Re-envisioning health promotion: Thinking and acting salutogenically towards equity for historically resilient communities

This paper explores how the salutogenic theory can enable us to re-envision health promotion work with marginalized communities, towards an approach that acknowledges and honours their resilience. We use the three core concepts in Antonovsky’s salutogenic model of health – sense of coherence, generalized resistance resources and specific resistance resources – to explore the theory’s relevance to health equity, thus presenting new opportunities for how we might radically re-evaluate current health promotion approaches. We conclude that a more equitable health promotion requires increased participation of marginalized communities in shaping their futures and suggest a new model for historically grounded salutogenic health promotion.

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Research supervision as a mutual learning process: introducing salutogenesis into supervision using ‘The Collegial Model’

Health Promotion International ◽

10.1093/heapro/day088 ◽

2018 ◽

Vol 34 (6) ◽

pp. 1200-1206 ◽

Cited By ~ 1

Author(s):

Monica Eriksson

Keyword(s):

Health Promotion ◽

Sense Of Coherence ◽

New Approach ◽

Postgraduate Students ◽

Mutual Learning ◽

Research Supervision ◽

Team Supervision ◽

Communication Processes ◽

Salutogenic Model ◽

Doctoral Supervision

Abstract Research using salutogenic factors to promote health is extensive. Salutogenesis, and its core concept ‘sense of coherence’ (SOC), is a resource-oriented theory and framework, applicable in different contexts. Research combining health promotion and doctoral supervision in higher education is scarce. This article places research supervision in a broader context of sustainable working life by focusing on stress management. It is about health promotion in an area of research supervision, a new approach not described earlier. Research on supervision in general is extensive, focusing on co-generative mentoring, counselling and coaching. A new salutogenic model, ‘The Collegial Model’, is presented as an example of practical application. The aim of the present article is to introduce and discuss how the salutogenic theory and model of health can be applied to research supervision of postgraduate students. Knowledge about how SOC impacts health and learning has benefit from a systematic review on salutogenic research covering published papers from 1992 to 2003 and until today. ‘The Collegial Model’ examines fundamental characteristics of supervision related to ethics and sense of coherence: relations, communication, processes, reciprocity, reflection, learning, comprehensibility, manageability, meaningfulness and coherence. Principles for carrying out supervision ‘the salutogenic way’ are suggested. The conclusion is that doctoral supervision involves mutual learning processes between colleagues in the supervisory team. Supervision has to be theory driven, implying that supervisors could benefit from applying a salutogenic way of thinking and working, particularly in development of guidelines for research supervision.

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Specific Resistance Resources in the Salutogenic Model of Health

The Handbook of Salutogenesis ◽

10.1007/978-3-030-79515-3_13 ◽

2022 ◽

pp. 107-114

Author(s):

Maurice B. Mittelmark ◽

Marguerite Daniel ◽

Helga B. Urke

Keyword(s):

Health Promotion ◽

Specific Resistance ◽

Health It ◽

Salutogenic Model ◽

Health Promotion Practice

AbstractThis chapter discusses conceptual and concrete differences between generalized and specific resistance resources in the salutogenic model of health. It is important to distinguish between the two types of resistance resources to ensure that health promotion pays attention to both types. Specific resistance resources have as much or more relevance to health promotion practice as do generalized resistance resources. By drawing attention to the nature of specific resistance resources, one also draws attention to what should be the main aim of health promotion.

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An evidence base for mental health promotion through supported education: A practical application of Antonovsky's salutogenic model of health

International Journal of Health Promotion and Education ◽

10.1080/14635240.2008.10708122 ◽

2008 ◽

Vol 46 (1) ◽

pp. 11-20 ◽

Cited By ~ 5

Author(s):

Ian Morrison ◽

Laura M Stosz ◽

Stephen M Clift

Keyword(s):

Mental Health ◽

Health Promotion ◽

Evidence Base ◽

Mental Health Promotion ◽

Practical Application ◽

Salutogenic Model ◽

Supported Education

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Incorporating Health Equity and Community Perspectives During COVID-19: Commonalities with Cardiovascular Health Equity Research

Ethnicity & Disease ◽

10.18865/ed.30.3.421 ◽

2020 ◽

Vol 30 (3) ◽

pp. 421-424

Author(s):

Erica Payton Foh ◽

Sandra E. Echeverria

Keyword(s):

Health Equity ◽

Cardiovascular Health ◽

The United States ◽

Current Crisis ◽

Marginalized Communities ◽

Social Inequities ◽

Equity Research ◽

Health Equity Research ◽

Structural Inequities ◽

Health Agenda

The COVID-19 pandemic is revealing the deeply entrenched structural inequities in health that exist in the United States. We draw parallels between the COVID-19 pandemic and our cardiovascular health equity research focused on physical activity and diabetes to highlight three common needs: 1) access to timely and disaggregated data; 2) how to integrate community-engaged approaches in telehealth; and 3) policy initiatives that explicitly integrate health equity and social justice principles and action. We suggest that a similar sense of urgency regarding COVID-19 should be applied to slow the burgeoning costs and suffering associated with cardiovascular disease overall and in marginalized communities specifically. We remain hopeful that the current crisis can serve as a guide for aligning our principles as a just and democratic society with a health agenda that explicitly recognizes that social inequities in health for some impacts all members of society. Ethn Dis. 2020;30(3):421-424; doi:10.18865/ed.30.3.421

