UNIT 3 - AOS 1B Flashcards
National Health Priority Areas
A collaborative initiative endorsed by the commonwealth and all state territory governments.
The NHPA initiative seeks to focus the health sectors attention on diseases or conditions that have a major impact on the health of australians
The NHPA”S represent the disease groups with the largest burden of disease and potential costs to the Australian Government
dot points for nhpa definition
- collaborative imitative endorsed by commonwealth states territory
- seeks to focus on health sectors on diseases or conditions that have major impact on health of australians
- represent the disease groups with largest BOD and potential costs to australian government
what are the nine NHPAS
- Mental health
- Asthma
- Diabetes mellitus
- Dementia
- Cancer control
- Obesity
- arthritis and Musculoskeletal conditions
- Injury prevention and control
- Cardiovascular health
define costs
one of the main reasons why each NHPA was selected is due to the cost of illness to an individual and/or community
what are the three types of costs
- direct
- indirect
- intangible
direct costs
- easy to measure
- a direct result of illness
- eg. medication or treatment
indirect costs
- more difficult to measure in monetary value
- costs to individual/communities as a result of illness but not related directly to illness itself
intangible
- costs which can not be allocated a monetary value
- reduced to human emotion
- eg. pain, anxiety and stress
NHPA - mental health
relates to a state of well being in which the individual realises their own abilities and can cope with the normal stresses of life, work productively and fruitfully and is able to make a contribution to their community.
The initial focus of the NHPA is to combat depression
mental health - reason for selection
- most common non fatal burden of disease
- estimated up to 45% of australians will experience mental illness at some stage of life
list mental health biological factors
- body weight
- chemical imbalance
mental health biological factors - body weight
no definitive relationship but obesity could influence eating habits and consequentially mental health
mental health biological factors - chemical imbalance
chemical in brain assists in controlling mood.
Suggesting a deficiency in chemical ceratonin may contribute to depression and other illnesses
list mental health behavioural factors
- alcohol misuse
- physical activity
mental health behavioural factors - alcohol misuse
there is a relationship between problem drinking and suffering mental illnesses. The casual factor of drinking is a depressant and those with depressive symptoms are more likely to develop alcohol misses as a result of it being a depressant
mental health behavioural factor - physical activity
releases hormone type chemicals called endorphins that relieve stress and helps maintain ‘optimal’ mental health.
People who exercise may have lower levels of mental illness
list mental health physical environment factors
- access to recreational facilities
- housing
mental health physical environment factors - access to recreational facilities
regular physical activity releases endorphins to help maintain ‘optimal’ mental health.
not having access to facilities therefore may increase the risk of developing or maintaining an illness
mental health physical environment factors - housing
living in overcrowded housing can increase psychological distress. Housing that is not adequate or secure can contribute to anxiety and stress
list mental health social factors
- early life experiences
- low ses
mental health social factors - early life experiences
loss of parent, divorce or adverse parenting styles may act as a trigger to mental illness
mental health social factors - low ses
may have higher rates of mental illness due to higher rates of obesity, alcohol or drug misuse, poverty, lack of security causing anxiety and distress due to possible feeling of lack of control
mental health direct costs
- 8.6% of health care expenditure approx 6.4 billion
- medication and counselling
- implementing health promotions
mental health indirect costs
- loss of income if unable to work
- lost productivity/ social security payments
- paying for domestic services
mental health intangible costs
- increased feeling of hopelessness, stress, anxiety
- community: family/friends may have to take time to care for sufferer
- stress for family of sufferer
mental health - health promotion program
THE NATIONAL MENTAL HEALTH STRATEGY
program endorsed by federal,state and territory governments that aim to promote mental health and reduce the impact of mental illness in Australia
NHPA - asthma
a condition characterised by inflammation of the airways in response to certain ‘triggers’. These may include: pollen, pet hair, smoke, physical activity.
