Global Health Promotion[JOURNAL]
Sun
200 papers
Decolonial framework for applying reflexivity and positionality in global health research.
Naidu T, Gingell G, Zaidi Z
Glob Health Promot · 2024 Jun · PMID 38566278 · Full text
Contemporary research practices link to colonial and imperialist knowledge creation and production and may promote harmful perspectives on marginalized and oppressed groups. We present a framework for a decolonial approa...
Contemporary research practices link to colonial and imperialist knowledge creation and production and may promote harmful perspectives on marginalized and oppressed groups. We present a framework for a decolonial approach to research in global health and health promotion applicable across research settings. This framework is aimed at anticipating and alleviating potentially harmful practices inherent in dominant research methods. The framework focuses from a macro- and micro-level perspective on three critical dyads: 'context' and 'accountability'; 'researcher identity' and 'positionality'; and 'procedural ethics' and 'ethics in practice' considerations. We present guidance for how to consider reflexivity and positionality as they apply in this framework in global health and health promotion research practice.
A preliminary analysis of "Passport to practice": investigating development of core competencies in undergraduate health promotion students.
Blackford K, Della Bona M, Crawford G
Glob Health Promot · 2024 Dec · PMID 38561902 · Full text
BACKGROUND: Equipping tertiary health promotion students with skills and knowledge to contribute meaningfully to the health promotion workforce begins with enhancing their health promotion competence via well-designed cu...
BACKGROUND: Equipping tertiary health promotion students with skills and knowledge to contribute meaningfully to the health promotion workforce begins with enhancing their health promotion competence via well-designed curriculum. This includes a focus on work-integrated learning, global citizenship, professional identity and competency mapping in line with the International Union for Health Promotion and Education Core Competencies and Professional Standards for Health Promotion. METHODS: In this paper we report baseline results for the Passport to Practice project, a mixed-methods prospective cohort study to track undergraduate health promotion student progress across their degree, to evaluate a new approach for assessing student achievement of the Competencies and Standards developed by the International Union for Health Promotion and Education. Baseline data were collected from first-year students via document analysis of student reflection papers ( = 40); and an online survey ( = 29) to measure self-reported health promotion competence, development of global citizenship and professional identity, and PebblePad usability. RESULTS: Findings suggest the Passport to Practice initiative positively contributed to professional identity and health promotion competence. Students appreciated work-integrated learning opportunities that enabled them to plan for future activities to address gaps in their competence; and students excelled in the social responsibility dimension of global citizenship but lagged in the political voice category of the global civic engagement dimension. CONCLUSION: Findings provide insights about strategies and concepts required to equip students with the skills and knowledge required for their role as health promotion practitioners to address complex public health challenges.
De la epidemiología de la actividad física a la epidemiología crítica de las prácticas corporales: una propuesta desde Latinoamérica.
Pasquim HM, Soto Lagos R, Rodrigues PAF … +1 more , Antunes PC
Glob Health Promot · 2024 Jun · PMID 38544286 · Publisher ↗
Abstract loading — click title to view on PubMed.
Representaciones de masculinidades en las políticas públicas de salud en Chile.
Saez S, Bernales M
Glob Health Promot · 2024 Dec · PMID 38539284 · Publisher ↗
OBJETIVO: comprender las representaciones de las masculinidades en las políticas públicas de salud en Chile. MÉTODO: desde un diseño metodológico cualitativo, se realizó una revisión documental de programas y políticas d...
OBJETIVO: comprender las representaciones de las masculinidades en las políticas públicas de salud en Chile. MÉTODO: desde un diseño metodológico cualitativo, se realizó una revisión documental de programas y políticas del área de la salud sexual y reproductiva, salud mental, violencia y ciclo vital, incluyendo adicionalmente el análisis de 10 entrevistas realizadas a trabajadores de la salud, actores claves y expertos. Se realizó un análisis de contenido temático, utilizando software NVivo. RESULTADOS: los principales resultados constatan que la presencia masculina es menor que la femenina en las políticas públicas de salud, y que las representaciones de los varones suelen tener una perspectiva socio-comportamental donde se concibe que la masculinidad es perjudicial para la salud. CONCLUSIÓN: los hallazgos instan a incluir una mirada inclusiva de hombres y masculinidades, su contexto social y capacidad de cambio a fin de poder abordar vulnerabilidades y necesidades específicas de la salud de hombres en Chile.
