Vce Health And Human Development Flashcards
behavioural determinants
actions or patterns of living of an individual or a group that impact on health
name three behavioural determinants
tobacco usedietary choiceslevels of physical activity
bilateral aid
aid given from one country to another with consultation to ensure that the aid meets the needs of the targeted population
example of bilateral aid
Australia giving money to Indonesia to build schools
biological determinants
factors relating to the structure of cells, tissues and systems of the body and how adequately they function
name three biological determinants
geneticsbody weightcholesterol levels
biomedical model of health
a medical model of care practiced by doctors and health professionals; focuses on the diagnosis, treatment and cure of illness or disease once symptoms appear
strengths of the biomedical model of health (4)
advances in technology and researcheffective treatmentextends life expectancyimproves quality of life
limitations of the biomedical model of health (4)
costly, due to reliance on professional health workers and technologydoesn't always promote good healthnot every condition can be treatednot always affordable
burden of disease
a measure of the impact of disease and injuries on individuals or populations; specifically it measure the gap between current health status and an ideal situation where everyone lives to an old age free of disease and disability; measured in a unit called DALY
determinants of health (def)
factors that raise or lower a level of health in a population or individual; help to explain or predict trends in health and differences in health
determinants of health (4)
biologicalphysical environmentsocialbehavioural
disability adjusted life year (DALY)
a measure of burden of disease; one DALY equals one year of life lost due to premature death (YLL) and time lived with illness, disease or injury (YLD)
emergency aid
rapid assistance given to people or countries in immediate distress to relieve suffering during and after man-made or natural emergencies or disasters
example of emergency aid
warehouse of emergency supplies in Brisbane that are ready to be flown out in the event of a crisis
food security
adequate access to affordable, nutritious, culturally appropriate and safe food regularly through non-emergency sources
global health
the health of populations in a world wide context that goes beyond the needs of individual countries; it is about an international collaborative approach to achieving equality in health for all people worldwide
health
'a complete state of physical, social and mental wellbeing, and not merely the absence of disease or infirmity' (WHO, 1946)
health adjusted life expectancy (HALE)
a measure of burden of disease based on life expectancy at birth, but including an adjustment for time spent in poor health; it is the number of years in full health that a person can expect to live, based on current rates of ill health and mortality
health status
an individual's or a population's overall health, taking into account various aspects such as life expectancy, amount of disability and levels of disease risk factors
human development
creating an environment in which people can develop to their full potential and lead productive, creative lives according to their needs and interests; it is about expanding people's choices and enhancing capabilities, having access to knowledge, health and a decent standard of living, and participating in the life of their community and decisions affecting their lives
human development index
a tool developed by the United Nations to measure and rank countries' levels of social and economic developmentsingle statistic based on four indicators:life expectancy at birthmean years of schooling (for those over 25)mean expected years of schooling (for children of school entrance age)gross national income (GNI) per capitaand three dimensions:healtheducationliving standards
life expectancy
an indication of how long a person can expect to live; it is the number of years of life remaining to a person at a particular age if death rates do not change
mental dimension of health
state of wellbeing in which the individual realises his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community
limitations of the WHO mortality strata
- doesn't take female mortality rates, a vulnerable population, into account- doesn't measure human development, only mortality rates- broad strata- lacks detail
name three aspects of the mental dimension of health
self-esteemthought patternsstress levels
morbidity
refers to ill health in an individual and the levels of ill health in a population or group
WHO mortality strata
classifies countries in one of five mortality strata based on the mortality rates of children (0-5) and adult males (19-59)
multilateral aid
combined donations from a number of countries is distributed as aid by an international organisation (World Bank, United Nations, World Health Organisation)
example of multilateral aid
World Bank running a immunisation program in Zambia
NGO aid
aid given by organisations that are independent to the government; often focused on long-term, community based projects that fill the gaps in bilateral and multilateral aid
Ottawa Charter definition of health promotion
'the process of enabling people to increase control over, and to improve, their health' (WHO, 1998)
Ottawa Charter strategies for health promotion
advocateenablemediate
physical dimension of health
relates to the efficient functioning of the body and it's systems, and includes the physical capacity to perform tasks and physical fitness
name three aspects of the physical dimension of health
body weightenergy levelsimmune system
physical environment determinants
the physical surroundings in which we live, work and play, including natural and man made infrastructure
name three physical environment determinants
air qualityclimate/climate changehousing
prevalence
the number or proportion of cases of a particular disease or condition present in a population at a given time
social determinants
aspects of society and the social environment that impact on health
name three social determinants
socioeconomic status (SES)occupation/unemploymentsocial exclusion
social dimension of health
being able to interact with others and participate in the community in both an independent and cooperative way
name three aspects of the social dimension of health
friendsfamilyproductive relationships
social model of health
an approach to healthcare that attempts to address the broader influences on health (cultural, environmental, social and economic) rather than the disease or injury itself
key principles of the social model of health (5)
addresses the broader determinants of healthinvolves intersectoral collaborationacts to reduces social inequitiesacts to enable access to healthcareempowers individuals and communities
sustainability (def)
'...meeting the needs of the present without compromising the ability of future generations to meet their own needs.' (UN, 1987)
types of sustainability (3)
environmentaleconomicsocial
U5MR
under five mortality rate: the number of deaths of children under 5 years of age per 1000 live births
values that underpin Australia's health system (7)
effectiveefficientresponsiveaccessiblesafecontinuoussustainable
build up of plaque on the walls of the blood vessels
atherosclerosis
MDG 1 (name + purpose + why?)
eradicate extreme poverty and hungerpurpose:reduce the proportion of people living on less than US$1 a day; achieve full and productive employment and decent work for all (including women and young people); reduce the proportion of people suffering from hungerwhy?lack of income leads to lack of access to food, health care and education; poverty results in high morbidity and mortality rates from preventable causes; lack of income reduces the capacity for a country to develop its economy
MDG 2 (name + purpose + why?)
achieve universal primary educationpurpose:access to education for males and females; improve literacy and numeracy skills; promote the skills and knowledge necessary to engage in health promoting behaviourwhy?literacy = employment = income; understanding of health promotion
MDG 3 (name + purpose + why?)
promote gender equality and empower womenpurpose:raise the SES of women through education; greater decision making power for themselves, their communities and their countrieswhy?access to higher paid/safer employment; take better care of families; pass knowledge onto children
MDG 4 (name + purpose + why?)
reduce child mortalitypurpose: reduce U5MRwhy?preventable through existing, inexpensive means
MDG 5 (name + purpose + why?)
improve maternal healthpurpose:reduce the number of deaths of women that occur due to pregnancy and childbirth; increase access to reproductive serviceswhy?reducing risk of complications reduces MMR, enables women to continue in caregiving role, women are better able to take care of themselves and their children
MDG 6 (name + purpose + why?)
combat HIV/AIDs, malaria and other diseasespurpose:reduce the morbidity/mortality rates from HIV/AIDs, malaria and other diseaseswhy?HIV can be reduced through education and behaviour change; anti-retroviral drugs enable people to continue working; simple/cost-effective methods can reduce transmission of malaria
MDG 7 (name + purpose + why?)
ensure environmental sustainabilitypurpose:improve lives of slum dwellers; protect valuable natural resources; increase access to clean water/basic sanitationwhy?to not compromise the abilities of future generations to meet their own needs; clean water/sanitation reduces spread of malaria/diarrhoea; reduces slum dwellers risk of malnutrition, disease and injury/violence
MDG 8 (name + purpose + why?)
develop a global partnership for developmentpurpose:ensure trade agreements don't discriminate; provide aid through Official Development Assistance (ODA); reduce debt; access to essential drugs; access to new technologieswhy?develop economy; better meet the needs of population; allocate funds to health services and infrastructure; treatment of conditions; gain information from technology
optimal health
the best level of health that an individual can realistically achieve
health indicators
statistics that give information on the health status of groups and populations
mortality rate
the proportion of the population who die in a one year period, per 100,000
infant mortality rate
rate of deaths of infants between birth and their first birthday, per 1000 live births
maternal mortality rate
rate of deaths of pregnant women or who die within the first 42 days after giving birth/having a termination, per 100,000 live births
incidence
the number of NEW cases of a disease during a specified period of time
protective factors
determinants that reduce the risks of lifestyle related conditions or are otherwise beneficial to health
risk factors
determinants that increase the risks of lifestyle related conditions or are otherwise harmful to health
SES
socioeconomic status, based on occupation, income and education
variations in health status in Australia
malesIndigenous Australiansrural and remote populationspeople of low SES backgrounds
males (stats)
more likely to die at every lifespan stage, life expectancy 5 years less
Indigenous Australians (stats)
life expectancy 11 years less, twice the infant mortality
Syndrome X
collection of disease that gives an increase of six times the average rate of premature death; includes heart disease, stroke, high blood pressure, type 2 diabetes, renal (kidney) failure
people of low SES backgrounds (stats)
lower life expectancy, higher infant mortality
rural and remote populations (stats)
lower life expectancy, higher mortality rates
why are NHPAs selected?
