We need a comprehensive approach to health promotion

Jancey, Jonine; Barnett, Lisa M.; Smith, James A.; Binns, Colin; Howat, Peter

doi:10.1071/hev27n1_ed

Cited by 20 publications

(21 citation statements)

References 10 publications

(10 reference statements)

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“…There is demonstrated effectiveness of group-based physical activity programs; 11,25 such practice is recommended in combination with approaches to improve broader, structural determinants of health. 26 We found program aims predominantly focussed on physical activity to prevent or treat chronic diseases that are the major cause of the gap in life expectancy. 1 However, the Indigenous Chronic Disease Package (ICDP) which focussed comprehensively on both the prevention and management of chronic diseases existed only from [2009][2010][2011][2012][2013].…”

Section: Discussionmentioning

confidence: 99%

A snapshot of physical activity programs targeting Aboriginal and Torres Strait Islander people in Australia

Macniven

Elwell

Ride

et al. 2017

Health Prom J of Aust

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Issue addressed: Participation in physical activity programs can be an effective strategy to reduce chronic disease risk factors and improve broader social outcomes. Health and social outcomes are worse among Aboriginal and Torres Strait Islanders than non-Indigenous Australians, who represent an important group for culturally specific programs. The extent of current practice in physical activity programs is largely unknown. This study identifies such programs targeting this population group and describes their characteristics. Methods: Bibliographic and Internet searches and snowball sampling identified eligible programs operating between 2012 and 2015 in Australia (phase 1). Program coordinators were contacted to verify sourced information (phase 2). Descriptive characteristics were documented for each program. Results: A total of 110 programs were identified across urban, rural and remote locations within all states and territories. Only 11 programs were located through bibliographic sources; the remainder through Internet searches. The programs aimed to influence physical activity for health or broader social outcomes. Sixty five took place in community settings and most involved multiple sectors such as sport, health and education. Almost all were free for participants and involved Indigenous stakeholders. The majority received Government funding and had commenced within the last decade. More than 20 programs reached over 1000 people each; 14 reached 0-100 participants. Most included process or impact evaluation indicators, typically reflecting their aims. Conclusion: This snapshot provides a comprehensive description of current physical activity program provision for Aboriginal and Torres Strait Islander people across Australia. The majority of programs were only identified through the grey literature. Many programs collect evaluation data, yet this is underrepresented in academic literature.So what? Capturing current practice can inform future efforts to increase the impact of physical activity programs to improve health and social indicators. Targeted, culturally relevant programs are essential to reduce levels of disadvantage experienced by Aboriginal and Torres Strait Islanders.

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Section: Discussionmentioning

confidence: 99%

A snapshot of physical activity programs targeting Aboriginal and Torres Strait Islander people in Australia

Macniven

Elwell

Ride

et al. 2017

Health Prom J of Aust

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“…Health promotion scholarship, existing alcohol harm minimisation strategies and emerging evaluations tell us that more comprehensive approaches to reduce alcohol consumption in Australia are required . Ideally, these need to involve a suite of complementary strategies—including health education, social marketing, provision of health information and concurrent action on the social determinants of health—in parallel to policy and legislation innovation.…”

Section: Resultsmentioning

confidence: 99%

Emerging alcohol policy innovation in the Northern Territory, Australia

Smith

Livingston

Stevens

et al. 2019

Health Prom J of Aust

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“…1 A few examples of these initiatives include the introduction of compulsory wearing of seat belts in motor vehicles, vaccinations, 1 fluoridation of water 2 and ongoing tobacco control. However, operating in parallel, are social movements aiming to impose less rational restrictions that can be retrogressive.…”

mentioning

confidence: 99%

“…36,37 Care is needed by health professionals that we are not misled by the vested industry's call to focus on 'education programs', as education alone without the relevant organisational, economic and political actions of a comprehensive approach to health promotion will be ineffective. 1 Reduced support for health promotion and disease prevention programs must be lobbied against as we increasingly see funds released to hospitals, a short sighted policy, or perhaps a response to industry pressures. 39 For example, recently, the West Australian Government only invested $2.1million in prevention out of a health budget of~9 billion.…”

mentioning

confidence: 99%