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HSC 201 Lecture 1 - Introduction to Health Determinants.pptx
1. College of Health Sciences
Public Health – Environmental Health and Safety
HSC 201 Determinants of Public Health
Dima El-Halabi, MSc, RDN
Senior Nutrition Instructor
3. Learning Objectives
Upon completing this lesson you will be able to do the following:
• Describe some of the ways that public health status is measured and reported
• Describe the range of determinants of public health
• Describe the relative contribution of different categories of determinants
• Describe the three public health paradigms
• Compare and contrast the biomedical, behavioural and holistic, ecological, salutogenic
public health paradigms
4. Determinants of Health: A Framework for Reaching
Healthy People 2020 Goals
https://www.youtube.com/watch?v=5Lul6KNIw_8&feature=emb_logo
5. Introduction
• Health is more than medical care
• 85% of health occurs outside of the clinical space
through our genetics, behavior, environment and
social circumstances.
• These factors are known as the determinants of
health.
7. Determinants of Public Health
5%
20%
15%
60%
Medical care
Health behaviours
Biological factors
Socioeconomic status and
environmental factors
13. Social Determinants
of Health
‘The social determinants of health are the conditions in
which people are born, grow, live, work and age. These
circumstances are shaped by the distribution of money,
power and resources at global, national and local levels,
which are themselves influenced by policy choices.
The social determinants of health are mostly responsible
for health inequities – the unfair and avoidable differences
in health status seen within and between countries.’
- World Health Organization (WHO)
14. What do you know about the social determinants
of public health?
https://www.youtube.com/watch?v=cDkcK-2nPoc
15. Leading Causes of Death, UAE
World Health Organization - Noncommunicable
Diseases (NCD) Country Profiles, 2018
16. Cause-specific death rates for Abu Dhabi 2010
Hajat, C., Harrison, O. & Shather, Z. A profile and
approach to chronic disease in Abu Dhabi. Global
Health 8, 18 (2012). https://doi.org/10.1186/1744-
17. A comparison of UAE age-standardised mortality rates for cardiovascular
disease and cancer and life expectancy at birth WHOSIS data
18. Age-adjusted disability adjusted life years (DALYs) expressed as a rate per
100,000 population by disease area, UAE 2004 WHOSIS data
19. A comparison of rates of obesity and overweight by age group
and gender
20. A comparison of rates of diabetes and pre-diabetes by age
group and gender
25. Injury mortality by age, gender and ethnicity (Abu
Dhabi)
0
5
10
15
20
25
30
35
18-19 20-29 30-39 40-49 50-59 60-69 70-79 >80
Males
Females
26. Physical Activity rates by age and gender
(Abu Dhabi)
0
5
10
15
20
25
30
35
40
45
50
20-29 30-39 40-49 50-59 60-69 70-79 >80
Male
Female
27. Public Health Priorities for the Health Authority Abu Dhabi, in
order of priority:
1.CVD prevention & management
2.Road Safety
3.Tobacco Control
4.Cancer Control
5.Mental Health
6.Mother, Infant and school health
7.Musculo-skeletal health
8.Occupational & Environmental Health
9.Infectious Disease
10.Oral Health
29. What is a
Paradigm?
Set of assumptions, concepts, values,
and practices
A way of viewing reality for the
community that shares them,
especially in an intellectual discipline
Work within or try to break out of
paradigms
31. WHO Definition
of Health
• Health is a state of complete
physical, mental and social well-
being and not merely the
absence of disease or infirmity.
https://www.who.int/about/who-we-are/constitution
Editor's Notes
Lecture 1
Health is influenced by many factors, which may generally be organized into five broad categories known as determinants of health: genetics, behavior, environmental and physical influences, medical care and social factors. These five categories are interconnected.
WHO video: how social factors determine health in Gaza
1,771 views
Jun 1, 2016
The mortality, morbidity, together with the feasibility of achieving impact are all used to develop the Public Health priorities for the Health Authority Abu Dhabi, which are in order of priority:
