Health Promotion International最新文献

Newfoundland and Labrador (NL) introduced Canada's first sugar-sweetened beverage (SSB) tax in September 2022. Compared with national averages, NL has higher intakes of SSBs, lower intakes of plain water and milk, with higher rates of overweight and obesity and diabetes. Taxing SSBs is a recommended intervention but real-world effectiveness of SSB taxes requires more investigation. We evaluated changes in weekly beverage prices and sales pre- and post-tax implementation, comparing NL (intervention) to non-tax regions in Canada (control). We used a controlled interrupted time series to evaluate prices from grocery store websites 3 months pre- and post-tax. We observed no differences-in-differences in the intercept [β = -0.024, 95% confidence interval (CI) -0.15-0.10, P = .70] or slope (β = 0.00, 95% CI -0.02-0.02, P = .99) of price changes. We used a repeat cross-sectional study to compare total annual sales of beverage categories in the year pre- and post-tax. Per capita sales in litres of taxable SSB decreased more in NL (-11.6%) than non-tax regions (-6.7%). Per capita sales of diet beverages (+4.4%) and unsweetened water (+2.2%) increased in NL. The NL SSB tax had no immediate impact on retail prices of taxable SSBs measured on product selection pages on grocery websites. Beverage purchasing shifted in NL since the SSB tax start date, however, it is difficult to isolate the impact of the SSB tax from broader market trends or other influencing factors. Long-term evaluation of the NL SSB tax is needed.

With an associated mortality of 8 million per year, the hazards of smoking make it one of the most concerning public health problems worldwide. To reduce the public health burden, smoking cessation programs have been implemented in various locations, including Taiwan. However, the experience of individuals receiving smoking cessation services remains poorly understood. In this study, we explored first-hand experience, feelings, and expectations of individuals who smoke cigarettes regarding smoking cessation services. The experiences of nine users of smoking cessation services in outpatient departments and pharmacies were qualitatively assessed with focus group interviewing. Six steps of content analysis were used to analyze the data, and member validation was performed to verify the rigor of data analysis. Two major themes were identified: "negative experience from receiving poorly fitting services" and "expectations for better care in the future." Most participants experienced the alienation and mistrust from healthcare providers and expressed dissatisfaction with certain aspects of smoking cessation services, including cessation products, follow-up calls and check-up questionnaires, and smoking cessation education. Mental support with understanding from healthcare providers, more adaptable smoking cessation products and engaging follow-up, recommended approaches education, and loving support from peers, family, and friends are expected for future smoking cessation care. These results might guide policymakers and healthcare providers to improve smoking cessation effectiveness and implement individually tailored interventions.

Healthcare organizations contribute directly and indirectly to global greenhouse gas emissions and consequently to degradation of the environment and poor human health. Active travel has known positive effects on both the health of the environment and humans. Within Australia, healthcare organizations are significant employers and while efforts to reduce the impact of healthcare organizations on the environment are growing, there remains little advancement in increasing rates of active travel among healthcare staff. This study describes active travel policies in the public healthcare sector within the State of Victoria in Australia through a systematic analysis of publicly facing documents. A qualitative document analysis approach was adopted to investigate Victorian public healthcare organization's policies for active travel. Organizational websites, environmental policies, health promotion pages, and vision and mission statements were analysed for active travel policies and content. Of the 21 healthcare organizations investigated, none had a specific policy on active travel for its employees. Many organizations had environmental sustainability policies, with some policies referencing the need to transition staff into more sustainable commute modes. The inclusion of measurable policy objectives was mostly absent. There is a paucity of policies that would enable an increase in active travel in the major publicly funded Victorian healthcare organizations in Australia, despite the majority of organizations signing on to the Global Green and Healthy Hospitals Initiative, which highlights patient and staff transport as one of the ten sustainability goals. Without clear and actionable policy, healthcare organizations will remain at a difficult crossroads where their culture fails to reflect the health promoting advice they provide to their community. However, with this knowledge, opportunities such as improving end of trip facilities and the development of robust facilitative policy can be undertaken.

