Health Promotion Journal of Australia最新文献_第8页

Why don't women engage in muscle strength exercise? An integrative review 为什么女性不进行肌肉力量锻炼？综合评述

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

Health Promotion Journal of Australia

Pub Date : 2024-04-02 DOI: 10.1002/hpja.857

A. M. Stimson, C. Anderson, A.-M. Holt, A. J. Henderson

Issue Addressed

Women are ‘at-risk’ population for failing to meet muscle strengthening guidelines. Health benefits specific to this exercise mode include maintenance of muscle mass, which is associated with reduced risk of chronic disease and falls. Of significance is the progressive decline in muscle strength exercise participation in women aged 35–54 in Australia. This period is critical for maintaining muscle strength as it establishes foundations for older women's engagement. This integrative review examined available evidence regarding factors influencing muscle strength exercise participation, specifically in women aged 35–54.

Methods

Seven databases were searched. Study inclusion criteria were: (1) peer reviewed, (2) English language, (3) sample populations of healthy female adults or general adult sample population differentiating females from males, (4) mean age between 35 and 54 years, (5) focused on muscle strength exercise and measured as the primary outcome factors of participation in muscle strength exercise.

Findings

Five of 1895 studies met inclusion criteria. Five key factors were associated with participation in muscle strength exercise of women aged 35–54 years: perceived time constraints; knowledge and education; modality and intensity; social support and behavioural strategies.

Conclusions

Focused education on strength exercise and guidelines, plus initiatives and strategies that suit the needs of this cohort, are necessary to achieve health and wellbeing benefits. Responsive approaches by health professionals to these women's circumstances can potentially address current low participation levels.

So What?

Creating conditions where health professionals respect a woman's exercise preferences can positively impact these women's musculoskeletal health into older age.

解决的问题妇女是无法达到肌肉强化指南要求的 "高危 "人群。这种锻炼方式特有的健康益处包括保持肌肉质量，这与降低慢性病和跌倒风险有关。重要的是，澳大利亚 35-54 岁的女性参与肌肉力量锻炼的人数在逐渐减少。这一时期对于保持肌肉力量至关重要，因为它为老年妇女的参与奠定了基础。本综合综述研究了影响肌肉力量锻炼参与度的因素，特别是 35-54 岁女性肌肉力量锻炼参与度的现有证据。研究纳入标准为(1) 同行评议；(2) 英语；(3) 样本人群为健康的成年女性或区分女性与男性的普通成年样本人群；(4) 平均年龄在 35-54 岁之间；(5) 侧重于肌肉力量锻炼，并将其作为参与肌肉力量锻炼的主要结果因素进行测量。与 35-54 岁女性参与肌肉力量锻炼相关的五个关键因素是：感知到的时间限制；知识和教育；方式和强度；社会支持和行为策略。医护人员针对这些妇女的情况采取相应的方法，有可能解决目前参与率较低的问题。因此，创造条件让医护人员尊重妇女的运动偏好，可以对这些妇女进入老年后的肌肉骨骼健康产生积极影响。

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引用次数: 0

Depression and thoughts of self-harm or suicide among gender and sexually diverse people in a regional Australian community 澳大利亚一个地区社区中不同性别和性取向人群的抑郁和自残或自杀念头

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

Health Promotion Journal of Australia

Pub Date : 2024-04-02 DOI: 10.1002/hpja.855

Tania M. Phillips, Gavin Austin, Tait Sanders, Margaret Martin, Jacqueline Hudson, Alexandra Fort, Tarra Excell, Amy B. Mullens, Annette Brömdal

Issues Addressed

There is a paucity of data regarding depression and thoughts of self-harm or suicide among gender and sexually diverse (GSD) people living within Australian regional/rural locations. This study aims to elucidate these issues and fill a critical gap.

