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4. drugs and health products
nanotechnology-based health products and food
nanotechnology
nanotechnology is the application of scientific knowledge to manipulate
and control matter in the nanoscale to make use of size- and
structure-dependent properties and phenomena distinct from those
associated with individual atoms or molecules or with bulk materials.
the term "nanoscale" is defined as 1 to 100 nanometers (nm) inclusive.
health canada's working definition for the products of nanotechnology
as international consensus on a definition for the products of
nanotechnology has not been reached yet, health canada has adopted a
working definition for nanomaterials. the working definition is
described in the policy statement on health canada's working definition
for nanomaterial that can be found on health canada's website.
the policy statement will continue to be updated as the science evolves
and international norms progress.
applications of nanotechnology
nanotechnology and products derived from nanotechnology have a wide
range of applications and the potential to impact many sectors,
including the health and food sectors. in the health sector, the
applications of nanotechnology impact new natural health products,
medical devices, drugs, drug delivery systems, regenerative medicines
and diagnostic devices for improved detection and treatment of
illnesses. in the food sector, nanomaterials could be used to preserve
food, improve nutritional values and enhance flavours.
health products and food branch (hpfb) involvement with nanotechnology
hpfb participates in an interdepartmental health portfolio
nanotechnology working group which gathers information and acts as a
discussion forum for issues related to nanotechnology. this working
group contains members from health canada, the public health agency of
canada (phac), and the canadian institutes of health research (cihr).
additionally hpfb participates in the interdepartmental network chaired
by industry canada.
health canada participates in a number of international initiatives,
such as the working party on manufactured nanomaterials of the
organisation for economic co-operation (oecd), development and the
technical committee 229 of the international organization for
standardization (iso) and collaborates with international counterparts.
authority
health canada adopted a broad working definition for nanomaterials to
provide a consistent approach across several diverse regulatory program
areas to identify regulated products and substances that may contain
nanomaterials. the working definition enables the department to
establish internal inventories, to ask for additional information, and
to integrate that new knowledge into regulatory decision making
processes. the first step to assuring adequate risk assessment and risk
management is to identify potential nanomaterials using the working
definition as a tool.
currently, there are no regulations specific to nanotechnology-based
health and food products. health canada relies on authorities within
existing legislative and regulatory frameworks, which require the
assessment of potential risks and benefits of products to the health
and safety of canadians before they can be authorised for sale.
general guidance
according to health canada's working definition for nanomaterial, the
term "nanoscale" means 1 to 100 nm inclusive. however, individual
regulatory programs may request information above the 100 nm size range
to an upper limit of 1000 nm in order to maintain flexibility to assess
potential nanomaterials, including suspected nanoscale properties and
phenomena. the 1000 nm cut-off attempts to separate characteristics
attributable to macro-scaled materials from those of nanomaterials. in
addition, for any regulated product or substance that contains
nanomaterial and measures beyond 1 micron in size (for example, bundles
of carbon nanotubes that are very long), regardless of the size,
information may be requested for risk assessment purposes.
to identify a nano-based product/material the sponsor will be asked to
self-identify when their application concerns a nanomaterial or
'nanoproduct'.
recently the drug submission application form for human, veterinary,
disinfectant drugs and clinical trial application/attestation (hc/sc
3011) was revised to facilitate this process. section 59 of the revised
form allows the sponsor to identify medicinal (active) ingredient(s) or
non-medicinal ingredient(s) listed under section 56 or 57 that are a
nanomaterial. a similar approach has been adapted for natural health
products. it is planned that the medical devices licence application
form will also be revised to request the manufacturer to state whether
their devices contain nanomaterials.
health canada encourages sponsors and other stakeholders to communicate
with the responsible regulatory authority early in the development
process, especially for combination products that are, contain or make
use of nanomaterials. in order to identify and assess potential risks
and benefits of nanotechnology based health and food products, the
department encourages manufacturers to request a pre-submission meeting
with the responsible regulatory authority to discuss type of
information that may be required for their product's safety assessment.
in discussion with the sponsor the department may require the following
types of information, including but not limited to:
* intended use of the nanomaterial, including any end product in
which it will be used;
* manufacturing methods;
* characterization and physico-chemical properties of the
nanomaterial, including identity, composition and purity;
* toxicological, eco-toxicological, metabolism and environmental fate
data that may be both generic and specific to the nanomaterial if
applicable; and,
* risk assessment and risk management strategies, if considered or
implemented.
given the range of products covered by health canada's regulatory
responsibilities, the working definition was developed to be
intentionally broad and will be applied more specifically in each
regulatory program area. future guidance specific to program areas and
legislative and regulatory authorities will be developed in a manner
that promotes a consistent set of approaches.
for additional guidance regarding any elements of the working
definition and to address specific questions, consultation with the
individual program areas is recommended.
find more information about nanomaterials in the science and research
section of our website.
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health
health
no-deal brexit 'still risk to nhs and care sector'
by nick triggle health correspondent
* 27 september 2019
* comments
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related topics
* brexit
pharmacist with drugs image copyright getty images
a no-deal brexit presents risks to the nhs and care homes despite
extensive government planning, a watchdog says.
the national audit office praised the government for the "enormous
amount of work" that had been done but said there were still
"significant" gaps.
the extra shipping capacity government was buying to bring medicines
into ports other than dover may not be completely ready by 31 october.
and there was no clear evidence the care sector was ready, the nao
said.
the report raises concerns the sector has not received enough
government support.
* uk plans £3m no-deal medicine transport
* uk seeks new no-deal brexit freight plan
the government has arranged the stockpiling of supplies for the nhs.
but for the care sector, which is fragmented in that it relies on
24,000 companies to provide services, no central arrangement has been
made to stockpile equipment and supplies, such as syringes and needles,
most of which come from or via the eu.
when it comes to medicines, however, the supply of which has been
organised for both the nhs and care sectors, the report acknowledges
the work that has been done.
this includes stockpiling six weeks' supply of drugs and arranging for
emergency supplies to be fast-tracked in - some drugs, including cancer
treatments, have a short shelf-life and so cannot be stockpiled.
but the report says it is still not known exactly what level of
stockpiling is in place.
more than 12,000 medicines are used by the nhs, and about 7,000 come
from or via the eu.
image copyright getty images
the publication of the report comes after mps attempted to block the
government leaving the eu without a withdrawal agreement.
legislation has been passed requiring the government to ask for an
extension if a deal cannot be agreed.
labour mp meg hillier, who chairs the cross-party public accounts
committee, said the report was "deeply concerning".
"i've seen countless examples of deadlines missed and government
failing," she said.
"if government gets this wrong, it could have the gravest of
consequences."
dr layla mccay, of the nhs confederation, which represents managers,
said the planning had been detailed but the situation was still
concerning.
she also warned it was the "unknowns and unknowables" that perhaps
presented the biggest risk.
a department of health and social care spokesman said: "we want to
reassure patients we are doing everything we can."
he said the government along with industry had "mounted an
unprecedented response in preparing for brexit" with stockpiles
"increasing by the day".
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more on this story
* uk plans £3m no-deal medicine transport
7 july 2019
* uk seeks new no-deal brexit freight plan
29 june 2019
* government pays eurotunnel £33m over brexit ferry case
1 march 2019
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mental health still the number one reason people visit their gp, report finds
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abc health & wellbeing
by health reporter olivia willis
close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
(getty images: hero images)
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close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
getty images: hero images
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mental health issues are driving australians to visit their gp more
than any other health concern.
key points
key points
* report finds psychological issues most common problem gps treat,
second year in a row
* gp body says longer consultation times are needed to adequately
treat complex illness
* government developing 10-year primary care plan to improve medicare
delivery
but gps say they're struggling to keep up with demand because mental
healthcare is complex and often requires more time than a standard
consultation allows.
a survey of 1,200 gps published today by the royal australian college
of general practitioners (racgp) found two in three doctors reported
"psychological issues" as the most common ailment they now treated.
"if you think about where you can go if you've got a mental health
issue, there are very few places," said harry nespolon, president of
the racgp.
dr nespolon said the shift from institutional to community-based care
for mental health patients, as well as a waning reliance on religious
institutions for pastoral care, has led to more australians using gp
services for psychological support.
"[gps see] everything from relationship problems all the way through to
people with severe schizophrenia," he said.
"if you do come into a crisis … often a gp is a trusted person that's
been taking care of you for 10 or 15 years."
bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
(health of the nation 2019)
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bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
health of the nation 2019
(button) close
but dr nespolon said the current medicare structure favoured shorter
consultations for straightforward health conditions, and undervalued
longer consultations required for complex issues.
"at the moment, there's really only one [medicare] item number for
mental health issues, which is a 20-minute consultation," he said.
"in other words, you can sort out all mental health issues in 20
minutes — which we all know is not true."
without longer subsidised consultations, dr nespolon said many gps were
being forced to cram patients with complex needs into short
appointments, charge patients for more time, or wear the out-of-pocket
cost themselves.
"we want to see the government provide financial support for dealing
with these complex cases," he said.
the health of the nation report found out-of-pocket costs to see the gp
were rising, and for the first time, all areas outside major cities had
seen a decline in bulk billing.
"this has a major effect on the 7 million australians who live in
regional, rural and remote areas," dr nespolon said.
"the growing gap between the cost of providing care and the medicare
rebate will have a devastating impact on the sustainability and
accessibility of general practice."
rebates explained
quick explanation of rebates
* the medicare benefits schedule (mbs) is a list of medical services
for which the australian government provides a medicare rebate.
* each mbs item has its own scheduled fee — this is the amount the
government considers appropriate for a particular service (e.g.
getting a blood test or seeing a psychologist).
* rebates are typically paid as a percentage of the medicare
scheduled fee. in the case of gp consultations, the rebate is 100
per cent of the schedule fee.
* this means that bulk-billing gps agree to charge patients the
medicare schedule fee ($37.60 for a standard appointment) and are
directly reimbursed by the government, and there is no cost to the
patient.
* gps who don't bulk bill charge a fee higher than the medicare
schedule fee, meaning patients must pay the difference between the
schedule fee and the doctor's fee — out of their own pocket.
* for example, if your doctor charges $75 for a standard
consultation, you'll pay $75 and receive a rebate of $37.60 —
leaving you $37.40 worse off.
longer consultations needed for complex care
in australia, a standard physical consultation of 20-40 minutes with a
gp attracts a rebate of $73.95. that increases once the consultation
exceeds 40 minutes.
by comparison, any gp mental health consultation longer than 20 minutes
— excluding appointments to prepare or review mental health treatment
plans — attracts a rebate of $72.85.
dr nespolon said there needs to be recognition in the medicare rebate
schedule that dealing with mental health issues and other complex
health conditions takes time.
"we know that people with mental health issues tend to have many more
physical problems … so the gp is there dealing with all the patient's
issues, not just their mental health issue," he said.
"we've been pushing for 40- and 60-minute [mental health] item numbers,
so people get the time, and gps are not acting as a charity when it
comes to dealing with mental health issues."
in july, the federal government ended a freeze on the medicare rebate
for gp visits as part of a $1.1 billion primary healthcare plan. the
move was designed to close the gap on rising out-of-pocket medical
costs.
but dr nespolon said even with the lifting of the medicare freeze,
rebates still failed to reflect the true cost of delivering services.
"gps are small businesses. they need to pay staff, pay their leases or
mortgages, and [these] go up at much higher rates than the percentage
increase that the government provides," he said.
"like any small business, you've got a choice. you either recover your
costs or you go broke. and that's exactly what we're seeing happening
at the moment."
the growing gap between the cost of providing care and the medicare
rebate was reflected in rising out-of-pocket costs, he said.
in 2018-19, the average out-of-pocket cost for a gp service was $38.46
— a gap that's risen roughly $7 in five years.
out-pocket-costs varied across australia, with patients in the northern
territory, act, remote and very remote areas experiencing significantly
higher costs.
how mental health plans work
how mental health plans work
if you're living with a diagnosable mental illness, you are entitled to
receive a medicare rebate.
bulk billing rates predicted to decline
the report also found bulk billing was not as common as medicare
statistics — or the federal health minister greg hunt — have previously
suggested.
"medicare statistics indicate that 86.2 per cent of general practice
services were bulk billed in 2018-19," the report states.
"while this figure provides an indication of total bulk-billed services
in australia over this period, it does not represent the number of
patients who are bulk billed, nor does it represent the number of
patients who are bulk billed for all of their general practice care."
since patients may receive a number of services during a single visit
to a gp, with some services bulk billed and others not, the proportion
of people who face zero out-of-pocket costs for care is much lower than
the rate of services overall.
"in 2016-17, while 86 per cent of gp services were bulk billed,
nationally only 66 per cent of patients had all of their gp services
bulk billed."
although the number of gp services being bulk billed has increased in
the last four years, the racgp predicts bulk-billing rates will decline
from 2020, as the rate of increase continues to slow.
in 2019, just 18 per cent of gps reported bulk billing all of their
patients, down from 29 per cent in 2017.
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improving mental health for gps, too
in addition to access to mental health for the general public, dr
nespolon said the mental health of gps also deserved close attention.
"research shows that doctors experience higher levels of mental
distress than the general population. yet four in ten gps report that
they have personally delayed seeking treatment or care in the past two
years," he said.
part of this could be attributed to time constraints, he said, but also
to mandatory reporting laws, which posed a "significant deterrent" to
doctors seeking care.
"with the exception of western australia, all of australia's states and
territories require doctors to report their colleagues if they believe
patient safety is at risk and this includes if a colleague has sought
their help as a patient," he said.
"we believe that doctors should be exempt from mandatory reporting so
that they feel free to discuss their health issues confidentially ...
so they can continue to provide the best possible care for all
australians."
medicare 'stronger than ever', government says
in a statement to the abc, a spokesperson for the minister for health
said the government had committed $1.6 billion to support doctors and
specialists to strengthen primary care to deliver improved access for
outcomes.
"our goal is to make primary health care more patient focused, more
accessible, and better able to provide preventative health and
management of chronic conditions," they said.
the spokesperson said the government would increase medicare funding by
$6 billion over the next four years, to reach $31 billion of annual
funding in 2022–23.
"we are working with gps, specialists and consumers, including the
racgp, to develop a 10-year primary care plan that supports a more
flexible and innovative medicare, starting with a $448.4 million
investment in a new patient enrolment model for patients over 70 years.
"medicare today is stronger and better protected than it's ever been."
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1. home
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4. health protection
5. antimicrobial resistance (amr)
news story
uk to invest in new research against evolving global health threats
the chief medical officer has announced funding for projects to help
beat antimicrobial resistance (amr) and achieve global universal health
coverage.
published 25 september 2019
from:
department of health and social care
a scientist in a laboratory uses a pipette.
image credit: roger harris photography
the funding will include:
* £6.2 million to strengthen existing surveillance systems tracking
amr trends across africa and asia
* £12 million to improve collaborations on health systems research
between low- and middle-income countries and the uk, for example
countries in sub-saharan africa
the chief medical officer, professor dame sally davies, announced the
funding for the projects at the un general assembly.
she warned that the world cannot achieve universal health coverage
without addressing the threat of amr.
universal health coverage is a un ambition, and aims for every person
across the globe to have access to basic healthcare, whatever their
situation.
amr is involved in 700,000 deaths around the world every year, and this
is expected to rise to 10 million deaths a year by 2050. if amr
continues to follow current trends, common infections will become
complex and expensive to treat, affecting tens of millions of people.
achieving universal healthcare coverage also requires rigorous research
to inform health policy and health systems.
professor davies is representing the uk at the un general assembly
high-level meeting on universal health coverage in new york alongside
heads of state, health experts and policy-makers.
she will point to infection prevention and control measures, such as
immunisation, good hygiene and appropriate antibiotic use, as crucial
to achieving both universal healthcare coverage and eliminating the
threat of amr.
the £6.2 million in uk aid investment will come from the fleming
fund. it will help improve amr data quality, collection and sharing
across africa and asia, with the aim of developing policy and action
from that data.
the invitation to apply for a share of £12 million of funding is being
made by the national institute of health research (nihr) global health
research programme. it will enable experts from low- and middle-income
countries and the uk to form partnerships to contribute to universal
health coverage and sustainable development goals.
the fleming fund and nihr global health research funding was first
announced as part of the 2015 spending review.
the un has committed to ensuring all people have access to affordable
healthcare by 2030, and yesterday member states adopted a declaration
recognising that tackling amr and innovative health research is crucial
to this.
chief medical officer for england, professor dame sally davies said:
achieving our common goal of universal health coverage will require
global action on a multitude of fronts, including tackling the
escalating threat of antimicrobial resistance and investing in
research.
i am delighted to announce this funding, which will catalyse
regional collaboration to help strengthen amr surveillance systems
across africa and asia and support the next generation of health
policy and systems research.
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published 25 september 2019
explore the topic
* antimicrobial resistance (amr)
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iframe: https://www.youtube.com/embed/lwdlcbxqtc4
50th anniversary of newborn metabolic screening
stella's story is one of six videos to commemorate the 50th anniversary
of newborn metabolic screening. this screening means metabolic
conditions can be diagnosed and treated before a baby becomes unwell.
view other stories like stella's. find out more about newborn metabolic
screening.
transcript
title: newborn metabolic screening programmestella’s story
[photograph of stella as a baby]
[text on screen of stella’s birthdate] 26 august 2018
[video of stella and her parents sitting on floor inside house]
[photograph of stella as a baby]
tanya - stella’s mother:
had a really healthy pregnancy, had a dream labour and took her home
and she was healthy as, and then when she was eight days old the
midwife turned up.
on the way to our house she’d got a phone call from the specialists at
starship, the immunologists, that said look there’s something, there’s
something wrong.
[text on screen] at 10 days old stella was diagnosed with severe
combined immune deficiency (scid).
dr shannon brothers - paediatric immunologist:
babies with combined immune deficiency (scid) are born without a
functioning immune system. although they appear healthy at birth, they
go on to develop severe, persistent infections and die by a year of
age.
[text on screen over video of stella in hospital] stella had
chemotherapy and a bone marrow transplant when she was four months old.
justin - stella’s father:
the medical side of the thing, watching your kid go through this, it’s
not easy.
[photograph and video of stella in hospital with her parents]
tanya:
luckily at that point my mum was actually up there with us, and so
between the three of us one of us stayed awake and held her every
single hour for that time that she was sick.
[text on screen] she battled a serious infection.
[video of tanya attaching baby bottle with milk to pump and attaching
pump to stella’s feeding tube]
tanya:
because she got ulcers through transplant, she stopped eating, drinking
her milk, and she hasn’t worked that one out yet so we’re still feeding
her through the tube down her nose.
[video of justin following stella as she walks and carrying stella’s
pump]
tanya:
might be easier if you push it.
justin:
it’s a bit of a, bit of a worry if she falls over and hurts herself.
[text on screen] due to her compromised immunity stella has not been
able to interact with people other than her family.
[video of stella walking towards doll being held by her mother]
tanya:
who’s this? is it luna? you going to give her a cuddle?
[video of doll which also has a feeding tube attached to its cheek]
tanya:
we’ve got to get the tube out, teach her how to eat and soon enough
she’ll be like every other kid, you’d never know, yeah.
[video of stella being held by justin while tanya puts stella’s hat and
coat on]
[text on screen] now, stella’s natural immunity is improving.
[video of justin carrying stella outside with tanya, closing door
behind them and justin putting stella in car seat in car]
justin:
it’s nice that we can get to take her out a bit more, nice walking
tracks and some parks where there’s not too many people.
tanya:
it’s your kid’s life. for us if we hadn’t have found out early, we’d be
in a completely different situation now and it’s life or death.
[video of stella walking outside on lawn, being picked up by tanya]
tanya:
and i know you think you’re not going to be that one because everyone
thinks you’re not going to be the one in 100,000 or whatever but screw
the statistics, when it comes down to it, we’re that one.
in our eyes if it wasn’t for the newborn screening, she may not have
made it to her first birthday.
[video of justin, tanya and stella together outside]
tanya:
that test is everything for us. it gave her the best chance of success
in life.
nz cancer action plan 2019–2029.
new zealand cancer action plan 2019–2029
the new zealand cancer action plan 2019–2029 sets out the actions
required over the next 10 years to ensure better cancer outcomes.
news
view more news
* medsafe reinforces advice on lamotrigine
media release
20 december 2019
* release of new ethical standards for health and disability research
and quality improvement
news article
20 december 2019
* iconic newborn screening programme turns 50
news article
13 december 2019
* maximising health and wellbeing for all older people
news article
12 december 2019
* report highlights severity of harm from surgical mesh
news article
12 december 2019
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* report of the parliamentary review committee regarding the national
cervical screening programme: april 2019
18 december 2019
* mortality 2017 data tables
18 december 2019
* care and support workforce qualification attainment
18 december 2019
* new zealand obstetric ultrasound guidelines
13 december 2019
* new cancer registrations 2017
12 december 2019
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nutrition
(button) evidence based
27 health and nutrition tips that are actually evidence-based
written by kris gunnars, bsc on june 7, 2019
it’s easy to get confused when it comes to health and nutrition.
even qualified experts often seem to hold opposing opinions.
yet, despite all the disagreements, a number of wellness tips are well
supported by research.
here are 27 health and nutrition tips that are actually based on good
science.
27 health and nutrition tips share on pinterest
1. don’t drink sugar calories
sugary drinks are among the most fattening items you can put into your
body.
this is because your brain doesn’t measure calories from liquid sugar
the same way it does for solid food (1).
therefore, when you drink soda, you end up eating more total calories
(2, 3).
sugary drinks are strongly associated with obesity, type 2 diabetes,
heart disease, and many other health problems (4, 5, 6, 7).
keep in mind that certain fruit juices may be almost as bad as soda in
this regard, as they sometimes contain just as much sugar. their small
amounts of antioxidants do not negate the sugar’s harmful effects (8).
2. eat nuts
despite being high in fat, nuts are incredibly nutritious and healthy.
they’re loaded with magnesium, vitamin e, fiber, and various other
nutrients (9).
studies demonstrate that nuts can help you lose weight and may help
fight type 2 diabetes and heart disease (10, 11, 12).
additionally, your body doesn’t absorb 10–15% of the calories in nuts.
some evidence also suggests that this food can boost metabolism (13).
in one study, almonds were shown to increase weight loss by 62%,
compared with complex carbs (14).
3. avoid processed junk food (eat real food instead)
processed junk food is incredibly unhealthy.
these foods have been engineered to trigger your pleasure centers, so
they trick your brain into overeating — even promoting food addiction
in some people (15).
they’re usually low in fiber, protein, and micronutrients but high in
unhealthy ingredients like added sugar and refined grains. thus, they
provide mostly empty calories.
4. don’t fear coffee
coffee is very healthy.
it’s high in antioxidants, and studies have linked coffee intake to
longevity and a reduced risk of type 2 diabetes, parkinson’s and
alzheimer’s diseases, and numerous other illnesses (16, 17, 18, 19, 20,
21).
5. eat fatty fish
fish is a great source of high-quality protein and healthy fat.
this is particularly true of fatty fish, such as salmon, which is
loaded with omega-3 fatty acids and various other nutrients (22).
studies show that people who eat the most fish have a lower risk of
several conditions, including heart disease, dementia, and depression
(23, 24, 25).
6. get enough sleep
the importance of getting enough quality sleep cannot be overstated.
poor sleep can drive insulin resistance, disrupt your appetite
hormones, and reduce your physical and mental performance (26, 27, 28,
29).
whatʼs more, poor sleep is one of the strongest individual risk factors
for weight gain and obesity. one study linked insufficient sleep to an
89% and 55% increased risk of obesity in children and adults,
respectively (30).
7. take care of your gut health with probiotics and fiber
the bacteria in your gut, collectively called the gut microbiota, are
incredibly important for overall health.
a disruption in gut bacteria is linked to some of the world’s most
serious chronic diseases, including obesity (31, 32).
good ways to improve gut health include eating probiotic foods like
yogurt and sauerkraut, taking probiotic supplements, and eating plenty
of fiber. notably, fiber functions as fuel for your gut bacteria (33,
34).
8. drink some water, especially before meals
drinking enough water can have numerous benefits.
surprisingly, it can boost the number of calories you burn.
two studies note that it can increase metabolism by 24–30% over 1–1.5
hours. this can amount to 96 additional calories burned if you drink
8.4 cups (2 liters) of water per day (35, 36).
the optimal time to drink it is before meals. one study showed that
downing 2.1 cups (500 ml) of water 30 minutes before each meal
increased weight loss by 44% (37).
9. don’t overcook or burn your meat
meat can be a nutritious and healthy part of your diet. it’s very high
in protein and contains various important nutrients.
however, problems occur when meat is overcooked or burnt. this can lead
to the formation of harmful compounds that raise your risk of cancer
(38).
when you cook meat, make sure not to overcook or burn it.
10. avoid bright lights before sleep
when you’re exposed to bright lights in the evening, it may disrupt
your production of the sleep hormone melatonin (39, 40).
one strategy is to use a pair of amber-tinted glasses that block blue
light from entering your eyes in the evening.
this allows melatonin to be produced as if it were completely dark,
helping you sleep better (41).
11. take vitamin d3 if you don’t get much sun exposure
sunlight is a great source of vitamin d.
yet, most people don’t get enough sun exposure.
in fact, about 41.6% of the u.s. population is deficient in this
critical vitamin (42).
if you’re unable to get adequate sun exposure, vitamin d supplements
are a good alternative.
their benefits include improved bone health, increased strength,
reduced symptoms of depression, and a lower risk of cancer. vitamin d
may also help you live longer (43, 44, 45, 46, 47, 48, 49).
12. eat vegetables and fruits
vegetables and fruits are loaded with prebiotic fiber, vitamins,
minerals, and many antioxidants, some of which have potent biological
effects.
studies show that people who eat the most vegetables and fruits live
longer and have a lower risk of heart disease, type 2 diabetes,
obesity, and other illnesses (50, 51).
13. make sure to eat enough protein
eating enough protein is vital for optimal health.
what’s more, this nutrient is particularly important for weight loss
(52).
high protein intake can boost metabolism significantly while making you
feel full enough to automatically eat fewer calories. it can also
reduce cravings and your desire to snack late at night (53, 54, 55,
56).
sufficient protein intake has also been shown to lower blood sugar and
blood pressure levels (57, 58).
14. do some cardio
doing aerobic exercise, also called cardio, is one of the best things
you can do for your mental and physical health.
it’s particularly effective at reducing belly fat, the harmful type of
fat that builds up around your organs. reduced belly fat should lead to
major improvements in metabolic health (59, 60, 61).
15. don’t smoke or do drugs, and only drink in moderation
if you smoke or abuse drugs, tackle those problems first. diet and
exercise can wait.
if you drink alcohol, do so in moderation and consider avoiding it
completely if you tend to drink too much.
16. use extra virgin olive oil
extra virgin olive oil is one of the healthiest vegetable oils.
it’s loaded with heart-healthy monounsaturated fats and powerful
antioxidants that can fight inflammation (62, 63, 64).
extra virgin olive oil benefits heart health, as people who consume it
have a much lower risk of dying from heart attacks and strokes (65,
66).
17. minimize your sugar intake
added sugar is one of the worst ingredients in the modern diet, as
large amounts can harm your metabolic health (67).
high sugar intake is linked to numerous ailments, including obesity,
type 2 diabetes, heart disease, and many forms of cancer (68, 69, 70,
71, 72).
18. don’t eat a lot of refined carbs
not all carbs are created equal.
refined carbs have been highly processed to remove their fiber. they’re
relatively low in nutrients and can harm your health when eaten in
excess.
studies show that refined carbs are linked to overeating and numerous
metabolic diseases (73, 74, 75, 76, 77).
19. don’t fear saturated fat
saturated fat has been controversial.
while it’s true that saturated fat raises cholesterol levels, it also
raises hdl (good) cholesterol and shrinks your ldl (bad) particles,
which is linked to a lower risk of heart disease (78, 79, 80, 81).
new studies in hundreds of thousands of people have questioned the
association between saturated fat intake and heart disease (82, 83).
20. lift heavy things
lifting weights is one of the best things you can do to strengthen your
muscles and improve your body composition.
it also leads to massive improvements in metabolic health, including
improved insulin sensitivity (84, 85).
the best approach is to lift weights, but doing bodyweight exercises
can be just as effective.
21. avoid artificial trans fats
artificial trans fats are harmful, man-made fats that are strongly
linked to inflammation and heart disease (86, 87, 88, 89).
while trans fats have been largely banned in the united states and
elsewhere, the u.s. ban hasn’t gone fully into effect — and some foods
still contain them.
22. use plenty of herbs and spices
many incredibly healthy herbs and spices exist.
for example, ginger and turmeric both have potent anti-inflammatory and
antioxidant effects, leading to various health benefits (90, 91, 92,
93).
due to their powerful benefits, you should try to include as many herbs
and spices as possible in your diet.
23. take care of your relationships
social relationships are incredibly important not only for your mental
well-being but also your physical health.
studies show that people who have close friends and family are
healthier and live much longer than those who do not (94, 95, 96).
24. track your food intake every now and then
the only way to know exactly how many calories you eat is to weigh your
food and use a nutrition tracker.
it’s also essential to make sure that you’re getting enough protein,
fiber, and micronutrients.
studies reveal that people who track their food intake tend to be more
successful at losing weight and sticking to a healthy diet (97).
25. if you have excess belly fat, get rid of it
belly fat is particularly harmful.
it accumulates around your organs and is strongly linked to metabolic
disease (98, 99).
for this reason, your waist size may be a much stronger marker of your
health than your weight.
cutting carbs and eating more protein and fiber are all excellent ways
to get rid of belly fat (100, 101, 102, 103).
26. don’t go on a diet
diets are notoriously ineffective and rarely work well in the long
term.
in fact, dieting is one of the strongest predictors for future weight
gain (104).
instead of going on a diet, try adopting a healthier lifestyle. focus
on nourishing your body instead of depriving it.
weight loss should follow as you transition to whole, nutritious foods.
27. eat eggs, yolk and all
whole eggs are so nutritious that they’re often termed “nature’s
multivitamin.”
it’s a myth that eggs are bad for you because of their cholesterol
content. studies show that they have no effect on blood cholesterol in
the majority of people (105).
additionally, a massive review in 263,938 people found that egg intake
had no association with heart disease risk (106).
instead, eggs are one of the planet’s most nutritious foods. notably,
the yolk contains almost all of the healthy compounds.
the bottom line
a few simple steps can go a long way toward improving your diet and
wellness.
still, if you’re trying to live a healthier life, don’t just focus on
the foods you eat. exercise, sleep, and social relationships are also
important.
with the tips above, it’s easy to get your body feeling great every
day.
written by kris gunnars, bsc on june 7, 2019
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women's health tips for heart, mind, and body
by kara mayer robinson
from the webmd archives
looking for the path toward a healthier you? it's not hard to find. the
journey begins with some simple tweaks to your lifestyle. the right
diet, exercise, and stress-relief plan all play a big role.
follow a heart-healthy diet
there's an easy recipe if your goal is to keep away problems like heart
disease and strokes.
* eat more fruits and veggies.
* choose whole grains. try brown rice instead of white. switch to
whole wheat pasta.
* choose lean proteins like poultry, fish, beans, and legumes.
* cut down on processed foods, sugar, salt, and saturated fat.
when eating healthy, flexibility often works best, says joyce meng, md,
assistant professor at the pat and jim calhoun cardiology center at
uconn health. if you like to follow a strict diet plan, go for it. if
not, it's ok. "find what works for you."
tricia montgomery, 52, the founder of k9 fit club, knows first-hand how
the right diet and lifestyle can help. for her, choosing healthy foods
and planning small, frequent meals works well. "i don't deny myself
anything," she says. "i still have dessert -- key lime pie, yum! -- and
i love frozen gummy bears, but moderation is key."
exercise every day
the more active you are, the better, meng says. exercise boosts your
heart health, builds muscle and bone strength, and wards off health
problems.
aim for 2 and a half hours of moderate activity, like brisk walking or
dancing, every week. if you're ok with vigorous exercise, stick to 1
hour and 15 minutes a week of things like running or playing tennis.
add a couple of days of strength training, too.
if you're busy, try short bursts of activity throughout the day. walk
often. a good target is 10,000 steps a day. take the stairs. park your
car far away from your destination.
montgomery exercises every day, often with her dog. by adding lunges,
squats, and stairs to a walk, she turns it into a power workout. "i
also am a huge pilates fan," she says.
lose weight
when you shed pounds you'll lower your risk of heart disease, type 2
diabetes, and cancer.
continued
aim for a slow, steady drop. try to lose 1-2 pounds a week by being
active and eating better.
"it doesn't have to be an hour of intense exercise every day," meng
says. "any little bit helps."
as you improve, dial up the time and how hard you work out. if you want
to lose a lot of weight, try for 300 minutes of exercise a week.
"eating a healthy diet will go a long way," meng says. start by cutting
sugar, which she says is often hiding in plain sight -- in store-bought
items like salad dressing, packaged bread, and nuts. try to avoid soda
and sugar-laced coffee drinks, too.
visit your doctor
get regular checkups. your doctor keeps track of your medical history
and can help you stay healthy. for example, if you're at risk for
osteoporosis, a condition that weakens bones, he may want you to get
more calcium and vitamin d.
your doctor may recommend screening tests to keep an eye on your health
and catch conditions early when they're easier to treat.
keep the lines of communication open. "if you have questions, ask your
doctor," meng says. "make sure you understand things to your
satisfaction." if you're worried about a medication or procedure, talk
to him about it.
cut down your stress
it can take a toll on your health. you probably can't avoid it
altogether, but you can find ways to ease the impact. don't take on too
much. try to set limits with yourself and others. it's ok to say no.
to relieve stress, try:
* deep breathing
* meditation
* yoga
* massage
* exercise
* healthy eating
* talking to a friend, family member, or professional counselor
create healthy habits
if you make the right choices today, you can ward off problems
tomorrow.
* brush your teeth twice a day and floss every day.
* don't smoke.
* limit your alcohol. keep it to one drink a day.
* if you have medication, take it exactly how your doctor prescribed
it.
* improve your sleep. aim for 8 hours. if you have trouble getting
shut-eye, talk to your doctor.
* use sunscreen and stay out of the sun from 10 a.m. to 3 p.m.
* wear your seatbelt.
take time every day to invest in your health, meng says.
it paid off for montgomery. she says she overcame health problems,
feels good, and has a positive outlook. "my life," she says, "is
forever changed."
webmd feature reviewed by lisa bernstein, md on june 21, 2016
sources
sources:
joyce meng, md, assistant professor of medicine, pat and jim calhoun
cardiovascular center, uconn health.
american heart association: "alcohol and heart health."
office on women's health, u.s. department of health and human services:
"heart-healthy eating," "overweight, obesity, and weight loss fact
sheet," "physical activity (exercise) fact sheet," "screening tests and
vaccines," "osteoporosis fact sheet," "a lifetime of good health: your
guide to staying healthy."
university of california san francisco medical center: "tips for
staying healthy."
© 2016 webmd, llc. all rights reserved.
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the abcs of health screening
health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you need to know about health screening
all you need to know about health screening
related: before the first antenatal visit (choosing your doctor)
1. what is health screening?
health screening is important to everyone. it involves the use of
tests, physical examinations or other procedures to detect
conditions early in people who look or feel well. this is different
from diagnostic tests which are done when someone is already showing
signs and/or symptoms of a condition.
2. why should i go for health screening?
health screening helps you find out if you have a particular condition
even if you feel perfectly well, without any symptoms and/or signs.
early detection, followed by treatment and good control of the
condition can result in better outcomes, and lowers the risk of serious
complications. it is therefore important to get yourself screened even
if you feel perfectly healthy.
3. what kind of screening tests should i go for?
there are 3 types of screening tests^1.
type 1
beneficial for everyone: these tests are listed in table a.
type 2
beneficial for some but not others: decision to be made on an
'individual' level, based on your individual risk factors e.g. self or
family history of hereditary or chronic diseases, exposure to factors
that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently, there is not enough
information to support the use of these tests.
it is best to speak to your family doctor who will advise you to go for
the relevant screening tests based on your individual health profile.
find out more about type 2 and type 3 tests.
view the report of the screening test review committee.
table a – general screening tests (beneficial for everyone)
general screening tests for adults
recommended for^2 to screen for screening test screening frequency^3
individuals aged 18 yrs and above
obesity body mass index (bmi)
waist circumference once a year
hypertension (high blood pressure)
blood pressure measurement once every two years or more frequently as
advised by your doctor
individuals aged 40 yrs and above
diabetes mellitus
fasting blood glucose
hba1c
once every three years or more frequently as advised by your doctor
hyperlipidaemia (high blood cholesterol)
fasting lipids
non-fasting lipids
individuals aged 50 yrs and above
colorectal cancer
faecal immunochemical test (to test for blood in stools)
or
once a year
colonoscopy
once every ten years
additional tests for women
women aged 25-69 yrs, who have had sexual intercourse
cervical cancer
pap test once every three years
hpv test
once every five years
women aged 50-69 yrs breast cancer
mammogram once every two years
general screening tests for newborns
recommended for to screen for screening test screening frequency
newborns aged 0-4 weeks old hearing loss audiometry once
glucose-6-phosphate dehydrogenase (g6pd) deficiency
screen with umbilical cord blood once
inborn errors of metabolism (iem)
metabolic screen with
tandem mass spectrometry (tms)
once
primary hypothyroidism
thyroid function test (tft)
once
4. what should i do after health screening?
if your screening results are normal, you should continue to go for
regular screening at the recommended frequency because screening only
detects health conditions that are present at the time of screening. if
you develop signs or symptoms after your screening, please see your
doctor and do not wait for your next screening appointment.
if your screening results are abnormal, you should follow-up with your
doctor immediately even if you feel perfectly well. early treatment and
good control of your condition can result in better outcomes and
prevent or delay serious complications.
5. why do i need to go for regular screening at the recommended frequency?
a one-off screening will only pick up health conditions that are
present at the time of screening. regular screening helps to detect
conditions that may develop after the previous screening. hence, it is
important for you to go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening tests?
health screening is heavily subsidised for singaporeans and permanent
residents. if you have a health assist card (under chas – community
health assist scheme), you will be entitled to enojoy the subsidies of
the above tests (according to age) and a follow-up consultataion, if
required, at $2 at chas gps. all other singaporeans can enjoy these
subsidies for the above test (according to age) and a follow-up
consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the screening
tests (offered under screen for life - sfl) and the follow-up
consultation, if required, is also fully subsidised. pg cardholders can
also claim up to $28.50, for each screening-related and follow-up
consultation, for up to two times per year.
check out the exact costs of the screening tests.
if you have difficulty paying for the screening tests, please speak to
the medical social worker at the polyclinics
7. my screening results are not too good, and my doctor has advised me to get
follow up treatment.
what should i do if i cannot afford the follow up treatment?
good, affordable basic healthcare is also available to singaporeans
through subsidised medical services offered at public hospitals and
polyclinics. medisave, medishield life, elder shield and medifund
schemes can help singaporeans offset their medical expenses.
8. where can i go for health screening?
health screening is available at many private medical clinics and
polyclinics. visit the directory for the list of screening locations.
9. can i use my medisave to pay for the health screening cost?
currently, medisave cannot be used for other health screening such as
screening for diabetes or high cholesterol. however, if you are
diagnosed with a chronic condition covered under the chronic disease
management programme (cdmp), medisave may be used to pay for part of
the outpatient treatment cost of these diseases.
women aged 50 and above can use their own or immediate family member’s
medisave for their screening mammograms at approved mammogram centres.
under the medisave 400 scheme, up to $400 per medisave account a year
can be used for screening mammograms.
persons aged 50 and above can also use their own or their immediate
family member’s medisave for their screening colonoscopies (to screen
for colorectal cancer) at approved colonoscopy centres.
check out the list of approved centres or find out more.
10. can i have a health screening if i am pregnant?
please consult your doctor to find out if a health screening is
necessary for you.
11. i am 70 years old (or older), do i still need to go for a health
screening?
if you have not been screened in the past three years, and you do not
have a chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health screening.
12. if i am currently on medication for one of the chronic diseases, should i
still go for a health screening?
if you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
^1 report of the screening test review committee. january 2019, academy
of medicine, singapore.
^2,3 screening can start at an earlier age or be done more frequently
if someone has risk factors for the condition.
__________________________________________________________________
having trouble keeping up with your appointments? myhealth keeps track
of not only your health appointments and medical records, but also your
family's as well.
read these next:
* make a commitment to get screened for better health this year
* diabetes prevention and risk factors
* how screening saved my life
* screen for life - subsidised health screenings for singaporeans
* school health screenings for students
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health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you
need to know about health screening
related:
before the first
antenatal visit (choosing your doctor)
1. what is health screening?
<
span style="color:#0000ff;">health screening is
important to everyone. it involves the use of tests, physical
examinations or other procedures to detect conditions early in people
who look or feel well. this is different from diagnostic tests which
are done when someone is already showing signs and/or symptoms of a
condition.
2. why should i go for health
screening?
health screening helps you find out if you have a
particular condition even if you feel perfectly well, without any
symptoms and/or signs. early detection, followed by treatment and good
control of the condition can result in better outcomes, and lowers the
risk of serious complications. it is therefore important to get
yourself screened even if you feel perfectly healthy.
3. what
kind of screening tests should i go for?
there are 3 types of
screening tests1.
type 1
beneficial for everyone: these tests are listed in table
a.
type 2
beneficial for some but not others:
decision to be made on an 'individual' level, based on your individual
risk factors e.g. self or family history of hereditary or chronic
diseases, exposure to factors that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently,
there is not enough information to support the use of these
tests.
it is best to speak to your family doctor who will advise
you to go for the relevant screening tests based on your individual
health profile.
find out more about
type 2 and
type 3
tests.
view the report of the
screening test
review committee.
table a – general screening tests (beneficial for
everyone)
general screening tests for adults
recommended
for2 |
to screen for |
screening test |
screening
frequency3 |
individuals aged 18 yrs
and above
| obesity |
body
mass index (bmi)
waist circumference | once a year |
hypertension (high blood pressure) | blood pressure measurement | once every two years or more
frequently as advised by your doctor |
individuals aged 40 yrs
and above
|
diabetes
mellitus | fasting blood glucose
hba1c
| once every three
years or more frequently as advised by your doctor
|
hyperlipidaemia (high blood cholesterol)
| fasting lipids
non-fasting lipids
|
individuals aged 50 yrs
and above
|
colorectal cancer
| faecal
immunochemical test (to test for blood in stools)
or
| once a year
|
colonoscopy
| once every ten
years
|
additional tests for women |
women aged 25-69 yrs,
who have had sexual intercourse
| cervical cancer
|
pap
test | once every three
years |
hpv test
| once every five
years
|
women aged 50-69 yrs | breast cancer
| mammogram | once every two
years |
general screening tests for newborns
recommended for |
to screen for |
screening test |
screening
frequency |
newborns aged 0-4 weeks old | hearing loss |
audiometry | once |
| glucose-6-phosphate dehydrogenase (g6pd) deficiency
| screen with umbilical
cord blood | once |
|
inborn errors of metabolism (iem)
| metabolic screen with
tandem mass spectrometry (tms) | once |
|
primary hypothyroidism
|
thyroid function test (tft) | once |
4. what should i do after health screening?
if your
screening results are normal, you should continue to go for regular
screening at the recommended frequency because screening only detects
health conditions that are present at the time of screening. if you
develop signs or symptoms after your screening, please see your doctor
and do not wait for your next screening appointment.
if your
screening results are abnormal, you should follow-up with your doctor
immediately even if you feel perfectly well. early treatment and good
control of your condition can result in better outcomes and prevent or
delay serious complications.
5. why do i need to go for regular
screening at the recommended frequency?
a one-off screening will
only pick up health conditions that are present at the time of
screening. regular screening helps to detect conditions that may
develop after the previous screening. hence, it is important for you to
go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening
tests?
health screening is heavily subsidised for
singaporeans and permanent residents. if you have a health assist card
(under
chas
– community health assist scheme), you will be entitled to enojoy
the subsidies of the above tests (according to age) and a follow-up
consultataion, if required, at $2 at chas gps. all other singaporeans
can enjoy these subsidies for the above test (according to age) and a
follow-up consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the
screening tests (offered under
screen
for life - sfl) and the follow-up consultation, if required, is
also fully subsidised. pg cardholders can also claim up to $28.50, for
each screening-related and follow-up consultation, for up to two times
per year.
check out the
e
xact costs of the screening tests.
if you have difficulty
paying for the screening tests, please speak to the medical social
worker at the polyclinics
7. my screening results are not
too good, and my doctor has advised me to get follow up
treatment.
what should i do if i cannot afford the follow up
treatment?
good, affordable basic healthcare is also available
to singaporeans through subsidised medical services offered at public
hospitals and polyclinics.
medisave,
medishield life,
elder shield and
medifund schemes can help
singaporeans offset their medical expenses.
8. where can i go
for health screening?
health screening is available at many
private medical clinics and polyclinics. visit the
directory for the list of
screening locations.
9. can i use my medisave to pay for
the health screening cost?
currently, medisave cannot be used
for other health screening such as screening for diabetes or high
cholesterol. however, if you are diagnosed with a chronic condition
covered under the chronic disease management programme (cdmp), medisave
may be used to pay for part of the outpatient treatment cost of these
diseases.
women aged 50 and above can use their own or immediate
family member’s medisave for their screening mammograms at approved
mammogram centres. under the medisave 400 scheme, up to $400 per
medisave account a year can be used for screening
mammograms.
persons aged 50 and above can also use their own or
their immediate family member’s medisave for their screening
colonoscopies (to screen for colorectal cancer) at approved colonoscopy
centres.
check out the
list of approved centres
or find out more.
10. can i have a health screening
if i am pregnant?
please consult your doctor to find out if a
health screening is necessary for you.
11. i am 70 years old (or
older), do i still need to go for a health screening?
if you
have not been screened in the past three years, and you do not have a
chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health
screening.
12. if i am currently on medication for one of the
chronic diseases, should i still go for a health screening?
if
you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
1 report of the screening test review committee.
january 2019, academy of medicine, singapore.
2,3 screening can start at an earlier age or be done more
frequently if someone has risk factors for the condition.
having trouble keeping up with your appointments?
myhealth keeps
track of not only your health appointments and medical records, but
also your family's as well.
read these next:
monday, may 18, 2015
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prevention,pgm_healthy screening,age_adult,age_senior,interest_chronic
illnesses,
no
403
monday, december 9, 2019
health
promotion board
3 second hospital avenue
singapore 168937
hpb_mailbox@hpb.gov.sg
established
in 2001, the health promotion board (hpb) has a vision to build a
nation of healthy people.
hpb implements programmes that reach out to the population,
specifically children, adults and the elderly. these programmes include
health and dental services for school children, breastscreen singapore,
aids education programme, cervicalscreen singapore, childhood injury
prevention programme, mental health education programme, national
myopia prevention programme, physical activity, national smoking
control programme, nutrition programme, osteoporosis education
programme, workplace health promotion programme, hpb online,
healthline, health information centre and healthzone. new programmes
will also be initiated over time to address health concerns among the
community.
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health promotion board
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http://www.hpb.gov.sg
the abcs of health screening
articles
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why health screen?
the importance of health screening
health screening or blood test is a major part of many routine medical
examinations. while doctors are able to make fairly accurate diagnosis
by assessing the signs and symptoms a patient exhibits, one of the best
ways to confirm the diagnosis is through blood tests. for a healthy
person, health screening could also detect abnormalities that the
person is not aware of and provide important information for diagnosis,
treatment or preventive measures for illnesses and diseases.
therefore, getting regular health checkups, preventive screening tests
are among the most crucial things you can do for yourself. periodic
health screenings can help you and your health care professional
identify health problems early, when treatment may be more successful
compared to if the problems are detected later.
lifestyle changes are a very effective way to substantially reduce risk
but to make those changes, you first need to know if you are at risk.
knowledge gives you the power to take charge of your health. remember,
your health is your greatest asset and early detection can save lives!
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a detailed report containing your health screening results will be
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a detailed report containing your health screening results will be
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doctor who can help you determine the next steps. if we find a
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screening tests can help find diseases and health conditions early,
when they are easier to treat.
page content
also known as secondary prevention, health screening identifies health
problems as soon as possible to ensure that you and your family can
benefit from early medical treatment.
there are a variety of health screening tests and tools. many can be
done as part of regular checkups with your health care provider. others
may require you to visit a lab or specialized screening location.
typically, routine health screening is recommended according to your
age or stage of life.
prenatal/infant_____prenatal/infant
prenatal
prenatal genetic screening during your pregnancy can tell you
your chance of having a baby with certain genetic disorders. it is
offered free of charge as a choice to all pregnant people with medical
services plan (msp) coverage in bc.
resources
* prenatal genetic screening program (perinatal services bc)
infant
there are a number of screening tests that are recommended for all
newborns and infants born in bc. these tests identify diseases or
conditions where early treatment is important to prevent disability and
promote healthy development.
regular checkups will allow your care provider to monitor your baby's
development and check for possible problems.
resources
* screening, birth to 12 months (healthlink bc)
* provincial screening programs:
* newborn screening program (perinatal services bc)
* biliary atresia home screening program (perinatal services bc)
* bc early hearing program (provincial health services authority)
child_______________child
regular checkups will allow your care provider to monitor your child's
growth and development and check for possible problems.
resources
* screening, 13 months to 12 years (healthlink bc)
youth/young adult___youth/young adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
resources
* screening, 13 to 18 years (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
adult_______________adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
regular screening is important throughout adulthood, especially if
you're at increased risk for a chronic disease or an infectious
disease. you may be referred for blood or urine tests or for other
screening procedures. recommended regular screening tests for all
adults include:
* blood pressure
* cholesterol
* kidney function
* type 2 diabetes
* skin cancer
* hearing and vision
* weight
* mental health and substance use
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
depending on your age and your risk of disease, other screening tests
may be recommended:
* cervical cancer screening (pap test) is a test that can find
abnormal cells in the cervix before they become cancer. between age
25-69, pap tests are recommended every three years for anyone with
a cervix. it's important to follow these recommendations even if
you've had the hpv vaccine. read the recommendations
* screening mammograms are used to find cancers in breast tissue as
early as possible. screening mammograms are available for eligible
individuals in bc age 40 and up. your screening recommendations
will vary according to your age and your family history of breast
cancer. read the recommendations
* colon cancer screening detects non-cancerous polyps and cancer
early. everyone aged 50-74 should get screened regularly for colon
cancer. the type of screening test recommended for you will depend
on your family history and your personal medical history. read the
recommendations
* prostate cancer screening checks for abnormalities of the prostate
gland. screening is performed through digital rectal examination,
done by your doctor during a regular check up. between age 50-70,
annual screening is recommended for individuals with a prostate as
long as they are in reasonably good health. you can also talk to
your doctor about the pros and cons of psa testing.
resources
* screening, adult women (healthlink bc)
* screening, adult men (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
cancer screening (screening bc):
* cervix
* breast
* colon
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#healthcare nutrition council » feed alternate alternate
healthcare nutrition council healthcare nutrition council
* clinical nutrition
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healthcare nutrition council
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why nutrition matters
nutrition is critically important to the human body in terms of growth
and development, overall health and wellness throughout life, and the
function of organs and body systems. it also plays a role in disease
management and supports overall quality of life. malnutrition, or lack
of proper nutrition, is associated with billions of dollars per year in
medical expenses. ¹
learn more
as there is no universally accepted definition of “malnutrition,” and
since malnutrition can have different meanings in different contexts,
the healthcare nutrition council (hnc) has adopted a definition of
malnutrition. please see hnc’s expanded definition of malnutrition to
learn more.
hnc malnutrition expanded definition
patient access
all patients have the right to receive high quality care, and that
includes nutrition support products as part of their care. at times,
access to nutrition support products — such as medical foods — can be a
significant challenge for patients. as a result, hnc raises awareness
and works with key stakeholders to help overcome obstacles to patient
access. we continue to work towards systematic changes that will foster
innovation and utilize new science and discoveries, ultimately leading
to higher quality healthcare, better patient outcomes, and improvements
in overall patient health and nutrition.
learn more
maintaining access flyer
enteral facts
parenteral facts
who we are
hnc is an organization representing the manufacturers of nutrition
support products, specifically enteral nutrition (en) formulas,
parenteral nutrition (pn) solutions, supplies and equipment. hnc member
companies are committed to improving health by advancing policies that
address and raise awareness of nutrition and its impact on patient
outcomes and healthcare costs. this includes promoting nutritional
screenings, diagnoses, assessments, and appropriate and timely clinical
nutrition interventions while maintaining patients’ access to
specialized nutrition support products and services throughout the
continuum of care.
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1. goates, scott; kristy du, carol braunschweig, and mary beth
arensberg. economic burden of disease-associated malnutrition at
the state level. plos one. 2016; 11(9): 1-15.
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public health nutr. 2004 aug;7(5):591-8.
public health nutrition and food policy.
caraher m^1, coveney j.
author information
1
department of health management and food policy, institute of
health sciences, city university, goswell place, northampton
square, london ec1v 0hb, uk. m.caraher@city.ac.uk
abstract
food in its many manifestations allows us to explore the global control
of health and to examine the ways in which food choice is moulded by
many interests. the global food market is controlled by a small number
of companies who operate a system that delivers 'cheap' food to the
countries of the developed world. this 'cheap' food comes at a price,
which externalises costs to the nation state in terms of health
consequences (diabetes, coronary heart disease and other food-related
diseases) and to the environment in terms of pollution and the
associated clean-up strategies. food policy has not to any great extent
dealt with these issues, opting instead for an approach based on
nutrition, food choice and biomedical health. ignoring wider elements
of the food system including issues of ecology and sustainability
constrains a broader understanding within public health nutrition. here
we argue that public health nutrition, through the medium of health
promotion, needs to address these wider issues of who controls the food
supply, and thus the influences on the food chain and the food choices
of the individual and communities. such an upstream approach to food
policy (one that has been learned from work on tobacco) is necessary if
we are seriously to influence food choice.
comment in
* editorial. public health nutrition as a field of practice. [public
health nutr. 2004]
pmid:
15251049
doi:
10.1079/phn2003575
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federally funded health researchers disclose at least $188 million in
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read more12/08/2019 - 17:51
wphna announces a scientific paper writing contest
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read more06/10/2019 - 21:32
wphna congress brisbane 2020
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read more05/07/2019 - 12:29
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health: definition and importance of health
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[ins: :ins]
health: definition and importance of health!
definition:
the term ‘health’ is a positive and dynamic concept. in common
parlance, health implies absence of disease. however, that industrial
health implies much more than mere absence of disease is clear from the
following definitions of health:
the world health organisation (who) has defined health as: “a state of
complete physical, mental and social well-being and not merely the
absence of disease or illness or infirmity”. as regards the industrial
health, it refers to a system of public health and preventive medicine
which is applicable to industrial concerns.
advertisements:
[ins: :ins]
here, the definition of health given by the joint i.l.o/w.h o.
committee on organisational health is worth quoting:
(i) the prevention and maintenance of physical, mental and social
well-being of workers in all organisations;
(ii) prevention among workers of ill-health caused by the working
conditions;
(iii) protection of workers in their employment from risk resulting
from factors adverse to health; and
advertisements:
[ins: :ins]
(iv) placing and maintenance of the worker in an occupational
environment adapted to his physical and psychological equipment.
thus the modem concept of health emphasises on the “whole man concept.”
in other words, health refers to the outcome of the interaction between
the individual and his environment. so to say, he/she is healthy who is
well adjusted with environment.
the modem concept of health thus, anticipates and recognizes
potentially harmful situations and applies engineering control measures
to prevent disease or illness or infirmity. in this way, industrial
health depends not only on the individual worker but also on the
environment in which he/she lives and works.
there are two types of employee health:
advertisements:
[ins: :ins]
physical health and mental health
a brief mention of these follows:
physical health:
the physical health refers to infirmity in the employee’s health.
employee’s physical health and his work are intimately related. while
an unhealthy employee works less both quantitatively and qualitatively,
commits accidents, and remains absent from work, a healthy employee
produces results opposite to these. the same underlines the need for
and importance of healthy employees in an organisation.
advertisements:
[ins: :ins]
mental health:
this refers to the mental soundness of the employees. as is physical
health important for good performance, so is mental health also.
experience suggests that three factors, namely, mental breakdowns,
mental disturbances, and mental illness impair the mental health of
employees.
importance of health:
the trite saying ‘health is wealth’ explains the importance of health.
ill health results in high rate of absenteeism and turnover, industrial
discontent and indiscipline, poor performance, low productivity and
more accidents. on the contrary, the natural consequences of good
health are reduction in the rate of absenteeism and turnover, accidents
and occupational diseases.
besides, employee health also provides other benefits such as reduced
spoilage, improved morale of employee, increased productivity of
employee and also longer working period of an employee which, of
course, cannot be easily measured.
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in long and short, employee health is important because it helps:
1. maintain and improve the employee performance both quantitatively
and qualitatively.
2. reduce employee absenteeism and turnover.
3. minimize industrial unrest and indiscipline.
4. improve employee morale and motivation.
it is this importance of health, increasing emphasis is given to the
employee health through various laws and provisions in this regard. for
example, in india, the royal commission on labour (1931), die labour
investigation committee (1946), the health safety and development
committee (1943), the labour welfare committee (1969) and the national
commission on labour (1969), all have expressed concern for employee
health.
these emphasised upon the creation and maintenance of as healthy an
environment as possible, in the homes of the employees as well as in
all places where they congregate for work, amusement or recreation,
the i.l.o. in its recommendation no. 112 envisaged the importance of
employee health in these words:
occupational health services should be established in or near a place
of employment for the purpose of:
(i) protecting the workers against any health hazard arising out of
work or conditions in which it is carried on;
(ii) contributing towards worker’s physical and mental adjustment; and
(iii) contributing to establishment and maintenance of the highest
possible degree of physical and mental well-being of the workers.
related articles:
1. necessity and importance of labour law and principles
2. labour welfare: meaning and definition of labour welfare
health
measures to maintain safety and avoid accidents in industries
occupational hazards: 4 main types of occupational hazards – explained!
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importance of good nutrition
your food choices each day affect your health — how you feel today,
tomorrow, and in the future.
good nutrition is an important part of leading a healthy lifestyle.
combined with physical activity, your diet can help you to reach and
maintain a healthy weight, reduce your risk of chronic diseases (like
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the impact of nutrition on your health
unhealthy eating habits have contributed to the obesity epidemic in the
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approximately 17% (or 12.5 million) of children and adolescents aged
2—19 years are obese.^1 even for people at a healthy weight, a poor
diet is associated with major health risks that can cause illness and
even death. these include heart disease, hypertension (high blood
pressure), type 2 diabetes, osteoporosis, and certain types of cancer.
by making smart food choices, you can help protect yourself from these
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the risk factors for adult chronic diseases, like hypertension and type
2 diabetes, are increasingly seen in younger ages, often a result of
unhealthy eating habits and increased weight gain. dietary habits
established in childhood often carry into adulthood, so teaching
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throughout their life.
the link between good nutrition and healthy weight, reduced chronic
disease risk, and overall health is too important to ignore. by taking
steps to eat healthy, you'll be on your way to getting the nutrients
your body needs to stay healthy, active, and strong. as with physical
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references
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^1 centers for disease control and prevention. u.s. obesity trends.
2011. available at: https://www.cdc.gov/obesity/data/databases.html
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eur j public health. 2018 dec; 28(6): 1087–1092.
published online 2018 sep 3. doi: 10.1093/eurpub/cky174
pmcid: pmc6241207
pmid: 30184063
the importance of health behaviours and especially broader self-management
abilities for older turkish immigrants
jane m cramm^^ and anna p nieboer^
jane m cramm
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by jane m cramm
anna p nieboer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by anna p nieboer
author information copyright and license information disclaimer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
correspondence: jane m. cramm, department of social medical sciences,
erasmus school of health policy and management, erasmus university
rotterdam, p.o. box 1738, 3000 dr rotterdam, the netherlands, tel: +31
10 408 8555, e-mail: ln.rue.mphse@mmarc
copyright © the author(s) 2018. published by oxford university press on
behalf of the european public health association.
this is an open access article distributed under the terms of the
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(http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits
non-commercial reproduction and distribution of the work, in any
medium, provided the original work is not altered or transformed in any
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this article has been cited by other articles in pmc.
abstract
background
this study aims to identify the relationships between health
behaviours, self-management abilities, physical health, depressive
symptoms and well-being among turkish older immigrants.
methods
a total of 2350 older turkish migrants aged > 65 years residing in
rotterdam, the netherlands were identified using the municipal register
of which 680 respondents completed the questionnaires (response rate of
32%).
results
average age of the respondents was 72.90 (standard deviation 5.02)
(range 66–95) years and about half of them were women (47.6%). the
majority of respondents reported having a low education (80.3%), low
income level (83.4%), is chronically ill (90.6%), overweight (86.5%)
and about half obese (46.0%). more than half of the respondents eat
enough fruit (58.2%) and vegetables per week (55.3%). about a third of
the respondents smoke (33.5%) and 43.0% can be considered to be
physically active. looking at the health behaviours a weak positive
relationship was found between eating enough vegetables and well-being
(β = 0.14; p = 0.017). in addition, weak relationships were found
between physical activity and depressive symptoms (β = −0.16; p =
0.007), smoking and depressive symptoms (β = 0.16; p = 0.009) and
self-management abilities and physical health (β = 0.17; p = 0.015).
strongest relationships were found between self-management abilities
and depressive symptoms (β = −0.39; p < 0.001) and self-management
abilities with overall well-being (β = 0.49; p < 0.001).
conclusions
from this study, we can conclude that next to health behaviours broader
self-management abilities to maintain overall well-being are important
for turkish older people. interventions to improve self-management
abilities may help turkish older people better deal with function
losses and chronic diseases as they age further.
introduction
europe witnessed a post-war mass migration at the end of the 1950s and
the early 1960s, mostly from non-western origin with a predominance of
young adults. even though a number of the early migrants have returned
to their birth-country, considerable numbers remain in their migratory
destinations who recently approached retirement age.^1 in general, poor
physical and mental health, worse health-related quality of life and
well-being, functional limitations, depressive symptoms and chronic
conditions are much more prevalent among these immigrant populations
compared with those of natives throughout europe.^2–4 as a consequence,
older immigrants use 13–20% more health services than native-borns.^5
the rapid increase in the prevalence of chronic illness among older
(immigrant) populations is an important factor underlying the increased
demand for health care services and constraints on the organization and
delivery of care in europe.^5^,^6
unhealthy behaviours, such as poor diet, smoking and physical
inactivity, are important and adjustable risk factors for many chronic
diseases and leading causes of death and disability.^7 thus, the
improvement of health behaviours among older (immigrant) populations to
prevent the onset of chronic diseases is becoming a critical issue.
health behaviours, such as smoking, eating habits and physical
activity, are known to differ between immigrants and natives, which may
explain the greater prevalence of chronic diseases, physical
limitations and poor health outcomes among the former. for example, in
the netherlands, overweight is much more prevalent among immigrants,^8
and smoking is especially prevalent among turks.^9 although
health-related behaviours have been investigated among immigrant groups
aged 35–60 years,^9 and those aged ≥18 years,^8 no such research has
been conducted among older immigrants.
not only health behaviours but also older people’s abilities to deal
with the process of ageing and the ways in which they cope with certain
life events are of interest. as people grow older, they often begin to
experience losses in various life domains. people are known to differ
in their ability to self-regulate or self-manage their lives and ageing
processes, which requires the proactive management of resources in an
environment of increasing losses and declining gains.^10 these
self-regulation or self-management abilities often target only the
physical health aspects of ageing, such as physical exercise and
healthy diet.^11^,^12 the social and psychological life domains,
however, have been proven to be equally important for the health and
well-being of older people.^13
thus, in addition to health behaviours and health outcomes, examination
of broader self-management abilities related to the maintenance of
overall well-being may be of interest.^14 as these abilities are
critical predictors of physical health, depressive symptoms and overall
well-being,^14–17 a shift in focus to include not only traditionally
addressed health- and disease-specific aspects (e.g. smoking, physical
activity, healthy diet) but also abilities such as investment behaviour
(e.g. pursuing interests, keeping busy, maintaining contact with loved
ones), initiative taking and self-efficacy (e.g. belief in one’s
ability to achieve goals and express care for others) is urgently
needed.^14
research investigating health behaviours and self-management abilities
related to the maintenance of overall well-being among older turkish
immigrants is lacking. thus, this study aimed to identify relationships
of background characteristics, health behaviours and self-management
abilities with physical health, depressive symptoms and well-being
among older turkish immigrants residing in rotterdam, the netherlands.
methods
data collection
community-dwelling turkish people aged > 65 years in rotterdam, the
netherlands, were identified using the municipal register and asked to
participate between march 2015 and february 2016 (with a summer break,
given that most of this population spends the summer in turkey). we
asked respondents to fill in a questionnaire containing 153 questions
in total (provided in the dutch as well as turkish language). these
questionnaires were first distributed via post, followed by a postal
reminder and finally a minimum of two home visit attempts (by
interviewers speaking dutch as well as the turkish language). the
personal interviews lasted about 60–90 min. an information leaflet was
provided to respondents explaining the aim of the study with contact
details (of dutch as well as turkish speaking research assistants) in
case they had additional questions. no (financial) incentives were
provided.
ethical approval
according to the central committee on research involving human subjects
(ccmo), the current study did not fall within the scope of the medical
research involving human subjects act and thus did not require prior
review by an accredited medical research and ethics committee or the
ccmo. all respondents were informed about the aims of the study, and
assured that participation was anonymous and voluntary, prior to
providing consent.
measures
well-being was measured with the 14-item turkish version of the social
production function instrument for the level of well-being (spf-il).^18
the stimulation item ‘are your activities challenging to you?’ of the
original 15-item dutch version^19 proved to be problematic during
validation and thus was omitted from the turkish version. the spf-il
measures levels of physical (comfort, stimulation) and social
(behavioural confirmation, affection, status) well-being. examples of
questions are ‘do people really love you?’ (affection), ‘do you feel
useful to others?’ (behavioural confirmation), ‘are you known for the
things you have accomplished?’ (status), ‘in the past few months, have
you felt physically comfortable?’ (comfort) and ‘do you really enjoy
your activities?’ (stimulation). responses are given on a 4-point scale
ranging from never (1) to always (4), with higher mean scores
indicating greater well-being. total scores were calculated based on
the mean scores for the five subscales. cronbach’s alpha of the spf-il
based on the five subscales was 0.76, indicating good reliability.
patients’ physical quality of life was assessed using the physical
component of the short form 12 health survey.^20 the summary physical
component score for physical health was constructed using standard
scoring procedures.
we used the 7-item depression section of the hospital anxiety and
depression scale to assess symptoms of depression.^21 all items were
rated on a 4-point scale (0–3), with higher scores indicating greater
depressive symptomatology.
self-management abilities related to the maintenance of overall
well-being were measured using an adjusted version of the short
(18-item) version of the self-management ability scale (smas-s).^22
this instrument assesses a broad repertoire of self-management
abilities: (i) initiative taking (being instrumental or self-motivating
in realizing aspects of well-being), (ii) investment in resources for
long-term benefits, (iii) maintenance of variety in resources (gaining
and maintaining various resources for each dimension of well-being),
(iv) ensuring resource multifunctionality (gaining and maintaining
resources or activities that serve multiple dimensions of well-being
simultaneously and in a mutually reinforcing way), (v) self-efficacy in
resource management (gaining and maintaining a belief in personal
competence to achieve well-being) and (vi) maintenance of a positive
frame of mind. the initiative taking, investment, self-efficacy,
variety and multifunctionality subscales are related to the physical
and social dimensions of well-being, and the subscale measuring the
ability to have a positive frame of mind is considered to be a more
general cognitive frame. following earlier research, we reduced the
number of response categories for 5 subscales from 6 to 4 to make
completion of the instrument less complex. higher scores indicate
better self-management abilities. the item ‘when things go against you,
how often do you think that it could always be worse?’ proved to be
problematic during validation and thus was omitted from the turkish
version. cronbach’s alpha of the smas-s based on the six subscales was
0.92, indicating excellent reliability.
physical activity was assessed by asking respondents how many days per
week they were physically active (e.g. sport activities, exercise,
housecleaning, work in the garden) for at least 30 min. government
agencies use this measure to monitor physical activity in the dutch
population. we used mean physical activity, measured in number of days
per week, in our analyses. in addition, we dichotomized the physical
activity scale according to the dutch standard for healthy physical
activity into 1 (at least 30 min of physical activity at least five
times per week) and 0 (at least 30 min of physical activity less than
five times per week),^23 to compare the proportion of physically active
patients with the dutch average. this threshold is also in line with
the international recommendation for the minimum physical activity
level of at least 150 min of moderate or vigorous physical activity per
week.^24
self-reported current smoking was assessed with a yes/no question.
consumption of fruits and consumption of vegetables were assessed
separately as indicators of healthy dietary behaviours, measured in
servings per day. the world health organization and the dutch
guidelines use a minimum of 200 g of vegetables and two servings of
fruit per day to distinguish healthy from unhealthy eating.^25 fruit
consumption was determined by summing the servings per day and was
dichotomized as 1 (healthy diet, consumption of at least two pieces of
fruit per day) and 0 (unhealthy diet, consumption of less than two
pieces of fruit per day). vegetable consumption was determined by
summing the servings per day and was dichotomized as 1 (healthy diet,
consumption of ≥200 g of vegetables per day) and 0 (unhealthy diet,
consumption of <200 g of vegetables per day).^25
respondents were asked to report the highest educational level
completed in the netherlands or abroad, with the option to select ‘no
schooling’ or to write in another response for unlisted forms of
schooling. this variable was dichotomized into low (completion of
elementary school or less) and high (more than elementary school).
income level was determined based on respondents’ reported monthly
household income, including social benefits, pensions and alimony.
responses ranged from 1 (less than €1000 a month) to 4 (€3050 or more a
month). ‘do not know/do not want to tell’ was included as a fifth
category. income level was dichotomized into low (less than €1350) and
high (€1350 or more).
respondents were asked to indicate whether they were married, divorced,
widowed, single, or cohabitating. a dichotomous variable was created:
divorced, single and widowed; and married.
the questionnaire also solicited information on respondents’ age,
gender and number of chronic conditions experienced in the past 12
months. respondents were provided with a list of 14 chronic conditions
(e.g. lung diseases, cardiovascular diseases, diabetes) and space to
write in other conditions. only conditions that were classified as
chronic by o'halloran et al.^26 were included.
analyses
the characteristics of the study sample were examined using descriptive
statistics. bivariate associations of variables expressing background
characteristics, health behaviours and self-management abilities with
those reflecting physical health, depressive symptoms and well-being
were examined. regression analyses were then performed to identify
relationships of health behaviours, self-management abilities, and
physical health with depressive symptoms and well-being while
controlling for background characteristics.
results
of, 2350 older turkish immigrants asked to participate, 213 were
ineligible due to change of address (n = 110), serious medical issue or
death (n = 102) or non-turkish ethnic background (n = 1). a total of
680 respondents completed the questionnaire (final response rate 32%).
table 1 displays descriptive statistics for the older turkish immigrant
population. the average age of the 680 respondents was 72.90 [standard
deviation (sd) 5.02; range 66–95] years, and 47.6% of them were women.
the majority of respondents reported having low education (80.3%) and
low income (83.4%) levels. the mean number of chronic diseases was 2.68
(sd 1.87; range 0–10). most (90.6%) respondents were chronically ill,
and 69.4% had more than one chronic disease. according to their
self-reported body mass indices, 86.5% of respondents were overweight
and 46.0% were obese. more than half of respondents had sufficient
weekly fruit (58.2%) and vegetable (55.3%) consumption. about one-third
(33.5%) of respondents smoked and 43.0% could be considered to be
physically active.
table 1
descriptive statistics for older turkish older immigrants (n = 680)
characteristic range % or mean (sd)
sex (female) 47.6%
age (years) 66–95 72.90 (5.02)
marital status (single/widowed) 28.7%
education (low) 80.3%
income (low) 83.4%
number of chronic diseases 0–10 2.68 (1.87)
chronically ill 90.6%
co-/multi-morbidity 69.4%
body mass index (kg/m^2) 17.65–68.59 30.32 (5.61)
overweight 86.5%
obese 46.0%
healthy diet
sufficient fruit consumption 58.2%
sufficient vegetable consumption 55.3%
physically active 43.0%
smoking 33.5%
self-management abilities 1–4 2.52 (0.62)
physical health 0–100 54.83 (18.18)
depressive symptoms 1–4 2.28 (0.66)
well-being 1–4 2.79 (0.55)
open in a separate window
sd, standard deviation.
table 2 displays the results of the bivariate analyses. single marital
status and low educational level were associated positively with
depressive symptoms and negatively with well-being. the number of
chronic conditions was associated negatively with physical health and
well-being, and positively with depressive symptoms. a positive
relationship was found between sufficient vegetable consumption and
well-being (r = 0.11, p < 0.01). physically active status was
associated positively with physical health (r = 0.09, p < 0.05) and
overall well-being (r = 0.20, p < 0.001), and negatively with
depressive symptoms (r = –0.28, p < 0.001). smoking was related
positively to depressive symptoms (r = 0.16, p < 0.001).
self-management abilities were related positively to physical health (r
= 0.12, p < 0.05) and well-being (r = 0.54, p < 0.001) and negatively
to depressive symptoms (r = –0.53, p < 0.001).
table 2
associations with physical health, depressive symptoms and well-being
(n = 680)
characteristics physical health depressive symptoms well-being
sex (female) 0.12^** 0.21^*** –0.11^**
age (years) –0.05 0.08^* –0.06
marital status (single/widowed) –0.05 0.16^*** –0.11^**
education (low) –0.07 0.16^*** –0.11^**
income (low) –0.06 0.10^* –0.06
number of chronic diseases –0.15^*** 0.36^*** –0.26^***
body mass index –0.13^*** 0.06 –0.06
eating enough fruit –0.01 –0.06 0.07
eating enough vegetables –0.01 –0.07 0.11^**
physically active 0.09^* –0.28^*** 0.20^***
smoking 0.06 0.16^*** 0.07
self-management abilities 0.12^** –0.53^*** 0.54^***
open in a separate window
^***p < 0.001.
^**p < 0.01.
^*p < 0.05.
the results of the multivariate regression analyses are displayed in
table 3. the number of chronic diseases was associated negatively with
physical health (β = –0.20, p = 0.005) and overall well-being (β =
–0.13, p = 0.039), and positively with depressive symptoms (β = 0.21, p
< 0.001). among health behaviours, a weak positive relationship was
found between sufficient vegetable consumption and well-being (β =
0.14, p = 0.017). in addition, weak relationships were found between
physical activity and depressive symptoms (β = –0.16, p = 0.007),
smoking and depressive symptoms (β = 0.16, p = 0.009), and
self-management abilities and physical health (β = 0.17, p = 0.015).
the strongest relationships were found between self-management
abilities and depressive symptoms (β = –0.39, p < 0.001) and overall
well-being (β = 0.49, p < 0.001).
table 3
results of multivariate regression analyses
characteristic physical health depressive symptoms well-being
β p β p β p
sex (female) –0.04 0.643 0.04 0.632 –0.03 0.694
age (years) –0.00 0.949 0.02 0.699 –0.07 0.264
marital status (single/widowed) 0.14 0.070 –0.03 0.691 0.03 0.670
education (low) 0.01 0.936 0.06 0.303 0.01 0.918
income (low) 0.01 0.944 0.03 0.582 0.03 0.584
number of chronic diseases –0.20 0.005 0.21 <0.001 –0.13 0.039
body mass index –0.08 0.282 –0.03 0.609 –0.05 0.433
sufficient fruit consumption 0.03 0.636 0.05 0.390 –0.06 0.303
sufficient vegetable consumption 0.03 0.697 –0.06 0.290 0.14 0.017
physically active 0.01 0.940 –0.16 0.007 0.02 0.731
smoking 0.09 0.206 0.16 0.009 0.01 0.886
self-management abilities 0.17 0.015 –0.39 <0.001 0.49 <0.001
r^2 12% 36% 31%
open in a separate window
significance of bold values is p < 0.05.
discussion
this study aimed to identify relationships of background
characteristics, health behaviours and self-management abilities with
physical health, depressive symptoms and well-being among older turkish
immigrants residing in rotterdam, the netherlands. chronic diseases,
overweight and obesity were highly prevalent among respondents. during
the same period in which this study was conducted (2015/2016), a much
smaller percentage of the general dutch population aged ≥ 65 years was
overweight compared with our turkish sample (60% vs. 86.5%); the
prevalence of obesity differed to a lesser degree (42% vs. 46%).^27 in
addition, a larger percentage of turkish elders were chronically ill
compared with the general dutch population aged ≥ 65 years (90.6% vs.
79.9%).^28 the prevalence of chronic diseases is known to be higher
among those with lower educational levels,^29 which could explain this
finding, as 80.3% of older turkish immigrants participating in this
study were less educated.
with increasing numbers of chronic diseases, older immigrants had worse
physical health and well-being, and more depressive symptoms. healthy
behaviours and self-management abilities may protect chronically ill
older immigrants from the deterioration of health and well-being, and
the onset of depressive symptoms. however, we found only weak
relationships between the outcome variables and physical activity,
sufficient vegetable consumption and smoking, and the latter two health
behaviours were not associated with all outcome variables. a smaller
percentage of older immigrants met the norm for physical activity
compared with the general older population in the netherlands (43% vs.
50%).^30 the prevalence of smoking was also greater among older turks
compared with the general dutch population aged ≥ 65 years (33.5% vs.
∼15%).^31 this is in line with earlier research showing that the
percentage of smoking in the netherlands is highest in the turkish
population, especially among turkish men.^32^,^33 regarding dietary
behaviour, older turkish respondents were healthier than the older
general population in the netherlands in 2015/2016 in terms of
sufficient fruit (58.2% vs. 43%) and vegetable (55.3% vs. 30%)
consumption. these findings are in line with earlier research showing
that immigrants ate more fruit and vegetables than did older dutch
people.^34 in terms of health behaviours, older turkish people are thus
expected to benefit especially from smoking cessation and physical
activity interventions.
the strongest relationships were found between broader self-management
abilities and the outcome variables, especially depressive symptoms and
overall well-being. these findings are important, given that these
abilities are amendable. examples of the most commonly used
self-management interventions are health education, lifestyle
education, enhancement of knowledge about chronic diseases and their
risk factors, support of a healthy diet and promotion of physical
exercise and smoking cessation. however, older patients’ abilities to
self-manage their overall well-being, such as having a positive frame
of mind, taking initiative and self-efficacy, should also be addressed.
interventions that aim to enhance self-management abilities may be
useful additions to traditional interventions, which usually focus
solely on the physical decline associated with ageing and chronic
conditions.^35–37
the limitations of this study should be considered when interpreting
the findings. first, although the response rate was low, it was
comparable to those in other surveys conducted in this population [61].
most non-response was due to the inability to reach respondents after a
minimum of two door-to-door contact attempts (following the two contact
attempts via mail), potentially resulting in non-response bias. to
improve the response rate, this number should be increased to six
contact attempts, which was not feasible in our study.^38^,^39 to
investigate potential non-response bias, we conducted non-response
analyses. no significant difference in gender was found between
respondents and non-respondents. the mean age of these groups, however,
differed significantly; on average, respondents were younger than
non-respondents [72.11 (sd = 5.10) vs. 72.73 (sd = 5.00),
respectively]. educational level of our sample is comparable to other
studies showing that ∼80% of turkish older migrants only completed
elementary school or less.^40 second, the data collected were
cross-sectional, preventing determination of causality. third, although
this study showed that self-management abilities are important for
older turkish people, we did not investigate whether interventions
aiming to enhance these abilities actually improved self-management.
further research is necessary to explore ways in which the
self-management abilities of older turkish people can be improved.
fourth, we investigated fruit and vegetable consumption only, not how
food was prepared or the total fat or calorie intake per day, which are
also known to be important.^41 fifth, we also did not include alcohol
consumption to our analyses given that only two male respondents drank
more than the norm (≥3 units per day at ≥4 days a week). if you would
look at health behaviours among immigrant populations outside the
muslim community, it would be interesting to add this health behaviour.
finally, our study sample consisted of older turkish people residing in
rotterdam, which limits the generalizability of our study findings.
conclusion
based on the results of this study, we can conclude that in addition to
health behaviours, broader self-management abilities related to the
maintenance of overall well-being are important for older turkish
people. while only weak relationships were found with health
behaviours, strong relationships were found with broader
self-management abilities, depressive symptoms and well-being. in terms
of health behaviours, older turkish people are expected to benefit most
from smoking cessation and physical activity interventions. older
immigrants, including turks, however, may especially benefit from
interventions that enhance broader self-management abilities related to
the maintenance of overall well-being. interventions to improve
self-management abilities may help older turkish people better deal
with functional losses and chronic diseases as they age further. such
interventions will probably need to be adjusted for this population to
be effective.^38 the current national public health policy, however,
devotes no specific attention to high-risk ethnic groups. we feel that
these results provide a useful basis for the design of effective
interventions for successful ageing among older turkish people in the
netherlands.
funding
this study was supported by a grant provided by the erasmus university
of rotterdam.
conflicts of interest: none declared.
key points
* chronic diseases, overweight and obesity are highly prevalent among
turkish elderly.
* smoking cessation and physical activity interventions may partly
improve outcomes.
* interventions aimed at broader self-management abilities seem
especially effective.
* a broader focus is needed on self-management abilities to maintain
overall well-being.
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5. why is physical activity so important for health and wellbeing?
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why is physical activity so important for health and wellbeing?
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there are so many reasons why regular activity boosts your health. read
to learn what those are and how you can incorporate exercise into your
day.
we know that staying active is one of the best ways to keep our bodies
healthy. but did you know it can also improve your overall well-being
and quality of life?
here are just a few of the ways physical activity can help you feel
better, look better and live better. because, why not?
it’s a natural mood lifter.
regular physical activity can relieve stress, anxiety, depression and
anger. you know that "feel good sensation" you get after doing
something physical? think of it as a happy pill with no side effects!
most people notice they feel better over time as physical activity
becomes a regular part of their lives.
it keeps you physically fit and able.
without regular activity, your body slowly loses its strength, stamina
and ability to function properly. it’s like the old saying: you don’t
stop moving from growing old, you grow old from stopping moving.
exercise increases muscle strength, which in turn increases your
ability to do other physical activities.
it helps keep the doctor away.
stand up when you eat your apple a day! too much sitting and other
sedentary activities can increase your risk of heart disease and
stroke. one study showed that adults who watch more than 4 hours of
television a day had an 80% higher risk of death from cardiovascular
disease.
being more active can help you:
* lower your blood pressure
* boost your levels of good cholesterol
* improve blood flow (circulation)
* keep your weight under control
* prevent bone loss that can lead to osteoporosis
all of this can add up to fewer medical expenses, interventions and
medications later in life!
it can help you live longer.
it’s true, 70 is the new 60… but only if you’re healthy. people who are
physically active and at a healthy weight live about seven years longer
than those who are not active and are obese. and the important part is
that those extra years are generally healthier years! staying active
helps delay or prevent chronic illnesses and diseases associated with
aging. so active adults maintain their quality of life and independence
longer as they age.
here are some other benefits you may get with regular physical activity:
* helps you quit smoking and stay tobacco-free.
* boosts your energy level so you can get more done.
* helps you manage stress and tension.
* promotes a positive attitude and outlook.
* helps you fall asleep faster and sleep more soundly.
* improves your self-image and self-confidence.
* provides fun ways to spend time with family, friends and pets.
* helps you spend more time outdoors or in your community.
the american heart association recommends at least 150 minutes of
moderate-intensity aerobic activity each week. you can knock that out
in just 30 minutes a day, 5 days a week. and every minute of moderate
to vigorous activity counts toward your goal.
so, this is easy! just move more, with more intensity, and sit less.
you don’t have to make big life changes to see the benefits. just start
building more activity into your day, one step at a time.
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the importance of health education
february 8, 2018
marcy vadurro
director of product marketing
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importanceofhealtheducationbanner
when it comes to building a healthy community, the importance of health
education cannot be overlooked. community health workers collaborate
with all stakeholders in a community - from its citizens to its
government, education and medical officials - to improve health and
wellness and ensure equal access to healthcare.
what is the importance of health education?
community health education looks at the health of a community as a
whole, seeking to identify health issues and trends within a population
and work with stakeholders to find solutions to these concerns.
the importance of health education impacts many areas of wellness
within a community, including:
* chronic disease awareness and prevention
* maternal and infant health
* tobacco use and substance abuse
* injury and violence prevention
* mental and behavioral health
* nutrition, exercise and obesity prevention
community health educators work with public health departments,
schools, government offices and even local nonprofits to design
educational programs and other resources to address a community's
specific needs.
importanceofhealtheducationbody3
"the value in these programs is having a topic or issue tailored to the
needs of the audience...and working with them one on one to make
behavioral changes," said daphne guillaume, a certified health
education specialist and public health adjunct faculty at southern new
hampshire university (snhu).
overcoming health disparities
in addition to providing educational resources and programming to a
community, public health educators also work to ensure all members of a
community have equal access to wellness resources and healthcare
services.
according to the american public health association (apha), common
health disparities affecting americans include:
* racial or ethnic health disparities
* socioeconomic health disparities
* gender health disparities
* rural health disparities
importanceofhealtheducationbody1
"we look at the issues that are going on in our communities through a
social justice lens," said snhu adjunct faculty member dede teteh, a
certified health education specialist and public health researcher.
"the main difference between [public health] and medicine is we don't
look at people one by one. we work with communities and examine trends
in behaviors and health outcomes. we attempt to decipher what's going
on within communities and determine how we can best support their
wellness efforts. but we don't act without their input or partnership."
community health education and government policy
the importance of health education also extends into policy and
legislation development at a local, state and national level, informing
and influencing key decisions that impact community health.
from campaigns and legislation to enforce seat belt use and prevent
smoking to programs that boost the awareness and prevention of
diabetes, public health workers provide research and guidance to inform
policy development.
"you're not just educating the individual person, you need the impetus
and motivation to come from the whole community," said snhu associate
dean of health professions denise bisaillon. "you have to reach the
leaders in the community. the more people invested in a change, the
more likely its success."
the economic importance of health education
health education can also boost a community's economy by reducing
healthcare spending and lost productivity due to preventable illness.
obesity and tobacco use, for example, cost the united states billions
of dollars each year in healthcare costs and lost productivity.
according to the american public health association (apha) the annual
loss in economic productivity due to obesity and related issues is
expected to total as much as $580 billion by 2030. the total economic
cost of tobacco use costs the united states more than $300 billion each
year, including $156 billion in lost productivity, according to the
cdc.
programs designed to help community members combat these expensive
health issues not only boost individuals' health, but also provide a
strong return on investment for communities.
according to the cdc, states with strong tobacco control programs see a
$55 return on every $1 investment, mostly from avoiding costs to treat
smoking-related illness. the national cost of offering the national
diabetes prevention program is about $500 per participant,
significantly lower than the $7,900 spent on diabetes care per type 2
diabetes patient each year.
importanceofhealtheducationbody4 a growing field
as the health, social and economic impacts of community health
education continue to grow, so does the field of public health and
health promotion.
according to the u.s. bureau of labor statistics (bls), employment in
the community health education field is projected to grow by 16%
through 2026, more than twice the average for all occupations.
workers with a community health education degree can find opportunities
in a wide variety of settings, according to the bls, including:
* schools and colleges
* hospitals and healthcare facilities
* nonprofit organizations
* private businesses and employee wellness programs
* government organizations and public health departments
as communities continue to focus more on improving the health and
wellness of its citizens, the field of community health education will
also continue to grow, said snhu adjunct faculty michelle gifford.
"i believe that more and more communities are seeing benefits from
wellness-related initiatives and receiving positive marks about them,
hence community leaders are seeing this as not just a business-driven
necessity, but also something that impacts the well being and quality
of life of their citizens," gifford said.
marcy vadurro is a marketing professional within nursing and health
professions in higher education.
health
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darla branda
health professions clinical faculty darla branda: a faculty q&a
december 13, 2019
after spending 4 years in the military, darla branda earned her degree
and began working in health information management. she's since joined
the faculty at snhu, and we asked her to share her thoughts about
teaching, the importance of education and more as part our faculty
spotlight series.
a student in snhu's ccne accredited nursing programs.
snhu nursing programs receive 10-year ccne reaccreditation
november 21, 2019
snhu online nursing programs recently received a 10-year
reaccreditation from the commission on collegiate nursing education
(ccne), a professional accrediting agency that strives to promote the
quality and integrity of baccalaureate and graduate nursing programs.
a group of doctors and nurses reviewing a document in a hospital
corridor.
healthcare students get to the heart of succession planning
november 13, 2019
teams of southern new hampshire university nursing and healthcare
students recently tackled the challenge of succession planning for
healthcare facilities in the latest higher education and real-world
training challenge.
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homehealth and its importance | health and its significance | the
importance of health and health
health and its importance | health and its significance | the importance of
health and health
civil blog 369 february 09, 2019
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health and its importance
health-and-its-importance
health and its importance
the word "health" refers to an emotional and physical well- being
state. healthcare is available to help people maintain this optimal
health status.
your food choices affect your health every day-how you feel today,
tomorrow and the future. good food is an important part of a healthy
lifestyle. in combination with physical activity, your diet can help
you achieve a healthy weight, reduce the risk of chronic diseases (such
as heart disease and cancer) and promote your overall health.
why does good health matter?
cells are the basic units of all organisms. they consist of a variety
of chemicals. cells move from location to location. even if the cell
does not move, there is still a lot of repairs. cells are the basic
units of all organisms.
in relation, there are various specialized activities in our body such
as the heart pumps blood, the kidney filters the urine, which even the
brain constantly probably thinks the lungs help to inhale.
there's a lot of interconnection in our body between the different
organs. our body needs energy and raw material for all these
activities. food is necessary for the functioning of cells and tissues.
therefore, if you're not good, all your physical activities begin to
get hampered.
the significance of health
health is a physical, mental and social state of complete well-being. a
person needs a balanced diet and regular exercise for a healthy life
cycle. you also have to live in a proper shelter, sleep enough and have
good hygiene habits. so, how do we make sure we do all the right things
to be healthy? let's raise awareness about the importance of health
1)all organisms ' health depends on their environment or surroundings.
in our individual health, our social environment is an important
factor.