Should organized sport characteristics be considered as a strategy for meeting physical activity guidelines in children?
Rodrigues D, Machado-Rodrigues AM, Gama A … +3 more , Silva MG, Nogueira H, Padez C
Glob Health Promot · 2024 Dec · PMID 38539277 · Full text
BACKGROUND: A clearer understanding of the relationships between specific sport context with overall physical activity (PA) and sedentary time (ST) may contribute to the development of more accurate preventive strategies...
BACKGROUND: A clearer understanding of the relationships between specific sport context with overall physical activity (PA) and sedentary time (ST) may contribute to the development of more accurate preventive strategies to increase children's engagement in PA. PURPOSE: This study aimed to examine how different organized sports contributed to children's daily PA and ST. METHODS: PA was measured for seven days via accelerometers, in 410 children aged 6-10 years (49.8% boys). Of those, 332 (53.0% boys) were engaged in an organized sport and were further considered for statistical analyses. Parents reported children's sport participation (e.g. which sport, number of times per week, duration). The sports were classified into: indoor . outdoor; individuals . team; combat . individual aesthetic . racing . invasion. Children's height and weight were objectively collected. Multiple one-way analyses of covariance were used to examine the effects of sport characteristics on PA and ST. A linear regression, adjusted for children's sex, age, body mass index and father's educational level, determined the relationship between being involved in multiple PA and sedentary behaviours with Moderate to Vigorous PA (MVPA) levels. RESULTS: Although engaged in an organized sport, only 30% of the children achieved the PA recommendations. Sport (compared with active commute and active play) was the best contributor to daily MVPA. Outdoor sports (. indoor) contributed the most to vigorous PA (VPA) and MVPA. Team sports (. individual) were significantly associated with lower ST. Children in combat sports accumulated more VPA and MVPA, while those in racing sports showed a higher ST. CONCLUSIONS: Sport participation alone does not guarantee children will reach the PA guidelines, and the type of sport can influence children's PA levels. Gender-stereotypes in sports may prevent girls from achieving their 60 minutes of MVPA daily.
Health promotion at higher educational institutions: a clarion call for action in India.
Yeravdekar R, Zodpey S
Glob Health Promot · 2024 Dec · PMID 38532565 · Publisher ↗
This article introduces the concept of a health-promoting university (HPU) in an Indian context. The importance of health promotion through a 'settings-based' approach that focuses on India's needs is outlined. We highli...
This article introduces the concept of a health-promoting university (HPU) in an Indian context. The importance of health promotion through a 'settings-based' approach that focuses on India's needs is outlined. We highlight the aims and objectives of a HPU and the mechanisms to evaluate its impact. We call for action by stakeholders to develop a HPU project consistent with public health issues, including health development and sustainability. Furthermore, this settings-based approach provides a template that can be replicated in other low- and middle-income countries.
Development and validation of the gratitude for food scale for Japanese adults.
Kawasaki Y, Nagao-Sato S, Shimpo M … +2 more , Akamatsu R, Fujiwara Y
Glob Health Promot · 2024 Sep · PMID 38525524 · Publisher ↗
Gratitude for food is a concept associated with various aspects of healthy and sustainable diet and originates from Buddhism and Shintoism in Japan. Against this background, a scale specifically targeting adults is essen...
Gratitude for food is a concept associated with various aspects of healthy and sustainable diet and originates from Buddhism and Shintoism in Japan. Against this background, a scale specifically targeting adults is essential for boosting studies concerning gratitude for food. This study aimed to adapt the Gratitude for Food Scale (GFS), originally developed for Japanese children, to Japanese adults and to examine the reliability and validity of GFS for adults (GFS-A). This cross-sectional study used baseline and one-week follow-up data from a longitudinal survey. The analysis included 1800 Japanese adults at baseline and 1380 at the one-week follow-up based on completion of self-administered questionnaires in February 2023. Construct validity was confirmed using exploratory and confirmatory factor analyses. Further, Spearman's and intraclass correlation coefficients and Cronbach's alpha were calculated to confirm criterion validity and reliability (test-retest and internal consistency). Participants' mean (SD) age was 40.2 (11.2) years (women: = 900, 50.0%) at baseline. The analysis revealed a one-factor structure comprising five items with good model fit. Criterion validity was confirmed by the correlation coefficients between the total GFS score and the gratitude questionnaire and the sub-score of awareness and appreciation for food, which represents a subscale of the expanded mindful eating scale. Moreover, test-retest reliability and internal consistency were confirmed. From this study's results, we can see that the developed GFS-A is an appropriate scale with good reliability and validity for measuring Japanese adults' gratitude for food.
