Michael Jay Polonsky, Ahmed Ferdous, Nichola Robertson, Sandra Jones, Andre Renzaho and Joanne Telenta
This study aims to test the efficacy of the awareness of a transformative health service communication intervention targeted to African refugees in Australia, designed to increase…
Abstract
Purpose
This study aims to test the efficacy of the awareness of a transformative health service communication intervention targeted to African refugees in Australia, designed to increase their intentions to participate in blood donation and reduce any identified barriers.
Design/methodology/approach
Following the intervention launch, a survey was administered to African refugees. The data were analysed with structural equation modelling.
Findings
Intervention awareness increases refugees’ blood donation knowledge and intentions. Although it has no direct effect on refugees’ medical mistrust or perceived discrimination, intervention awareness indirectly reduces medical mistrust. The findings, thus, suggest that the intervention was transformative: it directly and indirectly reduced barriers to refugee participation in blood donation services.
Research limitations/implications
Limitations include a relatively small sample size, single-country context and measures that address blood donation intentions versus behaviours.
Social implications
Addressing health service inequities through intervention awareness, via the mere exposure effect, can facilitate refugees’ health service participation and inclusion.
Originality/value
This study contributes to transformative service research and responds to calls to improve individual and community well-being by testing a transformative intervention targeted towards vulnerable consumers. Not all targeted refugees donated blood, but being encouraged to participate in this health service within the host society can foster their greater inclusion.
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Andre Renzaho and David Mellor
Migration from third‐world and low‐income countries to high‐income Western countries presents significant challenges for individuals and families, and for health service providers…
Abstract
Migration from third‐world and low‐income countries to high‐income Western countries presents significant challenges for individuals and families, and for health service providers in the receiving societies. Cultural conflicts related to preferred body size/shape and parenting practices, together with differential intergenerational rates and styles of acculturation, can affect nutritional and lifestyle choices and be associated with high rates of childhood obesity. Using African cultures as an example, this paper examines these issues. It concludes that, in designing and implementating obesity prevention programmes, health service providers need to understand these factors and how they play out.
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The aim of the research was to identify factors related to the increased cost of providing health services to clients from a non‐English speaking background (NESB), using a…
Abstract
The aim of the research was to identify factors related to the increased cost of providing health services to clients from a non‐English speaking background (NESB), using a cross‐sectional analysis of the administrative records of clients using community health services in the Northern Metropolitan region of Melbourne for the 2001/2002 financial year. The higher cost of providing services to NESB clients was influenced by four factors: increased consultation time, group attendance to an appointment, increased interpreting cost and the type of service provider. Family members and multilingual staff play a significant role in providing informal interpreting services or low‐cost support for NESB consultations, and these activities should receive appropriate support. Additional funding is needed to support interpreting requirements when dealing with the health needs of NESB clients. Vertical funding equity would provide a better solution than the current horizontal equalisation funding.
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Michael Polonsky, Kate Francis and Andre Renzaho
The aim of this study was to assess whether the removal of blood donation “barriers” facilitates blood donation intentions, using a sample of African migrants, and to identify the…
Abstract
Purpose
The aim of this study was to assess whether the removal of blood donation “barriers” facilitates blood donation intentions, using a sample of African migrants, and to identify the implications for social marketing. African migrants are currently under-represented as blood donors in Australia. Some members of the African community have unique donation needs that can only be served by this community.
Design/methodology/approach
Interviews were conducted with 425 people from the African community in Victoria and South Australia. Factor analysis was performed on the barriers and the removal of barriers. Item groupings for both constructs differed, suggesting that barriers and their removal are not necessarily opposite constructs.
Findings
The cultural society factor was negatively associated with blood donation intention (i.e. a barrier), whereas engagement and overcoming fear were positively associated with blood donation intention (i.e. facilitators). Cultural issues and lack of understanding were not seen to impede blood donation. Additionally, the removal of cultural barriers did not facilitate increases in blood donation intentions. Thus, the removal of barriers may not be sufficient on their own to encourage donation.
Research limitations/implications
This only examines the issue with regards to whether the removal of barriers is a facilitator of blood donation with one group of migrants, and relationships may vary across other migrant and non-migrant groups.
Practical implications
Policymakers often use social marketing interventions to overcome barriers as a way of facilitating blood donation. This research suggests that removing barriers is indeed important because these barriers impede people considering becoming blood donors. However, the findings also suggest that the removal of barriers is insufficient on its own to motivate blood donations (i.e. the removal of barriers is a hygiene factor). If this is the case, social marketing campaigns need to be multifaceted, removing barriers as well as leveraging facilitators, simultaneously.
