WEEK 2

Question 1

Ideology plays out in debates about relative importance of personal and structural factors in determining health. Give 3 examples contrasting the ways ideology can impact how health issues are framed

Answer 1

• emphasis on responsibility and structural support
• smoking increases risk of cancer vs tobacco increases risk of cancer
• eating high-calorie food causes obesity vs fast food causes obesity
• people should take care of their teeth vs lack of dental insurance leads to poor health outcomes

Question 2

Differences between biomedical model and health promotion model

Answer 2

• biomedical model sees health as absence of mortality/morbidity, attention directed to identifying causes of and treatments for disease
• health promotion model uses SDOH, focus on communal and individual

Question 3

Best, promising, emerging practices

Answer 3

• best = consistently proven effective through most rigorous scientific research and has been replicated across several cases or examples
• promising = sufficient evidence to claim that the practice is proven effective at achieving a specific aim, consistent with goals and objectives of program
• emerging = new innovative and hold promise based on some level of evidence of effectiveness

Question 4

Why should health promotion evidence be local

Answer 4

• decision making should draw upon local evidence for targeted and effective interventions
• develop process for involving community from beginning

Question 5

Values and criteria intrinsic to health promotion

Answer 5

• enablement, empowerment, equity, justice
• respect, participation, sharing resources, social justice, concern for environment
• participation, multiple methods, capacity building, appropriateness

Question 6

Ottawa Charter for health promotion

Answer 6

• The Charter identifies five components of health promotion action and prerequisites for health, including peace, shelter, education, food, income, a stable ecosystem, sustainable resources, social justice and equity

Question 7

Describe how the traditional hierarchy of evidence does not fit with health promotion