Prévalence et facteurs associés à la co-consommation d'alcool et de tabac dans la commune de Natitingou, Bénin.
N'Tcha K, Houeto D, Sambieni NE
Glob Health Promot · 2024 Dec · PMID 38520144 · Publisher ↗
INTRODUCTION: La consommation d'alcool et la consommation de tabac entraînent chacune des risques importants pour la santé. L'objectif de cette étude était d'étudier la prévalence de la co-consommation d'alcool et de tab...
INTRODUCTION: La consommation d'alcool et la consommation de tabac entraînent chacune des risques importants pour la santé. L'objectif de cette étude était d'étudier la prévalence de la co-consommation d'alcool et de tabac ainsi que les facteurs associés dans la commune de Natitingou en 2016. MÉTHODES: Il s'agissait d'une étude transversale à caractère analytique. L'enquête s'est déroulée en octobre 2016 et a porté sur un échantillon de 270 sujets. Elle a été menée selon une technique de sondage aléatoire à plusieurs degrés. Les données collectées ont été analysées avec le logiciel . RÉSULTATS: Sur les 270 sujets interrogés, 72,2 % étaient des hommes. L'âge moyen était de 30,7 ± 9,2 ans. La prévalence de la co-consommation était de 33,7 % [IC : 28,1 %-39,7 %]). Les facteurs associés à la co-consommation d'alcool et de tabac étaient : le sexe masculin (OR = 2,1 ; = 0,023), la dipsomanie (OR = 1,4 ; = 0,032), le fait d'avoir des amis buveurs ou fumeurs (OR = 2,8 ; = 0,004), le fait de suivre les publicités des médias sur les boissons alcoolisées (OR = 1,9 ; = 0,029) et le faible coût /accessibilité des deux substances (OR = 2,1 ; = 0,011). CONCLUSION: Cette étude a montré qu'il est important de dépasser la prévention centrée sur la personne qui consiste à sensibiliser et à prendre en charge pour adopter des mesures de prévention structurelle (notamment législatives).
Status of the Health Promoting University (HPU) globally and its relevance for emerging African HPUs: an integrative review and bibliometric analysis.
Tafireyi CGS, Grace JM
Glob Health Promot · 2024 Sep · PMID 38520053 · Full text
BACKGROUND: The Health Promoting Universities (HPU) concept is undertheorized, with no African university belonging to the International Network of Health Promoting Universities (IHPU). AIM: The study aimed to investigat...
BACKGROUND: The Health Promoting Universities (HPU) concept is undertheorized, with no African university belonging to the International Network of Health Promoting Universities (IHPU). AIM: The study aimed to investigate the status of the HPU concept globally to inform emerging HPUs, more specifically in Africa, regarding its implementation. METHODS: An integrative literature review of studies conducted between 1 January 2013 and 5 November 2023 was conducted from online databases (PubMed, Scopus, Web of Science, Lilacs, CINAHL and Medline). A VOS bibliometric analysis viewer was used to extract and analyze further relevant information that could have been missed in the review. RESULTS: From 1128 records, 22 ( = 22) articles including two reports met the inclusion criteria. The main findings were that: (1) the HPU network is growing as a global network though undertheorized and less reported on, (2) the implementation of the HPU depends on a plethora of underpinning philosophies such as salutogenic and whole systems approach, and diverse programs and initiatives, 3) the terms HPU and healthy universities are often used interchangeably but the whole systems approach appears to be consistent in many HPU interventions. However, five contextual challenges that emanated from this review were discussed, including the definition of the HPU concept, theories for the HPU concept, measurement of the HPU concept, coordination and methods for measuring the HPU concept status. These challenges present obstacles to measuring the status of the HPU concept beyond the number of affiliated universities and HPU initiatives. CONCLUSION: Despite the challenges, the HPU concept is gaining momentum globally, as evidenced by the growing list of universities (HPU network) involved and the proliferation of interventions/initiatives targeting university students.
El papel del ocio y entretenimiento digital en la salud mental de personas mayores en contextos de crisis social: el caso del estallido social en Chile.
Rosell J, Vergés A, Miranda-Castillo C
Glob Health Promot · 2024 Sep · PMID 38517115 · Publisher ↗
Abstract loading — click title to view on PubMed.
