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Health Education & Behavior
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What's this?

Achieving a "Broad View of Health"

Findings From the California Healthy Cities and Communities Evaluation

Robert E. Aronson, DrPH, MPH

University of North Carolina at Greensboro, rearonso{at}uncg.edu

Barbara L. Norton, MPH, MA

University of Oklahoma, Oklahoma City

Michelle C. Kegler, DrPH, MPH

Emory University, Atlanta, Georgia

Promoting a "broad view of health" is an important objective of the healthy cities movement, including recognition of the powerful role that social relations and living conditions play in the health of community members. This article presents a quantitative approach to assessing consensus and change in ideas about health determinants among local coalition members. A ranking of five determinants of health in the form of paired comparisons was included in a survey of coalition members of 20 local healthy communities projects in California. Findings revealed conflicting views among members in the planning year, with some respondents emphasizing the role of social factors and living conditions and others emphasizing the role of health care and lifestyle decisions. Data collected at the end of the funded intervention showed movement toward a broader view of health, with greater consensus on this view in select communities.

Key Words: Healthy Cities • views of health • determinants of health • evaluation

This version was published on June 1, 2007

Health Education & Behavior, Vol. 34, No. 3, 441-452 (2007)
DOI: 10.1177/1090198106289000
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M. C. Kegler, B. L. Norton, and R. Aronson
Achieving organizational change: findings from case studies of 20 California healthy cities and communities coalitions
Health Promot. Int., June 1, 2008; 23(2): 109 - 118.
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