title: Determinants of health promotion action: comparative analysis of local voluntary associations in four municipalities in Finland.
abstract: The World Health Organization makes a case for the importance of voluntary organizations in promoting health at local levels. The purpose of this paper is to contribute to understanding which factors explain local voluntary associations (LVAs) participation in health promotion in local contexts. It does so through (i) identifying indicators that represent determinants of health promotion action which were reported by LVAs and by (ii) comparing their actions with these determinants. The data reported are from a questionnaire survey of all registered LVAs in four municipalities in Finland. Principal component analysis revealed four determinants of health promotion action. Four factors in the final multivariate model explained over half of the variance of LVAs engagement in health promotion action: competence, values 'healthy' and also opportunities and municipality. There is some evidence to support a model of health promotion action which has not been tested empirically in relation to these types of organization. More detailed studies of determinants of health promotion action are needed to shape strategies in local communities.
authors.affiliation: Department of Public Health, University of Helsinki, Finland. nina.simonsen-rehn@helsinki.fi
authors.forename: Nina
authors.initials: N
authors.lastname: Simonsen-Rehn
authors.forename: John
authors.initials: J
authors.lastname: Øvretveit
authors.forename: Ritva
authors.initials: R
authors.lastname: Laamanen
authors.forename: Sakari
authors.initials: S
authors.lastname: Suominen
authors.forename: Jari
authors.initials: J
authors.lastname: Sundell
authors.forename: Mats
authors.initials: M
authors.lastname: Brommels
mesh_terms: D018672:Community Health Planning / Q000379:methods / Q000458:organization & administration*; D019058:Community Networks; D003256:Community Participation; D006284:Health Plan Implementation; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D007373:Interinstitutional Relations; D011057:Politics; D025341:Principal Component Analysis; D011361:Professional Competence; D015397:Program Evaluation; D011788:Quality of Life; D012945:Social Values; D011795:Surveys and Questionnaires; D014504:Urban Health; D014837:Voluntary Health Agencies / Q000145:classification