AOS2: health status overtime Flashcards

(159 cards)

1
Q

what are the general changes in Australia’s health status overtime

A

lifestyle diseases have replaced infectious diseases as the leading cause of death

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2
Q

what are infectious diseases

A

spread person to person - communicable

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3
Q

what are lifestyle diseases

A

caused by our choices - non-communicable

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4
Q

what are the changes in life expectancy overtime

A
  • has increased overtime
  • females have a higher life expectancy than males
  • decline in U5M and infant mortality
  • life expectancy increases with age
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5
Q

what are the now leading causes of death

A
  • injury and poisoning
  • cancers
  • cardiovascular disease
  • infectious disease (covid)
  • respiratory diseases
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6
Q

how have parasitic diseases increased

A

occur from parasites such as worms, skin mites, body lice enter the body through contaminated food or water, or from contact with others who have parasites on them

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7
Q

how have cancer (neoplasms) rates changed

A
  • increased through the twentieth century, reaching a peak in the 1980’s before gradually decreasing
  • the increase was due to an increase in lung cancer due to the uptake in cigarette smoking in the 1920’s
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8
Q

how have CVD rates changed

A
  • since 1900, CVD has been one of the major causes of death
  • decreased overtime, but is still a leading cause of death
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9
Q

how have respiratory disease rates changed

A
  • respiratory diseases effect the lungs and other parts of the body involved in breathing
  • major cause of death in 1907
  • were common in the twentieth century among those who worked in mining industry as there were few occupational health and safety regulations
  • covid became one of the leading causes of death
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10
Q

how have injury and poisoning rates changed

A
  • since 1900, death rates in males and females due to injury and poisoning have halved with he biggest decline in the 1970’s
  • rates were effected by war and work related incidents
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11
Q

what is public health

A

refers to particularly the ways in which governments monitor, regulate and promote health status and prevent disease

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12
Q

what is old public health

A

government actions that focused on the changing physical environment to prevent the spread of disease

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13
Q

before old public health

A
  • living conditions for many Australians were poor (little hygiene practices, waste in streets, access to sanitation and clean water was minimal)
  • pressure was placed on government to take action to improve peoples health
  • a range of initiatives were introduced by the government that became known as ‘old’ public health
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14
Q

old public health policies and practices

A
  1. improved water and sanitation
  2. mass immunisation programs
  3. better housing and fewer slums
  4. better quality food and nutrition
  5. introduction of quarantine laws
  6. safer working conditions
  7. more hygienic birthing practices
  8. provision of antenatal and infant welfare services
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15
Q

what is the initiative clean drinking water was provided

A

people were provided with safe water to drink

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16
Q

how did clean drinking water being provided affect health status

A
  • infectious diseases such as diarrhoea, typoid and cholera were reduced
  • improved infant and child mortality rates
  • improved life expectancy
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17
Q

what is the initiative sewage systems were established and sanitation was improved

A

sewage systems help to keep human wastes separated from water supplies and garbage and waste were removed from the streets

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18
Q

how did improved sanitation and sewage systems being established affect health status

A
  • infectious diseases such as gastro, diarrhoea and hepatitis were reduced
  • improved infant and child mortality rates
  • improve life expectancy
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19
Q

what is the initiative mass immunisation programs

A

with a specific discovery of vaccines, the government funded mass vaccinations in the 1900s

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20
Q

how did mass immunisation programs affect health status

A
  • reductions from infectious diseases such as smallpox, polio, measles
  • improved infant and child mortality rates
  • improved life expectancy
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21
Q

what is the initiative better quality housing and elimination of housing slums

A
  • laws required all houses be built with drains and a sewerage system or cesspit
  • houses had to have ventilation and be better designed with less overcrowding
  • slums were cleaned
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22
Q

how did better quality housing and elimination of housing slums affect health status

A
  • reduced deters from respiratory diseases such as pneumonia, influenza and infectious diseases
  • improved infant and child mortality rates
  • improved life expectancy
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23
Q

what is health promotion

A

refers to the process of enabling people to increase control over and improve their health