Methods

The sample included 91 GSD people from a regional community in South-West Queensland utilising the PHQ-9 to determine presence/severity of depression and self-harm/suicide ideation. These data were drawn from a larger health and wellbeing survey. Raw mean scores were calculated to determine prevalence/severity of clinical symptoms. Bayesian ordinal regression models were employed to analyse between-subgroup differences in depression and self-harm/suicide ideation.

Results

Overall, 80.2% of GSD sample experienced depression (35.2% severe, 45.1% mild/moderate) and 41.8% experienced self-harm/suicide ideation in the past two-weeks. Trans and nonbinary people experienced higher levels of depressions than sexually diverse cisgender people. Pansexual and bisexual people experienced higher levels of depression than gay people. Trans people experienced higher prevalence of self-harm/suicide ideation than cisgender and nonbinary people, with no differences between sexuality subgroups.

Conclusions

These findings contribute to deeper and more nuanced insights regarding clinically salient depressive and self-harm/suicide ideation symptoms among trans, nonbinary, bisexual, pansexual and queer people in regional Australian communities, with the aim to ultimately reduce mental health prevalence, improve mental health outcomes and health promotion among GSD people.

So What?

The current findings revealed GSD people experience high prevalence of depression and self-harm/suicide ideation indicating tailored mental health awareness-raising, training and health promotion is warranted to enhance psychological support.

解决的问题有关生活在澳大利亚地区/农村地区的性别和性取向多样化（GSD）人群的抑郁和自残或自杀想法的数据很少。本研究旨在阐明这些问题并填补这一重要空白。方法样本包括来自昆士兰州西南部地区社区的 91 名 GSD 人，他们使用 PHQ-9 来确定抑郁和自残/自杀想法的存在/严重程度。这些数据来自于一项更大规模的健康和福利调查。通过计算原始平均分来确定临床症状的流行率/严重程度。结果总体而言，80.2%的 GSD 样本在过去两周内有抑郁经历（35.2%为严重抑郁，45.1%为轻度/中度抑郁），41.8%有自残/自杀倾向。变性人和非二元人的抑郁程度高于性取向不同的双性恋者。泛性人和双性恋者的抑郁程度高于同性恋者。这些发现有助于更深入、更细致地了解澳大利亚地区社区中变性人、非二元人、双性恋者、泛性人和同性恋者中临床上突出的抑郁和自残/自杀意念症状，旨在最终降低 GSD 患者的心理健康患病率、改善心理健康结果并促进其健康。目前的研究结果显示，变性人和双性恋者抑郁和自残/自杀倾向的发生率很高，这表明有必要开展有针对性的心理健康宣传、培训和健康促进活动，以加强心理支持。

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引用次数: 0

Barriers and opportunities for health service access among fathers: A review of empirical evidence 父亲获得医疗服务的障碍和机会：经验证据综述。

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

Health Promotion Journal of Australia

Pub Date : 2024-03-17 DOI: 10.1002/hpja.846

Karen Wynter, Kayla A. Mansour, Faye Forbes, Jacqui A. Macdonald

Issue Addressed

Engagement with health supports benefits the whole family, yet few health services report successful engagement of fathers. Our aim was to describe available evidence on barriers and opportunities relevant to health system access for fathers.

Methods

Scoping reviews were conducted seeking empirical evidence from (1) Australian studies and (2) international literature reviews.

Results

A total of 52 Australian studies and 44 international reviews were included. The most commonly reported barriers were at the health service level, related to an exclusionary health service focus on mothers. These included both ‘surface’ factors (e.g., appointment times limited to traditional employment hours) and ‘deep’ factors, in which health service policies perpetuate traditional gender norms of mothers as ‘caregivers’ and fathers as ‘supporters’ or ‘providers’. Such barriers were reported consistently, including but not limited to fathers from First Nations or culturally diverse backgrounds, those at risk of poor mental health, experiencing perinatal loss or other adverse pregnancy and birth events, and caring for children with illness, neurodevelopmental or behavioural problems. Opportunities for father engagement include offering father-specific resources and support, facilitating health professionals' confidence and training in working with fathers, and ‘gateway consultations’, including engaging fathers via appointments for mothers or infants. Ideally, top-down policies should support fathers as infant caregivers in a family-based approach.