Le comportement alimentaire des étudiants de l'Université de Yaoundé I, Cameroun : entre la littératie alimentaire, la littératie en santé et l'e-littératie alimentaire.
Wamba A, Laoungang AM, Soh G
Glob Health Promot · 2024 Dec · PMID 38515351 · Publisher ↗
CONTEXTE: Il est connu que les maladies non transmissibles s'originent dans les habitudes et les choix alimentaires, et la littératie en santé est le meilleur déterminant de la santé d'un individu au 21e siècle. Or, cet...
CONTEXTE: Il est connu que les maladies non transmissibles s'originent dans les habitudes et les choix alimentaires, et la littératie en santé est le meilleur déterminant de la santé d'un individu au 21e siècle. Or, cet aspect reste peu exploré en contexte camerounais. Dès lors, cette étude examine la relation entre la littératie en santé, la littératie alimentaire, la littératie alimentaire numérique et le comportement alimentaire des étudiants de l'Université de Yaoundé I. MÉTHODES: Un total de 240 étudiants âgés de 18 à 48 ans ( = 21,97 ans, ET = 7,03), dont 149 (62,1 %) femmes, sélectionnés par commodité, ont rempli un questionnaire composite comprenant des échelles de mesure de la littératie en santé (Health Literacy Survey European Union Questionnaire Short Form), de la littératie alimentaire (Short Food Literacy Questionnaire), de la littératie alimentaire numérique (eHealth Literacy Scale) et du comportement alimentaire (General Dietary Behavior Inventory). Les données ont été analysées grâce au logiciel SPSS, v.20, en utilisant des tests de Mann-Whitney, de Kruskal-Wallis, de Spearman et des modèles linéaires généralisés. RÉSULTATS: Les résultats ont montré que le comportement alimentaire n'est pas associé aux caractéristiques sociodémographiques des étudiants. L'analyse des modèles linéaires généralisés a démontré que le comportement alimentaire des étudiants est influencé par la littératie alimentaire (β = 1,503, < 0,001), la littératie en santé (β = 1,191, < 0,05) et la littératie alimentaire numérique (β = 1,263, < 0,001). De même, prises ensemble, elles entrainent une variation de 6,929 sur le comportement alimentaire (χ²(3) = 63,070, β = 6,929, < 0,001). CONCLUSION: L'étude suggère que plus de recherches sur d'autres sous-groupes de population sont nécessaires afin de fournir des données pour des interventions en faveur d'une alimentation saine.
Behavioural risk factors for non-communicable diseases among South African Durban-based refugees: a cross-sectional study.
Grace JM, Thabana MW
Glob Health Promot · 2024 Sep · PMID 38515345 · Full text
Behavioural risk factors for non-communicable diseases (NCDs) are rising among refugees, increasing chronic disease prevalence that causes morbidity and mortality. This study aimed to ascertain the prevalence, awareness...
Behavioural risk factors for non-communicable diseases (NCDs) are rising among refugees, increasing chronic disease prevalence that causes morbidity and mortality. This study aimed to ascertain the prevalence, awareness and management of behavioural risk factors for NCDs among South African Durban-based refugees. A once-off quantitative, cross-sectional design was conducted on the behavioural risk factors for NCDs among 122 randomly selected Durban-based refugees using a modified version of the World Health Organisation (WHO) STEPwise approach to NCDs surveillance (STEPS) instrument. Participants' awareness and management of risk factors for NCDs were determined with a behavioural NCD awareness and management of behavioural NCD risk factor questionnaire. Smoking and alcohol prevalence were 4.1% and 20.7%, respectively, with 40.8% consuming fewer than five servings of fruit and/or vegetables daily. Participants performed more than 150 min of moderate physical activity per week. A significant 30.8% ( < 0.001) was aware that consuming alcohol poses an extremely large risk, similarly for smoking (38.7%; < 0.001]. A significant 56.2% ( < 0.001) believe that regularly eating raw vegetables presents no risk, likewise for being physically active (51.7%; < 0.001). A significant 40.6% ( < 0.001) of the participants always drink water or non-alcoholic drinks to manage their alcohol consumption, 54.2% ( < 0.001) manage their unhealthy diet by sometimes filling half their plates with fruits and vegetables, and 49.2% manage their physical activity levels by sometimes choosing a range of physical activities ( < 0.001). Refugees' lack of awareness of behavioural risk factors for NCDs highlights the importance for health service providers to present health promotion programs to make refugees aware of their behavioural NCD's risk factors and how it impacts their health.
