Upending the Social Ecological Model to Guide Health Promotion Efforts Toward Policy and Environmental Change

Shelley D. Golden, Kenneth R. McLeroy, Lawrence W. Green, Jo Anne L. Earp, Lisa Lieberman

Research output: Contribution to journalEditorial

38 Citations (Scopus)

Abstract

Efforts to change policies and the environments in which people live, work, and play have gained increasing attention over the past several decades. Yet health promotion frameworks that illustrate the complex processes that produce health-enhancing structural changes are limited. Building on the experiences of health educators, community activists, and community-based researchers described in this supplement and elsewhere, as well as several political, social, and behavioral science theories, we propose a new framework to organize our thinking about producing policy, environmental, and other structural changes. We build on the social ecological model, a framework widely employed in public health research and practice, by turning it inside out, placing health-related and other social policies and environments at the center, and conceptualizing the ways in which individuals, their social networks, and organized groups produce a community context that fosters healthy policy and environmental development. We conclude by describing how health promotion practitioners and researchers can foster structural change by (1) conveying the health and social relevance of policy and environmental change initiatives, (2) building partnerships to support them, and (3) promoting more equitable distributions of the resources necessary for people to meet their daily needs, control their lives, and freely participate in the public sphere.

Original languageEnglish
Pages (from-to)8-14
Number of pages7
JournalHealth Education and Behavior
Volume42
DOIs
StatePublished - 4 Apr 2015

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Environmental Policy
Health Promotion
Public Policy
Health
Research Personnel
Public Health Practice
Health Educators
Behavioral Sciences
Social Environment
Social Sciences
Policy Making
Social Support
Research
Environmental Change
Structural Change

Keywords

  • environmental change
  • public policy
  • social ecological model
  • structural interventions

Cite this

Golden, Shelley D. ; McLeroy, Kenneth R. ; Green, Lawrence W. ; Earp, Jo Anne L. ; Lieberman, Lisa. / Upending the Social Ecological Model to Guide Health Promotion Efforts Toward Policy and Environmental Change. In: Health Education and Behavior. 2015 ; Vol. 42. pp. 8-14.
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Upending the Social Ecological Model to Guide Health Promotion Efforts Toward Policy and Environmental Change. / Golden, Shelley D.; McLeroy, Kenneth R.; Green, Lawrence W.; Earp, Jo Anne L.; Lieberman, Lisa.

In: Health Education and Behavior, Vol. 42, 04.04.2015, p. 8-14.

Research output: Contribution to journalEditorial

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