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Social Ecological Model

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Social Ecological Model
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Copyright 2012, The Johns Hopkins University and Peter Winch. All rights reserved. Use of these materials permitted only in accordance with license rights granted. Materials provided “AS IS”; no representations or warranties provided. User assumes all responsibility for use, and all liability related thereto, and must independently review all materials for accuracy and efficacy. May contain materials owned by others. User is responsible for obtaining permissions for use from third parties as needed.

Ecological models and multilevel interventions
Peter Winch
Health Behavior Change at the Individual,
Household and Community Levels
224.689

Ecological (multi-level) models
 We have been talking about different levels in this course, but mostly about one level at a time
 A number of authors have developed elaborate models that specify all of the different levels that affect behavior, all in one model

Ecological (multi-level) models
 Differences between these formal ecological models and the ‘individualhousehold-community’ model we have been using so far in the course:
– More and different levels specified
– Emphasis on effect of rules, regulations and guidelines implemented at different levels SEM of McLeroy et al. 1988

The Social Ecological Model (SEM) of McLeroy et al. 1988
 Two key concepts
– Multiple levels: Behavior affects and is affected by multiple levels of influence
– Reciprocal causation: Individual behaviors shapes, and is shaped by, the social environment
• Similar idea in Social Cognitive Theory

Reciprocal causation example
Individual behavior

Social norms

Rules, regulations, guidelines Reciprocal causation example:
Seat belt use
Seat belt use by individuals



References: Quarterly. 1988; 15: 351-377. Approach of Blum et al. 2002   Example of model where interpersonal level is Ecological model of adolescent behavior (Blum, McNeely, & Nonnemaker, 2002)

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