Concepts of Disease and Health

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Questions and Answers

What is a key priority for action identified in the content?

  • Reducing health care costs
  • Minimizing government intervention in health
  • Enhancing medical technology
  • Promoting social responsibility for health (correct)

Which charter emphasizes strong political action and sustained advocacy as essential elements for health?

  • New York Charter
  • Bangkok Charter (correct)
  • Paris Declaration
  • Toronto Charter

Which of the following is listed as a social determinant of health?

  • Transportation options
  • Housing (correct)
  • Dietary choices
  • Health literacy

What term describes the absence of unfair systems and policies that cause health inequalities?

<p>Health equity (B)</p> Signup and view all the answers

Which social determinant of health is most influential in determining other determinants?

<p>Income and Income Distribution (B)</p> Signup and view all the answers

What does food insecurity refer to?

<p>Being without reliable access to affordable food (B)</p> Signup and view all the answers

What are considered behavioral risk factors according to the content?

<p>Smoking, substance use, lack of exercise, and an unhealthy diet (A)</p> Signup and view all the answers

Which factor is closely linked with socioeconomic status?

<p>Education (C)</p> Signup and view all the answers

Which approach emphasizes the importance of social structures in health?

<p>Socioenvironmental Approach (B)</p> Signup and view all the answers

Which document first acknowledged the inadequacy of the biomedical health care system?

<p>Lalonde Report (D)</p> Signup and view all the answers

Which term describes health differences closely linked to social, economic, and/or environmental disadvantages?

<p>Health disparities (C)</p> Signup and view all the answers

According to the Ottawa Charter, which of the following is NOT listed as a prerequisite for health?

<p>Access to Technology (D)</p> Signup and view all the answers

What is one of Epp's three major health challenges?

<p>Reducing inequities (A)</p> Signup and view all the answers

Which of the following is NOT one of the five major strategies outlined in the Ottawa Charter?

<p>Improving health technology (B)</p> Signup and view all the answers

According to the Population Health Approach, what factors are taken into account for planning health improvements?

<p>Collective factors and conditions affecting health (A)</p> Signup and view all the answers

What threat to health was declared as the greatest in the Jakarta Declaration?

<p>Poverty (B)</p> Signup and view all the answers

What is the distinction between disease and illness?

<p>Disease is an objective state of ill health. (D)</p> Signup and view all the answers

According to the WHO definition, health is described as:

<p>A state of complete physical, mental, and social well-being. (A)</p> Signup and view all the answers

Which statement aligns with the socioenvironmental approach to health?

<p>Health is enhanced by a sensible lifestyle and equitable access to resources. (D)</p> Signup and view all the answers

What does the term 'downstream thinking' refer to in the context of health?

<p>An approach that focuses on individual health concerns and treatment. (C)</p> Signup and view all the answers

How does Labonte categorize the determinants of health?

<p>Through psychosocial and socioenvironmental risk conditions. (B)</p> Signup and view all the answers

What is a significant effect of unemployment on health according to the content?

<p>Psychological stress and health challenges (C)</p> Signup and view all the answers

Which factor is NOT considered a characteristic of healthy workplaces?

<p>Job insecurity (A)</p> Signup and view all the answers

How does food insecurity affect health?

<p>It is linked to child health and well-being (C)</p> Signup and view all the answers

Which of the following is considered a negative aspect of inadequate housing?

<p>Presence of hazardous materials (D)</p> Signup and view all the answers

What role does social support play in health outcomes?

<p>It is linked to better health outcomes (D)</p> Signup and view all the answers

Which factor contributes the least to a population's health status?

<p>Health care services (B)</p> Signup and view all the answers

What are the potential health effects of contaminants in the physical environment?

<p>Physical illnesses such as cancer and respiratory issues (C)</p> Signup and view all the answers

Which of the following issues can arise from social exclusion?

<p>Increased stress and vulnerability to disease (C)</p> Signup and view all the answers

What is the main factor contributing to health inequities among Indigenous peoples in Canada?

<p>Racism and historical discrimination (B)</p> Signup and view all the answers

Which of the following best describes systemic racism?

<p>Racism embedded in laws and policies (A)</p> Signup and view all the answers

What does primary prevention aim to achieve?

<p>Protect against disease before it occurs (A)</p> Signup and view all the answers

How does racialization affect health outcomes?

<p>It limits access to health resources and fosters unhealthy behaviors (A)</p> Signup and view all the answers

In what way can gender influence health?

<p>Through social roles that affect behaviours and health status (C)</p> Signup and view all the answers

What is the essence of health promotion initiatives?

<p>Enhancing well-being and self-actualization (B)</p> Signup and view all the answers

Which example corresponds to secondary prevention?

<p>Colonoscopy for early detection of colorectal cancer (B)</p> Signup and view all the answers

What does the term 'cultural factors' refer to in the context of health care interactions?

<p>Cultural influences on health-related lifestyle choices (B)</p> Signup and view all the answers

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Study Notes

Disease and Illness

  • Disease: objective state of ill health detectable by medical science
  • Illness: subjective experience of loss of health

Health

  • Objective process characterized by functional stability, balance, and integrity
  • World Health Organization definition: a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity.

Wellness

  • Subjective experience

Health Conceptualization

  • Card (2017): health as the experience of physical and psychological well-being
  • Jones and Meleis (1993): health as empowerment
  • Labonte (1993): health promotion
    • Psychosocial risk factors: complex psychological experiences
    • Socioenvironmental risk conditions: social and environmental living conditions

Historical Approaches to Health

Medical Approach

  • Emphasizes medical intervention to restore health
  • Downstream thinking: focuses on individual health concerns, treatment, and cure

Behavioral Approach

  • Lalonde Report
    • Acknowledgement that the traditional medical approach to health care was inadequate.
    • Defined health determinants as lifestyle, environment, human biology, and the organization of health care.

Socioenvironmental Approach

  • Health is closely tied to social structures
  • Upstream thinking approach: focused on policy interventions that benefit the whole population
  • Ottawa Charter:
    • Prerequisites for health: peace, shelter, education, food, income, a stable ecosystem, sustainable resources, social justice, and equity.
    • Strategies to promote health: building healthy public policy, creating supportive environments, strengthening community action, developing personal skills, and reorienting health services.

Population Health Approach

  • Takes into account the entire range of factors and conditions that determine population health status.
  • Social determinants of health:
    • Income and income distribution
    • Education
    • Unemployment and job security
    • Employment and working conditions
    • Early childhood development
    • Food insecurity
    • Housing
    • Social exclusion
    • Social safety network
    • Health services
    • Indigenous status
    • Gender
    • Race
    • Disability

Health Promotion

  • Directed towards increasing the level of well-being and self-actualization

Disease Prevention

  • Action to avoid or forestall illness/disease

Levels of Disease Prevention

  • Primary Prevention Activities: protect against a disease before signs and symptoms occur
  • Secondary Prevention: promote early detection of disease after pathogenesis has occurred
  • Tertiary prevention: limit the impact of disease on quality of life.

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