 DOI: 10.1002/hpja.70085
Alan Silburn, Kayla Ibrahim

The interaction between crime prevention and health promotion programs and their impact on crime rates and antisocial behaviours in school-aged children is a complex and multifaceted subject. This literature review examines 10 research articles to discern recurring themes, challenges, and potential synergies in addressing these intricate dynamics. It emphasises the crucial role of socioeconomic factors, mental health, and community environments in shaping the effectiveness of interventions. The intersection of crime prevention and health promotion emerges as a promising avenue for comprehensive strategies. However, challenges such as attendance rates and demographic variations underline the need for tailored approaches. The implications for policy, as well as potential directions for future research, are thoroughly discussed.

预防犯罪和健康促进计划之间的相互作用及其对学龄儿童犯罪率和反社会行为的影响是一个复杂和多方面的主题。本文献综述考察了10篇研究文章,以辨别反复出现的主题、挑战和潜在的协同作用,以解决这些复杂的动态。它强调社会经济因素、心理健康和社区环境在影响干预措施有效性方面的关键作用。预防犯罪与促进健康相结合是制定综合战略的一个有希望的途径。然而,诸如出勤率和人口结构变化等挑战强调需要采取量身定制的方法。对政策的影响以及未来研究的潜在方向进行了深入的讨论。
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引用次数: 0
Paid Social Media Advertising on Vaping in Australia: A Descriptive Study Using Meta Ad Library 澳大利亚电子烟的付费社交媒体广告:使用元广告库的描述性研究
IF 1.5 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-08-21 DOI: 10.1002/hpja.70082
Xiao Li, Robyn Gillespie, Alberto Nettel-Aguirre, Lisa Gaye Smithers

Issue Addressed

This study investigated how various advertisers engage in vaping-related marketing on social media, with a focus on message stance, audience targeting and advertising strategies, using data from the Meta Ad Library. This is particularly relevant given the growing concern around vaping among young people and recent policy reforms in Australia.

Methods

We analysed vaping-related advertisements from Meta platforms between May 7, 2018 and July 31, 2024. Keyword searches identified relevant advertisements. Descriptive statistics were applied to the number of impressions, spending, duration, year posted, audience size and platform distribution, with advertisers classified into government, politicians/political groups, non-governmental organisations (NGOs)/universities, commercial entities, news sources and undisclosed groups.

Results

A total of 861 advertisements were identified. After duplicates and non-vaping related advertisements were removed, 394 were included in the final analysis. Of the anti-vaping messages (n = 269), 37% were posted by NGOs/universities and 35% by politicians/political groups, while pro-vaping messages (n = 87) primarily originated from commercial entities (44%) and undisclosed groups (47%). Anti-vaping campaigns had higher audience reach, targeted all ages and spending varied widely compared with pro-vaping messages, which predominantly targeted the 18–34 age group.

Conclusions

The advertisers of pro- and anti-vaping messages on social media differ in their expenditure and demographic targeting. Commercial entities were still able to post pro-vaping content despite Meta's advertising restrictions.

So What?

These findings offer timely insights for health promotion practitioners and policymakers. Better understanding of paid social media advertising practices can inform the development of more targeted, transparent and effective digital health campaigns.

本研究调查了不同广告商如何在社交媒体上进行与电子烟相关的营销,重点关注信息立场、受众目标和广告策略,使用Meta广告库的数据。鉴于年轻人对电子烟的担忧日益增加,以及澳大利亚最近的政策改革,这一点尤为重要。方法分析2018年5月7日至2024年7月31日期间Meta平台上与电子烟相关的广告。关键词搜索可以识别相关广告。描述性统计应用于展示次数、支出、持续时间、发布年份、受众规模和平台分布,广告商分为政府、政治家/政治团体、非政府组织(ngo)/大学、商业实体、新闻来源和未披露团体。结果共识别出861条广告。在剔除重复广告和与电子烟无关的广告后,394个广告被纳入最终分析。在反对电子烟的信息(269条)中,37%是由非政府组织/大学发布的,35%是由政治家/政治团体发布的,而支持电子烟的信息(87条)主要来自商业实体(44%)和未公开的团体(47%)。反电子烟运动的受众范围更广,针对所有年龄段,与主要针对18-34岁年龄段的支持电子烟的信息相比,支出差异很大。结论社交媒体上支持和反对电子烟信息的广告主在支出和人群目标方面存在差异。尽管Meta有广告限制,但商业实体仍然可以发布支持电子烟的内容。那又怎样?这些发现为健康促进从业者和政策制定者提供了及时的见解。更好地了解付费社交媒体广告做法可以为制定更有针对性、更透明和更有效的数字卫生运动提供信息。
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引用次数: 0
A Journey Into School Lunchbox Decision-Making: A Mixed Methods Exploration of Australian Parents 学校午餐盒决策之旅:澳大利亚家长的混合方法探索
IF 1.5 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-08-19 DOI: 10.1002/hpja.70089
Wendy Boyd, Nasim Salehi, Frances Doran, David Ellis, Hannah MCGuigan, Megan Lee

Introduction

This study aimed to understand parents' decision-making processes when packing their child's lunchbox, investigating barriers and facilitators of seeking nutrition information for food choices.

Methods

An online survey with Likert and open-ended questions was conducted via social media platforms. Descriptive quantitative analysis was conducted for the quantitative data, and thematic analysis was done for the qualitative data.

Results

Of 52 parent participants, 78% considered nutritional information when packing lunchboxes, relying mainly on food labelling (32%) and the Australian Nutrition Food Guide (12%). Most parents (64%) felt confident preparing healthy lunchboxes, focusing on fresh, high-fibre foods and avoiding preservatives. While 60% felt they did not need additional information, 40% were open to more guidance. Key themes included informed food choices, balancing nutrition with preferences, managing information overload, and practical approaches.

Conclusions

Parents demonstrated knowledge of healthy eating guidelines but faced challenges in balancing nutritious choices with children's preferences, cost, and providing a balanced diet.

So What?

Clear, accessible guidance on healthy lunchbox preparation needs to be provided. This helps with comprehensive food labelling, strategies for balancing nutrition with preferences, addressing cost challenges, and developing interventions to overcome barriers in food knowledge and availability.

本研究旨在了解父母在为孩子打包午餐时的决策过程,调查寻求食物选择营养信息的障碍和促进因素。方法通过社交媒体平台采用Likert问卷和开放式问题进行在线调查。定量数据采用描述性定量分析,定性数据采用专题分析。结果在52名参与调查的家长中,78%的家长在包装午餐盒时考虑了营养信息,主要依靠食品标签(32%)和澳大利亚营养食品指南(12%)。大多数家长(64%)有信心准备健康的午餐盒,关注新鲜、高纤维的食物,避免使用防腐剂。虽然60%的人认为他们不需要额外的信息,但40%的人愿意接受更多的指导。关键主题包括明智的食物选择,平衡营养与偏好,管理信息过载和实用方法。结论:家长了解健康饮食指南,但在平衡营养选择与儿童偏好、成本和提供均衡饮食方面面临挑战。那又怎样?需要提供关于健康午餐饭盒准备的清晰易懂的指导。这有助于制定全面的食品标签、平衡营养与偏好的战略、应对成本挑战以及制定干预措施以克服在食品知识和可得性方面的障碍。
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引用次数: 0
From ‘What's This?’ To ‘I Grew It!’: Evaluation of a School Nutrition Program in Queensland, Australia 出自《这是什么?》到“是我种的!”:对澳大利亚昆士兰州一所学校营养项目的评估
IF 1.5 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-08-19 DOI: 10.1002/hpja.70087
Leila Fathi, Charlotte Young, Anne Cleary, David Porter, Danielle Taylor, Mathew Dick, Charlotte Morrison, Li Kheng Chai, Zoe Nethery, Katherine Cacavas, Robyn Littlewood, Mark Robinson

Issue Addressed

This study aimed to evaluate the implementation and impact of the ‘Pick of the Crop’ (POTC) program. POTC is a whole-school nutrition program aimed at increasing opportunities for primary school students in Queensland to learn about and eat more vegetables and fruit (VF).

Methods

A mixed-methods evaluation was undertaken that included analysis of school action plans, Most Signficant Change interviews and surveys with school champions, as well as focus groups with regional coordinators and programme managers. Data sources explored access to VF within the school and the perceived knowledge, skills, attitudes, and behaviour of staff and students regarding VF consumption. Quantitative data were analysed using descriptive statistics, and qualitative data were inductively coded and thematically analysed. Sources of data were triangulated to cross-validate key themes identified from interviews, focus groups, surveys and action plans.

Results

A total of 63 schools participated in the POTC evaluation. School staff reported high acceptability of POTC within schools for the first 2 years of its implementation. School staff considered the program feasible with the support of regional coordinators, strong curriculum links, networks with the community, and local leadership. Respondents from schools in their first and second year of implementation reported an increase in student knowledge, skills, and attitudes towards VF consumption. Schools in their second year of implementation reported higher levels of VF consumption among students, with some improvement to school policies, food culture and school networks.

Conclusions

POTC demonstrates an acceptable and feasible model that has potential for increasing consumption of VF among primary school students. Further research is required to determine long-term program efficacy with a larger sample size.

