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SPH 200 Unit 3 Questions and Answers Verified 100% Correct

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SPH 200 Unit 3 Questions and Answers Verified 100% Correct

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SPH 200 Unit 3 Questions and Answers Verified
100% Correct
Historically, infectious diseases plagued populations and thus, shaped the definition of

health to

exclusionary

- the absence of disease.

As our understanding of disease and ability to combat disease via medical and public

health interventions advanced, health became

more positive

health was defined in the 1946 WHO constitution as a

a state of complete physical, mental and social well-being.

-More positive definition

-this definition came along with the capacity to have multi dimensionality in the definition of

health

While health and wellbeing maybe synonymous, health and disease are

not opposite

- disease is an objective term, while wellbeing can be a subjective term based off experience

- allows for multiple dimensions of health, if well being is subjective and disease is a binary

measuring health

- Can be physically healthy but not mentally/socially well

- Can be physically unhealthy but still be mentally/socially well

,4 possible different dimensions in definition of health

1. Wellness without disease or injury

2. Wellness with disease or injury

3. Illness without disease or injury

4. Illness with disease or injury

- The multidimensional definition still remained finite as a measurement and leaves open the

option that there is some form of maximal or optimal health point to achieve which would clearly

be that you are well without injury or disease

Health can be improved, and thus it should not be measured in a

finite way that does not allow for advancements in physical, mental or social determinants of

health

1978: WHO revised its definition of health

called for a level of health that permits people to lead socially and economically productive lives.

- allows people with disease to be considered healthy as they can still be socially and

economically productive

- Could be a person who is obese or early stage cancer, as they can still be productive

Quantitative and qualitative factors are clearly important to consider as health metrics

- In young children, we have very quantitative milestones being normal and measures the health

of children, that's because those measurements are based on growth in cognitive development

metrics that are well established and can be tracked

- As we age, we lose the ability to provide these rigid expectation on physical health in particular

, When you become older, it becomes harder to apply

standardized health metrics, especially quantifiable ones, on how we expect individuals to be

- Ability to apply more quantitative measures to things like social or mental health as we age

become even more tricky

Measuring health needs to include

qualitative elements that will be influenced by social and cultural factors

- A certain social or cultural norm can be a way of aging which then becomes a more finite

measurement of health/wellbeing within a certain culture or group

Despite the recognition that health is much more than just the presence or absence of

disease, many of our health metrics remain

disease-based

- If you listen to updates from health canada about covid, they will usually report case based

statistics about covid and mortality, but they won't report much else

Most often, we default to reporting mortality

which is an especially crude and binary measurement of 'health'

- you are healthy or dead, which isn't a good way to do it

Mortality is

easy to measure, and often easy to attribute

- Can usually attribute some cause of death to a person that died, and that allows us to bin that

death into a category of disease we can track

mortality measurements can be presented as

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