Impact of COVID-19 on individuals experiencing homelessness: Lessons learned and recommendations for practitioners.
Iwundu CN
Glob Health Promot · 2024 Sep · PMID 38459655 · Publisher ↗
The COVID-19 pandemic, which brought about unprecedented changes globally, shed light on the significant disparities faced by persons experiencing homelessness (PEH). These individuals faced an elevated risk of contracti...
The COVID-19 pandemic, which brought about unprecedented changes globally, shed light on the significant disparities faced by persons experiencing homelessness (PEH). These individuals faced an elevated risk of contracting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) due to factors such as lack of safe housing, limited access to hygiene and sanitation, and communal living situations. The unique challenges, vulnerabilities, and effects of COVID-19 on PEH is discussed, as well as lessons learned from these experiences, recommendations for practitioners, and the ongoing implications for addressing homelessness.
Developing a theory of change - the importance of rich process data and authors' insights into context, implementation and mechanisms.
Burchett HED, French RS, Griffin S … +3 more , de Melo M, Joaquim Picardo J, Kneale D
Glob Health Promot · 2024 Sep · PMID 38439155 · Full text
BACKGROUND: Theories of change explaining how interventions work are increasingly important, yet the methods/data to develop these are less advanced than for evaluating effects. METHODS: We conducted a systematic evidenc...
BACKGROUND: Theories of change explaining how interventions work are increasingly important, yet the methods/data to develop these are less advanced than for evaluating effects. METHODS: We conducted a systematic evidence synthesis to develop a theory of change for structural adolescent contraception interventions. We reflect on the utility of the information provided in evaluation reports. FINDINGS/DISCUSSION: Few of the included evaluations presented their theory of change, or included rich, qualitative process data. Authors' descriptions of context and implementation, typically in introduction and discussion sections, were very useful. These helped to understand the intervention's context, how it was experienced and why or how it had the effect that it did. We recommend incorporating rich process evaluations into studies, and reporting contextual insights into the intervention's development, implementation and experience. We also recommend including these data and insights within syntheses that aim to develop theories of change.
La equidad en la campaña de vacunación COVID de la Provincia de Buenos Aires (Argentina): un análisis del Municipio de Quilmes.
Spadea A, Oleiro Hidalgo M, Quevedo S … +5 more , Begue C, L'Arco G, Pérez A, Cueto G, Konfino J
Glob Health Promot · 2024 Sep · PMID 38293782 · Publisher ↗
INTRODUCCIÓN: la pandemia de la COVID-19 ha acentuado las desigualdades sociales, económicas y relacionadas con la salud, afectando desproporcionadamente a las personas en situación de vulnerabilidad y perpetuando la ine...
INTRODUCCIÓN: la pandemia de la COVID-19 ha acentuado las desigualdades sociales, económicas y relacionadas con la salud, afectando desproporcionadamente a las personas en situación de vulnerabilidad y perpetuando la inequidad en salud. En Argentina se implementó una campaña nacional gratuita de vacunación contra la COVID-19 con una perspectiva de equidad. OBJETIVO: identificar desigualdades territoriales en el acceso a la vacunación contra la COVID-19 en Quilmes. MÉTODOS: se analizó la información referida a la vacunación contra la COVID-19 de personas residentes en el Municipio. Se efectuó la georreferenciación de cada vacunatorio y de cada persona a partir del domicilio declarado en el momento de la vacunación. Para caracterizar el grado de vulnerabilidad de las personas vacunadas, a cada una se le asignó el índice de carencias múltiples (ICM) correspondiente al radio censal de residencia. RESULTADOS: al menos el 82 % de la población completó el esquema primario de vacunación (dosis 1 y dosis 2), porcentaje que alcanzó el 97 % en los mayores de 65 años. Analizando la media de dosis aplicadas se observa algo similar con un gradiente hacia los quintiles más altos pero con una mínima diferencia entre sí, situación que también se corrobora en todos los grupos etarios. DISCUSIÓN: no se observaron brechas significativas entre los diferentes niveles socioeconómicos. Si bien se observó un mínimo gradiente en el promedio de dosis recibidas, el tiempo de acceso a las diferentes vacunas y el porcentaje de esquemas primarios completos recibidos, las mismas tienen escasa relevancia clínica y sanitaria.
