Podcast
Questions and Answers
What defines the behavioural approach to health?
What defines the behavioural approach to health?
- Emphasis on genetic predisposition and biological factors
- Primarily concerned with access to medical care
- Focus on lifestyle choices and individual behavior modification (correct)
- Concentration on social and environmental influences on health
Which of the following is a key characteristic of the socioenvironmental approach to health?
Which of the following is a key characteristic of the socioenvironmental approach to health?
- Reliance on medical interventions to treat diseases
- Examination of environmental factors affecting health (correct)
- Prioritization of economic status in health outcomes
- Focus on individual responsibility for health
Which publication contributes significantly to the conceptualization of health and health determinants?
Which publication contributes significantly to the conceptualization of health and health determinants?
- Health Canada Guidelines
- Lalonde Report (correct)
- World Health Organization's Annual Report
- Canadian Health Act
What is a key factor distinguishing health promotion from disease prevention?
What is a key factor distinguishing health promotion from disease prevention?
Which level of disease prevention focuses on preventing the progression of disease in individuals?
Which level of disease prevention focuses on preventing the progression of disease in individuals?
What is one of the five health promotion strategies discussed in the Ottawa Charter?
What is one of the five health promotion strategies discussed in the Ottawa Charter?
Which of the following factors is considered a social determinant of health?
Which of the following factors is considered a social determinant of health?
Which term refers to the phenomenon where certain groups experience different levels of health disparities?
Which term refers to the phenomenon where certain groups experience different levels of health disparities?
Which critique was levied against the Lalonde Report regarding its view on health?
Which critique was levied against the Lalonde Report regarding its view on health?
What does the socioenvironmental approach integrate into the understanding of health?
What does the socioenvironmental approach integrate into the understanding of health?
What is one of the prerequisites for health identified by the Ottawa Charter?
What is one of the prerequisites for health identified by the Ottawa Charter?
According to the Ottawa Charter, empowerment is defined as:
According to the Ottawa Charter, empowerment is defined as:
What major shift occurred in health promotion strategies post-Lalonde Report?
What major shift occurred in health promotion strategies post-Lalonde Report?
How does the Ottawa Charter suggest addressing social injustices related to health?
How does the Ottawa Charter suggest addressing social injustices related to health?
What is a criticism associated with the concept of 'victim blaming' in health?
What is a criticism associated with the concept of 'victim blaming' in health?
Which document emerged from the First International Conference on Health Promotion?
Which document emerged from the First International Conference on Health Promotion?
In the context of health promotion, what does an 'upstream' approach focus on?
In the context of health promotion, what does an 'upstream' approach focus on?
Which of the following concepts emphasizes the importance of social context in health?
Which of the following concepts emphasizes the importance of social context in health?
What are Joey and his family using to cover the broken window during winter?
What are Joey and his family using to cover the broken window during winter?
Which factor contributes to the isolation Joey and Elsie feel from friends?
Which factor contributes to the isolation Joey and Elsie feel from friends?
What health condition does Joey have that requires regular check-ups?
What health condition does Joey have that requires regular check-ups?
What is the main reason Sam and Joe stopped attending school?
What is the main reason Sam and Joe stopped attending school?
What does the WHO define health as?
What does the WHO define health as?
How often does public transit run in Joey's area?
How often does public transit run in Joey's area?
What is the age of Elsie, Joey's partner?
What is the age of Elsie, Joey's partner?
Which chronic condition is characterized as a pathological process that can be detected by medical science?
Which chronic condition is characterized as a pathological process that can be detected by medical science?
During what conditions do Joey and his family particularly struggle with feeling cold?
During what conditions do Joey and his family particularly struggle with feeling cold?
Why couldn't Sue and Tracy continue working at their restaurant jobs?
Why couldn't Sue and Tracy continue working at their restaurant jobs?
What defines the concept of wellness according to some scholars?
What defines the concept of wellness according to some scholars?
What challenges does Joey face regarding medical access?
What challenges does Joey face regarding medical access?
Which term describes the subjective experience of loss of health?
Which term describes the subjective experience of loss of health?
What is one of Joey's key concerns during the winter months?
What is one of Joey's key concerns during the winter months?
What does shaded area D represent in the Venn diagram?
What does shaded area D represent in the Venn diagram?
Which classification describes health as the realization of human potential?
Which classification describes health as the realization of human potential?
