PH Finals Review 6 PDF

Chapter 6: Study Notes Morbidity, mortality, leading causes of death --> these are diagnoses ○ Progression of disease/injury generalized model ○ "Actual causes of death" (2000) --> causes of the leading causes of death Tobacco Poor die...

Chapter 6: Study Notes Morbidity, mortality, leading causes of death --> these are diagnoses ○ Progression of disease/injury generalized model ○ "Actual causes of death" (2000) --> causes of the leading causes of death Tobacco Poor diet and physical inactivity Alcohol consumption Microbial agents Toxic agents Motor vehicles Firearms Sexual behavior Illicit drug use Epidemiologic triad ○ "Actual causes" = agents or environmental factors Vector Motor vehicles Firearms Host Behavior Genetics --> purposely left out of the "actual causes" Agent Microbial agents Toxic agents Environment Environmental hazards Social factors Medical care --> part of our infrastructure All of the policies around medical care are part of the social environment Determinants of health ○ Behavioral choices - 40% ○ Genetic factors - 30% ○ Social factors - 15% ○ Medical care - 10% ○ Environmental exposures - 5% ○ Behavior is a huge factor in health outcomes Most important behavior we should focus on to improve health ○ Diet, exercise, sleep, stop smoking, driving, alcohol consumption Things that influence how you diet, exercise, etc. (behavior) ○ Individual/intrapersonal (host factors) Stress level  Income Job Preferences Motivation/energy Dietary restrictions e.g., allergy Mental health Interpersonal ○ Friends ○ Family Institutional ○ Stressors - school ○ Workplace ○ Gym ○ Workplace policies supporting exercise ○ Vending machines Community Neighborhood ○ Supermarkets ○ Parks/gyms ○ Transportation Societal ○ Media - TV ○ Norms ○ Culture ○ Laws-taxes ○ Policies Host operating in the context of the environment, so both environment and host are important parts of what affects behavior Ecological model of health behavior!!! Public policy = societal level