Skip to main content
Erschienen in: International Journal of Public Health 5/2012

01.10.2012 | Original Article

Determinants of effective health promotion actions in local contexts: a study of the perceptions of municipal politicians

verfasst von: Nina Simonsen-Rehn, Ritva Laamanen, Mats Brommels, Sakari Suominen

Erschienen in: International Journal of Public Health | Ausgabe 5/2012

Einloggen, um Zugang zu erhalten

Abstract

Objective

To compare municipal politicians’ perceptions of health promotion policy and its impact, and whether these perceptions varied according to political variables.

Methods

A mail survey to all municipal politicians (N = 195) in four municipalities in Finland. Response rate was 52%. Data were analysed by descriptive statistics and multivariate regression analyses.

Results

The politicians gave ‘passable grades’ when evaluating health promotion activities and their effectiveness in the municipalities. Three factors in a multivariate model explained 49% of the variance in this evaluation: emphasis on the promotion of health and quality of life of older people, capacity of primary health care and capacity of care for older people. There did not appear to be a consistent view on the local health promotion policies among the politicians. ‘Terms in office’ was more significant than political party affiliation to explain differences in the policy makers’ perceptions.

Conclusions

Paying attention to the possible impeding effects of structures, as well as enhancing institutional capacity, could open ways for a stronger focus on health promotion, including community participation, in local councils.
Literatur
Zurück zum Zitat Anderson D, Raine K, Plotnikoff R, Cook K, Barrett L, Smith C (2008) Baseline assessment of organizational capacity for health promotion within regional authorities in Alberta, Canada. Prom Educ 15:6–14CrossRef Anderson D, Raine K, Plotnikoff R, Cook K, Barrett L, Smith C (2008) Baseline assessment of organizational capacity for health promotion within regional authorities in Alberta, Canada. Prom Educ 15:6–14CrossRef
Zurück zum Zitat Andersson C, Bjärås G, Tillgren P, Östenson C-G (2003) Health promotion activities in annual reports of local governments. Eur J Public Health 13:235–239PubMedCrossRef Andersson C, Bjärås G, Tillgren P, Östenson C-G (2003) Health promotion activities in annual reports of local governments. Eur J Public Health 13:235–239PubMedCrossRef
Zurück zum Zitat Ansari W, Phillips C, Hammick M (2001) Collaboration and partnerships: developing the evidence base. Health Soc Care Community 9:215–227PubMedCrossRef Ansari W, Phillips C, Hammick M (2001) Collaboration and partnerships: developing the evidence base. Health Soc Care Community 9:215–227PubMedCrossRef
Zurück zum Zitat Ashley M, Cohen J, Northrup D, Ferrence R (2001) How Canadian legislators view health promotion: does party affiliation matter? Can J Public Health 92:16–18PubMed Ashley M, Cohen J, Northrup D, Ferrence R (2001) How Canadian legislators view health promotion: does party affiliation matter? Can J Public Health 92:16–18PubMed
Zurück zum Zitat Catford J (2006) Creating political will: moving from the science to the art of health promotion. Health Promot Int 21:1–4PubMedCrossRef Catford J (2006) Creating political will: moving from the science to the art of health promotion. Health Promot Int 21:1–4PubMedCrossRef
Zurück zum Zitat Cohen J, Guia N, Ashley M, Ferrence R, Studlar D, Northrup D (2001) Predictors of Canadian legislators’ support for public health interventions. Can J Public Health 92:188–189PubMed Cohen J, Guia N, Ashley M, Ferrence R, Studlar D, Northrup D (2001) Predictors of Canadian legislators’ support for public health interventions. Can J Public Health 92:188–189PubMed
Zurück zum Zitat Dressendorfer R, Raine K, Dryck R, Plotnikoff F, Collins-Nakai R, McLaughlin K, Ness K (2005) A conceptual model of community capacity development for health promotion in the Alberta Heart Health Project. Health Prom Practice 6:31–36CrossRef Dressendorfer R, Raine K, Dryck R, Plotnikoff F, Collins-Nakai R, McLaughlin K, Ness K (2005) A conceptual model of community capacity development for health promotion in the Alberta Heart Health Project. Health Prom Practice 6:31–36CrossRef