According to the most contemporary nursing theorists, which conceptualization of health is most adhered to?
According to the most contemporary nursing theorists, which conceptualization of health is most adhered to?
What is the focus of health as resource, as defined in the Ottawa Charter for Health Promotion?
What is the focus of health as resource, as defined in the Ottawa Charter for Health Promotion?
What does the concept of health as unity emphasize?
What does the concept of health as unity emphasize?
Which aspect is NOT included in Labonte’s multidimensional conceptualization of health?
Which aspect is NOT included in Labonte’s multidimensional conceptualization of health?
The WHO's 1984 definition of health emphasizes which of the following?
The WHO's 1984 definition of health emphasizes which of the following?
What does health as stability mainly encompass?
What does health as stability mainly encompass?
Which circle in the Venn diagram primarily represents mental health?
Which circle in the Venn diagram primarily represents mental health?
In what way does health as a resource differ from traditional health definitions?
In what way does health as a resource differ from traditional health definitions?
Which of the following reflects the holistic view of health?
Which of the following reflects the holistic view of health?
Which dimension does NOT directly relate to the concept of health as seen in the Venn diagram?
Which dimension does NOT directly relate to the concept of health as seen in the Venn diagram?
What perspective does Nightingale’s definition of health align with?
What perspective does Nightingale’s definition of health align with?
What key aspect does the definition of health emphasize according to Card (2017)?
What key aspect does the definition of health emphasize according to Card (2017)?
Which approach to health emphasizes medical intervention as the primary means of restoring health?
Which approach to health emphasizes medical intervention as the primary means of restoring health?
The Lalonde Report was significant because it highlighted the inadequacy of which health care approach?
The Lalonde Report was significant because it highlighted the inadequacy of which health care approach?
What did the behavioural approach argue was necessary to improve Canadians' health status?
What did the behavioural approach argue was necessary to improve Canadians' health status?
Which of the following was a major focus of the Health Promotion Directorate established in 1978?
Which of the following was a major focus of the Health Promotion Directorate established in 1978?
How does the socioenvironmental approach differ from the behavioural approach to health?
How does the socioenvironmental approach differ from the behavioural approach to health?
What is a common misconception about health status as articulated in the content?
What is a common misconception about health status as articulated in the content?
What societal factors contributed to the rise of the medical approach to health in the 20th century?
What societal factors contributed to the rise of the medical approach to health in the 20th century?
Which of the following statements accurately reflects the conceptualization of health mentioned in the content?
Which of the following statements accurately reflects the conceptualization of health mentioned in the content?
According to Labonte (1993), what is one major shift that occurred in health promotion during the 1970s?
According to Labonte (1993), what is one major shift that occurred in health promotion during the 1970s?
Which of the following best describes how health was viewed in the medical approach according to the content?
Which of the following best describes how health was viewed in the medical approach according to the content?
What role did the Lalonde Report play in shaping Canadian health policy?
What role did the Lalonde Report play in shaping Canadian health policy?
Why was the behavioural approach to health developed in the early 1970s?
Why was the behavioural approach to health developed in the early 1970s?
Flashcards
Health
Health
A state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity.
Determinants of Health
Determinants of Health
Factors that influence a person's health status, including social, economic, environmental, and individual factors.
Medical Approach to Health
Medical Approach to Health
Focuses on the diagnosis and treatment of disease, primarily through medical interventions.
Behavioural Approach to Health
Behavioural Approach to Health
Focuses on lifestyle choices and behaviors that affect health, such as diet, exercise, and substance use.
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Socioenvironmental Approach to Health
Socioenvironmental Approach to Health
Focuses on the social and environmental factors that influence health, such as poverty, pollution, and access to resources.
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Health Promotion
Health Promotion
Activities designed to improve health and well-being through addressing risk factors and promoting positive lifestyles.
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Disease Prevention
Disease Prevention
Activities aimed at reducing the risk of illness or injury through interventions that address disease causes.
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At-risk population
At-risk population
A group of people who are more likely to experience health problems due to specific social or economic circumstances.
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Health as Stability
Health as Stability
Health is maintained by keeping physiological, functional, and social norms in balance. This includes views of health as a steady state, a continuous process, the ability to adapt, and maintaining a stable internal environment.
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Health as Actualization
Health as Actualization
Health is defined as the full realization of human potential. It's about reaching your full potential physically, mentally, and emotionally.
