Social and Behavioral Sciences Commons^™

Targeting Population Nutrition Through Municipal Health And Food Policy: Implications Of New York City's Experiences In Regulatory Obesity Prevention, Jana Sisnowski, Jackie M. Street, Annette J. Braunack-Mayer

Faculty of Social Sciences - Papers (Archive)

Obesity remains a major public health challenge across OECD countries and policy-makers globally require successful policy precedents. This paper analyzes New York City’s innovative experiences in regulatory approaches to nutrition. We combined a systematic documentary review and key informant interviews (n = 9) with individuals directly involved in nutrition policy development and decision-making. Thematic analysis was guided by Kingdon’s three-streams-model and the International Obesity Task Force’s evidence-based decision-making framework. Our findings indicate that decisive mayoral leadership spearheaded initial agenda-change and built executive capacity to support evidence-driven policy. Policy-makers in the executive branch recognized the dearth of evidence for concrete …

Geographic Variation In Health Service Use And Perceived Access Barriers For Australian Adults With Chronic Non-Cancer Pain Receiving Opioid Therapy, Amy Peacock, Suzanne Nielsen, Raimondo Bruno, Gabrielle Campbell, Briony K. Larance, Louisa Degenhardt

Faculty of Social Sciences - Papers (Archive)

Objective. Rates of chronic non-cancer pain are increasing worldwide, with concerns regarding poorer access to specialist treatment services in remote areas. The current study comprised the first in-depth examination of use and barriers to access of health services in Australia according to remoteness. Methods. A cohort of Australian adults prescribed pharmaceutical opioids for chronic non-cancer pain (n = 1,235) were interviewed between August 2012 and April 2014, and grouped into 'major city' (49%), 'inner regional' (37%), and 'outer regional/remote' (14%) according to the Australian Standard Geographical Classification based on postcode. Multinomial logistic regression analyses were conducted to determine geographical differences …

A School-Based Intervention Incorporating Smartphone Technology To Improve Health-Related Fitness Among Adolescents: Rationale And Study Protocol For The Neat And Atlas 2.0 Cluster Randomised Controlled Trial And Dissemination Study, David R. Lubans, Jordan J. Smith, Louisa Peralta, Ronald Plotnikoff, Anthony D. Okely, Jo Salmon, Narelle Eather, Deborah Dewar, Sarah G. Kennedy, Chris Lonsdale, Toni A. Hilland, Paul Estabrooks, Tara Finn, Emma Pollock, Philip J. Morgan

Faculty of Social Sciences - Papers (Archive)

Introduction Physical inactivity has been described as a global pandemic. Interventions aimed at developing skills in lifelong physical activities may provide the foundation for an active lifestyle into adulthood. In general, school-based physical activity interventions targeting adolescents have produced modest results and few have been designed to be 'scaled-up' and disseminated. This study aims to: (1) assess the effectiveness of two physical activity promotion programmes (ie, NEAT and ATLAS) that have been modified for scalability; and (2) evaluate the dissemination of these programmes throughout government funded secondary schools. Methods and analysis The study will be conducted in two phases. In …

Are Respiratory Protection Standards Protecting Worker Health Against Ultrafine Diesel Particulate Matter Emissions? An Australian Perspective, Kerrie Burton, Jane L. Whitelaw, Alison L. Jones, Brian Davies

Faculty of Social Sciences - Papers (Archive)

Poster presentation made at the 20th ETH-Conference on Combustion Generated Nanoparticles, 13-16 June 2016, Zurich, Switzerland.

Aim: Ultrafine diesel engine emissions are known to cause adverse health impacts including lung cancer, cardiovascular and irritant effects (World Health Organisation 2012). Respiratory protective devices are commonly used to mitigate worker exposure to many hazardous contaminants, especially in heavy industry such as mining and refining. Current standards to evaluate penetration through respirator filter media may not consider ultrafine particles due to the diameter of the challenge aerosol and the detection limit of the instrument (Eninger et al. 2008). Nor do they test penetration …

Incorporating Health Literacy In Education For Socially Disadvantaged Adults: An Australian Feasibility Study, Danielle M. Muscat, Sian Smith, Haryana M. Dhillon, Suzanne Morony, Esther Davis, Karen Luxford, Heather L. Shepherd, Andrew Hayen, John Comings, Don Nutbeam, Kirsten Mccaffery

