Client perspectives on an outreach approach for HIV prevention targeting Indonesian MSM and transwomen
This study explored clients ’ perspective on an outreach approach to promote HIV testing in Indonesia targeting men who have sex with men (MSM) and transgender women (transwomen or waria). Semi-structured qualitative interviews were conducted with 32 individuals (21 MSM and 11 waria) who had received services from outreach w orkers (OWs) in five cities in Indonesia. Participants in this study reported positive experiences with the outreach approach and perceived OWs as their motivators in accessing HIV testing as well as HIV care and treatment. OWs provided easy-to-understand HIV information. Clients expected OWs to be w...
Source: Health Promotion International - August 26, 2019 Category: International Medicine & Public Health Source Type: research

One step back toward the future of health promotion: complexity-informed health promotion
(Source: Health Promotion International)
Source: Health Promotion International - August 26, 2019 Category: International Medicine & Public Health Source Type: research

Do health programmes within the New Zealand food industry influence the work environment for employees?
AbstractWorkplace wellness programmes have increased over the past years, but as yet has not been investigated in food and grocery organizations in New Zealand (NZ). The study aim was to explore the commitment of NZ Food and Grocery Council (FGC) companies in altering the workplace environment for employee health and the efficacy of the current wellness policies. Using a mixed-methods approach, FGC companies (n = 22) completed a workplace environment audit (WEA) survey. Three focus groups were held, consisting of employees (n = 20) from four of the FGC companies that completed the WEA survey. Two sets of data were then com...
Source: Health Promotion International - August 22, 2019 Category: International Medicine & Public Health Source Type: research

Constructing a measure of health literacy in Sub-Saharan African countries
AbstractWe sought to develop and evaluate a health literacy measure in a multi-national study and to examine demographic characteristics associated with health literacy. Data were obtained from Demographic Health Surveys conducted between 2006 –15 in 14 countries in Sub-Saharan Africa. Surveys were the same in all countries but translated to local languages as appropriate. We identified eight questions that corresponded to the National Academy of Medicine (NAM) definition of health literacy. Factor analysis was used to extract one measu re of health literacy. Logistic regression was employed to examine the relationship b...
Source: Health Promotion International - August 22, 2019 Category: International Medicine & Public Health Source Type: research

Attitudes, knowledge and sexual behavior among Finnish adolescents before and after an intervention
AbstractAdolescents are an important target group for sexual health promotion, and there are numerous programs and interventions carried out in this field. The aim of this study is to describe adolescents ’ attitudes, knowledge and sexual behavior before and after a sexual health promotion intervention. The intervention was developed in the study and consisted of three elements: (i) class-room session, (ii) information materials and (iii) free condom distribution. The study was carried out in eight randomly selected vocational schools in Finland. The participants were first year students aged 15–19 years. The data were...
Source: Health Promotion International - August 22, 2019 Category: International Medicine & Public Health Source Type: research

Civil society action against transnational corporations: implications for health promotion
AbstractTransnational corporations (TNCs) shape population health both positively and negatively through their national and international social, political and economic power and influence; and are a vital commercial determinant of health. Individual and group advocacy and activism in response to corporate products, practices or policy influences can mediate negative health impacts. This paper discusses the unequal power relations existing between TNCs that promote their own financial interests, and activists and advocates who support population and environmental health by challenging corporate power. It draws on interview...
Source: Health Promotion International - August 22, 2019 Category: International Medicine & Public Health Source Type: research

Gender and health literacy: men ’s health beliefs and behaviour in Trinidad
This study highlights the importance of the design and implementation of specific policies focusing on men’s health. A major challenge is to engage with men who do not access health services. (Source: Health Promotion International)
Source: Health Promotion International - August 13, 2019 Category: International Medicine & Public Health Source Type: research

Space-time analysis of unhealthy food advertising: New Zealand children ’s exposure and health policy options
This study aimed to (i) measure children’s space-time exposures to unhealthy food advertising in public outdoor spaces, using GPS and wearable cameras; and (ii) test effectiveness of banning options. We c ompiled data (collected July 2014—June 2015) on 138 12-year-old children in Wellington, New Zealand, using wearable cameras and GPS devices worn over 4 days. In 2017–18, we linked 59 150 images taken in public outdoor spaces to GPS data. Of these, 1631 contained unhealthy food advertising expos ures, defined as ≥50% of an advertisement observed in each image. We examined spatial patterns using kernel density mapp...
Source: Health Promotion International - August 13, 2019 Category: International Medicine & Public Health Source Type: research

