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The promotion of healthy universities : a systematic review

Abstract

Universities are important organizations in what concerns the creation and improvement of health and wellbeing, thus healthy universities represent a key application of the health-promoting settings approach. The healthy Universities concept has a strong theoretical basis, and it appears appealing amongst universities worldwide. However, the way in which the approach has been implemented remains poorly grounded in theory. This systematic review aims to describe how universities have implemented the Healthy Universities concept in different cultures. In order to achieve this aim, we analyzed the following aspects of the implementation of the Health Promoting University: (a) definition of Healthy University; (b) priority areas of action; (c) subject matters; (d) projects and coordination; and (e) project evaluation and possible results. PsycINFO, ISI Web of Knowledge, ISI Proceedings, PubMed, Medline, Lilacs and Scielo were searched for articles on Health Promoting Universities, published between 1997 and 2017. Studies detailing the implementation of a Health Promoting University approach were included. Results: Fourteen studies were identified for in-depth analysis. Of those, four were theoretical papers, and ten were intervention studies. The programs described in the selected studies are mostly based on the guidelines of the Edmonton Charter. They incorporated the main areas of action and subject matters proposed by the Healthy Universities framework. The implementation of healthy policies and the incorporation of health promotion in the curriculum remain challenging. The review suggests that most of the universities work towards similar goals, relying on the Healthy Universities framework, yet that the way in which initiatives are implemented depends on the context.

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The promotion of healthy universities : a systematic review

Author: Reis, Marta,Ramiro, Lúcia,Gomez-Baya, Diego,Matos, Margarida Gaspar de
Publisher: Cient Periodique
Year: 2018
Source: https://repositorio.ulisboa.pt/bitstream/10451/37766/1/Promotion_healthy_universities.pdf
CPQ Women and Child Heal h (2018) 1:3
Re iew A icle
The P omo ion o Heal hy Uni e si ies: A Sys ema ic Re iew
Ma a Reis1,2,3*, Lúcia Rami o1,2, Diego Gomez-Baya4 & Ma ga ida Gaspa de Ma os1,2,5
*Co espondence o: D . Ma a Reis, Psychologis o sexual and clinical heal h, Facul y o Human
Kine ics/ Uni e si y o Lisbon, Po ugal.
1A en u a Social - Faculdade de Mo icidade Humana /Uni e sidade de Lisboa, Po ugal
Recei ed: 04 Oc obe 2018
Copy igh
© 2018 D . Ma a Reis, e al. This is an open access a icle dis ibu ed unde he C ea i e Commons
A ibu ion License, which pe mi s un es ic ed use, dis ibu ion, and ep oduc ion in any medium, p o ided
he o iginal wo k is p ope ly ci ed.
Keywo ds: Heal hy Uni e si ies; Heal h P omo ion; P e en i e In e en ions; Sys ema ic Re iew
Ma a Reis, e al. (2018). The P omo ion o Heal hy Uni e si ies: A Sys ema ic Re iew. CPQ Women and
Child Heal h, 1(3), 01-15.
CIENT PERIODIQUE
Published: 22 Oc obe 2018
Abs ac
Uni e si ies a e impo an o ganiza ions in wha conce ns he c ea ion and imp o emen o heal h
and wellbeing, hus heal hy uni e si ies ep esen a key applica ion o he heal h-p omo ing se ings
app oach. The heal hy Uni e si ies concep has a s ong heo e ical basis, and i appea s appealing
amongs uni e si ies wo ldwide. Howe e , he way in which he app oach has been implemen ed
emains poo ly g ounded in heo y. This sys ema ic e iew aims o desc ibe how uni e si ies ha e
implemen ed he Heal hy Uni e si ies concep in di e en cul u es. In o de o achie e his aim,
we analyzed he ollowing aspec s o he implemen a ion o he Heal h P omo ing Uni e si y: (a)
de ini ion o Heal hy Uni e si y; (b) p io i y a eas o ac ion; (c) subjec ma e s; (d) p ojec s and
coo dina ion; and (e) p ojec e alua ion and possible esul s.
