What is health?
Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
- Personal relationships
- Family, work, romantic, team, etc.
- Social Networks Breadth and depth real or virtual
Models of Health
Medical Model
Focus: Individuals biology
Physiology, organ function
Cause of Disease
By an agent (virus), malady (something bad happened to them), or malfunction (birth deformity)
Treatment of Disease
Remove the agent or repair the malfunction
Health=absence of disease
Models of Health
Public Health Model
Focus: Context of individual and interactions
Environment Behavior Biology
Prevention of disease
Models of Health
From the medical model we get
Disease treatment or management Surgery
Disease Prevention
Disease prevention
Actions or behaviors designed to keep people from getting sick Reduce or eliminate factors causing illness or injury Examples
Vaccines Anti-smoking campaigns
Health promotion
Policies and programs that promote behaviors to support health
Identify risk factors and people at risk Frequently focus on environmental change
Healthypeople.gov
Health determinants
The array of critical influences that determine the health of individuals and communities Surgeon General Biology Behavior Environment Access to health care Policy
Age Gender, race/ethnicity Personal history with illness/injury Biological aspects are non-modifiable
Modifiable
Of the the ten leading causes of death 4 of them are modifiable determinants responsible for chronic diseases
4. Tobacco use
Blood pressure and cardiovascular disease Cancer
Mortality
Occurrence of death
Mortality rate: number of deaths in a populations in a given period of time
Usually expressed as a ratio
Population assessments
All-cause mortality life-expectancy Infant mortality
2 3 4 5
Morbidity
Disease occurrence
Morbidity rate: Incidence of disease among members of a population
Co-morbidities
Diseases or conditions that co-occur with each other Example: Obesity co-morbidities
Diabetes, asthma, arthritis, cardiovascular disease
Quality of life
Quality of life
Subjective evaluations of the positive and negative aspects of ones life individuals perception Encompasses wellness concepts Influenced by health, environment, living situation, occupation/school
Risk factors
Controllable Diet Physical activity Smoking status Substance use and abuse Coping mechanisms Compliance with treatment/medications Uncontrollable Age Sex Race/ethnicity Genetics
Physiology/metabolism Susceptibility to disease
Evaluating Credibility
Credibility= Believability
Confidence in the truth of information AND interpretations We believe someone is telling the truth We believe that truth is accurate
Concepts well return to in health sciences research: Validity: Is it true? quality criterion degree of accuracy in a study s conclusions
Do we believe they found a true association or relationship? (internal validity) Do we believe it can be applied to real life? (external validity)
Evaluating Websites
1. Accuracy
Look for evidence: - is the info based on scientific research? - are the sources cited to support facts, claims, outcomes? - Are these sources credible? Assess quality:
How do websites review their info? Id there an editorial board
Evaluating Websites
2. Authority Author
Who wrote the article or supports the website? What are their credentials? Who are they affiliated with?
Webpage/Website
Is their an editorial board? Is their a policy of mission statement? What are their credentials?
Evaluating Websites
3. Bias/Objectivity
Is this information showing just one point of view? What is the purpose for the website or article? Is advertising used? Is that point of view polarized? Or unsubstantiated
This is a miracle fruit!! ORAC is over 3,500 which is hundreds of times higher than your average fruit This is THE WORST food you can eat!! Your body will feel its toxic effects for years
Keep in mind: Medical treatments change as new research is completed Old sources may be inaccurate or wrong based on new information
6. Privacy Check for privacy policies What kind of registration do you need to see the pages
What do they do with this information?