Sac 3.3 Flashcards

Chapters 5, 6 & 7 (79 cards)

1
Q

Leading cause of death 1900 vs 2019

A

1900s = influenza
2019 = cardiovascular disease

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2
Q

Five broad categories of disease

A

Infectious and parasitic diseases, cancers (neoplasms), cardiovascular disease, respiratory disease, injury and poisoning

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3
Q

Infectious and parasitic diseases

A

Can be transmitted from one person to another, to do with sanitisation

Occur when parasites, such as worms, skin mites, body lice and protozoa enter the body through contaminated food or water, or from contact with others who have parasites on their skin or hair

e.g. COVID, tuberculosis, polio, smallpox, hepatitis, sexual transmission (syphilis and other venereal diseases)

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4
Q

Cancers (neoplasms)

A

Peaked in the 1980s - skin cancers, smoking

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5
Q

Cardiovascular disease

A

Coronary heart disease (heart attack), cerebrovascular disease (stroke)

Involves heart and blood vessels

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6
Q

Respiratory disease

A

Affect the lungs cna other parts of the body involved in breathing

Covid, pneumonia, influenza, asthma, chronic obstructive pulmonary disease

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7
Q

Injury and poisoning

A

Deaths from injury, poisoning include, motor behicle, accidents, suicide, assault, drowning, burns, falls and complications

Death rates for motor crashes highest in 1970s - seatbelts, significantly decreased due to government interventions (laws)

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8
Q

Old Public Health

A

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

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9
Q

Public Health

A

ways in which governments monitor, regulate and promote health status and prevent disease

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10
Q

Initiatives relating to the ‘Old’ public health and Australia’s health status

A

Improved water and sanitation

Better quality housing and fewer slums

Better quality food and nutrition

Introduction of quarantine laws

Safer working conditions

More hygienic birthing practices

Provision of antenatal and infant welfare services

Mass immunisation programs

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11
Q

Improved water and sanitation

A

People provided safer water to drink

Infectious diseases like diarrhoea, typhoid and cholera were reduced

Infant and child mortality rates lower

Improved life expectancy

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12
Q

Better quality housing and fewer slums

A

Laws required all houses to be built with drains and a sewerage system or cesspit

Had to have ventilation and less overcrowding

Efforts were made to clean up slums in major cities

Reduced death from respiratory diseases and infectious diseases

Improved infant/child mortality

Improved life expectancy

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13
Q

Better quality food and nutrition

A

Food often transmitted diseases from bacteria, parasites, toxins and viruses due to poor hygiene and storage - pure foods act 1905 improved the saftey of this

Public health campaigns promoted importance of food hygiene and importance of fruit and veg

Refrigeration after WW2 reduced harmful preservatives

The school milk program after WW1 provided milk for school children

Reduced stomach cancer

Improved nutrition

Increased resistance to infectious and respiratory disease, improved infant/child mortality, improved life expectancy

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14
Q

Introduction of quarantine laws

A

An outbreak of bubonic plague in 1900 triggered the introduction of strict quarantine laws to prevent transmission and arrival of infectious diseases from other countries

Quarantinr laws were also introduced to control covid spread in 2020-2022

Reduction in infectious diseases

Improved life expectancy

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15
Q

Safer working conditions

A

Required to have better ventilation and toilets for workers

Employment of people under age 13 was prohibited

Harvester Judgement 1907 - minimum wages introduced

Workplace regulations

reduced industrial-related child deaths

Contributed to reduction in workplace injuries

Improve life expectancy

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16
Q

More hygienic birthing practices

A

There were safe and hygienic birthing conditions with trained and registered midwives and doctors

Reduction in maternal and infant mortality rates

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17
Q

Provision of antenatal and infant welfare services

A

Following WW2 antenatal and infant welfare services were established, supporting mothers and babies

reduced fertility rates and lower maternal mortality rates

Reduced infant mortality

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18
Q

Mass immunisation programs

A

Scientific discovery of vaccines, the government funded mass vaccinations in;
1930s for diptheria,
1939 tuberculosis,
1950s for whooping cough,
tetanus and poliomyelitis,
the 1960s for measles ,
and 2021-2022 for covid 19

