HLTH 2000 - Intro to Public Health - Notes from Week 5
HLTH 2000 - Intro to Public Health - Notes from Week 5 HLTH 2000
Popular in Introduction to Public Health
Popular in Public Health
verified elite notetaker
This 8 page Class Notes was uploaded by Logan Amon on Sunday October 4, 2015. The Class Notes belongs to HLTH 2000 at Ohio University taught by Heather Harmon in Fall 2015. Since its upload, it has received 252 views. For similar materials see Introduction to Public Health in Public Health at Ohio University.
Reviews for HLTH 2000 - Intro to Public Health - Notes from Week 5
Report this Material
What is Karma?
Karma is the currency of StudySoup.
You can buy or earn more Karma at anytime and redeem it for class notes, study guides, flashcards, and more!
Date Created: 10/04/15
Week 5 Notes HLTH 2000 Intro to Public Health Instructor Heather Harmon 09212015 10012015 There are no Week 4 Notes because we watched the movie Contagion that week Don t forget to watch Contagion because there WILL be a question or two on the exam about it Chronic Diseases Chronic vs Noncommunicable Diseases 0 Nation s leading cause of deathquot I Heart disease stroke cancer chronic diseases 0 Complex etiologies causes 0 Multicausation disease model I Host inalterable unique genetic endowment I Personality beliefs behavioral choices impact host I Complex environment exposes host to risk factors Epidemiology amp Chronic Diseases 0 Identify risk factors 0 Observe longterm trends 0 Heart disease leading cause of death I Framingham study started in 1948 0 Lung cancer and smoking early 19505 I British Physicians study 40701 doctors 50 of smoker die from smoking related disease I HammondHorn study in Us 188000 adult men gt Led to the 1964 Surgeon General s Report on smoking Risk Factors 0 Modi able gt Controllable Nonmodi iable gt o genetics age weather socioeconomic status gender family history education 0 smoking diet physical activity protective sex NonCommunicable Disease Problems Diseases of heart and blood vessels 0 Coronary heart disease 0 Cerebrovascular disease stroke Malignant neoplasms cancer Chronic obstructive pulmonary diseases Diabetes mellitus type 1 since birth type 2 developed Chronic Liver disease cirrhosis Prioritizing prevention control effect Criteria used to judge importance of disease to a community 0 of people who will die from a disease I Leading causes of death 0 of years of potential life lost I Captures issues affiliated with various groups 0 Economic cost associated with disease I Money spent various levels of government gt EX Alcohol and other drugs Prevention intervention control eradication of diseases planning for and taking action to prevent or forestall onset of disease or health problems efforts to control disease in progress taking action during an event total elimination of disease from human population Levels of Prevention o Forestall onset of illness or injury during prepathogenesis period I education is knowledge about health and disease prevention eating properly adequate exercise driving safely I adequate food energy supplies efficient community services opportunities for education employment and housing 0 Early diagnosis and prompt treatment before disease becomes advanced disability becomes severe personal screenings mammogram pap test PSA test regular medical and dental checkups pursuit of diagnosis and prompt treatment provision of mass screenings for chronic diseases casefinding measures provisions of adequate health personnel equipment and facilities o Aimed at rehabilitation following significant pathogenesis retrain re educate rehabilitate I significant behavioral or lifestyle changes adherence to prescribed meds following rehabilitate re uirements after surgery I h adequate emergency medical personnel and services hospitals surgeons nurses ambulance services Obesity Listed under chronic diseases on the CDC s site 0 Adults I of adults age 20 years who are obese 1142 I of adults age 20 years who are overweight 0 Children 39 of adolescents 1219 who are obese 39 of children 611 who are obese 39 of children 25 who are obese During 19802008 obesity rates have doubled for adults tripled for humans By 2030 it is predicted 50 of residents in 39 states could be obese US government projects 42 obesity nationwide 20092010 Know your risk 339 Know your family history 339 Behaviors that put you at the greatest risk 0 poor diet lack of exercise smoking excessive drinking lack of sleep lack of social interaction support lack of protection during sex 339 Ignoring the warning signs when they are present America s Heart Disease Burden Approximately 610000 people die of heart disease in US every year 0 1 in every 4 deaths Signs of a heart attack 0 Chest pains discomfort 0 Upper back discomfort in one or both arms back neck jaw or upper part of mouth 0 Shortness of breath which may occur with or before chest discomfort o Nausea Signs for stroke Face dropping arm weakness speech difficulty time to call 911 o Sudden numbness or weakness of leg Sudden confusion or trouble understanding Sudden trouble seeing in one or both eyes Sudden trouble walking dizziness loss of balance or coordination O O O o Sudden severe headache with no known cause Social ecological approach to behavior change Interaction between interdependence of factors within and across all levels of a health problem Behavior has multiple levels of in uence Behavior change usually a combination of individual and environmental policylevel intervention Community Organizing Building Community health problems range from small to complex Community organization 0 Process through which communities are helped to identijj common problems or