Abstract:
:General practitioners (GPs) play a key role in reducing the hidden HIV-epidemic, but many diagnostic opportunities are missed in primary care. This study aimed at informing the development of an HIV-testing intervention for GPs in Flanders (Belgium) using formative research with a participatory approach. Through the active involvement of an advisory board and 16 group discussions with 122 Flemish GPs, GPs' current HIV-testing practices and perceived practical relevance of 2 distinct HIV-testing strategies (i.e. provider-initiated testing of key populations and indicator condition-based testing) were explored in terms of their relevance and feasibility in routine primary care. Self-reported HIV-testing practices revealed that most tests performed were patient-initiated, pretest counseling was rarely done, and post-test counseling was offered mainly for patients with an HIV-diagnosis. GPs reported multiple barriers to provider-initiated HIV-testing, i.e. personal discomfort, fear of offending their patient, limited knowledge of benefits of early HIV-diagnosis, misconceptions about HIV-risks, lack of guidelines and time. Difficulties to identify patient's sexual orientation or ethical concerns were mentioned as barriers for target group-based HIV testing. GPs assessed the current list of 64 indicator conditions as too difficult to integrate in routine care, deeming a reduced list of GP-relevant conditions as more feasible. Combined strategies (i.e. target group- and indicator-based testing) supported by official screening recommendations were perceived as successful strategies for provider-initiated HIV-testing in primary care. This formative research delivered qualitative evidence for the development of an HIV-testing intervention for primary care settings.
journal_name
Health Promot Intjournal_title
Health promotion internationalauthors
Apers H,Nöstlinger C,Van Beckhoven D,Deblonde J,Apers L,Verheyen K,Loos J,HERMETIC Study Group .doi
10.1093/heapro/daz037subject
Has Abstractpub_date
2020-04-01 00:00:00pages
301-311issue
2eissn
0957-4824issn
1460-2245pii
5485754journal_volume
35pub_type
杂志文章abstract:Background:In Australia, significant resources have been invested in producing health promotion best practice guidelines, frameworks and tools (herein referred to as health promotion tools) as a strategy to improve Indigenous health promotion programmes. Yet, there has been very little rigorous implementation research ...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daw049
更新日期:2018-02-01 00:00:00
abstract::Current mental health policy requires consumer involvement in all levels of health service management (i.e. planning, implementation, delivery and evaluation). However, current models often limit consumers to 'representation' roles that are criticized for silencing consumer views. This study compares understandings of...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daz070
更新日期:2020-08-01 00:00:00
abstract::Osteoporosis and its related fractures are major public health concerns. Physical activity (PA) is crucial for bone density preservation and fractures prevention. Yet, gaps in understanding exist regarding how ethno-cultural backgrounds might shape attitudes, intentions and actual PA participation. Based on the theory...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daaa030
更新日期:2020-04-11 00:00:00
abstract::This randomized controlled study was performed to evaluate the effectiveness of an educational program entitled 'Capacity building for community leaders in a healthy living environment,' and to assess the usefulness of a participatory style of education and the applicability of an intersectoral approach in the educati...
journal_title:Health promotion international
pub_type: 杂志文章,随机对照试验
doi:10.1093/heapro/dan035
更新日期:2008-12-01 00:00:00
abstract::Engaging men in mental health promotion can be difficult because of reticence about help-seeking, especially for gender neutral programmes. Developments in men's health research has pointed to the success of gender-sensitized programmes to increase men's engagement in healthy lifestyle interventions targeting physical...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daaa120
更新日期:2020-11-27 00:00:00
abstract::This paper examines the factors that have enabled the Healthy Cities Noarlunga (HCN) initiative to be sustainable over 18 years (1987-2005). Sustainability related to the ability of the initiative to continue to operate continuously in a manner that indicated its existence was accorded value by the community and local...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dal023
更新日期:2006-12-01 00:00:00
abstract::There are a number of published studies on workplace suicide prevention activities, and an even larger number of activities that are not reported on in academic literature. The aim of this review was to provide a systematic assessment of workplace suicide prevention activities, including short-term training activities...
journal_title:Health promotion international
pub_type: 杂志文章,评审
doi:10.1093/heapro/dau085
更新日期:2015-03-01 00:00:00
abstract::This paper highlights the importance of understanding management theories to development of the settings approach to health promotion. It then provides an overview of two areas of especial pertinence: organization development and systems thinking. This is followed by the articulation of the Healthy Living and Working ...
