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health and wellbeing
the state of an individual's physical, social, mental, spiritual and emotional health and wellbeing characterised by an equilibrium in which an individual feels happy, healthy, capable and engaged
who definition of health + wellbeing
health is the complete state of physical, mental and social well being and not merely the absence of disease or infirmity
subjective
something may have a different meaning to other people, due to experiences or beliefs and values
dynamic
constant state of change, slow or fast
illness
a subjective concept that relates to personal experiences and relates to the negative aspects of health and wellbeing
disease
a physical or mental disturbance involving symptoms, dysfunction or tissue damage
biological factors
factors that relate to the body and its functions which can impact our health
burden of disease
a measure of the impact of diseases or injuries. measures the gap between current health status and an ideal situation where everyone lives to an old age free of disease and disability. measured with YLL, YLD and DALY
disability adjusted life years (DALY)
a measure of the burden of disease where one DALY = one year of health life lost due to premature death and time lived with illness, disease or injury
emotional health and wellbeing
refers to the ability to express feelings in a positive way. it is about the positive management and expression of emotional actions and reactions and the ability to display resilience
environmental factors
the physical surroundings in which we live, work and play
health-adjusted life expectancy (HALE)
a measure of burden of disease based on life expectancy at birth, but including an adjustment for time spend in poor health. the amount of healthy years a person can expect to experience, based on current rates of ill health and mortality
health status
an individuals or populations overall health, taking into account aspects such as life expectancy, amount of disability and levels of disease risk factors
incidence
the number or rate of new cases of a disease during a specific time
infant mortality
the death of infants between birth and their first birthday, usually expressed per 1000 live births
life expectancy
indication of how long a person can expect to live based on their current age if death rates do not change
maternal mortality
death of a mother during pregnancy, childbirth or within 6 weeks of delivery. expressed per 100,000 women giving birth
mental health and wellbeing
the current state of wellbeing relating to the mind or brain and it relates to the ability to think and process information
morbidity
refers to ill health in an individual and the levels of ill health in a population or group
mortality
death, particularly at a population level
optimal health and wellbeing
experiencing high levels of one or more of the dimensions of health and wellbeing
physical health and wellbeing
relates to the functioning of the body and its systems and it includes the physical capacity to perform daily tasks or activities
population groups
sections of a community with similar features or characteristics which allow generalisations to be made about them
prevelance
the number or proportion of cases of a disease present in a population at a particular time
self assessed health status
a measure based on a persons own opinion about how they feel about their health and wellbeing, their state of mind and their life in general. commonly sourced through population surveys
social health and wellbeing
relates to the ability to form meaningful and satisfying relationships with others and the ability to manage or adapts appropriately to different social situations
sociocultural factors
the social and cultural conditions into which people are born, grow, live, work and age
spiritual health and wellbeing
is not material in nature, but relates to the ideas, believes, values and ethics that arise in the minds and conscience of human beings, and includes concepts of hope, peace, a guiding sense of meaning or value and reflection on your place in the world
trend
a pattern present in data
under 5 mortality rate
the number of deaths in children under 5 years per 1000 live births
years of life lost due to illness, injury or disability (YLD)
a measure of how many healthy years of life are lost due to illness, injury or disability
years of life lost to premature death (YLL)
a measure of how many years of expected life are lost due to premature death
optimal physical health and wellbeing
healthy body weight
well functioning body, systems and organs
optimal blood pressure
appropriate levels of fitness
ability to perform daily tasks
optimal levels of energy
absence of disease, illness and injury
optimal social health and wellbeing
supportive network of friends
supportive and well-functioning family
ability to manage or adapt appropriately to different social situations
effective communications w others
productive relationships with other people
optimal emotional health and wellbeing
recognise and understand emotional actions and reactions
high levels of resilience
express and manage emotional actions and reactions
experience appropriate emotions in given scenarios
optimal mental health and wellbeing
low levels of stress and anxiety
optimal self esteem
ability to think and process information
high levels of confidence
use logic and reasoning to form opinions and make decisions
positive thought patterns
optimal spiritual health and wellbeing
sense of belonging + connection to the world
positive meaning, place and purpose in life
peace and hope
developed personal values and beliefs
acting in accordance to values and beliefs
benefits of health and wellbeing for INDIVIDUALS
