Determinants of Health

Question 1

What determines someone’s health?

Answer 1

• Genetics
• Behavior
• Environmental/physical influences
• Social factors

Question 2

Genetics

Answer 2

• Single gene disorders
• Complex disease: a condition caused by a mix of genes and environment
  ex. heart disease

Question 3

Behavior

Answer 3

• Diet
• Tobacco use
• Alcohol and drug use
• Sleep
• Handwashing

Question 4

Environment/physical influences

Answer 4

• Climate
• Topography

Question 5

Social determinates of health

Answer 5

• Conditions in the unfair environments where people are born, live, learn, work, play and age that affect health
• Strong links to health inequities
• Stronger connections = better health

Question 6

Social determinates: economic stability and socioeconomic status

Answer 6

Impacts someone’s ability to afford good food, safe housing and medical care

Question 7

Social determinates: education access and quality

Answer 7

• People with higher education live longer and healthier
• Children from low-income families, children with disabilities, and children who experience discrimination are more likely to struggle with math and reading
• School quality depends on where people live

Question 8

Social determinates: healthcare access and quality

Answer 8

• 10% of US doesn’t have health insurance
• Having no primary care provider
• No access to health info and resources

Question 9

Social determinates: neighborhood and built environment

Answer 9

• Violence
• Pollution
• Access to parks, athletic fields, sidewalks, bike paths

Question 10

Social determinates: social and community context

Answer 10

• Positive relationships at home/work/community = healthier living
• Social and community norms can positively or negatively impact health

Question 11

Obesity

Answer 11

• There’s more to it than individual behavior
• Average portion sizes
• Snack food advertising

Question 12

McGuire’s Communication/Persuasion Model

Answer 12

VARIABLES KNOWN TO INFLUENCE COMM EFFECTIVENESS
Source –> message –> channel –> receiver –> destination
= how to put together a health message

Question 13

McGuire’s model: Source

Answer 13

Effective messages use sources who are
- trustworthy
- have expertise
- liked
- similar to the audience in demographics and attitudes

Question 14

McGuire’s model: Message

Answer 14

• Peripheral: packaging, what it looks like
• Evidential: relevant information, facts, statistics
• Linguistic: using the language of target audience, easy terms, slang
• Sociocultural: values, beliefs, customs of the audience reflected into health message

Question 15

McGuire’s model: Channel

Answer 15

• What channels does the target audience use?
  ex. social media, mail, newspaper, email, etc