Personal Health Notes- Chapter 1
Wellness and Health
Defining Health and Wellness
- Health: Overall condition of body or mind; presence/absence of illness or injury.
- Wellness: Optimal health and vitality across multiple dimensions; depends on conscious decisions.
Dimensions of Wellness
- Nine interrelated dimensions:
- Physical, Emotional, Intellectual, Interpersonal, Spiritual, Environmental, Occupational, Financial, Cultural.
- Changes in one dimension affect others.
Life Expectancy and Health Span
- Life Expectancy: Expected period of time a person lives.
- Health Span: How long one stays healthy.
- Chronic diseases reduce health span.
- Lifestyle choices impact both.
Public Health Impact
- 20th-century public health achievements added 25+ years to life expectancy.
- Improvements include:
- Vaccinations, disease control, safer food/workplaces, motor vehicle safety.
- Recent U.S. life expectancy decline possibly due to opioid/obesity epidemics.
Leading Causes of Death
- Heart disease and cancer are top causes.
- Lifestyle factors (diet, inactivity, smoking, alcohol) are significant contributors.
- Accidents are a leading cause of death for those aged 15-24.
Contributors to Death
- Key contributors include diet/activity patterns, tobacco, microbial agents, alcohol, illicit drug use.
- Health promotion: Enabling people to increase control over their health.
- Key organizations:
- National Institutes of Health (NIH).
- Centers for Disease Control and Prevention (CDC).
Affordable Care Act (ACA)
- Health insurance marketplaces facilitate insurance purchase.
- Subsidies available for those below income requirements.
- Allows students to stay on parents' plans until age 26.
Healthy People Initiative
- Healthy People 2030 objectives:
- Eliminate preventable disease.
- Achieve health equity and health literacy.
- Create healthy environments.
- Promote healthy behaviors across life stages.
- Engage leadership for effective policies.
Health Disparities
- Linked to social, economic, and environmental factors.
- Influenced by sex/gender, race/ethnicity, income/education, disability, location, sexual orientation.
Factors Influencing Wellness
- Health habits, heredity/family history, environment, access to healthcare.
- Personal behaviors can outweigh negative factors.
Lifestyle Management for Wellness
- Behavior change involves cultivating healthy habits.
- Steps include:
- Examining current habits.
- Choosing a target behavior.
- Learning about the behavior.
- Finding support.
- Building motivation involves:
- Weighing pros/cons.
- Boosting self-efficacy.
- Internal vs. external locus of control.
- Visualization.
- Role models.
- Overcoming barriers.
Stages of Change (Transtheoretical Model)
- Precontemplation, Contemplation, Preparation, Action, Maintenance, Termination.
Dealing with Relapse
- Relapse is common; plan for it.
- Forgive setbacks, acknowledge progress, learn from experience.
Skills for Change
- Monitor behavior, analyze data, set SMART goals (Specific, Measurable, Attainable, Realistic, Time-frame specific).
- Develop action plan:
- Modify environment, control related habits, reward progress, involve others.
Personal Contract
- Formalize plan with a signed contract.
Putting Plan into Action
- Commit, track progress, reward achievements.
- Address negative influences, maintain motivation, reconsider techniques, manage stress.
Lifelong Health
- Maintaining good health is ongoing.
- Create a supportive environment for wellness.