Glob Health Promot
· 2026 Mar · PMID 41841520
·
Publisher ↗
The article summarizes scientifically based recommendations of the World Health Organization on the problem of the impressively growing dangers of alcohol, especially for emerging markets. To ensure the reliability of th...The article summarizes scientifically based recommendations of the World Health Organization on the problem of the impressively growing dangers of alcohol, especially for emerging markets. To ensure the reliability of the results, we carried out a predictive extrapolation based on the multifactorial analysis methodology of economic mechanisms. Accordingly, as forecasts show, the use of economic mechanisms to curb alcohol consumption can significantly reduce alcohol consumption, intoxication, illness and addiction. The Global alcohol action plan offers adequate measures for the most difficult areas of the anti-alcohol front. The Global alcohol action plan and other political-economic mechanisms aim for effective healthcare policy by leadership measures, drinking and driving and pricing policies, reduction of intoxication and informally produced products. Countries with a significant increase in alcohol consumption are characterized by a low standard of living without effective pricing, taxes and legal regulations on alcohol.
Glob Health Promot
· 2026 Mar · PMID 41782319
·
Publisher ↗
The food industry, as a Commercial Determinant of Health, employs strategies that closely parallel those used by the tobacco industry, including manipulative marketing, policy influence, and appeals to self-regulation. I...The food industry, as a Commercial Determinant of Health, employs strategies that closely parallel those used by the tobacco industry, including manipulative marketing, policy influence, and appeals to self-regulation. Increasingly, these tactics operate across digital platforms, contributing to unhealthy dietary patterns, rising obesity levels, and widespread exposure to foods high in fat, sugar, or salt. Vulnerable groups such as children, adolescents, parents, and socioeconomically disadvantaged communities face higher risks owing to limited capacity to recognize or resist persuasive marketing and targeted commercial practices. Despite clear evidence of harm, regulatory progress remains limited, constrained by voluntary industry pledges, neoliberal policy norms, and a lack of digital-specific protections. This commentary argues for stronger, mandatory, World Health Organization-aligned regulatory measures and coordinated prevention strategies across all levels of public health prevention to reduce exposure, protect vulnerable populations, and prioritize public well-being over commercial interests.
Montagni I, Schwartz A, Grové C
… +1 more, Marinucci A
Glob Health Promot
· 2026 Feb · PMID 41761502
·
Publisher ↗
BACKGROUND: Mental health literacy (MHL) is a multidimensional determinant of young people's mental health, referring to knowledge and beliefs about psychological well-being and mental illnesses. OBJECTIVE: To identify f...BACKGROUND: Mental health literacy (MHL) is a multidimensional determinant of young people's mental health, referring to knowledge and beliefs about psychological well-being and mental illnesses. OBJECTIVE: To identify factors associated with the dimensions of MHL among emerging adults. STUDY DESIGN: This survey study analyzed French university students' MHL using the Mental Health Literacy Scale. METHOD: Descriptive statistics and multivariate logistic regression models were employed to identify factors associated with total MHL and its six dimensions. The study variables included the 35-items of the Mental Health Literacy Scale (dependent variable), sociodemographic variables, psychological distress, and diagnosed psychological disorders (independent variables). RESULTS: Among the 482 participants, several patterns emerged in relation to MHL and the variables under study. Older students, women, those experiencing psychological distress, and individuals with a diagnosed mental health disorder tended to score higher on at least one dimension of MHL. Income level showed no connection with any dimension of MHL. One of the clearest distinctions appeared between domestic and international students, with domestic students consistently demonstrating higher MHL scores across all its dimensions. CONCLUSIONS: Efforts to improve MHL among French university students should prioritize younger students, those in non-health-related fields, and those without prior mental health diagnoses. Major attention should be paid to international students. Since different factors influence each MHL dimension, interventions should be tailored accordingly. Multifaceted approaches, such as university-based programs, digital content, and mobile apps, are recommended to effectively address the diverse components of MHL and their unique determinants.