2)for individual health, public cleanliness is important. we must
therefore ensure that we regularly collect and clear the waste. we also
need to contact an agency responsible for clearing the drains. you
could have a serious impact on your health without this.
3)we need food for health and food, by doing work, we have to earn
money. there must be an opportunity to do work for this. therefore,
individual health needs good economic conditions and jobs.
4)to be really healthy, we need to be happy. we can't be healthy or
happy if we mistreat each other and fear each other. for individual
health, social equality and harmony are important.
what is an illness?
if one or more organs or systems of our body are adversely affected
because they are interrupted in their normal functioning, we say that
we are not healthy, i.e. we have a disease. disease means that
something is wrong with our body and we feel that the body is unwell or
malfunctioning.
our health is not only affected by uneven diets, but also by diseases,
infections, poverty, large families, overcrowded homes, etc. the
disease is usually caused by external organisms (microbes), which cross
the natural barriers of the body and invade our healthy body. such
organisms can cause havoc if it is not handled immediately by our
immune system.
health-and-its-importance
health and its significance
types of health
mental and physical health are the two types of health most frequently
discussed. we also talk about, among others, "spiritual health,"
"emotional health" and "financial health." they were also linked to
lower levels of stress and mental and physical well- being.
physical health
bodily functions work at peak performance in a person who experiences
physical health, not only because of a lack of disease, but also
because of regular exercise, balanced nutrition and adequate rest. when
necessary, we receive treatment to maintain the balance.
physical well- being means a healthy lifestyle to reduce the risk of
disease. for example, maintaining physical fitness can protect the
breathing and heart function, muscle strength, flexibility and body
composition of a person and develop it.
physical health and well- being also reduce the risk of injury or
health problems. examples include minimizing risks at work, safe sex,
good hygiene, or avoiding tobacco, alcohol or illegal drugs.
mental health
mental health means the emotional, social and psychological well- being
of a person. mental health is as important to a full and active
lifestyle as physical health.
mental health is harder to define than physical health, because
diagnosis often depends on the perception of the individual's
experience. however, with test improvements, some signs of some types
of mental illness in ct scans and genetic testing are now becoming
"visible."
mental health is not just a lack of depression, anxiety or other
disorder. it also depends on the ability to: enjoy life bouncing back
after difficult experiences achieve balance, feel safe and secure in
order to achieve your potential.
there are good links between physical and mental health. if chronic
disease affects the ability of a person to perform his or her regular
tasks, depression and stress can be caused, for example, by money
problems. a mental illness such as depression or anorexia can affect
the weight and function of the body. rather than its different types,
it is important to approach "health "as a whole.
good health factors
health depends on a variety of factors. a person is born with a variety
of genes and an unusual genetic pattern can lead to a level of health
that is less than optimal in some people.
environmental factors play an important role. the environment alone
sometimes suffices to have an impact on health. an environmental
trigger can cause disease in a genetically susceptible person at other
times.
these can be summarized as:
social and economic environment: including the wealth of a family or
community.
the physical environment: including parasites in an area or levels of
pollution.
the characteristics and behaviors of the person:
according to the world health organization, the higher the socio-
economic status of a person( ses), the more likely they are to enjoy
good health, good education, a well- paid job, and if their health is
threatened, good health care will be available.
people with a lower socio- economic status are more likely to
experience stresses related to daily life, such as financial
difficulties, marital disruption and unemployment, as well as social
factors such as marginalization and discrimination. all of this adds to
the risk of poor health.
low socio- economic status means often less access to healthcare.
people in developed countries with universal health services have
longer life expectancies than people without universal health care in
developed countries.
cultural problems can have an impact on health. a society's traditions
and customs and the response of a family to them can have a good or bad
effect on health. for example, people around the mediterranean are more
likely to consume high levels of fruit, vegetables and olives and eat
as a family compared to fast food crops.
how stress is managed affects health. people who smoke, drink or take
drugs to forget about their problems are likely to experience more
health problems later than people who fight stress through healthy diet
and exercise.
men and women are susceptible to various health factors. they may be at
greater risk of poor health than men in societies where women earn less
than men or are less educated.
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1. hello healthy24 december 2019 at 19:33
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visit this blog
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-under-30020.html
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home » achieve lasting weight loss » the importance of health
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public health promotes and protects the health of people and the
communities where they live, learn, work and play.
while a doctor treats people who are sick, those of us working in
public health try to prevent people from getting sick or injured in the
first place. we also promote wellness by encouraging healthy behaviors.
from conducting scientific research to educating about health, people
in the field of public health work to assure the conditions in which
people can be healthy. that can mean vaccinating children and adults to
prevent the spread of disease. or educating people about the risks of
alcohol and tobacco. public health sets safety standards to protect
workers and develops school nutrition programs to ensure kids have
access to healthy food.
public health works to track disease outbreaks, prevent injuries and
shed light on why some of us are more likely to suffer from poor health
than others. the many facets of public health include speaking out for
laws that promote smoke-free indoor air and seatbelts, spreading the
word about ways to stay healthy and giving science-based solutions to
problems.
public health saves money, improves our quality of life, helps children
thrive and reduces human suffering.
public health is...
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some examples of the many fields of public health:
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#what is health behavior? health risks alternate alternate
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models and mechanisms of public health
chapter 5: key principles of health behavior change
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examples of health behaviors and concepts
image
social determinants, as stated in the article by short and mollborn,
can be split into three levels, the downstream level (individual
choices), the upstream level (socio-economic, cultural systems, etc.)
and the meso level (interpersonal interactions) (short and mollborn,
2015). most research is focused on the meso level due to the immediate
effects and influence it has over someone’s health behaviors. the
systems that are involved in the meso level could be an individual’s
neighborhood, family, and friends. the importance of social
determinants and their effects on health can help determine the reasons
for specific health actions and behaviors.
the concepts of health behavior are dynamic and encompass different
areas, cultures, genders, age groups, etc. this can be seen within the
united states; the likelihood of developing smoking behaviors are more
prevalent in the south than in the west (short and mollborn, 2015).
some examples of things that health behavior can affect are diet,
physical activity, sleep, and coping with stressful events. health
behavior should be looked at on multiple levels and perspectives to
fully understand how it can promote and protect health instead of
causing harm to it.
licenses and attributions
cc licensed content, original
* authored by: christian rossman, michaela ou2019brien, gloria
poisson, and abubakry tunkara. located at:
https://courses.lumenlearning.com/suny-buffalo-environmentalhealth/
. project: models and mechanisms of public health. license: cc
by-nc-sa: attribution-noncommercial-sharealike
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health behavior
health behavior pp 3-17 | cite as
health behavior
plural perspectives
* authors
* authors and affiliations
* david s. gochman
chapter
* 16 citations
* 27 readers
* 328 downloads
abstract
what “health behavior” means, and how it is treated in this book, are
the basic topics of the first part of this chapter, which begins with a
working definition of health behavior, discusses some related terms,
and provides a definition of “health behavior research.” the chapter
continues with a discussion of conceptions of health, illness, and
disease, and concludes by identifying some research issues that relate
to these conceptions.
keywords
health behavior behavioral health behavioral medicine illness
behavior sociocultural perspective
these keywords were added by machine and not by the authors. this
process is experimental and the keywords may be updated as the learning
algorithm improves.
this is a preview of subscription content, log in to check access.
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unable to display preview. download preview pdf.
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health behavior and health promotion
apple icon stopping the spread of communicable diseases. catching
cancer in its early stages. preventing teenagers from smoking
cigarettes. these are all based on choices and behaviors.
our goal in the division of health behavior and health promotion (hbhp)
is to enable people to achieve their optimal level of health through
healthy decisions and behaviors. in order to accomplish this, we work
with organizations, and communities to develop the knowledge and skills
needed for making healthy decisions and enacting healthy behaviors, and
to promote the conditions and resources necessary for healthy living.
we also collaborate across disciplines at ohio state to advance
knowledge and understanding of healthy behaviors.
research
research in healthy behaviors and health promotion seeks to understand
the choices and behaviors of individuals and communities with regard to
health. we also evaluate existing and pilot health programs. much of
our scholarly work is done in collaboration across the university and
with other institutions, as well as with community partners.
our faculty are involved in active research programs that include:
* health program evaluation
* global health
* smoking cessation in specific populations
* intervention to increase colon cancer screening rates
* health disparities
* the use of the hpv vaccine in appalachian ohio
* prevention, detection and treatment of lung cancer
* early childhood eating and exercise
curriculum
our curriculum emphasizes the social and behavioral determinants of
health and methods for changing behaviors in populations.
the health behavior and health promotion program offers two outstanding
degree programs with a concentration in health behavior and health
promotion: the mph (master of public health) and the phd.
both degree programs provide students with a thorough knowledge of
health behavior and health promotion from its fundamental relationship
to public health to role in implementing intervention strategies.
courses also offer a rich array of research opportunities and practical
job experiences.
learn more about degree programs in health behavior and health promotion
mph phd
in addition, we offer a graduate minor in public health behavior and
promotion.
minor
contact us
359-a cunz hall
1841 neil ave.
columbus, oh 43210
phone: (614) 292-4685
health behavior and health promotion
* message from the chair
* faculty and staff
* course descriptions
* research
* careers in health behavior and health promotion
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* about
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+ divisions and centers
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+ environmental health sciences
+ epidemiology
+ health behavior and health promotion
+ health services management and policy
+ health outcomes and policy evaluation studies
+ center for public health practice
+ center for the advancement of tobacco science
+ business operations center
* future students
+ apply now
+ recruitment calendar
+ why public health at ohio state
+ bsph + mph in 5 years
+ dual/combined degrees
+ undergraduate programs
+ bachelor of science in public health
o environmental public health specialization
o public health sociology specialization
+ graduate programs
+ master of public health
o biomedical informatics
o biostatistics
o clinical translational science
o environmental health
o epidemiology
o health behavior and health promotion
o program for experienced professionals
# program description
# curriculum
# admissions requirements
o veterinary public health
+ master of health administration
o program of study
# competency-based curriculum
# experiential learning: outside the classroom
# leadership development framework
o administrative residency
o professional development
o student experience
o scholarships and financial aid
o graduates
# graduating student employers
o hsmp faculty and staff
o hsmp alumni society
# events
+ master of science
o biomedical informatics
o biostatistics
o environmental public health
o epidemiology
+ doctor of philosophy
o biostatistics
o environmental public health
o epidemiology
o health behavior and health promotion
o health services management and policy
+ minors/ specializations/ certificates
o graduate certificate in environmental public health risk
assessment
o graduate certificate in global one health
o graduate interdisciplinary specialization in obesity
science
o graduate interdisciplinary specialization in global
health
o graduate minor in public health behavior and promotion
o epidemiology minor
o global public health minor
+ contact us
* students
+ student forms and resources
+ graduate students
o advising and student services
o news and events
o career services
o cph graduate student handbook
o curriculum guides
o mph practicum
o mph culminating project
o mha administrative residency
o graduation
+ undergraduate students
o advising and student services
o news and events
o career services
o cph undergraduate student handbook
o curriculum guides
o capstone
o honors
o internships
o research
o education abroad
o global option in public health
o graduation
+ minors / specializations / certificates
+ competencies
+ course descriptions
+ curriculum guides
+ career services
+ scholarships
+ student organizations
+ student choice award
+ alumni connect
* career services
+ handshake
+ career events
+ career resources
+ employer resources
* research
+ research focus areas
+ faculty research interests
+ research centers
+ research news
+ office of research
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health behavior models
behavior change models:
there are a number of theoretical models in the literature that address
effective ways to change health behaviors. the pages below outline
basic theories, their major constructs, and the recommended strategies
to help clients reduce tobacco use.
* transtheoretical model (ttm) & stages of change
* health belief model
* social cognitive theory
* theory of reasoned action/theory of planned behavior
measures:
stages of change & readiness
the stages of change algorithm can be used in research to determine an
individual’s current stage of change for quitting tobacco.
the readiness ruler is a brief, 1 item measure that can be used to
assess motivational readiness for quitting smoking. used in practice
and research.
processes of change for quitting smoking
the processes of change questionnaire is a self-report measure that
assesses an individual’s use of experiential and behavioral processes
of change to quit smoking. used in both practice and research.
temptation to smoke
the temptation to smoke scale is a self-report measure that assesses
how tempted an individual is to smoke in a variety of situations. used
in both practice and research.
confidence to abstain (self-efficacy)
the smoking self-efficacy scale is a self-report measure that assesses
an individual's confidence to abstain from smoking in a variety of
situations. used in both practice and research.
decisional balance (pros & cons of smoking)
the decisional balance scale is a self-report measure of the pros and
cons a person perceives in terms of smoking. used in both practice and
research.
screening for tobacco use
the tobacco screening measure is a brief, 1-4 item measure that can be
used to assess current smoking status as well as heaviness of smoking.
the first question should be asked of all patients, and can be helpful
in identifying “former smokers” that may otherwise be mistaken as
“never-smokers.” the tobacco screening measure was developed by
maryland m.d.s making a difference (md3), and can also be found on
their pocket guide for tobacco, alcohol, and drug screening, brief
intervention, referral, and treatment. used primarily in practice.
nicotine dependence
the fagerström test for nicotine dependence (ftnd) consists of six
multiple-choice questions meant to assess how strongly “addicted” an
individual is to nicotine. used in both practice and research.
*permission to use this scale for purposes other than research should
be obtained from k. l. fagerström.
smoking history
the smoking history questionnaire is meant to provide a more detailed
picture of both current and past tobacco use. questions may vary
depending upon the purpose or goals of this measure’s use. used
primarily in research.
**please follow the links above for more information about the models
and measures, or visit the habits lab
tags:
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what is good health?
written by adam felman on july 31, 2017
* what is health?
* types
* factors for good health
* preserving health
the word "health" refers to a state of complete emotional and physical
well-being. healthcare exists to help people maintain this optimal
state of health.
in 2015, the population of the united states (u.s.) spent an estimated
$3.2 trillion on healthcare costs.
however, despite this expenditure, a study by the u.s. national
research council, published in 2013, showed that americans die at a
younger age and experience more illness and injury than people in other
developed countries.
good health is central to handling stress and living a long and active
life.
fast facts on health
here are some key points about health. more detail is in the main
article.
* health can be defined as physical, mental, and social wellbeing,
and as a resource for living a full life.
* it refers not only to the absence of disease, but the ability to
recover and bounce back from illness and other problems.
* factors for good health include genetics, the environment,
relationships, and education.
* a healthful diet, exercise, screening for diseases, and coping
strategies can all enhance a person's health.
what is health?
health is not just absence of disease but a state of overall wellbeing.
share on pinteresthealth is not just absence of disease but a state of
overall wellbeing.
in 1948, the world health organization (who) defined health with a
phrase that is still used today.
"health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity." who, 1948.
in 1986, the who further clarified that health is:
"a resource for everyday life, not the objective of living. health is a
positive concept emphasizing social and personal resources, as well as
physical capacities."
this means that health is a resource to support an individualʼs
function in wider society. a healthful lifestyle provides the means to
lead a full life.
more recently, researchers have defined health as the ability of a body
to adapt to new threats and infirmities. they base this on the idea
that modern science has dramatically increased human awareness of
diseases and how they work in the last few decades.
types
mental and physical health are the two most commonly discussed types of
health. we also talk about "spiritual health," "emotional health," and
"financial health," among others. these have also been linked to lower
stress levels and mental and physical wellbeing.
physical health
in a person who experiences physical health, bodily functions are
working at peak performance, due not only to a lack of disease, but
also to regular exercise, balanced nutrition, and adequate rest. we
receive treatment, when necessary, to maintain the balance.
physical wellbeing involves pursuing a healthful lifestyle to decrease
the risk of disease. maintaining physical fitness, for example, can
protect and develop the endurance of a personʼs breathing and heart
function, muscular strength, flexibility, and body composition.
physical health and well-being also help reduce the risk of an injury
or health issue. examples include minimizing hazards in the workplace,
practicing safe sex, practicing good hygiene, or avoiding the use of
tobacco, alcohol, or illegal drugs.
mental health
mental health refers to a personʼs emotional, social, and psychological
wellbeing. mental health is as important as physical health to a full,
active lifestyle.
it is harder to define mental health than physical health, because, in
many cases, diagnosis depends on the individualʼs perception of their
experience. with improvements in testing, however, some signs of some
types of mental illness are now becoming "visible" in ct scans and
genetic testing.
mental health is not only the absence of depression, anxiety, or
another disorder.
it also depends on the ability to:
* enjoy life
* bounce back after difficult experiences
* achieve balance
* adapt to adversity
* feel safe and secure
* achieve your potential
physical and mental health are linked. if chronic illness affects a
personʼs ability to complete their regular tasks, this may lead to
depression and stress, for example, due to money problems.
a mental illness such as depression or anorexia nervosa can affect body
weight and function.
it is important to approach "health" as a whole, rather than its
different types.
factors for good health
health depends on a wide range of factors.
a person is born with a range of genes, and in some people, an unusual
genetic pattern can lead to a less-than-optimum level of health.
environmental factors play a role. sometimes the environment alone is
enough to impact health. other times, an environmental trigger can
cause illness in a person who is genetically susceptible.
access to healthcare plays a role, but the who suggests that the
following factors may have a bigger impact on health than this:
* where a person lives
* the state of the surrounding environment
* genetics
* income
* education level
* relationships with friends and family
these can be summarized as:
* the social and economic environment: including how wealthy a family
or community is
* the physical environment: including parasites that exist in an
area, or pollution levels
* the personʼs characteristics and behaviors: including the genes
that a person is born with and their lifestyle choices
*
according to the who, the higher a personʼs socioeconomic status (ses),
the more likely they are to enjoy good health, a good education, a
well-paid job, afford good healthcare when their health is threatened.
people with a lower socioeconomic status are more likely to experience
stresses related to daily living, such as financial difficulties,
marital disruption, and unemployment, as well as social factors, such
as marginalization and discrimination. all these add to the risk of
poor health.
a low socio-economic status often means less access to healthcare.
people in developed countries with universal healthcare services have
longer life expectancies than people in developed countries without
universal healthcare.
cultural issues can affect health. the traditions and customs of a
society and a familyʼs response to them can have a good or bad impact
on health. for example, around the mediterranean, people are more
likely to consume high levels of fruits, vegetables, and olive, and to
eat as a family, compared with cultures with a high consumption of fast
food.
how a person manages stress will affect health. people who smoke,
drink, or take drugs to forget their problems are likely to have more
health problems later than someone who combats stress through a
healthful diet and exercise.
men and women are prone to different health factors. in societies where
women earn less than men or are less educated, they may be at greater
risk than men for poor health.
preserving health
the best way to maintain health is to preserve it through a healthful
lifestyle, rather than waiting until we are sick to put things right.
this state of enhanced well-being is referred to as wellness.
the mckinley health center at the university of illinois il defines
wellness as:
"a state of optimal well-being that is oriented toward maximizing an
individualʼs potential. this is a life-long process of moving
towards enhancing your physical, intellectual, emotional, social,
spiritual, and environmental well-being."
wellness promotes an active awareness of and participation in health,
as an individual and in the community.
maintaining wellness and optimal health is a lifelong, daily
commitment.
steps that can help us maximize our health include:
* a balanced, nutritious diet, sourced as naturally as possible
* regular exercising
* screening for diseases that may present a risk
* learning to manage stress
* engaging in activities that provide purpose and connection to
others
* maintaining a positive outlook and appreciating what you have
* defining a value system, and putting it into action
peak health will be different for each person, and how you achieve
wellness may be different from how someone else does.
it may not be possible to avoid disease completely, but doing as much
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written by adam felman on july 31, 2017
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croat med j. 2006 aug; 47(4): 662–664.
pmcid: pmc2080455
pmid: 16909464
the meanings of health and its promotion
norman sartorius
copyright and license information disclaimer
copyright © 2006 by the croatian medical journal. all rights reserved.
this is an open access article distributed under the creative commons
attribution license, which permits unrestricted non-commercial use,
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this article has been cited by other articles in pmc.
the constitution of the world health organization, which came into
force on april 7, 1948, defined health “as a state of complete
physical, mental and social well-being.” the writers of the
constitution were clearly aware of the tendency of seeing health as a
state dependent on the presence or absence of diseases: so they added
to that definition that an individual, if he is to be considered
healthy, should not suffer from any disease (….“and not merely the
absence of disease or infirmity”) (1). in that way, the definition of
the world health organization simply added a requirement to the
previous position that allowed to declare someone healthy if no disease
could be found: the step forward that could have been taken in the
conceptualization of health as a dimension of existence which can
co-exist with the presence of a disease or impairment was thus not
taken.
today, three types of definition of health seem to be possible and are
used. the first is that health is the absence of any disease or
impairment. the second is that health is a state that allows the
individual to adequately cope with all demands of daily life (implying
also the absence of disease and impairment). the third definition
states that health is a state of balance, an equilibrium that an
individual has established within himself and between himself and his
social and physical environment.
the consequences of adopting one or another of these definitions are
considerable. if health is defined as the absence of disease, the
medical profession is the one that can declare an individual healthy.
with the progress of medicine, individuals who are declared healthy
today may be found to be diseased tomorrow because more advanced
methods of investigations might find signs of a disease that was not
diagnosable earlier. how an individual feels about his or her state is
not relevant in this paradigm of health. how the surrounding people
judge the behavior and appearance of an individual is only relevant if
their observations are congruent with the criteria of abnormality that
the medical profession has produced. the measurement of the state of
health of a population is also simple and will involve no more than
counting the individuals who, on examination, show defined signs of
illness and comparing their numbers with those who do not.
there are obvious difficulties with the first and the second of the
definitions mentioned above and with their consequences. there are
individuals who have abnormalities that can be counted as symptoms of a
disease but do not feel ill. there are others whose body tissues do not
demonstrate changes but who feel ill and do not function well. there
are people who hear voices and might therefore be candidates for
psychiatric examination and possibly treatment – but live well in their
community and do not ask for nor receive medical care. there is a
significant number of people who have peptic ulcers and other diseases,
experience no problems, do not know that they have a disease and do not
seek treatment for it. some of these individuals will also escape the
second type of definition of health because they function as well as
expected in their age and gender group of the general population.
the third definition mentioned above makes health depend on whether a
person has established a state of balance within oneself and with the
environment. this means that those with a disease or impairment will be
considered as being healthy to a level defined by their ability to
establish an internal equilibrium that makes them get the most they can
from their life despite the presence of the disease. health would thus
be a dimension of human existence that remains in existence regardless
of the presence of diseases, somewhat like the sky that remains in
place even when covered with clouds. the advantage of this definition
is that diseases do not replace individuals’ health: they may affect
their balance more or less severely but, at all times, the patients who
suffer from a disease (and their doctors) remain aware of the need to
work simultaneously on two tasks – one, to remove or alleviate the
disease and the second to establish a state of balance, as best they
can, within oneself and in relation with their environment. in fighting
stigmatization that accompanies many chronic and some acute diseases –
such as mental disorders or leprosy – this definition is also useful
because it makes us speak and think about our patients as people who
are defined by different dimensions (including health) and who, at a
point, suffer from a disease – and thus make us say “a person with
schizophrenia” rather than “a schizophrenic,” or a ”person who has
diabetes” rather than a “diabetic” and a “person with leprosy” rather
than a “leper.”
there is another important consequence of working with this definition
of health. to establish whether someone is in good health in accordance
with this definition, the doctor must explore how individuals who have
a disease feel about it, how the disease influences their lives, how
they propose to fight their disease or live with it. laboratory
findings and the presence of symptoms are thus important and necessary
ingredients in thinking about the state of health and the presence of a
disease but are not sufficient to reach a decision about someone’s
health: it is necessary to view the disease in the context of the
person who has it in order to make a judgment about his or her level of
health. there is little doubt about the fact that going about the
treatment of diseases in this way would improve the practice of
medicine and make it a more realistic as well as a more humane
endeavor.
the promotion of health is also affected by the differences in the
definition of health. the simplest definition of health – equated with
the absence of disease – would lead to a definition of the promotion of
health as an effort to remove diseases and diminish the numbers of
individuals who suffer from them. the involvement of functioning in the
definition of health would be reflected in defining the promotion of
health as a process by which the capacity of individuals to cope will
be enhanced and strengthened, for example by regular and obligatory
physical exercise. both of these definitions would lead to
recommendations to improve the treatment of diseases, and to remove
risks factors that might lead to them – such as sedentary life style,
smoking, bad eating habits and insufficient application of hygienic
measures such as washing one’s hands before meals.
the third definition of health, by its very nature, could not stop at
efforts to remove diseases and to diminish risk factors that might lead
to disease. it would have to involve the individuals whose health is to
be promoted in an active way: it would have to address the scales of
values of individuals and communities to ensure that health is placed
higher on those scales. high value placed on health (not only on the
absence of disease) would make people undertake whatever is necessary
to enhance health: participating in preventive action and seeking
treatment would become a normal expression of the need to behave in
harmony with one’s own and one’s community values. changing the place
of health on the scale of values, however, is not possible if left to
the health sector alone: values are shaped throughout life under the
influence of parents, friends, schools, the media, laws, and one’s own
life course and experience. thus, changing values – for example to give
health a higher value, to promote health – has to be a task for all of
those involved in shaping values and placing them on a scale rather
than for the health system alone.
the huge challenges that face societies aiming to improve the health of
their citizens will not be appropriately answered if we do not change
the paradigms of health and disease and design strategies for future
work using these new paradigms. their formulation and acceptance is a
task that is before all of us and is urgent.
references
1. constitution of the world health organization. in: world health
organization: basic documents. 45th ed. geneva: world health
organization; 2005. [google scholar]
__________________________________________________________________
articles from croatian medical journal are provided here courtesy of
medicinska naklada
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fdi unveils new universally applicable definition of ‘oral health’
06 september 2016
6 september 2016
fdi unveils new universally applicable definition of ‘oral health’
poznan, 6 september 2016 – fdi world dental federation today launched
the new definition of ‘oral health’ – positioning it as an integral
part of general health and well-being – at its annual world dental
congress in poznan, poland. it was adopted by over 200 national dental
associations (ndas) and will now be rolled out to the oral health
community, globally.
“this new definition is an important milestone for the oral health
profession,” said dr patrick hescot, fdi president. “true to our vision
2020 advocacy strategy and our ambition to lead the world to optimal
oral health, the new definition will allow us to develop standardized
assessment and measurement tools for consistent data collection on a
global level.”
as defined by fdi:
oral health is multi-faceted and includes the ability to speak, smile,
smell, taste, touch, chew, swallow and convey a range of emotions
through facial expressions with confidence and without pain, discomfort
and disease of the craniofacial complex.
further attributes related to the definition state that oral health:
* is a fundamental component of health and physical and mental
wellbeing. it exists along a continuum influenced by the values and
attitudes of individuals and communities;
* reflects the physiological, social and psychological attributes
that are essential to the quality of life;
* is influenced by the individual’s changing experiences,
perceptions, expectations and ability to adapt to circumstances.
the new definition was coined by fdi’s vision 2020 think tank members,
which includes experts in oral health, public health and health
economics. together with a companion framework tested against external
stakeholders, the new oral health definition is the result of a wider
consultation which included patients, oral health professionals, ndas,
the public health community, academia, government, industry and
third-party payers.
“with this new definition, we want to raise awareness of the different
dimensions of oral health and emphasize that oral health does not occur
in isolation, but is embedded in the wider framework of overall health”
said prof. david williams, co-chair of fdi’s vision 2020 think tank.
“we are proposing a contemporary definition of oral health, which
resonates with that used by many ndas and the world health
organization,” said prof. michael glick, co-chair of fdi’s vision 2020
think tank. “it is therefore not a revolution, but an evolution.”
fdi plans to widely disseminate this oral health definition and
advocate for its operationalization to establish a standard measurement
instrument that can be applied across countries. a measurement toolbox
will be ready in 2017 to allow for assessment of individual and
population needs that can inform and drive oral health policies.
media contact
charanjit (chaz) jagait phd, fdi communications & advocacy director
e-mail: cjagait@fdiworldental.org | tel: +41 22 560 81 48
about fdi world dental federation
fdi world dental federation serves as the principal representative body
for over 1 million dentists worldwide. its membership includes some 200
national member associations and specialist groups in over 130
countries. fdi’s vision: ‘leading the world to optimal oral health’.
www.fdiworldental.org
for more fdi news, visit www.fdiworldental.org
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aha statement for house energy and commerce committee on maternal health
legislation
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statement
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american hospital association
for the
subcommittee on health of the committee on energy and commerce
of the
u.s. house of representatives
“improving maternal health: legislation to advance prevention efforts
and
access to care”
september 10, 2019
on behalf of our nearly 5,000 member hospitals, health systems and
other health care organizations, our clinician partners – including
more than 270,000 affiliated physicians, 2 million nurses and other
caregivers – and the 43,000 health care leaders who belong to our
professional membership groups, the american hospital association (aha)
commends the committee on energy and commerce for its efforts to
examine legislation to improve maternal health.
maternal health is a top priority for the aha and our member hospitals
and health systems, and our initial efforts are aimed at eliminating
maternal mortality and severe morbidity. the causes of maternal
mortality and morbidity are complex, including a lack of consistent
access to comprehensive care and persistent racial disparities in
health and health care. as hospitals work to improve health outcomes,
we are redoubling our efforts to improve maternal health across the
continuum of care and reaching out to community partners to aid in that
important effort.
the may 2019 vital signs report issued by the centers for disease
control and prevention (cdc) noted that about 700 women die each year
from complications related to pregnancy, and more than half of those
deaths are preventable. an estimated 31% of pregnancy-related deaths
occur during pregnancy, 36% during delivery or the week after, and 33%
one week to one year after delivery. the cdc last week released its
morbidity and mortality weekly report that showed that between
2007-2016, the pregnancy-related mortality ratio increased from 15 to
17 pregnancy-related deaths per 100,000 births and that black, american
indian and alaska native women were two to three times more likely to
die from pregnancy-related causes than white women, and this disparity
increases with age. the report also noted that racial and ethnic
disparities in pregnancy-related deaths have persisted over time.
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good health of her newborn child and the rest of her family.
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maternal health
view photo uganda 2017 © frederic noy/cosmos
maternal health care provided at msf's health center in bidibidi,
uganda.
uganda 2017 © frederic noy/cosmos
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many women across the world give birth without medical assistance,
massively increasing the risk of complications or death. every day on
average 830 women die from pregnancy-related causes. most of these
deaths are preventable.
99 percent
maternal deaths
occur in developing countries
50 percent
maternal deaths
occur during delivery or within 24 hours
1.1 million
births
assisted by msf from 2013-2017, including 107,000 caesarean sections
reproductive health care is an integral part of the medical care
doctors without borders/médecins sans frontières (msf) provides,
including in emergencies. our maternal health programs in more than 25
countries focus on reducing maternal and infant mortality through
pregnancy and prenatal consultations, emergency obstetric care,
postnatal follow-up, and access to family planning services and safe
abortion care.
maternal health facts
serious, untreated complications during pregnancy or delivery can be
fatal to both mother and infant. the most common complications that may
lead to maternal death are: postpartum hemorrhage, reproductive tract
infections, eclampsia, unsafe abortion, obstructed labor, and serious
infectious diseases.
hemorrhage
hemorrhage, or excessive bleeding, can happen after a complicated
birth. often it results from failure of the uterus to contract after
delivery. normally, these contractions stop the bleeding that occurs
once the placenta separates from the uterine wall. but complications or
incomplete placental separation can lead to continued bleeding, and
without rapid medical intervention, a woman can quickly bleed to death.
when skilled birth attendants are present, oxytocin can be given to
prevent bleeding. if severe bleeding does occur, the mother is
resuscitated and attendants apply methods ranging from further
medication and manual pressure to stop the bleeding through to
emergency surgery.
severe infection
severe infection can develop during pregnancy or from unhygienic
conditions during delivery. one common type is reproductive tract
infections (rti), which cause intrauterine infections that can
eventually be fatal to the woman. they can also cause life-threatening
infection in the infant.
access to clean water and hygienic conditions during delivery, such as
clean hands and a clean delivery surface like a plastic cover, are
vital to preventing infections. if an infection occurs, early detection
and treatment with the appropriate antibiotic can prevent serious
illness or death.
eclampsia and other hypertensive disorders
eclampsia and other hypertensive disorders of pregnancy are linked to
high blood pressure and are characterized by seizures that can lead to
coma and death. eclampsia begins during pregnancy as pre-eclampsia,
which leads to high blood pressure. without prenatal care pre-eclampsia
can develop into severe pre-eclampsia or full eclampsia, causing
symptoms such as swelling, sudden weight gain, headaches, changes in
vision, and potentially fatal convulsions.
unsafe abortion
unsafe abortion is a procedure for terminating an unwanted pregnancy
either by persons lacking the necessary skills or in an environment
lacking minimal medical standards, or both, as defined by the world
health organization. globally, at least 22,000 women die every year
from unsafe abortion—the only major cause of maternal death that has
not declined in recent decades, despite it being almost complete
preventable. of those women who survive, 7 million suffer serious
consequences such as infertility, injury, or complications with future
pregnancies.
comprehensive sexual and reproductive health services can greatly
reduce the number of unsafe abortions, by offering safer alternatives
through family planning and access to safe abortion care.
obstructed labor
obstructed labor can occur if the baby’s head is too large or its
position is abnormal, blocking passage through the birth canal. when a
mother is malnourished or is very young and therefore has an
underdeveloped pelvis, the birth canal itself is often not wide enough
to accommodate the head of the baby. if an obstructed labor becomes
prolonged, lasting more than 24 hours, the baby may die and the woman
is at risk of postpartum hemorrhage, uterine rupture or fistula, and
severe infection—all potentially fatal.
skilled staff are essential in managing complicated deliveries and
identifying signs that interventions are needed. these can range from
iv fluids and/or medications to support labor, to an
instrument-assisted delivery (vacuum cup or forceps) or caesarean
section.
indirect causes
indirect causes, in particular complications from infectious disease,
account for about 20 percent of maternal deaths.
during pregnancy, already dangerous diseases can pose even greater
threats to both mother and fetus. for example, malaria in pregnant
women increases their risk of miscarriage and causes over 10,000
maternal deaths globally, while tuberculosis also increases rates of
miscarriage and maternal death. malaria, tuberculosis, and cholera all
raise the risk of stillbirths, death of newborns, or low birth weight
infants.
for pregnant women at risk for any of these diseases, protecting their
health starts with preventive measures. these can include reducing
exposure (such as by sleeping under mosquito nets in malaria regions,
and ensuring access to clean water and supplies for good hygiene) and
short-term use of anti-malarial or anti-tuberculosis drugs during
pregnancy. for those who become ill, early diagnosis and treatment are
essential. whether treating malaria, hiv, tuberculosis, or another
disease, effective treatment reduces the risk of developing severe
complications that threaten the lives of both mother and baby.
how msf responds
our obstetric care programs aim to remedy the crucial "three delays"
that can threaten the lives of both mother and child. these are: delay
in deciding to seek care; delay in reaching a health facility; and
delay in receiving appropriate treatment at the facility.
emergency obstetric care is a key component of this strategy. emergency
care administered promptly by qualified staff can save the lives of
women experiencing complications during or just after delivery, when
half of all maternal deaths occur. to help reduce barriers to use of
our emergency obstetric services, we adapt services to local cultures
and (as with all msf programs) make them free of charge, as our
beneficiaries are often among the poorest sector of the population.
during conflicts or natural disasters, where health services have often
collapsed or are inadequate, emergency obstetrical needs are among the
major needs we see. over the period of 2008-15, 56 percent of all
caesarean sections we performed were in active conflict settings. for
this reason, rapid implementation of emergency maternal care is now
incorporated into our response to these crises.
we also aim to locate services close to the people who need them. in
some settings where this is not possible or we serve a large region, we
have introduced mobile clinics that travel to areas where people often
have no access to health care, combined with referral systems to
identify women with pregnancy complications and transfer them when
necessary to a health post or hospital that can provide appropriate
care.
in remote locations such as kabezi, a rural district in burundi, we
have also implemented ambulance services, which have been linked to
significant reductions in maternal mortality.
abla ali, msf midwife, iraq
giving syrian refugees a safe place to give birth
"the best part of being a midwife is the appreciation from the mothers.
they stop me in the camp when i pass and they say to their children:
'this is abla, she’s a good midwife and she delivered you.'"
–abla ali, msf midwife
read more
antenatal care improves the mother’s health during her pregnancy and
helps reduce or manage complications for both mother and newborn. in
addition, these consultations provide opportunities to inform women and
their families about how to recognize complications and to prepare for
emergencies, and about health structures where women can go for
emergency care, if needed, and for delivery.
post-natal care is another critical area for reducing maternal and
infant death and improving the physical and mental wellbeing of mother
and child. most maternal illnesses and deaths occur at or soon after
delivery, while the majority of infant deaths occur in the first few
days post-delivery—and 30 percent of all child deaths below the age of
five occur in the first four weeks of life.
hiv/aids and preventing mother-to-child transmission
without treatment, 25 to 40 percent of all children born to
hiv-positive mothers will also be infected. this rate can be reduced to
below five percent with antiretroviral treatments for the mother and a
short course of antiretroviral drugs for the baby, together with
appropriate breastfeeding practices.
we have opened programs on prevention of mother-to-child transmission
in many of the world’s most affected regions. in swaziland, for
example, we provided hiv treatment to thousands of hiv-positive
pregnant women as soon as possible after their diagnosis to prevent
their babies from becoming infected.
providing
our research on maternal health
read more
iframe:
https://www.youtube.com/embed/zb6maradouq?autoplay=0&start=0&rel=0
care for other infectious diseases
pregnant women are more susceptible to infectious diseases, and when
infected they are more likely to experience pregnancy complications and
face an increased risk of miscarriage or stillbirth.
for this reason, we offer preventive treatment to pregnant women
exposed to diseases such as malaria and tuberculosis, and provide extra
care where appropriate to pregnant women with these diseases or others
such as cholera and hepatitis e.
support msf's work on maternal health and other medical issues
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women's rights and gender equality
aid
this article is more than 1 year old
uk 'exaggerated number of lives saved' by maternal health aid project
this article is more than 1 year old
watchdog says many more deaths could have been prevented given level of
investment in department for international development programmes
supported by
count me in! consortium about this content
rebecca ratcliffe
tue 30 oct 2018 06.00 gmt last modified on mon 4 mar 2019 11.56 gmt
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mother carrying baby in malawi
[ ] in malawi, heavily pregnant women camped outside health facilities
for up to a month before giving birth, the review found. photograph:
jeffrey davis/getty images/tetra images rf
the uk government has been criticised by an aid watchdog for
exaggerating the number of women’s lives it saved through its maternal
health programmes.
a review, published by the independent commission for aid impact (icai)
on tuesday, also said the number of lives saved “were significantly
below what they could have been, given the level of investment”.
the watchdog said programmes by britain’s department for international
development (dfid) had failed to significantly improve the quality and
sustainability of maternal healthcare services in partner countries.
why do women still die giving birth?
read more
dfid spent about £4.6bn on programmes in health and other sectors
between 2011 and 2015. within this, £1.3bn focused more closely on
maternal health, including family planning, reproductive healthcare and
maternal and neonatal health. but icai said investments were focused on
short-term goals, and did not do enough to strengthen healthcare
systems or target marginalised women or teenage girls.
by 2015, dfid claimed to have saved 103,000 women’s lives during
pregnancy and childbirth, more than double its goal of 50,000. in an
internal and unpublished review, this figure was revised down to
80,100.
icai said the department relied on “unrealistic assumptions” to reach
such figures. compared with the review team’s observations in countries
such as malawi, the estimates appeared inflated.
alison evans, icai’s chief commissioner, who led the review, said uk
aid had expanded access to family planning, but added “… given the
ambition, need and level of investment, the programmes fell short of
what was required to achieve adequate progress.”
health facilities in partner countries remained chronically
under-resourced, with severe shortages of beds, healthcare workers and
equipment, said evans. in northern malawi, an area visited as part of
the review, heavily pregnant women camped outside health facilities for
up to a month before giving birth.
“they are waiting because they are not sure where they are in their
pregnancy cycle because of the lack of ultrasound equipment and the
lack of effective dating of pregnancies,” she said. “they don’t know
how close to their due dates they are and because they are fearful of
giving birth in a situation where there may not be a skilled attendant
they wait outside facilities, sometimes for up to a month, sometimes in
makeshift accommodation.”
uk aid programmes had fallen short of targets to improve emergency
obstetric and neonatal care, according to the review.
dfid had promised to prioritise the poorest 40% of women, as well as
girls aged between 15 and 19 years. but icai found that few programmes
included specific measures to reach these groups, nor did the
department monitor whether its programmes were reaching teenage girls.
it also failed to include measures that would tackle discrimination and
abuse of women in health facilities.
sean roberts, policy and campaigns officer at health poverty action,
said uk aid must be better targeted at the most vulnerable groups.
“indigenous women die far more often in childbirth than other women,”
he said. “if dfid wants to meet its commitment to leave no one behind
it must implement a robust action plan to address the maternal health
of indigenous women and other excluded groups.”
while uk aid had improved access to family planning for millions of
women, in malawi such programmes were delivered through non-state
providers. such partnerships allowed funding to quickly reach large
numbers of people, but risked displacing public sector services, said
evans.
“you have this problem of sustainability,” she said. “the public sector
is not able to gear itself up to provide a similar level of outreach.”
the review team visited a sample of programmes in malawi and the
democratic republic of the congo, as well as analysing published
literature, dfid policy documents and conducting interviews with
experts.
icai warned that health facilities struggled to ensure a reliable
supply of contraceptives. it added that dfid had championed
reproductive rights at the international level, but done less work to
encourage legal, policy and cultural change in partner countries.
dfid said in a statement that the uk is a global leader in promoting
reproductive health, and added that the review was not representative
of all the department’s work.
“we welcome icai’s acknowledgement that uk aid is helping women around
the world access the life-saving services they need, but it is
disappointing the report has made some generalisations from a selected
portion of our programming and also does not fully reflect the full
impact of our work, especially in recent years,” the statement said.
topics
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* what is mental health?
what is mental health?
it’s an expression we use every day, so it might surprise you that the
term ‘mental health’ is frequently misunderstood.
‘mental health’ is often used as a substitute for mental health
conditions – such as depression, anxiety conditions, schizophrenia, and
others.
according to the world health organization, however, mental health
is “a state of well-being in which every individual realises his or her
own potential, can cope with the normal stresses of life, can work
productively and fruitfully, and is able to make a contribution to her
or his community.”
so rather than being about ‘what’s the problem?’ it’s really about
‘what’s going well?'
''mental health is about wellness rather than illness''
to make things a bit clearer, some experts have tried coming up with
different terms to explain the difference between ‘mental health’ and
‘mental health conditions’. phrases such as ‘good mental health’,
‘positive mental health’, ‘mental wellbeing’, ‘subjective wellbeing’
and even ‘happiness’ have been proposed by various people to emphasise
that mental health is about wellness rather than illness. while some
say this has been helpful, others argue that using more words to
describe the same thing just adds to the confusion.
as a result, others have tried to explain the difference by talking
about a continuum where mental health is at one end of the spectrum –
represented by feeling good and functioning well – while mental health
conditions (or mental illness) are at the other – represented by
symptoms that affect people’s thoughts, feelings or behaviour.
the benefits of staying well
research shows that high levels of mental health are associated with
increased learning, creativity and productivity, more pro-social
behaviour and positive social relationships, and with improved physical
health and life expectancy. in contrast, mental health conditions can
cause distress, impact on day-to-day functioning and relationships, and
are associated with poor physical health and premature death from
suicide.
but it’s important to remember that mental health is complex. the fact
that someone is not experiencing a mental health condition doesn’t
necessarily mean their mental health is flourishing. likewise, it’s
possible to be diagnosed with a mental health condition while feeling
well in many aspects of life.
ultimately, mental health is about being cognitively, emotionally and
socially healthy – the way we think, feel and develop relationships -
and not merely the absence of a mental health condition.
beyond blue's vision is that everyone achieves their best possible mental
health
while beyond blue's primary focus is on the needs of people affected by
depression, anxiety and suicide, we also believe that a better
understanding of what we mean by mental health and how to achieve it
will help everyone in australia reach their full potential. this will
also contribute to the prevention of mental health conditions, and
support people who have experienced these conditions to get as well as
they can and lead full and contributing lives.
having social connections, good personal relationships and being part
of a community are vital to maintaining good mental health and
contribute to people's recovery, should they become unwell.
however, if you feel that you may be affected by depression or
anxiety remember they are treatable conditions and effective
treatments are available. the earlier you seek support, the better.
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home information & support types of mental health problems
types of mental health problems
if you’ve been diagnosed with a mental health problem you might be
looking for information on your diagnosis, treatment options and where
to go for support. our information pages will help you learn more.
filter by
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[ ] types of depression (3)
[ ] stress and anxiety (6)
[ ] sleep (1)
[ ] suicide and self-harm (2)
[ ] eating and body image (2)
[ ] types of personality disorder (2)
[ ] mania, bipolar (2)
[ ] psychosis, hearing voices and schizophrenia (5)
[ ] other (9)
anger
explains what anger is, and how to deal with it in a constructive and
healthy way.
anxiety and panic attacks
explains anxiety and panic attacks, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
bipolar disorder
explains what bipolar disorder is, what kinds of treatment are
available, and how you can help yourself cope. also provides guidance
on what friends and family can do to help.
body dysmorphic disorder (bdd)
explains body dysmorphic disorder, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
borderline personality disorder (bpd)
explains what bpd is and what it’s like to live with this diagnosis.
also provides information about self-care, treatment and recovery, and
gives guidance on how friends and family can help.
depression
explains depression, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
dissociation and dissociative disorders
explains dissociative disorders, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
and guidance for friends and family.
drugs - recreational drugs & alcohol
explains the mental health effects of recreational drugs and alcohol,
and what might happen if you use recreational drugs and also have a
mental health problem. includes suggestions for where you might find
support.
eating problems
explains eating problems, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
hearing voices
explains what it is like to hear voices, where to go for help if you
need it, and what others can do to support someone who is struggling
with hearing voices.
hoarding
explains hoarding, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
hypomania and mania
explains hypomania and mania, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
loneliness
explains loneliness, giving practical suggestions for what you can do
and where you can go for support.
mental health problems - introduction
explains what mental health problems are, what may cause them, and the
many different kinds of help, treatment and support that are available.
also provides guidance on where to find more information, and tips for
friends and family.
obsessive-compulsive disorder (ocd)
explains obsessive-compulsive disorder (ocd), including possible causes
and how you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
panic attacks
explains what panic attacks are, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
and guidance for friends and family.
paranoia
explains paranoia, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
personality disorders
explains personality disorders, including possible causes and how you
can access treatment and support.
phobias
explains phobias, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
postnatal depression & perinatal mental health
explains postnatal depression and other perinatal mental health issues,
including possible causes, sources of treatment and support. also gives
advice for friends and family.
post-traumatic stress disorder (ptsd)
explains what post-traumatic stress disorder (ptsd) and complex ptsd
are, and provides information on how you can access treatment and
support. includes self-care tips and guidance for friends and family.
premenstrual dysphoric disorder (pmdd)
explains what pmdd is and explores issues around getting a diagnosis.
also provides information on self care and treatment options, and how
friends and family can help.
psychosis
explains what psychosis is, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
schizoaffective disorder
explains what schizoaffective disorder is, including its symptoms and
causes. gives advice on how you can help yourself and what types of
treatment and support are available, as well as guidance for friends
and family.
schizophrenia
explains schizophrenia, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
seasonal affective disorder (sad)
explains seasonal affective disorder, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
self-esteem
explains how to increase your self-esteem, giving practical suggestions
for what you can do and where you can go for support.
self-harm
explains self-harm, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
sleep problems
explains insomnia and other sleep problems, giving practical
suggestions for what you can do and where you can go for support.
stress
explains what stress is, what might cause it and how it can affect you.
includes information about ways you can help yourself and how to get
support.
suicidal feelings
explains what suicidal feelings are, including possible causes and how
you can learn to cope.
tardive dyskinesia
explains what tardive dyskinesia is, what causes it and what you can do
to manage it.
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mental illness basics
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if you have, or believe you may have, mental health problem, it can be
helpful to talk about these issues with others. it can be scary to
reach out for help, but it is often the first step to helping you heal,
grow, and recover.
having a good support system and engaging with trustworthy people are
key elements to successfully talking about your own mental health.
build your support system
find someone—such as a parent, family member, teacher, faith leader,
health care provider or other trusted individual, who:
* gives good advice when you want and ask for it; assists you in
taking action that will help
* likes, respects, and trusts you and who you like, respect, and
trust, too
* allows you the space to change, grow, make decisions, and even make
mistakes
* listens to you and shares with you, both the good and bad times
* respects your need for confidentiality so you can tell him or her
anything
* lets you freely express your feelings and emotions without judging,
teasing, or criticizing
* works with you to figure out what to do the next time a difficult
situation comes up
* has your best interest in mind
find a peer group
find a group of people with mental health problems similar to yours.
peer support relationships can positively affect individual recovery
because:
* people who have common life experiences have a unique ability to
help each other based on a shared history and a deep understanding
that may go beyond what exists in other relationships
* people offer their experiences, strengths, and hopes to peers,
which allows for natural evolution of personal growth, wellness
promotion, and recovery
* peers can be very supportive since they have “been there” and serve
as living examples that individuals can and do recover from mental
health problems
* peers also serve as advocates and support others who may experience
discrimination and prejudice
you may want to start or join a self-help or peer support group.
national organizations across the country have peer support networks
and peer advocates. find an organization that can help you connect with
peer groups and other peer support.
participate in your treatment decisions
it’s also important for you to be educated, informed, and engaged about
your own mental health.
* find out as much as you can about mental health wellness and
information specific to your diagnosed mental health problem.
* play an active role in your own treatment.
get involved in your treatment through shared decision making.
participate fully with your mental health provider and make informed
treatment decisions together. participating fully in shared decision
making includes:
* recognizing a decision needs to be made
* identifying partners in the process as equals
* stating options as equal
* exploring understanding and expectations
* identifying preferences
* negotiating options/concordance
* sharing decisions
* arranging follow-up to evaluate decision-making outcomes
learn more about shared decision making.
develop a recovery plan
recovery is a process of change where individuals improve their health
and wellness, live a self-directed life, and strive to reach their full
potential. studies show that most people with mental health problems
get better, and many recover completely.
you may want to develop a written recovery plan. recovery plans:
* enable you to identify goals for achieving wellness
* specify what you can do to reach those goals
* can be daily activities as well as longer term goals
* track your mental health problem
* identify triggers or other stressful events that can make you feel
worse, and help you learn how to manage them
you can develop these plans with family members and other supporters.
learn more about recovery.
last updated: 07/11/2017
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good mental health is related to mental and psychological well-being.
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home » your-mental-health » about-mental-health » what are mental
health problems?
what are mental health problems?
what are mental health problems?
mental health problems range from the worries we all experience as part
of everyday life to serious long-term conditions. the majority of
people who experience mental health problems can get over them or learn
to live with them, especially if they get help early on.
mental health problems are usually defined and classified to enable
professionals to refer people for appropriate care and treatment. but
some diagnoses are controversial and there is much concern in the
mental health field that people are too often treated according to or
described by their label. this can have a profound effect on their
quality of life. nevertheless, diagnoses remain the most usual way of
dividing and classifying symptoms into groups.
find out about various mental health problems in our a-z guide
symptoms
most mental health symptoms have traditionally been divided into groups
called either ‘neurotic’ or ‘psychotic’ symptoms. ‘neurotic’ covers
those symptoms which can be regarded as severe forms of ‘normal’
emotional experiences such as depression, anxiety or panic. conditions
formerly referred to as ‘neuroses’ are now more frequently called
‘common mental health problems.’
less common are ‘psychotic’ symptoms, which interfere with a person’s
perception of reality, and may include hallucinations such as seeing,
hearing, smelling or feeling things that no one else can. mental health
problems affect the way you think, feel and behave. they are problems
that can be diagnosed by a doctor, not personal weaknesses.
mental health problems are very common
as found by the apms (2014), 1 in 6 people in the past week experienced
a common mental health problem.
anxiety and depression are the most common problems, with around 1 in
10 people affected at any one time.
how do mental health problems affect people?
anxiety and depression can be severe and long-lasting and have a big
impact on people’s ability to get on with life.
between one and two in every 100 people experience a severe mental
illness, such as bi-polar disorder or schizophrenia, and have periods
when they lose touch with reality. people affected may hear voices, see
things no one else sees, hold unusual or irrational beliefs, feel
unrealistically powerful, or read particular meanings into everyday
events.
although certain symptoms are common in specific mental health
problems, no two people behave in exactly the same way when they are
unwell.
many people who live with a mental health problem or are developing one
try to keep their feelings hidden because they are afraid of other
people’s reactions. and many people feel troubled without having a
diagnosed, or diagnosable, mental health problem - although that
doesn’t mean they aren’t struggling to cope with daily life.
see our a-z guide for a look at all aspects of mental health
do you need urgent help?
if your mental or emotional state quickly gets worse, or you're worried
about someone you know - help is available.
you're not alone; talk to someone you trust. sharing a problem is often
the first step to recovery.
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mental health problem symptoms, causes and effects
mental health problems can cover a broad range of disorders, but the
common characteristic is that they all affect the affected person’s
personality, thought processes or social interactions. they can be
difficult to clearly diagnose, unlike physical illnesses. according to
data from samhsa, 20 percent of people in america suffer from a form of
mental disorder, and 5 percent suffer from a disorder severe enough to
affect school, work, or other aspects of daily life. if you think that
you or someone you know has a mental disorder, call us today at .
what are the types of mental health disorders?
mental health disorders occur in a variety of forms, and symptoms can
overlap, making disorders hard to diagnoses. however, there are some
common disorders that affect people of all ages.
attention deficit hyperactivity disorder (adhd)
attention deficit hyperactivity disorder is characterized by an
inability to remain focused on task, impulsive behavior, and excessive
activity or an inability to sit still. although this disorder is most
commonly diagnosed in children, it can occur in adults as well.
anxiety/panic disorder
anxiety disorder is defined by intermittent and repeated attacks of
intense fear of something bad happening or a sense of impending doom.
bipolar disorder
bipolar disorder causes a periodic cycling of emotional states between
manic and depressive phases. manic phases contain periods of extreme
activity and heightened emotions, whereas depressive phases are
characterized by lethargy and sadness. the cycles do not tend to occur
instantly.
depression
depression covers a wide range of conditions, typically defined by a
persistent bad mood and lack of interest in pursuing daily life, as
well as bouts of lethargy and fatigue. dysthymia is a milder but
longer-lasting form of depression.
schizophrenia
schizophrenia is not, as commonly thought, solely about hearing voices
or having multiple personalities. instead, it is defined by a lack of
ability to distinguish reality. schizophrenia can cause paranoia and
belief in elaborate conspiracies.
what causes a mental health disorder?
there is no single cause for mental health disorders; instead, they can
be caused by a mixture of biological, psychological and environmental
factors. people who have a family history of mental health disorders
may be more prone to developing one at some point. changes in brain
chemistry from substance abuse or changes in diet can also cause mental
disorders. psychological factors and environmental factors such as
upbringing and social exposure can form the foundations for harmful
thought patterns associated with mental disorders. only a certified
mental health professional can provide an accurate diagnosis of the
causes of a given disorder.
what are the signs of a mental health disorder?
mental health disorders exist in broad categories: anxiety disorders,
mood disorders, psychotic disorders, personality disorders and impulse
control disorders. if someone you know experiences erratic thought
patterns, unexplained changes in mood, lack of interest in socializing,
lack of empathy, inability to tell the difference between reality and
fantasy, or a seeming lack of control, that person may have a mental
health disorder. this is, by no means, a complete list of symptoms.
emotional symptoms of mental health problems
mental health problems can cause a wide variety of emotional symptoms,
some of which include:
* changes in mood
* erratic thinking
* chronic anxiety
* exaggerated sense of self-worth
* impulsive actions
physical symptoms of mental health problems
mental health problems typically do not cause physical symptoms in and
of themselves. depression, however, can indirectly cause weight loss,
fatigue and loss of libido, among others. eating disorders, a separate
class of mental health disorders, can cause malnutrition, weight loss,
amenorrhea in women, or electrolyte imbalances caused by self-induced
vomiting. this makes eating disorders among the most deadly of mental
health disorders.
short-term and long-term effects of mental health instability
in the short-term, mental health problems can cause people to be
alienated from their peers because of perceived unattractive
personality traits or behaviors. they can also cause anger, fear,
sadness and feelings of helplessness if the person does not know or
understand what is happening. in the long-term, mental health disorders
can drive a person to commit suicide. according to the national
institute for mental health, over 90 percent of suicides have
depression or another mental disorder as factors.
is there a test or self-assessment i can do?
it is hard, bordering on impossible, to accurately diagnose yourself
for mental disorders with an online questionnaire. you do not have an
objective view of yourself and are bound to answer questions
inaccurately. also, online tests are not comprehensive, so they do not
check for all possible symptoms. only a face-to-face session with a
qualified mental health professional can begin to diagnose a mental
health disorder with any degree of accuracy, because that professional
has an outside viewpoint and can pick up on subtle cues.
medication: drug options for mental health issues
fortunately, prescription drugs can be used to treat mental health
disorders in conjunction with behavioral therapy or cognitive therapy.
antidepressants, mood stabilizers, and antipsychotics are the broad
types of medication prescribed to treat mental illness.
mental health drugs: possible options
depending on the disorder, different medications will be prescribed.
antidepressants such as paxil, zoloft, prozac, and a variety of ssris,
snris and maois can be used to treat depression. mood stabilizers such
as lithium tablets are used to treat bipolar disorder, as are
anticonvulsants like depakote. antipsychotics like olanzapine or
clozapine are used to treat schizophrenia or psychotic depression.
medication side effects
some of the side effects of mental health medication include nausea,
headache, changes in appetite, dry mouth, increased urination, change
in libido, irritability, blurred vision and drowsiness. other side
effects can occur; each person’s body and brain chemistry is unique,
and it is impossible to predict with certainty how a given medication
will affect you or how well it will work. people who are prescribed
these medications should regularly communicate with their doctors and
notify them of any side effects.
drug addiction, dependence and withdrawal
some mental health medications are known to cause physical and
psychological dependency due to their changes in brain chemistry. over
time, dependency can become an addiction if the person isn’t careful.
the withdrawal process can exacerbate the original mental illness
because of the brain’s sudden loss of some chemicals such as serotonin,
dopamine, and other endorphins. in severe cases, the person may need to
be placed in a drug rehab facility to detox from prescription
medication.
medication overdose
it is possible to overdose on medication in an effort to get the same
effects as initially received, and this is more common when users are
dependent on medications. some signs of overdose can include seizure,
coma, slowed heartbeat, or extreme paranoia. if these signs are
present, immediately call 911 or your local poison control center and
have the prescription on hand if possible.
depression and mental health
depression often coexists with other mental disorders, or certain
disorders may have caused depression in the first place. for example,
40 percent of people with post-traumatic stress disorder also have
depression.
dual diagnosis: addiction and mental health disorders
in drug rehab facilities, counselors are usually trained to identify
dual diagnosis issues. this is because addiction is itself a type of
mental health disorder, or the addiction can be the symptom of some
other disorder. people may, for instance, turn to recreational drugs to
combat depression or to help stabilize mood swings associated with
bipolar disorder.
getting help for a mental health issue
it’s important that you or your loved one should seek help to treat
mental health issue. first, a physical checkup can rule out physical
illnesses. an appointment with a mental health professional will
usually include an interview and subsequent evaluation to determine the
most obvious symptoms and to ascertain the type and severity of mental
disorder. in certain cases, an intervention may be required from family
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mental illness and the family: recognizing warning signs and how to cope
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mental illness and the family: recognizing warning signs and how to cope
most people believe that mental health conditions are rare and “happen
to someone else." in fact, mental health conditions are common and
widespread. an estimated 44 million americans suffer from some form of
mental disorder in a given year.
most families are not prepared to cope with learning their loved one
has a mental illness. it can be physically and emotionally trying, and
can make us feel vulnerable to the opinions and judgments of others.
if you think you or someone you know may have a mental or emotional
problem, it is important to remember there is hope and help.
what is mental illness?
mental illnesses are brain-based conditions that affect thinking,
emotions, and behaviors. since we all have brains – having some kind of
mental health problem during your life is really common.
for people who have mental illnesses, their brains have changed in a
way in which they are unable to think, feel, or act in ways they want
to. for some, this means experiencing extreme and unexpected changes in
mood – like feeling more sad or worried than normal. for others, it
means not being able to think clearly, not being able to communicate
with someone who is talking to them, or having bizarre thoughts to help
explain weird feelings they are having.
there are more than 200 classified forms of mental illness. some of the
more common disorders are depression, bipolar disorder, dementia,
schizophrenia and anxiety disorders. symptoms may include changes in
mood, personality, personal habits and/or social withdrawal.
mental health problems may be related to excessive stress due to a
particular situation or series of events. as with cancer, diabetes and
heart disease, mental illnesses are often physical as well as emotional
and psychological. mental illnesses may be caused by a reaction to
environmental stresses, genetic factors, biochemical imbalances, or a
combination of these. with proper care and treatment many individuals
learn to cope or recover from a mental illness or emotional disorder.
to hear personal descriptions of mental illness, visit feelslike.
warning signs and symptoms
to learn more about symptoms that are specific to a particular mental
illness, search under mental health information.the following are signs
that your loved one may want to speak to a medical or mental health
professional.
it is especially important to pay attention to sudden changes in
thoughts and behaviors. also keep in mind that the onset of several of
the symptoms below, and not just any one change, indicates a problem
that should be assessed. the symptoms below should not be due to recent
substance use or another medical condition.
if you or someone you know is in crisis now, seek help immediately.
call 1-800-273-talk (8255) to reach a 24 hour crisis center or dial 911
for immediate assistance.
in adults, young adults and adolescents:
* confused thinking
* prolonged depression (sadness or irritability)
* feelings of extreme highs and lows
* excessive fears, worries and anxieties
* social withdrawal
* dramatic changes in eating or sleeping habits
* strong feelings of anger
* strange thoughts (delusions)
* seeing or hearing things that aren't there (hallucinations)
* growing inability to cope with daily problems and activities
* suicidal thoughts
* numerous unexplained physical ailments
* substance use
in older children and pre-adolescents:
* substance use
* inability to cope with problems and daily activities
* changes in sleeping and/or eating habits
* excessive complaints of physical ailments
* changes in ability to manage responsibilities - at home and/or at
school
* defiance of authority, truancy, theft, and/or vandalism
* intense fear
* prolonged negative mood, often accompanied by poor appetite or
thoughts of death
* frequent outbursts of anger
in younger children:
* changes in school performance
* poor grades despite strong efforts
* changes in sleeping and/or eating habits
* excessive worry or anxiety (i.e. refusing to go to bed or school)
* hyperactivity
* persistent nightmares
* persistent disobedience or aggression
* frequent temper tantrums
how to cope day-to-day
accept your feelings
despite the different symptoms and types of mental illnesses, many
families who have a loved one with mental illness, share similar
experiences. you may find yourself denying the warning signs, worrying
what other people will think because of the stigma, or wondering what
caused your loved one to become ill. accept that these feelings are
normal and common among families going through similar situations. find
out all you can about your loved one’s conditionby reading and talking
with mental health professionals. share what you have learned with
others.
__________________________________________________________________
handling unusual behavior
the outward signs of a mental illness are often behavioral.a person may
be extremely quiet or withdrawn. conversely, they may burst into tears,
have great anxiety or have outbursts of anger.
even after treatment has started, someindividuals with a mental illness
can exhibit anti-social behaviors. when in public, these behaviors can
be disruptive and difficult to accept. the next time you and your
family member visit your doctor or mental health professional, discuss
these behaviors and develop a strategy for coping.
the individual's behavior may be as dismaying to them as it is to you.
ask questions, listen with an open mind and be there to support them.
__________________________________________________________________
establishing a support network
whenever possible, seek support from friends and family members. if you
feel you cannot discuss your situation with friends or other family
members, find a self-help or support group. these groups provide an
opportunity for you to talk to other people who are experiencing the
same type of problems. they can listen and offer valuable advice.
__________________________________________________________________
seeking counseling
therapy can be beneficial for both the individual with mental illness
and other family members. a mental health professional can suggest ways
to cope and better understand your loved one’s illness.
when looking for a therapist, be patient and talk to a few
professionals so you can choose the person that is right for you and
your family. it may take time until you are comfortable, but in the
long run you will be glad you sought help.
__________________________________________________________________
taking time out
it is common for the person with the mental illness to become the focus
of family life. when this happens, other members of the family may feel
ignored or resentful. some may find it difficult to pursue their own
interests.
if you are the caregiver,youneed some time for yourself. schedule time
awayto preventbecoming frustrated or angry. if you schedule time for
yourself it will help you to keep things in perspective and you may
have more patience and compassion for coping or helping your loved
one.being physically and emotionally healthy helps you to help others.
“many families who have a loved one with mental illness share similar
experiences”
it is important to remember that there is hope for recovery and that
with treatment many people with mental illness return to a productive
and fulfilling life.
__________________________________________________________________
other resources
mental illness in the family: part 1 recognizing the warning signs &
how to copeis one in a series of pamphlets on helping family members
with mental illness. other mental health america titles include:
* mental illness in the family: part ii guidelines for seeking care
* mental illness in the family: part iii guidelines for
hospitalization
mental health america offers additional pamphlets on a variety of
mental health topics. for more information or to order multiple copies
of pamphlets, please contact mental health america
external resources
find a local mha affiliate
substance abuse and mental health services administration (samhsa)
phone 800-789-2647
national institute of mental health (nimh)
information resources and inquiries branch
phone 301-443-4513
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nanotechnology-based health products and food
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health
health
no-deal brexit 'still risk to nhs and care sector'
by nick triggle health correspondent
* 27 september 2019
* comments
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related topics
* brexit
pharmacist with drugs image copyright getty images
a no-deal brexit presents risks to the nhs and care homes despite
extensive government planning, a watchdog says.
the national audit office praised the government for the "enormous
amount of work" that had been done but said there were still
"significant" gaps.
the extra shipping capacity government was buying to bring medicines
into ports other than dover may not be completely ready by 31 october.
and there was no clear evidence the care sector was ready, the nao
said.
the report raises concerns the sector has not received enough
government support.
* uk plans £3m no-deal medicine transport
* uk seeks new no-deal brexit freight plan
the government has arranged the stockpiling of supplies for the nhs.
but for the care sector, which is fragmented in that it relies on
24,000 companies to provide services, no central arrangement has been
made to stockpile equipment and supplies, such as syringes and needles,
most of which come from or via the eu.
when it comes to medicines, however, the supply of which has been
organised for both the nhs and care sectors, the report acknowledges
the work that has been done.
this includes stockpiling six weeks' supply of drugs and arranging for
emergency supplies to be fast-tracked in - some drugs, including cancer
treatments, have a short shelf-life and so cannot be stockpiled.
but the report says it is still not known exactly what level of
stockpiling is in place.
more than 12,000 medicines are used by the nhs, and about 7,000 come
from or via the eu.
image copyright getty images
the publication of the report comes after mps attempted to block the
government leaving the eu without a withdrawal agreement.
legislation has been passed requiring the government to ask for an
extension if a deal cannot be agreed.
labour mp meg hillier, who chairs the cross-party public accounts
committee, said the report was "deeply concerning".
"i've seen countless examples of deadlines missed and government
failing," she said.
"if government gets this wrong, it could have the gravest of
consequences."
dr layla mccay, of the nhs confederation, which represents managers,
said the planning had been detailed but the situation was still
concerning.
she also warned it was the "unknowns and unknowables" that perhaps
presented the biggest risk.
a department of health and social care spokesman said: "we want to
reassure patients we are doing everything we can."
he said the government along with industry had "mounted an
unprecedented response in preparing for brexit" with stockpiles
"increasing by the day".
__________________________________________________________________
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more on this story
* uk plans £3m no-deal medicine transport
7 july 2019
* uk seeks new no-deal brexit freight plan
29 june 2019
* government pays eurotunnel £33m over brexit ferry case
1 march 2019
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posted frifriday 27 decdecember 2019 at 10:01pm / updated frifriday 27
decdecember 2019 at 11:21pm
a plate of unappetising mashed potato and baked beans. a plate of
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julia was told she might have a brain tumour — but the mri scan was her real
fear
by the specialist reporting team's alison branley
for people with serious illnesses who need an mri, the scan can
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posted frifriday 27 decdecember 2019 at 6:47pm / updated frifriday 27
decdecember 2019 at 10:16pm
julia robertson with a scan julia robertson with a scan
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mental health still the number one reason people visit their gp, report finds
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abc health & wellbeing
by health reporter olivia willis
close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
(getty images: hero images)
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close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
getty images: hero images
(button) close
mental health issues are driving australians to visit their gp more
than any other health concern.
key points
key points
* report finds psychological issues most common problem gps treat,
second year in a row
* gp body says longer consultation times are needed to adequately
treat complex illness
* government developing 10-year primary care plan to improve medicare
delivery
but gps say they're struggling to keep up with demand because mental
healthcare is complex and often requires more time than a standard
consultation allows.
a survey of 1,200 gps published today by the royal australian college
of general practitioners (racgp) found two in three doctors reported
"psychological issues" as the most common ailment they now treated.
"if you think about where you can go if you've got a mental health
issue, there are very few places," said harry nespolon, president of
the racgp.
dr nespolon said the shift from institutional to community-based care
for mental health patients, as well as a waning reliance on religious
institutions for pastoral care, has led to more australians using gp
services for psychological support.
"[gps see] everything from relationship problems all the way through to
people with severe schizophrenia," he said.
"if you do come into a crisis … often a gp is a trusted person that's
been taking care of you for 10 or 15 years."
bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
(health of the nation 2019)
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bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
health of the nation 2019
(button) close
but dr nespolon said the current medicare structure favoured shorter
consultations for straightforward health conditions, and undervalued
longer consultations required for complex issues.
"at the moment, there's really only one [medicare] item number for
mental health issues, which is a 20-minute consultation," he said.
"in other words, you can sort out all mental health issues in 20
minutes — which we all know is not true."
without longer subsidised consultations, dr nespolon said many gps were
being forced to cram patients with complex needs into short
appointments, charge patients for more time, or wear the out-of-pocket
cost themselves.
"we want to see the government provide financial support for dealing
with these complex cases," he said.
the health of the nation report found out-of-pocket costs to see the gp
were rising, and for the first time, all areas outside major cities had
seen a decline in bulk billing.
"this has a major effect on the 7 million australians who live in
regional, rural and remote areas," dr nespolon said.
"the growing gap between the cost of providing care and the medicare
rebate will have a devastating impact on the sustainability and
accessibility of general practice."
rebates explained
quick explanation of rebates
* the medicare benefits schedule (mbs) is a list of medical services
for which the australian government provides a medicare rebate.
* each mbs item has its own scheduled fee — this is the amount the
government considers appropriate for a particular service (e.g.
getting a blood test or seeing a psychologist).
* rebates are typically paid as a percentage of the medicare
scheduled fee. in the case of gp consultations, the rebate is 100
per cent of the schedule fee.
* this means that bulk-billing gps agree to charge patients the
medicare schedule fee ($37.60 for a standard appointment) and are
directly reimbursed by the government, and there is no cost to the
patient.
* gps who don't bulk bill charge a fee higher than the medicare
schedule fee, meaning patients must pay the difference between the
schedule fee and the doctor's fee — out of their own pocket.
* for example, if your doctor charges $75 for a standard
consultation, you'll pay $75 and receive a rebate of $37.60 —
leaving you $37.40 worse off.
longer consultations needed for complex care
in australia, a standard physical consultation of 20-40 minutes with a
gp attracts a rebate of $73.95. that increases once the consultation
exceeds 40 minutes.
by comparison, any gp mental health consultation longer than 20 minutes
— excluding appointments to prepare or review mental health treatment
plans — attracts a rebate of $72.85.
dr nespolon said there needs to be recognition in the medicare rebate
schedule that dealing with mental health issues and other complex
health conditions takes time.
"we know that people with mental health issues tend to have many more
physical problems … so the gp is there dealing with all the patient's
issues, not just their mental health issue," he said.
"we've been pushing for 40- and 60-minute [mental health] item numbers,
so people get the time, and gps are not acting as a charity when it
comes to dealing with mental health issues."
in july, the federal government ended a freeze on the medicare rebate
for gp visits as part of a $1.1 billion primary healthcare plan. the
move was designed to close the gap on rising out-of-pocket medical
costs.
but dr nespolon said even with the lifting of the medicare freeze,
rebates still failed to reflect the true cost of delivering services.
"gps are small businesses. they need to pay staff, pay their leases or
mortgages, and [these] go up at much higher rates than the percentage
increase that the government provides," he said.
"like any small business, you've got a choice. you either recover your
costs or you go broke. and that's exactly what we're seeing happening
at the moment."
the growing gap between the cost of providing care and the medicare
rebate was reflected in rising out-of-pocket costs, he said.
in 2018-19, the average out-of-pocket cost for a gp service was $38.46
— a gap that's risen roughly $7 in five years.
out-pocket-costs varied across australia, with patients in the northern
territory, act, remote and very remote areas experiencing significantly
higher costs.
how mental health plans work
how mental health plans work
if you're living with a diagnosable mental illness, you are entitled to
receive a medicare rebate.
bulk billing rates predicted to decline
the report also found bulk billing was not as common as medicare
statistics — or the federal health minister greg hunt — have previously
suggested.
"medicare statistics indicate that 86.2 per cent of general practice
services were bulk billed in 2018-19," the report states.
"while this figure provides an indication of total bulk-billed services
in australia over this period, it does not represent the number of
patients who are bulk billed, nor does it represent the number of
patients who are bulk billed for all of their general practice care."
since patients may receive a number of services during a single visit
to a gp, with some services bulk billed and others not, the proportion
of people who face zero out-of-pocket costs for care is much lower than
the rate of services overall.
"in 2016-17, while 86 per cent of gp services were bulk billed,
nationally only 66 per cent of patients had all of their gp services
bulk billed."
although the number of gp services being bulk billed has increased in
the last four years, the racgp predicts bulk-billing rates will decline
from 2020, as the rate of increase continues to slow.
in 2019, just 18 per cent of gps reported bulk billing all of their
patients, down from 29 per cent in 2017.
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improving mental health for gps, too
in addition to access to mental health for the general public, dr
nespolon said the mental health of gps also deserved close attention.
"research shows that doctors experience higher levels of mental
distress than the general population. yet four in ten gps report that
they have personally delayed seeking treatment or care in the past two
years," he said.
part of this could be attributed to time constraints, he said, but also
to mandatory reporting laws, which posed a "significant deterrent" to
doctors seeking care.
"with the exception of western australia, all of australia's states and
territories require doctors to report their colleagues if they believe
patient safety is at risk and this includes if a colleague has sought
their help as a patient," he said.
"we believe that doctors should be exempt from mandatory reporting so
that they feel free to discuss their health issues confidentially ...
so they can continue to provide the best possible care for all
australians."
medicare 'stronger than ever', government says
in a statement to the abc, a spokesperson for the minister for health
said the government had committed $1.6 billion to support doctors and
specialists to strengthen primary care to deliver improved access for
outcomes.
"our goal is to make primary health care more patient focused, more
accessible, and better able to provide preventative health and
management of chronic conditions," they said.
the spokesperson said the government would increase medicare funding by
$6 billion over the next four years, to reach $31 billion of annual
funding in 2022–23.
"we are working with gps, specialists and consumers, including the
racgp, to develop a 10-year primary care plan that supports a more
flexible and innovative medicare, starting with a $448.4 million
investment in a new patient enrolment model for patients over 70 years.
"medicare today is stronger and better protected than it's ever been."
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related articles
* article number one reason why people see their gps? mental health
* article what you need to know when choosing a mental health
professional
* article victorian town in 'crisis mode' as doctor shortage looms
* article greg hunt said fewer patients face costs to see a gp under
the coalition. is he correct?
topics
* health
* mental health
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1. tweeze vs freeze: here's the lowdown on how to get rid of a tick
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in this file photo from march 27, 2015, commander of iran's quds force,
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analysis: here's why the us killing iranian general qassem soleimani is
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the death of qassem soleimani is a watershed moment, even in the long
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5. antimicrobial resistance (amr)
news story
uk to invest in new research against evolving global health threats
the chief medical officer has announced funding for projects to help
beat antimicrobial resistance (amr) and achieve global universal health
coverage.
published 25 september 2019
from:
department of health and social care
a scientist in a laboratory uses a pipette.
image credit: roger harris photography
the funding will include:
* £6.2 million to strengthen existing surveillance systems tracking
amr trends across africa and asia
* £12 million to improve collaborations on health systems research
between low- and middle-income countries and the uk, for example
countries in sub-saharan africa
the chief medical officer, professor dame sally davies, announced the
funding for the projects at the un general assembly.
she warned that the world cannot achieve universal health coverage
without addressing the threat of amr.
universal health coverage is a un ambition, and aims for every person
across the globe to have access to basic healthcare, whatever their
situation.
amr is involved in 700,000 deaths around the world every year, and this
is expected to rise to 10 million deaths a year by 2050. if amr
continues to follow current trends, common infections will become
complex and expensive to treat, affecting tens of millions of people.
achieving universal healthcare coverage also requires rigorous research
to inform health policy and health systems.
professor davies is representing the uk at the un general assembly
high-level meeting on universal health coverage in new york alongside
heads of state, health experts and policy-makers.
she will point to infection prevention and control measures, such as
immunisation, good hygiene and appropriate antibiotic use, as crucial
to achieving both universal healthcare coverage and eliminating the
threat of amr.
the £6.2 million in uk aid investment will come from the fleming
fund. it will help improve amr data quality, collection and sharing
across africa and asia, with the aim of developing policy and action
from that data.
the invitation to apply for a share of £12 million of funding is being
made by the national institute of health research (nihr) global health
research programme. it will enable experts from low- and middle-income
countries and the uk to form partnerships to contribute to universal
health coverage and sustainable development goals.
the fleming fund and nihr global health research funding was first
announced as part of the 2015 spending review.
the un has committed to ensuring all people have access to affordable
healthcare by 2030, and yesterday member states adopted a declaration
recognising that tackling amr and innovative health research is crucial
to this.
chief medical officer for england, professor dame sally davies said:
achieving our common goal of universal health coverage will require
global action on a multitude of fronts, including tackling the
escalating threat of antimicrobial resistance and investing in
research.
i am delighted to announce this funding, which will catalyse
regional collaboration to help strengthen amr surveillance systems
across africa and asia and support the next generation of health
policy and systems research.
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published 25 september 2019
explore the topic
* antimicrobial resistance (amr)
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iframe: https://www.youtube.com/embed/lwdlcbxqtc4
50th anniversary of newborn metabolic screening
stella's story is one of six videos to commemorate the 50th anniversary
of newborn metabolic screening. this screening means metabolic
conditions can be diagnosed and treated before a baby becomes unwell.
view other stories like stella's. find out more about newborn metabolic
screening.
transcript
title: newborn metabolic screening programmestella’s story
[photograph of stella as a baby]
[text on screen of stella’s birthdate] 26 august 2018
[video of stella and her parents sitting on floor inside house]
[photograph of stella as a baby]
tanya - stella’s mother:
had a really healthy pregnancy, had a dream labour and took her home
and she was healthy as, and then when she was eight days old the
midwife turned up.
on the way to our house she’d got a phone call from the specialists at
starship, the immunologists, that said look there’s something, there’s
something wrong.
[text on screen] at 10 days old stella was diagnosed with severe
combined immune deficiency (scid).
dr shannon brothers - paediatric immunologist:
babies with combined immune deficiency (scid) are born without a
functioning immune system. although they appear healthy at birth, they
go on to develop severe, persistent infections and die by a year of
age.
[text on screen over video of stella in hospital] stella had
chemotherapy and a bone marrow transplant when she was four months old.
justin - stella’s father:
the medical side of the thing, watching your kid go through this, it’s
not easy.
[photograph and video of stella in hospital with her parents]
tanya:
luckily at that point my mum was actually up there with us, and so
between the three of us one of us stayed awake and held her every
single hour for that time that she was sick.
[text on screen] she battled a serious infection.
[video of tanya attaching baby bottle with milk to pump and attaching
pump to stella’s feeding tube]
tanya:
because she got ulcers through transplant, she stopped eating, drinking
her milk, and she hasn’t worked that one out yet so we’re still feeding
her through the tube down her nose.
[video of justin following stella as she walks and carrying stella’s
pump]
tanya:
might be easier if you push it.
justin:
it’s a bit of a, bit of a worry if she falls over and hurts herself.
[text on screen] due to her compromised immunity stella has not been
able to interact with people other than her family.
[video of stella walking towards doll being held by her mother]
tanya:
who’s this? is it luna? you going to give her a cuddle?
[video of doll which also has a feeding tube attached to its cheek]
tanya:
we’ve got to get the tube out, teach her how to eat and soon enough
she’ll be like every other kid, you’d never know, yeah.
[video of stella being held by justin while tanya puts stella’s hat and
coat on]
[text on screen] now, stella’s natural immunity is improving.
[video of justin carrying stella outside with tanya, closing door
behind them and justin putting stella in car seat in car]
justin:
it’s nice that we can get to take her out a bit more, nice walking
tracks and some parks where there’s not too many people.
tanya:
it’s your kid’s life. for us if we hadn’t have found out early, we’d be
in a completely different situation now and it’s life or death.
[video of stella walking outside on lawn, being picked up by tanya]
tanya:
and i know you think you’re not going to be that one because everyone
thinks you’re not going to be the one in 100,000 or whatever but screw
the statistics, when it comes down to it, we’re that one.
in our eyes if it wasn’t for the newborn screening, she may not have
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nutrition
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27 health and nutrition tips that are actually evidence-based
written by kris gunnars, bsc on june 7, 2019
it’s easy to get confused when it comes to health and nutrition.
even qualified experts often seem to hold opposing opinions.
yet, despite all the disagreements, a number of wellness tips are well
supported by research.
here are 27 health and nutrition tips that are actually based on good
science.
27 health and nutrition tips share on pinterest
1. don’t drink sugar calories
sugary drinks are among the most fattening items you can put into your
body.
this is because your brain doesn’t measure calories from liquid sugar
the same way it does for solid food (1).
therefore, when you drink soda, you end up eating more total calories
(2, 3).
sugary drinks are strongly associated with obesity, type 2 diabetes,
heart disease, and many other health problems (4, 5, 6, 7).
keep in mind that certain fruit juices may be almost as bad as soda in
this regard, as they sometimes contain just as much sugar. their small
amounts of antioxidants do not negate the sugar’s harmful effects (8).
2. eat nuts
despite being high in fat, nuts are incredibly nutritious and healthy.
they’re loaded with magnesium, vitamin e, fiber, and various other
nutrients (9).
studies demonstrate that nuts can help you lose weight and may help
fight type 2 diabetes and heart disease (10, 11, 12).
additionally, your body doesn’t absorb 10–15% of the calories in nuts.
some evidence also suggests that this food can boost metabolism (13).
in one study, almonds were shown to increase weight loss by 62%,
compared with complex carbs (14).
3. avoid processed junk food (eat real food instead)
processed junk food is incredibly unhealthy.
these foods have been engineered to trigger your pleasure centers, so
they trick your brain into overeating — even promoting food addiction
in some people (15).
they’re usually low in fiber, protein, and micronutrients but high in
unhealthy ingredients like added sugar and refined grains. thus, they
provide mostly empty calories.
4. don’t fear coffee
coffee is very healthy.
it’s high in antioxidants, and studies have linked coffee intake to
longevity and a reduced risk of type 2 diabetes, parkinson’s and
alzheimer’s diseases, and numerous other illnesses (16, 17, 18, 19, 20,
21).
5. eat fatty fish
fish is a great source of high-quality protein and healthy fat.
this is particularly true of fatty fish, such as salmon, which is
loaded with omega-3 fatty acids and various other nutrients (22).
studies show that people who eat the most fish have a lower risk of
several conditions, including heart disease, dementia, and depression
(23, 24, 25).
6. get enough sleep
the importance of getting enough quality sleep cannot be overstated.
poor sleep can drive insulin resistance, disrupt your appetite
hormones, and reduce your physical and mental performance (26, 27, 28,
29).
whatʼs more, poor sleep is one of the strongest individual risk factors
for weight gain and obesity. one study linked insufficient sleep to an
89% and 55% increased risk of obesity in children and adults,
respectively (30).
7. take care of your gut health with probiotics and fiber
the bacteria in your gut, collectively called the gut microbiota, are
incredibly important for overall health.
a disruption in gut bacteria is linked to some of the world’s most
serious chronic diseases, including obesity (31, 32).
good ways to improve gut health include eating probiotic foods like
yogurt and sauerkraut, taking probiotic supplements, and eating plenty
of fiber. notably, fiber functions as fuel for your gut bacteria (33,
34).
8. drink some water, especially before meals
drinking enough water can have numerous benefits.
surprisingly, it can boost the number of calories you burn.
two studies note that it can increase metabolism by 24–30% over 1–1.5
hours. this can amount to 96 additional calories burned if you drink
8.4 cups (2 liters) of water per day (35, 36).
the optimal time to drink it is before meals. one study showed that
downing 2.1 cups (500 ml) of water 30 minutes before each meal
increased weight loss by 44% (37).
9. don’t overcook or burn your meat
meat can be a nutritious and healthy part of your diet. it’s very high
in protein and contains various important nutrients.
however, problems occur when meat is overcooked or burnt. this can lead
to the formation of harmful compounds that raise your risk of cancer
(38).
when you cook meat, make sure not to overcook or burn it.
10. avoid bright lights before sleep
when you’re exposed to bright lights in the evening, it may disrupt
your production of the sleep hormone melatonin (39, 40).
one strategy is to use a pair of amber-tinted glasses that block blue
light from entering your eyes in the evening.
this allows melatonin to be produced as if it were completely dark,
helping you sleep better (41).
11. take vitamin d3 if you don’t get much sun exposure
sunlight is a great source of vitamin d.
yet, most people don’t get enough sun exposure.
in fact, about 41.6% of the u.s. population is deficient in this
critical vitamin (42).
if you’re unable to get adequate sun exposure, vitamin d supplements
are a good alternative.
their benefits include improved bone health, increased strength,
reduced symptoms of depression, and a lower risk of cancer. vitamin d
may also help you live longer (43, 44, 45, 46, 47, 48, 49).
12. eat vegetables and fruits
vegetables and fruits are loaded with prebiotic fiber, vitamins,
minerals, and many antioxidants, some of which have potent biological
effects.
studies show that people who eat the most vegetables and fruits live
longer and have a lower risk of heart disease, type 2 diabetes,
obesity, and other illnesses (50, 51).
13. make sure to eat enough protein
eating enough protein is vital for optimal health.
what’s more, this nutrient is particularly important for weight loss
(52).
high protein intake can boost metabolism significantly while making you
feel full enough to automatically eat fewer calories. it can also
reduce cravings and your desire to snack late at night (53, 54, 55,
56).
sufficient protein intake has also been shown to lower blood sugar and
blood pressure levels (57, 58).
14. do some cardio
doing aerobic exercise, also called cardio, is one of the best things
you can do for your mental and physical health.
it’s particularly effective at reducing belly fat, the harmful type of
fat that builds up around your organs. reduced belly fat should lead to
major improvements in metabolic health (59, 60, 61).
15. don’t smoke or do drugs, and only drink in moderation
if you smoke or abuse drugs, tackle those problems first. diet and
exercise can wait.
if you drink alcohol, do so in moderation and consider avoiding it
completely if you tend to drink too much.
16. use extra virgin olive oil
extra virgin olive oil is one of the healthiest vegetable oils.
it’s loaded with heart-healthy monounsaturated fats and powerful
antioxidants that can fight inflammation (62, 63, 64).
extra virgin olive oil benefits heart health, as people who consume it
have a much lower risk of dying from heart attacks and strokes (65,
66).
17. minimize your sugar intake
added sugar is one of the worst ingredients in the modern diet, as
large amounts can harm your metabolic health (67).
high sugar intake is linked to numerous ailments, including obesity,
type 2 diabetes, heart disease, and many forms of cancer (68, 69, 70,
71, 72).
18. don’t eat a lot of refined carbs
not all carbs are created equal.
refined carbs have been highly processed to remove their fiber. they’re
relatively low in nutrients and can harm your health when eaten in
excess.
studies show that refined carbs are linked to overeating and numerous
metabolic diseases (73, 74, 75, 76, 77).
19. don’t fear saturated fat
saturated fat has been controversial.
while it’s true that saturated fat raises cholesterol levels, it also
raises hdl (good) cholesterol and shrinks your ldl (bad) particles,
which is linked to a lower risk of heart disease (78, 79, 80, 81).
new studies in hundreds of thousands of people have questioned the
association between saturated fat intake and heart disease (82, 83).
20. lift heavy things
lifting weights is one of the best things you can do to strengthen your
muscles and improve your body composition.
it also leads to massive improvements in metabolic health, including
improved insulin sensitivity (84, 85).
the best approach is to lift weights, but doing bodyweight exercises
can be just as effective.
21. avoid artificial trans fats
artificial trans fats are harmful, man-made fats that are strongly
linked to inflammation and heart disease (86, 87, 88, 89).
while trans fats have been largely banned in the united states and
elsewhere, the u.s. ban hasn’t gone fully into effect — and some foods
still contain them.