Reductions of infectious infectious diseases

Improved infant/child mortality

Improved life expectancy

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19
Q

shift to health promotion

A

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

emergence of lifestyle diseases in the 1950s and 60s requiered a different approach to public health - shift towards the implementation of publicly funded health promotion campaigns occurred

Designed to bring about individual behaviour changes

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20
Q

Biomedical approach

A

Focuses on the physical or biological aspects of disease and illness; a medical model practiced by doctors and health professionals, associated with the diagnosis, treatment and cure of disease

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21
Q

Features of the biomedical approach

A

Focuses on individuals who are ill

Focuses on the condition itself, NOT the reason

Technology used in concern with disease, illness and disability

Relies on services provided by doctors, specialists

Quick fix approach

Relies on technology to diagnose, treat and cure

E.g. stitches to assist in healing cut/wound, surgery to replace a hip, chemotherapy for cancer etc.

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22
Q

Advantages of biomedical approach

A

Funding brings about improvements in technology and research

It enables many illnesses and conditions to be effectively treated

It extends life expectancy

It improves quality of life and health adjusted life expectancy

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23
Q

Disadvantages of the biomedical approach to health

A

It relies on professional health workers and technology and is therefore costly

It doesn’t always promote good health and wellbeing

Not every condition can be treated

It is not always affordable

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24
Q

Social model of health - health promotion

A

Recognises improvements in health and wellbeing that can only be acheived by directing effort towards addressing the physical, sociocultural and politival environments of health

Health promotion is aimed at individuals’ education so that they can take responsibility for theit health and understand that ill health is preventative