Zurück zum Zitat Fosse E (2003) Review of selected literature on health promotion infrastructure, policy and practice. (http://www.HP-Source.net/—The comprehensive database of health promotion policies, infrastructures and practices) Fosse E (2003) Review of selected literature on health promotion infrastructure, policy and practice. (http://​www.​HP-Source.​net/​—The comprehensive database of health promotion policies, infrastructures and practices)
Zurück zum Zitat Fosse E (2009) Norwegian public health policy: revitalization of the social democratic welfare state? Int J Health Serv 39:287–300PubMedCrossRef Fosse E (2009) Norwegian public health policy: revitalization of the social democratic welfare state? Int J Health Serv 39:287–300PubMedCrossRef
Zurück zum Zitat Fredriksson M, Winblad U (2008) Consequences of a decentralized healthcare governance model: measuring regional authority support for patient choice in Sweden. Soc Sci Med 67:271–279PubMedCrossRef Fredriksson M, Winblad U (2008) Consequences of a decentralized healthcare governance model: measuring regional authority support for patient choice in Sweden. Soc Sci Med 67:271–279PubMedCrossRef
Zurück zum Zitat Gagnon F, Turgeon J, Dallaire C (2007) Healthy public policy. A conceptual cognitive framework. Health Policy 81:42–55PubMedCrossRef Gagnon F, Turgeon J, Dallaire C (2007) Healthy public policy. A conceptual cognitive framework. Health Policy 81:42–55PubMedCrossRef
Zurück zum Zitat Gillies P (1998) Effectiveness of alliances and partnerships for health promotion. Health Promot Int 13:99–120CrossRef Gillies P (1998) Effectiveness of alliances and partnerships for health promotion. Health Promot Int 13:99–120CrossRef
Zurück zum Zitat Green-Pedersen C (1999) The Danish welfare state under bourgeois reign. The dilemma of popular entrenchment and economic constraints. Scan Polit Stud 22:243–260PubMedCrossRef Green-Pedersen C (1999) The Danish welfare state under bourgeois reign. The dilemma of popular entrenchment and economic constraints. Scan Polit Stud 22:243–260PubMedCrossRef
Zurück zum Zitat Guldbrandsson K (2005) Child Health Promotion. Analyses of activities and policy processes in 25 Swedish municipalities. PhD thesis. Stockholm: Karolinska Institutet, Department of Public Health Sciences, Division of Social Science Medicines Guldbrandsson K (2005) Child Health Promotion. Analyses of activities and policy processes in 25 Swedish municipalities. PhD thesis. Stockholm: Karolinska Institutet, Department of Public Health Sciences, Division of Social Science Medicines
Zurück zum Zitat Jackson S, Perkins F, Khandor E, Cordwell L, Hamann S, Buasai S (2006) Integrated health promotion strategies: a contribution to tackling current and future health challenges. Health Promot Int 21(Supp 1):75–83PubMedCrossRef Jackson S, Perkins F, Khandor E, Cordwell L, Hamann S, Buasai S (2006) Integrated health promotion strategies: a contribution to tackling current and future health challenges. Health Promot Int 21(Supp 1):75–83PubMedCrossRef
Zurück zum Zitat Kettunen P (2003) How democratic are the Finnish local governments? Finnish Local Government Studies 31:271–278. (English Issue) Kettunen P (2003) How democratic are the Finnish local governments? Finnish Local Government Studies 31:271–278. (English Issue)
Zurück zum Zitat Laamanen R, Uusikylä P, Brommels M (1994) Local government strategies in economic stress (in Finnish). Finnish Local Government Studies 3:9–21 Laamanen R, Uusikylä P, Brommels M (1994) Local government strategies in economic stress (in Finnish). Finnish Local Government Studies 3:9–21
Zurück zum Zitat Laamanen R, Paltta A, Simonsen-Rehn N, Suominen S (2005) The elected officials of Karjaa: Folkhälsan has managed primary health care very well (in Finnish). Kuntalehti 13:61 Laamanen R, Paltta A, Simonsen-Rehn N, Suominen S (2005) The elected officials of Karjaa: Folkhälsan has managed primary health care very well (in Finnish). Kuntalehti 13:61
