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COMMUNITY BEHAVIORAND ITS DETERMINANTSDR IRFAN MOMIN

COMMUNITY BEHAVIORAND ITS DETERMINANTSDr. Muhammedirfan H. Momin

Assistant Professor

Community Medicine DepartmentGovernment Medical College, Surat.Mobile: 9426845307 E-mail: drmhmomin@yahoo.co.in

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HUMAN BEHAVIORAims to understand othersTo determine how and why people behave the way they do.

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What is Behaviour?ORWhat do you mean by behaviour?

BehaviourMannersActionsAttitudeReactionsResponseConductDR IRFAN MOMIN

What is BehaviourThe aggregate of responses to internal and external stimuliDifferent people, however, have different responses to particular stimuli. In any given situation, different people may react in different ways. Behaviour = The sum of all of a person's varying response styles to varying stimuli.DR IRFAN MOMIN

What do you mean byMODERN

ADVANCE

FORWARD

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What do you mean byNORMAL

NATURAL

COMMON

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NORMALLiving the life in a way which will scientifically beneficial to yourself and whole humanity.

By- Dr Irfan MominDR IRFAN MOMIN

Whenever you go for acquiring new life style check whether it is scientifically beneficial to me and others or not?

Think always in a comprehensive way and approach should be holistic because we have a single body with multiple factors playing and also interacting with each other.

NORMALDR IRFAN MOMIN

If you will look at one factor only it may look either beneficial or harmful but other factor may be counter balancing bad effect of the first one.Example : 1) Medicines and Side effects2) Non vegetarian food and exercise NORMALDR IRFAN MOMIN

HUMAN BEHAVIORIs a complicated phenomenon influenced by many factors.A collection of activities influenced by culture, religion, attitude, emotions, values, ethics, authority, urbanization, politics and surrounding.DR IRFAN MOMIN

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WHAT DO WE WANT ?

BeautyEnergyHealthHappinessStrengthDR IRFAN MOMIN

We want

Long life 120 years

No disease, sickness at all

Diabetes, high BP, joint pain, cancer etc NOT at all

Lots of energy, stamina, joy, Happiness

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WHAT WE NEEDKnowledge

Will power

Action Health and intellect are the two blessings of life. (Menander ca. 342291 BC)

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Today we findMajority addicted to excessive drinking, smoking, totally sedentary, overeating wrong foods, overly stressed.A minority try to follow all the rules of eating, exercise, sleep etc.Almost extinct - exceptionally knowledgeable & disciplined.Analyse your lifestyle

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Can you say yes to ALL?I exercise 30min most days of the weekI eat a healthy diet with 5 fruits most daysI dont use tobacco productsI dont drink alcoholI am within 2Kg of my ideal body weightThese are the drivers of health care costs!

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By age 50 they suffer either diabetes, or high blood pressure or both.

By 60 or 65 they would have undergone heart treatment & most likely would suffer joint pains.

Occasional frequent fevers, cough etc.

Lack of energy to work long hours or to exercise or play games.

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In the last century majority of deaths were due to infectionswhich most were dealt with using vaccines and new advancements in pharmacologyNowMajor killers are Malnutrition, Cardiovascular Diseases, Cancer, Diabetes, Stroke and HIV/AIDSFact

Misfortunes always come in through the door left open for them (Czechoslovakian proverb)DR IRFAN MOMIN

DETERMINANTSFactors Responsible for Particular Health Behaviour

BENEFICIAL

HARMFULDR IRFAN MOMIN

Figure 1.2 Key Determinants of HealthFigure 1.2

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Behavioral DeterminantsVirtually ALL of the top 10 leading causes of death among adults are moderately to STRONGLY influenced by lifestyle patterns and behavioral factorsBEHAVIORDISEASETobacco UsePhysical ActivityDietPreventive ServicesHeart DiseaseStrokeCancersDiabetesDR IRFAN MOMIN

Figure adapted from: www.balancedweightmanagement.com/TheSocio-EcologicalModel.htm22

SMOKING

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BOLLYWOODMOVIESDR IRFAN MOMIN

WESTERN INFLUENCEPEER PRESSUREDR IRFAN MOMIN

FAMILY DR IRFAN MOMIN

PREVENTION OF SMOKING

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ALCOHOLWESTERN INFLUENCEBOLLYWOODMOVIESPEER PRESSUREFAMILY

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PREVENTION OF ALCOHOL

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Lets Talk and ThinkWhat are your favorite foods?