The influence of emotional reactions and compliance with Ministry of Health guidelines during the COVID-19 pandemic in Israel: a longitudinal study of gender differences.
Levkovich I, Shinan-Altman S
Glob Health Promot · 2024 Sep · PMID 38293755 · Full text
This study sought to examine gender differences in emotional reactions and compliance with Ministry of Health (MOH) guidelines during the COVID-19 pandemic in Israel, with the goal of gaining a deeper understanding of th...
This study sought to examine gender differences in emotional reactions and compliance with Ministry of Health (MOH) guidelines during the COVID-19 pandemic in Israel, with the goal of gaining a deeper understanding of these gender-related variations throughout the lockdown periods. A longitudinal study comprising 2509 participants was conducted during two of Israel's lockdowns: 1424 participants completed a questionnaire during the first lockdown (23 April-5 May 2020); of these, 1085 completed a follow-up questionnaire during the second lockdown (September 30-October 10, 2020). Participants exhibited higher levels of compliance with MOH guidelines (e.g., wearing face masks, maintaining social distancing) and knowledge about COVID-19 during the second lockdown, whereas they exhibited more negative emotional reactions during the first lockdown. Female participants scored higher than male participants on all measures. Multiple regression results showed that about 21% of the variance in compliance with MOH guidelines was explained by lockdown type (i.e., first or second), gender, and age, while knowledge and negative emotional reactions added another 19% to the explained variance. The results suggest that the impact of the pandemic on emotional reactions decreased over time, with people exhibiting greater compliance with MOH guidelines and more knowledge about COVID-19. Moreover, the behavioral and psychological impact of the pandemic was greater on women than on men. The results suggest that healthcare professionals should pay more attention to mental health issues during a pandemic. Moreover, policymakers should focus on women as a vulnerable group and suggest appropriate solutions to reduce their emotional distress. Furthermore, governments and employers should provide greater flexibility and support for single mothers during the pandemic. In addition, gender inequality during lockdowns may place women at greater risk of psychological distress.
Rethinking the World Health Organization's leadership of global health governance and the global health surveillance systems.
Alkhaldi M, Meghari H, AlBada M
Glob Health Promot · 2024 Sep · PMID 38287270 · Full text
Global health governance is a strategic priority for the World Health Organization (WHO), and the public health surveillance system (PHSS) is a fundamental element of the global health governance structure to timely iden...
Global health governance is a strategic priority for the World Health Organization (WHO), and the public health surveillance system (PHSS) is a fundamental element of the global health governance structure to timely identify emerging diseases and guide global public health decisions and actions. This analysis explores the overall landscape of global health governance, with a specific focus on the PHSS to understand whether the existing governance landscape facilitates or undermines the WHO's ability to formulate and implement global health policies and initiatives. To achieve this, the existing evidence was reviewed, and synthesized with the experts' perspectives. It is reported that fragmentation is the main drawback of the global health governance landscape, necessitating reorganization and restructuring. The disintegration of PHSS at the global, regional and local levels is associated with a lack of leadership, misalignment with global health priorities, imbalance in coverage of surveillance systems, inadequate innovative technology and digitalization, and fragmented data and information systems. The fragmentation and disintegration of global health governance undermine the effectiveness of the WHO's global health strategic directions and programmes and hinder its ability to govern and guide the global, regional and national public health emergency response. Strategic rethinking of the WHO's governance is essential because strong governance and leadership lead to a robust, aligned and effective PHSS.
The specter of race in global Covid-19 responses: the future is decolonial.
Phiri MZ
Glob Health Promot · 2024 Jun · PMID 38262971 · Full text
The Covid-19 pandemic reified pre-existing inequalities predicated on anti-Black racism, imperial geographical cartography, and the violent language of biomilitarism. In this reflective essay I deploy tools of historical...