Faculty of Social Sciences - Papers (Archive)

Background Adult education institutions have been identified as potential settings to improve health literacy and address the health inequalities that stem from limited health literacy. However, few health literacy interventions have been tested in this setting. Methods Feasibility study for an RCT of the UK Skilled for Health Program adapted for implementation in Australian adult education settings. Implementation at two sites with mixed methods evaluation to examine feasibility, test for change in participants' health literacy and pilot test health literacy measures. Results Twenty-two socially disadvantaged adults with low literacy participated in the program and received 80-90 hours of health literacy …

Moving Beyond Body Image: A Socio-Critical Approach To Teaching About Health And Body Size, Jan Wright, Deana Leahy

Faculty of Social Sciences - Papers (Archive)

Concerns about young people's (read, young women's) body dissatisfaction in schools have resulted in the introduction of programs promoting positive body Image in an effort to reduce eating disorders. These programs, informed by psychological or socio-psychological notions of the relations between self and bodies, seem to have considerable credibility in schools and in the academic Iiterature because of their authoritative underpinnings. In this chapter, we want to examine the ways in which such programs engage with discourses around bodies, fat, and size. For example, do they challenge discourses of weight-based oppression, create safe spaces for learning about weight and size, …

Adesão Ao Tratamento Nas Perturbações Psiquiátricas: O Impacto Das Atitudes E Das Crenças Em Profissionais De Serviços De Psiquiatria E Saúde Mental Em Portugal. Parte I: Aspetos Conceptuais E Metodológicos, Ana Cardoso, Mitchell K. Byrne, Miguel Xavier

Faculty of Social Sciences - Papers (Archive)

Introduction Among the chronic health diseases are psychiatric disorders and it is well established that within this population there is a particularly high prevalence of non‐adherence to treatment. Methods Narrative review, of relevant literature. Results The majority of the research has focused primarily on the factors related to the patient that interfere with treatment adherence. However, there are studies that seem to indicate that the responsibility for increasing adherence is more related with the health professional than the patient. Conclusions Through the identification of factors associated with clinicians, we enable the development strategies to increase skills in mental health professionals …

Objectively Measured Sedentary Behaviour And Health And Development In Children And Adolescents: Systematic Review And Meta-Analysis, Dylan P. Cliff, Kylie Hesketh, Stewart A. Vella, Trina Hinkley, Margarita D. Tsiros, Nicola D. Ridgers, Alison Carver, Jenny Veitch, Anne-Maree Parrish, Louise L. Hardy, Ronald Plotnikoff, Anthony D. Okely, Jo Salmon, David R. Lubans

Faculty of Social Sciences - Papers (Archive)

Sedentary behaviour has emerged as a unique determinant of health in adults. Studies in children and adolescents have been less consistent. We reviewed the evidence to determine if the total volume and patterns (i.e. breaks and bouts) of objectively measured sedentary behaviour were associated with adverse health outcomes in young people, independent of moderate-intensity to vigorous-intensity physical activity. Four electronic databases (EMBASE MEDLINE, Ovid EMBASE, PubMed and Scopus) were searched (up to 12 November 2015) to retrieve studies among 2- to 18-year-olds, which used cross-sectional, longitudinal or experimental designs, and examined associations with health outcomes (adiposity, cardio-metabolic, fitness, respiratory, bone/musculoskeletal, …

The Integrated Mental Health Atlas Of Western Sydney, Luis Salvador-Carulla, Ana Fernandez, Cailin Mass, Jennifer Smith-Merry, James Gillespie, Thomas E. Astell-Burt, Xiaoqi Feng

Faculty of Social Sciences - Papers (Archive)

Australians living with serious and continuing ill-health face bewilderingly complex health and social care systems. Even experienced health professionals have trouble navigating this health care maze. The mental health service system poses some of the greatest navigation challenges. The recovery of individuals living with mental health issues, requires a smooth link between acute and domiciliary health care, housing and other social care agencies. The need for simple rules of navigation is strong, but fragmentation and gaps in services remain great, confounding attempts to understand and organise appropriate care and support. The need for deeper knowledge about the mental health system …

Analysis Of Health Service Amenable And Non-Amenable Mortality Before And Since China's Expansion Of Health Coverage In 2009, Xiaoqi Feng, Yunning Liu, Thomas E. Astell-Burt, Peng Yin, Andrew Page, Shiwei Liu, Jiangmei Liu, Lijun Wang, Maigeng Zhou

