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.”

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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

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Two Views of Health

Focus – Left or Right?

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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