Download - Ch01.1 hlth beh in context(3)
HLTH 2400 – Determinants of Health Behavior Section 001
Chapter 1, pp 3-12 (up to “Public Health”)
John T. Long, Ph.D.
Learning Objectives
1) Review syllabus and
literature review paper
2) Historical views on
definitions and
causation
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
smokingUnk
nown f
actorsgender
genetic susceptibility
inflamm
ation
med
icatio
ns
lipids
physical activityblood pressure
stress
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.”
13
More Contemporary Perspective
Health is a dynamic human condition with multiple and intertwined dimensions such as:
PhysicalEmotionalSocialIntellectualSpiritualEnvironmental
Viewed as a continuum with positive and negative poles
+ capacity to enjoy life and withstand challenges
– illness and disease or premature death
14
Two Views of Health
Focus – Left or Right?
15
Physical
Emotional
SocialIntellectual
Spiritual
Environmental
B
raided
Elemen
ts
2014 US – 78.8 yrs
2014 US – 5.82/1k
Table 1-2: Ten Leading Causes of Death
Heart diseaseCancer
Chronic lower respiratory diseaseAccidentsStrokeAlzheimer’s diseaseDiabetesInfluenza and pneumoniaNephritisSuicide
2014
Epidemiological Shift
*70% of Deaths*75% of Healthcare Cost
“Infectious” “Chronic”
Learning Objectives