Health Promotion Journal of Australia Health Promotion Journal of Australia Society
Journal of the Australian Health Promotion Association

Health Promotion Journal of Australia

Health Promotion Journal of Australia

Volume 28 (3) will be the final issue of the Health Promotion Journal of Australia published by CSIRO Publishing. All submissions should be via the online submission system and enquiries should now be directed to Rosie Duffy, Journal Publishing Manager, at

Health Promotion Journal of Australia facilitates communication between researchers, practitioners and policy makers involved in health promotion activities. Read more about the journalMore

Editor-in-Chief: Jonine Jancey

Current Issue

Health Promotion Journal of Australia

Volume 28 Number 2 2017

HE16026Impact of increasing social media use on sitting time and body mass index

Stephanie Alley, Pauline Wellens, Stephanie Schoeppe, Hein de Vries, Amanda L. Rebar, Camille E. Short, Mitch J. Duncan and Corneel Vandelanotte
pp. 91-95

Social media use is on the rise, but we have little understanding of its impact on sitting time and body mass index (BMI). Our findings demonstrate that computer sitting in leisure time and total sitting on non-workdays increase with social media use. Social media use may therefore be negatively affecting health.

HE16020Establishing a sustainable childhood obesity monitoring system in regional Victoria

Nicholas Crooks, Claudia Strugnell, Colin Bell and Steve Allender
pp. 96-102

Infrequent monitoring has led to uncertainty about trends in childhood obesity prevalence. Our aim was to establish a sustainable childhood obesity monitoring system in regional Australia using a passive (opt-out) consent process and employing a census-style sampling technique. This system has the potential to provide sustainable monitoring of childhood obesity, which is vital to understanding the problem of childhood obesity in this region.

HE16021Evaluation of a pilot school-based physical activity challenge for primary students

E. Passmore, C. Donato-Hunt, L. Maher, R. Havrlant, K. Hennessey, A. Milat and L. Farrell
pp. 103-109

The Culture Health Communities Activity Challenge aims to encourage physical activity in primary students, with a focus on engaging Aboriginal students. Participation in the Challenge was associated with increased physical activity and decreased screen time. Students and teachers also reported positive social and educational outcomes. The findings demonstrate that school-based physical activity programs can be engaging for classes with high proportions of Aboriginal students.

HE15134Local community playgroup participation and associations with social capital

Cecily Strange, Alexander Bremner, Colleen Fisher, Peter Howat and Lisa Wood
pp. 110-117

Parents of young children need opportunities to build community connections and social support networks where they live. Parents who participated in locally placed playgroups were more connected to their local community than parents who participated in playgroups outside their local residential area. Locally placed playgroups have the potential to foster local community connectedness for families with young children.

Fly-in, fly-out (FIFO) work can be associated with mental-health, personal and family-related issues, challenging the well being of workers. This study evaluated whether a 24/7 onsite chaplaincy service can mitigate some of the adverse effects of FIFO work. We found that the proactive outreach approach of chaplains offered effective support, benefitting the health and well being of FIFO employees

The rate of gestational diabetes mellitus (GDM) for Asian-born women is higher than for other groups. A qualitative interpretive design was used to explore Southeast Asian migrant women’s experience and management of GDM at two Sydney hospitals. They likened their experience of GDM to an elevator ride, which was modulated by ‘insulin’ and ‘information’ to control the disease and manage blood glucose levels, dietary levels, exercise levels and anxiety levels. Better understanding of cultural interpretations may help health professionals support women with GDM.

Aboriginal young people may experience high rates of family violence and poorer reproductive and sexual health than their non-Aboriginal counterparts. To address some of the disparities, the Strong Family Program was developed, based on an extensive consultation process with Aboriginal communities, to deliver reproductive and sexual health promotion and education to Aboriginal communities in New South Wales. Participation increased reproductive and sexual health knowledge and positive attitudes. Health promotion and education with Aboriginal communities should be based on community consultations and carried out within a culturally appropriate framework to promote greatest success.

HE16054Sitting ducks face chronic disease: an analysis of newspaper coverage of sedentary behaviour as a health issue in Australia 2000–2012

Josephine Y. Chau, Catriona Bonfiglioli, Amy Zhong, Zeljko Pedisic, Michelle Daley, Bronwyn McGill and Adrian Bauman
pp. 139-143

This study examines how sedentary behaviour was covered as a health issue in Australian newspapers between 2000 and 2012 and how physical activity was framed within this newspaper coverage. Adults who sat a lot were portrayed as ‘sitting ducks’ for ill health. Benefits of physical activity independent of sedentary behaviour were neglected. It is important that the entire ‘move more, sit less, every day!’ message is communicated.

