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Health Promotion International, Vol. 15, No. 4, 355-367, December 2000
© Oxford University Press 2000

The question of evidence in health promotion*

Dennis Raphael

Department of Public Health Sciences, University of Toronto, Ontario, Canada M5S 1A8

Address for correspondence: Dennis Raphael Department of Public Health Sciences University of Toronto McMurrich Building Toronto Ontario Canada M5S 1A8 e-mail: d.raphael{at}utoronto.ca

Health promoters require credible evidence to identify relevant determinants of health, choose activities to promote health, and then evaluate the effectiveness of these chosen activities. The issue of evidence in health promotion is a complex one that requires critical examination of what is meant by health promotion, the focus of health promotion activities, and the ideological issues and principles that inform health promotion practice. It is argued that health promoters should be explicit about the principles and values behind their health promotion activities, and consider how ideology, values, principles and data interact to produce evidence. Resources that will provide assistance in these tasks are provided.


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