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Social Ecological Approaches to Individuals and Their Contexts

Twenty Years of Health Education & Behavior Health Promotion Interventions

Bibliographic Data

ID5779745
AuthorsShelley D Golden (0000-0002-3283-542X, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA), Jo Anne L Earp (The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA), Jo Anne Earp
Year2012
Volume39
Issue3
Pages364-372
Publication date2012-01-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Education & Behavior (JOURNAL)
Journal identifiersISSN: 1090-1981 • E-ISSN: 1552-6127
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/1090198111418634
PMID22267868
OpenAlexW2154835470
LanguageEN
Citations received339
References cited47

Social ecological models that describe the interactive characteristics of individuals and environments that underlie health outcomes have long been recommended to guide public health practice. The extent to which such recommendations have been applied in health promotion interventions, however, is unclear. The authors developed a coding system to identify the ecological levels that health promotion programs target and then applied this system to 157 intervention articles from the past 20 years of Health Education & Behavior. Overall, articles were more likely to describe interventions focused on individual and interpersonal characteristics, rather than institutional, community, or policy factors. Interventions that focused on certain topics (nutrition and physical activity) or occurred in particular settings (schools) more successfully adopted a social ecological approach. Health education theory, research, and training may need to be enhanced to better foster successful efforts to modify social and political environments to improve health

Ecological psychology · Ecological systems theory · Promotion (chess · Social ecological model · Social ecology · Community Health and Development · Food Security and Health in Diverse Populations · Health Policy Implementation Science

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  • Tuberculosis prevention in low- and middle-income settings in the Asia-Pacific region, a qualitative scoping review

    Open Access•Paula Jops, Prince Peprah et al.•Global Public Health•2026

  • How urban blue–green spaces exposure relates to older adults’ self-reported health

    Open Access•Dongsheng Zhan, Xiaofen Yu et al.•Habitat International•2026

  • Barriers and facilitators to utilizing HIV prevention and treatment services among migrant youth globally

    Open Access•Kevin Li, Natasha Thaweesee et al.•PLOS Global Public Health•2024

  • Early relationships and marriage in conflict and post-conflict settings

    Jennifer Schlecht, Elizabeth Rowley et al.•Reproductive Health Matters•2013

  • Implementation of school based physical activity interventions

    Open Access•Patti-Jean Naylor, Lindsay Nettlefold et al.•Preventive Medicine•2015

  • Gendered stereotypes and norms

    Open Access•Rebecca Stewart, Breanna K Wright et al.•Heliyon•2021

  • Factors That Influence Participation in Physical Activity in School-Aged Children and Adolescents

    Open Access•Donglin Hu, Shi Zhou et al.•International Journal of…•2021

  • A taxonomy of behaviour change methods

    Open Access•Gerjo Kok, Nell H Gottlieb et al.•Health Psychology Review•2016

  • Upending the Social Ecological Model to Guide Health Promotion Efforts Toward Policy and Environmental Change

    Open Access•Shelley D Golden, Kenneth R McLeroy et al.•Health Education & Behavior•2015

  • The Integrated Behavioural Model for Water, Sanitation, and Hygiene

    Open Access•Robert Dreibelbis, Peter J Winch et al.•BMC Public Health•2013

  • A snapshot of the scope of obesity prevention practice in Australia

    Open Access•Tahna Pettman, Kristy A Bolton et al.•Health Promotion International•2016

  • Exploring barriers and facilitators to digital health literacy among immigrant mothers in Quebec City

    Open Access•James Plaisimond, Erika Corona et al.•Health Promotion International•2025

  • The value of health literacy for Global Health and One Health

    Open Access•Orkan Okan, Andrea Sylvia Winkler•Health Promotion International•2026

  • Challenges to evidence-based health promotion

    Open Access•Samantha B Meyer, Дмитрий Петрович Южаков et al.•Health Promotion International•2018

  • Applying the Ottawa Charter to inform health promotion programme design

    Open Access•Denise Fry, Avigdor Zask•Health Promotion International•2016

  • A RE-AIM framework analysis of a sports club health promotion Mooc

    Open Access•Benjamin Tézier, Quitterie Lucas et al.•Health Promotion International•2023

  • Determinants of nutrition practice and food choice in UK construction workers

    Open Access•Magdalena Daria Wronska, Margaret Coffey et al.•Health Promotion International•2022

  • Comprehensive school health

    Open Access•Jeanne Barcelona, Erin E Centeio et al.•Health Promotion International•2022

  • Development of the ‘Sigue la Huella’ physical activity intervention for adolescents in Huesca, Spain

