Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals (Health Promot J Aust )

Publisher: Australian Association of Health Promotion Professionals; Australian Health Promotion Association

Description

  • Impact factor
    0.59
  • 5-year impact
    0.00
  • Cited half-life
    5.90
  • Immediacy index
    0.20
  • Eigenfactor
    0.00
  • Article influence
    0.00
  • Website
    Health Promotion Journal of Australia website
  • ISSN
    1036-1073
  • OCLC
    37169607
  • Material type
    Periodical
  • Document type
    Journal / Magazine / Newspaper

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Issue addressed Growing evidence shows that higher-density, mixed-use, pedestrian-friendly neighbourhoods encourage active transport, including transport-related walking. Despite widespread recognition of the benefits of creating more walkable neighbourhoods, there remains a gap between the rhetoric of the need for walkability and the creation of walkable neighbourhoods. Moreover, there is little objective data to benchmark the walkability of neighbourhoods within and between Australian cities in order to monitor planning and design intervention progress and to assess built environment and urban policy interventions required to achieve increased walkability. This paper describes a demonstration project that aimed to develop, trial and validate a 'Walkability Index Tool' that could be used by policy makers and practitioners to assess the walkability of local areas; or by researchers to access geospatial data assessing walkability. The overall aim of the project was to develop an automated geospatial tool capable of creating walkability indices for neighbourhoods at user-specified scales. Methods The tool is based on open-source software architecture, within the Australian Urban Research Infrastructure Network (AURIN) framework, and incorporates key sub-component spatial measures of walkability (street connectivity, density and land use mix). Results Using state-based data, we demonstrated it was possible to create an automated walkability index. However, due to the lack of availability of consistent of national data measuring land use mix, at this stage it has not been possible to create a national walkability measure. The next stage of the project is to increase useability of the tool within the AURIN portal and to explore options for alternative spatial data sources that will enable the development of a valid national walkability index. Conclusion AURIN's open-source Walkability Index Tool is a first step in demonstrating the potential benefit of a tool that could measure walkability across Australia. It also demonstrates the value of making accurate spatial data available for research purposes. So what? There remains a gap between urban policy and practice, in terms of creating walkable neighbourhoods. When fully implemented, AURIN's walkability tool could be used to benchmark Australian cities against which planning and urban design decisions could be assessed to monitor progress towards achieving policy goals. Making cleaned data readily available for research purposes through a common portal could also save time and financial resources.
    Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 12/2014;
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    ABSTRACT: Issues addressed Active travel can increase population levels of physical activity, but should be promoted equitably. Socio-economic advantage, housing location and/or car ownership influence walking and cycling (active travel) for transport. We examined active commuting over time in the Sydney Greater Metropolitan Region, and associations between active commuting and socioeconomic advantage, urban/rural location and car ownership at a Local Government Area (LGA) level across New South Wales (NSW). Methods Journey to work data from the 2001, 2006 and 2011 Australian Census were examined. Associations between levels of active commuting in each LGA in NSW and the Socio-Economic Index for Areas (SEIFA), Accessibility/Remoteness Index of Australia (ARIA) and car ownership were examined using negative binomial regression modelling. Results Between 2001 and 2011, active commuting increased in inner Sydney (relative increase of 24%), decreased slightly in outer Sydney (declined 5.1%) and declined in the Greater Metropolitan Region (down 15%). Overall, active commuting increased slightly (6.8% relative increase). After adjusting for the LGA age and sex profile and all other LGA variables, people living in NSW LGAs with high socioeconomic status, more rural areas and low car ownership were more likely to cycle or walk to work. Conclusions More needs to be done in NSW to increase levels of active commuting consistently across regions and socio-demographic groups. So what? Despite small increases in active travel in the Sydney region, active travel patterns are not evenly distributed across locations or populations.
    Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 12/2014;
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    ABSTRACT: Issue addressed This study examined the association between domains of quality of life (QoL) and the frequency of cycling by men and women. Method A cross-sectional survey of 846 healthy adults in Sydney, Australia measured cycling behaviour and self-reported QoL. Participants were aged 18-55 years and were living within 5km of the centre. Cycling frequency for all purposes was recorded as weekly, less than weekly or never cycling. QoL was measured using the four QoL domains of the WHOQOL-BREF: physical psychological, social and environment. Linear regression was used to assess the association between cycling and QoL. Results Among men, at least weekly cycling was associated with physical QoL (P=0.002) and any cycling was positively associated with psychological wellbeing (at least weekly P=0.01, less than weekly P=0.01) after adjusting for age, education and income. No significant associations were observed for women. Conclusion Frequent cycling was associated with higher physical and psychological QoL in men, but not among women in this sample. No relationship was observed between cycling and the environment and social QoL domains. So what? These findings suggest that cycling offers physical and psychological QoL benefits for men.
    Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 12/2014;
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    ABSTRACT: Children walking to school, people cycling to the shops or work and neighbours chatting in the street, these are some of the gauges of an active and healthy community that can be achieved through utilising good design principles. But are these principles being applied in urban developments or are policy-makers following a 'path dependent' trajectory that severely limits the best practice outcomes sought? This review examines current research on path dependence to determine how this concept advances our understanding of barriers to change in the built environment, active transport and healthy communities. An online database search of scholarly bibliographic records identified 22 relevant articles for a critical review of studies that evaluated path dependence in the urban and built environment literature with a focus on transport, urban planning and health. A thematic analysis of the articles showed that different types of path dependence have contributed to the dominance of policies and designs supporting car-based transport to the detriment of public transport and active transport modes, leading to sub-optimal development patterns becoming 'locked-in'. However, the outcomes for active transport and physical activity are not all dire, and path dependence theory does provide some guidance on changing policy to achieve better outcomes. This review suggests that path dependence is one of the best theoretical frameworks to help health promoters understand barriers to change and can provide insights into developing future successful public health interventions. Future studies could focus further on active transport, local neighbourhood development and physical activity.
    Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 12/2014;
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    ABSTRACT: Issue addressed Complete Health Improvement Program (CHIP) is a lifestyle modification program that promotes healthy diet, physical activity and stress management techniques. Among US CHIP participants, differences in gender responsiveness to improvements in chronic disease risk factors were demonstrated. This study examined gender differences in outcomes to the CHIP intervention in Australasia. Methods Changes in body weight, blood pressure (BP), blood lipid profile and fasting plasma glucose (FPG) were assessed in 925 participants (34.3% men, mean age=56.0±12.5 years; 65.7% women, mean age=54.4±13.5 years) 30 days after program commencement. Results Significant reductions (P<0.001) in all biometrics measured were found for men and women but were greater among men for total (TC) and low-density lipoprotein cholesterol (LDL), triglycerides (TG), FPG, body mass index (BMI) and TC/high-density lipoprotein cholesterol (HDL) ratio. Participants with highest baseline classifications of BMI, systolic BP, blood lipids and FPG showed greatest reductions in 30 days. Conclusions CHIP more effectively reduced chronic disease risk factors among men than women. All participants, but particularly men, entering the program with the greatest risk achieved the largest reductions. Possible physiological or behavioural factors include food preferences, making commitments and differential support modes. So what? Developers of lifestyle intervention programs should consider gender differences in physiological and behavioural factors when planning interventions. In particular, developers should manage expectations of people entering lifestyle interventions to increase awareness that men tend to respond better than women. In addition, this is a call for further research to identify the underlying mechanisms responsible for the disproportionate responsiveness of males.
    Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 12/2014;
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    ABSTRACT: Issues Addressed Neighbourhood characteristics have been linked to a range of health outcomes, including mental health. Despite the growth of master planned estates (MPEs) within Australia, few studies have investigated the physical and social correlates of mental health in residents of new housing developments. Methods This study aimed to identify the facilitators of, and barriers to, mentally healthy neighbourhoods using focus groups with residents of MPEs in metropolitan Perth, Western Australia. Focus group interviews were analysed using qualitative research software package QSR NVivo. Results and Conclusions Results suggest that mental health is strongly influenced by a sense of community and security, as well as an aesthetically pleasing environment. Residents of MPEs may experience a strong sense of community due to similarities in life-stage and the community building efforts of property developers. Expanding population size, social exclusion, and insufficient services may negatively affect the mental health of residents in MPEs. So what? Identifying correlates of mentally healthy neighbourhoods may help urban planners design residential areas that promote healthy living.
    Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 12/2014;
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    ABSTRACT: Issue addressed Although pole walking (PW) has the potential to be a useful health-enhancing physical activity (PA), little is known about by whom or how it is being practised. The aims of this study were to describe (1) the characteristics of PW leaders, pole walkers and PW programs in Australia, and (2) participants' perceptions of PW and their reasons for participation. Methods In 2012, PW leaders (n=31) and walkers (n=107) completed self-administered surveys that included questions about participants' sociodemographic and health characteristics, PW programs and perceptions of PW. Data were analysed using SPSS. Results Leaders and walkers were generally born in Australia (leaders, 71%; walkers, 83%), older (leaders, 55 years [s.d. 11.5]; walkers, 65 years [s.d. 10.6]) and female (leaders, 77%; walkers, 79%). Most walkers (82%) walked regularly in groups, approximately once per week for about an hour, at light to moderate intensity. The program's aims most strongly endorsed by PW leaders were to increase participant enjoyment (90%), increase PA levels (81%), provide a positive social experience (77%) and increase PA confidence (71%). The most strongly endorsed motivations for PW among walkers were to remain physically active (63%), improve fitness (62%) and personal and social enjoyment (60%). Conclusions In Australia, PW is being practised by a health conscious, older population. It is perceived as an enjoyable and health-enhancing outdoor activity. So what? Health and exercise practitioners may find that PW is a beneficial form of PA for older Australians.
    Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 12/2014;
  • Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 12/2014;
  • Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 12/2014;
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    ABSTRACT: Issues addressed This project addressed the sexual health and well being of youth in Samoa; a key at-risk group experiencing high rates of sexually transmitted infections (STIs) and alienation from sexual health services. Methods Love Bugs included a health promotion event held at the National University of Samoa (NUS), exposing young people to sexual health information and developing personal skills and building self-efficacy around healthy relationships, communication and safer sex. A survey provided insights into participants' knowledge and perceptions of sexual health, STIs and healthy relationships. In response to survey results, six free condom dispensers were installed at NUS. Results Love Bugs exposed over 500 Samoan youth to positive sexual health information and provided an opportunity for personal skill development with regard to protecting sexual health and well being. Condom dispensers were developed and installed on the university campus for the ongoing access by students without concern of cost or embarrassment. Strong partnerships were built between key community and government stakeholders that encouraged collaborative action towards protecting sexual health and well being of Samoan youth. Conclusions Love Bugs was a successful initiative which addressed sexual health and well being of young people in Samoa. A comprehensive evaluation should be undertaken. So what? Love Bugs highlighted creative and culturally-appropriate ways to address sexual health in the Pacific. Rates of STIs and unplanned pregnancies, particularly for youth, could be reduced through investment in the implementation and evaluation of such initiatives.
    Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 12/2014;
  • Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 12/2014;
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    ABSTRACT: Issue Addressed Using the known health impacts of physical activity (PA), levels of incidental PA in Melbourne were analysed, and after determining key behavioural associations, economic modelling estimated potential long-term health and economic benefits of changes in active transport (AT) patterns. Methods A cross-sectional survey (VISTA07-08) obtained daily travel data from 29840 individuals of all ages in Melbourne evenly spread over 364 days of the year. Correlates of adequate PA were analysed. The health and economic impact of changes in AT from postulated changes in (1) mode of transport, and (2) transport use by urban sub-region, were modelled. Results 15.1% of individuals had adequate incidental PA. Private vehicle users averaged 10.0min PA, public transport users 35.2min and walkers/cyclists 38.3min daily. Distance from city centre was strongly inversely correlated with adequate PA. Conservative modelling of postulated changes in AT patterns found annual savings of 34-272 deaths, 114-903 new cases of disease and 442-3511 DALYs. Lifetime savings accounted for 17300-70100 days of home-based/leisure time production, and savings of $1.5-12.2million in the health sector and $2.9-22.9million in production. Conclusions Public transport users, walkers, cyclists and those living closer to the city centre were more likely to gain travel-related PA sufficient for health benefits. Both transport mode and urban location were associated with levels of travel-related PA that have significant health and financial impacts. So what? Improving population levels of incidental PA may improve health and economic outcomes. This may require changes in urban and transport infrastructure.
    Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 12/2014;
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    ABSTRACT: As populations across the globe face an increasing health burden from rising rates of obesity, diabetes and other lifestyle-related diseases, health professionals are collaborating with urban planners to influence city design that supports healthy ways of living. This paper details the establishment and operation of an innovative, interdisciplinary collaboration that brings together urban planning and health. Situated in a built environment faculty at one of Australia's most prestigious universities, the Healthy Built Environments Program (HBEP) partners planning academics, a health non-government organisation, local councils and private planning consultants in a state government health department funded consortium. The HBEP focuses on three strategic areas: research, workforce development and education, and leadership and advocacy. Interdisciplinary research includes a comprehensive literature review that establishes Australian-based evidence to support the development, prioritisation and implementation of healthy built environment policies and practices. Another ongoing study examines the design features, social interventions and locational qualities that positively benefit human health. Formal courses, workshops, public lectures and e-learning develop professional capacity, as well as skills in interdisciplinary practice to support productive collaborations between health professionals and planners. The third area involves working with government and non-government agencies, and the private sector and the community, to advocate closer links between health and the built environment. Our paper presents an overview of the HBEP's major achievements. We conclude with a critical review of the challenges, revealing lessons in bringing health and planning closer together to create health-supportive cities for the 21st century.
    Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 12/2014;
  • Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 09/2014;
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    ABSTRACT: The paper is available on open access http://www.publish.csiro.au/paper/HE14044.htm Issue addressed: Food insecurity in remote Western Australian (WA) Indigenous communities. This study explored remote community store managers’ views on issues related to improving food security in order to inform health policy. Method: A census of all remote WA Indigenous community store managers was conducted in 2010. Telephone interviews sought managers’ perceptions of community food insecurity, problems with their store, and potential policy options for improving the supply, accessibility, affordability and consumption of nutritious foods. Descriptive analyses were conducted using SPSS for Windows version 17.0. Results: Managers stated that freight costs and irregular deliveries contributed to high prices and a limited range of foods. Poor store infrastructure, compromised cold chain logistics, and commonly occurring power outages affected food quality. Half of the managers said there was hunger in their community because people did not have enough money to buy food. The role of nutritionists beyond a clinical and educational role was not understood. Conclusions: Food security interventions in remote communities need to take into consideration issues such as freight costs, transport and low demand for nutritious foods. Store managers provide important local knowledge regarding the development and implementation of food security interventions. So what?: Agencies acting to address the issue of food insecurity in remote WA Indigenous communities should heed the advice of community store managers that high food prices, poor quality and limited availability are mainly due to transport inefficiencies and freight costs. Improving healthy food affordability in communities where high unemployment and low household income abound is fundamental to improving food security, yet presents a significant challenge.
    Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 09/2014;
  • Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 09/2014;
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    ABSTRACT: Issue addressed Since 2005, all states and territories across Australia have progressively introduced policy guidelines to promote nutritious food sales in school canteens. This study aimed to assess the compliance of school canteens with their state or territory canteen guidelines. Methods School canteen menus from a convenience sample of online government school websites were assessed for compliance with guidelines for the inclusion of foods meeting the criteria for 'red' ('not recommended' or 'only occasional - no more than twice per term'), 'amber' ('select carefully') and 'green' ('always on the menu', 'everyday', 'fill the menu' or 'plenty'). The costs of a salad and a regular pie were also collected where present. Results A total of 263 school menus were sourced and assessed (4% of government schools). Western Australia was the most compliant, with 62% of menus adhering to the state guidelines; compliance in other jurisdictions ranged from 5-35%. Compared with primary schools, a higher proportion of secondary schools offered 'red' items on the menu (P<0.05). The mean cost of a regular pie (A$3.17±0.51) was significantly cheaper than the cost of a salad (A$4.25±0.82) (P<0.001). A range of discretionary food items were present on a large proportion of menus. Conclusion This study found that the majority of school canteens were not complying with relevant state or territory guidelines, particularly those schools in which no monitoring or enforcement of the guidelines was conducted. So what? Monitoring and enforcement by those responsible for the policy, together with efforts to build the capacity for schools and manufacturers to improve the food supply, may increase compliance.
    Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals 09/2014; 25(2):110-5.