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HEALTH PROMOTION in CANADA This Page Intentionally Left Blank Health Promotion 5/1/07 11:18 AM Page Iii Health Promotion 5/1/07 11:18 AM Page i HEALTH PROMOTION IN CANADA This page intentionally left blank Health Promotion 5/1/07 11:18 AM Page iii HEALTH PROMOTION IN CANADA CRITICAL PERSPECTIVES SECOND EDITION EDITED BY MICHEL O’NEILL ANN PEDERSON SOPHIE DUPÉRÉ IRVING ROOTMAN Canadian Scholars’ Press Inc. Toronto Health Promotion 5/1/07 11:18 AM Page iv Some images and text in the printed version of this book are not available for inclusion in the eBook. Health Promotion in Canada: Critical Perspectives Second Edition edited by Michel O’Neill, Ann Pederson, Sophie Dupéré, and Irving Rootman First published in 2007 by Canadian Scholars’ Press Inc. 180 Bloor Street West, Suite 801 Toronto, Ontario M5S 2V6 www.cspi.org Copyright © 2007 Michel O’Neill, Ann Pederson, Sophie Dupéré, and Irving Rootman, the contributing authors, and Canadian Scholars’ Press Inc. All rights reserved. No part of this publication may be photocopied, reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, or otherwise, without the written permission of Canadian Scholars’ Press Inc., except for brief passages quoted for review purposes. In the case of photocopying, a licence may be obtained from Access Copyright: One Yonge Street, Suite 1900, Toronto, Ontario, M5E 1E5, (416) 868-1620, fax (416) 868-1621, toll-free 1-800-893-5777, www.accesscopyright.ca. Every reasonable effort has been made to identify copyright holders. CSPI would be pleased to have any errors or omissions brought to its attention. Canadian Scholars’ Press Inc. gratefully acknowledges financial support for our publishing activities from the Government of Canada through the Book Publishing Industry Development Program (BPIDP). Library and Archives Canada Cataloguing in Publication Health promotion in Canada : critical perspectives / edited by Michel O’Neill ... [et al.]. — 2nd ed. Includes bibliographical references and index. isbn 978-1-55130-325-3 1. Health promotion—Canada—Textbooks. I. O’Neill, Michel, 1951– ra427.8.h45 2007 613'.0971 c2007-901472-0 0708091011 54321 Cover art: “Happy Friends (children)” © Daniela Andreea Spyropoulos. From www.istockphoto.com. Cover design, interior design and layout: Susan MacGregor/Digital Zone Printed and bound in Canada by Marquis Book Printing Inc. Health Promotion 5/1/07 11:18 AM Page v During the course of the year that we spent working together on this book, the circle of life continued to touch our lives. Each of us would like to honour the past and celebrate the future by dedicating this book to the memory or new life of people near and dear to us. Michel would like to honour Laurent Pauzé-Dupuis, who passed away in Beijing on April 3, 2006, and was the best friend of Sébastien Couchesne-O’Neill, his son, to whom he wishes a great journey in his future life as a scholar and sociologist. Ann would like to celebrate the birth of Nicholas Good, her grandson, on October 31, 2005, and to remem- ber the passing of her mother-in-law, Marion Spruston, on February 18, 2006. Irv would like to express joy for the birth of his first grandson, Tobyn Rootman, on September 23, 2005, and to acknowledge the passing of his uncle, Sam Rootman, on February 10, 2006, and his son David’s fiancé, Zoey Quarter, on December 6, 2006. Sophie would like to ded- icate this book to the memory of her grandfather, Jacques Champagne, who died on March 22, 2006, and whose passion and dedication to his family and work has always been a great source of inspiration for her. This page intentionally left blank Health Promotion 5/1/07 11:18 AM Page vii TABLE OF CONTENTS Acknowledgements ...........................................................................................x Foreword: Health Promotion in Canada and the 19th World Conference of the International Union of Health Promotion and Health Education................xiii Marcia Hills and David McQueen Chapter 1: Introduction: An Evolution in Perspectives ..........................................1 Michel O’Neill, Ann Pederson, Sophie Dupéré, and Irving Rootman PART I: CONCEPTUAL PERSPECTIVES ...................................17 Chapter 2: A New Appraisal of the Concept of Health ........................................19 John Raeburn and Irving Rootman Chapter 3: The Promotion of Health or Health Promotion? ................................32 Michel O’Neill and Alison Stirling Chapter 4: Points of Intervention in Health Promotion Practice ...........................46 Katherine L. Frohlich and Blake Poland Chapter 5: Health Literacy: A New Frontier.......................................................61 Irving Rootman, Jim Frankish, and Margot Kaszap Chapter 6: Addressing Diversity in Health Promotion: Implications of Women’s Health