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24
Q

how did the shift to health promotion occir

A
  • lifestyle diseases during the 1950s and 1960s
  • health promotion campaigns occurred
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25
biomedical approach definition
focuses on the physical or biological aspects of disease and illness: a medical model practiced by doctors and health professionals and is associated with the diagnosis, treatment and cure of disease
26
features of the biomedical approach
- relies on technology to diagnose, treat and cure - focuses on individuals who are ill - quick fix approach - concerned with disease, illness and disability relies on services provided by doctors, specialists and hospitals - physical and biological aspects of disease/illness - works to return an individual to their pre-illness state of h+w
27
advances in medical technology
- robotic surgery: improved accuracy - transplants - x-rays, CT, MRI
28
advantages of the biomedical approach to health
- funding brings out improvements in technology and research - it enables many conditions and illnesses to be effectively treated (developments in medicines) - it extends life expectancy (causes of death from the past can be treated) - improves quality of life and HALE (chronic conditions can be managed with medication, therapy, surgery, reducing pain and suffering)
29
disadvantages of the biomedical approach
- it relies on professional health workers and technology which is expensive - it doesn't always promote good h+w - not every condition can be treated - it is not always affordable
30
social model definition
an approach that recognises improvements in h+w can only be achieved by directing effort towards addressing the physical, sociocultural and political environments of health
31
advantages of the social model of health
- promotes good h+w and assists in preventing disease - takes a more holistic approach to h+w - less expensive than the biomedical approach - It focuses on vulnerable population groups - education can be passed on from generation to generation - the responsibility for h+w is shared
32
disadvantages of the social model of health
- not every illness or condition can be prevented (genetic conditions) - it does not promote the development of technology and medical knowledge (focuses on broader determinants of h+w) - it does not address the h+w concerns of individuals - health promotion messages may be ignored
33
ottawa charter definition
reflects the social model of health and provides five action areas that can be used as a basis for improving health outcomes
34
what are the five action areas of the Ottawa charter
- build healthy public policy - create supportive environments - strengthen community action - develop personal skills - reorient health services
35
what is the acronym for the five action areas
Bad Cats Smell Dead Rats
36
what is build healthy public policy
relates directly to the decisions made by government/organisations regarding laws and policies that prevent people from undertaking unhealthy behaviours
37
what is an example of build healthy public policy
laws stating you can't drink alcohol until you're 18
38
what is create supportive environments
recognises the impact that broader determinants have on h+w and health status - aims to promote healthy physical and sociocultural environment
39
what is and example of create supportive environments
safe working environments
40
what is strengthen community action
focuses on nulling links between individuals and the community and centres around the community working together to achieve a common goal - gives the community a sense of ownership
41
what is an example of strengthen community action
immunisation strategies
42
what is develop personal skills
involves education like gaining health knowledge (health literacy) to make decisions to promote h+w
43
what is an example of develop personal skills
cooking classes
44
what is reorient health services
refers to changing the health system to promote h+w rather than just diagnosing and treating illness - shift towards health promotion where the doctor is the educator
45
what is an example of reorient health services
doctor discusses how to eat healthy rather than just giving medication to fix CVD
46
what is the role of health promotion
to create conditions that encourage healthier lives and prevent ill health
47
why are certain issues targeted (smoking/vaping, alcohol, road safety, sun protection)
- they contribute to Australia's BOD - they are costly (healthcare) - associated with social impacts - have modifiable components
48
what are quit campaigns
- funded by the victorian government - aims to decrease the use of vapes and cigarettes by assisting individuals to quit and preventing the uptake of these behaviours - advisers can link callers up with local support groups - Quitline specialists provide callers with a plan for quitting tailored to the individual as well as information - Quitline is available at the cost of a phone call - quit has worked with state and federal government to implement things such as health warnings on packages and tobacco warnings advertised
49
how do quit campaigns build healthy public policy
- quit undertakes research and provides advice to the state to build healthy public policy by creating laws - quit provides advice to the federal government to inform the development policies
50
how do quit campaigns create supportive environments
- provides support throughout the quitting process
51
how do quit campaigns strengthen community action
quit is funded by the Victorian Government and Vichealth
52
how do quit campaigns develop personal skills