22. use plenty of herbs and spices
many incredibly healthy herbs and spices exist.
for example, ginger and turmeric both have potent anti-inflammatory and
antioxidant effects, leading to various health benefits (90, 91, 92,
93).
due to their powerful benefits, you should try to include as many herbs
and spices as possible in your diet.
23. take care of your relationships
social relationships are incredibly important not only for your mental
well-being but also your physical health.
studies show that people who have close friends and family are
healthier and live much longer than those who do not (94, 95, 96).
24. track your food intake every now and then
the only way to know exactly how many calories you eat is to weigh your
food and use a nutrition tracker.
it’s also essential to make sure that you’re getting enough protein,
fiber, and micronutrients.
studies reveal that people who track their food intake tend to be more
successful at losing weight and sticking to a healthy diet (97).
25. if you have excess belly fat, get rid of it
belly fat is particularly harmful.
it accumulates around your organs and is strongly linked to metabolic
disease (98, 99).
for this reason, your waist size may be a much stronger marker of your
health than your weight.
cutting carbs and eating more protein and fiber are all excellent ways
to get rid of belly fat (100, 101, 102, 103).
26. don’t go on a diet
diets are notoriously ineffective and rarely work well in the long
term.
in fact, dieting is one of the strongest predictors for future weight
gain (104).
instead of going on a diet, try adopting a healthier lifestyle. focus
on nourishing your body instead of depriving it.
weight loss should follow as you transition to whole, nutritious foods.
27. eat eggs, yolk and all
whole eggs are so nutritious that they’re often termed “nature’s
multivitamin.”
it’s a myth that eggs are bad for you because of their cholesterol
content. studies show that they have no effect on blood cholesterol in
the majority of people (105).
additionally, a massive review in 263,938 people found that egg intake
had no association with heart disease risk (106).
instead, eggs are one of the planet’s most nutritious foods. notably,
the yolk contains almost all of the healthy compounds.
the bottom line
a few simple steps can go a long way toward improving your diet and
wellness.
still, if you’re trying to live a healthier life, don’t just focus on
the foods you eat. exercise, sleep, and social relationships are also
important.
with the tips above, it’s easy to get your body feeling great every
day.
written by kris gunnars, bsc on june 7, 2019
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women's health tips for heart, mind, and body
by kara mayer robinson
from the webmd archives
looking for the path toward a healthier you? it's not hard to find. the
journey begins with some simple tweaks to your lifestyle. the right
diet, exercise, and stress-relief plan all play a big role.
follow a heart-healthy diet
there's an easy recipe if your goal is to keep away problems like heart
disease and strokes.
* eat more fruits and veggies.
* choose whole grains. try brown rice instead of white. switch to
whole wheat pasta.
* choose lean proteins like poultry, fish, beans, and legumes.
* cut down on processed foods, sugar, salt, and saturated fat.
when eating healthy, flexibility often works best, says joyce meng, md,
assistant professor at the pat and jim calhoun cardiology center at
uconn health. if you like to follow a strict diet plan, go for it. if
not, it's ok. "find what works for you."
tricia montgomery, 52, the founder of k9 fit club, knows first-hand how
the right diet and lifestyle can help. for her, choosing healthy foods
and planning small, frequent meals works well. "i don't deny myself
anything," she says. "i still have dessert -- key lime pie, yum! -- and
i love frozen gummy bears, but moderation is key."
exercise every day
the more active you are, the better, meng says. exercise boosts your
heart health, builds muscle and bone strength, and wards off health
problems.
aim for 2 and a half hours of moderate activity, like brisk walking or
dancing, every week. if you're ok with vigorous exercise, stick to 1
hour and 15 minutes a week of things like running or playing tennis.
add a couple of days of strength training, too.
if you're busy, try short bursts of activity throughout the day. walk
often. a good target is 10,000 steps a day. take the stairs. park your
car far away from your destination.
montgomery exercises every day, often with her dog. by adding lunges,
squats, and stairs to a walk, she turns it into a power workout. "i
also am a huge pilates fan," she says.
lose weight
when you shed pounds you'll lower your risk of heart disease, type 2
diabetes, and cancer.
continued
aim for a slow, steady drop. try to lose 1-2 pounds a week by being
active and eating better.
"it doesn't have to be an hour of intense exercise every day," meng
says. "any little bit helps."
as you improve, dial up the time and how hard you work out. if you want
to lose a lot of weight, try for 300 minutes of exercise a week.
"eating a healthy diet will go a long way," meng says. start by cutting
sugar, which she says is often hiding in plain sight -- in store-bought
items like salad dressing, packaged bread, and nuts. try to avoid soda
and sugar-laced coffee drinks, too.
visit your doctor
get regular checkups. your doctor keeps track of your medical history
and can help you stay healthy. for example, if you're at risk for
osteoporosis, a condition that weakens bones, he may want you to get
more calcium and vitamin d.
your doctor may recommend screening tests to keep an eye on your health
and catch conditions early when they're easier to treat.
keep the lines of communication open. "if you have questions, ask your
doctor," meng says. "make sure you understand things to your
satisfaction." if you're worried about a medication or procedure, talk
to him about it.
cut down your stress
it can take a toll on your health. you probably can't avoid it
altogether, but you can find ways to ease the impact. don't take on too
much. try to set limits with yourself and others. it's ok to say no.
to relieve stress, try:
* deep breathing
* meditation
* yoga
* massage
* exercise
* healthy eating
* talking to a friend, family member, or professional counselor
create healthy habits
if you make the right choices today, you can ward off problems
tomorrow.
* brush your teeth twice a day and floss every day.
* don't smoke.
* limit your alcohol. keep it to one drink a day.
* if you have medication, take it exactly how your doctor prescribed
it.
* improve your sleep. aim for 8 hours. if you have trouble getting
shut-eye, talk to your doctor.
* use sunscreen and stay out of the sun from 10 a.m. to 3 p.m.
* wear your seatbelt.
take time every day to invest in your health, meng says.
it paid off for montgomery. she says she overcame health problems,
feels good, and has a positive outlook. "my life," she says, "is
forever changed."
webmd feature reviewed by lisa bernstein, md on june 21, 2016
sources
sources:
joyce meng, md, assistant professor of medicine, pat and jim calhoun
cardiovascular center, uconn health.
american heart association: "alcohol and heart health."
office on women's health, u.s. department of health and human services:
"heart-healthy eating," "overweight, obesity, and weight loss fact
sheet," "physical activity (exercise) fact sheet," "screening tests and
vaccines," "osteoporosis fact sheet," "a lifetime of good health: your
guide to staying healthy."
university of california san francisco medical center: "tips for
staying healthy."
© 2016 webmd, llc. all rights reserved.
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the abcs of health screening
health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you need to know about health screening
all you need to know about health screening
related: before the first antenatal visit (choosing your doctor)
1. what is health screening?
health screening is important to everyone. it involves the use of
tests, physical examinations or other procedures to detect
conditions early in people who look or feel well. this is different
from diagnostic tests which are done when someone is already showing
signs and/or symptoms of a condition.
2. why should i go for health screening?
health screening helps you find out if you have a particular condition
even if you feel perfectly well, without any symptoms and/or signs.
early detection, followed by treatment and good control of the
condition can result in better outcomes, and lowers the risk of serious
complications. it is therefore important to get yourself screened even
if you feel perfectly healthy.
3. what kind of screening tests should i go for?
there are 3 types of screening tests^1.
type 1
beneficial for everyone: these tests are listed in table a.
type 2
beneficial for some but not others: decision to be made on an
'individual' level, based on your individual risk factors e.g. self or
family history of hereditary or chronic diseases, exposure to factors
that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently, there is not enough
information to support the use of these tests.
it is best to speak to your family doctor who will advise you to go for
the relevant screening tests based on your individual health profile.
find out more about type 2 and type 3 tests.
view the report of the screening test review committee.
table a – general screening tests (beneficial for everyone)
general screening tests for adults
recommended for^2 to screen for screening test screening frequency^3
individuals aged 18 yrs and above
obesity body mass index (bmi)
waist circumference once a year
hypertension (high blood pressure)
blood pressure measurement once every two years or more frequently as
advised by your doctor
individuals aged 40 yrs and above
diabetes mellitus
fasting blood glucose
hba1c
once every three years or more frequently as advised by your doctor
hyperlipidaemia (high blood cholesterol)
fasting lipids
non-fasting lipids
individuals aged 50 yrs and above
colorectal cancer
faecal immunochemical test (to test for blood in stools)
or
once a year
colonoscopy
once every ten years
additional tests for women
women aged 25-69 yrs, who have had sexual intercourse
cervical cancer
pap test once every three years
hpv test
once every five years
women aged 50-69 yrs breast cancer
mammogram once every two years
general screening tests for newborns
recommended for to screen for screening test screening frequency
newborns aged 0-4 weeks old hearing loss audiometry once
glucose-6-phosphate dehydrogenase (g6pd) deficiency
screen with umbilical cord blood once
inborn errors of metabolism (iem)
metabolic screen with
tandem mass spectrometry (tms)
once
primary hypothyroidism
thyroid function test (tft)
once
4. what should i do after health screening?
if your screening results are normal, you should continue to go for
regular screening at the recommended frequency because screening only
detects health conditions that are present at the time of screening. if
you develop signs or symptoms after your screening, please see your
doctor and do not wait for your next screening appointment.
if your screening results are abnormal, you should follow-up with your
doctor immediately even if you feel perfectly well. early treatment and
good control of your condition can result in better outcomes and
prevent or delay serious complications.
5. why do i need to go for regular screening at the recommended frequency?
a one-off screening will only pick up health conditions that are
present at the time of screening. regular screening helps to detect
conditions that may develop after the previous screening. hence, it is
important for you to go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening tests?
health screening is heavily subsidised for singaporeans and permanent
residents. if you have a health assist card (under chas – community
health assist scheme), you will be entitled to enojoy the subsidies of
the above tests (according to age) and a follow-up consultataion, if
required, at $2 at chas gps. all other singaporeans can enjoy these
subsidies for the above test (according to age) and a follow-up
consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the screening
tests (offered under screen for life - sfl) and the follow-up
consultation, if required, is also fully subsidised. pg cardholders can
also claim up to $28.50, for each screening-related and follow-up
consultation, for up to two times per year.
check out the exact costs of the screening tests.
if you have difficulty paying for the screening tests, please speak to
the medical social worker at the polyclinics
7. my screening results are not too good, and my doctor has advised me to get
follow up treatment.
what should i do if i cannot afford the follow up treatment?
good, affordable basic healthcare is also available to singaporeans
through subsidised medical services offered at public hospitals and
polyclinics. medisave, medishield life, elder shield and medifund
schemes can help singaporeans offset their medical expenses.
8. where can i go for health screening?
health screening is available at many private medical clinics and
polyclinics. visit the directory for the list of screening locations.
9. can i use my medisave to pay for the health screening cost?
currently, medisave cannot be used for other health screening such as
screening for diabetes or high cholesterol. however, if you are
diagnosed with a chronic condition covered under the chronic disease
management programme (cdmp), medisave may be used to pay for part of
the outpatient treatment cost of these diseases.
women aged 50 and above can use their own or immediate family member’s
medisave for their screening mammograms at approved mammogram centres.
under the medisave 400 scheme, up to $400 per medisave account a year
can be used for screening mammograms.
persons aged 50 and above can also use their own or their immediate
family member’s medisave for their screening colonoscopies (to screen
for colorectal cancer) at approved colonoscopy centres.
check out the list of approved centres or find out more.
10. can i have a health screening if i am pregnant?
please consult your doctor to find out if a health screening is
necessary for you.
11. i am 70 years old (or older), do i still need to go for a health
screening?
if you have not been screened in the past three years, and you do not
have a chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health screening.
12. if i am currently on medication for one of the chronic diseases, should i
still go for a health screening?
if you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
^1 report of the screening test review committee. january 2019, academy
of medicine, singapore.
^2,3 screening can start at an earlier age or be done more frequently
if someone has risk factors for the condition.
__________________________________________________________________
having trouble keeping up with your appointments? myhealth keeps track
of not only your health appointments and medical records, but also your
family's as well.
read these next:
* make a commitment to get screened for better health this year
* diabetes prevention and risk factors
* how screening saved my life
* screen for life - subsidised health screenings for singaporeans
* school health screenings for students
this article was last reviewed on monday, december 9, 2019
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national cervical cancer screening programmedid you know that cervical
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health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you
need to know about health screening
related:
before the first
antenatal visit (choosing your doctor)
1. what is health screening?
<
span style="color:#0000ff;">health screening is
important to everyone. it involves the use of tests, physical
examinations or other procedures to detect conditions early in people
who look or feel well. this is different from diagnostic tests which
are done when someone is already showing signs and/or symptoms of a
condition.
2. why should i go for health
screening?
health screening helps you find out if you have a
particular condition even if you feel perfectly well, without any
symptoms and/or signs. early detection, followed by treatment and good
control of the condition can result in better outcomes, and lowers the
risk of serious complications. it is therefore important to get
yourself screened even if you feel perfectly healthy.
3. what
kind of screening tests should i go for?
there are 3 types of
screening tests1.
type 1
beneficial for everyone: these tests are listed in table
a.
type 2
beneficial for some but not others:
decision to be made on an 'individual' level, based on your individual
risk factors e.g. self or family history of hereditary or chronic
diseases, exposure to factors that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently,
there is not enough information to support the use of these
tests.
it is best to speak to your family doctor who will advise
you to go for the relevant screening tests based on your individual
health profile.
find out more about
type 2 and
type 3
tests.
view the report of the
screening test
review committee.
table a – general screening tests (beneficial for
everyone)
general screening tests for adults
recommended
for2 |
to screen for |
screening test |
screening
frequency3 |
individuals aged 18 yrs
and above
| obesity |
body
mass index (bmi)
waist circumference | once a year |
hypertension (high blood pressure) | blood pressure measurement | once every two years or more
frequently as advised by your doctor |
individuals aged 40 yrs
and above
|
diabetes
mellitus | fasting blood glucose
hba1c
| once every three
years or more frequently as advised by your doctor
|
hyperlipidaemia (high blood cholesterol)
| fasting lipids
non-fasting lipids
|
individuals aged 50 yrs
and above
|
colorectal cancer
| faecal
immunochemical test (to test for blood in stools)
or
| once a year
|
colonoscopy
| once every ten
years
|
additional tests for women |
women aged 25-69 yrs,
who have had sexual intercourse
| cervical cancer
|
pap
test | once every three
years |
hpv test
| once every five
years
|
women aged 50-69 yrs | breast cancer
| mammogram | once every two
years |
general screening tests for newborns
recommended for |
to screen for |
screening test |
screening
frequency |
newborns aged 0-4 weeks old | hearing loss |
audiometry | once |
| glucose-6-phosphate dehydrogenase (g6pd) deficiency
| screen with umbilical
cord blood | once |
|
inborn errors of metabolism (iem)
| metabolic screen with
tandem mass spectrometry (tms) | once |
|
primary hypothyroidism
|
thyroid function test (tft) | once |
4. what should i do after health screening?
if your
screening results are normal, you should continue to go for regular
screening at the recommended frequency because screening only detects
health conditions that are present at the time of screening. if you
develop signs or symptoms after your screening, please see your doctor
and do not wait for your next screening appointment.
if your
screening results are abnormal, you should follow-up with your doctor
immediately even if you feel perfectly well. early treatment and good
control of your condition can result in better outcomes and prevent or
delay serious complications.
5. why do i need to go for regular
screening at the recommended frequency?
a one-off screening will
only pick up health conditions that are present at the time of
screening. regular screening helps to detect conditions that may
develop after the previous screening. hence, it is important for you to
go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening
tests?
health screening is heavily subsidised for
singaporeans and permanent residents. if you have a health assist card
(under
chas
– community health assist scheme), you will be entitled to enojoy
the subsidies of the above tests (according to age) and a follow-up
consultataion, if required, at $2 at chas gps. all other singaporeans
can enjoy these subsidies for the above test (according to age) and a
follow-up consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the
screening tests (offered under
screen
for life - sfl) and the follow-up consultation, if required, is
also fully subsidised. pg cardholders can also claim up to $28.50, for
each screening-related and follow-up consultation, for up to two times
per year.
check out the
e
xact costs of the screening tests.
if you have difficulty
paying for the screening tests, please speak to the medical social
worker at the polyclinics
7. my screening results are not
too good, and my doctor has advised me to get follow up
treatment.
what should i do if i cannot afford the follow up
treatment?
good, affordable basic healthcare is also available
to singaporeans through subsidised medical services offered at public
hospitals and polyclinics.
medisave,
medishield life,
elder shield and
medifund schemes can help
singaporeans offset their medical expenses.
8. where can i go
for health screening?
health screening is available at many
private medical clinics and polyclinics. visit the
directory for the list of
screening locations.
9. can i use my medisave to pay for
the health screening cost?
currently, medisave cannot be used
for other health screening such as screening for diabetes or high
cholesterol. however, if you are diagnosed with a chronic condition
covered under the chronic disease management programme (cdmp), medisave
may be used to pay for part of the outpatient treatment cost of these
diseases.
women aged 50 and above can use their own or immediate
family member’s medisave for their screening mammograms at approved
mammogram centres. under the medisave 400 scheme, up to $400 per
medisave account a year can be used for screening
mammograms.
persons aged 50 and above can also use their own or
their immediate family member’s medisave for their screening
colonoscopies (to screen for colorectal cancer) at approved colonoscopy
centres.
check out the
list of approved centres
or find out more.
10. can i have a health screening
if i am pregnant?
please consult your doctor to find out if a
health screening is necessary for you.
11. i am 70 years old (or
older), do i still need to go for a health screening?
if you
have not been screened in the past three years, and you do not have a
chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health
screening.
12. if i am currently on medication for one of the
chronic diseases, should i still go for a health screening?
if
you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
1 report of the screening test review committee.
january 2019, academy of medicine, singapore.
2,3 screening can start at an earlier age or be done more
frequently if someone has risk factors for the condition.
having trouble keeping up with your appointments?
myhealth keeps
track of not only your health appointments and medical records, but
also your family's as well.
read these next:
monday, may 18, 2015
monday, may 18, 2015
icd-21-health services,per_senior citizen,pgm_obesity
prevention,pgm_healthy screening,age_adult,age_senior,interest_chronic
illnesses,
no
403
monday, december 9, 2019
health
promotion board
3 second hospital avenue
singapore 168937
hpb_mailbox@hpb.gov.sg
established
in 2001, the health promotion board (hpb) has a vision to build a
nation of healthy people.
hpb implements programmes that reach out to the population,
specifically children, adults and the elderly. these programmes include
health and dental services for school children, breastscreen singapore,
aids education programme, cervicalscreen singapore, childhood injury
prevention programme, mental health education programme, national
myopia prevention programme, physical activity, national smoking
control programme, nutrition programme, osteoporosis education
programme, workplace health promotion programme, hpb online,
healthline, health information centre and healthzone. new programmes
will also be initiated over time to address health concerns among the
community.
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health promotion board
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http://www.hpb.gov.sg
the abcs of health screening
articles
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pgm_healthy screening, age_adult, age_senior, interest_chronic
illnesses
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why health screen?
the importance of health screening
health screening or blood test is a major part of many routine medical
examinations. while doctors are able to make fairly accurate diagnosis
by assessing the signs and symptoms a patient exhibits, one of the best
ways to confirm the diagnosis is through blood tests. for a healthy
person, health screening could also detect abnormalities that the
person is not aware of and provide important information for diagnosis,
treatment or preventive measures for illnesses and diseases.
therefore, getting regular health checkups, preventive screening tests
are among the most crucial things you can do for yourself. periodic
health screenings can help you and your health care professional
identify health problems early, when treatment may be more successful
compared to if the problems are detected later.
lifestyle changes are a very effective way to substantially reduce risk
but to make those changes, you first need to know if you are at risk.
knowledge gives you the power to take charge of your health. remember,
your health is your greatest asset and early detection can save lives!
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personalised executive health screening
instead of a one-size-fits-all package, parkway shenton’s quality
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historical trends for optimised results. we have 7 ehs facilities
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customised health screening
customised screening for each individual
your screening starts at the core of your health, covering the heart,
kidney, liver, blood and more. this will test for conditions such as
diabetes, anaemia, as well as healthy organ function. depending on your
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preventive health screening starts from birth and continues throughout
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a detailed report containing your health screening results will be
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a detailed report containing your health screening results will be
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doctor who can help you determine the next steps. if we find a
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[share-icon.png] share a a
health screening
page image
screening tests can help find diseases and health conditions early,
when they are easier to treat.
page content
also known as secondary prevention, health screening identifies health
problems as soon as possible to ensure that you and your family can
benefit from early medical treatment.
there are a variety of health screening tests and tools. many can be
done as part of regular checkups with your health care provider. others
may require you to visit a lab or specialized screening location.
typically, routine health screening is recommended according to your
age or stage of life.
prenatal/infant_____prenatal/infant
prenatal
prenatal genetic screening during your pregnancy can tell you
your chance of having a baby with certain genetic disorders. it is
offered free of charge as a choice to all pregnant people with medical
services plan (msp) coverage in bc.
resources
* prenatal genetic screening program (perinatal services bc)
infant
there are a number of screening tests that are recommended for all
newborns and infants born in bc. these tests identify diseases or
conditions where early treatment is important to prevent disability and
promote healthy development.
regular checkups will allow your care provider to monitor your baby's
development and check for possible problems.
resources
* screening, birth to 12 months (healthlink bc)
* provincial screening programs:
* newborn screening program (perinatal services bc)
* biliary atresia home screening program (perinatal services bc)
* bc early hearing program (provincial health services authority)
child_______________child
regular checkups will allow your care provider to monitor your child's
growth and development and check for possible problems.
resources
* screening, 13 months to 12 years (healthlink bc)
youth/young adult___youth/young adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
resources
* screening, 13 to 18 years (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
adult_______________adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
regular screening is important throughout adulthood, especially if
you're at increased risk for a chronic disease or an infectious
disease. you may be referred for blood or urine tests or for other
screening procedures. recommended regular screening tests for all
adults include:
* blood pressure
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if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
depending on your age and your risk of disease, other screening tests
may be recommended:
* cervical cancer screening (pap test) is a test that can find
abnormal cells in the cervix before they become cancer. between age
25-69, pap tests are recommended every three years for anyone with
a cervix. it's important to follow these recommendations even if
you've had the hpv vaccine. read the recommendations
* screening mammograms are used to find cancers in breast tissue as
early as possible. screening mammograms are available for eligible
individuals in bc age 40 and up. your screening recommendations
will vary according to your age and your family history of breast
cancer. read the recommendations
* colon cancer screening detects non-cancerous polyps and cancer
early. everyone aged 50-74 should get screened regularly for colon
cancer. the type of screening test recommended for you will depend
on your family history and your personal medical history. read the
recommendations
* prostate cancer screening checks for abnormalities of the prostate
gland. screening is performed through digital rectal examination,
done by your doctor during a regular check up. between age 50-70,
annual screening is recommended for individuals with a prostate as
long as they are in reasonably good health. you can also talk to
your doctor about the pros and cons of psa testing.
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please note: the health information provided here is general and
appropriate for most people, most of the time. wherever possible,
resources are also provided to address the health needs of specific
populations, including people living with a chronic health condition,
indigenous people and lgbtq individuals. check with your health care
provider to determine the health recommendations and resources that are
right for you.
in this section
content editor [2]
quick links
* prenatal genetic screening
* newborn screening
* biliary atresia home screening
* infant hearing screening
* get tested: sti clinic finder
* cervical cancer screening (pap test)
* breast cancer screening (mammogram)
* colon cancer screening
content editor [1]
key organizations
perinatal services bc
provincial health services authority
bc centre for disease control (bccdc)
screening bc - bc cancer agency
healthlink bc – the bc government's comprehensive non-emergency health
information and advice service for british columbians.
source: health screening ( )
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#healthcare nutrition council » feed alternate alternate
healthcare nutrition council healthcare nutrition council
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why nutrition matters
nutrition is critically important to the human body in terms of growth
and development, overall health and wellness throughout life, and the
function of organs and body systems. it also plays a role in disease
management and supports overall quality of life. malnutrition, or lack
of proper nutrition, is associated with billions of dollars per year in
medical expenses. ¹
learn more
as there is no universally accepted definition of “malnutrition,” and
since malnutrition can have different meanings in different contexts,
the healthcare nutrition council (hnc) has adopted a definition of
malnutrition. please see hnc’s expanded definition of malnutrition to
learn more.
hnc malnutrition expanded definition
patient access
all patients have the right to receive high quality care, and that
includes nutrition support products as part of their care. at times,
access to nutrition support products — such as medical foods — can be a
significant challenge for patients. as a result, hnc raises awareness
and works with key stakeholders to help overcome obstacles to patient
access. we continue to work towards systematic changes that will foster
innovation and utilize new science and discoveries, ultimately leading
to higher quality healthcare, better patient outcomes, and improvements
in overall patient health and nutrition.
learn more
maintaining access flyer
enteral facts
parenteral facts
who we are
hnc is an organization representing the manufacturers of nutrition
support products, specifically enteral nutrition (en) formulas,
parenteral nutrition (pn) solutions, supplies and equipment. hnc member
companies are committed to improving health by advancing policies that
address and raise awareness of nutrition and its impact on patient
outcomes and healthcare costs. this includes promoting nutritional
screenings, diagnoses, assessments, and appropriate and timely clinical
nutrition interventions while maintaining patients’ access to
specialized nutrition support products and services throughout the
continuum of care.
learn more
priorities
members
position statements
public comments
1. goates, scott; kristy du, carol braunschweig, and mary beth
arensberg. economic burden of disease-associated malnutrition at
the state level. plos one. 2016; 11(9): 1-15.
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public health nutr. 2004 aug;7(5):591-8.
public health nutrition and food policy.
caraher m^1, coveney j.
author information
1
department of health management and food policy, institute of
health sciences, city university, goswell place, northampton
square, london ec1v 0hb, uk. m.caraher@city.ac.uk
abstract
food in its many manifestations allows us to explore the global control
of health and to examine the ways in which food choice is moulded by
many interests. the global food market is controlled by a small number
of companies who operate a system that delivers 'cheap' food to the
countries of the developed world. this 'cheap' food comes at a price,
which externalises costs to the nation state in terms of health
consequences (diabetes, coronary heart disease and other food-related
diseases) and to the environment in terms of pollution and the
associated clean-up strategies. food policy has not to any great extent
dealt with these issues, opting instead for an approach based on
nutrition, food choice and biomedical health. ignoring wider elements
of the food system including issues of ecology and sustainability
constrains a broader understanding within public health nutrition. here
we argue that public health nutrition, through the medium of health
promotion, needs to address these wider issues of who controls the food
supply, and thus the influences on the food chain and the food choices
of the individual and communities. such an upstream approach to food
policy (one that has been learned from work on tobacco) is necessary if
we are seriously to influence food choice.
comment in
* editorial. public health nutrition as a field of practice. [public
health nutr. 2004]
pmid:
15251049
doi:
10.1079/phn2003575
[indexed for medline]
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about us
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we are a professional association that brings together people with a
common interest in promoting and improving public health nutrition. we
work to ensure that in all possible circumstances, adequate nourishing
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our members are spread across countries in all continents of the world.
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opportunities awaiting.
read more
our certification scheme has been developed to establish and assure
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become a certified public health nutritionist (cphn), applications are
open all year long.
read more
in accordance with the wphna aims, and under the principle that the
highest attainable level of health is a human right, we aim to employ
and promote ethical principles, including those of transparency, equity
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with this philosophy, we are inviting our members and colleagues, to
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federally funded health researchers disclose at least $188 million in
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federally funded health researchers disclose at least $188 million in
conflicts of interest. can you trust their findings? — propublica
read more12/08/2019 - 17:51
wphna announces a scientific paper writing contest
__________________________________________________________________
we are happy to announce a scientific paper writing contest. it is
addressed to low and middle-income countries´ residents. winners will
have the paper published in world nutrition and the opportunity to
attend the wphn congress in brisbane, australia from march 31 to april
2020. find the details here.
read more06/10/2019 - 21:32
wphna congress brisbane 2020
__________________________________________________________________
we are happy to announce that our call for abstracts for the wphna
congress brisbane 31 march - 3 april is now open.
find more here
read more05/07/2019 - 12:29
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health: definition and importance of health
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health: definition and importance of health!
definition:
the term ‘health’ is a positive and dynamic concept. in common
parlance, health implies absence of disease. however, that industrial
health implies much more than mere absence of disease is clear from the
following definitions of health:
the world health organisation (who) has defined health as: “a state of
complete physical, mental and social well-being and not merely the
absence of disease or illness or infirmity”. as regards the industrial
health, it refers to a system of public health and preventive medicine
which is applicable to industrial concerns.
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here, the definition of health given by the joint i.l.o/w.h o.
committee on organisational health is worth quoting:
(i) the prevention and maintenance of physical, mental and social
well-being of workers in all organisations;
(ii) prevention among workers of ill-health caused by the working
conditions;
(iii) protection of workers in their employment from risk resulting
from factors adverse to health; and
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(iv) placing and maintenance of the worker in an occupational
environment adapted to his physical and psychological equipment.
thus the modem concept of health emphasises on the “whole man concept.”
in other words, health refers to the outcome of the interaction between
the individual and his environment. so to say, he/she is healthy who is
well adjusted with environment.
the modem concept of health thus, anticipates and recognizes
potentially harmful situations and applies engineering control measures
to prevent disease or illness or infirmity. in this way, industrial
health depends not only on the individual worker but also on the
environment in which he/she lives and works.
there are two types of employee health:
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physical health and mental health
a brief mention of these follows:
physical health:
the physical health refers to infirmity in the employee’s health.
employee’s physical health and his work are intimately related. while
an unhealthy employee works less both quantitatively and qualitatively,
commits accidents, and remains absent from work, a healthy employee
produces results opposite to these. the same underlines the need for
and importance of healthy employees in an organisation.
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mental health:
this refers to the mental soundness of the employees. as is physical
health important for good performance, so is mental health also.
experience suggests that three factors, namely, mental breakdowns,
mental disturbances, and mental illness impair the mental health of
employees.
importance of health:
the trite saying ‘health is wealth’ explains the importance of health.
ill health results in high rate of absenteeism and turnover, industrial
discontent and indiscipline, poor performance, low productivity and
more accidents. on the contrary, the natural consequences of good
health are reduction in the rate of absenteeism and turnover, accidents
and occupational diseases.
besides, employee health also provides other benefits such as reduced
spoilage, improved morale of employee, increased productivity of
employee and also longer working period of an employee which, of
course, cannot be easily measured.
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in long and short, employee health is important because it helps:
1. maintain and improve the employee performance both quantitatively
and qualitatively.
2. reduce employee absenteeism and turnover.
3. minimize industrial unrest and indiscipline.
4. improve employee morale and motivation.
it is this importance of health, increasing emphasis is given to the
employee health through various laws and provisions in this regard. for
example, in india, the royal commission on labour (1931), die labour
investigation committee (1946), the health safety and development
committee (1943), the labour welfare committee (1969) and the national
commission on labour (1969), all have expressed concern for employee
health.
these emphasised upon the creation and maintenance of as healthy an
environment as possible, in the homes of the employees as well as in
all places where they congregate for work, amusement or recreation,
the i.l.o. in its recommendation no. 112 envisaged the importance of
employee health in these words:
occupational health services should be established in or near a place
of employment for the purpose of:
(i) protecting the workers against any health hazard arising out of
work or conditions in which it is carried on;
(ii) contributing towards worker’s physical and mental adjustment; and
(iii) contributing to establishment and maintenance of the highest
possible degree of physical and mental well-being of the workers.
related articles:
1. necessity and importance of labour law and principles
2. labour welfare: meaning and definition of labour welfare
health
measures to maintain safety and avoid accidents in industries
occupational hazards: 4 main types of occupational hazards – explained!
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importance of good nutrition
your food choices each day affect your health — how you feel today,
tomorrow, and in the future.
good nutrition is an important part of leading a healthy lifestyle.
combined with physical activity, your diet can help you to reach and
maintain a healthy weight, reduce your risk of chronic diseases (like
heart disease and cancer), and promote your overall health.
the impact of nutrition on your health
unhealthy eating habits have contributed to the obesity epidemic in the
united states: about one-third of u.s. adults (33.8%) are obese and
approximately 17% (or 12.5 million) of children and adolescents aged
2—19 years are obese.^1 even for people at a healthy weight, a poor
diet is associated with major health risks that can cause illness and
even death. these include heart disease, hypertension (high blood
pressure), type 2 diabetes, osteoporosis, and certain types of cancer.
by making smart food choices, you can help protect yourself from these
health problems.
the risk factors for adult chronic diseases, like hypertension and type
2 diabetes, are increasingly seen in younger ages, often a result of
unhealthy eating habits and increased weight gain. dietary habits
established in childhood often carry into adulthood, so teaching
children how to eat healthy at a young age will help them stay healthy
throughout their life.
the link between good nutrition and healthy weight, reduced chronic
disease risk, and overall health is too important to ignore. by taking
steps to eat healthy, you'll be on your way to getting the nutrients
your body needs to stay healthy, active, and strong. as with physical
activity, making small changes in your diet can go a long way, and it's
easier than you think!
eat healthy
now that you know the benefits, it's time to start eating healthy:
start your pala+ journey today and use these tips on ways to eating
healthy and resources to earn it.
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references
to return to the page content, select the respective footnote number.
^1 centers for disease control and prevention. u.s. obesity trends.
2011. available at: https://www.cdc.gov/obesity/data/databases.html
#fittip
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eur j public health. 2018 dec; 28(6): 1087–1092.
published online 2018 sep 3. doi: 10.1093/eurpub/cky174
pmcid: pmc6241207
pmid: 30184063
the importance of health behaviours and especially broader self-management
abilities for older turkish immigrants
jane m cramm^^ and anna p nieboer^
jane m cramm
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by jane m cramm
anna p nieboer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by anna p nieboer
author information copyright and license information disclaimer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
correspondence: jane m. cramm, department of social medical sciences,
erasmus school of health policy and management, erasmus university
rotterdam, p.o. box 1738, 3000 dr rotterdam, the netherlands, tel: +31
10 408 8555, e-mail: ln.rue.mphse@mmarc
copyright © the author(s) 2018. published by oxford university press on
behalf of the european public health association.
this is an open access article distributed under the terms of the
creative commons attribution-noncommercial-noderivs licence
(http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits
non-commercial reproduction and distribution of the work, in any
medium, provided the original work is not altered or transformed in any
way, and that the work is properly cited. for commercial re-use, please
contactjournals.permissions@oup.com
this article has been cited by other articles in pmc.
abstract
background
this study aims to identify the relationships between health
behaviours, self-management abilities, physical health, depressive
symptoms and well-being among turkish older immigrants.
methods
a total of 2350 older turkish migrants aged > 65 years residing in
rotterdam, the netherlands were identified using the municipal register
of which 680 respondents completed the questionnaires (response rate of
32%).
results
average age of the respondents was 72.90 (standard deviation 5.02)
(range 66–95) years and about half of them were women (47.6%). the
majority of respondents reported having a low education (80.3%), low
income level (83.4%), is chronically ill (90.6%), overweight (86.5%)
and about half obese (46.0%). more than half of the respondents eat
enough fruit (58.2%) and vegetables per week (55.3%). about a third of
the respondents smoke (33.5%) and 43.0% can be considered to be
physically active. looking at the health behaviours a weak positive
relationship was found between eating enough vegetables and well-being
(β = 0.14; p = 0.017). in addition, weak relationships were found
between physical activity and depressive symptoms (β = −0.16; p =
0.007), smoking and depressive symptoms (β = 0.16; p = 0.009) and
self-management abilities and physical health (β = 0.17; p = 0.015).
strongest relationships were found between self-management abilities
and depressive symptoms (β = −0.39; p < 0.001) and self-management
abilities with overall well-being (β = 0.49; p < 0.001).
conclusions
from this study, we can conclude that next to health behaviours broader
self-management abilities to maintain overall well-being are important
for turkish older people. interventions to improve self-management
abilities may help turkish older people better deal with function
losses and chronic diseases as they age further.
introduction
europe witnessed a post-war mass migration at the end of the 1950s and
the early 1960s, mostly from non-western origin with a predominance of
young adults. even though a number of the early migrants have returned
to their birth-country, considerable numbers remain in their migratory
destinations who recently approached retirement age.^1 in general, poor
physical and mental health, worse health-related quality of life and
well-being, functional limitations, depressive symptoms and chronic
conditions are much more prevalent among these immigrant populations
compared with those of natives throughout europe.^2–4 as a consequence,
older immigrants use 13–20% more health services than native-borns.^5
the rapid increase in the prevalence of chronic illness among older
(immigrant) populations is an important factor underlying the increased
demand for health care services and constraints on the organization and
delivery of care in europe.^5^,^6
unhealthy behaviours, such as poor diet, smoking and physical
inactivity, are important and adjustable risk factors for many chronic
diseases and leading causes of death and disability.^7 thus, the
improvement of health behaviours among older (immigrant) populations to
prevent the onset of chronic diseases is becoming a critical issue.
health behaviours, such as smoking, eating habits and physical
activity, are known to differ between immigrants and natives, which may
explain the greater prevalence of chronic diseases, physical
limitations and poor health outcomes among the former. for example, in
the netherlands, overweight is much more prevalent among immigrants,^8
and smoking is especially prevalent among turks.^9 although
health-related behaviours have been investigated among immigrant groups
aged 35–60 years,^9 and those aged ≥18 years,^8 no such research has
been conducted among older immigrants.
not only health behaviours but also older people’s abilities to deal
with the process of ageing and the ways in which they cope with certain
life events are of interest. as people grow older, they often begin to
experience losses in various life domains. people are known to differ
in their ability to self-regulate or self-manage their lives and ageing
processes, which requires the proactive management of resources in an
environment of increasing losses and declining gains.^10 these
self-regulation or self-management abilities often target only the
physical health aspects of ageing, such as physical exercise and
healthy diet.^11^,^12 the social and psychological life domains,
however, have been proven to be equally important for the health and
well-being of older people.^13
thus, in addition to health behaviours and health outcomes, examination
of broader self-management abilities related to the maintenance of
overall well-being may be of interest.^14 as these abilities are
critical predictors of physical health, depressive symptoms and overall
well-being,^14–17 a shift in focus to include not only traditionally
addressed health- and disease-specific aspects (e.g. smoking, physical
activity, healthy diet) but also abilities such as investment behaviour
(e.g. pursuing interests, keeping busy, maintaining contact with loved
ones), initiative taking and self-efficacy (e.g. belief in one’s
ability to achieve goals and express care for others) is urgently
needed.^14
research investigating health behaviours and self-management abilities
related to the maintenance of overall well-being among older turkish
immigrants is lacking. thus, this study aimed to identify relationships
of background characteristics, health behaviours and self-management
abilities with physical health, depressive symptoms and well-being
among older turkish immigrants residing in rotterdam, the netherlands.
methods
data collection
community-dwelling turkish people aged > 65 years in rotterdam, the
netherlands, were identified using the municipal register and asked to
participate between march 2015 and february 2016 (with a summer break,
given that most of this population spends the summer in turkey). we
asked respondents to fill in a questionnaire containing 153 questions
in total (provided in the dutch as well as turkish language). these
questionnaires were first distributed via post, followed by a postal
reminder and finally a minimum of two home visit attempts (by
interviewers speaking dutch as well as the turkish language). the
personal interviews lasted about 60–90 min. an information leaflet was
provided to respondents explaining the aim of the study with contact
details (of dutch as well as turkish speaking research assistants) in
case they had additional questions. no (financial) incentives were
provided.
ethical approval
according to the central committee on research involving human subjects
(ccmo), the current study did not fall within the scope of the medical
research involving human subjects act and thus did not require prior
review by an accredited medical research and ethics committee or the
ccmo. all respondents were informed about the aims of the study, and
assured that participation was anonymous and voluntary, prior to
providing consent.
measures
well-being was measured with the 14-item turkish version of the social
production function instrument for the level of well-being (spf-il).^18
the stimulation item ‘are your activities challenging to you?’ of the
original 15-item dutch version^19 proved to be problematic during
validation and thus was omitted from the turkish version. the spf-il
measures levels of physical (comfort, stimulation) and social
(behavioural confirmation, affection, status) well-being. examples of
questions are ‘do people really love you?’ (affection), ‘do you feel
useful to others?’ (behavioural confirmation), ‘are you known for the
things you have accomplished?’ (status), ‘in the past few months, have
you felt physically comfortable?’ (comfort) and ‘do you really enjoy
your activities?’ (stimulation). responses are given on a 4-point scale
ranging from never (1) to always (4), with higher mean scores
indicating greater well-being. total scores were calculated based on
the mean scores for the five subscales. cronbach’s alpha of the spf-il
based on the five subscales was 0.76, indicating good reliability.
patients’ physical quality of life was assessed using the physical
component of the short form 12 health survey.^20 the summary physical
component score for physical health was constructed using standard
scoring procedures.
we used the 7-item depression section of the hospital anxiety and
depression scale to assess symptoms of depression.^21 all items were
rated on a 4-point scale (0–3), with higher scores indicating greater
depressive symptomatology.
self-management abilities related to the maintenance of overall
well-being were measured using an adjusted version of the short
(18-item) version of the self-management ability scale (smas-s).^22
this instrument assesses a broad repertoire of self-management
abilities: (i) initiative taking (being instrumental or self-motivating
in realizing aspects of well-being), (ii) investment in resources for
long-term benefits, (iii) maintenance of variety in resources (gaining
and maintaining various resources for each dimension of well-being),
(iv) ensuring resource multifunctionality (gaining and maintaining
resources or activities that serve multiple dimensions of well-being
simultaneously and in a mutually reinforcing way), (v) self-efficacy in
resource management (gaining and maintaining a belief in personal
competence to achieve well-being) and (vi) maintenance of a positive
frame of mind. the initiative taking, investment, self-efficacy,
variety and multifunctionality subscales are related to the physical
and social dimensions of well-being, and the subscale measuring the
ability to have a positive frame of mind is considered to be a more
general cognitive frame. following earlier research, we reduced the
number of response categories for 5 subscales from 6 to 4 to make
completion of the instrument less complex. higher scores indicate
better self-management abilities. the item ‘when things go against you,
how often do you think that it could always be worse?’ proved to be
problematic during validation and thus was omitted from the turkish
version. cronbach’s alpha of the smas-s based on the six subscales was
0.92, indicating excellent reliability.
physical activity was assessed by asking respondents how many days per
week they were physically active (e.g. sport activities, exercise,
housecleaning, work in the garden) for at least 30 min. government
agencies use this measure to monitor physical activity in the dutch
population. we used mean physical activity, measured in number of days
per week, in our analyses. in addition, we dichotomized the physical
activity scale according to the dutch standard for healthy physical
activity into 1 (at least 30 min of physical activity at least five
times per week) and 0 (at least 30 min of physical activity less than
five times per week),^23 to compare the proportion of physically active
patients with the dutch average. this threshold is also in line with
the international recommendation for the minimum physical activity
level of at least 150 min of moderate or vigorous physical activity per
week.^24
self-reported current smoking was assessed with a yes/no question.
consumption of fruits and consumption of vegetables were assessed
separately as indicators of healthy dietary behaviours, measured in
servings per day. the world health organization and the dutch
guidelines use a minimum of 200 g of vegetables and two servings of
fruit per day to distinguish healthy from unhealthy eating.^25 fruit
consumption was determined by summing the servings per day and was
dichotomized as 1 (healthy diet, consumption of at least two pieces of
fruit per day) and 0 (unhealthy diet, consumption of less than two
pieces of fruit per day). vegetable consumption was determined by
summing the servings per day and was dichotomized as 1 (healthy diet,
consumption of ≥200 g of vegetables per day) and 0 (unhealthy diet,
consumption of <200 g of vegetables per day).^25
respondents were asked to report the highest educational level
completed in the netherlands or abroad, with the option to select ‘no
schooling’ or to write in another response for unlisted forms of
schooling. this variable was dichotomized into low (completion of
elementary school or less) and high (more than elementary school).
income level was determined based on respondents’ reported monthly
household income, including social benefits, pensions and alimony.
responses ranged from 1 (less than €1000 a month) to 4 (€3050 or more a
month). ‘do not know/do not want to tell’ was included as a fifth
category. income level was dichotomized into low (less than €1350) and
high (€1350 or more).
respondents were asked to indicate whether they were married, divorced,
widowed, single, or cohabitating. a dichotomous variable was created:
divorced, single and widowed; and married.
the questionnaire also solicited information on respondents’ age,
gender and number of chronic conditions experienced in the past 12
months. respondents were provided with a list of 14 chronic conditions
(e.g. lung diseases, cardiovascular diseases, diabetes) and space to
write in other conditions. only conditions that were classified as
chronic by o'halloran et al.^26 were included.
analyses
the characteristics of the study sample were examined using descriptive
statistics. bivariate associations of variables expressing background
characteristics, health behaviours and self-management abilities with
those reflecting physical health, depressive symptoms and well-being
were examined. regression analyses were then performed to identify
relationships of health behaviours, self-management abilities, and
physical health with depressive symptoms and well-being while
controlling for background characteristics.
results
of, 2350 older turkish immigrants asked to participate, 213 were
ineligible due to change of address (n = 110), serious medical issue or
death (n = 102) or non-turkish ethnic background (n = 1). a total of
680 respondents completed the questionnaire (final response rate 32%).
table 1 displays descriptive statistics for the older turkish immigrant
population. the average age of the 680 respondents was 72.90 [standard
deviation (sd) 5.02; range 66–95] years, and 47.6% of them were women.
the majority of respondents reported having low education (80.3%) and
low income (83.4%) levels. the mean number of chronic diseases was 2.68
(sd 1.87; range 0–10). most (90.6%) respondents were chronically ill,
and 69.4% had more than one chronic disease. according to their
self-reported body mass indices, 86.5% of respondents were overweight
and 46.0% were obese. more than half of respondents had sufficient
weekly fruit (58.2%) and vegetable (55.3%) consumption. about one-third
(33.5%) of respondents smoked and 43.0% could be considered to be
physically active.
table 1
descriptive statistics for older turkish older immigrants (n = 680)
characteristic range % or mean (sd)
sex (female) 47.6%
age (years) 66–95 72.90 (5.02)
marital status (single/widowed) 28.7%
education (low) 80.3%
income (low) 83.4%
number of chronic diseases 0–10 2.68 (1.87)
chronically ill 90.6%
co-/multi-morbidity 69.4%
body mass index (kg/m^2) 17.65–68.59 30.32 (5.61)
overweight 86.5%
obese 46.0%
healthy diet
sufficient fruit consumption 58.2%
sufficient vegetable consumption 55.3%
physically active 43.0%
smoking 33.5%
self-management abilities 1–4 2.52 (0.62)
physical health 0–100 54.83 (18.18)
depressive symptoms 1–4 2.28 (0.66)
well-being 1–4 2.79 (0.55)
open in a separate window
sd, standard deviation.
table 2 displays the results of the bivariate analyses. single marital
status and low educational level were associated positively with
depressive symptoms and negatively with well-being. the number of
chronic conditions was associated negatively with physical health and
well-being, and positively with depressive symptoms. a positive
relationship was found between sufficient vegetable consumption and
well-being (r = 0.11, p < 0.01). physically active status was
associated positively with physical health (r = 0.09, p < 0.05) and
overall well-being (r = 0.20, p < 0.001), and negatively with
depressive symptoms (r = –0.28, p < 0.001). smoking was related
positively to depressive symptoms (r = 0.16, p < 0.001).
self-management abilities were related positively to physical health (r
= 0.12, p < 0.05) and well-being (r = 0.54, p < 0.001) and negatively
to depressive symptoms (r = –0.53, p < 0.001).
table 2
associations with physical health, depressive symptoms and well-being
(n = 680)
characteristics physical health depressive symptoms well-being
sex (female) 0.12^** 0.21^*** –0.11^**
age (years) –0.05 0.08^* –0.06
marital status (single/widowed) –0.05 0.16^*** –0.11^**
education (low) –0.07 0.16^*** –0.11^**
income (low) –0.06 0.10^* –0.06
number of chronic diseases –0.15^*** 0.36^*** –0.26^***
body mass index –0.13^*** 0.06 –0.06
eating enough fruit –0.01 –0.06 0.07
eating enough vegetables –0.01 –0.07 0.11^**
physically active 0.09^* –0.28^*** 0.20^***
smoking 0.06 0.16^*** 0.07
self-management abilities 0.12^** –0.53^*** 0.54^***
open in a separate window
^***p < 0.001.
^**p < 0.01.
^*p < 0.05.
the results of the multivariate regression analyses are displayed in
table 3. the number of chronic diseases was associated negatively with
physical health (β = –0.20, p = 0.005) and overall well-being (β =
–0.13, p = 0.039), and positively with depressive symptoms (β = 0.21, p
< 0.001). among health behaviours, a weak positive relationship was
found between sufficient vegetable consumption and well-being (β =
0.14, p = 0.017). in addition, weak relationships were found between
physical activity and depressive symptoms (β = –0.16, p = 0.007),
smoking and depressive symptoms (β = 0.16, p = 0.009), and
self-management abilities and physical health (β = 0.17, p = 0.015).
the strongest relationships were found between self-management
abilities and depressive symptoms (β = –0.39, p < 0.001) and overall
well-being (β = 0.49, p < 0.001).
table 3
results of multivariate regression analyses
characteristic physical health depressive symptoms well-being
β p β p β p
sex (female) –0.04 0.643 0.04 0.632 –0.03 0.694
age (years) –0.00 0.949 0.02 0.699 –0.07 0.264
marital status (single/widowed) 0.14 0.070 –0.03 0.691 0.03 0.670
education (low) 0.01 0.936 0.06 0.303 0.01 0.918
income (low) 0.01 0.944 0.03 0.582 0.03 0.584
number of chronic diseases –0.20 0.005 0.21 <0.001 –0.13 0.039
body mass index –0.08 0.282 –0.03 0.609 –0.05 0.433
sufficient fruit consumption 0.03 0.636 0.05 0.390 –0.06 0.303
sufficient vegetable consumption 0.03 0.697 –0.06 0.290 0.14 0.017
physically active 0.01 0.940 –0.16 0.007 0.02 0.731
smoking 0.09 0.206 0.16 0.009 0.01 0.886
self-management abilities 0.17 0.015 –0.39 <0.001 0.49 <0.001
r^2 12% 36% 31%
open in a separate window
significance of bold values is p < 0.05.
discussion
this study aimed to identify relationships of background
characteristics, health behaviours and self-management abilities with
physical health, depressive symptoms and well-being among older turkish
immigrants residing in rotterdam, the netherlands. chronic diseases,
overweight and obesity were highly prevalent among respondents. during
the same period in which this study was conducted (2015/2016), a much
smaller percentage of the general dutch population aged ≥ 65 years was
overweight compared with our turkish sample (60% vs. 86.5%); the
prevalence of obesity differed to a lesser degree (42% vs. 46%).^27 in
addition, a larger percentage of turkish elders were chronically ill
compared with the general dutch population aged ≥ 65 years (90.6% vs.
79.9%).^28 the prevalence of chronic diseases is known to be higher
among those with lower educational levels,^29 which could explain this
finding, as 80.3% of older turkish immigrants participating in this
study were less educated.
with increasing numbers of chronic diseases, older immigrants had worse
physical health and well-being, and more depressive symptoms. healthy
behaviours and self-management abilities may protect chronically ill
older immigrants from the deterioration of health and well-being, and
the onset of depressive symptoms. however, we found only weak
relationships between the outcome variables and physical activity,
sufficient vegetable consumption and smoking, and the latter two health
behaviours were not associated with all outcome variables. a smaller
percentage of older immigrants met the norm for physical activity
compared with the general older population in the netherlands (43% vs.
50%).^30 the prevalence of smoking was also greater among older turks
compared with the general dutch population aged ≥ 65 years (33.5% vs.
∼15%).^31 this is in line with earlier research showing that the
percentage of smoking in the netherlands is highest in the turkish
population, especially among turkish men.^32^,^33 regarding dietary
behaviour, older turkish respondents were healthier than the older
general population in the netherlands in 2015/2016 in terms of
sufficient fruit (58.2% vs. 43%) and vegetable (55.3% vs. 30%)
consumption. these findings are in line with earlier research showing
that immigrants ate more fruit and vegetables than did older dutch
people.^34 in terms of health behaviours, older turkish people are thus
expected to benefit especially from smoking cessation and physical
activity interventions.
the strongest relationships were found between broader self-management
abilities and the outcome variables, especially depressive symptoms and
overall well-being. these findings are important, given that these
abilities are amendable. examples of the most commonly used
self-management interventions are health education, lifestyle
education, enhancement of knowledge about chronic diseases and their
risk factors, support of a healthy diet and promotion of physical
exercise and smoking cessation. however, older patients’ abilities to
self-manage their overall well-being, such as having a positive frame
of mind, taking initiative and self-efficacy, should also be addressed.
interventions that aim to enhance self-management abilities may be
useful additions to traditional interventions, which usually focus
solely on the physical decline associated with ageing and chronic
conditions.^35–37
the limitations of this study should be considered when interpreting
the findings. first, although the response rate was low, it was
comparable to those in other surveys conducted in this population [61].
most non-response was due to the inability to reach respondents after a
minimum of two door-to-door contact attempts (following the two contact
attempts via mail), potentially resulting in non-response bias. to
improve the response rate, this number should be increased to six
contact attempts, which was not feasible in our study.^38^,^39 to
investigate potential non-response bias, we conducted non-response
analyses. no significant difference in gender was found between
respondents and non-respondents. the mean age of these groups, however,
differed significantly; on average, respondents were younger than
non-respondents [72.11 (sd = 5.10) vs. 72.73 (sd = 5.00),
respectively]. educational level of our sample is comparable to other
studies showing that ∼80% of turkish older migrants only completed
elementary school or less.^40 second, the data collected were
cross-sectional, preventing determination of causality. third, although
this study showed that self-management abilities are important for
older turkish people, we did not investigate whether interventions
aiming to enhance these abilities actually improved self-management.
further research is necessary to explore ways in which the
self-management abilities of older turkish people can be improved.
fourth, we investigated fruit and vegetable consumption only, not how
food was prepared or the total fat or calorie intake per day, which are
also known to be important.^41 fifth, we also did not include alcohol
consumption to our analyses given that only two male respondents drank
more than the norm (≥3 units per day at ≥4 days a week). if you would
look at health behaviours among immigrant populations outside the
muslim community, it would be interesting to add this health behaviour.
finally, our study sample consisted of older turkish people residing in
rotterdam, which limits the generalizability of our study findings.
conclusion
based on the results of this study, we can conclude that in addition to
health behaviours, broader self-management abilities related to the
maintenance of overall well-being are important for older turkish
people. while only weak relationships were found with health
behaviours, strong relationships were found with broader
self-management abilities, depressive symptoms and well-being. in terms
of health behaviours, older turkish people are expected to benefit most
from smoking cessation and physical activity interventions. older
immigrants, including turks, however, may especially benefit from
interventions that enhance broader self-management abilities related to
the maintenance of overall well-being. interventions to improve
self-management abilities may help older turkish people better deal
with functional losses and chronic diseases as they age further. such
interventions will probably need to be adjusted for this population to
be effective.^38 the current national public health policy, however,
devotes no specific attention to high-risk ethnic groups. we feel that
these results provide a useful basis for the design of effective
interventions for successful ageing among older turkish people in the
netherlands.
funding
this study was supported by a grant provided by the erasmus university
of rotterdam.
conflicts of interest: none declared.
key points
* chronic diseases, overweight and obesity are highly prevalent among
turkish elderly.
* smoking cessation and physical activity interventions may partly
improve outcomes.
* interventions aimed at broader self-management abilities seem
especially effective.
* a broader focus is needed on self-management abilities to maintain
overall well-being.
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1. home
2. healthy living
3. fitness
4. fitness basics
5. why is physical activity so important for health and wellbeing?
search ____________________
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why is physical activity so important for health and wellbeing?
woman stretching
there are so many reasons why regular activity boosts your health. read
to learn what those are and how you can incorporate exercise into your
day.
we know that staying active is one of the best ways to keep our bodies
healthy. but did you know it can also improve your overall well-being
and quality of life?
here are just a few of the ways physical activity can help you feel
better, look better and live better. because, why not?
it’s a natural mood lifter.
regular physical activity can relieve stress, anxiety, depression and
anger. you know that "feel good sensation" you get after doing
something physical? think of it as a happy pill with no side effects!
most people notice they feel better over time as physical activity
becomes a regular part of their lives.
it keeps you physically fit and able.
without regular activity, your body slowly loses its strength, stamina
and ability to function properly. it’s like the old saying: you don’t
stop moving from growing old, you grow old from stopping moving.
exercise increases muscle strength, which in turn increases your
ability to do other physical activities.
it helps keep the doctor away.
stand up when you eat your apple a day! too much sitting and other
sedentary activities can increase your risk of heart disease and
stroke. one study showed that adults who watch more than 4 hours of
television a day had an 80% higher risk of death from cardiovascular
disease.
being more active can help you:
* lower your blood pressure
* boost your levels of good cholesterol
* improve blood flow (circulation)
* keep your weight under control
* prevent bone loss that can lead to osteoporosis
all of this can add up to fewer medical expenses, interventions and
medications later in life!
it can help you live longer.
it’s true, 70 is the new 60… but only if you’re healthy. people who are
physically active and at a healthy weight live about seven years longer
than those who are not active and are obese. and the important part is
that those extra years are generally healthier years! staying active
helps delay or prevent chronic illnesses and diseases associated with
aging. so active adults maintain their quality of life and independence
longer as they age.
here are some other benefits you may get with regular physical activity:
* helps you quit smoking and stay tobacco-free.
* boosts your energy level so you can get more done.
* helps you manage stress and tension.
* promotes a positive attitude and outlook.
* helps you fall asleep faster and sleep more soundly.
* improves your self-image and self-confidence.
* provides fun ways to spend time with family, friends and pets.
* helps you spend more time outdoors or in your community.
the american heart association recommends at least 150 minutes of
moderate-intensity aerobic activity each week. you can knock that out
in just 30 minutes a day, 5 days a week. and every minute of moderate
to vigorous activity counts toward your goal.
so, this is easy! just move more, with more intensity, and sit less.
you don’t have to make big life changes to see the benefits. just start
building more activity into your day, one step at a time.
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no time for exercise? here are 7 easy ways to move more!
make every move count infographic
* fitness
* fitness basics
+ recommendations for physical activity in adults
+ warm up with cool-weather workouts
+ recommendations for physical activity in children
+ recommendations for physical activity in kids infographic
+ american heart association recommendations for physical
activity infographic
+ balance exercise
+ endurance exercise aerobic
+ flexibility exercise stretching
+ how to keep cool during warm weather workouts
+ is your workout working? infographic
+ keeping your feet happy and pain-free infographic
+ make every move count infographic
+ move more for whole body health infographic
+ move more month
+ preventing injury during your workout
+ staying hydrated - staying healthy
+ strength and resistance training exercise
+ know your target heart rates for exercise, losing weight and
health
+ treat your feet right
+ warm up cool down
+ what to wear when you work out infographic
+ when is the best time of day to work out?
+ why is physical activity so important for health and
wellbeing?
* getting active
* staying motivated
* walking
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research and american heart association guidelines. use this link for
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the importance of health education
february 8, 2018
marcy vadurro
director of product marketing
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importanceofhealtheducationbanner
when it comes to building a healthy community, the importance of health
education cannot be overlooked. community health workers collaborate
with all stakeholders in a community - from its citizens to its
government, education and medical officials - to improve health and
wellness and ensure equal access to healthcare.
what is the importance of health education?
community health education looks at the health of a community as a
whole, seeking to identify health issues and trends within a population
and work with stakeholders to find solutions to these concerns.
the importance of health education impacts many areas of wellness
within a community, including:
* chronic disease awareness and prevention
* maternal and infant health
* tobacco use and substance abuse
* injury and violence prevention
* mental and behavioral health
* nutrition, exercise and obesity prevention
community health educators work with public health departments,
schools, government offices and even local nonprofits to design
educational programs and other resources to address a community's
specific needs.
importanceofhealtheducationbody3
"the value in these programs is having a topic or issue tailored to the
needs of the audience...and working with them one on one to make
behavioral changes," said daphne guillaume, a certified health
education specialist and public health adjunct faculty at southern new
hampshire university (snhu).
overcoming health disparities
in addition to providing educational resources and programming to a
community, public health educators also work to ensure all members of a
community have equal access to wellness resources and healthcare
services.
according to the american public health association (apha), common
health disparities affecting americans include:
* racial or ethnic health disparities
* socioeconomic health disparities
* gender health disparities
* rural health disparities
importanceofhealtheducationbody1
"we look at the issues that are going on in our communities through a
social justice lens," said snhu adjunct faculty member dede teteh, a
certified health education specialist and public health researcher.
"the main difference between [public health] and medicine is we don't
look at people one by one. we work with communities and examine trends
in behaviors and health outcomes. we attempt to decipher what's going
on within communities and determine how we can best support their
wellness efforts. but we don't act without their input or partnership."
community health education and government policy
the importance of health education also extends into policy and
legislation development at a local, state and national level, informing
and influencing key decisions that impact community health.
from campaigns and legislation to enforce seat belt use and prevent
smoking to programs that boost the awareness and prevention of
diabetes, public health workers provide research and guidance to inform
policy development.
"you're not just educating the individual person, you need the impetus
and motivation to come from the whole community," said snhu associate
dean of health professions denise bisaillon. "you have to reach the
leaders in the community. the more people invested in a change, the
more likely its success."
the economic importance of health education
health education can also boost a community's economy by reducing
healthcare spending and lost productivity due to preventable illness.
obesity and tobacco use, for example, cost the united states billions
of dollars each year in healthcare costs and lost productivity.
according to the american public health association (apha) the annual
loss in economic productivity due to obesity and related issues is
expected to total as much as $580 billion by 2030. the total economic
cost of tobacco use costs the united states more than $300 billion each
year, including $156 billion in lost productivity, according to the
cdc.
programs designed to help community members combat these expensive
health issues not only boost individuals' health, but also provide a
strong return on investment for communities.
according to the cdc, states with strong tobacco control programs see a
$55 return on every $1 investment, mostly from avoiding costs to treat
smoking-related illness. the national cost of offering the national
diabetes prevention program is about $500 per participant,
significantly lower than the $7,900 spent on diabetes care per type 2
diabetes patient each year.
importanceofhealtheducationbody4 a growing field
as the health, social and economic impacts of community health
education continue to grow, so does the field of public health and
health promotion.
according to the u.s. bureau of labor statistics (bls), employment in
the community health education field is projected to grow by 16%
through 2026, more than twice the average for all occupations.
workers with a community health education degree can find opportunities
in a wide variety of settings, according to the bls, including:
* schools and colleges
* hospitals and healthcare facilities
* nonprofit organizations
* private businesses and employee wellness programs
* government organizations and public health departments
as communities continue to focus more on improving the health and
wellness of its citizens, the field of community health education will
also continue to grow, said snhu adjunct faculty michelle gifford.
"i believe that more and more communities are seeing benefits from
wellness-related initiatives and receiving positive marks about them,
hence community leaders are seeing this as not just a business-driven
necessity, but also something that impacts the well being and quality
of life of their citizens," gifford said.
marcy vadurro is a marketing professional within nursing and health
professions in higher education.
health
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darla branda
health professions clinical faculty darla branda: a faculty q&a
december 13, 2019
after spending 4 years in the military, darla branda earned her degree
and began working in health information management. she's since joined
the faculty at snhu, and we asked her to share her thoughts about
teaching, the importance of education and more as part our faculty
spotlight series.
a student in snhu's ccne accredited nursing programs.
snhu nursing programs receive 10-year ccne reaccreditation
november 21, 2019
snhu online nursing programs recently received a 10-year
reaccreditation from the commission on collegiate nursing education
(ccne), a professional accrediting agency that strives to promote the
quality and integrity of baccalaureate and graduate nursing programs.
a group of doctors and nurses reviewing a document in a hospital
corridor.
healthcare students get to the heart of succession planning
november 13, 2019
teams of southern new hampshire university nursing and healthcare
students recently tackled the challenge of succession planning for
healthcare facilities in the latest higher education and real-world
training challenge.
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civil blog 369
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homehealth and its importance | health and its significance | the
importance of health and health
health and its importance | health and its significance | the importance of
health and health
civil blog 369 february 09, 2019
[ins: :ins]
health and its importance
health-and-its-importance
health and its importance
the word "health" refers to an emotional and physical well- being
state. healthcare is available to help people maintain this optimal
health status.
your food choices affect your health every day-how you feel today,
tomorrow and the future. good food is an important part of a healthy
lifestyle. in combination with physical activity, your diet can help
you achieve a healthy weight, reduce the risk of chronic diseases (such
as heart disease and cancer) and promote your overall health.
why does good health matter?
cells are the basic units of all organisms. they consist of a variety
of chemicals. cells move from location to location. even if the cell
does not move, there is still a lot of repairs. cells are the basic
units of all organisms.
in relation, there are various specialized activities in our body such
as the heart pumps blood, the kidney filters the urine, which even the
brain constantly probably thinks the lungs help to inhale.
there's a lot of interconnection in our body between the different
organs. our body needs energy and raw material for all these
activities. food is necessary for the functioning of cells and tissues.
therefore, if you're not good, all your physical activities begin to
get hampered.
the significance of health
health is a physical, mental and social state of complete well-being. a
person needs a balanced diet and regular exercise for a healthy life
cycle. you also have to live in a proper shelter, sleep enough and have
good hygiene habits. so, how do we make sure we do all the right things
to be healthy? let's raise awareness about the importance of health
1)all organisms ' health depends on their environment or surroundings.
in our individual health, our social environment is an important
factor.
2)for individual health, public cleanliness is important. we must
therefore ensure that we regularly collect and clear the waste. we also
need to contact an agency responsible for clearing the drains. you
could have a serious impact on your health without this.
3)we need food for health and food, by doing work, we have to earn
money. there must be an opportunity to do work for this. therefore,
individual health needs good economic conditions and jobs.
4)to be really healthy, we need to be happy. we can't be healthy or
happy if we mistreat each other and fear each other. for individual
health, social equality and harmony are important.
what is an illness?
if one or more organs or systems of our body are adversely affected
because they are interrupted in their normal functioning, we say that
we are not healthy, i.e. we have a disease. disease means that
something is wrong with our body and we feel that the body is unwell or
malfunctioning.
our health is not only affected by uneven diets, but also by diseases,
infections, poverty, large families, overcrowded homes, etc. the
disease is usually caused by external organisms (microbes), which cross
the natural barriers of the body and invade our healthy body. such
organisms can cause havoc if it is not handled immediately by our
immune system.
health-and-its-importance
health and its significance
types of health
mental and physical health are the two types of health most frequently
discussed. we also talk about, among others, "spiritual health,"
"emotional health" and "financial health." they were also linked to
lower levels of stress and mental and physical well- being.
physical health
bodily functions work at peak performance in a person who experiences
physical health, not only because of a lack of disease, but also
because of regular exercise, balanced nutrition and adequate rest. when
necessary, we receive treatment to maintain the balance.
physical well- being means a healthy lifestyle to reduce the risk of
disease. for example, maintaining physical fitness can protect the
breathing and heart function, muscle strength, flexibility and body
composition of a person and develop it.
physical health and well- being also reduce the risk of injury or
health problems. examples include minimizing risks at work, safe sex,
good hygiene, or avoiding tobacco, alcohol or illegal drugs.
mental health
mental health means the emotional, social and psychological well- being
of a person. mental health is as important to a full and active
lifestyle as physical health.
mental health is harder to define than physical health, because
diagnosis often depends on the perception of the individual's
experience. however, with test improvements, some signs of some types
of mental illness in ct scans and genetic testing are now becoming
"visible."
mental health is not just a lack of depression, anxiety or other
disorder. it also depends on the ability to: enjoy life bouncing back
after difficult experiences achieve balance, feel safe and secure in
order to achieve your potential.
there are good links between physical and mental health. if chronic
disease affects the ability of a person to perform his or her regular
tasks, depression and stress can be caused, for example, by money
problems. a mental illness such as depression or anorexia can affect
the weight and function of the body. rather than its different types,
it is important to approach "health "as a whole.
good health factors
health depends on a variety of factors. a person is born with a variety
of genes and an unusual genetic pattern can lead to a level of health
that is less than optimal in some people.
environmental factors play an important role. the environment alone
sometimes suffices to have an impact on health. an environmental
trigger can cause disease in a genetically susceptible person at other
times.
these can be summarized as:
social and economic environment: including the wealth of a family or
community.
the physical environment: including parasites in an area or levels of
pollution.
the characteristics and behaviors of the person:
according to the world health organization, the higher the socio-
economic status of a person( ses), the more likely they are to enjoy
good health, good education, a well- paid job, and if their health is
threatened, good health care will be available.
people with a lower socio- economic status are more likely to
experience stresses related to daily life, such as financial
difficulties, marital disruption and unemployment, as well as social
factors such as marginalization and discrimination. all of this adds to
the risk of poor health.
low socio- economic status means often less access to healthcare.
people in developed countries with universal health services have
longer life expectancies than people without universal health care in
developed countries.
cultural problems can have an impact on health. a society's traditions
and customs and the response of a family to them can have a good or bad
effect on health. for example, people around the mediterranean are more
likely to consume high levels of fruit, vegetables and olives and eat
as a family compared to fast food crops.
how stress is managed affects health. people who smoke, drink or take
drugs to forget about their problems are likely to experience more
health problems later than people who fight stress through healthy diet
and exercise.
men and women are susceptible to various health factors. they may be at
greater risk of poor health than men in societies where women earn less
than men or are less educated.
[ins: :ins]
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1. hello healthy24 december 2019 at 19:33
good sir
visit this blog
https://myhellohealthy.blogspot.com/2019/12/10-make-ahead-breakfast
-under-30020.html
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home » achieve lasting weight loss » the importance of health
natural health boosters
the importance of health can’t be understated. think about it: your
health is truly the foundation of your life. when you don’t physically
feel well, the rest of your life suffers, too. without it, you can’t
focus, and ultimately, you can’t pursue your goals.
people go to extreme lengths to feel healthier. think of all the fad
workouts and diets you’ve heard of or maybe even tried yourself over
the years. whether it’s cutting out carbs, eating vegan during the
week, hitting a crossfit gym or trying aerial yoga, it’s all for the
sake of your health.
while these trendy ways to stay in shape or lose weight can be fun for
a while, they don’t often result in a sustainable lifestyle change.
instead of becoming a healthier version of yourself with energy that
drives you to move more and eat smart, these trends often lead to
burnout and frustration. ultimately you may stop trying to improve
altogether. the good news is that there is an alternative: learning how
to get energy naturally using natural energy boosters and supplements
to augment broader lifestyle changes.
natural energy supplements to help you create lasting change
there’s a way to break the vicious cycle, and it starts with
implementing small but impactful changes into your life that you can
follow through with. among the most promising natural ways to boost
energy are products that allow you to feel more physically strong and
mentally clear without compromising your health or your time.
tony robbins has developed a new line of health products that were
specially formulated to keep you in peak health. featuring nine new
physician-grade products, the line includes products ranging from
high-energy protein bars to vitamin-packed powders, superfood
supplements and other natural energy supplements.
ready to see a change in your health? find out more about tony robbins’
line of natural energy boosters below.
a new line of effective natural energy supplements
for decades, tony robbins’ work has centered on enabling people to
transform their lives. a crucial part of that journey is discovering
how to get energy naturally, make lasting changes and feel a sense of
joy and vitality. when you feel better, and have realized the
importance of health, you’ll have energy to make an outsized impact on
your family, career and within your community.
this line of natural energy supplements was designed to give you more
natural energy so you can more easily and effectively reach your goals:
energy now
when you feel sluggish prior to working out, it becomes difficult to
both start working out and to reach the full potential your workout
holds. tony robbins’ energy now formula is formulated to prime you for
the most effective workout you can get. an effective pre-workout
formula, energy now contains natural energy boosters that helps you
maintain high energy levels while sustaining mental clarity. the powder
is made with non-gmo ingredients, naturally sweetened with stevia and
is available in a refreshing strawberry flavor. easy to mix and drink
on the go, energy now is your best solution for maximizing your
workout.
energy powder supplements
bioenergy greens
green energy drink supplement
even when you follow a reasonably healthy diet, it can still be
difficult to get all your nutrition needs met every day. tony robbins’
bioenergy greens natural energy supplements are packed with fruits,
vegetables and antioxidants to nourish your body at the cellular level.
this superfood-packed supplement helps you get in those dense nutrients
you need to maintain peak health. the antioxidant-rich powder includes
four full servings of fruits and vegetables in every scoop, making
bioenergy greens one of the more nutritious natural energy boosters on
the market.
immunoboost-c
a healthy immune system is the foundation of overall health, yet when
you’re traveling or around others often, it’s easy to get sick.the
immunoboost-c supplement works to prevent sickness before it starts.
this effervescent dietary supplement packs a custom blend of vitamin c
and other essential vitamins as natural energy boosters to keep your
immune system at top performance.
pure body cleanse
body detox supplement powder
when the body accumulates too many toxins, we feel tired and depleted.
because of the draining effect of toxins in the body, detoxifying the
body is a vital component of learning how to get energy naturally. a
straightforward approach to detoxing, pure body cleanse is a 10-day
program designed to aid the body in eliminating harmful toxins. with
v-protein powder, target detox and digestease, you’ll have everything
you need to flush the body and get back to optimal health.
vital energy
natural energy supplements designed to augment a healthy diet and
lifestyle, the vital energy formula is designed to eliminate fatigue so
you can reach your peak state. this peak performance pack contains
bioenergy greens, immunoboost-c, adrenal power and neuroboost-b12 to
help you create and sustain maximum levels of energy. this potent
combination of natural energy boosters enables you to prevent illness,
experience mental clarity and feel a greater sense of endurance.
energy supplements
ultimate weight loss (two flavors)
vanilla weight loss supplements
achieving and maintaining healthy weight is one of the most
foundational and natural ways to boost energy. when you need a final
push to reach your weight loss goals, tony robbins’ ultimate weight
loss formula contains the natural energy boosters to get you there.
available in chocolate and vanilla, these custom weight loss
formulations were designed to help you hit your weight loss goals in
just two weeks. as delicious as it is effective, the shake formulation
was designed to keep you feeling full while giving your metabolism a
boost.
natural energy boosters to maximize your health today
“the higher your energy level, the more efficient your body, and the
better you feel and the more you will use your talent to produce
outstanding results.” – tony robbins
what could you accomplish if you were living in peak health? would you
be a better family member and friend to your loved ones? would you
break down more barriers at work? would you be able to give more back
to the community, or even the world?
while it’s often easier to settle for suboptimal health, if we’re
honest with ourselves, the results of living below our potential extend
beyond our physical health. in addition to feeling tired and lethargic,
a lack of energy leaves us feeling uninspired and passionless. our
problems begin to feel overwhelming, and we lack the stamina to embrace
change and face life’s challenges and opportunities. conversely, only
when we’re living at our peak mental, emotional and physical health are
we able to truly pursue, obtain and enjoy real, lasting fulfillment.
don’t wait any longer to realize the true importance of health. your
health is your foundation; it is at the core of everything you do.
commit to learning how to get energy naturally.
the new products in tony robbins’ health line were designed to help you
feel your best. when you feel your best, you perform better in all
areas of your life. why wait to make a lasting change? buy from the new
line today and prepare to feel renewed energy and mental clarity.
ready to achieve the body you've always desired?
download tony’s free digital health guide which offers expert fitness
tips, health podcasts, and a nutrition guide. perform at your peak
today!
download free guide
robbins research
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san diego, ca 92196
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public health is an international, multidisciplinary peer-reviewed
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an official journal of the the royal society for public health and a
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public health is an international, multidisciplinary peer-reviewed
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models and mechanisms of public health
chapter 5: key principles of health behavior change
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social determinants, as stated in the article by short and mollborn,
can be split into three levels, the downstream level (individual
choices), the upstream level (socio-economic, cultural systems, etc.)
and the meso level (interpersonal interactions) (short and mollborn,
2015). most research is focused on the meso level due to the immediate
effects and influence it has over someone’s health behaviors. the
systems that are involved in the meso level could be an individual’s
neighborhood, family, and friends. the importance of social
determinants and their effects on health can help determine the reasons
for specific health actions and behaviors.
the concepts of health behavior are dynamic and encompass different
areas, cultures, genders, age groups, etc. this can be seen within the
united states; the likelihood of developing smoking behaviors are more
prevalent in the south than in the west (short and mollborn, 2015).
some examples of things that health behavior can affect are diet,
physical activity, sleep, and coping with stressful events. health
behavior should be looked at on multiple levels and perspectives to
fully understand how it can promote and protect health instead of
causing harm to it.
licenses and attributions
cc licensed content, original
* authored by: christian rossman, michaela ou2019brien, gloria
poisson, and abubakry tunkara. located at:
https://courses.lumenlearning.com/suny-buffalo-environmentalhealth/
. project: models and mechanisms of public health. license: cc
by-nc-sa: attribution-noncommercial-sharealike
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health behavior
health behavior pp 3-17 | cite as
health behavior
plural perspectives
* authors
* authors and affiliations
* david s. gochman
chapter
* 16 citations
* 27 readers
* 328 downloads
abstract
what “health behavior” means, and how it is treated in this book, are
the basic topics of the first part of this chapter, which begins with a
working definition of health behavior, discusses some related terms,
and provides a definition of “health behavior research.” the chapter
continues with a discussion of conceptions of health, illness, and
disease, and concludes by identifying some research issues that relate
to these conceptions.
keywords
health behavior behavioral health behavioral medicine illness
behavior sociocultural perspective
these keywords were added by machine and not by the authors. this
process is experimental and the keywords may be updated as the learning
algorithm improves.
this is a preview of subscription content, log in to check access.
preview
unable to display preview. download preview pdf.
unable to display preview. download preview pdf.
references
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copyright information
© springer science+business media new york 1988
authors and affiliations
* david s. gochman
+ 1
1. 1.raymond a. kent school of social workuniversity of
louisvillelouisvilleusa
about this chapter
cite this chapter as:
gochman d.s. (1988) health behavior. in: gochman d.s. (eds)
health behavior. springer, boston, ma
* doi https://doi.org/10.1007/978-1-4899-0833-9_1
* publisher name springer, boston, ma
* print isbn 978-1-4899-0835-3
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health behavior and health promotion
apple icon stopping the spread of communicable diseases. catching
cancer in its early stages. preventing teenagers from smoking
cigarettes. these are all based on choices and behaviors.
our goal in the division of health behavior and health promotion (hbhp)
is to enable people to achieve their optimal level of health through
healthy decisions and behaviors. in order to accomplish this, we work
with organizations, and communities to develop the knowledge and skills
needed for making healthy decisions and enacting healthy behaviors, and
to promote the conditions and resources necessary for healthy living.
we also collaborate across disciplines at ohio state to advance
knowledge and understanding of healthy behaviors.
research
research in healthy behaviors and health promotion seeks to understand
the choices and behaviors of individuals and communities with regard to
health. we also evaluate existing and pilot health programs. much of
our scholarly work is done in collaboration across the university and
with other institutions, as well as with community partners.
our faculty are involved in active research programs that include:
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curriculum
our curriculum emphasizes the social and behavioral determinants of
health and methods for changing behaviors in populations.
the health behavior and health promotion program offers two outstanding
degree programs with a concentration in health behavior and health
promotion: the mph (master of public health) and the phd.
both degree programs provide students with a thorough knowledge of
health behavior and health promotion from its fundamental relationship
to public health to role in implementing intervention strategies.
courses also offer a rich array of research opportunities and practical
job experiences.
learn more about degree programs in health behavior and health promotion
mph phd
in addition, we offer a graduate minor in public health behavior and
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* message from the chair
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+ recruitment calendar
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+ bsph + mph in 5 years
+ dual/combined degrees
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o environmental public health specialization
o public health sociology specialization
+ graduate programs
+ master of public health
o biomedical informatics
o biostatistics
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o environmental health
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o health behavior and health promotion
o program for experienced professionals
# program description
# curriculum
# admissions requirements
o veterinary public health
+ master of health administration
o program of study
# competency-based curriculum
# experiential learning: outside the classroom
# leadership development framework
o administrative residency
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o graduates
# graduating student employers
o hsmp faculty and staff
o hsmp alumni society
# events
+ master of science
o biomedical informatics
o biostatistics
o environmental public health
o epidemiology
+ doctor of philosophy
o biostatistics
o environmental public health
o epidemiology
o health behavior and health promotion
o health services management and policy
+ minors/ specializations/ certificates
o graduate certificate in environmental public health risk
assessment
o graduate certificate in global one health
o graduate interdisciplinary specialization in obesity
science
o graduate interdisciplinary specialization in global
health
o graduate minor in public health behavior and promotion
o epidemiology minor
o global public health minor
+ contact us
* students
+ student forms and resources
+ graduate students
o advising and student services
o news and events
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o cph graduate student handbook
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o mph practicum
o mph culminating project
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health behavior models
behavior change models:
there are a number of theoretical models in the literature that address
effective ways to change health behaviors. the pages below outline
basic theories, their major constructs, and the recommended strategies
to help clients reduce tobacco use.
* transtheoretical model (ttm) & stages of change
* health belief model
* social cognitive theory
* theory of reasoned action/theory of planned behavior
measures:
stages of change & readiness
the stages of change algorithm can be used in research to determine an
individual’s current stage of change for quitting tobacco.
the readiness ruler is a brief, 1 item measure that can be used to
assess motivational readiness for quitting smoking. used in practice
and research.
processes of change for quitting smoking
the processes of change questionnaire is a self-report measure that
assesses an individual’s use of experiential and behavioral processes
of change to quit smoking. used in both practice and research.
temptation to smoke
the temptation to smoke scale is a self-report measure that assesses
how tempted an individual is to smoke in a variety of situations. used
in both practice and research.
confidence to abstain (self-efficacy)
the smoking self-efficacy scale is a self-report measure that assesses
an individual's confidence to abstain from smoking in a variety of
situations. used in both practice and research.
decisional balance (pros & cons of smoking)
the decisional balance scale is a self-report measure of the pros and
cons a person perceives in terms of smoking. used in both practice and
research.
screening for tobacco use
the tobacco screening measure is a brief, 1-4 item measure that can be
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the first question should be asked of all patients, and can be helpful
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maryland m.d.s making a difference (md3), and can also be found on
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nicotine dependence
the fagerström test for nicotine dependence (ftnd) consists of six
multiple-choice questions meant to assess how strongly “addicted” an
individual is to nicotine. used in both practice and research.
*permission to use this scale for purposes other than research should
be obtained from k. l. fagerström.
smoking history
the smoking history questionnaire is meant to provide a more detailed
picture of both current and past tobacco use. questions may vary
depending upon the purpose or goals of this measure’s use. used
primarily in research.
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what is good health?
written by adam felman on july 31, 2017
* what is health?
* types
* factors for good health
* preserving health
the word "health" refers to a state of complete emotional and physical
well-being. healthcare exists to help people maintain this optimal
state of health.
in 2015, the population of the united states (u.s.) spent an estimated
$3.2 trillion on healthcare costs.
however, despite this expenditure, a study by the u.s. national
research council, published in 2013, showed that americans die at a
younger age and experience more illness and injury than people in other
developed countries.
good health is central to handling stress and living a long and active
life.
fast facts on health
here are some key points about health. more detail is in the main
article.
* health can be defined as physical, mental, and social wellbeing,
and as a resource for living a full life.
* it refers not only to the absence of disease, but the ability to
recover and bounce back from illness and other problems.
* factors for good health include genetics, the environment,
relationships, and education.
* a healthful diet, exercise, screening for diseases, and coping
strategies can all enhance a person's health.
what is health?
health is not just absence of disease but a state of overall wellbeing.
share on pinteresthealth is not just absence of disease but a state of
overall wellbeing.
in 1948, the world health organization (who) defined health with a
phrase that is still used today.