Global health is increasingly shaped by interlinked crises such as climate change, biodiversity loss, pollution, and social inequalities, all of which undermine the determinants of health. At the same time, the digital revolution and geopolitical instability amplify misinformation and inequities. Health literacy has been recognized by the WHO Global Health Strategy as a key pillar of resilient health systems, while the Lancet One Health Commission highlights the urgent need for shared competencies across human, animal, and environmental health. Against this backdrop, the concepts of Planetary Health Literacy and One Health Literacy provide complementary frameworks to extend health literacy into ecological systems and the interconnected health of humans, animals, and other species. Planetary Health Literacy emphasizes sustainability and ecological boundaries, whereas One Health Literacy focuses on interspecies risks such as zoonoses and antimicrobial resistance. Together, they provide a powerful approach for fostering competencies that enable individuals, communities, professionals, and policy-makers to critically appraise information, make sustainable and health-promoting decisions, and act across human and ecological systems. This article calls for a shared vision of Planetary and One Health Literacy to guide health promotion, education, and policy. Key action priorities include embedding these literacies across all levels of education and professional training; developing and validating indicators for measurement; incorporating them into public health policies and climate-health frameworks; fostering cross-sectoral collaboration; and including indigenous and traditional knowledge. By investing in Planetary and One Health Literacy, governments and institutions can empower societies to adopt healthier, more sustainable behaviours, build climate-resilient health systems, and advance a systemic response to today's polycrisis.

Information and communication technologies (ICTs) are increasingly recognized as valuable tools for enhancing the well-being of nursing home residents. However, residents' perspectives on ICT usage and its implementation in rural nursing homes remain underexplored. This study investigated the role of ICT in promoting well-being from the viewpoint of residents in rural long-term care settings. A qualitative research approach was employed, using semistructured interviews with 16 residents from nursing homes in southern Illinois, USA. Thematic analysis generated five key themes: ICT as a bridge to the outside world, ICT as mental and emotional support, ICT's role in enhancing independence and self-sufficiency, Technology remains out of reach, and ICT support and assistance. The findings highlight the significant advantages of ICT use, particularly in improving mood, reducing isolation, and alleviating symptoms of depression. Despite these benefits, ongoing barriers, such as limited resources, financial constraints, and insufficient institutional support, continue to impede effective ICT integration. These challenges underscore the need for increased investment in digital literacy programs, reliable internet access, and affordable technology solutions to maximize the benefits of ICT in rural long-term care settings.

Health literacy (HL) is essential for the population to be able to find, understand, and effectively use health information and services, which has an impact on adherence to treatments and preventive care. This study aims to analyze the association between sociodemographic factors and the dimensions of the HL Questionnaire (HLQ), including digital HL. We surveyed 828 adults employing the HLQ and the eHL Scale (eHEALS). Using regression models, we evaluate the association of demographic variables and digital HL scores on each HLQ dimension. Our findings show significant associations between higher eHEALS scores, higher education levels, and better HL across most dimensions. Low income was associated with lower scores on several HLQ scales, particularly in dimensions related to understanding healthcare providers and navigating health systems. Older participants showed greater literacy in communication with providers and navigating healthcare, while younger respondents exhibited higher digital HL. Ethnic disparities were noted, especially among Black and Brown populations, who reported lower social support for health. The dimensions with lower scores were "Feeling understood and supported by healthcare providers" and "Navigating the healthcare system," showing low interactive HL levels.

Men in the construction industry are at a higher risk for suicidality when compared to the general male population. While industry-specific challenges such as excessive working hours and a pressurized work environment are contributory factors, deeply embedded masculine norms within the industry can further exacerbate this risk by discouraging mental health disclosure and help-seeking. Against this backdrop, managers occupy a pivotal position to potentially transform this wider workplace culture. Their dual perspectives-both professionally as gatekeepers and personally as individuals with lived experience of key pressure points within the industry-can provide a nuanced, in-depth understanding of the sociocultural influences affecting construction workers' help-seeking behaviours for mental health challenges. Despite this, managers' perspectives are underexplored. Five focus groups were conducted with managers (n = 33) to explore their experiences of the broader cultural influences on help-seeking behaviour within the industry. Reflexive thematic analysis was used to analyse the data. Findings indicated three themes: (i) industry influences on help-seeking, (ii) navigating disclosure of mental health issues in a male-dominated industry, and (iii) negotiating support pathways. Findings highlight the interconnectedness of industry-specific and personal challenges that influence the disclosure of mental health issues and shape help-seeking behaviours among construction workers. Study findings have informed the development of a gender-responsive suicide prevention programme for the Irish construction industry.

