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Summary Health Promotion Module

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Health Promotion Methods and evaluating health promotion programs

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  • 4 november 2021
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  • 2021/2022
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Learning Objectives


 Describe and illustrate what defines health behavior

 Critical examination of protective behaviors and health risk behaviors

 Analyze and compare factors that influence behaviors

Contents

Introduction--------------------------------------------------------------------------------------------------2

Tobacco smoking--------------------------------------------------------------------------------------------2

Physical activity---------------------------------------------------------------------------------------------3

Diet------------------------------------------------------------------------------------------------------------3

Alcohol abuse------------------------------------------------------------------------------------------------4

Sexual behaviors---------------------------------------------------------------------------------------------4

Health screening----------------------------------------------------------------------------------------------5

Social factors--------------------------------------------------------------------------------------------------5

Psychological factors----------------------------------------------------------------------------------------6

Cultural factors-----------------------------------------------------------------------------------------------7

Association of personal choices, social settings, and global demographics and health behaviors

outcomes------------------------------------------------------------------------------------------------------8

Conclusion----------------------------------------------------------------------------------------------------8

References----------------------------------------------------------------------------------------------------9



1

,Introduction

In this section, students will be able to define behavior and explore its relationship with health

outcomes. Students will differentiate health-protective behaviors and health risk behaviors. This

section will then explore the role of social, psychological, and cultural factors that affect

individual and population behavior. Finally, at the end of this section, students will discuss how

personal choices, social settings, and changing global demographics influence health behaviors

and health outcomes.

Behavior is defined as the actions and habits that relate to the maintenance of health, the

restoration of health, and the improvement of health (Gochman 1997 vol 1, p. 3). In discussing

behaviors, it is important to differentiate health risk behaviors and health-protective behaviors.

Health protective behaviors contribute to health benefits and prevent individuals from diseases.

For example, engaging in physical activity, the use of condoms to prevent sexually transmitted

diseases, and consuming a diet that is high in fruits and vegetables. On the contrary, health risk

behaviors are those that are detrimental to health and can cause diseases. For example, excessive

alcohol consumption, consuming a diet high in fat and tobacco smoking.

Tobacco smoking

There is a link between smoking and coronary heart diseases (CHD). Individuals who smoke are

at a higher risk of morbidity and mortality from coronary heart disease (Saleheen et al., 2017, p.

6). Additionally, cigarette smoking is associated with diseases such as pneumonia (Antwi-

Amoabeng and Islam, 2020, pp. 2). In 1983, the Royal College of Physicians linked smoking to

lung, stomach, and bowel cancers. Smoking is common among individuals with less education

(Kuntz and Lampert, 2013, pp 3023).


2

,Physical activity

Physical activity is a health-protective behavior that can prevent diabetes, obesity and

cardiovascular diseases (Qin et al., 2009, p. 6). Engaging in regular physical activity lowers

blood pressure, increases the metabolism of fats, and carbohydrates as well as improved self-

esteem, and reduced stress and anxiety (Centers for Disease Control and Prevention, 2020).

Nevertheless, a significant proportion of individuals in the population lead a sedentary lifestyle.

In fact, 2 million deaths that occur globally are attributable to a lack of physical activity (cobia,

Vos, and Barendregt, (2009, p. 9). In the UK, the National Health Survey (NHS) indicated that

58 percent of adult women and 47 percent of adult men aged 75 years and above were physically

inactive compared to 19 percent of women and 13 percent of men aged 16 to 24 years. In the

United States, all states and territories were reported to have an estimated range of 17.3 to 47.7

percent of inactive adults from 2015 to 2018 (CDC, 2020). Overall, frequent physical activity is

associated with higher education levels and higher socioeconomic status.

Diet

Research has determined that consuming a healthy diet that includes fruits and vegetables can

prevent diseases (Sanchez, Norman et al., 2007, p.5). However, in the third world, the problems

related to diet and health is malnutrition. In developing countries, there is the overconsumption

of food and obesity. The World Health Organization estimates that 45 percent of deaths that

occur among children under the age of 5 in developing countries are due to malnutrition. In the

United States, excess calorie consumption has been associated with diabetes, obesity, high blood

pressure, and cancers. For example, 93.3 million U.S adults are obese with a prevalence of 39.8

percent. Furthermore, 13.7 million children in the U.S aged 2 to 19 years are reported to be obese

with a prevalence of 18. 5 percent (CDC, 2018). In the UK, an unhealthy diet has contributed to

3

, obesity. The National Health Survey reports that 1 in 4 adults is obese and 1 in 5 children is

obese (NHS, 2019). Research has established that elevated blood cholesterol can result in the

development of cardiovascular diseases (Zhong et al., 2019, p. 1090). A dietary modification that

includes an increase in the consumption of fruits and vegetables, with reduced fats and sugars

can decrease morbidity and mortality linked to chronic diseases.

Alcohol abuse

Cancers, diabetes, unintentional injuries, infectious diseases, and liver diseases have been

associated with alcohol consumption (Rehm, 2011, p.137). Chronic diseases manifest due to

continued drinking. Unintentional injuries such as accidents and violence result from excessive

alcohol consumption in a single drinking session. From the year 2006 to 2010, 88,000 deaths in

the U.S were associated with excessive alcohol consumption (CDC, 2019). In the UK, the

alcohol-specific death rate recorded in 2018 was 11.9 per 100,000 (Office of National Statistics,

2019).

Sexual behaviors

Sexual practices can be considered protective or risk behaviors because of their association with

sexually transmitted diseases. More importantly, there has been much focus on the role of sexual

behaviors in the spread of HIV/AIDS. Other sexually transmitted diseases include gonorrhea,

chlamydia, human papillomavirus, and genital herpes. There are 1.8 million cases of chlamydia

in the U.S. This is a 19 percent increase from the year 2014 (CDC, 2019). In the UK, the rate of

chlamydia infection in 2018 was at 392. 1 per 100,000 (Public Health England, 2019). Some

sexual infections may take years to manifest, others are asymptomatic, and others have mild

symptoms. Therefore, infected individuals do not seek treatment. Women are at a higher risk of


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