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dc.contributor.authorHagen, Susanne
dc.contributor.authorØvergård, Kjell Ivar
dc.contributor.authorHelgesen, Marit Kristine
dc.contributor.authorFosse, Elisabeth
dc.contributor.authorTorp, Steffen
dc.date.accessioned2019-01-18T09:07:38Z
dc.date.available2019-01-18T09:07:38Z
dc.date.created2018-03-14T16:31:07Z
dc.date.issued2018
dc.identifier.citationInternational Journal of Health Policy and Management. 2018, 7 (9), 807-817.nb_NO
dc.identifier.issn2322-5939
dc.identifier.urihttp://hdl.handle.net/11250/2581218
dc.descriptionThis is an open-access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.nb_NO
dc.description.abstractAbstract Background: Norway is internationally known today for its political and socio-economic prioritization of equity. The 2012 Public Health Act (PHA) aimed to further equity in the domain of health by addressing the social gradient in health. The PHA’s main policy measures were (1) delegation to the municipal level of responsibility for identifying and targeting underserved groups and (2) the imposition on municipalities of a “Health in All Policies” (HiAP) approach where local policy-making generally is considered in light of public health impact. In addition, the act recommended municipalities employ a public health coordinator (PHC) and required a development of an overview of their citizens’ health to reveal underserved social segments. This study investigates the relationship between changes in municipal use of HiAP tools (PHC and health overviews) with regard to the PHA implementation and municipal prioritization of fair distribution of social and economic resources among social groups. Methods: Data from two surveys, conducted in 2011 and 2014, were merged with official register data. All Norwegian municipalities were included (N = 428). Descriptive statistics as well as bi- and multivariate logistic regression analyses were performed. Results: Thirty-eight percent of the municipalities reported they generally considered fair distribution among social groups in local policy-making, while 70% considered fair distribution in their local health promotion initiatives. Developing health overviews after the PHA’s implementation was positively associated with prioritizing fair distribution in political decision-making (odds ratio [OR] = 2.54; CI: 1.12-5.76), compared to municipalities that had not developed such overviews. However, the employment of PHCs after the implementation was negatively associated with prioritizing fair distribution in local health promotion initiatives (OR = 0.22; CI: 0.05-0.90), compared to municipalities without that position. Conclusion: Development of health overviews — as requested by the PHA — may contribute to prioritization of fair distribution among social groups with regard to the social determinants of health at the local level. Keywords: Equity, HiAP, Public Health Coordinator, Norway, Health Promotionnb_NO
dc.description.abstractHealth promotion at local level in Norway: The use of public health coordinators and health overviews to promote fair distribution among social groupsnb_NO
dc.language.isoengnb_NO
dc.relation.urihttp://www.ijhpm.com/article_3479_eae899ecc6556426bddd93d714bc772d.pdf
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleHealth promotion at local level in Norway: The use of public health coordinators and health overviews to promote fair distribution among social groupsnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.rights.holder© 2018 The Author(s); Published by Kerman University of Medical Sciences.nb_NO
dc.source.pagenumber807-817nb_NO
dc.source.volume7nb_NO
dc.source.journalInternational Journal of Health Policy and Managementnb_NO
dc.source.issue9nb_NO
dc.identifier.doi10.15171/ijhpm.2018.22
dc.identifier.cristin1572884
dc.relation.projectNorges forskningsråd: 229628nb_NO
dc.relation.projectNorges forskningsråd: 213841nb_NO
cristin.unitcode222,56,3,0
cristin.unitcode222,58,5,0
cristin.unitnameInstitutt for helse-, sosial- og velferdsfag
cristin.unitnameInstitutt for maritime operasjoner
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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