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Bringing It All Together: The Salutogenic Response to Some of the Most Pertinent Public Health Dilemmas

Abstract

This chapter provides an overview of the salutogenic approach to public health challenges. The origin of the theory of salutogenises stems from the ­narratives of the survivors of the Holocaust. It was further developed into a life-­orientation theory and a model. Based on interviews with people who had survived this ­horror, a valid and reliable instrument was constructed, the “Sense of Coherence” scale. The complex concept of resilience is also introduced. The lack of a generally accepted definition or a common specific theory for resilience is ­discussed. Concepts of hardiness, self-efficacy and empowerment are also reviewed. The use of more asset based approaches to measure population health indicators is suggested in the chapter. This includes the introduction of the Resource Adjusted Life Year (RALY), to measure the assets and abilities of the general population.

Keywords

  • Ottawa charter
  • Salutogenic theory
  • Sense of coherence
  • Empowerment
  • Antonovsky
  • Resource adjusted life year

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Fig. 18.1

References

  • Amirkhan, J. H., & Greaves, H. (2003). Sense of coherence and stress: The mechanics of a healthy disposition. Psychol Health, 18(1):31–62.

    CrossRef  Google Scholar 

  • Antonovsky, A. (1987). Unraveling the Mystery of Health. How People Manage Stress and Stay Well. San Francisco: Jossey-Bass.

    Google Scholar 

  • Antonovsky, A. (1991). The salutogenic approach to family system health: promise and danger. In: European congress on “Mental Health in European Families”; 1991; p. 9. http://www.angelfire.com/ok/soc/agolem.html cited May 2009.

  • Antonovsky, A. (1993a). Some salutogenic words of wisdom to the conferees. In; The Nordic School of Public Health in Gothenburg, Sweden;1993; p.3. http://www.angelfire.com/ok/soc/agoteborg.html cited May 2009.

  • Antonovsky, A. (1993b). The structure and properties of the sense of coherence scale. Soc Sci Med, 36(6):725–733.

    CrossRef  PubMed  CAS  Google Scholar 

  • Antonovsky, A. (1996). The salutogenic model as a theory to guide health promotion. Health Promot Int,11(1):11–18.

    CrossRef  Google Scholar 

  • Bauer, G., Davies, J. K., Pelikan, J., Noack, H., Broesskamp, U., Hill, C., et al. (2003). Advancing a theoretical model for public health and health promotion indicator development. Proposal from the EUHPID consortium. Eur J Publ Health, 13(Suppl 3):107–113.

    Google Scholar 

  • Bandura, A. (1997). Self-efficacy. The Exercise of Control. New York: W.H. Freeman and Company.

    Google Scholar 

  • Blum, R. W., McNeely, C., & Nonnemaker, J. (2002). Vulnerability, risk, and protection. J Adolescent Health, 31S:28–39.

    CrossRef  Google Scholar 

  • Bourdieu, P. (1993). The Field of Cultural Production. Essays on Art and Literature. Cambridge: Polity Press.

    Google Scholar 

  • Bronfenbrenner, U. (1979). The Ecology of Human Development – Experiments by Nature and Human Design. Cambridge Massachusetts: Harvard University Press.

    Google Scholar 

  • Bruun Jensen, B. (2000). Health knowledge and health education in the democratic health-­promoting school. Health Educ, 100(4):146–153.

    CrossRef  Google Scholar 

  • Bruun Jensen, B., & Schnack, K. (1997). The action competence approach in environmental ­education. Environ Educ Res, 3(2):163–178.

    CrossRef  Google Scholar 

  • Carver, C. S. (1998). Resilience and thriving: Issues, models, and linkages. J Soc Issues, 54(2):245–266.

    CrossRef  Google Scholar 

  • Eklund, L. (1999). From citizen participation towards community empowerment. An analysis on health promotion from citizen perspective. Tampere: Faculty of Medicine, University of Tampere. (Doctoral thesis).

    Google Scholar 

  • Eriksson, M. (2007). Unravelling the mystery of salutogenesis. The evidence base of the salutogenic research as measured by Antonovsky’s Sense of Coherence Scale. (Doctoral thesis). Åbo Akademi University Vasa, Fakulty of Social and Caring Science, Department of Social Policy. Folkhälsan Research Centre, Health Promotion Research Programme, Research Report 2007:1. Turku: Folkhälsan.