2ISAMB /Faculdade de Medicina da Uni e sidade de Lisboa, Lisboa, Po ugal
3Pos -doc o al S uden s o he Founda ion o Science and Technology, Po ugal
4Depa amen o Social, De elopmen al and Educa ional Psychology, Uni e sidade de Huel a, Huel a, Espanha
5Sabba ical G an Founda ion o Science and Technology, Po ugal
CIENT PERIODIQUE
Ma a Reis, e al. (2018). The P omo ion o Heal hy Uni e si ies: A Sys ema ic Re iew. CPQ Women and
Child Heal h, 1(3), 01-15.
Ma a Reis, e al., CPQ Women and Child Heal h (2018) 1:3 Page 2 o 15
Uni e si ies a e impo an o ganiza ions in wha conce ns he c ea ion and imp o emen o heal h and
wellbeing, hus heal hy uni e si ies ep esen a key s a egy in he heal h-p omo ing se ings app oach [1-3].
As an o ganiza ion, highe educa ion plays a majo ole in shaping socie y, wi h signi ican social, economic
and en i onmen al impac s a egional, na ional and global le els [4,5]. The indi iduals who cons i u e
he uni e si y communi y (s uden s, p o esso s, esea che s, echnicians, e c.) a e, o will be, p o essionals,
poli icians and leade s in di e en a eas o socie y, and may di ec ly in luence socie y wi h hei habi s,
belie s and a i udes [5].
In oduc ion
PsycINFO, ISI Web o Knowledge, ISI P oceedings, PubMed, Medline, Lilacs and Scielo we e
sea ched o a icles on Heal h P omo ing Uni e si ies, published be ween 1997 and 2017. S udies
de ailing he implemen a ion o a Heal h P omo ing Uni e si y app oach we e included.
Resul s
Fou een s udies we e iden i ied o in-dep h analysis. O hose, ou we e heo e ical pape s, and
en we e in e en ion s udies. The p og ams desc ibed in he selec ed s udies a e mos ly based on he
guidelines o he Edmon on Cha e . They inco po a ed he main a eas o ac ion and subjec ma e s
p oposed by he Heal hy Uni e si ies amewo k. The implemen a ion o heal hy policies and he
inco po a ion o heal h p omo ion in he cu iculum emain challenging. The e iew sugges s ha
mos o he uni e si ies wo k owa ds simila goals, elying on he Heal hy Uni e si ies amewo k,
ye ha he way in which ini ia i es a e implemen ed depends on he con ex .
In Po ugal he e a e 116 highe educa ion ins i u ions (HEIs) [6], each a la ge and di e se communi y: he
ex ensi e wo k o ce wi hin uni e si ies comp ises 32,580 p o esso s [7] and 361,943 s uden s [8]. Mo eo e ,
s uden s a ending uni e si y may be a a key ansi ion poin in hei li es - li ing away om home o he
i s ime and ansi ioning om childhood o adul hood wi hou he close suppo o amily; o ha ing o
balance he compe ing demands o wo k and amily li e wi h s udying and academic p ac ice. Uni e si y
p o ides he oppo uni y o explo e and expe imen wi h new expe iences, build li e skills and de elop
people’s po en ial. I is also a place whe e s uden s can cla i y hei alues, de elop as global ci izens and
p epa e o hei u u e oles wi hin communi ies, wo kplaces and socie y as a whole [5,9].
Al hough he se ings app oach would appea o esona e wi h highe educa ion alues o engagemen ,
di e si y, pa icipa ion and collabo a ion, he concep o a heal hy uni e si y has been adop ed a a slow
speed. A a Eu opean le el, he Heal h P omo ing Uni e si ies amewo k has been de eloped o e he pas
decades h ough miles one e en s such as he In e na ional Con e ence on Heal h P omo ing Uni e si ies
held in 1996; he publica ion o he guidelines o es ablishing Heal h P omo ing Uni e si ies by WHO-
Eu o in 1998; and he Edmon on Cha e o Heal h P omo ing Uni e si ies o 2006 [10,11].
Ma a Reis, e al. (2018). The P omo ion o Heal hy Uni e si ies: A Sys ema ic Re iew. CPQ Women and
Child Heal h, 1(3), 01-15.