- provides info regarding tobacco use and the benefits of not using it - achieved through public education (media) - provides advice, support, resources, info, strategies and reasons to quit
53
how do quit campaigns reorient health services
provides a free online learning training program for health professionals
54
what is the impact of Quit on health status
- decrease in the prevalence of smoking-related conditions such as cancer, CVD and respiratory issues - reduction in premature death from smoking-related diseases, increasing life expectancy - lower morbidity rates from back pain - reduced YLD from asthma in young people - reduced incidence of low-birth weight babes, contributing to lower infant and U5MR
55
what is the impact of Quit on physical h+w
reduced rates of smoking, increases fitness, promoting physical h+w
56
what is the impact of Quit on spiritual h+w
greater immune system functioning, resulting in lower levels of infectious disease, meaning people can continue to work towards their life purpose, promoting spiritual h+w
57
what is the impact of Quit on mental h+w
lower levels of disease reduce levels of stress/anxiety as less people will develop life-threatening diseases, promoting mental h+w
58
what is the impact of Quit on social h+w
lower levels of disease allow people to stay socially connected, increasing social h+w
59
what is the impact of Quit on emotional h+w
if people don't have conditions such as cancer, they are able to think clearly, allowing people to respond accurately to emotions, promoting emotional h+w
60
what is SunSmart?
- an initiative of cancer council Victoria - a world leader in skin cancer prevention - uses paid and unpaid strategies - launched in 1988 - "slip, slop, slap, seek, slide'
61
how does SunSmart build healthy public policy
sunsmart has developed a range of healthy public policies that can be adapted to individuals, childcare centres, kindergartens, schools and workplaces
62
how does SunSmart create supportive environments
improving environmental protection strategies, such as providing info on options for shade and promoting the SunSmart UV app
63
how does SunSmart strengthen community action
assists organisations in implementing sun safety measures to protect their members
64
how does SunSmart develop personal skills
- mass advertising campaigns - encourages sunsmart education within schools curriculums
65
how does SunSmart reorient health services
- providing support for community health workers, general practitioners and local governments in promoting awareness of UV exposure and early detection of skin cancer - sunsmart provides advice on strategy development, research available to health professionals, advertising and education materials available to health professionals
66
what is the impact of SunSmart on health status
- reducing UV exposure acts to reduce the incidence of skin cancer - reducing rates of melanoma can reduce the number of premature deaths that this condition causes, increasing HALE and life expectancy - reducing skin cancer rates means that fewer people will have to undergo surgery, reducing YLD
67
what is the impact of SunSmart on physical h+w
lower levels of UV exposure means fewer people will develop skin cancer, meaning less people living with disease, promoting physical h+w
68
what is the impact of SunSmart on social h+w
skin cancer surgery can be disfiguring because large amounts of tissue may be removed, so reducing UV exposure means less cases of this, improving self-esteem as a result of no changes in appearance, promoting social h+W
69
what is the impact of SunSmart on emotional h+w
reducing rates of skin cancer means fewer people will die from this disease, reducing levels of grief within the community and promoting emotional h+w
70
what is the road safety campaign
the Victorian government's initiatives and efforts to reduce road deaths and injuries
71
how does road safety build healthy public policy
new laws and penalties will be developed to remove risk-takers from the roads swiftly
72
how does road safety create supportive environments
- the Victorian government is investing money into Ai-enabled cameras that can detect illegal mobile phone use, no seatbelts - new laws and penalties to remove risk-takers from the roads which creates supportive environments for other road users
73
how does road safety strengthen community action
acknowledges that road safety is complex and that it takes a collective response by government agencies, industry partners and the community to deliver safer roads
74
how does road safety develop personal skills
- supporting drivers to better understand the safest vehicle options, maximising the benefits of the most advanced life saving strategies - education initiatives that provide education to school students
75
what is the impact of road safety on health status
- safer roads means fewer car crashes, reducing the incidence of injuries - less road trauma means fewer deaths, contributing to higher life expectancy - reducing the number of permanent disabilities caused by road trauma acts to reduce YLD
76
what is the impact of road safety on physical h+w
less road trauma means people are less likely to be injured, allowing their body systems to function more effectively, promoting physical h+w
77
what is the impact of road safety on emotional h+w
fewer deaths on the road contributes to lower levels of grief in the community, promoting emotional h+w
78
what is the impact of road safety on social h+w
if people are not injured due to road incidents, they are able to continue spending time with friends, increasing social h+w
79
what is the good sports program