Conclusions

Although barriers and opportunities exist at individual and cultural levels, health services hold the key to improved engagement of fathers.

So What?

Evidence-based, innovative strategies, informed by fathers' needs and healthy masculinities, are needed to engage fathers in health services.

解决的问题：参与健康支持对整个家庭都有好处，但很少有健康服务机构报告称父亲成功参与了健康支持。我们的目的是描述与父亲使用医疗系统相关的障碍和机遇方面的现有证据：我们进行了范围界定审查，从（1）澳大利亚研究和（2）国际文献审查中寻找经验证据：结果：共纳入了 52 项澳大利亚研究和 44 项国际文献综述。最常报告的障碍发生在医疗服务层面，与医疗服务对母亲的排斥有关。这些障碍既包括 "表面 "因素（如预约时间仅限于传统的工作时间），也包括 "深层 "因素，即医疗服务政策延续了传统的性别规范，即母亲是 "照顾者"，父亲是 "支持者 "或 "提供者"。这些障碍不断被报道出来，包括但不限于来自原住民或不同文化背景的父亲、精神健康状况不佳的父亲、经历围产期损失或其他不利怀孕和分娩事件的父亲，以及照顾有疾病、神经发育或行为问题的孩子的父亲。父亲参与的机会包括提供针对父亲的资源和支持，促进医疗专业人员与父亲合作的信心和培训，以及 "关口咨询"，包括通过母亲或婴儿的预约让父亲参与。理想情况下，自上而下的政策应支持父亲以家庭为基础照顾婴儿：尽管在个人和文化层面存在障碍和机遇，但医疗服务是提高父亲参与度的关键。所以呢：需要以父亲的需求和健康的男子气概为基础，采取基于证据的创新策略，让父亲参与到医疗服务中来。

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引用次数: 0

The lasting impact of the Go for 2&5 campaign 加油 2&5 运动的持久影响。

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

Health Promotion Journal of Australia

Pub Date : 2024-03-14 DOI: 10.1002/hpja.843

Simone Pettigrew, Gael Myers, Michelle Jongenelis

Issue Addressed

Little is known about the executional techniques that are most likely to make healthy eating messages memorable over the longer term. The aim of this exploratory study was to identify factors contributing to the ongoing salience of the Go for 2&5 social marketing campaign among older audience members.

Methods

Interviews were conducted with 75 Western Australians aged 60+ years. A peer-interviewing method was used whereby eight older people recruited and interviewed members of their extended peer groups. The interview guide included questions about interviewees' recollections of healthy eating messages across their lifespans.

Results

Around one in five interviewees discussed the Go for 2&5 campaign that was on air in Western Australia between 2002 and 2011. These discussions focused on either specific advertisement features that were considered to be especially memorable (in particular, humour and the use of anthropomorphised depictions of produce) and/or their recollection of the number of daily servings of fruits and vegetables recommended in the campaign. Few were able to recall other healthy eating campaigns, and in some cases it was assumed that advertisements for specific food stores or products constituted health advice.

Conclusions

Different campaign attributes may influence shorter-term attitudinal and behavioural responses versus longer-term recall. The characteristics of the Go for 2&5 campaign appear to have enabled it to achieve relatively high levels of recall among older people.

So What?

The study results suggest that some advertising approaches that activate the peripheral route to persuasion may achieve recall over a longer period of time.