Ma a Reis, e al., CPQ Women and Child Heal h (2018) 1:3 Page 3 o 15
The amewo k s a es he objec i es ha mus be pu sued o build a Heal hy Uni e si y and men ions wha
he expec ed ou comes should be. The objec i es o a Heal hy Uni e si y a e: (a) o p omo e heal hy and
sus ainable policies and planning h oughou he uni e si y; (b) o p o ide a heal hy wo king en i onmen ;
(c) o suppo he heal hy pe sonal and social de elopmen o he pe sons in ol ed; (d) o es ablish and
imp o e p ima y heal h ca e; (e) o ensu e a heal hy and sus ainable physical en i onmen ; ( ) o encou age
wide academic in e es and de elopmen s in heal h p omo ion; and (g) o de elop links wi h he communi y
[10,12]. The esul s o a Heal hy Uni e si y p og am should demons a e he ex en o which heal h has
been in eg a ed in he cul u e, s uc u e and p ocesses o he uni e si y; and he ex en o which he heal h
o he membe s o he uni e si y communi y imp o ed. The implemen a ion o he key objec i es may be
desc ibed in e ms o p ocess and impac , a he han ou comes, whe eby collabo a ion and ne wo king
a e key elemen s [11,13]. Mo eo e , uni e si ies can also demons a e imp o emen s in e ms o se ice,
academic pe o mance, and p o iding condi ions o good heal h.
Se e al uni e si ies ha e assumed his commi men o heal h, bu only a mino i y has adop ed he whole
sys em app oach ollowing he Heal h P omo ing Uni e si ies concep [2,10-13]. This concep was launched
mo e han wo decades ago, and d aws on a numbe o di e en expe iences, including se ings- based
in e en ions such as heal h-p omo ing schools, wo kplaces and hospi als, and he expe ise o he WHO
Heal hy Ci ies P ojec O ice.
The Heal hy Uni e si ies app oach was i s p omo ed in England in he mid-1990s. Since hen, ini ia i es
ha e been de eloped in o he coun ies in Eu ope, Asia, and La in Ame ica [14-19]. As coun ies and cul u es
di e , he con ex o implemen ing he app oach also a ies widely. Since heal h p omo ion in e en ions
a e mo e e ec i e when hey a e adap ed o con ex [20], Heal h P omo ing Uni e si y ini ia i es should
be adap ed o local cul u e, en i onmen al con ex (e.g. u al, u ban) and ins i u ional cha ac e is ics [21].
Consequen ly, heal h- ela ed p og ams a e mo e e ec i e when hey a e adap ed o he a ge popula ion,
and whe e uni e si y communi y membe s a e empowe ed h ough he implemen a ion p ocess o ac i e
pa icipa ion h oughou he p og am, which is an impo an addi ional bene i [22].
The Heal hy Uni e si ies concep has a s ong heo e ical basis, and i appea s appealing amongs uni e si ies
wo ldwide. Howe e , he way in which he app oach has been implemen ed emains poo ly g ounded in
p ac ice. This sys ema ic e iew aims o desc ibe how uni e si ies ha e implemen ed he Heal hy Uni e si ies
concep in di e en cul u es. In o de o achie e his aim, we analyzed he ollowing aspec s o he
implemen a ion o he Heal h P omo ing Uni e si y: (a) de ini ion o Heal hy Uni e si y; (b) p io i y a eas
o ac ion; (c) subjec ma e s; (d) p ojec s and coo dina ion; and (e) p ojec e alua ion and possible esul s.
Howe e , his implemen a ion o heal hy uni e si ies, as al eady men ioned, has been e y slow, because
he e is sca ci y o e idence o he e ec i eness o he se ings app oach - bo h gene ally and wi h ega d
o heal hy uni e si ies in pa icula [1,3,23]. Al hough uni e si ies ha e eno mous po en ial o inc ease
s uden and communi y wellbeing, i is a challenge o demons a e he added alue o he whole-sys em o
he heal hy uni e si ies app oach bo h o heal h and o he ‘co e business’ o highe educa ion.
Ma a Reis, e al. (2018). The P omo ion o Heal hy Uni e si ies: A Sys ema ic Re iew. CPQ Women and
Child Heal h, 1(3), 01-15.
