Definition Flashcards

(48 cards)

1
Q

define Health Promotion

A

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

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2
Q

the means of health promotion action (5)

A
Build healthy Public Policy
Create Supportive Environments
Strengthen Community Action
Develop Personal Skills
Reorient Health Services
Moving into the Future
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3
Q

How to meet the goal to meet the complete physical, mental and social well-being?

A

an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment.

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4
Q

What are the underlying patterns of inequities?

A

Social class Gender Racism Poverty Educational status Underlying power, status and access to resources.

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5
Q

define public health

A

WHO: the art and
science of preventing disease, prolonging
life and promoting health through the
organized efforts of society

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6
Q

name one QC institute in public health

A

Le Programme national de santé

publique (PNSP)

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7
Q

core function of public health

A

health assessment, health surveillance, health promotion, health protection, injury and disease prevention

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8
Q

what does mean advocate, enable, mediate in the health promotion action?

A

Advocate: Health promotion action aims at making political, economic, social, cultural, environmental, behavioural and biological factors favourable through advocacy for health.

Enable: Enable the fullest health potential to achieve equity in health.

Mediate: Professional and social groups and health personnel have a major responsibility to mediate between differing interests ( the local needs, social, cultural and economic systems) in society for the pursuit of health.

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9
Q

What is nutrition care process model? 4 steps

A

nutrition assessment &re-assessment\

Nutrition diagnosis

nutrition intervention

nutrition monitoring and evaluation

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10
Q

What is Nudge Theory

A

any aspect of the choice architecture that alters people’s behavior in predictable ways without restricting any options or significantly changing their economic incentives such as time or money.

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11
Q

What is hot state and cold state? in nudging theory

A

hot state: automatic. Ex: when individuals respond impulsively to immediate stimuli, this si hot state of thinking. (from reading)
cold state: reflective. ex: when you are not hungry so that you have

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12
Q

the goal of nudging

A

to make ppl making healthier choices; implement low-no-cost changes; increase assess, selection/sales of healthy choices; create healthier eating environments; reduce chronic disease, healthcare costs.

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13
Q

the public health history is from whom? and what he did?

A

John Snow
Careful mapping of cholera
cases in East London during
cholera epidemic of 1854

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14
Q

what are the six eras in the evolution of public health

A
  1. health protection
  2. miasma control
  3. contagion control
  4. preventive medicine
  5. primary health care
  6. health promotion (now)
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15
Q

regarding Lalonde Report, the four major health fields mainly determining health are?

A
  1. lifestyle
  2. environment
  3. health care organization
  4. human biology
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16
Q

what is health promotion approach

A
Comprehensive action strategies
are needed to influence the
underlying factors and
conditions that determine health
 Consistent with a socioecological model.
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17
Q

what is PHP (4 +1)

A

Population Health Promotion (PHP)
1. improve the health of the population ACTION must be taken on a
full range of health determinants.
2. Examines interaction among a complex set of Individual level and
Collective level determinants.

  1. helps us understand the multiple contexts the
    INFLUENCE of healthy eating
  2. help identify the means to promote healthy
    eating through a wide variety of strategies
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18
Q

APPLICATION PHP
DETERMINE:
 2 INDIVIDUAL LEVEL determinants that influence the
healthy eating recommendation you were given
 DETERMINE:
 3 COLLECTIVE LEVEL determinants that influence
the healthy eating recommendation you were given

A

Individual: recommend to have a half plate of vegetables for every meal. recommend to drink 8 cups of water throughout a day.

collective level:
economic determinant— reduce taxation/price on healthy food choice

social determinant —– culture/tradition food protection, organize dinner to eat with others together

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19
Q

what is the prevention paradox? and why?

A

most people will not be
motivated by health education

  • People are motivated by benefits that are visible,
    early and likely.
  • big action with Small changes
  • Health benefits may be real, but are delayed and may
    come to only a few who seek them
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20
Q

explain the bell curve shift in terms of population strategy

A

in order to remove the high risk group to a normal range, the intervention has to apply on the whole population and shift the entire distribution.

21
Q

when needs population strategy

of medicine

A

wherever risk
is widely diffuse in
the whole population

22
Q

what is the whitehall study?

23
Q

why use healthy behavior theories?

