last set Flashcards
guaranteed annual income (GAI) upstream approach
- if an individual has no income from any souce at all, they receive a basic entitlement
- as earned income increases, the benefit declines, but less than proportionately so that low-income earners receive partial benefits and are not worse off than they would have been if they were to quit their jobs and solely relied on income assistance
Universal Health Care (approach)
upstream approach
moving to opportunity (approach)
upstream
- provided rental assistance with counselling to help very low-income families move from poverty-stricken urban areas to low-poverty neighbourhood
- associated with significant reductions in the prevalence of extreme obesity and diabetes 1 year after the intervention
Healthy communities plan H
plan H program supports local government engagement and partnerships across sectors for creating healthier communities
- upstream (more middle)
nudge theory
-create subtle cues in the environment
(colour coding packaging with green or red street lights, bug on urinal, handwashing signs in the bathrooms giving countdown song, calorie counts on menus, beautifying stairwells, cutsie naming veggies) UPSTREAM (mid)
the CAN approach
Convenient (to see, to order, to pick up, to consume)
Attractive (name, appearance, price, expectations)
Normal (to order, to purchase, to eat)
UPSTREAM (mid)
building design so people take stairs
upstream (mid)
Sprouting healthy kids (approach)
-intervention components over 5 months included one of more of the following: (in class lesson about healthy foods, gardening, locally grown, taste tests) Results: exposure to 2+ components changed knowledge, preferences, and behaviour
MIDSTREAM APPROACH
making it harder to smoke and easier to quit
a 5 point plan in new york
- regulation of sales
- legislation and policy of smoking bylaws
- provision of quit-smoking resources (hotline, free nicotine replacement)
- mass media and “cigarettes eating you alive” campaign
- ongoing evaluation conducted through systematic annual telephone surveys of adults and bi-annual in-school surveys of high school students
(28% decrease in adults, 52% decrease in youths)
MIDSTREAM
where should we put our focus?
on upstream and midstream interventions to begin with healthy public policies to address social position, and changing structural and social aspects of places to be more health promoting
(must flip the social ecological model inside out)