Ma a Reis, e al., CPQ Women and Child Heal h (2018) 1:3 Page 4 o 15
To iden i y ele an published wo k on he implemen a ion o he Heal hy Uni e si ies app oach, a sea ch
o PsycINFO, ISI Web o Knowledge, ISI P oceedings, PubMed, Medline, Lilacs and Scielo was pe o med
in Janua y and Feb ua y 2018. The sea ch e ms used we e ‘Heal hy Uni e si y/ies’ OR ‘Heal h P omo ing
Uni e si y/ies’ in ei he he i le o he abs ac . To selec ele an publica ions, he ollowing inclusion c i e ia
we e used: (a) published be ween 1997 and 2017; (b) ull ex a ailable in English, Po uguese o Spanish; (c)
explici e e ence o highe educa ion o uni e si y; (d) ocus on he imp o emen o heal h and well-being
o he whole uni e si y; (e) desc ip ion o he implemen a ion p ocess o a Heal h P omo ing Uni e si y
ini ia i e and inally ( ) being open access pape s. A sequen ial p ocess o examining he i le, abs ac and
main ex o each a icle o book (chap e ) was unde aken, wi h exclusion o documen s occu ing a each
s age. The e e ence sec ions o all a icles mee ing he inclusion c i e ia, as well as hose o p e ious e iew
a icles, we e also sea ched o u he ele an s udies, which we e in u n acqui ed and checked agains he
inclusion c i e ia. S udies we e excluded when hey: (a) did no e e o he p ocess o implemen a ion o
he Heal h P omo ing Uni e si y app oach; o (b) duplica ion exis ed o (c) was no conside ed ele an o
he p esen wo k.
Pape s ha me he inclusion c i e ia we e sepa a ed in o heo e ical pape s and in e en ion s udies. The
analysis o heo e ical documen s was done o each documen sepa a ely, while ha o in e en ion s udies
was done join ly. Fo bo h ypes, he con en o he selec ed a icles was analyzed paying a en ion o he
ollowing: (a) de ini ion o Heal hy Uni e si y; (b) p io i y a eas o ac ion; (c) subjec ma e s; (d) p ojec s
and coo dina ion; and (e) p ojec e alua ion and possible esul s. In o ma ion ex ac ed om he a icles was
summa ized in ables. Da a ex ac ion om he selec ed a icles was done by he i s au ho .
Me hods
Li e a u e Sea ch and Selec ion
Analysis
Ma a Reis, e al. (2018). The P omo ion o Heal hy Uni e si ies: A Sys ema ic Re iew. CPQ Women and
Child Heal h, 1(3), 01-15.
Ma a Reis, e al., CPQ Women and Child Heal h (2018) 1:3 Page 5 o 15
Fou heo e ical pape s ha deal wi h he implemen a ion o he Heal h P omo ing Uni e si y concep
we e ound in he li e a u e. The i s documen was de eloped by he Uni e si y College Dublin (UCD)
as an implemen a ion guide o Heal hy Uni e si ies, namely in I eland [24]. The UCD Heal h P omo ion
S a egic Plan - ‘Heal hy UCD’, aims o wo k in pa ne ship wi h Highe Educa ion Ins i u es o de elop
a heal h p omo ing campus model o heal h p omo ion. As s a ed in he UCD S a egic Plan 2015-2020,
hei mission is o “con ibu e o he lou ishing o Dublin, I eland, Eu ope and he wo ld (…) p o iding a
suppo i e communi y in which e e y membe o he Uni e si y is enabled o achie e hei ull po en ial.”
Heal hy UCD ou lines an ambi ious p og am o heal h p omo ion wi hin he uni e si y communi y om
2015 o 2010 and beyond ha will acili a e he deli e y o he key objec i es ha o m he basis o hei
uni e si y s a egic plan and di ec ion o he nex pe iod. Success ul implemen a ion o Heal hy UCD
will help c ea e an o ganiza ion ha has acul y and s a who a e engaged, commi ed and p oduc i e, and
s uden s who g adua e wi h a holis ic educa ion ha places emphasis on heal h and wellbeing o hemsel es
and he global communi y hey inhabi . As a heal h p omo ing uni e si y, UCD will be seen as a posi i e
and suppo i e en i onmen in which o s udy and wo k, ensu ing o a ac and e ain he b igh es s uden s
and mos inspi ing and c ea i e acul y and s a . The p oposed ac ions included: he c ea ion o a cul u e
o heal h o he s uden o ma ion; he de elopmen o heal hy en i onmen s; and he implemen a ion o
heal hy policies. Al hough he impo ance o e alua ion was men ioned, no guidance was p o ided on how
o ca y ou an e alua ion o a Heal hy Uni e si y.
