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HLTH 2400 – Determinants of Health Behavior
Section 001
Chapter 1, pp 3-12 (up to “Public Health”)
John T. Long, Ph.D.
Learning Objectives
TEDMED – Mark Hyman
Picture taken from Visitor Center in West Yellowstone, August 2016
Individual or
Population at
Risk
Pathogen
or
Stressor
Brings host and
agent in contact
Haddon Matrix Example:
HOST AGENT ENVIRONMENT
Web of Causation - CHD
DISEASE
Definitions of Health
• WHO: Complete state of physical, mental, and
social well being; not merely the absence of
disease or infirmity
• (1999) “extent to which an individual or group
is able, on the one hand, to realized aspirations
and satisfy needs; and, on the other hand , to
change or cope with the environment.”
More Contemporary Perspective
Health is a dynamic human condition with multiple and intertwined
dimensions such as:
Physical
Emotional
Social
Intellectual
Spiritual
Environmental
Viewed as a continuum with positive and negative poles
+ capacity to enjoy life and withstand challenges
– illness and disease or premature death
13
Two Views of Health
14
Focus – Left or Right?
Physical
Emotional
SocialIntellectual
Spiritual
Environmental
15
2014 US – 78.8 yrs
2014 US – 5.82/1k
Table 1-2: Ten Leading Causes of Death
Heart disease
Cancer
Chronic lower respiratory disease
Accidents
Stroke
Alzheimer’s disease
Diabetes
Influenza and pneumonia
Nephritis
Suicide
2014
Epidemiological Shift
*70% of Deaths
*75% of Healthcare Cost
“Infectious” “Chronic”
Learning Objectives

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Ch01.1 hlth beh in context(3)

Editor's Notes

  1. http://clemson.libguides.com/friendly.php?s=refworks https://www.youtube.com/user/ProQuestRefWorks Google Scholar Example: National Center of Family Growth (Chandra, Anjani)
  2. Health Problems – Traditional Medical Approach (Biological Networks) Hyman’s missed point: chronic diseases are social diseases (genetic-social treads) Important learning: work with individual or build COMMUNITY & CONNECTIONS Self-care Peer support Social support HLTH champions Collective Action Social Ecological Approaches (ind, inter, org, comm, policy, phys envir, culture) Multilevel planning programs Eat Learn Work Play Pray
  3. Not comprehensive – doesn’t explain chronic disease or injuries Important to wash your hands to reduce germs
  4. More comprehensive than germ theory Includes environment as a factor
  5. Applies the triad, before, during, and after the disease onset
  6. Adds in lifestyle factors and community factors to account for chronic disease
  7. Comprehensive enough? State: meh, it’s not really a state as much as a dynamic that’s changing
  8. Physical, emotional, social, intellectual, spiritual, environment Physical: body functions well, have a sufficient amount of energy throughout the day, able to handle emergencies that surmount, able to complete ADL (activities of daily life) Emotional: able to manage emotions throughout daily life Social: able to have healthy relationships Intellectual: critical and creative thinking Spiritual: contentment with life and meaning of life Environmental: air quality, radiation levels, shielded from weather
  9. Public health models focus on the right side (more proactive in trying to reach optimal health) #1 MTM freedom from sickness & disease #2 OHM proactive, challenge of maximizing potential and improving QofL
  10. https://www.youtube.com/watch?v=Cl-3FGAqoa4&list=PLvrp9iOILTQaklFMK28M7_0mju-qXnjjV&index=2
  11. NVSR Vol 65 Number 4 Deaths: Final Data for 2014
  12. http://clemson.libguides.com/friendly.php?s=refworks https://www.youtube.com/user/ProQuestRefWorks Google Scholar Example: National Center of Family Growth (Chandra, Anjani)