So What

School-based nutrition programs should consider incorporating the capacity for flexibility within program structures, whereby schools determine context-specific priorities and the specific activities to be implemented. Recruiting dedicated regional coordinators is also important to ensure support is available to meet the individual needs of schools.

本研究旨在评估“采摘作物”(POTC)计划的实施和影响。POTC是一项全校营养计划,旨在增加昆士兰州小学生学习和食用更多蔬菜和水果(VF)的机会。方法采用混合方法进行评估,包括对学校行动计划进行分析,对学校带头人进行访谈和调查,以及对区域协调员和项目经理进行焦点小组调查。数据来源探讨了学校内部的VF获取情况,以及教职员工和学生对VF消费的认知知识、技能、态度和行为。定量数据采用描述性统计进行分析,定性数据采用归纳编码和主题分析。对数据来源进行三角测量,以交叉验证从访谈、焦点小组、调查和行动计划中确定的关键主题。结果共有63所学校参与了POTC评估。学校工作人员报告说,在POTC实施的头两年,学校对POTC的接受程度很高。学校工作人员认为,在地区协调员、强有力的课程联系、社区网络和地方领导的支持下,该计划是可行的。来自实施第一年和第二年的学校的受访者报告说,学生的知识、技能和对VF消费的态度都有所增加。实施第二年的学校报告说,学生中VF消费水平较高,学校政策、饮食文化和学校网络有所改善。结论poc是一种可接受和可行的模式,具有增加小学生VF消费的潜力。需要进一步的研究来确定更大样本量的长期计划效果。基于学校的营养项目应该考虑在项目结构中加入灵活性的能力,这样学校就可以根据具体情况确定优先事项和要实施的具体活动。招聘专门的区域协调员对于确保提供支持以满足学校的个别需求也很重要。
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引用次数: 0
WHO Cares?!?: Prioritising Health Promotion for Global Health Equity Advancement 谁在乎? ! ?:优先促进健康以促进全球健康公平
IF 1.5 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-08-12 DOI: 10.1002/hpja.70084
James A. Smith, Carmel Williams, Louise Baldwin, Louise Potvin, Glen Ramos, Sione Tu'itahi, Leanne Eruera, Nadia Mastersson, Anna Peeters, Evelyne de Leeuw, Le Smith, David Lloyd, Fran Baum, Gemma Crawford
<p>The World Health Organization (WHO) has played a fundamental role in the advancement of health promotion for well over four decades [<span>1</span>]. This commitment has been reflected through various iterations of the WHO Department of Health Promotion, which, in broad terms, provides global stewardship of health promotion advancement. While there is always room to strengthen health promotion leadership, structures and resourcing, the current Department of Health Promotion has played a critical role in offering visibility of, and stability for, the global health promotion community, as does the parallel Department of Social Determinants of Health. Key achievements of WHO over this period are plentiful [<span>1</span>], with more recent examples including: the championing of the Ottawa Charter [<span>2</span>], investing in a Commission on Social Determinants of Health from 2005 to 2008 [<span>3</span>], advancing the global Health-in-All-Policies agenda [<span>4, 5</span>], prioritising health literacy with respect to Non-Communicable Diseases [<span>6</span>] and tackling concepts relating to the wellbeing economy [<span>7-10</span>]. This demonstrates that WHO has been a steadfast global leader in health promotion and instrumental in working towards the United Nations Sustainable Development Goals [<span>11, 12</span>]. Importantly, these commitments have shaped responses within the six WHO regional offices where local action and place-based approaches have consistently focused on addressing the social, economic, environmental, ecological, cultural, commercial and political determinants of health and wellbeing at national and regional levels. This demonstrates that WHO cares about health promotion! But all this is threatened by a reorganisation of health promotion at the WHO headquarters in Geneva, where there is movement towards disbanding the vital global infrastructure provided through its Department of Health Promotion.