SPH 200 Quiz 1 - Measuring the
Health of Populations solutions
latest version
What must we do before measuring health? - CORRECT ANSWER-define it.
How did we previously define health?
Why? - CORRECT ANSWER-1. as the absence of disease.
2. infectious diseases plagued populations. if you had no diseases, you were
considered healthy.
what happened that made the WHO redefine health? - CORRECT ANSWER-The ability
to combat disease via medical and public health interventions advanced and health
became more positive.
How did the WHO define health in 1946? How has that definition been modified? -
CORRECT ANSWER-a state of complete physical, mental, and social well-being. it is
much more positive than "the absence of disease".
are heath and disease opposites?
give an example/ - CORRECT ANSWER-1. No. while disease is a relatively objective
term, well-being is subjective and based on experience
2. being physically healthy but not mentally or socially well or vice versa.
4 types of "health" - CORRECT ANSWER-1. wellness without disease or injury
2. wellness with disease or injury
3. illness with disease or injury
4. illness without disease or injury.
what is seen as the most healthy we can get?
is this the case?
why? - CORRECT ANSWER-1. wellness without disease or injury
2. no
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3. health can always be improved, and thus should not be measured in a finite way that
does not allow for advancements in physical, mental, or social determinants of health.
should there be some minimal acceptable level of health?
what did the WHO do to deal with this? - CORRECT ANSWER-1. yes.
2. revised its definition of health.
how did the WHO revise its definition?
what does this allow for?
give an example - CORRECT ANSWER-1. the definition became a level of health that
permits people to lead socially and economically productive lives.
2. allows for people with disease to be considered "healthy" and still economically and
socially productive.
3. a person with early stage cancer or an obese person can still be socially and
economically productive and relatively healthy although they have some sort of negative
physical health state.
we can measure health in _____ and _____ ways - CORRECT ANSWER-1.
quantitative
2. qualitative.
for example, in children, _______ milestones are relatively normal
example - CORRECT ANSWER-1. quantitive
2. measuring the health of young children using percentiles based on growth/cognitive
development metrics that are established and can be tracked.
however as we age, we lose what?
explain
example - CORRECT ANSWER-1. the ability to provide rigid expectations on physical
health.
2. it becomes harder to establish quantifiable standardized health metrics on how we
expect individuals to be.
3. Cecilia Steenberg vs a standard version of an old woman - how do you define health
in quantitative ways?
therefore measuring health needs to include what? - CORRECT ANSWER-qualitative
elements that are influenced by social and cultural factors
despite the recognition that health is much more than just the presence or absence of
disease, many of our health metrics are what?
example? - CORRECT ANSWER-1. diseased based.
2. covid and reporting cases and mortality rates only
what do we default to reporting on?
what type of measurement of health is it?
why is it used? - CORRECT ANSWER-1. mortality
2. crude and binary measurement of health.
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