Twitter Research Synthesis for Health Promotion: A Bibliometric Analysis

Background: This study enriched our understanding by systematically reviewing knowledge management twitter health (KMTH) articles extracted from Web of Science (WoS) using cartography analysis through VOSviewer–for the last 11 years. Methods: A total of 798 KMTH articles were found from 2009 to 2019, analyzed based on the most co-occurrence keywords of KMTH articles. Results: Three clusters emerged through cartography analysis; Cluster 1: Twitter as health education and health promotion platform; Cluster 2: Twitter as public health promotion platform and Cluster 3: Twitter as health sentiment platform through big data and machine learning. Conclusion: This study opened new avenues for all health care providers to utilize Twitter as a KM platform to promote health care. This is the first bibliometric analysis of KMTH publications according to our best knowledge.

Public-Private Partnerships With Unhealthy Commodity Industries: Are They Undermining Real Progress in Non-Communicable Disease Prevention? Competing Frames in Global Health Governance: An Analysis of Stakeholder Influence on the Political Declaration on Non-communicable Diseases

Public-private partnerships (PPPs) and whole-of-society approaches are increasingly common in public health promotion and non-communicable disease prevention, despite a lack of evidence in favour of their effectiveness in improving health outcomes. While PPPs may have advantages, they also give industry actors more influence over the design and implementation of public health strategies and interventions. Partnering with unhealthy commodity industries in particular – including the alcohol and ultra-processed food and beverages industries – can pose significant risks to public health due to these industries’ deep-rooted conflicts of interest. In this commentary, I reiterate Suzuki et al.’s message about the importance of assessing and managing conflicts of interest before engaging with non-state actors through PPPs or other forms of engagement.

Public Health Promotion and Education with Hypertension Awareness in West Jakarta Indonesia

The present study reports are the comprehensive study on the awareness of hypertension which is a dangerous disease with an increase in blood pressure above normal values. According to the study, hypertension is an increase in systolic blood pressure of about 140 mmHg or diastolic pressure of about 90 mmHg. Hypertension is a problem that needs to be watched out for, because there are no specific signs of hypertension and some people still feel healthy to carry out their usual activities. This is what makes hypertension a silent killer by data of Indonesia Ministry of Health, 2018, people will realize they have hypertension when the symptoms they feel are getting worse and go to health services. The purpose of this health promotion is to provide information and education to the public about hypertension and its prevention in Tegal Alur Village, Kali Deres District, West Jakarta. Health promotion activities are carried out online using the online via zoom meet application with lecture, question and answer and discussion methods. To determine the effectiveness of health promotion activities, such healthy living community movement or known as Germas, to the community members were given a questionnaire before (pre-test) and after the activity (post-test). Based on the post-test results, it was found that there was an increase in knowledge about hypertension. Plans and achievement targets for the follow-up to the implementation of this activity can be carried out in collaboration with all parties, namely the government, campuses and the wider surrounding community to create a community movement in creating behavior and awareness of hypertension prevention itself.

COVID-19 Crisis: What is the Role of Telehealth?

Background: The adverse outcomes of COVID-19 on the healthcare system has prompted the enactment of social distancing and self-isolation or quarantine to minimize the spread of the contagious virus. The need for social distancing and isolation has made telehealth a game-changer in the war against COVID-19. Objectives: The objectives of this study were: (1) To evaluate the current trends of using telehealth during COVID-19 pandemic, (2) To discuss regulatory and policy changes related to telehealth at the service provider level, (3) To analyze recommendations by professional organizations, and (4) To evaluate challenges and recommendations for best practices. Methods: This is a narrative review. Most current information (focused on the measures that the healthcare system has adopted to integrate telehealth in the coronavirus response measures) was obtained from peer-reviewed journals and the website of payers, pharmacies, and professional organizations. Results: Response and management of COVID-19 has seen a surge in the use of telehealth and mobile applications. Health insurance providers have reformed their payer policies to integrate telehealth in COVID-19 response. Waiving premiums, co-pays, and cost-sharing are the most common changes across the industry. For example, Cleveland Clinic has reported a 1,665% increase in the number of telemedicine visits, recording 60,000 visits in March compared to 3,400 before coronavirus. The expansion of telehealth in the era of COVID-19 has presented practical challenges stymying progress. Conclsion: Telehealth is indisputable in promoting social distance, which is a proven public health promotion intervention for curbing the spread of coronavirus.

Consumption of ultra-processed foods and nutritional profile in a health promotion service of Primary care

Objective: Describing the consumption of Ultra-processed foods (UPFs) and their association with the nutritional profiles among users of a health promotion service in a Brazilian city. Design: Cross-sectional study. Setting: Public health promotion service of Primary Health Care in Belo Horizonte, Minas Gerais, Brazil. Participants: 3372 participants Results: UPFs were found to contribute to 27.7% of the diet’s total energy. The highest consumption was associated with higher values for energy intake (1561,8 vs. 1331,8 kcal/d; p <0,01), energy density (1,7 vs. 1,4 kcal/g; p <0,01), total (32,5 vs. 27,3 %; p <0,01) and trans fats (2,1 vs. 1,2 %; p <0,01), and sodium (1001,6 vs. 758,9 mg/1000 kcal; p <0,01), and with lower values for proteins (14,9 vs. 19,6 %; p <0,01), mono-unsaturated fats (16,1 vs. 20,1%; p=0,02), omega-3 (0,9 vs. 1,1 %; p <0,01), and some vitamins and minerals when comparing individuals in the last quintile of energy contribution from UPFs in relation to the first one. The prevalence rate of nutrient inadequacy aimed at preventing NCDs increased between 30% and 100% when compared the values of the fifth to the first quintile of UPFs consumption(p<0,001). However, the participants had lower energy intake, energy density and sodium; and higher fiber consumption when compared to Brazilian population. Conclusions: Participants showed a high consumption of UPFs, but also positive diet characteristics when compared to the national data. The results suggest the importance of Health promotion services to promote healthy food and the need to include approaches to reduce UPFs consumption.

Walking in the winter: a qualitative study to identify environmental barriers encountered by seniors

The purpose of this research was to explore features in the built environment that are considered to be barriers by seniors when walking in the winter. Nine seniors across four neighbourhoods in the City of Mississauga participated in the study. A combination of photovoice and semi-structured interviews was used to collect data. Findings revealed safety related to fall hazards and traffic conditions as major concerns among the seniors. Participants provided suggestions for potential changes to improve walking conditions for seniors, including: judicious placement of interim crosswalks, more open public washrooms, additional benches in parks, and railings along sloping sidewalks and cameras in parks. This research contributes to the limited literature that investigates the role of the built environment on physical activity levels among seniors. Results can help inform questions for the development of a walkability audit tool, public health promotion strategies and municipal land use policies to build healthy communities.