Nutbeam D, Aar L, Catford J
Health Promotion Authority for Wales, Cardiff.
Soc Sci Med. 1989;29(3):317-25. doi: 10.1016/0277-9536(89)90280-3.
Understanding the causes and determinants of young people's health behaviour is central to the development of relevant and effective health promotion programmes. This paper traces the development of health education programmes in the past two decades, identifying the influence of a range of concepts and theories which emerged during that period. Drawing on results from a WHO Cross-National Study of children's health behaviour, the relationships between individual behaviours and a range of social and environmental influences are illustrated, together with the inter-relationship between individual behaviours as 'lifestyles'. The implications for health education programmes from the results are identified and special emphasis is given to the need to communicate effectively with young people through a range of networks and through the media, as well as through traditional school health education. The need to continue research into 'lifestyles' is also stressed.
了解年轻人健康行为的成因和决定因素是制定相关且有效的健康促进计划的核心。本文追溯了过去二十年健康教育计划的发展，确定了在此期间出现的一系列概念和理论的影响。借鉴世界卫生组织儿童健康行为跨国研究的结果，阐述了个体行为与一系列社会和环境影响之间的关系，以及个体行为作为“生活方式”之间的相互关系。确定了研究结果对健康教育计划的影响，并特别强调需要通过一系列网络、媒体以及传统学校健康教育与年轻人进行有效沟通。还强调了继续研究“生活方式”的必要性。
