Researching Health Promotion - 1st Edition
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Researching Health
Promotion
Edited by Jonathan Watson
and Stephen Platt
London and New York
First published 2000
by Routledge
11 New Fetter Lane, London EC4P 4EE
Simultaneously published in the USA and Canada
by Routledge
29 West 35th Street, New York, NY 10001
Routledge is an imprint of the Taylor & Francis Group
This edition published in the Taylor & Francis e-Library, 2002.
© 2000 selection and editorial matter Jonathan Watson and
Stephen Platt; individual chapters © 2000 respective contributors
All rights reserved. No part of this book may be reprinted or
reproduced or utilised in any form or by any electronic,
mechanical, or other means, now known or hereafter
invented, including photocopying and recording, or in any
information storage or retrieval system, without permission in
writing from the publishers.
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the
British Library
Library of Congress Cataloging in Publication Data
Researching health promotion/edited by Jonathan Watson and
Stephen Platt.
p. cm.
Includes bibliographical references and index.
1. Health promotion-Research. I.Watson, Jonathan, 1960–II. Platt,
Stephen.
RA427.8 .R47 2000
613’.072–dc21 99–046625
ISBN 0-203-46194-0 Master e-book ISBN
ISBN 0-203-77018-8 (Adobe eReader Format)
ISBN 0 415–21590–0 (hbk)
ISBN 0 415–21591–9 (pbk)
Contents
List of illustrations ix
Notes on contributors xi
Acknowledgements xv
1 Connecting policy and practice: the challenge for health
promotion research 1
JONATHAN WATSON AND STEPHEN PLAT T
PART I
Fresh thinking 21
2 Repositioning health promotion: research implications 23
ERIO ZIGLIO
3 Think globally, act locally: what are the implications
for health promotion and research? 38
HILARY WHENT
4 A critical approach to lifestyle and health 54
THOMAS ABEL, WILLIAM C.COCKERHAM
AND STEFFEN NIEMANN
vi Contents
PART II
Methodological challenges 79
5 Postmodernism and health promotion:
implications for the debate on effectiveness 83
DALE WEBB AND DAVID WRIGHT
6 Evidence and the evaluation of a community-level intervention:
researching the Gay Men’s Task Force initiative 102
PAUL FLOWERS, JAMIE FRANKIS AND GRAHAM HART
7 Implementation of health promotion policy in Norwegian
municipalities 125
ELISABETH FOSSE
8 Does health economics do health promotion justice? 142
JANINE HALE
PART III
Good practice 157
9 The creation of gendered spaces as a medium for
sexual health promotion among young people in Peru 161
MARCELO RAMELLA AND JENNIFER AT TRIDE-STIRLING
10 A theoretically based, cross-cultural study of infant
feeding in new mothers and their partners 183
VIVIEN SWANSON AND KEVIN POWER
11 Peer-led HIV prevention among gay men in London
(the 4 gym project): intervention and evaluation 207
JONATHAN ELFORD, LORRAINE SHERR,
GRAHAM BOLDING, MARK MAGUIRE AND FRASER SERLE
Contents vii
12 Falling on deaf ears? Responses to health education messages
from the Birmingham Untreated Heavy Drinkers Cohort 231
CICELY KERR, JENNY MASLIN, JIM ORFORD, SUE DALTON,
MARIA FERRINS-BROWN AND ELIZABETH HARTNEY
13 Older people’s perceptions about health behaviours over
time in Ireland: implications for health promotion 254
ANNE MACFARLANE AND CECILY KELLEHER
Index 270
Illustrations
Figures
1.1 UK policy connections 10
2.1 A credible approach 26
2.2 Type of investment 26
3.1 Features of a sustainable environment 40
3.2 Sustainable development and health 42
3.3 Sustainability indicators 46
4.1 Weber on lifestyle 59
4.2 Lifestyle, life chances, life conduct 63
4.3 Health lifestyle 64
4.4 Donkey analogy 65
4.5 Correspondence analysis: deprivation and health
orientations 71
4.6 Correspondence analysis: deprivation and health
behaviour 73
10.1a Agreement with the breast-feeding views of
partner, own mother, friends, midwives and people
in general for Scottish breastfeeders, Scottish
bottlefeeders, and Greek breastfeeders and
combined feeders 194
10.1b Importance of the views of partner, own mother,
friends, midwives and people in general, for Scottish
breastfeeders, Scottish bottlefeeders, and Greek
breastfeeders and combined feeders 195
11.1 Criteria for a well-designed evaluation according
to the Cochrane Collaboration (1993) 209
11.2 Invervention 214
11.3 The 4 gym project logo 215
x Illustrations
12.1 Main barrier model 244
12.2 Attention sub-system 245
12.3 Damage sub-system 247
12.4 Individual differences sub-system 248
12.5 Barrier sub-system 248
Tables
4.1 List of indicators 69
6.1 Overview of research structure (1995–1999) 105
6.2 Demographic and recruitment characteristics 110
7.1 Research focus in a decision perspective and
a process perspective on implementation 129
7.2 Ideologies and strategies at the central level 133
7.3 Differences between community projects
andenvironment health projects 137
10.1 Percentage of women breast-feeding post-natally
(on leaving hospital) for selected countries 184
10.2 Characteristics of mothers and their partners
in the Scottish and Greek samples 191
10.3 Positive and negative breast-feeding and bottle-
feeding beliefs for breast-feeding and bottle-feeding
mothers and their partners in Scotland, and