goals mobilize resources and develop implement strategies for reaching the goals they have collectively set It s not a science but an art of consensus building Community Organizing Building Terms Community capacity Empowerment Participation relevance Social capital Need for organizing communities Changes in community social structure has lead loss in sense community Why is there less sense of community today in the US technology easy transportation Community organization skills extend beyond community health Assumptions of Community Organizing When we attempt to organize a community we have to make certain assumptions 0 Community members are capable can deal with their own problems 0 People want and can change 0 People need to decide what policies will work for their community and for them Community Organization Methods No single preferred method Planning and policy practice community capacity development and sound advocacy All incorporate fundamental principles 0 Start where the people are 0 Participation o Create environments in which people communities can become empowered as they increase problemsolving abilities Recognize the Issue Initial organizer Recognize that a problem exists decides to do something about it 0 Gets things started 0 Can be from within or outside of the community Gaining Entry to the Community Organizers need 0 Cultural sensitivity cultural competence cultural humility o Gatekeepers people who represent the community 0 Need an understanding of the community and it s needs Organize the People Executive participants core group of community members Leadership Identification a leader needs to be identified Recruitment 0 Expanding constituencies need more community members to make it work 0 Asking people to volunteer their time is not easy the core group and volunteers Alliance of organizations Assessing the Community Community building assessing helps build communities Needs assessment collectin data on a communit Mapping community capacity assessing a community s assets Communit assets 0 assets of individuals within neighborhood 0 social service agencies schools hospitals and housing styles public information and resources including welfare expenditures infrastructure spending etc Determining the Priorities and Setting Goals Criteria to consider when selecting priority issues 0 Must be winnable 0 Must be simple and specific 0 Must unite members of organizing group 0 Should a ect many people 0 Should be a part of a larger plan Goals written to serve as a guide for problem solving Arriving at a Solution Alternate solutions exist for every problem 0 Probable outcomes Acceptability to the community Probable long and shortterm effects Cost of resources OOO FINAL STEPS Implementing Evaluation Maintaining Looping back HEALTH PROMOTION PROGRAMMING Important tool for community health professionals Health education part of the health promotion 0 Health promotion more encompassing that health education Creating a Health Promotion Program Involves series of steps Success depends on many factor Experienced planners use models to guide work Before process beginning it s important to understand and engage priority population audience 0 those whom the program is intended to serve Setting Appropriate Goals and Objects Foundation of the program Portions of the programming process are designing to achieve the goals by meeting the objectives Goals Are more encompassing than objectives Written to cover all aspects of the program Provide overall program direction General in nature Take a long time to complete Objectives Are more precise than goals Steps to achieve the program goals Creating an Intervention that Considers the Peculiarities of Setting Intervention 0 Activities that will help the priority population meet the objectives and achieve the program goals 0 The program that the priority population will experience 0 May be several or a few activities Intervention Considerations Number of components or activities that make up an intervention Number of program units delivered or the number of time the activities are presented Choose the best 0 Practices 0 Experiences 0 Processed Implementation of the Intervention Implementation 0 Putting a planned program into action Pilot test 0 Trial run implementation to a small group 0 Determine problems and fix before full implementation m having extra body weight for a particular height from fat muscle bone or water Having a high amount of excess body fat ENERGY BALANCE ENERGY IN ENERGY OUT Conditions seen in children 0 High cholesterol Type 2 Diabetes High blood pressure Social problems poor self esteem Sleep disturbances 0 Orthopedic problems Conditions seen in adults 0 Heart disease Cancer Stroke Type 2 diabetes Osteoarthritis Physical disability High blood pressure Sleep apnea O O O 0 0000000 Factors 0 Genetics 0 Environment 0 Unhealthy Diet 0 Sedentary Lifestyle 0 Lack of Physical Activity INFANT HEALTH United States is number 1 in infant death Ohio is 46th 0 O O 74 infant deaths per 1000 live births 60 white infant deaths per 1000 live births 138 black infant deaths per 1000 live births Importance O O O O 0 Foundation of health throughout life Children are the most vulnerable group in society IMR is an indicator of health status of population US ranks 55th internationally in IMR IMR higher for blacks than whites indicator of health disparity Hope you all had a great weekend I ll see you in class Q
Are you sure you want to buy this material for
You're already Subscribed!
Looks like you've already subscribed to StudySoup, you won't need to purchase another subscription to get this material. To access this material simply click 'View Full Document'