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What is health?
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A state of complete physical, social and
mental well‐being, and not merely the
absence of disease. (WHO)
mental well‐being, and not merely the
absence of disease. (WHO)
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What is agency?
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The capacity of individuals to act independently and make free choices
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What is structure?
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Patterned arrangements which influence or limit choices available.
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Health inequalities refers to
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Refers to differences in the health of individuals or groups. Any measurable aspect of health that varies across individuals or according to socially relevant groupings can be called a health inequality
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Health inequities refer to
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A health inequity, or health disparity, is a specific type of health inequality that denotes an unjust difference in health
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Intersectionality refers to
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The idea that one needs to examine how various biological, cultural, and social categories interact on multiple (and often simultaneous) levels that lead to oppression and inequality. It is also a lens through which you can see where power comes and collides, where it interlocks and intersects.
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A social understanding of health
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An understanding that health was influenced by environmental and social factors
These factors (pollution, housing, health care, money, education etc.) collectively are the social determinants of health
These factors (pollution, housing, health care, money, education etc.) collectively are the social determinants of health
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endemic
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something that belongs to a particular people or country.
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epidemiology
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the statistical study of patterns of disease in the population
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health belief model
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the first of a long series f theoretical models of individual health behaviour
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elements of a health field concept (4)
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human biology, environment (physical &social), lifestyle, health care organization
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social-ecological model (innermost to outermost level) (6)
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health behaviour, individual factors, social environment, built environment, policy environment, natural environment
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Health promotion definition and its aim
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Health promotion is the process of enabling people to increase control over, and to improve, their health. its aim is to make the healthiest choice the easiest choice
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The 3 basic health promotion strategies are
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enable, mediate, advocate
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enabling ensures ..
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equal opportunities and equal access to resources to enable people to achieve their fullest health potential.
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Mediating demands..
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coordinated action by governments, health and other social and economic sectors, nongovernmental and voluntary organizations, local authorities, industry and media.
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advocating involves..
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Political, economic, social, cultural, environmental, behavioural and biological factors can all favour health or be harmful to it.
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the ottawa charter has 5 key action areas, what are they
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1. build healthy public policy
2. create supportive environments
3. develop personal skills
4. reorient health services
5. strengthen community actions
2. create supportive environments
3. develop personal skills
4. reorient health services
5. strengthen community actions
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Name the 14 social determinants of health
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1.Aboriginal status
2.Disability
3.Early Life
4.Education
5.Employment and working conditions
6.Food (in)security
7.Health care services
8.Gender
9.Housing
10.Income and income distribution
11.Race
12.Social exclusion
13.Social safety net
14.Unemployment and job security
2.Disability
3.Early Life
4.Education
5.Employment and working conditions
6.Food (in)security
7.Health care services
8.Gender
9.Housing
10.Income and income distribution
11.Race
12.Social exclusion
13.Social safety net
14.Unemployment and job security
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Aboriginal status (5)
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•Life expectancies for Aboriginal peoples are 5 to 14 years less than non-Aboriginal Canadian population
• less income
•Infant mortality rates are 1.5 to 4x higher
•Higher rates of infectious and chronic diseases
•Suicide rates are 5 to 6x higher
• less income
•Infant mortality rates are 1.5 to 4x higher
•Higher rates of infectious and chronic diseases
•Suicide rates are 5 to 6x higher
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Disability (5)
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•People with disabilities are more likely to be unemployed or underemployed
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•Over 40% of Canadians with disabilities are not in the labour force
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•Those who do work earn less on average than other Canadians
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•Highly reliant on social assistance benefits
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•Canada has some of the strictest restrictions on receiving benefits and level of benefits are low
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•Over 40% of Canadians with disabilities are not in the labour force
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•Those who do work earn less on average than other Canadians
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•Highly reliant on social assistance benefits
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•Canada has some of the strictest restrictions on receiving benefits and level of benefits are low
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Early life
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•Early experiences have both immediate and long-term biological, psychological, and social effects upon health
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explain latency, pathyway and cumulative effects
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latency: How childhood experiences predispose children to either good or poor health regardless of later life circumstances.
pathway: Situation when children's exposures to risk factors at one point do not have immediate health effects but lead to situations that do have health consequences
cumulative: Suggest that the longer children live under conditions of material and social deprivation, the more likely they are to show adverse health and developmental outcomes.
pathway: Situation when children's exposures to risk factors at one point do not have immediate health effects but lead to situations that do have health consequences
cumulative: Suggest that the longer children live under conditions of material and social deprivation, the more likely they are to show adverse health and developmental outcomes.
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Education
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Education facilitates citizen engagement (societal level)
Education promotes understanding of how one can promote one's own health through individual action (individual level)
Education promotes understanding of how one can promote one's own health through individual action (individual level)
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employment and working conditions
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•Employment (in)security
•Physical conditions at work
•Working hours, pace, and stress
•Opportunities for self-expression and individual development
•Physical conditions at work
•Working hours, pace, and stress
•Opportunities for self-expression and individual development
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food insecurity
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•Food insecure households are more likely to report incidence of diabetes, high blood pressure, food allergies
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what is a food desert?
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Urban neighbourhoods where residents have little or no access to stores and restaurants that provide fresh, healthy and affordable foods
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Health services
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Aim of a universal health care system is to protect the health of citizens and spread health costs across the whole society
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Gender
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Women in Canada experience more adverse social determinants of health than men- unpaid work and suffer longer
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Gender- why don't men live as long as women
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masculinity
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Housing
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house security& insecurity
overcrowding
basic sanitation
$$
overcrowding
basic sanitation
$$
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unaffordable housing is considered spending more than (blank) % of total income on rent
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30%
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what is considered perhaps the most important social determinant of health?
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income and income distribution
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Race
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Racialized Canadians experience a whole range of adverse living circumstances that threaten health
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3 types of racism
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institutionalized, personal mediated racism, internalized racism
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Social exclusion
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Social exclusion refers to specific groups being denied the opportunity to participate in Canadian life.
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social safety net
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Refers to benefits, programs and supports that protect citizens during various life changes that can affect their health.
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unemployment and job security
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Lack of employment is associated with physical and mental problems including depression, anxiety, and increased suicide rates.
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if we want to promote health we must (3)
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1. recognize that all canadians are not the same
2. need to address these social determinants of health
3. Focus not just on the individual
2. need to address these social determinants of health
3. Focus not just on the individual
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Key messages from participaction
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▪Fitness is for everyone
-Not just athletes and not just kids
▪Fitness delivers great benefits
-Not just athletes and not just kids
▪Fitness delivers great benefits
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moving into the 1980's the goal was to
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help Canadians "get started"
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What are three negative effects of Amazon?
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Close proximity- likely to get COVID, no paid leave, minimum wage