improved quality of life, work more efficently, increased ability to participate in health promoting activities such as sleeping well, maintaining a nutritious diet, exercising, increased leisure time, earn an income, get an education
benefits of health and wellbeing as a resource NATIONALLY
longer, healthier lives
health system savings
fewer people rely on social security
increased productivity
higher average incomes
reduced stress and anxiety in the community
increased social participation
benefits of health and wellbeing as a resource GLOBALLY
reduced risk of disease transmission between countries
assists in promoting peace and stability
promotes economic development
promotes social development
promotes sustainability
factors contributing to health outcomes
environmental, biological, sociocultural
biological factors
factors relating to the body and its functions which can impact our health
examples of biological factors
body weight, blood pressure, birth weight, glucose regulation, cholesterol levels, genetics (sex + hormones)
blood pressure (biological factors)
high bp - heart disease, stroke, kidney disease
causes: smoking, poor diet, lack of physical activity and high levels of stress
body weight (biological factors)
contribute to type 2 diabetes, cvd, cancer etc
cholesterol levels (biological factors)
LDL - bad, HDL - good
LDL can build up on walls of blood vessels, providing less room for blood to travel therefore increasing risk of heart attack or stroke
glucose regulation (biological factors)
impaired glucose regulation is when the cells become resistant to the action of insulin and are unable to take up glucose effectively, leading to a rise in blood glucose levels and increasing risk of type 2 diabetes
sociocultural factors
the social and cultural conditions into which people are born, grow, live, work and age
examples of sociocultural factors
social expectations and attitudes, employment status, access to culturally appropriate healthcare, social isolation, ses (income, education, occupation), cultural traditions, social networks
socioeconomic status (sociocultural factors)
refers to a persons position in society relative to other people and is made up of 3 components (income, education + occupation)
employment status (sociocultural factors)
whether or not a person has a job
factors influencing: location, level of education, experience
unemployed = less likely to have a secure source of income and more likely to partake in risky behaviours for ones health (eg smoking and drugs/alcohol)
access to culturally appropriate healthcare (sociocultural factors)
many cultural and language barriers that can influence whether or not certain people are able to access healthcare thats appropriate to meet their needs
social isolation (sociocultural factors)
refers to a lack of contact with other people.
factors: ill health, disability, geographic location and age
environmental factors
the physical surroundings in which we live, work and play
examples of environmental factors
work environment (uv exposure, working conditions, exposure to hazardous chemicals), quality of air and water, infrastructure (such as road quality), community safety, housing environment (sleeping conditions, overcrowding, ventilation and hygiene), access to physical resources within a community (transportation, health services, recreation facilities)
work environment (environmental factors)
injuries from a work environment, exposure to UV radiation, hazardous chemicals
housing environment (environmental factors)
quality of ventilation and hygiene, sleeping conditions like overcrowding and noise levels, overcrowding in general
overcrowding - increased spread of pathogens contribute to transmission of infectious diseases
access to physical resources within a community (environmental factors)
resources - parks, pools, health services, transportation etc
living further away from these resources may mean ppl have to make the choice about whether or not they can attend or engage in activities that are going to promote their health and wellbeing, and this choice may be influenced by factors such as available time and cost
infrastructure (environmental factors)
quality of infrastructure can impact how safely people in a society can utilise and rely on these structures and facilities
difference in maintenance between urban and rural areas can lead to differences in health outcomes
smoking and vaping
involve inhaling substances
smoking - burning something + inhaling resultant smoke
vaping - using an element to turn a liquid into a vapour thats then inhaled
conditions associated with smoking and vaping
cardiovascular disease, cancers such as lung and stomach, infectious disease, asthma and respiratory conditions
cardiovascular disease from smoking and vaping
chemicals cause atherosclerosis (thickening and hardening of arteries), increases risk of stroke and heart attack
chemicals also make blood thicker and stickier, increases risk of blood clots = heart attack and stroke
cancer from smoking and vaping
smoking can cause cells in the body to be damaged resulting in DNA mutations, cause uncontrolled cell growth and tumours that can result in cancer. happen all over the body
asthma and respiratory conditions from smoking and vaping
developing foetus or child exposed to smoke increase risk of developing asthma
smoke can damage airways and air sacs in the lungs causing respiratory conditions such as copd
conditions associated with alcohol consumption
overweight + obesity (and associated conditions: cvd and type 2 diabetes), injuries, cancers such as mouth, stomach and bowel, liver disease, mental ill health
overweight and obesity from alcohol consumption
