A short take on different generations and their link with public health development through the ages. Mindset of different age groups and their qualities are mentioned in relation to public health.

1. Presentation by :-
Dr. Yogesh Kumar Arora
Junior Resident
Moderated By:-
Dr. Amarjeet Singh
Professor & Head
Department of Community Medicine & School of Public Health
Millennial Mindset and Public
Health

2. Flow of the Presentation
• Generations and their Categorization
• Various Millennial and their Mindset
• Millennial Mindset and Public Health

3. Generation
• The average period during which children
are born and grow up, become adults,
and begin to have children, generally
considered to be about twenty-thirty
years.

4. Familial Generation
• A familial generation is a group of living beings
constituting a single step in the line of descent
from an ancestor.[1]
• In developed nations the average familial
generation length is in the high 20s and has
even reached 30 years in some nations.[2]
1) doi:10.2307/591659
2) https://www.merriam-webster.com/dictionary/generation

5. Familial Generation

6. Social Generation
• Social generations are cohorts of people born
in the same date range and who share similar
cultural experiences

7. Generation Gap
• Difference of opinions between one
generation and another regarding beliefs,
politics, or values.
• A gap between the ideals an individual learns
from older generation and the realities he/she
experiences. (Fresh Contact Theory)

8. Generations
• Explained by Generational Theory (William
Strauss and Neil Howe).
• Explains that the era in which a person was
born affects the development of their view of
the world.
• On the basis of time of their birth in UK they
are divided into different generations.

9. Generational Theory for India

10. Generation Partition’s
Generation
(1943- 62)
Transition's
Generation
(1963-82)
No-Strings
Generation
(1983-92)
Current Age 58-77 38-57 28-37
Life’s Theme Held back, but not
holding back
Letting go Thriving on
discontinuity
Desire for
Permanence
Beckoned by
buoyancy
Retrieving self
space
High regard for
functionality
Reconciling the
dilemma of
change
Unchecked
optimism
Community as a
propellant
Credit/Debit
Living
Bad is the new
good
Source http://dheerajsinha.com/three-generations-one-big-market-a-new-segmentation-of-
india/
This is extracted from a paper presented at the Esomar Asia Pacific Conference)

11. Differences among Generations

12. Generation/
Difference by
Examples
Partition’s
Generation
(1943- 62)
Transition's
Generation
(1963-82)
No-Strings
Generation
(1983-92)
Behavioral (Manoj
Kumar Issue)
Made many movies
displaying the
struggle of
common man in
post independent
era.
Decided to honor
him by Life time
achievement
award.
Made a movie Om
Shanti Om and
casually made fun
of him. R or W ??
Technology Diode Transistors,
Radio, Telegrams
Cathode Ray TV,
Landline phones,
Video Cassette
Players
Flat TVs , Internet,
Smart Phones,
Flash Drives,
Social and Political
Events
Independence,
Partition Riots. War
with China
War with Pakistan,
84’ riots, Babri,
Kandhaar Hijack,
Kargil.
Interest in Politics,
Digital activism,
Current Pandemic
Public Health Issues Communicable
diseases, Food
Insecurity
AIDS, Family
Planning, NCDs,
Broken Families.
NCDs, Substance
Abuse, Mental
Health, Multimedia
Addiction, LGBTQIA

13. Shri Prithviraj Kapoor (Classic
Theatre/Film Artist, Built the Kapoor
Empire)
Mr. Raj Kapoor, Mr. Shashi Kapoor, Mr.
Shammi Kapoor
(Mostly Meaningful Cinema, Family
Men)
Mr. Ranbir Kapoor
(Mostly Commercial Cinema, Have
chosen not be married )

14. Generational Theory for the West

15. Major Generations
1) Greatest/G.I. Generation (1900-1920)
2) Silent/ Veteran Generation (1929-1945)
3) Baby boomers (1946-1960s)
4) Generation X (1968-1989)
5) Millennials/Generation Y (mid 1980s-
present)
6) Others (Generation Z, Generation Alpha,
Homeland Generation)

16. G.I Generation (1900-1920s)
1) Named after American soldiers in WWII
as in movie GI joe. (GI
General/Government Issue)
2) Oldest Living Generation
3) World before Antibiotics, insulin,
penicillin, nylon and many other daily
essential of today’s world.