"health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity." who, 1948.
in 1986, the who further clarified that health is:
"a resource for everyday life, not the objective of living. health is a
positive concept emphasizing social and personal resources, as well as
physical capacities."
this means that health is a resource to support an individualʼs
function in wider society. a healthful lifestyle provides the means to
lead a full life.
more recently, researchers have defined health as the ability of a body
to adapt to new threats and infirmities. they base this on the idea
that modern science has dramatically increased human awareness of
diseases and how they work in the last few decades.
types
mental and physical health are the two most commonly discussed types of
health. we also talk about "spiritual health," "emotional health," and
"financial health," among others. these have also been linked to lower
stress levels and mental and physical wellbeing.
physical health
in a person who experiences physical health, bodily functions are
working at peak performance, due not only to a lack of disease, but
also to regular exercise, balanced nutrition, and adequate rest. we
receive treatment, when necessary, to maintain the balance.
physical wellbeing involves pursuing a healthful lifestyle to decrease
the risk of disease. maintaining physical fitness, for example, can
protect and develop the endurance of a personʼs breathing and heart
function, muscular strength, flexibility, and body composition.
physical health and well-being also help reduce the risk of an injury
or health issue. examples include minimizing hazards in the workplace,
practicing safe sex, practicing good hygiene, or avoiding the use of
tobacco, alcohol, or illegal drugs.
mental health
mental health refers to a personʼs emotional, social, and psychological
wellbeing. mental health is as important as physical health to a full,
active lifestyle.
it is harder to define mental health than physical health, because, in
many cases, diagnosis depends on the individualʼs perception of their
experience. with improvements in testing, however, some signs of some
types of mental illness are now becoming "visible" in ct scans and
genetic testing.
mental health is not only the absence of depression, anxiety, or
another disorder.
it also depends on the ability to:
* enjoy life
* bounce back after difficult experiences
* achieve balance
* adapt to adversity
* feel safe and secure
* achieve your potential
physical and mental health are linked. if chronic illness affects a
personʼs ability to complete their regular tasks, this may lead to
depression and stress, for example, due to money problems.
a mental illness such as depression or anorexia nervosa can affect body
weight and function.
it is important to approach "health" as a whole, rather than its
different types.
factors for good health
health depends on a wide range of factors.
a person is born with a range of genes, and in some people, an unusual
genetic pattern can lead to a less-than-optimum level of health.
environmental factors play a role. sometimes the environment alone is
enough to impact health. other times, an environmental trigger can
cause illness in a person who is genetically susceptible.
access to healthcare plays a role, but the who suggests that the
following factors may have a bigger impact on health than this:
* where a person lives
* the state of the surrounding environment
* genetics
* income
* education level
* relationships with friends and family
these can be summarized as:
* the social and economic environment: including how wealthy a family
or community is
* the physical environment: including parasites that exist in an
area, or pollution levels
* the personʼs characteristics and behaviors: including the genes
that a person is born with and their lifestyle choices
*
according to the who, the higher a personʼs socioeconomic status (ses),
the more likely they are to enjoy good health, a good education, a
well-paid job, afford good healthcare when their health is threatened.
people with a lower socioeconomic status are more likely to experience
stresses related to daily living, such as financial difficulties,
marital disruption, and unemployment, as well as social factors, such
as marginalization and discrimination. all these add to the risk of
poor health.
a low socio-economic status often means less access to healthcare.
people in developed countries with universal healthcare services have
longer life expectancies than people in developed countries without
universal healthcare.
cultural issues can affect health. the traditions and customs of a
society and a familyʼs response to them can have a good or bad impact
on health. for example, around the mediterranean, people are more
likely to consume high levels of fruits, vegetables, and olive, and to
eat as a family, compared with cultures with a high consumption of fast
food.
how a person manages stress will affect health. people who smoke,
drink, or take drugs to forget their problems are likely to have more
health problems later than someone who combats stress through a
healthful diet and exercise.
men and women are prone to different health factors. in societies where
women earn less than men or are less educated, they may be at greater
risk than men for poor health.
preserving health
the best way to maintain health is to preserve it through a healthful
lifestyle, rather than waiting until we are sick to put things right.
this state of enhanced well-being is referred to as wellness.
the mckinley health center at the university of illinois il defines
wellness as:
"a state of optimal well-being that is oriented toward maximizing an
individualʼs potential. this is a life-long process of moving
towards enhancing your physical, intellectual, emotional, social,
spiritual, and environmental well-being."
wellness promotes an active awareness of and participation in health,
as an individual and in the community.
maintaining wellness and optimal health is a lifelong, daily
commitment.
steps that can help us maximize our health include:
* a balanced, nutritious diet, sourced as naturally as possible
* regular exercising
* screening for diseases that may present a risk
* learning to manage stress
* engaging in activities that provide purpose and connection to
others
* maintaining a positive outlook and appreciating what you have
* defining a value system, and putting it into action
peak health will be different for each person, and how you achieve
wellness may be different from how someone else does.
it may not be possible to avoid disease completely, but doing as much
as we can to develop resilience and prepare the body and mind to deal
with problems as they arise is a step we can all take.
written by adam felman on july 31, 2017
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* croat med j
* v.47(4); 2006 aug
* pmc2080455
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croat med j. 2006 aug; 47(4): 662–664.
pmcid: pmc2080455
pmid: 16909464
the meanings of health and its promotion
norman sartorius
copyright and license information disclaimer
copyright © 2006 by the croatian medical journal. all rights reserved.
this is an open access article distributed under the creative commons
attribution license, which permits unrestricted non-commercial use,
distribution, and reproduction in any medium, provided the original
work is properly cited.
this article has been cited by other articles in pmc.
the constitution of the world health organization, which came into
force on april 7, 1948, defined health “as a state of complete
physical, mental and social well-being.” the writers of the
constitution were clearly aware of the tendency of seeing health as a
state dependent on the presence or absence of diseases: so they added
to that definition that an individual, if he is to be considered
healthy, should not suffer from any disease (….“and not merely the
absence of disease or infirmity”) (1). in that way, the definition of
the world health organization simply added a requirement to the
previous position that allowed to declare someone healthy if no disease
could be found: the step forward that could have been taken in the
conceptualization of health as a dimension of existence which can
co-exist with the presence of a disease or impairment was thus not
taken.
today, three types of definition of health seem to be possible and are
used. the first is that health is the absence of any disease or
impairment. the second is that health is a state that allows the
individual to adequately cope with all demands of daily life (implying
also the absence of disease and impairment). the third definition
states that health is a state of balance, an equilibrium that an
individual has established within himself and between himself and his
social and physical environment.
the consequences of adopting one or another of these definitions are
considerable. if health is defined as the absence of disease, the
medical profession is the one that can declare an individual healthy.
with the progress of medicine, individuals who are declared healthy
today may be found to be diseased tomorrow because more advanced
methods of investigations might find signs of a disease that was not
diagnosable earlier. how an individual feels about his or her state is
not relevant in this paradigm of health. how the surrounding people
judge the behavior and appearance of an individual is only relevant if
their observations are congruent with the criteria of abnormality that
the medical profession has produced. the measurement of the state of
health of a population is also simple and will involve no more than
counting the individuals who, on examination, show defined signs of
illness and comparing their numbers with those who do not.
there are obvious difficulties with the first and the second of the
definitions mentioned above and with their consequences. there are
individuals who have abnormalities that can be counted as symptoms of a
disease but do not feel ill. there are others whose body tissues do not
demonstrate changes but who feel ill and do not function well. there
are people who hear voices and might therefore be candidates for
psychiatric examination and possibly treatment – but live well in their
community and do not ask for nor receive medical care. there is a
significant number of people who have peptic ulcers and other diseases,
experience no problems, do not know that they have a disease and do not
seek treatment for it. some of these individuals will also escape the
second type of definition of health because they function as well as
expected in their age and gender group of the general population.
the third definition mentioned above makes health depend on whether a
person has established a state of balance within oneself and with the
environment. this means that those with a disease or impairment will be
considered as being healthy to a level defined by their ability to
establish an internal equilibrium that makes them get the most they can
from their life despite the presence of the disease. health would thus
be a dimension of human existence that remains in existence regardless
of the presence of diseases, somewhat like the sky that remains in
place even when covered with clouds. the advantage of this definition
is that diseases do not replace individuals’ health: they may affect
their balance more or less severely but, at all times, the patients who
suffer from a disease (and their doctors) remain aware of the need to
work simultaneously on two tasks – one, to remove or alleviate the
disease and the second to establish a state of balance, as best they
can, within oneself and in relation with their environment. in fighting
stigmatization that accompanies many chronic and some acute diseases –
such as mental disorders or leprosy – this definition is also useful
because it makes us speak and think about our patients as people who
are defined by different dimensions (including health) and who, at a
point, suffer from a disease – and thus make us say “a person with
schizophrenia” rather than “a schizophrenic,” or a ”person who has
diabetes” rather than a “diabetic” and a “person with leprosy” rather
than a “leper.”
there is another important consequence of working with this definition
of health. to establish whether someone is in good health in accordance
with this definition, the doctor must explore how individuals who have
a disease feel about it, how the disease influences their lives, how
they propose to fight their disease or live with it. laboratory
findings and the presence of symptoms are thus important and necessary
ingredients in thinking about the state of health and the presence of a
disease but are not sufficient to reach a decision about someone’s
health: it is necessary to view the disease in the context of the
person who has it in order to make a judgment about his or her level of
health. there is little doubt about the fact that going about the
treatment of diseases in this way would improve the practice of
medicine and make it a more realistic as well as a more humane
endeavor.
the promotion of health is also affected by the differences in the
definition of health. the simplest definition of health – equated with
the absence of disease – would lead to a definition of the promotion of
health as an effort to remove diseases and diminish the numbers of
individuals who suffer from them. the involvement of functioning in the
definition of health would be reflected in defining the promotion of
health as a process by which the capacity of individuals to cope will
be enhanced and strengthened, for example by regular and obligatory
physical exercise. both of these definitions would lead to
recommendations to improve the treatment of diseases, and to remove
risks factors that might lead to them – such as sedentary life style,
smoking, bad eating habits and insufficient application of hygienic
measures such as washing one’s hands before meals.
the third definition of health, by its very nature, could not stop at
efforts to remove diseases and to diminish risk factors that might lead
to disease. it would have to involve the individuals whose health is to
be promoted in an active way: it would have to address the scales of
values of individuals and communities to ensure that health is placed
higher on those scales. high value placed on health (not only on the
absence of disease) would make people undertake whatever is necessary
to enhance health: participating in preventive action and seeking
treatment would become a normal expression of the need to behave in
harmony with one’s own and one’s community values. changing the place
of health on the scale of values, however, is not possible if left to
the health sector alone: values are shaped throughout life under the
influence of parents, friends, schools, the media, laws, and one’s own
life course and experience. thus, changing values – for example to give
health a higher value, to promote health – has to be a task for all of
those involved in shaping values and placing them on a scale rather
than for the health system alone.
the huge challenges that face societies aiming to improve the health of
their citizens will not be appropriately answered if we do not change
the paradigms of health and disease and design strategies for future
work using these new paradigms. their formulation and acceptance is a
task that is before all of us and is urgent.
references
1. constitution of the world health organization. in: world health
organization: basic documents. 45th ed. geneva: world health
organization; 2005. [google scholar]
__________________________________________________________________
articles from croatian medical journal are provided here courtesy of
medicinska naklada
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fdi unveils new universally applicable definition of ‘oral health’
06 september 2016
6 september 2016
fdi unveils new universally applicable definition of ‘oral health’
poznan, 6 september 2016 – fdi world dental federation today launched
the new definition of ‘oral health’ – positioning it as an integral
part of general health and well-being – at its annual world dental
congress in poznan, poland. it was adopted by over 200 national dental
associations (ndas) and will now be rolled out to the oral health
community, globally.
“this new definition is an important milestone for the oral health
profession,” said dr patrick hescot, fdi president. “true to our vision
2020 advocacy strategy and our ambition to lead the world to optimal
oral health, the new definition will allow us to develop standardized
assessment and measurement tools for consistent data collection on a
global level.”
as defined by fdi:
oral health is multi-faceted and includes the ability to speak, smile,
smell, taste, touch, chew, swallow and convey a range of emotions
through facial expressions with confidence and without pain, discomfort
and disease of the craniofacial complex.
further attributes related to the definition state that oral health:
* is a fundamental component of health and physical and mental
wellbeing. it exists along a continuum influenced by the values and
attitudes of individuals and communities;
* reflects the physiological, social and psychological attributes
that are essential to the quality of life;
* is influenced by the individual’s changing experiences,
perceptions, expectations and ability to adapt to circumstances.
the new definition was coined by fdi’s vision 2020 think tank members,
which includes experts in oral health, public health and health
economics. together with a companion framework tested against external
stakeholders, the new oral health definition is the result of a wider
consultation which included patients, oral health professionals, ndas,
the public health community, academia, government, industry and
third-party payers.
“with this new definition, we want to raise awareness of the different
dimensions of oral health and emphasize that oral health does not occur
in isolation, but is embedded in the wider framework of overall health”
said prof. david williams, co-chair of fdi’s vision 2020 think tank.
“we are proposing a contemporary definition of oral health, which
resonates with that used by many ndas and the world health
organization,” said prof. michael glick, co-chair of fdi’s vision 2020
think tank. “it is therefore not a revolution, but an evolution.”
fdi plans to widely disseminate this oral health definition and
advocate for its operationalization to establish a standard measurement
instrument that can be applied across countries. a measurement toolbox
will be ready in 2017 to allow for assessment of individual and
population needs that can inform and drive oral health policies.
media contact
charanjit (chaz) jagait phd, fdi communications & advocacy director
e-mail: cjagait@fdiworldental.org | tel: +41 22 560 81 48
about fdi world dental federation
fdi world dental federation serves as the principal representative body
for over 1 million dentists worldwide. its membership includes some 200
national member associations and specialist groups in over 130
countries. fdi’s vision: ‘leading the world to optimal oral health’.
www.fdiworldental.org
for more fdi news, visit www.fdiworldental.org
fdi world federation - avenue louis casai 51 - ch - 1216 cointrin -
geneva - switzerland
© fdi world dental federation - all rights reserved
www.fdiworldental.org
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sections
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o list of honour
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# new member associations
# travel grants
# types of membership
o regional organizations
o sections
o team
* what we do
+ advocacy
o advocacy strategy
o declarations
o dental amalgam
o minamata convention on mercury
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o statements
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+ awards & grants
o fdi smile award
o world oral health day awards
o world dental development fund
+ journal
+ partnerships
o corporate partnerships
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o brush day & night
o caries prevention partnership
o endodontics in general practice
o global periodontal health project
o health and safety in the dental workplace
o oral cancer
o oral health for an ageing population
o oral health in cleft patients project
o oral health observatory
o partially dentate patients project
o peri-implant diseases project
o refugee oral health promotion and care project
o smile around the world
o sports dentistry
o whole mouth health
+ world dental congress
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* oral health
+ what is oral health
o definition
o connection to general health
+ what is oral disease
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o tobacco use
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a closer look at health equity
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in this aha advancing health podcast, duane reynolds, president and ceo
of the aha’s institute for diversity and health equity, and priya
bathija, vice president of aha’s the value initiative, discuss how
health equity is a moral issue that affects the length and quality of
people’s lives. they share how hospitals and health system leaders are
addressing the social determinants of health and social needs to make
care more equitable.
__________________________________________________________________
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disparities/equity of care
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aha statement for house energy and commerce committee on maternal health
legislation
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statement
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subcommittee on health of the committee on energy and commerce
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“improving maternal health: legislation to advance prevention efforts
and
access to care”
september 10, 2019
on behalf of our nearly 5,000 member hospitals, health systems and
other health care organizations, our clinician partners – including
more than 270,000 affiliated physicians, 2 million nurses and other
caregivers – and the 43,000 health care leaders who belong to our
professional membership groups, the american hospital association (aha)
commends the committee on energy and commerce for its efforts to
examine legislation to improve maternal health.
maternal health is a top priority for the aha and our member hospitals
and health systems, and our initial efforts are aimed at eliminating
maternal mortality and severe morbidity. the causes of maternal
mortality and morbidity are complex, including a lack of consistent
access to comprehensive care and persistent racial disparities in
health and health care. as hospitals work to improve health outcomes,
we are redoubling our efforts to improve maternal health across the
continuum of care and reaching out to community partners to aid in that
important effort.
the may 2019 vital signs report issued by the centers for disease
control and prevention (cdc) noted that about 700 women die each year
from complications related to pregnancy, and more than half of those
deaths are preventable. an estimated 31% of pregnancy-related deaths
occur during pregnancy, 36% during delivery or the week after, and 33%
one week to one year after delivery. the cdc last week released its
morbidity and mortality weekly report that showed that between
2007-2016, the pregnancy-related mortality ratio increased from 15 to
17 pregnancy-related deaths per 100,000 births and that black, american
indian and alaska native women were two to three times more likely to
die from pregnancy-related causes than white women, and this disparity
increases with age. the report also noted that racial and ethnic
disparities in pregnancy-related deaths have persisted over time.
key resources
aha statement for the energy and commerce committee of the house on
maternal health legislation pdf
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maternal & child health
every child deserves to have a healthy start in life, and every mother
should have access to quality healthcare during pregnancy and
childbirth. the birth of a new child should be a time for celebration,
and yet for many women around the world it is a time of fear. according
to the world health organisation, more than 800 women die every day
from complications in pregnancy and childbirth. the majority of these
deaths could be prevented given the right resources and care. most of
these deaths happen in the global south, and are particularly high in
rural areas.
in these remote areas, women, newborns and children are often the most
vulnerable to health problems. health centres can be difficult to
reach, and without alternative forms of transport available to them,
women and children sometimes have to walk for days to get there. even
when they reach the facilities, they might find them understaffed or
underequipped.
indigenous women and girls are even more likely to experience worse
maternal health outcomes, and frequently face discrimination and abuse
from health centre staff. for example, maasai women in kenya are twice
as likely to have had no antenatal care, and san women in namibia are
ten times more likely to give birth without skilled attendance.
au sits inside her mud-walled hut near tsumkwe, namibia
au, a traditional birth attendant in namibia
all of these factors discourage mothers from visiting health centres
during pregnancy and to give birth, and often they instead rely on
traditional birth attendants (tbas) in the community as their only
source of maternal health support. the position of tba is passed down
through generations of women, and is a highly respected role in the
community. however, these women very rarely have access to any health
training, leaving them without the skills or tools to identify and
treat difficulties in childbirth. overall, the lack of infrastructure,
transport and training means women and newborns are still dying in
childbirth.
at health poverty action we believe maternal health is particularly
important because of the far-reaching impacts it has on families and
communities. not only does access to quality maternal healthcare ensure
the good health of a mother – her good health also helps to ensure the
good health of her newborn child and the rest of her family.
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maternal health
view photo uganda 2017 © frederic noy/cosmos
maternal health care provided at msf's health center in bidibidi,
uganda.
uganda 2017 © frederic noy/cosmos
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many women across the world give birth without medical assistance,
massively increasing the risk of complications or death. every day on
average 830 women die from pregnancy-related causes. most of these
deaths are preventable.
99 percent
maternal deaths
occur in developing countries
50 percent
maternal deaths
occur during delivery or within 24 hours
1.1 million
births
assisted by msf from 2013-2017, including 107,000 caesarean sections
reproductive health care is an integral part of the medical care
doctors without borders/médecins sans frontières (msf) provides,
including in emergencies. our maternal health programs in more than 25
countries focus on reducing maternal and infant mortality through
pregnancy and prenatal consultations, emergency obstetric care,
postnatal follow-up, and access to family planning services and safe
abortion care.
maternal health facts
serious, untreated complications during pregnancy or delivery can be
fatal to both mother and infant. the most common complications that may
lead to maternal death are: postpartum hemorrhage, reproductive tract
infections, eclampsia, unsafe abortion, obstructed labor, and serious
infectious diseases.
hemorrhage
hemorrhage, or excessive bleeding, can happen after a complicated
birth. often it results from failure of the uterus to contract after
delivery. normally, these contractions stop the bleeding that occurs
once the placenta separates from the uterine wall. but complications or
incomplete placental separation can lead to continued bleeding, and
without rapid medical intervention, a woman can quickly bleed to death.
when skilled birth attendants are present, oxytocin can be given to
prevent bleeding. if severe bleeding does occur, the mother is
resuscitated and attendants apply methods ranging from further
medication and manual pressure to stop the bleeding through to
emergency surgery.
severe infection
severe infection can develop during pregnancy or from unhygienic
conditions during delivery. one common type is reproductive tract
infections (rti), which cause intrauterine infections that can
eventually be fatal to the woman. they can also cause life-threatening
infection in the infant.
access to clean water and hygienic conditions during delivery, such as
clean hands and a clean delivery surface like a plastic cover, are
vital to preventing infections. if an infection occurs, early detection
and treatment with the appropriate antibiotic can prevent serious
illness or death.
eclampsia and other hypertensive disorders
eclampsia and other hypertensive disorders of pregnancy are linked to
high blood pressure and are characterized by seizures that can lead to
coma and death. eclampsia begins during pregnancy as pre-eclampsia,
which leads to high blood pressure. without prenatal care pre-eclampsia
can develop into severe pre-eclampsia or full eclampsia, causing
symptoms such as swelling, sudden weight gain, headaches, changes in
vision, and potentially fatal convulsions.
unsafe abortion
unsafe abortion is a procedure for terminating an unwanted pregnancy
either by persons lacking the necessary skills or in an environment
lacking minimal medical standards, or both, as defined by the world
health organization. globally, at least 22,000 women die every year
from unsafe abortion—the only major cause of maternal death that has
not declined in recent decades, despite it being almost complete
preventable. of those women who survive, 7 million suffer serious
consequences such as infertility, injury, or complications with future
pregnancies.
comprehensive sexual and reproductive health services can greatly
reduce the number of unsafe abortions, by offering safer alternatives
through family planning and access to safe abortion care.
obstructed labor
obstructed labor can occur if the baby’s head is too large or its
position is abnormal, blocking passage through the birth canal. when a
mother is malnourished or is very young and therefore has an
underdeveloped pelvis, the birth canal itself is often not wide enough
to accommodate the head of the baby. if an obstructed labor becomes
prolonged, lasting more than 24 hours, the baby may die and the woman
is at risk of postpartum hemorrhage, uterine rupture or fistula, and
severe infection—all potentially fatal.
skilled staff are essential in managing complicated deliveries and
identifying signs that interventions are needed. these can range from
iv fluids and/or medications to support labor, to an
instrument-assisted delivery (vacuum cup or forceps) or caesarean
section.
indirect causes
indirect causes, in particular complications from infectious disease,
account for about 20 percent of maternal deaths.
during pregnancy, already dangerous diseases can pose even greater
threats to both mother and fetus. for example, malaria in pregnant
women increases their risk of miscarriage and causes over 10,000
maternal deaths globally, while tuberculosis also increases rates of
miscarriage and maternal death. malaria, tuberculosis, and cholera all
raise the risk of stillbirths, death of newborns, or low birth weight
infants.
for pregnant women at risk for any of these diseases, protecting their
health starts with preventive measures. these can include reducing
exposure (such as by sleeping under mosquito nets in malaria regions,
and ensuring access to clean water and supplies for good hygiene) and
short-term use of anti-malarial or anti-tuberculosis drugs during
pregnancy. for those who become ill, early diagnosis and treatment are
essential. whether treating malaria, hiv, tuberculosis, or another
disease, effective treatment reduces the risk of developing severe
complications that threaten the lives of both mother and baby.
how msf responds
our obstetric care programs aim to remedy the crucial "three delays"
that can threaten the lives of both mother and child. these are: delay
in deciding to seek care; delay in reaching a health facility; and
delay in receiving appropriate treatment at the facility.
emergency obstetric care is a key component of this strategy. emergency
care administered promptly by qualified staff can save the lives of
women experiencing complications during or just after delivery, when
half of all maternal deaths occur. to help reduce barriers to use of
our emergency obstetric services, we adapt services to local cultures
and (as with all msf programs) make them free of charge, as our
beneficiaries are often among the poorest sector of the population.
during conflicts or natural disasters, where health services have often
collapsed or are inadequate, emergency obstetrical needs are among the
major needs we see. over the period of 2008-15, 56 percent of all
caesarean sections we performed were in active conflict settings. for
this reason, rapid implementation of emergency maternal care is now
incorporated into our response to these crises.
we also aim to locate services close to the people who need them. in
some settings where this is not possible or we serve a large region, we
have introduced mobile clinics that travel to areas where people often
have no access to health care, combined with referral systems to
identify women with pregnancy complications and transfer them when
necessary to a health post or hospital that can provide appropriate
care.
in remote locations such as kabezi, a rural district in burundi, we
have also implemented ambulance services, which have been linked to
significant reductions in maternal mortality.
abla ali, msf midwife, iraq
giving syrian refugees a safe place to give birth
"the best part of being a midwife is the appreciation from the mothers.
they stop me in the camp when i pass and they say to their children:
'this is abla, she’s a good midwife and she delivered you.'"
–abla ali, msf midwife
read more
antenatal care improves the mother’s health during her pregnancy and
helps reduce or manage complications for both mother and newborn. in
addition, these consultations provide opportunities to inform women and
their families about how to recognize complications and to prepare for
emergencies, and about health structures where women can go for
emergency care, if needed, and for delivery.
post-natal care is another critical area for reducing maternal and
infant death and improving the physical and mental wellbeing of mother
and child. most maternal illnesses and deaths occur at or soon after
delivery, while the majority of infant deaths occur in the first few
days post-delivery—and 30 percent of all child deaths below the age of
five occur in the first four weeks of life.
hiv/aids and preventing mother-to-child transmission
without treatment, 25 to 40 percent of all children born to
hiv-positive mothers will also be infected. this rate can be reduced to
below five percent with antiretroviral treatments for the mother and a
short course of antiretroviral drugs for the baby, together with
appropriate breastfeeding practices.
we have opened programs on prevention of mother-to-child transmission
in many of the world’s most affected regions. in swaziland, for
example, we provided hiv treatment to thousands of hiv-positive
pregnant women as soon as possible after their diagnosis to prevent
their babies from becoming infected.
providing
our research on maternal health
read more
iframe:
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care for other infectious diseases
pregnant women are more susceptible to infectious diseases, and when
infected they are more likely to experience pregnancy complications and
face an increased risk of miscarriage or stillbirth.
for this reason, we offer preventive treatment to pregnant women
exposed to diseases such as malaria and tuberculosis, and provide extra
care where appropriate to pregnant women with these diseases or others
such as cholera and hepatitis e.
support msf's work on maternal health and other medical issues
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women's rights and gender equality
aid
this article is more than 1 year old
uk 'exaggerated number of lives saved' by maternal health aid project
this article is more than 1 year old
watchdog says many more deaths could have been prevented given level of
investment in department for international development programmes
supported by
count me in! consortium about this content
rebecca ratcliffe
tue 30 oct 2018 06.00 gmt last modified on mon 4 mar 2019 11.56 gmt
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mother carrying baby in malawi
[ ] in malawi, heavily pregnant women camped outside health facilities
for up to a month before giving birth, the review found. photograph:
jeffrey davis/getty images/tetra images rf
the uk government has been criticised by an aid watchdog for
exaggerating the number of women’s lives it saved through its maternal
health programmes.
a review, published by the independent commission for aid impact (icai)
on tuesday, also said the number of lives saved “were significantly
below what they could have been, given the level of investment”.
the watchdog said programmes by britain’s department for international
development (dfid) had failed to significantly improve the quality and
sustainability of maternal healthcare services in partner countries.
why do women still die giving birth?
read more
dfid spent about £4.6bn on programmes in health and other sectors
between 2011 and 2015. within this, £1.3bn focused more closely on
maternal health, including family planning, reproductive healthcare and
maternal and neonatal health. but icai said investments were focused on
short-term goals, and did not do enough to strengthen healthcare
systems or target marginalised women or teenage girls.
by 2015, dfid claimed to have saved 103,000 women’s lives during
pregnancy and childbirth, more than double its goal of 50,000. in an
internal and unpublished review, this figure was revised down to
80,100.
icai said the department relied on “unrealistic assumptions” to reach
such figures. compared with the review team’s observations in countries
such as malawi, the estimates appeared inflated.
alison evans, icai’s chief commissioner, who led the review, said uk
aid had expanded access to family planning, but added “… given the
ambition, need and level of investment, the programmes fell short of
what was required to achieve adequate progress.”
health facilities in partner countries remained chronically
under-resourced, with severe shortages of beds, healthcare workers and
equipment, said evans. in northern malawi, an area visited as part of
the review, heavily pregnant women camped outside health facilities for
up to a month before giving birth.
“they are waiting because they are not sure where they are in their
pregnancy cycle because of the lack of ultrasound equipment and the
lack of effective dating of pregnancies,” she said. “they don’t know
how close to their due dates they are and because they are fearful of
giving birth in a situation where there may not be a skilled attendant
they wait outside facilities, sometimes for up to a month, sometimes in
makeshift accommodation.”
uk aid programmes had fallen short of targets to improve emergency
obstetric and neonatal care, according to the review.
dfid had promised to prioritise the poorest 40% of women, as well as
girls aged between 15 and 19 years. but icai found that few programmes
included specific measures to reach these groups, nor did the
department monitor whether its programmes were reaching teenage girls.
it also failed to include measures that would tackle discrimination and
abuse of women in health facilities.
sean roberts, policy and campaigns officer at health poverty action,
said uk aid must be better targeted at the most vulnerable groups.
“indigenous women die far more often in childbirth than other women,”
he said. “if dfid wants to meet its commitment to leave no one behind
it must implement a robust action plan to address the maternal health
of indigenous women and other excluded groups.”
while uk aid had improved access to family planning for millions of
women, in malawi such programmes were delivered through non-state
providers. such partnerships allowed funding to quickly reach large
numbers of people, but risked displacing public sector services, said
evans.
“you have this problem of sustainability,” she said. “the public sector
is not able to gear itself up to provide a similar level of outreach.”
the review team visited a sample of programmes in malawi and the
democratic republic of the congo, as well as analysing published
literature, dfid policy documents and conducting interviews with
experts.
icai warned that health facilities struggled to ensure a reliable
supply of contraceptives. it added that dfid had championed
reproductive rights at the international level, but done less work to
encourage legal, policy and cultural change in partner countries.
dfid said in a statement that the uk is a global leader in promoting
reproductive health, and added that the review was not representative
of all the department’s work.
“we welcome icai’s acknowledgement that uk aid is helping women around
the world access the life-saving services they need, but it is
disappointing the report has made some generalisations from a selected
portion of our programming and also does not fully reflect the full
impact of our work, especially in recent years,” the statement said.
topics
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* what is mental health?
what is mental health?
it’s an expression we use every day, so it might surprise you that the
term ‘mental health’ is frequently misunderstood.
‘mental health’ is often used as a substitute for mental health
conditions – such as depression, anxiety conditions, schizophrenia, and
others.
according to the world health organization, however, mental health
is “a state of well-being in which every individual realises his or her
own potential, can cope with the normal stresses of life, can work
productively and fruitfully, and is able to make a contribution to her
or his community.”
so rather than being about ‘what’s the problem?’ it’s really about
‘what’s going well?'
''mental health is about wellness rather than illness''
to make things a bit clearer, some experts have tried coming up with
different terms to explain the difference between ‘mental health’ and
‘mental health conditions’. phrases such as ‘good mental health’,
‘positive mental health’, ‘mental wellbeing’, ‘subjective wellbeing’
and even ‘happiness’ have been proposed by various people to emphasise
that mental health is about wellness rather than illness. while some
say this has been helpful, others argue that using more words to
describe the same thing just adds to the confusion.
as a result, others have tried to explain the difference by talking
about a continuum where mental health is at one end of the spectrum –
represented by feeling good and functioning well – while mental health
conditions (or mental illness) are at the other – represented by
symptoms that affect people’s thoughts, feelings or behaviour.
the benefits of staying well
research shows that high levels of mental health are associated with
increased learning, creativity and productivity, more pro-social
behaviour and positive social relationships, and with improved physical
health and life expectancy. in contrast, mental health conditions can
cause distress, impact on day-to-day functioning and relationships, and
are associated with poor physical health and premature death from
suicide.
but it’s important to remember that mental health is complex. the fact
that someone is not experiencing a mental health condition doesn’t
necessarily mean their mental health is flourishing. likewise, it’s
possible to be diagnosed with a mental health condition while feeling
well in many aspects of life.
ultimately, mental health is about being cognitively, emotionally and
socially healthy – the way we think, feel and develop relationships -
and not merely the absence of a mental health condition.
beyond blue's vision is that everyone achieves their best possible mental
health
while beyond blue's primary focus is on the needs of people affected by
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understanding of what we mean by mental health and how to achieve it
will help everyone in australia reach their full potential. this will
also contribute to the prevention of mental health conditions, and
support people who have experienced these conditions to get as well as
they can and lead full and contributing lives.
having social connections, good personal relationships and being part
of a community are vital to maintaining good mental health and
contribute to people's recovery, should they become unwell.
however, if you feel that you may be affected by depression or
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home information & support types of mental health problems
types of mental health problems
if you’ve been diagnosed with a mental health problem you might be
looking for information on your diagnosis, treatment options and where
to go for support. our information pages will help you learn more.
filter by
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[ ] types of depression (3)
[ ] stress and anxiety (6)
[ ] sleep (1)
[ ] suicide and self-harm (2)
[ ] eating and body image (2)
[ ] types of personality disorder (2)
[ ] mania, bipolar (2)
[ ] psychosis, hearing voices and schizophrenia (5)
[ ] other (9)
anger
explains what anger is, and how to deal with it in a constructive and
healthy way.
anxiety and panic attacks
explains anxiety and panic attacks, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
bipolar disorder
explains what bipolar disorder is, what kinds of treatment are
available, and how you can help yourself cope. also provides guidance
on what friends and family can do to help.
body dysmorphic disorder (bdd)
explains body dysmorphic disorder, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
borderline personality disorder (bpd)
explains what bpd is and what it’s like to live with this diagnosis.
also provides information about self-care, treatment and recovery, and
gives guidance on how friends and family can help.
depression
explains depression, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
dissociation and dissociative disorders
explains dissociative disorders, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
and guidance for friends and family.
drugs - recreational drugs & alcohol
explains the mental health effects of recreational drugs and alcohol,
and what might happen if you use recreational drugs and also have a
mental health problem. includes suggestions for where you might find
support.
eating problems
explains eating problems, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
hearing voices
explains what it is like to hear voices, where to go for help if you
need it, and what others can do to support someone who is struggling
with hearing voices.
hoarding
explains hoarding, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
hypomania and mania
explains hypomania and mania, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
loneliness
explains loneliness, giving practical suggestions for what you can do
and where you can go for support.
mental health problems - introduction
explains what mental health problems are, what may cause them, and the
many different kinds of help, treatment and support that are available.
also provides guidance on where to find more information, and tips for
friends and family.
obsessive-compulsive disorder (ocd)
explains obsessive-compulsive disorder (ocd), including possible causes
and how you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
panic attacks
explains what panic attacks are, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
and guidance for friends and family.
paranoia
explains paranoia, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
personality disorders
explains personality disorders, including possible causes and how you
can access treatment and support.
phobias
explains phobias, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
postnatal depression & perinatal mental health
explains postnatal depression and other perinatal mental health issues,
including possible causes, sources of treatment and support. also gives
advice for friends and family.
post-traumatic stress disorder (ptsd)
explains what post-traumatic stress disorder (ptsd) and complex ptsd
are, and provides information on how you can access treatment and
support. includes self-care tips and guidance for friends and family.
premenstrual dysphoric disorder (pmdd)
explains what pmdd is and explores issues around getting a diagnosis.
also provides information on self care and treatment options, and how
friends and family can help.
psychosis
explains what psychosis is, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
schizoaffective disorder
explains what schizoaffective disorder is, including its symptoms and
causes. gives advice on how you can help yourself and what types of
treatment and support are available, as well as guidance for friends
and family.
schizophrenia
explains schizophrenia, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
seasonal affective disorder (sad)
explains seasonal affective disorder, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
self-esteem
explains how to increase your self-esteem, giving practical suggestions
for what you can do and where you can go for support.
self-harm
explains self-harm, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
sleep problems
explains insomnia and other sleep problems, giving practical
suggestions for what you can do and where you can go for support.
stress
explains what stress is, what might cause it and how it can affect you.
includes information about ways you can help yourself and how to get
support.
suicidal feelings
explains what suicidal feelings are, including possible causes and how
you can learn to cope.
tardive dyskinesia
explains what tardive dyskinesia is, what causes it and what you can do
to manage it.
mental health a-z
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if you have, or believe you may have, mental health problem, it can be
helpful to talk about these issues with others. it can be scary to
reach out for help, but it is often the first step to helping you heal,
grow, and recover.
having a good support system and engaging with trustworthy people are
key elements to successfully talking about your own mental health.
build your support system
find someone—such as a parent, family member, teacher, faith leader,
health care provider or other trusted individual, who:
* gives good advice when you want and ask for it; assists you in
taking action that will help
* likes, respects, and trusts you and who you like, respect, and
trust, too
* allows you the space to change, grow, make decisions, and even make
mistakes
* listens to you and shares with you, both the good and bad times
* respects your need for confidentiality so you can tell him or her
anything
* lets you freely express your feelings and emotions without judging,
teasing, or criticizing
* works with you to figure out what to do the next time a difficult
situation comes up
* has your best interest in mind
find a peer group
find a group of people with mental health problems similar to yours.
peer support relationships can positively affect individual recovery
because:
* people who have common life experiences have a unique ability to
help each other based on a shared history and a deep understanding
that may go beyond what exists in other relationships
* people offer their experiences, strengths, and hopes to peers,
which allows for natural evolution of personal growth, wellness
promotion, and recovery
* peers can be very supportive since they have “been there” and serve
as living examples that individuals can and do recover from mental
health problems
* peers also serve as advocates and support others who may experience
discrimination and prejudice
you may want to start or join a self-help or peer support group.
national organizations across the country have peer support networks
and peer advocates. find an organization that can help you connect with
peer groups and other peer support.
participate in your treatment decisions
it’s also important for you to be educated, informed, and engaged about
your own mental health.
* find out as much as you can about mental health wellness and
information specific to your diagnosed mental health problem.
* play an active role in your own treatment.
get involved in your treatment through shared decision making.
participate fully with your mental health provider and make informed
treatment decisions together. participating fully in shared decision
making includes:
* recognizing a decision needs to be made
* identifying partners in the process as equals
* stating options as equal
* exploring understanding and expectations
* identifying preferences
* negotiating options/concordance
* sharing decisions
* arranging follow-up to evaluate decision-making outcomes
learn more about shared decision making.
develop a recovery plan
recovery is a process of change where individuals improve their health
and wellness, live a self-directed life, and strive to reach their full
potential. studies show that most people with mental health problems
get better, and many recover completely.
you may want to develop a written recovery plan. recovery plans:
* enable you to identify goals for achieving wellness
* specify what you can do to reach those goals
* can be daily activities as well as longer term goals
* track your mental health problem
* identify triggers or other stressful events that can make you feel
worse, and help you learn how to manage them
you can develop these plans with family members and other supporters.
learn more about recovery.
last updated: 07/11/2017
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home » your-mental-health » about-mental-health » what are mental
health problems?
what are mental health problems?
what are mental health problems?
mental health problems range from the worries we all experience as part
of everyday life to serious long-term conditions. the majority of
people who experience mental health problems can get over them or learn
to live with them, especially if they get help early on.
mental health problems are usually defined and classified to enable
professionals to refer people for appropriate care and treatment. but
some diagnoses are controversial and there is much concern in the
mental health field that people are too often treated according to or
described by their label. this can have a profound effect on their
quality of life. nevertheless, diagnoses remain the most usual way of
dividing and classifying symptoms into groups.
find out about various mental health problems in our a-z guide
symptoms
most mental health symptoms have traditionally been divided into groups
called either ‘neurotic’ or ‘psychotic’ symptoms. ‘neurotic’ covers
those symptoms which can be regarded as severe forms of ‘normal’
emotional experiences such as depression, anxiety or panic. conditions
formerly referred to as ‘neuroses’ are now more frequently called
‘common mental health problems.’
less common are ‘psychotic’ symptoms, which interfere with a person’s
perception of reality, and may include hallucinations such as seeing,
hearing, smelling or feeling things that no one else can. mental health
problems affect the way you think, feel and behave. they are problems
that can be diagnosed by a doctor, not personal weaknesses.
mental health problems are very common
as found by the apms (2014), 1 in 6 people in the past week experienced
a common mental health problem.
anxiety and depression are the most common problems, with around 1 in
10 people affected at any one time.
how do mental health problems affect people?
anxiety and depression can be severe and long-lasting and have a big
impact on people’s ability to get on with life.
between one and two in every 100 people experience a severe mental
illness, such as bi-polar disorder or schizophrenia, and have periods
when they lose touch with reality. people affected may hear voices, see
things no one else sees, hold unusual or irrational beliefs, feel
unrealistically powerful, or read particular meanings into everyday
events.
although certain symptoms are common in specific mental health
problems, no two people behave in exactly the same way when they are
unwell.
many people who live with a mental health problem or are developing one
try to keep their feelings hidden because they are afraid of other
people’s reactions. and many people feel troubled without having a
diagnosed, or diagnosable, mental health problem - although that
doesn’t mean they aren’t struggling to cope with daily life.
see our a-z guide for a look at all aspects of mental health
do you need urgent help?
if your mental or emotional state quickly gets worse, or you're worried
about someone you know - help is available.
you're not alone; talk to someone you trust. sharing a problem is often
the first step to recovery.
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mental health problem symptoms, causes and effects
mental health problems can cover a broad range of disorders, but the
common characteristic is that they all affect the affected person’s
personality, thought processes or social interactions. they can be
difficult to clearly diagnose, unlike physical illnesses. according to
data from samhsa, 20 percent of people in america suffer from a form of
mental disorder, and 5 percent suffer from a disorder severe enough to
affect school, work, or other aspects of daily life. if you think that
you or someone you know has a mental disorder, call us today at .
what are the types of mental health disorders?
mental health disorders occur in a variety of forms, and symptoms can
overlap, making disorders hard to diagnoses. however, there are some
common disorders that affect people of all ages.
attention deficit hyperactivity disorder (adhd)
attention deficit hyperactivity disorder is characterized by an
inability to remain focused on task, impulsive behavior, and excessive
activity or an inability to sit still. although this disorder is most
commonly diagnosed in children, it can occur in adults as well.
anxiety/panic disorder
anxiety disorder is defined by intermittent and repeated attacks of
intense fear of something bad happening or a sense of impending doom.
bipolar disorder
bipolar disorder causes a periodic cycling of emotional states between
manic and depressive phases. manic phases contain periods of extreme
activity and heightened emotions, whereas depressive phases are
characterized by lethargy and sadness. the cycles do not tend to occur
instantly.
depression
depression covers a wide range of conditions, typically defined by a
persistent bad mood and lack of interest in pursuing daily life, as
well as bouts of lethargy and fatigue. dysthymia is a milder but
longer-lasting form of depression.
schizophrenia
schizophrenia is not, as commonly thought, solely about hearing voices
or having multiple personalities. instead, it is defined by a lack of
ability to distinguish reality. schizophrenia can cause paranoia and
belief in elaborate conspiracies.
what causes a mental health disorder?
there is no single cause for mental health disorders; instead, they can
be caused by a mixture of biological, psychological and environmental
factors. people who have a family history of mental health disorders
may be more prone to developing one at some point. changes in brain
chemistry from substance abuse or changes in diet can also cause mental
disorders. psychological factors and environmental factors such as
upbringing and social exposure can form the foundations for harmful
thought patterns associated with mental disorders. only a certified
mental health professional can provide an accurate diagnosis of the
causes of a given disorder.
what are the signs of a mental health disorder?
mental health disorders exist in broad categories: anxiety disorders,
mood disorders, psychotic disorders, personality disorders and impulse
control disorders. if someone you know experiences erratic thought
patterns, unexplained changes in mood, lack of interest in socializing,
lack of empathy, inability to tell the difference between reality and
fantasy, or a seeming lack of control, that person may have a mental
health disorder. this is, by no means, a complete list of symptoms.
emotional symptoms of mental health problems
mental health problems can cause a wide variety of emotional symptoms,
some of which include:
* changes in mood
* erratic thinking
* chronic anxiety
* exaggerated sense of self-worth
* impulsive actions
physical symptoms of mental health problems
mental health problems typically do not cause physical symptoms in and
of themselves. depression, however, can indirectly cause weight loss,
fatigue and loss of libido, among others. eating disorders, a separate
class of mental health disorders, can cause malnutrition, weight loss,
amenorrhea in women, or electrolyte imbalances caused by self-induced
vomiting. this makes eating disorders among the most deadly of mental
health disorders.
short-term and long-term effects of mental health instability
in the short-term, mental health problems can cause people to be
alienated from their peers because of perceived unattractive
personality traits or behaviors. they can also cause anger, fear,
sadness and feelings of helplessness if the person does not know or
understand what is happening. in the long-term, mental health disorders
can drive a person to commit suicide. according to the national
institute for mental health, over 90 percent of suicides have
depression or another mental disorder as factors.
is there a test or self-assessment i can do?
it is hard, bordering on impossible, to accurately diagnose yourself
for mental disorders with an online questionnaire. you do not have an
objective view of yourself and are bound to answer questions
inaccurately. also, online tests are not comprehensive, so they do not
check for all possible symptoms. only a face-to-face session with a
qualified mental health professional can begin to diagnose a mental
health disorder with any degree of accuracy, because that professional
has an outside viewpoint and can pick up on subtle cues.
medication: drug options for mental health issues
fortunately, prescription drugs can be used to treat mental health
disorders in conjunction with behavioral therapy or cognitive therapy.
antidepressants, mood stabilizers, and antipsychotics are the broad
types of medication prescribed to treat mental illness.
mental health drugs: possible options
depending on the disorder, different medications will be prescribed.
antidepressants such as paxil, zoloft, prozac, and a variety of ssris,
snris and maois can be used to treat depression. mood stabilizers such
as lithium tablets are used to treat bipolar disorder, as are
anticonvulsants like depakote. antipsychotics like olanzapine or
clozapine are used to treat schizophrenia or psychotic depression.
medication side effects
some of the side effects of mental health medication include nausea,
headache, changes in appetite, dry mouth, increased urination, change
in libido, irritability, blurred vision and drowsiness. other side
effects can occur; each person’s body and brain chemistry is unique,
and it is impossible to predict with certainty how a given medication
will affect you or how well it will work. people who are prescribed
these medications should regularly communicate with their doctors and
notify them of any side effects.
drug addiction, dependence and withdrawal
some mental health medications are known to cause physical and
psychological dependency due to their changes in brain chemistry. over
time, dependency can become an addiction if the person isn’t careful.
the withdrawal process can exacerbate the original mental illness
because of the brain’s sudden loss of some chemicals such as serotonin,
dopamine, and other endorphins. in severe cases, the person may need to
be placed in a drug rehab facility to detox from prescription
medication.
medication overdose
it is possible to overdose on medication in an effort to get the same
effects as initially received, and this is more common when users are
dependent on medications. some signs of overdose can include seizure,
coma, slowed heartbeat, or extreme paranoia. if these signs are
present, immediately call 911 or your local poison control center and
have the prescription on hand if possible.
depression and mental health
depression often coexists with other mental disorders, or certain
disorders may have caused depression in the first place. for example,
40 percent of people with post-traumatic stress disorder also have
depression.
dual diagnosis: addiction and mental health disorders
in drug rehab facilities, counselors are usually trained to identify
dual diagnosis issues. this is because addiction is itself a type of
mental health disorder, or the addiction can be the symptom of some
other disorder. people may, for instance, turn to recreational drugs to
combat depression or to help stabilize mood swings associated with
bipolar disorder.
getting help for a mental health issue
it’s important that you or your loved one should seek help to treat
mental health issue. first, a physical checkup can rule out physical
illnesses. an appointment with a mental health professional will
usually include an interview and subsequent evaluation to determine the
most obvious symptoms and to ascertain the type and severity of mental
disorder. in certain cases, an intervention may be required from family
and friends. if you or someone you know needs help, call us at to get
more information on treatment.
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mental illness and the family: recognizing warning signs and how to cope
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mental illness and the family: recognizing warning signs and how to cope
most people believe that mental health conditions are rare and “happen
to someone else." in fact, mental health conditions are common and
widespread. an estimated 44 million americans suffer from some form of
mental disorder in a given year.
most families are not prepared to cope with learning their loved one
has a mental illness. it can be physically and emotionally trying, and
can make us feel vulnerable to the opinions and judgments of others.
if you think you or someone you know may have a mental or emotional
problem, it is important to remember there is hope and help.
what is mental illness?
mental illnesses are brain-based conditions that affect thinking,
emotions, and behaviors. since we all have brains – having some kind of
mental health problem during your life is really common.
for people who have mental illnesses, their brains have changed in a
way in which they are unable to think, feel, or act in ways they want
to. for some, this means experiencing extreme and unexpected changes in
mood – like feeling more sad or worried than normal. for others, it
means not being able to think clearly, not being able to communicate
with someone who is talking to them, or having bizarre thoughts to help
explain weird feelings they are having.
there are more than 200 classified forms of mental illness. some of the
more common disorders are depression, bipolar disorder, dementia,
schizophrenia and anxiety disorders. symptoms may include changes in
mood, personality, personal habits and/or social withdrawal.
mental health problems may be related to excessive stress due to a
particular situation or series of events. as with cancer, diabetes and
heart disease, mental illnesses are often physical as well as emotional
and psychological. mental illnesses may be caused by a reaction to
environmental stresses, genetic factors, biochemical imbalances, or a
combination of these. with proper care and treatment many individuals
learn to cope or recover from a mental illness or emotional disorder.
to hear personal descriptions of mental illness, visit feelslike.
warning signs and symptoms
to learn more about symptoms that are specific to a particular mental
illness, search under mental health information.the following are signs
that your loved one may want to speak to a medical or mental health
professional.
it is especially important to pay attention to sudden changes in
thoughts and behaviors. also keep in mind that the onset of several of
the symptoms below, and not just any one change, indicates a problem
that should be assessed. the symptoms below should not be due to recent
substance use or another medical condition.
if you or someone you know is in crisis now, seek help immediately.
call 1-800-273-talk (8255) to reach a 24 hour crisis center or dial 911
for immediate assistance.
in adults, young adults and adolescents:
* confused thinking
* prolonged depression (sadness or irritability)
* feelings of extreme highs and lows
* excessive fears, worries and anxieties
* social withdrawal
* dramatic changes in eating or sleeping habits
* strong feelings of anger
* strange thoughts (delusions)
* seeing or hearing things that aren't there (hallucinations)
* growing inability to cope with daily problems and activities
* suicidal thoughts
* numerous unexplained physical ailments
* substance use
in older children and pre-adolescents:
* substance use
* inability to cope with problems and daily activities
* changes in sleeping and/or eating habits
* excessive complaints of physical ailments
* changes in ability to manage responsibilities - at home and/or at
school
* defiance of authority, truancy, theft, and/or vandalism
* intense fear
* prolonged negative mood, often accompanied by poor appetite or
thoughts of death
* frequent outbursts of anger
in younger children:
* changes in school performance
* poor grades despite strong efforts
* changes in sleeping and/or eating habits
* excessive worry or anxiety (i.e. refusing to go to bed or school)
* hyperactivity
* persistent nightmares
* persistent disobedience or aggression
* frequent temper tantrums
how to cope day-to-day
accept your feelings
despite the different symptoms and types of mental illnesses, many
families who have a loved one with mental illness, share similar
experiences. you may find yourself denying the warning signs, worrying
what other people will think because of the stigma, or wondering what
caused your loved one to become ill. accept that these feelings are
normal and common among families going through similar situations. find
out all you can about your loved one’s conditionby reading and talking
with mental health professionals. share what you have learned with
others.
__________________________________________________________________
handling unusual behavior
the outward signs of a mental illness are often behavioral.a person may
be extremely quiet or withdrawn. conversely, they may burst into tears,
have great anxiety or have outbursts of anger.
even after treatment has started, someindividuals with a mental illness
can exhibit anti-social behaviors. when in public, these behaviors can
be disruptive and difficult to accept. the next time you and your
family member visit your doctor or mental health professional, discuss
these behaviors and develop a strategy for coping.
the individual's behavior may be as dismaying to them as it is to you.
ask questions, listen with an open mind and be there to support them.
__________________________________________________________________
establishing a support network
whenever possible, seek support from friends and family members. if you
feel you cannot discuss your situation with friends or other family
members, find a self-help or support group. these groups provide an
opportunity for you to talk to other people who are experiencing the
same type of problems. they can listen and offer valuable advice.
__________________________________________________________________
seeking counseling
therapy can be beneficial for both the individual with mental illness
and other family members. a mental health professional can suggest ways
to cope and better understand your loved one’s illness.
when looking for a therapist, be patient and talk to a few
professionals so you can choose the person that is right for you and
your family. it may take time until you are comfortable, but in the
long run you will be glad you sought help.
__________________________________________________________________
taking time out
it is common for the person with the mental illness to become the focus
of family life. when this happens, other members of the family may feel
ignored or resentful. some may find it difficult to pursue their own
interests.
if you are the caregiver,youneed some time for yourself. schedule time
awayto preventbecoming frustrated or angry. if you schedule time for
yourself it will help you to keep things in perspective and you may
have more patience and compassion for coping or helping your loved
one.being physically and emotionally healthy helps you to help others.
“many families who have a loved one with mental illness share similar
experiences”
it is important to remember that there is hope for recovery and that
with treatment many people with mental illness return to a productive
and fulfilling life.
__________________________________________________________________
other resources
mental illness in the family: part 1 recognizing the warning signs &
how to copeis one in a series of pamphlets on helping family members
with mental illness. other mental health america titles include:
* mental illness in the family: part ii guidelines for seeking care
* mental illness in the family: part iii guidelines for
hospitalization
mental health america offers additional pamphlets on a variety of
mental health topics. for more information or to order multiple copies
of pamphlets, please contact mental health america
external resources
find a local mha affiliate
substance abuse and mental health services administration (samhsa)
phone 800-789-2647
national institute of mental health (nimh)
information resources and inquiries branch
phone 301-443-4513
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nanotechnology-based health products and food
nanotechnology
nanotechnology is the application of scientific knowledge to manipulate
and control matter in the nanoscale to make use of size- and
structure-dependent properties and phenomena distinct from those
associated with individual atoms or molecules or with bulk materials.
the term "nanoscale" is defined as 1 to 100 nanometers (nm) inclusive.
health canada's working definition for the products of nanotechnology
as international consensus on a definition for the products of
nanotechnology has not been reached yet, health canada has adopted a
working definition for nanomaterials. the working definition is
described in the policy statement on health canada's working definition
for nanomaterial that can be found on health canada's website.
the policy statement will continue to be updated as the science evolves
and international norms progress.
applications of nanotechnology
nanotechnology and products derived from nanotechnology have a wide
range of applications and the potential to impact many sectors,
including the health and food sectors. in the health sector, the
applications of nanotechnology impact new natural health products,
medical devices, drugs, drug delivery systems, regenerative medicines
and diagnostic devices for improved detection and treatment of
illnesses. in the food sector, nanomaterials could be used to preserve
food, improve nutritional values and enhance flavours.
health products and food branch (hpfb) involvement with nanotechnology
hpfb participates in an interdepartmental health portfolio
nanotechnology working group which gathers information and acts as a
discussion forum for issues related to nanotechnology. this working
group contains members from health canada, the public health agency of
canada (phac), and the canadian institutes of health research (cihr).
additionally hpfb participates in the interdepartmental network chaired
by industry canada.
health canada participates in a number of international initiatives,
such as the working party on manufactured nanomaterials of the
organisation for economic co-operation (oecd), development and the
technical committee 229 of the international organization for
standardization (iso) and collaborates with international counterparts.
authority
health canada adopted a broad working definition for nanomaterials to
provide a consistent approach across several diverse regulatory program
areas to identify regulated products and substances that may contain
nanomaterials. the working definition enables the department to
establish internal inventories, to ask for additional information, and
to integrate that new knowledge into regulatory decision making
processes. the first step to assuring adequate risk assessment and risk
management is to identify potential nanomaterials using the working
definition as a tool.
currently, there are no regulations specific to nanotechnology-based
health and food products. health canada relies on authorities within
existing legislative and regulatory frameworks, which require the
assessment of potential risks and benefits of products to the health
and safety of canadians before they can be authorised for sale.
general guidance
according to health canada's working definition for nanomaterial, the
term "nanoscale" means 1 to 100 nm inclusive. however, individual
regulatory programs may request information above the 100 nm size range
to an upper limit of 1000 nm in order to maintain flexibility to assess
potential nanomaterials, including suspected nanoscale properties and
phenomena. the 1000 nm cut-off attempts to separate characteristics
attributable to macro-scaled materials from those of nanomaterials. in
addition, for any regulated product or substance that contains
nanomaterial and measures beyond 1 micron in size (for example, bundles
of carbon nanotubes that are very long), regardless of the size,
information may be requested for risk assessment purposes.
to identify a nano-based product/material the sponsor will be asked to
self-identify when their application concerns a nanomaterial or
'nanoproduct'.
recently the drug submission application form for human, veterinary,
disinfectant drugs and clinical trial application/attestation (hc/sc
3011) was revised to facilitate this process. section 59 of the revised
form allows the sponsor to identify medicinal (active) ingredient(s) or
non-medicinal ingredient(s) listed under section 56 or 57 that are a
nanomaterial. a similar approach has been adapted for natural health
products. it is planned that the medical devices licence application
form will also be revised to request the manufacturer to state whether
their devices contain nanomaterials.
health canada encourages sponsors and other stakeholders to communicate
with the responsible regulatory authority early in the development
process, especially for combination products that are, contain or make
use of nanomaterials. in order to identify and assess potential risks
and benefits of nanotechnology based health and food products, the
department encourages manufacturers to request a pre-submission meeting
with the responsible regulatory authority to discuss type of
information that may be required for their product's safety assessment.
in discussion with the sponsor the department may require the following
types of information, including but not limited to:
* intended use of the nanomaterial, including any end product in
which it will be used;
* manufacturing methods;
* characterization and physico-chemical properties of the
nanomaterial, including identity, composition and purity;
* toxicological, eco-toxicological, metabolism and environmental fate
data that may be both generic and specific to the nanomaterial if
applicable; and,
* risk assessment and risk management strategies, if considered or
implemented.
given the range of products covered by health canada's regulatory
responsibilities, the working definition was developed to be
intentionally broad and will be applied more specifically in each
regulatory program area. future guidance specific to program areas and
legislative and regulatory authorities will be developed in a manner
that promotes a consistent set of approaches.
for additional guidance regarding any elements of the working
definition and to address specific questions, consultation with the
individual program areas is recommended.
find more information about nanomaterials in the science and research
section of our website.
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health
health
no-deal brexit 'still risk to nhs and care sector'
by nick triggle health correspondent
* 27 september 2019
* comments
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* brexit
pharmacist with drugs image copyright getty images
a no-deal brexit presents risks to the nhs and care homes despite
extensive government planning, a watchdog says.
the national audit office praised the government for the "enormous
amount of work" that had been done but said there were still
"significant" gaps.
the extra shipping capacity government was buying to bring medicines
into ports other than dover may not be completely ready by 31 october.
and there was no clear evidence the care sector was ready, the nao
said.
the report raises concerns the sector has not received enough
government support.
* uk plans £3m no-deal medicine transport
* uk seeks new no-deal brexit freight plan
the government has arranged the stockpiling of supplies for the nhs.
but for the care sector, which is fragmented in that it relies on
24,000 companies to provide services, no central arrangement has been
made to stockpile equipment and supplies, such as syringes and needles,
most of which come from or via the eu.
when it comes to medicines, however, the supply of which has been
organised for both the nhs and care sectors, the report acknowledges
the work that has been done.
this includes stockpiling six weeks' supply of drugs and arranging for
emergency supplies to be fast-tracked in - some drugs, including cancer
treatments, have a short shelf-life and so cannot be stockpiled.
but the report says it is still not known exactly what level of
stockpiling is in place.
more than 12,000 medicines are used by the nhs, and about 7,000 come
from or via the eu.
image copyright getty images
the publication of the report comes after mps attempted to block the
government leaving the eu without a withdrawal agreement.
legislation has been passed requiring the government to ask for an
extension if a deal cannot be agreed.
labour mp meg hillier, who chairs the cross-party public accounts
committee, said the report was "deeply concerning".
"i've seen countless examples of deadlines missed and government
failing," she said.
"if government gets this wrong, it could have the gravest of
consequences."
dr layla mccay, of the nhs confederation, which represents managers,
said the planning had been detailed but the situation was still
concerning.
she also warned it was the "unknowns and unknowables" that perhaps
presented the biggest risk.
a department of health and social care spokesman said: "we want to
reassure patients we are doing everything we can."
he said the government along with industry had "mounted an
unprecedented response in preparing for brexit" with stockpiles
"increasing by the day".
__________________________________________________________________
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* uk plans £3m no-deal medicine transport
7 july 2019
* uk seeks new no-deal brexit freight plan
29 june 2019
* government pays eurotunnel £33m over brexit ferry case
1 march 2019
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abc health & wellbeing
by health reporter olivia willis
close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
(getty images: hero images)
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close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
getty images: hero images
(button) close
mental health issues are driving australians to visit their gp more
than any other health concern.
key points
key points
* report finds psychological issues most common problem gps treat,
second year in a row
* gp body says longer consultation times are needed to adequately
treat complex illness
* government developing 10-year primary care plan to improve medicare
delivery
but gps say they're struggling to keep up with demand because mental
healthcare is complex and often requires more time than a standard
consultation allows.
a survey of 1,200 gps published today by the royal australian college
of general practitioners (racgp) found two in three doctors reported
"psychological issues" as the most common ailment they now treated.
"if you think about where you can go if you've got a mental health
issue, there are very few places," said harry nespolon, president of
the racgp.
dr nespolon said the shift from institutional to community-based care
for mental health patients, as well as a waning reliance on religious
institutions for pastoral care, has led to more australians using gp
services for psychological support.
"[gps see] everything from relationship problems all the way through to
people with severe schizophrenia," he said.
"if you do come into a crisis … often a gp is a trusted person that's
been taking care of you for 10 or 15 years."
bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
(health of the nation 2019)
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bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
health of the nation 2019
(button) close
but dr nespolon said the current medicare structure favoured shorter
consultations for straightforward health conditions, and undervalued
longer consultations required for complex issues.
"at the moment, there's really only one [medicare] item number for
mental health issues, which is a 20-minute consultation," he said.
"in other words, you can sort out all mental health issues in 20
minutes — which we all know is not true."
without longer subsidised consultations, dr nespolon said many gps were
being forced to cram patients with complex needs into short
appointments, charge patients for more time, or wear the out-of-pocket
cost themselves.
"we want to see the government provide financial support for dealing
with these complex cases," he said.
the health of the nation report found out-of-pocket costs to see the gp
were rising, and for the first time, all areas outside major cities had
seen a decline in bulk billing.
"this has a major effect on the 7 million australians who live in
regional, rural and remote areas," dr nespolon said.
"the growing gap between the cost of providing care and the medicare
rebate will have a devastating impact on the sustainability and
accessibility of general practice."
rebates explained
quick explanation of rebates
* the medicare benefits schedule (mbs) is a list of medical services
for which the australian government provides a medicare rebate.
* each mbs item has its own scheduled fee — this is the amount the
government considers appropriate for a particular service (e.g.
getting a blood test or seeing a psychologist).
* rebates are typically paid as a percentage of the medicare
scheduled fee. in the case of gp consultations, the rebate is 100
per cent of the schedule fee.
* this means that bulk-billing gps agree to charge patients the
medicare schedule fee ($37.60 for a standard appointment) and are
directly reimbursed by the government, and there is no cost to the
patient.
* gps who don't bulk bill charge a fee higher than the medicare
schedule fee, meaning patients must pay the difference between the
schedule fee and the doctor's fee — out of their own pocket.
* for example, if your doctor charges $75 for a standard
consultation, you'll pay $75 and receive a rebate of $37.60 —
leaving you $37.40 worse off.
longer consultations needed for complex care
in australia, a standard physical consultation of 20-40 minutes with a
gp attracts a rebate of $73.95. that increases once the consultation
exceeds 40 minutes.
by comparison, any gp mental health consultation longer than 20 minutes
— excluding appointments to prepare or review mental health treatment
plans — attracts a rebate of $72.85.
dr nespolon said there needs to be recognition in the medicare rebate
schedule that dealing with mental health issues and other complex
health conditions takes time.
"we know that people with mental health issues tend to have many more
physical problems … so the gp is there dealing with all the patient's
issues, not just their mental health issue," he said.
"we've been pushing for 40- and 60-minute [mental health] item numbers,
so people get the time, and gps are not acting as a charity when it
comes to dealing with mental health issues."
in july, the federal government ended a freeze on the medicare rebate
for gp visits as part of a $1.1 billion primary healthcare plan. the
move was designed to close the gap on rising out-of-pocket medical
costs.
but dr nespolon said even with the lifting of the medicare freeze,
rebates still failed to reflect the true cost of delivering services.
"gps are small businesses. they need to pay staff, pay their leases or
mortgages, and [these] go up at much higher rates than the percentage
increase that the government provides," he said.
"like any small business, you've got a choice. you either recover your
costs or you go broke. and that's exactly what we're seeing happening
at the moment."
the growing gap between the cost of providing care and the medicare
rebate was reflected in rising out-of-pocket costs, he said.
in 2018-19, the average out-of-pocket cost for a gp service was $38.46
— a gap that's risen roughly $7 in five years.
out-pocket-costs varied across australia, with patients in the northern
territory, act, remote and very remote areas experiencing significantly
higher costs.
how mental health plans work
how mental health plans work
if you're living with a diagnosable mental illness, you are entitled to
receive a medicare rebate.
bulk billing rates predicted to decline
the report also found bulk billing was not as common as medicare
statistics — or the federal health minister greg hunt — have previously
suggested.
"medicare statistics indicate that 86.2 per cent of general practice
services were bulk billed in 2018-19," the report states.
"while this figure provides an indication of total bulk-billed services
in australia over this period, it does not represent the number of
patients who are bulk billed, nor does it represent the number of
patients who are bulk billed for all of their general practice care."
since patients may receive a number of services during a single visit
to a gp, with some services bulk billed and others not, the proportion
of people who face zero out-of-pocket costs for care is much lower than
the rate of services overall.
"in 2016-17, while 86 per cent of gp services were bulk billed,
nationally only 66 per cent of patients had all of their gp services
bulk billed."
although the number of gp services being bulk billed has increased in
the last four years, the racgp predicts bulk-billing rates will decline
from 2020, as the rate of increase continues to slow.
in 2019, just 18 per cent of gps reported bulk billing all of their
patients, down from 29 per cent in 2017.
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improving mental health for gps, too
in addition to access to mental health for the general public, dr
nespolon said the mental health of gps also deserved close attention.
"research shows that doctors experience higher levels of mental
distress than the general population. yet four in ten gps report that
they have personally delayed seeking treatment or care in the past two
years," he said.
part of this could be attributed to time constraints, he said, but also
to mandatory reporting laws, which posed a "significant deterrent" to
doctors seeking care.
"with the exception of western australia, all of australia's states and
territories require doctors to report their colleagues if they believe
patient safety is at risk and this includes if a colleague has sought
their help as a patient," he said.
"we believe that doctors should be exempt from mandatory reporting so
that they feel free to discuss their health issues confidentially ...
so they can continue to provide the best possible care for all
australians."
medicare 'stronger than ever', government says
in a statement to the abc, a spokesperson for the minister for health
said the government had committed $1.6 billion to support doctors and
specialists to strengthen primary care to deliver improved access for
outcomes.
"our goal is to make primary health care more patient focused, more
accessible, and better able to provide preventative health and
management of chronic conditions," they said.
the spokesperson said the government would increase medicare funding by
$6 billion over the next four years, to reach $31 billion of annual
funding in 2022–23.
"we are working with gps, specialists and consumers, including the
racgp, to develop a 10-year primary care plan that supports a more
flexible and innovative medicare, starting with a $448.4 million
investment in a new patient enrolment model for patients over 70 years.
"medicare today is stronger and better protected than it's ever been."
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5. antimicrobial resistance (amr)
news story
uk to invest in new research against evolving global health threats
the chief medical officer has announced funding for projects to help
beat antimicrobial resistance (amr) and achieve global universal health
coverage.
published 25 september 2019
from:
department of health and social care
a scientist in a laboratory uses a pipette.
image credit: roger harris photography
the funding will include:
* £6.2 million to strengthen existing surveillance systems tracking
amr trends across africa and asia
* £12 million to improve collaborations on health systems research
between low- and middle-income countries and the uk, for example
countries in sub-saharan africa
the chief medical officer, professor dame sally davies, announced the
funding for the projects at the un general assembly.
she warned that the world cannot achieve universal health coverage
without addressing the threat of amr.
universal health coverage is a un ambition, and aims for every person
across the globe to have access to basic healthcare, whatever their
situation.
amr is involved in 700,000 deaths around the world every year, and this
is expected to rise to 10 million deaths a year by 2050. if amr
continues to follow current trends, common infections will become
complex and expensive to treat, affecting tens of millions of people.
achieving universal healthcare coverage also requires rigorous research
to inform health policy and health systems.
professor davies is representing the uk at the un general assembly
high-level meeting on universal health coverage in new york alongside
heads of state, health experts and policy-makers.
she will point to infection prevention and control measures, such as
immunisation, good hygiene and appropriate antibiotic use, as crucial
to achieving both universal healthcare coverage and eliminating the
threat of amr.
the £6.2 million in uk aid investment will come from the fleming
fund. it will help improve amr data quality, collection and sharing
across africa and asia, with the aim of developing policy and action
from that data.
the invitation to apply for a share of £12 million of funding is being
made by the national institute of health research (nihr) global health
research programme. it will enable experts from low- and middle-income
countries and the uk to form partnerships to contribute to universal
health coverage and sustainable development goals.
the fleming fund and nihr global health research funding was first
announced as part of the 2015 spending review.
the un has committed to ensuring all people have access to affordable
healthcare by 2030, and yesterday member states adopted a declaration
recognising that tackling amr and innovative health research is crucial
to this.
chief medical officer for england, professor dame sally davies said:
achieving our common goal of universal health coverage will require
global action on a multitude of fronts, including tackling the
escalating threat of antimicrobial resistance and investing in
research.
i am delighted to announce this funding, which will catalyse
regional collaboration to help strengthen amr surveillance systems
across africa and asia and support the next generation of health
policy and systems research.
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iframe: https://www.youtube.com/embed/lwdlcbxqtc4
50th anniversary of newborn metabolic screening
stella's story is one of six videos to commemorate the 50th anniversary
of newborn metabolic screening. this screening means metabolic
conditions can be diagnosed and treated before a baby becomes unwell.
view other stories like stella's. find out more about newborn metabolic
screening.
transcript
title: newborn metabolic screening programmestella’s story
[photograph of stella as a baby]
[text on screen of stella’s birthdate] 26 august 2018
[video of stella and her parents sitting on floor inside house]
[photograph of stella as a baby]
tanya - stella’s mother:
had a really healthy pregnancy, had a dream labour and took her home
and she was healthy as, and then when she was eight days old the
midwife turned up.
on the way to our house she’d got a phone call from the specialists at
starship, the immunologists, that said look there’s something, there’s
something wrong.
[text on screen] at 10 days old stella was diagnosed with severe
combined immune deficiency (scid).
dr shannon brothers - paediatric immunologist:
babies with combined immune deficiency (scid) are born without a
functioning immune system. although they appear healthy at birth, they
go on to develop severe, persistent infections and die by a year of
age.
[text on screen over video of stella in hospital] stella had
chemotherapy and a bone marrow transplant when she was four months old.
justin - stella’s father:
the medical side of the thing, watching your kid go through this, it’s
not easy.
[photograph and video of stella in hospital with her parents]
tanya:
luckily at that point my mum was actually up there with us, and so
between the three of us one of us stayed awake and held her every
single hour for that time that she was sick.
[text on screen] she battled a serious infection.
[video of tanya attaching baby bottle with milk to pump and attaching
pump to stella’s feeding tube]
tanya:
because she got ulcers through transplant, she stopped eating, drinking
her milk, and she hasn’t worked that one out yet so we’re still feeding
her through the tube down her nose.
[video of justin following stella as she walks and carrying stella’s
pump]
tanya:
might be easier if you push it.
justin:
it’s a bit of a, bit of a worry if she falls over and hurts herself.
[text on screen] due to her compromised immunity stella has not been
able to interact with people other than her family.
[video of stella walking towards doll being held by her mother]
tanya:
who’s this? is it luna? you going to give her a cuddle?
[video of doll which also has a feeding tube attached to its cheek]
tanya:
we’ve got to get the tube out, teach her how to eat and soon enough
she’ll be like every other kid, you’d never know, yeah.
[video of stella being held by justin while tanya puts stella’s hat and
coat on]
[text on screen] now, stella’s natural immunity is improving.
[video of justin carrying stella outside with tanya, closing door
behind them and justin putting stella in car seat in car]
justin:
it’s nice that we can get to take her out a bit more, nice walking
tracks and some parks where there’s not too many people.
tanya:
it’s your kid’s life. for us if we hadn’t have found out early, we’d be
in a completely different situation now and it’s life or death.
[video of stella walking outside on lawn, being picked up by tanya]
tanya:
and i know you think you’re not going to be that one because everyone
thinks you’re not going to be the one in 100,000 or whatever but screw
the statistics, when it comes down to it, we’re that one.
in our eyes if it wasn’t for the newborn screening, she may not have
made it to her first birthday.
[video of justin, tanya and stella together outside]
tanya:
that test is everything for us. it gave her the best chance of success
in life.
nz cancer action plan 2019–2029.
new zealand cancer action plan 2019–2029
the new zealand cancer action plan 2019–2029 sets out the actions
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news
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20 december 2019
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news article
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12 december 2019
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nutrition
(button) evidence based
27 health and nutrition tips that are actually evidence-based
written by kris gunnars, bsc on june 7, 2019
it’s easy to get confused when it comes to health and nutrition.
even qualified experts often seem to hold opposing opinions.
yet, despite all the disagreements, a number of wellness tips are well
supported by research.
here are 27 health and nutrition tips that are actually based on good
science.
27 health and nutrition tips share on pinterest
1. don’t drink sugar calories
sugary drinks are among the most fattening items you can put into your
body.
this is because your brain doesn’t measure calories from liquid sugar
the same way it does for solid food (1).
therefore, when you drink soda, you end up eating more total calories
(2, 3).
sugary drinks are strongly associated with obesity, type 2 diabetes,
heart disease, and many other health problems (4, 5, 6, 7).
keep in mind that certain fruit juices may be almost as bad as soda in
this regard, as they sometimes contain just as much sugar. their small
amounts of antioxidants do not negate the sugar’s harmful effects (8).
2. eat nuts
despite being high in fat, nuts are incredibly nutritious and healthy.
they’re loaded with magnesium, vitamin e, fiber, and various other
nutrients (9).
studies demonstrate that nuts can help you lose weight and may help
fight type 2 diabetes and heart disease (10, 11, 12).
additionally, your body doesn’t absorb 10–15% of the calories in nuts.
some evidence also suggests that this food can boost metabolism (13).
in one study, almonds were shown to increase weight loss by 62%,
compared with complex carbs (14).
3. avoid processed junk food (eat real food instead)
processed junk food is incredibly unhealthy.
these foods have been engineered to trigger your pleasure centers, so
they trick your brain into overeating — even promoting food addiction
in some people (15).
they’re usually low in fiber, protein, and micronutrients but high in
unhealthy ingredients like added sugar and refined grains. thus, they
provide mostly empty calories.
4. don’t fear coffee
coffee is very healthy.
it’s high in antioxidants, and studies have linked coffee intake to
longevity and a reduced risk of type 2 diabetes, parkinson’s and
alzheimer’s diseases, and numerous other illnesses (16, 17, 18, 19, 20,
21).
5. eat fatty fish
fish is a great source of high-quality protein and healthy fat.
this is particularly true of fatty fish, such as salmon, which is
loaded with omega-3 fatty acids and various other nutrients (22).
studies show that people who eat the most fish have a lower risk of
several conditions, including heart disease, dementia, and depression
(23, 24, 25).
6. get enough sleep
the importance of getting enough quality sleep cannot be overstated.
poor sleep can drive insulin resistance, disrupt your appetite
hormones, and reduce your physical and mental performance (26, 27, 28,
29).
whatʼs more, poor sleep is one of the strongest individual risk factors
for weight gain and obesity. one study linked insufficient sleep to an
89% and 55% increased risk of obesity in children and adults,
respectively (30).
7. take care of your gut health with probiotics and fiber
the bacteria in your gut, collectively called the gut microbiota, are
incredibly important for overall health.
a disruption in gut bacteria is linked to some of the world’s most
serious chronic diseases, including obesity (31, 32).
good ways to improve gut health include eating probiotic foods like
yogurt and sauerkraut, taking probiotic supplements, and eating plenty
of fiber. notably, fiber functions as fuel for your gut bacteria (33,
34).
8. drink some water, especially before meals
drinking enough water can have numerous benefits.
surprisingly, it can boost the number of calories you burn.
two studies note that it can increase metabolism by 24–30% over 1–1.5
hours. this can amount to 96 additional calories burned if you drink
8.4 cups (2 liters) of water per day (35, 36).
the optimal time to drink it is before meals. one study showed that
downing 2.1 cups (500 ml) of water 30 minutes before each meal
increased weight loss by 44% (37).
9. don’t overcook or burn your meat
meat can be a nutritious and healthy part of your diet. it’s very high
in protein and contains various important nutrients.
however, problems occur when meat is overcooked or burnt. this can lead
to the formation of harmful compounds that raise your risk of cancer
(38).
when you cook meat, make sure not to overcook or burn it.
10. avoid bright lights before sleep
when you’re exposed to bright lights in the evening, it may disrupt
your production of the sleep hormone melatonin (39, 40).
one strategy is to use a pair of amber-tinted glasses that block blue
light from entering your eyes in the evening.
this allows melatonin to be produced as if it were completely dark,
helping you sleep better (41).
11. take vitamin d3 if you don’t get much sun exposure
sunlight is a great source of vitamin d.
yet, most people don’t get enough sun exposure.
in fact, about 41.6% of the u.s. population is deficient in this
critical vitamin (42).
if you’re unable to get adequate sun exposure, vitamin d supplements
are a good alternative.
their benefits include improved bone health, increased strength,
reduced symptoms of depression, and a lower risk of cancer. vitamin d
may also help you live longer (43, 44, 45, 46, 47, 48, 49).
12. eat vegetables and fruits
vegetables and fruits are loaded with prebiotic fiber, vitamins,
minerals, and many antioxidants, some of which have potent biological
effects.
studies show that people who eat the most vegetables and fruits live
longer and have a lower risk of heart disease, type 2 diabetes,
obesity, and other illnesses (50, 51).
13. make sure to eat enough protein
eating enough protein is vital for optimal health.
what’s more, this nutrient is particularly important for weight loss
(52).
high protein intake can boost metabolism significantly while making you
feel full enough to automatically eat fewer calories. it can also
reduce cravings and your desire to snack late at night (53, 54, 55,
56).
sufficient protein intake has also been shown to lower blood sugar and
blood pressure levels (57, 58).
14. do some cardio
doing aerobic exercise, also called cardio, is one of the best things
you can do for your mental and physical health.
it’s particularly effective at reducing belly fat, the harmful type of
fat that builds up around your organs. reduced belly fat should lead to
major improvements in metabolic health (59, 60, 61).
15. don’t smoke or do drugs, and only drink in moderation
if you smoke or abuse drugs, tackle those problems first. diet and
exercise can wait.
if you drink alcohol, do so in moderation and consider avoiding it
completely if you tend to drink too much.
16. use extra virgin olive oil
extra virgin olive oil is one of the healthiest vegetable oils.
it’s loaded with heart-healthy monounsaturated fats and powerful
antioxidants that can fight inflammation (62, 63, 64).
extra virgin olive oil benefits heart health, as people who consume it
have a much lower risk of dying from heart attacks and strokes (65,
66).
17. minimize your sugar intake
added sugar is one of the worst ingredients in the modern diet, as
large amounts can harm your metabolic health (67).
high sugar intake is linked to numerous ailments, including obesity,
type 2 diabetes, heart disease, and many forms of cancer (68, 69, 70,
71, 72).
18. don’t eat a lot of refined carbs
not all carbs are created equal.
refined carbs have been highly processed to remove their fiber. they’re
relatively low in nutrients and can harm your health when eaten in
excess.
studies show that refined carbs are linked to overeating and numerous
metabolic diseases (73, 74, 75, 76, 77).
19. don’t fear saturated fat
saturated fat has been controversial.
while it’s true that saturated fat raises cholesterol levels, it also
raises hdl (good) cholesterol and shrinks your ldl (bad) particles,
which is linked to a lower risk of heart disease (78, 79, 80, 81).
new studies in hundreds of thousands of people have questioned the
association between saturated fat intake and heart disease (82, 83).
20. lift heavy things
lifting weights is one of the best things you can do to strengthen your
muscles and improve your body composition.
it also leads to massive improvements in metabolic health, including
improved insulin sensitivity (84, 85).
the best approach is to lift weights, but doing bodyweight exercises
can be just as effective.
21. avoid artificial trans fats
artificial trans fats are harmful, man-made fats that are strongly
linked to inflammation and heart disease (86, 87, 88, 89).
while trans fats have been largely banned in the united states and
elsewhere, the u.s. ban hasn’t gone fully into effect — and some foods
still contain them.
22. use plenty of herbs and spices
many incredibly healthy herbs and spices exist.
for example, ginger and turmeric both have potent anti-inflammatory and
antioxidant effects, leading to various health benefits (90, 91, 92,
93).
due to their powerful benefits, you should try to include as many herbs
and spices as possible in your diet.
23. take care of your relationships
social relationships are incredibly important not only for your mental
well-being but also your physical health.
studies show that people who have close friends and family are
healthier and live much longer than those who do not (94, 95, 96).
24. track your food intake every now and then
the only way to know exactly how many calories you eat is to weigh your
food and use a nutrition tracker.
it’s also essential to make sure that you’re getting enough protein,
fiber, and micronutrients.
studies reveal that people who track their food intake tend to be more
successful at losing weight and sticking to a healthy diet (97).
25. if you have excess belly fat, get rid of it
belly fat is particularly harmful.
it accumulates around your organs and is strongly linked to metabolic
disease (98, 99).
for this reason, your waist size may be a much stronger marker of your
health than your weight.
cutting carbs and eating more protein and fiber are all excellent ways
to get rid of belly fat (100, 101, 102, 103).
26. don’t go on a diet
diets are notoriously ineffective and rarely work well in the long
term.
in fact, dieting is one of the strongest predictors for future weight
gain (104).
instead of going on a diet, try adopting a healthier lifestyle. focus
on nourishing your body instead of depriving it.
weight loss should follow as you transition to whole, nutritious foods.
27. eat eggs, yolk and all
whole eggs are so nutritious that they’re often termed “nature’s
multivitamin.”
it’s a myth that eggs are bad for you because of their cholesterol
content. studies show that they have no effect on blood cholesterol in
the majority of people (105).
additionally, a massive review in 263,938 people found that egg intake
had no association with heart disease risk (106).
instead, eggs are one of the planet’s most nutritious foods. notably,
the yolk contains almost all of the healthy compounds.
the bottom line
a few simple steps can go a long way toward improving your diet and
wellness.
still, if you’re trying to live a healthier life, don’t just focus on
the foods you eat. exercise, sleep, and social relationships are also
important.
with the tips above, it’s easy to get your body feeling great every
day.
written by kris gunnars, bsc on june 7, 2019
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feature stories
women's health tips for heart, mind, and body
by kara mayer robinson
from the webmd archives
looking for the path toward a healthier you? it's not hard to find. the
journey begins with some simple tweaks to your lifestyle. the right
diet, exercise, and stress-relief plan all play a big role.
follow a heart-healthy diet
there's an easy recipe if your goal is to keep away problems like heart
disease and strokes.
* eat more fruits and veggies.
* choose whole grains. try brown rice instead of white. switch to
whole wheat pasta.
* choose lean proteins like poultry, fish, beans, and legumes.
* cut down on processed foods, sugar, salt, and saturated fat.
when eating healthy, flexibility often works best, says joyce meng, md,
assistant professor at the pat and jim calhoun cardiology center at
uconn health. if you like to follow a strict diet plan, go for it. if
not, it's ok. "find what works for you."
tricia montgomery, 52, the founder of k9 fit club, knows first-hand how
the right diet and lifestyle can help. for her, choosing healthy foods
and planning small, frequent meals works well. "i don't deny myself
anything," she says. "i still have dessert -- key lime pie, yum! -- and
i love frozen gummy bears, but moderation is key."
exercise every day
the more active you are, the better, meng says. exercise boosts your
heart health, builds muscle and bone strength, and wards off health
problems.
aim for 2 and a half hours of moderate activity, like brisk walking or
dancing, every week. if you're ok with vigorous exercise, stick to 1
hour and 15 minutes a week of things like running or playing tennis.
add a couple of days of strength training, too.
if you're busy, try short bursts of activity throughout the day. walk
often. a good target is 10,000 steps a day. take the stairs. park your
car far away from your destination.
montgomery exercises every day, often with her dog. by adding lunges,
squats, and stairs to a walk, she turns it into a power workout. "i
also am a huge pilates fan," she says.
lose weight
when you shed pounds you'll lower your risk of heart disease, type 2
diabetes, and cancer.
continued
aim for a slow, steady drop. try to lose 1-2 pounds a week by being
active and eating better.
"it doesn't have to be an hour of intense exercise every day," meng
says. "any little bit helps."
as you improve, dial up the time and how hard you work out. if you want
to lose a lot of weight, try for 300 minutes of exercise a week.
"eating a healthy diet will go a long way," meng says. start by cutting
sugar, which she says is often hiding in plain sight -- in store-bought
items like salad dressing, packaged bread, and nuts. try to avoid soda
and sugar-laced coffee drinks, too.
visit your doctor
get regular checkups. your doctor keeps track of your medical history
and can help you stay healthy. for example, if you're at risk for
osteoporosis, a condition that weakens bones, he may want you to get
more calcium and vitamin d.
your doctor may recommend screening tests to keep an eye on your health
and catch conditions early when they're easier to treat.
keep the lines of communication open. "if you have questions, ask your
doctor," meng says. "make sure you understand things to your
satisfaction." if you're worried about a medication or procedure, talk
to him about it.
cut down your stress
it can take a toll on your health. you probably can't avoid it
altogether, but you can find ways to ease the impact. don't take on too
much. try to set limits with yourself and others. it's ok to say no.
to relieve stress, try:
* deep breathing
* meditation
* yoga
* massage
* exercise
* healthy eating
* talking to a friend, family member, or professional counselor
create healthy habits
if you make the right choices today, you can ward off problems
tomorrow.
* brush your teeth twice a day and floss every day.
* don't smoke.
* limit your alcohol. keep it to one drink a day.
* if you have medication, take it exactly how your doctor prescribed
it.
* improve your sleep. aim for 8 hours. if you have trouble getting
shut-eye, talk to your doctor.
* use sunscreen and stay out of the sun from 10 a.m. to 3 p.m.
* wear your seatbelt.
take time every day to invest in your health, meng says.
it paid off for montgomery. she says she overcame health problems,
feels good, and has a positive outlook. "my life," she says, "is
forever changed."
webmd feature reviewed by lisa bernstein, md on june 21, 2016
sources
sources:
joyce meng, md, assistant professor of medicine, pat and jim calhoun
cardiovascular center, uconn health.
american heart association: "alcohol and heart health."
office on women's health, u.s. department of health and human services:
"heart-healthy eating," "overweight, obesity, and weight loss fact
sheet," "physical activity (exercise) fact sheet," "screening tests and
vaccines," "osteoporosis fact sheet," "a lifetime of good health: your
guide to staying healthy."
university of california san francisco medical center: "tips for
staying healthy."
© 2016 webmd, llc. all rights reserved.
pagination
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the abcs of health screening
health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you need to know about health screening
all you need to know about health screening
related: before the first antenatal visit (choosing your doctor)
1. what is health screening?
health screening is important to everyone. it involves the use of
tests, physical examinations or other procedures to detect
conditions early in people who look or feel well. this is different
from diagnostic tests which are done when someone is already showing
signs and/or symptoms of a condition.
2. why should i go for health screening?
health screening helps you find out if you have a particular condition
even if you feel perfectly well, without any symptoms and/or signs.
early detection, followed by treatment and good control of the
condition can result in better outcomes, and lowers the risk of serious
complications. it is therefore important to get yourself screened even
if you feel perfectly healthy.
3. what kind of screening tests should i go for?
there are 3 types of screening tests^1.
type 1
beneficial for everyone: these tests are listed in table a.
type 2
beneficial for some but not others: decision to be made on an
'individual' level, based on your individual risk factors e.g. self or
family history of hereditary or chronic diseases, exposure to factors
that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently, there is not enough
information to support the use of these tests.
it is best to speak to your family doctor who will advise you to go for
the relevant screening tests based on your individual health profile.
find out more about type 2 and type 3 tests.
view the report of the screening test review committee.
table a – general screening tests (beneficial for everyone)
general screening tests for adults
recommended for^2 to screen for screening test screening frequency^3
individuals aged 18 yrs and above
obesity body mass index (bmi)
waist circumference once a year
hypertension (high blood pressure)
blood pressure measurement once every two years or more frequently as
advised by your doctor
individuals aged 40 yrs and above
diabetes mellitus
fasting blood glucose
hba1c
once every three years or more frequently as advised by your doctor
hyperlipidaemia (high blood cholesterol)
fasting lipids
non-fasting lipids
individuals aged 50 yrs and above
colorectal cancer
faecal immunochemical test (to test for blood in stools)
or
once a year
colonoscopy
once every ten years
additional tests for women
women aged 25-69 yrs, who have had sexual intercourse
cervical cancer
pap test once every three years
hpv test
once every five years
women aged 50-69 yrs breast cancer
mammogram once every two years
general screening tests for newborns
recommended for to screen for screening test screening frequency
newborns aged 0-4 weeks old hearing loss audiometry once
glucose-6-phosphate dehydrogenase (g6pd) deficiency
screen with umbilical cord blood once
inborn errors of metabolism (iem)
metabolic screen with
tandem mass spectrometry (tms)
once
primary hypothyroidism
thyroid function test (tft)
once
4. what should i do after health screening?
if your screening results are normal, you should continue to go for
regular screening at the recommended frequency because screening only
detects health conditions that are present at the time of screening. if
you develop signs or symptoms after your screening, please see your
doctor and do not wait for your next screening appointment.
if your screening results are abnormal, you should follow-up with your
doctor immediately even if you feel perfectly well. early treatment and
good control of your condition can result in better outcomes and
prevent or delay serious complications.
5. why do i need to go for regular screening at the recommended frequency?
a one-off screening will only pick up health conditions that are
present at the time of screening. regular screening helps to detect
conditions that may develop after the previous screening. hence, it is
important for you to go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening tests?
health screening is heavily subsidised for singaporeans and permanent
residents. if you have a health assist card (under chas – community
health assist scheme), you will be entitled to enojoy the subsidies of
the above tests (according to age) and a follow-up consultataion, if
required, at $2 at chas gps. all other singaporeans can enjoy these
subsidies for the above test (according to age) and a follow-up
consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the screening
tests (offered under screen for life - sfl) and the follow-up
consultation, if required, is also fully subsidised. pg cardholders can
also claim up to $28.50, for each screening-related and follow-up
consultation, for up to two times per year.
check out the exact costs of the screening tests.
if you have difficulty paying for the screening tests, please speak to
the medical social worker at the polyclinics
7. my screening results are not too good, and my doctor has advised me to get
follow up treatment.
what should i do if i cannot afford the follow up treatment?
good, affordable basic healthcare is also available to singaporeans
through subsidised medical services offered at public hospitals and
polyclinics. medisave, medishield life, elder shield and medifund
schemes can help singaporeans offset their medical expenses.
8. where can i go for health screening?
health screening is available at many private medical clinics and
polyclinics. visit the directory for the list of screening locations.
9. can i use my medisave to pay for the health screening cost?
currently, medisave cannot be used for other health screening such as
screening for diabetes or high cholesterol. however, if you are
diagnosed with a chronic condition covered under the chronic disease
management programme (cdmp), medisave may be used to pay for part of
the outpatient treatment cost of these diseases.
women aged 50 and above can use their own or immediate family member’s
medisave for their screening mammograms at approved mammogram centres.
under the medisave 400 scheme, up to $400 per medisave account a year
can be used for screening mammograms.
persons aged 50 and above can also use their own or their immediate
family member’s medisave for their screening colonoscopies (to screen
for colorectal cancer) at approved colonoscopy centres.
check out the list of approved centres or find out more.
10. can i have a health screening if i am pregnant?
please consult your doctor to find out if a health screening is
necessary for you.
11. i am 70 years old (or older), do i still need to go for a health
screening?
if you have not been screened in the past three years, and you do not
have a chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health screening.
12. if i am currently on medication for one of the chronic diseases, should i
still go for a health screening?
if you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
^1 report of the screening test review committee. january 2019, academy
of medicine, singapore.
^2,3 screening can start at an earlier age or be done more frequently
if someone has risk factors for the condition.
__________________________________________________________________
having trouble keeping up with your appointments? myhealth keeps track
of not only your health appointments and medical records, but also your
family's as well.
read these next:
* make a commitment to get screened for better health this year
* diabetes prevention and risk factors
* how screening saved my life
* screen for life - subsidised health screenings for singaporeans
* school health screenings for students
this article was last reviewed on monday, december 9, 2019
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health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you
need to know about health screening
related:
before the first
antenatal visit (choosing your doctor)
1. what is health screening?
<
span style="color:#0000ff;">health screening is
important to everyone. it involves the use of tests, physical
examinations or other procedures to detect conditions early in people
who look or feel well. this is different from diagnostic tests which
are done when someone is already showing signs and/or symptoms of a
condition.
2. why should i go for health
screening?
health screening helps you find out if you have a
particular condition even if you feel perfectly well, without any
symptoms and/or signs. early detection, followed by treatment and good
control of the condition can result in better outcomes, and lowers the
risk of serious complications. it is therefore important to get
yourself screened even if you feel perfectly healthy.