The second documen aims o con ibu e o he deba e on Heal h P omo ing Uni e si ies and Colleges
(HPUC) mo emen in Po ugal and i no only p esen s a gumen s o heal h p omo ion in he na ional
highe educa ion se ing and examples o heal h p omo ion ini ia i es ca ied ou by Po uguese highe
educa ion ins i u ions, bu also challenges hese ins i u ions o ake some measu es ha would accele a e he
ans o ma ion ad oca ed by he HPUC mo emen [25]. I de ined a Heal h P omo ing Uni e si y as an
ins i u ion ha is commi ed o c ea ing an en i onmen and cul u e ha encou ages heal h and well-being
o all i s membe s’. P oposed ac ions included: he implemen a ion o heal hy policies; he c ea ion o an
o ganiza ional s uc u e o coo dina e all ac ions ela ed o heal h, and he p o ision o a heal hy physical
en i onmen . This pape ecommended ha he highes uni e si y au ho i y should lead he s a egy, and
ha he e should be a coo dina ing eam and a wo king g oup in ol ing di e en membe s o he uni e si y
communi y. The implemen a ion and he e alua ion we e ecognized as use ul o imp o e and edesign he
p og am, bu de ails on how o e alua e a Heal h P omo ing Uni e si y we e no gi en.
The hi d one was a glossa y add essing key concep s associa ed wi h Heal hy (o Heal h P omo ing)
Uni e si ies in Chile [26]. This glossa y de ined a Heal hy Uni e si y as ‘an ins i u ion ha includes heal h
p omo ion wi hin hei educa ional p ojec o imp o e he heal h o hei communi y membe s’. Ac ions
ha we e p oposed included: in o ma ion and awa eness- aising on heal h issues, online educa ional
ac i i ies, ins i u ional changes and imp o emen o he physical en i onmen . The glossa y highligh ed he
impo ance o de eloping heal hy policies ha in eg a e he concep o heal hy li es yle in he cu iculum
and ins i u ional cul u e. E alua ion was ecognized as an impo an bu complica ed p ocess, he success o
which depends on he physical-en i onmen al con ex and a ailable human esou ces.
Resul s
Theo e ical Pape s

Ma a Reis, e al. (2018). The P omo ion o Heal hy Uni e si ies: A Sys ema ic Re iew. CPQ Women and
Child Heal h, 1(3), 01-15.
Ma a Reis, e al., CPQ Women and Child Heal h (2018) 1:3 Page 6 o 15
The ou h documen was de eloped by he Minis y o Heal h o Pe u as an implemen a ion guide o
Heal hy Uni e si ies [27]. I e e ed o a Heal hy Uni e si y as an ins i u ion ha implemen s heal h policies,
encou ages lea ning o heal h, and p omo es he pa icipa ion o all hose in ol ed in he decision making
p ocess, and desc ibed i as also con ibu ing o he e adica ion o po e y, hunge , ma e nal mo ali y, and
o he heal h challenges. The p oposed ac ions included: he c ea ion o a cul u e o heal h o he s uden
o ma ion; he de elopmen o heal hy en i onmen s; and he implemen a ion o heal hy policies. Al hough
he impo ance o implemen a ion and e alua ion was men ioned, no guidance was p o ided on how o
ca y ou an e alua ion o a Heal hy Uni e si y.
Ten in e en ion s udies desc ibing he implemen a ion o he Heal h P omo ing Uni e si y concep we e
iden i ied in he li e a u e. Two s udies epo ed he indings o a na ional-le el quali a i e s udy, one s udy
ca ied ou in England and he o he ca ied ou in B azil, p o iding a summa y o he ac i i y de eloped
by a ious ins i u ions [3,28]. The o he eigh s udies desc ibed one in e en ion. The in o ma ion ex ac ed
om hese s udies is summa ized below.
