Transcript Population Health Curriculum for Health Professionals
Population Health for Health Professionals
Module 3
Health Promotion and Individual Behavior Change
OBJECTIVES
Health promotion, disease prevention, wellness Disease prevention as part of health care Prevalence of lifestyle factors, contribution to risk of chronic disease Behavior change theory, role in changing health habits
Part I
Health, Health Determinants, and Health Promotion
What is Health?
Health is a state of complete Physical, Mental, and Social well-being and not merely the absence of disease or infirmity. WHO, 1947 The Metaphysical Context of the Universe Physical Mental Social The Secular Dimensions of Health
Two Major Aspects of Health
Feeling Well Ability to Function
Determinants of Health
the complex inter-relationships of genetics social environment physical environment behavior health/illness services that determine the level of health and sense of well-being in an individual
Genetics
Body Size Special Abilities Disease Resistance Disease Susceptibility Genetic Diseases General Robustness
Physical Environment
Macro-environment Food and Water Air Pollution Micro-environment Home Workplace
Social Environment
Religion Race/Gender Socioeconomic Status Education Occupation Family Composition
Socioeconomic Status, Income and Health
Socioeconomic Status As GDP increases, the health of a nation increases In times of economic hardship, the incidence of disease increases
Health Care
Quality Availability “Health has improved NOT because of steps taken while we are ill, but because we are ill less often.”
Thomas McKeown, 1978
Health Promotion
An intervention that seeks to eliminate or reduce exposures to harmful factors by modifying human behaviors; or any combination of health education and related organizational, political and economic interventions designed to facilitate behavioral and environmental adaptations that will improve or protect health Concerned specifically with sociobehavorial processes.
Targets of Health Promotion
Individuals at risk of a health problem Those who influence individuals at risk Those who set policy Foster the adoption of healthful changes in the environment Improve health services Encourage healthful personal behavior change
Health Promotion Objectives
Individual Knowledge Attitudes Behaviors Physiology Organization Policies Practices Programs Facilities Resources Community Policies Practices Programs Facilities Resources Government Policies/Programs Facilities/Resources Legislation/Ordinances Regulation/Enforcement
Examples of HEALTHY PEOPLE 2000 Priority Areas
Health Promotion Physical Activity and Nutrition Tobacco Alcohol Consumption Preventive Services Heart Disease and Stroke Cancer Health Screenings
Healthy People 2010
2 Broad Goals Increase quality and years of healthy life Eliminate health disparities 4 Primary Objectives Promote healthy behaviors Promote healthy and safe communities Improve systems for personal and public health Prevent and reduce diseases and disorders
Disease Prevention
any intervention that seeks to reduce or eliminate diagnosable conditions; it may be applied at the individual level, as in immunization, or the community level, as in chlorination of the water supply
Primary Prevention
Measures taken to prevent the disease from occurring such as: healthy lifestyle habits Immunizations
Secondary Prevention
Measures undertaken to facilitate early detection Screenings Diagnostic tests
Tertiary Prevention
Measures to minimize complications or exacerbation of injury or disease.
Rehabilitation Therapy Patient counseling
Discussion Time
Identify all three levels of prevention as they apply to a health problem or threat to health such as injury or vaccine preventable disease Be sure to include consideration of all of the determinants of health!
Summary of Part I
There are various definitions of “health” A number of factors determine our health, including genetics, physical factors, social factors, healthcare and lifestyle factors.
Health promotion and disease prevention are related to identifying strategies to prevent disease and injury.
Module Authors
Diane B. Wilson EdD, RD Associate Professor Mary S. McLellan MS, RD Research Associate Medical University of South Carolina