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25
Ottowa Charter
Developed by the WHO, aims to reduce inequalities, reflects social model of health and provides five action areas that can be used as a basis for improving health out comes Building healthy public policy Creates supportive environments Strengthen community action Develop personal skills Reorient health services
26
Build healthy public policy
Directly relates to the decisions made by government and organisations regarding laws and policies that make it more difficult for people to undertake unhealthy behaviours e.g. remove GST on unprocessed foods (easier to purchase), increasing tax on tobacco and alcohol (limits amount consumed), compulsory wearing of seatbelts
27
Creates supportive environments
recognises the impact that the broader determinants have on health and wellbeing and health status aims to promote a healthy physical and sociocultural environment promotes health and wellbeing by safe, stimulating, satisfying and enjoyable E.g. establishment of quitline, providing safer working environment, provide shaded areas in school grounds (reduce UV exposure), supportive family in which healthy behaviour is encouraged
28
Strengthen community action
Focuses on building links between individuals and community Centres around community working to achieve a common goal Giving community a sense of ownership E.g. central Australian aboriginal centre (CAAC) as a health service provider, immunisation strategy - involves media, doctors, schools and parents working together to achieve higher immunisation rates for children
29
Develop personal skill
Education is the main aspect - helps gain health-related knowledge and skills that allow people to make informed decision that indirectly affect health and wellbeing Education can occur through school and work settings, families and government and non-government organisations E.g. community health centre running cooking classes for community, quit campaign educating people about harmful effects of smoking, educating parents about importance of sunscreen for young children
30
Reorient health services
Changing the health system so that it promotes health and wellbeing rather than just diagnosing and treating Addresses factors that influence h + wb not just diseases requires shift towards health promotion, which includes doctors taking on the role of educator
31
Advantages of the social model of health
promotes good health and wellbeing - assists in preventing diseases Takes more holistic approach to health and wellbeing less expensive focuses on vulnerable groups education can be passed on from generation to generation responsibility for h + wb is shared
32
Disadvanatges of social model of health
not every illness or issue can be prevented does not promote the development of technology and medical knowledge doesn't address the h + wb concerns of individuals health promotion messages may be ignored
33
similarities between biomedical and social
Similarities - funded by government, work towards better health outcomes
34
role of health promotion
create conditions that encourage healthier lives and prevent ill health cost of preventing ill health is significantlu lower than the cost of treating diseases and injuries
35
Quit campaigns
Quit victoria is a program run by Cancer Council Victoria, funded by the Victorian Government and VicHealth Quit victoria aims to decrease the use oif both traditional cigarettes and e-cigarettes by assisting individuals to quit and preventing uptake of these behaviours Quitline specialists provide callers with a plan for quitting that is tailored to their individual needs link callers up with local support groups
36
Alcohol misuse - good sports program
provides sports clubs with free tools, resources and practical support to reduce negative impacts of alcohol misuse helps clubs prpare for potential drug-related issues by assisting in the develkopmetn and implementation of illegal drug policies in the form of information and expert advise young club members provided with lifelong, decision-making skills that reduce potential harms parents and clubs reduce junior players' exposure to alochol, tobacco and illicit drugs create positive playing environments and equipping older players to act as positive role models promotes healthy and iclusive conversations around mental health
37
Road Safety - Victorian Road Safety STrategy 2021-2030
Developed by road safety vic in collab with partners; transport accident commission, vic police, department of justice and community safety, department of health and human services aims to have road toll by 2030, eliminate accident deaths by 2050, by addressinf a range of factors that contirbute to road-related injuries, such as infrastructure, road laws, human behaviour and vehicle safety
38
Skin Cancer: Sun Smart
Initiative of Cancer Council Victoria, launched 1988 used paid and unpaid media strategies (television, radio, print, digital and public relations activitites)
39
Overweight and obesity: live lighter
program is implemented by Vic Department of Health and Cancer Council Vic which works togetehr with Heart Foundation WA and Cancer Council WA Works to healo people eat well, be physically active and avoid excess weight gain Less promotion of junk food, better access to healthy food for all, improved food labelling and infrastructure and policies to ensure people to be more active develops policies that workplace can use to promote healthy eating and physical activity (e.g. traffic light system)
40
Programs to improve Aboriginal and Torres Strait Islander Peoples' health
Closing the Gap Deadly choices initiative The 2Spirits program Tackling Indigenous Smoking (TIS) Initiative
41
Closing the Gap
goal is to improve health and life expectancy, so it reaches same standard as rest of Aus population by 2031 Related to improving health outcomes, educational attainment, employment and housing, reducing incarceration, out of home care, violence and suicide and promoting legal right srelating to land and water
42
Targets of closing the gap