Social implications
This work identified that the impact of barriers and their removal may facilitate effective social marketing campaigns in differing ways, in the context of blood donation.
Originality/value
How barriers and their removal impact social marketing activities (i.e. blood donation behaviour) has generally not been explored in research.
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The debate surrounding the influence of parental nutritional knowledge on offspring’s susceptibility to overweight/obesity persists, with a dearth of research elucidating the…
Abstract
Purpose
The debate surrounding the influence of parental nutritional knowledge on offspring’s susceptibility to overweight/obesity persists, with a dearth of research elucidating the mechanisms involved. This study aims to explore if and how parental nutrition knowledge affects adolescents' overweight and obesity, by highlighting the mediating effect of parental perceived severity of obesity.
Design/methodology/approach
A questionnaire was conducted in Zhejiang Province, China, with a sample of 2,298 students as well as their parents during November–December 2022. Logistic regression and propensity score matching methods was used to validate the relationship between parental nutrition knowledge and adolescents' overweight/obesity, while the multiplication coefficient method was used to test the mediation effect.
Findings
Parental nutrition knowledge significantly reduces the odds ratio for adolescent obesity, without affecting the likelihood of overweight. The perceived severity of obesity fully mediates the relationship between parental nutrition knowledge and adolescents' overweight and obesity.
Research limitations/implications
By exploring mediating factors, the analysis offers an innovative explanation of the process by which nutritional knowledge influences health behaviors. Lack of relevant motivation or beliefs is an important reason for the failure of nutritional knowledge. If parents do not have sufficient awareness of the dangers of overweight or obesity, they will have inadequate motivation to apply nutritional knowledge in guiding dietary or exercise decisions. We also supplement the literature by demonstrating the health belief model in highlighting the mediating mechanism of perceived severity in the relationship between parental nutrition knowledge and adolescents' obesity.
Practical implications
Extending the research focus on subjective beliefs and cognitive motivation bears important policy implications for designing education campaigns to effectively restrain the obesity rate. Considering that many Chinese parents have insufficient awareness of the dangers of childhood overweight and obesity, even considering “chubby children” as symbols of “cuteness” and “health”. This can largely undermine their motivation to apply nutritional knowledge to restrain adolescents' overweight and obesity. Consequently, education campaigns, public health professionals and government agencies can be developed aiming to increase parental nutrition knowledge, especially on the hazards of obesity.
Social implications
With the prevalence of overweight and obesity among adolescents, it is critical to control students' weight and health. Families, especially parents, are vital to the physical and mental health of adolescents. This research confirmed that improving parental nutrition knowledge is necessary for maintaining a healthy weight for adolescents. Results also emphasized that the association between parental nutritional knowledge and adolescents' overweight or obesity was mediated by parental perceived severity. This indicates that interventions designed to enhance parental nutritional knowledge should pay more attention to strengthening parental cognition of and beliefs in obesity.
Originality/value
This paper added to the debate on the impact of parental nutritional knowledge on adolescent’s overweight and obesity. Based on the health belief model, it also identified a novel pathway and mechanism by highlighting the importance of subjective motivations and beliefs such as the perceived severity of obesity in influencing overweight/obesity. Conclusions bear important policy implications for designing education campaigns to effectively restrain the obesity rate.
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Farhad Nazir, Norberto Santos and Luis Avila Silveira
Tourism and health outbreaks share a symbiotic history (Hall, Scott, & Gössling, 2020; Ozbay, Sariisik, Ceylan, & Çakmak, 2021). Pandemics, epidemics, and endemics have…
Abstract
Tourism and health outbreaks share a symbiotic history (Hall, Scott, & Gössling, 2020; Ozbay, Sariisik, Ceylan, & Çakmak, 2021). Pandemics, epidemics, and endemics have transformed the perception of tourists. Previous outbreaks were geographically limited, resulting in the substitution effect (Prideaux, 2005; van der Veen, 2014). However, the COVID-19 pandemic urged the authorities to cease mobility worldwide. Evidently, mobility-oriented businesses like tourism have received immediate impacts from the pandemic. From shutdown to the minimum clearances, under strict restrictions, the tourism industry suffered atypical outcomes. Heat check-meters, contactless check-ins and check-outs, automotive service trays and counters, and reduced carrying capacity have been introduced to curb the impact of the pandemic on tourism. Tourism requires, throughout its cycle—before, during, and after the trip—the use of artificial intelligence, virtual reality, augmented reality, the internet of things, and geotargeting (Buhalis & Amaranggana, 2015). The usage of technology has been assured to be compatible with the prerequisites of restrictive and compliance measures (Lau, 2020). Moreover, in the supply sector, a competitive environment has also been created to market these new modified products and services. This chapter pursues the investigation of new offerings in a different normal, concerned with health issues, ethical behaviors, and trips with a social purpose to contribute to local development. Secondary data analysis has been performed to achieve this goal. This study implicates the new offerings duly implemented during the new normal.