    Open Access•Berta Murillo-Pardo, Berta Murillo Pardo et al.•Health Promotion International•2019

  • Ideal birth spacing between the first and second child among reproductive-aged women in Shandong Province, China

    Open Access•Mengjun Cao, Baotao Cheng et al.•Frontiers in Public Health•2026

  • A scoping review of research capability building

    Open Access•Tsegaye G Haile, Justin Manuel et al.•Human Resources for Health•2026

  • Strategies for retention of women lecturers in mathematical sciences in Government Universities in Uganda

    Open Access•Marjorie Sarah Kabuye Batiibwe•SN Social Sciences•2022

  • Obstetric fistula-induced incontinence and Wash programming in humanitarian settings

    Open Access•Samuel Adjorlolo, Mary Ani–Amponsah et al.•Journal of International…•2023

  • Physical activity among Muslim women

    Open Access•U Hussain, George B Cunningham•Cogent Social Sciences•2023

  • Coronavirus Disease 2019 Regulatory Response in United States-Assisted Living Communities

    Open Access•Sarah Dy, Sarah Dys et al.•Frontiers in Public Health•2021

  • How does emotional exhaustion among Chinese college students affect mental health? A mixed-methods study in Zhejiang, China

    Open Access•Longyuan Jiang, Lijun Fang et al.•Frontiers in Public Health•2025

  • Smartphone Use Type, Fear of Missing Out, Social Support, and Smartphone Screen Time Among Adolescents in Korea

    Open Access•Hye-Young Song, Jihye Kim et al.•Frontiers in Public Health•2022

  • Health equity in Nebraska

    Open Access•Changmin Yan, Michelle Hughes et al.•Frontiers in Public Health•2025

  • Testing Scalability of a Diabetes Self-Management Intervention in Northern Mexico

    Open Access•Benjamin Aceves, Catalina A Denman et al.•Frontiers in Public Health•2021

  • Development of a maternal health summer program curriculum to expose high school students to pharmacy, environmental health science, and community health worker careers

    Open Access•Grace Olorunyomi, Cecilia Torres et al.•Frontiers in Public Health•2026

  • Assessing young Kenyan women's willingness to engage in a peer-delivered HIV self-testing and referral model for PrEP initiation

    Open Access•Maureen McGowan, Edinah Casmir et al.•Frontiers in Public Health•2022

  • Transtheoretical model to predict the stages of changes in smoking cessation behavior among adolescents

    Open Access•Min Hee Park, Hye-Young Song•Frontiers in Public Health•2024

  • A qualitative exploration of barriers and facilitators to fruit and vegetable consumption among Uruguayan adults using the social ecological model

    Open Access•Leandro Machín, Alejandra Girona et al.•Frontiers in Public Health•2025

  • Navigating barriers and facilitators to lifestyle changes after bariatric surgery among Emirati adolescents

    Open Access•Baraa A Alries, Efstathia Papada et al.•Frontiers in Public Health•2025

  • Barriers and facilitators for access and utilization of reproductive and sexual health services among Female Sex Workers in urban and rural Maharashtra, India

    Open Access•Suhas Shewale, Steven Siceloff et al.•Frontiers in Public Health•2022

  • From perception to action in public health emergencies

    Open Access•Junjie Wei, Haoyang Ren•Frontiers in Public Health•2026

  • Health Behaviors and Health Literacy

    Open Access•Padmore Adusei Amoah, J Musalia et al.•Frontiers in Public Health•2022

  • The Commit to Be Fit framework

    Open Access•Alisha H Redelfs, Madeleine Smith et al.•Frontiers in Public Health•2023

  • Living With Covid-19

    Open Access•Didier Raboisson, Guillaume Lhermie•Frontiers in Public Health•2020

  • Effectiveness of multilevel interventions based on socio-ecological model to decrease sedentary time in children

    Open Access•Marie Cholley-Gomez, Steven Laujac et al.•Frontiers in Public Health•2023

  • Design and Methods of a Participatory Healthy Eating Intervention for Indigenous Children

    Open Access•Valarie Blue Bird Jernigan, Tori Taniguchi et al.•Frontiers in Public Health•2022

  • Health-first motivation as a demand-side strategy for pro-environmental consumption behavior

    Open Access•Yaeli Etstein, Adi Levi et al.•Frontiers in Public Health•2026

  • Implications of Covid-19 Vaccine Hesitancy

    Open Access•Joshua M Gorman, Jack M Gorman et al.•Frontiers in Public Health•2022

  • Exploring Gender Norms and Dynamics in Women’s Community Australian Rules Football Spaces