HE16011The influence of front-of-pack nutrition information on consumers' portion size perceptions

Hannah May Brown, Nienke de Vlieger, Clare Collins and Tamara Bucher
pp. 144-147

There is a potential for food labels to influence portion size selection of foods, and therefore affect weight status. This study aimed to examine whether two food labels (a kJ/100 g label and the Health Star Rating label) influenced portion size selection of young adults and found that neither label had an effect. These results indicate that current food labels may not be effective in assisting young people to make appropriate portion size selections. This, in turn, could affect weight status, nutrient intake and overall health.

Local governments are uniquely placed to influence the food environment of their communities through healthy eating policies (HEPs) but few have done so. Using a community-based participatory approach, the capacity of 31 South Australian local governments to develop and implement a HEP was increased with 14 endorsed policies. HEPs provide important structural mechanisms to enable local governments to facilitate healthy eating.

HE16013Acceptability of alcohol supply to children – associations with adults' own age of initiation and social norms

Conor Gilligan, Bernadette Ward, Rebecca Kippen, Penny Buykx and Kathy Chapman
pp. 151-155

The age at which adults started drinking alcohol is strongly associated with the age at which they believe it is acceptable to introduce children to alcohol at home. This phenomenon has the potential to perpetuate a cycle of early initiation and risk of alcohol-related problems.

Fishers in Western Australia were surveyed to investigate differences in behaviours and attitudes towards personal safety while fishing. Fishers born in Asia were poorer swimmers than other groups yet were more likely to have fished from rocks than those born elsewhere. Although most respondents agreed that wearing a life jacket would make fishing safer, 78% ‘never’ wore a life jacket while fishing. Activities aimed at reducing rock fishing fatalities need to be directed towards improving survivability when a fisher is unexpectedly washed into the sea. These could include making the wearing of life jackets mandatory while rock fishing.

The incidence of smoking among clients using homeless services is extraordinarily high. While nurses from an Australian homeless program were aware of their clients’ smoking habits, they underestimated the interest in quitting, which was expressed by many clients. With some simple organisational system changes to homeless services, appropriate cessation assistance could be provided to this vulnerable population.

HE16063Australian university smoke-free policy implementation: a staff and student survey

Ashleigh Guillaumier, Billie Bonevski, Christine Paul, John Wiggers, John Germov, Dylan Mitchell and Diane Bunch
pp. 165-169

Universities represent important settings for public health initiatives such as smoke-free policies; however, policy implementation does not necessarily result in a smoke-free environment. University students believe enforcement of smoke-free policies is necessary; however, staff do not see enforcement as part of their role. Explicit enforcement plans, and specific training and support for enforcement roles, are required to avoid pervasive policy non-compliance.

Online Early

The peer-reviewed and edited version of record published online before inclusion in an issue

Published online 24 April 2017

HE16095Achieving equity in Crunch&Sip®: a pilot intervention of supplementary free fruit and vegetables in NSW classrooms

Debra Hector, Shelley Edwards, Joanne Gale and Helen Ryan

In NSW primary schools, classroom breaks for children to consume fruit or vegetables and drink water rely on parental provision of produce. This pilot intervention showed that provision of free produce to previously non-participating children was required to ensure equitable reach of the C&S program.

Published online 06 March 2017

HE16075Outdoor gyms and older adults – acceptability, enablers and barriers: a survey of park users

Vicki Stride, Leonie Cranney, Ashleigh Scott and Myna Hua

Increasing physical activity will assist older adults to maintain and improve their health. The availability of outdoor gyms in Australia is increasing. This research establishes whether outdoor gyms are an acceptable form of physical activity for older adults. Results indicate that older adults will use outdoor gyms with a variety of equipment and shade.

Published online 06 March 2017

HE16107Are motivational signs to increase stair use a thing of the past? A multi-building study

Lina Engelen, Joanne Gale, Josephine Y. Chau and Adrian Bauman

Posters promoting stair use might be a thing of the past. Stair climbing is a great way to incorporate incidental physical activity into daily life and posters are often used to promote stair use; however, our work suggests that posters are ineffective. These results indicate that more interactive modes of promoting stair use may be required.

Published online 20 February 2017

HE16085Changes in smoking, drinking, overweight and physical inactivity in young Australian women 1996–2013

Jennifer R. Powers, Deborah Loxton, Amy E. Anderson, Annette J. Dobson, Gita D. Mishra, Richard Hockey and Wendy J. Brown

Smoking, risky drinking, overweight and obesity, and inadequate physical activity increase the risk of poor health. In the last two decades, only smoking has decreased significantly (but not among less educated women), while overweight and obesity has increased in all groups of young women. Although smoking interventions have been successful, weight control measures among young women have been futile.

