The Development of Health Education and Health Promotion in State Health Agencies
This project, funded by the Directors of Health Promotion and Education, was undertaken to document the advancement of health education and health promotion departments and programs in state health agencies. While this is by no means an exhaustive or complete documentary of the health promotion and health education movement, it presents the major initiatives that served as a catalyst for the organization and development of this field at the federal and state levels.
The experts interviewed for this project discuss historic epidemiologic research beginning in the 1950s which served as a springboard for the development of behavioral interventions and the subsequent creation of commissions, task forces, agencies, and funding opportunities for state departments of health.
The History of Health Promotion and Education
(32 minutes) A narration of the history of health promotion and education featuring seven health promotion professionals. Real Player | Windows Media Player
For extended versions of these interviews and for more information, see the unedited interviews and the additonal resources listed below.
Unedited Interviews
Don Bishop, PhD
(12 minutes) |
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Chief Center for Health Promotion Minnesota Department of Health |
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Discusses the Minnesota Healthy Communities Program, smoke-free communities, and the importance of working with local community planners to enact change for a healthier environment. |
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Janet Collins, PhD
(5 minutes) |
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Director National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention |
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Overview of the 20-year history of the National Center for Chronic Disease Prevention and Health Promotion from a focus on individual behaviors to today’s social policy initiatives. |
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Marshall Kreuter, PhD
(23 minutes) |
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Director (former) Division of Chronic Disease Control and Community Intervention Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention |
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Evolution of Health Education-Risk Reduction (HERR) grants as first targeted funding for health education activities, Prevention Block Grants, Multiplier Effect, School Health programs, establishment of the Division of Adolescent and School Health at the Centers for Disease Control (CDC), Behavioral Risk Factor Surveillance System (BRFSS) as a sentinel event to collect baseline data and the beginning of behavioral epidemiology and evaluation, Youth Behavioral Risk Factor Surveillance Survey (YBRFSS), and Planned Approach to Community Health (PATCH). |
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Brick Lancaster, MA, CHES
(36 minutes) |
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Chief Program Services Branch Office on Smoking and Health Centers for Disease Control and Prevention |
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Changing focus of health education from 1960s (pamphlets to individuals) to present day priorities of science-based initiatives, policy development, program integration, and cultural change. |
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Rose Marie Matulionis, MSPH
(4 minutes) |
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Executive Director (former) Directors of Health Promotion and Education |
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Overview of the Directors of Health Promotion and Education including history, membership, community partners and efforts to enact policy change for a healthier workforce. |
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Michael McGinnis, MD
(40 minutes) |
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Assistant Surgeon General (former) Director (former) U.S. Office of Disease Prevention |
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Discusses association between behaviors and chronic diseases, Health Promotion Act of 1976, impact of the LaLonde Report and the Healthy People Report, and the notion of prevention to include behavioral, health protection, and clinical preventive services. |
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Dennis Tolsma, MPH
(30 minutes) |
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Director (former) Center for Health Promotion and Education Associate Director (former) Public Health Practice Centers for Disease Control and Prevention |
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“Healthy People” development process, LaLonde Report, Horace Ogden, and establishment of Bureau of Health Education, HERR Grants, and the BRFSS. |
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Milestones
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1948 |
Framingham Heart Study Begins. |
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1964 |
Surgeon General's Report on Tobacco and Health is Published. |
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1971 |
President Richard Nixon Establishes Committee on Health Education. |
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1974 |
Bureau of Health Education is Established at the Centers for Disease Control. Public Law 93-641 (National Health Planning and Resources Development Act) is Passed. |
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1975 |
Initial Publication of Focal Points. National Center for Health Education is Established. |
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1976 |
Public Law 94-317 (Health Promotion Act) Releases Survey of Adult Use of Tobacco. |
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1977 |
Hypertension Screenings Conducted for all CDC Employees. |
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1978 |
Sponsored National Conference: Teenage Cigarette Smoking, A National Health Problem. HERR are funded. |
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1979 |
Surgeon General’s Report on Health Promotion and Disease Prevention is Published. |
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1981 |
Marc Lalonde, Canadian Minister of Health, Proposes a New Health Field Concept in the LaLonde Report. |
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1983 |
PATCH is Developed. |
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1984 |
BRFSS is Established. |
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2003 |
STEPS Program Begins. |
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2008 |
Strategic Alliance Program Begins. |
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Resources
Behavioral Risk Factor Surveillance System (BRFSS) History Centers for Disease Control and Prevention
Chronology of the Establishment of the Bureau of Health Education and Some Major Initiatives and Activities (8 pages) February 18, 1971 - April 18, 1980
Directors of Health Promotion and Education Overview
Framingham Heart Study A Project of the National Heart, Lung, and Blood Institute and Boston University
Healthy Communities: Preventing Chronic Disease by Activating Grassroots Change: At a Glance 2010 Centers for Disease Control and Prevention 2009
Healthy People 2010: Understanding and Improving Health (76 pages, 13 MB) U.S. Department of Health and Human Services 2000
Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention (262 pages, 13 MB) U.S. Department of Health, Education, and Welfare 1979
Mohan Singh Temple in Cyberspace: In Memoriam of Horace G. Ogden The Temple of the Spiritual Leader of Health Education and Health Promotion
The Multiplier Effect of the Health Education-Risk Reduction Program in 28 States and 1 Territory (6 pages, 1 MB) Marshall Kreuter, PhD, Gregory Christensen, PhD, Angela Divincenzo, MS Public Health Reports November-December 1982 Vol. 97, No. 6
A New Perspective on the Health of Canadians (77 pages, 1.5 MB) Marc LaLonde Canadian Minister of Health 1981
Planned Approach to Community Health (PATCH)
Public Law 93-641, 1974. (28 pages, 3.5 MB)
Report of the Health Education Risk Reduction Conference (154 pages, 3 MB) U.S. Department of Health and Human Services Anaheim, California October 27-30, 1981
STEPS Communities Centers for Disease Control and Prevention
Strategic Alliance for Health (SAH) Communities Centers for Disease Control and Prevention
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