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 & Behavior (Impact Factor: 2.23). 12/2011; 38(6):558-62. DOI: 10.1177/1090198111429153
Source: PubMed


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

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    • "Thus, community health practice was seen to encompass health promotion along with health services and environmental protection, but it was setting focused with community as the setting. The rise of modern health promotion as an organized, distinct field in public health practice can be traced to many of the communityoriented efforts of public health education in the USA and some other countries (Green and Allegrante, 2011), but it took momentum in 1974 from the Lalonde report [This is commonly and respectfully referred to as the 'Lalonde Report', although it was based conceptually on the Health Field concept introduced a year earlier by Lalonde's deputy (Laframboise 1973).] (Glanz et al., 2002; Tones and Green, 2004). "
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