Free TCE Health Studies Flashcard Review
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What does the WHO definition add to an absence-of-disease view?
It includes physical, mental and social wellbeing. A person can lack a diagnosis yet experience poor health through distress or isolation, so absence of disease is insufficient evidence of overall health.
Why can the word ‘complete’ in the WHO definition be criticised?
It sets an ideal few people sustain and can classify ordinary fluctuation or well-managed disability as ill health. The criticism supports using complementary definitions; it does not reduce health to disease.
How does a biomedical definition of health guide action?
It centres disease, injury and physiological function, making diagnosis and treatment prominent. It is useful clinically but can overlook social conditions, relationships, meaning and wellbeing.
What is the value of defining health as a resource for everyday life?
It focuses on capacity to participate, adapt and pursue goals. This accommodates people who manage a condition well, although capacity still depends on context and requires careful measurement.
How should two health definitions be compared?
Compare what each includes, excludes, makes measurable and encourages decision makers to do. Judge fitness for the stated purpose rather than declaring one definition universally correct.
What makes a measure a health indicator?
It is clearly defined and measurable and represents an aspect of health, an outcome or a relevant determinant in a specified population. Its value lies in describing, comparing or monitoring health status.
Distinguish incidence from prevalence.
Incidence concerns new cases arising during a period among a population at risk. Prevalence concerns existing cases at a point or during a period; it reflects both new occurrence and how long cases persist.
Why are rates often fairer than counts for population comparison?
Rates relate events to a denominator, so populations of different sizes can be compared. Counts still matter for service volume, but a larger count can simply reflect a larger population.
What does life expectancy at birth mean?
It estimates average years a newborn would live if current age-specific mortality patterns continued. It is a population summary, not a guaranteed lifespan for one child.
A hypothetical prevalence rises from 20% to 25%. What are the two changes?
The absolute increase is 5 percentage points. Relative increase is 5/20 × 100 = 25%; calling it a 5% increase confuses units.
Name the four personal dimensions of health.
Physical, social, mental/emotional and spiritual health. They are distinct lenses for one person's health and should be linked through mechanisms rather than listed as synonyms.
What belongs to physical health?
Bodily function, energy, sleep, illness, injury and capacity for daily activity. A medical diagnosis is relevant but does not alone determine the other health dimensions.
What belongs to social health?
Supportive relationships, communication, belonging and participation. Living alone does not automatically imply poor social health; the quality and sufficiency of connection matter.
What belongs to mental/emotional health?
Thinking, coping, emotional recognition and regulation, self-esteem and response to stress. Distress is an experience or measure, not automatically a clinical diagnosis.
What belongs to spiritual health?
Meaning, purpose, values, identity and connection. It may include religion but is not identical to religious observance and should be understood in the person's cultural context.
What is a physical-environment determinant?
A natural or built condition shaping exposure, safety or access, such as housing, air, roads, climate, distance or transport. State the mechanism to a health effect.
What is a socio-cultural determinant?
A relational, cultural, social or economic condition such as income, education, norms, language, support or discrimination. Culture can be protective and should not be framed as a defect.
What is a political determinant?
A law, regulation, funding choice, eligibility rule or institutional priority that distributes protection and access. Name the decision and pathway rather than saying only ‘government affects health’.
How can service location become a health determinant?
Distance and transport can delay preventive or follow-up care, allowing a manageable condition to worsen. The pathway connects physical access with behaviour and physical health.
Why is a supportive built environment more than convenience?
Shade, safe paths, accessible buildings and connected transport make protective behaviour feasible. Advice alone cannot overcome an environment that blocks the recommended action.