Determinants of effective health promotion actions in local contexts

a study of the perceptions of municipal politicians

Research output: Contribution to journalArticleScientificpeer-review

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.

Original languageEnglish
JournalInternational Journal of Public Health
Volume57
Issue number5
Pages (from-to)787-795
Number of pages9
ISSN1661-8556
DOIs
Publication statusPublished - 2012
MoE publication typeA1 Journal article-refereed

Bibliographical note

WOS:000309133100004
Volume:
Proceeding volume:

Fields of Science

  • 3142 Public health care science, environmental and occupational health
  • community participation
  • health promotion
  • local health policy
  • municipal politicians

Cite this

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title = "Determinants of effective health promotion actions in local contexts: a study of the perceptions of municipal politicians",
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.",
keywords = "3142 Public health care science, environmental and occupational health, community participation, health promotion, local health policy, municipal politicians",
author = "Nina Simonsen-Rehn and Laamanen, {Ritva Annikki} and Mats Brommels and Sakari Suominen",
note = "WOS:000309133100004 Volume: Proceeding volume:",
year = "2012",
doi = "10.1007/s00038-011-0328-7",
language = "English",
volume = "57",
pages = "787--795",
journal = "International Journal of Public Health",
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TY - JOUR

T1 - Determinants of effective health promotion actions in local contexts

T2 - a study of the perceptions of municipal politicians

AU - Simonsen-Rehn, Nina

AU - Laamanen, Ritva Annikki

AU - Brommels, Mats

AU - Suominen, Sakari

N1 - WOS:000309133100004 Volume: Proceeding volume:

PY - 2012

Y1 - 2012

N2 - 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.

AB - 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.

KW - 3142 Public health care science, environmental and occupational health

KW - community participation

KW - health promotion

KW - local health policy

KW - municipal politicians

U2 - 10.1007/s00038-011-0328-7

DO - 10.1007/s00038-011-0328-7

M3 - Article

VL - 57

SP - 787

EP - 795

JO - International Journal of Public Health

JF - International Journal of Public Health

SN - 1661-8556

IS - 5

ER -