Health and Modernity: The Role of Theory in Health Promotion

180 Pages·2007·2.16 MB·English

by  David V. McQueen

(cid:2)
H
EALTH
M
ODERNITY
The Role of Theory in
Health Promotion
D V. M Q
AVID C UEEN
I K
LONA ICKBUSCH
L P • J M. P
OUISE OTVIN ÜRGEN ELIKAN
L B • T A
AURA ALBO HOMAS BEL
Health and Modernity
The Role of Theory in Health Promotion
Health and Modernity
The Role of Theory in Health Promotion
David V. McQueen
CentersforDiseaseControlandPrevention
Atlanta,Georgia
and
Ilona Kickbusch
SwissFederalOfficeforHealth
Bern,Switzerland
With
Louise Potvin
Universite´deMontreal
Montreal,Canada
Ju¨rgen M. Pelikan
UniversityofVienna
Vienna,Austria
Laura Balbo
UniversityofFerrara
Ferrara,Italy
Thomas Abel
DepartmentofSocialandPreventiveMedicine
UniversityofBern
Bern,Switzerland
DavidV.McQueen IlonaKickbusch
PreventionandHealthPromotion SwissFederalOfficeforHealth
CentersforDiseaseControlandPrevention Bern3013
Atlanta,Georgia30341 Switzerland
USA
LibraryofCongressControlNumber:2006932835
ISBN10:0-387-37757-3 e-ISBN-10:0-387-37759-X
ISBN13:978-0-387-37757-5 e-ISBN-13:978-0-387-37759-9
Printedonacid-freepaper.
(cid:2)C 2007SpringerScience+BusinessMedia,LLC
Allrightsreserved.Thisworkmaynotbetranslatedorcopiedinwholeorinpartwithoutthewritten
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Acknowledgments
As will be apparent to even the most casual reader, this book took considerable
timetoproduceandwasthefruitofmanydiscussions,excitingandtedious,but
alwayswithatonethattheauthorswantedtoreallyunderstandthetheorybehind
theirthinking.Inmanywaysitwasaluxurythatfewworkinginhealthpromotion
have,thatis,totakethetimetoengageinthediscoursethatisneededtomorefully
understandone’spointofview.Iftheendproductisnotthequintessentialtheory
ofhealthpromotion,itisnotthefaultofthoseorganizationsandindividualsabout
tobeacknowledged.
Amongtheorganizationstobethankedarethoseaffiliatedwithtwooftheau-
thors,LouisePotvin,attheUniversityofMontrealandThomasAbel,Department
ofSocialandPreventiveMedicineattheUniversityofBern,Switzerland.These
organizations provided wonderful settings for comprehensive face-to-face meet-
ings.SpecialthanksforongoingsupportgototheHealthPromotionSwitzerland
inBernandtheNationalCenterforChronicDiseasePreventionandHealthPro-
motion at the Centers for Disease Control and Prevention (CDC), Atlanta. Both
organizationsprovidedmostappropriatesettingsforopendiscussionsofthecon-
tentofthebook,aswellasresources,space,andtimeforeditingandanalysisof
thepreparedchaptersbytheauthors.
TwoindividualsinAtlantaworkeddiligentlyonthedevelopmentandcompletion
ofthebook:MaryHallforassistingintheearlydaysofthebookandforkeeping
track of the agreements among the authors on how to proceed; and in the later
stagesofthebook’sdevelopmentAndreaNeimanwasachampionforreadingall
thetextscarefullyandeditingtheproseofthefiveauthorsforwhomEnglishisnot
theirfirstlanguage.Bothoftheseyoungwomenaretalentedbeyondtheiryears,
andtheauthorsaremostappreciativeoftheirhelpinmakingsometimesdifficult
theoreticalabstractionsmoreunderstandable.