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Health as Actualization & Stability
Health as Actualization & Stability
This definition combines both actualization and stability. It describes health as achieving your potential while managing daily life demands and maintaining harmony with your environment.
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Health as Resource
Health as Resource
Health is viewed as a valuable asset that enables you to fulfill your roles, meet life's challenges, and engage in daily activities.
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Health as Unity
Health as Unity
Health is defined as a holistic concept representing the interconnectedness of all aspects of your being. It's about seeing the whole person as a single entity.
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WHO Health Definition (1984)
WHO Health Definition (1984)
This definition emphasizes health as a resource for everyday life, not just the absence of disease. It highlights the ability to realize goals, meet needs, and adapt to changes in your environment.
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Labonte's Multidimensional View
Labonte's Multidimensional View
Labonte's concept views health as a combination of feeling vital, having fulfilling social relationships, feeling in control of your life, doing enjoyable activities, having a sense of purpose, and connecting with your community.
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Holistic Health
Holistic Health
Holism suggests that health is more than the sum of its parts. It emphasizes the interconnectedness of physical, mental, and social aspects in creating well-being.
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Rootman & Raeburn's View
Rootman & Raeburn's View
This view emphasizes a sensible lifestyle, equitable access to resources, and empowering individuals and communities to maintain or improve well-being.
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Health defined as absence of disease
Health defined as absence of disease
Health is viewed as the opposite of illness or disease; good health is the lack of illness or disease.
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Health defined positively
Health defined positively
Health and illness are separate but related; a person can be ill but still have healthy characteristics.
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Disease
Disease
An objective state of ill health that can be detected by medical science.
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Illness
Illness
A subjective experience of loss of health.
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Multidimensional components of health
Multidimensional components of health
Health includes physical, mental, social, and spiritual well-being.
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Wellness
Wellness
Often used synonymously with the broad definition of health, encompassing various aspects of well-being.
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WHO definition of health
WHO definition of health
A state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity.
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Health determinants
Health determinants
Factors that influence a person's health status.
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Rural health disparities
Rural health disparities
Unequal access to healthcare and resources experienced by rural communities.
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COVID-19 impact on health
COVID-19 impact on health
COVID-19 disproportionately affected vulnerable populations, like Indigenous peoples, LGBTQ2, and older adults, highlighting health inequities.
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Health status of Indigenous peoples
Health status of Indigenous peoples
Indigenous peoples often experience significant health disparities due to historical and ongoing systemic inequities.
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Health of LGBTQ2 individuals
Health of LGBTQ2 individuals
LGBTQ2 communities experience unique health disparities owing to discrimination and social stigma.
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Health of older adults
Health of older adults
Older adults often face health disparities, especially in rural areas affecting access to care and preventing chronic disease.
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Health model concepts
Health model concepts
Health models/frameworks such as the metaparadigm concepts (person, environment, nursing, and social justice) encompass a broad view of health and the determinants affecting individual health.
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Health promotion and empowerment
Health promotion and empowerment
Active steps to improve health and empower individuals to take control of their own well-being. This is often used with frameworks and nursing models.
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Health Empowerment
Health Empowerment
The ability to actively participate in defining, seeking, and finding the resources needed to achieve good health.
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Subjective Health
Subjective Health
Health is not simply the absence of disease but a personal experience of physical and psychological well-being, and it exists on a continuum.
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Dichotomous Health
Dichotomous Health
The idea that health is not a simple yes/no concept but rather a spectrum ranging from poor to good.
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Biopsychosocial Model
Biopsychosocial Model
Recognizes the interconnectedness of biological, psychological, and social factors in health and illness.
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Downstream Thinking
Downstream Thinking
Focuses on individual health concerns, treatment, and cure, treating illness after it develops.
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Lalonde Report
Lalonde Report
A landmark report that shifted the focus of health care from a medical to a behavioural approach, emphasizing lifestyle factors.
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Health Field Concept
Health Field Concept
Identifies four major determinants of health: lifestyle, environment, human biology, and health care organization.
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Stability Orientation
Stability Orientation
A focus on maintaining health by treating illnesses and restoring health to a previous state.
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Upstream Thinking
Upstream Thinking
Focuses on addressing the root causes of health problems and preventing them before they occur.
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Chronic Diseases
Chronic Diseases
Long-term diseases that develop gradually and persist over a long period of time.