Glob Health Promot
· 2026 Feb · PMID 41681018
·
Publisher ↗
Mental health (MH) promotion campaigns play a vital role in improving awareness, access, and help-seeking behaviors. However, the concept of MH is not universally defined, and its meaning varies across cultural, historic...Mental health (MH) promotion campaigns play a vital role in improving awareness, access, and help-seeking behaviors. However, the concept of MH is not universally defined, and its meaning varies across cultural, historical, and ecological contexts. This paper argues against the universal applicability of a single model of MH promotion. Drawing on sociocultural theory, public health frameworks, and cross-cultural clinical experience, we highlight how cultural beliefs, idioms of distress, socio-ecological determinants, and locally grounded value systems shape perceptions of well-being and illness. Efforts to impose standardized, Western-centric campaigns risk undermining community trust and disregarding Indigenous frameworks of meaning and coping. Instead, MH promotion should be culturally sensitive, responsive to community needs, and developed through participatory, context-specific approaches. In a globalized world, such tailored strategies are essential for promoting sustainable and meaningful MH outcomes.
Hoffman SJ, Voller V, Mysler A
… +10 more, Barrozo G, Burgos F, Castro CS, Maccari D, Nixon P, Pellizzari V, Martin CL, Mathiason MA, Mkandawire-Valhmu L, Smith M
Glob Health Promot
· 2026 Feb · PMID 41634529
·
Publisher ↗
BACKGROUND: The global effects of gender-based violence necessitate coordinated, evidence-based efforts across scientific and programmatic communities of practice. Transparent accounting of protocol implementation serves...BACKGROUND: The global effects of gender-based violence necessitate coordinated, evidence-based efforts across scientific and programmatic communities of practice. Transparent accounting of protocol implementation serves as a critical mechanism for knowledge scaffolding and fostering iterative learning, methodological refinement, and accountability. Our study purpose was to establish baseline prevalence and descriptive characteristics of physical and sexual gender-based violence experienced by adolescent and emerging adult women living in rural, resource-variable settings in Eastern Bolivia. We present a transparent account of our study protocol to strengthen and accelerate intervention efforts addressing gender-based violence. METHOD: The partnership-centered and trauma-informed protocol was implemented within an innovative embedded 'care as usual' model. Data collection occurred within a clinic-based sexual and reproductive health initiative that our programmatic partner facilitates within the communities it serves. A cohort of trained community health promoters were participant-facing, field-based study team members. An on-site study team psychologist held immediate sessions with participants who disclosed experiences of physical and sexual violence and led post-event study team debrief sessions to mitigate secondary trauma. CONCLUSIONS: The study protocol description outlines a rigorous and contextually grounded approach to gender-based violence research in rural Bolivia. We disseminate actionable steps in study implementation that prioritize equity and the safety and wellbeing of participants and study team members. Findings contribute to a deeper understanding of the dynamics of interpersonal violence in rural settings and inform culturally responsive interventions and health policy advocacy.
Albritton T, Gosselin A, Coulibaly K
… +6 more, Zoumenou I, Paige MQ, Matthews D, Davis C, Garard C, Frye V
Glob Health Promot
· 2026 Jan · PMID 41508428
·
Publisher ↗
In most high-income countries, human immunodeficiency virus (HIV) has concentrated among minoritized, discriminated against, or otherwise marginalized communities, such as queer people, people who migrated, people who ex...In most high-income countries, human immunodeficiency virus (HIV) has concentrated among minoritized, discriminated against, or otherwise marginalized communities, such as queer people, people who migrated, people who exchange sex and/or use drugs, poor people and people of color. Suboptimal prevention and treatment uptake has led to the implementation of community-based and/or participatory research integrating 'empowerment' approaches in an effort to reach marginalized groups in high-income countries. Here we present results of a cross-national examination of how national contexts influence implementation of empowerment-based HIV prevention research projects in the United States (US) and France. ETOILE was a qualitative, self-reflective study collaboration conducted between 2019 and 2022. Three study teams (two from the US and one from France) engaged in self-reflective focus groups and intervisitations where both HIV prevention scientists and community-based organization partners discussed the following topics: HIV and community-based research landscapes, the notion of empowerment in traditional research contexts, within-project tensions around hierarchies/power, positionality and racial representation, and economic resources. We applied a grounded analytic approach to identify key emergent themes. The ability to communicate around structural racism differed across study teams; the French team had greater difficulty managing within-project tensions, reflecting the national context and history of community-based research. Whether and how epidemiological data is broken down (or not) by 'race,' ethnicity, and social class shape both research and popular understandings of HIV epidemics. The roles of community-based organization members and Black researchers in accessing communities and vouching for research is particularly challenging. Representation of Black researchers on study teams can critically influence research project implementation. We found that national contexts matter. We identified recommendations for conducting community-based research based on empowerment and participatory approaches in disempowering contexts.