</p><p>It is unfathomable that WHO would be considering a shift away from health promotion at this critical juncture. There is simply too much at stake. We are facing multiple health crises, many of which will be reliant on health promotion foundations to seek tangible solutions. Key areas of relevance include the wellbeing economy [<span>8-10</span>], the impact of climate change on planetary health [<span>13-16</span>], digital health [<span>17, 18</span>], Indigenous health and wellbeing [<span>16, 19, 20</span>], and disaster preparedness, including that relating to pandemics and natural disasters such as bushfires, floods, cyclones and droughts [<span>21, 22</span>]. Ongoing investment in healthy cities, schools and hospitals, and the creation of healthier built environments, is also fundamental to health promotion advancement.</p><p>The recent withdrawal of the United States of America as a member state of WHO has yielded significant influence on the resources, and subsequently the structure and operations of WHO [<
40多年来,世界卫生组织(世卫组织)在促进健康方面发挥了根本作用。这一承诺反映在卫生组织健康促进司的多次改组中,从广义上讲,该司对促进健康的工作提供全球管理。虽然始终有加强健康促进领导、结构和资源的空间,但目前的健康促进司在为全球健康促进界提供可见度和稳定性方面发挥了关键作用,平行的健康问题社会决定因素司也是如此。世卫组织在这一时期取得了许多重要成就[7-10],最近的例子包括:倡导《渥太华宪章》[5],在2005年至2008年期间投资于健康问题社会决定因素委员会[4,5],推进将健康纳入所有政策的全球议程[4,5],优先开展非传染性疾病方面的卫生扫盲工作[4,5],以及处理与福祉经济有关的概念[7-10]。这表明世卫组织一直是健康促进领域的坚定全球领导者,并在努力实现联合国可持续发展目标方面发挥了重要作用[11,12]。重要的是,这些承诺在世卫组织六个区域办事处内形成了应对措施,在这些区域办事处,地方行动和基于地点的方法始终侧重于在国家和区域各级处理健康和福祉的社会、经济、环境、生态、文化、商业和政治决定因素。这表明世卫组织重视健康促进!但是,这一切都受到日内瓦世卫组织总部健康促进部门重组的威胁。世卫组织正朝着解散由其健康促进部提供的重要全球基础设施的方向发展。世卫组织在这一关键时刻考虑放弃健康促进,这是不可思议的。利害攸关的事情太多了。我们正面临多重健康危机,其中许多危机将依赖于健康促进基金会寻求切实的解决办法。相关的关键领域包括福祉经济[8-10]、气候变化对地球健康的影响[13-16]、数字健康[17,18]、土著居民的健康和福祉[16,19,20],以及备灾,包括与森林大火、洪水、旋风和干旱等流行病和自然灾害有关的备灾[21,22]。对健康城市、学校和医院的持续投资,以及创造更健康的建筑环境,也是促进健康的基础。美利坚合众国最近退出世卫组织的会员国身份,对世卫组织bbb的资源以及随后的结构和业务产生了重大影响。拟议关闭健康促进司反映出健康促进的职能和可见度明显受到削弱,特别是与多样性、公平和包容有关的职能和可见度。这既麻烦又有问题。它增加了生活方式进一步漂移的可能性,并威胁到促进健康的基本价值,以及在国际上改善健康和社会公平的更广泛的跨部门目标。这让全球健康促进界怀疑,世卫组织是否真的在乎?有充分的研究和证据表明(a)解决健康和社会不平等问题是,而且将继续是一个重大的全球健康问题[b];(b)世卫组织发表了多项立场声明、框架和战略,其中提到健康促进是创造更公平和更公平社会的关键推动因素[3,5,6 - 8.20,25]。事实上,世卫组织最近发布了《卫生公平社会决定因素世界报告》,该报告一贯强调,投资于健康促进具有良好的经济意义,并一再呼吁加大对健康促进的投资,需要制定平行战略,以处理卫生公平的社会和商业决定因素。这对于推动世卫组织/IUHPE西太平洋区域[26-29]和更广泛的全球背景下的应对具有相关性[3,5,25]。然而,我们也知道,通过研究、政策和实践投资来促进健康战略的结构性和系统性重点往往是以长期的、有时是世代的愿景为前提的。虽然渐进式健康促进行动支持短期和中期收益,但它们往往受到卫生系统结构性改革的破坏,例如世卫组织所提议的改革。这往往阻碍了长期目标的实现。在澳大利亚和新西兰,我们看到政府在健康促进方面的周期性投资。总的来说,健康促进领域的这些变化扼杀和阻碍了我们所服务的社区公平的健康改善,无论是在州/省、国家还是区域一级。 随着世卫组织提出的变革,我们目前正在全球一级看到同样的情况。我们需要从过去的挑战和当前的成功中吸取教训,在与世卫组织及其会员国接触时指导宣传工作,以保持世卫组织健康促进司的知名度和领导地位。在澳大利亚,我们看到了澳大利亚国家预防保健机构等机构的兴衰,以及国家预防保健伙伴关系协定等重大资金注入[26-30]。我们还看到,以国家为基础的重大撤资破坏了地方层面几十年来的健康促进进展[26-28]。然而,在某些情况下,这种不稳定导致了倡导,并带来了长期(通常是多年)的积极成果。例如,我们最近看到在南澳大利亚州和昆士兰州建立了促进健康的基金会,我们现在看到南澳大利亚州的预防保健和昆士兰州的健康和福利蓬勃发展。我们也有蓬勃发展的基金会的例子,如维多利亚州的VicHealth和西澳大利亚州的Healthway,它们都经受住了这样的风暴,几十年来提供了关键的健康促进资源和基础设施。国际健康促进和教育联盟(IUHPE)、澳大利亚健康促进协会(AHPA)、新西兰健康促进论坛、澳大利亚预防伙伴关系中心、VicHealth、国家心脏基金会、多个研究机构和许多其他健康促进基金会和组织联合起来,呼吁确保世卫组织健康促进司得以保留,而且还需要加强健康促进资源,以维持和推动促进全球卫生公平的创新系统变革。我们期待着与世卫组织合作,以其健康促进司的强大传统和持续潜力为基础,加强(而不是削弱)其在全球健康促进方面的领导地位。作者声明无利益冲突。
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引用次数: 0
Preparing to Play With Fire: Exploring Bushfire Preparedness and Risk Communication Among University Students in Australia 准备玩火:探索澳大利亚大学生的丛林火灾准备和风险沟通
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-07-28 DOI: 10.1002/hpja.70064
Claudia Agius, Masaki Shibata