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Lalonde Report Criticism
Lalonde Report Criticism
The Lalonde Report was criticized for shifting focus away from environmental factors and for how it defined 'environment' and 'lifestyle.' It positioned lifestyle as solely an individual's responsibility, promoting 'victim blaming' and overlooking social influences on health.
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Socioenvironmental Approach
Socioenvironmental Approach
This approach views health as strongly connected to social structures and factors. It acknowledges that poverty, pollution, unsafe workplaces, etc., directly impact health, shifting focus beyond individual choices.
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Ottawa Charter
Ottawa Charter
This groundbreaking document promotes a socioenvironmental approach to health. It establishes five primary health promotion strategies and identifies the social, environmental, and political conditions necessary for health.
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Prerequisites for Health
Prerequisites for Health
The Ottawa Charter outlines essential conditions for health beyond individual lifestyle factors, including peace, shelter, education, food, income, a stable ecosystem, social justice, and equity.
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Empowerment (Health)
Empowerment (Health)
The Ottawa Charter emphasizes empowerment—the ability to define, understand, and solve problems—as a crucial goal for health care providers.
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Powerlessness & Health
Powerlessness & Health
Powerlessness is considered a key health determinant that can influence other risk factors, impacting health outcomes.
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Ottawa Charter Strategies
Ottawa Charter Strategies
The Ottawa Charter highlights five major strategies to promote health: Building Healthy Public Policy, Creating Supportive Environments, Strengthening Community Action, Developing Personal Skills, and Reorienting Health Services.
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Health Promotion Strategies
Health Promotion Strategies
These strategies are designed to improve health and well-being through addressing health risks and promoting healthy lifestyles by influencing public policy, creating healthy environments, building community action, developing personal skills, and reorienting health services.
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WHO Health Definition
WHO Health Definition
This definition emphasizes health as a resource for everyday life, not just the absence of disease. It highlights the ability to realize goals, meet needs, and adapt to changes in your environment.
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Key Concepts of Health and Health Determinants
- Health is a multifaceted concept, not solely the absence of disease.
- Various definitions exist, including health as stability, actualization, actualization and stability, resource, and unity.
- Contemporary nursing theories often conceptualize health as stability or actualization.
- Health is a resource for everyday life, not the objective of living.
Historical Approaches to Health
- Medical Approach: Focuses on physiological risk factors and downstream thinking (treatment/cure).
- Behavioural Approach: Emphasizes individual lifestyle choices (responsible for health), and health promotion strategies (education/social marketing).
- Socioenvironmental Approach: Recognizes social structures (poverty, environment) as crucial determinants of health, and upstream thinking (policy interventions) are key.
Key Canadian Publications & Reports
- Lalonde Report (1974): Shifted focus from medical to behavioural approach, defining health determinants.
- Ottawa Charter for Health Promotion (1986): Introduced socioenvironmental approach, emphasizing prerequisites for health and health promotion strategies.
- Epp Report: Further developed on health field concept.
- Strategies for Population Health: Continued development of socioenvironmental approach.
- Jakarta Declaration: International document on health promotion.
- Bangkok Charter: International document on health promotion.
- Toronto Charter: International document on health promotion.
Health Determinants
- Health determinants encompass factors that influence health, impacting the interrelationships and influencing wellness. Examples include: lifestyle, environment, and healthcare system organization.
- Socioenvironmental influences impact health behaviours.
- Social determinants of health and structural vulnerability have significant relationships.
Health Promotion vs. Disease Prevention
- Health promotion aims to improve overall well-being and empower people.
- Disease prevention focuses on stopping the development of diseases.
Levels of Disease Prevention
- Primary Prevention: Actions to prevent disease before it occurs (eg. immunizations).
- Secondary Prevention: Early detection and intervention to limit the severity of a disease (eg. screenings).
- Tertiary Prevention: Actions to reduce disability or promote recovery from disease (eg. rehabilitation programs).
Ottawa Charter Health Promotion Strategies
- Building healthy public policy: Shaping policies that promote health across multiple sectors.
- Creating supportive environments: Enhancing environmental factors conducive to well-being (e.g., safe neighbourhoods).
- Strengthening community action: Empowering groups to work collaboratively on health issues.
- Developing personal skills: Empowering individuals to develop healthy habits.
- Reorienting health services: Aligning healthcare systems to support health promotion goals.
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