Glob Health Promot
· 2025 Dec · PMID 41454684
·
Publisher ↗
BACKGROUND: The prevailing climate emergency continues to exacerbate health, economic and power inequities across the Global South and Global North. In particular, Two-Spirit people navigating their intersecting marginal...BACKGROUND: The prevailing climate emergency continues to exacerbate health, economic and power inequities across the Global South and Global North. In particular, Two-Spirit people navigating their intersecting marginal identities confront health inequities stemming from colonially-induced climate disruptions, resource extractivism and land theft; yet, their perspectives are seldom considered in climate policy and practice. This is the case in the Deshkan Ziibi (the Thames River ecosystem in southwestern Ontario, Canada), where there is minimal climate-related literature that prioritizes Two-Spirit and Indigiqueer perspectives in the region. OBJECTIVE: To assess the impacts of the climate crisis on Two-Spirit health in the Deshkan Ziibi and highlight how Two-Spirit kincentric worldviews foster planetary health. METHODS: A critical multi-method approach was employed. A scoping review synthesized existing literature on Two-Spirit health and climate change, while traditional stories were analyzed through queer-decolonial frameworks to uncover alternative epistemologies and practices of multispecies relationality. RESULTS: Findings reveal that Two-Spirit people in the Deshkan Ziibi experience heightened vulnerability to the climate crisis due to intersecting systems of oppression. However, the research also identifies sites of agency that expose the colonial legacies embedded in dominant climate justice paradigms. CONCLUSION: This work calls for a re-evaluation of planetary health promotion, governance and interventions by incorporating Two-Spirit worldviews of interconnectedness.
McMorrow S, Swahn MH, Palmier J
… +4 more, Nabulya A, Nassaka J, Bello OO, Fritz A
Glob Health Promot
· 2025 Dec · PMID 41454678
·
Publisher ↗
Uganda has a rapidly urbanizing population and the world's second youngest population. Further, gender inequities contribute to young women in urban Uganda experiencing multiple unmet health and wellbeing needs. However,...Uganda has a rapidly urbanizing population and the world's second youngest population. Further, gender inequities contribute to young women in urban Uganda experiencing multiple unmet health and wellbeing needs. However, their perspectives are rarely included in health research or decision making and their lives rarely examined to capture community strengths. We conducted a qualitative study using Photovoice with 15 women aged 18-24 years across three urban sites within Kampala, Uganda. To capture perceptions of strengths, we prompted participants to take photos reflecting 'TOPOWA', meaning 'don't give up' in Luganda. Researchers conducted inductive thematic analysis of photos and discussion transcripts and participants contributed to theme validation. Multiple themes emerged from the narrative and visual data across all three sites. This article focuses on the theme of wellbeing and mental health, which encompasses community strengths, protective factors and resilience. Findings provide evidence for health promotion for young women in urban Kampala and similar sub-Saharan African settings through unique, contextual visual and narrative evidence. Notably, existing community strengths are highlighted as potential areas to build upon for health promotion interventions for wellbeing and mental health. Furthermore, findings shaped an ongoing cohort study of mental health trajectories for young women in Uganda.