    Open Access•Hanna Saltis, Jan Hendriks et al.•SAGE Open•2026

  • Moving from Theory to Practice

    Open Access•Zaida V Pearson, Denise Jones et al.•Social Sciences•2025

  • The social dimensions of community delivery of intermittent preventive treatment of malaria in pregnancy in Madagascar, Mozambique, Nigeria and the Democratic Republic of the Congo

    Open Access•Yara Alonso, Wade Lusengi et al.•BMJ Global Health•2022

  • Challenges and opportunities to addressing non-communicable diseases after climate-related disasters in Mozambique

    Open Access•Erika Canda, Tatiana Marrufo et al.•BMJ Global Health•2026

  • Unravelling ‘low-resource settings’

    Open Access•Chanel van Zyl, Marelise Badenhorst et al.•BMJ Global Health•2021

  • Effectiveness of community-based diabetes and hypertension prevention and management programmes in Indonesia and Viet Nam

    Open Access•Manuela Fritz, Michael Grimm et al.•BMJ Global Health•2024

  • Social Work and the Next Frontier of Racial Justice

    Open Access•C R Quinn, Shavonda Johnson et al.•Social Work in Public Health•2022

  • Understanding eHealth use among older adults in Singapore

    Shaohai Jiang, Kaiyao Zhuang et al.•Chinese Journal of Communication•2025

  • The Impacts of Stigma Against Sexual Minority Men Within and Between Various Socioecological Levels

    Open Access•Shan Qiao, Camryn Garrett et al.•American Journal of Men s Health•2023

  • Community context and therapeutic recreation programming in rural long-term care

    Grace Nelson, Grace M Nelson et al.•Leisure/Loisir•2022

  • Dimensions of social inclusion of older adults in leisure-time physical activity

    Open Access•Mahshid Gholipoor, Farzad Ghafouri et al.•Leisure/Loisir•2025

  • Personal Freedom and Social Responsibility in Slowing the Spread of Covid-19

    Open Access•Evelyn Vázquez, Julie Chobdee et al.•Health Education & Behavior•2022

  • Effects of a Supplemental Nutrition Assistance Program—Education Campaign on Campaign Awareness, Message Recall, and Behavior

    Open Access•Laura Downey, Holli H Seitz et al.•Health Education & Behavior•2025

  • Racial Capitalism

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    Open Access•Erin Manalo-Pedro, Katrina M Walsemann et al.•Health Education & Behavior•2023

  • Community-Engaged, Participatory Team Science

    Open Access•Lisa Cacari Stone, Theresa H Cruz et al.•Health Education & Behavior•2025

  • A Social-Ecological Model Exploring Gestational Diabetes Mellitus Screening Practices Among Antenatal Health Care Providers

    Open Access•Emma Ruby, Sarah D Mcdonald et al.•Health Education & Behavior•2024

  • Introduction to the Theme Issue on Dynamics of Health Behavior

    Open Access•Jessica G Burke, Jessica R Thompson et al.•Health Education & Behavior•2020

  • Building Community in the HIV Online Intervention Space

    Open Access•N A Blackburn, Willa Dong et al.•Health Education & Behavior•2021

  • Physical Activity and Sport Interventions to Prevent Drug Use

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  • Associations Between Public Housing Residency and Health Behaviors in a Cross-Sectional Sample of Boston Adults

    Margaret M C Thomas, Amar J Mehta et al.•Housing Policy Debate•2020

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  • Conceptualization of the Public Health Model of Reporting through Application

    Erin Willis, Chad Painter•Health Communication•2022

  • How Dissemination and Implementation Science Can Contribute to the Advancement of Learning Health Systems

    Katy E Trinkley, P Michael Ho et al.•Academic Medicine•2022

  • Tackling student drinking within the drinking subculture of a university sports competition

    Open Access•Robyn Ramsden, Delwyn Hewitt et al.•Health Education•2021

  • A longitudinal multilevel analysis of the evermigrated population subjective HIV infection expectation in Malawi

    Open Access•Sally Sonia Simmons•Psychology & Health•2022

  • Heat, health, and enforcement

    Open Access•Haley Ciborowski, Arely Villalobos-Ayala et al.•Journal of Rural Studies•2026

  • Confronting the Challenge of Continuous Professional Development for Physical Education Teacher Educators

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  • Medical students' perception of their ‘distance travelled’ in medical school applications

    Open Access•Brandon L Ellsworth, Quintin P Solano et al.•Medical Education•2024

  • Investigating the spatial clustering of drowning events in the United Kingdom

    Open Access•M Hobbs, S Hills et al.•Applied Geography•2023

  • HIV Mortality Surveillance in Nigeria, A Systematic Review of Trends, Determinants, and Implications For Public Health Policy