Atlanta,Georgia DavidV.McQueen
Bern,Switzerland IlonaKickbusch
v
Contents
Acknowledgments...................................................................... v
Contributors.............................................................................. ix
1. Introduction
HealthPromotion:TheOriginsoftheThirdPublicHealthRevolution
LeadingtoaNewPublicHealth................................................ 1
DavidV.McQueenandIlonaKickbusch
2. FromaTheoryGrouptoaTheoryBook...................................... 6
LouisePotvinandLauraBalbo
3. Modernity,PublicHealth,andHealthPromotion:
AReflexiveDiscourse............................................................ 12
LouisePotvinandDavidV.McQueen
4. CriticalIssuesinTheoryforHealthPromotion............................. 21
DavidV.McQueen
5. CulturalCapitalinHealthPromotion......................................... 43
ThomasAbel
6. UnderstandingDifferentiationofHealthinLateModernityby
UseofSociologicalSystemsTheory.......................................... 74
Ju¨rgenM.Pelikan
7. ManagingUncertaintyThroughParticipation............................... 103
LouisePotvin
8. ThinkingHealthPromotionSociologically.................................. 129
LauraBalbo
vii
viii Contents
9. HealthGovernance:TheHealthSociety...................................... 144
IlonaKickbusch
Appendix:OttawaCharterforHealthPromotion................................. 162
Index...................................................................................... 167
Contributors
DavidV.McQueenisaSeniorBiomedicalResearchScientistandAssociateDi-
rector for Global Health Promotion at the National Center for Chronic Disease
PreventionandHealthPromotion(NCCDPHP),attheCentersforDiseaseCon-
trolandPrevention(CDC)inAtlanta,Georgia,USA.PriortojoiningtheOffice
oftheDirector,hewasDirectoroftheDivisionofAdultandCommunityHealth
atNCCDPHPandActingDirectoroftheOfficeofSurveillanceandAnalysisat
NCCDPHP.BeforejoiningCDC,hewasProfessorandDirectoroftheResearch
Unit in Health and Behavioral Change at the University of Edinburgh, Scotland
(1983–1992),andpriortothatAssociateProfessorofBehavioralSciencesatthe
JohnsHopkinsUniversitySchoolofHygieneandPublicHealthinBaltimore.He
has served as Director of the World Health Organization (WHO) Collaborating
Centers as well as a technical consultant with the World Bank. Academic train-
ing: MA in History and Philosophy of Science (Johns Hopkins), Doctorate in
BehavioralSciences,MedicalSociology(JohnsHopkins).
IlonaKickbuschisnowaprivatehealthconsultantandwasformerlyHeadofthe
DivisionofGlobalHealthatYaleUniversitySchoolofMedicineintheDepartment
ofEpidemiologyandPublicHealth.ShejoinedYaleafteralongcareerwiththe
World Health Organization where she initiated the Ottawa Charter for Health
Promotionandheadedarangeofinnovativeprograms.Shehaspublishedwidely
onthenewpublichealthandisthefounderandchairoftheeditorialboardofthe
journalHealthPromotionInternational.Honorsandawardsforherachievements
include the Andrija Stampar Medal from the Association of Schools of Public
HealthintheEuropeanRegion,themeritoriousgoldmedaloftheCityofVienna
and the Salomon Neumann Medal of the German Society for Social Medicine.
She continues to act as an advisor to the World Health Organization and the
Pan American Health Organization and a range of foundations, NGOs, and the
privatesectoronmattersofglobalhealthandthedevelopmentofhealthpromotion.
PresentlysheactsastheseniorhealthadvisortotheUnitedNationsAssociationof
theUSA’sglobalhealthcampaign.Shehasalsobeendesignatedthedistinguished
FulbrightNewCenturyScholarsLeaderon“ChallengesofHealthinaBorderless
ix
x Contributors
World.”ShereceivedherPh.D.inpoliticalscienceattheUniversityofKonstanz,
Germany.