Published online 09 February 2017

HE16119Cyclists’ perceptions of motorist harassment pre- to post-trial of the minimum passing distance road rule amendment in Queensland, Australia

Kristiann C. Heesch, Amy Schramm, Ashim Kumar Debnath and Narelle Haworth

Cyclists’ perceptions of harassment by motorists discourages cycling. This study compared the percentage of cyclists reporting harassment pre- to post-introduction of a minimal passing distance road rule amendment. The study found that cyclists continued to perceive harassment by motorists after the road rule was introduced, which indicates that minimum passing distance rules may not improve cyclists’ perceptions of motorists’ behaviours.

Published online 19 January 2017

HE16090Are regional and remote Western Australian children eating for good health? An investigation into fruit and vegetable consumption

Stephanie L. Godrich, Johnny Lo, Christina R. Davies, Jill Darby and Amanda Devine

This study used caregiver–child dyads ((n = 256) and 24-hour dietary diaries ((n = 196) to ascertain Australian Dietary Guideline (ADG) adherence among regional/remote Western Australian children. More children met fruit (65.8%) than vegetable (15.4%) recommendations, which were not impacted by remoteness. Fruit and vegetable types and varieties significantly differed between regional/remote locations.

Published online 19 January 2017

HE16036A snapshot of physical activity programs targeting Aboriginal and Torres Strait Islander people in Australia

Rona Macniven, Michelle Elwell, Kathy Ride, Adrian Bauman and Justin Richards

Promoting physical activity is a promising strategy to reduce chronic disease and social disparities between Aboriginal and Torres Strait Islanders and non-Indigenous Australians. This study identified and documented 13 key aspects of physical activity programs targeting Aboriginal and Torres Strait Islander people, finding 110 current and recent programs. Examining current program practice represents an important initial step in informing future directions and evaluation.

Published online 19 January 2017

HE16052Barriers and facilitators to participation in workplace health promotion (WHP) activities: results from a cross-sectional survey of public-sector employees in Tasmania, Australia

Michelle Kilpatrick, Leigh Blizzard, Kristy Sanderson, Brook Teale, Kim Jose and Alison Venn

It is important to better understand how organisations can maximise employee engagement in workplace health promotion (WHP). This study identified WHP implementation strategies that were associated with participation in more types of WHP activities, and the barriers associated with less participation. The findings provide evidence from the ‘real-world’ delivery of WHP by a large public-sector organisation across many different work settings.

Despite the mushrooming of men’s sheds in Australia in recent years, little is known about the health status, knowledge or health behaviours of shed members, particularly in rural areas. This study found that rural sheds in South Australia primarily cater for older, retired, lesser educated men from lower socioeconomic strata with one or more age-related chronic conditions and health knowledge deficits in reproductive and psychological health. GPs are the preferred source of health advice and hands-on formats for health education are preferred.

Published online 19 December 2016

HE16082Nurse provision of support to help inpatients quit smoking

V. Malone, N. Ezard, S. Hodge, L. Ferguson, A. Schembri and B. Bonevski

Smoking has been linked to an increased risk for cancers and cardiovascular disease. This study engaged hospital nurses to find out why routine smoking cessation care was not provided. Nurses did not have confidence in their knowledge and skills in smoking cessation to support patients to quit smoking. Education and training in smoking cessation best practice should be available to all nursing staff.

Published online 31 October 2016

HE16017A survey of cervical screening among refugee and non-refugee African immigrant women in Brisbane, Australia

Judith A. Anaman, Ignacio Correa-Velez and Julie King

Regular cervical screening has lessened the burden of cervical cancer in developed countries; however, access to these practices is not readily available in these countries. This study examined screening practices among refugee and non-refugee women from Africa living in Brisbane. The evidence will help to develop screening interventions that meaningfully engage African immigrant women to enhance screening practices.

Just Accepted

These articles have been peer reviewed and accepted for publication. They are still in production and have not been edited, so may differ from the final published form.

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Health Promotion Workforce

Adjunct Professor Trevor Shilton discusses the importance of the virtual issue on the Health Promotion Workforce.

Award Winners

Congratulations to Kristiann C. Heesch and Michael Langdon, winners of the Ray James Award for 2017. And congratulations also to L. Wolfenden, M. Kingsland, B. Rowland, P. Dodds, M. Sidey, S. Sherker and J. Wiggers for their highly-commended paper.