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McCarthy S, Pitt H, Benjamin K, Stafford J, Keric D, Arnot G, Thomas S. The role of alcohol consumption in the lives of older Australian women: qualitative insights and an agenda for further research, policy and practice. BMC Public Health 2024; 24:2715. [PMID: 39369192 PMCID: PMC11453004 DOI: 10.1186/s12889-024-20083-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2024] [Accepted: 09/13/2024] [Indexed: 10/07/2024] Open
Abstract
BACKGROUND Alcohol consumption presents a threat to the health and wellbeing of women. The alcohol industry often pushes back at global efforts to prioritise the prevention of alcohol harms to women. Qualitative researchers have investigated how younger and midlife women conceptualise their alcohol consumption, but there is very limited research relating to older women (those 60 years and over). METHODS Using data collected from an online qualitative survey, this paper explored the factors that influence how older Australian women drinkers (n = 144. 60-88 years) conceptualised the role of alcohol in their lives. The study used a 'Big Q' reflexive approach to thematic analysis, drawing upon sociological theories of risk and symbolic interactionism to construct four themes from the data. RESULTS First, alcohol consumption was viewed by participants as an accepted and normalised social activity, that was part of Australian culture. Second, alcohol played a role for some participants as a way to cope with life changes (such as retirement), as well as managing stressful or challenging life circumstances (such as loneliness). Third, alcohol was part of the routines and rituals of everyday life for some women. For example, women discussed the consumption of wine with their evening meal as an important part of the structure of their day. Fourth, participants had clear personal expectancies about what it meant to be a 'responsible drinker'. They had clear narratives about personal control and moral obligation, which in some cases created a reduced perception of their own risk of alcohol-caused harm. CONCLUSIONS This research provides a starting point for future public health research examining the factors that may shape older women's alcohol consumption beliefs and practices. Public health activities should consider the unique needs and potential vulnerabilities of older women drinkers, and how these may be potentially exploited by the alcohol industry.
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Affiliation(s)
- Simone McCarthy
- Faculty of Health, Institute for Health Transformation, Deakin University, Geelong, Australia.
| | - Hannah Pitt
- Faculty of Health, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Kelli Benjamin
- Faculty of Health, Institute for Health Transformation, Deakin University, Geelong, Australia
| | | | - Danica Keric
- Cancer Council Western Australia, Perth, Australia
| | - Grace Arnot
- Faculty of Health, Institute for Health Transformation, Deakin University, Geelong, Australia
| | - Samantha Thomas
- Faculty of Health, Institute for Health Transformation, Deakin University, Geelong, Australia
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Arnot G, Thomas S, Pitt H, McCarthy S, Warner E. "Older people will die of old age. I'll die of climate change": engaging children and young people in climate decision making for public health. BMC Public Health 2024; 24:1869. [PMID: 38997688 PMCID: PMC11245781 DOI: 10.1186/s12889-024-19406-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Accepted: 07/08/2024] [Indexed: 07/14/2024] Open
Abstract
BACKGROUND The climate crisis is a significant risk to the health and wellbeing of children, young people, and future generations. While there are calls for children and young people's engagement in climate decision making, current power structures limit their participation. This paper aimed to understand children's perspectives about the impact of the climate crisis on their futures, their ability to influence climate decisions, and strategies and mechanisms to facilitate their greater engagement in decisions made about the climate crisis. METHODS Online in-depth interviews were conducted with n = 28 children (aged 12-16 years) across Australia. Photo elicitation techniques were used to prompt discussion about how the climate crisis impacted their futures, their ability to influence climate decisions, and strategies and mechanisms to engage them in climate decision making. A reflexive approach to thematic analysis was used to construct three themes from data. Images were analysed for ascribed meanings. RESULTS First, participants stated that they and future generations will inherit the climate crisis from older generations, specifically decision makers. Second, they described a need to address a range of age-related barriers that limit children and young people's engagement in climate decision making, including perceptions about their capabilities. Finally, they discussed strategies and mechanisms to embed children and young people's perspectives within climate decision making, including at civic and political levels. CONCLUSIONS Children and young people have the right to be involved in decisions made about the climate crisis which significantly impact their futures, including their health and wellbeing. They argue for structural changes to embed their views in climate decision making, and describe a range of engagement strategies and mechanisms to structure their perspectives and knowledge with decision making processes. Furthermore, genuine involvement of children and young people in climate discussions must avoid youthwashing and tokenistic participation. The public health community can help address barriers to youth participation in climate action and should actively engage and collaborate with children and young people to facilitate their political and democratic influence over the climate crisis. This involves making room and creating an accessible seat at the decision making table to ensure their perspectives are embedded in climate decisions.
