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  • 1.
    Lindström, Bengt
    et al.
    Folkhälsan Research Centre, Helsinki, Finland.
    Eriksson, Monica
    Folkhälsans forskningscentrum, Helsingfors, Finland.
    The salutogenic approach to the making of HiAP/Healthy Public Policy: illustrated by a case study2009In: Global Health Promotion, ISSN 1757-9759, E-ISSN 1757-9767, Vol. 16, no 1, p. 17-28Article in journal (Refereed)
    Abstract [en]

    Twenty years have passed since the central document of health promotion, the Ottawa Charter, was constituted. Health was seen as the process enabling individuals and communities to increase control over their determinants of health, thereby improving their health and enabling an active and productive life, that is, a good quality of life. One main strategy was the making of a healthy public policy. At the same time Aaron Antonovsky developed the salutogenic theory and its core concepts the sense of coherence and the generalized resistance resources. This paper integrates Antonovsky's salutogenic theory and a salutogenicmodel of quality of life into the core principles of theOttawa Charter and exemplifies how to make healthy public policy the salutogenic way. A process-oriented coherent health promotion research model integrating an ecological, a salutogenic and a resilient approach is shown. The objective of this theoretical model is to bring together the whole spectrum of risk factors, protective factors and promotion factors in one model. Further, individual, group and society level are considered. Themodel suggested aims to contribute to the creation of sense of coherence. This is exemplified in practice in a case study of a Nation, that is, on a national level. The case study of the "Nation" is partly masked. The principles behind these processes are explained in detail while the case study of the "Nation" only includes parts of the process explaining some core issues. The overall aim of this paper is to stimulate health promotion activities along the lines presented and invite the readers to comment and continue the discussion.

  • 2.
    Rajesh, Gururaghavendran
    et al.
    Manipal University, Department of Public Health Dentistry, Manipal College of Dental Science.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Pai, Keshava
    Manipal University, Department of Psychiatry, Kasturba Medical College.
    Seemanthini, S
    Manipal University, Manipal College of Dental Sciences.
    Naik, Dilip G
    Manipal University.
    Rao, Ashwini
    Manipal University, Department of Public Health Dentistry, Manipal College of Dental Science.
    The validity and reliability of the Sense of Coherence scale among Indian university students.2016In: Global Health Promotion, ISSN 1757-9759, E-ISSN 1757-9767, Vol. 23, no 4, p. 16-26Article in journal (Refereed)
    Abstract [en]

    Background: The importance of Salutogenesis, with the focus of what creates health rather than what causes diseases, has been highlighted for a long time. This has been operationalized by Aaron Antonovsky as the Sense of Coherence (SOC) scale. The aim of this study was to further examine the psychometric properties of the SOC-13 in India. Methods: The present study was carried out among second year degree students at three randomly chosen institutions at Mangalore University. Investigators assessed the appropriateness, relevance, comprehensiveness and understandability of the scale. Further, the scale was assessed by five subject experts. The SOC-13 was then pretested by administering them to peers, individuals and a few of the study subjects. Internal consistency was assessed by Cronbach’s alpha and split half reliability. Test retest reliability was assessed by administering the instrument to the same study subjects after two weeks. Confirmatory factor analysis employing varimax rotation was employed. Results: The SOC-13 revealed a Cronbach’s alpha value of 0.76. Split-half reliability and Guttman Split-half reliability were found to be 0.71 and 0.70 respectively. Test-retest reliability was found to be 0.71 (p<0.01). Factor analysis revealed a three factor solution explaining 40.53% of the variation in SOC. Conclusions: SOC-13 was found to be a reliable and valid instrument for measuring SOC in an Indian context. The present study contributes to health promotion in an Indian context, and could be useful even in other developing countries and for further research in India.

  • 3.
    Torp, Steffen
    et al.
    Vestfold University College, Faculty of Health Sciences, Department of Health Promotion.
    Eklund Karlsson, Leena
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Thorpenberg, Stefan
    Nordic School of Public Health, Göteborg.
    Research on workplace health promotion in the Nordic countries: A literature review, 1986-2008[Estudio sobre la promoción de la salud en el lugar de trabajo en los países nórdicos: Revisión de la bibliografía, 1986-2008]2011In: Global Health Promotion, ISSN 1757-9759, E-ISSN 1757-9767, Vol. 18, no 3, p. 15-22Article in journal (Refereed)
    Abstract [en]

    Workplace health promotion may include approaches focusing on behavioral change among employees and approaches with a holistic system-oriented thinking aiming at changing the physical, social and organizational factors of a setting. This literature review aimed to identify studies on workplace health promotion in the Nordic countries (Denmark, Finland, Iceland, Norway and Sweden), to describe when, where and how the studies were performed and to further analyze the use of settings approaches and empowerment processes. Using scientific literature databases, we found 1809 hits when searching for Nordic studies published from 1986 to 2008 with the search term health promotion. Of these, 116 studies were related to workplace health promotion and 33 included interventions. We used content analysis to analyze the abstracts of all articles and the full articles of the intervention studies. Most studies were performed in Sweden and Finland. The focus was mainly on behavioral change rather than on holistic health promotion as defined by the Ottawa Charter for Health Promotion. This was especially obvious for the intervention studies. In addition to the intervention studies using non-settings approaches with top-down driven behavioral change, we identified studies with participatory settings approaches aimed at changing the setting. We categorized relatively few studies as having a non-participatory settings approach. The studies aiming specifically at improving employees' empowerment were evenly distributed between the categories market-oriented persuasion of empowerment, therapeutic empowerment and empowerment as a liberal management strategy. More studies on workplace health promotion using empowering and participatory settings approaches are needed in the Nordic countries, and a more theory-based approach towards this research field is needed. © International Union for Health Promotion and Education 2011.

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