Background

With extreme weather events expected to increase due to climate change, it is essential to understand bushfire preparedness among young adults in Australia, who often risk their safety by driving through bushfire-risk areas when travelling in summer. The current study investigates the knowledge of bushfire risk management and preparedness among university students in Australia.

Methods

One hundred and forty-eight university students participated in an online survey with closed questions. The data was analysed in SPSS by conducting a descriptive analysis and χ2 test between those who have and those who do not have experience with bushfire evacuations.

Results

Over half of respondents who currently live or have lived in a bushfire risk area do not have a written bushfire response plan. Although most respondents reported that they had previously learned about the risk of bushfires in Australia, less than 20% knew the Australian emergency contact number, triple 0 for bushfires. A majority of those who experienced an evacuation fully understood the fire severity scale sign, but only half of those who had not experienced an evacuation fully understood the sign.

So What?

Relevant authorities and Australian universities could consider these findings and provide university students with appropriate information to prepare them for future bushfires.

由于气候变化,极端天气事件预计会增加,因此了解澳大利亚年轻人的森林火灾防范措施至关重要,他们在夏季旅行时经常冒着安全风险开车穿过森林火灾危险地区。目前的研究调查了澳大利亚大学生对森林火灾风险管理和准备的知识。方法对148名大学生进行封闭式问卷调查。数据在SPSS中进行描述性分析,并对有和没有森林大火疏散经验的人进行χ2检验。结果目前居住或曾经居住在森林火灾风险地区的一半以上的受访者没有书面的森林火灾应对计划。尽管大多数受访者报告说,他们以前已经了解澳大利亚森林大火的风险,但只有不到20%的人知道澳大利亚的紧急联系电话,即森林大火的三个0。大多数经历过疏散的人完全理解火灾严重程度标志,但只有一半没有经历过疏散的人完全理解这个标志。那又怎样?有关当局和澳大利亚大学可以考虑这些发现,并为大学生提供适当的信息,使他们为未来的森林大火做好准备。
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引用次数: 0
Feasibility and Preliminary Efficacy of the Biya Yadha Gudjagang Yadha: Healthy Dads Healthy Mob Program Biya Yadha Gudjagang Yadha:健康父亲健康群体计划的可行性和初步效果
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-07-28 DOI: 10.1002/hpja.70078
Jake C. MacDonald, Nathan Towney, Kathleen J. Butler, Myles D. Young, Lee M. Ashton, Briana L. Barclay, Philip J. Morgan

Issue Addressed

The important link between culture, health, and wellbeing is often overlooked when providing parenting support for Aboriginal fathers. This Aboriginal-led, community co-designed study was the first programme aimed to improve the health and wellbeing of Aboriginal fathers and their children living on Darkinjung Country (Central Coast NSW, Australia).

Methods

Single arm, pre-post feasibility trial including qualitative (yarning) and quantitative (survey & anthropometry) measures assessing a 9-week health and wellbeing programme tailored for Aboriginal fathers and their primary school aged (5–12 years) children living on Darkinjung Country.

Results

Feasibility was achieved with nearly all a priori benchmarks met; fidelity 93% (benchmark ≥ 80%), attendance 79% (benchmark ≥ 70%), home-activity compliance 93% (benchmark ≥ 60%), retention 86% (benchmark ≥ 70%), satisfaction 5/5 (benchmark = 4/5). Recruitment capability (7 families, 15 participants) was not achieved (benchmark: 20 families). Regarding preliminary efficacy, large effect sizes (d ≥ 0.8) were evident for most assessed outcomes in both fathers and children. Qualitative findings indicate that Aboriginal fathers living on Darkinjung Country find the programme to be acceptable.