Zurück zum Zitat Laamanen R, Simonsen-Rehn N, Suominen S, Øvretveit J, Brommels M (2008) Outsourcing primary health care services—How politicians explain the grounds for their decisions. Health Policy 88:294–307PubMedCrossRef Laamanen R, Simonsen-Rehn N, Suominen S, Øvretveit J, Brommels M (2008) Outsourcing primary health care services—How politicians explain the grounds for their decisions. Health Policy 88:294–307PubMedCrossRef
Zurück zum Zitat Lammintakainen J, Kinnunen J (2004) Social and health-care priorities of local politicians in Finland: do the attitudes of politicians reflect actual processes in municipalities. Int J Soc Welfare 13:69–76CrossRef Lammintakainen J, Kinnunen J (2004) Social and health-care priorities of local politicians in Finland: do the attitudes of politicians reflect actual processes in municipalities. Int J Soc Welfare 13:69–76CrossRef
Zurück zum Zitat Loikkanen H, Nivalainen H (2011) The economic development of the Finnish local government sector: the path to the present. Discussion Papers. University of Helsinki: Helsinki Center of Economic Research Loikkanen H, Nivalainen H (2011) The economic development of the Finnish local government sector: the path to the present. Discussion Papers. University of Helsinki: Helsinki Center of Economic Research
Zurück zum Zitat MSAH (2001) Government Resolution on the Health 2015 public health programme. Publications of the Ministry of Social Affairs and Health, Helsinki, 2001:6 MSAH (2001) Government Resolution on the Health 2015 public health programme. Publications of the Ministry of Social Affairs and Health, Helsinki, 2001:6
Zurück zum Zitat Navarro V (2008) Politics and health: a neglected area of research. Eur J Public Health 18:354–356PubMedCrossRef Navarro V (2008) Politics and health: a neglected area of research. Eur J Public Health 18:354–356PubMedCrossRef
Zurück zum Zitat Nygård M (2006) Welfare-ideological change in Scandinavia: a comparative analysis of partisan welfare state positions in four Nordic countries, 1970–2003. Scan Polit Stud 4:356–385CrossRef Nygård M (2006) Welfare-ideological change in Scandinavia: a comparative analysis of partisan welfare state positions in four Nordic countries, 1970–2003. Scan Polit Stud 4:356–385CrossRef
Zurück zum Zitat Perttilä K (1999) Health promotion as a municipal task. PhD thesis. National Research and Development Centre for Welfare and Health, Helsinki, Research Report 103 Perttilä K (1999) Health promotion as a municipal task. PhD thesis. National Research and Development Centre for Welfare and Health, Helsinki, Research Report 103
Zurück zum Zitat Pettersson B (2007) Transforming Ottawa Charter health promotion concepts into Swedish public healthy policy. Promot Educ 14:244–249PubMedCrossRef Pettersson B (2007) Transforming Ottawa Charter health promotion concepts into Swedish public healthy policy. Promot Educ 14:244–249PubMedCrossRef
Zurück zum Zitat Poikajärvi K, Perttilä K (2006) Promotion of welfare and health in the municipality. A report based on a questionnaire to municipal managers and elected officials in managing position (in Finnish). Stakes, Helsinki Poikajärvi K, Perttilä K (2006) Promotion of welfare and health in the municipality. A report based on a questionnaire to municipal managers and elected officials in managing position (in Finnish). Stakes, Helsinki
Zurück zum Zitat Ritsatakis A, Barnes R, Dekker E, Harrington P, Kokko S, Makara P (eds) (2000) Exploring health policy development in Europe. European Series, No. 6. Copenhagen: WHO Regional Office for Europe Ritsatakis A, Barnes R, Dekker E, Harrington P, Kokko S, Makara P (eds) (2000) Exploring health policy development in Europe. European Series, No. 6. Copenhagen: WHO Regional Office for Europe
Zurück zum Zitat Rütten A, Lüschen G, von Lengerke T, Abel T, Kannas L, Rodríguez Diaz JA, Vinck J, van der Zee J (2003a) Determinants of health policy impact: comparative results of a European policymaker study. Soz Praventivmed 48:379–391PubMedCrossRef Rütten A, Lüschen G, von Lengerke T, Abel T, Kannas L, Rodríguez Diaz JA, Vinck J, van der Zee J (2003a) Determinants of health policy impact: comparative results of a European policymaker study. Soz Praventivmed 48:379–391PubMedCrossRef