    Google Scholar 

  • Eriksson, M., & Lindström, B. (2005). Validity of Antonovsky’s Sense of Coherence Scale – a systematic review. J Epidemiol Community Health, 59(6):460–466.

    CrossRef  PubMed  Google Scholar 

  • Eriksson, M., & Lindström, B. (2006). Antonovsky’s Sense of Coherence Scale and the relation with health – a systematic review. J Epidemiol Community Health, 60:376–381.

    CrossRef  PubMed  Google Scholar 

  • Eriksson, M., & Lindström, B. (2007). Antonovsky’s Sense of Coherence Scale and It’s relation with quality of life: A systematic review. J Epidemiol Community Health, 61:938–944.

    CrossRef  PubMed  Google Scholar 

  • Eriksson, M., & Lindström, B. (2008). A salutogenic interpretation of the Ottawa Charter. Health Promot Int, 23(2):190–199.

    CrossRef  PubMed  Google Scholar 

  • Freire, P. (1996). Pedagogy of the Oppressed. Harmondsworth: Penguin.

    Google Scholar 

  • Glantz, M. D., & Johnsson, J. L, editors. (1999). Resilience and Development. Positive Life Adaptations. New York: Kluwer Academic/Plenum.

    Google Scholar 

  • Kobasa, S. (1982). The hardy personality: toward a social psychology of stress and health. In: Sanders, G., & Suls, J. editors. Social Psychology of Health and Illness. Lawrence Erlbaum Associates: New Jersey.

    Google Scholar 

  • Koelen, M. A., & Lindström, B. (2005). Making healthy choices easy choices: The role of empowerment. Eur J Clin Nutr, 59(Suppl 1):10–16.

    CrossRef  Google Scholar 

  • Korkeila, J., Lehtinen, V., Bijl, R., Dalgard, O-S., Kovess, V., Morgan A., et al. (2003). Establishing a set of mental health indicators for Europe. Scand J Public Health, 31(6):451–459.

    CrossRef  PubMed  Google Scholar 

  • Kravetz, S., Drory, Y., & Florian, V. (1993). Hardiness and sense of coherence and their relation to negative affect. Eur J Personality, 7(4):233–244.

    CrossRef  Google Scholar 

  • Lindström, B. (1994). The essence of existence. On the quality of life of children in the Nordic countries – theory and practice in public health. (Doctoral thesis.). Göteborg: Nordic School of Public Health.

    Google Scholar 

  • Lindström, B. (2001).The meaning of resilience. Int J Adolesc Med Health, 13(1):7–12.

    CrossRef  Google Scholar 

  • Lindström, B., & Eriksson, M. (2006). Contextualising salutogenesis and Antonovsky in public health. Health Promot Int, 21(3):238–244.

    CrossRef  PubMed  Google Scholar 

  • Lindström, B., & Eriksson, M. (2009). The salutogenic approach to the making of HiAP/Healthy Public Policy: illustrated by a case study. Global Health Promotion, 16(1): 17–28.

    CrossRef  Google Scholar 

  • Lindström, B., & Spencer, N, editors. (1995). Social Pediatrics. Oxford: Oxford University Press.

    Google Scholar 

  • Luthar, S. S., (ed). (2003). Resilience and Vulnerability. Adaptation in the Context of Childhood Adversities. Cambridge: Cambridge University Press.

    Google Scholar 

  • McCubbin HI, Thompson EA, Thompson AI, Futrell JA (1999). (Eds.) The dynamics of resilient families. Thousand Oaks: Sage Publications.

    Google Scholar 

  • Ministry of Social Affairs and Health. (2006). Health in All Policies: Prospects and Potentials. Finland, Helsinki: Ministry of Social Affairs and Health.

    Google Scholar 

  • Mittelmark, M. B. (2008). Setting an ethical agenda for health promotion. Health Promot Int, 23(1):78–85.

    CrossRef  PubMed  Google Scholar 

  • Morgan, A., & Ziglio, E. (2007). Revitalising the evidence base for public health: an assets model. IUHPE – Promotion & Education, 2(Suppl):17–22.

