Chapter 1: Intro To SDOH Flashcards
Medical definition of health
The normal physical state, ie, the star of being whole and free from physical, and mental disease or pain, so that the part of body can carry on their proper function
WHO definition of health
Health is a state of complete physical, mental and social well being and not merely the absence of disease and infirmity
Health is a positive concept emphasizing _______
Personal resources and physical capacities
Ottawa charter 1986
Health promotion is the process of enabling people to increase control over, and to improve their health
Health promotion perspective: health concept
Health concept is individualized, health as functional ability, disease-preventing lifestyle
Health promotion perspective: leading health problems
Defined in terms of behavioural risk factors: smoking, poor eating habits, drug abuse, alcohol abuse
Socio-ecological model of health
Broader framework that takes contextual factor into account with greater emphasis
Population health promotion perspective includes both elements of:
Health concept and leading health problems
Population health perspective: health concept
Is a positive state defined in connectedness to family/friends/community; being in control, ability to do things that are important or have meaning, community and societal structures supporting human development
Population health perspective: leading health problems
Defined in terms of psychosocial risk factors and socio-environmental risk conditions: poverty, income gap, isolation, pollution, hazardous living and working condition.
List Health Canada’s determinants of health
- Personal practices and coping skills
- education and literacy
- Healthy child development
- gender
- culture
- social environment
- biology and genetic endowment
- income and social status
- employment and working condition
- health services
- physical environment
- social support services
SDOH
Economic and social condition
Shape the health of individuals,communities and areas as a whole
Cumulative mechanism
Effects that are does or exposure dependant, regardless of age or developmental stage
Example: environmental tobacco smoking
Programming mechanism
Effects of exposure to risk during sensitive or critical developmental periods.
Can be physical/prenatal or social
Ex: prenatal- before baby is born, mom drinking
Social- putting child to school early and not developed yet for school
Depressed mothers (maternal depression)
Less attentive, less positive and less engaged
Infants of depressed mothers
Shorter attention span, elevated cortisol levels, elevated Heart rates
Life course perspective
Framework developed by halfon and hochstein in 2002
Rudolph Virchow
German physician in 1821-1902 also known as the father of modern pathology
Where was Rudolph Virchow sent in 1848?
Was sent by Berlin authorities to investigate the epidemic in Upper Selisia
Virchows report
His report argued the lack of democracy, feudalism and tax polices in the province were the primary determinant of the inhabitants poor health conditions, inadequate diet and poor hygiene that fuelled the epidemic
16 social determinants by York university
- indigenous ancestry
- disability
- early life
- education
- employment and working condition **
- food security
- gender **
- geography
- health care services **
- housing
- immigrant status
- income and its distribution
- race
- social safety net
- social exclusion
- unemployment and employment security
Macro context examples
- genetic endowment of species
- physical, social, family and psychological environment
Macrocontext
Multiple nested contexts make up the macrocontext/environment of health development.
Macrocontext – microcontext
The macrocontext interact with each other and influence and modify the microcontext
Microcontext examples
-design,features and strategies
(Growth and maturation)
-health development processes
(Physiological,behavioural pathways and systems)
Developmental health outcomes examples.
- life expectancy
- functional capacities
- disease
- disability
