scholarly journals Mapping the future of health promotion

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E De Leeuw

Abstract The Ottawa Charter for Health Promotion was launched in 1986, and ten global conferences later its key calls to action have never been more poignant. To see health as a resource for everyday life in settings where people live, love, work and play, and recognizing equity and the social determinants of health as core to the success of healthy societies remains important. In the nearly 35 years since the Charter was published, we have seen a proliferation of health promotion research with ever greater insights in what drive the health and well-being of populations. Yet, at the same time we also witness a strong tendency to ground health (care) policy in biomedical and clinical evidence alone, and attribute health potential to lifestyle alone, rather than adopting a systems and social perspective of where health is created, grown, and celebrated. The causes for these diverging perspectives are complex, and are grounded in complexity. Humans and their socio-political systems, including the educational and political machines, tend to suffer from what the political scientist Charles Lindblom reputedly identified as the “Big Problem, Small Brain vs Small Problem Big Brain” phenomenon: researchers and intellectual are really good at pouring great volumes of thought and creative power into studying clearly defined issues, whereas politicians and bureaucrats face enormous problems and can get their heads around the multi-faceted solutions that need to be put in place. So - how do we make the complex palatable to the small brain? In this case - how can higher education systems be turned around to truly address the challenges of our and our children's time? The solution partially lies in the deployment of multiple network analyses of key stakeholders and the language they use to construct future realities: unless we have a clear map of the present and a much wider terrain before us to enter we will forever find it hard to navigate in the environmental and conflict dimension.

2021 ◽  
pp. 175797592199863
Author(s):  
Ilhan Abdullahi ◽  
Navneet Kaur Chana ◽  
Marco Zenone ◽  
Paola Ardiles

With the current COVID-19 pandemic impacting communities across the globe, diverse health promotion strategies are required to address the wide-ranging challenges we face. Art is a highly engaging tool that promotes positive well-being and increases community engagement and participation. The ‘Create Hope Mural’ campaign emerged as an arts-based health promotion response to inspire dialogue on why hope is so important for Canadians during these challenging times. This initiative is a partnership between a health promotion network based in Vancouver and an ‘open air’ art museum based in Toronto. Families were invited to submit artwork online that represents the concept of hope. This paper discusses the reflections of organizers of this arts-based health promotion initiative during the early months of the pandemic in Canada. Our findings reveal the importance of decolonizing practices, centring the voices of those impacted by crisis, while being attentive to the social and political context. These learnings can be adopted by prospective health promoters attempting to use arts-based methods to address social and health inequities.


2018 ◽  
Vol 46 (20_suppl) ◽  
pp. 20-26 ◽  
Author(s):  
Bente Wold ◽  
Maurice B. Mittelmark

Aims: This debate paper traces the development of innovative methods for undertaking health promotion research with a socialecological orientation, with a few examples drawn from 30 years of research on adolescent health promotion research at the University of Bergen. Conclusion: We aim to show how the social-ecological model is becoming more evident as a guide to research, using three cases that illustrate progress and potential. The first case is the Norwegian part of the European Network of Health Promoting Schools. The second case is a project just underway, The COMPLETE study, which is a community-led effort to promote students’ mental health and create a good psychosocial learning environment. The third case is a developing idea for the next generation of social-ecological research on adolescent well-being, using an asset approach to foster social inclusion and sense of community in multiple settings.