Cousson-Gélie F, Marcucci-Hilaire L, Lareyre O
… +7 more, Cholley-Gomez M, Gueritat J, Charton E, Grasteau V, Anota A, Gourlan M, Régnier Denois V
Glob Health Promot
· 2025 Dec · PMID 41396153
·
Publisher ↗
OBJECTIVES: In order to prevent people from taking up smoking on a daily basis, the P2P program has been developed based on the Theory of Planned Behavior (TPB) and relying on the peer-to-peer method. A cluster randomize...OBJECTIVES: In order to prevent people from taking up smoking on a daily basis, the P2P program has been developed based on the Theory of Planned Behavior (TPB) and relying on the peer-to-peer method. A cluster randomized controlled trial involving 1573 high school students in the Occitanie region of France showed a reduction in the increase in daily smoking. Given the effectiveness observed, the aim was to assess the transferability of P2P to two other French regions (Ile-de-France and Auvergne). METHOD: The RE-AIM (Recruitment, Effectiveness, Adoption, Implementation, Maintenance) methodology was used. A total of 190 interviews were conducted with school referents, peer educators, peer receivers and regional coordinators. A self-questionnaire (before and after the intervention) assessed changes in daily smoking habits. RESULTS: P2P has been implemented faithfully in 29 vocational high schools, with adaptations to suit different contexts and actors. The main obstacles were organizational (timetable and school career). The levers are the support provided by prevention structures. Recruiting pairs of nurse referents and improving the pedagogical guide, which is recognized as a support tool, will be necessary. In terms of effectiveness, more than 3229 students in 10th Grade in vocational high schools were followed for 1 year. The prevalence rates of daily smoking changed by -1.6%, +2.9% and +0.7%, respectively, showing no significant difference between these regions, with no difference in effect depending on the place of implementation. DISCUSSION: The P2P program is transferable to other regions despite differences in how the organizations and high schools involved operate, and differences in the characteristics of the high school students targeted. It is also reproducible, maintaining a beneficial effect in preventing increased daily smoking among vocational high school students.
Glob Health Promot
· 2025 Dec · PMID 41396152
·
Publisher ↗
INTRODUCTION: French Polynesia has one of the highest cannabis use prevalences among French territories, particularly starting in adolescence. Difficulties in emotional competency are major factors contributing to the de...INTRODUCTION: French Polynesia has one of the highest cannabis use prevalences among French territories, particularly starting in adolescence. Difficulties in emotional competency are major factors contributing to the development and maintenance of cannabis use disorder. Therefore, a French prevention program targeting these competencies was adapted to the Polynesian sociocultural context. OBJECTIVES: This quantitative and longitudinal study evaluates the impact of the program on cannabis consumption and emotional competencies among Polynesian middle and high school students, specifically based on their levels of cannabis use. METHODS: This study used repeated measures (pre- and 3-month post-program) with standardized questionnaires. Classes were randomized into two groups (program participation/control group), with 231 students included (57.8% girls, mean age 15.0 ± 0.77). RESULTS: The Kusa program positively impacted non-users and low-users by improving emotional acceptance, awareness, verbalization, impulse control and reducing emotional intensity. Participants also demonstrated shifts in their cannabis use habits, with a larger proportion of participants reporting generally not consuming cannabis during the day, after the program. Frequent-users did not show significant changes in cannabis consumption but did exhibit increased emotional verbalization and awareness of emotional regulation difficulties. DISCUSSION: The prevention program showed promising results in enhancing emotional competencies and potentially influencing cannabis consumption. These findings underscore the program's benefits and support broader implementation in school settings.