- run by the alcohol and drug foundation - provides sports clubs with free tools, resources and support to reduce the negative impacts of alcohol misuse - helps clubs prepare for potential drug related issues by assisting in the development and implementation of illegal drug policies in the form of information and expert advice involved both parents and clubs to reduce players exposure to alcohol and drugs to create a positive playing environment - promotes healthy and inclusive conversations around mental health
80
how does the good sports program build healthy public policy
provides sports clubs with free tools, resources and practical support
81
how does the good sports program create supportive environments
the program moves away from an alcohol centred culture by promoting healthier, safer and a more family-friendly environment for sporting clubs
82
how does the good sports program strengthen community action
program involved both parents and clubs to reduce junior players exposure to alcohol, creating positive plying environments and equipping older players to act as role models
83
how does the good sports program develop personal skills
program promotes positive behaviours around alcohol and fosters a safe, supportive atmosphere, providing young club members with decision-making skills, reducing potential harms from alcohol
84
how does the good sports program reorient health services
increased access to health professionals before mental health issues escalate
85
what is the impact of good sports program on health status
- by reducing the risk of members driving under the influence of alcohol, mortality rates due to road trauma decrease - reducing the consumption of alcohol may decrease the incidence of alcohol-related conditions (cirrhosis) - less alcohol consumption, allows decrease of YLD of depression and anxiety - reducing alcohol consumption may mean fewer women drink while pregnant, decreasing the incidence of FASD - reducing exposure to tobacco smoke can reduce morbidity due to asthma by decreasing the risk of asthma attacks
86
what is the impact of good sports program on social h+w
members and volunteers are able to participate knowing its a safe environment to socialise, promoting social h+w
87
what is the impact of good sports program on mental h+w
parents are likely to experience better mental h+w knowing their children can enjoy sport in a safe environment, reducing levels of stress and anxiety
88
what is the impact of good sports program on spiritual h+w
increasing connections to sporting clubs can provide members with a sense of connection to their world, promoting spiritual h+w
89
what is the impact of good sports program on physical h+w
increasing participation in regular physical activity can assist in maintaining. a healthy body weight, promoting physical h+w
90
what is the impact of good sports program on emotional h+w
strong support networks can assist individuals in working through their challenges in life, promoting resilience, and therefore, emotional h+w
91
what is LiveLighter
- works to help people eat well, be physically active and avoid excess weight gain - provides fact sheets and a hang of health recipes for free - advocates for less promotion of junk food, better access to healthy food, improved food labelling and infrastructure, and policies to ensure people are more active - provide professional development for health professionals - develops policies that workplaces can use - eating and physical activity (traffic light system)
92
how does LiveLighter build healthy public policy
- develops healthy public policies that workplaces can use to promote healthy eating and physical activity - traffic light system, provides a touch guide aiming to encourage people to eat healthy
93
how does LiveLighter create supportive environments
advocating fort less promotion of junk food, better access to healthy food for all, improved food labelling and infrastructure and policies to empower people to be more active
94
how does LiveLighter strengthen community action
works with retailers, uni's, community organisations and governments to make sure eating healthy is easy
95
how does LiveLighter develop personal skills
provides fact sheets and a range of healthy recipes for free
96
how does LiveLighter reorient health services
providing professional. development opportunities for health professionals
97
what is the impact of LiveLighter on health status
- reducing rates of obesity can contribute to lower incidence of related conditions (arthritis, depression, type 2 diabetes) - reducing levels of obesity in the community means that less people will die prematurely from heart attacks, stroke, decreasing mortality rates
98
what is the impact of LiveLighter on physical h+w
reducing rates of obesity means that people have more energy, promoting physical h+w
99
what is the impact of LiveLighter on mental h+w
overweight/obesity can cause people to feel self-conscious, so reducing these conditions can allow for higher levels of self-esteem, promoting mental h+w
100
what is the impact of LiveLighter on social h+w
when people have a healthy bodyweight they are more likely to participate in social activities, promoting social h+w
101
what is social justice
relates to fairness within society
102
what is social justice based on
- human rights: freedoms and conditions that every person is entitled to regardless of personal characteristics - access: all people must have adequate access to the resources they need (food, water, shelter, education) - participation: everyone can participate in the community - equity: disadvantaged individuals and groups need to have challenges addressed so they can achieve the same level of h+w as others in the population
103
ATSIP programs for health
- closing the gap - deadly choices
104
what is closing the gap