2021 ◽  
Author(s):  
Matthew J. Easterbrook

In this review, I provide an overview of the literature investigating the social psychology of economic inequality, focusing on individuals’ understandings, perceptions, and reactions to inequality. I begin by describing different ways of measuring perceptions of inequality, and conclude that absolute measures—which ask respondents to estimate inequality in more concrete terms—tend to be more useful and accurate than relative measures. I then describe how people understand inequality, highlighting the roles of cognitive heuristics, accessibility of information, self-interest, and context and culture. I review the evidence regarding how people react to inequality, suggesting that inequality is associated with higher well-being in developing nations but lower well-being in developed nations, mostly because of hopes or fears for the future. The evidence from developed nations suggests that inequality increases individuals’ concerns about status and economic resources, increases their perception that the social world is competitive and individualistic, and erodes their faith in others, political systems, and democracy in general.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract This workshop aim is to explore the call that is proposed by the WHO declarations of Nairobi and Shangai, that institutions should move forward to become health literate organizations. This workshop addresses qualitative and quantitative health literacy research work settings of health and non-health professionals. Health literacy has evolved into a significant public health and health promotion goal which is especially influenced by the social and cultural background, the availability of resources, and the settings in which it is practised. Basically, health literacy can be defined as the knowledge and skills to access, understand, appraise and apply health information in order to promote health and well-being. For a long period most research had focused on adult patients in clinical settings, but in the recent past there have been significant efforts from research, practice, and policy towards citizens in other organizational settings, which is due to findings stating that effective health literacy promotion begins and continues across all settings in a whole society approach since health is mostly shaped outside the health care setting. Such approaches can also be influential when addressing the reduction of health inequalities. The main objective of this workshop is to present first time empirical findings and developments from ongoing research projects of the Health Literacy in workplace (ProLiSa). Thereby, it will shed light on the health literacy of professionals, and link the current debate with contemporary public health approaches to advance the field of health literacy. The workshop will include 5 presentations with up to 15 minutes input followed by discussions. The first presentation is a tentative to understand health literacy and ehealth tools to improve quality of life. From Brazil a second presentation will consider health care organizations (hospitals) and the perspective to move to health literate organizations. From Portugal a third presentation will consider migration and integration and the case of health literacy as a foundation to promote cultural sensitiveness in the organizational setting. A forth presentation will consider how communicating with migrants can be a challenge and how children’s health literacy, digital technology can become and critical help. Finally the last presentation considers the role of health literacy and physical activity as buffers to counter act work related stress. This workshop offers a forum for researchers, practitioners and policy-makers interested in health literacy. By dialogue and two-way communication lively interaction and vivid discussions will be facilitated. This will allow discussing results with regard to their benefit for improving health literacy research, practice, and policy-making, support further synergies, break down barriers between research infrastructures, facilitate networking and collaboration, and support international capacity building. Key messages There is need for empirical health literacy research in work settings. It will allow informing sustainable and effective interventions and the development and application of better tools. Addressing the social environment will have impact on public health research & practice, will facilitate the development of health literate organizations, new concepts/strategies for health promotion.


2018 ◽  
Vol 7 (1) ◽  
pp. 187-203
Author(s):  
Anselmo Cordeiro de Souza ◽  
Maria Cecília Leite de Moraes ◽  
Leonardo Tavares Martins ◽  
Morenilza Bezerra de Conceição Fróes ◽  
Elaine Dos Santos Salzano ◽  
...  

O tráfego e a circulação humanos são, hoje, prioridades nas agendas políticas mundial e nacional, pelo impacto social de sua articulação e por conta da operacionalização, expressos em estatísticas epidemiológicas, criminais e ambientais, e no contexto das demandas logísticas de apropriação do espaço urbano. Este artigo objetiva explicitar a proposição interdisciplinar aplicada ao trânsito como mecanismo de produção de conhecimento, soluções e práticas melhores e mais efetivas. Trata-se de um ensaio teórico, que se limita a uma abordagem bibliográfica e narrativa, tendo como articulador um conceito nuclear em promoção da saúde, ou seja, o “saudável”. A partir da literatura consultada, confirmou-se a possibilidade da interdisciplinaridade como estratégia para superar as fortes tensões presentes na temática do trânsito. Isto significa uma valorização da vida e da saúde, por meio de uma estrutura congruente, ambientada na convivência e na relação fraterna, mediadas pelo trânsito como veículo de acesso e estreitamento das relações e dos laços humanos (físicos ou subjetivos), intencionando o bem-estar e a qualidade de vida social. A discussão a respeito do tema contribuiu para um clareamento e uma reflexão sobre a escandalosa necessidade de novos caminhos, baseados em propostas integradoras.Palavras-chave: Pesquisa interdisciplinar. Acidentes de Trânsito. Promoção da Saúde. Organização e administração.  ABSTRACT: Human traffic and circulation are now priority in the national and international political agendas, due to the social impact of its articulation and operationalization expressed in epidemiological, criminal and environmental statistics, and in the context of the logistic demands of urban space appropriation. This article aimed to explain the interdisciplinary proposition applied to traffic, as mechanism of production of knowledge, solutions and better and more effective practices. This is a theoretical essay limited to a bibliographical and narrative approach, which takes the concept of health promotion, namely "healthy", as articulator. From the literature consulted, we confirmed the possibility of the interdisciplinarity as a strategy to overcome the strong tensions present in the thematic traffic. It means that there is a valuation of life and health through a congruent structure, set in the coexistence and fraternal relationship, mediated by traffic as a vehicle of access and narrowing of human relations and ties (physical or subjective), intending the well-being and quality of social life. The discussion on the subject contributed to a clarification and reflection of the scandalous need for new paths based on an integrative proposal.Keywords: Interdisciplinary research. Accidents, Traffic; Health Promotion; Organization and Administration.