解决的问题：人们对最有可能使健康饮食信息长期难忘的执行技巧知之甚少。这项探索性研究的目的是找出促使 "加油 2&5 "社会营销活动在老年受众中持续突出的因素：对 75 名 60 岁以上的西澳大利亚人进行了访谈。采用了同龄人访谈法，即由 8 位老年人招募并访谈其同龄人群体的成员。访谈指南包括受访者对其一生中健康饮食信息的回忆问题：约五分之一的受访者讨论了 2002 年至 2011 年期间在西澳大利亚州播出的 "加油 2&5 运动"。这些讨论集中在被认为特别令人难忘的具体广告特征（尤其是幽默和使用拟人化的农产品描述）和/或他们对活动中推荐的每日水果和蔬菜份量的回忆。很少有人能回忆起其他的健康饮食宣传活动，在某些情况下，人们认为特定食品商店或产品的广告就是健康建议：结论：不同的活动属性可能会影响短期的态度和行为反应以及长期的回忆。加油 2&5 "活动的特点似乎使其在老年人中获得了相对较高的回忆率。所以呢？研究结果表明，一些激活外围说服途径的广告方法可能会在较长时间内获得回忆。

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引用次数: 0

Insights into a collective impact partnership to promote consumption of healthy drinks in North East Melbourne: A qualitative case study 对墨尔本东北部促进健康饮料消费的集体影响伙伴关系的见解：定性案例研究。

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

Health Promotion Journal of Australia

Pub Date : 2024-02-29 DOI: 10.1002/hpja.852

J. Mithen, D. Archibald, P. Begnell, D. Thomson, H. Vally

Issue Addressed

To explore insights and perspectives of a collective impact (CI) partnership taking on a new project that aimed to reduce sugary drink consumption and promote water as the drink of choice across North East Melbourne.

Methods

A qualitative case study was undertaken. Semi-structured interviews were conducted with key stakeholders in the partnership. Data were analysed using thematic analysis.

Results

Fourteen organisations participated in the North East Healthy Drinks Alliance. The data demonstrated that investing in developing a common agenda supported the establishment of a CI approach. The backbone organisation was found to have played a crucial role in coordinating the activities of the Alliance. This coordination was found to be particularly important in terms of ensuring that organisations were able to work on mutually reinforcing activities at their own pace. Program planning and reporting was managed through open continuous communication by the backbone organisation. The data collected pertains to the activities of the Alliance in its first 2 years, prior to the development of a shared measurement strategy, thus no data was collected on this aspect of the collective impact framework. Although some participants were found to have limited knowledge of CI, this did not seem to hinder their participation in the Alliance.

Conclusion

Selecting a relevant and accessible focus area and investing in developing a common agenda supported the establishment of a CI approach.

So What?

The CI framework offers a valuable tool for undertaking cross-sectoral, local partnerships for health.

解决问题：探讨集体影响（CI）伙伴关系在墨尔本东北部开展一个新项目时的见解和观点，该项目旨在减少含糖饮料的消费，并将水作为首选饮料加以推广：方法：开展定性案例研究。对合作项目的主要利益相关者进行了半结构化访谈。采用主题分析法对数据进行分析：14 个组织参与了东北部健康饮品联盟。数据表明，对制定共同议程的投资支持了共同参与方法的建立。骨干组织在协调联盟活动方面发挥了关键作用。这种协调对于确保各组织能够按照自己的步调开展相辅相成的活动尤为重要。骨干组织通过公开、持续的沟通对计划规划和报告进行管理。收集到的数据与联盟头两年的活动有关，当时还没有制定共同的衡量战略，因此没有收集到集体影响框架这方面的数据。虽然发现一些参与者对集体影响的了解有限，但这似乎并不妨碍他们参与联盟：结论：选择一个相关且易于理解的重点领域，并在制定共同议程方面进行投资，有助于建立集体影响方法。所以呢？

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引用次数: 0

Physical activity and associated factors in Australian women during pregnancy: A cross-sectional study 澳大利亚妇女怀孕期间的体育活动及相关因素：横断面研究。

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

Health Promotion Journal of Australia

Pub Date : 2024-02-26 DOI: 10.1002/hpja.853

Dragana Ceprnja, Lucy Chipchase, Pranee Liamputtong, Amitabh Gupta

Issue Addressed

Whilst the benefits of regular physical activity during pregnancy are well known, the few studies conducted in Australian pregnant women suggest that most do not meet recommended exercise guidelines. The aim of this study was to determine the levels of physical activity, sedentary behaviours, and associated factors in Australian pregnant women.

