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College aantekeningen / Lecture notes Health in Society ()

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This document contains detailed notes from the lectures (1 to 6) for the Health in Society course. The notes are entirely in English and provide a thorough explanation of various theories, perspectives and concepts covered in the subject. Each concept is clearly explained and, where necessary, supp...

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  • April 8, 2024
  • 6
  • 2023/2024
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Lecture 1: Introduction to new public health
Social determinants of health: the conditions in which people are born, grow, live work, and
age.




What is health?
 The traditional clockwork model of health and medicine: “Health is when the body
operates efficiently, like a machine.”
 But, the WHO says: “Health is a state of complete, physical, mental and social well-
being and not merely the absence of disease of infirmity.”
 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: holistic/ecosystems understanding
 Prevention approach rather than treatment: protecting groups of people
 Collective rather than personal interventions: focus on places, settings, locations
WHO Healthy Cities approach
 Physical and social environments
 Strong community; citizen participation
 Focus on such outcomes as the number of trusting people; availability of community
spaces




New perspective 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
Two main issues for research
 Causes of, and contributors to, health
o Individual, social, structural factors
o Biology, behavior, support, environment, policy, economy
 Effectiveness of policies and interventions
o Which approaches effectively influence underlying factors?
o Individual, social, and structural approaches to change

Different research methods
 Quantitative research
o Monitoring and surveillance
o Case-control studies
o Cross-sectional and longitudinal surveys
o (Non)-randomized experimental studies
 Qualitative research
o Focus groups
o In-depth interviewing
o Case studies
o Document analysis



Lecture 2: Politics, inequity, and social determinants of health
Public health is a political process
 Multiple political issues: population health, economic & cultural life,
well-being/mental health, and health system capacity.
 Baum, 2016 (p. 79): “Public health actions are expressions of prevailing political
ideologies”
 Research shows that public health has a…
o … positive association with welfare state generosity
o … positive association with social-democratic political tradition and
democracy
o … negative association with globalization

Individualism and public health
 Influential social changes:
o Increasing dominance of individualism

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