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Ethical reflections of health promotion in the field of nursing science: focusing on individual health choices
Titolo Rivista: SALUTE E SOCIETÀ 
Autori/Curatori: Mari Kangasniemi, Anna-Maija Pietila 
Anno di pubblicazione:  2013 Fascicolo: 3En Lingua: Inglese 
Numero pagine:  18 P. 82-99 Dimensione file:  654 KB

Current discussion of health promotion is based on multidisciplinary understanding, where values as equity, participation and empowerment are focused. Health promotion can be seen as a combination of research and development, challenging also nursing science as a discipline. Despite to multileveled and societal action, the core issues in health promotion are related on the individual health choices. In this paper, individual health choices will be focused within the field of nursing science. The aim is to deepen the vision of health promotion, health choices in particular, in the field of nursing science. Health choices refer to the person’s decision or act on everyday life, and they have direct or indirect connection to health and health consequences. They are also performed within every individual context of person’s life and as in this article will be approached, impacted of the combination of person’s intersectional features. Nursing science is challenged to take account on research but also in practice individual health choices as a key factor to promote health equity and holistic understanding of human dignity.


Keywords: Ethics, health choices, health promotion, intersectionality, nursing science, global health issues.

  1. Aarts C., Norsdtröm P.M., Koskinen L. et al. (2010). Enabling nursing students to focus on the Ottawa Charter and the nurse role in tackling inequalities in health through international exchange. Nurse Education Today, 30: 448-452,, DOI: 10.1016/j.nedt.2009.10.00
  2. Antonovsky A. (1987). Unraveling the mystery of health. San Francisco: Jossey-Bass Publishers
  3. Antonovsky A. (1996). The salutogenic model as a theory to guide health promotion. Health Promotion International, 11: 11-18,, DOI: 10.1093/heapro/-11.1.1
  4. Battams S., Matlin S.A., Jahn A., Kickbush I. (2011). The case for Europe as a leader in research and innovation for global health. Geneva: Global Health Europe, 1-29
  5. Baxter L.A., Bylund C.L., Imes R., Routsong T. (2012). Parent-child perceptions of parental control through rule-setting for risky health choices during adolescence. Journal of Family Communication, 9: 251-271,, DOI: 10.1080/1526743090325592
  6. Björklund M., Sarvimäki A., Berg A. (2008). Health promotion and empowerment from the perspective of individuals living with head and neck cancer. European Journal of Oncology Nursing, 12, 1: 26-34,, DOI: 10.1016/j.ejon.2007.09.00
  7. Brah A., Phoenix A. (2004). Ain’t I a woman? Revisiting intersectionality. Journal of International Women’s Studies, 5, 3: 75-86
  8. Broucke Van den S. (2012). Theory informed health information: seeing the bigger picture by looking at the details. Editorial. Health Promotion International, 27, 2: 143-147
  9. Cappelen A.W., Norheim F.O. (2006). Responsibility, fairness and rationing in health care. Health Policy, 76: 312-319,, DOI: 10.1016/j.healthpol.2005.06.01
  10. Carter S.M., Rychetnik L., Lloyd B., Kerridge I.H., Baur L., Bauman A., Hooker C., Zask A. (2011). Evidence, ethics, and values: a framework for health promotion. American Journal of Public Health, 101, 3: 465-472,, DOI: 10.2105/-AJPH.2010.19554
  11. Catford J. (2011). Ottawa 1986: back to the future. Health Promotion International, 26, 2: ii163-167,, DOI: 10.1093/heapro/dar08
  12. Collins P.H. (1998). It’s all in the family: intersections of gender, race and nation. Hypatia, 13, 3: 62-82,, DOI: 10.1111/j.1527-2001.1998.tb01370.
  13. Crenshaw K.W. (1994). Mapping the margins: intersectionality, identity politics and violence against women of colour. In: Fineman M.A., Mykitiuk R., eds., The public nature of private violence. The discovery of domestic abuse. New York: Routledge, 93-118
  14. CSDH (2008). Closing the gap in a generation. Health equity through action on the social determinants of health. Final report of the Commission on Social Determinants of health (CSDH). Geneva: World Health Organization de los Reyes P., Mulinari D. (2005). Intersectionalitet - kritiska reflektioner over o(jäm)likhetens landskap. Lund: Liber AB, Wallin & Dalholm Boktryckeri AB
  15. Dill B.T., Zambrana R.E. (2009). Emerging intersectionality: race, glass, and gender in theory, policy and practice. Available in: http://www.scribd.-com/doc/88390007/Bonnie-Thornton-Dill-amp-Ruth-Emid-Zambrana-Emerging-Intersections-Race-Class-And-Gender-in-Theory-Policy-And-Practice (Accessed 29/9/2012)
