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Determinants of Health

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Neil Hewitt

on 12 November 2013

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Transcript of Determinants of Health

Determinants of Health Presentation
Mother who is trying to manage stress to ensure happiness and health in her life.

Stay at home Mom:
Works from home.
Has three children under four.

Has identified areas of her life that she wants to improve upon.

She now incorporates exercise in her daily routine to manage stress and enhance her quality of life.
Relevant Determinants of Health
Income/Social Status
Social Support Network
Education & Literacy
Employment/Work Conditions
Personal Health Practices/Coping skills
Income/ Social Status
The article eludes to her being a professional.
Dual income family.
Financially stable.
"Why I work out after the kids go to bed ".
By: Charity Curley Mathews
Managing the stress of work, family and health
Presentation by:
Nicolette Garnier-Bush
Julie Gibeault
Neil Hewitt
Deanne Mccarthy
Higher income is positively correlated with better health. (CDC, 2011.)

Social Support Network
The article states she is married.
Supportive social support networks are correlated with better health (Smith & Christakis, 2008)
Education & Literacy
Employment & Work conditions
She is an Online Executive who manages a team of employees from home.

Her written article indicates a high literacy level
Compared to those with less education, those with more education were less likely to report having:
A heart condition
High cholesterol
Asthma attacks

(Culter & Lleras-Muney, 2006)
Those with higher education reported spending less days in bed or absent from work due to illness, in comparison to those with less education (Cutler & Lleras-Muney, 2006).
An additional 4 years of education reduced the average number of sick days taken to 2.30 versus 5.12 (Cutler & Lleras-Muney, 2006).
The author has employment as an executive managing other employee's from her home, which allows her to manage her family commitments.
Having a job not only contributes to income, but also contributes to a persons feelings of identity and purpose; it also promotes making social connections (Public Health Agency of Canada)
Personal Health Practices & Coping Skills
She makes exercise enjoyable for herself by watching a favorite TV show.

She has a healthy body image

Engages in exercise in an attempt feel good and maintain fitness.

Weight loss is not the primary goal for her.
Poor coping skills are associated with risky behaviors such as smoking and substance abuse (Thompson, 2010).
Some people are better able to effectively manage stress compared to others (Thompson, 2010).
What is Stress
" Any emotional, physical, social, economic or other factor that requires a response or change. Stress can be positive or negative. Ongoing stress can result in physical illness." (OToole, 2013)
Negative effect of stress
A 2009 review estimated that stress related illness* accounted for approximately 80% of all non traumatic deaths
*Suppressed immunity, High cholesterol, Diabetes, mental health issues, etc.
What do all of these health determinants have in common?

Income, education, social support, personal health practices, and coping skills all play a role in the amount of stress we experience (Thompson, 2010).
How Can We Manage Stress?
Work effectiveness, absenteeism, and increased likelihood of morbidity are all linked to stress
(Coulter,et al.,2009).
(Coulter, Dickman, & Maradiegue, 2009).
Make upstream investments to promote stress reducing behaviors

Educate people on ways to reduce stress
Upstream Investments
Invest in Fitness for employees

Exercise has been show to:
Reduce anxiety
Reduce depression
Reduced stress
Coulter, et al., 2009).
So how do we promote Exercise for employees?
Reduce the barriers that impede engaging in exercise like making time and ease of access.
Upstream Investment for the Healthcare Field Locally?
Install a staff fitness center in the new hospital here in Corner Brook which reduces barriers:

Reduces commute time to external facility

Creates easy access.

Instills the value placed on exercise by the employer

Reduces costly absenteeism costs correlated with excess stress, illness, and workplace injury.
Education for stress reduction
Educate people about ways to manage stress locally:

Educate people about available initiatives that affect the determinants of health:

Local fitness centers/walking trails

Educational opportunities
University/college courses
Public Health courses

Local groups/volunteer opportunities.
Government subsidies
Tax Credits
Food Programs

How Does Canada Compare to Other Countries

In Belgium, there are laws that mandate employers to identify and reduce work related stress (Broughton, 2010).
In Sweden health promotion is largely driven by education; allowing people to make informed decisions regarding health/stress (Vallgarda, 2001)
The Danish Government feels an obligation to educate people on four areas of health concern.

In Germany, national initiatives are in place to promote awareness of, and combat stress (Broughton, 2010).

Broughton, A. (2001). Work-related stress. Retrieved from the Institute for Employment Studies website from:http://www.eurofound.europa.eu/docs/ewco/tn1004059s/tn1004059s.pdf

Center for Disease Control. (2012). Higher education and income levels keys to better health. Retrieved from: http://www.cdc.gov/media/releases/2012/p0516_higher_education.html

Coulter, P. A., Dickman, K., & Maradiegue, A. The effects of exercise on stress in working women. The Journal for Nurse Practitioners, 5, 408-413. doi:10.1016/j.nurpra.2008.05.008

Cutler, D. M., & Lleras-Muney, A. (2006). Education and Health: Evaluating Theories and Evidence. (Working paper: 12352) Retrieved from: http://www.nber.org/papers/w12352

Kocakülâh, M. C., Cherry, A., & Morris, J. T. (2013) Investing in company wellness programs: Does it make any sense? Journal of Health Management, 15, 463-470.

Matthews, C. C. (2013, September 10). Why I workout after the kids go to bed. CNN. Retrieved fromhttp://www.cnn.com/2013/09/10/health/workout-kids-parenting-upwave/index.html

OToole, M. T. (Ed.). (2013). Mosby’s pocket dictionary of medicine, nursing, & health professions 7th edition. St. Louis: Elsevier

Public Health Agency of Canada (2013). What Makes Canadians Healthy or Unhealthy. Retrieved from: http://www.phac-aspc.gc.ca/ph-sp/determinants/determinants-

Smith, K. P., & Christakis, N. A. (2008). Social networks and health. Annual Review of Sociology, 34, 405-425. doi:10.1146/annurev.soc.34.040507.134601

Thompson, V. D. (2010). Health and health care delivery in Canada. Toronto: Elsevier

Vallgarda, S. (2001). Governing peoples lives. European Journal of Public Health, 11, 386-392.

More companies are realizing the cost for investment into a fitness center, reduces the costs associated with health care (Kocakülâh, M. C., Cherry, A., & Morris, J. T., 2013).
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