they contribute significantly to the burden of diseasethe conditions are preventablepotential to reduce health inequalities between population groupspotential for a range of strategies to be implemented
direct costs to the community (3)
implementing health promotion programsMedicarethe Pharmaceutical Benefits Scheme
direct costs to the individual (5)
ambulance transportdiagnostic tests not covered by Medicaredoctor and specialist feessurgery or hospital feespharmaceuticals
indirect costs to the community (3)
lost productivitylost taxation revenuesocial security payments
indirect costs to the individual (3)
transport costsloss of incomeneed for home help
intangible costs to the community (3)
loss of community participationemotional toll on family/friends
intangible costs to the individual (4)
loss of social participationloss of self-esteempain and sufferingstress
obesity (def + program)
carrying excess body weight in the form of fat, BMI over 30The Shape Up Australia Campaign (Federal Government); puts Shape Up logo on credible products, website offers resources
cardiovascular health
health of the heart and blood vessels, cardiovascular disease (hypertension, coronary heart disease)The Heart Foundation Tick (The Heart Foundation); organisations who fit certain health criteria and pay a fee display the logo, enables consumers to select healthier food choices within categories
asthma
airways become inflamed and narrow, inhibiting breathing, when contact is made with a trigger (pollen, exercise, dust)The Sensitive Choice Program (National Asthma Council Australia); low allergen products display a blue butterfly logo for a fee
injury prevention and control
the adverse effects on the body caused by a range of events, accidental (drowning/sporting/workplace) or intentional (attempted suicide/violence)The National Road Safety Strategy 2011-2020 (The Australian Transport Council); aims to cut road tolls by at least 30% by 2020 by achieving four key objectives: safe roads, safe speeds, safe vehicles and safe people
cancer control
a general term for a number of difference conditions characterised by the uncontrolled mutation and growth of cells threatening to damage the other areas of the body, types focused on include: prostate cancer, breast cancer in females, colorectal cancer, lung cancer, melanoma, non-melanoma, cancer of the cervix and non-Hodgkin's lymphomaSunsmart (Cancer Council Victoria and VicHealth); promotes awareness of the dangers of UV radiation through prevention campaigns such as Slip, Slop, Slap, Seek and Slide, advocates for policy change and uses evidence to back up claims
diabetes mellitus
chronic condition that causes blood glucose to be unable to be utilised correctly by the body, types include type 1, type 2 and gestational, can lead to blindness and kidney failureLife! Taking Action on Diabetes (Victorian State Government); aims to prevent or aid in the early diagnosis of type 2 diabetes in Victorians over 50 and Aboriginals/Torres Strait Islanders, runs media campaigns, a website and a $50 eight month lifestyle change course for those at high risk
mental health
state of wellbeing in which the individual realises his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community; most common mental illnesses are anxiety and depressionYouthbeyondblue; encourages people to seek help and reduces stigma through work with schools, workplaces and community groups, promotes key messages: LOOK for the signs and symptoms, LISTEN to your friends experiences, TALK about what's going on and SEEK HELP together
dementia
used to describe over 100 conditions that are characterised by progressive and irreversible loss of brain function (language, personality, attention), types include: Alzheimer's, vascular dementia, dementia with Lewy bodies and fronto temporal dementiaYour Brain Matters (Alzheimer's Australia); offers information about preventable risk factors (Brain/Body/Heart), BrainyApp allows people to assess their current risk levels and take steps to reduce that risk
arthritis and musculoskeletal conditions
used to describe over 100 conditions including osteoarthritis, back problems and osteoporosisBone Health For Life (Jean Hailes for Women's Health); offers information and a quiz on treatment/diagnosis/prevention of osteoporosis, GPs can access information and activities about bone health promotion
macronutrients
required in large amountsproteinfatscarbohydrates (including fibre)
micronutrients
required in small amountsvitaminsminerals
LDL