Naše more ◽  
2021 ◽  
Vol 68 (1) ◽  
pp. 41-47
Author(s):  
Luka Vukić ◽  
◽  
Ivan Peronja ◽  
Vice Mihanović

The impact of cruise tourism on key stakeholders determines further development of the cruise industry on a destination, imposing an obligation to systematically and continuously monitor stakeholders’ perceptions and attitudes. During 2019, primary research was conducted to examine two keys components of the cruise activity at the destination: the impact of cruise tourism on the local population and stakeholders performing business activities in the port of Split. Two individual groups of survey questionnaires were created. Special attention was given to the social, economic, and environmental impacts of cruise tourism, respecting the principles of sustainable development. These values were estimated based on the Likert scale. The local population considers the economic and social effects of cruise tourism as exceedingly positive and is more prepared for tolerance and resilience to achieve the expected well-being. Local business stakeholders are more restrained and record a minimal increase in income and employment related to the cruise activity. Limited perception and knowledge on sustainable development in the port of Split are characteristic of both groups of respondents.


Author(s):  
Alan Cribb

This chapter explores some of the things that are entailed by calls for anti-reductionism or ‘holism’ in health policy. In particular, it considers what is sometimes called the ‘social context’ of health. Many reforming currents in health policy are informed by, and draw attention to, the importance of seeing health—including clinical medicine and individual well-being—in social terms. It has, for example, become a truism in health services quality-improvement work that a realistic prospect of change depends upon ‘systems thinking’—analysing and addressing the broad range of factors that shape the practices one is hoping to improve. Systems thinking has strong resonances and overlaps with traditions in public health and health promotion which also, of course, look at health in social terms, including as something that needs addressing at a population level.


2021 ◽  
Vol 22 (1_suppl) ◽  
pp. 91S-100S
Author(s):  
Rabbi Nancy E. Epstein ◽  
Anne Bluethenthal ◽  
Deirdre Visser ◽  
Clara Pinsky ◽  
Meredith Minkler

Arts have long addressed the conditions that cause ill health, such as poverty, social inequality, and structural racism, and have recently taken on increased significance for public health. This article illuminates the potential for cross-sector collaboration between community-based health promotion and community-engaged arts to address the social determinants of health and build neighborhood assets at multiple levels of the social-ecological model. It features Skywatchers, a collaborative community arts ensemble of artists and residents of the culturally rich but economically poor Tenderloin neighborhood in San Francisco, California, and its original values-based “relational, durational, conversational, and structural” methodology focused on process over product and leveraging arts for justice and equity. Now, 10 years into its work, Skywatchers offers lessons about building reciprocal relationships, cocreating artworks, and promoting arts-based advocacy to improve the conditions that foster poor health in the neighborhood. The article discusses implications for community-based health promotion practice that delineate commitments and challenges shared between the two fields, their distinct roles and tools, and the potential for more widespread partnerships. It concludes with implications for policy and advocacy and a vision for expanded community-based participatory research to better understand the impact of arts on community health and well-being.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract The Shanghai declaration (WHO 2016) stated the role that health literacy (HL) may play in the struggle for more equitable society. Moving from good intentions to social practices of HL reveals that the social context where HL is embedded is a key determinant of the establishment of social practices that may play a critical role in wellbeing and quality of life. Exploring how the translation of HL into a social context is achieved or how the social context may determine strategies to face the challenges that HL production need, is a relevant domain in the public health and health promotion agenda. The aim of this workshop is to share with the audience an opportunity to immerse in five social contexts and explore their HL practices. The first perspective is from Cameroon and the emphasis is on HL role in increasing health knowledge. The authors share the results of an ethnographic analysis of the role of school children in the development of HL in families. The second presentation will unveil one of the topics that is influencing health and well-being of children today when a large struggle to counter act sugar beverages is at the root of obesity. Therefore, a study case from Portugal will focus on HL impact on nutrition status and water intake in children showing the relevance of the social context considered a way forward in the struggle for health promotion. From Germany a third presentation will consider migrants and refugees children's role in promoting the family HL. Recent research on HL stresses the importance of the social context for children's HL, especially among vulnerable groups such as migrants and refugees. However, reaching migrants is difficult, so experts recommend adult second language courses (SLC) as promising settings to promote HL of migrants and their families. Yet, empirical evidence of promoting family health literacy (FHL) in SLC is scarce and therefore addressing such a topic is seminal towards improving the Shanghai HL vision above referred. In Switzerland, adolescent's mental health promotion is the focus of a psychoeducational tool in the pediatric primary care (PPC) that will be considered in the fourth presentation. The aim is to scrutinized this social context, increase mental health literacy of adolescents by implementing proactive mental health strategies and create an opportunity for open discussion with their pediatrician about mental health. Finally, the fifth presentation aims at illuminating (digital) HL practices using applied linguistics. HL is key to making well-informed health decision in analogous and virtual social situations and organizational contexts. Multiple models and instruments of HL exist, but an in-depth understanding of the various HL-related everyday life situations and their digital and linguistic requirements are scarce. Here, the expertise and necessary skills for everyday communication, including health, are the object of an ethnographic research to help fill this gap. Key messages The relevance of the social context and how changes of this context can lead to transformations that influence health literacy of children is a way forward in the struggle for health promotion. share with the audience an opportunity to immerse in five social contexts and explore their HL practices.