journal_title:Health promotion international
pub_type: 杂志文章,评审
doi:10.1093/heapro/dah510
更新日期:2005-03-01 00:00:00
abstract::A holistic well-being approach, understood as an approach that pays attention to the promotion of individual, relational and collective well-being in a particular context, is proposed as a way to address the fragmented nature in which mental health and well-being programmes are implemented in school communities in Sou...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daz060
更新日期:2020-08-01 00:00:00
abstract::School food policies and services have the potential to influence the food practices and eating behaviours of adolescents which in turn may affect their lifestyles and health in adulthood. The aim of this qualitative investigation was to describe the opinions of adolescents, their parents, nutrition educators and scho...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daw053
更新日期:2017-04-01 00:00:00
abstract::While there is a recognized link between high levels of exposure to advertising of unhealthy foods and overweight and obesity among children, there is little research on the extent to which these exposures include persuasive marketing techniques. This study aimed to measure children's exposure to the use of persuasive...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dan023
更新日期:2008-12-01 00:00:00
abstract::This study attempts to develop and verify the effectiveness of a health promotion program for office workers based on the social ecological model and the World Health Organization's Healthy Workplace Framework. This study involved 272 office workers of a small and medium-sized enterprise in Korea. Data were analyzed t...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daaa007
更新日期:2020-12-01 00:00:00
abstract::This article revisits our 1995 assessment of the international health promotion agenda. Then we concluded that a more radical agenda for change was required in which responses were both technically sound and infused with an appreciation of the imperative for a change in politics and power. We conclude that this messag...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dar078
更新日期:2011-12-01 00:00:00
abstract::The aim of the present study was to clarify the structural relationship between health-related habits and psychosocial factors during adolescence/early adulthood. An anonymous, self-administered questionnaire was provided to 1141 third- and fourth-year students at eight academic departments from six universities in re...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dax077
更新日期:2019-04-01 00:00:00
abstract::Environmental tobacco smoke exposure is an important health risk for small children. The development, spread and evaluation of a national child health-centre-based counselling method targeting environmental tobacco smoke is described. The work progressed in six steps. In a first step, accomplished in 1994, it was foun...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/16.3.245
更新日期:2001-09-01 00:00:00
abstract::Intersectoral policymaking to improve public health includes integrated health promotion (HP) intervention packages that address a variety of health behavior determinants. The involvement of different partners is assumed to be necessary to implement such integrated packages. We examined how partnership diversity was a...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daaa083
更新日期:2020-08-27 00:00:00
abstract::Using cluster analytical procedure, this study aimed (i) to determine whether people could be differentiated on the basis of coping profiles (or unique combinations of coping strategies); and (ii) to examine the relationships between these profiles and perceived stress and health-related behaviors. A sample of 578 Fre...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dau090
更新日期:2015-03-01 00:00:00
abstract::Unhealthy lifestyle behaviors, namely poor diet and inadequate physical activity, significantly contribute to poor health and obesity risk, which in turn impact chronic illness outcomes. A possible approach to improving these health behaviors and subsequent outcomes is to capitalize on the theorized link between socia...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/day009
更新日期:2019-06-01 00:00:00
abstract::Over their lifecourse, young adults develop different skills and preferences in relationship to the information sources they seek when having questions about health. Health information seeking behaviour (HISB) includes multiple, unequally accessed sources; yet most studies have focused on single sources and did not ex...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daw094
更新日期:2018-06-01 00:00:00
abstract::Being overweight or obese is a major risk factor for developing type 2 diabetes but weight loss through lifestyle interventions can markedly reduce its incidence. The Internet provides an opportunity for the development and implementation of lifestyle intervention programs that promote self-managed behavioural change....
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dai006
更新日期:2005-09-01 00:00:00
abstract::The goal of the study is to investigate possible predictors of positive mental health, and whether they differ across sexual identity adult groups. Using data from the 2012 Canadian Community Health Survey on Mental Health, multivariate analyses were conducted, including interaction terms, to assess the effects of sex...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dax016
更新日期:2018-08-01 00:00:00
abstract::Education and literacy are important aspects of health promotion. The potential for health literacy to promote healthier choices has been widely examined, with studies variously incorporating food literacy, nutrition literacy and/or media literacy as components of health literacy, rather than treating each as unique c...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daz007
更新日期:2020-04-01 00:00:00
abstract::Facilitating community action is a key goal of health promotion. This paper describes a public health advocacy framework. It then presents a case study of its application for planning community action by a community alliance concerned about increased heavy traffic on roads through a small regional city in the South We...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dal027
更新日期:2006-12-01 00:00:00
abstract::Type 2 diabetes is the most common type of diabetes, with a prevalence of at least 4% in Sweden. Aiming at primary prevention of the disease, the Stockholm Diabetes Prevention Program (SDPP) was developed as a joint program between the Departments of Endocrinology, Social Medicine and Epidemiology at the Karolinska In...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/17.4.317
更新日期:2002-12-01 00:00:00
abstract::Research has demonstrated that living in a deprived neighborhood contributes to the occurrence and development of poor health. Furthermore evidence shows that social networks are fundamental resources in preventing poor mental health. Neighborhood relationships and networks are vital for sustaining and improving quali...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dax051
更新日期:2018-12-01 00:00:00
abstract::Low utilization of palliative care services by Māori remains despite increases in services designed to meet Māori needs. The purpose of this study is to explore palliative care information brochures in the context of Māori principles of well-being and communication protocols, and health literacy. We examined 99 brochu...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dav067
更新日期:2016-12-01 00:00:00
abstract::This paper describes the development, implementation and evaluation of a school- and family-based intervention to prevent obesity in children aged 5-7 years. In addition, the efficacy of three different intervention programmes was compared. Children aged 5-7 years (n=213) were recruited from three primary schools in O...
journal_title:Health promotion international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/heapro/dag402
更新日期:2003-12-01 00:00:00
abstract::Evidence shows that regular physical activity is enhanced by supporting environment. Studies are needed to integrate research evidence into health enhancing, cross-sector physical activity (HEPA) policy making. This article presents the rationale, study design, measurement procedures and the initial results of the fir...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dav002
更新日期:2016-06-01 00:00:00
abstract::Despite socio-economic, demographic and epidemiological facts and realities that point to a potential risk for explosion in the prevalence of childhood mental health problems in sub-Saharan Africa, there is still a severe dearth of child and adolescent mental health (CAMH) policy or strategy to respond to the situatio...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dau065
更新日期:2017-04-01 00:00:00
abstract::The World Health Organization (WHO) has been a strong and persistent voice calling for the recognition of the role of health in development and of the impact of socio-economic development on health. Health impact assessment (HIA) is one mechanism that can be used to achieve this goal. The objective of this paper is to...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dap056
更新日期:2009-11-01 00:00:00