17. G.I Generation- Defining Values
Major Event Mindset/Value
World War I Conformity
World War II Civic Minded
Great depression of the 30s Stability and predictability
Spanish Flu (1918) Gallantry
Hierarchal chains of
command
Frugal
Male and Female roles
clearly defined

18. Silent Generation (1929-1945)
Major Events Mindset/ Value
Influenced in youth
by WWII and Great
depression.
Duty before pleasure, Respect for
position.
Grew up in serious
times
Cautious, Hard working, Sacrificing
Pathological Savers
Politically Motivated Waste not Want not Mentality
Modest, Patient, Delayed Reward.

19. Baby boomers (1946-1960s)
Major Events Mindset/ Value
Grew up during a
time of grand
visions
Optimism, Personal growth and
gratification
Postwar generation. Media Savvy, Big Talker.
More wealth More Debt.
Inner-Directed, Workaholic, Goal
Oriented,
Me Generation, Self expressive,,

20. Generation X (late 1960-1989)
Major Events Mindset/ Value
Post /Cold War Era Rebellious, Work to Live not Live to
Work, Want rules but from but from
Right authority
Family Planning Xers were the first children in history
that mothers could take a PILL not
to have.
Rock and Pop
Music
Music is window to their soul

21. Cuspers
• Person born near the end of one generation
and the beginning of another.
• People born in these circumstances tend to
have a mix of characteristics common to their
adjacent generations, but do not closely
resemble those born in the middle of their
adjacent generations.

22. Cuspers- Boomer-Xers
• Boomer-Xer cuspers (1964-1969)
• Adjusted Boomers as well as with Xers.
• These cuspers become famous because of two
personalities Mr. Barack Obama and Mr. david
Cameroon.

23. The
Millenials

24. Millennials/Generation Y (mid 1980s-
present)
1) Grew up after the cold war.
2) Era of Globalization, Communication
Technology & Wireless Connectivity.
3) According to Social Scientists, “They are
growing up quickly, too quickly”.
4) Most protected children in history.
5) MTV Generation.

25. Cuspers-Xennials
• Link between Gen X and Millennials.
• Coined by Sarah Stankorb in the magazine
GOOD in the year 2014.
• Also known as the Oregon Trail
Generation and Generation Catalano

26. Xennials
• Born in the late 1970s to early 1980s.
• Described as having Analog childhood and a
digital adulthood.
• The term came into limelight via a viral
Facebook post

28. Importance of Cuspers
• Generational Mediators.
• Extremely valuable in multi-generational
workplaces.
• They are best describes as individuals who
knows “how to play the game”.
• These people have hair that can be slicked
down or gelled up. They wear bracelets and
tattoos under their super formal shirts.

29. Other Generations

30. Generation Z
• Succeeding Millennials
• Birth years :- mid-to-late 90s
to early 2010s.
• Digitally smart but not
necessarily digitally literate.
• Mostly children of Generation X
• Also described as a “more educated, well-
behaved, Stressed, Depressed and Exam-obsessed
generation in comparison to previous ones.[1]
1) https://www.economist.com/graphic-detail/2019/02/27/generation-z-is-stressed-depressed-and-exam-obsessed

31. Generation Alpha
• Succeeding
Generation Z
• Birth Year 2010-2025
• First to be born
entirely in the 21st century.
• Most members of Generation Alpha
are the children of Millennials.

34. Source:- Strauss and Howe; Generational Theory; Fourth Turning; 1991

35. Generation Roles within medical institutions
G. I Generation CEOs,
Senior Mentors
Baby Boomers CEOs,
Department Heads,
Mid to Late career faculty
Generation X Fellows,
Early to mid level faculty
Millennials Medical students, Residents and
fellows, Early career faculty.
Generations in Health Care1

36. Criticisms to Generational Theory
1) Ethnographic Dazzle:- Term Given by Robin
Fox(English Anthropologist).
“Blindness to underlying similarities between
human groups and cultures because one is
dazzled by the more visible surface
differences.

