Brown E R, Margo G E
Int J Health Serv. 1978;8(1):3-26. doi: 10.2190/7Y3V-YN72-XAR6-L6D5.
Health educators have created a new professional role that emphasizes the changing of individuals rather than their social conditions. The article shows how historical roots, ideological perspectives, and structural constraints have combined to create an ambiguous, generally conservative role for the health education profession. Epidemiological evidence is presented that contradicts many implicit notions of disease etiology that underlie health education approaches. Finally, the authors suggest an "ecological" model of health education that takes account of the multiple causes of disease and is committed to progressive social change.
健康教育工作者创造了一种新的专业角色，该角色强调改变个体而非其社会状况。本文展示了历史根源、意识形态观点和结构限制如何共同作用，为健康教育专业塑造了一个模糊的、总体上保守的角色。文中呈现的流行病学证据与许多作为健康教育方法基础的疾病病因隐含观念相矛盾。最后，作者们提出了一种“生态”健康教育模式，该模式考虑到疾病的多种成因，并致力于推动社会进步变革。
