Unit 1

Question 1

What are the 5 principles of the Ottawa Charter?

Answer 1

1) healthy public policy
2) supportive environment
3) community action
4) reorienting health services
5) developing personal skills

Question 2

What are the 3 Strategies of the Ottawa Charter ?

Answer 2

Advocate

Mediate

Enable

Question 3

Why do Health Promotion services suffer in clinical settings ?

Answer 3

HP focuses on determinants of health vs explaining disease at submolecular level.

Submol = high tech

In medical field incentives are stacked in favour of high tech, vs social, cultural, and behavioural aspects of care.

Question 4

Without Health Education, Health Promotion would be … ?

Answer 4

A manipulative social engineering enterprise.

HE aims at voluntary actions ppl can take for their own health or common food of community

Question 5

How do we quantify health or health status ?

Answer 5

Define health w its opposite- ill health.
Death rates
Life expectancy
DAILYs

Question 6

Health Promotion vs Disease Prevention

Answer 6

HE: positive, multidimensional
Health of total population
Particularly model

DP: absence of disease
Health of individual/ target pop
Medical model

Question 7

Health Education vs Health Promotion

Answer 7

HE: planned learning experience for voluntary change. Health directed behaviour for Disease Prevention
(Immunization programs)

HP: LIFESTYLE
Beyond treating disease

Question 8

CIHI

Answer 8

Canadian institute for Health information.

provides essential information on Canada’s health system and the health of Canadians

Question 9

Equity Stratification

Answer 9

Measuring inequalities differences

Question 10

Unavoidable vs Avoidable Health inequity

Answer 10

Unavoidable: DNA
Avoidable: inequity/differences in income levels

Question 11

Structural vs Intermediary Health Determinants

Answer 11

Structural: socioeconomic and political context ppl live in

Intermediary: material circumstances, psycho social factors, behaviours, biological factors

Together = social cohesion

Question 12

6 step process of Health Promotion

Answer 12

1) understand and Engage
2) Assess needs
3) Set goals and objectives
4) Develop Intervention
5) Implement intervention
6) Evaluate Results

UNDERSTAND
ASSESS
GOALS
DEVELOP
IMPLEMENT
EVALUATE

Question 13

9 Assumptions of Health Promotion

Answer 13

1) Health is changeable
2) H determined by interactions among factors
3) Behaviour can change
4) Behaviour, interactions etc contribute to change
5) Interventions can teach HPing behaviours or risky ones
6) determinants must be understood for h beh to change
7) initiating & maintaining beh change is challenging
8) individual responsibility does not = victim blaming
9) for permanent change person must be motivated and ready

Question 14

Determinants of Health are..

Answer 14

Personal, social, environmental, and economic factors that determine peoples health

Question 15

Health Inequalities vs Health inequities

Answer 15

Inequalities: differences in health status of ppl. Genes or choices you make

Inequity: inequalities that are unfair and modifiable

Question 16

HP is a discipline with its own ideology and core values. These include .. (8 things)

Answer 16

Equity & empowerment
Health as a right
Social justice
Autonomy
Voluntarism
Participation & Partnerships

Question 17

Although health is influenced by human agency, ______ have a major influence on health and health related behaviour

Answer 17

Structural Factors

Question 18

_______ is a key factor to individuals health behaviour and health _____

Answer 18

Power is a key factor to

Health Choices

Question 19

HP should generally uphold the principle of ____

Answer 19

Voluntarism

But use of coercive methods may be justified on grounds of social justice, paternalism, or utilitarianism

Question 20

Why was the Lalonde report so big?

Answer 20

First report on HP, focus on investing outside of HC systems for improving health of populations.

Other countries made their own report after

Question 21

4 factors contributing to Health of populations?

Answer 21

HC organizations, Human biology, Lifestyle, Environment

Question 22

“ Why are some ppl healthy & others not” helped to do what

Answer 22

Helped position population Health on health policy agenda (in Canada and world)

Question 23

Population Health approach focuses on _____ rather than ______

Answer 23

Social Determinants of health
vs
Individuals

Question 24

Health promotion = ___ x ___

Answer 24

Healthy public Health policy X Health education

Question 25

Twin pillars of HP are ?

Answer 25

Empowerment and Equity

Question 26

Salutogenic vs pathogenic

Answer 26

S: developing wellness, focuses on origins of health. Health ENHANCING

P: focus on disease

Question 27

3 dimensions of empowerment

Answer 27

Political, Material, Psychosocial

Question 28

Good health in Canada is not equally shared due to ….

Answer 28

Social, political, and economic disadvantages