Faculty of Social Sciences - Papers (Archive)

Objective To explore early impacts of China's health reforms in 2009 on mortality. Methods Annual mortality counts were obtained from 161 counties across all 31 provinces of mainland China between 2006 and 2012. We examined time-series of health service amenable mortality counts, including separate analyses for deaths from stroke and ischaemic heart diseases (IHD). Non-amenable mortality counts, including separate models for oesophageal and pancreatic cancers, were also analysed as part of a negative-outcome strategy to provide stronger foundations for falsification. Deaths due to amenable causes were hypothesised to decrease, whereas non-amenable causes of mortality would remain uninfluenced. All analyses were …

Hpe Teachers' Negotiation Of Environmental Health Spaces: Discursive Positions, Embodiment And Materialism, Nicole Taylor, Jan Wright, Gabrielle H. O'Flynn

Faculty of Social Sciences - Papers (Archive)

A National Curriculum in Health and Physical Education (HPE) has recently been developed in Australia. This new curriculum reflects, among other educational priorities, both environmental sensitivities and a commitment to the enhancement of young people's health and wellbeing. HPE is one of the key sites in the curriculum where a focused consideration of the relationship between the environment and health is possible. However, to date no research has considered the ways that HPE teachers might recognise and negotiate these spaces. The research described in this paper addresses this gap through an analysis of semi-structured interviews with generalist primary and specialist …

Raising Awareness Of Research Evidence Among Health Professionals Delivering Dementia Care: Are Knowledge Translation Workshops Useful?, Belinda J. Goodenough, Richard Fleming, Michael Young, Kim Burns, Cindy Jones, Fallon M. Forbes

Faculty of Science, Medicine and Health - Papers: part A

Providing information about the latest research via educational sessions to health professionals caring for people with dementia may be insufficient to drive change. This project explored self-reported impacts on practice change of adding information about knowledge translation (KT) to a national dementia education program. Six national workshop days were held. Each provided the option of participating in a Principles of KT and innovation implementation seminar in addition to a clinical topic update (sexualities and dementia, or managing behavioral and psychological symptoms of dementia). Six months postworkshop, 321 participants were invited to complete a research utilization survey. Seventy-five responded. KT seminar …

Improving The Uptake Of Pre-Travel Health Advice Amongst Migrant Australians: Exploring The Attitudes Of Primary Care Providers And Migrant Community Groups, Holly Seale, Rajneesh Kaur, Abela Mahimbo, C Raina Macintyre, Nicholas Arnold Zwar, Mitchell Smith, Heather Worth, Anita Heywood

Faculty of Science, Medicine and Health - Papers: part A

Background: Migrant travellers who return to their country of origin to visit family and friends (VFR) are less likely to seek travel-related medical care and are less likely to adhere to recommended medications and travel precautions. Through this study, we aimed to get an understanding of the views of stakeholders from community migrant centres and primary care providers on barriers for migrants, particularly from non-English speaking backgrounds, in accessing travel health advice and the strategies that could be used to engage them. Methods: A qualitative study involving 20 semi-structured interviews was undertaken in Sydney, Australia between January 2013 and September …

Respiratory Protection - Are Our Standards Protecting Worker Health Or Providing A False Sense Of Security?, Kerrie Burton, Jane L. Whitelaw, Alison L. Jones, Brian Davies

Faculty of Social Sciences - Papers (Archive)

To determine whether currently utilised respirator filters effectively filter out Diesel Particulate Matter and provide worker protection; by testing respirator filters used in mining workplaces against DPM, and by measuring the sizes of particles that are penetrating the filters to determine whether that poses an additional health risk for workers.

The Impact Of Electronic Health Records On Risk Management Of Information Systems In Australian Residential Aged Care Homes, Tao Jiang, Ping Yu, David M. Hailey, Jun Ma, Jie Yang

Faculty of Engineering and Information Sciences - Papers: Part A

To obtain indications of the influence of electronic health records (EHR) in managing risks and meeting information system accreditation standard in Australian residential aged care (RAC) homes. The hypothesis to be tested is that the RAC homes using EHR have better performance in meeting information system standards in aged care accreditation than their counterparts only using paper records for information management. Content analysis of aged care accreditation reports from the Aged Care Standards and Accreditation Agency produced between April 2011 and December 2013. Items identified included types of information systems, compliance with accreditation standards, and indicators of failure to meet …