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32To get us started thinking about healthy eating, Id like you each to take a minute to think about your favourite food. Now pair up with a person next to you. Tell each other your favourite food and why you enjoy that particular food. Ask for a few examples. What did your partner say? Tastes good? Sweet? Salty?Some of our favourite foods are healthy choices, some are not. All foods can fit as part of healthy eating. The trouble is that sometimes we lose the balance and eat way more than we need of the less healthy choices and not enough of the good stuff. Then we miss out on the benefits of healthy eating. Its not only what we eat, but also what we dont eat that affects our health, ie. too much of some things like calories, sugar, salt and fat and not enough of other things like calcium and fibre.

Get a sense as an overall group of how many think they get 60 minutes of physical activity every day? What do those people do? What could the others do to get more physical activity?

In the next half hour or so, we will look at some of the issues related to living healthy in this province including: Why healthy eating matters? How we are doing in this province?New provincial school food guidelines what will be in them?How can a school be more active?What do you think about the proposed directions? A chance to give your opinion, the opportunity that exists for schools to promote healthy eating.

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Principles of Good EatingVarietyBalanceModerationPlanning in advance is importantGeneral ruleEach and every food item is special because some of them had good quality nutrient and some of them had good quantity of nutrients.

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Daily dietary requirements in IndianDietary SourcesRDAWheat, Rice, Dal, Juar, Bajra, maiz and any variety of pulses and vegetables400-500 gm/dayFresh Fruits300-500gdLow fat diet30-50g/dLean meat, poultry, chicken, fish30-50gm/day

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Active LivingDo you get 60min of physical activity every day?Take up a sport that you enjoy and gives you a good work out.Go to the Gym!

A vigorous five-mile walk will do more good for an unhappy but otherwise healthy adultthan all the medicine and psychology in the world. (Paul Dudley White)

EnvironmentThink for a minute about the food:in grocery storesin corner storesin movie theatresat fast food restaurantsat sports eventsat school

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39Are unhealthy eating practices and physical inactivity all in our individual control? Think about: (5 minutes) Environment (in your own community) - is it easy to make healthy choices? Have students discuss each scenario as to whether it would be easy to make healthy choices of foods in each of these places.

Benefits of healthy eating and active living?Those who do not find time for exercise will have to find time for illness. (Edward Smith-Stanley)

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40Brainstorm: Why healthy eating matters for young people:helps you learn (concentrate, attend etc.)keeps you healthypromotes healthy weighthelps prevents chronic diseasedental health performance in sportsetc.

Healthy lifestylethe image of a person's life aimed at disease prevention and health promotion i.eoptimal balance of work & resta balanced composition of energy and nutritionphysical activitycompliance with the rules of hygienelack of addictionsfamily well-beingenthusiasm for business

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Postural checkDrink plenty of water and very very slowlyLaughter club, yoga, Namaz, spiritualReduce processed sugars, preserved or deep fried itemsChew food at least 30 times each morsel.Read a lot, look for new ideas and challenges 2 meals and in-between light portions of fruit snack Develop some good purpose & meaning in lifeTips on day-to-day living

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Key behaviors to a healthy lifestyleMinimum of 7 hours of sleep a nightMaintain healthy eating habitsWeight managementPhysical recreational activitiesAvoiding tobacco productsPracticing safer sexLimiting intake of alcoholScheduling regular self exams and medical check ups

Key behaviors to a healthy lifestyle Control stressors in your lifeForm meaningful relationships with family and friendsMake time for yourselfParticipate in at least one fun activity each dayRespect the environment and people in itBe a decision makerValue each day and make the best of opportunitiesView mistakes as opportunities to learn and growBe kind to self and othersUnderstand healthcare system as use it wisely

Key MessageHealthy eating Active livingBe HygienicDo Meditation ( Yoga Or Namaz)Be SatisfiedWe can all be agents of change!!

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Thank You!!!

Wish you a Healthy and Happy Life.