HED 110 Outline

ONE Dimensions of Health (Ch 1)

I. Vocab & Concepts
a. Mortality (Rate)how many die (per yr)
b. Life expectancyhow long we live
c. Chronic disease--slow (current cause of death) vs acute (source of mortality 100 yrs ago)
d. Health-related quality of lifepart of a healthy life expectancy (time youre healthy)
e. Health = wellness (newer term)
f. Medical Model of Health (Individual & Disease focus) vs Public Health Model (community)
g. Health disparitiesdifferences in the incidence, prevalence, mortality & burden of disease on groups
II. Dimensions of Health (6)
a. Physicalactivities of daily living (ADLs)shape & size of body; overall body health & fitness
b. Intellectualability to think clearly & reason objectively
c. Socialability to have & maintain personal relationships
d. Spiritualhaving a sense of meaning, purposehigher powercustoms & practices
e. Emotionalability to express emotion appropriately, including controlself esteem, confidence
f. Environmentalunderstanding our interaction with our immediate and broader surroundings
III. Determinants of Health (5)Healthy 2020 goals: 1) disease-free, long, high-quality lives for everyone
a. Policy-Makinghow tax $ is spent
b. Health Servicesaccess to quality healthcare services (distance, price, specificity/specialists)
c. Individual Behaviormodifiable: 1) nutrition, 2) physical activity, 3) alcohol, 4) tobacco use
d. Biology & Geneticsnon-modifiable: cannot change, but often only inherited predispositions
e. Social Factorssocial & physical condition of immediate environment (crime, violence, food, vehicle, $)
IV. Behavioral Change Models (3)
a. Health Belief Modelwhat the person personally believes is what influences their health decisions,
rather than the facts, so people dont believe they are susceptible to the harmful effects, so behavior
depends on:
i. Perceived seriousness of health problem (Smokers, ex)
ii. Perceived susceptibility to the health problem
iii. Perceived benefits
iv. Perceived barriers
v. Cues to action
b. Social Cognitive Modelbase their behaviors on the experiences &/or opinions of others they
know/meet; must see it to believe it. (need role models)
c. Trans-theoretical Modelchange is a process, for it to stick, it must happen gradually, in 6 stages:
i. Pre-contemplationno intention to change
ii. Contemplationthinking about changing and how
iii. Preparationpossibly planning to take action to change
iv. Actionpeople execute their action plans
v. Maintenancecontinue the actions and work to make these changes permanent
vi. Terminationthe new behavior has become a habit..leading to a 4 step plan:
1. Increase Awarenessresearch effective ways to achieve goals, make change
2. Contemplate change
a. examine current behavior
b. ID a target behavior
c. Learn about target behavior
d. Assess your motivation & readiness to change
3. Prepare for change by setting a SMART goal:
a. Specific
b. Measurable
c. Action Oriented (Attainable)
d. Realistic
e. Time-oriented