Methods

A random sample of pregnant women (N = 780) of (mean [SD]) 31 (5) years of age completed a questionnaire describing weekly physical activity and sedentary behaviours. A number of potential risk factors, including socio-demographic characteristics and ethnicity, were investigated using logistic regression.

Results

Approximately one-third (34%) of women were classified as “active”; however, only 7% of women performed the recommended amount of physical activity according to Australian guidelines. Women reported (mean [95% CI]) sitting for 8 (7.8–8.2) hours and lying down during the day for 0.5 (0.5–0.6) hour while pregnant. Being university educated (OR [95% CI]) (2.87 [1.6–4.9]), in paid employment (2.12 [1.14–3.94]) and having a lower body mass index (0.91 [0.87–0.95]) were factors associated with being active.

Conclusion

Australian women performed low levels of physical activity during pregnancy and spend long periods of time in sedentary behaviours.

So What?

There is a strong need for a concerted health promotion strategy to endorse increased physical activity, along with a reduction in sedentary behaviours, during pregnancy to support better maternal outcomes in Australia.

解决问题：众所周知，怀孕期间经常进行体育锻炼大有益处，但针对澳大利亚孕妇进行的少数研究表明，大多数孕妇并没有达到建议的锻炼标准。本研究旨在确定澳大利亚孕妇的体育锻炼水平、久坐行为及相关因素：随机抽样的 31 (5) 岁孕妇（N = 780）填写了一份调查问卷，内容包括每周的体力活动和久坐行为。采用逻辑回归法对包括社会人口特征和种族在内的一些潜在风险因素进行了调查：约有三分之一（34%）的女性被归类为 "活跃"；然而，根据澳大利亚的指导原则，只有 7% 的女性进行了推荐量的体育锻炼。据报告，妇女在怀孕期间（平均值[95% CI]）坐了8（7.8-8.2）小时，白天躺了0.5（0.5-0.6）小时。受过大学教育（OR [95%CI]）（2.87 [1.6-4.9]）、从事有偿工作（2.12 [1.14-3.94]）和体重指数较低（0.91 [0.87-0.95]）是与积极锻炼相关的因素：结论：澳大利亚妇女在怀孕期间的体育锻炼水平较低，并且长时间处于久坐状态。结论：澳大利亚妇女在怀孕期间的体力活动水平较低，并且长时间处于久坐状态。因此，澳大利亚亟需采取协调一致的健康促进战略，支持在怀孕期间增加体力活动，同时减少久坐行为，以改善孕产妇的健康状况。

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引用次数: 0

Evaluation of the awareness of Western Australian SunSmart campaigns between 2008 and 2022 对 2008 年至 2022 年期间西澳大利亚州 "阳光智选 "活动的认知度进行评估

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

Health Promotion Journal of Australia

Pub Date : 2024-02-25 DOI: 10.1002/hpja.851

Ying Ru Feng, Sarah Ward, Derrick Lopez, Carolyn Minto, Sally Blane, David B. Preen

Issue Addressed

It is unknown whether SunSmart health promotion campaigns in Western Australia are still effectively reaching their target audience of young people (under 45 years). This study examined trends over time in awareness, relevancy and believability of SunSmart advertisements and identified socio-demographic characteristics and risk factors associated with campaign awareness.

Method

Linear regression and log-binomial modelling were undertaken using data from the annual SunSmart post-campaign evaluation surveys between 2008/2009 and 2021/2022. SunSmart campaigns were analysed and categorised into the following themes: (1) personal real-life stories; (2) daily activities/sun exposure leads to skin cancer; or (3) cartoon/animated.

