Glob Health Promot
· 2025 Oct · PMID 41133427
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This study critiques the prevailing anthropocentric and neoliberal frameworks within planetary health discourses, advocating for multi-species wellbeing-a departure from the dominant models of planetary health that tend...This study critiques the prevailing anthropocentric and neoliberal frameworks within planetary health discourses, advocating for multi-species wellbeing-a departure from the dominant models of planetary health that tend to prioritize human interests and overlook the symbiotic relationships among holobionts. Drawing on posthumanism and relational theories to critique anthropocentrism and promote emancipatory worlding, it highlights the role of socio-economic disparities in environmental degradation and the unequal distribution of power and responsibility. This study further reveals the inadequacy of resilience and adaptation strategies often promoted by neoliberal agendas, calling instead for systemic change. True planetary health requires a shift from anthropocentric paradigms to a symbiotic model that incorporates material justice and restitution. Addressing global health disparities and environmental degradation must move beyond market-based solutions, prioritizing the interconnectedness of all species and their environments.
Harada K, Tajima T, Saito Y
… +2 more, Takeda N, Oguma Y
Glob Health Promot
· 2025 Oct · PMID 41123238
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Publisher ↗
BACKGROUND: Goal setting is an important step in planning physical activity promotion strategies. Based on the dose-response relationships between physical activity and health and the goal-setting theory, setting higher...BACKGROUND: Goal setting is an important step in planning physical activity promotion strategies. Based on the dose-response relationships between physical activity and health and the goal-setting theory, setting higher goals without exceeding people's acceptance is desirable. Understanding maximum acceptance of physical activity increases is helpful for enabling such goal setting. Nonetheless, the level of maximum acceptance of physical activity increase and its sociodemographic differences remain unclear. This study examined the level and sociodemographic correlates of maximum acceptable physical activity increase among Japanese adults. METHODS: A web-based cross-sectional questionnaire survey was conducted with 2259 Japanese adults aged 20-64 years. Based on the Capability, Opportunity, Motivation, and Behavior model, the acceptable time for increasing physical activity in a day was examined from three perspectives: capabilities, opportunities and motivations. For motivation, two definitions were employed: definition I regarded unchanged motivation as acceptable, and definition II regarded it as unacceptable. The maximum acceptable physical activity increase was identified by combining the responses of these subcomponents. This study measured sociodemographic factors such as gender, age, current marital status, current working status, educational background, annual household income and current physical activity duration. RESULTS: The means (95% confidence intervals) and standard deviations of maximum acceptable physical activity increase were 17.0 (16.3-17.7) and 16.9 min per day in definition I and 9.0 (8.4-9.6) and 13.9 min per day in definition II. Across both definitions, multiple regression analyses showed that younger age, greater levels of annual household income and longer current physical activity duration were significantly associated with longer maximum acceptable physical activity increases. CONCLUSIONS: From the findings, an increase in physical activity of approximately 10-15 min per day might be an important option in goal setting, and setting higher goals would be feasible for younger adults, adults with higher household incomes, and physically active adults.
There is a complex interplay of multiple factors across numerous domains underlying obesity and the emergence of the global health problem known as the double burden of malnutrition (DBM), where people are both obese and...There is a complex interplay of multiple factors across numerous domains underlying obesity and the emergence of the global health problem known as the double burden of malnutrition (DBM), where people are both obese and malnourished. Moreover, there is inequity in the burden of obesity and DBM, with higher rates of both in low-income communities, which comprise predominantly people of color (both in the U.S. and internationally). This article aims to provide an integrated overview of the different causes and effects of obesity and its impact on the family unit. Importantly, we examine broader influences, such as the environmentally unsustainable transnational food system, the rise of ultra-processed foods, and the structural barriers that keep communities of color at the highest risk for obesity and DBM. The review includes recommendations for future research, specifically how to implement more environmentally sustainable food systems at the community and family levels.
Today, the increase in multiculturalism in almost every country due to internal and external migration, work, and other factors has brought about many challenges, one of which is the language barrier. The aim of this stu...Today, the increase in multiculturalism in almost every country due to internal and external migration, work, and other factors has brought about many challenges, one of which is the language barrier. The aim of this study was to evaluate the birth experiences of women with language differences in the context of respectful maternity care. The study was conducted with nine women who experienced a normal birth and had language differences. Data were collected through in-depth interviews using a semi-structured interview form. The data were analyzed using content analysis. After transcribing the interviews, three main themes were identified: communication difficulties, unwanted behaviors during childbirth, and gentle approaches in instinctive childbirth. It was found that women's birth experiences were influenced by the harsh tone of voice and facial expressions of healthcare professionals, even in the presence of a language difference. The results of the study reveal that a gentle approach plays an important role in the birth process in response to the communication difficulties faced by women with language differences. Therefore, it is emphasized that providing services in line with respectful maternity care for every woman is crucial for positive birth experiences.