Conclusions

Program feasibility was confirmed with high levels of program attendance, retention, and participant satisfaction. Large effect sizes were supported by very positive qualitative feedback from participants. Future research involving Aboriginal fathers should consider these findings in the development of culturally responsive parenting support.

So What

This new health and wellbeing programme designed for Aboriginal fathers and their children achieved programme feasibility outcomes and reports promising qualitative and quantitative findings. This research could be used to inform future development of parenting programmes involving Aboriginal fathers and their children.

Trial Registration: Clinical Trials registry: ACTRN12623000901606

在为土著父亲提供育儿支助时,文化、健康和幸福之间的重要联系往往被忽视。这项由土著居民领导的社区共同设计的研究是第一个旨在改善居住在Darkinjung国家(澳大利亚新南威尔士州中央海岸)的土著父亲及其子女的健康和福祉的方案。方法采用单臂法,进行定性(纱线)和定量(调查)的岗前可行性试验;人体测量)措施,评估为居住在Darkinjung国家的土著父亲及其小学学龄(5-12岁)儿童量身定制的为期9周的健康和福利方案。结果基本满足所有先验基准,实现了可行性;保真度93%(基准≥80%),出勤率79%(基准≥70%),家庭活动依从性93%(基准≥60%),保留率86%(基准≥70%),满意度5/5(基准= 4/5)。未达到招募能力(7个家庭,15名参与者)(基准:20个家庭)。关于初步疗效,在父亲和儿童的大多数评估结果中,明显存在较大的效应量(d≥0.8)。定性调查结果表明,居住在Darkinjung国家的土著父亲认为该方案是可以接受的。结论:高水平的计划出勤率、保留率和参与者满意度证实了计划的可行性。参与者非常积极的定性反馈支持了大的效应量。未来涉及土著父亲的研究应考虑到这些发现,以发展对文化有反应的育儿支持。这项为土著父亲及其子女设计的新的健康和福利方案取得了方案可行性成果,并报告了令人鼓舞的定性和定量结果。这项研究可用于为涉及土著父亲及其子女的养育方案的未来发展提供信息。试验注册:临床试验注册:ACTRN12623000901606
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引用次数: 0
A Qualitative Exploration of Food Insecurity and Institutional Support Among International Students at a Regional Australian University 澳大利亚某地区大学国际学生食物不安全与制度支持的定性研究
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-07-19 DOI: 10.1002/hpja.70080
Kwun Ming Leung, Karen Charlton, Anne McMahon, Karen Walton, Rajshri Roy, Katherine Kent

Introduction

Food insecurity among international students studying in Australian universities is a growing concern, but limited research has explored their experiences in regional contexts. This study explores food insecurity experiences among international students studying at a regional Australian university, focusing on challenges with food access and the effectiveness of available support services.

Methods

Student-led focus groups were employed to explore food insecurity experiences among a sample of international students. A semi-structured guide probed students about food access issues and perceptions of available support services, and student recommendations for improvement were explored. Audio recordings were transcribed, and data were thematically analysed using Braun and Clarke's six-phase framework.

Results

International students (n = 17) participated in four focus groups. Thematic analysis identified challenges affecting students' food security, including inadequate campus food options, the high cost of living, and a lack of culturally appropriate food choices in Australia. Students employed various coping strategies, such as using dietary supplements, meal prepping, and seeking discounted and/or frozen foods. International students encountered significant barriers to accessing support services, including inefficient pantry operations, perceived stigma, and poor communications about options. Based on these findings, participants suggested improvements in pantry management and expanded financial support for university students.

Conclusions

This study highlights the significant challenges and coping strategies related to food insecurity among international students at a regional Australian university.

So What?

Our findings emphasise the urgent need for tailored, culturally appropriate interventions and improved communication strategies that support international students' agency in accessing healthy, appropriate food.

