Health Promotion International最新文献

The sharp rise in 'disposable', or single-use, e-cigarettes in the UK-especially among young people-has raised urgent public health and environmental concerns. Manufacturers, including transnational tobacco companies (TTCs), have faced criticism for designing and marketing products that appeal to youth and have a considerable environmental footprint. In response, a UK-wide ban on single-use e-cigarettes was implemented in June 2025. While industry resistance to health policy is well documented, this is the first study to examine how TTCs and TTC-linked actors responded to regulation framed around both health and environmental objectives. We analysed 21 submissions to three public consultations from four TTCs and 10 TTC-linked organizations. Drawing on a taxonomy of framing strategies from an evidence-based corporate political activity framework, we explored how these actors sought to shape policymakers' perceptions of the problem and its solutions. TTCs and TTC-linked organizations positioned themselves as responsible actors aligned with public health and environmental goals while opposing the ban. Youth use and environmental harms were reframed as problems of individual noncompliance and enforcement failure. The ban was portrayed as disproportionate, procedurally flawed, economically harmful, and likely to increase illicit trade and tobacco use. Industry-preferred alternatives included measures targeting individual behaviour and product innovation. These findings add to evidence of a disconnect between TTCs' claimed transformation and their continued resistance to regulation. Close collaboration between public health and environmental advocates is needed to pre-empt and counter industry framing and influence, and to advance regulation that promotes public and planetary health.

Housing poverty increasingly exposes young adults to insecure and inadequate living conditions that undermine health and well-being. This study examined how young adults living alone under housing poverty in Seoul define and practice health in daily life, adapt to inadequate housing, and interpret their neighborhood environments in relation to well-being. A qualitative exploratory design was employed, using in-depth interviews with 44 participants aged 19-39 who met policy-based criteria for housing poverty in South Korea. Interviews explored daily routines, understandings of healthy living, the use of home and community spaces, and neighborhood perceptions. Data were analyzed using reflexive thematic analysis. Participants viewed deliberate efforts to manage their health as a way to restore order and maintain control in their lives. Managing meals, sleep, and self-care enabled continuity and resilience, though often at the cost of social interaction. However, these practices could not fully counter constraints of inadequate housing, which disrupted rest, limited privacy, and constrained opportunities to recharge at home. To compensate, participants extended activities such as studying, exercising, or resting into community and commercial spaces, which they regarded more as necessary extensions of daily life than leisure options. Despite these adaptations, neighborhoods were often perceived as temporary and emotionally distant, offering functionality but little sense of belonging. These findings highlight housing poverty as a lived social determinant that restricts autonomy, emotional balance, and social participation. Addressing housing insecurity as a health promotion issue requires place-sensitive approaches that reduce psychological burdens while supporting young adults' everyday health and well-being.

Long-term inter-organizational research-policy collaborations that support research coproduction are uncommon and an overlooked preventive health research impact pathway. This study examines how an Australian research-policy coalition involving approximately 25 research and policy members from the Menzies Institute for Medical Research (Menzies), University of Tasmania and Public Health Services, Tasmanian Government Department of Health has evolved over time. Using a mixed methods approach the study investigates the elements that have been critical for supporting the long-standing nature of the collaboration and identifies translational research impacts. Data sources included coalition documentation (i.e. contract reports, funding agreements), stakeholder interviews (N = 9), and a workshop with informal network mapping (N = 13). Interview transcripts and documents were analysed through thematic and discourse analysis. Network data mapping individual connections between coalition members and between the coalition and other organizations were collated and analysed descriptively. Impacts were categorized using Sibley's seven effects of research coproduction. Analysis of four tri-annual funding agreements (between 2009 and 2023) revealed discoursal changes in measuring preventive health research planning, outcomes and impacts. A growing focus on relational engagement between researchers and policymakers across research priority areas, collaborative practices and joint capacity building activities to promote coproduction of translational research was evident. Interviews revealed these changes were intentional and while valued, the changes created tensions around the expectations of involvement for some coalition members. System factors undermined some engagement strategies such as co-location. Coalition members had worked together for 5.8 years on average (range 0-35 years) most commonly through information sharing, joint research planning and strategy development. Coalition impacts covered all seven effects of research coproduction. This study highlights the value of a long-term commitment to an inter-organizational research-policy coalition to enhance preventive health knowledge translation into policy and practice. Focusing on building and strengthening relational and systemic approaches to researcher-policymaker engagement, the coalition has evolved to embed research coproduction to enhance research relevance and impact.

Indoor tanning (IT) is a modifiable risk factor for skin cancer, including melanoma. Social media provides a large potential audience for messaging to address IT, and incorporating elements of evidence and theory-based message design may be an effective way to impact knowledge, attitudes, and behaviours within these audiences. However, few studies have investigated whether these elements are used in practice. This content analysis explored whether Canadian health and cancer organizations incorporate theory- and evidence-supported message design strategies and provides suggestions for how these messages could be strengthened. We identified 36 Facebook pages operated by Canadian government and nonprofit health and cancer organizations and searched these pages using predefined keywords to collect 246 posts. We analysed the text and audiovisuals using a codebook based on the study objectives, evidence from the literature, and constructs from the health belief model. Posts were shared between 2009 and 2020, with the highest frequency between 2011 and 2017, corresponding to several Canadian IT policy developments. Of the posts, 156 (63.4%) mentioned at least one specific consequence of IT; of these, 132 (84.6%) mentioned skin cancer. However, there were few references to other consequences of IT, such as eye and appearance damage. Additionally, only three posts recommended alternative behaviours to IT. Some evidence-based message design features, including narratives (5.3%), myth correction (26%), and normative appeals (30.5%), were less frequent. These results may help message designers leverage the large potential audience on social media to effectively address the excess cancer risk posed by IT.