low density lipoproteins, bad cholesterol
HDL
high density lipoproteins, good cholesterol
carbohydrates (function + 2 food sources)
converted into glucose to provide fuel for energypotatoesbread
fibre (function + 2 food sources)
regulates the functioning of the digestive systembran flake cerealfruit
protein (function + 2 food sources)
growth, maintenance and repair of body cells, fuel for energyeggsbeef
water (function + 2 food sources)
many functions within the body e.g. temperature regulationwaterfruit
calcium (function + 2 food sources)
stored in the bones, blood, muscles and intracellular fluid, aids in achieving peak bone massmilksalmon
phosphorus (function + 2 food sources)
works with calcium to ossify bonesmilkeggs
sodium (function + 2 food sources)
regulates fluids (water/blood) in the bodytable saltolives
vitamin D (function + 2 food sources)
required for the absorption of calcium and phosphorus from the intestine into the bloodstreamsunfishbeef liver
monounsaturated (function + 2 food sources)
healthierlowers LDLincreases HDLdecreases risk of type 2 diabetesolive oilavocado
polyunsaturated
healthierlowers LDLincreases HDLreduces risk of cardiovascular disease and type 2 diabetesfishnuts/seeds
saturated
unhealthierincreases LDLincreases risk of cardiovascular disease and type 2 diabetesfatty cuts of meatfull cream dairy
trans
unhealthierincreases LDLreduces HDLincreases risk of cardiovascular disease and type 2 diabetespiesmargarine
Ottawa Charter prerequisites for health (8)
peacesheltereducationincomesocial justice and equitya stable ecosystemsustainable resourcesfood
Ottawa Charter action areas (5)
build healthy public policycreate supportive environmentsstrengthen community actiondevelop personal skillsreorient health services
VicHealth mission (5)
promote good health in partnership with othersrecognise that the social and economic conditions for all people influence their healthpromote fairness and opportunity for better healthsupport initiatives that assist individuals, communities, workplaces and broader society to improve wellbeingseek to prevent chronic conditions for all Victorians
VicHealth strategic priorities (5)
promote healthy eatingencourage regular physical activityprevent tobacco useprevent harm from alcoholimprove mental wellbeing
VicHealth role (6)
promote health by targeting the broader social, economic and environmental factorsgrants to community organisationsfunding of health promotion strategiesresearch relating to health promotionadvocating for policy changeevaluating the effectiveness of programs
federal government responsibilities (5)
MedicarePBSquarantinefundingregulation
state/territory government responsibilities (2)
delivery of health servicesregulatory responsibilities
local government responsibilities (5)
waste removalhealth inspectionsmaintaining parks/sporting groundsimmunisationmeals on wheels
private health insurance
a type of additional insurance under which members pay a premium (fee) in return for payment towards health-related costs not covered by Medicare
Medicare
Australia's universal healthcare scheme, gives all Australians, permanent residents and those from a country with a reciprocal agreement with Australia access to healthcare subsidised by the government
advantages of private health insurance (3)
choice of doctorsprivate hospitalsless waiting
disadvantages of private health insurance (2)
costlygaps are possible
name 3 healthcare services covered by Medicare
doctorssome specialistsx-rays
name 2 healthcare services not covered by Medicare
dental carehome nursing care
advantages of Medicare (3)
choice of doctors out of hospitalavailable to all Australianscovers essentials
disadvantages of Medicare (3)
no choice of doctors in hospitalwaiting timedoes not cover alternative therapy
how is Medicare funded? (3)
Medicare levyMedicare levy surchargegeneral taxation
The Australian Dietary Guidelines
outlines 5 guidelines for a healthy diet, recommends serving sizes, encourages breastfeeding and safe food use
The Australian Guide to Healthy Eating
food selection tool in the shape of a pie graph, larger slices of the pie going to foods that should be consumed the most, recommends drinking water and limiting discretionary foods
nutrition surveys
provide information on what the Australian population or specific populations are consuming by recording the diets of individuals over a 24 hour periodhelps with implementing appropriate strategies and comparison
The Healthy Living Pyramid
