Like the First Edition, this book serves as a guide to the science and art of community health promotion. The last decade of research and development has considerably advanced the science of achieving and maintaining health. In this new edition, international contributors share their experiences and expertise about diverse health promotion and point out areas needing adjustment in community implementation, both on an international and domestic level.
Chapter 2: Social Change Theory: Applications to Community Health
The increasing focus on “community” in health promotion is due, at least in part, to growing recognition that behavior is greatly influenced by the environment in which people live. Proponents of community approaches to behavioral change recognize that local values, norms, and behavior patterns have a significant effect on shaping an individual's attitudes and behaviors (Abrams, Elder, Carleton, Lasater, & Artz, 1986; Carlaw, Mittelmark, Bracht, & Luepker, 1984; Farquhar et al., 1977; McAlister, Puska, Salonen, Tuomilehto, & Kosketa, 1982; Puska et al., 1985; Thompson, Lichtenstein, Wallack, &Pehacek, 1990–1991; Wallack &Wallerstein, 1986). This recognition has been paralleled by a call for new ways to achieve behavioral change. Rather than emphasizing change made by ...