Cited by 8,502Public Health Policies and EducationCommunity Health and DevelopmentHealth Promotion and Cardiovascular Prevention

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An Ecological Perspective on Health Promotion Programs

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McLeroy, Kenneth R., Bibeau, Daniel, Steckler, Allan, Glanz, Karen·1988·Health Education Quarterly

DOI 10.1177/109019818801500401

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Abstract

During the past 20 years there has been a dramatic increase in societal interest in preventing disability and death in the United States by changing individual behaviors linked to the risk of contracting chronic diseases. This renewed interest in health pro motion and disease prevention has not been without its critics. Some critics have accused proponents of life-style interventions of promoting a victim-blaming ideology by neglecting the importance of social influences on health and disease. This article proposes an ecological model for health promotion which focuses atten tion on both individual and social environmental factors as targets for health promo tion interventions. It addresses the importance of interventions directed at changing interpersonal, organizational, community, and public policy, factors which support and maintain unhealthy behaviors. The model assumes that appropriate changes in the social environment will produce changes in individuals, and that the support of individ uals in the population is essential for implementing environmental changes.

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Authors: McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K.
Affiliations: University of North Carolina at Greensboro (US)
University of North Carolina at Chapel Hill (US)
Temple University (US)
ORCID: McLeroy, Kenneth R.
Bibeau, Daniel
Venue: Health Education Quarterly
Publisher: SAGE Publications
Published: 1988-12
Volume: 15
Issue: 4
Pages: 351-377
ISSN: 0195-8402 (ISSN-L)
DOI: 10.1177/109019818801500401
OpenAlex: W2158089900
Semantic Scholar: f8154b5adc62485636016c48ebb94a9c8bc9dde8
Cited by: 8,502
References: 125
Citations by year: 2026: 810 · 2025: 739 · 2024: 573 · 2023: 541 · 2022: 569 · 2021: 552 · 2020: 611 · 2019: 420 · 2018: 406 · 2017: 319 · 2016: 344 · 2015: 317 · 2014: 302 · 2013: 299 · 2012: 224
FWCI: 38.84
Type: journal article
Language: en
Open access: green
doi.org
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Health Education Quarterly (publishedVersion)
PubMed (publishedVersion)
University Libraries (University of Maryland) (submittedVersion)
Digital Repository at the University of Maryland (University of Maryland College Park)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Public Health Policies and Education
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Community Health and Development
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Keywords: ecological model, health promotion, disease prevention, lifestyle intervention, social environment, social determinants of health, victim blaming, chronic disease prevention, community-based intervention, public policy, organizational interventions, interpersonal factors
MeSH terms: Community Health Services, Health Promotion, Humans, Social Environment, Health Behavior

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An Ecological Perspective on Health Promotion Programs

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