alcohol = energy dense
consumption of large quantities of alcohol = increase kilojule intake contributing to weight gain and obesity
injuries from alcohol consumption
ppl feel more relaxed + confident when drinking leading to more risk taking behaviours causing injuries
cancers from alcohol consumption
chemicals associated with the breakdown of alcohol in the body are believed to damage DNA and contribute to the development of cancer
liver disease from alcohol consumption
excessive alcohol consumption causes liver to become inflamed and scarred leading to dysfunction and liver disease
mental ill health from alcohol consumption
alcohol is a depressant = disrupt balance of chemical messengers in the brain, alcohol use is associated with mental ill health such as self harm and suicide
health conditions associated with overweight and obesity
type 2 diabetes, kidney disease, osteoarthritis, mental health issues, cancer, cardiovascular disease
type 2 diabetes from overweight and obesity
adipose tissue build up around pancreas affecting its function and lead to type 2 diabetes
fat cells thought to release chemical that contributes to insulin resistance and development of type 2 diabetes
kidney disease from overweight/obesity
being overweight can cause the kidneys to work harder to filter more waste than it normally would, over an extended period of time this can contribute to kidney disease
cancer from overweight/obesity
fat cells can release chemicals into the body that can cause an increase in cell division, increase risk of cell devision being abnormal and increasing the risk of cancer developing
cvd from overweight/obesity
being overweight places extra strain on the heart to pump blood around the body increasing risk of heart attack
also increases cholesterol levels which contribute to blocked arteries and a stroke
conditions associated with underconsumption of fruit and vegetables
cardiovascular disease, overweight and obesity, cancer, neural tube defects
cvd from underconsumption of fruit + veg
f+v high in fibre helping remove LDL cholesterol from body, lack of f+v causes increased risk of atherosclerosis and CVD
overweight and obesity from underconsumption of f+v
f+v high in fibre, contribute to feelings of fullness after eating. lack of f+v consumption can cause an overconsumption of energy dense foods which can contribute to weight gain causing overweight and obesity
cancer from underconsumption of f+v
f+v high fibre = regular bowel movements = reduced risk of colorectal cancer
reduced consumption of f+v = irregular bowel movements = constipation = increase risk of colorectal cancer
neural tube defects from underconsumption of f+v
f+v contain folate, folate contributes to development of brain and spinal cord during prenatal development, thus a lack of fruit and vegetables during pregnancy can increase the risk of neural tube defects such as spina bifida in a developing foetus
conditions associated with underconsumption of dairy foods
osteoporosis, dental caries, cvd, type 2 diabetes and colorectal cancer
osteoporosis from underconsumption of dairy foods
dairy foods contain high amounts of calcium, calcium contributes to the bone matrix and strengthening of bones therefore lack of dairy + calcium can lead to bones becoming weak and porous = development of osteoporosis
dental caries from underconsumption of dairy foods
calcium contributes to enamel on teeth. lack of dairy and calcium can lead to reduced amounts of enamel on teeth increasing risk of tooth decay and dental caries forming
conditions associated with a high intake of fat
overweight and obesity, cvd, type 2 diabetes
overweight and obesity from high intake of fat
fat is energy dense, high consumption leads to weight gain which can cause individual to become overweight or obese
type 2 diabetes from high intake of fat
fat cells accumulate around insulin impairing its functioning, fat cells secrete chemicals thought to contribute to insulin resistance therefore causing type 2 diabetes
cvd from high intake of fat
overweight/obesity cause high strain on heart to pump blood = increased risk of heart attack
causes high amount of LDL cholesterol contributing to development of atherosclerosis increasing chance of heart attack or stroke
conditions associated with a high intake of salt
cvd, osteoporosis, high blood pressure
high blood pressure (hypertension) from high intake of salt
high amounts of sodium in the body can cause water to be drawn out of the cells and into the bloodstream, increases blood volume and cause heart to work harder increasing blood pressure
osteoporosis from high salt intake
high salt intake can cause calcium to be drawn out of the bones = weaker bone matrix and increased risk of osteoporosis
cvd from high salt intake
as it causes high blood pressure, increases force on blood vessel walls can cause them to burst which can contribute to a heart attack or stroke
conditions associated with a high intake of sugar
overweight and obesity, dental caries
dental caries from high intake of sugar
sugar acts as food source for bacteria living in the mouth. bacteria produce acid once they consume sugar which can lead to tooth enamel breaking down resulting in dental caries
conditions associated with a low fibre intake
overweight and obesity, type 2 diabetes, colorectal cancer, cvd
colorectal cancer from low fibre intake
when fibre is digested it adds bulk to faeces, helping move digested matter through the colon, reducing the likelihood that abnormal cells will develop. low fibre = abnormal cells may build up causing colorectal cancer
cvd from low fibre intake
fibre can attach to and help remove LDL cholesterol from body. low fibre = higher LDL levels = atherosclerosis and cvd developing