3. what
kind of screening tests should i go for?
there are 3 types of
screening tests1.
type 1
beneficial for everyone: these tests are listed in table
a.
type 2
beneficial for some but not others:
decision to be made on an 'individual' level, based on your individual
risk factors e.g. self or family history of hereditary or chronic
diseases, exposure to factors that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently,
there is not enough information to support the use of these
tests.
it is best to speak to your family doctor who will advise
you to go for the relevant screening tests based on your individual
health profile.
find out more about
type 2 and
type 3
tests.
view the report of the
screening test
review committee.
table a – general screening tests (beneficial for
everyone)
general screening tests for adults
recommended
for2 |
to screen for |
screening test |
screening
frequency3 |
individuals aged 18 yrs
and above
| obesity |
body
mass index (bmi)
waist circumference | once a year |
hypertension (high blood pressure) | blood pressure measurement | once every two years or more
frequently as advised by your doctor |
individuals aged 40 yrs
and above
|
diabetes
mellitus | fasting blood glucose
hba1c
| once every three
years or more frequently as advised by your doctor
|
hyperlipidaemia (high blood cholesterol)
| fasting lipids
non-fasting lipids
|
individuals aged 50 yrs
and above
|
colorectal cancer
| faecal
immunochemical test (to test for blood in stools)
or
| once a year
|
colonoscopy
| once every ten
years
|
additional tests for women |
women aged 25-69 yrs,
who have had sexual intercourse
| cervical cancer
|
pap
test | once every three
years |
hpv test
| once every five
years
|
women aged 50-69 yrs | breast cancer
| mammogram | once every two
years |
general screening tests for newborns
recommended for |
to screen for |
screening test |
screening
frequency |
newborns aged 0-4 weeks old | hearing loss |
audiometry | once |
| glucose-6-phosphate dehydrogenase (g6pd) deficiency
| screen with umbilical
cord blood | once |
|
inborn errors of metabolism (iem)
| metabolic screen with
tandem mass spectrometry (tms) | once |
|
primary hypothyroidism
|
thyroid function test (tft) | once |
4. what should i do after health screening?
if your
screening results are normal, you should continue to go for regular
screening at the recommended frequency because screening only detects
health conditions that are present at the time of screening. if you
develop signs or symptoms after your screening, please see your doctor
and do not wait for your next screening appointment.
if your
screening results are abnormal, you should follow-up with your doctor
immediately even if you feel perfectly well. early treatment and good
control of your condition can result in better outcomes and prevent or
delay serious complications.
5. why do i need to go for regular
screening at the recommended frequency?
a one-off screening will
only pick up health conditions that are present at the time of
screening. regular screening helps to detect conditions that may
develop after the previous screening. hence, it is important for you to
go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening
tests?
health screening is heavily subsidised for
singaporeans and permanent residents. if you have a health assist card
(under
chas
– community health assist scheme), you will be entitled to enojoy
the subsidies of the above tests (according to age) and a follow-up
consultataion, if required, at $2 at chas gps. all other singaporeans
can enjoy these subsidies for the above test (according to age) and a
follow-up consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the
screening tests (offered under
screen
for life - sfl) and the follow-up consultation, if required, is
also fully subsidised. pg cardholders can also claim up to $28.50, for
each screening-related and follow-up consultation, for up to two times
per year.
check out the
e
xact costs of the screening tests.
if you have difficulty
paying for the screening tests, please speak to the medical social
worker at the polyclinics
7. my screening results are not
too good, and my doctor has advised me to get follow up
treatment.
what should i do if i cannot afford the follow up
treatment?
good, affordable basic healthcare is also available
to singaporeans through subsidised medical services offered at public
hospitals and polyclinics.
medisave,
medishield life,
elder shield and
medifund schemes can help
singaporeans offset their medical expenses.
8. where can i go
for health screening?
health screening is available at many
private medical clinics and polyclinics. visit the
directory for the list of
screening locations.
9. can i use my medisave to pay for
the health screening cost?
currently, medisave cannot be used
for other health screening such as screening for diabetes or high
cholesterol. however, if you are diagnosed with a chronic condition
covered under the chronic disease management programme (cdmp), medisave
may be used to pay for part of the outpatient treatment cost of these
diseases.
women aged 50 and above can use their own or immediate
family member’s medisave for their screening mammograms at approved
mammogram centres. under the medisave 400 scheme, up to $400 per
medisave account a year can be used for screening
mammograms.
persons aged 50 and above can also use their own or
their immediate family member’s medisave for their screening
colonoscopies (to screen for colorectal cancer) at approved colonoscopy
centres.
check out the
list of approved centres
or find out more.
10. can i have a health screening
if i am pregnant?
please consult your doctor to find out if a
health screening is necessary for you.
11. i am 70 years old (or
older), do i still need to go for a health screening?
if you
have not been screened in the past three years, and you do not have a
chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health
screening.
12. if i am currently on medication for one of the
chronic diseases, should i still go for a health screening?
if
you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
1 report of the screening test review committee.
january 2019, academy of medicine, singapore.
2,3 screening can start at an earlier age or be done more
frequently if someone has risk factors for the condition.
having trouble keeping up with your appointments?
myhealth keeps
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health
promotion board
3 second hospital avenue
singapore 168937
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established
in 2001, the health promotion board (hpb) has a vision to build a
nation of healthy people.
hpb implements programmes that reach out to the population,
specifically children, adults and the elderly. these programmes include
health and dental services for school children, breastscreen singapore,
aids education programme, cervicalscreen singapore, childhood injury
prevention programme, mental health education programme, national
myopia prevention programme, physical activity, national smoking
control programme, nutrition programme, osteoporosis education
programme, workplace health promotion programme, hpb online,
healthline, health information centre and healthzone. new programmes
will also be initiated over time to address health concerns among the
community.
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why health screen?
the importance of health screening
health screening or blood test is a major part of many routine medical
examinations. while doctors are able to make fairly accurate diagnosis
by assessing the signs and symptoms a patient exhibits, one of the best
ways to confirm the diagnosis is through blood tests. for a healthy
person, health screening could also detect abnormalities that the
person is not aware of and provide important information for diagnosis,
treatment or preventive measures for illnesses and diseases.
therefore, getting regular health checkups, preventive screening tests
are among the most crucial things you can do for yourself. periodic
health screenings can help you and your health care professional
identify health problems early, when treatment may be more successful
compared to if the problems are detected later.
lifestyle changes are a very effective way to substantially reduce risk
but to make those changes, you first need to know if you are at risk.
knowledge gives you the power to take charge of your health. remember,
your health is your greatest asset and early detection can save lives!
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instead of a one-size-fits-all package, parkway shenton’s quality
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1 personalised health screening designed according to demographic and
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executive health screening packages
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life. at our executive health screening centres, we tailor health
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professionals and staff, feel at ease with personalised and attentive
care at every visit.
a detailed report containing your health screening results will be
delivered to you within 14 business days from your screening
appointment. we encourage you to review the test results with our
doctor who can help you determine the next steps. if we find a
condition that requires urgent attention, we will notify you
immediately.
a detailed report containing your health screening results will be
delivered to you within 14 business days from your screening
appointment. we encourage you to review the test results with our
doctor who can help you determine the next steps. if we find a
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provincial health services authority - province-wide solutions. better
health.
provincial health services authority (phsa) improves the health of
british columbians by seeking province-wide solutions to specialized
health care needs in collaboration with bc health authorities and other
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health screening
page image
screening tests can help find diseases and health conditions early,
when they are easier to treat.
page content
also known as secondary prevention, health screening identifies health
problems as soon as possible to ensure that you and your family can
benefit from early medical treatment.
there are a variety of health screening tests and tools. many can be
done as part of regular checkups with your health care provider. others
may require you to visit a lab or specialized screening location.
typically, routine health screening is recommended according to your
age or stage of life.
prenatal/infant_____prenatal/infant
prenatal
prenatal genetic screening during your pregnancy can tell you
your chance of having a baby with certain genetic disorders. it is
offered free of charge as a choice to all pregnant people with medical
services plan (msp) coverage in bc.
resources
* prenatal genetic screening program (perinatal services bc)
infant
there are a number of screening tests that are recommended for all
newborns and infants born in bc. these tests identify diseases or
conditions where early treatment is important to prevent disability and
promote healthy development.
regular checkups will allow your care provider to monitor your baby's
development and check for possible problems.
resources
* screening, birth to 12 months (healthlink bc)
* provincial screening programs:
* newborn screening program (perinatal services bc)
* biliary atresia home screening program (perinatal services bc)
* bc early hearing program (provincial health services authority)
child_______________child
regular checkups will allow your care provider to monitor your child's
growth and development and check for possible problems.
resources
* screening, 13 months to 12 years (healthlink bc)
youth/young adult___youth/young adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
resources
* screening, 13 to 18 years (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
adult_______________adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
regular screening is important throughout adulthood, especially if
you're at increased risk for a chronic disease or an infectious
disease. you may be referred for blood or urine tests or for other
screening procedures. recommended regular screening tests for all
adults include:
* blood pressure
* cholesterol
* kidney function
* type 2 diabetes
* skin cancer
* hearing and vision
* weight
* mental health and substance use
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
depending on your age and your risk of disease, other screening tests
may be recommended:
* cervical cancer screening (pap test) is a test that can find
abnormal cells in the cervix before they become cancer. between age
25-69, pap tests are recommended every three years for anyone with
a cervix. it's important to follow these recommendations even if
you've had the hpv vaccine. read the recommendations
* screening mammograms are used to find cancers in breast tissue as
early as possible. screening mammograms are available for eligible
individuals in bc age 40 and up. your screening recommendations
will vary according to your age and your family history of breast
cancer. read the recommendations
* colon cancer screening detects non-cancerous polyps and cancer
early. everyone aged 50-74 should get screened regularly for colon
cancer. the type of screening test recommended for you will depend
on your family history and your personal medical history. read the
recommendations
* prostate cancer screening checks for abnormalities of the prostate
gland. screening is performed through digital rectal examination,
done by your doctor during a regular check up. between age 50-70,
annual screening is recommended for individuals with a prostate as
long as they are in reasonably good health. you can also talk to
your doctor about the pros and cons of psa testing.
resources
* screening, adult women (healthlink bc)
* screening, adult men (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
cancer screening (screening bc):
* cervix
* breast
* colon
* hereditary
please note: the health information provided here is general and
appropriate for most people, most of the time. wherever possible,
resources are also provided to address the health needs of specific
populations, including people living with a chronic health condition,
indigenous people and lgbtq individuals. check with your health care
provider to determine the health recommendations and resources that are
right for you.
in this section
content editor [2]
quick links
* prenatal genetic screening
* newborn screening
* biliary atresia home screening
* infant hearing screening
* get tested: sti clinic finder
* cervical cancer screening (pap test)
* breast cancer screening (mammogram)
* colon cancer screening
content editor [1]
key organizations
perinatal services bc
provincial health services authority
bc centre for disease control (bccdc)
screening bc - bc cancer agency
healthlink bc – the bc government's comprehensive non-emergency health
information and advice service for british columbians.
source: health screening ( )
page printed: . unofficial document if printed. please refer to source
for latest information.
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health.
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british-columbia patient-care-quality-office
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#healthcare nutrition council » feed alternate alternate
healthcare nutrition council healthcare nutrition council
* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
+ nutrition & healthcare[outcomes and benefits]
* patient access
* advocacy
+ position statements
+ public comments
+ coalitions
+ market access challenges
* about hnc
+ priorities
+ hnc staff
+ members
+ contact us
* events
+ medical foods workshop
+ aspen malnutrition awareness week
*
healthcare nutrition council
*
* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
+ nutrition & healthcare[outcomes and benefits]
* patient access
* advocacy
+ position statements
+ public comments
+ coalitions
+ market access challenges
* about hnc
+ priorities
+ hnc staff
+ members
+ contact us
* events
+ medical foods workshop
+ aspen malnutrition awareness week
why nutrition matters
nutrition is critically important to the human body in terms of growth
and development, overall health and wellness throughout life, and the
function of organs and body systems. it also plays a role in disease
management and supports overall quality of life. malnutrition, or lack
of proper nutrition, is associated with billions of dollars per year in
medical expenses. ¹
learn more
as there is no universally accepted definition of “malnutrition,” and
since malnutrition can have different meanings in different contexts,
the healthcare nutrition council (hnc) has adopted a definition of
malnutrition. please see hnc’s expanded definition of malnutrition to
learn more.
hnc malnutrition expanded definition
patient access
all patients have the right to receive high quality care, and that
includes nutrition support products as part of their care. at times,
access to nutrition support products — such as medical foods — can be a
significant challenge for patients. as a result, hnc raises awareness
and works with key stakeholders to help overcome obstacles to patient
access. we continue to work towards systematic changes that will foster
innovation and utilize new science and discoveries, ultimately leading
to higher quality healthcare, better patient outcomes, and improvements
in overall patient health and nutrition.
learn more
maintaining access flyer
enteral facts
parenteral facts
who we are
hnc is an organization representing the manufacturers of nutrition
support products, specifically enteral nutrition (en) formulas,
parenteral nutrition (pn) solutions, supplies and equipment. hnc member
companies are committed to improving health by advancing policies that
address and raise awareness of nutrition and its impact on patient
outcomes and healthcare costs. this includes promoting nutritional
screenings, diagnoses, assessments, and appropriate and timely clinical
nutrition interventions while maintaining patients’ access to
specialized nutrition support products and services throughout the
continuum of care.
learn more
priorities
members
position statements
public comments
1. goates, scott; kristy du, carol braunschweig, and mary beth
arensberg. economic burden of disease-associated malnutrition at
the state level. plos one. 2016; 11(9): 1-15.
* clinical nutrition
* patient access
* advocacy
* about hnc
529 14th street nw, suite 1280, washington, d.c. 20045
(202) 207-1129
contact us
healthcare nutrition council
© healthcare nutrition council
* terms & conditions
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public health nutr. 2004 aug;7(5):591-8.
public health nutrition and food policy.
caraher m^1, coveney j.
author information
1
department of health management and food policy, institute of
health sciences, city university, goswell place, northampton
square, london ec1v 0hb, uk. m.caraher@city.ac.uk
abstract
food in its many manifestations allows us to explore the global control
of health and to examine the ways in which food choice is moulded by
many interests. the global food market is controlled by a small number
of companies who operate a system that delivers 'cheap' food to the
countries of the developed world. this 'cheap' food comes at a price,
which externalises costs to the nation state in terms of health
consequences (diabetes, coronary heart disease and other food-related
diseases) and to the environment in terms of pollution and the
associated clean-up strategies. food policy has not to any great extent
dealt with these issues, opting instead for an approach based on
nutrition, food choice and biomedical health. ignoring wider elements
of the food system including issues of ecology and sustainability
constrains a broader understanding within public health nutrition. here
we argue that public health nutrition, through the medium of health
promotion, needs to address these wider issues of who controls the food
supply, and thus the influences on the food chain and the food choices
of the individual and communities. such an upstream approach to food
policy (one that has been learned from work on tobacco) is necessary if
we are seriously to influence food choice.
comment in
* editorial. public health nutrition as a field of practice. [public
health nutr. 2004]
pmid:
15251049
doi:
10.1079/phn2003575
[indexed for medline]
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health: definition and importance of health
article shared by : [createimage.php?author=smriti
chand&height=20&width=200]
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[ins: :ins]
health: definition and importance of health!
definition:
the term ‘health’ is a positive and dynamic concept. in common
parlance, health implies absence of disease. however, that industrial
health implies much more than mere absence of disease is clear from the
following definitions of health:
the world health organisation (who) has defined health as: “a state of
complete physical, mental and social well-being and not merely the
absence of disease or illness or infirmity”. as regards the industrial
health, it refers to a system of public health and preventive medicine
which is applicable to industrial concerns.
advertisements:
[ins: :ins]
here, the definition of health given by the joint i.l.o/w.h o.
committee on organisational health is worth quoting:
(i) the prevention and maintenance of physical, mental and social
well-being of workers in all organisations;
(ii) prevention among workers of ill-health caused by the working
conditions;
(iii) protection of workers in their employment from risk resulting
from factors adverse to health; and
advertisements:
[ins: :ins]
(iv) placing and maintenance of the worker in an occupational
environment adapted to his physical and psychological equipment.
thus the modem concept of health emphasises on the “whole man concept.”
in other words, health refers to the outcome of the interaction between
the individual and his environment. so to say, he/she is healthy who is
well adjusted with environment.
the modem concept of health thus, anticipates and recognizes
potentially harmful situations and applies engineering control measures
to prevent disease or illness or infirmity. in this way, industrial
health depends not only on the individual worker but also on the
environment in which he/she lives and works.
there are two types of employee health:
advertisements:
[ins: :ins]
physical health and mental health
a brief mention of these follows:
physical health:
the physical health refers to infirmity in the employee’s health.
employee’s physical health and his work are intimately related. while
an unhealthy employee works less both quantitatively and qualitatively,
commits accidents, and remains absent from work, a healthy employee
produces results opposite to these. the same underlines the need for
and importance of healthy employees in an organisation.
advertisements:
[ins: :ins]
mental health:
this refers to the mental soundness of the employees. as is physical
health important for good performance, so is mental health also.
experience suggests that three factors, namely, mental breakdowns,
mental disturbances, and mental illness impair the mental health of
employees.
importance of health:
the trite saying ‘health is wealth’ explains the importance of health.
ill health results in high rate of absenteeism and turnover, industrial
discontent and indiscipline, poor performance, low productivity and
more accidents. on the contrary, the natural consequences of good
health are reduction in the rate of absenteeism and turnover, accidents
and occupational diseases.
besides, employee health also provides other benefits such as reduced
spoilage, improved morale of employee, increased productivity of
employee and also longer working period of an employee which, of
course, cannot be easily measured.
advertisements:
[ins: :ins]
in long and short, employee health is important because it helps:
1. maintain and improve the employee performance both quantitatively
and qualitatively.
2. reduce employee absenteeism and turnover.
3. minimize industrial unrest and indiscipline.
4. improve employee morale and motivation.
it is this importance of health, increasing emphasis is given to the
employee health through various laws and provisions in this regard. for
example, in india, the royal commission on labour (1931), die labour
investigation committee (1946), the health safety and development
committee (1943), the labour welfare committee (1969) and the national
commission on labour (1969), all have expressed concern for employee
health.
these emphasised upon the creation and maintenance of as healthy an
environment as possible, in the homes of the employees as well as in
all places where they congregate for work, amusement or recreation,
the i.l.o. in its recommendation no. 112 envisaged the importance of
employee health in these words:
occupational health services should be established in or near a place
of employment for the purpose of:
(i) protecting the workers against any health hazard arising out of
work or conditions in which it is carried on;
(ii) contributing towards worker’s physical and mental adjustment; and
(iii) contributing to establishment and maintenance of the highest
possible degree of physical and mental well-being of the workers.
related articles:
1. necessity and importance of labour law and principles
2. labour welfare: meaning and definition of labour welfare
health
measures to maintain safety and avoid accidents in industries
occupational hazards: 4 main types of occupational hazards – explained!
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importance of good nutrition
your food choices each day affect your health — how you feel today,
tomorrow, and in the future.
good nutrition is an important part of leading a healthy lifestyle.
combined with physical activity, your diet can help you to reach and
maintain a healthy weight, reduce your risk of chronic diseases (like
heart disease and cancer), and promote your overall health.
the impact of nutrition on your health
unhealthy eating habits have contributed to the obesity epidemic in the
united states: about one-third of u.s. adults (33.8%) are obese and
approximately 17% (or 12.5 million) of children and adolescents aged
2—19 years are obese.^1 even for people at a healthy weight, a poor
diet is associated with major health risks that can cause illness and
even death. these include heart disease, hypertension (high blood
pressure), type 2 diabetes, osteoporosis, and certain types of cancer.
by making smart food choices, you can help protect yourself from these
health problems.
the risk factors for adult chronic diseases, like hypertension and type
2 diabetes, are increasingly seen in younger ages, often a result of
unhealthy eating habits and increased weight gain. dietary habits
established in childhood often carry into adulthood, so teaching
children how to eat healthy at a young age will help them stay healthy
throughout their life.
the link between good nutrition and healthy weight, reduced chronic
disease risk, and overall health is too important to ignore. by taking
steps to eat healthy, you'll be on your way to getting the nutrients
your body needs to stay healthy, active, and strong. as with physical
activity, making small changes in your diet can go a long way, and it's
easier than you think!
eat healthy
now that you know the benefits, it's time to start eating healthy:
start your pala+ journey today and use these tips on ways to eating
healthy and resources to earn it.
_______________________
references
to return to the page content, select the respective footnote number.
^1 centers for disease control and prevention. u.s. obesity trends.
2011. available at: https://www.cdc.gov/obesity/data/databases.html
#fittip
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content created by president’s council on sports, fitness & nutrition
content last reviewed on january 26, 2017
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eur j public health. 2018 dec; 28(6): 1087–1092.
published online 2018 sep 3. doi: 10.1093/eurpub/cky174
pmcid: pmc6241207
pmid: 30184063
the importance of health behaviours and especially broader self-management
abilities for older turkish immigrants
jane m cramm^^ and anna p nieboer^
jane m cramm
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by jane m cramm
anna p nieboer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by anna p nieboer
author information copyright and license information disclaimer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
correspondence: jane m. cramm, department of social medical sciences,
erasmus school of health policy and management, erasmus university
rotterdam, p.o. box 1738, 3000 dr rotterdam, the netherlands, tel: +31
10 408 8555, e-mail: ln.rue.mphse@mmarc
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abstract
background
this study aims to identify the relationships between health
behaviours, self-management abilities, physical health, depressive
symptoms and well-being among turkish older immigrants.
methods
a total of 2350 older turkish migrants aged > 65 years residing in
rotterdam, the netherlands were identified using the municipal register
of which 680 respondents completed the questionnaires (response rate of
32%).
results
average age of the respondents was 72.90 (standard deviation 5.02)
(range 66–95) years and about half of them were women (47.6%). the
majority of respondents reported having a low education (80.3%), low
income level (83.4%), is chronically ill (90.6%), overweight (86.5%)
and about half obese (46.0%). more than half of the respondents eat
enough fruit (58.2%) and vegetables per week (55.3%). about a third of
the respondents smoke (33.5%) and 43.0% can be considered to be
physically active. looking at the health behaviours a weak positive
relationship was found between eating enough vegetables and well-being
(β = 0.14; p = 0.017). in addition, weak relationships were found
between physical activity and depressive symptoms (β = −0.16; p =
0.007), smoking and depressive symptoms (β = 0.16; p = 0.009) and
self-management abilities and physical health (β = 0.17; p = 0.015).
strongest relationships were found between self-management abilities
and depressive symptoms (β = −0.39; p < 0.001) and self-management
abilities with overall well-being (β = 0.49; p < 0.001).
conclusions
from this study, we can conclude that next to health behaviours broader
self-management abilities to maintain overall well-being are important
for turkish older people. interventions to improve self-management
abilities may help turkish older people better deal with function
losses and chronic diseases as they age further.
introduction
europe witnessed a post-war mass migration at the end of the 1950s and
the early 1960s, mostly from non-western origin with a predominance of
young adults. even though a number of the early migrants have returned
to their birth-country, considerable numbers remain in their migratory
destinations who recently approached retirement age.^1 in general, poor
physical and mental health, worse health-related quality of life and
well-being, functional limitations, depressive symptoms and chronic
conditions are much more prevalent among these immigrant populations
compared with those of natives throughout europe.^2–4 as a consequence,
older immigrants use 13–20% more health services than native-borns.^5
the rapid increase in the prevalence of chronic illness among older
(immigrant) populations is an important factor underlying the increased
demand for health care services and constraints on the organization and
delivery of care in europe.^5^,^6
unhealthy behaviours, such as poor diet, smoking and physical
inactivity, are important and adjustable risk factors for many chronic
diseases and leading causes of death and disability.^7 thus, the
improvement of health behaviours among older (immigrant) populations to
prevent the onset of chronic diseases is becoming a critical issue.
health behaviours, such as smoking, eating habits and physical
activity, are known to differ between immigrants and natives, which may
explain the greater prevalence of chronic diseases, physical
limitations and poor health outcomes among the former. for example, in
the netherlands, overweight is much more prevalent among immigrants,^8
and smoking is especially prevalent among turks.^9 although
health-related behaviours have been investigated among immigrant groups
aged 35–60 years,^9 and those aged ≥18 years,^8 no such research has
been conducted among older immigrants.
not only health behaviours but also older people’s abilities to deal
with the process of ageing and the ways in which they cope with certain
life events are of interest. as people grow older, they often begin to
experience losses in various life domains. people are known to differ
in their ability to self-regulate or self-manage their lives and ageing
processes, which requires the proactive management of resources in an
environment of increasing losses and declining gains.^10 these
self-regulation or self-management abilities often target only the
physical health aspects of ageing, such as physical exercise and
healthy diet.^11^,^12 the social and psychological life domains,
however, have been proven to be equally important for the health and
well-being of older people.^13
thus, in addition to health behaviours and health outcomes, examination
of broader self-management abilities related to the maintenance of
overall well-being may be of interest.^14 as these abilities are
critical predictors of physical health, depressive symptoms and overall
well-being,^14–17 a shift in focus to include not only traditionally
addressed health- and disease-specific aspects (e.g. smoking, physical
activity, healthy diet) but also abilities such as investment behaviour
(e.g. pursuing interests, keeping busy, maintaining contact with loved
ones), initiative taking and self-efficacy (e.g. belief in one’s
ability to achieve goals and express care for others) is urgently
needed.^14
research investigating health behaviours and self-management abilities
related to the maintenance of overall well-being among older turkish
immigrants is lacking. thus, this study aimed to identify relationships
of background characteristics, health behaviours and self-management
abilities with physical health, depressive symptoms and well-being
among older turkish immigrants residing in rotterdam, the netherlands.
methods
data collection
community-dwelling turkish people aged > 65 years in rotterdam, the
netherlands, were identified using the municipal register and asked to
participate between march 2015 and february 2016 (with a summer break,
given that most of this population spends the summer in turkey). we
asked respondents to fill in a questionnaire containing 153 questions
in total (provided in the dutch as well as turkish language). these
questionnaires were first distributed via post, followed by a postal
reminder and finally a minimum of two home visit attempts (by
interviewers speaking dutch as well as the turkish language). the
personal interviews lasted about 60–90 min. an information leaflet was
provided to respondents explaining the aim of the study with contact
details (of dutch as well as turkish speaking research assistants) in
case they had additional questions. no (financial) incentives were
provided.
ethical approval
according to the central committee on research involving human subjects
(ccmo), the current study did not fall within the scope of the medical
research involving human subjects act and thus did not require prior
review by an accredited medical research and ethics committee or the
ccmo. all respondents were informed about the aims of the study, and
assured that participation was anonymous and voluntary, prior to
providing consent.
measures
well-being was measured with the 14-item turkish version of the social
production function instrument for the level of well-being (spf-il).^18
the stimulation item ‘are your activities challenging to you?’ of the
original 15-item dutch version^19 proved to be problematic during
validation and thus was omitted from the turkish version. the spf-il
measures levels of physical (comfort, stimulation) and social
(behavioural confirmation, affection, status) well-being. examples of
questions are ‘do people really love you?’ (affection), ‘do you feel
useful to others?’ (behavioural confirmation), ‘are you known for the
things you have accomplished?’ (status), ‘in the past few months, have
you felt physically comfortable?’ (comfort) and ‘do you really enjoy
your activities?’ (stimulation). responses are given on a 4-point scale
ranging from never (1) to always (4), with higher mean scores
indicating greater well-being. total scores were calculated based on
the mean scores for the five subscales. cronbach’s alpha of the spf-il
based on the five subscales was 0.76, indicating good reliability.
patients’ physical quality of life was assessed using the physical
component of the short form 12 health survey.^20 the summary physical
component score for physical health was constructed using standard
scoring procedures.
we used the 7-item depression section of the hospital anxiety and
depression scale to assess symptoms of depression.^21 all items were
rated on a 4-point scale (0–3), with higher scores indicating greater
depressive symptomatology.
self-management abilities related to the maintenance of overall
well-being were measured using an adjusted version of the short
(18-item) version of the self-management ability scale (smas-s).^22
this instrument assesses a broad repertoire of self-management
abilities: (i) initiative taking (being instrumental or self-motivating
in realizing aspects of well-being), (ii) investment in resources for
long-term benefits, (iii) maintenance of variety in resources (gaining
and maintaining various resources for each dimension of well-being),
(iv) ensuring resource multifunctionality (gaining and maintaining
resources or activities that serve multiple dimensions of well-being
simultaneously and in a mutually reinforcing way), (v) self-efficacy in
resource management (gaining and maintaining a belief in personal
competence to achieve well-being) and (vi) maintenance of a positive
frame of mind. the initiative taking, investment, self-efficacy,
variety and multifunctionality subscales are related to the physical
and social dimensions of well-being, and the subscale measuring the
ability to have a positive frame of mind is considered to be a more
general cognitive frame. following earlier research, we reduced the
number of response categories for 5 subscales from 6 to 4 to make
completion of the instrument less complex. higher scores indicate
better self-management abilities. the item ‘when things go against you,
how often do you think that it could always be worse?’ proved to be
problematic during validation and thus was omitted from the turkish
version. cronbach’s alpha of the smas-s based on the six subscales was
0.92, indicating excellent reliability.
physical activity was assessed by asking respondents how many days per
week they were physically active (e.g. sport activities, exercise,
housecleaning, work in the garden) for at least 30 min. government
agencies use this measure to monitor physical activity in the dutch
population. we used mean physical activity, measured in number of days
per week, in our analyses. in addition, we dichotomized the physical
activity scale according to the dutch standard for healthy physical
activity into 1 (at least 30 min of physical activity at least five
times per week) and 0 (at least 30 min of physical activity less than
five times per week),^23 to compare the proportion of physically active
patients with the dutch average. this threshold is also in line with
the international recommendation for the minimum physical activity
level of at least 150 min of moderate or vigorous physical activity per
week.^24
self-reported current smoking was assessed with a yes/no question.
consumption of fruits and consumption of vegetables were assessed
separately as indicators of healthy dietary behaviours, measured in
servings per day. the world health organization and the dutch
guidelines use a minimum of 200 g of vegetables and two servings of
fruit per day to distinguish healthy from unhealthy eating.^25 fruit
consumption was determined by summing the servings per day and was
dichotomized as 1 (healthy diet, consumption of at least two pieces of
fruit per day) and 0 (unhealthy diet, consumption of less than two
pieces of fruit per day). vegetable consumption was determined by
summing the servings per day and was dichotomized as 1 (healthy diet,
consumption of ≥200 g of vegetables per day) and 0 (unhealthy diet,
consumption of <200 g of vegetables per day).^25
respondents were asked to report the highest educational level
completed in the netherlands or abroad, with the option to select ‘no
schooling’ or to write in another response for unlisted forms of
schooling. this variable was dichotomized into low (completion of
elementary school or less) and high (more than elementary school).
income level was determined based on respondents’ reported monthly
household income, including social benefits, pensions and alimony.
responses ranged from 1 (less than €1000 a month) to 4 (€3050 or more a
month). ‘do not know/do not want to tell’ was included as a fifth
category. income level was dichotomized into low (less than €1350) and
high (€1350 or more).
respondents were asked to indicate whether they were married, divorced,
widowed, single, or cohabitating. a dichotomous variable was created:
divorced, single and widowed; and married.
the questionnaire also solicited information on respondents’ age,
gender and number of chronic conditions experienced in the past 12
months. respondents were provided with a list of 14 chronic conditions
(e.g. lung diseases, cardiovascular diseases, diabetes) and space to
write in other conditions. only conditions that were classified as
chronic by o'halloran et al.^26 were included.
analyses
the characteristics of the study sample were examined using descriptive
statistics. bivariate associations of variables expressing background
characteristics, health behaviours and self-management abilities with
those reflecting physical health, depressive symptoms and well-being
were examined. regression analyses were then performed to identify
relationships of health behaviours, self-management abilities, and
physical health with depressive symptoms and well-being while
controlling for background characteristics.
results
of, 2350 older turkish immigrants asked to participate, 213 were
ineligible due to change of address (n = 110), serious medical issue or
death (n = 102) or non-turkish ethnic background (n = 1). a total of
680 respondents completed the questionnaire (final response rate 32%).
table 1 displays descriptive statistics for the older turkish immigrant
population. the average age of the 680 respondents was 72.90 [standard
deviation (sd) 5.02; range 66–95] years, and 47.6% of them were women.
the majority of respondents reported having low education (80.3%) and
low income (83.4%) levels. the mean number of chronic diseases was 2.68
(sd 1.87; range 0–10). most (90.6%) respondents were chronically ill,
and 69.4% had more than one chronic disease. according to their
self-reported body mass indices, 86.5% of respondents were overweight
and 46.0% were obese. more than half of respondents had sufficient
weekly fruit (58.2%) and vegetable (55.3%) consumption. about one-third
(33.5%) of respondents smoked and 43.0% could be considered to be
physically active.
table 1
descriptive statistics for older turkish older immigrants (n = 680)
characteristic range % or mean (sd)
sex (female) 47.6%
age (years) 66–95 72.90 (5.02)
marital status (single/widowed) 28.7%
education (low) 80.3%
income (low) 83.4%
number of chronic diseases 0–10 2.68 (1.87)
chronically ill 90.6%
co-/multi-morbidity 69.4%
body mass index (kg/m^2) 17.65–68.59 30.32 (5.61)
overweight 86.5%
obese 46.0%
healthy diet
sufficient fruit consumption 58.2%
sufficient vegetable consumption 55.3%
physically active 43.0%
smoking 33.5%
self-management abilities 1–4 2.52 (0.62)
physical health 0–100 54.83 (18.18)
depressive symptoms 1–4 2.28 (0.66)
well-being 1–4 2.79 (0.55)
open in a separate window
sd, standard deviation.
table 2 displays the results of the bivariate analyses. single marital
status and low educational level were associated positively with
depressive symptoms and negatively with well-being. the number of
chronic conditions was associated negatively with physical health and
well-being, and positively with depressive symptoms. a positive
relationship was found between sufficient vegetable consumption and
well-being (r = 0.11, p < 0.01). physically active status was
associated positively with physical health (r = 0.09, p < 0.05) and
overall well-being (r = 0.20, p < 0.001), and negatively with
depressive symptoms (r = –0.28, p < 0.001). smoking was related
positively to depressive symptoms (r = 0.16, p < 0.001).
self-management abilities were related positively to physical health (r
= 0.12, p < 0.05) and well-being (r = 0.54, p < 0.001) and negatively
to depressive symptoms (r = –0.53, p < 0.001).
table 2
associations with physical health, depressive symptoms and well-being
(n = 680)
characteristics physical health depressive symptoms well-being
sex (female) 0.12^** 0.21^*** –0.11^**
age (years) –0.05 0.08^* –0.06
marital status (single/widowed) –0.05 0.16^*** –0.11^**
education (low) –0.07 0.16^*** –0.11^**
income (low) –0.06 0.10^* –0.06
number of chronic diseases –0.15^*** 0.36^*** –0.26^***
body mass index –0.13^*** 0.06 –0.06
eating enough fruit –0.01 –0.06 0.07
eating enough vegetables –0.01 –0.07 0.11^**
physically active 0.09^* –0.28^*** 0.20^***
smoking 0.06 0.16^*** 0.07
self-management abilities 0.12^** –0.53^*** 0.54^***
open in a separate window
^***p < 0.001.
^**p < 0.01.
^*p < 0.05.
the results of the multivariate regression analyses are displayed in
table 3. the number of chronic diseases was associated negatively with
physical health (β = –0.20, p = 0.005) and overall well-being (β =
–0.13, p = 0.039), and positively with depressive symptoms (β = 0.21, p
< 0.001). among health behaviours, a weak positive relationship was
found between sufficient vegetable consumption and well-being (β =
0.14, p = 0.017). in addition, weak relationships were found between
physical activity and depressive symptoms (β = –0.16, p = 0.007),
smoking and depressive symptoms (β = 0.16, p = 0.009), and
self-management abilities and physical health (β = 0.17, p = 0.015).
the strongest relationships were found between self-management
abilities and depressive symptoms (β = –0.39, p < 0.001) and overall
well-being (β = 0.49, p < 0.001).
table 3
results of multivariate regression analyses
characteristic physical health depressive symptoms well-being
β p β p β p
sex (female) –0.04 0.643 0.04 0.632 –0.03 0.694
age (years) –0.00 0.949 0.02 0.699 –0.07 0.264
marital status (single/widowed) 0.14 0.070 –0.03 0.691 0.03 0.670
education (low) 0.01 0.936 0.06 0.303 0.01 0.918
income (low) 0.01 0.944 0.03 0.582 0.03 0.584
number of chronic diseases –0.20 0.005 0.21 <0.001 –0.13 0.039
body mass index –0.08 0.282 –0.03 0.609 –0.05 0.433
sufficient fruit consumption 0.03 0.636 0.05 0.390 –0.06 0.303
sufficient vegetable consumption 0.03 0.697 –0.06 0.290 0.14 0.017
physically active 0.01 0.940 –0.16 0.007 0.02 0.731
smoking 0.09 0.206 0.16 0.009 0.01 0.886
self-management abilities 0.17 0.015 –0.39 <0.001 0.49 <0.001
r^2 12% 36% 31%
open in a separate window
significance of bold values is p < 0.05.
discussion
this study aimed to identify relationships of background
characteristics, health behaviours and self-management abilities with
physical health, depressive symptoms and well-being among older turkish
immigrants residing in rotterdam, the netherlands. chronic diseases,
overweight and obesity were highly prevalent among respondents. during
the same period in which this study was conducted (2015/2016), a much
smaller percentage of the general dutch population aged ≥ 65 years was
overweight compared with our turkish sample (60% vs. 86.5%); the
prevalence of obesity differed to a lesser degree (42% vs. 46%).^27 in
addition, a larger percentage of turkish elders were chronically ill
compared with the general dutch population aged ≥ 65 years (90.6% vs.
79.9%).^28 the prevalence of chronic diseases is known to be higher
among those with lower educational levels,^29 which could explain this
finding, as 80.3% of older turkish immigrants participating in this
study were less educated.
with increasing numbers of chronic diseases, older immigrants had worse
physical health and well-being, and more depressive symptoms. healthy
behaviours and self-management abilities may protect chronically ill
older immigrants from the deterioration of health and well-being, and
the onset of depressive symptoms. however, we found only weak
relationships between the outcome variables and physical activity,
sufficient vegetable consumption and smoking, and the latter two health
behaviours were not associated with all outcome variables. a smaller
percentage of older immigrants met the norm for physical activity
compared with the general older population in the netherlands (43% vs.
50%).^30 the prevalence of smoking was also greater among older turks
compared with the general dutch population aged ≥ 65 years (33.5% vs.
∼15%).^31 this is in line with earlier research showing that the
percentage of smoking in the netherlands is highest in the turkish
population, especially among turkish men.^32^,^33 regarding dietary
behaviour, older turkish respondents were healthier than the older
general population in the netherlands in 2015/2016 in terms of
sufficient fruit (58.2% vs. 43%) and vegetable (55.3% vs. 30%)
consumption. these findings are in line with earlier research showing
that immigrants ate more fruit and vegetables than did older dutch
people.^34 in terms of health behaviours, older turkish people are thus
expected to benefit especially from smoking cessation and physical
activity interventions.
the strongest relationships were found between broader self-management
abilities and the outcome variables, especially depressive symptoms and
overall well-being. these findings are important, given that these
abilities are amendable. examples of the most commonly used
self-management interventions are health education, lifestyle
education, enhancement of knowledge about chronic diseases and their
risk factors, support of a healthy diet and promotion of physical
exercise and smoking cessation. however, older patients’ abilities to
self-manage their overall well-being, such as having a positive frame
of mind, taking initiative and self-efficacy, should also be addressed.
interventions that aim to enhance self-management abilities may be
useful additions to traditional interventions, which usually focus
solely on the physical decline associated with ageing and chronic
conditions.^35–37
the limitations of this study should be considered when interpreting
the findings. first, although the response rate was low, it was
comparable to those in other surveys conducted in this population [61].
most non-response was due to the inability to reach respondents after a
minimum of two door-to-door contact attempts (following the two contact
attempts via mail), potentially resulting in non-response bias. to
improve the response rate, this number should be increased to six
contact attempts, which was not feasible in our study.^38^,^39 to
investigate potential non-response bias, we conducted non-response
analyses. no significant difference in gender was found between
respondents and non-respondents. the mean age of these groups, however,
differed significantly; on average, respondents were younger than
non-respondents [72.11 (sd = 5.10) vs. 72.73 (sd = 5.00),
respectively]. educational level of our sample is comparable to other
studies showing that ∼80% of turkish older migrants only completed
elementary school or less.^40 second, the data collected were
cross-sectional, preventing determination of causality. third, although
this study showed that self-management abilities are important for
older turkish people, we did not investigate whether interventions
aiming to enhance these abilities actually improved self-management.
further research is necessary to explore ways in which the
self-management abilities of older turkish people can be improved.
fourth, we investigated fruit and vegetable consumption only, not how
food was prepared or the total fat or calorie intake per day, which are
also known to be important.^41 fifth, we also did not include alcohol
consumption to our analyses given that only two male respondents drank
more than the norm (≥3 units per day at ≥4 days a week). if you would
look at health behaviours among immigrant populations outside the
muslim community, it would be interesting to add this health behaviour.
finally, our study sample consisted of older turkish people residing in
rotterdam, which limits the generalizability of our study findings.
conclusion
based on the results of this study, we can conclude that in addition to
health behaviours, broader self-management abilities related to the
maintenance of overall well-being are important for older turkish
people. while only weak relationships were found with health
behaviours, strong relationships were found with broader
self-management abilities, depressive symptoms and well-being. in terms
of health behaviours, older turkish people are expected to benefit most
from smoking cessation and physical activity interventions. older
immigrants, including turks, however, may especially benefit from
interventions that enhance broader self-management abilities related to
the maintenance of overall well-being. interventions to improve
self-management abilities may help older turkish people better deal
with functional losses and chronic diseases as they age further. such
interventions will probably need to be adjusted for this population to
be effective.^38 the current national public health policy, however,
devotes no specific attention to high-risk ethnic groups. we feel that
these results provide a useful basis for the design of effective
interventions for successful ageing among older turkish people in the
netherlands.
funding
this study was supported by a grant provided by the erasmus university
of rotterdam.
conflicts of interest: none declared.
key points
* chronic diseases, overweight and obesity are highly prevalent among
turkish elderly.
* smoking cessation and physical activity interventions may partly
improve outcomes.
* interventions aimed at broader self-management abilities seem
especially effective.
* a broader focus is needed on self-management abilities to maintain
overall well-being.
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the importance of health education
february 8, 2018
marcy vadurro
director of product marketing
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importanceofhealtheducationbanner
when it comes to building a healthy community, the importance of health
education cannot be overlooked. community health workers collaborate
with all stakeholders in a community - from its citizens to its
government, education and medical officials - to improve health and
wellness and ensure equal access to healthcare.
what is the importance of health education?
community health education looks at the health of a community as a
whole, seeking to identify health issues and trends within a population
and work with stakeholders to find solutions to these concerns.
the importance of health education impacts many areas of wellness
within a community, including:
* chronic disease awareness and prevention
* maternal and infant health
* tobacco use and substance abuse
* injury and violence prevention
* mental and behavioral health
* nutrition, exercise and obesity prevention
community health educators work with public health departments,
schools, government offices and even local nonprofits to design
educational programs and other resources to address a community's
specific needs.
importanceofhealtheducationbody3
"the value in these programs is having a topic or issue tailored to the
needs of the audience...and working with them one on one to make
behavioral changes," said daphne guillaume, a certified health
education specialist and public health adjunct faculty at southern new
hampshire university (snhu).
overcoming health disparities
in addition to providing educational resources and programming to a
community, public health educators also work to ensure all members of a
community have equal access to wellness resources and healthcare
services.
according to the american public health association (apha), common
health disparities affecting americans include:
* racial or ethnic health disparities
* socioeconomic health disparities
* gender health disparities
* rural health disparities
importanceofhealtheducationbody1
"we look at the issues that are going on in our communities through a
social justice lens," said snhu adjunct faculty member dede teteh, a
certified health education specialist and public health researcher.
"the main difference between [public health] and medicine is we don't
look at people one by one. we work with communities and examine trends
in behaviors and health outcomes. we attempt to decipher what's going
on within communities and determine how we can best support their
wellness efforts. but we don't act without their input or partnership."
community health education and government policy
the importance of health education also extends into policy and
legislation development at a local, state and national level, informing
and influencing key decisions that impact community health.
from campaigns and legislation to enforce seat belt use and prevent
smoking to programs that boost the awareness and prevention of
diabetes, public health workers provide research and guidance to inform
policy development.
"you're not just educating the individual person, you need the impetus
and motivation to come from the whole community," said snhu associate
dean of health professions denise bisaillon. "you have to reach the
leaders in the community. the more people invested in a change, the
more likely its success."
the economic importance of health education
health education can also boost a community's economy by reducing
healthcare spending and lost productivity due to preventable illness.
obesity and tobacco use, for example, cost the united states billions
of dollars each year in healthcare costs and lost productivity.
according to the american public health association (apha) the annual
loss in economic productivity due to obesity and related issues is
expected to total as much as $580 billion by 2030. the total economic
cost of tobacco use costs the united states more than $300 billion each
year, including $156 billion in lost productivity, according to the
cdc.
programs designed to help community members combat these expensive
health issues not only boost individuals' health, but also provide a
strong return on investment for communities.
according to the cdc, states with strong tobacco control programs see a
$55 return on every $1 investment, mostly from avoiding costs to treat
smoking-related illness. the national cost of offering the national
diabetes prevention program is about $500 per participant,
significantly lower than the $7,900 spent on diabetes care per type 2
diabetes patient each year.
importanceofhealtheducationbody4 a growing field
as the health, social and economic impacts of community health
education continue to grow, so does the field of public health and
health promotion.
according to the u.s. bureau of labor statistics (bls), employment in
the community health education field is projected to grow by 16%
through 2026, more than twice the average for all occupations.
workers with a community health education degree can find opportunities
in a wide variety of settings, according to the bls, including:
* schools and colleges
* hospitals and healthcare facilities
* nonprofit organizations
* private businesses and employee wellness programs
* government organizations and public health departments
as communities continue to focus more on improving the health and
wellness of its citizens, the field of community health education will
also continue to grow, said snhu adjunct faculty michelle gifford.
"i believe that more and more communities are seeing benefits from
wellness-related initiatives and receiving positive marks about them,
hence community leaders are seeing this as not just a business-driven
necessity, but also something that impacts the well being and quality
of life of their citizens," gifford said.
marcy vadurro is a marketing professional within nursing and health
professions in higher education.
health
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darla branda
health professions clinical faculty darla branda: a faculty q&a
december 13, 2019
after spending 4 years in the military, darla branda earned her degree
and began working in health information management. she's since joined
the faculty at snhu, and we asked her to share her thoughts about
teaching, the importance of education and more as part our faculty
spotlight series.
a student in snhu's ccne accredited nursing programs.
snhu nursing programs receive 10-year ccne reaccreditation
november 21, 2019
snhu online nursing programs recently received a 10-year
reaccreditation from the commission on collegiate nursing education
(ccne), a professional accrediting agency that strives to promote the
quality and integrity of baccalaureate and graduate nursing programs.
a group of doctors and nurses reviewing a document in a hospital
corridor.
healthcare students get to the heart of succession planning
november 13, 2019
teams of southern new hampshire university nursing and healthcare
students recently tackled the challenge of succession planning for
healthcare facilities in the latest higher education and real-world
training challenge.
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homehealth and its importance | health and its significance | the
importance of health and health
health and its importance | health and its significance | the importance of
health and health
civil blog 369 february 09, 2019
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health and its importance
health-and-its-importance
health and its importance
the word "health" refers to an emotional and physical well- being
state. healthcare is available to help people maintain this optimal
health status.
your food choices affect your health every day-how you feel today,
tomorrow and the future. good food is an important part of a healthy
lifestyle. in combination with physical activity, your diet can help
you achieve a healthy weight, reduce the risk of chronic diseases (such
as heart disease and cancer) and promote your overall health.
why does good health matter?
cells are the basic units of all organisms. they consist of a variety
of chemicals. cells move from location to location. even if the cell
does not move, there is still a lot of repairs. cells are the basic
units of all organisms.
in relation, there are various specialized activities in our body such
as the heart pumps blood, the kidney filters the urine, which even the
brain constantly probably thinks the lungs help to inhale.
there's a lot of interconnection in our body between the different
organs. our body needs energy and raw material for all these
activities. food is necessary for the functioning of cells and tissues.
therefore, if you're not good, all your physical activities begin to
get hampered.
the significance of health
health is a physical, mental and social state of complete well-being. a
person needs a balanced diet and regular exercise for a healthy life
cycle. you also have to live in a proper shelter, sleep enough and have
good hygiene habits. so, how do we make sure we do all the right things
to be healthy? let's raise awareness about the importance of health
1)all organisms ' health depends on their environment or surroundings.
in our individual health, our social environment is an important
factor.
2)for individual health, public cleanliness is important. we must
therefore ensure that we regularly collect and clear the waste. we also
need to contact an agency responsible for clearing the drains. you
could have a serious impact on your health without this.
3)we need food for health and food, by doing work, we have to earn
money. there must be an opportunity to do work for this. therefore,
individual health needs good economic conditions and jobs.
4)to be really healthy, we need to be happy. we can't be healthy or
happy if we mistreat each other and fear each other. for individual
health, social equality and harmony are important.
what is an illness?
if one or more organs or systems of our body are adversely affected
because they are interrupted in their normal functioning, we say that
we are not healthy, i.e. we have a disease. disease means that
something is wrong with our body and we feel that the body is unwell or
malfunctioning.
our health is not only affected by uneven diets, but also by diseases,
infections, poverty, large families, overcrowded homes, etc. the
disease is usually caused by external organisms (microbes), which cross
the natural barriers of the body and invade our healthy body. such
organisms can cause havoc if it is not handled immediately by our
immune system.
health-and-its-importance
health and its significance
types of health
mental and physical health are the two types of health most frequently
discussed. we also talk about, among others, "spiritual health,"
"emotional health" and "financial health." they were also linked to
lower levels of stress and mental and physical well- being.
physical health
bodily functions work at peak performance in a person who experiences
physical health, not only because of a lack of disease, but also
because of regular exercise, balanced nutrition and adequate rest. when
necessary, we receive treatment to maintain the balance.
physical well- being means a healthy lifestyle to reduce the risk of
disease. for example, maintaining physical fitness can protect the
breathing and heart function, muscle strength, flexibility and body
composition of a person and develop it.
physical health and well- being also reduce the risk of injury or
health problems. examples include minimizing risks at work, safe sex,
good hygiene, or avoiding tobacco, alcohol or illegal drugs.
mental health
mental health means the emotional, social and psychological well- being
of a person. mental health is as important to a full and active
lifestyle as physical health.
mental health is harder to define than physical health, because
diagnosis often depends on the perception of the individual's
experience. however, with test improvements, some signs of some types
of mental illness in ct scans and genetic testing are now becoming
"visible."
mental health is not just a lack of depression, anxiety or other
disorder. it also depends on the ability to: enjoy life bouncing back
after difficult experiences achieve balance, feel safe and secure in
order to achieve your potential.
there are good links between physical and mental health. if chronic
disease affects the ability of a person to perform his or her regular
tasks, depression and stress can be caused, for example, by money
problems. a mental illness such as depression or anorexia can affect
the weight and function of the body. rather than its different types,
it is important to approach "health "as a whole.
good health factors
health depends on a variety of factors. a person is born with a variety
of genes and an unusual genetic pattern can lead to a level of health
that is less than optimal in some people.
environmental factors play an important role. the environment alone
sometimes suffices to have an impact on health. an environmental
trigger can cause disease in a genetically susceptible person at other
times.
these can be summarized as:
social and economic environment: including the wealth of a family or
community.
the physical environment: including parasites in an area or levels of
pollution.
the characteristics and behaviors of the person:
according to the world health organization, the higher the socio-
economic status of a person( ses), the more likely they are to enjoy
good health, good education, a well- paid job, and if their health is
threatened, good health care will be available.
people with a lower socio- economic status are more likely to
experience stresses related to daily life, such as financial
difficulties, marital disruption and unemployment, as well as social
factors such as marginalization and discrimination. all of this adds to
the risk of poor health.
low socio- economic status means often less access to healthcare.
people in developed countries with universal health services have
longer life expectancies than people without universal health care in
developed countries.
cultural problems can have an impact on health. a society's traditions
and customs and the response of a family to them can have a good or bad
effect on health. for example, people around the mediterranean are more
likely to consume high levels of fruit, vegetables and olives and eat
as a family compared to fast food crops.
how stress is managed affects health. people who smoke, drink or take
drugs to forget about their problems are likely to experience more
health problems later than people who fight stress through healthy diet
and exercise.
men and women are susceptible to various health factors. they may be at
greater risk of poor health than men in societies where women earn less
than men or are less educated.
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1. hello healthy24 december 2019 at 19:33
good sir
visit this blog
https://myhellohealthy.blogspot.com/2019/12/10-make-ahead-breakfast
-under-30020.html
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home » achieve lasting weight loss » the importance of health
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* public health in practice
an official journal of the the royal society for public health and a
sister journal of public health in practice.
public health is an international, multidisciplinary peer-reviewed
journal. it publishes original papers, reviews and short reports on all
aspects of the science, philosophy, and practice...
read more
an official journal of the the royal society for public health and a
sister journal of public health in practice.
public health is an international, multidisciplinary peer-reviewed
journal. it publishes original papers, reviews and short reports on all
aspects of the science, philosophy, and practice of public health.
it is aimed at all public health practitioners and researchers and
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contribute to public health systems in any way.
published twelve times a year, public health considers submissions on
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* why is changing health-related behaviour so difficult? - open
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* association of vitamin d, retinol and zinc deficiencies with
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* an overview of systematic reviews on the public health consequences
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c. lee | g. burgess | ...
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models and mechanisms of public health
chapter 5: key principles of health behavior change
search for: ____________________ search
examples of health behaviors and concepts
image
social determinants, as stated in the article by short and mollborn,
can be split into three levels, the downstream level (individual
choices), the upstream level (socio-economic, cultural systems, etc.)
and the meso level (interpersonal interactions) (short and mollborn,
2015). most research is focused on the meso level due to the immediate
effects and influence it has over someone’s health behaviors. the
systems that are involved in the meso level could be an individual’s
neighborhood, family, and friends. the importance of social
determinants and their effects on health can help determine the reasons
for specific health actions and behaviors.
the concepts of health behavior are dynamic and encompass different
areas, cultures, genders, age groups, etc. this can be seen within the
united states; the likelihood of developing smoking behaviors are more
prevalent in the south than in the west (short and mollborn, 2015).
some examples of things that health behavior can affect are diet,
physical activity, sleep, and coping with stressful events. health
behavior should be looked at on multiple levels and perspectives to
fully understand how it can promote and protect health instead of
causing harm to it.
licenses and attributions
cc licensed content, original
* authored by: christian rossman, michaela ou2019brien, gloria
poisson, and abubakry tunkara. located at:
https://courses.lumenlearning.com/suny-buffalo-environmentalhealth/
. project: models and mechanisms of public health. license: cc
by-nc-sa: attribution-noncommercial-sharealike
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health behavior
health behavior pp 3-17 | cite as
health behavior
plural perspectives
* authors
* authors and affiliations
* david s. gochman
chapter
* 16 citations
* 27 readers
* 328 downloads
abstract
what “health behavior” means, and how it is treated in this book, are
the basic topics of the first part of this chapter, which begins with a
working definition of health behavior, discusses some related terms,
and provides a definition of “health behavior research.” the chapter
continues with a discussion of conceptions of health, illness, and
disease, and concludes by identifying some research issues that relate
to these conceptions.
keywords
health behavior behavioral health behavioral medicine illness
behavior sociocultural perspective
these keywords were added by machine and not by the authors. this
process is experimental and the keywords may be updated as the learning
algorithm improves.
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references
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copyright information
© springer science+business media new york 1988
authors and affiliations
* david s. gochman
+ 1
1. 1.raymond a. kent school of social workuniversity of
louisvillelouisvilleusa
about this chapter
cite this chapter as:
gochman d.s. (1988) health behavior. in: gochman d.s. (eds)
health behavior. springer, boston, ma
* doi https://doi.org/10.1007/978-1-4899-0833-9_1
* publisher name springer, boston, ma
* print isbn 978-1-4899-0835-3
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health behavior and health promotion
apple icon stopping the spread of communicable diseases. catching
cancer in its early stages. preventing teenagers from smoking
cigarettes. these are all based on choices and behaviors.
our goal in the division of health behavior and health promotion (hbhp)
is to enable people to achieve their optimal level of health through
healthy decisions and behaviors. in order to accomplish this, we work
with organizations, and communities to develop the knowledge and skills
needed for making healthy decisions and enacting healthy behaviors, and
to promote the conditions and resources necessary for healthy living.
we also collaborate across disciplines at ohio state to advance
knowledge and understanding of healthy behaviors.
research
research in healthy behaviors and health promotion seeks to understand
the choices and behaviors of individuals and communities with regard to
health. we also evaluate existing and pilot health programs. much of
our scholarly work is done in collaboration across the university and
with other institutions, as well as with community partners.
our faculty are involved in active research programs that include:
* health program evaluation
* global health
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curriculum
our curriculum emphasizes the social and behavioral determinants of
health and methods for changing behaviors in populations.
the health behavior and health promotion program offers two outstanding
degree programs with a concentration in health behavior and health
promotion: the mph (master of public health) and the phd.
both degree programs provide students with a thorough knowledge of
health behavior and health promotion from its fundamental relationship
to public health to role in implementing intervention strategies.
courses also offer a rich array of research opportunities and practical
job experiences.
learn more about degree programs in health behavior and health promotion
mph phd
in addition, we offer a graduate minor in public health behavior and
promotion.
minor
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health behavior and health promotion
* message from the chair
* faculty and staff
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* careers in health behavior and health promotion
peace
* about
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+ center for public health practice
+ center for the advancement of tobacco science
+ business operations center
* future students
+ apply now
+ recruitment calendar
+ why public health at ohio state
+ bsph + mph in 5 years
+ dual/combined degrees
+ undergraduate programs
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o environmental public health specialization
o public health sociology specialization
+ graduate programs
+ master of public health
o biomedical informatics
o biostatistics
o clinical translational science
o environmental health
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o health behavior and health promotion
o program for experienced professionals
# program description
# curriculum
# admissions requirements
o veterinary public health
+ master of health administration
o program of study
# competency-based curriculum
# experiential learning: outside the classroom
# leadership development framework
o administrative residency
o professional development
o student experience
o scholarships and financial aid
o graduates
# graduating student employers
o hsmp faculty and staff
o hsmp alumni society
# events
+ master of science
o biomedical informatics
o biostatistics
o environmental public health
o epidemiology
+ doctor of philosophy
o biostatistics
o environmental public health
o epidemiology
o health behavior and health promotion
o health services management and policy
+ minors/ specializations/ certificates
o graduate certificate in environmental public health risk
assessment
o graduate certificate in global one health
o graduate interdisciplinary specialization in obesity
science
o graduate interdisciplinary specialization in global
health
o graduate minor in public health behavior and promotion
o epidemiology minor
o global public health minor
+ contact us
* students
+ student forms and resources
+ graduate students
o advising and student services
o news and events
o career services
o cph graduate student handbook
o curriculum guides
o mph practicum
o mph culminating project
o mha administrative residency
o graduation
+ undergraduate students
o advising and student services
o news and events
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o cph undergraduate student handbook
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health behavior models
behavior change models:
there are a number of theoretical models in the literature that address
effective ways to change health behaviors. the pages below outline
basic theories, their major constructs, and the recommended strategies
to help clients reduce tobacco use.
* transtheoretical model (ttm) & stages of change
* health belief model
* social cognitive theory
* theory of reasoned action/theory of planned behavior
measures:
stages of change & readiness
the stages of change algorithm can be used in research to determine an
individual’s current stage of change for quitting tobacco.
the readiness ruler is a brief, 1 item measure that can be used to
assess motivational readiness for quitting smoking. used in practice
and research.
processes of change for quitting smoking
the processes of change questionnaire is a self-report measure that
assesses an individual’s use of experiential and behavioral processes
of change to quit smoking. used in both practice and research.
temptation to smoke
the temptation to smoke scale is a self-report measure that assesses
how tempted an individual is to smoke in a variety of situations. used
in both practice and research.
confidence to abstain (self-efficacy)
the smoking self-efficacy scale is a self-report measure that assesses
an individual's confidence to abstain from smoking in a variety of
situations. used in both practice and research.
decisional balance (pros & cons of smoking)
the decisional balance scale is a self-report measure of the pros and
cons a person perceives in terms of smoking. used in both practice and
research.
screening for tobacco use
the tobacco screening measure is a brief, 1-4 item measure that can be
used to assess current smoking status as well as heaviness of smoking.
the first question should be asked of all patients, and can be helpful
in identifying “former smokers” that may otherwise be mistaken as
“never-smokers.” the tobacco screening measure was developed by
maryland m.d.s making a difference (md3), and can also be found on
their pocket guide for tobacco, alcohol, and drug screening, brief
intervention, referral, and treatment. used primarily in practice.
nicotine dependence
the fagerström test for nicotine dependence (ftnd) consists of six
multiple-choice questions meant to assess how strongly “addicted” an
individual is to nicotine. used in both practice and research.
*permission to use this scale for purposes other than research should
be obtained from k. l. fagerström.
smoking history
the smoking history questionnaire is meant to provide a more detailed
picture of both current and past tobacco use. questions may vary
depending upon the purpose or goals of this measure’s use. used
primarily in research.
**please follow the links above for more information about the models
and measures, or visit the habits lab
tags:
research
fax to assist
click here to find out more about fax to assist and complete the
training to become a fax to assist approved provider.
resources
resources
* consumer
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* bh2 training resources
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* nicotine
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providers
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what is good health?
written by adam felman on july 31, 2017
* what is health?
* types
* factors for good health
* preserving health
the word "health" refers to a state of complete emotional and physical
well-being. healthcare exists to help people maintain this optimal
state of health.
in 2015, the population of the united states (u.s.) spent an estimated
$3.2 trillion on healthcare costs.
however, despite this expenditure, a study by the u.s. national
research council, published in 2013, showed that americans die at a
younger age and experience more illness and injury than people in other
developed countries.
good health is central to handling stress and living a long and active
life.
fast facts on health
here are some key points about health. more detail is in the main
article.
* health can be defined as physical, mental, and social wellbeing,
and as a resource for living a full life.
* it refers not only to the absence of disease, but the ability to
recover and bounce back from illness and other problems.
* factors for good health include genetics, the environment,
relationships, and education.
* a healthful diet, exercise, screening for diseases, and coping
strategies can all enhance a person's health.
what is health?
health is not just absence of disease but a state of overall wellbeing.
share on pinteresthealth is not just absence of disease but a state of
overall wellbeing.
in 1948, the world health organization (who) defined health with a
phrase that is still used today.
"health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity." who, 1948.
in 1986, the who further clarified that health is:
"a resource for everyday life, not the objective of living. health is a
positive concept emphasizing social and personal resources, as well as
physical capacities."
this means that health is a resource to support an individualʼs
function in wider society. a healthful lifestyle provides the means to
lead a full life.
more recently, researchers have defined health as the ability of a body
to adapt to new threats and infirmities. they base this on the idea
that modern science has dramatically increased human awareness of
diseases and how they work in the last few decades.
types
mental and physical health are the two most commonly discussed types of
health. we also talk about "spiritual health," "emotional health," and
"financial health," among others. these have also been linked to lower
stress levels and mental and physical wellbeing.
physical health
in a person who experiences physical health, bodily functions are
working at peak performance, due not only to a lack of disease, but
also to regular exercise, balanced nutrition, and adequate rest. we
receive treatment, when necessary, to maintain the balance.
physical wellbeing involves pursuing a healthful lifestyle to decrease
the risk of disease. maintaining physical fitness, for example, can
protect and develop the endurance of a personʼs breathing and heart
function, muscular strength, flexibility, and body composition.
physical health and well-being also help reduce the risk of an injury
or health issue. examples include minimizing hazards in the workplace,
practicing safe sex, practicing good hygiene, or avoiding the use of
tobacco, alcohol, or illegal drugs.
mental health
mental health refers to a personʼs emotional, social, and psychological
wellbeing. mental health is as important as physical health to a full,
active lifestyle.
it is harder to define mental health than physical health, because, in
many cases, diagnosis depends on the individualʼs perception of their
experience. with improvements in testing, however, some signs of some
types of mental illness are now becoming "visible" in ct scans and
genetic testing.
mental health is not only the absence of depression, anxiety, or
another disorder.
it also depends on the ability to:
* enjoy life
* bounce back after difficult experiences
* achieve balance
* adapt to adversity
* feel safe and secure
* achieve your potential
physical and mental health are linked. if chronic illness affects a
personʼs ability to complete their regular tasks, this may lead to
depression and stress, for example, due to money problems.
a mental illness such as depression or anorexia nervosa can affect body
weight and function.
it is important to approach "health" as a whole, rather than its
different types.
factors for good health
health depends on a wide range of factors.
a person is born with a range of genes, and in some people, an unusual
genetic pattern can lead to a less-than-optimum level of health.
environmental factors play a role. sometimes the environment alone is
enough to impact health. other times, an environmental trigger can
cause illness in a person who is genetically susceptible.
access to healthcare plays a role, but the who suggests that the
following factors may have a bigger impact on health than this:
* where a person lives
* the state of the surrounding environment
* genetics
* income
* education level
* relationships with friends and family
these can be summarized as:
* the social and economic environment: including how wealthy a family
or community is
* the physical environment: including parasites that exist in an
area, or pollution levels
* the personʼs characteristics and behaviors: including the genes
that a person is born with and their lifestyle choices
*
according to the who, the higher a personʼs socioeconomic status (ses),
the more likely they are to enjoy good health, a good education, a
well-paid job, afford good healthcare when their health is threatened.
people with a lower socioeconomic status are more likely to experience
stresses related to daily living, such as financial difficulties,
marital disruption, and unemployment, as well as social factors, such
as marginalization and discrimination. all these add to the risk of
poor health.
a low socio-economic status often means less access to healthcare.
people in developed countries with universal healthcare services have
longer life expectancies than people in developed countries without
universal healthcare.
cultural issues can affect health. the traditions and customs of a
society and a familyʼs response to them can have a good or bad impact
on health. for example, around the mediterranean, people are more
likely to consume high levels of fruits, vegetables, and olive, and to
eat as a family, compared with cultures with a high consumption of fast
food.
how a person manages stress will affect health. people who smoke,
drink, or take drugs to forget their problems are likely to have more
health problems later than someone who combats stress through a
healthful diet and exercise.
men and women are prone to different health factors. in societies where
women earn less than men or are less educated, they may be at greater
risk than men for poor health.
preserving health
the best way to maintain health is to preserve it through a healthful
lifestyle, rather than waiting until we are sick to put things right.
this state of enhanced well-being is referred to as wellness.
the mckinley health center at the university of illinois il defines
wellness as:
"a state of optimal well-being that is oriented toward maximizing an
individualʼs potential. this is a life-long process of moving
towards enhancing your physical, intellectual, emotional, social,
spiritual, and environmental well-being."
wellness promotes an active awareness of and participation in health,
as an individual and in the community.
maintaining wellness and optimal health is a lifelong, daily
commitment.
steps that can help us maximize our health include:
* a balanced, nutritious diet, sourced as naturally as possible
* regular exercising
* screening for diseases that may present a risk
* learning to manage stress
* engaging in activities that provide purpose and connection to
others
* maintaining a positive outlook and appreciating what you have
* defining a value system, and putting it into action
peak health will be different for each person, and how you achieve
wellness may be different from how someone else does.
it may not be possible to avoid disease completely, but doing as much
as we can to develop resilience and prepare the body and mind to deal
with problems as they arise is a step we can all take.
written by adam felman on july 31, 2017
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croat med j. 2006 aug; 47(4): 662–664.
pmcid: pmc2080455
pmid: 16909464
the meanings of health and its promotion
norman sartorius
copyright and license information disclaimer
copyright © 2006 by the croatian medical journal. all rights reserved.
this is an open access article distributed under the creative commons
attribution license, which permits unrestricted non-commercial use,
distribution, and reproduction in any medium, provided the original
work is properly cited.
this article has been cited by other articles in pmc.
the constitution of the world health organization, which came into
force on april 7, 1948, defined health “as a state of complete
physical, mental and social well-being.” the writers of the
constitution were clearly aware of the tendency of seeing health as a
state dependent on the presence or absence of diseases: so they added
to that definition that an individual, if he is to be considered
healthy, should not suffer from any disease (….“and not merely the
absence of disease or infirmity”) (1). in that way, the definition of
the world health organization simply added a requirement to the
previous position that allowed to declare someone healthy if no disease
could be found: the step forward that could have been taken in the
conceptualization of health as a dimension of existence which can
co-exist with the presence of a disease or impairment was thus not
taken.
today, three types of definition of health seem to be possible and are
used. the first is that health is the absence of any disease or
impairment. the second is that health is a state that allows the
individual to adequately cope with all demands of daily life (implying
also the absence of disease and impairment). the third definition
states that health is a state of balance, an equilibrium that an
individual has established within himself and between himself and his
social and physical environment.
the consequences of adopting one or another of these definitions are
considerable. if health is defined as the absence of disease, the
medical profession is the one that can declare an individual healthy.
with the progress of medicine, individuals who are declared healthy
today may be found to be diseased tomorrow because more advanced
methods of investigations might find signs of a disease that was not
diagnosable earlier. how an individual feels about his or her state is
not relevant in this paradigm of health. how the surrounding people
judge the behavior and appearance of an individual is only relevant if
their observations are congruent with the criteria of abnormality that
the medical profession has produced. the measurement of the state of
health of a population is also simple and will involve no more than
counting the individuals who, on examination, show defined signs of
illness and comparing their numbers with those who do not.
there are obvious difficulties with the first and the second of the
definitions mentioned above and with their consequences. there are
individuals who have abnormalities that can be counted as symptoms of a
disease but do not feel ill. there are others whose body tissues do not
demonstrate changes but who feel ill and do not function well. there
are people who hear voices and might therefore be candidates for
psychiatric examination and possibly treatment – but live well in their
community and do not ask for nor receive medical care. there is a
significant number of people who have peptic ulcers and other diseases,
experience no problems, do not know that they have a disease and do not
seek treatment for it. some of these individuals will also escape the
second type of definition of health because they function as well as
expected in their age and gender group of the general population.
the third definition mentioned above makes health depend on whether a
person has established a state of balance within oneself and with the
environment. this means that those with a disease or impairment will be
considered as being healthy to a level defined by their ability to
establish an internal equilibrium that makes them get the most they can
from their life despite the presence of the disease. health would thus
be a dimension of human existence that remains in existence regardless
of the presence of diseases, somewhat like the sky that remains in
place even when covered with clouds. the advantage of this definition
is that diseases do not replace individuals’ health: they may affect
their balance more or less severely but, at all times, the patients who
suffer from a disease (and their doctors) remain aware of the need to
work simultaneously on two tasks – one, to remove or alleviate the
disease and the second to establish a state of balance, as best they
can, within oneself and in relation with their environment. in fighting
stigmatization that accompanies many chronic and some acute diseases –
such as mental disorders or leprosy – this definition is also useful
because it makes us speak and think about our patients as people who
are defined by different dimensions (including health) and who, at a
point, suffer from a disease – and thus make us say “a person with
schizophrenia” rather than “a schizophrenic,” or a ”person who has
diabetes” rather than a “diabetic” and a “person with leprosy” rather
than a “leper.”
there is another important consequence of working with this definition
of health. to establish whether someone is in good health in accordance
with this definition, the doctor must explore how individuals who have
a disease feel about it, how the disease influences their lives, how
they propose to fight their disease or live with it. laboratory
findings and the presence of symptoms are thus important and necessary
ingredients in thinking about the state of health and the presence of a
disease but are not sufficient to reach a decision about someone’s
health: it is necessary to view the disease in the context of the
person who has it in order to make a judgment about his or her level of
health. there is little doubt about the fact that going about the
treatment of diseases in this way would improve the practice of
medicine and make it a more realistic as well as a more humane
endeavor.
the promotion of health is also affected by the differences in the
definition of health. the simplest definition of health – equated with
the absence of disease – would lead to a definition of the promotion of
health as an effort to remove diseases and diminish the numbers of
individuals who suffer from them. the involvement of functioning in the
definition of health would be reflected in defining the promotion of
health as a process by which the capacity of individuals to cope will
be enhanced and strengthened, for example by regular and obligatory
physical exercise. both of these definitions would lead to
recommendations to improve the treatment of diseases, and to remove
risks factors that might lead to them – such as sedentary life style,
smoking, bad eating habits and insufficient application of hygienic
measures such as washing one’s hands before meals.
the third definition of health, by its very nature, could not stop at
efforts to remove diseases and to diminish risk factors that might lead
to disease. it would have to involve the individuals whose health is to
be promoted in an active way: it would have to address the scales of
values of individuals and communities to ensure that health is placed
higher on those scales. high value placed on health (not only on the
absence of disease) would make people undertake whatever is necessary
to enhance health: participating in preventive action and seeking
treatment would become a normal expression of the need to behave in
harmony with one’s own and one’s community values. changing the place
of health on the scale of values, however, is not possible if left to
the health sector alone: values are shaped throughout life under the
influence of parents, friends, schools, the media, laws, and one’s own
life course and experience. thus, changing values – for example to give
health a higher value, to promote health – has to be a task for all of
those involved in shaping values and placing them on a scale rather
than for the health system alone.
the huge challenges that face societies aiming to improve the health of
their citizens will not be appropriately answered if we do not change
the paradigms of health and disease and design strategies for future
work using these new paradigms. their formulation and acceptance is a
task that is before all of us and is urgent.
references
1. constitution of the world health organization. in: world health
organization: basic documents. 45th ed. geneva: world health
organization; 2005. [google scholar]
__________________________________________________________________
articles from croatian medical journal are provided here courtesy of
medicinska naklada
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fdi unveils new universally applicable definition of ‘oral health’
06 september 2016
6 september 2016
fdi unveils new universally applicable definition of ‘oral health’
poznan, 6 september 2016 – fdi world dental federation today launched
the new definition of ‘oral health’ – positioning it as an integral
part of general health and well-being – at its annual world dental
congress in poznan, poland. it was adopted by over 200 national dental
associations (ndas) and will now be rolled out to the oral health
community, globally.
“this new definition is an important milestone for the oral health
profession,” said dr patrick hescot, fdi president. “true to our vision
2020 advocacy strategy and our ambition to lead the world to optimal
oral health, the new definition will allow us to develop standardized
assessment and measurement tools for consistent data collection on a
global level.”
as defined by fdi:
oral health is multi-faceted and includes the ability to speak, smile,
smell, taste, touch, chew, swallow and convey a range of emotions
through facial expressions with confidence and without pain, discomfort
and disease of the craniofacial complex.
further attributes related to the definition state that oral health:
* is a fundamental component of health and physical and mental
wellbeing. it exists along a continuum influenced by the values and
attitudes of individuals and communities;
* reflects the physiological, social and psychological attributes
that are essential to the quality of life;
* is influenced by the individual’s changing experiences,
perceptions, expectations and ability to adapt to circumstances.
the new definition was coined by fdi’s vision 2020 think tank members,
which includes experts in oral health, public health and health
economics. together with a companion framework tested against external
stakeholders, the new oral health definition is the result of a wider
consultation which included patients, oral health professionals, ndas,
the public health community, academia, government, industry and
third-party payers.
“with this new definition, we want to raise awareness of the different
dimensions of oral health and emphasize that oral health does not occur
in isolation, but is embedded in the wider framework of overall health”
said prof. david williams, co-chair of fdi’s vision 2020 think tank.
“we are proposing a contemporary definition of oral health, which
resonates with that used by many ndas and the world health
organization,” said prof. michael glick, co-chair of fdi’s vision 2020
think tank. “it is therefore not a revolution, but an evolution.”
fdi plans to widely disseminate this oral health definition and
advocate for its operationalization to establish a standard measurement
instrument that can be applied across countries. a measurement toolbox
will be ready in 2017 to allow for assessment of individual and
population needs that can inform and drive oral health policies.
media contact
charanjit (chaz) jagait phd, fdi communications & advocacy director
e-mail: cjagait@fdiworldental.org | tel: +41 22 560 81 48
about fdi world dental federation
fdi world dental federation serves as the principal representative body
for over 1 million dentists worldwide. its membership includes some 200
national member associations and specialist groups in over 130
countries. fdi’s vision: ‘leading the world to optimal oral health’.
www.fdiworldental.org
for more fdi news, visit www.fdiworldental.org
fdi world federation - avenue louis casai 51 - ch - 1216 cointrin -
geneva - switzerland
© fdi world dental federation - all rights reserved
www.fdiworldental.org
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a closer look at health equity
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in this aha advancing health podcast, duane reynolds, president and ceo
of the aha’s institute for diversity and health equity, and priya
bathija, vice president of aha’s the value initiative, discuss how
health equity is a moral issue that affects the length and quality of
people’s lives. they share how hospitals and health system leaders are
addressing the social determinants of health and social needs to make
care more equitable.
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aha statement for house energy and commerce committee on maternal health
legislation
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statement
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“improving maternal health: legislation to advance prevention efforts
and
access to care”
september 10, 2019
on behalf of our nearly 5,000 member hospitals, health systems and
other health care organizations, our clinician partners – including
more than 270,000 affiliated physicians, 2 million nurses and other
caregivers – and the 43,000 health care leaders who belong to our
professional membership groups, the american hospital association (aha)
commends the committee on energy and commerce for its efforts to
examine legislation to improve maternal health.
maternal health is a top priority for the aha and our member hospitals
and health systems, and our initial efforts are aimed at eliminating
maternal mortality and severe morbidity. the causes of maternal
mortality and morbidity are complex, including a lack of consistent
access to comprehensive care and persistent racial disparities in
health and health care. as hospitals work to improve health outcomes,
we are redoubling our efforts to improve maternal health across the
continuum of care and reaching out to community partners to aid in that
important effort.
the may 2019 vital signs report issued by the centers for disease
control and prevention (cdc) noted that about 700 women die each year
from complications related to pregnancy, and more than half of those
deaths are preventable. an estimated 31% of pregnancy-related deaths
occur during pregnancy, 36% during delivery or the week after, and 33%
one week to one year after delivery. the cdc last week released its
morbidity and mortality weekly report that showed that between
2007-2016, the pregnancy-related mortality ratio increased from 15 to
17 pregnancy-related deaths per 100,000 births and that black, american
indian and alaska native women were two to three times more likely to
die from pregnancy-related causes than white women, and this disparity
increases with age. the report also noted that racial and ethnic
disparities in pregnancy-related deaths have persisted over time.
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maternal & child health
every child deserves to have a healthy start in life, and every mother
should have access to quality healthcare during pregnancy and
childbirth. the birth of a new child should be a time for celebration,
and yet for many women around the world it is a time of fear. according
to the world health organisation, more than 800 women die every day
from complications in pregnancy and childbirth. the majority of these
deaths could be prevented given the right resources and care. most of
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rural areas.
in these remote areas, women, newborns and children are often the most
vulnerable to health problems. health centres can be difficult to
reach, and without alternative forms of transport available to them,
women and children sometimes have to walk for days to get there. even
when they reach the facilities, they might find them understaffed or
underequipped.
indigenous women and girls are even more likely to experience worse
maternal health outcomes, and frequently face discrimination and abuse
from health centre staff. for example, maasai women in kenya are twice
as likely to have had no antenatal care, and san women in namibia are
ten times more likely to give birth without skilled attendance.
au sits inside her mud-walled hut near tsumkwe, namibia
au, a traditional birth attendant in namibia
all of these factors discourage mothers from visiting health centres
during pregnancy and to give birth, and often they instead rely on
traditional birth attendants (tbas) in the community as their only
source of maternal health support. the position of tba is passed down
through generations of women, and is a highly respected role in the
community. however, these women very rarely have access to any health
training, leaving them without the skills or tools to identify and
treat difficulties in childbirth. overall, the lack of infrastructure,
transport and training means women and newborns are still dying in
childbirth.
at health poverty action we believe maternal health is particularly
important because of the far-reaching impacts it has on families and
communities. not only does access to quality maternal healthcare ensure
the good health of a mother – her good health also helps to ensure the
good health of her newborn child and the rest of her family.
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maternal health
view photo uganda 2017 © frederic noy/cosmos
maternal health care provided at msf's health center in bidibidi,
uganda.
uganda 2017 © frederic noy/cosmos
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many women across the world give birth without medical assistance,
massively increasing the risk of complications or death. every day on
average 830 women die from pregnancy-related causes. most of these
deaths are preventable.
99 percent
maternal deaths
occur in developing countries
50 percent
maternal deaths
occur during delivery or within 24 hours
1.1 million
births
assisted by msf from 2013-2017, including 107,000 caesarean sections
reproductive health care is an integral part of the medical care
doctors without borders/médecins sans frontières (msf) provides,
including in emergencies. our maternal health programs in more than 25
countries focus on reducing maternal and infant mortality through
pregnancy and prenatal consultations, emergency obstetric care,
postnatal follow-up, and access to family planning services and safe
abortion care.
maternal health facts
serious, untreated complications during pregnancy or delivery can be
fatal to both mother and infant. the most common complications that may
lead to maternal death are: postpartum hemorrhage, reproductive tract
infections, eclampsia, unsafe abortion, obstructed labor, and serious
infectious diseases.
hemorrhage
hemorrhage, or excessive bleeding, can happen after a complicated
birth. often it results from failure of the uterus to contract after
delivery. normally, these contractions stop the bleeding that occurs
once the placenta separates from the uterine wall. but complications or
incomplete placental separation can lead to continued bleeding, and
without rapid medical intervention, a woman can quickly bleed to death.
when skilled birth attendants are present, oxytocin can be given to
prevent bleeding. if severe bleeding does occur, the mother is
resuscitated and attendants apply methods ranging from further
medication and manual pressure to stop the bleeding through to
emergency surgery.
severe infection
severe infection can develop during pregnancy or from unhygienic
conditions during delivery. one common type is reproductive tract
infections (rti), which cause intrauterine infections that can
eventually be fatal to the woman. they can also cause life-threatening
infection in the infant.
access to clean water and hygienic conditions during delivery, such as
clean hands and a clean delivery surface like a plastic cover, are
vital to preventing infections. if an infection occurs, early detection
and treatment with the appropriate antibiotic can prevent serious
illness or death.
eclampsia and other hypertensive disorders
eclampsia and other hypertensive disorders of pregnancy are linked to
high blood pressure and are characterized by seizures that can lead to
coma and death. eclampsia begins during pregnancy as pre-eclampsia,
which leads to high blood pressure. without prenatal care pre-eclampsia
can develop into severe pre-eclampsia or full eclampsia, causing
symptoms such as swelling, sudden weight gain, headaches, changes in
vision, and potentially fatal convulsions.
unsafe abortion
unsafe abortion is a procedure for terminating an unwanted pregnancy
either by persons lacking the necessary skills or in an environment
lacking minimal medical standards, or both, as defined by the world
health organization. globally, at least 22,000 women die every year
from unsafe abortion—the only major cause of maternal death that has
not declined in recent decades, despite it being almost complete
preventable. of those women who survive, 7 million suffer serious
consequences such as infertility, injury, or complications with future
pregnancies.
comprehensive sexual and reproductive health services can greatly
reduce the number of unsafe abortions, by offering safer alternatives
through family planning and access to safe abortion care.
obstructed labor
obstructed labor can occur if the baby’s head is too large or its
position is abnormal, blocking passage through the birth canal. when a
mother is malnourished or is very young and therefore has an
underdeveloped pelvis, the birth canal itself is often not wide enough
to accommodate the head of the baby. if an obstructed labor becomes
prolonged, lasting more than 24 hours, the baby may die and the woman
is at risk of postpartum hemorrhage, uterine rupture or fistula, and
severe infection—all potentially fatal.
skilled staff are essential in managing complicated deliveries and
identifying signs that interventions are needed. these can range from
iv fluids and/or medications to support labor, to an
instrument-assisted delivery (vacuum cup or forceps) or caesarean
section.
indirect causes
indirect causes, in particular complications from infectious disease,
account for about 20 percent of maternal deaths.
during pregnancy, already dangerous diseases can pose even greater
threats to both mother and fetus. for example, malaria in pregnant
women increases their risk of miscarriage and causes over 10,000
maternal deaths globally, while tuberculosis also increases rates of
miscarriage and maternal death. malaria, tuberculosis, and cholera all
raise the risk of stillbirths, death of newborns, or low birth weight
infants.
for pregnant women at risk for any of these diseases, protecting their
health starts with preventive measures. these can include reducing
exposure (such as by sleeping under mosquito nets in malaria regions,
and ensuring access to clean water and supplies for good hygiene) and
short-term use of anti-malarial or anti-tuberculosis drugs during
pregnancy. for those who become ill, early diagnosis and treatment are
essential. whether treating malaria, hiv, tuberculosis, or another
disease, effective treatment reduces the risk of developing severe
complications that threaten the lives of both mother and baby.
how msf responds
our obstetric care programs aim to remedy the crucial "three delays"
that can threaten the lives of both mother and child. these are: delay
in deciding to seek care; delay in reaching a health facility; and
delay in receiving appropriate treatment at the facility.
emergency obstetric care is a key component of this strategy. emergency
care administered promptly by qualified staff can save the lives of
women experiencing complications during or just after delivery, when
half of all maternal deaths occur. to help reduce barriers to use of
our emergency obstetric services, we adapt services to local cultures
and (as with all msf programs) make them free of charge, as our
beneficiaries are often among the poorest sector of the population.
during conflicts or natural disasters, where health services have often
collapsed or are inadequate, emergency obstetrical needs are among the
major needs we see. over the period of 2008-15, 56 percent of all
caesarean sections we performed were in active conflict settings. for
this reason, rapid implementation of emergency maternal care is now
incorporated into our response to these crises.
we also aim to locate services close to the people who need them. in
some settings where this is not possible or we serve a large region, we
have introduced mobile clinics that travel to areas where people often
have no access to health care, combined with referral systems to
identify women with pregnancy complications and transfer them when
necessary to a health post or hospital that can provide appropriate
care.
in remote locations such as kabezi, a rural district in burundi, we
have also implemented ambulance services, which have been linked to
significant reductions in maternal mortality.
abla ali, msf midwife, iraq
giving syrian refugees a safe place to give birth
"the best part of being a midwife is the appreciation from the mothers.
they stop me in the camp when i pass and they say to their children:
'this is abla, she’s a good midwife and she delivered you.'"
–abla ali, msf midwife
read more
antenatal care improves the mother’s health during her pregnancy and
helps reduce or manage complications for both mother and newborn. in
addition, these consultations provide opportunities to inform women and
their families about how to recognize complications and to prepare for
emergencies, and about health structures where women can go for
emergency care, if needed, and for delivery.
post-natal care is another critical area for reducing maternal and
infant death and improving the physical and mental wellbeing of mother
and child. most maternal illnesses and deaths occur at or soon after
delivery, while the majority of infant deaths occur in the first few
days post-delivery—and 30 percent of all child deaths below the age of
five occur in the first four weeks of life.
hiv/aids and preventing mother-to-child transmission
without treatment, 25 to 40 percent of all children born to
hiv-positive mothers will also be infected. this rate can be reduced to
below five percent with antiretroviral treatments for the mother and a
short course of antiretroviral drugs for the baby, together with
appropriate breastfeeding practices.
we have opened programs on prevention of mother-to-child transmission
in many of the world’s most affected regions. in swaziland, for
example, we provided hiv treatment to thousands of hiv-positive
pregnant women as soon as possible after their diagnosis to prevent
their babies from becoming infected.
providing
our research on maternal health
read more
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care for other infectious diseases
pregnant women are more susceptible to infectious diseases, and when
infected they are more likely to experience pregnancy complications and
face an increased risk of miscarriage or stillbirth.
for this reason, we offer preventive treatment to pregnant women
exposed to diseases such as malaria and tuberculosis, and provide extra
care where appropriate to pregnant women with these diseases or others
such as cholera and hepatitis e.
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women's rights and gender equality
aid
this article is more than 1 year old
uk 'exaggerated number of lives saved' by maternal health aid project
this article is more than 1 year old
watchdog says many more deaths could have been prevented given level of
investment in department for international development programmes
supported by
count me in! consortium about this content
rebecca ratcliffe
tue 30 oct 2018 06.00 gmt last modified on mon 4 mar 2019 11.56 gmt
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mother carrying baby in malawi
[ ] in malawi, heavily pregnant women camped outside health facilities
for up to a month before giving birth, the review found. photograph:
jeffrey davis/getty images/tetra images rf
the uk government has been criticised by an aid watchdog for
exaggerating the number of women’s lives it saved through its maternal
health programmes.
a review, published by the independent commission for aid impact (icai)
on tuesday, also said the number of lives saved “were significantly
below what they could have been, given the level of investment”.
the watchdog said programmes by britain’s department for international
development (dfid) had failed to significantly improve the quality and
sustainability of maternal healthcare services in partner countries.
why do women still die giving birth?
read more
dfid spent about £4.6bn on programmes in health and other sectors
between 2011 and 2015. within this, £1.3bn focused more closely on
maternal health, including family planning, reproductive healthcare and
maternal and neonatal health. but icai said investments were focused on
short-term goals, and did not do enough to strengthen healthcare
systems or target marginalised women or teenage girls.
by 2015, dfid claimed to have saved 103,000 women’s lives during
pregnancy and childbirth, more than double its goal of 50,000. in an
internal and unpublished review, this figure was revised down to
80,100.
icai said the department relied on “unrealistic assumptions” to reach
such figures. compared with the review team’s observations in countries
such as malawi, the estimates appeared inflated.
alison evans, icai’s chief commissioner, who led the review, said uk
aid had expanded access to family planning, but added “… given the
ambition, need and level of investment, the programmes fell short of
what was required to achieve adequate progress.”
health facilities in partner countries remained chronically
under-resourced, with severe shortages of beds, healthcare workers and
equipment, said evans. in northern malawi, an area visited as part of
the review, heavily pregnant women camped outside health facilities for
up to a month before giving birth.
“they are waiting because they are not sure where they are in their
pregnancy cycle because of the lack of ultrasound equipment and the
lack of effective dating of pregnancies,” she said. “they don’t know
how close to their due dates they are and because they are fearful of
giving birth in a situation where there may not be a skilled attendant
they wait outside facilities, sometimes for up to a month, sometimes in
makeshift accommodation.”
uk aid programmes had fallen short of targets to improve emergency
obstetric and neonatal care, according to the review.
dfid had promised to prioritise the poorest 40% of women, as well as
girls aged between 15 and 19 years. but icai found that few programmes
included specific measures to reach these groups, nor did the
department monitor whether its programmes were reaching teenage girls.
it also failed to include measures that would tackle discrimination and
abuse of women in health facilities.
sean roberts, policy and campaigns officer at health poverty action,
said uk aid must be better targeted at the most vulnerable groups.
