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Which principles were foundational to the Healthy Cities movement?

  1. Primary care

  2. Equity in health promotion

  3. Community participation

  4. All of the above

The correct answer is: All of the above

The foundational principles of the Healthy Cities movement encompass a holistic approach to health that emphasizes the role of community and the social determinants of health. Primary care is integral to ensuring that all individuals have access to essential health services, promoting overall well-being within the community. Equity in health promotion is crucial as it ensures all community members can participate in and benefit from health initiatives, addressing disparities that exist in health outcomes among different populations. Community participation is a core principle, as it empowers residents to take an active role in the decision-making processes that impact their health and environment, fostering a sense of ownership and collective responsibility for public health. Together, these principles address the multifaceted nature of health and well-being, recognizing that health is not solely the absence of disease but is influenced by a variety of social, economic, and environmental factors. By integrating primary care, equity, and community participation, the Healthy Cities movement effectively works towards building healthier, more resilient communities.