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Population health
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The health outcomes of a group of individuals, including the distribution of such outcomes within the group
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Public health
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Promotes and protects the health of people and the communities where they live, learn, work and play
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Community health
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A major subfield study within the public health and the medical and clinical sciences which focuses on maintenance, protection, and improvement of the health status of population groups and communities
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Who is John Snow?
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John Snow was an English physician and is considered to be one of founders of modern epidemiology. Discovered that the 1854 cholera outbreak in London was caused by a contaminated water supply.
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What followed the contagion control (1880s-1940s)
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1. Filling holes in the medical care system (1950's-mid 80's)
2. Health promotion and disease prevention (1980s-2000)
3. Population health (2000s)
2. Health promotion and disease prevention (1980s-2000)
3. Population health (2000s)
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Four components of population health
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Health, population(s), society's shared health concerns, vulnerable groups
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Primary prevention
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Reduction of risk factors before the occurrence of disease, condition, or injury
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Secondary prevention
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Early detection of potential for development of a disease, condition, or injury
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Tertiary prevention
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Treatment of an existing symptomatic disease process to ameliorate its effects, or delay, or prevent its progress
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What are social determinants of health?
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Conditions in the environments where people are born, live, learn, work, play, worship, and age. These affect a wide range of health, functioning, and quality-of-life outcomes and risks
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What are the general domains of social determinants of health?
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1. Socio-economic status
2. Social environment
3. Physical environment
2. Social environment
3. Physical environment
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Social environment
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The immediate physical and social setting in which people live or in which something happens or develops
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Disparities
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differences in health outcomes among groups
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Inequities
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Unnecessary, avoidable differences arising from poor governance, corruption, or cultural exclusion
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What is considered the fourth social determinant of health?
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Racism
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Race
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An unscientific, socially constructed taxonomy that is based on an ideology that views some human population groups as inherently superior to others on the basis of external physical characteristics or geographic origin. Concept is socially meaningful but of limited biological significance.
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Ethnicity
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social group that has a common national or cultural tradition. Greater emphasis on cultural and behavioral attitudes, beliefs, lifestyle patterns, diet, and environmental living conditions.
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What is segregation?
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The physical separation of the races in residential contexts
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Weathering hypothesis
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Marginalized group members are exposed to chronic social and economic adversities, beginning early in life, that lead to accelerated physical health decline in early adulthood.
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BIG GEMS (determinants of disease)
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Behavior
Infection
Genetics
Geography
Environment
Medical care
Socioeconomic-cultural
Infection
Genetics
Geography
Environment
Medical care
Socioeconomic-cultural
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Socio-economic status is measured using
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Education, income, and occupation
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Social capital
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Actual or potential resources embedded within networks of relationships
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Physical environment
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Objective characteristics of the physical context in which people spend their time
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Health
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State of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity
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Universal Declaration of Human Rights
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"the enjoyment of the highest attainable standard of health is one of the fundamental rights of ever human being without distinction of race, religion, political belief, economic, or social condition"