“indigenous women die far more often in childbirth than other women,”
he said. “if dfid wants to meet its commitment to leave no one behind
it must implement a robust action plan to address the maternal health
of indigenous women and other excluded groups.”
while uk aid had improved access to family planning for millions of
women, in malawi such programmes were delivered through non-state
providers. such partnerships allowed funding to quickly reach large
numbers of people, but risked displacing public sector services, said
evans.
“you have this problem of sustainability,” she said. “the public sector
is not able to gear itself up to provide a similar level of outreach.”
the review team visited a sample of programmes in malawi and the
democratic republic of the congo, as well as analysing published
literature, dfid policy documents and conducting interviews with
experts.
icai warned that health facilities struggled to ensure a reliable
supply of contraceptives. it added that dfid had championed
reproductive rights at the international level, but done less work to
encourage legal, policy and cultural change in partner countries.
dfid said in a statement that the uk is a global leader in promoting
reproductive health, and added that the review was not representative
of all the department’s work.
“we welcome icai’s acknowledgement that uk aid is helping women around
the world access the life-saving services they need, but it is
disappointing the report has made some generalisations from a selected
portion of our programming and also does not fully reflect the full
impact of our work, especially in recent years,” the statement said.
topics
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* what is mental health?
what is mental health?
it’s an expression we use every day, so it might surprise you that the
term ‘mental health’ is frequently misunderstood.
‘mental health’ is often used as a substitute for mental health
conditions – such as depression, anxiety conditions, schizophrenia, and
others.
according to the world health organization, however, mental health
is “a state of well-being in which every individual realises his or her
own potential, can cope with the normal stresses of life, can work
productively and fruitfully, and is able to make a contribution to her
or his community.”
so rather than being about ‘what’s the problem?’ it’s really about
‘what’s going well?'
''mental health is about wellness rather than illness''
to make things a bit clearer, some experts have tried coming up with
different terms to explain the difference between ‘mental health’ and
‘mental health conditions’. phrases such as ‘good mental health’,
‘positive mental health’, ‘mental wellbeing’, ‘subjective wellbeing’
and even ‘happiness’ have been proposed by various people to emphasise
that mental health is about wellness rather than illness. while some
say this has been helpful, others argue that using more words to
describe the same thing just adds to the confusion.
as a result, others have tried to explain the difference by talking
about a continuum where mental health is at one end of the spectrum –
represented by feeling good and functioning well – while mental health
conditions (or mental illness) are at the other – represented by
symptoms that affect people’s thoughts, feelings or behaviour.
the benefits of staying well
research shows that high levels of mental health are associated with
increased learning, creativity and productivity, more pro-social
behaviour and positive social relationships, and with improved physical
health and life expectancy. in contrast, mental health conditions can
cause distress, impact on day-to-day functioning and relationships, and
are associated with poor physical health and premature death from
suicide.
but it’s important to remember that mental health is complex. the fact
that someone is not experiencing a mental health condition doesn’t
necessarily mean their mental health is flourishing. likewise, it’s
possible to be diagnosed with a mental health condition while feeling
well in many aspects of life.
ultimately, mental health is about being cognitively, emotionally and
socially healthy – the way we think, feel and develop relationships -
and not merely the absence of a mental health condition.
beyond blue's vision is that everyone achieves their best possible mental
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while beyond blue's primary focus is on the needs of people affected by
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will help everyone in australia reach their full potential. this will
also contribute to the prevention of mental health conditions, and
support people who have experienced these conditions to get as well as
they can and lead full and contributing lives.
having social connections, good personal relationships and being part
of a community are vital to maintaining good mental health and
contribute to people's recovery, should they become unwell.
however, if you feel that you may be affected by depression or
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home information & support types of mental health problems
types of mental health problems
if you’ve been diagnosed with a mental health problem you might be
looking for information on your diagnosis, treatment options and where
to go for support. our information pages will help you learn more.
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[ ] types of depression (3)
[ ] stress and anxiety (6)
[ ] sleep (1)
[ ] suicide and self-harm (2)
[ ] eating and body image (2)
[ ] types of personality disorder (2)
[ ] mania, bipolar (2)
[ ] psychosis, hearing voices and schizophrenia (5)
[ ] other (9)
anger
explains what anger is, and how to deal with it in a constructive and
healthy way.
anxiety and panic attacks
explains anxiety and panic attacks, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
bipolar disorder
explains what bipolar disorder is, what kinds of treatment are
available, and how you can help yourself cope. also provides guidance
on what friends and family can do to help.
body dysmorphic disorder (bdd)
explains body dysmorphic disorder, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
borderline personality disorder (bpd)
explains what bpd is and what it’s like to live with this diagnosis.
also provides information about self-care, treatment and recovery, and
gives guidance on how friends and family can help.
depression
explains depression, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
dissociation and dissociative disorders
explains dissociative disorders, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
and guidance for friends and family.
drugs - recreational drugs & alcohol
explains the mental health effects of recreational drugs and alcohol,
and what might happen if you use recreational drugs and also have a
mental health problem. includes suggestions for where you might find
support.
eating problems
explains eating problems, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
hearing voices
explains what it is like to hear voices, where to go for help if you
need it, and what others can do to support someone who is struggling
with hearing voices.
hoarding
explains hoarding, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
hypomania and mania
explains hypomania and mania, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
loneliness
explains loneliness, giving practical suggestions for what you can do
and where you can go for support.
mental health problems - introduction
explains what mental health problems are, what may cause them, and the
many different kinds of help, treatment and support that are available.
also provides guidance on where to find more information, and tips for
friends and family.
obsessive-compulsive disorder (ocd)
explains obsessive-compulsive disorder (ocd), including possible causes
and how you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
panic attacks
explains what panic attacks are, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
and guidance for friends and family.
paranoia
explains paranoia, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
personality disorders
explains personality disorders, including possible causes and how you
can access treatment and support.
phobias
explains phobias, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
postnatal depression & perinatal mental health
explains postnatal depression and other perinatal mental health issues,
including possible causes, sources of treatment and support. also gives
advice for friends and family.
post-traumatic stress disorder (ptsd)
explains what post-traumatic stress disorder (ptsd) and complex ptsd
are, and provides information on how you can access treatment and
support. includes self-care tips and guidance for friends and family.
premenstrual dysphoric disorder (pmdd)
explains what pmdd is and explores issues around getting a diagnosis.
also provides information on self care and treatment options, and how
friends and family can help.
psychosis
explains what psychosis is, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
schizoaffective disorder
explains what schizoaffective disorder is, including its symptoms and
causes. gives advice on how you can help yourself and what types of
treatment and support are available, as well as guidance for friends
and family.
schizophrenia
explains schizophrenia, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
seasonal affective disorder (sad)
explains seasonal affective disorder, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
self-esteem
explains how to increase your self-esteem, giving practical suggestions
for what you can do and where you can go for support.
self-harm
explains self-harm, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
sleep problems
explains insomnia and other sleep problems, giving practical
suggestions for what you can do and where you can go for support.
stress
explains what stress is, what might cause it and how it can affect you.
includes information about ways you can help yourself and how to get
support.
suicidal feelings
explains what suicidal feelings are, including possible causes and how
you can learn to cope.
tardive dyskinesia
explains what tardive dyskinesia is, what causes it and what you can do
to manage it.
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if you have, or believe you may have, mental health problem, it can be
helpful to talk about these issues with others. it can be scary to
reach out for help, but it is often the first step to helping you heal,
grow, and recover.
having a good support system and engaging with trustworthy people are
key elements to successfully talking about your own mental health.
build your support system
find someone—such as a parent, family member, teacher, faith leader,
health care provider or other trusted individual, who:
* gives good advice when you want and ask for it; assists you in
taking action that will help
* likes, respects, and trusts you and who you like, respect, and
trust, too
* allows you the space to change, grow, make decisions, and even make
mistakes
* listens to you and shares with you, both the good and bad times
* respects your need for confidentiality so you can tell him or her
anything
* lets you freely express your feelings and emotions without judging,
teasing, or criticizing
* works with you to figure out what to do the next time a difficult
situation comes up
* has your best interest in mind
find a peer group
find a group of people with mental health problems similar to yours.
peer support relationships can positively affect individual recovery
because:
* people who have common life experiences have a unique ability to
help each other based on a shared history and a deep understanding
that may go beyond what exists in other relationships
* people offer their experiences, strengths, and hopes to peers,
which allows for natural evolution of personal growth, wellness
promotion, and recovery
* peers can be very supportive since they have “been there” and serve
as living examples that individuals can and do recover from mental
health problems
* peers also serve as advocates and support others who may experience
discrimination and prejudice
you may want to start or join a self-help or peer support group.
national organizations across the country have peer support networks
and peer advocates. find an organization that can help you connect with
peer groups and other peer support.
participate in your treatment decisions
it’s also important for you to be educated, informed, and engaged about
your own mental health.
* find out as much as you can about mental health wellness and
information specific to your diagnosed mental health problem.
* play an active role in your own treatment.
get involved in your treatment through shared decision making.
participate fully with your mental health provider and make informed
treatment decisions together. participating fully in shared decision
making includes:
* recognizing a decision needs to be made
* identifying partners in the process as equals
* stating options as equal
* exploring understanding and expectations
* identifying preferences
* negotiating options/concordance
* sharing decisions
* arranging follow-up to evaluate decision-making outcomes
learn more about shared decision making.
develop a recovery plan
recovery is a process of change where individuals improve their health
and wellness, live a self-directed life, and strive to reach their full
potential. studies show that most people with mental health problems
get better, and many recover completely.
you may want to develop a written recovery plan. recovery plans:
* enable you to identify goals for achieving wellness
* specify what you can do to reach those goals
* can be daily activities as well as longer term goals
* track your mental health problem
* identify triggers or other stressful events that can make you feel
worse, and help you learn how to manage them
you can develop these plans with family members and other supporters.
learn more about recovery.
last updated: 07/11/2017
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home » your-mental-health » about-mental-health » what are mental
health problems?
what are mental health problems?
what are mental health problems?
mental health problems range from the worries we all experience as part
of everyday life to serious long-term conditions. the majority of
people who experience mental health problems can get over them or learn
to live with them, especially if they get help early on.
mental health problems are usually defined and classified to enable
professionals to refer people for appropriate care and treatment. but
some diagnoses are controversial and there is much concern in the
mental health field that people are too often treated according to or
described by their label. this can have a profound effect on their
quality of life. nevertheless, diagnoses remain the most usual way of
dividing and classifying symptoms into groups.
find out about various mental health problems in our a-z guide
symptoms
most mental health symptoms have traditionally been divided into groups
called either ‘neurotic’ or ‘psychotic’ symptoms. ‘neurotic’ covers
those symptoms which can be regarded as severe forms of ‘normal’
emotional experiences such as depression, anxiety or panic. conditions
formerly referred to as ‘neuroses’ are now more frequently called
‘common mental health problems.’
less common are ‘psychotic’ symptoms, which interfere with a person’s
perception of reality, and may include hallucinations such as seeing,
hearing, smelling or feeling things that no one else can. mental health
problems affect the way you think, feel and behave. they are problems
that can be diagnosed by a doctor, not personal weaknesses.
mental health problems are very common
as found by the apms (2014), 1 in 6 people in the past week experienced
a common mental health problem.
anxiety and depression are the most common problems, with around 1 in
10 people affected at any one time.
how do mental health problems affect people?
anxiety and depression can be severe and long-lasting and have a big
impact on people’s ability to get on with life.
between one and two in every 100 people experience a severe mental
illness, such as bi-polar disorder or schizophrenia, and have periods
when they lose touch with reality. people affected may hear voices, see
things no one else sees, hold unusual or irrational beliefs, feel
unrealistically powerful, or read particular meanings into everyday
events.
although certain symptoms are common in specific mental health
problems, no two people behave in exactly the same way when they are
unwell.
many people who live with a mental health problem or are developing one
try to keep their feelings hidden because they are afraid of other
people’s reactions. and many people feel troubled without having a
diagnosed, or diagnosable, mental health problem - although that
doesn’t mean they aren’t struggling to cope with daily life.
see our a-z guide for a look at all aspects of mental health
do you need urgent help?
if your mental or emotional state quickly gets worse, or you're worried
about someone you know - help is available.
you're not alone; talk to someone you trust. sharing a problem is often
the first step to recovery.
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mental health problem symptoms, causes and effects
mental health problems can cover a broad range of disorders, but the
common characteristic is that they all affect the affected person’s
personality, thought processes or social interactions. they can be
difficult to clearly diagnose, unlike physical illnesses. according to
data from samhsa, 20 percent of people in america suffer from a form of
mental disorder, and 5 percent suffer from a disorder severe enough to
affect school, work, or other aspects of daily life. if you think that
you or someone you know has a mental disorder, call us today at .
what are the types of mental health disorders?
mental health disorders occur in a variety of forms, and symptoms can
overlap, making disorders hard to diagnoses. however, there are some
common disorders that affect people of all ages.
attention deficit hyperactivity disorder (adhd)
attention deficit hyperactivity disorder is characterized by an
inability to remain focused on task, impulsive behavior, and excessive
activity or an inability to sit still. although this disorder is most
commonly diagnosed in children, it can occur in adults as well.
anxiety/panic disorder
anxiety disorder is defined by intermittent and repeated attacks of
intense fear of something bad happening or a sense of impending doom.
bipolar disorder
bipolar disorder causes a periodic cycling of emotional states between
manic and depressive phases. manic phases contain periods of extreme
activity and heightened emotions, whereas depressive phases are
characterized by lethargy and sadness. the cycles do not tend to occur
instantly.
depression
depression covers a wide range of conditions, typically defined by a
persistent bad mood and lack of interest in pursuing daily life, as
well as bouts of lethargy and fatigue. dysthymia is a milder but
longer-lasting form of depression.
schizophrenia
schizophrenia is not, as commonly thought, solely about hearing voices
or having multiple personalities. instead, it is defined by a lack of
ability to distinguish reality. schizophrenia can cause paranoia and
belief in elaborate conspiracies.
what causes a mental health disorder?
there is no single cause for mental health disorders; instead, they can
be caused by a mixture of biological, psychological and environmental
factors. people who have a family history of mental health disorders
may be more prone to developing one at some point. changes in brain
chemistry from substance abuse or changes in diet can also cause mental
disorders. psychological factors and environmental factors such as
upbringing and social exposure can form the foundations for harmful
thought patterns associated with mental disorders. only a certified
mental health professional can provide an accurate diagnosis of the
causes of a given disorder.
what are the signs of a mental health disorder?
mental health disorders exist in broad categories: anxiety disorders,
mood disorders, psychotic disorders, personality disorders and impulse
control disorders. if someone you know experiences erratic thought
patterns, unexplained changes in mood, lack of interest in socializing,
lack of empathy, inability to tell the difference between reality and
fantasy, or a seeming lack of control, that person may have a mental
health disorder. this is, by no means, a complete list of symptoms.
emotional symptoms of mental health problems
mental health problems can cause a wide variety of emotional symptoms,
some of which include:
* changes in mood
* erratic thinking
* chronic anxiety
* exaggerated sense of self-worth
* impulsive actions
physical symptoms of mental health problems
mental health problems typically do not cause physical symptoms in and
of themselves. depression, however, can indirectly cause weight loss,
fatigue and loss of libido, among others. eating disorders, a separate
class of mental health disorders, can cause malnutrition, weight loss,
amenorrhea in women, or electrolyte imbalances caused by self-induced
vomiting. this makes eating disorders among the most deadly of mental
health disorders.
short-term and long-term effects of mental health instability
in the short-term, mental health problems can cause people to be
alienated from their peers because of perceived unattractive
personality traits or behaviors. they can also cause anger, fear,
sadness and feelings of helplessness if the person does not know or
understand what is happening. in the long-term, mental health disorders
can drive a person to commit suicide. according to the national
institute for mental health, over 90 percent of suicides have
depression or another mental disorder as factors.
is there a test or self-assessment i can do?
it is hard, bordering on impossible, to accurately diagnose yourself
for mental disorders with an online questionnaire. you do not have an
objective view of yourself and are bound to answer questions
inaccurately. also, online tests are not comprehensive, so they do not
check for all possible symptoms. only a face-to-face session with a
qualified mental health professional can begin to diagnose a mental
health disorder with any degree of accuracy, because that professional
has an outside viewpoint and can pick up on subtle cues.
medication: drug options for mental health issues
fortunately, prescription drugs can be used to treat mental health
disorders in conjunction with behavioral therapy or cognitive therapy.
antidepressants, mood stabilizers, and antipsychotics are the broad
types of medication prescribed to treat mental illness.
mental health drugs: possible options
depending on the disorder, different medications will be prescribed.
antidepressants such as paxil, zoloft, prozac, and a variety of ssris,
snris and maois can be used to treat depression. mood stabilizers such
as lithium tablets are used to treat bipolar disorder, as are
anticonvulsants like depakote. antipsychotics like olanzapine or
clozapine are used to treat schizophrenia or psychotic depression.
medication side effects
some of the side effects of mental health medication include nausea,
headache, changes in appetite, dry mouth, increased urination, change
in libido, irritability, blurred vision and drowsiness. other side
effects can occur; each person’s body and brain chemistry is unique,
and it is impossible to predict with certainty how a given medication
will affect you or how well it will work. people who are prescribed
these medications should regularly communicate with their doctors and
notify them of any side effects.
drug addiction, dependence and withdrawal
some mental health medications are known to cause physical and
psychological dependency due to their changes in brain chemistry. over
time, dependency can become an addiction if the person isn’t careful.
the withdrawal process can exacerbate the original mental illness
because of the brain’s sudden loss of some chemicals such as serotonin,
dopamine, and other endorphins. in severe cases, the person may need to
be placed in a drug rehab facility to detox from prescription
medication.
medication overdose
it is possible to overdose on medication in an effort to get the same
effects as initially received, and this is more common when users are
dependent on medications. some signs of overdose can include seizure,
coma, slowed heartbeat, or extreme paranoia. if these signs are
present, immediately call 911 or your local poison control center and
have the prescription on hand if possible.
depression and mental health
depression often coexists with other mental disorders, or certain
disorders may have caused depression in the first place. for example,
40 percent of people with post-traumatic stress disorder also have
depression.
dual diagnosis: addiction and mental health disorders
in drug rehab facilities, counselors are usually trained to identify
dual diagnosis issues. this is because addiction is itself a type of
mental health disorder, or the addiction can be the symptom of some
other disorder. people may, for instance, turn to recreational drugs to
combat depression or to help stabilize mood swings associated with
bipolar disorder.
getting help for a mental health issue
it’s important that you or your loved one should seek help to treat
mental health issue. first, a physical checkup can rule out physical
illnesses. an appointment with a mental health professional will
usually include an interview and subsequent evaluation to determine the
most obvious symptoms and to ascertain the type and severity of mental
disorder. in certain cases, an intervention may be required from family
and friends. if you or someone you know needs help, call us at to get
more information on treatment.
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mental illness and the family: recognizing warning signs and how to cope
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mental illness and the family: recognizing warning signs and how to cope
most people believe that mental health conditions are rare and “happen
to someone else." in fact, mental health conditions are common and
widespread. an estimated 44 million americans suffer from some form of
mental disorder in a given year.
most families are not prepared to cope with learning their loved one
has a mental illness. it can be physically and emotionally trying, and
can make us feel vulnerable to the opinions and judgments of others.
if you think you or someone you know may have a mental or emotional
problem, it is important to remember there is hope and help.
what is mental illness?
mental illnesses are brain-based conditions that affect thinking,
emotions, and behaviors. since we all have brains – having some kind of
mental health problem during your life is really common.
for people who have mental illnesses, their brains have changed in a
way in which they are unable to think, feel, or act in ways they want
to. for some, this means experiencing extreme and unexpected changes in
mood – like feeling more sad or worried than normal. for others, it
means not being able to think clearly, not being able to communicate
with someone who is talking to them, or having bizarre thoughts to help
explain weird feelings they are having.
there are more than 200 classified forms of mental illness. some of the
more common disorders are depression, bipolar disorder, dementia,
schizophrenia and anxiety disorders. symptoms may include changes in
mood, personality, personal habits and/or social withdrawal.
mental health problems may be related to excessive stress due to a
particular situation or series of events. as with cancer, diabetes and
heart disease, mental illnesses are often physical as well as emotional
and psychological. mental illnesses may be caused by a reaction to
environmental stresses, genetic factors, biochemical imbalances, or a
combination of these. with proper care and treatment many individuals
learn to cope or recover from a mental illness or emotional disorder.
to hear personal descriptions of mental illness, visit feelslike.
warning signs and symptoms
to learn more about symptoms that are specific to a particular mental
illness, search under mental health information.the following are signs
that your loved one may want to speak to a medical or mental health
professional.
it is especially important to pay attention to sudden changes in
thoughts and behaviors. also keep in mind that the onset of several of
the symptoms below, and not just any one change, indicates a problem
that should be assessed. the symptoms below should not be due to recent
substance use or another medical condition.
if you or someone you know is in crisis now, seek help immediately.
call 1-800-273-talk (8255) to reach a 24 hour crisis center or dial 911
for immediate assistance.
in adults, young adults and adolescents:
* confused thinking
* prolonged depression (sadness or irritability)
* feelings of extreme highs and lows
* excessive fears, worries and anxieties
* social withdrawal
* dramatic changes in eating or sleeping habits
* strong feelings of anger
* strange thoughts (delusions)
* seeing or hearing things that aren't there (hallucinations)
* growing inability to cope with daily problems and activities
* suicidal thoughts
* numerous unexplained physical ailments
* substance use
in older children and pre-adolescents:
* substance use
* inability to cope with problems and daily activities
* changes in sleeping and/or eating habits
* excessive complaints of physical ailments
* changes in ability to manage responsibilities - at home and/or at
school
* defiance of authority, truancy, theft, and/or vandalism
* intense fear
* prolonged negative mood, often accompanied by poor appetite or
thoughts of death
* frequent outbursts of anger
in younger children:
* changes in school performance
* poor grades despite strong efforts
* changes in sleeping and/or eating habits
* excessive worry or anxiety (i.e. refusing to go to bed or school)
* hyperactivity
* persistent nightmares
* persistent disobedience or aggression
* frequent temper tantrums
how to cope day-to-day
accept your feelings
despite the different symptoms and types of mental illnesses, many
families who have a loved one with mental illness, share similar
experiences. you may find yourself denying the warning signs, worrying
what other people will think because of the stigma, or wondering what
caused your loved one to become ill. accept that these feelings are
normal and common among families going through similar situations. find
out all you can about your loved one’s conditionby reading and talking
with mental health professionals. share what you have learned with
others.
__________________________________________________________________
handling unusual behavior
the outward signs of a mental illness are often behavioral.a person may
be extremely quiet or withdrawn. conversely, they may burst into tears,
have great anxiety or have outbursts of anger.
even after treatment has started, someindividuals with a mental illness
can exhibit anti-social behaviors. when in public, these behaviors can
be disruptive and difficult to accept. the next time you and your
family member visit your doctor or mental health professional, discuss
these behaviors and develop a strategy for coping.
the individual's behavior may be as dismaying to them as it is to you.
ask questions, listen with an open mind and be there to support them.
__________________________________________________________________
establishing a support network
whenever possible, seek support from friends and family members. if you
feel you cannot discuss your situation with friends or other family
members, find a self-help or support group. these groups provide an
opportunity for you to talk to other people who are experiencing the
same type of problems. they can listen and offer valuable advice.
__________________________________________________________________
seeking counseling
therapy can be beneficial for both the individual with mental illness
and other family members. a mental health professional can suggest ways
to cope and better understand your loved one’s illness.
when looking for a therapist, be patient and talk to a few
professionals so you can choose the person that is right for you and
your family. it may take time until you are comfortable, but in the
long run you will be glad you sought help.
__________________________________________________________________
taking time out
it is common for the person with the mental illness to become the focus
of family life. when this happens, other members of the family may feel
ignored or resentful. some may find it difficult to pursue their own
interests.
if you are the caregiver,youneed some time for yourself. schedule time
awayto preventbecoming frustrated or angry. if you schedule time for
yourself it will help you to keep things in perspective and you may
have more patience and compassion for coping or helping your loved
one.being physically and emotionally healthy helps you to help others.
“many families who have a loved one with mental illness share similar
experiences”
it is important to remember that there is hope for recovery and that
with treatment many people with mental illness return to a productive
and fulfilling life.
__________________________________________________________________
other resources
mental illness in the family: part 1 recognizing the warning signs &
how to copeis one in a series of pamphlets on helping family members
with mental illness. other mental health america titles include:
* mental illness in the family: part ii guidelines for seeking care
* mental illness in the family: part iii guidelines for
hospitalization
mental health america offers additional pamphlets on a variety of
mental health topics. for more information or to order multiple copies
of pamphlets, please contact mental health america
external resources
find a local mha affiliate
substance abuse and mental health services administration (samhsa)
phone 800-789-2647
national institute of mental health (nimh)
information resources and inquiries branch
phone 301-443-4513
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nanotechnology-based health products and food
nanotechnology
nanotechnology is the application of scientific knowledge to manipulate
and control matter in the nanoscale to make use of size- and
structure-dependent properties and phenomena distinct from those
associated with individual atoms or molecules or with bulk materials.
the term "nanoscale" is defined as 1 to 100 nanometers (nm) inclusive.
health canada's working definition for the products of nanotechnology
as international consensus on a definition for the products of
nanotechnology has not been reached yet, health canada has adopted a
working definition for nanomaterials. the working definition is
described in the policy statement on health canada's working definition
for nanomaterial that can be found on health canada's website.
the policy statement will continue to be updated as the science evolves
and international norms progress.
applications of nanotechnology
nanotechnology and products derived from nanotechnology have a wide
range of applications and the potential to impact many sectors,
including the health and food sectors. in the health sector, the
applications of nanotechnology impact new natural health products,
medical devices, drugs, drug delivery systems, regenerative medicines
and diagnostic devices for improved detection and treatment of
illnesses. in the food sector, nanomaterials could be used to preserve
food, improve nutritional values and enhance flavours.
health products and food branch (hpfb) involvement with nanotechnology
hpfb participates in an interdepartmental health portfolio
nanotechnology working group which gathers information and acts as a
discussion forum for issues related to nanotechnology. this working
group contains members from health canada, the public health agency of
canada (phac), and the canadian institutes of health research (cihr).
additionally hpfb participates in the interdepartmental network chaired
by industry canada.
health canada participates in a number of international initiatives,
such as the working party on manufactured nanomaterials of the
organisation for economic co-operation (oecd), development and the
technical committee 229 of the international organization for
standardization (iso) and collaborates with international counterparts.
authority
health canada adopted a broad working definition for nanomaterials to
provide a consistent approach across several diverse regulatory program
areas to identify regulated products and substances that may contain
nanomaterials. the working definition enables the department to
establish internal inventories, to ask for additional information, and
to integrate that new knowledge into regulatory decision making
processes. the first step to assuring adequate risk assessment and risk
management is to identify potential nanomaterials using the working
definition as a tool.
currently, there are no regulations specific to nanotechnology-based
health and food products. health canada relies on authorities within
existing legislative and regulatory frameworks, which require the
assessment of potential risks and benefits of products to the health
and safety of canadians before they can be authorised for sale.
general guidance
according to health canada's working definition for nanomaterial, the
term "nanoscale" means 1 to 100 nm inclusive. however, individual
regulatory programs may request information above the 100 nm size range
to an upper limit of 1000 nm in order to maintain flexibility to assess
potential nanomaterials, including suspected nanoscale properties and
phenomena. the 1000 nm cut-off attempts to separate characteristics
attributable to macro-scaled materials from those of nanomaterials. in
addition, for any regulated product or substance that contains
nanomaterial and measures beyond 1 micron in size (for example, bundles
of carbon nanotubes that are very long), regardless of the size,
information may be requested for risk assessment purposes.
to identify a nano-based product/material the sponsor will be asked to
self-identify when their application concerns a nanomaterial or
'nanoproduct'.
recently the drug submission application form for human, veterinary,
disinfectant drugs and clinical trial application/attestation (hc/sc
3011) was revised to facilitate this process. section 59 of the revised
form allows the sponsor to identify medicinal (active) ingredient(s) or
non-medicinal ingredient(s) listed under section 56 or 57 that are a
nanomaterial. a similar approach has been adapted for natural health
products. it is planned that the medical devices licence application
form will also be revised to request the manufacturer to state whether
their devices contain nanomaterials.
health canada encourages sponsors and other stakeholders to communicate
with the responsible regulatory authority early in the development
process, especially for combination products that are, contain or make
use of nanomaterials. in order to identify and assess potential risks
and benefits of nanotechnology based health and food products, the
department encourages manufacturers to request a pre-submission meeting
with the responsible regulatory authority to discuss type of
information that may be required for their product's safety assessment.
in discussion with the sponsor the department may require the following
types of information, including but not limited to:
* intended use of the nanomaterial, including any end product in
which it will be used;
* manufacturing methods;
* characterization and physico-chemical properties of the
nanomaterial, including identity, composition and purity;
* toxicological, eco-toxicological, metabolism and environmental fate
data that may be both generic and specific to the nanomaterial if
applicable; and,
* risk assessment and risk management strategies, if considered or
implemented.
given the range of products covered by health canada's regulatory
responsibilities, the working definition was developed to be
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health
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no-deal brexit 'still risk to nhs and care sector'
by nick triggle health correspondent
* 27 september 2019
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* brexit
pharmacist with drugs image copyright getty images
a no-deal brexit presents risks to the nhs and care homes despite
extensive government planning, a watchdog says.
the national audit office praised the government for the "enormous
amount of work" that had been done but said there were still
"significant" gaps.
the extra shipping capacity government was buying to bring medicines
into ports other than dover may not be completely ready by 31 october.
and there was no clear evidence the care sector was ready, the nao
said.
the report raises concerns the sector has not received enough
government support.
* uk plans £3m no-deal medicine transport
* uk seeks new no-deal brexit freight plan
the government has arranged the stockpiling of supplies for the nhs.
but for the care sector, which is fragmented in that it relies on
24,000 companies to provide services, no central arrangement has been
made to stockpile equipment and supplies, such as syringes and needles,
most of which come from or via the eu.
when it comes to medicines, however, the supply of which has been
organised for both the nhs and care sectors, the report acknowledges
the work that has been done.
this includes stockpiling six weeks' supply of drugs and arranging for
emergency supplies to be fast-tracked in - some drugs, including cancer
treatments, have a short shelf-life and so cannot be stockpiled.
but the report says it is still not known exactly what level of
stockpiling is in place.
more than 12,000 medicines are used by the nhs, and about 7,000 come
from or via the eu.
image copyright getty images
the publication of the report comes after mps attempted to block the
government leaving the eu without a withdrawal agreement.
legislation has been passed requiring the government to ask for an
extension if a deal cannot be agreed.
labour mp meg hillier, who chairs the cross-party public accounts
committee, said the report was "deeply concerning".
"i've seen countless examples of deadlines missed and government
failing," she said.
"if government gets this wrong, it could have the gravest of
consequences."
dr layla mccay, of the nhs confederation, which represents managers,
said the planning had been detailed but the situation was still
concerning.
she also warned it was the "unknowns and unknowables" that perhaps
presented the biggest risk.
a department of health and social care spokesman said: "we want to
reassure patients we are doing everything we can."
he said the government along with industry had "mounted an
unprecedented response in preparing for brexit" with stockpiles
"increasing by the day".
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* uk plans £3m no-deal medicine transport
7 july 2019
* uk seeks new no-deal brexit freight plan
29 june 2019
* government pays eurotunnel £33m over brexit ferry case
1 march 2019
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mental health still the number one reason people visit their gp, report finds
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abc health & wellbeing
by health reporter olivia willis
close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
(getty images: hero images)
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close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
getty images: hero images
(button) close
mental health issues are driving australians to visit their gp more
than any other health concern.
key points
key points
* report finds psychological issues most common problem gps treat,
second year in a row
* gp body says longer consultation times are needed to adequately
treat complex illness
* government developing 10-year primary care plan to improve medicare
delivery
but gps say they're struggling to keep up with demand because mental
healthcare is complex and often requires more time than a standard
consultation allows.
a survey of 1,200 gps published today by the royal australian college
of general practitioners (racgp) found two in three doctors reported
"psychological issues" as the most common ailment they now treated.
"if you think about where you can go if you've got a mental health
issue, there are very few places," said harry nespolon, president of
the racgp.
dr nespolon said the shift from institutional to community-based care
for mental health patients, as well as a waning reliance on religious
institutions for pastoral care, has led to more australians using gp
services for psychological support.
"[gps see] everything from relationship problems all the way through to
people with severe schizophrenia," he said.
"if you do come into a crisis … often a gp is a trusted person that's
been taking care of you for 10 or 15 years."
bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
(health of the nation 2019)
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bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
health of the nation 2019
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but dr nespolon said the current medicare structure favoured shorter
consultations for straightforward health conditions, and undervalued
longer consultations required for complex issues.
"at the moment, there's really only one [medicare] item number for
mental health issues, which is a 20-minute consultation," he said.
"in other words, you can sort out all mental health issues in 20
minutes — which we all know is not true."
without longer subsidised consultations, dr nespolon said many gps were
being forced to cram patients with complex needs into short
appointments, charge patients for more time, or wear the out-of-pocket
cost themselves.
"we want to see the government provide financial support for dealing
with these complex cases," he said.
the health of the nation report found out-of-pocket costs to see the gp
were rising, and for the first time, all areas outside major cities had
seen a decline in bulk billing.
"this has a major effect on the 7 million australians who live in
regional, rural and remote areas," dr nespolon said.
"the growing gap between the cost of providing care and the medicare
rebate will have a devastating impact on the sustainability and
accessibility of general practice."
rebates explained
quick explanation of rebates
* the medicare benefits schedule (mbs) is a list of medical services
for which the australian government provides a medicare rebate.
* each mbs item has its own scheduled fee — this is the amount the
government considers appropriate for a particular service (e.g.
getting a blood test or seeing a psychologist).
* rebates are typically paid as a percentage of the medicare
scheduled fee. in the case of gp consultations, the rebate is 100
per cent of the schedule fee.
* this means that bulk-billing gps agree to charge patients the
medicare schedule fee ($37.60 for a standard appointment) and are
directly reimbursed by the government, and there is no cost to the
patient.
* gps who don't bulk bill charge a fee higher than the medicare
schedule fee, meaning patients must pay the difference between the
schedule fee and the doctor's fee — out of their own pocket.
* for example, if your doctor charges $75 for a standard
consultation, you'll pay $75 and receive a rebate of $37.60 —
leaving you $37.40 worse off.
longer consultations needed for complex care
in australia, a standard physical consultation of 20-40 minutes with a
gp attracts a rebate of $73.95. that increases once the consultation
exceeds 40 minutes.
by comparison, any gp mental health consultation longer than 20 minutes
— excluding appointments to prepare or review mental health treatment
plans — attracts a rebate of $72.85.
dr nespolon said there needs to be recognition in the medicare rebate
schedule that dealing with mental health issues and other complex
health conditions takes time.
"we know that people with mental health issues tend to have many more
physical problems … so the gp is there dealing with all the patient's
issues, not just their mental health issue," he said.
"we've been pushing for 40- and 60-minute [mental health] item numbers,
so people get the time, and gps are not acting as a charity when it
comes to dealing with mental health issues."
in july, the federal government ended a freeze on the medicare rebate
for gp visits as part of a $1.1 billion primary healthcare plan. the
move was designed to close the gap on rising out-of-pocket medical
costs.
but dr nespolon said even with the lifting of the medicare freeze,
rebates still failed to reflect the true cost of delivering services.
"gps are small businesses. they need to pay staff, pay their leases or
mortgages, and [these] go up at much higher rates than the percentage
increase that the government provides," he said.
"like any small business, you've got a choice. you either recover your
costs or you go broke. and that's exactly what we're seeing happening
at the moment."
the growing gap between the cost of providing care and the medicare
rebate was reflected in rising out-of-pocket costs, he said.
in 2018-19, the average out-of-pocket cost for a gp service was $38.46
— a gap that's risen roughly $7 in five years.
out-pocket-costs varied across australia, with patients in the northern
territory, act, remote and very remote areas experiencing significantly
higher costs.
how mental health plans work
how mental health plans work
if you're living with a diagnosable mental illness, you are entitled to
receive a medicare rebate.
bulk billing rates predicted to decline
the report also found bulk billing was not as common as medicare
statistics — or the federal health minister greg hunt — have previously
suggested.
"medicare statistics indicate that 86.2 per cent of general practice
services were bulk billed in 2018-19," the report states.
"while this figure provides an indication of total bulk-billed services
in australia over this period, it does not represent the number of
patients who are bulk billed, nor does it represent the number of
patients who are bulk billed for all of their general practice care."
since patients may receive a number of services during a single visit
to a gp, with some services bulk billed and others not, the proportion
of people who face zero out-of-pocket costs for care is much lower than
the rate of services overall.
"in 2016-17, while 86 per cent of gp services were bulk billed,
nationally only 66 per cent of patients had all of their gp services
bulk billed."
although the number of gp services being bulk billed has increased in
the last four years, the racgp predicts bulk-billing rates will decline
from 2020, as the rate of increase continues to slow.
in 2019, just 18 per cent of gps reported bulk billing all of their
patients, down from 29 per cent in 2017.
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improving mental health for gps, too
in addition to access to mental health for the general public, dr
nespolon said the mental health of gps also deserved close attention.
"research shows that doctors experience higher levels of mental
distress than the general population. yet four in ten gps report that
they have personally delayed seeking treatment or care in the past two
years," he said.
part of this could be attributed to time constraints, he said, but also
to mandatory reporting laws, which posed a "significant deterrent" to
doctors seeking care.
"with the exception of western australia, all of australia's states and
territories require doctors to report their colleagues if they believe
patient safety is at risk and this includes if a colleague has sought
their help as a patient," he said.
"we believe that doctors should be exempt from mandatory reporting so
that they feel free to discuss their health issues confidentially ...
so they can continue to provide the best possible care for all
australians."
medicare 'stronger than ever', government says
in a statement to the abc, a spokesperson for the minister for health
said the government had committed $1.6 billion to support doctors and
specialists to strengthen primary care to deliver improved access for
outcomes.
"our goal is to make primary health care more patient focused, more
accessible, and better able to provide preventative health and
management of chronic conditions," they said.
the spokesperson said the government would increase medicare funding by
$6 billion over the next four years, to reach $31 billion of annual
funding in 2022–23.
"we are working with gps, specialists and consumers, including the
racgp, to develop a 10-year primary care plan that supports a more
flexible and innovative medicare, starting with a $448.4 million
investment in a new patient enrolment model for patients over 70 years.
"medicare today is stronger and better protected than it's ever been."
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5. antimicrobial resistance (amr)
news story
uk to invest in new research against evolving global health threats
the chief medical officer has announced funding for projects to help
beat antimicrobial resistance (amr) and achieve global universal health
coverage.
published 25 september 2019
from:
department of health and social care
a scientist in a laboratory uses a pipette.
image credit: roger harris photography
the funding will include:
* £6.2 million to strengthen existing surveillance systems tracking
amr trends across africa and asia
* £12 million to improve collaborations on health systems research
between low- and middle-income countries and the uk, for example
countries in sub-saharan africa
the chief medical officer, professor dame sally davies, announced the
funding for the projects at the un general assembly.
she warned that the world cannot achieve universal health coverage
without addressing the threat of amr.
universal health coverage is a un ambition, and aims for every person
across the globe to have access to basic healthcare, whatever their
situation.
amr is involved in 700,000 deaths around the world every year, and this
is expected to rise to 10 million deaths a year by 2050. if amr
continues to follow current trends, common infections will become
complex and expensive to treat, affecting tens of millions of people.
achieving universal healthcare coverage also requires rigorous research
to inform health policy and health systems.
professor davies is representing the uk at the un general assembly
high-level meeting on universal health coverage in new york alongside
heads of state, health experts and policy-makers.
she will point to infection prevention and control measures, such as
immunisation, good hygiene and appropriate antibiotic use, as crucial
to achieving both universal healthcare coverage and eliminating the
threat of amr.
the £6.2 million in uk aid investment will come from the fleming
fund. it will help improve amr data quality, collection and sharing
across africa and asia, with the aim of developing policy and action
from that data.
the invitation to apply for a share of £12 million of funding is being
made by the national institute of health research (nihr) global health
research programme. it will enable experts from low- and middle-income
countries and the uk to form partnerships to contribute to universal
health coverage and sustainable development goals.
the fleming fund and nihr global health research funding was first
announced as part of the 2015 spending review.
the un has committed to ensuring all people have access to affordable
healthcare by 2030, and yesterday member states adopted a declaration
recognising that tackling amr and innovative health research is crucial
to this.
chief medical officer for england, professor dame sally davies said:
achieving our common goal of universal health coverage will require
global action on a multitude of fronts, including tackling the
escalating threat of antimicrobial resistance and investing in
research.
i am delighted to announce this funding, which will catalyse
regional collaboration to help strengthen amr surveillance systems
across africa and asia and support the next generation of health
policy and systems research.
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published 25 september 2019
explore the topic
* antimicrobial resistance (amr)
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iframe: https://www.youtube.com/embed/lwdlcbxqtc4
50th anniversary of newborn metabolic screening
stella's story is one of six videos to commemorate the 50th anniversary
of newborn metabolic screening. this screening means metabolic
conditions can be diagnosed and treated before a baby becomes unwell.
view other stories like stella's. find out more about newborn metabolic
screening.
transcript
title: newborn metabolic screening programmestella’s story
[photograph of stella as a baby]
[text on screen of stella’s birthdate] 26 august 2018
[video of stella and her parents sitting on floor inside house]
[photograph of stella as a baby]
tanya - stella’s mother:
had a really healthy pregnancy, had a dream labour and took her home
and she was healthy as, and then when she was eight days old the
midwife turned up.
on the way to our house she’d got a phone call from the specialists at
starship, the immunologists, that said look there’s something, there’s
something wrong.
[text on screen] at 10 days old stella was diagnosed with severe
combined immune deficiency (scid).
dr shannon brothers - paediatric immunologist:
babies with combined immune deficiency (scid) are born without a
functioning immune system. although they appear healthy at birth, they
go on to develop severe, persistent infections and die by a year of
age.
[text on screen over video of stella in hospital] stella had
chemotherapy and a bone marrow transplant when she was four months old.
justin - stella’s father:
the medical side of the thing, watching your kid go through this, it’s
not easy.
[photograph and video of stella in hospital with her parents]
tanya:
luckily at that point my mum was actually up there with us, and so
between the three of us one of us stayed awake and held her every
single hour for that time that she was sick.
[text on screen] she battled a serious infection.
[video of tanya attaching baby bottle with milk to pump and attaching
pump to stella’s feeding tube]
tanya:
because she got ulcers through transplant, she stopped eating, drinking
her milk, and she hasn’t worked that one out yet so we’re still feeding
her through the tube down her nose.
[video of justin following stella as she walks and carrying stella’s
pump]
tanya:
might be easier if you push it.
justin:
it’s a bit of a, bit of a worry if she falls over and hurts herself.
[text on screen] due to her compromised immunity stella has not been
able to interact with people other than her family.
[video of stella walking towards doll being held by her mother]
tanya:
who’s this? is it luna? you going to give her a cuddle?
[video of doll which also has a feeding tube attached to its cheek]
tanya:
we’ve got to get the tube out, teach her how to eat and soon enough
she’ll be like every other kid, you’d never know, yeah.
[video of stella being held by justin while tanya puts stella’s hat and
coat on]
[text on screen] now, stella’s natural immunity is improving.
[video of justin carrying stella outside with tanya, closing door
behind them and justin putting stella in car seat in car]
justin:
it’s nice that we can get to take her out a bit more, nice walking
tracks and some parks where there’s not too many people.
tanya:
it’s your kid’s life. for us if we hadn’t have found out early, we’d be
in a completely different situation now and it’s life or death.
[video of stella walking outside on lawn, being picked up by tanya]
tanya:
and i know you think you’re not going to be that one because everyone
thinks you’re not going to be the one in 100,000 or whatever but screw
the statistics, when it comes down to it, we’re that one.
in our eyes if it wasn’t for the newborn screening, she may not have
made it to her first birthday.
[video of justin, tanya and stella together outside]
tanya:
that test is everything for us. it gave her the best chance of success
in life.
nz cancer action plan 2019–2029.
new zealand cancer action plan 2019–2029
the new zealand cancer action plan 2019–2029 sets out the actions
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nutrition
(button) evidence based
27 health and nutrition tips that are actually evidence-based
written by kris gunnars, bsc on june 7, 2019
it’s easy to get confused when it comes to health and nutrition.
even qualified experts often seem to hold opposing opinions.
yet, despite all the disagreements, a number of wellness tips are well
supported by research.
here are 27 health and nutrition tips that are actually based on good
science.
27 health and nutrition tips share on pinterest
1. don’t drink sugar calories
sugary drinks are among the most fattening items you can put into your
body.
this is because your brain doesn’t measure calories from liquid sugar
the same way it does for solid food (1).
therefore, when you drink soda, you end up eating more total calories
(2, 3).
sugary drinks are strongly associated with obesity, type 2 diabetes,
heart disease, and many other health problems (4, 5, 6, 7).
keep in mind that certain fruit juices may be almost as bad as soda in
this regard, as they sometimes contain just as much sugar. their small
amounts of antioxidants do not negate the sugar’s harmful effects (8).
2. eat nuts
despite being high in fat, nuts are incredibly nutritious and healthy.
they’re loaded with magnesium, vitamin e, fiber, and various other
nutrients (9).
studies demonstrate that nuts can help you lose weight and may help
fight type 2 diabetes and heart disease (10, 11, 12).
additionally, your body doesn’t absorb 10–15% of the calories in nuts.
some evidence also suggests that this food can boost metabolism (13).
in one study, almonds were shown to increase weight loss by 62%,
compared with complex carbs (14).
3. avoid processed junk food (eat real food instead)
processed junk food is incredibly unhealthy.
these foods have been engineered to trigger your pleasure centers, so
they trick your brain into overeating — even promoting food addiction
in some people (15).
they’re usually low in fiber, protein, and micronutrients but high in
unhealthy ingredients like added sugar and refined grains. thus, they
provide mostly empty calories.
4. don’t fear coffee
coffee is very healthy.
it’s high in antioxidants, and studies have linked coffee intake to
longevity and a reduced risk of type 2 diabetes, parkinson’s and
alzheimer’s diseases, and numerous other illnesses (16, 17, 18, 19, 20,
21).
5. eat fatty fish
fish is a great source of high-quality protein and healthy fat.
this is particularly true of fatty fish, such as salmon, which is
loaded with omega-3 fatty acids and various other nutrients (22).
studies show that people who eat the most fish have a lower risk of
several conditions, including heart disease, dementia, and depression
(23, 24, 25).
6. get enough sleep
the importance of getting enough quality sleep cannot be overstated.
poor sleep can drive insulin resistance, disrupt your appetite
hormones, and reduce your physical and mental performance (26, 27, 28,
29).
whatʼs more, poor sleep is one of the strongest individual risk factors
for weight gain and obesity. one study linked insufficient sleep to an
89% and 55% increased risk of obesity in children and adults,
respectively (30).
7. take care of your gut health with probiotics and fiber
the bacteria in your gut, collectively called the gut microbiota, are
incredibly important for overall health.
a disruption in gut bacteria is linked to some of the world’s most
serious chronic diseases, including obesity (31, 32).
good ways to improve gut health include eating probiotic foods like
yogurt and sauerkraut, taking probiotic supplements, and eating plenty
of fiber. notably, fiber functions as fuel for your gut bacteria (33,
34).
8. drink some water, especially before meals
drinking enough water can have numerous benefits.
surprisingly, it can boost the number of calories you burn.
two studies note that it can increase metabolism by 24–30% over 1–1.5
hours. this can amount to 96 additional calories burned if you drink
8.4 cups (2 liters) of water per day (35, 36).
the optimal time to drink it is before meals. one study showed that
downing 2.1 cups (500 ml) of water 30 minutes before each meal
increased weight loss by 44% (37).
9. don’t overcook or burn your meat
meat can be a nutritious and healthy part of your diet. it’s very high
in protein and contains various important nutrients.
however, problems occur when meat is overcooked or burnt. this can lead
to the formation of harmful compounds that raise your risk of cancer
(38).
when you cook meat, make sure not to overcook or burn it.
10. avoid bright lights before sleep
when you’re exposed to bright lights in the evening, it may disrupt
your production of the sleep hormone melatonin (39, 40).
one strategy is to use a pair of amber-tinted glasses that block blue
light from entering your eyes in the evening.
this allows melatonin to be produced as if it were completely dark,
helping you sleep better (41).
11. take vitamin d3 if you don’t get much sun exposure
sunlight is a great source of vitamin d.
yet, most people don’t get enough sun exposure.
in fact, about 41.6% of the u.s. population is deficient in this
critical vitamin (42).
if you’re unable to get adequate sun exposure, vitamin d supplements
are a good alternative.
their benefits include improved bone health, increased strength,
reduced symptoms of depression, and a lower risk of cancer. vitamin d
may also help you live longer (43, 44, 45, 46, 47, 48, 49).
12. eat vegetables and fruits
vegetables and fruits are loaded with prebiotic fiber, vitamins,
minerals, and many antioxidants, some of which have potent biological
effects.
studies show that people who eat the most vegetables and fruits live
longer and have a lower risk of heart disease, type 2 diabetes,
obesity, and other illnesses (50, 51).
13. make sure to eat enough protein
eating enough protein is vital for optimal health.
what’s more, this nutrient is particularly important for weight loss
(52).
high protein intake can boost metabolism significantly while making you
feel full enough to automatically eat fewer calories. it can also
reduce cravings and your desire to snack late at night (53, 54, 55,
56).
sufficient protein intake has also been shown to lower blood sugar and
blood pressure levels (57, 58).
14. do some cardio
doing aerobic exercise, also called cardio, is one of the best things
you can do for your mental and physical health.
it’s particularly effective at reducing belly fat, the harmful type of
fat that builds up around your organs. reduced belly fat should lead to
major improvements in metabolic health (59, 60, 61).
15. don’t smoke or do drugs, and only drink in moderation
if you smoke or abuse drugs, tackle those problems first. diet and
exercise can wait.
if you drink alcohol, do so in moderation and consider avoiding it
completely if you tend to drink too much.
16. use extra virgin olive oil
extra virgin olive oil is one of the healthiest vegetable oils.
it’s loaded with heart-healthy monounsaturated fats and powerful
antioxidants that can fight inflammation (62, 63, 64).
extra virgin olive oil benefits heart health, as people who consume it
have a much lower risk of dying from heart attacks and strokes (65,
66).
17. minimize your sugar intake
added sugar is one of the worst ingredients in the modern diet, as
large amounts can harm your metabolic health (67).
high sugar intake is linked to numerous ailments, including obesity,
type 2 diabetes, heart disease, and many forms of cancer (68, 69, 70,
71, 72).
18. don’t eat a lot of refined carbs
not all carbs are created equal.
refined carbs have been highly processed to remove their fiber. they’re
relatively low in nutrients and can harm your health when eaten in
excess.
studies show that refined carbs are linked to overeating and numerous
metabolic diseases (73, 74, 75, 76, 77).
19. don’t fear saturated fat
saturated fat has been controversial.
while it’s true that saturated fat raises cholesterol levels, it also
raises hdl (good) cholesterol and shrinks your ldl (bad) particles,
which is linked to a lower risk of heart disease (78, 79, 80, 81).
new studies in hundreds of thousands of people have questioned the
association between saturated fat intake and heart disease (82, 83).
20. lift heavy things
lifting weights is one of the best things you can do to strengthen your
muscles and improve your body composition.
it also leads to massive improvements in metabolic health, including
improved insulin sensitivity (84, 85).
the best approach is to lift weights, but doing bodyweight exercises
can be just as effective.
21. avoid artificial trans fats
artificial trans fats are harmful, man-made fats that are strongly
linked to inflammation and heart disease (86, 87, 88, 89).
while trans fats have been largely banned in the united states and
elsewhere, the u.s. ban hasn’t gone fully into effect — and some foods
still contain them.
22. use plenty of herbs and spices
many incredibly healthy herbs and spices exist.
for example, ginger and turmeric both have potent anti-inflammatory and
antioxidant effects, leading to various health benefits (90, 91, 92,
93).
due to their powerful benefits, you should try to include as many herbs
and spices as possible in your diet.
23. take care of your relationships
social relationships are incredibly important not only for your mental
well-being but also your physical health.
studies show that people who have close friends and family are
healthier and live much longer than those who do not (94, 95, 96).
24. track your food intake every now and then
the only way to know exactly how many calories you eat is to weigh your
food and use a nutrition tracker.
it’s also essential to make sure that you’re getting enough protein,
fiber, and micronutrients.
studies reveal that people who track their food intake tend to be more
successful at losing weight and sticking to a healthy diet (97).
25. if you have excess belly fat, get rid of it
belly fat is particularly harmful.
it accumulates around your organs and is strongly linked to metabolic
disease (98, 99).
for this reason, your waist size may be a much stronger marker of your
health than your weight.
cutting carbs and eating more protein and fiber are all excellent ways
to get rid of belly fat (100, 101, 102, 103).
26. don’t go on a diet
diets are notoriously ineffective and rarely work well in the long
term.
in fact, dieting is one of the strongest predictors for future weight
gain (104).
instead of going on a diet, try adopting a healthier lifestyle. focus
on nourishing your body instead of depriving it.
weight loss should follow as you transition to whole, nutritious foods.
27. eat eggs, yolk and all
whole eggs are so nutritious that they’re often termed “nature’s
multivitamin.”
it’s a myth that eggs are bad for you because of their cholesterol
content. studies show that they have no effect on blood cholesterol in
the majority of people (105).
additionally, a massive review in 263,938 people found that egg intake
had no association with heart disease risk (106).
instead, eggs are one of the planet’s most nutritious foods. notably,
the yolk contains almost all of the healthy compounds.
the bottom line
a few simple steps can go a long way toward improving your diet and
wellness.
still, if you’re trying to live a healthier life, don’t just focus on
the foods you eat. exercise, sleep, and social relationships are also
important.
with the tips above, it’s easy to get your body feeling great every
day.
written by kris gunnars, bsc on june 7, 2019
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women's health tips for heart, mind, and body
by kara mayer robinson
from the webmd archives
looking for the path toward a healthier you? it's not hard to find. the
journey begins with some simple tweaks to your lifestyle. the right
diet, exercise, and stress-relief plan all play a big role.
follow a heart-healthy diet
there's an easy recipe if your goal is to keep away problems like heart
disease and strokes.
* eat more fruits and veggies.
* choose whole grains. try brown rice instead of white. switch to
whole wheat pasta.
* choose lean proteins like poultry, fish, beans, and legumes.
* cut down on processed foods, sugar, salt, and saturated fat.
when eating healthy, flexibility often works best, says joyce meng, md,
assistant professor at the pat and jim calhoun cardiology center at
uconn health. if you like to follow a strict diet plan, go for it. if
not, it's ok. "find what works for you."
tricia montgomery, 52, the founder of k9 fit club, knows first-hand how
the right diet and lifestyle can help. for her, choosing healthy foods
and planning small, frequent meals works well. "i don't deny myself
anything," she says. "i still have dessert -- key lime pie, yum! -- and
i love frozen gummy bears, but moderation is key."
exercise every day
the more active you are, the better, meng says. exercise boosts your
heart health, builds muscle and bone strength, and wards off health
problems.
aim for 2 and a half hours of moderate activity, like brisk walking or
dancing, every week. if you're ok with vigorous exercise, stick to 1
hour and 15 minutes a week of things like running or playing tennis.
add a couple of days of strength training, too.
if you're busy, try short bursts of activity throughout the day. walk
often. a good target is 10,000 steps a day. take the stairs. park your
car far away from your destination.
montgomery exercises every day, often with her dog. by adding lunges,
squats, and stairs to a walk, she turns it into a power workout. "i
also am a huge pilates fan," she says.
lose weight
when you shed pounds you'll lower your risk of heart disease, type 2
diabetes, and cancer.
continued
aim for a slow, steady drop. try to lose 1-2 pounds a week by being
active and eating better.
"it doesn't have to be an hour of intense exercise every day," meng
says. "any little bit helps."
as you improve, dial up the time and how hard you work out. if you want
to lose a lot of weight, try for 300 minutes of exercise a week.
"eating a healthy diet will go a long way," meng says. start by cutting
sugar, which she says is often hiding in plain sight -- in store-bought
items like salad dressing, packaged bread, and nuts. try to avoid soda
and sugar-laced coffee drinks, too.
visit your doctor
get regular checkups. your doctor keeps track of your medical history
and can help you stay healthy. for example, if you're at risk for
osteoporosis, a condition that weakens bones, he may want you to get
more calcium and vitamin d.
your doctor may recommend screening tests to keep an eye on your health
and catch conditions early when they're easier to treat.
keep the lines of communication open. "if you have questions, ask your
doctor," meng says. "make sure you understand things to your
satisfaction." if you're worried about a medication or procedure, talk
to him about it.
cut down your stress
it can take a toll on your health. you probably can't avoid it
altogether, but you can find ways to ease the impact. don't take on too
much. try to set limits with yourself and others. it's ok to say no.
to relieve stress, try:
* deep breathing
* meditation
* yoga
* massage
* exercise
* healthy eating
* talking to a friend, family member, or professional counselor
create healthy habits
if you make the right choices today, you can ward off problems
tomorrow.
* brush your teeth twice a day and floss every day.
* don't smoke.
* limit your alcohol. keep it to one drink a day.
* if you have medication, take it exactly how your doctor prescribed
it.
* improve your sleep. aim for 8 hours. if you have trouble getting
shut-eye, talk to your doctor.
* use sunscreen and stay out of the sun from 10 a.m. to 3 p.m.
* wear your seatbelt.
take time every day to invest in your health, meng says.
it paid off for montgomery. she says she overcame health problems,
feels good, and has a positive outlook. "my life," she says, "is
forever changed."
webmd feature reviewed by lisa bernstein, md on june 21, 2016
sources
sources:
joyce meng, md, assistant professor of medicine, pat and jim calhoun
cardiovascular center, uconn health.
american heart association: "alcohol and heart health."
office on women's health, u.s. department of health and human services:
"heart-healthy eating," "overweight, obesity, and weight loss fact
sheet," "physical activity (exercise) fact sheet," "screening tests and
vaccines," "osteoporosis fact sheet," "a lifetime of good health: your
guide to staying healthy."
university of california san francisco medical center: "tips for
staying healthy."
© 2016 webmd, llc. all rights reserved.
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the abcs of health screening
health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you need to know about health screening
all you need to know about health screening
related: before the first antenatal visit (choosing your doctor)
1. what is health screening?
health screening is important to everyone. it involves the use of
tests, physical examinations or other procedures to detect
conditions early in people who look or feel well. this is different
from diagnostic tests which are done when someone is already showing
signs and/or symptoms of a condition.
2. why should i go for health screening?
health screening helps you find out if you have a particular condition
even if you feel perfectly well, without any symptoms and/or signs.
early detection, followed by treatment and good control of the
condition can result in better outcomes, and lowers the risk of serious
complications. it is therefore important to get yourself screened even
if you feel perfectly healthy.
3. what kind of screening tests should i go for?
there are 3 types of screening tests^1.
type 1
beneficial for everyone: these tests are listed in table a.
type 2
beneficial for some but not others: decision to be made on an
'individual' level, based on your individual risk factors e.g. self or
family history of hereditary or chronic diseases, exposure to factors
that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently, there is not enough
information to support the use of these tests.
it is best to speak to your family doctor who will advise you to go for
the relevant screening tests based on your individual health profile.
find out more about type 2 and type 3 tests.
view the report of the screening test review committee.
table a – general screening tests (beneficial for everyone)
general screening tests for adults
recommended for^2 to screen for screening test screening frequency^3
individuals aged 18 yrs and above
obesity body mass index (bmi)
waist circumference once a year
hypertension (high blood pressure)
blood pressure measurement once every two years or more frequently as
advised by your doctor
individuals aged 40 yrs and above
diabetes mellitus
fasting blood glucose
hba1c
once every three years or more frequently as advised by your doctor
hyperlipidaemia (high blood cholesterol)
fasting lipids
non-fasting lipids
individuals aged 50 yrs and above
colorectal cancer
faecal immunochemical test (to test for blood in stools)
or
once a year
colonoscopy
once every ten years
additional tests for women
women aged 25-69 yrs, who have had sexual intercourse
cervical cancer
pap test once every three years
hpv test
once every five years
women aged 50-69 yrs breast cancer
mammogram once every two years
general screening tests for newborns
recommended for to screen for screening test screening frequency
newborns aged 0-4 weeks old hearing loss audiometry once
glucose-6-phosphate dehydrogenase (g6pd) deficiency
screen with umbilical cord blood once
inborn errors of metabolism (iem)
metabolic screen with
tandem mass spectrometry (tms)
once
primary hypothyroidism
thyroid function test (tft)
once
4. what should i do after health screening?
if your screening results are normal, you should continue to go for
regular screening at the recommended frequency because screening only
detects health conditions that are present at the time of screening. if
you develop signs or symptoms after your screening, please see your
doctor and do not wait for your next screening appointment.
if your screening results are abnormal, you should follow-up with your
doctor immediately even if you feel perfectly well. early treatment and
good control of your condition can result in better outcomes and
prevent or delay serious complications.
5. why do i need to go for regular screening at the recommended frequency?
a one-off screening will only pick up health conditions that are
present at the time of screening. regular screening helps to detect
conditions that may develop after the previous screening. hence, it is
important for you to go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening tests?
health screening is heavily subsidised for singaporeans and permanent
residents. if you have a health assist card (under chas – community
health assist scheme), you will be entitled to enojoy the subsidies of
the above tests (according to age) and a follow-up consultataion, if
required, at $2 at chas gps. all other singaporeans can enjoy these
subsidies for the above test (according to age) and a follow-up
consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the screening
tests (offered under screen for life - sfl) and the follow-up
consultation, if required, is also fully subsidised. pg cardholders can
also claim up to $28.50, for each screening-related and follow-up
consultation, for up to two times per year.
check out the exact costs of the screening tests.
if you have difficulty paying for the screening tests, please speak to
the medical social worker at the polyclinics
7. my screening results are not too good, and my doctor has advised me to get
follow up treatment.
what should i do if i cannot afford the follow up treatment?
good, affordable basic healthcare is also available to singaporeans
through subsidised medical services offered at public hospitals and
polyclinics. medisave, medishield life, elder shield and medifund
schemes can help singaporeans offset their medical expenses.
8. where can i go for health screening?
health screening is available at many private medical clinics and
polyclinics. visit the directory for the list of screening locations.
9. can i use my medisave to pay for the health screening cost?
currently, medisave cannot be used for other health screening such as
screening for diabetes or high cholesterol. however, if you are
diagnosed with a chronic condition covered under the chronic disease
management programme (cdmp), medisave may be used to pay for part of
the outpatient treatment cost of these diseases.
women aged 50 and above can use their own or immediate family member’s
medisave for their screening mammograms at approved mammogram centres.
under the medisave 400 scheme, up to $400 per medisave account a year
can be used for screening mammograms.
persons aged 50 and above can also use their own or their immediate
family member’s medisave for their screening colonoscopies (to screen
for colorectal cancer) at approved colonoscopy centres.
check out the list of approved centres or find out more.
10. can i have a health screening if i am pregnant?
please consult your doctor to find out if a health screening is
necessary for you.
11. i am 70 years old (or older), do i still need to go for a health
screening?
if you have not been screened in the past three years, and you do not
have a chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health screening.
12. if i am currently on medication for one of the chronic diseases, should i
still go for a health screening?
if you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
^1 report of the screening test review committee. january 2019, academy
of medicine, singapore.
^2,3 screening can start at an earlier age or be done more frequently
if someone has risk factors for the condition.
__________________________________________________________________
having trouble keeping up with your appointments? myhealth keeps track
of not only your health appointments and medical records, but also your
family's as well.
read these next:
* make a commitment to get screened for better health this year
* diabetes prevention and risk factors
* how screening saved my life
* screen for life - subsidised health screenings for singaporeans
* school health screenings for students
this article was last reviewed on monday, december 9, 2019
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health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you
need to know about health screening
related:
before the first
antenatal visit (choosing your doctor)
1. what is health screening?
<
span style="color:#0000ff;">health screening is
important to everyone. it involves the use of tests, physical
examinations or other procedures to detect conditions early in people
who look or feel well. this is different from diagnostic tests which
are done when someone is already showing signs and/or symptoms of a
condition.
2. why should i go for health
screening?
health screening helps you find out if you have a
particular condition even if you feel perfectly well, without any
symptoms and/or signs. early detection, followed by treatment and good
control of the condition can result in better outcomes, and lowers the
risk of serious complications. it is therefore important to get
yourself screened even if you feel perfectly healthy.
3. what
kind of screening tests should i go for?
there are 3 types of
screening tests1.
type 1
beneficial for everyone: these tests are listed in table
a.
type 2
beneficial for some but not others:
decision to be made on an 'individual' level, based on your individual
risk factors e.g. self or family history of hereditary or chronic
diseases, exposure to factors that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently,
there is not enough information to support the use of these
tests.
it is best to speak to your family doctor who will advise
you to go for the relevant screening tests based on your individual
health profile.
find out more about
type 2 and
type 3
tests.
view the report of the
screening test
review committee.
table a – general screening tests (beneficial for
everyone)
general screening tests for adults
recommended
for2 |
to screen for |
screening test |
screening
frequency3 |
individuals aged 18 yrs
and above
| obesity |
body
mass index (bmi)
waist circumference | once a year |
hypertension (high blood pressure) | blood pressure measurement | once every two years or more
frequently as advised by your doctor |
individuals aged 40 yrs
and above
|
diabetes
mellitus | fasting blood glucose
hba1c
| once every three
years or more frequently as advised by your doctor
|
hyperlipidaemia (high blood cholesterol)
| fasting lipids
non-fasting lipids
|
individuals aged 50 yrs
and above
|
colorectal cancer
| faecal
immunochemical test (to test for blood in stools)
or
| once a year
|
colonoscopy
| once every ten
years
|
additional tests for women |
women aged 25-69 yrs,
who have had sexual intercourse
| cervical cancer
|
pap
test | once every three
years |
hpv test
| once every five
years
|
women aged 50-69 yrs | breast cancer
| mammogram | once every two
years |
general screening tests for newborns
recommended for |
to screen for |
screening test |
screening
frequency |
newborns aged 0-4 weeks old | hearing loss |
audiometry | once |
| glucose-6-phosphate dehydrogenase (g6pd) deficiency
| screen with umbilical
cord blood | once |
|
inborn errors of metabolism (iem)
| metabolic screen with
tandem mass spectrometry (tms) | once |
|
primary hypothyroidism
|
thyroid function test (tft) | once |
4. what should i do after health screening?
if your
screening results are normal, you should continue to go for regular
screening at the recommended frequency because screening only detects
health conditions that are present at the time of screening. if you
develop signs or symptoms after your screening, please see your doctor
and do not wait for your next screening appointment.
if your
screening results are abnormal, you should follow-up with your doctor
immediately even if you feel perfectly well. early treatment and good
control of your condition can result in better outcomes and prevent or
delay serious complications.
5. why do i need to go for regular
screening at the recommended frequency?
a one-off screening will
only pick up health conditions that are present at the time of
screening. regular screening helps to detect conditions that may
develop after the previous screening. hence, it is important for you to
go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening
tests?
health screening is heavily subsidised for
singaporeans and permanent residents. if you have a health assist card
(under
chas
– community health assist scheme), you will be entitled to enojoy
the subsidies of the above tests (according to age) and a follow-up
consultataion, if required, at $2 at chas gps. all other singaporeans
can enjoy these subsidies for the above test (according to age) and a
follow-up consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the
screening tests (offered under
screen
for life - sfl) and the follow-up consultation, if required, is
also fully subsidised. pg cardholders can also claim up to $28.50, for
each screening-related and follow-up consultation, for up to two times
per year.
check out the
e
xact costs of the screening tests.
if you have difficulty
paying for the screening tests, please speak to the medical social
worker at the polyclinics
7. my screening results are not
too good, and my doctor has advised me to get follow up
treatment.
what should i do if i cannot afford the follow up
treatment?
good, affordable basic healthcare is also available
to singaporeans through subsidised medical services offered at public
hospitals and polyclinics.
medisave,
medishield life,
elder shield and
medifund schemes can help
singaporeans offset their medical expenses.
8. where can i go
for health screening?
health screening is available at many
private medical clinics and polyclinics. visit the
directory for the list of
screening locations.
9. can i use my medisave to pay for
the health screening cost?
currently, medisave cannot be used
for other health screening such as screening for diabetes or high
cholesterol. however, if you are diagnosed with a chronic condition
covered under the chronic disease management programme (cdmp), medisave
may be used to pay for part of the outpatient treatment cost of these
diseases.
women aged 50 and above can use their own or immediate
family member’s medisave for their screening mammograms at approved
mammogram centres. under the medisave 400 scheme, up to $400 per
medisave account a year can be used for screening
mammograms.
persons aged 50 and above can also use their own or
their immediate family member’s medisave for their screening
colonoscopies (to screen for colorectal cancer) at approved colonoscopy
centres.
check out the
list of approved centres
or find out more.
10. can i have a health screening
if i am pregnant?
please consult your doctor to find out if a
health screening is necessary for you.
11. i am 70 years old (or
older), do i still need to go for a health screening?
if you
have not been screened in the past three years, and you do not have a
chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health
screening.
12. if i am currently on medication for one of the
chronic diseases, should i still go for a health screening?
if
you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
1 report of the screening test review committee.
january 2019, academy of medicine, singapore.
2,3 screening can start at an earlier age or be done more
frequently if someone has risk factors for the condition.
having trouble keeping up with your appointments?
myhealth keeps
track of not only your health appointments and medical records, but
also your family's as well.
read these next:
monday, may 18, 2015
monday, may 18, 2015
icd-21-health services,per_senior citizen,pgm_obesity
prevention,pgm_healthy screening,age_adult,age_senior,interest_chronic
illnesses,
no
403
monday, december 9, 2019
health
promotion board
3 second hospital avenue
singapore 168937
hpb_mailbox@hpb.gov.sg
established
in 2001, the health promotion board (hpb) has a vision to build a
nation of healthy people.
hpb implements programmes that reach out to the population,
specifically children, adults and the elderly. these programmes include
health and dental services for school children, breastscreen singapore,
aids education programme, cervicalscreen singapore, childhood injury
prevention programme, mental health education programme, national
myopia prevention programme, physical activity, national smoking
control programme, nutrition programme, osteoporosis education
programme, workplace health promotion programme, hpb online,
healthline, health information centre and healthzone. new programmes
will also be initiated over time to address health concerns among the
community.
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the abcs of health screening
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why health screen?
the importance of health screening
health screening or blood test is a major part of many routine medical
examinations. while doctors are able to make fairly accurate diagnosis
by assessing the signs and symptoms a patient exhibits, one of the best
ways to confirm the diagnosis is through blood tests. for a healthy
person, health screening could also detect abnormalities that the
person is not aware of and provide important information for diagnosis,
treatment or preventive measures for illnesses and diseases.
therefore, getting regular health checkups, preventive screening tests
are among the most crucial things you can do for yourself. periodic
health screenings can help you and your health care professional
identify health problems early, when treatment may be more successful
compared to if the problems are detected later.
lifestyle changes are a very effective way to substantially reduce risk
but to make those changes, you first need to know if you are at risk.
knowledge gives you the power to take charge of your health. remember,
your health is your greatest asset and early detection can save lives!
do not wait, visit pathlab today.
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personalised executive health screening
instead of a one-size-fits-all package, parkway shenton’s quality
executive health screening (ehs) services are designed based on an
individual’s demographic and risk profile, cross-referenced with
historical trends for optimised results. we have 7 ehs facilities
strategically located in our hospitals and key business districts, each
a well-equipped, one-stop centre.
we offer delivery of screening results and a full, targeted review that
includes lifestyle recommendations and health advice. for those
requiring medical intervention, we provide a one-stop experience with
direct access to our specialists, facilities and premium medical
services.
1 personalised health screening designed according to demographic and
risk profile
2 delivery of screening results and a full, targeted review and health
recommendations
3 7 well-equipped, one-stop screening facilities located in our
hospitals and key business districts
executive health screening
__________________________________________________________________
customised health screening
customised screening for each individual
your screening starts at the core of your health, covering the heart,
kidney, liver, blood and more. this will test for conditions such as
diabetes, anaemia, as well as healthy organ function. depending on your
age, gender and risk profile, you may opt for additional tests such as
stroke screening, ageing biomarker tests, and gender specific tests
such as breast screening and pap smear for females, and prostate
screening for males.
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executive health screening package
executive health screening packages
preventive health screening starts from birth and continues throughout
life. at our executive health screening centres, we tailor health
screening packages based on age, medical history, risk factors, family
history and health concerns. with our team of experienced healthcare
professionals and staff, feel at ease with personalised and attentive
care at every visit.
a detailed report containing your health screening results will be
delivered to you within 14 business days from your screening
appointment. we encourage you to review the test results with our
doctor who can help you determine the next steps. if we find a
condition that requires urgent attention, we will notify you
immediately.
a detailed report containing your health screening results will be
delivered to you within 14 business days from your screening
appointment. we encourage you to review the test results with our
doctor who can help you determine the next steps. if we find a
condition that requires urgent attention, we will notify you
immediately.
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provincial health services authority - province-wide solutions. better
health.
provincial health services authority (phsa) improves the health of
british columbians by seeking province-wide solutions to specialized
health care needs in collaboration with bc health authorities and other
partners.
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health screening
page image
screening tests can help find diseases and health conditions early,
when they are easier to treat.
page content
also known as secondary prevention, health screening identifies health
problems as soon as possible to ensure that you and your family can
benefit from early medical treatment.
there are a variety of health screening tests and tools. many can be
done as part of regular checkups with your health care provider. others
may require you to visit a lab or specialized screening location.
typically, routine health screening is recommended according to your
age or stage of life.
prenatal/infant_____prenatal/infant
prenatal
prenatal genetic screening during your pregnancy can tell you
your chance of having a baby with certain genetic disorders. it is
offered free of charge as a choice to all pregnant people with medical
services plan (msp) coverage in bc.
resources
* prenatal genetic screening program (perinatal services bc)
infant
there are a number of screening tests that are recommended for all
newborns and infants born in bc. these tests identify diseases or
conditions where early treatment is important to prevent disability and
promote healthy development.
regular checkups will allow your care provider to monitor your baby's
development and check for possible problems.
resources
* screening, birth to 12 months (healthlink bc)
* provincial screening programs:
* newborn screening program (perinatal services bc)
* biliary atresia home screening program (perinatal services bc)
* bc early hearing program (provincial health services authority)
child_______________child
regular checkups will allow your care provider to monitor your child's
growth and development and check for possible problems.
resources
* screening, 13 months to 12 years (healthlink bc)
youth/young adult___youth/young adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
resources
* screening, 13 to 18 years (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
adult_______________adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
regular screening is important throughout adulthood, especially if
you're at increased risk for a chronic disease or an infectious
disease. you may be referred for blood or urine tests or for other
screening procedures. recommended regular screening tests for all
adults include:
* blood pressure
* cholesterol
* kidney function
* type 2 diabetes
* skin cancer
* hearing and vision
* weight
* mental health and substance use
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
depending on your age and your risk of disease, other screening tests
may be recommended:
* cervical cancer screening (pap test) is a test that can find
abnormal cells in the cervix before they become cancer. between age
25-69, pap tests are recommended every three years for anyone with
a cervix. it's important to follow these recommendations even if
you've had the hpv vaccine. read the recommendations
* screening mammograms are used to find cancers in breast tissue as
early as possible. screening mammograms are available for eligible
individuals in bc age 40 and up. your screening recommendations
will vary according to your age and your family history of breast
cancer. read the recommendations
* colon cancer screening detects non-cancerous polyps and cancer
early. everyone aged 50-74 should get screened regularly for colon
cancer. the type of screening test recommended for you will depend
on your family history and your personal medical history. read the
recommendations
* prostate cancer screening checks for abnormalities of the prostate
gland. screening is performed through digital rectal examination,
done by your doctor during a regular check up. between age 50-70,
annual screening is recommended for individuals with a prostate as
long as they are in reasonably good health. you can also talk to
your doctor about the pros and cons of psa testing.
resources
* screening, adult women (healthlink bc)
* screening, adult men (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
cancer screening (screening bc):
* cervix
* breast
* colon
* hereditary
please note: the health information provided here is general and
appropriate for most people, most of the time. wherever possible,
resources are also provided to address the health needs of specific
populations, including people living with a chronic health condition,
indigenous people and lgbtq individuals. check with your health care
provider to determine the health recommendations and resources that are
right for you.
in this section
content editor [2]
quick links
* prenatal genetic screening
* newborn screening
* biliary atresia home screening
* infant hearing screening
* get tested: sti clinic finder
* cervical cancer screening (pap test)
* breast cancer screening (mammogram)
* colon cancer screening
content editor [1]
key organizations
perinatal services bc
provincial health services authority
bc centre for disease control (bccdc)
screening bc - bc cancer agency
healthlink bc – the bc government's comprehensive non-emergency health
information and advice service for british columbians.
source: health screening ( )
page printed: . unofficial document if printed. please refer to source
for latest information.
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health.
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copyright © 2020 provincial health services authority
#healthcare nutrition council » feed alternate alternate
healthcare nutrition council healthcare nutrition council
* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
+ nutrition & healthcare[outcomes and benefits]
* patient access
* advocacy
+ position statements
+ public comments
+ coalitions
+ market access challenges
* about hnc
+ priorities
+ hnc staff
+ members
+ contact us
* events
+ medical foods workshop
+ aspen malnutrition awareness week
*
healthcare nutrition council
*
* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
+ nutrition & healthcare[outcomes and benefits]
* patient access
* advocacy
+ position statements
+ public comments
+ coalitions
+ market access challenges
* about hnc
+ priorities
+ hnc staff
+ members
+ contact us
* events
+ medical foods workshop
+ aspen malnutrition awareness week
why nutrition matters
nutrition is critically important to the human body in terms of growth
and development, overall health and wellness throughout life, and the
function of organs and body systems. it also plays a role in disease
management and supports overall quality of life. malnutrition, or lack
of proper nutrition, is associated with billions of dollars per year in
medical expenses. ¹
learn more
as there is no universally accepted definition of “malnutrition,” and
since malnutrition can have different meanings in different contexts,
the healthcare nutrition council (hnc) has adopted a definition of
malnutrition. please see hnc’s expanded definition of malnutrition to
learn more.
hnc malnutrition expanded definition
patient access
all patients have the right to receive high quality care, and that
includes nutrition support products as part of their care. at times,
access to nutrition support products — such as medical foods — can be a
significant challenge for patients. as a result, hnc raises awareness
and works with key stakeholders to help overcome obstacles to patient
access. we continue to work towards systematic changes that will foster
innovation and utilize new science and discoveries, ultimately leading
to higher quality healthcare, better patient outcomes, and improvements
in overall patient health and nutrition.
learn more
maintaining access flyer
enteral facts
parenteral facts
who we are
hnc is an organization representing the manufacturers of nutrition
support products, specifically enteral nutrition (en) formulas,
parenteral nutrition (pn) solutions, supplies and equipment. hnc member
companies are committed to improving health by advancing policies that
address and raise awareness of nutrition and its impact on patient
outcomes and healthcare costs. this includes promoting nutritional
screenings, diagnoses, assessments, and appropriate and timely clinical
nutrition interventions while maintaining patients’ access to
specialized nutrition support products and services throughout the
continuum of care.
learn more
priorities
members
position statements
public comments
1. goates, scott; kristy du, carol braunschweig, and mary beth
arensberg. economic burden of disease-associated malnutrition at
the state level. plos one. 2016; 11(9): 1-15.
* clinical nutrition
* patient access
* advocacy
* about hnc
529 14th street nw, suite 1280, washington, d.c. 20045
(202) 207-1129
contact us
healthcare nutrition council
© healthcare nutrition council
* terms & conditions
* privacy policy
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public health nutr. 2004 aug;7(5):591-8.
public health nutrition and food policy.
caraher m^1, coveney j.
author information
1
department of health management and food policy, institute of
health sciences, city university, goswell place, northampton
square, london ec1v 0hb, uk. m.caraher@city.ac.uk
abstract
food in its many manifestations allows us to explore the global control
of health and to examine the ways in which food choice is moulded by
many interests. the global food market is controlled by a small number
of companies who operate a system that delivers 'cheap' food to the
countries of the developed world. this 'cheap' food comes at a price,
which externalises costs to the nation state in terms of health
consequences (diabetes, coronary heart disease and other food-related
diseases) and to the environment in terms of pollution and the
associated clean-up strategies. food policy has not to any great extent
dealt with these issues, opting instead for an approach based on
nutrition, food choice and biomedical health. ignoring wider elements
of the food system including issues of ecology and sustainability
constrains a broader understanding within public health nutrition. here
we argue that public health nutrition, through the medium of health
promotion, needs to address these wider issues of who controls the food
supply, and thus the influences on the food chain and the food choices
of the individual and communities. such an upstream approach to food
policy (one that has been learned from work on tobacco) is necessary if
we are seriously to influence food choice.
comment in
* editorial. public health nutrition as a field of practice. [public
health nutr. 2004]
pmid:
15251049
doi:
10.1079/phn2003575
[indexed for medline]
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* food industry/trends
* food preferences/physiology
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health: definition and importance of health
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health: definition and importance of health!
definition:
the term ‘health’ is a positive and dynamic concept. in common
parlance, health implies absence of disease. however, that industrial
health implies much more than mere absence of disease is clear from the
following definitions of health:
the world health organisation (who) has defined health as: “a state of
complete physical, mental and social well-being and not merely the
absence of disease or illness or infirmity”. as regards the industrial
health, it refers to a system of public health and preventive medicine
which is applicable to industrial concerns.
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here, the definition of health given by the joint i.l.o/w.h o.
committee on organisational health is worth quoting:
(i) the prevention and maintenance of physical, mental and social
well-being of workers in all organisations;
(ii) prevention among workers of ill-health caused by the working
conditions;
(iii) protection of workers in their employment from risk resulting
from factors adverse to health; and
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(iv) placing and maintenance of the worker in an occupational
environment adapted to his physical and psychological equipment.
thus the modem concept of health emphasises on the “whole man concept.”
in other words, health refers to the outcome of the interaction between
the individual and his environment. so to say, he/she is healthy who is
well adjusted with environment.
the modem concept of health thus, anticipates and recognizes
potentially harmful situations and applies engineering control measures
to prevent disease or illness or infirmity. in this way, industrial
health depends not only on the individual worker but also on the
environment in which he/she lives and works.
there are two types of employee health:
advertisements:
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physical health and mental health
a brief mention of these follows:
physical health:
the physical health refers to infirmity in the employee’s health.
employee’s physical health and his work are intimately related. while
an unhealthy employee works less both quantitatively and qualitatively,
commits accidents, and remains absent from work, a healthy employee
produces results opposite to these. the same underlines the need for
and importance of healthy employees in an organisation.
advertisements:
[ins: :ins]
mental health:
this refers to the mental soundness of the employees. as is physical
health important for good performance, so is mental health also.
experience suggests that three factors, namely, mental breakdowns,
mental disturbances, and mental illness impair the mental health of
employees.
importance of health:
the trite saying ‘health is wealth’ explains the importance of health.
ill health results in high rate of absenteeism and turnover, industrial
discontent and indiscipline, poor performance, low productivity and
more accidents. on the contrary, the natural consequences of good
health are reduction in the rate of absenteeism and turnover, accidents
and occupational diseases.
besides, employee health also provides other benefits such as reduced
spoilage, improved morale of employee, increased productivity of
employee and also longer working period of an employee which, of
course, cannot be easily measured.
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[ins: :ins]
in long and short, employee health is important because it helps:
1. maintain and improve the employee performance both quantitatively
and qualitatively.
2. reduce employee absenteeism and turnover.
3. minimize industrial unrest and indiscipline.
4. improve employee morale and motivation.
it is this importance of health, increasing emphasis is given to the
employee health through various laws and provisions in this regard. for
example, in india, the royal commission on labour (1931), die labour
investigation committee (1946), the health safety and development
committee (1943), the labour welfare committee (1969) and the national
commission on labour (1969), all have expressed concern for employee
health.
these emphasised upon the creation and maintenance of as healthy an
environment as possible, in the homes of the employees as well as in
all places where they congregate for work, amusement or recreation,
the i.l.o. in its recommendation no. 112 envisaged the importance of
employee health in these words:
occupational health services should be established in or near a place
of employment for the purpose of:
(i) protecting the workers against any health hazard arising out of
work or conditions in which it is carried on;
(ii) contributing towards worker’s physical and mental adjustment; and
(iii) contributing to establishment and maintenance of the highest
possible degree of physical and mental well-being of the workers.
related articles:
1. necessity and importance of labour law and principles
2. labour welfare: meaning and definition of labour welfare
health
measures to maintain safety and avoid accidents in industries
occupational hazards: 4 main types of occupational hazards – explained!
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importance of good nutrition
your food choices each day affect your health — how you feel today,
tomorrow, and in the future.
good nutrition is an important part of leading a healthy lifestyle.
combined with physical activity, your diet can help you to reach and
maintain a healthy weight, reduce your risk of chronic diseases (like
heart disease and cancer), and promote your overall health.
the impact of nutrition on your health
unhealthy eating habits have contributed to the obesity epidemic in the
united states: about one-third of u.s. adults (33.8%) are obese and
approximately 17% (or 12.5 million) of children and adolescents aged
2—19 years are obese.^1 even for people at a healthy weight, a poor
diet is associated with major health risks that can cause illness and
even death. these include heart disease, hypertension (high blood
pressure), type 2 diabetes, osteoporosis, and certain types of cancer.
by making smart food choices, you can help protect yourself from these
health problems.
the risk factors for adult chronic diseases, like hypertension and type
2 diabetes, are increasingly seen in younger ages, often a result of
unhealthy eating habits and increased weight gain. dietary habits
established in childhood often carry into adulthood, so teaching
children how to eat healthy at a young age will help them stay healthy
throughout their life.
the link between good nutrition and healthy weight, reduced chronic
disease risk, and overall health is too important to ignore. by taking
steps to eat healthy, you'll be on your way to getting the nutrients
your body needs to stay healthy, active, and strong. as with physical
activity, making small changes in your diet can go a long way, and it's
easier than you think!
eat healthy
now that you know the benefits, it's time to start eating healthy:
start your pala+ journey today and use these tips on ways to eating
healthy and resources to earn it.
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references
to return to the page content, select the respective footnote number.
^1 centers for disease control and prevention. u.s. obesity trends.
