Health Promotion as a Public Health Strategy for the 1990s

Green, Lawrence W.; Kreuter, Marshall W.

doi:10.1146/annurev.pu.11.050190.001535

Cited by 87 publications

(24 citation statements)

References 48 publications

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“…That is, they have been designed to modify individuals' health habits and life-styles (e.g., exercise and dietary regimens) rather than to provide environmental resources and interventions that promote enhanced well-being among occupants of an area (e.g., installation of improved venti-lation systems to enhance indoor air quality, design of safe stairways to reduce falls and injuries, and provision of physical fitness facilities at the workplace). Much recent research suggests the potential value of environmental interventions as an adjunct to behaviorally oriented health promotion programs (e.g., Archea, 1985;Archea & Connell, 1986;Green & Kreuter, 1990;Greenberg, 1986;Hedge, 1989;Karasek & Theorell, 1990;Lawrence, 1990;Mendell & Smith, 1990;Robertson, 1986;Syme, 1990;Williams, 1982;Winett et al, 1989).…”

Section: Toward a Social Ecology Of Health Promotionmentioning

confidence: 99%

“…Rather than focusing solely on individuals or aggregates, the social-ecological perspective incorporates multiple levels of analysis and diverse methodologies (e.g., medical examinations, questionnaires, behavioral observations, environmental recordings, and epidemiologic analyses) for assessing the healthfulness of settings and the well-being of individuals and groups. Moreover, the social ecological perspective assumes that the effectiveness of health-promotion programs can be enhanced significantly through the coordination of individuals and groups acting at different levels, such as family members who make efforts to improve their health practices, corporate managers who shape organizational health policies, and public health officials who supervise community health services (e.g., Green & Kreuter, 1990;Pelletier, 1984;Winett et al, 1989).…”

Section: Social Ecology Of Health Promotion: Core Assumptionsmentioning

confidence: 99%

See 1 more Smart Citation

Establishing and maintaining healthy environments: Toward a social ecology of health promotion.

Stokols¹

1992

American Psychologist

1,529

1,048

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Section: Toward a Social Ecology Of Health Promotionmentioning

confidence: 99%

Section: Social Ecology Of Health Promotion: Core Assumptionsmentioning

confidence: 99%

Establishing and maintaining healthy environments: Toward a social ecology of health promotion.

Stokols¹

1992

American Psychologist

1,529

1,048

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“…Passam a ser valorizadas as doenças cardiovasculares (hipertensão arterial e doença coronariana), os distúrbios mentais, o estresse e o câncer, entre outras. Desloca-se, assim, a vocação da saúde ocupacional, passando esta a se ocupar da "promoção de saúde", cuja estratégia principal é a de, através de um processo de educação, modificar o comportamento das pessoas e seu "estilo de vida" 10,22,34,35 .…”

Section: A Insuficiência Da Saúde Ocupacional E O Surgimento Da Saúdeunclassified

