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WSU - PH 3100 - Class Notes - Week 1

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background image Chapter 1- Introduction to Public Health & Theory Public Health Overview Focuses on populations Prevention and health promotion Environment and human behavior interventions Diverse workforce, variable education, and certifications Social sciences integral; clinical sciences peripheral to 
education/training
Observational studies; case control and cohort studies Survey research Qualitative research: focus groups, participant observation, interviews, 
etc.
Upstream vs Downstream Upstream o Public health
o Long-term
o Population-level problems
o Structural solutions
Change determinant(s) so the same thing doesn’t happen 
again
Economic, behavioral, political, socio-cultural Downstream o Clinical practice Solving a problem o Short-term
o Individual solution
Health Facts I. There is an unequal distribution of disease, poor health, wellness, and 
good health among groups of people
a. Reasons for this may include: i. Genetics and biological factors ii. Behavior iii. Social factors iv. Economic factors v. Environmental factors Tension: Agency versus Structure I. Agency: the ability of an individual to effect action a. Individual -> focused on behavioral aspects II. Structure: the parameters within which actions occur The last three have the greatest 
impact on many health outcomes- 
these are called the Social 
Determinants of Health
background image a. Family, society, and state -> focused on social, economic, and  political aspects Integrating Social and Behavioral Aspects of Public Health I. A continuously shifting focus: individual -> population II. Consider biological underpinnings of health and illness, as well as 
behavioral, social, and environmental factors
III. Synthesize a position that incorporates multiple perspective a. Seek out understanding of perspectives that you may not share
b. Standpoint Theory: knowledge and understanding stem from 
one’s social position and experiences i. One’s perspectives are shaped in this way ii. Impacts the provision of health care, health research, etc. c. Intersectional Theory: multiple identities/ facets impacts our lives
d. Emic and etic points of view
i. Emic: insider point of view ii. Etic: outsider points of view What is a theory? I. A theory is a way to explain why something happens or a way to solve 
a problem
a. Provide the essential foundation for professional practice II. Health behavior theories: a way to explain why people do, or don’t do, 
something relative to their health and they suggest ways behavior may
be changed
Where do theories come from? I. Theories may arise from: a. Repeated observations of something that happens and needs to  be explained b. A problem that sparks the researcher’s interest
c. Revision of already existing theories
Inductive vs Deductive Reasoning I. Inductive reasoning: starts with observations and moves to a 
conclusion
II. Deductive reasoning: starts with the conclusion and seeks observations
to support the conclusion
Categories of Theories I. Theories seek to explain behavior, or why something happens or 
doesn’t happen, at three different levels of influence:
a. Intrapersonal: explain behavior by looking at individual factors,  such as: i. Skills, knowledge, attitudes, beliefs, motivation, past  experiences

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School: Wayne State University
Department: Public Health
Course: Social and Behavioral Aspects of Public Health
Professor: Heather Dillaway
Term: Winter 2019
Tags: Public and health
Name: Public Health 3100: Week 1 Notes
Description: These notes cover the material from the first week of class, plus extra information from Chapter 1 in the book.
Uploaded: 01/13/2019
4 Pages 76 Views 60 Unlocks
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School: Wayne State University
Department: Public Health
Course: Social and Behavioral Aspects of Public Health
Professor: Heather Dillaway
Term: Winter 2019
Tags: Public and health
Name: Public Health 3100: Week 1 Notes
Description: These notes cover the material from the first week of class, plus extra information from Chapter 1 in the book.
Uploaded: 01/13/2019