Health Determinants Overview

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Questions and Answers

What was a significant factor contributing to the decline of tuberculosis deaths from 1840 to 1970 in England and Wales?

  • Improved sanitation practices
  • Enhanced public health education programs
  • Increased usage of antibiotics in food
  • Introduction of the BCG vaccination (correct)

Which component of social community networks is most directly related to improving psychological wellbeing?

  • Support from families and communities (correct)
  • Role in governmental processes
  • Financial stability
  • Access to outdoor activities

Which determinant emphasizes the importance of income and social class in health outcomes?

  • Living and Working Conditions
  • Individual & Life Style Factors
  • Health Care Services
  • General Socio-economic, Cultural and Environmental (correct)

What is a crucial life style factor mentioned that affects individual health outcomes?

<p>Coping with stress (B)</p> Signup and view all the answers

Which option is NOT mentioned as a critical aspect of living and working conditions affecting health?

<p>Quality of education (D)</p> Signup and view all the answers

According to the determinants of health, which factor is associated with higher access to healthcare?

<p>Higher income (D)</p> Signup and view all the answers

What describes the health impact of greater participation in community activities?

<p>Better physical and psychological wellbeing (B)</p> Signup and view all the answers

What does the concept of health primarily encompass?

<p>A multi-dimensional concept including several environmental conditions (A)</p> Signup and view all the answers

Which category does access to healthcare services fall under in the determinants of health?

<p>Living and working conditions (B)</p> Signup and view all the answers

Which of the following is not considered a determinant of health?

<p>Genetic predisposition to diseases (B)</p> Signup and view all the answers

Which determinant of health includes factors like unemployment and education?

<p>Living and working conditions (B)</p> Signup and view all the answers

Which determinant reflects the influence of traditions and beliefs on health?

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

What might be a consequence of unemployment as a determinant of health?

<p>Financial instability and inaccessibility to health services (C)</p> Signup and view all the answers

In which determinant category would you find factors like age and sex?

<p>Individual &amp; lifestyle factors (D)</p> Signup and view all the answers

Which of the following countries is listed under socio-economic considerations related to life expectancy?

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

Flashcards

Determinants of Health

Factors beyond individual control that influence a person's health, like social, economic, and physical environments, and access to healthcare.

What are the conditions that shape our health?

Conditions in the social, physical, and economic environment where people are born, live, work, and age, including access to healthcare.

Dahlgren and Whitehead Rainbow Model

Focuses on the interconnectedness of individual lifestyle, social networks, living conditions, and broader socio-economic, political, and cultural factors influencing health.

How does culture affect health?

Cultural traditions and beliefs within a community can impact health practices and perceptions of illness.

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Why do wealthier nations have longer lifespans?

The relationship between a nation's wealth and its people's life expectancy is strong, indicating that economic factors significantly influence health outcomes.

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How does work affect health?

The type of work can lead to occupational diseases or stress, while unemployment can cause financial instability and limited access to healthcare.

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How do social networks affect health?

Family support systems, community participation, and social networks can greatly influence individual health and well-being.

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How do individual factors affect health?

Age, sex, and underlying health conditions can influence an individual's vulnerability to certain diseases and health risks.

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Tuberculosis Decline in England & Wales

The decline in tuberculosis deaths in England and Wales between 1840 and 1970 demonstrates the impact of scientific discoveries on public health. This decline coincided with crucial advancements like the identification of the tubercle bacillus, the development of chemotherapy, and the introduction of the BCG vaccination.

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Living and Working Conditions

Access to essential services like healthcare, clean water, safe food, and a healthy environment are crucial for individual and population health. It includes factors like food safety, promoting healthy food choices, and minimizing harmful substances in agriculture.

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Social Community Network

Social support is vital for health. Lack of social connections can lead to isolation and mental health issues. Factors in the social and community network include family support, participation in society, and active involvement in government processes.

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Individual Lifestyle Factors

These factors represent individual choices and behaviors that affect health. Examples include smoking, physical activity, stress management, alcohol consumption, and economic, educational levels.

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Socio-economic, Cultural, and Environmental Factors

A strong social safety net, equal access to healthcare, and national security can positively impact health and wellbeing. This includes promoting social equality, economic security, and social stability.

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Importance Of Determinants Of Health

The determinants of health are significant because they highlight the root causes of health problems. Understanding these factors allows us to develop effective public health strategies for prevention and promotion.

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Study Notes

Health Definition

  • Health is a multi-dimensional concept, transcending the mere absence of illness.

Determinants of Health Definition

  • Determinants are conditions in social, physical, and economic environments where people are born, live, work, and age. This includes access to healthcare.

Determinants of Health Components

  • General: Socio-economic, political, cultural, and environmental conditions
  • Living and Working Conditions: Housing, healthcare services, unemployment, education, water and sanitation, agricultural and food production.
  • Social Community Network: Family support, participation with governmental processes
  • Individual & Life Style Factors: Age, sex, constitutional factors

Cultural Determinants

  • Health is influenced by family community traditions and beliefs.

Socio-economic Determinants

  • A strong correlation exists between GDP per capita (PPP 2005) and life expectancy at birth. Higher income is associated with increased access to healthcare, nutrition, housing, healthier behaviors, and social networks.

Living and Working Conditions - Working/Unemployment

  • Job type can lead to work-related illness and stress.
  • Unemployment can cause financial instability and limited access to healthcare services.

Living and Working Conditions - Healthcare Services

  • Historical data shows a decline in tuberculosis cases in England and Wales (1840-1970), tied to discoveries in understanding the disease and treatments like chemotherapy and BCG vaccination.

Social Community Network - Family Support

  • Mrs. Sulawesi's story illustrates a lack of a supportive social network, marked by communication difficulties, isolation, and cultural differences. This exemplifies how a lack of social support impacts health.

Health Impact (General Socio-economic, Cultural, and Environmental conditions)

  • A good health condition is a result of:
    • Social equality with equal access to healthcare
    • National security including economic, political and military security.
    • Social stability
    • Income and social class, with higher incomes correlating with better access to healthcare, nutrition, housing, healthier behaviors, and more social networks.

Health Impact (Living and Working Conditions)

  • Physical environment: Safe water, healthy food, clean air
  • Food and agriculture: Tobacco use, chemical use and pesticide use, access and distribution of food, food-borne illness hazards (Salmonella, campylobacter, E. Coli O157, Hepatitis A, and heavy metals).

Health Impact (Social and Community Network)

  • Better physical and psychological wellbeing results from:
    • Increased support from families, friends, and communities.
    • Participation in economically and socially active activities
    • Participation in governmental processes

Health Impact (Individual & Life Style Factors)

  • Aging, inheritance and genetic susceptibility, brain growth, early life exposure to risk factors, economic and educational level, lifestyle factors (smoking, physical activity, stress management, alcohol consumption) all impact health.

Why Determinants of Health?

  • Understanding determinants allows for the development of health promotion strategies to improve health and prevent diseases.
  • Determinants of health provide the root of the problems which guide the strategies for health promotion and disease prevention.
  • Health promotion focuses on action and advocacy to improve aspects of health.

Factors Affecting Health (Student Research Questions)

  • Policy making: Policy examples and their public health impacts
  • Environmental Exposure: Disease and complications from environmental exposures
  • Gender: Clinical examples and impacts on health related to gender

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