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CA (168,341)
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HLTA02H3 (176)
Anna Walsh (25)
Chapter 17

Chapter 17

8 Pages
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Department
Health Studies
Course Code
HLTA02H3
Professor
Anna Walsh

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CHAPTER 17: Well -Being At Mid-Life: Determinants of Preventive Health
Introduction:
Preventative health: powerful potential to reduce health care costs and delay or prevent the onset
of established chronic disease
Mid-life: seen as transition, opportunity and challenge
oHeightened re-evaluation and reorientation, which involve turning points aimed at making
the most of the second half of lives
There is no single biological marker which indicated middle age, instead the definitions vary in
the literature, in this book 45-60 years old
oUsually indicated by the beginning of the bodily decline: drop in hormonal levels, failing
of physiological functions, mental acuity wanes and inevitable deterioration of health
Demographic perspective: midlife- general age for having kids, and parents of midlife people are
aging, and times of career transitions
Morbidity at midlife ages- connected with many high profile diseases—heart disease, diabetes,
obesity, stroke and the beginnings of osteoporosis and arthritis, and other forms of cancer (breast,
ovarian, prostate)
Disease- based biomedical model used to identify diseases, discovering underlying etiology, and
then treating and hopefully curing the disease
Social Determinants of Health:
12 factors- listed as determinants of health (Public Health Agency)
oGender
oCulture
oIncome and social status
oHealth child development
oBiology and genetic endowment
oPhysical environment
oEmployment and work conditions
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oPersonal health practices and coping skills
oEducation
oHealth services
oSocial support networks
oSocial environments
Continues to be a need for better understanding of steps taken to seek and attain health and well-
being
Midlife- considered the time when range of determinants of health whose effect accumulate to
affect ones well being
At social level: risk associated with stresses related to employment, balancing demands of busy
lives, migration and limited resources which effect well-being negatively on day to day basis
Population Health
Approach requires ecological lens and understanding that world comprises complex systems
Health of populations effected by combination of context, locality, and health
Focuses on entire population and recognizes the importance of investigating the health disparities
in populations
Lifecourse as an Approach to Aging
Lifecourse: sociological term life stages in social and cultural contexts
oApproach: acknowledges the fluidity of the interaction between people and their
environment, and social and cultural contexts of biological change
oTendency for professions to put emphasis on existence of set of structurally defined, but
culturally experienced life stages
o“aging is visible and the distinctions between the public and private sides of aging further
create dynamic of midlife perceptions
oDifferences in experiences are significant when focusing on midlives of different cohorts
oHunt (2002): notes variability in experiences in professional employment, family
structure, marital status, retirement and other socio-economic variables between women
as little as twenty years apart
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Life Choices and Life Chances:
2 terms that are often misused by unfamiliar with the determinants of health and well-being, and
use the blanket term lifestyle to praise and/or critique people who seem to have made unwise
choices and or practices
Bolaria and Bolaria: lack of formal education effects literacy, low income that forces food
choices, housing and employment environments and other factors at a structural societal level,
may make what seem like personal choice the only choice
oLifestyle is strongly mediated and influenced by life choices that place individuals and
their agency in context of social and structural institutions
oMessage like stop smoking or cut down- has highly differential meaning to preventative
health advice for someone trying to dampen hunger pangs with mooched cigarette
oOr: keep physically active by walking everyday is unthinkable to someone who earns her
living, either now or in the past, on prostitution stroll
oAlso stated: life choces are shaped by life changes
Lifecourse access to materials resources and the social and cultural environments which influence
our health and well being especially at midlife
Early access to nutrition caused by the expense of purchasing fresh foods and milk in the North;
easy availability of fast food and huge portion sizes; and milk in the North and many other factors,
including policy, effect the overall food prices and access to resources
Empirical Exams of the Determinants of Health and Prevention
Prevention:
Under- examined- as complicated as a health issue
Addresses issues that may lead to chronic disease, injury or infectious disease
Primary prevention strategies, often begin at early stages of life ( for example: drinking milk and
other calcium rich liquids, and eating calcium-rich foods in childhood builds strong teeth and
bones
oMay lower risk of developing osteopenia or osteoporosis
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Description
CHAPTER 17: Well -Being At Mid-Life: Determinants of Preventive Health Introduction: Preventative health: powerful potential to reduce health care costs and delay or prevent the onset of established chronic disease Mid-life: seen as transition, opportunity and challenge o Heightened re-evaluation and reorientation, which involve turning points aimed at making the most of the second half of lives There is no single biological marker which indicated middle age, instead the definitions vary in the literature, in this book 45-60 years old o Usually indicated by the beginning of the bodily decline: drop in hormonal levels, failing of physiological functions, mental acuity wanes and inevitable deterioration of health Demographic perspective: midlife- general age for having kids, and parents of midlife people are aging, and times of career transitions Morbidity at midlife ages- connected with many high profile diseasesheart disease, diabetes, obesity, stroke and the beginnings of osteoporosis and arthritis, and other forms of cancer (breast, ovarian, prostate) Disease- based biomedical model used to identify diseases, discovering underlying etiology, and then treating and hopefully curing the disease Social Determinants of Health: 12 factors- listed as determinants of health (Public Health Agency) o Gender o Culture o Income and social status o Health child development o Biology and genetic endowment o Physical environment o Employment and work conditions www.notesolution.com
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