AAHE scholar presentation. Boston, April 22, 1989. Reflections on directions in health education: implications for...

In summary, this paper has attempted to share some reflections on directions in health education. I have called attention to the issue of "micro myopia," which narrows our perspective, turns us inward, and predisposes us to be less supportive of societal responses. The need for a broader perspective was presented and directions in which we should be going were identified. Attention was directed at the disproportionate and inappropriate emphasis on risk factors. Our limited knowledge base is evident, as are the limitations of an individual behavior approach. Concern was also expressed about the increased phenomenon of the educationalization of health problems and the gradual emergence of a mortality in health education. Finally, the relationship of risk factors to health was challenged. It seems that reduced mortality and increased longevity are driving forces, but are these synonymous with health? Few would argue that they are. Overall, concerns have been raised and suggestions forwarded for consideration, analysis, and debate. Where will we be in the year 2000? I don't know. Hopefully this presentation will provide insight into our current positions and help us reflect on our future directions.