and Intersectional Theory .......................................................................75 Colleen Reid, Ann Pederson, and Sophie Dupéré PART II: NATIONAL PERSPECTIVES .........................................91 Chapter 7: The Federal Role in Health Promotion: Under the Radar....................92 Lavada Pinder Chapter 8: Addressing Health Inequalities in Canada: Little Attention, Inadequate Action, Limited Success....................................................................................106 Dennis Raphael Chapter 9: Developing Knowledge for Health Promotion..................................123 Irving Rootman, Suzanne Jackson, and Marcia Hills vii Health Promotion 5/1/07 11:18 AM Page viii PART III: PROVINCIAL PERSPECTIVES..................................139 Chapter 10: Health Promotion Program Resilience and Policy Trajectories: A Comparison of Three Provinces ....................................................................141 Nicole F. Bernier Chapter 11: 12 Canadian Portraits: Health Promotion in the Provinces and Territories, 1994–2006 ......................................................................................153 Ann Pederson PART IV: INTERNATIONAL PERSPECTIVES........................205 Chapter 12: Promoting Health in a Globalizing World: The Biggest Challenge of All? ..........................................................................207 Ronald Labonté Chapter 13: Canada’s Role in International Health Promotion............................222 Suzanne F. Jackson, Valéry Ridde, Helene Valentini, and Natalie Gierman Chapter 14: The Impact of Canada on the Global Infrastructure for Health Promotion.......................................................................................237 Maurice B. Mittelmark, Maria Teresa Cerqueira, J. Hope Corbin, and Marie-Claude Lamarre Chapter 15: Views on the International Influence of Canadian Health Promotion............................................................................................247 Sophie Dupéré PART V: PRACTICAL PERSPECTIVES ......................................299 Chapter 16: The Reflexive Practitioner in Health Promotion: From Reflection to Reflexivity ..........................................................................301 Marie Boutilier and Robin Mason Chapter 17: Building and Implementing Ecological Health Promotion Interventions ...................................................................................................317 Lucie Richard and Lise Gauvin Chapter 18: Health Promotion and Health Professions in Canada: Toward a Shared Vision ...................................................................................330 Marcia Hills, Simon Carroll, and Ardene Vollman Chapter 19: Two Roles of Evaluation in Transforming Health Promotion Practice ..........................................................................................347 Louise Potvin and Carmelle Goldberg Health Promotion 5/1/07 11:18 AM Page ix PART VI: CONCLUDING THOUGHTS ......................................361 Chapter 20: Health Promotion: Not a Tree But a Rhizome.................................363 Ilona Kickbusch Chapter 21: Has the Individual Vanished from Canadian Health Promotion? ..........................................................................................367 Gaston Godin Chapter 22: Conclusion: The Rhizome and the Tree ..........................................371 Sophie Dupéré, Valéry Ridde, Simon Carroll, Michel O’Neill, Irving Rootman, and Ann Pederson Copyright Acknowledgements .......................................................................389 Index ..............................................................................................................392 Health Promotion 5/1/07 11:18 AM Page x ACKNOWLEDGEMENTS s was our experience in preparing the first edition, the enthusiasm of the contributors— A who numbered over 60 people this time as compared to 25 in 1994—has supported and inspired us throughout the process of putting the book together. We think this support for our project reflects the co-operative culture of health promotion as well as individual con- tributors’ personal commitment to the field of health promotion. Key ideas for our own analyses emerged through our interactions with all the contributors; however, we are espe- cially grateful to the country and the provincial contributors whom we forced to work within tight space constraints so we could maximize the number of perspectives provided. Everybody worked graciously within tight deadlines and we are also very grateful about that, know- ing how everybody is overextended these days. We have released a version of this book in French and would like to release versions in other languages as another way of nurturing the exchanges and alliances
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