Zurück zum Zitat Rütten A, Lüschen G, von Lengerke T, Abel T, Kannas L, Rodríguez Diaz JA, Vinck J, van der Zee J (2003b) Determinants of health policy impact: a theoretical framework for policy analysis. Soz Praventivmed 48:293–300PubMedCrossRef Rütten A, Lüschen G, von Lengerke T, Abel T, Kannas L, Rodríguez Diaz JA, Vinck J, van der Zee J (2003b) Determinants of health policy impact: a theoretical framework for policy analysis. Soz Praventivmed 48:293–300PubMedCrossRef
Zurück zum Zitat Sabatier PA (1998) The advocacy coalition framework: revisions and relevance for Europe. J Eur Public Policy 5:98–130CrossRef Sabatier PA (1998) The advocacy coalition framework: revisions and relevance for Europe. J Eur Public Policy 5:98–130CrossRef
Zurück zum Zitat Scriven A, Speller V (2007) Global issues and challenges beyond Ottawa: the way forward. Promot Educ 14:194–198PubMedCrossRef Scriven A, Speller V (2007) Global issues and challenges beyond Ottawa: the way forward. Promot Educ 14:194–198PubMedCrossRef
Zurück zum Zitat Sihto M, Ollila E, Koivusalo M (2006) Principles and challenges of Health in All Policies. In: Ståhl T, Wismar M, Ollila E, Lahtinen E, Leppo K (eds) Health in all policies. Prospects and potentials. Ministry of Social Affairs and Health, Helsinki, pp 3–20 Sihto M, Ollila E, Koivusalo M (2006) Principles and challenges of Health in All Policies. In: Ståhl T, Wismar M, Ollila E, Lahtinen E, Leppo K (eds) Health in all policies. Prospects and potentials. Ministry of Social Affairs and Health, Helsinki, pp 3–20
Zurück zum Zitat Tervonen-Gonçalves L, Lehto J (2004) Transfer of health for all policy—What, how and in which direction? A two-case study. Health Res Policy Syst 2:8PubMedCrossRef Tervonen-Gonçalves L, Lehto J (2004) Transfer of health for all policy—What, how and in which direction? A two-case study. Health Res Policy Syst 2:8PubMedCrossRef
Zurück zum Zitat Uusitalo M, Ståhl T, Perttilä K, Rimpelä M (2007) Promotion of welfare and health in municipal policy. An analysis of municipal planning documents (in Finnish). Finnish Local Government Studies 35:295–309 Uusitalo M, Ståhl T, Perttilä K, Rimpelä M (2007) Promotion of welfare and health in municipal policy. An analysis of municipal planning documents (in Finnish). Finnish Local Government Studies 35:295–309
Zurück zum Zitat Von Wright GH (1976) Determinism and the study of man. In: Manninen J, Tuomela R (eds) Essays on explanation and understanding. D. Reidel, Dordrecht, pp 415–435CrossRef Von Wright GH (1976) Determinism and the study of man. In: Manninen J, Tuomela R (eds) Essays on explanation and understanding. D. Reidel, Dordrecht, pp 415–435CrossRef
Zurück zum Zitat Vrangbæk K, Christiansen T (2005) Health policy in Denmark: leaving the decentralized welfare path? J Health Polit Policy Law 30:29–52PubMedCrossRef Vrangbæk K, Christiansen T (2005) Health policy in Denmark: leaving the decentralized welfare path? J Health Polit Policy Law 30:29–52PubMedCrossRef
Zurück zum Zitat WHO (1986) Ottawa charter for health promotion. World Health Organization, Geneva WHO (1986) Ottawa charter for health promotion. World Health Organization, Geneva
Zurück zum Zitat WHO (1988) Adelaide recommendations on healthy public policy. World Health Organization, Geneva WHO (1988) Adelaide recommendations on healthy public policy. World Health Organization, Geneva
Zurück zum Zitat WHO (2002) Review of national Finnish health promotion policies and recommendations for the future. WHO Regional Office for Europe, Copenhagen WHO (2002) Review of national Finnish health promotion policies and recommendations for the future. WHO Regional Office for Europe, Copenhagen
Metadaten
Titel
Determinants of effective health promotion actions in local contexts: a study of the perceptions of municipal politicians
verfasst von
Nina Simonsen-Rehn
Ritva Laamanen
Mats Brommels
Sakari Suominen
Publikationsdatum
01.10.2012
Verlag
SP Birkhäuser Verlag Basel
Erschienen in
International Journal of Public Health / Ausgabe 5/2012
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-011-0328-7

Weitere Artikel der Ausgabe 5/2012

International Journal of Public Health 5/2012 Zur Ausgabe