Results

Between 2008 and 2022, there were declines in total awareness (74.2% to 20.4%), unprompted awareness (33.7% to 4.9%) and relevancy (89.5% to 54.8%) of SunSmart advertisements (representing annual percent decreases of 3.6%, 3.1% and 1.8%, respectively). However, believability remained high over time (>94% in each annual survey). Trends were inconsistent between the awareness of campaign themes and socio-demographic characteristics and risk factors. Several campaigns had greater awareness in their subsequent years, compared with the first campaign year.

Conclusion

In more recent years, SunSmart advertisements and campaigns may not have reached their target audience. In addition to socio-demographic characteristics, particularly age, advertisement factors may also affect the awareness of specific campaigns.

So What?

Given the changing advertising landscape and its rising costs, ongoing funding is pertinent to increase the reach of future SunSmart campaigns. Increasing advertisements on alternative platforms and designing campaigns which separately target adolescents and adults need to be considered.

问题探讨西澳大利亚州的 "阳光智选"（SunSmart）健康推广活动是否仍能有效覆盖其目标受众--年轻人（45 岁以下）--尚不得而知。本研究考察了太阳智选广告的认知度、相关性和可信度的长期趋势，并确定了与活动认知度相关的社会人口特征和风险因素。方法利用 2008/2009 年至 2021/2022 年期间太阳智选活动后评估年度调查的数据，进行线性回归和对数二项式建模。结果在 2008 年至 2022 年期间，阳光智选广告的总认知度（74.2% 降至 20.4%）、无提示认知度（33.7% 降至 4.9%）和相关性（89.5% 降至 54.8%）均有所下降（年降幅分别为 3.6%、3.1% 和 1.8%）。然而，可信度随着时间的推移仍然很高（每次年度调查均为 94%）。宣传活动主题的认知度与社会人口特征和风险因素之间的趋势并不一致。结论近年来，SunSmart 的广告和活动可能还没有触及目标受众。除了社会人口特征（尤其是年龄）外，广告因素也可能影响特定活动的认知度。鉴于广告环境的变化及其成本的上升，持续的资金投入对于扩大未来阳光智选活动的覆盖范围至关重要。需要考虑在其他平台上增加广告，并分别针对青少年和成年人设计活动。

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引用次数: 0

Health literacy profiles of pregnant women and mothers in Tasmania: A cluster analysis 塔斯马尼亚州孕妇和母亲的健康知识概况：聚类分析

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

Health Promotion Journal of Australia

Pub Date : 2024-02-25 DOI: 10.1002/hpja.854

Satish Melwani, Verity Cleland, Kira Patterson, Rosie Nash

Issue Addressed

Health literacy development can help to reduce the growing noncommunicable disease burden globally. However, less is known about the health literacy needs of pregnant women and mothers necessary to guide health literacy development in this priority population group. To enhance the understanding of the health literacy needs of pregnant women and mothers, this study aimed to develop data-informed health literacy profiles of pregnant women and mothers with children (0–8 years) in Tasmania, as well as data-informed vignettes describing the health literacy needs of women in the different health literacy profiles.

Methods

An online cross-sectional survey was undertaken. The survey included demographic questions and the health literacy questionnaire (HLQ). The data were analysed using a cluster analysis to identify subgroups with varying health literacy needs. The clusters, in conjunction with demographic characteristics, were used to generate data-informed vignettes representing various health literacy profiles.

Results

The cluster analysis generated seven health literacy profiles and five vignettes representing diverse health literacy needs of pregnant women and mothers in Tasmania. Each vignette tells a data-informed story of women in Tasmania experiencing diverse health literacy strengths and challenges influencing their access and use of health information and health services. This allowed deeper exploration of the health literacy needs of the subgroups within the target population.