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This chapter is building conceptual background of psychological risk for international tourists. Drawing on Place Attachment Theory, Moral Disengagement Theory, Followership…
Abstract
This chapter is building conceptual background of psychological risk for international tourists. Drawing on Place Attachment Theory, Moral Disengagement Theory, Followership Theory, Job Demands-Resources, Acculturation Theory and Goal Progress Theory of Rumination, this chapter proposes a framework of psychological risks with six psychological risks that tourists could encounter in foreign destination: destination detachment risk, moral disengagement risk, risk of false risk assessment, burnout risk, risk of loneliness and risk of rumination. High destination detachment could lead tourists to behave less environmentally friendly, while high moral disengagement could lead tourists to behave less ethically friendly. Followership to the influencers in social media could lead tourists to engage in risk-taking behaviours and false risk assessment, leading to burnout risk, risk of loneliness and risk of rumination, where negative autobiographical memory is created and forming memory-related distress when they arrive homes. Place detachment and moral disengagement risk local environmental and social health, while burnout, loneliness and rumination pose risks for the tourists' psychological health. Several studies propose suggestions for the destination manager and tourists to manage the risk effectively and adequately, including place attachment and moral engagement campaign, careful travel planning and social support.
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Theophilus Tagoe, Shamika Almeida, Hui-Ling Wang, Kishan Kariippanon and Kelly Andrews
Effective social inclusion of people from refugee backgrounds in host communities is vital to the success of their resettlement. This study focused on how an NGO-organised…
Abstract
Purpose
Effective social inclusion of people from refugee backgrounds in host communities is vital to the success of their resettlement. This study focused on how an NGO-organised care-oriented programme may foster the social inclusion of migrant women from refugee backgrounds in Australia.
Design/methodology/approach
We looked at how the programme’s adoption of an ethics-of-care approach might affect migrant women’s social capital, hence social inclusion. About 55 migrant women from a regional city in Australia were recruited for the study, and quantitative and qualitative data were collected.
Findings
The study revealed that the NGO’s adoption of the care ethics and principles to design and implement the physical activity program significantly increased refugee migrant women’s bonding and bridging social capital, which in turn promoted their social inclusion in the host community.
Originality/value
This study highlights the importance of adopting care ethics and care practices to inform initiatives designed to promote the social inclusion of marginalised groups such as refugee migrant women settling in regional cities in Australia. It also emphasises the need for NGOs and other organisations supporting new migrant groups to focus on increasing opportunities for such community groups to develop bonding and bridging relationships with people within and outside their language groups or ethnicity.
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Marcelo Ribeiro, Rosana Frajzinger, Luciane Ogata Perrenoud and Benedikt Fischer
Brazil’s street-based drug use is mostly characterized by non-injection psychostimulant (e.g. crack-cocaine) drug use in Brazil, with limited interventions and service…
Abstract
Purpose
Brazil’s street-based drug use is mostly characterized by non-injection psychostimulant (e.g. crack-cocaine) drug use in Brazil, with limited interventions and service availability. Recently, an influx of multi-ethnic migrants within an urban drug scene in Sao Paulo was associated with heroin use, a drug normatively absent from Brazil. The purpose of this paper is to characterize and compare heroin use-related characteristics and outcomes for an attending sub-sample of clients from a large community-based treatment centre (“CRATOD”) serving Sao Paulo’s local urban drug scene.
Design/methodology/approach
All non-Brazilian patients (n = 109) receiving services at CRATOD for 2013–2016 were identified from patient files, divided into heroin users (n = 40) and non-heroin users (n = 69). Based on chart reviews, select socio-demographic, drug use and health status (including blood-borne-virus and other infections per rapid test methods) were examined and bi-variately compared. Multi-variate analyses examined factors independently associated with heroin use.
Findings
Most participants were male and middle-aged, poly-drug users and socio-economically marginalized. While heroin users primarily originated from Africa, they reported significantly more criminal histories, drug (e.g. injection) and sex-risk behaviors and elevated rates of BBV (e.g. Hepatitis C Virus and HIV). A minority of heroin users attending the clinic was provided methadone treatment, mostly for detoxification.
Originality/value
This study documented information on a distinct sample of mostly migration-based heroin users in Sao Paulo, Brazil. Based on the local experience, global migration dynamics can bring changes to established drug use cultures and services, including new challenges for drug use-related related behaviors and therapeutic interventions that require effective understanding and addressing.