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Chapter 12.docx

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Michelle Brownrigg

Chapter 12- Health promotion Health promotion: strategies intended to maintain or improve the health of large populations.  Focusing on prevention and self-care are hallmarks WHO-“the process of enabling people to increase control over, and to improve, their health National health promotion  ParticipACTION, aimed at increasing Canadians’ activity levels  Stairway to Health: taking the stairs rather than the elevator when at work Medical level of health promotion: the orientation is disease-based and the goal is disease Public health level of health promotion: the orientation is behaviour-based and the goal is disease prevention Socioenviromental level of health promotion: the orientation is toward social change and public health policy Social determinants of health: factors such as income, social support, education, working conditions, and culture that have a significant effect on health at the population level. Labonte three-level framework  Medical: a community might develop a program to help people recover from heart attacks or devote funding to finding a cure for cancer.  Public health: behaviour based intervention would be the promotion of safe sex, or anti- drinking and driving programs.  Socioenviromental: legislation to reduce poverty or school board policies to provide lunches for school children.  The 2 and 3 levels are concerned with social determinants of health. (income, social status, social support networks, education, employment/working conditions, personal health practices and coping skills, healthy child development services, gender, and culture)  There is considerable evidence that the above have a greater impact than does medical science. Age related health concerns: smoking, obesity 1 in 6 children Health promotion mechanisms  We must be encouraged to look after ourselves  We must be encouraged to look after each other  We must make our environments healthier by reducing pollution, improving safety, and reducing inequities  Locus of responsibility is placed squarely on the shoulders of the citizen  Self-care: exercise, diet, risk behaviours, voluntary screening and regular medical check- ups.  Mutual aid: responsibility to family, friends, loved ones, and even society as a whole when it comes to health and safety
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