1. close life expectancy gap 2. increase proportion of Aboriginal and Torres Strait Islander babies with a healthy birthweight to 91% 3. Increase proportion of indigenous youth who are in employment, education or training to 67% 4. increase proportion of Aboriginal and Torres Strai Islander people living in appropriately sized (not overcrowded) housing to 88% 5. A significant and sustained decrease in violence and abuse experienced by aboriginal and torres strait islander women and children towards zero 6. significant and sustained reduction in suicide of indigenous people towards zero
43
Deadly choices initiative
Encourages and empowers indigenous people to make healthy choices for themselves and families - stop smoking, eat healthy and exercise daily Initiative provides a range of education programs, including tobacco cessation programs and cooking programs Culturally appropriate health care system has been shown to increase rate at which indigenous people access health care Promotes social justice by providing access to education and healthcare - promotes equity
44
The 2Spirits Program
Embraces a 'whole community approach' to improve sexual health and wellbeing of indigenous gaymen and sistergirls through education, prevention, health promotion and community Resources incl. - printed campaigns, peer education workshops, professional development program, retreats for gay men, sistergirls and people living with HIV, social support groups
45
Tackling Indigenous SMoking (TIS) Initiative
Works to improve life expectancy among aboriginal and torres strait islander people by reducing tobacco use Local organisations run activities to reduce smoking rates empowers people and gives people the resources necessary to allow them to thrive, including education and healthcare
46
How to evaluate initiatives in relation to Indigenous peoples' health and wellbeing
1. actual improvements in HWB 2. number of people participating in the initiatives 3. feedback provided by participants 4. action areas of the ottawa charter that are evident 5. are they culturally appropriate 6. has the specific need of the target group been taken into consideration 7. funding has been provided 8. whether it addresses significant health issues for indigenous people
47
Promoting healthy eating
associated with lower rates of disease and improved health outcomes inadequate food intakes contribute to BOD in Australia (especially obesity, cardiovascular disease, some cancers and type 2 diabetes) prevalence of these conditions is high and is predicted to increase if food behaviours are not modified among many australians
48
Considerations of evaluating healthy eating initiatives
Ease of understanding - visual guides for lower literacy individuals. resources available in multiple languages means it also reaches linguistically diverse populations access- being able to access resources free removes financial barriers. online access removes geographical barriers inclusiveness - relates to all groups within Austrlaia benefiting from the intiative relevance - should work to significant needs of the community - work towards their stated objectives effectiveness - degree to which program reaches or is expected to reach the objectives across all population groups sustainability - relates to the impacts of the program being able to continue in the future
49
Australian dietary guidelines (ADG)
develped by the National Health and Medical Research Council (NHRMC) - fed gov't body, reviewed/updated in 2013 Eating too much energy-dense foods and not enough fruit and veg are two examples of trends designed to be addressed by the guidelines intended to be used by health professionals, educators, industry bodies and other parties 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 (as those people need specialised dietary advice
50
ADGs developed to provide advice relating to:
1. develop healthy dietary patterns 2. reduce risk of developing diet-related conditions 3. reduce risk of developing chronic conditions
51
Guidline 1
To achieve and maintain a healthy weight, be physically active and choose amounts of nutritious food and drinks to meet your energy needs
52
Guideline 1s importance
being overweight increase risk of high blood pressure, muscle, bone and respiratory disorders chronic disease inlcuding type 2 diabetes, heart disease, stroke and some cancers
53
Guideline 2
Enjoy a wide variety of nutritious foods from the five food groups every day
54
Guideline 2s importance
current consumption patterns contribute to obesity, increase risk of chronic disease (cardiovascular disease, type 2 diabetes and several cancers)
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Guideline 3
Limit intake of foods containing saturated fat, added salt, added sugars and alcohol
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Guideline 4
Encourage, support and promote breastfeeding
57
Guideline 4s importance
breast milk is ideal food for infant growth and development until around six months old provides unique mix of nutrients and other substances - reduce risk of infection and may also reduce risk of asthma, eczema and other allergies, sudden infant death syndrome, risk of high blood pressure and risk of becoming obese in childhood, adolescence and adulthood can help recovery of mother and may also help return to pre-pregnancy weight and reduce risk of cancers
58
Guideline 5
Care for your food, prepre and store safely
59
Guideline 5s importance
more than five million cases of foodborne illnesses are estimated to occur every year in australia particulary fresh foods need to be ransported, stored and prepared properly to avoid contamination
60
Australian gudie to healhty eating (AGHE)
useful model that provides basic nutrition guidleines however it does not provide information of serving size and can therefore make the model difficult to follow
61
Aboriginal and Torres Strait Islander guide to healthy eating
Adapted from the AGHE Shows the five food groups in proportions intended to be consumed Promotes water consumption Suggests limiting discretionary foods Recommends to include small amounts of healthier fats
62
Difference between the Indigenous and AGHE
The aboriginal and torres strait islander guide to healthy eating includes references to traditional foods (kangaroo, goanna, crab meat, bush fruits/veg and damper)
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Strengths of the AGHE
