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KMID : 1100920230440050261
Korean Journal of Family Medicine
2023 Volume.44 No. 5 p.261 ~ p.267
Indices/Indicators Developed to Evaluate the ¡°Creating Supportive Environments¡± Mechanism of the Ottawa Charter for Health Promotion: A Setting-Based Review on Healthy Environment Indices/Indicators
Fatemeh Saadati

Haidar Nadrian
Nafiseh Ghassab-Abdollahi
Fariba Pashazadeh
Neda Gilani
Mohammad-Hossein Taghdisi
Abstract
This study aimed to identify the indices/indicators used for evaluating the ¡°creating supportive environments¡± mechanism of the Ottawa Charter for Health Promotion, with a focus on built environments, in different settings. A search for literature with no time limit constraint was performed across Medline (via PubMed), Scopus, and Embase databases. Search terms included ¡°Ottawa Charter,¡± ¡°health promotion,¡± ¡°supportive environments,¡± ¡°built environ-ments,¡± ¡°index,¡± and ¡°indicator.¡± we included the studies conducted on developing, identifying, and/or measuring health promotion indices/indicators associated with ¡°built environments¡± in different settings. The review articles were excluded. Extracted data included the type of instrument used for measuring the index/indicator, the number of items, participants, settings, the purpose of indices/indicators, and a minimum of two associated examples of the indices domains/indicators. The key definitions and summarized information from studies are presented in tables. In total, 281 studies were included in the review, within which 36 indices/indicators associated with ¡°built environ-ment¡± were identified. The majority of the studies (77%) were performed in developed countries. Based on their ap-plication in different settings, the indices/indicators were categorized into seven groups: (1) Healthy Cities (n=5), (2) Healthy Municipalities and Communities (n=18), (3) Healthy Markets (n=3), (4) Healthy Villages (n=1), (5) Healthy Workplaces (n=4), (6) Health-Promoting Schools (n=3), and (7) Healthy Hospitals (n=3). Health promotion special-ists, health policymakers, and social health researchers can use this collection of indices/indicators while designing/evaluating interventions to create supportive environments for health in various settings.
KEYWORD
Ottawa Charter, Indicator, Index, Health Promotion, Supporting Environments
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