All s udies p oposed a de ini ion o Heal hy Uni e si ies o Heal h P omo ing Uni e si y, Facul y o School
(see Table 1). Among he s udies, a Heal hy Uni e si y was de ined as an ins i u ion ha : in eg a es heal h
in i s educa ional p ojec ; p o ides a suppo i e en i onmen o heal h; p o ec s heal h and p omo es he
well-being o all communi y membe s h ough heal hy policies. Some s udies added ha a uni e si y is
based on he alues o espec , ac i e ci izenship and solida i y.
In e en ion S udies
In all s udies, es ablishing Heal hy Uni e si ies en ails se e al a eas o ac ion (see Table 2). Se en s udies
men ioned he de elopmen o pe sonal skills and knowledge ega ding heal h, he c ea ion o heal hy
en i onmen s and he inco po a ion o heal h issues in he cu iculum [12-15,19,29,30,31]. Six s udies
men ioned he de elopmen o heal hy policies [2,12,13,19,28,32]; and i e s udies men ioned ac i i ies
wi h he local communi y [2,12,19,28,31]. The con inued p o ision o heal h se ices was named in wo
s udies [19,28], and in o he wo s udies he subjec o heal hy wo kplaces was also add essed [12,31]. In one
s udy, esea ch was also conside ed an a ea o ac ion [2].
Rega ding he issue subjec ma e s - hese cons i u e he heal h issues ha a e add essed in he con ex o
a Heal hy Uni e si y. The p e en ion o alcohol and d ug abuse was men ioned mos o en, in nine o he
en s udies [2,12,13,15,28-32]; eigh s udies men ioned ac i i ies ocused on heal hy ea ing [2,15,19,28-
32], i e s udies men ioned ac i i ies ocused on men al heal h [2,12,13,19,30], and sexual heal h and
STD/ AIDS p e en ion [2, 12,15,19,29]. Physical ac i i y was men ioned in ou s udies [2,19,30,31],
and smoking cessa ion and p omo ion o smoke- ee spaces [19,29,30,31]. Road sa e y and anspo a ion
we e men ioned in h ee s udies [2,12,32], and he p e en ion o ch onic diseases in o he h ee s udies
[29,30,32]. O he issues men ioned included building design [2,3], heal hy sleep [15]; o al heal h [29],
amily-s udies ela ionship [29] and academic pe o mance [29].
Ma a Reis, e al. (2018). The P omo ion o Heal hy Uni e si ies: A Sys ema ic Re iew. CPQ Women and
Child Heal h, 1(3), 01-15.
Ma a Reis, e al., CPQ Women and Child Heal h (2018) 1:3 Page 7 o 15
P ojec s and coo dina ion we e also analyzed. In ou s udies, he acul ies o medical sciences o ela ed
ca ee s we e esponsible o leading he Heal hy Uni e si y p og am [12,13,15,30]. One s udy men ioned
ha he p ojec was an ini ia i e o he uni e si y’s au ho i ies [32]. Ano he s udy indica ed ha he p ojec
was a collabo a ion be ween go e nmen al agencies suppo ed by WHO [19]. O he se ices in cha ge we e
he human esou ces/occupa ional heal h, academic depa men , s uden se ices and spo s depa men
[2,30,31]. The p esence o a s ee ing g oup was men ioned in se en s udies [2,12,13,28,30-32], six o which
had ep esen a i es om di e en membe s o he uni e si y communi y [2,12,19,28,31,32].
Conce ning he issue adap a ion o he con ex - Six o he en s udies p o ided in o ma ion ega ding
adap a ion o he cul u al con ex , ha ing aimed o make he p og am mo e cul u ally sensi i e
[2,12,15,19,31,32]. Ac ions men ioned in his ega d we e he in ol emen o s uden s and o academic
and non-academic s a in he planning and implemen a ion o he ini ia i e. Fou s udies highligh ed he
pa icipa ion o olun ee s uden s in he implemen a ion h ough pee educa ion p ojec s on issues such as
sexual heal h and d ug use [2,12,19,31], hus ensu ing g ea e c edibili y and accep abili y by he es o he
uni e si y communi y. The de elopmen o heal h educa ion ma e ial ailo ed o p oblems ha we e speci ic
o he uni e si y communi y was men ioned in ou p og ams [12,15,19,31]. In h ee p og ams, in o ma ion
on he needs o hose in ol ed was collec ed h ough a diagnos ic p ocess in an e o o adap he p og am
o he cul u al con ex [2,15,32].
