HSCI 211 Lecture 2: DETERMINANTS OF CHRONIC DISEASE

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People make choices based on the options presented to them. To affect the determinants of health in a way which promotes healthy behaviour. Goal: to identify the environmental determinants of cvd risk factors in urban and rural canada. Presence/absence of supermarkets associated with bmi of nearby residents. Attempt to change the social values/norms at a societal level around a behaviour. At a population level the strategies include: marketing (social, advertising and communications, mass public education. Multiple programs to reach the population may be very expensive: policy. Development of healthy public policies that moderate the environmental context in which people make their choices. Requires conviction of decision makers, but highly effective. Urban zoning policy for restaurants, residential, commercial bldgs. Need broad partnerships with individuals, community, organizations and assoc. Challenges: reach, scope, affordability, availability, choosing the behaviour. Direct and indirect messages that influence our choices. Respiratory health of bar workers has improved following bans. Changes in attitude and perceptions to smoking.

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