Salutogenic Environmental Health Model—proposing an integrative and interdisciplinary lens on the genesis of health
IntroductionThe maintenance of health is a central objective of public health initiatives. Within the salutogenic paradigm, health promotion is focused on understanding the mechanisms of health development. Models serve as indispensable tools. One of the leading paradigms in the health sciences is t...
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Frontiers Media S.A.
2024-10-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1445181/full |
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| author | Jule Anna Pleyer Laura Dominique Pesliak Annette Konstanze Fides Malsch Annette Konstanze Fides Malsch Timothy McCall Timothy McCall |
| author_facet | Jule Anna Pleyer Laura Dominique Pesliak Annette Konstanze Fides Malsch Annette Konstanze Fides Malsch Timothy McCall Timothy McCall |
| author_sort | Jule Anna Pleyer |
| collection | DOAJ |
| description | IntroductionThe maintenance of health is a central objective of public health initiatives. Within the salutogenic paradigm, health promotion is focused on understanding the mechanisms of health development. Models serve as indispensable tools. One of the leading paradigms in the health sciences is the Salutogenic Model developed by Aaron Antonovsky. However, it lacks sufficient specification to reflect the complexity of the environmental dimensions that have emerged from research in environmental health science. The interactions and impact pathways between these dimensions on health status are not adequately distinguished. The objective of this study is to address this gap by extending Antonovsky’s model to encompass environmental dimensions, that is, the interactions between humans and their environment. Furthermore, the study will integrate examples of models and theories from various disciplines to illustrate how a more comprehensive and holistic explanation of health development can be provided from an interdisciplinary environmental public health perspective.MethodologyAs part of a three-step approach, a Basic Model was first developed that integrates the five environmental dimensions—Natural, Built-Material, Socio-Cultural, Psycho-Social, and Individual—into the Salutogenic Model. Subsequently, narrative non-exhaustive literature research was used to identify interdisciplinary example models. The models were used to identify gaps in the Basic Model through a critical lens and to synthesize them into a more holistic model.ResultsThe synthesis of fifteen interdisciplinary models resulted in the development of an integrative Salutogenic Environmental Health Model (SEHM), which comprises twelve principal components of health development and their interactions and pathways. Links to the original models permit the user to refer back to them.DiscussionThis integrative approach offers a comprehensive understanding of the development of health by synthesizing disparate explanatory models and theories from various disciplines through theoretical analysis. The various environmental dimensions and the determinants of health contained therein, as well as their mental and physical processing and the associated components of health development and their interactions, are summarized in this new model. The SEHM thus enables a differentiated analysis of health determinants and serves as an operational framework for health promotion and pathways to well-being in contemporary research contexts. |
| format | Article |
| id | doaj-art-3ee295a44af543e2bb6162a11fd8cda4 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-3ee295a44af543e2bb6162a11fd8cda42025-01-28T04:11:19ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-10-011210.3389/fpubh.2024.14451811445181Salutogenic Environmental Health Model—proposing an integrative and interdisciplinary lens on the genesis of healthJule Anna Pleyer0Laura Dominique Pesliak1Annette Konstanze Fides Malsch2Annette Konstanze Fides Malsch3Timothy McCall4Timothy McCall5Department of Environment and Health, School of Public Health, Bielefeld University, Bielefeld, GermanyDepartment of Environment and Health, School of Public Health, Bielefeld University, Bielefeld, GermanyDepartment of Environment and Health, School of Public Health, Bielefeld University, Bielefeld, GermanyJoint Institute for Individualisation in a Changing Environment, University, Münster and Bielefeld, GermanyDepartment of Environment and Health, School of Public Health, Bielefeld University, Bielefeld, GermanyDepartment of Sustainable Environmental Health Sciences, Medical School OWL, Bielefeld University, Bielefeld, GermanyIntroductionThe maintenance of health is a central objective of public health initiatives. Within the salutogenic paradigm, health promotion is focused on understanding the mechanisms of health development. Models serve as indispensable tools. One of the leading paradigms in the health sciences is the Salutogenic Model developed by Aaron Antonovsky. However, it lacks sufficient specification to reflect the complexity of the environmental dimensions that have emerged from research in environmental health science. The interactions and impact pathways between these dimensions on health status are not adequately distinguished. The objective of this study is to address this gap by extending Antonovsky’s model to encompass environmental dimensions, that is, the interactions between humans and their environment. Furthermore, the study will integrate examples of models and theories from various disciplines to illustrate how a more comprehensive and holistic explanation of health development can be provided from an interdisciplinary environmental public health perspective.MethodologyAs part of a three-step approach, a Basic Model was first developed that integrates the five environmental dimensions—Natural, Built-Material, Socio-Cultural, Psycho-Social, and Individual—into the Salutogenic Model. Subsequently, narrative non-exhaustive literature research was used to identify interdisciplinary example models. The models were used to identify gaps in the Basic Model through a critical lens and to synthesize them into a more holistic model.ResultsThe synthesis of fifteen interdisciplinary models resulted in the development of an integrative Salutogenic Environmental Health Model (SEHM), which comprises twelve principal components of health development and their interactions and pathways. Links to the original models permit the user to refer back to them.DiscussionThis integrative approach offers a comprehensive understanding of the development of health by synthesizing disparate explanatory models and theories from various disciplines through theoretical analysis. The various environmental dimensions and the determinants of health contained therein, as well as their mental and physical processing and the associated components of health development and their interactions, are summarized in this new model. The SEHM thus enables a differentiated analysis of health determinants and serves as an operational framework for health promotion and pathways to well-being in contemporary research contexts.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1445181/fullsalutogenesisenvironmenthealth modelAntonovskyinterdisciplinarytheoretical analysis |
| spellingShingle | Jule Anna Pleyer Laura Dominique Pesliak Annette Konstanze Fides Malsch Annette Konstanze Fides Malsch Timothy McCall Timothy McCall Salutogenic Environmental Health Model—proposing an integrative and interdisciplinary lens on the genesis of health Frontiers in Public Health salutogenesis environment health model Antonovsky interdisciplinary theoretical analysis |
| title | Salutogenic Environmental Health Model—proposing an integrative and interdisciplinary lens on the genesis of health |
| title_full | Salutogenic Environmental Health Model—proposing an integrative and interdisciplinary lens on the genesis of health |
| title_fullStr | Salutogenic Environmental Health Model—proposing an integrative and interdisciplinary lens on the genesis of health |
| title_full_unstemmed | Salutogenic Environmental Health Model—proposing an integrative and interdisciplinary lens on the genesis of health |
| title_short | Salutogenic Environmental Health Model—proposing an integrative and interdisciplinary lens on the genesis of health |
| title_sort | salutogenic environmental health model proposing an integrative and interdisciplinary lens on the genesis of health |
| topic | salutogenesis environment health model Antonovsky interdisciplinary theoretical analysis |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1445181/full |
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