CPH LAB

Health encompasses __________ and ____________ psychosocial well-being not simply the absence of disease

Because many factors influence health and well-being, understanding the _________ and ________ of these determining factors is an essential element in developing health improvement strategies and in determining what indicators may be appropriate elements of a performance monitoring effort.

One framework for examining the determinants of health

Proposed a model of the determinants of health - Health Field Model

broad conceptual framework for considering the factors that influence health in a community

model includes functional capacity and well-being as health outcomes of interest and emphasizes general factors that affect many diseases or the health or large segments of the population, rather than specific factors that account for small changes in health at the individual level.

Health Field Model takes a ___________ approach, uniting biomedical sciences, public health, psychology, statistics and epidemiology, economic, sociology, education and other disciplines.

_____________, environmental, ___________, and genetic factors are seen as contributing differences in health status, and therefore presenting opportunities to intervene

reinforces the interrelatedness of many factors

- Social Environment
- Physical environment
- Genetic Endowment
- Individual response (Behavior and biology)
- Health care
- Disease
- Health and function
- Well-being
- Prosperity

Family structure, the educational system, social networks, social class, work setting, and level of prosperity

Affect children's physical and mental health

Has an effect on health status separate from its influence or income

A term that refers to an individual's integration and to institutions

Independent of income

___________________ unemployment negatively affects both mental and physical health

Also correlated with better health

Recognized as having a significant influence on health, and it will be important to gain a better understanding of these influences

Currently understood as contributing to a greater or lesser risk for health outcomes, rather than determining them with certainty.

Interact with social and environmental factors to influence health and disease

Affects health and disease in diverse ways

Examples:
- Exposure to toxic substances that produce lung disease or cancers; safety at home and work, which influences injury rates; poor housing conditions and overcrowding which can increase the likelihood of violence, transmission of infectious diseases, and mental health problems; and urban-rural differences in cancer rates

A response to the other determinants and can be seen as an "immediate" determinant of health. It is shaped by many forcesm particularly the social and physical environments and genetic endowment.

It is also related to healthcare, such as adherence to treatment regimens, are influenced by these forces as it directly influence health, such as smoking.

Has a limited but not negligible role as a determinant of health

Approximately ___ of the ______ increase in life expectancy can be attributed to improved health services.

Of the 5 yrs, it has been estimated that curative services contribute about ____ and clinical preventive services about _____