Louise Potvin has a doctorate in Public Health. She is professor at the Depart-
ment of Social and Preventive Medicine, Universite´ de Montreal and researcher
at the Interdisciplinary Health Research Group. She holds the (CHSRF/CIHR)
Canadian Health Services Research Foundation/Canadian Institutes of Health
ResearchChaironCommunityApproachesandHealthInequalities,whichdoc-
uments how public health interventions in support of local social development
contribute to the reduction of health inequalities in urban settings. Her main re-
searchinterestsaretheevaluationofcommunityhealthpromotionprogramsand
howlocalsocialenvironmentsareconducivetohealth.Shewasamemberofthe
WHOWorkingGroupontheevaluationofhealthpromotion.
Ju¨rgen M. Pelikan is Professor and Director, Institute for Sociology, Univer-
sityofVienna;Director,LudwigBoltzmann-InstitutefortheSociologyofHealth
andMedicine;WHOCollaboratingCentreforHealthPromotioninHospitalsand
Healthcare;FormerCoordinatoroftheInternationalNetworkofHealthPromoting
HospitalsofWHO-Euro,andisinvolvedinprojectsofHealthyCitiesandHealthy
Schools.HehasaDr.Phil.insociologyfromtheUniversityofVienna;istrained
inpsychoanalysisandgroupdynamics;andisamanagementtrainerandsystemic
organizationconsultant.HehasbeenapostdoctoralfellowoftheFordFoundation
atColumbiaUniversity,NewYork,aVisitingScholaratGriffithUniversity,Bris-
bane, Australia, a former President of the European Society of the Sociology of
HealthandMedicine,andaconsultantwithWHO-EURO,WHO-HQ,andtheEC.
Majorresearchareas:SociologicalSystemsTheory,SociologyofOrganizations,
SociologyofHealthandMedicine,PublicHealthandHealthPromotion,Health
Promotion in Health Care, Health Systems Analysis, Quality Management and
Evaluation.
Laura Balbo is Professor of Sociology, University of Ferrara and President of
theItalianSociologicalAssociation.ShewasamemberoftheItalianParliament
from1983to1992;ministerofequalopportunity,1998–2000;specialadvisorto
the Prime Minister on issues of racism and xenophobia, June 2000–June 2001.
Mainareasofresearch:thesociologyofhighereducationandwork,thesociology
ofeverydaylife,genderstudies,racism,andxenophobia.Shehasbeenavisiting
scholar at the Radcliffe Institute for Independent Studies and at the Center for
EuropeanStudiesatHarvard,andavisitingAssociateProfessorattheUniversity
ofCalifornia,SantaCruz.ShehasalsobeenaconsultantwithWHO,Copenhagen,
with UNESCO, and presently with various committees and study groups of the
EuropeanCommission.
ThomasAbelisProfessorforHealthResearchattheInstituteofSocialandPreven-
tiveMedicineattheUniversityofBern,Switzerland.HeisalsoCo-Editor-in-Chief
of Social and Preventive Medicine, International Journal of Public Health. Prior
Contributors xi
tohisappointmentinBern,hewasProfessorforPublicHealthandEpidemiology,
PostgraduatePrograminPublicHealth,DepartmentofMedicineattheLudwig-
Maximilians-University in Munich, Germany (1993–1995); Research Assistant
and Lecturer in Medical Sociology, Department of Medicine at the Philipps-
UniversityinMarburg,Germany(1986–1993);aswellasTeachingandResearch
Assistant, Department of Sociology at the University of Illinois, Urbana-
Champaign, USA (1984–1986). He has served as reviewer and consultant for
majornationalandinternationalresearchinstitutionsandfundingagencies.Aca-
demictraining:PriortohishabilitationatthePhilipps-University(Departmentof
Medicine,1993),ThomasAbelreceivedhisPh.D.fromtheUniversityofIllinois
(Department of Sociology) in 1989, a Dr. Phil. degree from the Justus Liebig-
University(DepartmentofSportsScience)in1984,andhisM.A.degreetherein
1980.