title: Health promotion in local churches in Victoria: an exploratory study.
abstract: Church-based health promotion has increasingly gained attention in strategies to address health disparities. In Australia, we have limited understanding of the role of local churches in health promotion and without this, how they might be involved in meaningful partnerships to tackle public health challenges. The objective of this qualitative study was to explore how churches are involved in health promotion in the state of Victoria. The research involved in-depth interviews with ministers from 30 churches in urban and rural Victoria, and case studies with 10 of these churches to enable further exploration. These case studies, conducted in 2010, included interviews with church staff, focus groups with volunteers, participant observation and document analysis. Analysis was iterative, utilising open, axial and thematic coding. Three different expressions of church - traditional, new modern and emerging - were identified and found to differentiate the levels and types of health promotion activity. Case studies illustrate the different expressions of how church mission influences health promotion activity. The traditional churches were involved particularly in disease screening and health education activities with their own, predominantly older congregation members. The new modern churches tended to have the material and human resources to be harnessed in health promotion activities involving congregation members and others. Emerging churches, in contrast, engaged in broad health-promoting activities, including disease prevention, lifestyle activities and socio-ecological approaches at a community level. These research findings highlight the opportunities and challenges of engaging with local churches in health promotion efforts and public health programmes to address health inequities.
authors.affiliation: Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia. darshini.ayton@monash.edu.
authors.forename: Darshini
authors.initials: D
authors.lastname: Ayton
authors.affiliation: School of Public Health, University of the Witwatersrand, Parktown, South Africa.|School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia.
authors.forename: Lenore
authors.initials: L
authors.lastname: Manderson
authors.affiliation: School of Public Health and Preventive Medicine, Alfred Hospital, Melbourne, Melbourne, Victoria, Australia.
authors.forename: Ben J
authors.initials: BJ
authors.lastname: Smith
authors.affiliation: National Centre for Epidemiology and Population Health, School of Population Health, College of Medicine, Biology and Environment, The Australian National University, Canberra, Australian Capital Territory, Australia.
authors.forename: Gemma
authors.initials: G
authors.lastname: Carey
mesh_terms: D017144:Focus Groups; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D008019:Life Style; D012067:Religion; D014739:Victoria
keywords: church-based health promotion; civil society; health promotion; religion; theology