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define health and wellebing
a person’s physical, social, emotional, mental and spiritual existence characterised by an equilibrium where an individual feels happy capable and engaged
dynamic and subjective
dimensions of health and wellbeing are
interrelated and not all need to be optimal simultaneously
physical hw define
relates to functioning of body and its systems, including physical capacity to complete daily activities and tasks
characteristics of optimal physical hw (7)
healthy body weight
absence of illness, disease and injury
optimal energy levels
capacity to perform daily tasks
appropriate fitness levels
optimal blood pressure
well-functioning body, systems and organs
activities that promote physical hw
sports team
eating a healthy diet
define mental hw
current state of wellbeing relating to a person’s mind or brain and the ability to think and process information. a mentally healthy brain enables positive formation of opinions, decision making, and use of logic
optimal mental hw characteristics (5)
low stress and anxiety levels
optimal self esteem
ability to think and process info
logic for opinion, reasoning for decisions
optimism/positive thought patterns
emotional hw
relates to ability to positively manage and express emotions, including the capacity for resilience and degree of emotional security and relaxation in everyday life
optimal emotional hw characteristics (3)
recognise understand express and manage emotional actions and reactions
experience appropriate emotions in given scenarios
high resilience levels
define social hw
relates to the ability to form meaningful and satisfying relationships with others, and the ability to manage or adapt appropriately to different social situations
optimal social hw characteristics (6)
supportive friend network
supportive and well functioning family
ability to manage/adapt to different social situations
effective communications
productive relationships
positive contributions to social groups and community
activities that promote social health and wellbeing
going to school
part time job
define spiritual hw
relates to ideas, beliefs, values and ethics arising in human minds and consciences
optimal spiritual hw characteristics (5)
sense of belonging and connection to the world
positive meaning, place and purpose
peace and hope for positive future
developed values and beliefs
act according to values and beliefs
define subjective
different for different people, personal tastes, feelings and opinions
define dynamic
constantly changes, never the same
illness
subjective concept related to personal experience of disease
illness is (5)
subjective and dynamic depending on
past experiences with disease, age, access to supports influence subjectivity
changes quickly and constantly evolves during disease experience
initial onset often most discomfort
treatment over time + rest can change experience, and may resolve/reduce discomfort
disease
physical or mental disturbance involving symptoms, dysfunction or tissue damage
define optimal hw
best possible state that a dimension of wellbeing can be at
optimal hw is a resource because
we can engage in activities that benefit us 2234 can be considered resource individually, nationally and globally
health as a resource individually (10)
sleep well
work productively
reduced healthcare costs
gain an enducation
earn an income
exercise
effectively run a household
spend time with friends
work towards life purpose
increase leisure time
live independently
health as a resource nationally (7)
longer and healthier lives
health system savings
fewer people relying on social security
increased productivity
higher average incomes
reduced stress and anxiety in the community
increased social participation
health as a resource globally (5)
reduces risk of international disease transmission
assist promoting peace and stability
promote economic development
promote social development
promote sustainability
define health status
individual or population’s overall level of health and wellbeing considering indicators like life expectancy, mortality and morbidity
health indicators
standard statistics that measure and compare health status
self assessed health status
an individual’s opinion about how they feel about their health, state of mind, and life overall
commonly sources from population surveys
indication of overall level of wellbeing in all dimensions of health and wellbeing
rate health on likert scale (excellent, very good, good, fair, poor)
life expectancy
number of life years on average remaining to an individual at a particular age if death rates don’t change
most common is life expectancy at birth
health adjusted life expectancy (HALE)
average length of time an individual at a specific age can expect to live in full health; time lived without health consequences of a disease or injury
measured in years and by the quantity and quality of life
mortality
related to death, often at a population level
mortality rate/death rate
measure of the proportion of a population who die in a one year period (usually per 100 000)
mortality rate is important for (4)
governments/organisations to analyse trends to
develop and fund strategies to decrease mortality rates
create laws that make unhealthy behaviours more difficult
give feedback on efficacy of current interventions
make future predictions to implement relevant interventions to improve health status
3 types mortality rates
infant
under 5
maternal
under 5 mortality rate
number of children who die before their 5th birthday
per 1000 live births
maternal mortality rate
number of mothers who die from childbirth, pregnancy, or associated treatment
per 100 000 live births
infant mortality rate
rate of deaths of infants before their 1st birthday
per 1000 live births
morbidity
refers to ill health in an individual and within a population (expressed as incidence and prevalence)
incidence
number or rate of new cases of a disease/condition in a population during a period (usually 12 months)
prevalence
total number or proportion of cases of a particular disease or condition present in a population at a given time
significance of incidence and prevalence (3)
2 ways of looking at disease impact
long lasting nature of chornic disease requires inspection of when disease was contracted and who’s still living with the disease
mortality rates have fallen but morbidity rates have increased for some diseases
4 trends in morbidity
increased prevalence of overweight/obese people in last 20-30 years
increased rates of impaired glucose regulation since 1980
trebled rates of diabetes int eh past two decades
increased rates of kidney disease
burden of disease
measure of the impact of diseases and injuries, specifically the gap between current health status and an ideal situation where everyone lives to an old age free of disease and disability
to examine the total burden a condition places on society considering mortality and morbidity
BOD within australia
prevalence and incidence of certain conditions have become worse usually lifestyle diseases
most to least burden - cancer, mental and substance abuse disorders, musculoskeletal disorders, cvds, neurological disorders
DALY disability adjusted life year
equivalent time of healthy years lost from living with a disease or disablity and the years of life lost due to premature death; a measure of bod
YLL years of life lost
years of expected life lost from premature death
younger person = greater YLL
YLD years lived with disability
number of healthy years of life lost to disability, illness or disease
more complex than yll due to conditions and their severity, generally more impact in later life
crude rate
number of years of health life lost during a specific time, divided by the populaiton