Implementation Of Health Technology Assessment Work In A Hospital In Kazakhstan, Lyazzat Kosherbayeva, David M. Hailey, Kural Kurakbaev, Aleksey Tsoy, Ormanbek Zhuzzhanov, Abilay Donbay, Ainur Kumar, Kamalzhan Nadyrov

Faculty of Engineering and Information Sciences - Papers: Part A

Objectives: The aim of this study was to implement health technology assessment (HA) in the First General City Hospital in Astana, Kazakhstan. Methods: We organized trainings to familiarize hospital staff with the purpose and details of HTA. An HTA committee was established, with representation from hospital physicians and managers, and criteria for prioritization of health technologies determined. Clinical departments of the hospital were asked to prepare applications for new technologies for their services. Results: The HTA committee reviewed five applications and selected a technology from one of these, on single incision laparoscopic surgery (SILS), for assessment. A short HTA report …

A Process Of Prioritizing Topics For Health Technology Assessment In Kazakhstan, Lyazzat Kosherbayeva, David M. Hailey, Kural Kurakbaev, Adlet Tabarov, Ainur Kumar, Gulnara Gutzskaya, Elena Stepkina

Faculty of Engineering and Information Sciences - Papers: Part A

Objectives: The aim of this study was to develop criteria for the prioritization of topics for health technology assessment (HTA) in the healthcare system of Kazakhstan. Methods: Initial proposals for criteria were suggested through consultation with Ministry of Health (MoH) policy areas. These were refined through a workshop attended by HTA department staff, persons from medical universities and research institutes, and MoH policy makers. The workshop included discussion on methods used in international HTA practice. Opinions of participants on selection of criteria from those specified in a review of prioritization processes were used to define a list for inclusion in …

Australia's National Health Programs: An Ontological Mapping, Arkalgud Ramaprasad, Khin Than Win, Thant Syn, Ghassan Beydoun, Linda Dawson

Faculty of Engineering and Information Sciences - Papers: Part A

Australia has a large number of health program initiatives whose comprehensive assessment will help refine and redefine priorities by highlighting areas of emphasis, under-emphasis, and non-emphasis. The objectives of our research are to: (a) systematically map all the programs onto an ontological framework, and (b) systemically analyse their relative emphases at different levels of granularity. We mapped all the health program initiatives onto an ontology with five dimensions, namely: (a) Policy-scope, (b) Policy-focus, (c) Outcomes, (d) Type of care, and (e) Population served. Each dimension is expanded into a taxonomy of its constituent elements. Each combination of elements from the …

Certificate-Based Encryption With Keyword Search Enabling Secure Authorization In Electronic Health Record, Clementine Gritti, Willy Susilo, Thomas Plantard

Faculty of Engineering and Information Sciences - Papers: Part B

In an e-Health scenario, we study how the practitioners are authorized when they are requesting access to medical documents containing sensitive information. Consider the following scenario. A clinician wants to access and retrieve a patient's Electronic Health Record (EHR), and this means that the clinician must acquire sufficient access right to access this document. As the EHR is within a collection of many other patients, the clinician would need to specify some requirements (such as a keyword) which match the patient's record, as well as having a valid access right. The complication begins when we do not want the server …

Leveraging Ongoing Research To Evaluate The Health Impacts Of South Africa's Salt Reduction Strategy: A Prospective Nested Cohort Within The Who-Sage Multicountry, Longitudinal Study, Karen E. Charlton, Lisa J. Ware, Elias Menyanu, Richard Berko Biritwum, Nirmala Naidoo, Chine Pieterse, Savathree (Lorna) Madurai, Jeannine Baumgartner, George A. Asare, Elizabeth Thiele, Aletta E. Schutte, Paul Kowal

Faculty of Science, Medicine and Health - Papers: part A

Introduction: Attempting to curb the rising epidemic of hypertension, South Africa implemented legislation in June 2016 mandating maximum sodium levels in a range of manufactured foods that contribute significantly to population salt intake. This natural experiment, comparing two African countries with and without salt legislation, will provide timely information on the impact of legislative approaches addressing the food supply to improve blood pressure in African populations. This article outlines the design of this ongoing prospective nested cohort study. Methods and analysis: Baseline sodium intake was assessed in a nested cohort of the WHO Study on global AGEing and adult health …

