Health Promotion Flashcards
Sociological Perspectives
1) Structural critiques
2) Surveillance critiques
3) Consumption critiques
Structural Critiques
- conditions –> ill health marginalised
- focus on individual responsibility
Surveillance Critiques
- monitoring & regulating population
Consumption Critiques
- lifestyle choices not only seen as health risks
- also tied in w/ identity construction
5 approaches to Health Promotion
1) Medical / Preventitive
2) Behaviour Change
3) Education
4) Empowerment
5) Social Change
3 levels of Prevention
1) Primary
2) Secondary
3) Tertiary
Primary Prevention
Aim: prevent onset
- reducing exposure to risk factors
- Immunisation
- Prevent contact
- Appropriate precautions
- Reduce health related behaviours
Secondary Prevention
Aim: detect + treat
- at early stage (prevent progression)
- Screening
- Monitor & treat
Tertiary Prevention
Aim: minimise effects
- Transplant
- Steroids to prevent asthma attack
- Max capacities of disabled patient
Dilemmas of Health promotion
1) Interfering in people’s lives
2) Victim blaming
3) Fallacy of empowerment
4) Reinforce -ve stereotypes
5) Unequal distribution of responsibility
6) Prevention paradox
Types of Health promotion evaluation
1) Process
2) Impact
3) Outcome
Process evaluation
- assesses process
- formative / illuminative eval
- wide range qualitative methods
Impact Evaluation
- asses immediate effect
- easiest –> most popular
Outcome Evaluation
- asses LT consequences
- measure what achieved (improvement / reduced symptoms…)
- timing of eval influences outcome (delay & decay)
Evaluation difficulties
1) Design of intervention
2) Time lag effect
3) Many pot. Intervening / concurrent confounding factors
4) High cost
