Week 5: Children/Young People and Health Flashcards

1
Q

what approach does the Ottawa charter focus on?

A

health promotion

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2
Q

in the ottawa charter, policy becomes the focus and replaces?

A

behaviour

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3
Q

in the ottawa charter, the lifestyle approach is replaced by?

A

skills enhancement and greater focus on social systems (determinants of health)

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4
Q

in the ottawa charter, what are the multi-dimensional strategies for?

A
  • target risk and protective factors

- address multiple settings

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5
Q

how does the ottawa charter define health?

A
  • extent an individual or group can realise aspirations and satisfy needs and change or cope w/ environment
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6
Q

the ottawa charter was ground breaking because it?

A

focused on underlying social determinants of health

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7
Q

build healthy public policy combines

A

legislation, fiscal measures, taxation and organisational change

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8
Q

build healthy public policy: coordinated action that leads to?

A

health, income and social policies that foster greater equity

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9
Q

build healthy public policy identifies obstacles to

A
  • the adoption of health public policies in non-health sectors
  • ways of removing them
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10
Q

build healthy public policy makes the healthier choice ….?

A

the easier choice for policy makers

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11
Q
what are these an example of? 
smoke free workplaces
- pool fencing laws
-bicycle helmet laws 
- nutritional labelling regulation 
-occupational health and safety laws 
- improved car safety features
A

health public policy (BHPP)

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12
Q

create supportive environments involves a systematic assessment of

A

the health impact of a rapidly changing environment

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13
Q

create supportive environments acknowledges that changing patterns of …?

A

life, work and leisure impact health

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14
Q

create supportive environments focuses on the protection of the?

A

natural and built environments and the conservation of natural resources

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15
Q

strengthen community action promotes health through

A
  • setting priorities
  • making decisions
  • planning strategies
  • implementation
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16
Q

how does strengthen community action empower communities?

A
  • enhance self-help and social support
  • develop flexible systems for strengthening public participation
  • access to info., learning opportunities for health, funding support
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17
Q

develop personal skills supplies information on

A
  • education for health

- enhancing life skills

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18
Q

develop personal skills increases options to

A
  • more control over own health
  • control over environment
  • make positive choices
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19
Q

how does develop personal skills help with education throughout life?

A
  • coping w/ chronic illness/injury
  • school, home, work and community settings
  • action through educational, professional, commercial and voluntary bodies, and within the institutions themselves
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20
Q

reorient health services opens channels between the

A

health sector and broader social, political, economic and physical environmental components

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21
Q

reorient health services has a stronger attention to

A

health research and professional education and training

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22
Q

health and illness is outcome of complex interactions of

A

biology, lifestyle, social and environment factors

agency-structure dynamic

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23
Q

what is an example of structure than can influence the interactions of health?

A

infrastructure and systems

24
Q

can one-off programs address multiple determinants?

A

No

- there needs to be a combination of strategies since many determinants are beyond health sector

25
Q

inter-sectoral strategies?

A
  • the combination of strategies used to address multiple determinants must rely on collaborations and partnerships (inter-sectoral strategies)
26
Q

the socio-ecological framework assumes that people will take action if ?

A

they are involved and enabled to take active roles

27
Q

examples of measuring population health status

A
  • national surveys
  • vital statistics: births and deaths
  • life expectancy
28
Q

what are the risk factors in the determinants approach

A

behavioural and biomedical

29
Q

a determinants approach calculates the contribution of

A

risk and protective factors to health and disease - population level estimation

30
Q

population level estimate? example

A

if we know the proportion of people who have risk factor (smoking vs. non smoking) it can be estimated that around 80% of all lung cancer cases can be attributed to smoking

31
Q

determinants approach does not discount individual risk factors, rather it

A

uses population view of risk factors to identify what the significant public health issues are and what groups/populations to target

32
Q

foundations of adult health are laid in?

A

in-utero, perinatal and early childhood periods

33
Q

what provides building blocks for future social, emotional, cognitive and physical wellbeing?

A

healthy physical development and emotional support

34
Q

disadvantage as a determinant of child health leads to?

A
  • poor school performance
  • affecting adult opportunities for employment, income, health literacy and care
  • contributes to inter generational transmission of disadvantage
35
Q

what is responsible for most childhood illness and death?

A

social determinants

36
Q

social determinants of child health involve a complex inter-relationships of what factors?

A

distal social factors (income and education) and proximal factors (health behaviours)

37
Q

how many children live in poverty (living on less than 50% of median income)

A
  • 17%
38
Q

how many children living in poverty live in lone parent households compared to couple households

A

41% lone parent

13% couple

39
Q

how many single parents live below the poverty line

A

33%

40
Q

compared to highest socioeconomic women, women from lowest socioeconomic areas:

A
  • more likely to begin antenatal care later in pregnancy
  • smoke in pregnancy
  • overweight/obese in pregn.
  • 30% more likely to have low birthweight baby
  • more likely to give birth early
41
Q

what are the 4 main objectives of the COAG child health

A
  1. children/young people are active, healthy and thriving
  2. children/young people are immunised against preventable illness
  3. children/young people have lower rates of preventable injury and mortality
  4. children/young people experience lower rates and impact of chronic disease
42
Q
  1. children and young people are active healthy and thriving

how much of daily energy came from discretionary foods?

A

35%

43
Q
  1. children and young people are active healthy and thriving

how many children ate recommended fruit and vege servings?

A

70% fruit

3% vegetables

44
Q
  1. children and young people are active healthy and thriving

how many preschoolers are overweight/ obese

A

20% overweight

9% clinically obese

45
Q

how many indigenous children do not have adequate fruit and vege intake

A

85%

46
Q

outcomes of malnutrition

A
  • physical development

- psychological development

47
Q

who can manage malnutrition?

A
  • cultural and societal responsibility

- optimisation opportunity for parents

48
Q
  1. children/ young people are immunised

how many australian children fully immunised by starting school

A

93%

49
Q

how many indigenous children are immunised by starting school

A

94%

50
Q

why are the vaccine objection rates falling slightly

A
  • removal of conscientious objection
  • close the gap
  • addressing vaccine myths (5mil$ government campaign)
51
Q
  1. children have lower rates of preventable injury/mortality

have injury rates changed since 1993?

A

not changed significantly

52
Q
  1. children have lower rates of preventable injury/mortality

what are the major risks

A

falls and transport accidents

53
Q

what is the biggest risk to infant deaths

A
  • perinatal conditions and congenital conditions (76%)
  • SIDS (6%)
  • other (5%)
  • accidental breathing threats (1.2%)
54
Q
  1. children experience lower rates and impact of chronic disease

asthma, hay fever and food allergies?

A

asthma 11%
hay fever 11%
food allergies 6.3%

55
Q

in 2014, how many new cases of type 1 diabetes found in children

A

1088

56
Q

risking our children doco questions

A

Q1. What social determinants of child and adolescent well-being are discussed in the documentary?
Q2. According to Professor Stanley, what are the ‘big negative influences’ on child and adolescent well-being? How do these impact on the life chances of children/ young people?
Q3. How does the ‘global world’ impact on child and adolescent health and well-being?
Q4. What action principles from the Ottawa Charter (if any) are evident in the documentary ‘Risking our Kids’?