Article

Healthy People 1980-2020: Raising the Ante Decennially or Just the Name From Public Health Education to Health Promotion to Social Determinants?

1University of California, San Francisco, San Francisco, CA, USA.
Health Education &amp Behavior (Impact Factor: 1.54). 12/2011; 38(6):558-62. DOI: 10.1177/1090198111429153
Source: PubMed

ABSTRACT We offer here an interpretation of the history of the
Healthy People initiative showing that the outcomes remain
largely the same, with appropriate decennial adjustment of
the proliferating numerical targets and increased delineation
of objectives for special populations. But the strategies by
which those outcomes are to be pursued and achieved are
increasingly akin to what our contemporaries in schools of
public health and other graduate programs in the 1960s and
1970s were being taught public health education or community
health education was supposed to do: namely to address
not only the individual but also social determinants of health
through processes of community mobilization and policy
advocacy. The added value we were prepared to bring to the
field of public health was a focus on populations and communities
with an ecological perspective (Green, Potvin, &
Richard, 1996), their organization and mobilization for
social change, building capacity, enabling action, and emphasizing
equity.

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