  16. Dworkin S.L. (2005). Who is epidemiologically fathomable in the HIV/AIDS epidemic? Gender, sexuality, and intersectionality in public health. Culture, Health & Sexuality, 7, 6: 615-623,, DOI: 10.1080/1369105050010038
  17. Eckermann L. (2011). Challenges for health promotion research and action across the globe. Health Promotion International, 26, 4: 393-396,, DOI: 10.1093/hea-pro/dar08
  18. Eriksson M. (2007). Unravelling the mystery of salutogenesis. The Evidence Base of the salutogenic research as measured by Antonovsky’s sense of coherence scale. Research report 1. Åbo Akademi, University Vasa, Turku.
  19. Eriksson M., Lindström B. (2008). A salutogenic interpretation of the Ottawa Charter. Health Promotion International, 23, 2: 190-199,, DOI: 10.1093/heapro/-dan01
  20. EU (2010). Reducing inequalities in Europe. Available in: http://ec.europa.eu/social/main.jsp?catId=738&langId=en&pubId=589&furtherPubs=yes (Accessed 15.10.2012)
  21. Falk-Rafael A. (2006). Globalization and global health. Toward nursing praxis in the global community. Advances in Nursing Science, 29, 1: 2-14
  22. Griffith D.M., Johnson J., Ellis K.R., Schulz A.J. (2010). Cultural context and a critical approach to eliminating health disparities. Ethnicity & Disease, 20: 71-76
  23. Griffith D.M., Metzl J.M., Gunter K. (2011). Considering intersections of race and gender in interventions that address US men’s health disparities. Public Health, 125: 417-423,, DOI: 10.1016/j.puhe.2011.04.01
  24. Hankivsky O., Cristoffersen A. (2008). Intersectionality and the determinants of health: a Canadian perspective. Critical Public Health, 18, 3: 271-283,, DOI: 10.1080/0958159080229429
  25. Hankivsky O., Reid C., Cormier R., Varcoe C., Clark N., Benoit C., Brotman S. (2010).
  26. Exploring the promises of intersectionality for advancing women’s health research. International Journal for Equity in Health, 9, 5: 1-15,, DOI: 10.1186/1475-9276-9-
  27. Hankivsky O. (2012). Women’s health, men’s health, and gender health: implications of intersectionality. Social Science & Medicine, 74: 1712-1720,, DOI: 10.1016/j.socscimed.2011.11.02
  28. Harris J.R., Cheadle A., Hannon P.A. et al. (2012). A framework for disseminating evidence-based health promotion practices. Preventing Chronic Disease, 9, 11: 1-8
  29. Ioannou S. (2002). Young people’s accounts of smoking, exercising, eating and drinking alcohol: being cool or being unhealthy? Critical Public Health, 13, 4: 357-371,, DOI: 10.1080/09581590310001615880KangasniemiM.,HalkoahoA.,Länsimies-AntikainenH.,PietiläA-M.(2012).Dutiesofthepatient:atentativemodelbasedonmetasynthesis.NursingEthics,19,1:58-67,doi:10.1177/096973301141210
  30. Kelly U.A. (2009). Integrating intersectionality and biomedicine in health disparities research. Advances in Nursing Science, 32, 2: E42-E56
  31. Labonté R. (2011) Towards a post-charter health promotion. Health Promotion International, 26, S2,, DOI: 10.1093/heapro/dar06
  32. Lantz P.M. (2010) Socioeconomic indicators that matter for population health. Preventing Chronic Disease, 7, 4: 1-7
  33. Lippke S., Nigg C.R., Maddock J.E. (2012). Health-promoting and health-risk behaviors: Theory-driven analyses of multiple health behavior change in three international samples. International Journal of Behavioral Medicine, 19: 1-13,, DOI: 10.1007/s12529-010-9135-
  34. Lykke N. (2003). Intersektionalitet – et användbart begrepp för genusforskning. Kvinnovetenskaplig Tidsrift, 24, 1: 47-56
  35. McCall L. (2005). The complexity of intersectionality, Sings 39 (3). Available in: http://www.jstor.org/stable/10.1086/426800 (Accessed 30/9/2012)
  36. Meleis I.A. (1991). Theoretical nursing: development & progress. Philadelphia: J.B. Lippincott Company
  37. Molleman G., Fransen G. (2012). Academic collaborative centres for health promotion in the Netherlands: building bridges between research, policy and practice. Family Practice, 29, 1: i157-i162,, DOI: 10.1093/fampra/cmr07
  38. Mooney B., Timmins, F., Byrne G., Corroon A.M. (2011) Nursing students’ attitudes to health promotion: implications for teaching practice. Nurse Education Today, 31: 841-848,, DOI: 10.1016/j.nedt.2010.12.00
  39. Naidoo J., Wills J. (2009). Foundations for health promotion. London: Bailliere Tindall
  40. Nash J.C. (2008). Re-thinking intersectionality. Feminist Review, 89, 1-15,, DOI: 10.1057/fr.2008.
  41. National Action Plan (2008) National Action Plan to reduce health inequalities 2008–2011. Publications of the Ministry of Social Affairs and Health, 2008:16. Available in: http://www.teroka.fi/teroka/uploadfiles/tervero_ohjelma.pdf (Accessed 30/9/2012)
  42. Norman C.D. (2009). Health promotion as a systems science and practice. Journal of Evaluation in Clinical Practice, 15: 868-872,, DOI: 10.1111/j.13652753.2009.01273.