A 6-Month Randomised Controlled Trial Investigating Effects Of Mediterranean-Style Diet And Fish Oil Supplementation On Dietary Behaviour Change, Mental And Cardiometabolic Health And Health-Related Quality Of Life In Adults With Depression (Helfimed): Study Protocol, Dorota M. Zarnowiecki, Jihyun Cho, Amy Wilson, Svetlana Bogomolova, Anthony Villani, Catherine Itsiopoulos, Theo Niyonsenga, Kerin O'Dea, Sarah Blunden, Barbara J. Meyer, Leonie Segal, Natalie Parletta

Faculty of Science, Medicine and Health - Papers: part A

Background: Modern diets, characterised by excess consumption of processed foods, are accompanied by an epidemic of chronic diseases. Cardiovascular disease and depression carry a large burden of disease and often occur together. Poor dietary patterns have been identified as an independent risk factor for depression while healthy diets with minimally processed food are protective. Traditional Mediterranean diets have been shown to reduce risk of cardiovascular disease; however there is a need for clinical trials in people with depression. This paper reports the study protocol of a Mediterranean-style diet intervention conducted in adults with self-reported depression. Methods/design: HELFIMED is a parallel …

Ethical Justifications In Alcohol-Related Health Warning Discourse, Emma Muhlack, Jaklin Eliott, D Carter, Annette J. Braunack-Mayer

Faculty of Social Sciences - Papers (Archive)

Cancer is the second most common cause of alcohol-related death in both men and women in Australia. In view of this and other health risks, mandatory health warnings on alcoholic beverages have been proposed in Australia and introduced elsewhere. This paper reviews academic literature and statements from selected advocacy groups to identify the ethical justifications that are used in relation to mandatory health warnings on alcoholic beverages. The paper then analyses how these justifications relate to the ethics of public health interventions in the context of cancer prevention. This involves examining the potential tension between the utilitarian nature of public …

A Cluster-Randomised Controlled Trial Of Values-Based Training To Promote Autonomously Held Recovery Values In Mental Health Workers, Virginia Williams, Frank P. Deane, Lindsay G. Oades, Trevor P. Crowe, Joseph Ciarrochi, Retta Andresen

Faculty of Social Sciences - Papers (Archive)

Background The implementation and use of evidence-based practices is a key priority for recovery-oriented mental health service provision. Training and development programmes for employees continue to be a key method of knowledge and skill development, despite acknowledged difficulties with uptake and maintenance of behaviour change. Self-determination theory suggests that autonomy, or a sense that behaviour is self-generated, is a key motivator to sustained behaviour change, in this case practices in mental health services. This study examined the utility of values-focused staff intervention as a specific, reproducible method of autonomy support. Methods Mental health workers (n = 146) were assigned via …

Large-Scale Investment In Green Space As An Intervention For Physical Activity, Mental And Cardiometabolic Health: Study Protocol For A Quasi-Experimental Evaluation Of A Natural Experiment, Thomas E. Astell-Burt, Xiaoqi Feng, Gregory Kolt

Faculty of Social Sciences - Papers (Archive)

Introduction 'Green spaces' such as public parks are regarded as determinants of health, but evidence from tends to be based on cross-sectional designs. This protocol describes a study that will evaluate a large-scale investment in approximately 5280 hectares of green space stretching 27 km north to south in Western Sydney, Australia. Methods and analysis A Geographic Information System was used to identify 7272 participants in the 45 and Up Study baseline data (2006-2008) living within 5 km of the Western Sydney Parklands and some of the features that have been constructed since 2009, such as public access points, advertising billboards, …

Influence Of Health Technology Assessment And Its Measurement, David M. Hailey, Sophie Werko, Mans Rosen, Karen Macpherson, Susan Myles, Veronica Gallegos Rivera, Cecilia Hipolito-Olivares, Sinnika Sihvo, Jasmine Pwu, Wen-Wen Yang, Yong-Chen Chen, Ana Perez Galan, Alicia Aleman, Elena Villamil

Faculty of Engineering and Information Sciences - Papers: Part B

OBJECTIVES: The aim of this study was to obtain information on methods used to measure health technology assessment (HTA) influence, decisions that were influenced, and outcomes linked to HTA. METHODS: Electronic databases were used to locate studies in which HTA influence had been demonstrated. Inclusion criteria were studies that reliably reported consideration by decision makers of HTA findings; comparative studies of technology use before and after HTA; and details of changes in policy, health outcomes, or research that could be credibly linked to an HTA. RESULTS: Fifty-one studies were selected for review. Settings were national (24), regional (12), both national …