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Affiliation(s)
- Grace Arnot
- Institute for Health Transformation, Faculty of Health, Deakin University, 1 Geringhap Street, Geelong, VIC, 3220, Australia.
| | - Samantha Thomas
- Curtin School of Population Health, Curtin University, Kent Street, Bentley, WA, 6102, Australia
| | - Hannah Pitt
- Institute for Health Transformation, Faculty of Health, Deakin University, 1 Geringhap Street, Geelong, VIC, 3220, Australia
| | - Simone McCarthy
- Institute for Health Transformation, Faculty of Health, Deakin University, 1 Geringhap Street, Geelong, VIC, 3220, Australia
| | - Elyse Warner
- Institute for Health Transformation, Faculty of Health, Deakin University, 1 Geringhap Street, Geelong, VIC, 3220, Australia
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Thomas SL, Pitt H, McCarthy S, Arnot G, Hennessy M. Methodological and practical guidance for designing and conducting online qualitative surveys in public health. Health Promot Int 2024; 39:daae061. [PMID: 38920273 PMCID: PMC11200187 DOI: 10.1093/heapro/daae061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/27/2024] Open
Abstract
Online qualitative surveys-those surveys that prioritise qualitative questions and interpretivist values-have rich potential for researchers, particularly in new or emerging areas of public health. However, there is limited discussion about the practical development and methodological implications of such surveys, particularly for public health researchers. This poses challenges for researchers, funders, ethics committees, and peer reviewers in assessing the rigour and robustness of such research, and in deciding the appropriateness of the method for answering different research questions. Drawing and extending on the work of other researchers, as well as our own experiences of conducting online qualitative surveys with young people and adults, we describe the processes associated with developing and implementing online qualitative surveys and writing up online qualitative survey data. We provide practical examples and lessons learned about question development, the importance of rigorous piloting strategies, use of novel techniques to prompt detailed responses from participants, and decisions that are made about data preparation and interpretation. We consider reviewer comments, and some ethical considerations of this type of qualitative research for both participants and researchers. We provide a range of practical strategies to improve trustworthiness in decision-making and data interpretation-including the importance of using theory. Rigorous online qualitative surveys that are grounded in qualitative interpretivist values offer a range of unique benefits for public health researchers, knowledge users, and research participants.
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Affiliation(s)
- Samantha L Thomas
- Faculty of Health, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, Victoria 3220, Australia
- Faculty of Health Sciences, School of Population Health, Curtin University, Australia
| | - Hannah Pitt
- Faculty of Health, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, Victoria 3220, Australia
| | - Simone McCarthy
- Faculty of Health, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, Victoria 3220, Australia
| | - Grace Arnot
- Faculty of Health, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, Victoria 3220, Australia
| | - Marita Hennessy
- College of Medicine and Health, University College Cork, Cork, Ireland
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Hartwell G, Gill M, Zenone M, McKee M. Smartphones, social media, and teenage mental health. BMJ 2024; 385:e079828. [PMID: 38806185 DOI: 10.1136/bmj-2024-079828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/30/2024]
Affiliation(s)
- Greg Hartwell
- London School of Hygiene and Tropical Medicine, London, UK
| | - Maeve Gill
- Royal Free Hospital NHS Foundation Trust, London, UK
| | - Marco Zenone
- Health Law Institute, University of Alberta, Canada
| | - Martin McKee
- London School of Hygiene and Tropical Medicine, London, UK
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Arnot G, Pitt H, McCarthy S, Warner E, Thomas S. 'You can't really separate these risks, our environment, our animals and us': Australian children's perceptions of the risks of the climate crisis. Health Promot Int 2024; 39:daae023. [PMID: 38452241 PMCID: PMC10919885 DOI: 10.1093/heapro/daae023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2024] Open
Abstract
Perceptions of the risks associated with the climate crisis are shaped by a range of social and political contexts and information sources. While some have expressed concerns about the impact of the spread of climate misinformation through social media platforms on young people, others have shown that the youth climate movement has played a key role in countering misinformation. Despite this, there has been very limited research with children about how they conceptualize the risks associated with the climate crisis, how they receive climate information, and how they understand and apply this to their own and others' lives. The following qualitative study used photo-elicitation techniques and in-depth interviews with Australian children to address this gap. A total of n = 28 children (12-16 years) participated, with four themes constructed from the data using a reflexive approach to thematic analysis. Children were concerned about how the climate crisis would continue to harm their futures and the health of planet and people. They recognized that some groups and countries would experience more risks associated with the climate crisis as compared to others. While they received information from a range of different sources (school, family, social media), they mostly used social media to seek out climate information. They recognized that social media sites could be a source of climate misinformation, and argued that a range of strategies were needed to identify and counter false information about the climate crisis. Children's perspectives must be harnessed to improve information about climate risks and action.
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Affiliation(s)
- Grace Arnot
- Faculty of Health, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, VIC 3220, Australia
| | - Hannah Pitt
- Faculty of Health, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, VIC 3220, Australia
| | - Simone McCarthy
- Faculty of Health, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, VIC 3220, Australia
| | - Elyse Warner
- Faculty of Health, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, VIC 3220, Australia
| | - Samantha Thomas
- Faculty of Health, Institute for Health Transformation, Deakin University, 1 Geringhap Street, Geelong, VIC 3220, Australia
- Curtin School of Population Health, Curtin University, Kent Street, Bentley, WA 6102, Australia
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