A

-help explain behavior
-Guide how to develop more effective
ways to influence
and change behaviors.
- facilitate our practice of
planning and evaluating health
interventions

24
Q

def. healthy behavior theories

A

a set of interrelated concepts, definitions, and
propositions that present a systematic view of
situations by specifying relations among variables,
in order to explain and predict the situations

25
Name 4 MOST APPLIED THEORIES IN HEALTH | BEHAVIOR RESEARCH
The Health Belief Model (HBM)  The Transtheoretical Model/Stages of Change (TTM)  Social Cognitive Theory (SCT)  The Social Ecological Model (SEM)
26
Health Believe Model
check the diagram on the slide--- through coping individual's perspective and intervening personal belief to make the action change happen - perceived susceptibility, severity, benefits, barriers, cues to action, self-efficacy
27
SOCIAL COGNITIVE THEORY key constructs
- observational learning, - reinforcement, - self-control, - self-efficacy
28
TRANSTHEORETICAL MODEL (TTM) OR STAGES OF CHANGE THEORY
check notes: pre-contemplation, contemplation, determination ( the key), action, relapse, maintenance; the patient can exit at any stage of intervention
29
SOCIAL ECOLOGICAL MODEL, 5 levels
check the notes: individual, interpersonal, organizational, community, social policy
30
Surveillance: function
directly measures what is happening in the population, it allows both determining the interventions necessary and the effects of such interventions.
31
Surveillance: aim
to allow decision makers to oversee and manage more effectively - providing them with useful evidence-based data, in a timely manner - addressing the need for further information on the health status and its determinants - informing the population about its health status. Surveillance includes the- - Ongoing support to promotion, prevention and protection through data acquisition, and production, analysis and dissemination of relevant - Support for the planning and organization of health and social services, in a population-based approach
32
CCHS
 Canadian Community Health Survey
33
def. Food security (WHO)
``` all people, at all times, have physical and economic access to sufficient, safe and nutritious food to meet their dietary needs and food preferences for an active and healthy life. ```
34
Food insecurity
The state of being without reliable access to a sufficient quantity of affordable, nutritious food.
35
HHFSM
Household Food Security Module - designed to provide a tool, utilizing statistics Canada data - to monitor trends and identify priorities for interventions - to address this major public health issue.
36
what does HHFSM do?
Self-reported uncertain, insufficient or inadequate food access, availability and utilization  due to limited financial resources,  and the compromised eating patterns and food consumption that may result  The HFSSM is a household measure – cannot determine individual FSS
37
the core competencies for public health in canada
- Public health sciences - Assessment and analysis - Policy and program planning, implementation and evaluation - Partnerships, collaboration, advocacy - Diversity - Communication - Leadership
38
Dominant paradigm for each eras in the evolution of public health
1. Health protection (antiquity-1830): : diseases may be prevented by enforced regulation of human behavior, mediated through societies’ social structures. 2. Miasma control (1840-1870): addressing unsanitary environmental conditions may prevent diseases. 3. Contagion control (1880-1930): germ theory -->positivist approach to demonstration of infectious origins of diseases. 4. Preventive medicine (1940-1960): improvements in public health through focus on the prevention and cure of diseases in “high-risk groups”. 5. 5. Primary health care (1970-1980):health for all-effective health care geared toward the community, for the community, and by the community. 6. Health promotion (1990-present): advocacy for health; enabling individuals and communities to attain optimal health.
39
Ottawa Charter for Health Promotion includes
- Strengthen community action. - Develop personal skills - Reorient health services - Create supportive environment - Build healthy public policy
40
the characteristic: Population strategy of prevention
having small risk for diseases in the high risk prevention strategy
41
What is social ecological model about?
- It helps users to understand factors affecting behavior and also provides guidance for developing successful programs through social environments. - It emphasizes multiple multiple levels of influence and the idea of behaviors both shape and are shaped by the social environment.
42
What is intervention?
- Programs and strategies intended to influence health/health-related behavior positively.
43
What is theory?
- Set of interrelated concepts, definitions, and propositions that explain or predict events or situations by specifying relations among variables. - It is abstract rather content and topic specific.
44
Value of Theory in Health Intervention
- interventions developed with an explicit theory are more effective than without a theoretical base. Some strategies that combine multiple theories and concepts have larger effects.
45
FNFNES
First Nations Food, Nutrition, and Environment Study
46
- #1 food insecure is at ( region) 46.8% | - #2 food insecure (region) 24.1%
Nunavut Northwest Territories
47
- Food insecurity = higher ? intake from ? food; lower ? storage; high rate of ?; CVD; Mental health problem.
kcal ; sugary;iron; obesity
48
the three types of groups: highest likelihood of Food insecurity.
- Having social assistance as the major source of income, reliance on EI, being a single mom; household with child?