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From the EditorJoin the Discussion
Editor's Notes Jan/Feb 2010

The Genetic Information Non -Discrimination Act-A Wake-Up Call: Great Intentions, but a Setback for Health Impact and Cost-Effectiveness of Workplace Health Promotion


Michael O'Donnell photo 

The Genetic Information Nondiscrimination Act (GINA)1 was signed into law on May 21, 2008. The act protects individuals from genetic information discrimination in health insurance and employment. Unfortunately, it is likely to have a negative effect on workplace health promotion programs. GINA Title I applies to health insurance and Title II applies to employment. Note: I am not commenting on GINA Title II because the rules had not yet been released when I wrote this column in mid-November 2009.

The purpose of this commentary is not to provide an in-depth review of the GINA provisions. Instead, the purpose is to use the GINA experience to illustrate that passing legislation is just the first step in integrating health promotion concepts into national policy. The second step is making sure the rules guiding implementation of the legislation are written in such a way that they achieve the intended purpose. The third step is to make sure agencies carry out the rules appropriately. If we want to integrate health promotion concepts into national health policy, we need to be involved in all three steps.
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Definition of Health Promotion

Health Promotion is the art and science of helping people discover the synergies between their core passions and optimal health, enhancing their motivation to strive for optimal health, and supporting them in changing their lifestyle to move toward a state of optimal health. Optimal health is a dynamic balance of physical, emotional, social, spiritual, and intellectual health. Lifestyle change can be facilitated through a combination of learning experiences that enhance awareness, increase motivation, and build skills and, most important, through the creation of opportunities that open access to environments that make positive health practices the easiest choice.
O’Donnell MP. Definition of health promotion 2.0: embracing passion, enhancing motivation, recognizing dynamic balance, and creating opportunities. Am J Health Promot. 2009 Jul-Aug;23(6):iv.

Physical Fitness.  Nutrition.  Medical self-care.  Control of substance abuse.
Emotional Care for emotional crisis.  Stress Management
Social Communities.  Families.  Friends
Intellectual Educational.  Achievement.  Career development
Spiritual Love.  Hope.  Charity.

Our definition of health promotion guides the editorial content of all of our publications.v read more

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