College aantekeningen / Lecture notes Health in Society ()
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Course
Health in Society (201900017)
Institution
Universiteit Utrecht (UU)
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...
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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