- the goal is to improve the health and life expectancy of ATSIP so they are as healthy as the rest of the population - represents a healthy public policy - targets are related to improving health outcomes, educational attainment, employment/housing, out-of-home care, violence, suicide, legal rights regarding land and water
105
how does close the gap build public policy
advocates for change and implementation policies that support ATSIP, such as increasing funding to ensure they have access to things
106
how does close the gap create supportive environments
allowing ATSIP people to access healthcare - improves h+w
107
how does close the gap strengthen community action
government works with alcohol and drug treatment in ATSIP communities
108
how does close the gap develop personal skills
provides cultural awareness training for medical workforce (how different foods affect h+w)
109
how does close the gap reorient health services
program ran by ATSIP to prevent rather than treat conditions
110
what is deadly choices
- works to encourage and empower ATSIP to make healthy choices - the initiative provides a range of education programs (tobacco, cessation programs, cooking programs) - culturally appropriate healthcare increases the rate that ATSIP can access healthcare - provides access to education and healthcare and promote equality (social justice)
111
how does deadly choices strengthen community action
empowers ATSIP to provide health services managed by community
112
how does deadly choices develop personal skills
provides a range of education programs (tobacco cessation and cooking)
113
how does deadly choices reorient health services
encourages people to access their local community controlled health service and complete an annual health check
114
what are considerations should be included when evaluating healthy eating initiatives
1. ease of understanding 2. access 3. inclusiveness 4. relevance 5. effectiveness 6. sustainability
115
what are the Australian dietary guidelines
- are intended to be used by health professionals, educators, industry bodies and others interested in promoting healthy eating - aimed at all people in the general healthy population, including those with common diet-related risk factors, but not for those with serious medical conditions
116
why do we have the Australian dietary guidelines
- develop healthy dietary patterns which promote h+w in the community - reduce the risk of developing a range of diet-related conditions - reduce the risk of developing chronic conditions like type 2 diabetes
117
what is guideline 1?
to achieve and maintain a healthy body weight, be physically active and choose amount of nutrias food and drinks to meet you energy needs - children should do this so they develop properly - elders should do this to maintain strength and healthy weight
118
why is guideline 1 important?
- being overweight or underweight carries health risks which can reduce life expectancy (blood pressure, hear disease, stroke) - overweight people, can face social discrimination, low self-esteem, poor body image and depression, impacting mental and social h+w - overweight children tend to become overweight adults
119
what is guideline 2?
enjoy a wide variety of nutritious foods from five food groups every day - (fruit/veggies, grain, lean meats and fish, milk/yoghurt/cheese, water)
120
why is guideline 2 important?
- current consumption patterns still contribute to obesity and an increased risk of chronic disease - eating a variety of nutritious foods can protect our bodies from chronic disease and increase quality of life - Australian tap water helps develop strong bones and teeth
121
what is guideline 3?
limit intake of foods including saturated fat, added salt, sugars and alcohol - low fat diets are not suitable for children under 2 - replace high fat foods which contain foods with saturated fats with foods containing poly and mono fats
122
what is guideline 4?
encourage, support and promote breastfeeding - important for the growth and development of the baby in the first 6 months of life - breastfeeding should be exclusive during this time
123
why is guideline 4 important?
- breast milk is ideal for infant growth and development - provides nutrients - breast feeding can help in recovery for the mother and help them return to their pre pregnancy weight and reduce the risk of some cancers
124
what is guideline 5?
care for you food; prepare and store it safely - food should be stored, prepared and cooked safely otherwise it can be poison
125
why is guideline 5 important?
more than 5 million food poisoning cases occur in Australia every year
126
advantages of the guidelines
- guidelines are free to access - provide advice for people with different needs (language) - available in accessible format - the number of serves recommended for specific people - if people follow the guidelines and eat nutritious food, energy dense food intake will decrease, addressing obesity
127
disadvantages of the guidelines
- are written and may be difficult for people with low literacy levels to understand - only available in English, difficult for non-english speakers - based on the requirements of the average person meaning they might not be appropriate for all people
128
what is the Australian guide to healthy eating
- visual tool that reflects the ADGs - developed by the Australian Government Eat for health program - encompasses both guideline 2 and 3 - 5 wedges represent the 5 food groups
129
what is included in the AGHE
1. grain foods 2. vegetables and legumes/beans 3. meats and meat alternatives 4. fruit 5. milk and other dairy products or alternatives
130
what are grain foods
- bread, cereal, rice, pasta - should account for around 30-35% of daily food intake - high in carbs which provide energy - high in fibre which assists with weight management
131