Conclusion

A better understanding of the health literacy needs of pregnant women and mothers can provide policymakers and health care providers with the key insights needed to guide the planning and development of fit-for-purpose solutions. This understanding can also guide the tailoring of existing health and community services, to create a health literacy-responsive environment that is more likely to meet the diverse health needs of pregnant women and mothers.

So What

We must shift away from a ‘one size fits all’ approach and promote the development of a health literacy-responsive environment to improve health and equity outcomes for pregnant women and mothers in Tasmania.

议题健康素养发展有助于减轻全球日益沉重的非传染性疾病负担。然而，人们对孕妇和母亲的健康素养需求知之甚少，而这正是指导这一重点人群健康素养发展所必需的。为了加强对孕妇和母亲健康素养需求的了解，本研究旨在为塔斯马尼亚州的孕妇和有孩子（0-8 岁）的母亲建立有数据依据的健康素养档案，以及描述不同健康素养档案中妇女健康素养需求的有数据依据的小故事。调查内容包括人口统计学问题和健康素养问卷（HLQ）。采用聚类分析法对数据进行分析，以确定具有不同健康素养需求的亚组。结果聚类分析得出了七个健康素养概况和五个小故事，代表了塔斯马尼亚孕妇和母亲的不同健康素养需求。每个小故事都以数据为依据，讲述了塔斯马尼亚州妇女在健康素养方面的各种优势和挑战，这些优势和挑战影响着她们对健康信息和健康服务的获取和使用。结论更好地了解孕妇和母亲的健康素养需求，可以为政策制定者和医疗服务提供者提供所需的重要见解，以指导规划和开发适合目的的解决方案。这种了解还可以指导现有医疗和社区服务的调整，以创造一个促进健康知识普及的环境，从而更有可能满足孕妇和母亲的不同健康需求。因此，我们必须摒弃 "一刀切 "的方法，促进促进健康知识普及环境的发展，以改善塔斯马尼亚州孕妇和母亲的健康和公平结果。

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引用次数: 0

The use of interpreter services and its barriers faced by hospital staff when accessing interpreters for patients with low English proficiency during the COVID-19 pandemic 在 COVID-19 大流行期间，医院工作人员在为英语水平较低的患者提供口译服务时的使用情况及其面临的障碍

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

Health Promotion Journal of Australia

Pub Date : 2024-02-25 DOI: 10.1002/hpja.850

Davina Tang, Danielle Jawad, Vesna Dragoje, Li Ming Wen, Sarah Taki

Issue Addressed

Patients with low English proficiency (LEP) often require interpreter services in health care, however, their usage remains low. This study aimed to explore the barriers to accessing interpreter services and suggests ways services can be improved in hospitals.

Methods

We conducted focus groups with clinicians and a retrospective audit of patient records. The clinicians were recruited from the inpatient wards and Emergency Department in a Sydney hospital, August 2022. The focus group discussion explored clinicians' experiences using an interpreter, and ways to improve access to the service. It was recorded, transcribed and coded thematically using Braun and Clarke's (2006) 6-step framework. The patient record data were linked with the interpreter service booking data to determine whether patients flagged as requiring an interpreter on admission were provided with the service.

Results

Two focus groups were conducted with clinicians (N = 9 in total). Long wait times for telephone interpreters, an inflexible booking system, and low availability of in-person interpreters were identified as the barriers. The COVID-19 pandemic also impacted in-person service provision.

Conclusion

Some systemic barriers including an inflexible booking process and long wait times for immediate interpreter services were identified. The low use of interpreter services is attributed to the difficulties accessing the service and poor documentation in patient records.

So What?

Greater availability of in-person interpreter services, an upgraded booking system, and effective implementation the NSW Health Standard Procedures for Working with Health Care Interpreters will address some of these barriers.