    Open Access•Oluwadamilola M Oladunjoye, David Ishaleku et al.•Journal of Community Health•2026

  • A Review of Interventions for Drowning Prevention Among Adults

    Open Access•Justine E Leavy, Corie Gray et al.•Journal of Community Health•2023

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    Open Access•Meaghan Trudgett, Andrew Mcgrath et al.•Criminal Justice and Behavior•2024

  • Examining teachers' intentions to intervene

    Open Access•Arti A Sardessai‐Nadkarni, B Mclaughlin et al.•Psychology in the Schools•2021

  • Fall prevention education for older people being discharged from hospital

    Open Access•Jacqueline Francis-Coad, Den‐Ching A Lee et al.•Health Education Journal•2021

  • Tobacco prevention education for middle school and high school educators

    Open Access•Caroline M Baer, Michaela A Khoussine et al.•Health Education Journal•2021

  • Sustainable diet perceptions among Canadian young adults

    Katherine F Eckert, Kate Parizeau et al.•British Food Journal•2025

  • Gendered differences and strategies for work-life balance

    Open Access•Shalini Sahni, Leena Ajit Kaushal et al.•Acta Psychologica•2025

  • “Cookbook medicine”

    Open Access•Elizabeth Joniak-Grant, N A Blackburn et al.•SSM - Qualitative Research in…•2023

  • Applying a social-ecological model to understand factors impacting demand for childhood vaccinations in Nigeria, Uganda, and Guinea

    Open Access•James Bell, Belinda Lartey et al.•SSM - Qualitative Research in…•2022

  • Factors affecting the implementation and sustainability of an Australian community-based doula service

    Open Access•Sarah Khaw, Caroline Homer et al.•SSM - Qualitative Research in…•2024

  • Applying the socio-ecological model to understand community reintegration experiences among individuals on opioid agonist treatment (OAT) released from federal incarceration in Ontario, Canada

    Open Access•Cayley Russell, Michelle Pang et al.•SSM - Qualitative Research in…•2022

  • Pathways of service user participation in mental health decision-making in Lebanon

    Open Access•Thurayya Zreik, Sandy Chaar et al.•SSM - Mental Health•2025

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    Open Access•Natalia Zotova, Victor Agadjanian et al.•SSM - Mental Health•2021

  • A critical interpretive synthesis of power and mistreatment of women in maternity care

    Open Access•Marta Schaaf, Maayan Jaffe et al.•PLOS Global Public Health•2023

  • Patient involvement in the biopsychosocial integrated primary care model

    Open Access•Bertin Mutabesha Kasongo, Christian Molima et al.•PLOS Global Public Health•2025

  • Barriers and facilitators to community-based, peer-led sexual and reproductive health intervention for adolescent girls and young women in northeastern Uganda

    Open Access•Alimah Komuhangi, Rogers Kajabwangu et al.•PLOS Global Public Health•2026

  • Between the scales and the scars

    Open Access•Fnu Kajal, Bin Suh et al.•PLOS Global Public Health•2026

  • Exploring gender stereotypes and norms among peri-urban very young adolescents in Zimbabwe using participatory and qualitative approaches

    Open Access•Owen Nyamwanza, Tariro S Bikwayi et al.•PLOS Global Public Health•2025

  • Acceptability of decentralizing childhood tuberculosis diagnosis in low-income countries with high tuberculosis incidence

    Open Access•Basant Joshi, Yara Voss de Lima et al.•PLOS Global Public Health•2023

  • A social ecological exploration of physical activity influences among rural men and women across life stages

    Kerry Rebecca Mcgannon, Rebecca Busanich et al.•Qualitative Research in Sport and…•2014

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    Open Access•Xue Wang, Yibo Wu et al.•Journal of Global Health•2023

  • A Comprehensive Framework to Optimize Short-Term Experiences in Global Health (STEGH)

    Open Access•Shivani Shah, Henry C Lin et al.•Globalization and Health•2019

  • The ecosystem approach to health is a promising strategy in international development

    Open Access•Takashi Asakura, Hein Mallee et al.•Globalization and Health•2015

  • Changes in risk factors for non-communicable diseases associated with the ‘Healthy choices at work’ programme, South Africa

