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Health Health Determinants and Health Promotion. Diane B. Wilson EdD, RD Mary S. McLellan MS,RD Medical University of South Carolina.

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Health health determinants and health promotion l.jpg

HealthHealth Determinantsand Health Promotion

Diane B. Wilson EdD, RD

Mary S. McLellan MS,RD

Medical University of South Carolina


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Developed as part of an Enhanced AHEC Community Partnership for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)


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OBJECTIVES for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • Health promotion, disease prevention, wellness

  • Disease prevention as part of health care


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What is Health? for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)


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Health is a state of complete Physical, Mental, and Social well-being and not merely the absence of disease or infirmity. WHO, 1947

The Metaphysical Context of the Universe

Physical

Mental

Social

The Secular Dimensions of Health


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Two Major Aspects of well-being and not merely the absence of disease or infirmity. Health

  • Feeling Well

  • Ability to Function


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Determinants of Health well-being and not merely the absence of disease or infirmity.

  • the complex inter-relationships of

    • genetics

    • social environment

    • physical environment

    • behavior

    • health/illness services

  • that determine the level of health and sense of well-being in an individual


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Genetics well-being and not merely the absence of disease or infirmity.

  • Body Size

  • Special Abilities

  • Disease Resistance

  • Disease Susceptibility

  • Genetic Diseases

  • General Robustness


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Physical Environment well-being and not merely the absence of disease or infirmity.

  • Macro-environment

    • Food and Water

    • Air Pollution

  • Micro-environment

    • Home

    • Workplace


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Social Environment well-being and not merely the absence of disease or infirmity.

  • Religion

  • Race/Gender

  • Socioeconomic Status

  • Education

  • Occupation

  • Family Composition


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Socioeconomic Status, Income and Health well-being and not merely the absence of disease or infirmity.

  • Socioeconomic Status

    • As GDP increases, the health of a nation increases

    • In times of economic hardship, the incidence of disease increases


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Health Care well-being and not merely the absence of disease or infirmity.

  • Quality

  • Availability

  • “Health has improved NOT because of steps taken while we are ill, but because we are ill less often.”

Thomas McKeown, 1978


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Health Promotion well-being and not merely the absence of disease or infirmity.

  • An intervention that seeks to eliminate or reduce exposures to harmful factors by modifying human behaviors; or any combination of health education and related organizational, political and economic interventions designed to facilitate behavioral and environmental adaptations that will improve or protect health

  • Concerned specifically with sociobehavorialprocesses.


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Targets of Health Promotion well-being and not merely the absence of disease or infirmity.

  • Individuals at risk of a health problem

  • Those who influence individuals at risk

  • Those who set policy

    • Foster the adoption of healthful changes in the environment

    • Improve health services

    • Encourage healthful personal behavior change


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Individual well-being and not merely the absence of disease or infirmity.

Knowledge

Attitudes

Behaviors

Physiology

Organization

Policies

Practices

Programs

Facilities

Resources

Community

Policies

Practices

Programs

Facilities

Resources

Government

Policies/Programs

Facilities/Resources

Legislation/Ordinances

Regulation/Enforcement

Health Promotion Objectives


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Examples of HEALTHY PEOPLE 2000 well-being and not merely the absence of disease or infirmity. Priority Areas

  • Health Promotion

    • Physical Activity and Nutrition

    • Tobacco

    • Alcohol Consumption

  • Preventive Services

    • Heart Disease and Stroke

    • Cancer

    • Health Screenings


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Healthy People 2010 well-being and not merely the absence of disease or infirmity.

  • 2 Broad Goals

    • Increase quality and years of healthy life

    • Eliminate health disparities

  • 4 Primary Objectives

    • Promote healthy behaviors

    • Promote healthy and safe communities

    • Improve systems for personal and public health

    • Prevent and reduce diseases and disorders


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Disease Prevention well-being and not merely the absence of disease or infirmity.

  • any intervention that seeks to reduce or eliminate diagnosable conditions; it may be applied at the individual level, as in immunization, or the community level, as in chlorination of the water supply


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Primary Prevention well-being and not merely the absence of disease or infirmity.

  • Measures taken to prevent the disease from occurring such as:

    • healthy lifestyle habits

    • Immunizations


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Secondary Prevention well-being and not merely the absence of disease or infirmity.

  • Measures undertaken to facilitate early detection

    • Screenings

    • Diagnostic tests


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Tertiary Prevention well-being and not merely the absence of disease or infirmity.

  • Measures to minimize complications or exacerbation of injury or disease.

    • Rehabilitation Therapy

    • Patient counseling


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Discussion Time well-being and not merely the absence of disease or infirmity.

  • Identify all three levels of prevention as they apply to a health problem or threat to health such as injury or vaccine preventable disease

  • Be sure to include consideration of all of the determinants of health!


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Summary well-being and not merely the absence of disease or infirmity.

  • There are various definitions of “health”

  • A number of factors determine our health, including genetics, physical factors, social factors, healthcare and lifestyle factors.

  • Health promotion and disease prevention are related to identifying strategies to prevent disease and injury.