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Lecture 2

GGRB28 Lecture 2.docx

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Suzanne Sicchia

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Lecture 2- September 20, 2012 Sample Test Question 1.Compare and contrast the four models of health discussed this term. Make sure you clearly define each model and its underlying assumptions. • Legionnaires is like a very sever pneumonia DEFINITIONS OF HEALTH – 4 Models of Health BHWS Bio-Medical Model • Absence of disease • Body is a machine that needs to be fixed when broken • Promotes treatment not prevention • Measured by its absence e.g. Disease/death rates HOLISTIC MODEL (whole body approach) • Health is a state of complete physical, mental and social well-being, and not merely the absence of disease or informity (WHO, 1948) • How does gender, income, workplace , and social networks affect health ? • So emcompassing- no one can have perfect health ; idealistc approach to health > striving for perfect health WELLNESS MODEL • Health is something you call upon – it's a resrouce • Health is a resource for everyday life, not the objective of living • Health is a positive concept emphasizing social and person resources, as well as physical capabilities • The extent to which an individual or group can, on one hand, reazlied aspirations adn satisfy needs, and on the other hand change or cope with the environment • I have good health, and i can draw upon it, rather than I need to strive for good health SOCIAL DETERMINANTS OF HEALTH • Age, sex, and constitutional factors -> you can't change • Social community networks • Those who have higher education tend to have better health SdofH- Canadian Perspective 1.Income and social status 2.Social support networks 3.Education and Literacy 4.Employment/working conditions 5.Social environments 6.Physical Environment 7.Personal health practices and coping skills 8.Health child development 9.Biology and genetic endowment 10. Health services 11. Gender Services 12. Gender 13. Culture ILLNESS VERSUS DISEASE Illness • Subjective experience of the person (e.g. Feeling tired) Disease • Diagnosis of medically recognized symptoms (chronic fatigue syndrome) Illness and Disease may or may not be associated Sometimes we have symptoms of illness withut a medical diagnosis > fibromyalgia MEASURING HEALTH Mortality= death Morbidity = Sickness (disease or illness) Comorbidity = two illnesses at the same time (diabetes and kidney disease)  Incidence: the number of new cases occuring within a given time interval expresed as a proportion of the # of people at risk  Prevalence: the number of people with the disease or illness at any one point in time  (for example, the prevalence rate for schizophrenia ..  Chronic: long-lasting and perhaps life long (Type 1 Diabetes)  Acute: Starts suddenly, last only a few days (Stroke, heart attack)  Infectious: ca
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