The Covid-19 pandemic reified pre-existing inequalities predicated on anti-Black racism, imperial geographical cartography, and the violent language of biomilitarism. In this reflective essay I deploy tools of historical sociology to underscore the importance of race, racism, racialization, and global responses to pandemics. I considerer the following questions. First, how can world society develop ideas and concepts for the imagination of a post-imperial global health regime? Second, can alternative futures be imagined if the monopolistic control of power, global scientific processes and knowledge regime is framed around a problematic lexicography of a Eurocentric totalizing project of being human? Lastly, if there is a scientific consensus that we need alternative futures, what kinds of knowledge is needed to bring about a post-imperial liberated order? The future of global health regime is a decolonial one predicated on a new biopolitics. I provide four paradigmatic approaches to subvert imperial global health: (i) pivoting ecocide in the imperial global health regime; (ii) abandonment of a Eurocentric conceptualization of racial hierarchy and modernity; (iii) disbanding the commodification of public health; and (iv) organizing a new world order through health reparations.
Género, infodemia y desinformación en salud. Revisión de alcance global, vacíos de conocimiento y recomendaciones.
Moyano DL, Agulló-Tomás MS, Zorrilla-Muñoz V
Glob Health Promot · 2024 Jun · PMID 38183208 · Publisher ↗
OBJETIVO: explorar el estado de la literatura científica sobre los aspectos de infodemia y desinformación en salud vinculados al género y a la interseccionalidad, detectar vacíos de conocimiento y brindar recomendaciones...
OBJETIVO: explorar el estado de la literatura científica sobre los aspectos de infodemia y desinformación en salud vinculados al género y a la interseccionalidad, detectar vacíos de conocimiento y brindar recomendaciones. MÉTODOS: revisión de alcance global, con la detección de vacíos de conocimiento y recomendaciones. Se buscó en ocho bases de datos: MEDLINE (Pubmed), Anthropological Index Online, Studies on Women & Gender Abstracts, LILACS, Scielo, Global Index Medicus, Web of Science, Google académico y se hizo una búsqueda manual en Google de documentos de los últimos 10 años, sin restricciones de idioma y geográficas. Se realizó un análisis de contenido de los estudios incluidos. RESULTADOS: 855 registros fueron identificados y 21 cumplieron con los criterios de inclusión. Predominan los estudios que tuvieron como primer autor/a una mujer (13/21), aunque en la autoría global se destacaron los hombres (10/21). El modelo binario fue el enfoque principal (16/21). La mayoría (18/21) se publicaron a partir del 2020. Se abordaron principalmente temas relacionados con la COVID-19 y la salud sexual y reproductiva (antes de la pandemia), y en menor medida la salud mental. Se identificaron interacciones entre diferencias de sexo/género en la desinformación/infodemia en salud especialmente en mujeres, colectivos de género diverso, personas mayores y población de bajo nivel socioeducativo. CONCLUSIONES: existen brechas de conocimiento en el tema explorado, con escaso número de estudios, y limitaciones de alcances y del enfoque de género y/o feminista (más allá del binario). No obstante, los resultados tentativos constatan la presencia de inequidades de género e interseccionalidad en la desinformación en salud. PALABRAS CLAVE: infodemia, desinformación, género, COVID-19, revisión sistemática.
Educational interventions for promoting sexual and reproductive health in school counselors: a three-arm, randomized control trial comparing lecturing, buzz group and role-play.
Alavi-Arjas F, Firouzabadi M, Farnam F … +5 more , Balvardi M, Taheri M, Riazi H, Pourramezani N, Keshavarz Z
Glob Health Promot · 2024 Sep · PMID 38183185 · Publisher ↗
BACKGROUND AND OBJECTIVE: School-based sexual and reproductive health (SRH) education is often reported as being inadequate and/or inconsistent. This study aimed to investigate the educational interventions for promoting...
BACKGROUND AND OBJECTIVE: School-based sexual and reproductive health (SRH) education is often reported as being inadequate and/or inconsistent. This study aimed to investigate the educational interventions for promoting SRH in school counselors and compare the results in three groups: lecturing, buzz group and role-play. MATERIALS AND METHODS: An intervention quasi-experimental design was employed to evaluate the usefulness of educating SRH topics by using interactive teaching methods for 120 school counselors. Changes in the participants' knowledge, attitudes and self-efficacy toward SRH education were evaluated by each group using a pretest and a posttest. RESULTS: The results of this study revealed that 75% of counselors deemed SRH training vital and felt that the best SRH educators are health care providers and the reason might be their lack of educational skills. They also stated that the most significant barriers to education in schools include concerns about parental feedback and lack of appropriate abilities. CONCLUSION: The present study showed that the use of all three methods (lecturing, buzz groups and role-play) in SRH training improves the level of knowledge, attitude and self-efficacy; although role-play could have been more effective than lecturing in improving counselors' knowledge.
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