AIM: The study aims to utilise a strengths-based approach to investigate whether Indigenous Australian adolescents with affective engagement in their schooling and education are more resilient, and if this resilience fro...AIM: The study aims to utilise a strengths-based approach to investigate whether Indigenous Australian adolescents with affective engagement in their schooling and education are more resilient, and if this resilience from affective engagement in school contributes to predict the negative consequences associated with bullying at school. METHODS: The current study comprised 490 Indigenous adolescents aged 11-16 years from four Footprints in Time: The Longitudinal Study of Indigenous Children (LSIC) waves (W8, W10, W11 and W12 - conducted between 2014 and 2019) of the 'Longitudinal Study of Indigenous Children' dataset. In this study, Generalised Linear Models (GLMs) were employed to examine whether affective school engagement (independent variable) was associated with the outcome variable - the study child's resilience (measured by the validated Strong Souls Resilience subscale) and whether it varied by child's exposure to bullying victimisation. All models were adjusted for potential sociodemographic covariates (i.e. age, sex, location and socioeconomic position). RESULTS: Of the 490 participants analysed, 89.4% ( = 438) had high affective school engagement, 37.8% ( = 185) were not bullied and the mean resilience score was 19.41 (SD = 5.21). Bivariate analysis revealed that there was a significant difference in median resilience score between two categories of school engagement ( = 0.002). Longitudinal analysis using GLMs showed that high affective school engagement is a positive predictor of the study child's resilience ( = 0.013) compared with those with low school engagement. Affective school engagement was found to be associated with resilience only among those who were bullied compared with their counterparts ( = 0.039). CONCLUSIONS: This study found that affective school engagement predicts resilience in Australian Indigenous adolescents. Affective school engagement may also serve as a protective factor for adolescents who have been bullied, potentially mitigating some of the harmful mental health outcomes linked with bullying. These findings underscore the potential for programmes that may promote affective school engagement in future initiatives to improve education inequities that cause health disparities for Indigenous peoples.
UNLABELLED: Chlordecone is a pesticide that was used in Martinique and Guadeloupe between 1972 and 1993. The multiple impacts on health and living conditions of the local population led to the implementation of the JAFA...UNLABELLED: Chlordecone is a pesticide that was used in Martinique and Guadeloupe between 1972 and 1993. The multiple impacts on health and living conditions of the local population led to the implementation of the JAFA (JArdins FAmiliaux) programme, which was launched in 2009 to reduce contamination of part of the population: 'household producers' who consume produce from the animals they breed and gardens that are potentially contaminated. The research question was: what are the key impacts and functions of the approach implemented as part of the JAFA programme between 2015 and 2023? The aim of this study is to understand how and under what conditions the JAFA intervention works in order to produce recommendations in terms of transferability, scaling up and reorientation. METHODS: An iterative theory-based evaluation adapted to a 'complex' intervention is the most appropriate for JAFA and a particularly realist evaluation that highlights the intervention theory of JAFA. Realist evaluation makes it possible to put forward configuration hypotheses in the form of causal chains: contexts - mechanisms - effects. This realist evaluation was developed iteratively with the programme's stakeholders, engaging participating professionals in brainstorming sessions conducted as seminars as well as groups of programme participants in focus group discussions. The results can be refined at each reflection loop with this approach. RESULTS: Results are based on two series of individual interviews with professionals and members of the public who took part in JAFA, totalling 105 interviews. Three seminars with professionals and two focus groups alternating with the interviews were organized on each island. JAFA's medium-range theory is composed of 22 causal chains: 127 contexts acting on 22 mechanisms. Moreover, 10 recommendations were validated. CONCLUSION: The realist evaluation revealed key strategies for improving the programme over the long term, and for transferring, scaling up and redirecting it according to local needs.
