TY - JOUR AB - Purpose The purpose of this paper is to critically examine school health education in the USA and present alternative approaches for more critical and comprehensive health education.Design/methodology/approach An ecological model framework is used to identify the limitations and opportunities for improvement in school health education in the USA. An argument is made for school health education that embraces ecological approaches, political economy theory, and critical pedagogies.Findings US schools have been tasked with providing health education that is primarily rooted in individualistic approaches. Often missing from this education is recognition of the social and structural determinants of health that greatly influence one’s ability to practice the health behaviors promoted in schools. This raises pedagogical and ethical concerns, which can be addressed by teaching health education that is grounded in ecological and political economy understandings of health and in critical pedagogies that allow students to more comprehensively and accurately understand health, how their worlds influence health, and their agency within those worlds.Practical implications This paper offers justification for a critical model of school health education and for the professional preparation of school health educators that is grounded in critical pedagogy and ecological approaches.Originality/value This work complements other research on critical health education by adding explicit integration of the ecological model and the political economy theory within critical pedagogies. VL - 118 IS - 2 SN - 0965-4283 DO - 10.1108/HE-10-2016-0047 UR - https://doi.org/10.1108/HE-10-2016-0047 AU - Martinson Marty AU - Elia John P. PY - 2018 Y1 - 2018/01/01 TI - Ecological and political economy lenses for school health education: a critical pedagogy shift T2 - Health Education PB - Emerald Publishing Limited SP - 131 EP - 143 Y2 - 2024/04/25 ER -