Population Health Approach

Question 1

What are factors that can affect your personal health?

Answer 1

o Lifestyle decision
o Housing and food that is in budget
o Social stressors
o On a larger scale by education, occupation, income, and community connectedness

Further from this we are affected by culture, economy, and policies

Question 2

What do we know about poverty and health?

Answer 2

Poverty is bad for your health and health improves at each step of the social and income ladder

Question 3

What is the Health Canada Definition of Population Health?

Answer 3

Population health refers to the health of a population as measured by health status indicators and as influenced by social, economic and physical environments, personal health practices, individual capacity and coping skills, human biology, early childhood development, and health services.

As an approach, population health focuses on the interrelated conditions and factors that influence the health of populations over the life course, identifies systematic variations in their patterns of occurrence, and applies the resulting knowledge to develop and implement policies and actions to improve the health and well-being of those populations.

Question 4

What are the key elements of a population health approach according to Health Canada?

Answer 4

MEMORY: healthy populations prevents an EPIDEMIC

E - evidence based decisions
P - population health status measurements
I - increase upstream investments
D - DOH focus
E - Exhibit accountability
M - multiple strategies applied
I - Involvement of the public (employ mechanisms to increase this)
C - collaborate across sectors and levels

Question 5

What does a Population Health Approach focus on?

Answer 5

Focus on health of populations

Question 6

What does a Population Health Approach aim to address?

Answer 6

The determinants of health and their interactions

Question 7

What should a nurse using the Population Health Approach base her decisions on?

Answer 7

Evidence

Question 8

The Population Health Approach believes in increasing ______ investments

Answer 8

Upstream

Question 9

Why does the Population Health Approach state we need to apply multiple strategies?

Answer 9

Not enough to just treat a condition, we need protection to prevent illness. We are too complex for a single strategy to work.

Question 10

Why does the Population Health Approach state we need to collaborate across sectors and levels?

Answer 10

o Not only the ministry of health, also environmental sectors, housing, transportation, sanitation etc. all affect health

Question 11

What key element of the Population Health Approach is rooted in the belief that people need a voice in policies and understand what we are trying to do because we cannot simply give orders and expect people to follow?

Answer 11

Employ mechanisms for public involvement

Question 12

Who, according to the Population Health Approach, must demonstrate accountability for health outcomes?

Answer 12

Everyone that touches health, government, individuals, etc.

Question 13

What are the 5 levels of the socio-ecological framework?

Answer 13

Individual

Interpersonal-Social relationships

Organizational structures

Community-physical structures

Public policies

Question 14

What level of the socio-ecological framework includes my personal health behaviours such as smoking or eating habits?

Answer 14

Individual

Question 15

What level of the socio-ecological framework includes a really toxic relationship with a partner or family member?

Answer 15

Interpersonal - social relationships

Question 16

What level of the socio-ecological framework includes the school I go to and my place of employment?

Answer 16

Organizational structures

Question 17

What level of the socio-ecological framework includes the noise pollution we encounter in downtown or the smoke from the fires in the summer or the mold in my home?

Answer 17

Community-physical environments

Question 17

What level of the socio-ecological framework includes the local and provincial laws and regulations?

Answer 17

Public policies

Question 18

What does the socio-ecological framework highlight?

Answer 18

• The framework recognizes that behaviours are influenced by multiple factors and that they also impact those factors
• This approach highlights the importance of considering context (social and physical environment) when addressing health issues

Question 19

What is the socio-ecological framework?

Answer 19

A model of health that considers various factors at different levels that impacts the health of the population

It’s the one with multiple circles inside each other like nesting dolls…I’m not paying for the upgrade to attach it here lol

Question 20

How many levels of prevention are part of the socio-ecological framework and what are they?

Answer 20

First - individual

Second - relationships

Third - community - a combination of the physical and social settings (organizations)

Fourth - societal

Question 21

Describe the first level of prevention in the socio-ecological framework

Answer 21

Involves identifying biological and personal history factors that increase the likelihood of adverse health impact

Such factors may include
 Age
 Education
 Income
 Substance use
 History of abuse

Prevention strategies at this level aim to promote attitudes, beliefs, and behaviours that can help prevent adverse effects

Question 22

Describe the second level of prevention in the socio-ecological framework

Answer 22

A person’s close social circle-peers, partners, and family members influences their behaviors and contributes to their experience

Prevention strategies at this level may include
 Parenting or family focused prevention programs
 Mentoring and peer programs designed to strengthen
* Parent-child communication
* Promote positive peer norms
* Problem-solving skills
* Promote healthy relationships

Question 23

Describe the third level of prevention in the socio-ecological framework

Answer 23

Examines the impact of social settings on adverse events. These social settings include:
 Schools
 Workplaces
 Neighborhoods

Question 24

Describe the fourth level of prevention in the socio-ecological framework

Answer 24

Societal factors that contribute to the encouragement or prevention of events

Factors include
 Social and cultural norms that support adverse events
 Health, economic, educational, and social policies that perpetuate inequalities between different groups in society

Preventative measures at this level involve
 Promoting positive societal norms such as
* Household financial security
* Education and employment opportunities
* Policies that address the root causes of health disparities

Question 25

What level of prevention in the socio-ecological framework includes promoting attitudes, beliefs, and behaviours that are aimed at preventing adverse effects?

Answer 25

First level - individual

Question 26

What level of prevention in the socio-ecological framework includes parenting or family focused prevention programs?

Answer 26

Second level- relationships

Question 27

What level of prevention in the socio-ecological framework includes improving the physical/social environment?

Answer 27

Third level - community

Question 28

What level of prevention in the socio-ecological framework includes promoting positive social norms such as educational and employment opportunities?

Answer 28

Fourth level - societal