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Chapter One - Community Health Yesterday Today and Tomorrow...

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Community Health: Yesterday, Today, and Tomorrow Chapter 1
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Introduction Much progress was made in the 20th century Still room for improvement Health behavior Noninfectious diseases, e.g., diabetes, heart disease Infectious diseases e.g., pan flu, drug-resistant pathogens Terrorism Good health remains a goal worldwide
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Definitions - 1 Health “A state of complete physical, mental, and social well being and not merely the absence of disease and infirmity” (WHO, 1947) A dynamic state or condition of the human organism that is multi-dimensional in nature, a resource for living, and results from a person’s interactions with and adaptations to his or her environment
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Definitions - 2 Community Group of people who have common characteristics; can be defined by location, race, ethnicity, age, occupation, interest, or other common bond Characteristics of communities: 1. Membership 2. Common symbol system 3. Shared values and norms 4. Mutual influence 5. Shared needs and commitment 6. Shared emotional connection
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Definitions - 3 Public health “what we as a society do collectively to assure the conditions in which people can be healthy” (IOM, 1988) Community health the health status of a defined group of people and the actions and conditions to promote, protect, and preserve their health Population health the health status of people who are not organized and have no identity as a group or locality and the actions and conditions to promote, protect, and preserve their health
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Community Health versus Personal Health Community health activities Those aimed at protecting or improving the health of a population or community Personal health activities Individual actions and decision-making that affect the health of an individual or his or her immediate family
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Factors Affecting Community Health Physical factors industrial development, community size, environment, geography Social and cultural factors beliefs, traditions, prejudices, economics, politics, religion, socioeconomic status, social norms Community organization identify problem,
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