Kirk Megan, Tomm-Bonde Laura, Schreiber Rita
1. School of Nursing, University of Victoria, Victoria, British Columbia, Canada.
Glob Health Promot. 2014 Jun;21(2):15-22. doi: 10.1177/1757975913512157.
More than 25 years have passed since the release of the Ottawa Charter for Health Promotion. This document represented a substantial contribution to public health in its emphasis on the economic, legal, political and cultural factors that influence health. With public health renewal underway across Canada, and despite overwhelming support in the public health community for the Ottawa Charter, how much its principles will be included in the renewal process remains unclear. In this paper, we present the historical understanding of health promotion in Canada, namely highlighting the contributions from the Lalonde Report, Alma Ata Declaration, the Ottawa Charter for Health Promotion and the more recent population health movement. We discuss public health renewal, using the province of British Columbia in Canada as an example. We identify the potential threats to health promotion in public health renewal as it unfolds.
自《渥太华促进健康宪章》发布以来，已经过去了25多年。该文件对公共卫生做出了重大贡献，它强调了影响健康的经济、法律、政治和文化因素。随着加拿大各地公共卫生的复兴，尽管公共卫生界对《渥太华宪章》给予了压倒性的支持，但其原则在复兴过程中将在多大程度上得到体现仍不明确。在本文中，我们阐述了对加拿大健康促进的历史理解，即突出了《拉隆德报告》、《阿拉木图宣言》、《渥太华促进健康宪章》以及最近的人群健康运动所做出的贡献。我们以加拿大不列颠哥伦比亚省为例，讨论公共卫生复兴。我们还确定了公共卫生复兴过程中健康促进所面临的潜在威胁。