Relational Conceptions Of Paternalism: A Way To Rebut Nanny-State Accusations And Evaluate Public Health Interventions, Stacy M. Carter, Vikki A. Entwistle, Miles Little

Faculty of Social Sciences - Papers (Archive)

Objectives 'Nanny-state' accusations can function as powerful rhetorical weapons against interventions intended to promote public health. Public health advocates often lack effective rebuttals to these criticisms. Nanny-state accusations are largely accusations of paternalism. They conjure up emotive concern about undue governmental interference undermining peoples' autonomy. But autonomy can be understood in various ways. We outline three main conceptions of autonomy, argue that these that can underpin three different conceptions of paternalism, and consider implications for responses to nanny-state accusations and the assessment of public health interventions. Study design and methods Detailed conceptual analysis. Results The conceptions of paternalism implicit in …

Which Public And Why Deliberate? - A Scoping Review Of Public Deliberation In Public Health And Health Policy Research, Christopher J. Degeling, Stacy M. Carter, Lucie Rychetnik

Faculty of Social Sciences - Papers (Archive)

Deliberative methods are of increasing interest to public health researchers and policymakers. We systematically searched the peer-reviewed literature to identify public health and health policy research involving deliberative methods and report how deliberative methods have been used. We applied a taxonomy developed with reference to health policy and science and technology studies literatures to distinguish how deliberative methods engage different publics: citizens (ordinary people who are unfamiliar with the issues), consumers (those with relevant personal experience e.g. of illness) and advocates (those with technical expertise or partisan interests). We searched four databases for empirical studies in English published 1996-2013. This …

Delivering The Mental Health First Aid (Mhfa) Course Within The National Rugby League (Nrl): Evaluation Report, Jioji Ravulo

Faculty of Social Sciences - Papers (Archive)

Mental illness is a reality for many Australians. The National Survey of Mental Health and Wellbeing, conducted in 2007 with people aged 16-85, revealed that one in five Australians, or 3.2 million people, had a 12-month mental disorder (a mental illness occurring 12 months before the survey took place) (ABS, 2007). The survey further revealed that 16 million Australians (45%) within this age bracket suffered with a mental illness at some point in their lives. While these findings are slowly becoming public knowledge, there is still a limited understanding amongst laypeople regarding the overt and more covert symptoms of mental …

Benzodiazepine Use Among Chronic Pain Patients Prescribed Opioids: Associations With Pain, Physical And Mental Health, And Health Service Utilization, Suzanne Nielsen, Nicholas Lintzeris, Raimondo Bruno, Gabrielle Campbell, Briony K. Larance, Wayne Hall, Bianca Hoban, Milton Cohen, Louisa Degenhardt

Faculty of Social Sciences - Papers (Archive)

Objective

Benzodiazepines (BZDs) are commonly used by chronic pain patients, despite limited evidence of any long-term benefits and concerns regarding adverse events and drug interactions, particularly in older patients. This article aims to: describe patterns of BZDs use; the demographic, physical, and mental health correlates of BZD use; and examine if negative health outcomes are associated with BZD use after controlling for confounders. Subjects

A national sample of 1,220 chronic noncancer pain (CNCP) patients prescribed long-term opioids. Methods

We report on baseline data from a prospective cohort study comparing four groups based on their current BZD use patterns. General demographics, …

A Global Charter For The Public's Health - The Public's Health: The Role, Functions, Competencies, Education, B Borisch, C Jenkins, I Hernandez, R Krech, U Laaser, M Lomazzi, E Miron, M Moore, J Nurse, P Robinson, Heather Yeatman

Faculty of Social Sciences - Papers (Archive)

Political leaders increasingly perceive health as being crucial to achieving growth, development, equity and stability throughout the world. Health is now understood as a product of complex and dynamic relations generated by numerous determinants at different levels of governance. Governments need to take into account the impact of social, environmental and behavioural health determinants, including economic constraints, living conditions, demographic changes and unhealthy lifestyles in many of the World Health Organization (WHO) Member States. This understanding and increasing globalization means it is very timely to review the role of (global) public health in this changing societal and political environment.