shino asked in 社會與文化語言 · 1 decade ago


A mass of information, experience and insights will be revealed in probably the largest and most diverse health promotion conference ever. This is very exciting and is a further demonstration of the pace and breadth of health promotion; but the danger is that we may not see the wood for the trees. If we look at the development of health promotion over the last few decades we see some interesting themes emerging. In the 1970s we started by tackling preventable diseases and risk behaviours, primarily through information and simple education (e.g. heart disease, cancer, tobacco, nutrition). We could call this the first dimension of health promotion. Then, in the 1980s, we emphasized the importance of complementary intervention approaches (e.g. Ottawa's healthy public policy, personal skills, supportive environments, community action, health services); this was the second dimension of health promotion. Finally, in the third dimension of health promotion in the 1990s we learnt the value of reaching people through the settings and sectors in which they live and meet (e.g. schools, cities, health care settings, workplaces).

In the 2000s we need to sustain the momentum and add a fourth dimension of health promotion. But what is this? Does it exist? The answer is that it has always been there but we have been neither sufficiently confident nor skilled to respond to it. We need to move on, not only in our words but also in our actions, from the narrow entry point of disease prevention and control to the wider agenda of social determinants. The challenge now is to respond to the global trends of massive social change that impact on health, welfare and the environment. This fourth dimension is the most demanding but it may be mastered if we use the tried and tested tool-kits derived from the first three dimensions together with new concepts, approaches and theories.

1 Answer

  • 1 decade ago
    Favorite Answer


    這非常令人興奮並且是速度和健康晉升的寬度的更進一步的示範;但是危險是我們為樹不可能看木材。如果我們在我們見到一些有趣的主題初現的最近幾十年之上審查健康晉升的發展。在 1970 年代後我們藉由處理可避免的疾病和風險行為開始,主要地透過資料和簡單的教育. (舉例來說心臟病,癌症,煙草 , 營養)我們可以呼叫健康晉升的第一尺寸。然後,在 1980 年代中,我們強調了補充干涉方法的重要; (舉例來說渥太華的健康公共政策,個人的技術,支持的環境,社區行動,公共醫療)這是健康晉升的第二尺寸。最後,在健康晉升的第三尺寸中在 1990 年代中我們學習了經過在他們住而且遇見的背景和部門聯絡人的價值。(舉例來說學校,城市,醫護環境,工作場所)

    在 2000 年代中我們需要維持動力而且增加健康晉升的第四尺寸。但是這是什麼?它存在嗎?答案是它一直在那裡但是我們是既非充分自信也不熟練的回應它。我們需要繼續,不只有在我們的話中但是也在我們的行動中,從疾病預防和控制的狹窄進入點到社會決定因素的更寬的議程。挑戰現在是回應在健康,福利和環境上影響的大社會的改變的全球趨勢。如果我們使用連同新的觀念,方法和理論一起起源於第一個立體的試驗過的而且測試工具集,這第四個尺寸是最要求多的,但是它可能被征服。

Still have questions? Get your answers by asking now.