translated into over 10 languages, increasinf ability of those in linguistically diverse groups to utilise it apply to people of all ages, meaning parents can use them to guide food intake of themselves and their children without variation based on guidelines 2 and 3 - assist in effectiveness in addressing significant health outcomes including obesity provide visual representation of aus guidelines 2 and 3, can make it easier for people to understand and follow range of foods are included from different cultures, which can assist different groups in improving their food intake
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Limitations of the AGHE
show proportions in whihc five food groups should be consumed but don't provide information on serving sizes or numbers, which may mean that people consume too much or not enough food overall don't provide examples of composite foods such as pizza or casserole, which can make them difficult to follow do not provide specific advice for people with dietar conditions or needs, which reduces the number of people who can benefit them
65
Challenges in bringing about nutritional change
Personal Factors Sociocultural factors Environmental factors
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Personal factors
relates to characteristics of individuals that influence food intake Willpower and taste preferences Attitudes and beliefs Health and Wellbeing factors
67
Attitudes and beliefs
perception that healthy foods are bland or tasteless ignoring the potential negative effects of unhealthy foods philosophical beliefs such as vegetarian or organic preferences restricting certain foods which leads to under-consumption of certain nutrients
67
Sociocultural factors
relates to aspescts of a person's society and culture that influence food intake Socioeconomic status Employment status Family and Peer Group Commercial Factors
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Environmental Factors
relate to the elements of the physical environment that influence food intake Geographic location Workplace Housing environment Transport
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Willpower and taste preferences
most people prefer certain foods to others foods high in fat, salt nd sugar are known as flavour enhancers because they stimulate the taste buds and the brain's reward system by releasing dopamine preferences are built over a period of time and can therefore be difficult to change
69
Health and wellbeing factors
ommitting foods due to allergy can contribute to difficulty in following the health promotion initiatives such as the ADGs and AGHE, especially if an individual lacks knowledge of substitutes that provide the nutrients they may be lacking people use food as 'cmfort food' for whent they have a bad day, usually unhealthy food which releases dopamine as a coping mechanism
69
Socioeconomic status
lack of nutritional knowledge/cooking skill often predisposes people to consume unhealthy meals lack of education (health literacy) makes consumers believe that they are consuming healthy foods bcause they dont have the skills to accurately assess their current food intake difficulty in reading labels and lack of understanding size portion creates more challenges lower education, nutritional knowledge and cooking skill can mean people who want to change their dietary habits may lack in the resources to do so income impacts affordablity certain occupations such as truck drivers may rely on the foods offered from outlets closest to the place of employment - often fast food places are convenient and cheaper
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Employment Status
convenience foods are often consumed in a home where parents are both wokring full time jobs and don't have time to cook or purchase fresh ingredients and prepare a meal from scratch
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Geographic location
people who live outside major cities have limited options - processed food can be kept longer suburbs where socioeconomic disadvantage is greater are often the suburbs with the highest number of fast food outlets fast food is usually high in fat, salt, and sugar living in close proximity to such venues may increase likelihood of people consuming these foods
70
Family and peer group
cultural and religious background of a family may include ties to traditional foods familiarity with specific foods can make it difficult to change to other non familiar foods who an individuals hangs out with and how they consume food can influence an individual (especially children)
70
Commercial factors
suppy chains - process food goes through when produced - determine price of food distribution and affordability - costs of transport, costs of buying foods from suppliers processing - manufacturers `re able to include additives to products for purpose of enhancing flavour packaging and labelling - often used as marketing tool, peoplke drawn to particular items as they say 'fat free' but they may have more sugars lobbying - lobby governments in relation to issues such as trade agreements, marketing of fast foods, introduction of health promotion interventions such as higher GST on energy dense foods marketing strategies and media - actively markets its foods to conusmers in multiple ways, can create conflicting messages impacting ability to choose healthy foods
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Workplace
some workplaces provide opportunities for employees to access food during breaks from workplace canteens hospitality staff are often provided a meal some workplaces do not have access to cooking facilities which decreases the types of foods employees can prepare for themselves limiting nutritional variety
71
Housing environment
Meals are often consumed in the home and the facilities available in the housing environment influence options available lack of access to facilities impacts the manner in which people store and prepare their food
72
Transport
Many people require some form of transport to access food outlets in their neighbourhoods lack access to transport can mean people must rely on local foods/stores close to their homes or that can be delivered