APA 1122 - Key Terms Flashcards
Health:
a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity
Public Health
The science and art of preventing disease;
prolonging life; and promoting physical health and mental health
and efficiency through organized community efforts toward a
sanitary environment; control of community infections,
education and hygiene; the organization of medical and nursing
service for the early diagnosis and treatment of disease; and the
development of social machinery to ensure capacity in the
community to maintain health Focus is on the entire population
* e.g., promoting hand washing, promoting helmet use, screening
for health problems, feeding programs for poorly-nourished
Global health
an area for study, research, and practice
that places a priority on improving health and achieving
equity in health for all people worldwide; global health
emphasizes transnational health issues, determinants, and
solutions, involves many disciplines within and beyond the
health sciences, and promotes interdisciplinary
collaboration; and is a synthesis of population based
prevention with individual-level clinical care.
* e.g. of issues: low birthweight, violence against women,
HIV/AIDS, heart disease increases
First World
Industrialized, capitalist countries that fall
within Western European and US sphere of influence (e.g.,
Canada, Japan); have market economies
~ parts of First World can have non-First World conditions
(e.g., Canada’s North, slums in the US)
The Global North:
Synonym for first world
Second World
those within the former Soviet Union’s
sphere of influence (e.g., Poland, Cuba); have planned
economies
~ term out of use since the end of the Cold War
Third World
low UN development index (parts of Africa,
Latin America, and Asia), have developing economies; term
disliked by many
Fourth World
lack industrial infrastructure, poorest Third World nations
Two-thirds World:
Indicates that the majority of countries in
the world are Third World countries
The Global South:
Synonym for Third, fourth and two thirds world
Developed and developing countries:
not a preciseterm – controversial, developed = relatively high income per capita, developing = relatively low
income
low income
: $995 or less
lower middle income
$996 to $3,896
upper middle income
$3,896 to $12,055
High income
$12,056 or above
Determinants of health:
Range of personal, social,
economic, and environmental factors that determine the health status of individuals or populations
Social determinants of health:
Specific group of social
and economic factors within the broader
determinants of health. These relate to an
individual’s place in society, such as income, education or employment. Experiences of discrimination, racism and historical trauma are important social determinants of health for certain
groups such as Indigenous Peoples, LGBTQ and Black Canadians
Social gradient
“a term used to describe the phenomenon
whereby people who are less advantaged in terms of socioeconomic position have worse health (and shorter lives) than those who are more advantaged”
Personal health
refer to those actions by
which individuals can prevent diseases
and promote self-care and make choices
that enhance health.
Morbidity
sickness or any departure,
subjective or objective, from a
psychological or physiological state of
well-being
Mortality
death
Prevalence
number of people suffering
from a certain health condition over a
specified time period
Incidence
the rate at which new cases of
a disease occur in a population
Health-adjusted life expectancy (HALE
number of years a person of a given age can expect to live in good health, taking account of mortality and disability
Disability-adjusted life year (DALY)
the sum of years lost due to premature death and years lived with disability (YLDs)
Calculated by subtracting the age at which one die and ones life expectancy at that age
Risk factor
A factor that is known to be associated with health related conditions considered important to prevent
Demographic Divide
Highest-income countries have low
fertility, declining populations, and aging
populations
Lowest-income countries have high-
fertility, although it is slowly declining
THE DEMOGRAPHIC
TRANSITION
Shift in pattern of high fertility and high
mortality to low fertility and low
mortality, with population growth in
between
Decline in mortality with improved
hygiene and nutrition, followed by
decline in fertility
THE EPIDEMIOLOGIC
TRANSITION
First, high and fluctuating mortality,
related to poor health conditions,
epidemics, and famine
Then, progressive decline in mortality as
epidemics become less frequent
Finally, further declines in mortality,
increases in life expectancy, and the
predominance of noncommunicable
diseases
Primary Care
first point of contact
secondary care
provided by some specialist physicians and general hospitals
tertiary care
Provided by an array of specialist physicians and specialized hospitals
Health sector expenditure
Total health expenditure as a share of GDP varies substantially across countries