Module 2 Lecture 15 Flashcards
Life stages
Pre-birth, Childhood, Adolescence, Adulthood, Older Age
How life course events influence long term health
- Cumulative e.g. poverty trap
- Multiplicative e.g. CVD risk factors
- Programming e.g. foetal stimulus/disruption affecting later life
Determinant of health in Populations
includes characteristics of the population itself
Downstream
Interventions occur at a micro (proximal) level, including treatment systems and disease management
Upstream
Interventions operate at the macro (distal) level such as government policies and international trade agreements
Level 1
The person:
- AGE, SEX, CONSTITUTIONAL FACTORS AND INDIVIDUAL LIFESTYLE FACTORS
- non modifiable
- important distinctions between impact on individuals and population
- Genes + Environmental Influences
- Choices individual makes
- ability to change behaviours may vary by social group
Level 2
The community
- SOCIAL AND COMMUNITY NETWORKS AND LIVING AND WORKING CONDITIONS
- Family and friends play an important role in normative behaviours
- local community influences the sense of what is normal and acceptable
Level 3
The environment
- GENERAL SOCIOECONOMIC, CULTURAL AND ENVIRONMENTAL CONDITIONS AND LIVING AND WORKING CONDITIONS
- Physical, Built, Cultural, Biological and Political Environments and the ecosystem
Structure
Social and physical environmental conditions/patterns (social determinants) that influence choices and opportunities available
Levels 2 and 3
Agency
The capacity of an individual to act independently and make free choices
Individual lifestyle factors and Social and community networks
The framework is used to help
Identify risk or protective factors and consider levels of interventions
There is ___________ between factors i.e. No arch operates in isolation
Permeability
Social Capital
the value of social networks that facilitates bonds between similar groups of people