Participation is defined as having a genuine influence on the decisions made and methods employed and is a key component of health promotion. This also applies to health promotion in the university setting. Yet while its advantages are clear, motivating students to participate is difficult, and there is limited information on 'how' universities can encourage participation. Accordingly, this article employed a cross-sectional survey at a German university to determine who is willing to participate in student health management (SHM), what motivates students to participate, and which organizational parameters are necessary. Additionally, it analyses the personal and study-related influencing factors of students' motives. Group comparisons Analysis of Variance (ANOVA) and linear regression found that female students are more inclined to participate than their male counterparts and that participation varied by major and study load. Students' motives for participating in SHM are significantly associated with gender, age, major, and year of study. The most important motives are 'career' and 'values'. Finally, participation was promoted by good overall organization, successful coordination, and appropriate communication and feedback. By thus revealing who is willing to participate and why, our study suggests ways of organizing student participation to encourage students to join in SHM. Our results will aid university stakeholders in ensuring suitable conditions for participation and in addressing specific motives to promote diversity and ensure equal opportunities, leading to higher participation rates and therefore increasing the chances of target group-specific, accepted, and effective interventions.

Health literacy (HL) plays an important role in developing the skills and capacities to make health-enhancing decisions, impacting health and well-being. Primary schools are key settings for developing HL through the reformed 'Curriculum for Wales' (CfW) and its 'Health and Well-being Area of Learning and Experience' (H&WB AoLE). With school-level autonomy offered in CfW design, resources are fundamental for curriculum design, implementation, and assessment. As the CfW is in its infancy, the visibility and quality of resources available to schools is unclear. This scoping review aimed to identify resources publicly available to primary schools to enable the design, implementation and assessment of the H&WB AoLE. A search was conducted across academic databases and sources of grey literature. Twelve sources (grey literature: n = 7, peer-reviewed research: n = 5) were selected for inclusion and discussed as a descriptive overview. The identified resources highlight a gap between policy intentions of the CfW framework and how this is implemented in practice. However, there is potential to address these concerns through self-assessment tools, collaborative improvement, planning, and evidence-informed practice. The broad nature of the CfW framework and variation in the availability and quality of health-related resources informing CfW design may result in variability in learning opportunities, influencing how children's HL is developed. Prioritizing HL as a core CfW learning outcome could streamline the translation of broad CfW guidance into impactful design, implementation and assessment of the H&WB AoLE.

Social media platforms are increasingly saturated with alcohol-related user-generated content (UGC), which can shape young people's attitudes and behaviours towards drinking. While all young people are potentially influenced by this content, certain groups, such as Aboriginal young people; lesbian, gay, bisexual, transgender, queer, or other sexual and gender minorities (LGBTQ+) young people; and those living in regional areas, experience disproportionate alcohol-related harms and may have unique experiences with alcohol-related UGC. However, research examining these diverse perspectives remains limited. This qualitative study explored perspectives of Aboriginal, LGBTQ+, and regional young people (aged 16-20) regarding alcohol-related social media practices through semi-structured interviews (n = 24). Reflexive thematic analysis was applied, with four overarching themes constructed from the data: (i) participants described alcohol posting as performative practice tied to sociability, identity, and peer influence; (ii) social media posts and digital amplification were seen to embed binge drinking culture within youth identity; (iii) Aboriginal, LGBTQ+, and regional participants reported distinct responses to alcohol UGC, with experiences shaped by stereotyping, safety concerns, and permissive environments; (iv) influencer-generated content was viewed as highly pervasive and many participants expressed scepticism at its authenticity. Policy action is needed to protect young people from the harms associated with online alcohol promotion and must recognize the intersectional experiences of young people from Aboriginal, LGBTQ+ and regional communities.