Researching Health Promotion

Researching Health Promotion

Researching Health Promotion

Researching Health Promotion


This volume seeks to provide a critical review of the late-1990s state of health promotion research. It maps out key debates and draws out major themes in order to demonstrate the benefits of re-conceptualizing the field of health promotion.


Repositioning health promotion

Research implications

Erio Ziglio

The World Health Organization’s original strategy for health promotion was developed in the mid-1980s and articulated in the Ottawa Charter of 1986 (WHO 1984, 1986). After more than a decade it is time to take stock and ask how the latest developments and scientific findings can help take the whole issue of health promotion forward into the twenty-first century. the major stimulus for this review comes from the accumulated evidence that conditions have changed dramatically in Europe since the mid-1980s. It has become imperative to assess the new circumstances and ask what kind of health promotion strategy is needed to deal most effectively with the emerging issues.

Europe itself has changed. Within a few short years, the European region of who has expanded its recognised ‘membership’ from thirty to over fifty countries. This has brought about massive social as well as political changes, and at such a rapid rate that the societies have had no time to adjust (Makara 1994, Unicef 1977, Ziglio 1993, 1998b). in some cases, these changes have been accompanied by increasing outbreaks of armed conflict, including instances of the most bitter civil wars to be experienced in Europe for many decades.

The global economic changes have been especially challenging in Europe, where the additional transitional forces among newly independent states have created high levels of uncertainty and anxiety about the future. Problems related to economic development (or lack of it) have been common in many countries, and in today’s Europe there is a rising proportion of the population living in

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