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Health impact assessment (HIA) of political proposals at the local level: successful introduction, but what has happened 15 years later?
the Swedish Association of Local Authorities and Regions, Stockholm, Sweden.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-3787-1040
2017 (English)In: Global Health Promotion, ISSN 1757-9759, E-ISSN 1757-9767, Vol. 24, no 2, 43-51 p.Article in journal (Refereed) Published
Abstract [en]

Health impact assessments (HIAs) were first introduced in Sweden in the mid-to-late 1990s, with the aim of placing health issues on the political agenda and helping to reduce health inequalities. In the early 2000s, HIAs entered a second phase and the Swedish Parliament adopted a national public health policy. A national survey conducted in 2001 showed that 10/289 municipalities had begun to use HIA and 55/289 had decided to use HIA or had initiated an adoption process. In a 2013 follow-up study based on a strategic sample of municipalities, 9/36 municipalities reported using HIA and/or similar tools. Corresponding figures for the 21 Swedish regions were 10 regions in 2001 and four in 2013. HIA and similar tools (sustainability analyses, child impact assessments, and others) were applied to the same extent as HIA. Fifteen years after implementation began, HIA is still being used. Regions show a clear decrease in the use of HIA. There are several explanations for this development. One is the political context, and other explanations are shifts in which actors are responsible for HIA and for public health at the local/regional levels.

Place, publisher, year, edition, pages
SAGE Publications Ltd , 2017. Vol. 24, no 2, 43-51 p.
Keyword [en]
health equity, health impact assessment, local/regional level, public health policy, Sweden, adoption, child, follow up, human, public health
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-36102DOI: 10.1177/1757975916683386Scopus ID: 2-s2.0-85021432360OAI: oai:DiVA.org:mdh-36102DiVA: diva2:1121595
Available from: 2017-07-12 Created: 2017-07-12 Last updated: 2017-07-12Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf