2. The European health promotion context

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

Abstract Health promotion acknowledges the reciprocal relationship between health-related behaviours and the environments in which people live, considers that the environment is made up of different subsystems and emphasises the relationships and dependencies between these subsystems. Our workshop acknowledges the multi-faceted nature of health promotion and intends to provoke thinking, ideas and tools for health promotion to help to expand skills and knowledge to develop health promotion strategies, policies and interventions. This workshop will offer examples and provoke discussions on how to develop, evolve and improve health promotion practices. First, an overview of the European health promotion landscape is presented. This information is based on data collection conducted in 2018 in the European Joint Action Chrodis Plus. Next, we have two interlinked presentations to describe how to institutionalize health promotion thorough legislation, assess health promotion actions nationwide, and foster development in municipalities enforced by legislation. These presentations illustrate the developments in Finland, offer examples and highlight the importance of ministerial level actions for health promotion. The nationwide benchmarking system for assessment has existed for over ten years and offers an example for other countries. The two last presentations address specific health and well-being issues: (1) tobacco control in Portugal and Israel and (2) the promotion of older people’s health and well-being in Iceland. The presentation on tobacco control is an example of inter-dependencies of different stake-holders. The presentation from Iceland will stimulate a discussion on how to start and conduct the nationwide implementation of an evidence based health promotion intervention and what the role governments, municipalities, and NGOs should be. The workshop is a regular workshop. Time for discussion is offered in four spots, (1st) after the first presentation, (2nd) after the second and third presentations, (3rd) after the fourth and (4th) final discussion after the fifth presentation. Key messages Promising methods for health promotion exist. The challenge is how to implement effectively. Legislation is a powerful tool to enhance health promotion practices.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Martins ◽  
L Saboga-Nunes ◽  
M Regina Farinelli ◽  
M Gabriela Carascosa ◽  
P Ribeiro

Abstract Background Health literacy (HL) presents itself as a strategy to rethink lifestyles and enhance health promotion strategies (with the inclusion of social determinants of health) in the workplace. The aim of this research was to evaluate HL levels of health workers from the urgency and emergency sector of a public hospital in Brazil (Uberaba, Minas Gerais, HC/UFTM-SUS). Methods An exploratory, quantitative and qualitative research based in the European Health Literacy survey (validated to Brasil HLS-EU-BR) collected data from 216 participants, by the means of a CAWI methodology. Results A total of 141 participants were retained for data analysis. HL level of participants from the administrative sector reached a score of 40.0% for insufficient and problematic HL; 33.3% had sufficient HL levels and 26.7% showed excellent HL levels. For the category of Healthcare medium / technical level, 48.2% had inadequate and problematic HL; 37.5% had sufficient and 14.3% showed excellent HL levels. In the third category - Healthcare participants with higher education levels - 31.6% had problematic, 34.2% sufficient and 34.2% showed excellent HL levels. Conclusions This is the first time the instrument (HLS-EU-BR) to evaluate HL is used in a health professional setting in Brazil. This research demonstrated that HL is sensitive to socioeconomic differences and highlights the need to promote HL of health workers. Targeting lower socioeconomic groups that have a routine of dealing with the general public in a public hospital to increment HL levels, seems to be an option worth investigating. Such a proposition could not only benefit the specific worker, but target a social change in quality of care, health promotion and social support that can be centered in hospitals. This would trigger the needed change proposed by WHO in Nairobi and Shangai: shifting health care organizations to health literate organizations.


2019 ◽  
Vol 35 (4) ◽  
pp. 779-789 ◽  
Author(s):  
Barbara Battel-Kirk ◽  
Margaret M Barry

Abstract This paper reports on a study undertaken to determine what progress has been made in the uptake and impact of the CompHP Core Competencies on Health Promotion practice, education and training in Europe since their publication in 2011. The study used a purposive sample comprising health promoters who had contributed to the development of the CompHP Competencies was augmented by snowball sampling across European Health Promotion practitioners. An online survey tool was employed to elicit information on respondents' attitudes to the Competencies, levels of current and intended use, and opinions on their impact. A total of 81 responses were received from 25 European countries. Findings on factors considered likely to influence the use of the Competencies were generally positive, as were respondents' attitudes to them. However, only 53% of respondents reported that the CompHP Competencies were used in their country and 54% that they used them in their practice. The Competencies were most frequently used in Health Promotion education, where their impact was also most apparent. A lack of support and recognition of the Competencies by key organizations and stakeholders at country level emerges as a potentially critical factor influencing their uptake and use. The survey findings provide an insight into the uptake and impact of the CompHP Core Competencies to date and begin to address the gap in empirical evidence on the use and impact of Health Promotion competencies. However, further research is required to explore the factors influencing implementation of the CompHP Core Competencies at a country level.


UVserva ◽  
2019 ◽  
pp. 77-87
Author(s):  
Karla Diane Morales Chacón ◽  
Carolina Palmeros Exome ◽  
Antonia Barranca Enríquez

La alfabetización en salud se relaciona con las habilidades de las personas para emplear la información en salud y tomar decisiones en la atención y el cuidado sanitario, la prevención de enfermedades y la promoción de la salud durante la vida. La comunidad universitaria desempeña un papel importante en la sociedad, pudiendo influir directamente en las prácticas y actitudes de la alfabetización en salud. Se midió el nivel de alfabetización en salud de 22 estudiantes de la Universidad Veracruzana mediante la encuesta versión en español del European Health Literacy Survey Questionnaire HLS-EU-Q-47, compuesta por 47 ítems evaluados en una escala de Likert. Se observó que el 27% de los estudiantes tiene un nivel insuficiente de alfabetización en salud. Los resultados señalan la necesidad de implementar estrategias de promoción de la salud que contribuyan a mejorarlos; asimismo, se recomiendan futuras investigaciones que involucren otras variables de estudio.Palabras clave: Alfabetización en salud; estudiantes universitarios; promoción de la salud; universidad saludable; Veracruz AbstractHealth literacy relates to the skills of people to use health information and make decisions in the care and health care, disease prevention and health promotion during life. The university community plays an important role in society, being able to directly influence the practices and attitudes of health literacy. We measured the level of literacy in health of 22 students from the University of Veracruz using the survey spanish version of the European Health Literacy Survey Questionnaire HLS-EU-Q-47, composed of 47 items evaluated in a Likert scale. It was noted that the 27% of students has an insufficient level of health literacy. The results point to the need to implement health promotion strategies that contribute to improving them; it also recommended future research involving other variables under study.Keywords: Health literacy; university students; health promotion; healthy university, Veracruz 


2008 ◽  
Vol 16 (3) ◽  
pp. 123-126 ◽  
Author(s):  
Toni Faltermaier

Abstract. The Flensburg health psychology group takes a salutogenic perspective and aims at developing innovative health promotion approaches. It stands in the interdisciplinary context of health and educational sciences. Our focus in research is on both, stress processes and lay representations of health and illness in the context of salutogenic theories of health. Basic and applied research activities aim at developing subject-oriented approaches of prevention and health promotion that are designed to promote health resources and competencies in selected settings and target groups. Current research is concentrated on socially disadvantaged groups, on occupational groups and on men to develop tailored health promotion approaches that reach groups in need and which show sustainable effects.


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