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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Globalization is reshaping the field of health promotion practice. In this innovative study, the authors outline health promotion's traditional concerns and argue that 'a policy of glocalization' (thinking globally, acting locally) can succeed in establishing health equality and achieving empowerment individually, locally, nationally and globally. Drawing on international examples across Africa, Asia, Europe and North America, this study analyses economic policies and their link to health, particularly in relation to the developing world. Globalization affects health in varied ways and this book examines the competing ways in which 'global health' has been framed in public policy, concluding by revealing how health promoters can respond to globalization's new challenges.
"The book provides an excellent combination of broad theoretical background with a generous helping of vocational guidance on the practice of health promotion." scotregen "A very welcome addition to the practical side of health promotion! Laverack’s brief and simply-worded text weaves together just the right balance of theory, evidence, tips and case studies to satisfy the new learner looking to gain a grasp of health promotion’s empowering whole, while still offering new insights to the more seasoned practitioner." Ronald Labonté, Institute of Population Health, University of Ottawa How can health promotion practitioners help communities to become more empowered? How do you encourage different communities to work together towards a shared goal? How can you focus your resources to be most effective in building empowered communities? How do you evaluate your success (and failures) in building empowered communities? Power and empowerment are two complex concepts that are central to health promotion practice. People experience empowerment in many different ways and this book explains an approach that has been used by health promoters to intentionally build and evaluate empowerment. The book provides a special focus on communities and is illustrated throughout with useful field experiences in the United Kingdom, Asia, North America, the Pacific region and Africa. The book aims to provide the reader with: An understanding of the key concepts of power and empowerment and the link to improved health outcomes in the context of health promotion programmes An understanding of practical approaches that can be used in health promotion programming to build and evaluate empowered communities Case study examples of how communities can be empowered in practice This unique book offers sound theoretical principles to underpin the practical approaches used to build empowered communities and brings together new and innovative approaches in health promotion practice. Health Promotion Practiceis essential reading for health promotion students and practitioners who want to learn more about innovative approaches to build empowered communities in their everyday work. It will inspire them to work in more empowering ways in health promotion practice and to carefully contemplate how they can influence the way others gain power.
Like the First Edition, this book serves as a guide to the science and art of community health promotion. The last decade of research and development has considerably advanced the science of achieving and maintaining health. In this new edition, international contributors share their experiences and expertise about diverse health promotion and point out areas needing adjustment in community implementation, both on an international and domestic level.
During the past century the major causes of morbidity and mortality in the United States have shifted from those related to communicable diseases to those due to chronic diseases. Just as the major causes of morbidity and mortality have changed, so too has the understanding of health and what makes people healthy or ill. Research has documented the importance of the social determinants of health (for example, socioeconomic status and education) that affect health directly as well as through their impact on other health determinants such as risk factors. Targeting interventions toward the conditions associated with today's challenges to living a healthy life requires an increased emphasis on the factors that affect the current cause of morbidity and mortality, factors such as the social determinants of health. Many community-based prevention interventions target such conditions. Community-based prevention interventions offer three distinct strengths. First, because the intervention is implemented population-wide it is inclusive and not dependent on access to a health care system. Second, by directing strategies at an entire population an intervention can reach individuals at all levels of risk. And finally, some lifestyle and behavioral risk factors are shaped by conditions not under an individual's control. For example, encouraging an individual to eat healthy food when none is accessible undermines the potential for successful behavioral change. Community-based prevention interventions can be designed to affect environmental and social conditions that are out of the reach of clinical services. Four foundations - the California Endowment, the de Beaumont Foundation, the W.K. Kellogg Foundation, and the Robert Wood Johnson Foundation - asked the Institute of Medicine to convene an expert committee to develop a framework for assessing the value of community-based, non-clinical prevention policies and wellness strategies, especially those targeting the prevention of long-term, chronic diseases. The charge to the committee was to define community-based, non-clinical prevention policy and wellness strategies; define the value for community-based, non-clinical prevention policies and wellness strategies; and analyze current frameworks used to assess the value of community-based, non-clinical prevention policies and wellness strategies, including the methodologies and measures used and the short- and long-term impacts of such prevention policy and wellness strategies on health care spending and public health. An Integrated Framework for Assessing the Value of Community-Based Prevention summarizes the committee's findings.
This new edition continues to build on the sound philosophical approach of the previous editions. Provides an even stronger global perspective whilst highlighting the inextricable ties between the health of populations with the social, environmental and political context of people's lives. Authors from La Trobe Uni, Australia.
Volume numbers determined from Scope of the guidelines, p. 12-13.
This open access book offers an overview of the beautiful, powerful, and dynamic array of opportunities to promote health through the arts from theoretical, methodological, pedagogical, and critical perspectives. This is the first-known text to connect the disparate inter-disciplinary literatures into a coherent volume for health promotion practitioners, researchers, and teachers. It provides a one-stop depository for using the arts as tools for health promotion in many settings and as bridges across communities, cultures, and sectors. The diverse applications of the arts in health promotion transcend the multiple contexts within which health is created, i.e., individual, community, and societal levels, and has a number of potential health, aesthetic, and social outcomes. Topics covered within the chapters include: Exploring the Potential of the Arts to Promote Health and Social Justice Drawing as a Salutogenic Therapy Aid for Grieving Adolescents in Botswana Community Theater for Health Promotion in Japan From Arts to Action: Project SHINE as a Case Study of Engaging Youth in Efforts to Develop Sustainable Water, Sanitation, and Hygiene Strategies in Rural Tanzania and India Movimiento Ventana: An Alternative Proposal to Mental Health in Nicaragua Using Art to Bridge Research and Policy: An Initiative of the United States National Academy of Medicine Arts and Health Promotion is an innovative and engaging resource for a broad audience including practitioners, researchers, university instructors, and artists. It is an important text for undergraduate- and graduate-level courses, particularly in program planning, research methods (especially qualitative methodology), community health, and applied art classes. The book also is useful for professional development among current health promotion practitioners, community nurses, community psychologists, public health professionals, and social workers.