Journal Article

Policy, competence and participation: empirical evidence for a multilevel health promotion model

Alfred Rütten, Thomas von Lengerke, Thomas Abel, Lasse Kannas, Günther Lüschen, Josep A. Rodríguez Diaz, Jan Vinck and Jouke van der Zee

in Health Promotion International

Volume 15, issue 1, pages 35-47
Published in print March 2000 | ISSN: 0957-4824
Published online March 2000 | e-ISSN: 1460-2245 | DOI:
Policy, competence and participation: empirical evidence for a multilevel health promotion model

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This paper uses data from a European health promotion evaluation study (MAREPS) to empirically test some fundamental assumptions of health promotion theory. Analysis shows that both the competence of individual actors and the opportunities provided for by health-promoting policies are significant predictors of participation in health promotion action. It also demonstrates effects of health promotion values on such action. Moreover, people's perception of their own political efficacy, e.g. their influence on community decisions that effect their health, turns out to be a significant predictor of self-rated health. In conclusion, the paper encourages further research to investigate the effectiveness of health-promoting policy strategies within a multilevel health promotion framework. As the present results indicate, effective health-promoting policies may create opportunities that enable individuals and communities to increase control over the determinants of health, and thereby improve their health.

Keywords: collective efficacy; community participation; cross-national comparison; health promotion policy

Journal Article.  7164 words.  Illustrated.

Subjects: Public Health and Epidemiology

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