breast-feeding and combined-feeding mothers
and their partners in Greece 193
11.1 Baseline survey: number of questionnaires
distributed and returned 218
11.2 Timetable for the intervention and its evaluation 219
11.3 Evaluation: primary outcomes to be compared
at each survey point 222
11.4 Baseline survey: social and demographic
characteristics of the study population 226
11.5 Baseline survey: men reporting unprotected
anal intercourse in previous three months 227
12.1 Characteristics of the health education focus
sub-sample 236
13.1 Demographic and socio-economic profile of
interview study participants 257
13.2 Reported determinants of health: sub-categories
and their sub-classifications 259
Contributors
Professor Thomas Abel, Unit for Health Research, Institute for
Social and Preventive Medicine, University of Bern, Switzerland
Dr Jennifer Attride-Stirling Researcher, Social Psychology
Department, London School of Economics
Graham Bolding, Research Assistant, Department of Primary Care
and Population Sciences and Royal Free Centre for HIV
Medicine, University College London
Professor William C.Cockerham, Professor of Sociology, Medicine
and Public Health, Department of Sociology, University of
Alabama
Sue Dalton, Research Associate and current Project Manager of the
Birmingham Untreated Heavy Drinkers Project, Drinking
Research Group, School of Psychology, University of
Birmingham
Dr Jonathan Elford, Senior Lecturer in Epidemiology, Department
of Primary Care and Population Sciences and Royal Free Centre
for HIV Medicine, University College London
Maria Ferrins-Brown, Research Interviewer, Birmingham Untreated
Heavy Drinkers Project, Drinking Research Group, School of
Psychology, University of Birmingham
Dr Paul Flowers, Research Associate, MRC Social and Public
Health Sciences Unit, Glasgow
Elisabeth Fosse, Research Fellow, Research Centre for Health
Promotion, University of Bergen, Bergen, Sweden
xii Contributors
Jamie Frankis, MRC Social and Public Health Sciences Unit,
Glasgow
Janine Hale, Research Fellow, Health Economist, Health Promotion
Wales
Professor Graham Hart, Associate Director, MRC Social and
Public Health Sciences Unit, Glasgow
Elizabeth Hartney, former Research Associate for the Birmingham
Untreated Heavy Drinkers Project, Drinking Research Group,
School of Psychology, University of Birmingham
Professor Cecily Kelleher, Professor of Health Promotion, Centre
for Health Promotion Studies, National University of Ireland
Cicely Kerr, formerly Research Interviewer with the Birmingham
Untreated Heavy Drinkers Project, now West Midland Local
Research Co-ordinator for the UK Alcohol Treatment Trial,
Drinking Research Group, School of Psychology, University of
Birmingham
Dr Anne MacFarlane, Researcher, Centre for Health Promotion
Studies, National University of Ireland
Mark Maguire, HIV Prevention Office, Health Promotion Service,
St Pancras Hospital, London
Jenny Maslin, previously Research Interviewer with the
Birmingham Untreated Heavy Drinkers Project, now as research
psychologist working with the Combined Psychosis and
Substance Use (COMPASS) programme in Birmingham
Steffen Niemann, Assistant, Unit for Health Research, Institute for
Social and Preventive Medicine, University of Berne.
Professor Jim Orford, Professor of Clinical and Community
Psychology, School of Psychology, University of Birmingham
Professor Stephen Platt, Director, Research Unit in Health and
Behavioural Change, Medical School, University of Edinburgh
Professor Kevin Power, Professor of Clinical Psychology, Anxiety
and Stress Research Centre, Department of Psychology,
University of Stirling
Contributors xiii
Marcelo Ramella, SaRA Project Manager, Social Psychology
Department, London School of Economics
Fraser Serle, HIV Prevention Office, Health Promotion Service, St
Pancras Hospital, London
Dr Lorraine Sherr, Senior Lecturer in Health Psychology,
Department of Primary Care and Population Sciences and Royal
Free Centre for HIV Medicine, University College London
Dr Vivien Swanson, Lecturer, Anxiety and Stress Research Centre,
Department of Psychology, University of Stirling
Professor Jonathan Watson, Director of Research and Evaluation,
Health Education Board for Scotland, Edinburgh
Dale Webb, Research Fellor, Wessex Institute for Health Research
and Development, University of Southampton
Hilary Whent, Senior Researcher, Health Education Authority,
London
Dr David Wright, Primary Care Research Co-ordinator, Primary
Medical Care, University of Southampton
Dr Erio Ziglio, Health Promotion and Investment Programme,
World Health Organization, Regional Office for Europe,
Copenhagen, Denmark
Acknowledgements
We are very grateful to Heather Gibson and Fiona Bailey at
Routledge for their support and help during the production of this
book. We are also grateful to staff at the Research Unit in Health
and Behavioural Change and the Research & Evaluation Division
at the Health Education Board for Scotland, for their helpful
suggestions and comments. Thanks are also due to Jenie Glover at
RUHBC for ensuring that the text was properly formatted and for
chasing down missing references etc. from the various contributors.