    Open Access•Darcelle Schouw, Robert Mash et al.•Global Health Action•2020

  • Tailored and Targeted Health Communication

    Matthew W Kreuter, Ricardo J Wray•American Journal of Health Behavior•2003

  • Powerlessness, Empowerment, and Health

    Open Access•Nina Wallerstein•American Journal of Health…•1992

  • Socioeconomic Position

    John Lynch, George A Kaplan et al.•Social epidemiology•2000

  • Lay Health Advisor Interventions Among Hispanics/Latinos

    Open Access•Scott D Rhode, Scott D Rhodes et al.•American Journal of Preventive…•2007

  • Identifying and Defining the Dimensions of Community Capacity to Provide a Basis for Measurement

    Open Access•Robert M Goodman, Marjorie A Speers et al.•Health Education & Behavior•1998

  • Ecological Models Revisited

    Lauralie Richard, Lucie Richard et al.•Annual Review of Public Health•2011

  • A Review of STD/HIV Preventive Interventions for Adolescents

    Ralph J Diclemente, L F Salazar et al.•Journal of Pediatric Psychology•2007

  • Community coalitions for prevention and health promotion

    Frances D Butterfoss, Robert M Goodman et al.•Health Education Research•1993

  • The Use of Theory in Health Behavior Research from 2000 to 2005

    Julia E Painter, Christina P C Borba et al.•Annals of Behavioral Medicine•2008

  • Assessment of the Integration of the Ecological Approach in Health Promotion Programs

    Open Access•Lauralie Richard, Lucie Richard et al.•American Journal of Health…•1996

  • An “ecological” approach to the obesity pandemic

    Open Access•Garry Egger, Boyd Swinburn•BMJ•1997

  • An Ecological Perspective on Health Promotion Programs

    Open Access•Kenneth R McLeroy, Daniel L Bibeau et al.•Health Education Quarterly•1988

  • Translating Social Ecological Theory into Guidelines for Community Health Promotion

    Open Access•Daniel Stokols•American Journal of Health…•1996

  • The theory of planned behavior

    Open Access•Icek Ajzen•Organizational Behavior and Human…•1991

  • Closing the gap in a generation

    Open Access•Michael Marmot, Sharon Friel et al.•The Lancet•2008

  • Health by association? Social capital, social theory, and the political economy of public health

    Simon Szreter•International Journal of…•2004

  • Micro-social structural approaches to HIV prevention

    Carl Latkin, C A Latkin et al.•AIDS Care•2005

  • Social Ecological Predictors of Repeat Adolescent Pregnancy

    Open Access•Leslie G Raneri, Constance M Wiemann•Perspectives on Sexual and…•2007

  • Social capital

    Open Access•Kimberly Lochner•Health & Place•1999

  • The Spirit of Ecological Inquiry and Intervention Research Reports

    Open Access•Susan Ryerson Espino, Susan L Ryerson Espino et al.•American Journal of Community…•2008

  • A Framework for Public Health Action

    Thomas R Frieden•American Journal of Public Health•2010

  • Community-Based Interventions

    Kenneth R McLeroy, Barbara Norton et al.•American Journal of Public Health•2003

  • Translating Research Evidence Into Practice to Reduce Health Disparities

    Howard K Koh, Sarah C Oppenheimer et al.•American Journal of Public Health•2010

  • Impact of Tobacco Control Policies and Mass Media Campaigns on Monthly Adult Smoking Prevalence

    Michael Wakefield, Melanie A Wakefield et al.•American Journal of Public Health•2008

  • Environmental and Policy Determinants of Physical Activity in the United States

    Ross C Brownson, Elizabeth A Baker et al.•American Journal of Public Health•2001

  • Understanding Evidence-Based Public Health Policy

    Ross C Brownson, Jamie F Chriqui et al.•American Journal of Public Health•2009

  • Linking Science and Policy Through Community-Based Participatory Research to Study and Address Health Disparities

    Meredith Minkler•American Journal of Public Health•2010

  • Evaluating the public health impact of health promotion interventions

    Russell E Glasgow, Thomas Vogt et al.•American Journal of Public Health•1999

  • Policy and System Change and Community Coalitions

    Noreen M Clark, Laurie Lachance et al.•American Journal of Public Health•2010

  • Toward an experimental ecology of human development

    Urie Bronfenbrenner•American Psychologist•1977

  • A framework for health promotion and disease prevention programs

    Richard A Winett•American Psychologist•1995

  • Establishing and maintaining healthy environments

    Daniel Stokols•American Psychologist•1992

  • Health Lifestyle Theory and the Convergence of Agency and Structure

    Open Access•W C Cockerham•Journal of Health and Social…•2005

Unique citing works339
Citations per year26,08
Citation span2013 - 2026 (14)
Citation velocitycurrent
Highly citedYes
Citation typesNeutral: 333
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