Community Health

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Ch. 17 Objectives
1. Describe health promotion, illness prevention, and illness care in the context of the ecological model and social determinants of health (SDOH). With the ecological model, we look at the environment of the individual and how the two interact together. The environment consists of peers, family, community, infrastructure within the community, etc. All these things impact the individual’s perception of their health and they outcomes they will accept for their health. Social Determinants of Health (SDOH) are a list of 10 items that are basically psychosocial influences that have helped mold the health of the individual. SDOH:

The Social Gradient – the socioeconomic gradient of society Stress – stressful circumstances
Early Life – the impact of early development and education Social Exclusion – hardship, resentment, poverty, social exclusion, and discrimination Work – workplace stress
Unemployment – lack of income and stress affects health
Social Support – friendship and good social relations positively affect health Addiction – drug addictions negatively affect health
Food – access to healthy food
Transport – healthy transport such as walking and bicycling When looking at health promotion, illness prevention, and illness care in the context of these two factors, we have to look at the SDOH that impact the individual and the environment they reside in. We cannot just change the individual but we have to change the environment and their SDOH if we want them to have positive health. 2. Analyze participatory approaches and the interrelationships among communities, populations, and the interprofessional health care providers in the application of health promotion strategies. So, when a community comes together with different professional healthcare providers to achieve a common goal, many of the community’s health goals are achieved. But the best way to approach this is to get community leaders and its citizens involved. The...
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