Department of Public Health, Hjelt Institute, University of Helsinki, P.O. Box 41, 00014, University of Helsinki, Finland.
Int J Public Health. 2012 Oct;57(5):787-95. doi: 10.1007/s00038-011-0328-7. Epub 2011 Dec 22.
To compare municipal politicians' perceptions of health promotion policy and its impact, and whether these perceptions varied according to political variables.
A mail survey to all municipal politicians (N=195) in four municipalities in Finland. Response rate was 52%. Data were analysed by descriptive statistics and multivariate regression analyses.
The politicians gave 'passable grades' when evaluating health promotion activities and their effectiveness in the municipalities. Three factors in a multivariate model explained 49% of the variance in this evaluation: emphasis on the promotion of health and quality of life of older people, capacity of primary health care and capacity of care for older people. There did not appear to be a consistent view on the local health promotion policies among the politicians. 'Terms in office' was more significant than political party affiliation to explain differences in the policy makers' perceptions.
Paying attention to the possible impeding effects of structures, as well as enhancing institutional capacity, could open ways for a stronger focus on health promotion, including community participation, in local councils.
比较市政政客对健康促进政策及其影响的看法，以及这些看法是否因政治变量而有所不同。
对芬兰四个城市的所有市政政客（N=195）进行邮件调查。回复率为 52%。通过描述性统计和多元回归分析来分析数据。
政客们在评估城市中的健康促进活动及其有效性时，给予了“尚可”的评价。在多元模型中，有三个因素解释了这种评估中 49%的差异：强调促进老年人的健康和生活质量、基层医疗保健的能力以及老年人护理的能力。在政客中，似乎没有对地方健康促进政策的一致看法。“任期”比政党关系更能说明政策制定者看法的差异。
关注结构可能产生的阻碍影响，以及增强机构能力，可以为地方议会更加强调健康促进打开道路，包括社区参与。