Da medicina do trabalho à saúde do trabalhador

1991

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medicina do trabalho à saúde do trabalhador. Rev Saúde públ., S. Paulo, 25: 341-9, 1991. Ensaio de revisão sobre a evolução dos conceitos e práticas da medicina do trabalho à saúde do trabalhador, passando pela saúde ocupacional. Busca-se responder às seguintes questões: quais as características básicas da medicina do trabalho (na sua origem e na sua evolução); como e por que evoluiu a medicina do trabalho para a saúde ocupacional; por que o modelo da saúde ocupacional se mostrou insuficiente; em que contexto surge a saúde do trabalhador; quais as principais características da saúde do trabalhador.Descritores: Saúde ocupacional. Medicina ocupacional, história. IntroduçãoO presente artigo constitui um ensaio de revisão sobre a evolução dos conceitos e práticas da medicina do trabalho à saúde do trabalhador, passando pela saúde ocupacional. O caráter de ensaio decorre da natureza preliminar deste exercício, pois que tal caminhada encontra-se em processo, e seu estudo está limitado pela falta do distanciamento histórico e de metodologias mais adequadas à sua abordagem.Como artigo de revisão, tem sua base principal em documentos disponíveis, porém não se limita à literatura "cientifica", incipiente em estudos e trabalhos que abordem o tema proposto. Incorpora as discussões recentes deste processo que vêm se dando, no âmbito da academia e no conjunto da sociedade.O presente trabalha busca responder a algumas questões básicas, tais como:-Quais as principais características da medicina do trabalho (na sua origem e na sua evolução)?-Como e por que evoluiu a medicina do trabalho para a saúde ocupacional? -Por que o modelo da saúde ocupacional se mostrou insuficiente? -Em que contexto surge a saúde do trabalhador?-Quais as principais características da saúde do trabalhador?Muitas outras perguntas não menos importantes, tanto de natureza epistemológica quanto prospectiva, poderiam ser formuladas. Contudo, no presente trabalho, a análise se restringirá a estas. Principais características da medicina do trabalhoA medicina do trabalho, enquanto especialidade médica, surge na Inglaterra, na primeira metade do século XIX, com a Revolução Industrial 56 .Naquele momento, o consumo da força de trabalho, resultante da submissão dos trabalhadores a um processo acelerado e desumano de produção, exigiu uma intervenção, sob pena de tornar inviável a sobrevivência e reprodução do próprio processo.Quando Robert Dernham, proprietário de uma fá-brica têxtil, preocupado com o fato de que seus operários não dispunham de nenhum cuidado médico a não ser aquele propiciado por instituições filantrópi-cas, procurou o Dr. Robert Baker, seu médico, pedindo que indicasse qual a maneira pela qual ele, como empresário, poderia resolver tal situação, Baker respondeu-lhe:"Coloque no interior da sua fábrica o seu próprio médico, que servirá de intermediário entre você, os seus trabalhadores e o público. Deixe-o visitar a fábri-ca, sala por sala, sempre que existam pessoas trabalhando, de maneira que ele possa verificar o efeito do trabalho sobre as pes...

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“…Support, promotion, and diversification of these activities and maintaining them in a continuum as a process will sustain the positive outcomes and impacts in community health. These activities encourage people to move to a state of optimal health, which is a balance between physical, emotional, social, spiritual, and intellectual health [20][21][22].…”

Section: Resultsmentioning

confidence: 99%

Community Pharmacists and Health Promotion Activities in the 21st Century; Maximizing the Expanded Roles for Universal Health Coverage and Population Health Optimization

Brian¹

2017

MOJPH

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Background: Pharmacy practice has evolved with ever-increasing roles in patient care and providing medicine use information to the community. Efficient public health care services encourage the rapid attainment of universal health coverage in developing countries.Objective: This study was set to examine the role of health promotion activities in local community pharmacy practice. Methods:A narrative overview of health promotion activities among Nigerian pharmacists was described and qualitative syntheses of the findings were obtained from government documents and published articles. An electronic search of the literature was conducted in Embase, Medline and CINAHL using keywords, truncations terms for adjacency search and a logical combination of these search terms.Result: A survey of pharmacists' participation in health promotion activities within two cities in Nigeria showed a 90% participation among respondents, irrespective of whether financial incentives or remunerations were paid for performing these activities or not. Community pharmacists in Nigeria offered free consultation services at various identified pharmacy outlets, making them readily accessible and well placed for achieving wider coverage among the public. Overall, they respondents showed willingness and a positive attitude in all domains of health promotion activities examined. Conclusion:Community pharmacists now have the expanded and evolving roles of preventive and holistic care. The ease of access pharmacists have to patients, has positioned the profession towards the incorporation of advanced health promotion activities and involvement in various stages of awareness campaigns, especially in testing indicator sensitivity to specific targets set for community health in developing regions. The shortage of health care providers in public health facilities, especially in rural areas, could be leveraged by pharmacists who are adequately trained to educate or train the community towards a particular end or attaining set goals. Health promotion interventions driven by pharmacists, in addition to other health professionals, raise awareness levels about adverse effects of medicines and disease outbreaks. Active participation of community pharmacists in health promotion may serve as a needed link in the sustained global push towards providing increased access to essential medicines in developing communities and improving health coverage.

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Health Promotion as a Public Health Strategy for the 1990s

Cited by 87 publications

References 48 publications

Establishing and maintaining healthy environments: Toward a social ecology of health promotion.

Establishing and maintaining healthy environments: Toward a social ecology of health promotion.

Da medicina do trabalho à saúde do trabalhador

Community Pharmacists and Health Promotion Activities in the 21st Century; Maximizing the Expanded Roles for Universal Health Coverage and Population Health Optimization

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