COMMUNICATING THE SCIENCE OF HEALTH IN INFORMAL SETTINGS Dr F. Senkubuge University of Pretoria, School of Health Systems ...
Introduction <ul><li>Health is defined by the WHO as a state of complete physical, mental and social well being and not ju...
Introduction <ul><li>Public health has seen an increase in the use of self-rated health as a measure of health status of p...
Introduction  <ul><li>A number of studies have shown self-rated health to be a significant predictor of morbidity and mort...
Introduction <ul><li>Molarius  et al.  found that in Sweden, poor self-rated health had the strongest association with:  <...
Introduction <ul><li>In Social disparities in health and health service still exist in South Africa . </li></ul><ul><li>It...
Introduction <ul><li>Sociological theories have suggested that inequality determines asses to messages </li></ul><ul><li>E...
Study <ul><li>Senkubuge , Ayo-Yusuf :Lifestyle and social conditions associated with self- rated health in South- Africa <...
Results <ul><li>Of the respondents, 40.3% (n=3236) rated their health as good/excellent. </li></ul>59.7 40.3 Poor /average...
Frequency distribution of sample socio-demographic characteristics
Socio-demographics and lifestyle frequency distribution by low SES and good self-rated health (n = 8,060). Characteristics...
The process
 
 
Setting
Setting
Science cafes -Model <ul><li>Communicate health messages in all settings . </li></ul><ul><li>Restaurants </li></ul><ul><li...
Speakers <ul><li>Include: expert health professionals in their area of speciality </li></ul><ul><li>Emphasis on simple lay...
Science café-Science of love <ul><li>Held on valentines day- café  </li></ul><ul><li>Speakers – psychiatrist </li></ul><ul...
Science of love
Science of love
Science of love
Science of love
Science cafes <ul><li>Health messaging is crucial in promoting health outcomes. </li></ul><ul><li>The self perceived healt...
Conclusion <ul><li>In addition to promoting healthy lifestyle, there is a need for focused attention on interventions dire...
Acknowledgements <ul><li>British Council </li></ul><ul><li>Wellcome Trust </li></ul><ul><li>University of Pretoria </li></...
<ul><li>THANK YOU </li></ul>
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Communicating the Science of Health in Informal Settings

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Presented by Dr F. Senkubuge (University of Pretoria, School of Health Systems and Public Health, South Africa) at the Public Engagement Workshop, 2-5 Dec. 2008, KwaZulu-Natal South Africa, http://scienceincommunity.wordpress.com/

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Communicating the Science of Health in Informal Settings