represents the three main food groups in a pyramid with larger sections going to the food groups that should be consumed the most, discourages salt and encourages water/exercise
NGOS that promote healthy eating
The Heart FoundationNutrition Australia
social characteristics of developing countries (2)
gender inequalityhigh birth rate
economic characteristics of developing countries (2)
poverty focus on primary production
environmental characteristics of developing countries (2)
food insecuritypoor housing
elements of sustainable programs
appropriateaffordableequitable
factors that influence HHD (7)
incomegender equalitypeace and political stabilityeducationaccess to healthcareglobal marketingphysical environment
UN areas of action (4)
promoting human rightspromoting world peace and securityproviding humanitarian assistancepromoting social and economic development
WHO priorities (6)
universal health coverageinternational health regulationsincreasing access to medical productssocial, economic and environmental determinantsnon-communicable diseaseshealth related MDGs
Australia's aid department
department of foreign affairs and trade (DFAT)
Australia's aid priorities (6)
humanitarian aidempowering women and girlseducationeffective governancehealth (including supporting the fight against HIV/AIDs, malaria and tuberculosis)economic development (including encouraging trade and private sector investment)
Australian NGOS (5)
World Vision AustraliaAustralian Red CrossTabitha FoundationCARE AustraliaOxfam Australia
program targeting literacy
We Bloom (CARE Australia); multilateral aid, targeted at poor young women in Koh Kong, Cambodia who attend a program that teaches literacy, numeracy and life skills (goal setting and confidence)
program targeting food security
Food For Work (World Vision); NGO aid, allows people in Laos to work on community infrastructure in return for 6.5kg of rice a day; has aided in the construction of bridges/roads and the expansion of rice paddies
program targeting HIV/AIDs
Far Away From Home Club (UNAIDS); multilateral aid, 10 peer educators (5 sex workers and 5 migrants) provide information about HIV/AIDs prevention and treatment/testing/counselling resources; targeted at migrants and mobile people in Vietnam
program targeting malaria
Home Management of Malaria in Zambia (WHO and UNICEF); multilateral aid, trains community members to diagnose and refer those people suffering from malaria; makes rapid diagnostic tests, pre-packaged malaria treatment and insecticide treated mosquito nets available in Zambia
program targeting immunisation
Immunisation Program in Myanmar (World Vision); ngo aid, World Vision centre set up in the town of Hlaingtharya to provide immunisations to children and health/nutrition information to mothers; rates of preventable diseases have decreased
program targeting water and sanitation
Water and Sanitation in the Democratic Republic of Congo (Australian Red Cross); ngo aid, people of Uvira educated and trained in maintenance and repairs of the 100 newly constructed wells with hand pumps; education about importance of hygiene and sanitation provided; community consulted on the placement of wells; water-management boards (community based, women encouraged to join) set up to manage wells
relationship between The Healthy Living Pyramid and The Australian Dietary Guidelines
pyramid reflects guidelines although it is created by Nutrition Australia
WHO mortality strata (letter - cm / am)
A - VL CM / L AMB - L CM / L AMC - L CM / H AMD - H CM / H AME - H CM / VH AM
males (determinants)
biological: higher rates of being overweight, hypertensionbehavioural: tobacco/alcohol, risk-taking, less likely to pay attention to health promotionsocial: peer pressure, unemployment, masculinityphysical environment: trades/transport, outdoors work
rural and remote populations (determinants)
biological: obesity, hypertensionbehavioural: tobacco/alcohol, low use of sun protectionsocial: lower incomes, higher unemployment, food insecurityphysical environment: poor road quality, harsh climate, reduced proximity to resources
Indigenous Australians (determinants)
biological: obesity, hypertension, Syndrome Xbehavioural: tobacco/alcohol, poor dietsocial: social exclusion, cultural barriers, low SESphysical environment: poor water quality/sanitation, overcrowding, poor road quality
people of low SES backgrounds (determinants)
biological: obesity, hypertension, low birth weightbehavioural: tobacco, poor diet, little exercisesocial: low education, income, levels of health literacyphysical environment: overcrowding, unsafe