Abstract
Objectives
To compare the extent to which Canadian public health organizations incorporated the Ottawa Charter for Health Promotion action areas in promoting physical activity and healthy eating in 2004 and 2010.
Methods
Data were available from repeat censuses of all regional, provincial, and national organizations with mandates to promote physical activity [n = 134 (2004); n = 118 (2010)] or healthy eating [n = 137 (2004); n = 130 (2010)]. Eleven strategies to promote these behaviors were grouped according to the five action areas. Descriptive analyses were conducted to document the level of involvement in each action area over time.
Results
The proportion of organizations promoting physical activity and “heavily involved” in creating supportive environments increased from 51 % (2004) to 70 % (2010). The proportion also increased for reorienting health services (29 % to 39 %). The proportion of organizations promoting healthy eating and “heavily involved” in building healthy public policy increased from 47 to 53 %. Individual skill building remained stable for physical activity but declined for healthy eating.
Conclusions
While developing personal skills remains important in promoting physical activity and healthy eating in Canada, public health organizations increased involvement in structural-level strategies.
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References
Alberta Health Services (2010) Nutrition and physical activity situational analysis: a resource to guide chronic disease prevention in Alberta. http://www.albertahealthservices.ca/poph/hi-poph-surv-phids-nutrition-physical-activity-2010.pdf. Accessed 4 March 2014
Alvaro C, Jackson LA, Kirk S et al (2010) Moving governmental policies beyond a focus on individual lifestyle: some insights from complexity and critical theories. Health Promot Int 26(1):91–99
Blundell JE, King NA (1996) Over-consumption as a cause of weight gain: behavioural-physiological interactions in the control of food intake (appetite). Ciba Found Symp 201:138–154
British Columbia Ministry of Health Services (2005) A framework for core functions. In: Public health: resource document. Victoria, BC: Population Health and Wellness. http://www.health.gov.bc.ca/library/publications/year/2005/core_functions.pdf. Accessed 20 March 2014
Brownson RC, Seiler R, Eyler AA (2010) Measuring the impact of public health policy. Prev Chronic Dis 7(4):A77
Bryant T, Raphael D, Schrecker T, Labonte R (2011) Canada: a land of missed opportunity for addressing the social determinants of health. Health Policy 101(1):44–58
Bull FC, Gauvin L, Bauman A et al (2010) The Toronto Charter for physical activity: a global call for action. J Phys Act Health 7:421–422
Bungham SA, Day NE, Luben R et al (2003) Dietary fibre in food and protection against colorectal cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC): an observational study. Lancet 361(9368):1496–1501
Ding D, Gebel K (2012) Built environment, physical activity, and obesity: what have we learned from reviewing the literature? Health Place 18(1):100–105
Federal/Provincial/Territorial Joint Task Group on Public Health Human Resources (2005) The development of a draft set of public health workforce core competencies: summary report. Workforce Development Division, Office of Public Health Practice, Ottawa. http://phabc.org/wp-content/uploads/2015/07/The-Development-of-a-Draft-Set-of-Public-Health-Workforce-Core-Competencies-Summary-Report.pdf. Accessed 20 March 2014
Hancock T (2011) The Ottawa Charter at 25. Can J Public Health 102(6):404–406
Hanusaik N, O’Loughlin JL, Kishchuk N, Eyles J, Robinson K, Cameron R (2007) Building the backbone for organisational research in public health systems: development of measures of organisational capacity for chronic disease prevention. J Epidemiol Community Health 61:742–749
Hanusaik N, O’Loughlin JL, Kishchuk N, Paradis G, Cameron R (2010) Organizational capacity for chronic disease prevention: a survey of Canadian public health organizations. Eur J Public Health 20(2):195–201
Hanusaik N, Contandriopoulos D, Kishchuk N, Maximova K, Paradis G, O’Loughlin JL (2014) Chronicling changes to the chronic disease prevention landscape in Canada’s public health system 2004-2010. Public Health 128:716–724
Health Council of Canada (2013) Progress report 2013: health care renewal in Canada. Toronto, ON. http://www.healthcouncilcanada.ca/rpt_det.php?id=481. Accessed 20 March 2014
Kickbusch I (2007) The move towards a new public health: reflecting back on Ottawa. Promot Educ Supplement 2:8–9
Koh-Banerjee P, Chu NF, Spiegelman D et al (2003) Prospective study of the association of changes in dietary intake, physical activity, alcohol consumption, and smoking with 9-y gain in waist circumference among 16 587 US men. Am J Clin Nutr 78:719–727
Kumanyika SK, Obarzanek E, Stettler N et al (2008) Population-based prevention of obesity: the need for comprehensive promotion of healthful eating, physical activity, and energy balance: a scientific statement from American Heart Association Council on Epidemiology and Prevention, Interdisciplinary Committee for Prevention. Circulation 118:428–464
Lewis S, Kouri D (2004) Regionalization: making sense of the Canadian experience. Healthcare Papers 5(1):12–31
