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Medicine
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Preventing, diagnosing, treating health problems in INDIVIDUALS and families
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Public health
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Promoting health and preventing illnesses, injuries, and early deaths at the POPULATION level (i.e. identifying enviornmental hazards, promoting healthy behvaiors, ensuring access to essential health services, taking other actions to protect the health, safety, and wellbeing of groups of ppl)
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Intervention
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Strategic action intended to improve individual and population health status
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Prevention science
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Study of which preventative health interventions are effective in various populations, how successful the interventions are, and how well they can be scaled up for widespread implementation
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Primary prevention
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Ppl without diseases; treating individuals
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Secondary prevention
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Ppl w/ early, nonsymptomatic diseases (i.e. biopsies); early diagnosis
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Tertiary prevention
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Ppl w/ symptomatic diseases (i.e. chemo)
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What is the importance of prevention science?
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Prevention science maintains good heath at less costly rates by avoiding rehabilitation costs after health crises.
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Health transition
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A shift in health status of a population that usually occurs in conjunction w/ socioeconomic development
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Organization for Economic Cooperation and Development (OECD)
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An international economic organization that helps its 30 member countries achieve sustainable economic growth and employment
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Global health security
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seeks to protect populations from threats to health and safety by engaging a diversity of stakeholders, including governmental and military personnel, in public health interventions
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Globalization
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Process of countries around the world becoming one integrated and interdependent across economic, political, cultural and other domains
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Etiology
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Study of social, behavioral, environmental, biological, and other causes of disease
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Health
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"A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity"
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Ideal health trajectory
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Consenting adult full term birth, no serious infections or illness, lives on healthy and active for decades - old age, gentle death
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Global health
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Collaborative actions taken to identify and address transnational concerns about the exposures and diseases that adversely affect human populations
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PACES
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Strategies for prioritizing global health issues
Population, Action, Cooperation, Equity, and Security
Population, Action, Cooperation, Equity, and Security
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Burden of disease (BOD)
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Refers to the adverse impact of a particular health condition (or group of conditions) on a population; can be measured w/ health metrics and economic indicators
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Vital statistics
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population-level metrics about births, deaths, and other life events (census)
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Birth rate
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the annual number of births per 1,000 people in the total population; generally higher in lower income areas
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Death rate (mortality rate)
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Annual number of deaths per 1000; generally higher in old age
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life expectancy
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expected number of years of life remaining at a given age, such as at birth
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Healthy life expectancy (HALE)
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Number of years the average individual born into the population can expect to live without disability; male _____s generally lower
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Morbidity
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Presence of illness or disease, whether that disease is relatively mild (common cold), or quite severe
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Mortality
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Death
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Incidence
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Number of new cases in a time period / total number of ppl at risk for that disease in that time period
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Prevalence
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Number of total existing cases (newly diagnosed or long-established) / total number of ppl in population at time the prevalence is measured
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Years of life lost (YLLs)
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Burden from premature mortality in a population (I.e. life expectancy of country = 80 yrs, but someone dies at 60, 20 _____)
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years lived with disability (YLDs)
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Burden to a population from non-fatal health conditions that cause significant short- or long-term reduction in health status
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Disability-adjusted life year (DALYs)
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The total burden of disease in a population from both premature deaths and disability
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MDGs
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Spelled out 8 major goals to reduce global poverty by 2015
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Sustainable Development Goals (SDGs)
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Follow-up set of goals in 2013; focused on world's poorest billion ppl; includes much greater diversity of targets and indicators
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Socioeconomic status (SES)
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Describes an individual's standing in a society based on individual and household income, education, gender, occupation, ethnicity and race, and other characteristics that exist within a broader cultural, social,m political, and policy environment
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Social determinants of health
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Personal factors and community conditions that enable or hinder access to health
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Health disparity
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An avoidable difference in health status between population groups
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Inequity
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A health inequality that is considered to be unfair or unjust
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Health Development Index (HDI)
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Estimate of national development based on composite data on longevity (life expectancy at birth), knowledge (schooling), and income (GNI per capital in purchasing power party dollars)
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SDG 1
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Ambitious goal of ending poverty everywehre
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Extreme poverty
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surviving on less income than an international poverty line, typically set at an income of less than $1 or $2 per person per day
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Relative poverty
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Living on less than the nationally defined poverty line
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Multidimensional Poverty Index (MPI)
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Combines data about health, education, and standard of living
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SDG 4
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Goal to ensure inclusive equitable quality education and promote lifelong learning opportunities for all
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Functional literacy
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Ability to understand written words well enough to complete normal daily tasks (fill out bills, forms, etc.)
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Health literacy
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Ability to access, understand, and apply health information (fill out health info forms, pamphlets)
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SDG 5
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Achieve gender equality and empower all women and girls
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Sex
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Biological classification of ppl as male (xx) or female (xy) and reproductive anatomy
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Gender
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Social, cultural, and psychological aspects of being male or female that are shaped by the sociocultural environment and experience in addition to biology
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Gender roles
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How a culture believes men and women should behave