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Future Perspectives of Health Care: Closing Remarks

Health Promotion in Health Care – Vital Theories and Research ◽

10.1007/978-3-030-63135-2_26 ◽

2021 ◽

pp. 375-380

Author(s):

Gørill Haugan ◽

Monica Eriksson

Keyword(s):

Health Care ◽

Health Promotion ◽

Health Care Services ◽

Health Care Systems ◽

Health Sector ◽

Care Services ◽

Care Systems ◽

Health Promoting ◽

Professional Leadership ◽

Salutogenic Model

AbstractThe Covid-19 pandemic has demonstrated the vulnerability of our health care systems as well as our societies. During the year of 2020, we have witnessed how whole societies globally have been in a turbulent state of transformation finding strategies to manage the difficulties caused by the pandemic. At first glance, the health promotion perspective might seem far away from handling the serious impacts caused by the Covid-19 pandemic. However, as health promotion is about enabling people to increase control over their health and its determinants, paradoxically health promotion seems to be ever more important in times of crisis and pandemics. Probably, in the future, pandemics will be a part of the global picture along with the non-communicable diseases. These facts strongly demand the health care services to reorient in a health promoting direction.The IUHPE Global Working Group on Salutogenesis suggests that health promotion competencies along with a reorientation of professional leadership towards salutogenesis, empowerment and participation are required. More specifically, the IUHPE Group recommends that the overall salutogenic model of health and the concept of SOC should be further advanced and applied beyond the health sector, followed by the design of salutogenic interventions and change processes in complex systems.

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Future directions for the concept of salutogenesis: a position article

Health Promotion International ◽

10.1093/heapro/daz057 ◽

2019 ◽

Vol 35 (2) ◽

pp. 187-195 ◽

Cited By ~ 9

Author(s):

G F Bauer ◽

M Roy ◽

P Bakibinga ◽

P Contu ◽

S Downe ◽

...

Keyword(s):

New York ◽

Health Promotion ◽

San Francisco ◽

Working Group ◽

Three Dimensional ◽

Health Sector ◽

Health And Wellbeing ◽

Health Promotion And Education ◽

Salutogenic Model ◽

And Coping

Abstract Aaron Antonovsky advanced the concept of salutogenesis almost four decades ago (Antonovsky, Health, Stress and Coping. Jossey-Bass, San Francisco, CA, 1979; Unravelling the Mystery of Health. Jossey-Bass, San Francisco, CA, 1987). Salutogenesis posits that life experiences shape the sense of coherence (SOC) that helps to mobilize resources to cope with stressors and manage tension successfully (determining one’s movement on the health Ease/Dis-ease continuum). Antonovsky considered the three-dimensional SOC (i.e. comprehensibility, manageability, meaningfulness) as the key answer to his question about the origin of health. The field of health promotion has adopted the concept of salutogenesis as reflected in the international Handbook of Salutogenesis (Mittelmark et al., The Handbook of Salutogenesis. Springer, New York, 2016). However, health promotion mostly builds on the more vague, general salutogenic orientation that implies the need to foster resources and capacities to promote health and wellbeing. To strengthen the knowledge base of salutogenesis, the Global Working Group on Salutogenesis (GWG-Sal) of the International Union of Health Promotion and Education produced the Handbook of Salutogenesis. During the creation of the handbook and the regular meetings of the GWG-Sal, the working group identified four key conceptual issues to be advanced: (i) the overall salutogenic model of health; (ii) the SOC concept; (iii) the design of salutogenic interventions and change processes in complex systems; (iv) the application of salutogenesis beyond health sector. For each of these areas, we first highlight Antonovsky’s original contribution and then present suggestions for future development. These ideas will help guide GWG-Sal’s work to strengthen salutogenesis as a theory base for health promotion.

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Punishment and Pleasure: Women, Food and the Imprisoned Body

The Sociological Review ◽

10.1111/1467-954x.00363 ◽

2002 ◽

Vol 50 (2) ◽

pp. 197-214 ◽

Cited By ~ 56

Author(s):

Catrin Smith

Keyword(s):

Health Promotion ◽

Complex Relationship ◽

Group Discussions ◽

Powerful Source ◽

Dominant Meaning ◽

Current Health ◽

Women's Prisons ◽

External Forces ◽

Promotional Discourse ◽

Depth Interviews

Food assumes enormous importance in prison: for many prisoners it conditions their life in custody and, in many respects, is symbolic of the prison experience. This article explores the complex relationship between gender, food and imprisonment through an analysis of data obtained from in-depth interviews and group discussions conducted in three women's prisons in England. The findings indicate that, in prison, where control is taken away as the prisoner and her body become the objects of external forces, food is experienced not only as part of the disciplinary machinery, but also as a powerful source of pleasure, resistance and rebellion. The implications of such findings for health promotion in the prison context are discussed. Here, the pleasures and consolations of food may well constitute a redefinition of what it is to be healthy in this context, one that challenges the dominant meaning constructed in current health promotional discourse.

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