Lorenc T, Petticrew M, Welch V, Tugwell P (2013) What types of interventions generate inequalities? Evidence from systematic reviews. J Epidemiol Community Health 67:190–193
Low J, Thériault L (2008) Health promotion policy in Canada: lessons forgotten, lessons still to learn. Health Promot Int 23(2):200–206
Medlar B, Mowat D, Di Ruggiero E, Frank J (2006) Introducing the National Collaborating Centres for Public Health. CMAJ 175(5):493–494
Mowat D, Moloughney BW (2004) Developing the public health workforce in Canada: a summary of regional workshops on workforce education and training (Invited Commentary). Can J Public Health 95(3):186–187
Naidoo J, Wills J (2000) Models and approaches to health promotion. In: Naidoo J, Wills J (eds) Public health and health promotion practice: foundations for health promotion, 3rd edn. Elsevier, London
Ontario Ministry of Health and Long-term Care (2007) Preventing and managing chronic disease: Ontario’s framework. Toronto, Ontario. http://www.health.gov.on.ca/en/pro/programs/cdpm/pdf/framework_full.pdf. Accessed 20 March 2014
Ottawa Model for Smoking Cessation in Primary Care Teams: Annual Report 2013–2014 (2014) University of Ottawa Heart Institute, Ottawa, Ontario. http://ottawamodel.ottawaheart.ca/sites/ottawamodel.ottawaheart.ca/files/omsc_whatsnew/omsc_in_pc_annual_report_2013-14_final.pdf. Accessed 20 March 2014
Podsakoff PM, Organ DW (1986) Self-reports in organizational research: problems and prospects. J Manag 12(4):531–544
Potvin L, Jones CM (2011) Twenty-five years after the Ottawa Charter: the critical role of health promotion for public health. Can J Public Health 102(4):244–248
Public Health Agency of Canada Act (2006). http://www2.parl.gc.ca/Sites/LOP/LegislativeSummaries/Bills_ls.asp?lang=E&ls=c5&source=library_prb&Parl=39&Ses=1. Accessed 16 Dec 2012
Raine K (2010) Addressing poor nutrition to promote heart health: moving upstream. Can J Cardiol 26:21C–24C
Raine K, Spence JC, Church J et al (2008) State of the evidence review on urban health and healthy weights. Canadian Institute for Health Information, Ottawa
Raphael D, Curry- Stevens A, Bryant T (2008) Barriers to addressing the social determinants of health: insights from the Canadian experience. Health Policy 88:222–235
Raphael D, Brassolotto J, Baldeo N (2014) Ideological and organizational components of differing public health strategies for addressing the social determinants of health. Health Promot Int. doi:10.1093/heapro/dau022
Sallis JF, Glanz K (2009) Physical activity and food environments: solutions to the obesity epidemic. Milbank Q 87(1):123–154
Sallis JF, Floyd MF, Rodriguez DA, Saelens BE (2012) Role of built environments in physical activity, obesity, and cardiovascular disease. Circulation 125:729–737
Scutchfield FD, Ingram RC (2013) Public health systems and services research: building the evidence base to improve public health practice. Public Health Rev 35(1):1–19. http://www.publichealthreviews.eu/upload/pdf_files/13/00_Scutchfield.pdf. Accessed 7 Jan 2015
Swinburn B, Gill T, Kumanyika S (2005) Obesity prevention: a proposed framework for translating evidence into action. Obs Rev 6:22–33
Tremblay M, Cournoyer D, O’Loughlin J (2009) Do the correlates of smoking cessation counseling differ across health professional groups? Nicotine Tob Res 11(11):1330–1338
Whitlock E, Orleans C, Pender N, Allan J (2002) Evaluating primary care behavioural counselling interventions: an evidence-based approach. Am J Prev Med 22(4):267–284
Wise M, Nutbeam D (2007) Enabling health systems transformation: what progress has been made in re-orienting health services? Promot Educ S2:23–27
World Health Organization (1986) The Ottawa Charter for Health Promotion. Geneva, Switzerland. http://www.euro.who.int/__data/assets/pdf_file/0004/129532/Ottawa_Charter.pdf?ua=1. Accessed 16 Dec 2012
World Health Organization (2003) Diet, nutrition and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation, Geneva, Switzerland. http://apps.who.int/iris/bitstream/10665/42665/1/WHO_TRS_916.pdf?ua=1. Accessed 16 Dec 2012
World Health Organization (2005) Preventing chronic diseases: a vital investment, Geneva, Switzerland. http://www.who.int/chp/chronic_disease_report/full_report.pdf?ua=1. Accessed 16 Dec 2012
Acknowledgments
Katerina Maximova holds a Career Development Award in Prevention funded by the Canadian Cancer Society (Grant Number 702936). Jennifer O’Loughlin holds a Canada Research Chair in the Early Determinants of Adult Chronic Disease. Nathalie Théôret assisted with the preparation of this manuscript. All interpretations and opinions in the present study are those of the authors.
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This work was supported by the Canadian Institutes of Health Research [Grant Number SEC 117124] and the Medical Services Incorporated (MSI) Foundation [Grant Number 853].
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The authors declare that they have no conflict of interest.
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Maximova, K., Hanusaik, N., Kishchuk, N. et al. Public health strategies promoting physical activity and healthy eating in Canada: are we changing paradigms?. Int J Public Health 61, 565–572 (2016). https://doi.org/10.1007/s00038-016-0826-8
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DOI: https://doi.org/10.1007/s00038-016-0826-8