2011. available at: https://www.cdc.gov/obesity/data/databases.html
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eur j public health. 2018 dec; 28(6): 1087–1092.
published online 2018 sep 3. doi: 10.1093/eurpub/cky174
pmcid: pmc6241207
pmid: 30184063
the importance of health behaviours and especially broader self-management
abilities for older turkish immigrants
jane m cramm^^ and anna p nieboer^
jane m cramm
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by jane m cramm
anna p nieboer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by anna p nieboer
author information copyright and license information disclaimer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
correspondence: jane m. cramm, department of social medical sciences,
erasmus school of health policy and management, erasmus university
rotterdam, p.o. box 1738, 3000 dr rotterdam, the netherlands, tel: +31
10 408 8555, e-mail: ln.rue.mphse@mmarc
copyright © the author(s) 2018. published by oxford university press on
behalf of the european public health association.
this is an open access article distributed under the terms of the
creative commons attribution-noncommercial-noderivs licence
(http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits
non-commercial reproduction and distribution of the work, in any
medium, provided the original work is not altered or transformed in any
way, and that the work is properly cited. for commercial re-use, please
contactjournals.permissions@oup.com
this article has been cited by other articles in pmc.
abstract
background
this study aims to identify the relationships between health
behaviours, self-management abilities, physical health, depressive
symptoms and well-being among turkish older immigrants.
methods
a total of 2350 older turkish migrants aged > 65 years residing in
rotterdam, the netherlands were identified using the municipal register
of which 680 respondents completed the questionnaires (response rate of
32%).
results
average age of the respondents was 72.90 (standard deviation 5.02)
(range 66–95) years and about half of them were women (47.6%). the
majority of respondents reported having a low education (80.3%), low
income level (83.4%), is chronically ill (90.6%), overweight (86.5%)
and about half obese (46.0%). more than half of the respondents eat
enough fruit (58.2%) and vegetables per week (55.3%). about a third of
the respondents smoke (33.5%) and 43.0% can be considered to be
physically active. looking at the health behaviours a weak positive
relationship was found between eating enough vegetables and well-being
(β = 0.14; p = 0.017). in addition, weak relationships were found
between physical activity and depressive symptoms (β = −0.16; p =
0.007), smoking and depressive symptoms (β = 0.16; p = 0.009) and
self-management abilities and physical health (β = 0.17; p = 0.015).
strongest relationships were found between self-management abilities
and depressive symptoms (β = −0.39; p < 0.001) and self-management
abilities with overall well-being (β = 0.49; p < 0.001).
conclusions
from this study, we can conclude that next to health behaviours broader
self-management abilities to maintain overall well-being are important
for turkish older people. interventions to improve self-management
abilities may help turkish older people better deal with function
losses and chronic diseases as they age further.
introduction
europe witnessed a post-war mass migration at the end of the 1950s and
the early 1960s, mostly from non-western origin with a predominance of
young adults. even though a number of the early migrants have returned
to their birth-country, considerable numbers remain in their migratory
destinations who recently approached retirement age.^1 in general, poor
physical and mental health, worse health-related quality of life and
well-being, functional limitations, depressive symptoms and chronic
conditions are much more prevalent among these immigrant populations
compared with those of natives throughout europe.^2–4 as a consequence,
older immigrants use 13–20% more health services than native-borns.^5
the rapid increase in the prevalence of chronic illness among older
(immigrant) populations is an important factor underlying the increased
demand for health care services and constraints on the organization and
delivery of care in europe.^5^,^6
unhealthy behaviours, such as poor diet, smoking and physical
inactivity, are important and adjustable risk factors for many chronic
diseases and leading causes of death and disability.^7 thus, the
improvement of health behaviours among older (immigrant) populations to
prevent the onset of chronic diseases is becoming a critical issue.
health behaviours, such as smoking, eating habits and physical
activity, are known to differ between immigrants and natives, which may
explain the greater prevalence of chronic diseases, physical
limitations and poor health outcomes among the former. for example, in
the netherlands, overweight is much more prevalent among immigrants,^8
and smoking is especially prevalent among turks.^9 although
health-related behaviours have been investigated among immigrant groups
aged 35–60 years,^9 and those aged ≥18 years,^8 no such research has
been conducted among older immigrants.
not only health behaviours but also older people’s abilities to deal
with the process of ageing and the ways in which they cope with certain
life events are of interest. as people grow older, they often begin to
experience losses in various life domains. people are known to differ
in their ability to self-regulate or self-manage their lives and ageing
processes, which requires the proactive management of resources in an
environment of increasing losses and declining gains.^10 these
self-regulation or self-management abilities often target only the
physical health aspects of ageing, such as physical exercise and
healthy diet.^11^,^12 the social and psychological life domains,
however, have been proven to be equally important for the health and
well-being of older people.^13
thus, in addition to health behaviours and health outcomes, examination
of broader self-management abilities related to the maintenance of
overall well-being may be of interest.^14 as these abilities are
critical predictors of physical health, depressive symptoms and overall
well-being,^14–17 a shift in focus to include not only traditionally
addressed health- and disease-specific aspects (e.g. smoking, physical
activity, healthy diet) but also abilities such as investment behaviour
(e.g. pursuing interests, keeping busy, maintaining contact with loved
ones), initiative taking and self-efficacy (e.g. belief in one’s
ability to achieve goals and express care for others) is urgently
needed.^14
research investigating health behaviours and self-management abilities
related to the maintenance of overall well-being among older turkish
immigrants is lacking. thus, this study aimed to identify relationships
of background characteristics, health behaviours and self-management
abilities with physical health, depressive symptoms and well-being
among older turkish immigrants residing in rotterdam, the netherlands.
methods
data collection
community-dwelling turkish people aged > 65 years in rotterdam, the
netherlands, were identified using the municipal register and asked to
participate between march 2015 and february 2016 (with a summer break,
given that most of this population spends the summer in turkey). we
asked respondents to fill in a questionnaire containing 153 questions
in total (provided in the dutch as well as turkish language). these
questionnaires were first distributed via post, followed by a postal
reminder and finally a minimum of two home visit attempts (by
interviewers speaking dutch as well as the turkish language). the
personal interviews lasted about 60–90 min. an information leaflet was
provided to respondents explaining the aim of the study with contact
details (of dutch as well as turkish speaking research assistants) in
case they had additional questions. no (financial) incentives were
provided.
ethical approval
according to the central committee on research involving human subjects
(ccmo), the current study did not fall within the scope of the medical
research involving human subjects act and thus did not require prior
review by an accredited medical research and ethics committee or the
ccmo. all respondents were informed about the aims of the study, and
assured that participation was anonymous and voluntary, prior to
providing consent.
measures
well-being was measured with the 14-item turkish version of the social
production function instrument for the level of well-being (spf-il).^18
the stimulation item ‘are your activities challenging to you?’ of the
original 15-item dutch version^19 proved to be problematic during
validation and thus was omitted from the turkish version. the spf-il
measures levels of physical (comfort, stimulation) and social
(behavioural confirmation, affection, status) well-being. examples of
questions are ‘do people really love you?’ (affection), ‘do you feel
useful to others?’ (behavioural confirmation), ‘are you known for the
things you have accomplished?’ (status), ‘in the past few months, have
you felt physically comfortable?’ (comfort) and ‘do you really enjoy
your activities?’ (stimulation). responses are given on a 4-point scale
ranging from never (1) to always (4), with higher mean scores
indicating greater well-being. total scores were calculated based on
the mean scores for the five subscales. cronbach’s alpha of the spf-il
based on the five subscales was 0.76, indicating good reliability.
patients’ physical quality of life was assessed using the physical
component of the short form 12 health survey.^20 the summary physical
component score for physical health was constructed using standard
scoring procedures.
we used the 7-item depression section of the hospital anxiety and
depression scale to assess symptoms of depression.^21 all items were
rated on a 4-point scale (0–3), with higher scores indicating greater
depressive symptomatology.
self-management abilities related to the maintenance of overall
well-being were measured using an adjusted version of the short
(18-item) version of the self-management ability scale (smas-s).^22
this instrument assesses a broad repertoire of self-management
abilities: (i) initiative taking (being instrumental or self-motivating
in realizing aspects of well-being), (ii) investment in resources for
long-term benefits, (iii) maintenance of variety in resources (gaining
and maintaining various resources for each dimension of well-being),
(iv) ensuring resource multifunctionality (gaining and maintaining
resources or activities that serve multiple dimensions of well-being
simultaneously and in a mutually reinforcing way), (v) self-efficacy in
resource management (gaining and maintaining a belief in personal
competence to achieve well-being) and (vi) maintenance of a positive
frame of mind. the initiative taking, investment, self-efficacy,
variety and multifunctionality subscales are related to the physical
and social dimensions of well-being, and the subscale measuring the
ability to have a positive frame of mind is considered to be a more
general cognitive frame. following earlier research, we reduced the
number of response categories for 5 subscales from 6 to 4 to make
completion of the instrument less complex. higher scores indicate
better self-management abilities. the item ‘when things go against you,
how often do you think that it could always be worse?’ proved to be
problematic during validation and thus was omitted from the turkish
version. cronbach’s alpha of the smas-s based on the six subscales was
0.92, indicating excellent reliability.
physical activity was assessed by asking respondents how many days per
week they were physically active (e.g. sport activities, exercise,
housecleaning, work in the garden) for at least 30 min. government
agencies use this measure to monitor physical activity in the dutch
population. we used mean physical activity, measured in number of days
per week, in our analyses. in addition, we dichotomized the physical
activity scale according to the dutch standard for healthy physical
activity into 1 (at least 30 min of physical activity at least five
times per week) and 0 (at least 30 min of physical activity less than
five times per week),^23 to compare the proportion of physically active
patients with the dutch average. this threshold is also in line with
the international recommendation for the minimum physical activity
level of at least 150 min of moderate or vigorous physical activity per
week.^24
self-reported current smoking was assessed with a yes/no question.
consumption of fruits and consumption of vegetables were assessed
separately as indicators of healthy dietary behaviours, measured in
servings per day. the world health organization and the dutch
guidelines use a minimum of 200 g of vegetables and two servings of
fruit per day to distinguish healthy from unhealthy eating.^25 fruit
consumption was determined by summing the servings per day and was
dichotomized as 1 (healthy diet, consumption of at least two pieces of
fruit per day) and 0 (unhealthy diet, consumption of less than two
pieces of fruit per day). vegetable consumption was determined by
summing the servings per day and was dichotomized as 1 (healthy diet,
consumption of ≥200 g of vegetables per day) and 0 (unhealthy diet,
consumption of <200 g of vegetables per day).^25
respondents were asked to report the highest educational level
completed in the netherlands or abroad, with the option to select ‘no
schooling’ or to write in another response for unlisted forms of
schooling. this variable was dichotomized into low (completion of
elementary school or less) and high (more than elementary school).
income level was determined based on respondents’ reported monthly
household income, including social benefits, pensions and alimony.
responses ranged from 1 (less than €1000 a month) to 4 (€3050 or more a
month). ‘do not know/do not want to tell’ was included as a fifth
category. income level was dichotomized into low (less than €1350) and
high (€1350 or more).
respondents were asked to indicate whether they were married, divorced,
widowed, single, or cohabitating. a dichotomous variable was created:
divorced, single and widowed; and married.
the questionnaire also solicited information on respondents’ age,
gender and number of chronic conditions experienced in the past 12
months. respondents were provided with a list of 14 chronic conditions
(e.g. lung diseases, cardiovascular diseases, diabetes) and space to
write in other conditions. only conditions that were classified as
chronic by o'halloran et al.^26 were included.
analyses
the characteristics of the study sample were examined using descriptive
statistics. bivariate associations of variables expressing background
characteristics, health behaviours and self-management abilities with
those reflecting physical health, depressive symptoms and well-being
were examined. regression analyses were then performed to identify
relationships of health behaviours, self-management abilities, and
physical health with depressive symptoms and well-being while
controlling for background characteristics.
results
of, 2350 older turkish immigrants asked to participate, 213 were
ineligible due to change of address (n = 110), serious medical issue or
death (n = 102) or non-turkish ethnic background (n = 1). a total of
680 respondents completed the questionnaire (final response rate 32%).
table 1 displays descriptive statistics for the older turkish immigrant
population. the average age of the 680 respondents was 72.90 [standard
deviation (sd) 5.02; range 66–95] years, and 47.6% of them were women.
the majority of respondents reported having low education (80.3%) and
low income (83.4%) levels. the mean number of chronic diseases was 2.68
(sd 1.87; range 0–10). most (90.6%) respondents were chronically ill,
and 69.4% had more than one chronic disease. according to their
self-reported body mass indices, 86.5% of respondents were overweight
and 46.0% were obese. more than half of respondents had sufficient
weekly fruit (58.2%) and vegetable (55.3%) consumption. about one-third
(33.5%) of respondents smoked and 43.0% could be considered to be
physically active.
table 1
descriptive statistics for older turkish older immigrants (n = 680)
characteristic range % or mean (sd)
sex (female) 47.6%
age (years) 66–95 72.90 (5.02)
marital status (single/widowed) 28.7%
education (low) 80.3%
income (low) 83.4%
number of chronic diseases 0–10 2.68 (1.87)
chronically ill 90.6%
co-/multi-morbidity 69.4%
body mass index (kg/m^2) 17.65–68.59 30.32 (5.61)
overweight 86.5%
obese 46.0%
healthy diet
sufficient fruit consumption 58.2%
sufficient vegetable consumption 55.3%
physically active 43.0%
smoking 33.5%
self-management abilities 1–4 2.52 (0.62)
physical health 0–100 54.83 (18.18)
depressive symptoms 1–4 2.28 (0.66)
well-being 1–4 2.79 (0.55)
open in a separate window
sd, standard deviation.
table 2 displays the results of the bivariate analyses. single marital
status and low educational level were associated positively with
depressive symptoms and negatively with well-being. the number of
chronic conditions was associated negatively with physical health and
well-being, and positively with depressive symptoms. a positive
relationship was found between sufficient vegetable consumption and
well-being (r = 0.11, p < 0.01). physically active status was
associated positively with physical health (r = 0.09, p < 0.05) and
overall well-being (r = 0.20, p < 0.001), and negatively with
depressive symptoms (r = –0.28, p < 0.001). smoking was related
positively to depressive symptoms (r = 0.16, p < 0.001).
self-management abilities were related positively to physical health (r
= 0.12, p < 0.05) and well-being (r = 0.54, p < 0.001) and negatively
to depressive symptoms (r = –0.53, p < 0.001).
table 2
associations with physical health, depressive symptoms and well-being
(n = 680)
characteristics physical health depressive symptoms well-being
sex (female) 0.12^** 0.21^*** –0.11^**
age (years) –0.05 0.08^* –0.06
marital status (single/widowed) –0.05 0.16^*** –0.11^**
education (low) –0.07 0.16^*** –0.11^**
income (low) –0.06 0.10^* –0.06
number of chronic diseases –0.15^*** 0.36^*** –0.26^***
body mass index –0.13^*** 0.06 –0.06
eating enough fruit –0.01 –0.06 0.07
eating enough vegetables –0.01 –0.07 0.11^**
physically active 0.09^* –0.28^*** 0.20^***
smoking 0.06 0.16^*** 0.07
self-management abilities 0.12^** –0.53^*** 0.54^***
open in a separate window
^***p < 0.001.
^**p < 0.01.
^*p < 0.05.
the results of the multivariate regression analyses are displayed in
table 3. the number of chronic diseases was associated negatively with
physical health (β = –0.20, p = 0.005) and overall well-being (β =
–0.13, p = 0.039), and positively with depressive symptoms (β = 0.21, p
< 0.001). among health behaviours, a weak positive relationship was
found between sufficient vegetable consumption and well-being (β =
0.14, p = 0.017). in addition, weak relationships were found between
physical activity and depressive symptoms (β = –0.16, p = 0.007),
smoking and depressive symptoms (β = 0.16, p = 0.009), and
self-management abilities and physical health (β = 0.17, p = 0.015).
the strongest relationships were found between self-management
abilities and depressive symptoms (β = –0.39, p < 0.001) and overall
well-being (β = 0.49, p < 0.001).
table 3
results of multivariate regression analyses
characteristic physical health depressive symptoms well-being
β p β p β p
sex (female) –0.04 0.643 0.04 0.632 –0.03 0.694
age (years) –0.00 0.949 0.02 0.699 –0.07 0.264
marital status (single/widowed) 0.14 0.070 –0.03 0.691 0.03 0.670
education (low) 0.01 0.936 0.06 0.303 0.01 0.918
income (low) 0.01 0.944 0.03 0.582 0.03 0.584
number of chronic diseases –0.20 0.005 0.21 <0.001 –0.13 0.039
body mass index –0.08 0.282 –0.03 0.609 –0.05 0.433
sufficient fruit consumption 0.03 0.636 0.05 0.390 –0.06 0.303
sufficient vegetable consumption 0.03 0.697 –0.06 0.290 0.14 0.017
physically active 0.01 0.940 –0.16 0.007 0.02 0.731
smoking 0.09 0.206 0.16 0.009 0.01 0.886
self-management abilities 0.17 0.015 –0.39 <0.001 0.49 <0.001
r^2 12% 36% 31%
open in a separate window
significance of bold values is p < 0.05.
discussion
this study aimed to identify relationships of background
characteristics, health behaviours and self-management abilities with
physical health, depressive symptoms and well-being among older turkish
immigrants residing in rotterdam, the netherlands. chronic diseases,
overweight and obesity were highly prevalent among respondents. during
the same period in which this study was conducted (2015/2016), a much
smaller percentage of the general dutch population aged ≥ 65 years was
overweight compared with our turkish sample (60% vs. 86.5%); the
prevalence of obesity differed to a lesser degree (42% vs. 46%).^27 in
addition, a larger percentage of turkish elders were chronically ill
compared with the general dutch population aged ≥ 65 years (90.6% vs.
79.9%).^28 the prevalence of chronic diseases is known to be higher
among those with lower educational levels,^29 which could explain this
finding, as 80.3% of older turkish immigrants participating in this
study were less educated.
with increasing numbers of chronic diseases, older immigrants had worse
physical health and well-being, and more depressive symptoms. healthy
behaviours and self-management abilities may protect chronically ill
older immigrants from the deterioration of health and well-being, and
the onset of depressive symptoms. however, we found only weak
relationships between the outcome variables and physical activity,
sufficient vegetable consumption and smoking, and the latter two health
behaviours were not associated with all outcome variables. a smaller
percentage of older immigrants met the norm for physical activity
compared with the general older population in the netherlands (43% vs.
50%).^30 the prevalence of smoking was also greater among older turks
compared with the general dutch population aged ≥ 65 years (33.5% vs.
∼15%).^31 this is in line with earlier research showing that the
percentage of smoking in the netherlands is highest in the turkish
population, especially among turkish men.^32^,^33 regarding dietary
behaviour, older turkish respondents were healthier than the older
general population in the netherlands in 2015/2016 in terms of
sufficient fruit (58.2% vs. 43%) and vegetable (55.3% vs. 30%)
consumption. these findings are in line with earlier research showing
that immigrants ate more fruit and vegetables than did older dutch
people.^34 in terms of health behaviours, older turkish people are thus
expected to benefit especially from smoking cessation and physical
activity interventions.
the strongest relationships were found between broader self-management
abilities and the outcome variables, especially depressive symptoms and
overall well-being. these findings are important, given that these
abilities are amendable. examples of the most commonly used
self-management interventions are health education, lifestyle
education, enhancement of knowledge about chronic diseases and their
risk factors, support of a healthy diet and promotion of physical
exercise and smoking cessation. however, older patients’ abilities to
self-manage their overall well-being, such as having a positive frame
of mind, taking initiative and self-efficacy, should also be addressed.
interventions that aim to enhance self-management abilities may be
useful additions to traditional interventions, which usually focus
solely on the physical decline associated with ageing and chronic
conditions.^35–37
the limitations of this study should be considered when interpreting
the findings. first, although the response rate was low, it was
comparable to those in other surveys conducted in this population [61].
most non-response was due to the inability to reach respondents after a
minimum of two door-to-door contact attempts (following the two contact
attempts via mail), potentially resulting in non-response bias. to
improve the response rate, this number should be increased to six
contact attempts, which was not feasible in our study.^38^,^39 to
investigate potential non-response bias, we conducted non-response
analyses. no significant difference in gender was found between
respondents and non-respondents. the mean age of these groups, however,
differed significantly; on average, respondents were younger than
non-respondents [72.11 (sd = 5.10) vs. 72.73 (sd = 5.00),
respectively]. educational level of our sample is comparable to other
studies showing that ∼80% of turkish older migrants only completed
elementary school or less.^40 second, the data collected were
cross-sectional, preventing determination of causality. third, although
this study showed that self-management abilities are important for
older turkish people, we did not investigate whether interventions
aiming to enhance these abilities actually improved self-management.
further research is necessary to explore ways in which the
self-management abilities of older turkish people can be improved.
fourth, we investigated fruit and vegetable consumption only, not how
food was prepared or the total fat or calorie intake per day, which are
also known to be important.^41 fifth, we also did not include alcohol
consumption to our analyses given that only two male respondents drank
more than the norm (≥3 units per day at ≥4 days a week). if you would
look at health behaviours among immigrant populations outside the
muslim community, it would be interesting to add this health behaviour.
finally, our study sample consisted of older turkish people residing in
rotterdam, which limits the generalizability of our study findings.
conclusion
based on the results of this study, we can conclude that in addition to
health behaviours, broader self-management abilities related to the
maintenance of overall well-being are important for older turkish
people. while only weak relationships were found with health
behaviours, strong relationships were found with broader
self-management abilities, depressive symptoms and well-being. in terms
of health behaviours, older turkish people are expected to benefit most
from smoking cessation and physical activity interventions. older
immigrants, including turks, however, may especially benefit from
interventions that enhance broader self-management abilities related to
the maintenance of overall well-being. interventions to improve
self-management abilities may help older turkish people better deal
with functional losses and chronic diseases as they age further. such
interventions will probably need to be adjusted for this population to
be effective.^38 the current national public health policy, however,
devotes no specific attention to high-risk ethnic groups. we feel that
these results provide a useful basis for the design of effective
interventions for successful ageing among older turkish people in the
netherlands.
funding
this study was supported by a grant provided by the erasmus university
of rotterdam.
conflicts of interest: none declared.
key points
* chronic diseases, overweight and obesity are highly prevalent among
turkish elderly.
* smoking cessation and physical activity interventions may partly
improve outcomes.
* interventions aimed at broader self-management abilities seem
especially effective.
* a broader focus is needed on self-management abilities to maintain
overall well-being.
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dm=slnl&pa=81565ned&d1=2-4&d2=a&d3=0, 11-12&d4=0&d5=34-35&hdr=t&stb=g1,
g2, g3, g4&vw=t, 2017 (27 june 2017, date last accessed).
28. nivel, zorgregistraties eerste lijn, 2016. available at:
https://www.volksgezondheidenzorg.info/onderwerp/chronische-ziekten-en-
multimorbiditeit/cijfers-context/prevalentie#node-prevalentie-chronisch
e-ziekte-naar-leeftijd-en-geslacht (27 june 2017, date last accessed).
29. van bakel am (red.). hoeveel mensen hebben één of meer chronische
ziekten in nederland? in: regionale vtv, regionaal kompas
volksgezondheid hart voor brabant ′s-hertogenbosch: ggd hart voor
brabant, regionaal kompas volksgezondheid hart voor
brabant\thema′s\bevolking\chronisch zieken, 2010.
30. hildebrandt vh, bernaards cm, stubbe jh. trendrapport bewegen en
gezondheid. hoofdstuk 2. tno, 2011/2012.
31. deuning cm. (rivm), hoeveel mensen roken er in nederland? in:
regionale vtv, regionaal kompas volksgezondheid hart voor brabant
′s-hertogenbosch: ggd hart voor brabant, regionaal kompas
volksgezondheid hart voor
brabant\thema′s\gezondheidsdeterminanten\leefstijl\roken, 2014.
32. ariëns gam, middelkoop bjc., smilde-van den doel da. struben hwa.
gezondheidsvragen in de stadsenquête den haag 2001 en 2003; de
uitkomsten bekeken in relatie tot etnische achtergrond en
opleidingsniveau. epidemiol bull 2006;41:2–11. [google scholar]
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verschillen in zelfgerapporteerde leefstijl, gezondheid en zorggebruik
utrecht/bilthoven: nivel/rivm, 2004.
34. statline cbs, leefstijl en (preventief) gezondheidsonderzoek;
persoonskenmerken. available at:
http://statline.cbs.nl/statweb/publication/? dm=slnl&pa=83021ned&d1=0,
3, 5, 15-16, 19, 21, 26, 41, 47-48, 59, 69-72&d2=0-2, 12-13,
30-42&d3=0&d4=1-2&hdr=t&stb=g1, g2, g3&vw=t (27 june 2017, date last
accessed).
35. frieswijk n, steverink n, buunk bp, slaets jpj. the effectiveness
of a bibliotherapy in increasing the self-management ability of
slightly to moderately frail older people. patient educ couns
2006;61:219–27. [pubmed] [google scholar]
36. kremers ip, steverink n, albersnagel fa, slaets jpj. improved
self-management ability and well-being in older women after a short
group intervention. aging ment health 2006;10:476–84. [pubmed] [google
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37. schuurmans h. promoting well-being in frail elderly people: theory
and intervention. dissertation, groningen intervention program,
university of groningen, 2004. http://opc.ub.rug.nl. [pubmed]
38. cbs, 2012. key figures rotterdam. centrum voor onderzoek en
statistiek (centre for research and statistics), 2006.
39. schellingerhout r. gezondheid en welzijn van allochtone ouderen
[health and wellbeing of ethnic minority elderly]. the hague: sociaal
en cultureel planbureau, 2004. [google scholar]
40. dagevos j. allochtone ouderen in: rapportage ouderen 2001.
veranderingen in de leefsituatie. den haag: scp, 2001. [google scholar]
41. world health organization, healthy diet 2015. available at:
http://www.who.int/mediacentre/factsheets/fs394/en/, 2015 (27 june
2017, date last accessed).
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1. home
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3. fitness
4. fitness basics
5. why is physical activity so important for health and wellbeing?
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why is physical activity so important for health and wellbeing?
woman stretching
there are so many reasons why regular activity boosts your health. read
to learn what those are and how you can incorporate exercise into your
day.
we know that staying active is one of the best ways to keep our bodies
healthy. but did you know it can also improve your overall well-being
and quality of life?
here are just a few of the ways physical activity can help you feel
better, look better and live better. because, why not?
it’s a natural mood lifter.
regular physical activity can relieve stress, anxiety, depression and
anger. you know that "feel good sensation" you get after doing
something physical? think of it as a happy pill with no side effects!
most people notice they feel better over time as physical activity
becomes a regular part of their lives.
it keeps you physically fit and able.
without regular activity, your body slowly loses its strength, stamina
and ability to function properly. it’s like the old saying: you don’t
stop moving from growing old, you grow old from stopping moving.
exercise increases muscle strength, which in turn increases your
ability to do other physical activities.
it helps keep the doctor away.
stand up when you eat your apple a day! too much sitting and other
sedentary activities can increase your risk of heart disease and
stroke. one study showed that adults who watch more than 4 hours of
television a day had an 80% higher risk of death from cardiovascular
disease.
being more active can help you:
* lower your blood pressure
* boost your levels of good cholesterol
* improve blood flow (circulation)
* keep your weight under control
* prevent bone loss that can lead to osteoporosis
all of this can add up to fewer medical expenses, interventions and
medications later in life!
it can help you live longer.
it’s true, 70 is the new 60… but only if you’re healthy. people who are
physically active and at a healthy weight live about seven years longer
than those who are not active and are obese. and the important part is
that those extra years are generally healthier years! staying active
helps delay or prevent chronic illnesses and diseases associated with
aging. so active adults maintain their quality of life and independence
longer as they age.
here are some other benefits you may get with regular physical activity:
* helps you quit smoking and stay tobacco-free.
* boosts your energy level so you can get more done.
* helps you manage stress and tension.
* promotes a positive attitude and outlook.
* helps you fall asleep faster and sleep more soundly.
* improves your self-image and self-confidence.
* provides fun ways to spend time with family, friends and pets.
* helps you spend more time outdoors or in your community.
the american heart association recommends at least 150 minutes of
moderate-intensity aerobic activity each week. you can knock that out
in just 30 minutes a day, 5 days a week. and every minute of moderate
to vigorous activity counts toward your goal.
so, this is easy! just move more, with more intensity, and sit less.
you don’t have to make big life changes to see the benefits. just start
building more activity into your day, one step at a time.
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* fitness
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+ recommendations for physical activity in adults
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+ recommendations for physical activity in kids infographic
+ american heart association recommendations for physical
activity infographic
+ balance exercise
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+ flexibility exercise stretching
+ how to keep cool during warm weather workouts
+ is your workout working? infographic
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+ why is physical activity so important for health and
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* getting active
* staying motivated
* walking
related articles
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exercise mind and body with yoga and mindful movement
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popular articles
no time for exercise? here are 7 easy ways to move more!
make every move count infographic
* fitness
* fitness basics
+ recommendations for physical activity in adults
+ warm up with cool-weather workouts
+ recommendations for physical activity in children
+ recommendations for physical activity in kids infographic
+ american heart association recommendations for physical
activity infographic
+ balance exercise
+ endurance exercise aerobic
+ flexibility exercise stretching
+ how to keep cool during warm weather workouts
+ is your workout working? infographic
+ keeping your feet happy and pain-free infographic
+ make every move count infographic
+ move more for whole body health infographic
+ move more month
+ preventing injury during your workout
+ staying hydrated - staying healthy
+ strength and resistance training exercise
+ know your target heart rates for exercise, losing weight and
health
+ treat your feet right
+ warm up cool down
+ what to wear when you work out infographic
+ when is the best time of day to work out?
+ why is physical activity so important for health and
wellbeing?
* getting active
* staying motivated
* walking
*all health/medical information on this website has been reviewed and
approved by the american heart association, based on scientific
research and american heart association guidelines. use this link for
more information on our content editorial process.
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the importance of health education
february 8, 2018
marcy vadurro
director of product marketing
explore programs
importanceofhealtheducationbanner
when it comes to building a healthy community, the importance of health
education cannot be overlooked. community health workers collaborate
with all stakeholders in a community - from its citizens to its
government, education and medical officials - to improve health and
wellness and ensure equal access to healthcare.
what is the importance of health education?
community health education looks at the health of a community as a
whole, seeking to identify health issues and trends within a population
and work with stakeholders to find solutions to these concerns.
the importance of health education impacts many areas of wellness
within a community, including:
* chronic disease awareness and prevention
* maternal and infant health
* tobacco use and substance abuse
* injury and violence prevention
* mental and behavioral health
* nutrition, exercise and obesity prevention
community health educators work with public health departments,
schools, government offices and even local nonprofits to design
educational programs and other resources to address a community's
specific needs.
importanceofhealtheducationbody3
"the value in these programs is having a topic or issue tailored to the
needs of the audience...and working with them one on one to make
behavioral changes," said daphne guillaume, a certified health
education specialist and public health adjunct faculty at southern new
hampshire university (snhu).
overcoming health disparities
in addition to providing educational resources and programming to a
community, public health educators also work to ensure all members of a
community have equal access to wellness resources and healthcare
services.
according to the american public health association (apha), common
health disparities affecting americans include:
* racial or ethnic health disparities
* socioeconomic health disparities
* gender health disparities
* rural health disparities
importanceofhealtheducationbody1
"we look at the issues that are going on in our communities through a
social justice lens," said snhu adjunct faculty member dede teteh, a
certified health education specialist and public health researcher.
"the main difference between [public health] and medicine is we don't
look at people one by one. we work with communities and examine trends
in behaviors and health outcomes. we attempt to decipher what's going
on within communities and determine how we can best support their
wellness efforts. but we don't act without their input or partnership."
community health education and government policy
the importance of health education also extends into policy and
legislation development at a local, state and national level, informing
and influencing key decisions that impact community health.
from campaigns and legislation to enforce seat belt use and prevent
smoking to programs that boost the awareness and prevention of
diabetes, public health workers provide research and guidance to inform
policy development.
"you're not just educating the individual person, you need the impetus
and motivation to come from the whole community," said snhu associate
dean of health professions denise bisaillon. "you have to reach the
leaders in the community. the more people invested in a change, the
more likely its success."
the economic importance of health education
health education can also boost a community's economy by reducing
healthcare spending and lost productivity due to preventable illness.
obesity and tobacco use, for example, cost the united states billions
of dollars each year in healthcare costs and lost productivity.
according to the american public health association (apha) the annual
loss in economic productivity due to obesity and related issues is
expected to total as much as $580 billion by 2030. the total economic
cost of tobacco use costs the united states more than $300 billion each
year, including $156 billion in lost productivity, according to the
cdc.
programs designed to help community members combat these expensive
health issues not only boost individuals' health, but also provide a
strong return on investment for communities.
according to the cdc, states with strong tobacco control programs see a
$55 return on every $1 investment, mostly from avoiding costs to treat
smoking-related illness. the national cost of offering the national
diabetes prevention program is about $500 per participant,
significantly lower than the $7,900 spent on diabetes care per type 2
diabetes patient each year.
importanceofhealtheducationbody4 a growing field
as the health, social and economic impacts of community health
education continue to grow, so does the field of public health and
health promotion.
according to the u.s. bureau of labor statistics (bls), employment in
the community health education field is projected to grow by 16%
through 2026, more than twice the average for all occupations.
workers with a community health education degree can find opportunities
in a wide variety of settings, according to the bls, including:
* schools and colleges
* hospitals and healthcare facilities
* nonprofit organizations
* private businesses and employee wellness programs
* government organizations and public health departments
as communities continue to focus more on improving the health and
wellness of its citizens, the field of community health education will
also continue to grow, said snhu adjunct faculty michelle gifford.
"i believe that more and more communities are seeing benefits from
wellness-related initiatives and receiving positive marks about them,
hence community leaders are seeing this as not just a business-driven
necessity, but also something that impacts the well being and quality
of life of their citizens," gifford said.
marcy vadurro is a marketing professional within nursing and health
professions in higher education.
health
explore more content like this article
darla branda
health professions clinical faculty darla branda: a faculty q&a
december 13, 2019
after spending 4 years in the military, darla branda earned her degree
and began working in health information management. she's since joined
the faculty at snhu, and we asked her to share her thoughts about
teaching, the importance of education and more as part our faculty
spotlight series.
a student in snhu's ccne accredited nursing programs.
snhu nursing programs receive 10-year ccne reaccreditation
november 21, 2019
snhu online nursing programs recently received a 10-year
reaccreditation from the commission on collegiate nursing education
(ccne), a professional accrediting agency that strives to promote the
quality and integrity of baccalaureate and graduate nursing programs.
a group of doctors and nurses reviewing a document in a hospital
corridor.
healthcare students get to the heart of succession planning
november 13, 2019
teams of southern new hampshire university nursing and healthcare
students recently tackled the challenge of succession planning for
healthcare facilities in the latest higher education and real-world
training challenge.
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civil blog 369
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civil blog 369
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homehealth and its importance | health and its significance | the
importance of health and health
health and its importance | health and its significance | the importance of
health and health
civil blog 369 february 09, 2019
[ins: :ins]
health and its importance
health-and-its-importance
health and its importance
the word "health" refers to an emotional and physical well- being
state. healthcare is available to help people maintain this optimal
health status.
your food choices affect your health every day-how you feel today,
tomorrow and the future. good food is an important part of a healthy
lifestyle. in combination with physical activity, your diet can help
you achieve a healthy weight, reduce the risk of chronic diseases (such
as heart disease and cancer) and promote your overall health.
why does good health matter?
cells are the basic units of all organisms. they consist of a variety
of chemicals. cells move from location to location. even if the cell
does not move, there is still a lot of repairs. cells are the basic
units of all organisms.
in relation, there are various specialized activities in our body such
as the heart pumps blood, the kidney filters the urine, which even the
brain constantly probably thinks the lungs help to inhale.
there's a lot of interconnection in our body between the different
organs. our body needs energy and raw material for all these
activities. food is necessary for the functioning of cells and tissues.
therefore, if you're not good, all your physical activities begin to
get hampered.
the significance of health
health is a physical, mental and social state of complete well-being. a
person needs a balanced diet and regular exercise for a healthy life
cycle. you also have to live in a proper shelter, sleep enough and have
good hygiene habits. so, how do we make sure we do all the right things
to be healthy? let's raise awareness about the importance of health
1)all organisms ' health depends on their environment or surroundings.
in our individual health, our social environment is an important
factor.
2)for individual health, public cleanliness is important. we must
therefore ensure that we regularly collect and clear the waste. we also
need to contact an agency responsible for clearing the drains. you
could have a serious impact on your health without this.
3)we need food for health and food, by doing work, we have to earn
money. there must be an opportunity to do work for this. therefore,
individual health needs good economic conditions and jobs.
4)to be really healthy, we need to be happy. we can't be healthy or
happy if we mistreat each other and fear each other. for individual
health, social equality and harmony are important.
what is an illness?
if one or more organs or systems of our body are adversely affected
because they are interrupted in their normal functioning, we say that
we are not healthy, i.e. we have a disease. disease means that
something is wrong with our body and we feel that the body is unwell or
malfunctioning.
our health is not only affected by uneven diets, but also by diseases,
infections, poverty, large families, overcrowded homes, etc. the
disease is usually caused by external organisms (microbes), which cross
the natural barriers of the body and invade our healthy body. such
organisms can cause havoc if it is not handled immediately by our
immune system.
health-and-its-importance
health and its significance
types of health
mental and physical health are the two types of health most frequently
discussed. we also talk about, among others, "spiritual health,"
"emotional health" and "financial health." they were also linked to
lower levels of stress and mental and physical well- being.
physical health
bodily functions work at peak performance in a person who experiences
physical health, not only because of a lack of disease, but also
because of regular exercise, balanced nutrition and adequate rest. when
necessary, we receive treatment to maintain the balance.
physical well- being means a healthy lifestyle to reduce the risk of
disease. for example, maintaining physical fitness can protect the
breathing and heart function, muscle strength, flexibility and body
composition of a person and develop it.
physical health and well- being also reduce the risk of injury or
health problems. examples include minimizing risks at work, safe sex,
good hygiene, or avoiding tobacco, alcohol or illegal drugs.
mental health
mental health means the emotional, social and psychological well- being
of a person. mental health is as important to a full and active
lifestyle as physical health.
mental health is harder to define than physical health, because
diagnosis often depends on the perception of the individual's
experience. however, with test improvements, some signs of some types
of mental illness in ct scans and genetic testing are now becoming
"visible."
mental health is not just a lack of depression, anxiety or other
disorder. it also depends on the ability to: enjoy life bouncing back
after difficult experiences achieve balance, feel safe and secure in
order to achieve your potential.
there are good links between physical and mental health. if chronic
disease affects the ability of a person to perform his or her regular
tasks, depression and stress can be caused, for example, by money
problems. a mental illness such as depression or anorexia can affect
the weight and function of the body. rather than its different types,
it is important to approach "health "as a whole.
good health factors
health depends on a variety of factors. a person is born with a variety
of genes and an unusual genetic pattern can lead to a level of health
that is less than optimal in some people.
environmental factors play an important role. the environment alone
sometimes suffices to have an impact on health. an environmental
trigger can cause disease in a genetically susceptible person at other
times.
these can be summarized as:
social and economic environment: including the wealth of a family or
community.
the physical environment: including parasites in an area or levels of
pollution.
the characteristics and behaviors of the person:
according to the world health organization, the higher the socio-
economic status of a person( ses), the more likely they are to enjoy
good health, good education, a well- paid job, and if their health is
threatened, good health care will be available.
people with a lower socio- economic status are more likely to
experience stresses related to daily life, such as financial
difficulties, marital disruption and unemployment, as well as social
factors such as marginalization and discrimination. all of this adds to
the risk of poor health.
low socio- economic status means often less access to healthcare.
people in developed countries with universal health services have
longer life expectancies than people without universal health care in
developed countries.
cultural problems can have an impact on health. a society's traditions
and customs and the response of a family to them can have a good or bad
effect on health. for example, people around the mediterranean are more
likely to consume high levels of fruit, vegetables and olives and eat
as a family compared to fast food crops.
how stress is managed affects health. people who smoke, drink or take
drugs to forget about their problems are likely to experience more
health problems later than people who fight stress through healthy diet
and exercise.
men and women are susceptible to various health factors. they may be at
greater risk of poor health than men in societies where women earn less
than men or are less educated.
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1. hello healthy24 december 2019 at 19:33
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home » achieve lasting weight loss » the importance of health
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#what is health behavior? health risks alternate alternate
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models and mechanisms of public health
chapter 5: key principles of health behavior change
search for: ____________________ search
examples of health behaviors and concepts
image
social determinants, as stated in the article by short and mollborn,
can be split into three levels, the downstream level (individual
choices), the upstream level (socio-economic, cultural systems, etc.)
and the meso level (interpersonal interactions) (short and mollborn,
2015). most research is focused on the meso level due to the immediate
effects and influence it has over someone’s health behaviors. the
systems that are involved in the meso level could be an individual’s
neighborhood, family, and friends. the importance of social
determinants and their effects on health can help determine the reasons
for specific health actions and behaviors.
the concepts of health behavior are dynamic and encompass different
areas, cultures, genders, age groups, etc. this can be seen within the
united states; the likelihood of developing smoking behaviors are more
prevalent in the south than in the west (short and mollborn, 2015).
some examples of things that health behavior can affect are diet,
physical activity, sleep, and coping with stressful events. health
behavior should be looked at on multiple levels and perspectives to
fully understand how it can promote and protect health instead of
causing harm to it.
licenses and attributions
cc licensed content, original
* authored by: christian rossman, michaela ou2019brien, gloria
poisson, and abubakry tunkara. located at:
https://courses.lumenlearning.com/suny-buffalo-environmentalhealth/
. project: models and mechanisms of public health. license: cc
by-nc-sa: attribution-noncommercial-sharealike
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health behavior
health behavior pp 3-17 | cite as
health behavior
plural perspectives
* authors
* authors and affiliations
* david s. gochman
chapter
* 16 citations
* 27 readers
* 328 downloads
abstract
what “health behavior” means, and how it is treated in this book, are
the basic topics of the first part of this chapter, which begins with a
working definition of health behavior, discusses some related terms,
and provides a definition of “health behavior research.” the chapter
continues with a discussion of conceptions of health, illness, and
disease, and concludes by identifying some research issues that relate
to these conceptions.
keywords
health behavior behavioral health behavioral medicine illness
behavior sociocultural perspective
these keywords were added by machine and not by the authors. this
process is experimental and the keywords may be updated as the learning
algorithm improves.
this is a preview of subscription content, log in to check access.
preview
unable to display preview. download preview pdf.
unable to display preview. download preview pdf.
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copyright information
© springer science+business media new york 1988
authors and affiliations
* david s. gochman
+ 1
1. 1.raymond a. kent school of social workuniversity of
louisvillelouisvilleusa
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gochman d.s. (1988) health behavior. in: gochman d.s. (eds)
health behavior. springer, boston, ma
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apple icon stopping the spread of communicable diseases. catching
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our curriculum emphasizes the social and behavioral determinants of
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learn more about degree programs in health behavior and health promotion
mph phd
in addition, we offer a graduate minor in public health behavior and
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health behavior models
behavior change models:
there are a number of theoretical models in the literature that address
effective ways to change health behaviors. the pages below outline
basic theories, their major constructs, and the recommended strategies
to help clients reduce tobacco use.
* transtheoretical model (ttm) & stages of change
* health belief model
* social cognitive theory
* theory of reasoned action/theory of planned behavior
measures:
stages of change & readiness
the stages of change algorithm can be used in research to determine an
individual’s current stage of change for quitting tobacco.
the readiness ruler is a brief, 1 item measure that can be used to
assess motivational readiness for quitting smoking. used in practice
and research.
processes of change for quitting smoking
the processes of change questionnaire is a self-report measure that
assesses an individual’s use of experiential and behavioral processes
of change to quit smoking. used in both practice and research.
temptation to smoke
the temptation to smoke scale is a self-report measure that assesses
how tempted an individual is to smoke in a variety of situations. used
in both practice and research.
confidence to abstain (self-efficacy)
the smoking self-efficacy scale is a self-report measure that assesses
an individual's confidence to abstain from smoking in a variety of
situations. used in both practice and research.
decisional balance (pros & cons of smoking)
the decisional balance scale is a self-report measure of the pros and
cons a person perceives in terms of smoking. used in both practice and
research.
screening for tobacco use
the tobacco screening measure is a brief, 1-4 item measure that can be
used to assess current smoking status as well as heaviness of smoking.
the first question should be asked of all patients, and can be helpful
in identifying “former smokers” that may otherwise be mistaken as
“never-smokers.” the tobacco screening measure was developed by
maryland m.d.s making a difference (md3), and can also be found on
their pocket guide for tobacco, alcohol, and drug screening, brief
intervention, referral, and treatment. used primarily in practice.
nicotine dependence
the fagerström test for nicotine dependence (ftnd) consists of six
multiple-choice questions meant to assess how strongly “addicted” an
individual is to nicotine. used in both practice and research.
*permission to use this scale for purposes other than research should
be obtained from k. l. fagerström.
smoking history
the smoking history questionnaire is meant to provide a more detailed
picture of both current and past tobacco use. questions may vary
depending upon the purpose or goals of this measure’s use. used
primarily in research.
**please follow the links above for more information about the models
and measures, or visit the habits lab
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what is good health?
written by adam felman on july 31, 2017
* what is health?
* types
* factors for good health
* preserving health
the word "health" refers to a state of complete emotional and physical
well-being. healthcare exists to help people maintain this optimal
state of health.
in 2015, the population of the united states (u.s.) spent an estimated
$3.2 trillion on healthcare costs.
however, despite this expenditure, a study by the u.s. national
research council, published in 2013, showed that americans die at a
younger age and experience more illness and injury than people in other
developed countries.
good health is central to handling stress and living a long and active
life.
fast facts on health
here are some key points about health. more detail is in the main
article.
* health can be defined as physical, mental, and social wellbeing,
and as a resource for living a full life.
* it refers not only to the absence of disease, but the ability to
recover and bounce back from illness and other problems.
* factors for good health include genetics, the environment,
relationships, and education.
* a healthful diet, exercise, screening for diseases, and coping
strategies can all enhance a person's health.
what is health?
health is not just absence of disease but a state of overall wellbeing.
share on pinteresthealth is not just absence of disease but a state of
overall wellbeing.
in 1948, the world health organization (who) defined health with a
phrase that is still used today.
"health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity." who, 1948.
in 1986, the who further clarified that health is:
"a resource for everyday life, not the objective of living. health is a
positive concept emphasizing social and personal resources, as well as
physical capacities."
this means that health is a resource to support an individualʼs
function in wider society. a healthful lifestyle provides the means to
lead a full life.
more recently, researchers have defined health as the ability of a body
to adapt to new threats and infirmities. they base this on the idea
that modern science has dramatically increased human awareness of
diseases and how they work in the last few decades.
types
mental and physical health are the two most commonly discussed types of
health. we also talk about "spiritual health," "emotional health," and
"financial health," among others. these have also been linked to lower
stress levels and mental and physical wellbeing.
physical health
in a person who experiences physical health, bodily functions are
working at peak performance, due not only to a lack of disease, but
also to regular exercise, balanced nutrition, and adequate rest. we
receive treatment, when necessary, to maintain the balance.
physical wellbeing involves pursuing a healthful lifestyle to decrease
the risk of disease. maintaining physical fitness, for example, can
protect and develop the endurance of a personʼs breathing and heart
function, muscular strength, flexibility, and body composition.
physical health and well-being also help reduce the risk of an injury
or health issue. examples include minimizing hazards in the workplace,
practicing safe sex, practicing good hygiene, or avoiding the use of
tobacco, alcohol, or illegal drugs.
mental health
mental health refers to a personʼs emotional, social, and psychological
wellbeing. mental health is as important as physical health to a full,
active lifestyle.
it is harder to define mental health than physical health, because, in
many cases, diagnosis depends on the individualʼs perception of their
experience. with improvements in testing, however, some signs of some
types of mental illness are now becoming "visible" in ct scans and
genetic testing.
mental health is not only the absence of depression, anxiety, or
another disorder.
it also depends on the ability to:
* enjoy life
* bounce back after difficult experiences
* achieve balance
* adapt to adversity
* feel safe and secure
* achieve your potential
physical and mental health are linked. if chronic illness affects a
personʼs ability to complete their regular tasks, this may lead to
depression and stress, for example, due to money problems.
a mental illness such as depression or anorexia nervosa can affect body
weight and function.
it is important to approach "health" as a whole, rather than its
different types.
factors for good health
health depends on a wide range of factors.
a person is born with a range of genes, and in some people, an unusual
genetic pattern can lead to a less-than-optimum level of health.
environmental factors play a role. sometimes the environment alone is
enough to impact health. other times, an environmental trigger can
cause illness in a person who is genetically susceptible.
access to healthcare plays a role, but the who suggests that the
following factors may have a bigger impact on health than this:
* where a person lives
* the state of the surrounding environment
* genetics
* income
* education level
* relationships with friends and family
these can be summarized as:
* the social and economic environment: including how wealthy a family
or community is
* the physical environment: including parasites that exist in an
area, or pollution levels
* the personʼs characteristics and behaviors: including the genes
that a person is born with and their lifestyle choices
*
according to the who, the higher a personʼs socioeconomic status (ses),
the more likely they are to enjoy good health, a good education, a
well-paid job, afford good healthcare when their health is threatened.
people with a lower socioeconomic status are more likely to experience
stresses related to daily living, such as financial difficulties,
marital disruption, and unemployment, as well as social factors, such
as marginalization and discrimination. all these add to the risk of
poor health.
a low socio-economic status often means less access to healthcare.
people in developed countries with universal healthcare services have
longer life expectancies than people in developed countries without
universal healthcare.
cultural issues can affect health. the traditions and customs of a
society and a familyʼs response to them can have a good or bad impact
on health. for example, around the mediterranean, people are more
likely to consume high levels of fruits, vegetables, and olive, and to
eat as a family, compared with cultures with a high consumption of fast
food.
how a person manages stress will affect health. people who smoke,
drink, or take drugs to forget their problems are likely to have more
health problems later than someone who combats stress through a
healthful diet and exercise.
men and women are prone to different health factors. in societies where
women earn less than men or are less educated, they may be at greater
risk than men for poor health.
preserving health
the best way to maintain health is to preserve it through a healthful
lifestyle, rather than waiting until we are sick to put things right.
this state of enhanced well-being is referred to as wellness.
the mckinley health center at the university of illinois il defines
wellness as:
"a state of optimal well-being that is oriented toward maximizing an
individualʼs potential. this is a life-long process of moving
towards enhancing your physical, intellectual, emotional, social,
spiritual, and environmental well-being."
wellness promotes an active awareness of and participation in health,
as an individual and in the community.
maintaining wellness and optimal health is a lifelong, daily
commitment.
steps that can help us maximize our health include:
* a balanced, nutritious diet, sourced as naturally as possible
* regular exercising
* screening for diseases that may present a risk
* learning to manage stress
* engaging in activities that provide purpose and connection to
others
* maintaining a positive outlook and appreciating what you have
* defining a value system, and putting it into action
peak health will be different for each person, and how you achieve
wellness may be different from how someone else does.
it may not be possible to avoid disease completely, but doing as much
as we can to develop resilience and prepare the body and mind to deal
with problems as they arise is a step we can all take.
written by adam felman on july 31, 2017
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* croat med j
* v.47(4); 2006 aug
* pmc2080455
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croat med j. 2006 aug; 47(4): 662–664.
pmcid: pmc2080455
pmid: 16909464
the meanings of health and its promotion
norman sartorius
copyright and license information disclaimer
copyright © 2006 by the croatian medical journal. all rights reserved.
this is an open access article distributed under the creative commons
attribution license, which permits unrestricted non-commercial use,
distribution, and reproduction in any medium, provided the original
work is properly cited.
this article has been cited by other articles in pmc.
the constitution of the world health organization, which came into
force on april 7, 1948, defined health “as a state of complete
physical, mental and social well-being.” the writers of the
constitution were clearly aware of the tendency of seeing health as a
state dependent on the presence or absence of diseases: so they added
to that definition that an individual, if he is to be considered
healthy, should not suffer from any disease (….“and not merely the
absence of disease or infirmity”) (1). in that way, the definition of
the world health organization simply added a requirement to the
previous position that allowed to declare someone healthy if no disease
could be found: the step forward that could have been taken in the
conceptualization of health as a dimension of existence which can
co-exist with the presence of a disease or impairment was thus not
taken.
today, three types of definition of health seem to be possible and are
used. the first is that health is the absence of any disease or
impairment. the second is that health is a state that allows the
individual to adequately cope with all demands of daily life (implying
also the absence of disease and impairment). the third definition
states that health is a state of balance, an equilibrium that an
individual has established within himself and between himself and his
social and physical environment.
the consequences of adopting one or another of these definitions are
considerable. if health is defined as the absence of disease, the
medical profession is the one that can declare an individual healthy.
with the progress of medicine, individuals who are declared healthy
today may be found to be diseased tomorrow because more advanced
methods of investigations might find signs of a disease that was not
diagnosable earlier. how an individual feels about his or her state is
not relevant in this paradigm of health. how the surrounding people
judge the behavior and appearance of an individual is only relevant if
their observations are congruent with the criteria of abnormality that
the medical profession has produced. the measurement of the state of
health of a population is also simple and will involve no more than
counting the individuals who, on examination, show defined signs of
illness and comparing their numbers with those who do not.
there are obvious difficulties with the first and the second of the
definitions mentioned above and with their consequences. there are
individuals who have abnormalities that can be counted as symptoms of a
disease but do not feel ill. there are others whose body tissues do not
demonstrate changes but who feel ill and do not function well. there
are people who hear voices and might therefore be candidates for
psychiatric examination and possibly treatment – but live well in their
community and do not ask for nor receive medical care. there is a
significant number of people who have peptic ulcers and other diseases,
experience no problems, do not know that they have a disease and do not
seek treatment for it. some of these individuals will also escape the
second type of definition of health because they function as well as
expected in their age and gender group of the general population.
the third definition mentioned above makes health depend on whether a
person has established a state of balance within oneself and with the
environment. this means that those with a disease or impairment will be
considered as being healthy to a level defined by their ability to
establish an internal equilibrium that makes them get the most they can
from their life despite the presence of the disease. health would thus
be a dimension of human existence that remains in existence regardless
of the presence of diseases, somewhat like the sky that remains in
place even when covered with clouds. the advantage of this definition
is that diseases do not replace individuals’ health: they may affect
their balance more or less severely but, at all times, the patients who
suffer from a disease (and their doctors) remain aware of the need to
work simultaneously on two tasks – one, to remove or alleviate the
disease and the second to establish a state of balance, as best they
can, within oneself and in relation with their environment. in fighting
stigmatization that accompanies many chronic and some acute diseases –
such as mental disorders or leprosy – this definition is also useful
because it makes us speak and think about our patients as people who
are defined by different dimensions (including health) and who, at a
point, suffer from a disease – and thus make us say “a person with
schizophrenia” rather than “a schizophrenic,” or a ”person who has
diabetes” rather than a “diabetic” and a “person with leprosy” rather
than a “leper.”
there is another important consequence of working with this definition
of health. to establish whether someone is in good health in accordance
with this definition, the doctor must explore how individuals who have
a disease feel about it, how the disease influences their lives, how
they propose to fight their disease or live with it. laboratory
findings and the presence of symptoms are thus important and necessary
ingredients in thinking about the state of health and the presence of a
disease but are not sufficient to reach a decision about someone’s
health: it is necessary to view the disease in the context of the
person who has it in order to make a judgment about his or her level of
health. there is little doubt about the fact that going about the
treatment of diseases in this way would improve the practice of
medicine and make it a more realistic as well as a more humane
endeavor.
the promotion of health is also affected by the differences in the
definition of health. the simplest definition of health – equated with
the absence of disease – would lead to a definition of the promotion of
health as an effort to remove diseases and diminish the numbers of
individuals who suffer from them. the involvement of functioning in the
definition of health would be reflected in defining the promotion of
health as a process by which the capacity of individuals to cope will
be enhanced and strengthened, for example by regular and obligatory
physical exercise. both of these definitions would lead to
recommendations to improve the treatment of diseases, and to remove
risks factors that might lead to them – such as sedentary life style,
smoking, bad eating habits and insufficient application of hygienic
measures such as washing one’s hands before meals.
the third definition of health, by its very nature, could not stop at
efforts to remove diseases and to diminish risk factors that might lead
to disease. it would have to involve the individuals whose health is to
be promoted in an active way: it would have to address the scales of
values of individuals and communities to ensure that health is placed
higher on those scales. high value placed on health (not only on the
absence of disease) would make people undertake whatever is necessary
to enhance health: participating in preventive action and seeking
treatment would become a normal expression of the need to behave in
harmony with one’s own and one’s community values. changing the place
of health on the scale of values, however, is not possible if left to
the health sector alone: values are shaped throughout life under the
influence of parents, friends, schools, the media, laws, and one’s own
life course and experience. thus, changing values – for example to give
health a higher value, to promote health – has to be a task for all of
those involved in shaping values and placing them on a scale rather
than for the health system alone.
the huge challenges that face societies aiming to improve the health of
their citizens will not be appropriately answered if we do not change
the paradigms of health and disease and design strategies for future
work using these new paradigms. their formulation and acceptance is a
task that is before all of us and is urgent.
references
1. constitution of the world health organization. in: world health
organization: basic documents. 45th ed. geneva: world health
organization; 2005. [google scholar]
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medicinska naklada
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fdi unveils new universally applicable definition of ‘oral health’
06 september 2016
6 september 2016
fdi unveils new universally applicable definition of ‘oral health’
poznan, 6 september 2016 – fdi world dental federation today launched
the new definition of ‘oral health’ – positioning it as an integral
part of general health and well-being – at its annual world dental
congress in poznan, poland. it was adopted by over 200 national dental
associations (ndas) and will now be rolled out to the oral health
community, globally.
“this new definition is an important milestone for the oral health
profession,” said dr patrick hescot, fdi president. “true to our vision
2020 advocacy strategy and our ambition to lead the world to optimal
oral health, the new definition will allow us to develop standardized
assessment and measurement tools for consistent data collection on a
global level.”
as defined by fdi:
oral health is multi-faceted and includes the ability to speak, smile,
smell, taste, touch, chew, swallow and convey a range of emotions
through facial expressions with confidence and without pain, discomfort
and disease of the craniofacial complex.
further attributes related to the definition state that oral health:
* is a fundamental component of health and physical and mental
wellbeing. it exists along a continuum influenced by the values and
attitudes of individuals and communities;
* reflects the physiological, social and psychological attributes
that are essential to the quality of life;
* is influenced by the individual’s changing experiences,
perceptions, expectations and ability to adapt to circumstances.
the new definition was coined by fdi’s vision 2020 think tank members,
which includes experts in oral health, public health and health
economics. together with a companion framework tested against external
stakeholders, the new oral health definition is the result of a wider
consultation which included patients, oral health professionals, ndas,
the public health community, academia, government, industry and
third-party payers.
“with this new definition, we want to raise awareness of the different
dimensions of oral health and emphasize that oral health does not occur
in isolation, but is embedded in the wider framework of overall health”
said prof. david williams, co-chair of fdi’s vision 2020 think tank.
“we are proposing a contemporary definition of oral health, which
resonates with that used by many ndas and the world health
organization,” said prof. michael glick, co-chair of fdi’s vision 2020
think tank. “it is therefore not a revolution, but an evolution.”
fdi plans to widely disseminate this oral health definition and
advocate for its operationalization to establish a standard measurement
instrument that can be applied across countries. a measurement toolbox
will be ready in 2017 to allow for assessment of individual and
population needs that can inform and drive oral health policies.
media contact
charanjit (chaz) jagait phd, fdi communications & advocacy director
e-mail: cjagait@fdiworldental.org | tel: +41 22 560 81 48
about fdi world dental federation
fdi world dental federation serves as the principal representative body
for over 1 million dentists worldwide. its membership includes some 200
national member associations and specialist groups in over 130
countries. fdi’s vision: ‘leading the world to optimal oral health’.
www.fdiworldental.org
for more fdi news, visit www.fdiworldental.org
fdi world federation - avenue louis casai 51 - ch - 1216 cointrin -
geneva - switzerland
© fdi world dental federation - all rights reserved
www.fdiworldental.org
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a closer look at health equity
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in this aha advancing health podcast, duane reynolds, president and ceo
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health equity is a moral issue that affects the length and quality of
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addressing the social determinants of health and social needs to make
care more equitable.
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aha statement for house energy and commerce committee on maternal health
legislation
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“improving maternal health: legislation to advance prevention efforts
and
access to care”
september 10, 2019
on behalf of our nearly 5,000 member hospitals, health systems and
other health care organizations, our clinician partners – including
more than 270,000 affiliated physicians, 2 million nurses and other
caregivers – and the 43,000 health care leaders who belong to our
professional membership groups, the american hospital association (aha)
commends the committee on energy and commerce for its efforts to
examine legislation to improve maternal health.
maternal health is a top priority for the aha and our member hospitals
and health systems, and our initial efforts are aimed at eliminating
maternal mortality and severe morbidity. the causes of maternal
mortality and morbidity are complex, including a lack of consistent
access to comprehensive care and persistent racial disparities in
health and health care. as hospitals work to improve health outcomes,
we are redoubling our efforts to improve maternal health across the
continuum of care and reaching out to community partners to aid in that
important effort.
the may 2019 vital signs report issued by the centers for disease
control and prevention (cdc) noted that about 700 women die each year
from complications related to pregnancy, and more than half of those
deaths are preventable. an estimated 31% of pregnancy-related deaths
occur during pregnancy, 36% during delivery or the week after, and 33%
one week to one year after delivery. the cdc last week released its
morbidity and mortality weekly report that showed that between
2007-2016, the pregnancy-related mortality ratio increased from 15 to
17 pregnancy-related deaths per 100,000 births and that black, american
indian and alaska native women were two to three times more likely to
die from pregnancy-related causes than white women, and this disparity
increases with age. the report also noted that racial and ethnic
disparities in pregnancy-related deaths have persisted over time.
key resources
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maternal & child health
every child deserves to have a healthy start in life, and every mother
should have access to quality healthcare during pregnancy and
childbirth. the birth of a new child should be a time for celebration,
and yet for many women around the world it is a time of fear. according
to the world health organisation, more than 800 women die every day
from complications in pregnancy and childbirth. the majority of these
deaths could be prevented given the right resources and care. most of
these deaths happen in the global south, and are particularly high in
rural areas.
in these remote areas, women, newborns and children are often the most
vulnerable to health problems. health centres can be difficult to
reach, and without alternative forms of transport available to them,
women and children sometimes have to walk for days to get there. even
when they reach the facilities, they might find them understaffed or
underequipped.
indigenous women and girls are even more likely to experience worse
maternal health outcomes, and frequently face discrimination and abuse
from health centre staff. for example, maasai women in kenya are twice
as likely to have had no antenatal care, and san women in namibia are
ten times more likely to give birth without skilled attendance.
au sits inside her mud-walled hut near tsumkwe, namibia
au, a traditional birth attendant in namibia
all of these factors discourage mothers from visiting health centres
during pregnancy and to give birth, and often they instead rely on
traditional birth attendants (tbas) in the community as their only
source of maternal health support. the position of tba is passed down
through generations of women, and is a highly respected role in the
community. however, these women very rarely have access to any health
training, leaving them without the skills or tools to identify and
treat difficulties in childbirth. overall, the lack of infrastructure,
transport and training means women and newborns are still dying in
childbirth.
at health poverty action we believe maternal health is particularly
important because of the far-reaching impacts it has on families and
communities. not only does access to quality maternal healthcare ensure
the good health of a mother – her good health also helps to ensure the
good health of her newborn child and the rest of her family.
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maternal health
view photo uganda 2017 © frederic noy/cosmos
maternal health care provided at msf's health center in bidibidi,
uganda.
uganda 2017 © frederic noy/cosmos
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many women across the world give birth without medical assistance,
massively increasing the risk of complications or death. every day on
average 830 women die from pregnancy-related causes. most of these
deaths are preventable.
99 percent
maternal deaths
occur in developing countries
50 percent
maternal deaths
occur during delivery or within 24 hours
1.1 million
births
assisted by msf from 2013-2017, including 107,000 caesarean sections
reproductive health care is an integral part of the medical care
doctors without borders/médecins sans frontières (msf) provides,
including in emergencies. our maternal health programs in more than 25
countries focus on reducing maternal and infant mortality through
pregnancy and prenatal consultations, emergency obstetric care,
postnatal follow-up, and access to family planning services and safe
abortion care.
maternal health facts
serious, untreated complications during pregnancy or delivery can be
fatal to both mother and infant. the most common complications that may
lead to maternal death are: postpartum hemorrhage, reproductive tract
infections, eclampsia, unsafe abortion, obstructed labor, and serious
infectious diseases.
hemorrhage
hemorrhage, or excessive bleeding, can happen after a complicated
birth. often it results from failure of the uterus to contract after
delivery. normally, these contractions stop the bleeding that occurs
once the placenta separates from the uterine wall. but complications or
incomplete placental separation can lead to continued bleeding, and
without rapid medical intervention, a woman can quickly bleed to death.
when skilled birth attendants are present, oxytocin can be given to
prevent bleeding. if severe bleeding does occur, the mother is
resuscitated and attendants apply methods ranging from further
medication and manual pressure to stop the bleeding through to
emergency surgery.
severe infection
severe infection can develop during pregnancy or from unhygienic
conditions during delivery. one common type is reproductive tract
infections (rti), which cause intrauterine infections that can
eventually be fatal to the woman. they can also cause life-threatening
infection in the infant.
access to clean water and hygienic conditions during delivery, such as
clean hands and a clean delivery surface like a plastic cover, are
vital to preventing infections. if an infection occurs, early detection
and treatment with the appropriate antibiotic can prevent serious
illness or death.
eclampsia and other hypertensive disorders
eclampsia and other hypertensive disorders of pregnancy are linked to
high blood pressure and are characterized by seizures that can lead to
coma and death. eclampsia begins during pregnancy as pre-eclampsia,
which leads to high blood pressure. without prenatal care pre-eclampsia
can develop into severe pre-eclampsia or full eclampsia, causing
symptoms such as swelling, sudden weight gain, headaches, changes in
vision, and potentially fatal convulsions.
unsafe abortion
unsafe abortion is a procedure for terminating an unwanted pregnancy
either by persons lacking the necessary skills or in an environment
lacking minimal medical standards, or both, as defined by the world
health organization. globally, at least 22,000 women die every year
from unsafe abortion—the only major cause of maternal death that has
not declined in recent decades, despite it being almost complete
preventable. of those women who survive, 7 million suffer serious
consequences such as infertility, injury, or complications with future
pregnancies.
comprehensive sexual and reproductive health services can greatly
reduce the number of unsafe abortions, by offering safer alternatives
through family planning and access to safe abortion care.
obstructed labor
obstructed labor can occur if the baby’s head is too large or its
position is abnormal, blocking passage through the birth canal. when a
mother is malnourished or is very young and therefore has an
underdeveloped pelvis, the birth canal itself is often not wide enough
to accommodate the head of the baby. if an obstructed labor becomes
prolonged, lasting more than 24 hours, the baby may die and the woman
is at risk of postpartum hemorrhage, uterine rupture or fistula, and
severe infection—all potentially fatal.
skilled staff are essential in managing complicated deliveries and
identifying signs that interventions are needed. these can range from
iv fluids and/or medications to support labor, to an
instrument-assisted delivery (vacuum cup or forceps) or caesarean
section.
indirect causes
indirect causes, in particular complications from infectious disease,
account for about 20 percent of maternal deaths.
during pregnancy, already dangerous diseases can pose even greater
threats to both mother and fetus. for example, malaria in pregnant
women increases their risk of miscarriage and causes over 10,000
maternal deaths globally, while tuberculosis also increases rates of
miscarriage and maternal death. malaria, tuberculosis, and cholera all
raise the risk of stillbirths, death of newborns, or low birth weight
infants.
for pregnant women at risk for any of these diseases, protecting their
health starts with preventive measures. these can include reducing
exposure (such as by sleeping under mosquito nets in malaria regions,
and ensuring access to clean water and supplies for good hygiene) and
short-term use of anti-malarial or anti-tuberculosis drugs during
pregnancy. for those who become ill, early diagnosis and treatment are
essential. whether treating malaria, hiv, tuberculosis, or another
disease, effective treatment reduces the risk of developing severe
complications that threaten the lives of both mother and baby.
how msf responds
our obstetric care programs aim to remedy the crucial "three delays"
that can threaten the lives of both mother and child. these are: delay
in deciding to seek care; delay in reaching a health facility; and
delay in receiving appropriate treatment at the facility.
emergency obstetric care is a key component of this strategy. emergency
care administered promptly by qualified staff can save the lives of
women experiencing complications during or just after delivery, when
half of all maternal deaths occur. to help reduce barriers to use of
our emergency obstetric services, we adapt services to local cultures
and (as with all msf programs) make them free of charge, as our
beneficiaries are often among the poorest sector of the population.
during conflicts or natural disasters, where health services have often
collapsed or are inadequate, emergency obstetrical needs are among the
major needs we see. over the period of 2008-15, 56 percent of all
caesarean sections we performed were in active conflict settings. for
this reason, rapid implementation of emergency maternal care is now
incorporated into our response to these crises.
we also aim to locate services close to the people who need them. in
some settings where this is not possible or we serve a large region, we
have introduced mobile clinics that travel to areas where people often
have no access to health care, combined with referral systems to
identify women with pregnancy complications and transfer them when
necessary to a health post or hospital that can provide appropriate
care.
in remote locations such as kabezi, a rural district in burundi, we
have also implemented ambulance services, which have been linked to
significant reductions in maternal mortality.
abla ali, msf midwife, iraq
giving syrian refugees a safe place to give birth
"the best part of being a midwife is the appreciation from the mothers.
they stop me in the camp when i pass and they say to their children:
'this is abla, she’s a good midwife and she delivered you.'"
–abla ali, msf midwife
read more
antenatal care improves the mother’s health during her pregnancy and
helps reduce or manage complications for both mother and newborn. in
addition, these consultations provide opportunities to inform women and
their families about how to recognize complications and to prepare for
emergencies, and about health structures where women can go for
emergency care, if needed, and for delivery.
post-natal care is another critical area for reducing maternal and
infant death and improving the physical and mental wellbeing of mother
and child. most maternal illnesses and deaths occur at or soon after
delivery, while the majority of infant deaths occur in the first few
days post-delivery—and 30 percent of all child deaths below the age of
five occur in the first four weeks of life.
hiv/aids and preventing mother-to-child transmission
without treatment, 25 to 40 percent of all children born to
hiv-positive mothers will also be infected. this rate can be reduced to
below five percent with antiretroviral treatments for the mother and a
short course of antiretroviral drugs for the baby, together with
appropriate breastfeeding practices.
we have opened programs on prevention of mother-to-child transmission
in many of the world’s most affected regions. in swaziland, for
example, we provided hiv treatment to thousands of hiv-positive
pregnant women as soon as possible after their diagnosis to prevent
their babies from becoming infected.
providing
our research on maternal health
read more
iframe:
https://www.youtube.com/embed/zb6maradouq?autoplay=0&start=0&rel=0
care for other infectious diseases
pregnant women are more susceptible to infectious diseases, and when
infected they are more likely to experience pregnancy complications and
face an increased risk of miscarriage or stillbirth.
for this reason, we offer preventive treatment to pregnant women
exposed to diseases such as malaria and tuberculosis, and provide extra
care where appropriate to pregnant women with these diseases or others
such as cholera and hepatitis e.
support msf's work on maternal health and other medical issues
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aid
this article is more than 1 year old
uk 'exaggerated number of lives saved' by maternal health aid project
this article is more than 1 year old
watchdog says many more deaths could have been prevented given level of
investment in department for international development programmes
supported by
count me in! consortium about this content
rebecca ratcliffe
tue 30 oct 2018 06.00 gmt last modified on mon 4 mar 2019 11.56 gmt
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mother carrying baby in malawi
[ ] in malawi, heavily pregnant women camped outside health facilities
for up to a month before giving birth, the review found. photograph:
jeffrey davis/getty images/tetra images rf
the uk government has been criticised by an aid watchdog for
exaggerating the number of women’s lives it saved through its maternal
health programmes.
a review, published by the independent commission for aid impact (icai)
on tuesday, also said the number of lives saved “were significantly
below what they could have been, given the level of investment”.
the watchdog said programmes by britain’s department for international
development (dfid) had failed to significantly improve the quality and
sustainability of maternal healthcare services in partner countries.
why do women still die giving birth?
read more
dfid spent about £4.6bn on programmes in health and other sectors
between 2011 and 2015. within this, £1.3bn focused more closely on
maternal health, including family planning, reproductive healthcare and
maternal and neonatal health. but icai said investments were focused on
short-term goals, and did not do enough to strengthen healthcare
systems or target marginalised women or teenage girls.
by 2015, dfid claimed to have saved 103,000 women’s lives during
pregnancy and childbirth, more than double its goal of 50,000. in an
internal and unpublished review, this figure was revised down to
80,100.
icai said the department relied on “unrealistic assumptions” to reach
such figures. compared with the review team’s observations in countries
such as malawi, the estimates appeared inflated.
alison evans, icai’s chief commissioner, who led the review, said uk
aid had expanded access to family planning, but added “… given the
ambition, need and level of investment, the programmes fell short of
what was required to achieve adequate progress.”
health facilities in partner countries remained chronically
under-resourced, with severe shortages of beds, healthcare workers and
equipment, said evans. in northern malawi, an area visited as part of
the review, heavily pregnant women camped outside health facilities for
up to a month before giving birth.
“they are waiting because they are not sure where they are in their
pregnancy cycle because of the lack of ultrasound equipment and the
lack of effective dating of pregnancies,” she said. “they don’t know
how close to their due dates they are and because they are fearful of
giving birth in a situation where there may not be a skilled attendant
they wait outside facilities, sometimes for up to a month, sometimes in
makeshift accommodation.”
uk aid programmes had fallen short of targets to improve emergency
obstetric and neonatal care, according to the review.
dfid had promised to prioritise the poorest 40% of women, as well as
girls aged between 15 and 19 years. but icai found that few programmes
included specific measures to reach these groups, nor did the
department monitor whether its programmes were reaching teenage girls.
it also failed to include measures that would tackle discrimination and
abuse of women in health facilities.
sean roberts, policy and campaigns officer at health poverty action,
said uk aid must be better targeted at the most vulnerable groups.
“indigenous women die far more often in childbirth than other women,”
he said. “if dfid wants to meet its commitment to leave no one behind
it must implement a robust action plan to address the maternal health
of indigenous women and other excluded groups.”
while uk aid had improved access to family planning for millions of
women, in malawi such programmes were delivered through non-state
providers. such partnerships allowed funding to quickly reach large
numbers of people, but risked displacing public sector services, said
evans.
“you have this problem of sustainability,” she said. “the public sector
is not able to gear itself up to provide a similar level of outreach.”
the review team visited a sample of programmes in malawi and the
democratic republic of the congo, as well as analysing published
literature, dfid policy documents and conducting interviews with
experts.
icai warned that health facilities struggled to ensure a reliable
supply of contraceptives. it added that dfid had championed
reproductive rights at the international level, but done less work to
encourage legal, policy and cultural change in partner countries.
dfid said in a statement that the uk is a global leader in promoting
reproductive health, and added that the review was not representative
of all the department’s work.
“we welcome icai’s acknowledgement that uk aid is helping women around
the world access the life-saving services they need, but it is
disappointing the report has made some generalisations from a selected
portion of our programming and also does not fully reflect the full
impact of our work, especially in recent years,” the statement said.
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* the facts
* what is mental health?
what is mental health?
it’s an expression we use every day, so it might surprise you that the
term ‘mental health’ is frequently misunderstood.
‘mental health’ is often used as a substitute for mental health
conditions – such as depression, anxiety conditions, schizophrenia, and
others.
according to the world health organization, however, mental health
is “a state of well-being in which every individual realises his or her
own potential, can cope with the normal stresses of life, can work
productively and fruitfully, and is able to make a contribution to her
or his community.”
so rather than being about ‘what’s the problem?’ it’s really about
‘what’s going well?'
''mental health is about wellness rather than illness''
to make things a bit clearer, some experts have tried coming up with
different terms to explain the difference between ‘mental health’ and
‘mental health conditions’. phrases such as ‘good mental health’,
‘positive mental health’, ‘mental wellbeing’, ‘subjective wellbeing’
and even ‘happiness’ have been proposed by various people to emphasise
that mental health is about wellness rather than illness. while some
say this has been helpful, others argue that using more words to
describe the same thing just adds to the confusion.
as a result, others have tried to explain the difference by talking
about a continuum where mental health is at one end of the spectrum –
represented by feeling good and functioning well – while mental health
conditions (or mental illness) are at the other – represented by
symptoms that affect people’s thoughts, feelings or behaviour.
the benefits of staying well
research shows that high levels of mental health are associated with
increased learning, creativity and productivity, more pro-social
behaviour and positive social relationships, and with improved physical
health and life expectancy. in contrast, mental health conditions can
cause distress, impact on day-to-day functioning and relationships, and
are associated with poor physical health and premature death from
suicide.
but it’s important to remember that mental health is complex. the fact
that someone is not experiencing a mental health condition doesn’t
necessarily mean their mental health is flourishing. likewise, it’s
possible to be diagnosed with a mental health condition while feeling
well in many aspects of life.
ultimately, mental health is about being cognitively, emotionally and
socially healthy – the way we think, feel and develop relationships -
and not merely the absence of a mental health condition.
beyond blue's vision is that everyone achieves their best possible mental
health
while beyond blue's primary focus is on the needs of people affected by
depression, anxiety and suicide, we also believe that a better
understanding of what we mean by mental health and how to achieve it
will help everyone in australia reach their full potential. this will
also contribute to the prevention of mental health conditions, and
support people who have experienced these conditions to get as well as
they can and lead full and contributing lives.
having social connections, good personal relationships and being part
of a community are vital to maintaining good mental health and
contribute to people's recovery, should they become unwell.
however, if you feel that you may be affected by depression or
anxiety remember they are treatable conditions and effective
treatments are available. the earlier you seek support, the better.
take the anxiety/depression checklist
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[ ] types of depression (3)
[ ] stress and anxiety (6)
[ ] sleep (1)
[ ] suicide and self-harm (2)
[ ] eating and body image (2)
[ ] types of personality disorder (2)
[ ] mania, bipolar (2)
[ ] psychosis, hearing voices and schizophrenia (5)
[ ] other (9)
anger
explains what anger is, and how to deal with it in a constructive and
healthy way.
anxiety and panic attacks
explains anxiety and panic attacks, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
bipolar disorder
explains what bipolar disorder is, what kinds of treatment are
available, and how you can help yourself cope. also provides guidance
on what friends and family can do to help.
body dysmorphic disorder (bdd)
explains body dysmorphic disorder, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
borderline personality disorder (bpd)
explains what bpd is and what it’s like to live with this diagnosis.
also provides information about self-care, treatment and recovery, and
gives guidance on how friends and family can help.
depression
explains depression, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
dissociation and dissociative disorders
explains dissociative disorders, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
and guidance for friends and family.
drugs - recreational drugs & alcohol
explains the mental health effects of recreational drugs and alcohol,
and what might happen if you use recreational drugs and also have a
mental health problem. includes suggestions for where you might find
support.
eating problems
explains eating problems, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
hearing voices
explains what it is like to hear voices, where to go for help if you
need it, and what others can do to support someone who is struggling
with hearing voices.
hoarding
explains hoarding, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
hypomania and mania
explains hypomania and mania, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
loneliness
explains loneliness, giving practical suggestions for what you can do
and where you can go for support.
mental health problems - introduction
explains what mental health problems are, what may cause them, and the
many different kinds of help, treatment and support that are available.
also provides guidance on where to find more information, and tips for
friends and family.
obsessive-compulsive disorder (ocd)
explains obsessive-compulsive disorder (ocd), including possible causes
and how you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
panic attacks
explains what panic attacks are, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
and guidance for friends and family.
paranoia
explains paranoia, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
personality disorders
explains personality disorders, including possible causes and how you
can access treatment and support.
phobias
explains phobias, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
postnatal depression & perinatal mental health
explains postnatal depression and other perinatal mental health issues,
including possible causes, sources of treatment and support. also gives
advice for friends and family.
post-traumatic stress disorder (ptsd)
explains what post-traumatic stress disorder (ptsd) and complex ptsd
are, and provides information on how you can access treatment and
support. includes self-care tips and guidance for friends and family.
premenstrual dysphoric disorder (pmdd)
explains what pmdd is and explores issues around getting a diagnosis.
also provides information on self care and treatment options, and how
friends and family can help.
psychosis
explains what psychosis is, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
schizoaffective disorder
explains what schizoaffective disorder is, including its symptoms and
causes. gives advice on how you can help yourself and what types of
treatment and support are available, as well as guidance for friends
and family.
schizophrenia
explains schizophrenia, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
seasonal affective disorder (sad)
explains seasonal affective disorder, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
self-esteem
explains how to increase your self-esteem, giving practical suggestions
for what you can do and where you can go for support.
self-harm
explains self-harm, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
sleep problems
explains insomnia and other sleep problems, giving practical
suggestions for what you can do and where you can go for support.
stress
explains what stress is, what might cause it and how it can affect you.
includes information about ways you can help yourself and how to get
support.
suicidal feelings
explains what suicidal feelings are, including possible causes and how
you can learn to cope.
tardive dyskinesia
explains what tardive dyskinesia is, what causes it and what you can do
to manage it.
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if you have, or believe you may have, mental health problem, it can be
helpful to talk about these issues with others. it can be scary to
reach out for help, but it is often the first step to helping you heal,
grow, and recover.
having a good support system and engaging with trustworthy people are
key elements to successfully talking about your own mental health.
build your support system
find someone—such as a parent, family member, teacher, faith leader,
health care provider or other trusted individual, who:
* gives good advice when you want and ask for it; assists you in
taking action that will help
* likes, respects, and trusts you and who you like, respect, and
trust, too
* allows you the space to change, grow, make decisions, and even make
mistakes
* listens to you and shares with you, both the good and bad times
* respects your need for confidentiality so you can tell him or her
anything
* lets you freely express your feelings and emotions without judging,
teasing, or criticizing
* works with you to figure out what to do the next time a difficult
situation comes up
* has your best interest in mind
find a peer group
find a group of people with mental health problems similar to yours.
peer support relationships can positively affect individual recovery
because:
* people who have common life experiences have a unique ability to
help each other based on a shared history and a deep understanding
that may go beyond what exists in other relationships
* people offer their experiences, strengths, and hopes to peers,
which allows for natural evolution of personal growth, wellness
promotion, and recovery
* peers can be very supportive since they have “been there” and serve
as living examples that individuals can and do recover from mental
health problems
* peers also serve as advocates and support others who may experience
discrimination and prejudice
you may want to start or join a self-help or peer support group.
national organizations across the country have peer support networks
and peer advocates. find an organization that can help you connect with
peer groups and other peer support.
participate in your treatment decisions
it’s also important for you to be educated, informed, and engaged about
your own mental health.
* find out as much as you can about mental health wellness and
information specific to your diagnosed mental health problem.
* play an active role in your own treatment.
get involved in your treatment through shared decision making.
participate fully with your mental health provider and make informed
treatment decisions together. participating fully in shared decision
making includes:
* recognizing a decision needs to be made
* identifying partners in the process as equals
* stating options as equal
* exploring understanding and expectations
* identifying preferences
* negotiating options/concordance
* sharing decisions
* arranging follow-up to evaluate decision-making outcomes
learn more about shared decision making.
develop a recovery plan
recovery is a process of change where individuals improve their health
and wellness, live a self-directed life, and strive to reach their full
potential. studies show that most people with mental health problems
get better, and many recover completely.
you may want to develop a written recovery plan. recovery plans:
* enable you to identify goals for achieving wellness
* specify what you can do to reach those goals
* can be daily activities as well as longer term goals
* track your mental health problem
* identify triggers or other stressful events that can make you feel
worse, and help you learn how to manage them
you can develop these plans with family members and other supporters.
learn more about recovery.
last updated: 07/11/2017
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2 october 2019
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good mental health is related to mental and psychological well-being.
who’s work to improve the mental health of individuals and society at
large includes the promotion of mental well-being, the prevention of
mental disorders, the protection of human rights and the care of people
affected by mental disorders.
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mental, neurological and substance use disorders make up 10% of the global
burden of disease and 30% of non-fatal disease burden.
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around 1 in 5 of the world's children and adolescents have a mental disorder.
who/matthew johnstone
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depression is one of the leading causes of disability, affecting 264 million
people.
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about half of mental disorders begin before the age of 14.
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almost 800 000 people die by suicide every year; 1 person dies from suicide
every 40 seconds. suicide is the second leading cause of death in individuals
aged 15-29 years.
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around 1 in 9 people in settings affected by conflict have a moderate or
severe mental disorder.
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people with severe mental disorders die 10 to 20 years earlier than the
general population.
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rates of mental health workers vary from below 2 per 100 000 population in
low-income countries to over 70 per 100 000 in high-income countries.
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less than half of the 139 countries that have mental health policies and
plans report having these aligned with human rights conventions.
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the global economy loses about us$ 1 trillion per year in productivity due to
depression and anxiety.
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home » your-mental-health » about-mental-health » what are mental
health problems?
what are mental health problems?
what are mental health problems?
mental health problems range from the worries we all experience as part
of everyday life to serious long-term conditions. the majority of
people who experience mental health problems can get over them or learn
to live with them, especially if they get help early on.
mental health problems are usually defined and classified to enable
professionals to refer people for appropriate care and treatment. but
some diagnoses are controversial and there is much concern in the
mental health field that people are too often treated according to or
described by their label. this can have a profound effect on their
quality of life. nevertheless, diagnoses remain the most usual way of
dividing and classifying symptoms into groups.
find out about various mental health problems in our a-z guide
symptoms
most mental health symptoms have traditionally been divided into groups
called either ‘neurotic’ or ‘psychotic’ symptoms. ‘neurotic’ covers
those symptoms which can be regarded as severe forms of ‘normal’
emotional experiences such as depression, anxiety or panic. conditions
formerly referred to as ‘neuroses’ are now more frequently called
‘common mental health problems.’
less common are ‘psychotic’ symptoms, which interfere with a person’s
perception of reality, and may include hallucinations such as seeing,
hearing, smelling or feeling things that no one else can. mental health
problems affect the way you think, feel and behave. they are problems
that can be diagnosed by a doctor, not personal weaknesses.
mental health problems are very common
as found by the apms (2014), 1 in 6 people in the past week experienced
a common mental health problem.
anxiety and depression are the most common problems, with around 1 in
10 people affected at any one time.
how do mental health problems affect people?
anxiety and depression can be severe and long-lasting and have a big
impact on people’s ability to get on with life.
between one and two in every 100 people experience a severe mental
illness, such as bi-polar disorder or schizophrenia, and have periods
when they lose touch with reality. people affected may hear voices, see
things no one else sees, hold unusual or irrational beliefs, feel
unrealistically powerful, or read particular meanings into everyday
events.
although certain symptoms are common in specific mental health
problems, no two people behave in exactly the same way when they are
unwell.
many people who live with a mental health problem or are developing one
try to keep their feelings hidden because they are afraid of other
people’s reactions. and many people feel troubled without having a
diagnosed, or diagnosable, mental health problem - although that
doesn’t mean they aren’t struggling to cope with daily life.
see our a-z guide for a look at all aspects of mental health
do you need urgent help?
if your mental or emotional state quickly gets worse, or you're worried
about someone you know - help is available.
you're not alone; talk to someone you trust. sharing a problem is often
the first step to recovery.
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mental health problem symptoms, causes and effects
mental health problems can cover a broad range of disorders, but the
common characteristic is that they all affect the affected person’s
personality, thought processes or social interactions. they can be
difficult to clearly diagnose, unlike physical illnesses. according to
data from samhsa, 20 percent of people in america suffer from a form of
mental disorder, and 5 percent suffer from a disorder severe enough to
affect school, work, or other aspects of daily life. if you think that
you or someone you know has a mental disorder, call us today at .
what are the types of mental health disorders?
mental health disorders occur in a variety of forms, and symptoms can
overlap, making disorders hard to diagnoses. however, there are some
common disorders that affect people of all ages.
attention deficit hyperactivity disorder (adhd)
attention deficit hyperactivity disorder is characterized by an
inability to remain focused on task, impulsive behavior, and excessive
activity or an inability to sit still. although this disorder is most
commonly diagnosed in children, it can occur in adults as well.
anxiety/panic disorder
anxiety disorder is defined by intermittent and repeated attacks of
intense fear of something bad happening or a sense of impending doom.
bipolar disorder
bipolar disorder causes a periodic cycling of emotional states between
manic and depressive phases. manic phases contain periods of extreme
activity and heightened emotions, whereas depressive phases are
characterized by lethargy and sadness. the cycles do not tend to occur
instantly.
depression
depression covers a wide range of conditions, typically defined by a
persistent bad mood and lack of interest in pursuing daily life, as
well as bouts of lethargy and fatigue. dysthymia is a milder but
longer-lasting form of depression.
schizophrenia
schizophrenia is not, as commonly thought, solely about hearing voices
or having multiple personalities. instead, it is defined by a lack of
ability to distinguish reality. schizophrenia can cause paranoia and
belief in elaborate conspiracies.
what causes a mental health disorder?
there is no single cause for mental health disorders; instead, they can
be caused by a mixture of biological, psychological and environmental
factors. people who have a family history of mental health disorders
may be more prone to developing one at some point. changes in brain
chemistry from substance abuse or changes in diet can also cause mental
disorders. psychological factors and environmental factors such as
upbringing and social exposure can form the foundations for harmful
thought patterns associated with mental disorders. only a certified
mental health professional can provide an accurate diagnosis of the
causes of a given disorder.
what are the signs of a mental health disorder?
mental health disorders exist in broad categories: anxiety disorders,
mood disorders, psychotic disorders, personality disorders and impulse
control disorders. if someone you know experiences erratic thought
patterns, unexplained changes in mood, lack of interest in socializing,
lack of empathy, inability to tell the difference between reality and
fantasy, or a seeming lack of control, that person may have a mental
health disorder. this is, by no means, a complete list of symptoms.
emotional symptoms of mental health problems
mental health problems can cause a wide variety of emotional symptoms,
some of which include:
* changes in mood
* erratic thinking
* chronic anxiety
* exaggerated sense of self-worth
* impulsive actions
physical symptoms of mental health problems
mental health problems typically do not cause physical symptoms in and
of themselves. depression, however, can indirectly cause weight loss,
fatigue and loss of libido, among others. eating disorders, a separate
class of mental health disorders, can cause malnutrition, weight loss,
amenorrhea in women, or electrolyte imbalances caused by self-induced
vomiting. this makes eating disorders among the most deadly of mental
health disorders.
short-term and long-term effects of mental health instability
in the short-term, mental health problems can cause people to be
alienated from their peers because of perceived unattractive
personality traits or behaviors. they can also cause anger, fear,
sadness and feelings of helplessness if the person does not know or
understand what is happening. in the long-term, mental health disorders
can drive a person to commit suicide. according to the national
institute for mental health, over 90 percent of suicides have
depression or another mental disorder as factors.
is there a test or self-assessment i can do?
it is hard, bordering on impossible, to accurately diagnose yourself
for mental disorders with an online questionnaire. you do not have an
objective view of yourself and are bound to answer questions
inaccurately. also, online tests are not comprehensive, so they do not
check for all possible symptoms. only a face-to-face session with a
qualified mental health professional can begin to diagnose a mental
health disorder with any degree of accuracy, because that professional
has an outside viewpoint and can pick up on subtle cues.
medication: drug options for mental health issues
fortunately, prescription drugs can be used to treat mental health
disorders in conjunction with behavioral therapy or cognitive therapy.
antidepressants, mood stabilizers, and antipsychotics are the broad
types of medication prescribed to treat mental illness.
mental health drugs: possible options
depending on the disorder, different medications will be prescribed.
antidepressants such as paxil, zoloft, prozac, and a variety of ssris,
snris and maois can be used to treat depression. mood stabilizers such
as lithium tablets are used to treat bipolar disorder, as are
anticonvulsants like depakote. antipsychotics like olanzapine or
clozapine are used to treat schizophrenia or psychotic depression.
medication side effects
some of the side effects of mental health medication include nausea,
headache, changes in appetite, dry mouth, increased urination, change
in libido, irritability, blurred vision and drowsiness. other side
effects can occur; each person’s body and brain chemistry is unique,
and it is impossible to predict with certainty how a given medication
will affect you or how well it will work. people who are prescribed
these medications should regularly communicate with their doctors and
notify them of any side effects.
drug addiction, dependence and withdrawal
some mental health medications are known to cause physical and
psychological dependency due to their changes in brain chemistry. over
time, dependency can become an addiction if the person isn’t careful.
the withdrawal process can exacerbate the original mental illness
because of the brain’s sudden loss of some chemicals such as serotonin,
dopamine, and other endorphins. in severe cases, the person may need to
be placed in a drug rehab facility to detox from prescription
medication.
medication overdose
it is possible to overdose on medication in an effort to get the same
effects as initially received, and this is more common when users are
dependent on medications. some signs of overdose can include seizure,
coma, slowed heartbeat, or extreme paranoia. if these signs are
present, immediately call 911 or your local poison control center and
have the prescription on hand if possible.
depression and mental health
depression often coexists with other mental disorders, or certain
disorders may have caused depression in the first place. for example,
40 percent of people with post-traumatic stress disorder also have
depression.
dual diagnosis: addiction and mental health disorders
in drug rehab facilities, counselors are usually trained to identify
dual diagnosis issues. this is because addiction is itself a type of
mental health disorder, or the addiction can be the symptom of some
other disorder. people may, for instance, turn to recreational drugs to
combat depression or to help stabilize mood swings associated with
bipolar disorder.
getting help for a mental health issue
it’s important that you or your loved one should seek help to treat
mental health issue. first, a physical checkup can rule out physical
illnesses. an appointment with a mental health professional will
usually include an interview and subsequent evaluation to determine the
most obvious symptoms and to ascertain the type and severity of mental
disorder. in certain cases, an intervention may be required from family
and friends. if you or someone you know needs help, call us at to get
more information on treatment.
