ee视里人学 Fudan University http://www.premed.fudan.edu.cn 国家精品课程 索 创新 reventive Medicine Individual preventive strategies and clinical 倾听 preventive services ang I Department of Preventive Medicine, School of Public Health, Fudan University
Department of Preventive Medicine, School of Public Health, Fudan University http://www.premed.fudan.edu.cn 国家精品课程 探索 倾听 思考 创新 Individual preventive strategies and clinical preventive services Li, Jiang
INDVIDUAL PREVENTIVE STRATEGIES
INDIVIDUAL PREVENTIVE STRATEGIES
Definition of health A State of complete physical, mental, and social well-being, and not merely the absence of disease and infirmity WHO 1948 Fit Mentally
Definition of Health • A State of complete physical, mental, and social well-being, and not merely the absence of disease and infirmity. WHO 1948
Criticism on the definition 1. It is totally unrealistic and idealistic(how often is anyone truly feel in a state of ' complete. well being ?) 2. It implies a static position, whereas life and living are anything but static 3. It appears to assume that someone somewhere, has the ability and right to define a state of health whereas we have seen that people define health in many ways
Criticism on the definition 1. It is totally unrealistic and idealistic (how often is anyone truly feel in a state of ‘complete…wellbeing’?) 2. It implies a static position, whereas life and living are anything but static. 3. It appears to assume that someone, somewhere, has the ability and right to define a state of health, whereas we have seen that people define health in many ways
Six dimensions of Health/Wellness The six Dimensions of wellness include physical, emotional, spiritual environmental, mental. and social Wellness Emotional Mental. Physical Spiritual Social Environmental
Six dimensions of Health/Wellness • The Six Dimensions of wellness include physical, emotional, spiritual, environmental, mental, and social wellness
Physical Health Mechanical functioning of the body · Menta| Health The ability to think clearly and coherently Emotional Health The ability to recognize emotions such as fear, joy, grief and anger and to express such emotions appropriatel ly, to cope with stress, tension, depression and anxiety
• Physical Health – Mechanical functioning of the body • Mental Health – The ability to think clearly and coherently • Emotional Health – The ability to recognize emotions such as fear, joy, grief and anger and to express such emotions appropriately, to cope with stress, tension, depression and anxiety
· Social health The ability to make and maintain relationships with other people Spiritual Health Religious beliefs or personal creeds, principles of behavior and ways of achieving peace of mind and being at peace with oneself · Environment health A person's health is related to everything surrounding that person. It is impossible to be healthy in a 'sick'environment that does not provide the resources for basic physical and emotional needs
• Social Health – The ability to make and maintain relationships with other people. • Spiritual Health – Religious beliefs or personal creeds, principles of behavior and ways of achieving peace of mind and being at peace with oneself • Environment Health – A person’s health is related to everything surrounding that person. It is impossible to be healthy in a ‘sick’ environment that does not provide the resources for basic physical and emotional needs
holistic vⅰ ew of health Health is therefore. seen as a resource for everyday life, but not the objective of living it is a positive concept emphasizing socia and personal resources as well as physical capacities
Holistic view of Health • Health is, therefore, seen as a resource for everyday life, but not the objective of living; it is a positive concept emphasizing social and personal resources, as well as physical capacities
Determinants of health Luck(incl. genetic inheritance) Choices(personal behavior) Health care Physical environment Social determinants
Determinants of Health • Luck (incl. genetic inheritance) • Choices (personal behavior) • Health care • Physical environment • Social determinants
nic, cultural and environmental Living warking conditions Work environment d communit Ity al Lifestlye Water Education Health servIc Age, sex hereditary Agrcuhtu factors and food Housing A Social Model of Health(Dahlgren Whitehead, 1991)
A Social Model of Health (Dahlgren & Whitehead, 1991)