CPH 1600 Exam 1 :)
Define health - ANSa state of complete physical, mental, and social well-being and not merely
the absence of disease or infirmity
health as a human right - ANSthe enjoyment of the highest attainable standard of health is one
of the fundamental rights of every human being without distinction of race, religion, political
belief, economic or social condition
Identify determinants of health - ANSEconomic stability, neighborhood and physical
environment, education, food, community and social context, health care system
examples of economic stability - ANSemployment, income, expenses, debt, medical bill, and
support
examples of neighborhood and physical environment - ANShousing, transportation, safety,
parks, playgrounds, walkability
education examples - ANSliteracy, language, early childhood development, vocational training,
and higher education
food examples - ANShunger, access to healthy options
community and social context examples - ANSsocial integration, support systems, community
engagement, discrimination
health care system examples - ANS-Health coverage
-Provider availability
-Provider linguistic and cultural competency
-Quality of care
Define public health - ANSthe science and art of preventing disease, prolonging life, and
promoting health and efficiency through organized community effort
health outcomes examples - ANSmortality, morbidity, life expectancy, health care expenditures,
health status, functional limitations
identify the mission of public health and its three core functions - ANSfulfilling society's interest
in assuring conditions in which people can be healthy -- assurance, assessment, policy
development
what is public health? - ANS-focus on disease and health promotion
, -population perspective
- evidence-based- apply scientific and technical knowledge
-considers the role of factors that are outside an individual's control
- aims to prevent a population from experiencing ill health and to achieve health equity, eliminate
disparities and improve the health of all groups
Describe how challenges to and for public health have shaped the evolution of public health
practice over time - ANSPublic health 1.0- late 1800s tremendous growth of knowledge and
tools for both medicine and public health, uneven access to care and public health
Public Health 2.0- systematic development of PH governmental agency capacity across the
U.S.
Focus limited to traditional PH agency programs (1988)
Public Health 3.0 engage multiple sectors and community partners to generate collective
impact. Improve social determinants of health (2012)
true or false: public health is underappreciated and undervalued - ANStrue, limited resources,
country has weak public health system
true or false: determinants of health are NOT complex and multi-faceted - ANSFALSE
Define evidence-based public health - ANSthe development, implementation, and evaluation of
effective programs and policies in public health through application of principles of scientific
reasoning
Identify the steps in the evidence-based public health approach - ANSdefine the problem
(observation or an assessment), what causes the problem , develop and test community-level
interventions to control or prevent the cause of the problem, implement interventions to improve
the health of the population, monitor those interventions to evaluate their effectiveness
dose-response relationship - ANSthe relationship between the different doses and the
responses they generate
biologic plausibility - ANSthe reasonable expectation that the human body could behave in the
manner predicted
Discuss the use of data in support of evidence-based decision-making in public health -
ANSgathered information about community health needs and preferences - derives through
community health assessments - public health officials and policymakers can make informed
decisions about where to focus resources and interventions
implementation: when - ANSprimary- prior to disease or condition
Define health - ANSa state of complete physical, mental, and social well-being and not merely
the absence of disease or infirmity
health as a human right - ANSthe enjoyment of the highest attainable standard of health is one
of the fundamental rights of every human being without distinction of race, religion, political
belief, economic or social condition
Identify determinants of health - ANSEconomic stability, neighborhood and physical
environment, education, food, community and social context, health care system
examples of economic stability - ANSemployment, income, expenses, debt, medical bill, and
support
examples of neighborhood and physical environment - ANShousing, transportation, safety,
parks, playgrounds, walkability
education examples - ANSliteracy, language, early childhood development, vocational training,
and higher education
food examples - ANShunger, access to healthy options
community and social context examples - ANSsocial integration, support systems, community
engagement, discrimination
health care system examples - ANS-Health coverage
-Provider availability
-Provider linguistic and cultural competency
-Quality of care
Define public health - ANSthe science and art of preventing disease, prolonging life, and
promoting health and efficiency through organized community effort
health outcomes examples - ANSmortality, morbidity, life expectancy, health care expenditures,
health status, functional limitations
identify the mission of public health and its three core functions - ANSfulfilling society's interest
in assuring conditions in which people can be healthy -- assurance, assessment, policy
development
what is public health? - ANS-focus on disease and health promotion
, -population perspective
- evidence-based- apply scientific and technical knowledge
-considers the role of factors that are outside an individual's control
- aims to prevent a population from experiencing ill health and to achieve health equity, eliminate
disparities and improve the health of all groups
Describe how challenges to and for public health have shaped the evolution of public health
practice over time - ANSPublic health 1.0- late 1800s tremendous growth of knowledge and
tools for both medicine and public health, uneven access to care and public health
Public Health 2.0- systematic development of PH governmental agency capacity across the
U.S.
Focus limited to traditional PH agency programs (1988)
Public Health 3.0 engage multiple sectors and community partners to generate collective
impact. Improve social determinants of health (2012)
true or false: public health is underappreciated and undervalued - ANStrue, limited resources,
country has weak public health system
true or false: determinants of health are NOT complex and multi-faceted - ANSFALSE
Define evidence-based public health - ANSthe development, implementation, and evaluation of
effective programs and policies in public health through application of principles of scientific
reasoning
Identify the steps in the evidence-based public health approach - ANSdefine the problem
(observation or an assessment), what causes the problem , develop and test community-level
interventions to control or prevent the cause of the problem, implement interventions to improve
the health of the population, monitor those interventions to evaluate their effectiveness
dose-response relationship - ANSthe relationship between the different doses and the
responses they generate
biologic plausibility - ANSthe reasonable expectation that the human body could behave in the
manner predicted
Discuss the use of data in support of evidence-based decision-making in public health -
ANSgathered information about community health needs and preferences - derives through
community health assessments - public health officials and policymakers can make informed
decisions about where to focus resources and interventions
implementation: when - ANSprimary- prior to disease or condition
