Principles of Public Healt notes CLASS 5

Principles of Public Healt notes CLASS 5 - Determinants of...

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Determinants of Health: Adult Health & Behavior Determinants of Health 1. Genetic predisposition 2. Environmental 3. Biological 4. Behavior 5. Social 6. Medical care 7. Multifactoral Genetic Predisposition Age & Gender Mortality rates are higher for men ( In cancers ) Peak of fitness is after adolescence ( In cardiovascular diseases ) Age- the older we get the more likely we are to die. Peak of fitness is just out of adolescence As we progress we need more medication, surgery, and ultimately more care Race Susceptibility may be related to ethnicity Rates of skin cancer are higher with those with fair skin Hypertension, prostate cancer- prevailent in Afrian Americans Tasacs- in odothodox Jews 3 1 1
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Environmental Physical aspects of the earth & exposures Radiation (i.e. the sun can cause skin cancer and cataracs) Elements (i.e. iron, iodine, lead and mercury, radon) Air Water (tainted water) 4 Biological Microorganisms (bateria, viruses, protozoa) Products (pharmacutices, good and bad) Dietary nutrients (vitamins, minerals, carbs, fats) 5 Behavioral Single most controllable determinant Tobacco use (20% of all death in the country, about 400,000 people) Diet & physical inactivity (14-15% 300,000 deaths) Alcohol abuse Unprotected sex Substance abuse Firearms 6 2
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Relationship between SES & health Poverty increased risk of illness/death Poverty leads to an increases risk factor for health Education (goes hand in hand with SES) People who are bettere educated tend to have higher incomes, bettere housing situtations and less exposure to risk and better health care Lower SES have righer rates of alchol and tobacco use and worse living conditions Religion- some religions do not allow you to take vaccines, fasting can cause complcations, some have dietary rules, religious medicine, some belive in abstinace Social/Cultural Religious beliefs Associated customs Diet Sexual practices 8 Medical Care BETTER MEDICAL CARE Greater survival rates (in cancer and HIV) Both ends of life spectrum (better rates for the very young and very old) Importance of medical care grows
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Principles of Public Healt notes CLASS 5 - Determinants of...

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