A SALUTOGENIC INTERPRETATION OF HEALTH LITERACY

A SALUTOGENIC INTERPRETATION
OF HEALTH LITERACY
THE IUHPE GLOBAL WORKING GROUP ON SALUTOGENESIS
BENGT LINDSTRÖM, MD,PhD, DrPH,
Child, Adolescent and Family Health
Professor of Salutogenesis, HIST/NTNU, 2012- , NO
Professor of Health Promotion, HiBu, 2008-2011 NO
Professor of Public Health and Health Promotion, NHV 2006-, SE
Associate Professor in Social Policy, Åbo Academy Univ, 2007 -, FI
Associate Professor in Child Public Health ,NHV 2002, SE
Associate Professor in Public Health Tampere Univ. 2002, FI
Head of the Health Promotion Research Programme at Folkhälsan Research
Center, Helsinki, 2005- 2012 FI
THESIS: THE ESSENCE OF EXISTENCE – On The QoL of Children and Families in
the Nordic Countries 1994 NHV
Chair of the IUHPE Global Working Group on Salutogenesis 2007 see www.rchpr.org ; www.salutogenesis.fi www.salutogenesis.hv.se
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Health Education:
There have been different methods and concepts
introduced regarding the “education” part of the
concept;
healthcommunication,
healthfostering,
healthpedagogics,
healthknowledge.
The latest in line is healthliteracy
There has been little focus on the “health” part of
the concept many times meaning only you deal with
Issues that cause risks to health.
HOW THE PROFESSIONALS APPROACH HEALTH
BUT??
?
?
?
REDUCE RISK
MODIFIED AFTER THE CLASSIC ”RIVER OF HEALTH"
Mc KNIGHT 1972)
ONE OF MANY DEFINITONS OF HEALTH LITERACY:
Health Literacy is the ability to make sound health
decision in the context of everyday life – at home, in
the community, at the workplace, the health care
system, the market place and the political arena. It is
a critical empowerment strategy to increase people’s
control over their health, their ability to seek out
information and their ability to take responsibility”
(Kickbusch, Wait et al. 2005).
IS THIS ONLY CONTENTS RELATED AND INDIVIDUAL ??
AARON
ANTONOVSKY
Foto Bengt Lindström
Conceptually salutogenesis means the
movement towards the health end of
the ease--------- disease continuum
Aaron Antonovsky in Health Stress and Coping 1798
Salutogenesis is on the leading
edge of a class of academic
movements that wish to
emphasise human strengths
and not just weaknesses,
human capacities and not just
limits, well-being and not just
illness, and so on.
Maurice Mittelmark
HEALTH IN THE RIVER OF LIFE
SALUTOGENESIS IS A LIFE ORIENTATION
THE SALUTOGENIC UMBRELLA
PARALLELL THEORIES ON THE SALUTOGENIC APPROACH AND FRAMEWORK
THE OTTAWA CHARTER PRINCIPLES
Health For All POLICY in the Ottawa Charter Principles
EQUITY?
HEALTH DETERMINANTS!
AYL
ALY
SUSTAINABLILITY
COMPREHENSABILITY
GRRs
GRRs
SOC
MANAGEABILITY
LIFE ORIENTATION
MEANINGFULLNESS
GRRs
BASED ON THE SYSTEMATIC EVIDENCE BASE ON ANTONOVSKY´S SOC THEORY
HEALTHY LEARNING
The word healthy seems appropriate since it
indicates how people deal with the issue of
health. In health promotion it has been used in
the context of settings (healthy city) and in
connection to policy making (healthy public
policy). As of the learning part it is a question
of processing life events, habits and
experiences in a reflective way where an event
is mirrored in previous knowledge and
experience, reflecting on what abilities one
have to solve it and, if not alone, who and
what could be engaged to help
Healthy learning is a lifelong process where people and
systems increase the control over, and improve health,
wellbeing and quality of life through the creation of learning
environments characterized by clear structures and
meaningful empowering conditions where one become
active participating subject in reciprocal interaction with
others.
(Lindström and Eriksson 2010)
Different policies and strategies
Traditional approach
Vision Zero approach
Accidents
Injuries
Individual road user behavior
The system is not designed
according to human capability
and human tolerance against
external violence – in other
words what the human body
can stand.
Road user has primary
responsibility
System designer has primary
responsibility
Change individual road user
behavior
Change the environment (road
environment, vehicles, social
environment)
Risk reduction
Eliminate fatalities and serious
injuries
VISION ZERO aims to achieve a highway system with no
fatalities or serious injuries in road traffic.
Mats-åke belin
TRAFFIC SAFETY AS HEALTH PROTECTION
Mats-åke Belin Trafikverket,SE
Probability of Pedestrian Fatality by Impact Speed
Mats-åke Belin Trafikverket, SE
23
2012-10-16
Healthy learning is a lifelong process where people and
systems increase the control over, and improve health,
wellbeing and quality of life through the creation of learning
environments characterized by clear structures and
meaningful empowering conditions where one become
active participating subject in reciprocal interaction with
others.
(Lindström and Eriksson 2011)
WE TAKE BOTH A STRUCTURAL/ENVIRONMENT POSITION
AND AN INTERACTICE LEARNING POSITION
ONE OF MANY DEFINITONS OF HEALTH LITERACY:
Health Literacy is the ability to make sound health decision in the
context of everyday life – at home, in the community, at the workplace,
the health care system, the market place and the political arena. It is a
critical empowerment strategy to increase people’s control over their
health, their ability to seek out information and their ability to take
responsibility”
(Kickbusch, Wait et al. 2005).
IS THIS ONLY CONTENTS FOCUSED AND INDIVIDUAL ??
THANK YOU
MAIN REFERENCE
Lindström B Eriksson M From health education to healthy learning: Implementing
salutogenesis in educational science Scand J Public Health March 2011 39: 85-92,
The ”Genetic Code” of Health Promotion
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© Lindström and Eriksson 2010
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Lindström B, Eriksson M. The Hitchhiker’s Guide to Salutogenesis. Salutogenic pathways to health
promotion. Helsinki 2010.
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