在澳大利亚大学学习的国际学生的食物不安全问题日益受到关注,但有限的研究探讨了他们在区域背景下的经历。本研究探讨了在澳大利亚一所地区大学学习的国际学生的食物不安全经历,重点关注食物获取方面的挑战和现有支持服务的有效性。方法采用以学生为主导的焦点小组调查国际学生的食品不安全经历。一份半结构化指南调查了学生的食物获取问题和对现有支持服务的看法,并探讨了学生的改进建议。录音被转录,数据被使用Braun和Clarke的六阶段框架进行主题分析。结果17名留学生参加了4个焦点小组。专题分析确定了影响学生食品安全的挑战,包括校园食品选择不足,生活成本高,以及澳大利亚缺乏文化上合适的食品选择。学生们采用了各种应对策略,比如使用膳食补充剂、准备膳食、寻找打折和/或冷冻食品。国际学生在获得支持服务方面遇到了很大的障碍,包括食品室操作效率低下,被认为是耻辱,以及关于选择的沟通不畅。根据这些发现,参与者建议改善食品储藏室的管理,并扩大对大学生的财政支持。本研究强调了澳大利亚一所地区大学的国际学生在食物不安全方面面临的重大挑战和应对策略。那又怎样?我们的研究结果强调,迫切需要量身定制的、文化上合适的干预措施和改进的沟通策略,以支持国际学生机构获得健康、合适的食物。
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引用次数: 0
Who Reports Greater Chronic Disease Risk Behaviours? A Closer Look at Sociodemographic Differences Among Australian Adolescents: A Cross-Sectional Analysis 谁报告了更大的慢性病风险行为?澳大利亚青少年社会人口统计学差异的进一步研究:一项横断面分析
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-07-15 DOI: 10.1002/hpja.70079
Lyra Egan,  Siobhan O’Dean, Lauren A. Gardner, Nicola C. Newton, Katrina E. Champion

Introduction

Recent Australian adolescent data on the prevalence of chronic disease risk behaviours among diverse sociodemographic groups is lacking. This study examined the prevalence of dietary intake (sugar-sweetened beverages (SSBs); discretionary foods; fruit; vegetables), and alcohol (standard drink; binge drinking), tobacco, and e-cigarette use, across adolescents of diverse socioeconomic status (SES) and geographical locations.

Methods

Cross-sectional data were analysed from 4445 adolescents across 71 schools in 2022 as part of the 36-month follow-up survey from the school-based cluster randomised controlled trial, Health4Life (Mage = 15.7 years, SD = 0.6; 47.0% female-identifying). Fourteen percent (n = 571) were categorised as low SES and 86% (n = 3518) as mid-to-high SES, relative to the study sample, with 9% (n = 399) from regional areas. Binary logistic regressions compared differences for each outcome across SES and geographical locations, controlling for gender, psychological distress, intervention status, and school clustering.

Results

Low SES adolescents had a lower prevalence of excessive discretionary food intake (PR = 0.87, 95% CI = 0.77–0.99), standard drink consumption (PR = 0.78; 95% CI = 0.65–0.93) and binge drinking (PR = 0.68; 95% CI = 0.50–0.92) compared to mid-to-high SES adolescents. Regional adolescents had a higher prevalence of standard drink consumption (PR = 1.41; 95% CI = 1.00–1.97), binge drinking (PR = 1.77; 95% CI = 1.07–2.93), and tobacco smoking (PR = 2.06; 95% CI = 1.18–3.60) compared to adolescents in major cities. Excessive discretionary food intake was less prevalent among adolescents from disadvantaged backgrounds (PR = 0.84, 95% CI = 0.76–0.94) compared to more advantaged adolescents.

Conclusion

Chronic disease risk behaviours among adolescents differ across SES and geographical locations, with regional adolescents fairing considerably worse across alcohol and tobacco use outcomes. Prevention for diet-related behaviours should be improved for more advantaged adolescents, while tailored interventions to SES and geographical location separately may be required for alcohol-, tobacco-, and e-cigarette use.

So What?

Public health policy and interventions targeting chronic disease risk behavio

最近澳大利亚缺乏关于不同社会人口群体中慢性病风险行为流行率的青少年数据。这项研究调查了饮食摄入的流行程度(含糖饮料(SSBs);可自由支配的食物;水果;蔬菜)和酒精(标准饮料;在不同社会经济地位(SES)和地理位置的青少年中,烟草和电子烟的使用。方法对2022年来自71所学校的4445名青少年的横断面数据进行分析,作为基于学校的整群随机对照试验Health4Life 36个月随访调查的一部分(Mage = 15.7 years, SD = 0.6;female-identifying 47.0%)。相对于研究样本,14% (n = 571)被归类为低社会经济地位,86% (n = 3518)被归类为中高社会经济地位,9% (n = 399)来自地区。在控制了性别、心理困扰、干预状况和学校聚类等因素后,二元逻辑回归比较了不同社会经济地位和地理位置的每个结果的差异。结果低社会经济地位青少年过度随意食物摄入的患病率较低(PR = 0.87, 95% CI = 0.77-0.99),标准饮料消费(PR = 0.78;95% CI = 0.65-0.93)和酗酒(PR = 0.68;95% CI = 0.50-0.92)与中高SES青少年相比。区域青少年的标准饮酒量患病率较高(PR = 1.41;95% CI = 1.00-1.97),酗酒(PR = 1.77;95% CI = 1.07-2.93),吸烟(PR = 2.06;95% CI = 1.18-3.60),与大城市的青少年相比。与条件较好的青少年相比,背景较差的青少年的任意食物摄入过多的情况较少(PR = 0.84, 95% CI = 0.76-0.94)。结论不同社会经济地位和地理位置的青少年慢性病风险行为存在差异,区域青少年在酒精和烟草使用结果方面的表现明显较差。对于条件较好的青少年,应加强对饮食相关行为的预防,而对于酒精、烟草和电子烟的使用,可能需要分别针对社会经济地位和地理位置进行量身定制的干预。那又怎样?针对慢性病风险行为的公共卫生政策和干预措施必须优先考虑低社会经济地位和区域青少年的需求,以减少卫生不公平现象。Health4Life试验已在澳大利亚新西兰临床试验登记处注册(ACTRN12619000431123)。
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引用次数: 0
Health Promotion Opportunities for Lesbian, Gay and Bisexual People: Using Data From the New Zealand Health Survey 促进女同性恋、男同性恋和双性恋者健康的机会:使用新西兰健康调查的数据
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-07-15 DOI: 10.1002/hpja.70077
Jeffery Adams, Jintana Jankhotkaew, Sonja J. Ellis, Stephen Neville

