Environmental Method Flashcards
What is the environmental method referring to?
The gaps, within and between countries, in income levels, opportunities, health status, life expectance, and access to care are greater than at any time in recent history.
The relevence of a social determinants of health perspective
What are the 5 domains of the social determinants of health?
- Education access and quality
- Health care access and quality
- Neighbourhood and built environment
- Social and community context
- Economic stability
List as many social determinants of health as you can.
- Aboriginal status
- Disability
- Early childhood development
- Education
- Employment & working conditions
- Food insecurity
- Gender
- Geography
- Health services
- Housing
- Income & its distribution
- Race
- Social exclusion
- Social safety network
- Unemployment & job security
Describe how Indigenous people in Canada have suffered health disparities.
- Health care system
- Education
- Income
- Employment opportunities
- Housing conditions
- Historical and current politcal contexts
- Colonialism
- Social structures
- Resource distribution
Describe the Richmond et al. paper.
- Community based qualitative study
- Community engagement (on reserve & urban) with Indigenous mothers
- Inter-relationships between social determinants of health & Indigenous moms’ lived experiences of food insecurity
What are structural drivers of health inequities?
- Social
- Political
- Economic
- Ecological
- Cultural
- Historical
- biological = personal
(Make your own acronym - and justify - good exam question)
SPEECH
What is the Ottawa Charter for Health Promotion?
Ottawa Charter: pivotal visionary agreement – incorporated social model of health as complement to the dominant bio-medical, disease-oriented, individual
lifestyle model
Prerequisites of health: peace, shelter, education, food, income, stable eco-system, sustainable resources, social justice, and equity
1986: WHO convened 1st Int’l Conference on Health
Promotion, in Ottawa; 38 countries, 212 delegates
What does the Ottawa charter define health as?
- A resource for everyday life, a positive concept emphasizing personal and social resources as well as physical capabilities
What are the 3 strategies of the Ottawa charter?
- Enable
- Mediate
- Advocate
What are 5 areas for action according to the Ottawa charter?
- Strengthen community action
- Develop personal skills
- Create supportive environments
- Reorient health services
- Build healthy public policies
What are the 5 pillars of healthy communities?
- Community engagement
- Multisector collaboration
- Political commitment
- Healthy public policies
- Asset-based community development
Describe the multilevel socio-ecological model.
- Macro level - public policy (media; pricing)
- Community - institution (eating out; built environment; school food; workplace)
- Interpersonal (time constraints; culture; support)
- Intrapersonal (motivations; knowledge; skills; age; status; limitations; perceptions; beliefs)
What are the benefits and limitations of the ‘environmental method’?
The Ottawa Charter is a historic document that changed the way health is perceived.
True or False?
True.
The Ottawa Charter states that peace, social justice, food, and income are all pre-requisites for health.
True or False?
True.
