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Published on: January 12, 2018
Toward a post-Charter health promotion
1Institute of Population Health, University of Ottawa, 1 Stewart Street, Ottawa, Ontario, Canada K1N 6N5. rlabonte@uottawa.ca
Global shifts challenge health promotion. Health promoters must address global determinants, advocate for social policies, and combat racism to reduce health inequalities and confront chronic disease risks.
Area of Science:
- Global Health
- Health Promotion
- Social Determinants of Health
Background:
- The last 25 years have seen significant environmental, political, economic, and social changes impacting population health.
- Emerging global powers and predatory capitalism have led to the erosion of social protection policies.
- Climate change and increasing global inequalities pose new challenges to health promotion.
Purpose of the Study:
- To re-evaluate the practice of health promotion in light of contemporary global realities.
- To emphasize the need to connect local health determinants to broader, global factors.
- To advocate for policy changes that support health equity and social well-being.
Main Methods:
- Analysis of global trends in environmental, political, and economic landscapes.
- Review of historical health promotion frameworks, such as the Ottawa Charter.
- Conceptual examination of the relationship between global capitalism, social policies, and health outcomes.
Main Results:
- Health promotion must extend beyond local factors to address global determinants.
- Advocacy for the social state, progressive taxation, and social investment is crucial for mitigating health inequalities.
- Combating racism and xenophobia is identified as a key health promotion practice.
Conclusions:
- Health promotion requires a paradigm shift to address systemic global issues.
- Support for international and grassroots organizations working on global determinants is essential.
- Confronting the resurgence of health behaviorism and addressing the pandemic of chronic diseases are critical future challenges.
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