COMPLETE SUMMARY HEALTH IN SOCIETY 23/24 including book chapters!
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Course
Health in society (201900017)
Institution
Universiteit Utrecht (UU)
Book
The New Public Health
COMPLETE summary of the Health in Society course. All lectures have been developed, followed by Baum's (2016) book chapters that accompany the lecture. I also added the discussion starters per seminar per week in question.
Health In Society - The New Public Health (Baum) summary of all mandatory chapters
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Universiteit Utrecht (UU)
Interdisciplinaire Sociale Wetenschappen
Health in society (201900017)
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Content preview
Lecture 1 – Introduction to new public health
Lecture overview
- Health is a social issue
- What is health?
- What is public health?
o New public health
o Importance of evidence
Health is a social issue
“A toxic combination of bad policies, economics and politics is, in large measure, responsible
for the fact that a majority of people in the world do not enjoy the good health that is
biologically possible.” ~ Commission of Social Determinants of Health (WHO), 2008
Social determinants of health
“Conditions in which people are born, live, work and age” e.g., Marmot et al. (2012)
,What is health?
- Clockwork model in medicine:
‘Health is when the body operates efficiently, like a machine’
- More than absence of illness
‘Health is a state of complete physical, mental and social well-being and not merely
the absence of disease ore infirmity’ ~ WHO (1948)
- Positive health
o Strengths that contribute to good health and protect against illness
o Physical, mental, spiritual aspects
o Daily functioning, social participation
o Quality of life
What is public health?
- Health of populations rather than individuals
o Holistic / ecosystems understanding
- Prevention approach rather than treatment
o Protecting groups of people
- Collective rather than personal interventions
o Focus on places, settings, locations
Roots of public health
- Combatting infectious diseases
- Collective health measures throughout history (e.g. 19th century UK public health
reforms)
What influences public health?
, - McKeown’s thesis (1979): improved living standards more important than medical
advances
WHO Healthy Cities approach
- Physical and social environments
- Strong community; citizen participation
- Focus on such outcomes as number of trusting people; availability of community
spaces
New perspectives on public health
- Equity takes center stage (“health for all”)
- All-encompassing: all sectors and all policies should play their role in promoting
health
- Importance of citizen participation and involvement
- New public health ~ health promotion
The Ottawa Charter
, Contributing to a better world
Importance of evidence
- ‘Often people jump to solutions without analyzing the problems to be addressed
fully’ ~ Baum (2016, p.231)
Two main issues for research
- Causes of, and contributors to, health
o Individual, social, structural factors
o Biology, behaviour, support, environment, policy, economy
- Effectiveness of policies and interventions
o Which approaches effectively influence underlying factors?
o Individual, social, structural approaches to change
→ Hands-on experience in the group assignment
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