Final Flashcards
Health Promotion definition and examples
processes and activities which help to create the right social and physical conditions that can facilitate better healthy living and improve determinants of health
examples:
- health education campaigns
- activity campaigns
Health Protection definition and examples
actions taken to safeguard a population from threats to their health and wellbeing
examples:
- surveillance for the development of epidemics
- emergency preparedness
Disease Prevention definitions and examples
risk assessment and interventions to lessen the likelihood of disease or halt its progression
Two fundamental assumptions of epidemiology
1 - human disease does not occur at random, there are factors/determinants which influence the likelihood of disease development
2 - these factors/determinants can be identified through systematic investigation of populations and their subgroups
epidemiology subdisciplines can be subdivided by which three factors
disease
population
exposure
process of an epi investigation
do a literature review to identify possible exposures or disease outbreaks
form a hypothesis
conduct epi studies to measure the relationship between exposure and disease
judge if an association is present (consider your study design, bias and confounders, strengths and weaknesses)
evaluate possible preventions and treatments
bernardino ramazzini
father of occupational medicine
john graunt
birth and death data - seasonal variations, infant mortality, Columbus of statistics
three factors influencing disease transmission
host, agent, environment
formite vs vector vs vehicle
vehicle is like infected water or blood
vector is a living organism which transmits disease (rat, mosquito)
formite is an inanimate object ladden with disease
active immunity
when a disease agent stimulates the production of antibodies. this is long-lasting but takes time to develop.
can be natural (previous exposures) or artificial (vaccines)
public health research process
literature review to identify gaps in knowledge
frame your research question
pick your study design AND get ethical approval
pick your methods
collect your data and do your analyses
disseminate your findings
steps in making a good research question
1) goal of the study
2) design
3) hypothesis
4) Population
evidence based practice is the practice of
turning scientific findings from RCTs into real life practices applied in the real world. In public health, effectiveness trials are more often used than RCTs (effectiveness trials lack a control group).
virtue ethics
common use ethics - right vs wrong - useful for training professionals
deontology
ethical and legal rules - “do no harm” - set the grounds for professional misconduct
utilitarian ethics
cost-benefit analyses
process for dealing with PH ethical issues
- assess the problem
- design and evaluate potential courses of action
- select and justify your chosen course of action
key public health ethical principles
interdependence and solidarity
health and safety
professionalism and trust
health justice and equity
human rights and civil liberties
inclusivity and engagement
cohort. case-control, and cross-sectional studies are all examples of
observational research designs
the main goal of community based research is to ensure the ____ of interventions
sustainability
common issues in community based research
main - irrelevance to the community
coercion
results/findings/data not returned to the community
taken advantage of
positivism
aims to confirm or predict behaviour, used to test hypotheses and theories
interpretivism
understands that reality is subjective and that we must understand multiple povs