While he impo ance o e alua ion was acknowledged in all s udies, de ails on he ype o e alua ion
pe o med we e p o ided only in se en s udies [2,15,19,29-32]. Mos e alua ions in ol ed he use o
ques ionnai es o in e iews wi h s uden s, eache s and/o wo ke s [2,15,19,29-32]. Ques ionnai es we e
used ei he o measu e modi ica ions in knowledge and heal h- ela ed beha io s, o o iden i y needs and
opinions abou di e en aspec s o he p ojec . Only wo s udies epo ed he esul s o he e alua ion
p ocess [12,19], obse ing imp o emen s in he well-being o membe s o he uni e si y communi y and
in he physical and social en i onmen . An inc ease in heal h- ela ed knowledge and dec ease in ha m ul
beha io s among s uden s we e also epo ed in hese s udies.
Table 1: Gene al cha ac e is ics and de ini ion o Heal hy Uni e si ies acco ding o he di e en s udies
Re e ence Coun y Name o he
p ojec
S a ing
da e
Concep - A Heal hy Uni e si y is
one ha …
Xiangyang, Lan, Xuping,
Tao, Yuzhen, & Jagusz-
yn
(2003)
China Heal h P omo ing
Uni e si y 1997
P o ec s he heal h and p omo es
he well-being o s uden s, s a and
he wide communi y h ough hei
policies and p ac ices. Rela es heal h
p omo ion o eaching and esea ch.
De elops heal h p omo ion alliances
and ou each in o he communi y.
Doo is (2002) England Heal h P omo ing
Uni e si y 1995
Encou ages ac i e pa icipa ion o
he communi y. In eg a es wi hin he
uni e si y’s cul u e a commi men o
heal h. P omo es heal h and well-be-
ing o s a , s uden s and he wide
communi y.
Ma a Reis, e al. (2018). The P omo ion o Heal hy Uni e si ies: A Sys ema ic Re iew. CPQ Women and
Child Heal h, 1(3), 01-15.
Ma a Reis, e al., CPQ Women and Child Heal h (2018) 1:3 Page 8 o 15
Doo is & Dohe y
(2010b) England
Heal hy Uni e si y,
Heal hy Campus,
Heal h P omo ing
Uni e si y
Di e en
ini ia i es
began
be ween
1995 and
2008
P omo es heal h in a speci ic g oup
like s uden s o wo ke s. Raises he
p o ile o heal h wi hin he cul u e,
s uc u es and p ocesses o he
uni e si y.
Baños, Ley a, Quin ana,
& de A mas 2001) Cuba Heal h P omo ing
School
No
men-
ioned
Is based on con i iali y, espec and
solida i y. Unde s ands ha heal h
is he esul o many en i onmen-
al, social and indi idual ac o s.
G anados, Alba, & Bece a
(2009) Colombia Heal hy Uni e si y 2003
De elops ac ions o p omo e
heal h. Encou ages ac i e pa ici-
pa ion o he communi y.
Bece a-Bulla, Pinzón-
Villa e, & Va gas-Zá a e
(2011)
Colombia Heal h P omo ing
Uni e si y 2009
Inco po a es heal h p omo ion in o
he educa ional p ojec . P omo es
human de elopmen o imp o e
he quali y o li e o all i s mem-
be s.
Bece a, H. S. (2013) Pe u Heal hy Uni e si y 2011
P o ides a heal hy en i onmen
and inco po a es heal h issues in i s
cu iculum. P omo es compliance
wi h public heal h policies.P o ides
in o ma ion on heal hy li es yles.
Knigh (2013) England Heal hy Uni e si y 2011
In eg a es heal h and heal h p o-
mo ion in o he uni e si y cul u e.
Adap s uni e si y policies, p o-
cesses and s uc u es o p omo e
heal h.