37. Criticisms to Generational Theory
2) This theory is mostly been experimented on
middle class and developed nation citizens. So
applicability on the entire globe is major issue.
3) Life stage phenomenon:- Age, relationship
and economic status of an individual has a lot
to do with the behavior than the generation
alone. A person married, in his 30s with kids
will love his family more or less the same as
his ancestors.

38. • A mindset is a set of
assumptions, methods
or notions held by one
or more people.[1]
• Way of thinking that builds being socially
conscious into all aspects of life.[2]
1.https://dictionary.cambridge.org/dictionary/english/mindset
2.HR vocabulary at www.workbright.com, A cloud-based HR software solutions that allows
employers to manage their employees data digitally.)
Mindset

39. Variety of Millennials and their
Mindset

40. Twixter
• Relatively obscure demographic
• Describes a new generation of young adults
in America and other industrialized countries
who are trapped in a sense, betwixt (between)
Adolescence and Adulthood
• Analogous to the Japanese term Parasite
single

41. Twixter
• Typically young adults who live with their
parents or are otherwise not independent
financially.
• May have recently left university or high
school, or recently embarked on a career.

42. Bamboccioni-Italy
• Meaning:- Big Dummy Boys.
• Live on approximately € 1,000 per month and
cannot afford to leave their parent’s house.

43. Tag Line:-
At 28, still with his
parents
A French Movie
released in 2001

44. Euro 700 Generation- Greece
• People living on minimum salary of Euro 700.
• This generation evolved in circumstances
leading to the Greek debt crisis and
participated in the 2010–2011 Greek protests.

45. Mileurista -Spain
• Meaning:- Emerged from a thousand Euros.
• Coined by Carolina Alguacil in 2005
• Youth who live with € 1,000 salary (mil euros).
• To be a mileurista it is usually necessary to
have higher studies.

46. Hodo-Hodo zoku- Japan
• Meaning:- “so-so folks”.
• Newest trend among salary men.
• They are workers who are refusing
promotions, shunning civil-service exams, and
forgoing raises in favor of slow careers.
• Their famous motto “Not everybody needs to
become a leader…Forget goals, and stay true
to yourself”.

47. Parasite Single- Japan
• Single person who lives with their parents
beyond their late 20s or early 30s to enjoy a
more carefree and comfortable life.
• Term is especially used when negatively
describing young unmarried women.
• Term parasite couple to refer to married
children living with the parents of one partner.

48. NEET- United Kingdom
• Not Engaged in Education, Employment or
Training.
• The equivalent, common term used in Canada
and the US is simply unemployed
• The classification comprises people aged
between 16 and 24.

49. Nini- United Kingdom
• Equivalent to NEET in Europe.
• Term is seen offensive in some sectors.
• Term was coined in UK but become famous as
NINI in Spanish-speaking nations.

50. Freeters-Japan
• Definition:- People who lack full-time
employment or are unemployed,
excluding housewives and students.
• The term originally included young people
who deliberately chose not to become salary-
men, even though jobs were available at the
time.

51. Freeters-Japan
• The Japan Institute of Labor classifies freeters
into three groups:
1) Moratorium type:-wants to enjoy life,
deliberately chooses not to join the rat race of
the Japanese work environment.
2) Dream pursuing type:- has specific dreams
incompatible with a standard Japanese career.
3) No alternative type:- could not find a decent
job before high school or university graduation
in the system .

52. Hikikomori-Japan
• Definition:- Condition in which the affected
individuals refuse to leave their parent’s
house, do not work or go to school and isolate
themselves away from society and family in a
single room for a period exceeding six months.
• Average age = 31.
• Half a million Japanese youths and more than
half a million middle-aged individuals.

53. Hikikomori-Japan
• 1.55 million people are on the verge of
becoming hikikomori.
• hikikomori currently in 40s have spent 20
years in isolation, known as 1st gen
hikikomori.
• Concern about their reintegration into society
in what is known as the 2030 Problem when
they are in their 60s and their parents begin to
die.

54. Hikikomori-Japan
• Kodokushi is a well phenomenon found in
Hikikomori in which person will die alone and
will remain undiscovered for a long period of
time.

