Exam 2 Flashcards
Health (WHO definition)
dynamic state of complete physical, mental, spiritual and social well-being and not merely the absence of disease or illness
Physical health
Bodily aspect of health
Efficient functioning of the body and its systems
Capacity to perform physical functions (eating, walking, talking, exercising)
Mental health
State of well-being
Can cope with the normal stresses of life
Can work productively and fruitfully
Social/psychosocial health
Ability to interact with others/participate in community
Independent and cooperative manner
Family and interpersonal relationships
Healthcare
the business, industry, institution of activity offering medical services
The set of medical services that an organization or country provides
Health care
a set of actions by a person to maintain or improve a patient’s health
Ex: patient care, medical care, preventative care
Pediatrics
the branch of medicine addressing health and medical care for infants, children and teens from birth up to age 18 years
(American Academy of Pediatrics extends it to 21 years old)
Pediatrician
specifically trained medical doctors who work with infants, childrens and adolescents
Established in the late 1800s and early 1900s
What were the main causes of death prior to 1950?
Lack of standardized training for doctors
Lack of regulation in pharmaceutical care
Treatment options had not been discovered
Contagious diseases
Infant mortality
the death of children under the age of 1 from birth
Reported in # of deaths per 1,000 live births
Public health
the science of protecting and improving the health of people (entire populations) and their communities
Focuses on prevention, rather than treatment
Welfare
the health, happiness and fortunes of a person or group
Ex: principles of hygiene, plumbing and housing for children and families
Public health strategies to prevent infant mortality (18-19th century)
Milk stations, Nursue home visit programs, school nurses
Sheppard-Towner Maternity and Infant Act (1921)
Authorized the federal government to grant funds to states for infant and maternal welfare
Decreased infant mortality rate
Was not renewed by Congress and defunded by 1929
- act could only address the social aspect of health care
- Medical providers thought the act would threaten their jobs so it prevented the act from addressing medical care
- pediatricans and other organizations were not united
American Academy of Pediatrics (AAP) was founded as a result
Child mortality
death of children for any reasons between the ages 0-19 years old
Title V of the Social Security ACT (SSA)
(1935)
Roosevelt’s New Deal to stabilize the economy
Provided funding to the states
Title V became the Maternal and Child Health (MCH) Block Grant Program
(1981)
State creates programs and priorities based on individual needs
More hands-off approach from the federal government
States have the ability to allocate funding
Still around today
US vs other developed nations on child mortality
By 1990s and 2000s the US ranked the lowest of all twenty nations in terms of child mortality
- US outspends other nations on healthcare
Gap between US and other nations grows more gradual after the 1980s ( less than age 1)
Gap between US and nations gradual after 1970s
(Ages 1-19)
Leading causes of death in the US ages 1 to 18 years
Suicide
Homicide
Cancer (malignant neoplasms)
Unintentional injury
Congenital abnormalities (birth defects)
Leading cause of death for ages 1-18
Unintentional injury
Leading causes of death in the US under age 1
Congenital abnormalities (birth defects)
Short gestation (preterm and low birth weight)
Sudden infant death syndrome (SIDS)
Unintentional injury (suffocation)
Maternal pregnancy complications
Leading causes of death ages 1-4
Unintentional injury
Congenital abnormalities
Homicide
Cancer
Heart disease
Leading causes of death ages 5-9
Unintentional injury
Cancer
Homicide
Congenital abnormalities
Heart disease
Leading causes of death ages 15-24
Unintentional injury
Homicide
Suicide
COVID 19
Cancer
Unintentional injury
unplanned events which produce damage to a person
Ex: Motor vehicle accidents, falls, burns, drowning
Disparity
if a health outcome is seen to a greater or lesser extent between populations
Health disparity
a particular type of health difference that is closely linked with social, economic and/or environmental disadvantages
Why do health disparities exist?
Low socioeconomic status and lack of education
More rural areas have less doctors
Cultural differences regarding health care and when to see a doctor
Racism can prevent people from having education and seeking out quality medical care