  1. 1. COMMUNICATING THE SCIENCE OF HEALTH IN INFORMAL SETTINGS Dr F. Senkubuge University of Pretoria, School of Health Systems and Public Health, South Africa
  2. 2. Introduction <ul><li>Health is defined by the WHO as a state of complete physical, mental and social well being and not just the absence of disease or infirmity. </li></ul>
  3. 3. Introduction <ul><li>Public health has seen an increase in the use of self-rated health as a measure of health status of populations. </li></ul><ul><li>In epidemiological research self-rated health is frequently used as a measure of assessing health perceptions. </li></ul>
  4. 4. Introduction <ul><li>A number of studies have shown self-rated health to be a significant predictor of morbidity and mortality. </li></ul><ul><li>The most frequently used single item measure is the non-comparative, which asks “would you rate your general health as poor, fair, good or excellent?” </li></ul>
  5. 5. Introduction <ul><li>Molarius et al. found that in Sweden, poor self-rated health had the strongest association with: </li></ul><ul><li>economic hardship. </li></ul><ul><li>lack of social support. </li></ul><ul><li>employment status. </li></ul><ul><li>Also that physical inactivity, underweight and obesity were independently related with poor self-rated health. </li></ul>
  6. 6. Introduction <ul><li>In Social disparities in health and health service still exist in South Africa . </li></ul><ul><li>It is estimated that approximately 40% of South Africans are living in poverty - most commonly in female-headed households and among black Africans. </li></ul><ul><li>The Gini coefficient for South Africa, which reflects inequality, remains high and its estimated at 0,6. </li></ul>
  7. 7. Introduction <ul><li>Sociological theories have suggested that inequality determines asses to messages </li></ul><ul><li>Exposure to health messaging in South Africa by health professionals is usually through the visit to a health facility. </li></ul><ul><li>Given the high levels of poor access to health care populations would therefore have health messaging from sources other than health professionals. </li></ul>
  8. 8. Study <ul><li>Senkubuge , Ayo-Yusuf :Lifestyle and social conditions associated with self- rated health in South- Africa </li></ul><ul><li>2003/2004 South African Demographic and Health Survey (SADHS). </li></ul>
  9. 9. Results <ul><li>Of the respondents, 40.3% (n=3236) rated their health as good/excellent. </li></ul>59.7 40.3 Poor /average Good/excellent
  10. 10. Frequency distribution of sample socio-demographic characteristics
  11. 11. Socio-demographics and lifestyle frequency distribution by low SES and good self-rated health (n = 8,060). Characteristics %Low SES (n) p-value %Good SRH (n) p-value Gender 0.23 <0.01 Male 26.1%(889) 45.3%(1490) Female 24.7%(1192) 36.5%(1746) Race <0.01 Black 29.6%(1896) 36.8%(2159) Coloured 9.3%(178) 45.9%(467) Asian/Indian 0.8%(5) 55.6%(384) White 0 71.7%(211) Other † 9.9%(1) 55.2%(10) SES <0.01 Lowest - - 32.5%(654) Middle - - 36.3%(1231) Highest - - 51.6%(1305) Tobacco use <0.01 <0.01 No use 24.3%(1386) 41.8%(2423) Snuff 33.9%(175) 21.8%(105) Smoking 26.6%(496) 40.6%(693) Snuff and Smoking 34.6%(16) 6.1%(5) Alcohol use <0.01 <0.01 No Use 26.4%(1458) 38.5%(2201) Not problem 17.6%(273) 53.0%(648) Problem Drinker 29.4%(350) 33.5%(387)
  12. 12. The process
  13. 15. Setting
  14. 16. Setting
  15. 17. Science cafes -Model <ul><li>Communicate health messages in all settings . </li></ul><ul><li>Restaurants </li></ul><ul><li>Pubs </li></ul><ul><li>Hospital cafeterias </li></ul><ul><li>Campuses </li></ul><ul><li>Schools </li></ul>
  16. 18. Speakers <ul><li>Include: expert health professionals in their area of speciality </li></ul><ul><li>Emphasis on simple lay language </li></ul><ul><li>Use of everyday events and concerns to illustrate health. </li></ul><ul><li>The aim: health promotion,communicating health messages in a dynamic way </li></ul>
  17. 19. Science café-Science of love <ul><li>Held on valentines day- café </li></ul><ul><li>Speakers – psychiatrist </li></ul><ul><li>Poet </li></ul><ul><li>Speech language therapist </li></ul><ul><li>Cardiologist </li></ul><ul><li>Held in conjunction with University and hospital. </li></ul><ul><li>Attended by hospital, university and local area people. </li></ul>
  18. 20. Science of love
  19. 21. Science of love
  20. 22. Science of love
  21. 23. Science of love
  22. 24. Science cafes <ul><li>Health messaging is crucial in promoting health outcomes. </li></ul><ul><li>The self perceived health of populations improves as they have more knowledge on health as this will improve their health seeking behaviour. </li></ul><ul><li>There is no substitute for early diagnosis and treatment- this from an informed alert community </li></ul>
  23. 25. Conclusion <ul><li>In addition to promoting healthy lifestyle, there is a need for focused attention on interventions directed towards improving the communication of health messages by professionals in settings that traditionally would not have had a health conversation. </li></ul>
  24. 26. Acknowledgements <ul><li>British Council </li></ul><ul><li>Wellcome Trust </li></ul><ul><li>University of Pretoria </li></ul><ul><li>Department of Health South Africa </li></ul>
  25. 27. <ul><li>THANK YOU </li></ul>

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