Policy, competence and participation: empirical evidence for a multilevel health promotion model

Rütten, Alfred; Von Lengerke, Thomas; Abel, Thomas; Kannas, Lasse; Lüschen, Günther; Rodríguez Diaz, Josep A.; Vinck, Jan; Van Der Zee, Jouke (2000). Policy, competence and participation: empirical evidence for a multilevel health promotion model. Health promotion international, 15(1), pp. 35-47. Oxford University Press 10.1093/heapro/15.1.35

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This paper uses data from a European health promotion evaluation study (MAREPS) to empirically test some fundamental assumptions of health promotion theory. Analysis shows that both the competence of individual actors and the opportunities provided for by health-promoting policies are significant predictors of participation in health promotion action. It also demonstrates effects of health promotion values on such action. Moreover, people's perception of their own political efficacy, e.g. their influence on community decisions that effect their health, turns out to be a significant predictor of self-rated health. In conclusion, the paper encourages further research to investigate the effectiveness of health-promoting policy strategies within a multilevel health promotion framework. As the present results indicate, effective health-promoting policies may create opportunities that enable individuals and communities to increase control over the determinants of health, and thereby improve their health.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Abel, Thomas

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

0957-4824

Publisher:

Oxford University Press

Language:

English

Submitter:

Marceline Brodmann

Date Deposited:

31 Aug 2020 15:58

Last Modified:

31 Aug 2020 15:58

Publisher DOI:

10.1093/heapro/15.1.35

BORIS DOI:

10.7892/boris.115031

URI:

https://boris.unibe.ch/id/eprint/115031

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