55. Sampo Sedae-South Korea
• Meaning :- Three giving-up generation.
• Gives up 1) courtship, 2) marriage, and 3) having
kids.
• Because of
1) There's no money to save.
2) It's difficult even though he/she has money.
3) It's hard to get a job.
4) Take-home pay is low.
5) Personal debt is high.

56. •Currently this gen is known as N-po Gen. N stands for
Numerous Things.
OTHERS INCLUDE 4) Employment
opo sedae Five giving-up
generation
5) Home ownership
6) Interpersonal
relationships
chilpo sedae Seven giving-up
generation.
7) Hope
8) Health
gupo sedae Nine giving-up
generation
9) Physical
Appearance.
sippo sedae/
wanpo sedae
Ten giving-up
generation./
Total giving-up
generation
10) Life.

57. Boomerang Generation

58. Boomerang Generation
• Term applied in Western culture.
• To young adults graduating high school and
college in the 21st century.
• Whom choose to share a home with their
parents after previously living on their own.
• Most meaningfully applied to members of
the middle class.

59. • A 2006 motion
picture depicting the
phenomenon of
Boomerang
Generation.
• Phenomenon also
described as family’s
EMPTY NEST turning
into CLUTTERED or
CROWDED NEST.

60. Why Millennials

61. Why Millennials
• By this year (2020) millennials have become
the largest demographic in workplaces across
the world.
• They are now reaching positions of influence
within the institutions that is causing
disconnect between
How they want to work vs How institutions
currently work

63. What the article said
1) Published on Dec 2108 by de Beaumont, a
public health consultation firm in USA.
2) Despite a 300% growth in public health degrees
over past two decades, 41% of public health
employees are considering leaving in next 5
years.[1]
3) Millennials are cause driven, motivated,
energetic and wants continuous mentoring
from the senior health force.
1) Public Health Workforce Needs and Interests Survey (PH WINS 2014)

65. Millennial Mindset and Public Health
• Millennials part of the problem
• Millennials Part of the solution.

66. Millennials Part of the Problem

67. As General Public/HCWs
• Nearly two-thirds of premature deaths and
one-third of the total disease burden in adults
are associated with conditions or behaviors
initiated in their youth.
• e.g. tobacco use, physical inactivity, high risk
sexual behaviors, injury and violence and
others.[1]
1) http://www.who.int/mediacentre/factsheets/fs345/en/index.html

68. As General Public/HCWs
• These are the areas of concern for the young
millennials[1]:-
1) Undernutrition and micronutrient deficiencies.
2) Overweight and obesity.
3) High risk sexual behavior.
4) Mental disorders. (Depression, Mood disorders,
Suicidal behavior, Stress, Anxiety)
5) Substance abuse(Alcohol, Tobacco, Marijuana,
Opioids).
6) NCDs, RTAs and Violence.
1) Sunitha S, Gururaj G. Health behaviours & problems among young people in India: cause for concern &
call for action. Indian J Med Res. 2014;140(2):185‐208.

69. Public Health Challenges-In General
• 5 As for health care:-
1) Awareness or the lack of it.
2) Access or the lack of it.
3) Absence or the human crisis in healthcare.
4) Affordability or the cost of healthcare.
5) Accountability or the lack of it.[1]
1) Kasthuri A. Challenges to Healthcare in India - The Five A's. Indian J Community Med.
2018;43(3):141‐143. doi:10.4103/ijcm.IJCM_194_18

70. Millennials Part of the solution

71. As Healthcare Workers
1) Awareness or the
lack of it.
2) Access or the lack
of it.
3) Absence or the
human crisis in
healthcare.
4) Affordability or the
cost of healthcare.
5) Accountability or
the lack of it
1) High Optimism in
Counseling.
2) Can work in any
condition.
3) More upcoming
medical graduates.
4) Will choose new
careers and redefine
the policies.
5) Will power to prove
their uniqueness.

72. As General Public
1) Awareness or the
lack of it.
2) Access or the lack
of it.
3) Absence or the
human crisis in
healthcare.
4) Affordability or the
cost of healthcare.
5) Accountability or
the lack of it
1) Tech Savvy attitude can
be used.
2) Ethical consumption of
the available resources.
3) As a civic duty will come
forward in this career.
4) Street smart attitude to
make wiser decision in
buying insurance
policies.
5) Morality scale activation
to make reasonable
changes.

