Health promotion Flashcards

1
Q

WHat are the five factors influencing health?

A
Human biology: Genes
Physical environments
Social environements
Behavuour and lifestyle
Health services
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2
Q

What is behaviour a product of?

A

social and psycolgical components

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3
Q

What is behaviour locked into?

A

routine

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4
Q

What does the black report 1982 state about lower social class death rates inequalities?

A

Black report 1982

at every stage of life those in lower social classes have highber death rates than those at the top of the social scale

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5
Q

What does the black report 1982 state about children born into lower social classes?

A

they have a lower birth rate and a shorter stature

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6
Q

WHat does the black report 1982 state about the major diseases and who they affect most?

A

it says all major diseases affect social classes 4 and 5 more than classes 1 and 2

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7
Q

According to the WHO oral health facts what are the most common oral diseases?

A

caries and periodontal disease

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8
Q

According to the WHO oral health facts what percentag eof school children worldwide have decay?

A

60-90%

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9
Q

According to the WHO oral health facts what percentage of middle aged adults have severe peridontal disease?

A

5-20%

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10
Q

According to the WHO oral health facts what is the incidence of oral cancer in most countires?

A

1-10/100,000

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11
Q

According to the WHO oral health facts what is the incidednce of cleft lip and palate?

A

1/500-700 live births

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12
Q

What are the 3 aims of health promotion?

A

Focus on tackling determinants of health
Working in partnership with agencies
use a strategic approach for POPULATION health

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13
Q

WHat is the definition of health promotion? according to WHO 1984

A

the process of enabling people to increase control over and improve their health

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14
Q

What are the five approaches to health promotion?

A
Prevention
Behaviour change
Eduction
Empowerment
Social change
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15
Q

How does prevention work?

A

reduces disease level by using a top down approach. ie where it is lead by health care professional

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16
Q

Give an example of prevention?

A

fissure selants and fluoride advice

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17
Q

WHat is the problem with prevention?

A

doesnt address the underlying cause

it is individually focussed not population

18
Q

How does behavuour change work?

A

individuals take repsonsibilty

19
Q

What methods can be emplyoyed on an individual level and population level to change behaviour?

A

one-one advice

mass media campaigns

20
Q

What is the disadvantage to behaviour change?

A

increasing someones knowledge doesnt necessarily lead to a change in behaviour

21
Q

How does education work?

A

this provides knowledge, skils and attitudes to make correct choices

22
Q

What is an advantage of using education?

A

this doesnt need a HCP and an be lay led eg smoing intervention groups

23
Q

How does empowerment work?

A

this is a bottom up approach which is community led

24
Q

What is the role of the health care prof in empowerment?

A

they act as the facilitator

25
Q

How does social change work?

A

this looks at changing physical social and economic environments

26
Q

Give an example of social change

A

water fluoridation

27
Q

T/F health promotion includes health education?

A

T

it is an umbrella term looking at interventions to promote health including health education

28
Q

Who does health promotion aim to shift responsbilty to?

A

the decsision makers to make healthy public policies *legal, fiscal, educational, organisational)

29
Q

Are public health interventions generally cost effective? reference

A

Owen et al 2011

Yes

30
Q

which model showed how oral health related to general health?

A

the common risk factor approach Sheiham and Watt 2000

31
Q

What are the common risk factors for general health?

A
Diet
Hygiene
Smoking
Alcohol
Stress
32
Q

Which model can be used for health promotion?

A

WHO (Ottawa charter) 1986

33
Q

What does the Ottawa Charter 1986 stipulate?

A
5 aspects
Building healthy public policy
Creating supportive environements
Strengthening community action
Developing personal skills
Re-orientating health services
34
Q

what does building a healthy public policy entail?

How can this be implemented dentally?

A

encourage policy makers in governments and organisations to place health on agenda
make healthy options easier options

fiscal policies (taxing sweets, tobacco and alchol)
Legislation:Food labelling and fluoridation
35
Q

What does creating a supportive environment entail?

A

living and working conditions that are safe, stimulating

encourage community togertherness and to take responsibility for conservation of natural resources

36
Q

How can supportive environments be implemented dentally?

A

working with local schools and enivonrments to ensure no smoking policies and also to ensure oral hygiene taught in schools and school lunches healthy

37
Q

What does strengthening commuity action entail?

A

work through effective community action to:
setting priorities
making decisions
plan local strategies

38
Q

Give an example of community action for dental health

A

smoking cessation support groups

39
Q

How can developing personal skills be used for OHP?

A

provision of information and health education
development of individual skills
coping streatgies

40
Q

WHat is meant by re-orientating health services?

A

encourage health care professsionals to look beyond clinical services and ensure health services are aimed at the pursuit of health and not just cure

41
Q

WHat are the problems with oral health promotion?

A

Long interval between preventative strategy and measurable improvements
Processes of community consultation and health education and altering policies take along time
Politically controversial
Need to be evaluated

42
Q

What has been the effect of oral health promotion on smoking?

A

10% rise in price correlates with a 1% drop in people smoking
banning advertising has showed a reduction in tobacco consumption