what are vegetables and legumes/beans
- make up the second biggest section and should account for around 30% of daily food intake - fresh, frozen and tinned vegetables, legumes such as lentils and chickpeas, and beans such as kidney beans - rich in carbs, fibre, protein and antioxidants which promote optimal h+w
132
what are meats and meat alternatives
- should account for around 15% of daily food intake - provide protein for maintenance of cells and tissues and the provision of energy
133
what are fruits
- contains vitamins and minerals for optimal h+w - contains carbs which can cause weight gain if not used for energy - should make up to 10-12% of daily food intake
134
what are milk and other dairy products or alternatives
- should account for 10-12% of daily food intake - rich in calcium which help optimal bone health
135
Aboriginal and Torres strait islander guide to healthy eating
- shows 5 food groups and proportions - promotes water consumption - suggests to limit discretionary foods - recommends to include small amount of healthier fats
136
how is the Aboriginal and Torres strait islander guide to healthy eating different
includes traditional foods like kangaroo, damper, goanna, crab, bush fruits/veggies
137
advantages of the AGHE
- translated into more than 10 languages - applies to people of all ages - provide a visual of guidelines 2 and 3, making it easier to follow and understand - based on scientific research - a range of foods from different cultures, assisting in different groups improving food intake
138
disadvantages of the AGHE
- show proportions but not serving sizes or numbers, meaning many people may consume too much or not enough food - does not make provisions for composite foods such as pizza, making them difficult to follow - does not provide specific advice for people with dietary conditions or needs
139
challenges in bringing about nutritional change
- personal factors - sociocultural factors - environmental factors
140
what do personal factors refer to
- willpower and taste preferences - attitudes and beliefs - h+w factors
141
what is willpower and taste preferences
- most people prefer certain foods over others due to taste preference and past experiences - foods high in fat, salt and sugar are known as flavour enhancers as they stimulate the taste buds and the brains reward system by releasing dopamine
142
what is attitudes and beliefs
- perceptions that healthy foods are bland or tasteless - ignoring the potential negative effects of unhealthy foods - philosophical beliefs such as vegetarian - restricting certain foods which leads to underconsumption of certain nutrients
143
health and wellbeing factors
- food allergies - people with poor mental h+w may eat certain foods to trigger the release of dopamine as a coping mechanism
144
what do sociocultural factors refer to
- socioeconomic factors - employment status - family and peer group - commercial factors
145
socioeconomic status (ses)
- lack of nutritional knowledge and cooking skills leading people to consuming unhealthy meals - lack of education can lead to people not being able to accurately assess their current food intake - difficulty in reading food labels and lack of understanding portion size
146
employment status
- convince foods are often consumed when people don't have time to purchase fresh ingredients
147
family and peer group
- cultural and religious background may include ties to traditional foods - familiarity with specific foods can make it difficult to change to different foods - people that others are around can influence the food they consume
148
commercial factors
relate to the impact that the private sector has on h+w
149
commercial factors - supply chains
relate to the process that all foods go through when they are produced and consumed
150
commercial factors - distribution and affordability
prices are influenced by factors such as the wholesale price, transport, storage and staffing costs - cost of nutritious foods is higher
151
commercial factors - processing
manufacturers are able to include additives to products for purposes such as enhancing flavour - are able to include additives
152
commercial factors - packaging and labelling
often used as a marketing tool which may appeal people if they are drawn to specific visual items - a product may be labelled as fat free
153
commercial factors - lobbying
companies often lobby governments in relation to issues such as trade agreements, marketing of fair foods and the introduction of health promotion interventions such as sugar tax on energy dense foods
154
commercial factors - marketing and media
food industry markets goods in lots of ways such as ads, using celebs, sponsorships - can create a conflicting message, affecting their ability to choose healthy foods
155
what do environmental factors refer to
- geographic location - workplaces - housing environment - transport
156
geographic location
- for people who live outside major cities, food options may be more limited - living closer to fast food venues may increase the likelihood of these foods being consumed
157
workplaces
- some workplaces provide oppurtunities for employees to access food - hospitality staff are often provided food during breaks - workplaces that do not have access to cooking facilities decrease the types of foods that employees can prepare themselves
158
housing environment
- meals are often consumed in homes and the facilities in the house influence the options available - lack of access to thee facilities impacts the manner in which people store and prepare food
159
transport
- many people require transport to access food in their neighbourhood - lack of transport can mean that people must rely on foods close to they home or that can be delivered