Lecture 12: Understanding The Determinants Of Population Health Flashcards
What is phase 1 of the public health framework?
Define the problem
What is phase 2 of the public health framework?
Identify risk and protective factors
What is phase 3 of the public health framework?
Develop and test prevention strategies
What is phase 4 of the public health framework?
Assure widespread adoption
What phase do determinants largely relate to?
Phase 2: identify risk and protective factors
Define determinants
“Any event, characteristic or other definable entity that brings about a change for better or worse in health”
Provide examples of determinants
Water, shelter, sanitation
Income
Employment
Education
Housing and neighbourhoods
Societal characteristics e.g racism, alcohol attitudes, violence towards children
Autonomy and empowerment: social cohesion
Major health determinants
Age Gender Ethnicity Income Education Occupation Housing tenure Crowded housing Access, deprivation, racism
How is module 2 applied to the GATE frame?
Triangle= measuring the population Circle = Dahlgren and whitehead model aka understanding the effects of socioeconomic position of other determinants Square = identifying inequalities and inequities and why these should be reduced
What is an example of the gate frame triangle in understand determinants?
Participants
Where does the number of people 15+ years by annual household income quintile fit on the gate frame?
The circle aka Dahlgren and whitehead
Where does people living in crowded households fit in the gate frame?
The square
What is the main cause of death in NZ?
Cancer (ischaemic heart disease has had a steady decline)
Do Maori populations have higher exposure to determinants with adverse effects on health?
Yes, across all
What are some responses to determinants of health perspective?
- Encourage government/agencies to improve living and working conditions
- Provide opportunities to empower individuals
- Increase social connections
- Reduce barriers to healthcare/systems