Tobacco use remains the leading cause of preventable deaths worldwide. Despite efforts by many countries to reduce the impact of tobacco products and lower smoking rates, smoking prevalence is higher among people experiencing homelessness. The reasons are complex and go beyond individual choices, including limited awareness about quitting, restricted access to services, and previous negative experiences. This study is a secondary data analysis of qualitative interviews with women experiencing homelessness. The original data were collected in 2021 as part of a study aimed at understanding tobacco behaviours, attitudes towards quitting, and factors influencing engagement for a subsequent randomized controlled trial. This secondary qualitative analysis, conducted in 2025, examines how policy and environmental contexts influence smoking behaviours among women experiencing homelessness using a social ecological model (SEM) framework. Data were categorized and mapped using the five specified categories within the SEM: policy and environment, community contexts, organizations and systems, interpersonal connections, and individual power and resource distribution. The participants show remarkable resilience in overcoming early-life and adolescent environmental and contextual hardships. Gaps in health services emphasize the need for aligned policy and service improvements. Using the SEM framework, which emphasizes the policy and environmental contexts, offers a deeper understanding of the context of women's lives. The evidence from this study supports the implementation of gender- and age-appropriate holistic approaches to healthcare and tobacco interventions tailored to this community.

Policy makers lack guidance on effective ways to introduce alcohol warnings, making it important to document the experiences of early adopter countries. Aims of this study were to (i) assess uptake of a mandated pregnancy warning label in Australia, (ii) identify the placement of the warning on products (i.e. front, back, side, top, or bottom), and (iii) compare the results for (i) and (ii) between 2023 and 2024 to provide insights into industry willingness to engage with the policy. In-store visits and web-scraping were used to capture product images that were coded for presence and location of the mandatory pregnancy warning (2023: n = 5923; 2024: n = 6666). Four years after the initial introduction of the policy, corresponding to 1 year after the end of the implementation transition period, 22% of assessed products did not display the mandatory pregnancy warning. In both 2023 and 2024, prevalence was lowest in the spirits category and among single unit and imported products. In most instances, warnings were located on the back of products, although a substantial proportion of multi-packs displayed the warning on the underneath panel of the packaging. The Australian experience offers important insights for other jurisdictions introducing health warnings on alcohol products. Clearly specified compliance deadlines and requirements for warning location could overcome the identified implementation issues.

The complexity of research translation is well recognized. Efforts to accelerate the process have emerged through implementation science, scale-up, scalability, and sustainability. This area of research is now inundated with a plethora of new concepts, creating overlap and confusion for those working in public health, implementation science, and scale-up as well as those seeking to understand it. This perspective examines the commonly used processes (scale-up, scalability, transferability, sustainability) and articulates their current definitions found in the literature. An explanation of the similarities and differences is also provided along with an illustration of where they may be applied in the public health programs: stages of research and evaluation framework. This perspective aims to clarify these processes, in order to provide guidance for seeking to engage in this area, how and when those processes might apply for those new to the field as well as those working within it.

The Health Service by Health Students (HSHS) is a French interprofessional education program implemented in 2018 across all French regions by Health Universities. It aims to train health students (HS) in prevention through primary health prevention actions (PHPA) targeting young populations. This study evaluated the impact of the HSHS program in Franche-Comté (HSHS-FC) on HS's representations of their target public during the 2022-23 academic year. A longitudinal, observational, prospective multicenter survey was conducted using a self-administered questionnaire before (T1) and after (T2) PHPA. The variation in responses between T1 and T2 (Δ) was analyzed for each target public. Among 755 HS included, 468 (62.0%) worked with young children, 240 (32.7%) with teenagers, and 40 (5.3%) with young adults. No significant differences in representations were found at T1 and T2 between groups regarding social background or health behavior factors. However, students working with young children and teenagers showed a statistically significant change in all items between T1 and T2. At T1, HS working with young children reported lower perceptions of their ability to receive, understand, and integrate information. Students focusing on young children reported the greatest shift in representations. HSHS-FC plays a role in reshaping HS's representations of young publics, especially children. The greater evolution in perception among HS working with young children highlights the value of initiating primary prevention early in life.

Shiftworkers are vital to essential industries yet often experience adverse health impacts, including barriers to regular physical activity. Young shiftworkers face additional challenges due to the transitional life stage and the increase of unhealthy behaviours. This study aimed to co-design tailored, evidence-based physical activity resources to support the health and wellbeing of young shiftworkers. A participatory co-design approach was undertaken, involving 48 co-designers, including young, experienced, and former shiftworkers, workplace health and safety professionals, science communicators, and academic experts. Participants attended 1-2 of eight online workshops. Data from the recorded and transcribed workshops informed resource development and included the identification of key physical activity topics and effective communication strategies. A combined inductive and deductive thematic analysis identified 22 unique codes, which were synthesized into five major themes: physical activity basics, impacts of insufficient physical activity, physical activity for shiftworkers, strategies and actions for shiftworkers, and recommendations for workplaces. These themes guided the development of a public-facing website containing evidence-based, context-relevant physical activity resources tailored specifically for young shiftworkers. A motivational and positive framing was consistently endorsed to enhance engagement and support behaviour change. The final resources reflect the diverse perspectives of co-designers and offer a scalable and practical tool to promote physical activity in this priority population. Further research should investigate resource uptake, usability, and behavioural outcomes over time.