Digital health platforms hold promise for addressing youth health inequalities; however, the factors that enable their successful expansion remain to be explored in depth. This study examines the scaling process of Joven...Digital health platforms hold promise for addressing youth health inequalities; however, the factors that enable their successful expansion remain to be explored in depth. This study examines the scaling process of JovenSalud.net, a nonprofit digital platform for adolescent health promotion in Central America, led by TeenSmart International, as part of the 18-month 'Transition to Scale' initiative (2022-2023). The evaluation combined platform analysis (41,550 new registrations; 9087 sexual and reproductive health enrollments; 1739 course completions) and experience systematization as a methodology. Quantitative findings demonstrated substantial improvements in sexual and reproductive health knowledge and attitudes among graduates, along with increased condom use, rejection of unsafe sex practices, awareness of STIs and breast health, and understanding of the benefits of delaying sexual activity. From these data, five critical success factors emerged: (1) unique value proposition and competitive advantage, (2) technological innovation and modernization, (3) strategic alliances, (4) a diversified marketing and promotion strategy, and (5) a monitoring and evaluation (M&E) systems. Conversely, five key barriers were identified: (1) complex regulatory and political environments impede the formation of sustained advocacy partnerships, (2) limited promotional budgets constrain effective marketing and user outreach, (3) unstable, diversified funding streams challenge long-term financial sustainability, (4) technological inequities and low digital skills hinder platform adoption and (5) continuous technological change demands ongoing investment in team skills and infrastructure. Clearly defining and preserving core intervention components within adaptive M&E systems proved essential for maintaining fidelity and enabling real-time optimization, while sustained investment in organizational capacity and user-centered design underpins the long-term, scalable impact of nonprofit digital health initiatives for adolescents.
Considering the high risk of contracting infectious diseases such as COVID-19 among employees of various industries, it is necessary to design and implement preventive and empowerment strategies in the face of these dise...Considering the high risk of contracting infectious diseases such as COVID-19 among employees of various industries, it is necessary to design and implement preventive and empowerment strategies in the face of these diseases. Understanding the communities and designing effective educational models can prevent the spread and transmission of this disease in different communities. This study was a quasi-experimental study from social methodology and in this study design the formation of groups is not randomized; the groups are naturally formed. Exploratory factor analysis was used to design the questionnaire as well as the multivariable logistic regression model to develop the educational empowerment model. The sample size in this phase was 347 men in the year 2022 in the center of Tehran City, Iran. Data were analyzed by SPSS version 23. The results of multivariable logistic regression showed that the perceived fear, perceived social barriers, and also the perceived individual barriers of COVID-19 prevention behavior could predict the COVID-19 individual preventive behaviors. Furthermore, there was a significant correlation between the perceived social barriers to COVID-19 prevention and the perceived fear of COVID-19 (P-value < 0.05). During the intervention phase, 100 men were educated and empowered in each intervention and control group. Comparing the pre-test and post-test with the statistical tests indicated that the designed educational model in this study significantly changed people's attitude toward COVID-19, the COVID-19 social preventive behaviors, and COVID-19 individual preventive behaviors (P-value < 0.05).
Glob Health Promot
· 2025 Aug · PMID 40781985
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Publisher ↗
A clean and safe environment is necessary for healthy living. This explains why safe water and sanitation is a component of the Sustainable Development Goals, to achieve access to adequate and equitable sanitation and hy...A clean and safe environment is necessary for healthy living. This explains why safe water and sanitation is a component of the Sustainable Development Goals, to achieve access to adequate and equitable sanitation and hygiene for all, and ending open defecation by 2030. However, with the snails pace of development and poor open defecation free initiatives, particularly in many developing countries, the 2030 target appears highly threatened. This study, therefore, examined the level of open defecation practice and awareness of the dangers associated with such a practice among residents of the Malete community of Kwara State. The study employed the survey method with a structured questionnaire to gather data from 228 participants out of the 10,547 community population. Among other findings, the study found a high prevalence of open defecation among Malate residents. It also discovered that through radio and interpersonal communication most respondents were exposed to messages on the significance of the regular use of enclosed toilet systems for defecation. Still, the respondents further confirmed that the spread of open defecation practice among them was exacerbated by poverty and lack of enclosed toilet facilities. However, in the case of the Malete community, the study found that there is no significant relationship between income level and involvement in open defecation. The study concluded that exposure to health messages via interpersonal and radio channels, provision of public toilet facilities, and awareness creation through education and community-driven campaigns could potentially improve behaviour.
This quantitative study examined the impact of positive parenting campaigns on the Maltese population. Two cross-sectional surveys of the Maltese population were conducted at two time points, examining two campaigns that...This quantitative study examined the impact of positive parenting campaigns on the Maltese population. Two cross-sectional surveys of the Maltese population were conducted at two time points, examining two campaigns that were conducted over two consecutive years. The first and second survey comprised 800 and 600 respondents, respectively. In total, 25% and 20% parents had heard about the first and second campaigns, respectively, suggesting that these campaigns had an impact, even when launched for short durations. The second campaign was rated as more effective than the first campaign, and fewer participants in the second campaign recalled no learning points from the campaign. Television spots during prime time and storyboards were most effective modes of media, followed by Facebook posts. Future long-term studies should explore the retention of the learning points from the campaigns, and the inclusion of practical examples is recommended for future positive parenting campaigns.