Issue Addressed

Health inequity for sexual minority (lesbian, gay and bisexual) people compared with heterosexual people is well documented globally. However, limited local data have been used to inform health policy and practice. This project analysed data from the New Zealand Health Survey to determine areas of inequity in health behaviours and identify opportunities for health promotion action.

Methods

We used pooled data from six waves of the New Zealand Health Survey (from 2015/2016 to 2020/2021). The sample for analysis comprised 67 426 people aged 15 years and older, including 1224 sexual minority females and 703 sexual minority males. We applied multiple logistic regression to investigate the association between health behaviours and sexual identity.

Results

Sexual minority people were found to have poorer health behaviours in comparison to heterosexual people in relation to alcohol consumption, smoking, drug use, physical activity and nutrition (eating fruit and vegetables). For example, compared to heterosexual females, female minorities were more likely to be binge drinkers (OR:1.61; 95% CI:1.60, 1.62), current smokers (OR:1.88; 95% CI:1.86, 1.90), drug users (OR:3.23; 95% CI:3.20, 3.25) as well as being less likely to meet fruit (OR:0.84; 95% CI:0.84, 0.85) and vegetable consumption guidelines (OR:0.94; 95% CI:0.93, 0.94). It shows similar patterns of the associations when compared to heterosexual males with male minorities. In relation to physical activity, female minority people were more likely to meet the guidelines compared to heterosexual females.

Conclusion

Our results from the New Zealand Survey data are broadly consistent with the current international literature demonstrating health inequity for sexual minorities compared with heterosexual people in relation to alcohol consumption, smoking, drug use, physical activity and eating fruit and vegetables.

So What?

Opportunities exist in New Zealand to improve the health behaviours of sexual minorities, and health promotion agencies should ensure their interventions address the needs of these groups. Health promotion agencies have an ethical and moral responsibility to address these areas of inequity.

在全球范围内,与异性恋者相比,性少数群体(女同性恋、男同性恋和双性恋者)的健康不平等现象有据可查。然而,有限的当地数据被用于卫生政策和实践。该项目分析了新西兰健康调查的数据,以确定健康行为不平等的领域,并确定促进健康行动的机会。方法采用新西兰健康调查(2015/2016至2020/2021)的六波汇总数据。分析样本包括67 426名15岁及以上的人,其中性少数群体女性1224人,性少数群体男性703人。我们应用多元逻辑回归来调查健康行为与性别认同之间的关系。结果与异性恋者相比,性少数群体在饮酒、吸烟、吸毒、体育活动和营养(吃水果和蔬菜)方面的健康行为较差。例如,与异性恋女性相比,少数族裔女性更有可能酗酒(OR:1.61;95% CI:1.60, 1.62),当前吸烟者(OR:1.88;95% CI:1.86, 1.90),吸毒者(OR:3.23;95% CI:3.20, 3.25),以及不太可能吃水果(OR:0.84;95% CI:0.84, 0.85)和蔬菜消费指南(OR:0.94;95% ci:0.93, 0.94)。与异性恋男性和少数族裔男性相比,它显示出类似的关联模式。在体育锻炼方面,与异性恋女性相比,少数族裔女性更有可能符合指南。我们从新西兰调查数据得出的结果与目前的国际文献大致一致,这些文献表明,与异性恋者相比,性少数群体在饮酒、吸烟、吸毒、体育活动和吃水果和蔬菜方面存在健康不平等。那又怎样?新西兰有机会改善性少数群体的健康行为,健康促进机构应确保其干预措施满足这些群体的需求。健康促进机构在伦理和道德上有责任解决这些不平等领域的问题。
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Health Promotion Journal of Australia
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