Health promo Flashcards
Barriers to nutrition
Access, affordability, food insecurity, education on healthy food prep
Nutrition assessment
culture needs, 24h recall, food frequency questionnaire, diet log, access
Plans to promote nutrition
- inc pop access to health food
- local grocer sell fresh fruit/veg
- promote low fat products
- farmers market/comm garden
- school contracts for healthy food
Initiatives to promote healthy esting
- label initiative (at restaurants)
- simplify food labels
- encourage rests to have healthy choices
- cater to cultural needs
CV exercise reccs
- 30 min min-mod 5d/w
- OR 25 min vig 3d/w or combo mod-vig and aerobic
- AND med-high intense muscle strength 2d/w
Adol exercise reccs
60 min PA with muscle strength 3d/w
5 SDOHs
education, economic stability, social/comm context, health and hc, neighborhood and built enviro
Barriers to PA
sidewalks, parks, bike area, rec facility, neighborhoods, work schedule, low cost/free PA
Ind/fam interventions for PA
- edu on wt loss, dec risk CVD, DM, cancer, hip fracture
- dec pain and mobility
- inc MH, ADLs, safety, QoL
- how to do safely and slowly
- talk to dr first esp if chronic condx
- encourage involvement
- make it doable
- ID low cost
PA recc for arthritis
low impact aerobic twice weekly for 30 min
Population level interventions for PA
- employ early adopters
- create walkable/bikable areas
- address barriers
- comm events for walk/run
- PA programs in schools, org, nursing homes
- edu campaign like Michelle’s lets move
Population level chx for obesity
inc safety, policies that infl work schedule/commutes, initiative to dec food portions, edu on cal content, inc healthy foods, food ad policies
Population level interventions for sleep
Address in hospital, nighttime noise and light pollution, inc greenspace for daytime activities, dec air pollution
health disparity
type of health diff closely linked with soc, econ, and or enviro disadvantage
- preventable diff in burden of disease, injury, violence, opportunities to achieve optimal health that are exp by socially disadv pops
Pops at risk for health disparities
queer, racial/ethnic, religion, gender, age, disability, geo location
Examples of health disparities
Difference in length of life, QoL, access to tx, rates of disease, death, disability, severity of disease
How to address health disparities
- remove barriers
- give all the choice to obtain highest potential
What is the goal of addressing health disparities?
all reaching their full potential, none disadvantaged d/t social position or socially constructed circumstances
Implicit bias
attitudes and stereotypes that unconsciously affect understanding, action and decisions
why are implicit biases in place?
Favorable and unfavorable assessments created as survival tactics
Do implicit biases align with personal beliefs?
Not necessarily
- often favor the ingroup and are malleable
implicit bias according to joint commission
can lead to differential tx and diff outcomes
System 1 thinking
fast and automatic
- sus to enviro influences
System 2 thinking
Slow and reflective
- considers goals and limitations
How does implicit bias lead to worse health outcomes
- Implicit bias from HCP
- exp stigma from HCP
- anticipate future stigma
- avoid HC sys
- worse outcomes
- dec QoL
