Determinants of health promotion action

comparative analysis of local voluntary associations in four municipalities in Finland

Nina Simonsen-Rehn*, John Øvretveit, Ritva Laamanen, Sakari Suominen, Jari Sundell, Mats Brommels

*Corresponding author for this work

Research output: Contribution to journalArticle

10 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)274-283
Number of pages10
JournalHealth Promotion International
Issue number4
Publication statusPublished - Dec 2006
Externally publishedYes


  • Community participation
  • Health promotion
  • Local voluntary organizations

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