Nahas, Ba os, de Assis,
Hallal, Flo indo, & Kon-
and (2009)
B azil
Heal h P omo ing
Uni e si y
Heal hy Uni e si y
2009
P omo es heal h in a speci ic g oup
like s uden s. In eg a es heal h and
heal h p omo ion in o he uni e si-
y cul u e. De elops heal h p omo-
ion alliances and ou each in o he
communi y.
Nahas, Ba os, de Assis
(2014) B azil Heal hy Uni e si y 2014
P o ides a heal hy en i onmen
and inco po a es heal h issues in
schools / uni e si ies
Ma a Reis, e al. (2018). The P omo ion o Heal hy Uni e si ies: A Sys ema ic Re iew. CPQ Women and
Child Heal h, 1(3), 01-15.
Ma a Reis, e al., CPQ Women and Child Heal h (2018) 1:3 Page 9 o 15
Table 2: A eas o ac ion, subjec ma e s, p ojec and coo dina ion, and e alua ion in Heal hy Uni e si ies acco ding
o he di e en s udies.
Re e ence Coun y A eas o ac ion Subjec ma e s P ojec and
Coo dina ion E alua ion
Xiangyang,
Lan, Xuping,
Tao, Yuzhen,
& Jagusz yn
(2003)
China
Uni e si y policies;
heal h suppo ing
en i onmen s; pe sonal
skills; heal h se ices;
ac ions wi h he com-
muni y.
Smoking con ol;
men al heal h;
STD/ AIDS
p e en ion; sexual
heal h; physi-
cal exe cise and
heal hy die .
Heal h and ed-
uca ion au ho -
i ies o Beijing.
Suppo ed by
he WHO.
Yes. Quali a i e/
o ma i e and
quan i a i e/
summa i e.
Doo is (2002) England
The policy p ocess;
s uden de elopmen ;
heal hy wo kplace;
heal hy en i onmen s;
academic de elopmen ;
heal h o he wide
communi y.
Sexual heal h;
building design;
anspo and
men al well-being.
Facul y o
Heal h in pa -
ne ship wi h
o he acul ies
and se ices.
Yes. No epo ed.
Doo is &
Dohe y
(2010b)
England
Heal hy policy; heal hy
en i onmen s; cu ic-
ulum; esea ch; social
suppo sys ems; o gani-
sa ional cul u e; ela ion
wi h he communi y.
Men al heal h;
physical ac i i y;
heal hy ea ing;
alcohol; sexual
heal h; smoking
con ol; d ugs;
sus ainabili y and
anspo .
Human
esou ces/
occupa ional
heal h, academ-
ic depa men s,
s uden se -
ices and spo
depa men .
Yes. Quali a i e/
o ma i e and
quan i a i e/
summa i e.
Baños, Ley a,
Quin ana,
& de A mas
2001)
Cuba
Heal hy en i onmen s;
sel -ca e
educa ion; cu icula
changes; p e en ion o
diseases.
Heal hy die ; ca -
dio ascula isks;
alcohol; o al
heal h; sexual
heal h; academic
pe o mance.
Facul y o
Heal h.
Yes. Quan i a i e/
summa i e.
G anados,
Alba, & Bec-
e a
(2009)
Colombia
Ins i u ional a icu-
la ion; in eg a ion o
heal h in he educa i e
p og am; p e en ion o
diseases.
Heal hy die ;
smoking con ol;
alcohol; p e en-
ion o ch onic
diseases; secu i y;
a ic sa e y edu-
ca ion.
Uni e si y Vice
p esidency.
Yes. Quan i a i e/
summa i e.
Bece a-Bulla,
Pinzón-Villa-
e, & Va gas-
Zá a e
(2011)
Colombia
Cu icula chang-
es; heal h educa ion;
heal hy en i onmen s;
in eg a ion o heal h
ac oss all acul ies.
A p esen , only
heal hy ea ing
habi s. In he
u u e he aim is
o wo k also on
physical ac i i y;
alcohol; smoking
con ol; d ugs;
men al heal h.
Ca ee o Nu-
i ion and he
S uden Heal h
Depa men .
Yes. Quali a i e/
Fo ma i e and
quan i a i e/
summa i e.