Summary: Health Promotion Disease Prevention
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1 Introduction
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What is the difference between the three types of prevention. Name them and explain.
1.Primary prevention
To prevent (development of) diseases
2.Secundary preventionScreening /early detection of diseases
3.Tertiairy prevention
Prevent/reduce theseriousness / orcomplications of diseases -
2 Hearing impairments
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Causal factors for hearing impairments
- Aging
- Noise
- Male gender
- Cognitive decline
- DM
- HT
- Smoking
- Aging
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Key predictive factors for entering a Hearing Aid Evaluation Period?
o High level of self-reported hearing disability
o High level of objectively measured hearing loss
o Many perceived HA (hearing aid) benefits
Improved communication and social participation
o Few perceived HA barriers- Stigma: it appears that people are more likely to take up a hearing aid if they experience higher stigma (opposite from expected, and only occurs inwomen
- Costs
o High degree of social support & social pressure -
3 Upstream determinants
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Examples of obesogenic environments
- Urban sprawl
- Less landuse mix
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What are challenges in upstream research? Name three.
•Study design
Most arecross-sectional , few arelongitudinal and very few areRCT ’sRandomised experimental studies allow for thepossibility ofisolating specificriskfactors and exposing subjects at will, but in real lifecontextual factors do not occur inisolation , and it is often difficult to randomiseindividuals to new or changedenvironments .
•Self-selection
•Area of exposure
Whichenvironment is being looked at?Influences the results!
• Defining exposure
Many ways ofoperationalizing environments
•Mismatch Subjective /objective data:difference in results!Behaviors oravailability
•Interactions
How do upstreamdeterminants interact withdownstream determinants ?COVID -19 (gyms are closed) andmotivation to bephysically active -
4 Community Action
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What is community action research?
Research usingprinciples ofcommunity action .Sort ofPAR , but with specific focus. It has an idea about a theory ofchange : thecommunity isessential inachieving the health goals. (helping communities tosupport themselves) -
What is the aim of community action research?
To meet complex health challenges of society -
What is transdisciplinary research? Give a definition.
A new form of learning and problem solving involving cooperation among different parts of society and academia in order to meet complex challenges of society. -
What is the difference between Community action research (CAR) and Participatory action research (PAR)?
CAR is always about disadvantaged areas and groups + building of social capital (building networks and competences amongst people, so that people feel more capable and get more agency). -
What is a community?
Groups of people who identify themselves by their group membership, sharing a common interest, common social institutions and common social control components.
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