Social ecological perspective - our health is produced through a variety of levels; individual’s family members and friends, social networks, neighborhoods and cities, countries, global influence
Life course - our health is produced throughout the sequential phases of our life
Theory - systematic way of understanding situations; set of concepts that predict events by illustrating relationships between variables; generalizable
Ask why, what, how to address health problems
Explanatory theories - understand why patterns of health in populations change over time, and they differ from patterns of other populations
Change theory - suggest how to develop more effective ways to improve the health of individuals and communities
Deficits model - identifies problems and needs of a population that requires professional resources; negative outlook
Asset model - accentuates positive capability to identify problem; looks for resources that have factors that support human health and well-being
Biopsychosocial model - includes psychosocial dimensions with biological aspects of health and illness
Ex: substance-use research
Investigations assess how genetic presdispositions (biological), stress levels (psychological), and peer influence (social), contribute to substance use disorders
Life course theory - health status at any given age reflects not only current conditions but the embodiment of prior living circumstances
Links biological and social factors
Accumulation of risk models - exposures gradually built up in our bodies through episodes of illness
Cumulative exposures or shock occurring throughout life course
Chain of risk models - sequence of linked exposures that raise risk or reduce risk because one experience or exposure tends to lead to another and then another
Domino-like sequence
Critical period model - suggests certain exposures occurring at a critical developmental moment can strongly influence future health outcomes
Sensitive periods - when exposure has a greater impact than in other time periods
Social ecological model - emphasizes multiple levels of influence and the core concept that health is shaped by and also shapes our social environment
Individual level
Attitude, beliefs
Interpersonal
Family, friends
Community
School, church, work
Organizational
Local politics
Environmental
Cultural values
Societal norms