Applying intersectionality theory in health promotion research and practice
This article provides an overview of the diverse ways public health researchers and practitioners have applied intersectionality theory to better understand and address health inequalities. We map three key applications of intersectionality theory in public health: as an epistemological approach, as a methodological approach, and as a tool for action and intervention. Drawing on this work, we argue that health promotion researchers and practitioners can enhance engagement with interse ctionality theory to address important challenges within the field. Through this article, we aim to inspire the continued exploration of int...
Source: Health Promotion International - August 7, 2019 Category: International Medicine & Public Health Source Type: research

Community gardens and wellbeing amongst vulnerable populations: a thematic review
AbstractThe aim of the thematic review is to document the effects of community gardens on wellbeing amongst vulnerable populations. We searched for articles published between 1980 and 2017 in major databases resulting in the inclusion of 51 articles. Vulnerable populations included, amongst others, ethnic minorities and refugees, socioeconomically disadvantaged neighbourhoods or low-income or food insecure families. Our findings suggest that community garden participation may have a positive impact on physical health, such as reducing body weight and hypertension, and increasing physical activity and food knowledge. Howeve...
Source: Health Promotion International - August 1, 2019 Category: International Medicine & Public Health Source Type: research

Evaluating progress in the uptake and impact of Health Promotion competencies in Europe
AbstractThis paper reports on a study undertaken to determine what progress has been made in the uptake and impact of the CompHP Core Competencies on Health Promotion practice, education and training in Europe since their publication in 2011. The study used a purposive sample comprising health promoters who had contributed to the development of the CompHP Competencies was augmented by snowball sampling across European Health Promotion practitioners. An online survey tool was employed to elicit information on respondents' attitudes to the Competencies, levels of current and intended use, and opinions on their impact. A tota...
Source: Health Promotion International - July 30, 2019 Category: International Medicine & Public Health Source Type: research

Health impact assessment and the sustainable development goals
I had the pleasure to enjoy time with both of my grandfathers. They taught me to work hard, achieve goals and not to waste time dealing with adversaries (people, beliefs, apologies) that can stand in your way. Over the last few decades of work in public health practice, policy, education and research I am often reminded of that wisdom. (Source: Health Promotion International)
Source: Health Promotion International - July 29, 2019 Category: International Medicine & Public Health Source Type: research

Multidisciplinarity in health promotion and the era of planetary health
In April 2019, the 23rd IUHPE World Conference on Health Promotion fostered the space for health promoters around the world to come together and discuss its theme: ‘Waiora: Promoting planetary health and sustainable development for all’ (IUHPE 2019). With this theme, the conference positioned dominant social and economic paradigms such as colonialism and neo-liberalism, and their role in exacerbating the unequal capacity of communities across the globe to promote their health, as one of the most urgent challenges of our generation. This discussion was framed within M āori knowledge and culture, which (simply put) priv...
Source: Health Promotion International - July 29, 2019 Category: International Medicine & Public Health Source Type: research

The Activated Patient Paradox
The Ottawa Charter defined health promotion as, “the process of enabling people to increase control over, and to improve, their health,” including the necessity of “full and continuous access to information” (World Health Organisation, 1986). Over 20 years later, the Nairobi Conference ’s Call to Action, moving health promotion forward in a global and increasingly connected context, contained a call to empower communities by including culture and traditions in health promotion, accompanied by a call for embracing information and communication technologies, including increased pu blic access (7th Global Conference...
Source: Health Promotion International - July 29, 2019 Category: International Medicine & Public Health Source Type: research

Physical activity and the built environment: perceptions of policy-makers in Oman
AbstractThe prevalence of physical activity is low in the Sultanate of Oman. The built environment is a key barrier to physical activity in the region. Our aim is to examine urban planners ’ perceptions of the relevance and feasibility of the proposed urban planning and design interventions in the draft WHO technical package on physical activity. Semi-structured interviews were conducted with 11 professionals using a pre-tested interview guide. Interviews were audio-recorded and tra nscribed. Content analysis based on the socio-ecological framework (policy, physical, socio-cultural and information environment) was used t...
Source: Health Promotion International - July 21, 2019 Category: International Medicine & Public Health Source Type: research