Author(s):  
Tiago Santos Leles ◽  
Michelle Menezes Carlos ◽  
Grasielle Silveira Paulin

Introdução: Com o crescimento significativo de idosos, é necessário o aprimoramento de políticas públicas que propiciem a promoção de saúde e a prevenção de doenças. A proposta do grupo de promoção de saúde surge como uma estratégia no processo do envelhecimento com o objetivo de garantir qualidade de vida na velhice. Constitui-se como uma iniciativa de atuação interdisciplinar. Objetivo: Compreender a importância dos papéis ocupacionais e do apoio social dos idosos que participam dos grupos de promoção de saúde oferecidos por um Centro de Convivência de uma cidade administrativa do Distrito Federal. Métodos: Trata-se de uma pesquisa do tipo qualitativa de caráter descritivo-exploratório, com análise da técnica do discurso do sujeito coletivo. A pesquisa foi realizada em um Centro de Convivência de uma cidade administrativa do Distrito Federal. Para a coleta de dados, utilizaram-se dois instrumentos: a Lista de Identificação de Papéis Ocupacionais e o Diagrama de Escolta. Resultados e Discussão: Foi possível compreender que os grupos de promoção de saúde contribuíram na ampliação da rede de apoio social dos idosos, na criação de novos laços de amizade que fortaleceram os papéis ocupacionais contribuindo para o engajamento em atividades e evitando o isolamento. Conclusão: Conclui-se que os grupos de promoção à saúde do Centro de Convivência tornaram-se um forte incentivador para a ampliação da rede de apoio social e dos papéis ocupacionais, tendo uma grande influência sobre o bem-estar físico, emocional e psicológico dos idosos participantes do estudo. AbstractIntroduction: With the significant growth of the elderly, it is necessary to improve public policies that promote health promotion and disease prevention. The proposal of the health promotion group is presented as a proposal to guarantee quality of life in old age, an initiative of interdisciplinary action, which emerged as a strategy in the aging process. Aims: To understand the importance of the occupational roles and the social support of the elderly people who participate in the health promotion groups offered by a Centro Convivência of an administrative city of the Federal District.Methods: It is a qualitative research of descriptive-exploratory character, with analysis of the discourse technique of the collective subject. The research was carried out in a Coexistence Center of an administrative city of the Federal District. Two instruments, the Occupational Identification List and the Escort Diagram, were used for data collection.Results and Discussion: It was possible to understand that the health promotion groups contributed to the expansion of the social support network of the elderly, the creation of new bonds of friendship that strengthened the occupational roles contributing to the engagement in activities and avoiding isolation. Conclusion: It was concluded that the health promotion groups of the Coexistence Center, have become a strong incentive for expanding the social support network and occupational roles, being a great influence for the physical, emotional and psychological well-being of the study. Keyword: Aging; Social participation; Social net work; Occupational therapy; Socialization.


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