KIN2010 - Week 1 Lecture #2 PDF

KIN2010: INTRO TO HEALTH PROMOTION Richard Bucciarelli  LEARNING OBJECTIVES… 1. Understand the history of health promotion and the role Canada has played in its development as a field. 2. List priorities for health promotion in Canada and USA 3. Define health and health promotion...

KIN2010: INTRO TO HEALTH PROMOTION Richard Bucciarelli  LEARNING OBJECTIVES… 1. Understand the history of health promotion and the role Canada has played in its development as a field. 2. List priorities for health promotion in Canada and USA 3. Define health and health promotion 4. Compare and contrast disease prevention and health promotion 5. Explain and give examples of determinants of health HISTORY OF HP HISTORY OF HP HISTORY OF HP HISTORY OF HP HISTORY OF HP HISTORY OF HP  PARTICIPACTION WAS  https://www.youtube.com/ BORN IN 1972!! watch?v=PMD35tUh- Ek&ab_channel=RW- TV%3ARetroWinnipeg  https://www.youtube.com/ watch?v=S1iHNHz6yGM&ab _channel=ArtBodger https://www.participaction.com/en-ca HTTPS://WWW.YOUTUBE.COM/WATCH?V=2ZLX8 MLOJUQ 2018 When you think of Health Promotion – what are some of the interventions you were exposed to growing up? I remember the Participaction ads! HISTORY OF HP HISTORY OF HP  In the 1980s – the lifestyle  1984 – birth of Healthy approach fell into disrepute Cities movement – “victim blaming”  Comprehensive approach  Does not acknowledge the to healthy policy at local social and economic level barriers to making healthy choices OTTAWA CHARTER, 1986  First international conference on health promotion  Became predominant framework for HP practice worldwide! HISTORY OF HP HISTORY OF HP  SHIFT IN HEALTH IN CANADA & USA Coronary heart disease Childhood obesity High cholesterol Alcohol-related motor vehicle accidents Adolescent sexual activity Use of tobacco products Diabetes prevalence Childhood vaccinations (polio, measles etc) Cases of older adults without health insurance Breakout Discussion: What do you think the major health issues are going to be in the next 20 years or 200 years??? Health promotion is the process of empowering people to make healthy lifestyle choices and motivating them to be better self-managers. To achieve this, health promotion strategies focus on patient education, counseling and support tools. Health promotion is a core component of public health and combines health education directed at individuals and communities, service improvements and advocacy directed at influencing policies that affect health. Disease prevention focuses on prevention strategies that reduce the risk of disease, identify risk factors, or detect disease in its early, most treatable stages. Ontario Government. (2006) Guide to health promotion and disease prevention for Family Health Teams Hubley, J., Copeman, J., & Woodall, J. Practical Health Promotion. 2nd Ed. HOW IS HEALTH PROMOTION DIFFERENT FROM DISEASE PREVENTION?  Health promotion will focus on the determinants of health, i.e. the root of the problem  Using multiple complementary strategies to promote health at the individual and community level.  LEVELS OF DISEASE PREVENTION  Primary prevention: actions that keep people healthy and free from disease, eradicate health risk example: immunization, exercise, sensible diet  Secondary prevention: identify disease in early stage and encourage treatment example: screening, biopsies etc  Tertiary prevention: actions once a disease has become more serious, aims to restore function example: radiation therapy, angioplasty, insulin for T2D Mikkonen, J., & Raphael D. (2010) Social Determinants of Health: The Canadian Facts. Toronto: York University School of Health Policy and Management DETERMINANTS OF HEALTH 1. Income and Social Status 2. Social Support Networks 3. Education 4. Employment/working conditions 5. Social environments 6. Physical environments 7. Personal health practices & coping skills 8. Healthy child development 9. Biology and genetic endowment 10. Health services 11. Gender 12. Culture 1- INCOME AND SOCIAL STATUS http://www.forbes.com/sites/johnclarke/20 http://www.phac-aspc.gc.ca/cphorsphc-respcacsp/2012/chap- 12/08/29/that-sucking-sound-is-just-your- 1-eng.php kid-playing-soccer/ Canadians who rate their health as very good or excellent 47% in the lowest income bracket 73% in the highest income group Low-income Canadians are more likely to die earlier & to suffer more illnesses than Canadians with higher incomes regardless of age, sex, race and place of residence Toward a healthy future, the second report on the Health of Canadians, 1999  INCOME AND SOCIAL STATUS Study of a London-based civil service office staff (12-year study of social status and health) Controlled for activity, smoking, job security, standard of living, and material deprivation Singh-Manoux et al. Soc Sci Med 56(6): 1321-1333, 2003  2- SOCIAL NETWORKS  Family, Friends, Community 3- EDUCATION AND LITERACY 4- EMPLOYMENT/WORKING CONDITIONS  5- SOCIAL ENVIRONMENTS 6- PHYSICAL ENVIRONMENTS Flickr: Ashley Morrison Flickr: Kim Seng  7-Personal health practices and coping skills Flickr: Project Brotherhood 8- Healthy Child Development 6 9- Biology & Genetic Endowment 10- Health Services Flickr: Ilovepiano Flickr: the global fund to fight aids, tb, malaria Slide 32 6 provide examples of genetic predispoistion to issues ex: jewish diseases ex: sickle cell anemia Erin Mandel, 2016-12-21 7 11-Gender Physical activity level of First Nations people living on reserves Flickr: Polly Thomas 12- Culture Slide 33 7 How does gender play a role? Erin Mandel, 2016-12-21  In-Class Assignment: January 30th (IN 2 WEEKS)!!!  Readings for next week:  Chapter 2, 4  Ottawa Charter for Health Promotion: https://www.canada.ca/content/dam/phac- aspc/documents/services/health-promotion/population- health/ottawa-charter-health-promotion-international-conference-on- health-promotion/charter.pdf