问题探讨英语水平低（LEP）的患者在医疗保健中经常需要口译服务，但其使用率仍然很低。本研究旨在探讨获得口译服务的障碍，并提出改善医院口译服务的建议。方法我们与临床医生进行了焦点小组讨论，并对患者记录进行了回顾性审核。2022 年 8 月，我们从悉尼一家医院的住院病房和急诊科招募了临床医生。焦点小组讨论探讨了临床医生使用口译员的经验，以及改善服务的方法。讨论采用 Braun 和 Clarke（2006 年）的 6 步框架进行记录、转录和主题编码。病人记录数据与口译服务预约数据进行了关联，以确定入院时被标记为需要口译服务的病人是否获得了口译服务。结果与临床医生（共 9 人）进行了两次焦点小组讨论，发现电话口译员等待时间过长、预约系统不够灵活以及现场口译员可用性较低等问题都是阻碍口译服务的因素。结论发现了一些系统性障碍，包括预约流程不灵活和即时口译服务等待时间长。口译服务使用率低的原因是难以获得口译服务以及病历中的记录不完善。

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引用次数: 0

Parental practices and perspectives on health and digital technology use information seeking for children aged 0–36 months 父母在 0-36 个月儿童健康和数字技术使用信息搜索方面的做法和观点。

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

Health Promotion Journal of Australia

Pub Date : 2024-02-21 DOI: 10.1002/hpja.849

Danica Hendry, Leon Straker, Brittany Bourne, Sarah Coshan, Ndapile Kumwembe, Caroline McCarthy, Juliana Zabatiero

Background

Parents commonly seek information to support the health and well-being of their children. The increasing availability of health information online and social changes related to the COVID-19 pandemic may have changed what information is sought, from whom, where, and why. This qualitative study explored parents' practices and perspectives on seeking health and digital technology use information for their young children.

Methods

Twenty parents, living in Australia (7 rural, 3 remote, and 10 metropolitan), with children aged 0–36 months completed a semi-structured interview.

Results

Parents commonly turned to friends and family and online sources to access health information for their young children. For all types of health information, including digital technology use, themes were identified surrounding aspects of information sources participants valued and accessibility of health services. Perceived credibility and trustworthiness, relatability with other parents, ease of accessibility and convenience, and actionable, bite-sized information were valued. Reduced accessibility to health services due to COVID-19 and geographical location, and need for agency in managing their child's health influenced parents' choice of source of information. Few participants actively sought information about digital technology use for their young child, with the main focus on screen time.

Conclusion

Interactions with family and friends and online sources are important to parents when accessing health information for their child. Parents valued information sources which they considered trustworthy, credible, and relatable, as well as easily accessible and convenient.

So What?

Dissemination of health information reflecting these values may empower parents during this early stage of parenthood.

背景：父母通常会寻求信息来帮助子女获得健康和幸福。网上健康信息的日益普及以及与 COVID-19 大流行相关的社会变化可能改变了人们寻求信息的内容、对象、地点和原因。这项定性研究探讨了父母为幼儿寻求健康和数字技术使用信息的做法和观点：20位居住在澳大利亚（7位在农村，3位在偏远地区，10位在大都市）、子女年龄在0-36个月的父母完成了一次半结构化访谈：结果：家长们通常通过亲朋好友和网络渠道来获取幼儿的健康信息。对于所有类型的健康信息，包括数字技术的使用，围绕参与者重视的信息来源方面和健康服务的可及性确定了主题。认为可信和值得信赖、与其他家长的亲和力、易获取性和便利性，以及可操作的、少量的信息都很受重视。由于 COVID-19 和地理位置的原因，医疗服务的可及性降低，以及在管理孩子健康方面的自主性需求，影响了家长对信息来源的选择。很少有参与者主动寻求有关幼儿使用数字技术的信息，他们主要关注的是屏幕时间：结论：在为孩子获取健康信息时，与家人和朋友的互动以及网上信息来源对家长很重要。家长们重视他们认为值得信赖、可信、贴近生活、易于获取和方便的信息来源。所以呢：传播反映这些价值观的健康信息可以增强父母在为人父母的早期阶段的能力。

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引用次数: 0