When exposed to triggers, the airways narrow making it difficult to breathe
asthma - why is it an NHPA
- contributes significantly to overall burden of disease in australia
- suffered by approx 2.2 million
- one of the most frequent reasons for hospitalisation for children
list biological determinants - asthma
- genetic predisposition
- excess body weight
asthma biological factors - genetic predisposition
people who have a family history of asthma are more likely to develop the condition themselves
asthma biological factors - excess body weight
research suggests that individuals who are overweight/ obese have a higher risk of developing asthma
list behavioural determinants - asthma
- smoking
asthma behavioural determinants - smoking
increases risk of asthma
Exposure to tobacco smoke in the uterus and during infancy may lead to an increased asthma risk
list physical environment determinants - asthma
- housing
- air quality
asthma physical environment - housing
housing that does not have adequate ventilation may increase indoor population and can increase the risk of asthma among inhabitants
asthma physical environment - air quality
air pollution is a risk factor for asthma,
Those living in major cities or near industrial areas may increase risk
list social determinants - asthma
- low ses
- early life experiences
asthma social - low ses
more likely to have asthma due to higher smoking rates and increased exposure to environmental tobacco smoking
asthma social - early life experiences
mothers who smoke during pregnancy may elevate their childs risk of developing asthma
asthma - direct costs
- 700 million on expenditure
- appointments
- hospital admissions
- pharmaceuticals eg. puffer/ ventilator
- individual co payments
- ambulance for severe attacks
asthma indirect costs
- lost income of carers to young asthma sufferers
- lost productivity and taxation revenue
- financial costs of parent having to stay home
asthma intangible costs
- missing school due to sleep disturbance s
- increased anxiety if attacks are frequent
- frustration of unable to participate in physical activity
- anxiety for parents of young sufferers
asthma - health promotion programs
- ASTHMA FRIENDLY SCHOOLS PROGRAM
- a joint initiative of Australian Asthma foundation, aiming to reduce potential triggers in school environment and provide education regarding management
NHPA - diabetes mellitus
a chronic condition in which the sufferer is unable to utilise blood glucose correctly.
Glucose is the basic unit for energy and required by the body’s cells to maintain normal function. When glucose is not being taken into cells, blood glucose levels are high and cells can not function properly
diabetes - type 1
pancreas does not produce enough (if not any) insulin to allow glucose from the body to the cells.
Believed to be a strong genetic link
diabetes - type 2
usually occurs in older, overweight individuals.
Pancreas can not produce efficiently use insulin
Being overweight is the greatest link
diabetes - gestational
As baby develops, hormones produced to assist in growth, however reduce impact that insulin has on blood glucose levels of mother. The mother may not be able to produce enough insulin to metabolise glucose, which may result in diabetes
Diabetes - why is it an NHPA
- leading contributor to BOD
- over 850 000 reported having it
- growing health problem
- type 2 influenced by modifiable risk factors
list biological determinants - diabetes mellitus
- genetic predisposition
- body weight
diabetes mellitus - biological, genetic predisposition
people who have family members that are diabetic have a higher risk of developing over another individual, particularly type 1
diabetes mellitus - biological, body weight
being overweight is a risk factor for type 2.
Exact relationship is not fully understood, however it is known to increase the risk of type 2
list behavioural determinants - diabetes mellitus
- dietary behaviour
- tobacco smoking
diabetes mellitus - behavioural, dietary behaviour
eating energy dense or high fat diet can contribute to weight gain and is a risk factor of type 2 and gestational diabetes
diabetes mellitus - behavioural, tobacco smoking
smoking contributes to higher blood glucose levels and can lead to insulin resistance,
Smokers are more likely to develop type 2 diabetes
list physical environment determinants - diabetes mellitus
- access to recreation facilities
- work environment
diabetes mellitus - physical environment, access to recreational facilities
if not accessible, individuals may not get the required amount of physical activity which can increase body weight and obesity contributing to type 2
diabetes mellitus - physical environment - work environment
an environment that does not promote incidental physical activity can increase risk of type 2 as it contributes to obesity
list social determinants - diabetes mellitus
- low ses
- food security
diabetes mellitus - social - low ses
have higher rates of obesity which is leading cause of gestational and type 2
diabetes mellitus - social - food security
people who lack food security are more likely to eat energy dense, processed foods that can increase obesity, contributing to the risk of type 2 and gestational diabetes
diabetes mellitus - direct costs
community
- 1.5 billion on management and provided through medicare PBS and private health insurance
individual
- copayments for health services
eg, specialists and medication such as insulin and pump
diabetes mellitus - indirect costs
community - social security payments - lost productivity and taxation individuals - paying for carers - lost income if unable to work
diabetes mellitus - intangible
- frustration about exercise and diet
- loss of self esteem
- anxiety of condition progressing
- family and friends experiencing anxiety over lifestyle changes or inability to manage
diabetes mellitus - health promotion program
THE LIVE LIGHTER CAMPAIGN
an initiative that promotes physical activity and healthy eating in an attempt to decrease obesity rates and associated chronic diseases such as diabetes
NHPA - dementia
is not a specific disease but a term used to describe over 100 conditions that are characterised by progressive and irreversible loss of brain function.
As brain function deteriorates, dementia interferes with normal behaviour patterns affecting
-memory
- language
- speech
-attention
-personality
Dementia - why is it an NHPA
- third most common cause of death
- contributing significantly to morbidity rates
- fourth largest contributor to burden of disease
list biological determinants - dementia
- age
- genetic predisposition
dementia - biological determinants - age
advancing age is the greatest risk factor with rates increasing from ages 65+
doubling approximately every 6 years
dementia - biological determinants - genetic predisposition
those with a family history have an increased rate of suffering from dementia