73. Articles on Millennial Mindset &
Public Health

74. Articles on Millennial Mindset &
Public Health

75. Articles on Millennial Mindset &
Public Health

76. Transformational Leadership to
Promote Cross-Generational
Retention.[1]
• Nursing Shortage due to aging population.
• Retention of front-line workers is a must.
• To tackle with multigenerational workforce,
tailored generational (transformational)
strategies will be required than single
leadership approach.
1) 10.12927/cjnl.2010.21830.

77. Transformational Leadership Theory

78. Few other articles on web

80. Summary of the article
1)Millennials’ are now the largest segment of
the workforce so health care institutions
should adapt to keep them happy and
engaged.
2) The career is long and intense so to prevent
mental burnout and exhaustion is the biggest
challenge.

82. What the article said
1) Published in May 2020 by Boston University,
School of Public Heath.
2) Millennials on track to be the most educated
generation to date.[1]
3) Majority of 18—29 year olds reject both
socialism and capitalism; 16 percent identify
as socialists, 19 percent as capitalists.[2]
1) http://www.pewresearch.org/fact-tank/2015/03/19/how-millennials-compare-with-their-
grandparents/
2)http://iop.harvard.edu/sites/default/files/content/160425_Harvard%20IOP%20Spring%20Repo
rt_update.pdf

83. Socialist v/s Capitalist v/s Liberalist
1)Each for All & All for All.
2)All for Each & Each for
Each.
3)Each for All & All for Each.

84. Source:- Yeap N. Millennials want their investing to make a difference. On Wall Street Web
site. http://www.onwallstreet.com/news/Millennials-want-their-investing-to-make-a-difference.

85. Source:- The National Society of High School Scholars. 2016 Millennial Career
Survey. https://www.nshss.org/media/71029/2016-NSHSS-Millennial-Career-Survey.pdf .

86. Source:-The Millennial Economy. Economic Innovation Group Web
site. http://eig.org/millennial#1473660719617-6a185bea-4da7. Accessed March 5, 2017.

89. What the article said
1) Although millennials now rule the work force
but they are not filling leadership ranks yet.
2) Embracing millennials’ values will give
fruitful results in all the aspects of health
care delivery.
3) In health care roles are so specialized that it
can be really hard to move up the ladder.

91. What the article said
1) Published on the website of American heart
association in Dec 2019.
2) Contradictory to their behavior of being
aware, they are primarily concerned with
convenience and less interested in primary
health care.
3) They want a holistic plan for health care
covering physical, mental and financial
coverage.

93. What the article said
1) Millenials contribute $4.2 trillion globally in
health and wellness market.
2) But despite of these, in this population from
2014-2017:-
a) Depression rates increased by 31%.
b) Psychotic conditions and substance use
disorders rose by 15% and 10% respectively.

95. Influencers for Millennials
• Sports
1) Lionel Messi
2) Christiano Ronaldo
3) Neymar
4) Michael Phelps
5) Virat kohli
6) Deepa Karmakar
and many more
• Entertainment
1) Youtube, Netflix
Snapchat, Insta,
Tiktok etc
2) Actors:- Raj Kumar
Rao, Ayushmann
khurana, Yash, T
Vijay, Nivin Pauly.
• Social and Political
1) Jacinda Ardern
2) Sanna Marin
3) Greta Thunberg
4) Malala yousafzai
5) Kanahiya Kumar
6) WC Abhinandan
Varthaman.
7) Tejasvi Surya
• Business
1) Mark Zuckerberg
(Facebook)
2) Jan Koum (Whatsapp)
3) Luis von
Ahn(Recaptcha)
4) Devita Saraf (VU TV)
5) Elon Musk (SpaceX)
• Literature
1) Chetan Bhagat
2) Aravind Adiga
3) Meghna Pant
4) Robin Sharma
5) Durjoy Dutta
and many more
• Spiritual and
Religious
1) The Art of Living
2) The Isha Foundation
3) The Dalai Lama
4) Brahmananda
Saraswati trust

97. Thank You