Health Promotion International, Vol. 15, No. 2, 135-141,
June 2000
© Oxford University Press 2000
Health promotion in Canada: declining or transforming?*
1 Université Laval, 2 B.C. Center of Excellence for Women's Health and 3 University of Toronto, Canada
Address for correspondence: M. O'Neill Ecole des Sciences Infirmiere Université Laval Québec QC G1K 7PY Canada
INTRODUCTION
Canada's visibility in the field began with the release of the federal white paper, A New Perspective on the Health of Canadians (Lalonde, 1974
). Since then, individuals, governments, professional associations, and academic institutions have contributed to Canada's reputation as a leader in health promotion. For example, in alliance with the European Regional Office of the WHO, Canada helped to accelerate the evolution of behaviorally oriented health education toward a more global, political and environmentally sensitive, health promotion (O'Neill and Pederson, 1994
). The federal government created the first national-level Health Promotion Directorate in 1978 and hosted the first International Conference on Health Promotion in Ottawa in 1986. That conference culminated in the ratification of the Ottawa Charter on Health Promotion (Charter, 1986
) and the release of Canada's own Achieving Health for All (Epp, 1986
). The Healthy Cities movement was born at a conference in Toronto. A
DEMOGRAPHIC, SOCIAL AND EPIDEMIOLOGICAL TRENDS
RELEVANCE OF INTERNATIONAL FACTORS AND TRENDS
Communications technologies and media
ORGANIZATIONAL AND ADMINISTRATIVE STRUCTURES
The move toward population health
Towards new structures?
POLICIES, LAWS AND REGULATIONS OF RELEVANCE FOR HEALTH PROMOTION
HEALTH PROMOTION IN SETTINGS
HEALTH PROMOTION FOR POPULATION GROUPS
SPECIAL HEALTH ISSUES AND TOPICS
CAPACITY BUILDING, TRAINING, RESEARCH AND EVALUATION IN HEALTH PROMOTION
COLLABORATION AND PARTNERSHIPS FOR HEALTH
OVERALL ANALYSIS
ACKNOWLEDGEMENTS
FOOTNOTES
REFERENCES
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