Salque C, Darlington-Bernard A, Olivo M
… +4 more, Fraticelli L, Ricard E, Carrouel F, Darlington E
Glob Health Promot
· 2025 Dec · PMID 41396151
·
Publisher ↗
Non-communicable diseases (NCDs) account for 74% of all deaths globally. The growing health inequities related to NCDs stem from social determinants of health (SDOH). Targeting SDOH could reduce NCDs substantially. To ac...Non-communicable diseases (NCDs) account for 74% of all deaths globally. The growing health inequities related to NCDs stem from social determinants of health (SDOH). Targeting SDOH could reduce NCDs substantially. To achieve this, implementing complex health promotion and prevention programmes in schools, including but not limited to developing life skills, seems paramount. However, the evaluation of such endeavours remains critical but challenging. To our knowledge, few complex health promotion school programmes integrating health education and environmental improvement have been evaluated. The present study is part of a French intervention-research project evaluating a three-year programme for 4th graders (ages 8-10) from schools with marked social inequalities. The aim is to develop life skills and promote healthy environments. Validated scales measuring life skills, health literacy, self-efficacy, and life satisfaction were used with 631 pupils from six pilot regions. This study presents the baseline scores for French pupils to detect early disparities and determine potential associations with SDOH, such as gender or socioeconomic status. Our results show that girls scored higher than boys on all scales except self-efficacy. Discrepancies between regions were noted, suggesting the potential need for adjustments to educational programmes to address specific regional differences in life skills outcomes. Further studies will be needed to assess the effectiveness of the programmes in other areas of its target goals.
Desmoriaux D, Genton MC, Simar C
… +5 more, Regnier-Denois V, Cury P, Pironom J, Jourdan D, Chauvin F
Glob Health Promot
· 2025 Dec · PMID 41396149
·
Publisher ↗
The early years in life are critical in many ways as they significantly impact future health outcomes. In line with the 2018-2022 National French Health Strategy, is a complex intervention that deploys a health-promotio...The early years in life are critical in many ways as they significantly impact future health outcomes. In line with the 2018-2022 National French Health Strategy, is a complex intervention that deploys a health-promotion program based on a health determinants approach and oriented toward 8- to 11-year-olds. It aims to increase their psychosocial competencies and health literacy levels. The objective of the study was to understand and assess the outcomes and implementation process of an evidence-based health-promotion program targeting both primary schools and the children's local environment. To reach this goal, pupils were exposed to health-promoting actions carried out by their teachers and a health-promoting environment, both inside and outside the school. A multisite cluster trial involving a complex intervention in the population was performed with one experimental group and one control group during three academic years. The project took place in four districts of the Auvergne-Rhône-Alpes region and involved 101 schools (10,000 pupils: intervention group 5000 + control group 5000). This research intervention program gathered local policy makers, regional education authorities, the regional public health agency, and researchers (education and public health). The intervention's focus was on its sustainability, its integration in the everyday practices of the professionals, and its impact on the children's psychosocial competencies and health literacy. This paper describes the project's protocol, the research design, and the interventions deployed to improve health-promotion services provided in primary schools and the children's local environment.
Foucaud J, Simar C, Guillemin AF
… +2 more, Vandoorne C, Gautier S
Glob Health Promot
· 2025 Dec · PMID 41396145
·
Publisher ↗
With the 40th anniversary of the Ottawa Charter approaching, it is worth reflecting on its legacy in health promotion, particularly in schools. This short yet aspirational text marked a turning point by establishing the...With the 40th anniversary of the Ottawa Charter approaching, it is worth reflecting on its legacy in health promotion, particularly in schools. This short yet aspirational text marked a turning point by establishing the basis for a new public health system that takes a comprehensive, intersectoral approach to social determinants. Rather than being merely an awareness-raising tool, the Charter promotes health education as a means of emancipation and of acting on living conditions, notably enabling the fight against cancers. This article provides a critical analysis of developments in health promotion research in schools. First, it identifies the initial challenge of moving beyond isolated interventions towards comprehensive, integrated and participatory approaches. It then explores the obstacles and incentives associated with the transferability of interventions and the development of implementation science. The third axis calls for the research field to be structured, with clear objectives, shared indicators and greater consideration given to practical knowledge. Finally, it stresses the need to place the reduction of social inequalities in health at the heart of interventions, adopting methodologies that are sensitive to the differentiated effects according to social contexts. In conclusion, research into health promotion in school settings must evolve towards a transdisciplinary systemic approach that is grounded in practice. Such an approach plays a strategic role in building truly equitable schools that promote the health and well-being of all by taking action to reduce cancers from an early age.