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Health Promotion International Advance Access originally published online on July 22, 2006
Health Promotion International 2006 21(4):274-283; doi:10.1093/heapro/dal026
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© The Author (2006). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Determinants of health promotion action: comparative analysis of local voluntary associations in four municipalities in Finland

Nina Simonsen-Rehn, John Øvretveit1, Ritva Laamanen2, Sakari Suominen3, Jari Sundell4 and Mats Brommels5

Department of Public Health, University of Helsinki Finland 1 The Karolinska Institute Medical Management Centre, Stockholm, Sweden and Faculty of Medicine, Bergen University Norway 2 Department of Public Health, University of Helsinki and Folkhälsan Research Center Helsinki, Finland 3 University of Turku, Department of Public Health and Folkhälsan Research Center Helsinki, Finland 4 National Public Health Institute Helsinki, Finland 5 Department of Public Health, University of Helsinki, Finland and The Karolinska Institute Medical Management Centre Stockholm, Sweden

Address for correspondence: Nina Simonsen-RehnPO Box 4100014 University of HelsinkiFinlandE-mail: nina.simonsen-rehn{at}helsinki.fi

The World Health Organization makes a case for the importance of voluntary organizations in promoting health at local levels. The purpose of this paper is to contribute to understanding which factors explain local voluntary associations (LVAs) participation in health promotion in local contexts. It does so through (i) identifying indicators that represent determinants of health promotion action which were reported by LVAs and by (ii) comparing their actions with these determinants. The data reported are from a questionnaire survey of all registered LVAs in four municipalities in Finland. Principal component analysis revealed four determinants of health promotion action. Four factors in the final multivariate model explained over half of the variance of LVAs engagement in health promotion action: competence, values ‘healthy’ and also opportunities and municipality. There is some evidence to support a model of health promotion action which has not been tested empirically in relation to these types of organization. More detailed studies of determinants of health promotion action are needed to shape strategies in local communities.

Key words: community participation; health promotion; local voluntary organizations


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