  43. Nutbeam D. (2008). What would the Ottawa Charter look like if it were written today? Critical Public Health, 18, 4: 435-441,, DOI: 10.1080/095815908025-5120
  44. Phoenix A., Pattynama P. (2011). Intersectionality. European Journal of Women’s Studies, 13, 3: 187-192,, DOI: 10.1177/135050680606575
  45. Piper S. (2008). A qualitative study exploring the relationship between nursing and health promotion language, theory and practice. Nurse Education Today, 28: 186-193,, DOI: 10.1016/j.nedt.2007.03.01
  46. Povlsen L., Borup I.K. (2011). Holism in nursing and health promotion: distinct or related perspectives? A literature review. Scandinavian Journal of Caring Sciences, 25, 4: 789-805,, DOI: 10.1111/j.1471-6712.2011.00885.xReczekC.,UmbersonD.(2012).Gender,healthbehavior,andintimaterelationships:lesbian,gay,andstraightcontexts.SocialScience&Medicine,74:1783-1790,doi:10.1016/j.socscimed.2011.11.01
  47. Rogers J., Kelly U.A. (2011). Feminist intersectionality: bringing social justice to health disparities research. Nursing Ethics, 18, 3: 397-407,
  48. 10.1177/0969733011398094
  49. Rootman I., Goodsadt M., Hyndman B. et al., eds. (2001). Evaluation in health promotion. Principles and perspectives. Copenhagen: WHO regional publications, European series no. 92
  50. Ruger J.P. (2010). Health Capability: conceptualization and operationalization. American Journal of Public Health, 100, 1: 41-49,, DOI: 10.2105/AJPH.2008.-14365
  51. Saan H., Wise M. (2011). Enable, mediate, advocate. Health Promotion International, 26, S2,, DOI: 10.1093/heapro/dar069,ii187-19
  52. Saarnio L., Arman M., Ekstrand P. (2012). Power relations in patient’s experiences of suffering during treatment for cancer. Journal of Advanced Nursing, 62, 2: 271-279,, DOI: 10.1111/j.1365-2648.2011.05731.
  53. Seedhouse D. (2000). Health promotion: philosophy, prejudice and practice. Chichester: John Wiley & Sons
  54. Seng J.S., Lopez W.D., Sperlich M., Hamama L., Reed Meldrum C.D. (2012). Marginalized identities, discrimination burden, and mental health: empirical exploration of an interpersonall-level approach to modeling intersectionality. Social Science & Medicine,, DOI: 10.1016/j.socscimed.2012.09.02
  55. Shade K., Kools S., Weiss S.J., Pinderhughes H. (2011). A conceptual model of incarcerated adolescent fatherhood: adolescent identity development and the concept of intersectionality. Journal of Child and Adolescent Psychiatry Nursing, 24: 98-104,, DOI: 10.1111/j.1744-6171.2011.00274.
  56. Strout K. (2012). Wellness promotion and the Institute of Medicine’s Future of Nursing Report: are nurses ready? Holistic Nursing Practice, 26, 3: 129-136,, DOI: 10.1097/HNP.0b013e31824ef581
  57. Svedberg P., Hanssen L., Svensson B. (2009). The attitudes of patients and staff towards aspects of health promotion interventions in mental health services in Sweden. Health Promotion International, 24, 3: 269-276,, DOI: 10.1093/heapro/-dap01
  58. Symington A. (2004). Intersectionality: a tool for gender and economic justice. Women’s Rights and Economic Change, 9:1-8.
  59. Van Herk K.A., Smith D., Andrew C. (2011). Examining our privileges and oppressions: incorporating an intersectionality paradigm into nursing. Nursing Inquiry, 18, 1: 29-39,, DOI: 10.1111/j.1440-1800.2011.00539.
  60. Warner D.F., Brown T.H. (2011). Understanding how race/ethnicity and gender define age-trajectories of disability: an intersectional approach. Social Science & Medicine, 72: 1236-1248,, DOI: 10.1016/j.socscimed.2011.02.03
  61. Weber L., Parra-Medina D. (2003). Intersectionality and women’s health: charting a path to eliminating health disparities. In: Texel Segal M., Demos V., Jacobs
  62. Kronenfeld J., eds., Gender perspectives on health and medicine. Oxford: Elsevier, pp. 181-229 Whitehead D. (2009). Reconciling the differences between health promotion in nursing and “general” health promotion. International Journal of Nursing Studies, 46: 865-874,, DOI: 10.1016/j.ijnurstu.2008.12.01
  63. WHO (1986). Ottawa Charter for Health Promotion. First International Conference on Health Promotion. World Health Organization
  64. WHO (2008). Closing the gap in a generation. Health equity through action on the social determinants of health. Available in: http://whqlibdoc.who.int/-publications/2008/9789241563703_eng.pdf (Accessed 15/10/2012)
  65. Willis J. (2007). Promoting health – vital notes for nurses. London: Blackwell Publishing
  66. Young I.M. (1997). Intersecting voices. Dilemmas of gender, political philosophy and policy. Princeton: Princeton University Press

Mari Kangasniemi, Anna-Maija Pietila, in "SALUTE E SOCIETÀ" 3En/2013, pp. 82-99, DOI:

   

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