    Google Scholar 

  • Murray, C., Salomon, J., Mathers, C., Lopez, A., editors. (2002). Summary Measures of Population Health: Concepts, Ethics, Measurement and Applications. Geneva: World Health Organization.

    Google Scholar 

  • Nilsson, L. A. (2004). Health promotion as school development. Scand J Nutr, 48(2):70–76.

    CrossRef  Google Scholar 

  • Nilsson, L., & Lindström, B. (1998). Learning as a health promoting process – the salutogenic interpretation of the Swedish curricula in state education. Int J Health Promot, 14.

    Google Scholar 

  • Newton, S. E. (1999). Relationship of hardiness and sense of coherence to post-liver transplant return to work. Holist Nurs Pract, 13(3):71–79.

    PubMed  CAS  Google Scholar 

  • Nutbeam, D. (1998). Health Promotion Glossary. Geneva: World Health Organization.

    Google Scholar 

  • Poland, B. (2007). Health promotion in Canada: Perspectives & future prospects. Brazilian J Health Promot, 20(1):3–11.

    Google Scholar 

  • Rappaport, J. (1987). Terms of empowerment/exemplars of prevention: Toward a theory for community psychology. Am J Community Psychol, 15:121–148.

    CrossRef  PubMed  CAS  Google Scholar 

  • Rissel, C. (1994). Empowerment: the holy grail of health promotion? Health Promot Int, 9(1):39–47.

    CrossRef  Google Scholar 

  • Rotter, J. (1966). Generalized expectancies for internal versus external control of reinforcements. Psychological Monographs, 80, Whole No. 609.

    Google Scholar 

  • Rutter, M. (1987). Psychosocial resilience and protective mechanisms. Am J Orthopsychiatry, 57(3):316–331.

    CrossRef  PubMed  CAS  Google Scholar 

  • Sagy, S., & Antonovsky, H. (2000). The development of the sense of coherence: A retrospective study of early life experiences in the family. J Aging Hum Dev, 51(2):155–166.

    CrossRef  CAS  Google Scholar 

  • Smith, T. L., & Meyers, L. S. (1997). The sense of coherence: Its relationship to personality, stress, and health measures. J Soc Behav Pers, 12(2):513–527.

    Google Scholar 

  • Sun, J., & Stewart, D. (2007). Development of population-based resilience measures in the ­primary school setting. Health Education, 107(6):575–599.

    CrossRef  Google Scholar 

  • UN. (1948). Universal Declaration of Human Rights. Paris: General Assembly of the United Nations.

    Google Scholar 

  • UNICEF. (1990). Convention on the Rights of the Child. New York: United Nations Children’s Fund.

    Google Scholar 

  • Wells,Y. D., & Kendig, H. L. (1999). Psychological resources and successful retirement. Aust Psychol, 34(2):111–115.

    CrossRef  Google Scholar 

  • Werner, E., & Smith, R. (1982). Vulnerable but Invincible. A Longitudinal Study of Resilient Children and Youth. New York: McGraw Hill.

    Google Scholar 

  • Werner, E, & Smith, R. (2001). Journeys from Childhood to Midlife. Risk, Resilience, and Recovery. Ithaca: Cornell University Press.

    Google Scholar 

  • WHO. (1986a) A discussion document on the concepts and principles of health promotion. Health Promot Int, 1:73–76.

    Google Scholar 

  • WHO. (1986b). Ottawa charter for health promotion: an International Conference on Health Promotion, the Move Towards a New Public Health, November 17–21 1986. Geneva: World Health Organization.

    Google Scholar 

  • WHO. (1988). Adelaide Recommendations on Healthy Public Policy. Second International Conference on Health Promotion, Adelaide, South Australia, April 5–9 1988.

    Google Scholar 

  • WHO. (2001). International Classification of Functioning, Disability and Health. (Endorsed at the Fifty-fourth World Health Assembly on May 22 2001) http://www.who.int/classifications/icf cited August 19th 2008.

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Eriksson, M., Lindström, B. (2010). Bringing It All Together: The Salutogenic Response to Some of the Most Pertinent Public Health Dilemmas. In: Morgan, A., Davies, M., Ziglio, E. (eds) Health Assets in a Global Context. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5921-8_18

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  • DOI: https://doi.org/10.1007/978-1-4419-5921-8_18

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