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mental illness and the family: recognizing warning signs and how to cope
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2.
mental illness and the family: recognizing warning signs and how to cope
most people believe that mental health conditions are rare and “happen
to someone else." in fact, mental health conditions are common and
widespread. an estimated 44 million americans suffer from some form of
mental disorder in a given year.
most families are not prepared to cope with learning their loved one
has a mental illness. it can be physically and emotionally trying, and
can make us feel vulnerable to the opinions and judgments of others.
if you think you or someone you know may have a mental or emotional
problem, it is important to remember there is hope and help.
what is mental illness?
mental illnesses are brain-based conditions that affect thinking,
emotions, and behaviors. since we all have brains – having some kind of
mental health problem during your life is really common.
for people who have mental illnesses, their brains have changed in a
way in which they are unable to think, feel, or act in ways they want
to. for some, this means experiencing extreme and unexpected changes in
mood – like feeling more sad or worried than normal. for others, it
means not being able to think clearly, not being able to communicate
with someone who is talking to them, or having bizarre thoughts to help
explain weird feelings they are having.
there are more than 200 classified forms of mental illness. some of the
more common disorders are depression, bipolar disorder, dementia,
schizophrenia and anxiety disorders. symptoms may include changes in
mood, personality, personal habits and/or social withdrawal.
mental health problems may be related to excessive stress due to a
particular situation or series of events. as with cancer, diabetes and
heart disease, mental illnesses are often physical as well as emotional
and psychological. mental illnesses may be caused by a reaction to
environmental stresses, genetic factors, biochemical imbalances, or a
combination of these. with proper care and treatment many individuals
learn to cope or recover from a mental illness or emotional disorder.
to hear personal descriptions of mental illness, visit feelslike.
warning signs and symptoms
to learn more about symptoms that are specific to a particular mental
illness, search under mental health information.the following are signs
that your loved one may want to speak to a medical or mental health
professional.
it is especially important to pay attention to sudden changes in
thoughts and behaviors. also keep in mind that the onset of several of
the symptoms below, and not just any one change, indicates a problem
that should be assessed. the symptoms below should not be due to recent
substance use or another medical condition.
if you or someone you know is in crisis now, seek help immediately.
call 1-800-273-talk (8255) to reach a 24 hour crisis center or dial 911
for immediate assistance.
in adults, young adults and adolescents:
* confused thinking
* prolonged depression (sadness or irritability)
* feelings of extreme highs and lows
* excessive fears, worries and anxieties
* social withdrawal
* dramatic changes in eating or sleeping habits
* strong feelings of anger
* strange thoughts (delusions)
* seeing or hearing things that aren't there (hallucinations)
* growing inability to cope with daily problems and activities
* suicidal thoughts
* numerous unexplained physical ailments
* substance use
in older children and pre-adolescents:
* substance use
* inability to cope with problems and daily activities
* changes in sleeping and/or eating habits
* excessive complaints of physical ailments
* changes in ability to manage responsibilities - at home and/or at
school
* defiance of authority, truancy, theft, and/or vandalism
* intense fear
* prolonged negative mood, often accompanied by poor appetite or
thoughts of death
* frequent outbursts of anger
in younger children:
* changes in school performance
* poor grades despite strong efforts
* changes in sleeping and/or eating habits
* excessive worry or anxiety (i.e. refusing to go to bed or school)
* hyperactivity
* persistent nightmares
* persistent disobedience or aggression
* frequent temper tantrums
how to cope day-to-day
accept your feelings
despite the different symptoms and types of mental illnesses, many
families who have a loved one with mental illness, share similar
experiences. you may find yourself denying the warning signs, worrying
what other people will think because of the stigma, or wondering what
caused your loved one to become ill. accept that these feelings are
normal and common among families going through similar situations. find
out all you can about your loved one’s conditionby reading and talking
with mental health professionals. share what you have learned with
others.
__________________________________________________________________
handling unusual behavior
the outward signs of a mental illness are often behavioral.a person may
be extremely quiet or withdrawn. conversely, they may burst into tears,
have great anxiety or have outbursts of anger.
even after treatment has started, someindividuals with a mental illness
can exhibit anti-social behaviors. when in public, these behaviors can
be disruptive and difficult to accept. the next time you and your
family member visit your doctor or mental health professional, discuss
these behaviors and develop a strategy for coping.
the individual's behavior may be as dismaying to them as it is to you.
ask questions, listen with an open mind and be there to support them.
__________________________________________________________________
establishing a support network
whenever possible, seek support from friends and family members. if you
feel you cannot discuss your situation with friends or other family
members, find a self-help or support group. these groups provide an
opportunity for you to talk to other people who are experiencing the
same type of problems. they can listen and offer valuable advice.
__________________________________________________________________
seeking counseling
therapy can be beneficial for both the individual with mental illness
and other family members. a mental health professional can suggest ways
to cope and better understand your loved one’s illness.
when looking for a therapist, be patient and talk to a few
professionals so you can choose the person that is right for you and
your family. it may take time until you are comfortable, but in the
long run you will be glad you sought help.
__________________________________________________________________
taking time out
it is common for the person with the mental illness to become the focus
of family life. when this happens, other members of the family may feel
ignored or resentful. some may find it difficult to pursue their own
interests.
if you are the caregiver,youneed some time for yourself. schedule time
awayto preventbecoming frustrated or angry. if you schedule time for
yourself it will help you to keep things in perspective and you may
have more patience and compassion for coping or helping your loved
one.being physically and emotionally healthy helps you to help others.
“many families who have a loved one with mental illness share similar
experiences”
it is important to remember that there is hope for recovery and that
with treatment many people with mental illness return to a productive
and fulfilling life.
__________________________________________________________________
other resources
mental illness in the family: part 1 recognizing the warning signs &
how to copeis one in a series of pamphlets on helping family members
with mental illness. other mental health america titles include:
* mental illness in the family: part ii guidelines for seeking care
* mental illness in the family: part iii guidelines for
hospitalization
mental health america offers additional pamphlets on a variety of
mental health topics. for more information or to order multiple copies
of pamphlets, please contact mental health america
external resources
find a local mha affiliate
substance abuse and mental health services administration (samhsa)
phone 800-789-2647
national institute of mental health (nimh)
information resources and inquiries branch
phone 301-443-4513
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4. drugs and health products
nanotechnology-based health products and food
nanotechnology
nanotechnology is the application of scientific knowledge to manipulate
and control matter in the nanoscale to make use of size- and
structure-dependent properties and phenomena distinct from those
associated with individual atoms or molecules or with bulk materials.
the term "nanoscale" is defined as 1 to 100 nanometers (nm) inclusive.
health canada's working definition for the products of nanotechnology
as international consensus on a definition for the products of
nanotechnology has not been reached yet, health canada has adopted a
working definition for nanomaterials. the working definition is
described in the policy statement on health canada's working definition
for nanomaterial that can be found on health canada's website.
the policy statement will continue to be updated as the science evolves
and international norms progress.
applications of nanotechnology
nanotechnology and products derived from nanotechnology have a wide
range of applications and the potential to impact many sectors,
including the health and food sectors. in the health sector, the
applications of nanotechnology impact new natural health products,
medical devices, drugs, drug delivery systems, regenerative medicines
and diagnostic devices for improved detection and treatment of
illnesses. in the food sector, nanomaterials could be used to preserve
food, improve nutritional values and enhance flavours.
health products and food branch (hpfb) involvement with nanotechnology
hpfb participates in an interdepartmental health portfolio
nanotechnology working group which gathers information and acts as a
discussion forum for issues related to nanotechnology. this working
group contains members from health canada, the public health agency of
canada (phac), and the canadian institutes of health research (cihr).
additionally hpfb participates in the interdepartmental network chaired
by industry canada.
health canada participates in a number of international initiatives,
such as the working party on manufactured nanomaterials of the
organisation for economic co-operation (oecd), development and the
technical committee 229 of the international organization for
standardization (iso) and collaborates with international counterparts.
authority
health canada adopted a broad working definition for nanomaterials to
provide a consistent approach across several diverse regulatory program
areas to identify regulated products and substances that may contain
nanomaterials. the working definition enables the department to
establish internal inventories, to ask for additional information, and
to integrate that new knowledge into regulatory decision making
processes. the first step to assuring adequate risk assessment and risk
management is to identify potential nanomaterials using the working
definition as a tool.
currently, there are no regulations specific to nanotechnology-based
health and food products. health canada relies on authorities within
existing legislative and regulatory frameworks, which require the
assessment of potential risks and benefits of products to the health
and safety of canadians before they can be authorised for sale.
general guidance
according to health canada's working definition for nanomaterial, the
term "nanoscale" means 1 to 100 nm inclusive. however, individual
regulatory programs may request information above the 100 nm size range
to an upper limit of 1000 nm in order to maintain flexibility to assess
potential nanomaterials, including suspected nanoscale properties and
phenomena. the 1000 nm cut-off attempts to separate characteristics
attributable to macro-scaled materials from those of nanomaterials. in
addition, for any regulated product or substance that contains
nanomaterial and measures beyond 1 micron in size (for example, bundles
of carbon nanotubes that are very long), regardless of the size,
information may be requested for risk assessment purposes.
to identify a nano-based product/material the sponsor will be asked to
self-identify when their application concerns a nanomaterial or
'nanoproduct'.
recently the drug submission application form for human, veterinary,
disinfectant drugs and clinical trial application/attestation (hc/sc
3011) was revised to facilitate this process. section 59 of the revised
form allows the sponsor to identify medicinal (active) ingredient(s) or
non-medicinal ingredient(s) listed under section 56 or 57 that are a
nanomaterial. a similar approach has been adapted for natural health
products. it is planned that the medical devices licence application
form will also be revised to request the manufacturer to state whether
their devices contain nanomaterials.
health canada encourages sponsors and other stakeholders to communicate
with the responsible regulatory authority early in the development
process, especially for combination products that are, contain or make
use of nanomaterials. in order to identify and assess potential risks
and benefits of nanotechnology based health and food products, the
department encourages manufacturers to request a pre-submission meeting
with the responsible regulatory authority to discuss type of
information that may be required for their product's safety assessment.
in discussion with the sponsor the department may require the following
types of information, including but not limited to:
* intended use of the nanomaterial, including any end product in
which it will be used;
* manufacturing methods;
* characterization and physico-chemical properties of the
nanomaterial, including identity, composition and purity;
* toxicological, eco-toxicological, metabolism and environmental fate
data that may be both generic and specific to the nanomaterial if
applicable; and,
* risk assessment and risk management strategies, if considered or
implemented.
given the range of products covered by health canada's regulatory
responsibilities, the working definition was developed to be
intentionally broad and will be applied more specifically in each
regulatory program area. future guidance specific to program areas and
legislative and regulatory authorities will be developed in a manner
that promotes a consistent set of approaches.
for additional guidance regarding any elements of the working
definition and to address specific questions, consultation with the
individual program areas is recommended.
find more information about nanomaterials in the science and research
section of our website.
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health
health
no-deal brexit 'still risk to nhs and care sector'
by nick triggle health correspondent
* 27 september 2019
* comments
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related topics
* brexit
pharmacist with drugs image copyright getty images
a no-deal brexit presents risks to the nhs and care homes despite
extensive government planning, a watchdog says.
the national audit office praised the government for the "enormous
amount of work" that had been done but said there were still
"significant" gaps.
the extra shipping capacity government was buying to bring medicines
into ports other than dover may not be completely ready by 31 october.
and there was no clear evidence the care sector was ready, the nao
said.
the report raises concerns the sector has not received enough
government support.
* uk plans £3m no-deal medicine transport
* uk seeks new no-deal brexit freight plan
the government has arranged the stockpiling of supplies for the nhs.
but for the care sector, which is fragmented in that it relies on
24,000 companies to provide services, no central arrangement has been
made to stockpile equipment and supplies, such as syringes and needles,
most of which come from or via the eu.
when it comes to medicines, however, the supply of which has been
organised for both the nhs and care sectors, the report acknowledges
the work that has been done.
this includes stockpiling six weeks' supply of drugs and arranging for
emergency supplies to be fast-tracked in - some drugs, including cancer
treatments, have a short shelf-life and so cannot be stockpiled.
but the report says it is still not known exactly what level of
stockpiling is in place.
more than 12,000 medicines are used by the nhs, and about 7,000 come
from or via the eu.
image copyright getty images
the publication of the report comes after mps attempted to block the
government leaving the eu without a withdrawal agreement.
legislation has been passed requiring the government to ask for an
extension if a deal cannot be agreed.
labour mp meg hillier, who chairs the cross-party public accounts
committee, said the report was "deeply concerning".
"i've seen countless examples of deadlines missed and government
failing," she said.
"if government gets this wrong, it could have the gravest of
consequences."
dr layla mccay, of the nhs confederation, which represents managers,
said the planning had been detailed but the situation was still
concerning.
she also warned it was the "unknowns and unknowables" that perhaps
presented the biggest risk.
a department of health and social care spokesman said: "we want to
reassure patients we are doing everything we can."
he said the government along with industry had "mounted an
unprecedented response in preparing for brexit" with stockpiles
"increasing by the day".
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more on this story
* uk plans £3m no-deal medicine transport
7 july 2019
* uk seeks new no-deal brexit freight plan
29 june 2019
* government pays eurotunnel £33m over brexit ferry case
1 march 2019
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mental health still the number one reason people visit their gp, report finds
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abc health & wellbeing
by health reporter olivia willis
close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
(getty images: hero images)
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close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
getty images: hero images
(button) close
mental health issues are driving australians to visit their gp more
than any other health concern.
key points
key points
* report finds psychological issues most common problem gps treat,
second year in a row
* gp body says longer consultation times are needed to adequately
treat complex illness
* government developing 10-year primary care plan to improve medicare
delivery
but gps say they're struggling to keep up with demand because mental
healthcare is complex and often requires more time than a standard
consultation allows.
a survey of 1,200 gps published today by the royal australian college
of general practitioners (racgp) found two in three doctors reported
"psychological issues" as the most common ailment they now treated.
"if you think about where you can go if you've got a mental health
issue, there are very few places," said harry nespolon, president of
the racgp.
dr nespolon said the shift from institutional to community-based care
for mental health patients, as well as a waning reliance on religious
institutions for pastoral care, has led to more australians using gp
services for psychological support.
"[gps see] everything from relationship problems all the way through to
people with severe schizophrenia," he said.
"if you do come into a crisis … often a gp is a trusted person that's
been taking care of you for 10 or 15 years."
bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
(health of the nation 2019)
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bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
health of the nation 2019
(button) close
but dr nespolon said the current medicare structure favoured shorter
consultations for straightforward health conditions, and undervalued
longer consultations required for complex issues.
"at the moment, there's really only one [medicare] item number for
mental health issues, which is a 20-minute consultation," he said.
"in other words, you can sort out all mental health issues in 20
minutes — which we all know is not true."
without longer subsidised consultations, dr nespolon said many gps were
being forced to cram patients with complex needs into short
appointments, charge patients for more time, or wear the out-of-pocket
cost themselves.
"we want to see the government provide financial support for dealing
with these complex cases," he said.
the health of the nation report found out-of-pocket costs to see the gp
were rising, and for the first time, all areas outside major cities had
seen a decline in bulk billing.
"this has a major effect on the 7 million australians who live in
regional, rural and remote areas," dr nespolon said.
"the growing gap between the cost of providing care and the medicare
rebate will have a devastating impact on the sustainability and
accessibility of general practice."
rebates explained
quick explanation of rebates
* the medicare benefits schedule (mbs) is a list of medical services
for which the australian government provides a medicare rebate.
* each mbs item has its own scheduled fee — this is the amount the
government considers appropriate for a particular service (e.g.
getting a blood test or seeing a psychologist).
* rebates are typically paid as a percentage of the medicare
scheduled fee. in the case of gp consultations, the rebate is 100
per cent of the schedule fee.
* this means that bulk-billing gps agree to charge patients the
medicare schedule fee ($37.60 for a standard appointment) and are
directly reimbursed by the government, and there is no cost to the
patient.
* gps who don't bulk bill charge a fee higher than the medicare
schedule fee, meaning patients must pay the difference between the
schedule fee and the doctor's fee — out of their own pocket.
* for example, if your doctor charges $75 for a standard
consultation, you'll pay $75 and receive a rebate of $37.60 —
leaving you $37.40 worse off.
longer consultations needed for complex care
in australia, a standard physical consultation of 20-40 minutes with a
gp attracts a rebate of $73.95. that increases once the consultation
exceeds 40 minutes.
by comparison, any gp mental health consultation longer than 20 minutes
— excluding appointments to prepare or review mental health treatment
plans — attracts a rebate of $72.85.
dr nespolon said there needs to be recognition in the medicare rebate
schedule that dealing with mental health issues and other complex
health conditions takes time.
"we know that people with mental health issues tend to have many more
physical problems … so the gp is there dealing with all the patient's
issues, not just their mental health issue," he said.
"we've been pushing for 40- and 60-minute [mental health] item numbers,
so people get the time, and gps are not acting as a charity when it
comes to dealing with mental health issues."
in july, the federal government ended a freeze on the medicare rebate
for gp visits as part of a $1.1 billion primary healthcare plan. the
move was designed to close the gap on rising out-of-pocket medical
costs.
but dr nespolon said even with the lifting of the medicare freeze,
rebates still failed to reflect the true cost of delivering services.
"gps are small businesses. they need to pay staff, pay their leases or
mortgages, and [these] go up at much higher rates than the percentage
increase that the government provides," he said.
"like any small business, you've got a choice. you either recover your
costs or you go broke. and that's exactly what we're seeing happening
at the moment."
the growing gap between the cost of providing care and the medicare
rebate was reflected in rising out-of-pocket costs, he said.
in 2018-19, the average out-of-pocket cost for a gp service was $38.46
— a gap that's risen roughly $7 in five years.
out-pocket-costs varied across australia, with patients in the northern
territory, act, remote and very remote areas experiencing significantly
higher costs.
how mental health plans work
how mental health plans work
if you're living with a diagnosable mental illness, you are entitled to
receive a medicare rebate.
bulk billing rates predicted to decline
the report also found bulk billing was not as common as medicare
statistics — or the federal health minister greg hunt — have previously
suggested.
"medicare statistics indicate that 86.2 per cent of general practice
services were bulk billed in 2018-19," the report states.
"while this figure provides an indication of total bulk-billed services
in australia over this period, it does not represent the number of
patients who are bulk billed, nor does it represent the number of
patients who are bulk billed for all of their general practice care."
since patients may receive a number of services during a single visit
to a gp, with some services bulk billed and others not, the proportion
of people who face zero out-of-pocket costs for care is much lower than
the rate of services overall.
"in 2016-17, while 86 per cent of gp services were bulk billed,
nationally only 66 per cent of patients had all of their gp services
bulk billed."
although the number of gp services being bulk billed has increased in
the last four years, the racgp predicts bulk-billing rates will decline
from 2020, as the rate of increase continues to slow.
in 2019, just 18 per cent of gps reported bulk billing all of their
patients, down from 29 per cent in 2017.
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improving mental health for gps, too
in addition to access to mental health for the general public, dr
nespolon said the mental health of gps also deserved close attention.
"research shows that doctors experience higher levels of mental
distress than the general population. yet four in ten gps report that
they have personally delayed seeking treatment or care in the past two
years," he said.
part of this could be attributed to time constraints, he said, but also
to mandatory reporting laws, which posed a "significant deterrent" to
doctors seeking care.
"with the exception of western australia, all of australia's states and
territories require doctors to report their colleagues if they believe
patient safety is at risk and this includes if a colleague has sought
their help as a patient," he said.
"we believe that doctors should be exempt from mandatory reporting so
that they feel free to discuss their health issues confidentially ...
so they can continue to provide the best possible care for all
australians."
medicare 'stronger than ever', government says
in a statement to the abc, a spokesperson for the minister for health
said the government had committed $1.6 billion to support doctors and
specialists to strengthen primary care to deliver improved access for
outcomes.
"our goal is to make primary health care more patient focused, more
accessible, and better able to provide preventative health and
management of chronic conditions," they said.
the spokesperson said the government would increase medicare funding by
$6 billion over the next four years, to reach $31 billion of annual
funding in 2022–23.
"we are working with gps, specialists and consumers, including the
racgp, to develop a 10-year primary care plan that supports a more
flexible and innovative medicare, starting with a $448.4 million
investment in a new patient enrolment model for patients over 70 years.
"medicare today is stronger and better protected than it's ever been."
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1. home
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5. antimicrobial resistance (amr)
news story
uk to invest in new research against evolving global health threats
the chief medical officer has announced funding for projects to help
beat antimicrobial resistance (amr) and achieve global universal health
coverage.
published 25 september 2019
from:
department of health and social care
a scientist in a laboratory uses a pipette.
image credit: roger harris photography
the funding will include:
* £6.2 million to strengthen existing surveillance systems tracking
amr trends across africa and asia
* £12 million to improve collaborations on health systems research
between low- and middle-income countries and the uk, for example
countries in sub-saharan africa
the chief medical officer, professor dame sally davies, announced the
funding for the projects at the un general assembly.
she warned that the world cannot achieve universal health coverage
without addressing the threat of amr.
universal health coverage is a un ambition, and aims for every person
across the globe to have access to basic healthcare, whatever their
situation.
amr is involved in 700,000 deaths around the world every year, and this
is expected to rise to 10 million deaths a year by 2050. if amr
continues to follow current trends, common infections will become
complex and expensive to treat, affecting tens of millions of people.
achieving universal healthcare coverage also requires rigorous research
to inform health policy and health systems.
professor davies is representing the uk at the un general assembly
high-level meeting on universal health coverage in new york alongside
heads of state, health experts and policy-makers.
she will point to infection prevention and control measures, such as
immunisation, good hygiene and appropriate antibiotic use, as crucial
to achieving both universal healthcare coverage and eliminating the
threat of amr.
the £6.2 million in uk aid investment will come from the fleming
fund. it will help improve amr data quality, collection and sharing
across africa and asia, with the aim of developing policy and action
from that data.
the invitation to apply for a share of £12 million of funding is being
made by the national institute of health research (nihr) global health
research programme. it will enable experts from low- and middle-income
countries and the uk to form partnerships to contribute to universal
health coverage and sustainable development goals.
the fleming fund and nihr global health research funding was first
announced as part of the 2015 spending review.
the un has committed to ensuring all people have access to affordable
healthcare by 2030, and yesterday member states adopted a declaration
recognising that tackling amr and innovative health research is crucial
to this.
chief medical officer for england, professor dame sally davies said:
achieving our common goal of universal health coverage will require
global action on a multitude of fronts, including tackling the
escalating threat of antimicrobial resistance and investing in
research.
i am delighted to announce this funding, which will catalyse
regional collaboration to help strengthen amr surveillance systems
across africa and asia and support the next generation of health
policy and systems research.
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published 25 september 2019
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* antimicrobial resistance (amr)
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iframe: https://www.youtube.com/embed/lwdlcbxqtc4
50th anniversary of newborn metabolic screening
stella's story is one of six videos to commemorate the 50th anniversary
of newborn metabolic screening. this screening means metabolic
conditions can be diagnosed and treated before a baby becomes unwell.
view other stories like stella's. find out more about newborn metabolic
screening.
transcript
title: newborn metabolic screening programmestella’s story
[photograph of stella as a baby]
[text on screen of stella’s birthdate] 26 august 2018
[video of stella and her parents sitting on floor inside house]
[photograph of stella as a baby]
tanya - stella’s mother:
had a really healthy pregnancy, had a dream labour and took her home
and she was healthy as, and then when she was eight days old the
midwife turned up.
on the way to our house she’d got a phone call from the specialists at
starship, the immunologists, that said look there’s something, there’s
something wrong.
[text on screen] at 10 days old stella was diagnosed with severe
combined immune deficiency (scid).
dr shannon brothers - paediatric immunologist:
babies with combined immune deficiency (scid) are born without a
functioning immune system. although they appear healthy at birth, they
go on to develop severe, persistent infections and die by a year of
age.
[text on screen over video of stella in hospital] stella had
chemotherapy and a bone marrow transplant when she was four months old.
justin - stella’s father:
the medical side of the thing, watching your kid go through this, it’s
not easy.
[photograph and video of stella in hospital with her parents]
tanya:
luckily at that point my mum was actually up there with us, and so
between the three of us one of us stayed awake and held her every
single hour for that time that she was sick.
[text on screen] she battled a serious infection.
[video of tanya attaching baby bottle with milk to pump and attaching
pump to stella’s feeding tube]
tanya:
because she got ulcers through transplant, she stopped eating, drinking
her milk, and she hasn’t worked that one out yet so we’re still feeding
her through the tube down her nose.
[video of justin following stella as she walks and carrying stella’s
pump]
tanya:
might be easier if you push it.
justin:
it’s a bit of a, bit of a worry if she falls over and hurts herself.
[text on screen] due to her compromised immunity stella has not been
able to interact with people other than her family.
[video of stella walking towards doll being held by her mother]
tanya:
who’s this? is it luna? you going to give her a cuddle?
[video of doll which also has a feeding tube attached to its cheek]
tanya:
we’ve got to get the tube out, teach her how to eat and soon enough
she’ll be like every other kid, you’d never know, yeah.
[video of stella being held by justin while tanya puts stella’s hat and
coat on]
[text on screen] now, stella’s natural immunity is improving.
[video of justin carrying stella outside with tanya, closing door
behind them and justin putting stella in car seat in car]
justin:
it’s nice that we can get to take her out a bit more, nice walking
tracks and some parks where there’s not too many people.
tanya:
it’s your kid’s life. for us if we hadn’t have found out early, we’d be
in a completely different situation now and it’s life or death.
[video of stella walking outside on lawn, being picked up by tanya]
tanya:
and i know you think you’re not going to be that one because everyone
thinks you’re not going to be the one in 100,000 or whatever but screw
the statistics, when it comes down to it, we’re that one.
in our eyes if it wasn’t for the newborn screening, she may not have
made it to her first birthday.
[video of justin, tanya and stella together outside]
tanya:
that test is everything for us. it gave her the best chance of success
in life.
nz cancer action plan 2019–2029.
new zealand cancer action plan 2019–2029
the new zealand cancer action plan 2019–2029 sets out the actions
required over the next 10 years to ensure better cancer outcomes.
news
view more news
* medsafe reinforces advice on lamotrigine
media release
20 december 2019
* release of new ethical standards for health and disability research
and quality improvement
news article
20 december 2019
* iconic newborn screening programme turns 50
news article
13 december 2019
* maximising health and wellbeing for all older people
news article
12 december 2019
* report highlights severity of harm from surgical mesh
news article
12 december 2019
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cervical screening programme: april 2019
18 december 2019
* mortality 2017 data tables
18 december 2019
* care and support workforce qualification attainment
18 december 2019
* new zealand obstetric ultrasound guidelines
13 december 2019
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12 december 2019
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nutrition
(button) evidence based
27 health and nutrition tips that are actually evidence-based
written by kris gunnars, bsc on june 7, 2019
it’s easy to get confused when it comes to health and nutrition.
even qualified experts often seem to hold opposing opinions.
yet, despite all the disagreements, a number of wellness tips are well
supported by research.
here are 27 health and nutrition tips that are actually based on good
science.
27 health and nutrition tips share on pinterest
1. don’t drink sugar calories
sugary drinks are among the most fattening items you can put into your
body.
this is because your brain doesn’t measure calories from liquid sugar
the same way it does for solid food (1).
therefore, when you drink soda, you end up eating more total calories
(2, 3).
sugary drinks are strongly associated with obesity, type 2 diabetes,
heart disease, and many other health problems (4, 5, 6, 7).
keep in mind that certain fruit juices may be almost as bad as soda in
this regard, as they sometimes contain just as much sugar. their small
amounts of antioxidants do not negate the sugar’s harmful effects (8).
2. eat nuts
despite being high in fat, nuts are incredibly nutritious and healthy.
they’re loaded with magnesium, vitamin e, fiber, and various other
nutrients (9).
studies demonstrate that nuts can help you lose weight and may help
fight type 2 diabetes and heart disease (10, 11, 12).
additionally, your body doesn’t absorb 10–15% of the calories in nuts.
some evidence also suggests that this food can boost metabolism (13).
in one study, almonds were shown to increase weight loss by 62%,
compared with complex carbs (14).
3. avoid processed junk food (eat real food instead)
processed junk food is incredibly unhealthy.
these foods have been engineered to trigger your pleasure centers, so
they trick your brain into overeating — even promoting food addiction
in some people (15).
they’re usually low in fiber, protein, and micronutrients but high in
unhealthy ingredients like added sugar and refined grains. thus, they
provide mostly empty calories.
4. don’t fear coffee
coffee is very healthy.
it’s high in antioxidants, and studies have linked coffee intake to
longevity and a reduced risk of type 2 diabetes, parkinson’s and
alzheimer’s diseases, and numerous other illnesses (16, 17, 18, 19, 20,
21).
5. eat fatty fish
fish is a great source of high-quality protein and healthy fat.
this is particularly true of fatty fish, such as salmon, which is
loaded with omega-3 fatty acids and various other nutrients (22).
studies show that people who eat the most fish have a lower risk of
several conditions, including heart disease, dementia, and depression
(23, 24, 25).
6. get enough sleep
the importance of getting enough quality sleep cannot be overstated.
poor sleep can drive insulin resistance, disrupt your appetite
hormones, and reduce your physical and mental performance (26, 27, 28,
29).
whatʼs more, poor sleep is one of the strongest individual risk factors
for weight gain and obesity. one study linked insufficient sleep to an
89% and 55% increased risk of obesity in children and adults,
respectively (30).
7. take care of your gut health with probiotics and fiber
the bacteria in your gut, collectively called the gut microbiota, are
incredibly important for overall health.
a disruption in gut bacteria is linked to some of the world’s most
serious chronic diseases, including obesity (31, 32).
good ways to improve gut health include eating probiotic foods like
yogurt and sauerkraut, taking probiotic supplements, and eating plenty
of fiber. notably, fiber functions as fuel for your gut bacteria (33,
34).
8. drink some water, especially before meals
drinking enough water can have numerous benefits.
surprisingly, it can boost the number of calories you burn.
two studies note that it can increase metabolism by 24–30% over 1–1.5
hours. this can amount to 96 additional calories burned if you drink
8.4 cups (2 liters) of water per day (35, 36).
the optimal time to drink it is before meals. one study showed that
downing 2.1 cups (500 ml) of water 30 minutes before each meal
increased weight loss by 44% (37).
9. don’t overcook or burn your meat
meat can be a nutritious and healthy part of your diet. it’s very high
in protein and contains various important nutrients.
however, problems occur when meat is overcooked or burnt. this can lead
to the formation of harmful compounds that raise your risk of cancer
(38).
when you cook meat, make sure not to overcook or burn it.
10. avoid bright lights before sleep
when you’re exposed to bright lights in the evening, it may disrupt
your production of the sleep hormone melatonin (39, 40).
one strategy is to use a pair of amber-tinted glasses that block blue
light from entering your eyes in the evening.
this allows melatonin to be produced as if it were completely dark,
helping you sleep better (41).
11. take vitamin d3 if you don’t get much sun exposure
sunlight is a great source of vitamin d.
yet, most people don’t get enough sun exposure.
in fact, about 41.6% of the u.s. population is deficient in this
critical vitamin (42).
if you’re unable to get adequate sun exposure, vitamin d supplements
are a good alternative.
their benefits include improved bone health, increased strength,
reduced symptoms of depression, and a lower risk of cancer. vitamin d
may also help you live longer (43, 44, 45, 46, 47, 48, 49).
12. eat vegetables and fruits
vegetables and fruits are loaded with prebiotic fiber, vitamins,
minerals, and many antioxidants, some of which have potent biological
effects.
studies show that people who eat the most vegetables and fruits live
longer and have a lower risk of heart disease, type 2 diabetes,
obesity, and other illnesses (50, 51).
13. make sure to eat enough protein
eating enough protein is vital for optimal health.
what’s more, this nutrient is particularly important for weight loss
(52).
high protein intake can boost metabolism significantly while making you
feel full enough to automatically eat fewer calories. it can also
reduce cravings and your desire to snack late at night (53, 54, 55,
56).
sufficient protein intake has also been shown to lower blood sugar and
blood pressure levels (57, 58).
14. do some cardio
doing aerobic exercise, also called cardio, is one of the best things
you can do for your mental and physical health.
it’s particularly effective at reducing belly fat, the harmful type of
fat that builds up around your organs. reduced belly fat should lead to
major improvements in metabolic health (59, 60, 61).
15. don’t smoke or do drugs, and only drink in moderation
if you smoke or abuse drugs, tackle those problems first. diet and
exercise can wait.
if you drink alcohol, do so in moderation and consider avoiding it
completely if you tend to drink too much.
16. use extra virgin olive oil
extra virgin olive oil is one of the healthiest vegetable oils.
it’s loaded with heart-healthy monounsaturated fats and powerful
antioxidants that can fight inflammation (62, 63, 64).
extra virgin olive oil benefits heart health, as people who consume it
have a much lower risk of dying from heart attacks and strokes (65,
66).
17. minimize your sugar intake
added sugar is one of the worst ingredients in the modern diet, as
large amounts can harm your metabolic health (67).
high sugar intake is linked to numerous ailments, including obesity,
type 2 diabetes, heart disease, and many forms of cancer (68, 69, 70,
71, 72).
18. don’t eat a lot of refined carbs
not all carbs are created equal.
refined carbs have been highly processed to remove their fiber. they’re
relatively low in nutrients and can harm your health when eaten in
excess.
studies show that refined carbs are linked to overeating and numerous
metabolic diseases (73, 74, 75, 76, 77).
19. don’t fear saturated fat
saturated fat has been controversial.
while it’s true that saturated fat raises cholesterol levels, it also
raises hdl (good) cholesterol and shrinks your ldl (bad) particles,
which is linked to a lower risk of heart disease (78, 79, 80, 81).
new studies in hundreds of thousands of people have questioned the
association between saturated fat intake and heart disease (82, 83).
20. lift heavy things
lifting weights is one of the best things you can do to strengthen your
muscles and improve your body composition.
it also leads to massive improvements in metabolic health, including
improved insulin sensitivity (84, 85).
the best approach is to lift weights, but doing bodyweight exercises
can be just as effective.
21. avoid artificial trans fats
artificial trans fats are harmful, man-made fats that are strongly
linked to inflammation and heart disease (86, 87, 88, 89).
while trans fats have been largely banned in the united states and
elsewhere, the u.s. ban hasn’t gone fully into effect — and some foods
still contain them.
22. use plenty of herbs and spices
many incredibly healthy herbs and spices exist.
for example, ginger and turmeric both have potent anti-inflammatory and
antioxidant effects, leading to various health benefits (90, 91, 92,
93).
due to their powerful benefits, you should try to include as many herbs
and spices as possible in your diet.
23. take care of your relationships
social relationships are incredibly important not only for your mental
well-being but also your physical health.
studies show that people who have close friends and family are
healthier and live much longer than those who do not (94, 95, 96).
24. track your food intake every now and then
the only way to know exactly how many calories you eat is to weigh your
food and use a nutrition tracker.
it’s also essential to make sure that you’re getting enough protein,
fiber, and micronutrients.
studies reveal that people who track their food intake tend to be more
successful at losing weight and sticking to a healthy diet (97).
25. if you have excess belly fat, get rid of it
belly fat is particularly harmful.
it accumulates around your organs and is strongly linked to metabolic
disease (98, 99).
for this reason, your waist size may be a much stronger marker of your
health than your weight.
cutting carbs and eating more protein and fiber are all excellent ways
to get rid of belly fat (100, 101, 102, 103).
26. don’t go on a diet
diets are notoriously ineffective and rarely work well in the long
term.
in fact, dieting is one of the strongest predictors for future weight
gain (104).
instead of going on a diet, try adopting a healthier lifestyle. focus
on nourishing your body instead of depriving it.
weight loss should follow as you transition to whole, nutritious foods.
27. eat eggs, yolk and all
whole eggs are so nutritious that they’re often termed “nature’s
multivitamin.”
it’s a myth that eggs are bad for you because of their cholesterol
content. studies show that they have no effect on blood cholesterol in
the majority of people (105).
additionally, a massive review in 263,938 people found that egg intake
had no association with heart disease risk (106).
instead, eggs are one of the planet’s most nutritious foods. notably,
the yolk contains almost all of the healthy compounds.
the bottom line
a few simple steps can go a long way toward improving your diet and
wellness.
still, if you’re trying to live a healthier life, don’t just focus on
the foods you eat. exercise, sleep, and social relationships are also
important.
with the tips above, it’s easy to get your body feeling great every
day.
written by kris gunnars, bsc on june 7, 2019
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women's health tips for heart, mind, and body
by kara mayer robinson
from the webmd archives
looking for the path toward a healthier you? it's not hard to find. the
journey begins with some simple tweaks to your lifestyle. the right
diet, exercise, and stress-relief plan all play a big role.
follow a heart-healthy diet
there's an easy recipe if your goal is to keep away problems like heart
disease and strokes.
* eat more fruits and veggies.
* choose whole grains. try brown rice instead of white. switch to
whole wheat pasta.
* choose lean proteins like poultry, fish, beans, and legumes.
* cut down on processed foods, sugar, salt, and saturated fat.
when eating healthy, flexibility often works best, says joyce meng, md,
assistant professor at the pat and jim calhoun cardiology center at
uconn health. if you like to follow a strict diet plan, go for it. if
not, it's ok. "find what works for you."
tricia montgomery, 52, the founder of k9 fit club, knows first-hand how
the right diet and lifestyle can help. for her, choosing healthy foods
and planning small, frequent meals works well. "i don't deny myself
anything," she says. "i still have dessert -- key lime pie, yum! -- and
i love frozen gummy bears, but moderation is key."
exercise every day
the more active you are, the better, meng says. exercise boosts your
heart health, builds muscle and bone strength, and wards off health
problems.
aim for 2 and a half hours of moderate activity, like brisk walking or
dancing, every week. if you're ok with vigorous exercise, stick to 1
hour and 15 minutes a week of things like running or playing tennis.
add a couple of days of strength training, too.
if you're busy, try short bursts of activity throughout the day. walk
often. a good target is 10,000 steps a day. take the stairs. park your
car far away from your destination.
montgomery exercises every day, often with her dog. by adding lunges,
squats, and stairs to a walk, she turns it into a power workout. "i
also am a huge pilates fan," she says.
lose weight
when you shed pounds you'll lower your risk of heart disease, type 2
diabetes, and cancer.
continued
aim for a slow, steady drop. try to lose 1-2 pounds a week by being
active and eating better.
"it doesn't have to be an hour of intense exercise every day," meng
says. "any little bit helps."
as you improve, dial up the time and how hard you work out. if you want
to lose a lot of weight, try for 300 minutes of exercise a week.
"eating a healthy diet will go a long way," meng says. start by cutting
sugar, which she says is often hiding in plain sight -- in store-bought
items like salad dressing, packaged bread, and nuts. try to avoid soda
and sugar-laced coffee drinks, too.
visit your doctor
get regular checkups. your doctor keeps track of your medical history
and can help you stay healthy. for example, if you're at risk for
osteoporosis, a condition that weakens bones, he may want you to get
more calcium and vitamin d.
your doctor may recommend screening tests to keep an eye on your health
and catch conditions early when they're easier to treat.
keep the lines of communication open. "if you have questions, ask your
doctor," meng says. "make sure you understand things to your
satisfaction." if you're worried about a medication or procedure, talk
to him about it.
cut down your stress
it can take a toll on your health. you probably can't avoid it
altogether, but you can find ways to ease the impact. don't take on too
much. try to set limits with yourself and others. it's ok to say no.
to relieve stress, try:
* deep breathing
* meditation
* yoga
* massage
* exercise
* healthy eating
* talking to a friend, family member, or professional counselor
create healthy habits
if you make the right choices today, you can ward off problems
tomorrow.
* brush your teeth twice a day and floss every day.
* don't smoke.
* limit your alcohol. keep it to one drink a day.
* if you have medication, take it exactly how your doctor prescribed
it.
* improve your sleep. aim for 8 hours. if you have trouble getting
shut-eye, talk to your doctor.
* use sunscreen and stay out of the sun from 10 a.m. to 3 p.m.
* wear your seatbelt.
take time every day to invest in your health, meng says.
it paid off for montgomery. she says she overcame health problems,
feels good, and has a positive outlook. "my life," she says, "is
forever changed."
webmd feature reviewed by lisa bernstein, md on june 21, 2016
sources
sources:
joyce meng, md, assistant professor of medicine, pat and jim calhoun
cardiovascular center, uconn health.
american heart association: "alcohol and heart health."
office on women's health, u.s. department of health and human services:
"heart-healthy eating," "overweight, obesity, and weight loss fact
sheet," "physical activity (exercise) fact sheet," "screening tests and
vaccines," "osteoporosis fact sheet," "a lifetime of good health: your
guide to staying healthy."
university of california san francisco medical center: "tips for
staying healthy."
© 2016 webmd, llc. all rights reserved.
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the abcs of health screening
health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you need to know about health screening
all you need to know about health screening
related: before the first antenatal visit (choosing your doctor)
1. what is health screening?
health screening is important to everyone. it involves the use of
tests, physical examinations or other procedures to detect
conditions early in people who look or feel well. this is different
from diagnostic tests which are done when someone is already showing
signs and/or symptoms of a condition.
2. why should i go for health screening?
health screening helps you find out if you have a particular condition
even if you feel perfectly well, without any symptoms and/or signs.
early detection, followed by treatment and good control of the
condition can result in better outcomes, and lowers the risk of serious
complications. it is therefore important to get yourself screened even
if you feel perfectly healthy.
3. what kind of screening tests should i go for?
there are 3 types of screening tests^1.
type 1
beneficial for everyone: these tests are listed in table a.
type 2
beneficial for some but not others: decision to be made on an
'individual' level, based on your individual risk factors e.g. self or
family history of hereditary or chronic diseases, exposure to factors
that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently, there is not enough
information to support the use of these tests.
it is best to speak to your family doctor who will advise you to go for
the relevant screening tests based on your individual health profile.
find out more about type 2 and type 3 tests.
view the report of the screening test review committee.
table a – general screening tests (beneficial for everyone)
general screening tests for adults
recommended for^2 to screen for screening test screening frequency^3
individuals aged 18 yrs and above
obesity body mass index (bmi)
waist circumference once a year
hypertension (high blood pressure)
blood pressure measurement once every two years or more frequently as
advised by your doctor
individuals aged 40 yrs and above
diabetes mellitus
fasting blood glucose
hba1c
once every three years or more frequently as advised by your doctor
hyperlipidaemia (high blood cholesterol)
fasting lipids
non-fasting lipids
individuals aged 50 yrs and above
colorectal cancer
faecal immunochemical test (to test for blood in stools)
or
once a year
colonoscopy
once every ten years
additional tests for women
women aged 25-69 yrs, who have had sexual intercourse
cervical cancer
pap test once every three years
hpv test
once every five years
women aged 50-69 yrs breast cancer
mammogram once every two years
general screening tests for newborns
recommended for to screen for screening test screening frequency
newborns aged 0-4 weeks old hearing loss audiometry once
glucose-6-phosphate dehydrogenase (g6pd) deficiency
screen with umbilical cord blood once
inborn errors of metabolism (iem)
metabolic screen with
tandem mass spectrometry (tms)
once
primary hypothyroidism
thyroid function test (tft)
once
4. what should i do after health screening?
if your screening results are normal, you should continue to go for
regular screening at the recommended frequency because screening only
detects health conditions that are present at the time of screening. if
you develop signs or symptoms after your screening, please see your
doctor and do not wait for your next screening appointment.
if your screening results are abnormal, you should follow-up with your
doctor immediately even if you feel perfectly well. early treatment and
good control of your condition can result in better outcomes and
prevent or delay serious complications.
5. why do i need to go for regular screening at the recommended frequency?
a one-off screening will only pick up health conditions that are
present at the time of screening. regular screening helps to detect
conditions that may develop after the previous screening. hence, it is
important for you to go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening tests?
health screening is heavily subsidised for singaporeans and permanent
residents. if you have a health assist card (under chas – community
health assist scheme), you will be entitled to enojoy the subsidies of
the above tests (according to age) and a follow-up consultataion, if
required, at $2 at chas gps. all other singaporeans can enjoy these
subsidies for the above test (according to age) and a follow-up
consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the screening
tests (offered under screen for life - sfl) and the follow-up
consultation, if required, is also fully subsidised. pg cardholders can
also claim up to $28.50, for each screening-related and follow-up
consultation, for up to two times per year.
check out the exact costs of the screening tests.
if you have difficulty paying for the screening tests, please speak to
the medical social worker at the polyclinics
7. my screening results are not too good, and my doctor has advised me to get
follow up treatment.
what should i do if i cannot afford the follow up treatment?
good, affordable basic healthcare is also available to singaporeans
through subsidised medical services offered at public hospitals and
polyclinics. medisave, medishield life, elder shield and medifund
schemes can help singaporeans offset their medical expenses.
8. where can i go for health screening?
health screening is available at many private medical clinics and
polyclinics. visit the directory for the list of screening locations.
9. can i use my medisave to pay for the health screening cost?
currently, medisave cannot be used for other health screening such as
screening for diabetes or high cholesterol. however, if you are
diagnosed with a chronic condition covered under the chronic disease
management programme (cdmp), medisave may be used to pay for part of
the outpatient treatment cost of these diseases.
women aged 50 and above can use their own or immediate family member’s
medisave for their screening mammograms at approved mammogram centres.
under the medisave 400 scheme, up to $400 per medisave account a year
can be used for screening mammograms.
persons aged 50 and above can also use their own or their immediate
family member’s medisave for their screening colonoscopies (to screen
for colorectal cancer) at approved colonoscopy centres.
check out the list of approved centres or find out more.
10. can i have a health screening if i am pregnant?
please consult your doctor to find out if a health screening is
necessary for you.
11. i am 70 years old (or older), do i still need to go for a health
screening?
if you have not been screened in the past three years, and you do not
have a chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health screening.
12. if i am currently on medication for one of the chronic diseases, should i
still go for a health screening?
if you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
^1 report of the screening test review committee. january 2019, academy
of medicine, singapore.
^2,3 screening can start at an earlier age or be done more frequently
if someone has risk factors for the condition.
__________________________________________________________________
having trouble keeping up with your appointments? myhealth keeps track
of not only your health appointments and medical records, but also your
family's as well.
read these next:
* make a commitment to get screened for better health this year
* diabetes prevention and risk factors
* how screening saved my life
* screen for life - subsidised health screenings for singaporeans
* school health screenings for students
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health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you
need to know about health screening
related:
before the first
antenatal visit (choosing your doctor)
1. what is health screening?
<
span style="color:#0000ff;">health screening is
important to everyone. it involves the use of tests, physical
examinations or other procedures to detect conditions early in people
who look or feel well. this is different from diagnostic tests which
are done when someone is already showing signs and/or symptoms of a
condition.
2. why should i go for health
screening?
health screening helps you find out if you have a
particular condition even if you feel perfectly well, without any
symptoms and/or signs. early detection, followed by treatment and good
control of the condition can result in better outcomes, and lowers the
risk of serious complications. it is therefore important to get
yourself screened even if you feel perfectly healthy.
3. what
kind of screening tests should i go for?
there are 3 types of
screening tests1.
type 1
beneficial for everyone: these tests are listed in table
a.
type 2
beneficial for some but not others:
decision to be made on an 'individual' level, based on your individual
risk factors e.g. self or family history of hereditary or chronic
diseases, exposure to factors that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently,
there is not enough information to support the use of these
tests.
it is best to speak to your family doctor who will advise
you to go for the relevant screening tests based on your individual
health profile.
find out more about
type 2 and
type 3
tests.
view the report of the
screening test
review committee.
table a – general screening tests (beneficial for
everyone)
general screening tests for adults
recommended
for2 |
to screen for |
screening test |
screening
frequency3 |
individuals aged 18 yrs
and above
| obesity |
body
mass index (bmi)
waist circumference | once a year |
hypertension (high blood pressure) | blood pressure measurement | once every two years or more
frequently as advised by your doctor |
individuals aged 40 yrs
and above
|
diabetes
mellitus | fasting blood glucose
hba1c
| once every three
years or more frequently as advised by your doctor
|
hyperlipidaemia (high blood cholesterol)
| fasting lipids
non-fasting lipids
|
individuals aged 50 yrs
and above
|
colorectal cancer
| faecal
immunochemical test (to test for blood in stools)
or
| once a year
|
colonoscopy
| once every ten
years
|
additional tests for women |
women aged 25-69 yrs,
who have had sexual intercourse
| cervical cancer
|
pap
test | once every three
years |
hpv test
| once every five
years
|
women aged 50-69 yrs | breast cancer
| mammogram | once every two
years |
general screening tests for newborns
recommended for |
to screen for |
screening test |
screening
frequency |
newborns aged 0-4 weeks old | hearing loss |
audiometry | once |
| glucose-6-phosphate dehydrogenase (g6pd) deficiency
| screen with umbilical
cord blood | once |
|
inborn errors of metabolism (iem)
| metabolic screen with
tandem mass spectrometry (tms) | once |
|
primary hypothyroidism
|
thyroid function test (tft) | once |
4. what should i do after health screening?
if your
screening results are normal, you should continue to go for regular
screening at the recommended frequency because screening only detects
health conditions that are present at the time of screening. if you
develop signs or symptoms after your screening, please see your doctor
and do not wait for your next screening appointment.
if your
screening results are abnormal, you should follow-up with your doctor
immediately even if you feel perfectly well. early treatment and good
control of your condition can result in better outcomes and prevent or
delay serious complications.
5. why do i need to go for regular
screening at the recommended frequency?
a one-off screening will
only pick up health conditions that are present at the time of
screening. regular screening helps to detect conditions that may
develop after the previous screening. hence, it is important for you to
go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening
tests?
health screening is heavily subsidised for
singaporeans and permanent residents. if you have a health assist card
(under
chas
– community health assist scheme), you will be entitled to enojoy
the subsidies of the above tests (according to age) and a follow-up
consultataion, if required, at $2 at chas gps. all other singaporeans
can enjoy these subsidies for the above test (according to age) and a
follow-up consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the
screening tests (offered under
screen
for life - sfl) and the follow-up consultation, if required, is
also fully subsidised. pg cardholders can also claim up to $28.50, for
each screening-related and follow-up consultation, for up to two times
per year.
check out the
e
xact costs of the screening tests.
if you have difficulty
paying for the screening tests, please speak to the medical social
worker at the polyclinics
7. my screening results are not
too good, and my doctor has advised me to get follow up
treatment.
what should i do if i cannot afford the follow up
treatment?
good, affordable basic healthcare is also available
to singaporeans through subsidised medical services offered at public
hospitals and polyclinics.
medisave,
medishield life,
elder shield and
medifund schemes can help
singaporeans offset their medical expenses.
8. where can i go
for health screening?
health screening is available at many
private medical clinics and polyclinics. visit the
directory for the list of
screening locations.
9. can i use my medisave to pay for
the health screening cost?
currently, medisave cannot be used
for other health screening such as screening for diabetes or high
cholesterol. however, if you are diagnosed with a chronic condition
covered under the chronic disease management programme (cdmp), medisave
may be used to pay for part of the outpatient treatment cost of these
diseases.
women aged 50 and above can use their own or immediate
family member’s medisave for their screening mammograms at approved
mammogram centres. under the medisave 400 scheme, up to $400 per
medisave account a year can be used for screening
mammograms.
persons aged 50 and above can also use their own or
their immediate family member’s medisave for their screening
colonoscopies (to screen for colorectal cancer) at approved colonoscopy
centres.
check out the
list of approved centres
or find out more.
10. can i have a health screening
if i am pregnant?
please consult your doctor to find out if a
health screening is necessary for you.
11. i am 70 years old (or
older), do i still need to go for a health screening?
if you
have not been screened in the past three years, and you do not have a
chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health
screening.
12. if i am currently on medication for one of the
chronic diseases, should i still go for a health screening?
if
you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
1 report of the screening test review committee.
january 2019, academy of medicine, singapore.
2,3 screening can start at an earlier age or be done more
frequently if someone has risk factors for the condition.
having trouble keeping up with your appointments?
myhealth keeps
track of not only your health appointments and medical records, but
also your family's as well.
read these next:
monday, may 18, 2015
monday, may 18, 2015
icd-21-health services,per_senior citizen,pgm_obesity
prevention,pgm_healthy screening,age_adult,age_senior,interest_chronic
illnesses,
no
403
monday, december 9, 2019
health
promotion board
3 second hospital avenue
singapore 168937
hpb_mailbox@hpb.gov.sg
established
in 2001, the health promotion board (hpb) has a vision to build a
nation of healthy people.
hpb implements programmes that reach out to the population,
specifically children, adults and the elderly. these programmes include
health and dental services for school children, breastscreen singapore,
aids education programme, cervicalscreen singapore, childhood injury
prevention programme, mental health education programme, national
myopia prevention programme, physical activity, national smoking
control programme, nutrition programme, osteoporosis education
programme, workplace health promotion programme, hpb online,
healthline, health information centre and healthzone. new programmes
will also be initiated over time to address health concerns among the
community.
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health promotion board
64353500
http://www.hpb.gov.sg
the abcs of health screening
articles
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why health screen?
the importance of health screening
health screening or blood test is a major part of many routine medical
examinations. while doctors are able to make fairly accurate diagnosis
by assessing the signs and symptoms a patient exhibits, one of the best
ways to confirm the diagnosis is through blood tests. for a healthy
person, health screening could also detect abnormalities that the
person is not aware of and provide important information for diagnosis,
treatment or preventive measures for illnesses and diseases.
therefore, getting regular health checkups, preventive screening tests
are among the most crucial things you can do for yourself. periodic
health screenings can help you and your health care professional
identify health problems early, when treatment may be more successful
compared to if the problems are detected later.
lifestyle changes are a very effective way to substantially reduce risk
but to make those changes, you first need to know if you are at risk.
knowledge gives you the power to take charge of your health. remember,
your health is your greatest asset and early detection can save lives!
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a detailed report containing your health screening results will be
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a detailed report containing your health screening results will be
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doctor who can help you determine the next steps. if we find a
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screening tests can help find diseases and health conditions early,
when they are easier to treat.
page content
also known as secondary prevention, health screening identifies health
problems as soon as possible to ensure that you and your family can
benefit from early medical treatment.
there are a variety of health screening tests and tools. many can be
done as part of regular checkups with your health care provider. others
may require you to visit a lab or specialized screening location.
typically, routine health screening is recommended according to your
age or stage of life.
prenatal/infant_____prenatal/infant
prenatal
prenatal genetic screening during your pregnancy can tell you
your chance of having a baby with certain genetic disorders. it is
offered free of charge as a choice to all pregnant people with medical
services plan (msp) coverage in bc.
resources
* prenatal genetic screening program (perinatal services bc)
infant
there are a number of screening tests that are recommended for all
newborns and infants born in bc. these tests identify diseases or
conditions where early treatment is important to prevent disability and
promote healthy development.
regular checkups will allow your care provider to monitor your baby's
development and check for possible problems.
resources
* screening, birth to 12 months (healthlink bc)
* provincial screening programs:
* newborn screening program (perinatal services bc)
* biliary atresia home screening program (perinatal services bc)
* bc early hearing program (provincial health services authority)
child_______________child
regular checkups will allow your care provider to monitor your child's
growth and development and check for possible problems.
resources
* screening, 13 months to 12 years (healthlink bc)
youth/young adult___youth/young adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
resources
* screening, 13 to 18 years (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
adult_______________adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
regular screening is important throughout adulthood, especially if
you're at increased risk for a chronic disease or an infectious
disease. you may be referred for blood or urine tests or for other
screening procedures. recommended regular screening tests for all
adults include:
* blood pressure
* cholesterol
* kidney function
* type 2 diabetes
* skin cancer
* hearing and vision
* weight
* mental health and substance use
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
depending on your age and your risk of disease, other screening tests
may be recommended:
* cervical cancer screening (pap test) is a test that can find
abnormal cells in the cervix before they become cancer. between age
25-69, pap tests are recommended every three years for anyone with
a cervix. it's important to follow these recommendations even if
you've had the hpv vaccine. read the recommendations
* screening mammograms are used to find cancers in breast tissue as
early as possible. screening mammograms are available for eligible
individuals in bc age 40 and up. your screening recommendations
will vary according to your age and your family history of breast
cancer. read the recommendations
* colon cancer screening detects non-cancerous polyps and cancer
early. everyone aged 50-74 should get screened regularly for colon
cancer. the type of screening test recommended for you will depend
on your family history and your personal medical history. read the
recommendations
* prostate cancer screening checks for abnormalities of the prostate
gland. screening is performed through digital rectal examination,
done by your doctor during a regular check up. between age 50-70,
annual screening is recommended for individuals with a prostate as
long as they are in reasonably good health. you can also talk to
your doctor about the pros and cons of psa testing.
resources
* screening, adult women (healthlink bc)
* screening, adult men (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
cancer screening (screening bc):
* cervix
* breast
* colon
* hereditary
please note: the health information provided here is general and
appropriate for most people, most of the time. wherever possible,
resources are also provided to address the health needs of specific
populations, including people living with a chronic health condition,
indigenous people and lgbtq individuals. check with your health care
provider to determine the health recommendations and resources that are
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#healthcare nutrition council » feed alternate alternate
healthcare nutrition council healthcare nutrition council
* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
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healthcare nutrition council
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* clinical nutrition
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why nutrition matters
nutrition is critically important to the human body in terms of growth
and development, overall health and wellness throughout life, and the
function of organs and body systems. it also plays a role in disease
management and supports overall quality of life. malnutrition, or lack
of proper nutrition, is associated with billions of dollars per year in
medical expenses. ¹
learn more
as there is no universally accepted definition of “malnutrition,” and
since malnutrition can have different meanings in different contexts,
the healthcare nutrition council (hnc) has adopted a definition of
malnutrition. please see hnc’s expanded definition of malnutrition to
learn more.
hnc malnutrition expanded definition
patient access
all patients have the right to receive high quality care, and that
includes nutrition support products as part of their care. at times,
access to nutrition support products — such as medical foods — can be a
significant challenge for patients. as a result, hnc raises awareness
and works with key stakeholders to help overcome obstacles to patient
access. we continue to work towards systematic changes that will foster
innovation and utilize new science and discoveries, ultimately leading
to higher quality healthcare, better patient outcomes, and improvements
in overall patient health and nutrition.
learn more
maintaining access flyer
enteral facts
parenteral facts
who we are
hnc is an organization representing the manufacturers of nutrition
support products, specifically enteral nutrition (en) formulas,
parenteral nutrition (pn) solutions, supplies and equipment. hnc member
companies are committed to improving health by advancing policies that
address and raise awareness of nutrition and its impact on patient
outcomes and healthcare costs. this includes promoting nutritional
screenings, diagnoses, assessments, and appropriate and timely clinical
nutrition interventions while maintaining patients’ access to
specialized nutrition support products and services throughout the
continuum of care.
learn more
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1. goates, scott; kristy du, carol braunschweig, and mary beth
arensberg. economic burden of disease-associated malnutrition at
the state level. plos one. 2016; 11(9): 1-15.
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public health nutr. 2004 aug;7(5):591-8.
public health nutrition and food policy.
caraher m^1, coveney j.
author information
1
department of health management and food policy, institute of
health sciences, city university, goswell place, northampton
square, london ec1v 0hb, uk. m.caraher@city.ac.uk
abstract
food in its many manifestations allows us to explore the global control
of health and to examine the ways in which food choice is moulded by
many interests. the global food market is controlled by a small number
of companies who operate a system that delivers 'cheap' food to the
countries of the developed world. this 'cheap' food comes at a price,
which externalises costs to the nation state in terms of health
consequences (diabetes, coronary heart disease and other food-related
diseases) and to the environment in terms of pollution and the
associated clean-up strategies. food policy has not to any great extent
dealt with these issues, opting instead for an approach based on
nutrition, food choice and biomedical health. ignoring wider elements
of the food system including issues of ecology and sustainability
constrains a broader understanding within public health nutrition. here
we argue that public health nutrition, through the medium of health
promotion, needs to address these wider issues of who controls the food
supply, and thus the influences on the food chain and the food choices
of the individual and communities. such an upstream approach to food
policy (one that has been learned from work on tobacco) is necessary if
we are seriously to influence food choice.
comment in
* editorial. public health nutrition as a field of practice. [public
health nutr. 2004]
pmid:
15251049
doi:
10.1079/phn2003575
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federally funded health researchers disclose at least $188 million in
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read more12/08/2019 - 17:51
wphna announces a scientific paper writing contest
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wphna congress brisbane 2020
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congress brisbane 31 march - 3 april is now open.
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read more05/07/2019 - 12:29
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health: definition and importance of health
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[ins: :ins]
health: definition and importance of health!
definition:
the term ‘health’ is a positive and dynamic concept. in common
parlance, health implies absence of disease. however, that industrial
health implies much more than mere absence of disease is clear from the
following definitions of health:
the world health organisation (who) has defined health as: “a state of
complete physical, mental and social well-being and not merely the
absence of disease or illness or infirmity”. as regards the industrial
health, it refers to a system of public health and preventive medicine
which is applicable to industrial concerns.
advertisements:
[ins: :ins]
here, the definition of health given by the joint i.l.o/w.h o.
committee on organisational health is worth quoting:
(i) the prevention and maintenance of physical, mental and social
well-being of workers in all organisations;
(ii) prevention among workers of ill-health caused by the working
conditions;
(iii) protection of workers in their employment from risk resulting
from factors adverse to health; and
advertisements:
[ins: :ins]
(iv) placing and maintenance of the worker in an occupational
environment adapted to his physical and psychological equipment.
thus the modem concept of health emphasises on the “whole man concept.”
in other words, health refers to the outcome of the interaction between
the individual and his environment. so to say, he/she is healthy who is
well adjusted with environment.
the modem concept of health thus, anticipates and recognizes
potentially harmful situations and applies engineering control measures
to prevent disease or illness or infirmity. in this way, industrial
health depends not only on the individual worker but also on the
environment in which he/she lives and works.
there are two types of employee health:
advertisements:
[ins: :ins]
physical health and mental health
a brief mention of these follows:
physical health:
the physical health refers to infirmity in the employee’s health.
employee’s physical health and his work are intimately related. while
an unhealthy employee works less both quantitatively and qualitatively,
commits accidents, and remains absent from work, a healthy employee
produces results opposite to these. the same underlines the need for
and importance of healthy employees in an organisation.
advertisements:
[ins: :ins]
mental health:
this refers to the mental soundness of the employees. as is physical
health important for good performance, so is mental health also.
experience suggests that three factors, namely, mental breakdowns,
mental disturbances, and mental illness impair the mental health of
employees.
importance of health:
the trite saying ‘health is wealth’ explains the importance of health.
ill health results in high rate of absenteeism and turnover, industrial
discontent and indiscipline, poor performance, low productivity and
more accidents. on the contrary, the natural consequences of good
health are reduction in the rate of absenteeism and turnover, accidents
and occupational diseases.
besides, employee health also provides other benefits such as reduced
spoilage, improved morale of employee, increased productivity of
employee and also longer working period of an employee which, of
course, cannot be easily measured.
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in long and short, employee health is important because it helps:
1. maintain and improve the employee performance both quantitatively
and qualitatively.
2. reduce employee absenteeism and turnover.
3. minimize industrial unrest and indiscipline.
4. improve employee morale and motivation.
it is this importance of health, increasing emphasis is given to the
employee health through various laws and provisions in this regard. for
example, in india, the royal commission on labour (1931), die labour
investigation committee (1946), the health safety and development
committee (1943), the labour welfare committee (1969) and the national
commission on labour (1969), all have expressed concern for employee
health.
these emphasised upon the creation and maintenance of as healthy an
environment as possible, in the homes of the employees as well as in
all places where they congregate for work, amusement or recreation,
the i.l.o. in its recommendation no. 112 envisaged the importance of
employee health in these words:
occupational health services should be established in or near a place
of employment for the purpose of:
(i) protecting the workers against any health hazard arising out of
work or conditions in which it is carried on;
(ii) contributing towards worker’s physical and mental adjustment; and
(iii) contributing to establishment and maintenance of the highest
possible degree of physical and mental well-being of the workers.
related articles:
1. necessity and importance of labour law and principles
2. labour welfare: meaning and definition of labour welfare
health
measures to maintain safety and avoid accidents in industries
occupational hazards: 4 main types of occupational hazards – explained!
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importance of good nutrition
your food choices each day affect your health — how you feel today,
tomorrow, and in the future.
good nutrition is an important part of leading a healthy lifestyle.
combined with physical activity, your diet can help you to reach and
maintain a healthy weight, reduce your risk of chronic diseases (like
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the impact of nutrition on your health
unhealthy eating habits have contributed to the obesity epidemic in the
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approximately 17% (or 12.5 million) of children and adolescents aged
2—19 years are obese.^1 even for people at a healthy weight, a poor
diet is associated with major health risks that can cause illness and
even death. these include heart disease, hypertension (high blood
pressure), type 2 diabetes, osteoporosis, and certain types of cancer.
by making smart food choices, you can help protect yourself from these
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the risk factors for adult chronic diseases, like hypertension and type
2 diabetes, are increasingly seen in younger ages, often a result of
unhealthy eating habits and increased weight gain. dietary habits
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the link between good nutrition and healthy weight, reduced chronic
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your body needs to stay healthy, active, and strong. as with physical
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references
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^1 centers for disease control and prevention. u.s. obesity trends.
2011. available at: https://www.cdc.gov/obesity/data/databases.html
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eur j public health. 2018 dec; 28(6): 1087–1092.
published online 2018 sep 3. doi: 10.1093/eurpub/cky174
pmcid: pmc6241207
pmid: 30184063
the importance of health behaviours and especially broader self-management
abilities for older turkish immigrants
jane m cramm^^ and anna p nieboer^
jane m cramm
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by jane m cramm
anna p nieboer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by anna p nieboer
author information copyright and license information disclaimer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
correspondence: jane m. cramm, department of social medical sciences,
erasmus school of health policy and management, erasmus university
rotterdam, p.o. box 1738, 3000 dr rotterdam, the netherlands, tel: +31
10 408 8555, e-mail: ln.rue.mphse@mmarc
copyright © the author(s) 2018. published by oxford university press on
behalf of the european public health association.
this is an open access article distributed under the terms of the
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(http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits
non-commercial reproduction and distribution of the work, in any
medium, provided the original work is not altered or transformed in any
way, and that the work is properly cited. for commercial re-use, please
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this article has been cited by other articles in pmc.
abstract
background
this study aims to identify the relationships between health
behaviours, self-management abilities, physical health, depressive
symptoms and well-being among turkish older immigrants.
methods
a total of 2350 older turkish migrants aged > 65 years residing in
rotterdam, the netherlands were identified using the municipal register
of which 680 respondents completed the questionnaires (response rate of
32%).
results
average age of the respondents was 72.90 (standard deviation 5.02)
(range 66–95) years and about half of them were women (47.6%). the
majority of respondents reported having a low education (80.3%), low
income level (83.4%), is chronically ill (90.6%), overweight (86.5%)
and about half obese (46.0%). more than half of the respondents eat
enough fruit (58.2%) and vegetables per week (55.3%). about a third of
the respondents smoke (33.5%) and 43.0% can be considered to be
physically active. looking at the health behaviours a weak positive
relationship was found between eating enough vegetables and well-being
(β = 0.14; p = 0.017). in addition, weak relationships were found
between physical activity and depressive symptoms (β = −0.16; p =
0.007), smoking and depressive symptoms (β = 0.16; p = 0.009) and
self-management abilities and physical health (β = 0.17; p = 0.015).
strongest relationships were found between self-management abilities
and depressive symptoms (β = −0.39; p < 0.001) and self-management
abilities with overall well-being (β = 0.49; p < 0.001).
conclusions
from this study, we can conclude that next to health behaviours broader
self-management abilities to maintain overall well-being are important
for turkish older people. interventions to improve self-management
abilities may help turkish older people better deal with function
losses and chronic diseases as they age further.
introduction
europe witnessed a post-war mass migration at the end of the 1950s and
the early 1960s, mostly from non-western origin with a predominance of
young adults. even though a number of the early migrants have returned
to their birth-country, considerable numbers remain in their migratory
destinations who recently approached retirement age.^1 in general, poor
physical and mental health, worse health-related quality of life and
well-being, functional limitations, depressive symptoms and chronic
conditions are much more prevalent among these immigrant populations
compared with those of natives throughout europe.^2–4 as a consequence,
older immigrants use 13–20% more health services than native-borns.^5
the rapid increase in the prevalence of chronic illness among older
(immigrant) populations is an important factor underlying the increased
demand for health care services and constraints on the organization and
delivery of care in europe.^5^,^6
unhealthy behaviours, such as poor diet, smoking and physical
inactivity, are important and adjustable risk factors for many chronic
diseases and leading causes of death and disability.^7 thus, the
improvement of health behaviours among older (immigrant) populations to
prevent the onset of chronic diseases is becoming a critical issue.
health behaviours, such as smoking, eating habits and physical
activity, are known to differ between immigrants and natives, which may
explain the greater prevalence of chronic diseases, physical
limitations and poor health outcomes among the former. for example, in
the netherlands, overweight is much more prevalent among immigrants,^8
and smoking is especially prevalent among turks.^9 although
health-related behaviours have been investigated among immigrant groups
aged 35–60 years,^9 and those aged ≥18 years,^8 no such research has
been conducted among older immigrants.
not only health behaviours but also older people’s abilities to deal
with the process of ageing and the ways in which they cope with certain
life events are of interest. as people grow older, they often begin to
experience losses in various life domains. people are known to differ
in their ability to self-regulate or self-manage their lives and ageing
processes, which requires the proactive management of resources in an
environment of increasing losses and declining gains.^10 these
self-regulation or self-management abilities often target only the
physical health aspects of ageing, such as physical exercise and
healthy diet.^11^,^12 the social and psychological life domains,
however, have been proven to be equally important for the health and
well-being of older people.^13
thus, in addition to health behaviours and health outcomes, examination
of broader self-management abilities related to the maintenance of
overall well-being may be of interest.^14 as these abilities are
critical predictors of physical health, depressive symptoms and overall
well-being,^14–17 a shift in focus to include not only traditionally
addressed health- and disease-specific aspects (e.g. smoking, physical
activity, healthy diet) but also abilities such as investment behaviour
(e.g. pursuing interests, keeping busy, maintaining contact with loved
ones), initiative taking and self-efficacy (e.g. belief in one’s
ability to achieve goals and express care for others) is urgently
needed.^14
research investigating health behaviours and self-management abilities
related to the maintenance of overall well-being among older turkish
immigrants is lacking. thus, this study aimed to identify relationships
of background characteristics, health behaviours and self-management
abilities with physical health, depressive symptoms and well-being
among older turkish immigrants residing in rotterdam, the netherlands.
methods
data collection
community-dwelling turkish people aged > 65 years in rotterdam, the
netherlands, were identified using the municipal register and asked to
participate between march 2015 and february 2016 (with a summer break,
given that most of this population spends the summer in turkey). we
asked respondents to fill in a questionnaire containing 153 questions
in total (provided in the dutch as well as turkish language). these
questionnaires were first distributed via post, followed by a postal
reminder and finally a minimum of two home visit attempts (by
interviewers speaking dutch as well as the turkish language). the
personal interviews lasted about 60–90 min. an information leaflet was
provided to respondents explaining the aim of the study with contact
details (of dutch as well as turkish speaking research assistants) in
case they had additional questions. no (financial) incentives were
provided.
ethical approval
according to the central committee on research involving human subjects
(ccmo), the current study did not fall within the scope of the medical
research involving human subjects act and thus did not require prior
review by an accredited medical research and ethics committee or the
ccmo. all respondents were informed about the aims of the study, and
assured that participation was anonymous and voluntary, prior to
providing consent.
measures
well-being was measured with the 14-item turkish version of the social
production function instrument for the level of well-being (spf-il).^18
the stimulation item ‘are your activities challenging to you?’ of the
original 15-item dutch version^19 proved to be problematic during
validation and thus was omitted from the turkish version. the spf-il
measures levels of physical (comfort, stimulation) and social
(behavioural confirmation, affection, status) well-being. examples of
questions are ‘do people really love you?’ (affection), ‘do you feel
useful to others?’ (behavioural confirmation), ‘are you known for the
things you have accomplished?’ (status), ‘in the past few months, have
you felt physically comfortable?’ (comfort) and ‘do you really enjoy
your activities?’ (stimulation). responses are given on a 4-point scale
ranging from never (1) to always (4), with higher mean scores
indicating greater well-being. total scores were calculated based on
the mean scores for the five subscales. cronbach’s alpha of the spf-il
based on the five subscales was 0.76, indicating good reliability.
patients’ physical quality of life was assessed using the physical
component of the short form 12 health survey.^20 the summary physical
component score for physical health was constructed using standard
scoring procedures.
we used the 7-item depression section of the hospital anxiety and
depression scale to assess symptoms of depression.^21 all items were
rated on a 4-point scale (0–3), with higher scores indicating greater
depressive symptomatology.
self-management abilities related to the maintenance of overall
well-being were measured using an adjusted version of the short
(18-item) version of the self-management ability scale (smas-s).^22
this instrument assesses a broad repertoire of self-management
abilities: (i) initiative taking (being instrumental or self-motivating
in realizing aspects of well-being), (ii) investment in resources for
long-term benefits, (iii) maintenance of variety in resources (gaining
and maintaining various resources for each dimension of well-being),
(iv) ensuring resource multifunctionality (gaining and maintaining
resources or activities that serve multiple dimensions of well-being
simultaneously and in a mutually reinforcing way), (v) self-efficacy in
resource management (gaining and maintaining a belief in personal
competence to achieve well-being) and (vi) maintenance of a positive
frame of mind. the initiative taking, investment, self-efficacy,
variety and multifunctionality subscales are related to the physical
and social dimensions of well-being, and the subscale measuring the
ability to have a positive frame of mind is considered to be a more
general cognitive frame. following earlier research, we reduced the
number of response categories for 5 subscales from 6 to 4 to make
completion of the instrument less complex. higher scores indicate
better self-management abilities. the item ‘when things go against you,
how often do you think that it could always be worse?’ proved to be
problematic during validation and thus was omitted from the turkish
version. cronbach’s alpha of the smas-s based on the six subscales was
0.92, indicating excellent reliability.
physical activity was assessed by asking respondents how many days per
week they were physically active (e.g. sport activities, exercise,
housecleaning, work in the garden) for at least 30 min. government
agencies use this measure to monitor physical activity in the dutch
population. we used mean physical activity, measured in number of days
per week, in our analyses. in addition, we dichotomized the physical
activity scale according to the dutch standard for healthy physical
activity into 1 (at least 30 min of physical activity at least five
times per week) and 0 (at least 30 min of physical activity less than
five times per week),^23 to compare the proportion of physically active
patients with the dutch average. this threshold is also in line with
the international recommendation for the minimum physical activity
level of at least 150 min of moderate or vigorous physical activity per
week.^24
self-reported current smoking was assessed with a yes/no question.
consumption of fruits and consumption of vegetables were assessed
separately as indicators of healthy dietary behaviours, measured in
servings per day. the world health organization and the dutch
guidelines use a minimum of 200 g of vegetables and two servings of
fruit per day to distinguish healthy from unhealthy eating.^25 fruit
consumption was determined by summing the servings per day and was
dichotomized as 1 (healthy diet, consumption of at least two pieces of
fruit per day) and 0 (unhealthy diet, consumption of less than two
pieces of fruit per day). vegetable consumption was determined by
summing the servings per day and was dichotomized as 1 (healthy diet,
consumption of ≥200 g of vegetables per day) and 0 (unhealthy diet,
consumption of <200 g of vegetables per day).^25
respondents were asked to report the highest educational level
completed in the netherlands or abroad, with the option to select ‘no
schooling’ or to write in another response for unlisted forms of
schooling. this variable was dichotomized into low (completion of
elementary school or less) and high (more than elementary school).
income level was determined based on respondents’ reported monthly
household income, including social benefits, pensions and alimony.
responses ranged from 1 (less than €1000 a month) to 4 (€3050 or more a
month). ‘do not know/do not want to tell’ was included as a fifth
category. income level was dichotomized into low (less than €1350) and
high (€1350 or more).
respondents were asked to indicate whether they were married, divorced,
widowed, single, or cohabitating. a dichotomous variable was created:
divorced, single and widowed; and married.
the questionnaire also solicited information on respondents’ age,
gender and number of chronic conditions experienced in the past 12
months. respondents were provided with a list of 14 chronic conditions
(e.g. lung diseases, cardiovascular diseases, diabetes) and space to
write in other conditions. only conditions that were classified as
chronic by o'halloran et al.^26 were included.
analyses
the characteristics of the study sample were examined using descriptive
statistics. bivariate associations of variables expressing background
characteristics, health behaviours and self-management abilities with
those reflecting physical health, depressive symptoms and well-being
were examined. regression analyses were then performed to identify
relationships of health behaviours, self-management abilities, and
physical health with depressive symptoms and well-being while
controlling for background characteristics.
results
of, 2350 older turkish immigrants asked to participate, 213 were
ineligible due to change of address (n = 110), serious medical issue or
death (n = 102) or non-turkish ethnic background (n = 1). a total of
680 respondents completed the questionnaire (final response rate 32%).
table 1 displays descriptive statistics for the older turkish immigrant
population. the average age of the 680 respondents was 72.90 [standard
deviation (sd) 5.02; range 66–95] years, and 47.6% of them were women.
the majority of respondents reported having low education (80.3%) and
low income (83.4%) levels. the mean number of chronic diseases was 2.68
(sd 1.87; range 0–10). most (90.6%) respondents were chronically ill,
and 69.4% had more than one chronic disease. according to their
self-reported body mass indices, 86.5% of respondents were overweight
and 46.0% were obese. more than half of respondents had sufficient
weekly fruit (58.2%) and vegetable (55.3%) consumption. about one-third
(33.5%) of respondents smoked and 43.0% could be considered to be
physically active.
table 1
descriptive statistics for older turkish older immigrants (n = 680)
characteristic range % or mean (sd)
sex (female) 47.6%
age (years) 66–95 72.90 (5.02)
marital status (single/widowed) 28.7%
education (low) 80.3%
income (low) 83.4%
number of chronic diseases 0–10 2.68 (1.87)
chronically ill 90.6%
co-/multi-morbidity 69.4%
body mass index (kg/m^2) 17.65–68.59 30.32 (5.61)
overweight 86.5%
obese 46.0%
healthy diet
sufficient fruit consumption 58.2%
sufficient vegetable consumption 55.3%
physically active 43.0%
smoking 33.5%
self-management abilities 1–4 2.52 (0.62)
physical health 0–100 54.83 (18.18)
depressive symptoms 1–4 2.28 (0.66)
well-being 1–4 2.79 (0.55)
open in a separate window
sd, standard deviation.
table 2 displays the results of the bivariate analyses. single marital
status and low educational level were associated positively with
depressive symptoms and negatively with well-being. the number of
chronic conditions was associated negatively with physical health and
well-being, and positively with depressive symptoms. a positive
relationship was found between sufficient vegetable consumption and
well-being (r = 0.11, p < 0.01). physically active status was
associated positively with physical health (r = 0.09, p < 0.05) and
overall well-being (r = 0.20, p < 0.001), and negatively with
depressive symptoms (r = –0.28, p < 0.001). smoking was related
positively to depressive symptoms (r = 0.16, p < 0.001).
self-management abilities were related positively to physical health (r
= 0.12, p < 0.05) and well-being (r = 0.54, p < 0.001) and negatively
to depressive symptoms (r = –0.53, p < 0.001).
table 2
associations with physical health, depressive symptoms and well-being
(n = 680)
characteristics physical health depressive symptoms well-being
sex (female) 0.12^** 0.21^*** –0.11^**
age (years) –0.05 0.08^* –0.06
marital status (single/widowed) –0.05 0.16^*** –0.11^**
education (low) –0.07 0.16^*** –0.11^**
income (low) –0.06 0.10^* –0.06
number of chronic diseases –0.15^*** 0.36^*** –0.26^***
body mass index –0.13^*** 0.06 –0.06
eating enough fruit –0.01 –0.06 0.07
eating enough vegetables –0.01 –0.07 0.11^**
physically active 0.09^* –0.28^*** 0.20^***
smoking 0.06 0.16^*** 0.07
self-management abilities 0.12^** –0.53^*** 0.54^***
open in a separate window
^***p < 0.001.
^**p < 0.01.
^*p < 0.05.
the results of the multivariate regression analyses are displayed in
table 3. the number of chronic diseases was associated negatively with
physical health (β = –0.20, p = 0.005) and overall well-being (β =
–0.13, p = 0.039), and positively with depressive symptoms (β = 0.21, p
< 0.001). among health behaviours, a weak positive relationship was
found between sufficient vegetable consumption and well-being (β =
0.14, p = 0.017). in addition, weak relationships were found between
physical activity and depressive symptoms (β = –0.16, p = 0.007),
smoking and depressive symptoms (β = 0.16, p = 0.009), and
self-management abilities and physical health (β = 0.17, p = 0.015).
the strongest relationships were found between self-management
abilities and depressive symptoms (β = –0.39, p < 0.001) and overall
well-being (β = 0.49, p < 0.001).
table 3
results of multivariate regression analyses
characteristic physical health depressive symptoms well-being
β p β p β p
sex (female) –0.04 0.643 0.04 0.632 –0.03 0.694
age (years) –0.00 0.949 0.02 0.699 –0.07 0.264
marital status (single/widowed) 0.14 0.070 –0.03 0.691 0.03 0.670
education (low) 0.01 0.936 0.06 0.303 0.01 0.918
income (low) 0.01 0.944 0.03 0.582 0.03 0.584
number of chronic diseases –0.20 0.005 0.21 <0.001 –0.13 0.039
body mass index –0.08 0.282 –0.03 0.609 –0.05 0.433
sufficient fruit consumption 0.03 0.636 0.05 0.390 –0.06 0.303
sufficient vegetable consumption 0.03 0.697 –0.06 0.290 0.14 0.017
physically active 0.01 0.940 –0.16 0.007 0.02 0.731
smoking 0.09 0.206 0.16 0.009 0.01 0.886
self-management abilities 0.17 0.015 –0.39 <0.001 0.49 <0.001
r^2 12% 36% 31%
open in a separate window
significance of bold values is p < 0.05.
discussion
this study aimed to identify relationships of background
characteristics, health behaviours and self-management abilities with
physical health, depressive symptoms and well-being among older turkish
immigrants residing in rotterdam, the netherlands. chronic diseases,
overweight and obesity were highly prevalent among respondents. during
the same period in which this study was conducted (2015/2016), a much
smaller percentage of the general dutch population aged ≥ 65 years was
overweight compared with our turkish sample (60% vs. 86.5%); the
prevalence of obesity differed to a lesser degree (42% vs. 46%).^27 in
addition, a larger percentage of turkish elders were chronically ill
compared with the general dutch population aged ≥ 65 years (90.6% vs.
79.9%).^28 the prevalence of chronic diseases is known to be higher
among those with lower educational levels,^29 which could explain this
finding, as 80.3% of older turkish immigrants participating in this
study were less educated.
with increasing numbers of chronic diseases, older immigrants had worse
physical health and well-being, and more depressive symptoms. healthy
behaviours and self-management abilities may protect chronically ill
older immigrants from the deterioration of health and well-being, and
the onset of depressive symptoms. however, we found only weak
relationships between the outcome variables and physical activity,
sufficient vegetable consumption and smoking, and the latter two health
behaviours were not associated with all outcome variables. a smaller
percentage of older immigrants met the norm for physical activity
compared with the general older population in the netherlands (43% vs.
50%).^30 the prevalence of smoking was also greater among older turks
compared with the general dutch population aged ≥ 65 years (33.5% vs.
∼15%).^31 this is in line with earlier research showing that the
percentage of smoking in the netherlands is highest in the turkish
population, especially among turkish men.^32^,^33 regarding dietary
behaviour, older turkish respondents were healthier than the older
general population in the netherlands in 2015/2016 in terms of
sufficient fruit (58.2% vs. 43%) and vegetable (55.3% vs. 30%)
consumption. these findings are in line with earlier research showing
that immigrants ate more fruit and vegetables than did older dutch
people.^34 in terms of health behaviours, older turkish people are thus
expected to benefit especially from smoking cessation and physical
activity interventions.
the strongest relationships were found between broader self-management
abilities and the outcome variables, especially depressive symptoms and
overall well-being. these findings are important, given that these
abilities are amendable. examples of the most commonly used
self-management interventions are health education, lifestyle
education, enhancement of knowledge about chronic diseases and their
risk factors, support of a healthy diet and promotion of physical
exercise and smoking cessation. however, older patients’ abilities to
self-manage their overall well-being, such as having a positive frame
of mind, taking initiative and self-efficacy, should also be addressed.
interventions that aim to enhance self-management abilities may be
useful additions to traditional interventions, which usually focus
solely on the physical decline associated with ageing and chronic
conditions.^35–37
the limitations of this study should be considered when interpreting
the findings. first, although the response rate was low, it was
comparable to those in other surveys conducted in this population [61].
most non-response was due to the inability to reach respondents after a
minimum of two door-to-door contact attempts (following the two contact
attempts via mail), potentially resulting in non-response bias. to
improve the response rate, this number should be increased to six
contact attempts, which was not feasible in our study.^38^,^39 to
investigate potential non-response bias, we conducted non-response
analyses. no significant difference in gender was found between
respondents and non-respondents. the mean age of these groups, however,
differed significantly; on average, respondents were younger than
non-respondents [72.11 (sd = 5.10) vs. 72.73 (sd = 5.00),
respectively]. educational level of our sample is comparable to other
studies showing that ∼80% of turkish older migrants only completed
elementary school or less.^40 second, the data collected were
cross-sectional, preventing determination of causality. third, although
this study showed that self-management abilities are important for
older turkish people, we did not investigate whether interventions
aiming to enhance these abilities actually improved self-management.
further research is necessary to explore ways in which the
self-management abilities of older turkish people can be improved.
fourth, we investigated fruit and vegetable consumption only, not how
food was prepared or the total fat or calorie intake per day, which are
also known to be important.^41 fifth, we also did not include alcohol
consumption to our analyses given that only two male respondents drank
more than the norm (≥3 units per day at ≥4 days a week). if you would
look at health behaviours among immigrant populations outside the
muslim community, it would be interesting to add this health behaviour.
finally, our study sample consisted of older turkish people residing in
rotterdam, which limits the generalizability of our study findings.
conclusion
based on the results of this study, we can conclude that in addition to
health behaviours, broader self-management abilities related to the
maintenance of overall well-being are important for older turkish
people. while only weak relationships were found with health
behaviours, strong relationships were found with broader
self-management abilities, depressive symptoms and well-being. in terms
of health behaviours, older turkish people are expected to benefit most
from smoking cessation and physical activity interventions. older
immigrants, including turks, however, may especially benefit from
interventions that enhance broader self-management abilities related to
the maintenance of overall well-being. interventions to improve
self-management abilities may help older turkish people better deal
with functional losses and chronic diseases as they age further. such
interventions will probably need to be adjusted for this population to
be effective.^38 the current national public health policy, however,
devotes no specific attention to high-risk ethnic groups. we feel that
these results provide a useful basis for the design of effective
interventions for successful ageing among older turkish people in the
netherlands.
funding
this study was supported by a grant provided by the erasmus university
of rotterdam.
conflicts of interest: none declared.
key points
* chronic diseases, overweight and obesity are highly prevalent among
turkish elderly.
* smoking cessation and physical activity interventions may partly
improve outcomes.
* interventions aimed at broader self-management abilities seem
especially effective.
* a broader focus is needed on self-management abilities to maintain
overall well-being.
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5. why is physical activity so important for health and wellbeing?
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why is physical activity so important for health and wellbeing?
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there are so many reasons why regular activity boosts your health. read
to learn what those are and how you can incorporate exercise into your
day.
we know that staying active is one of the best ways to keep our bodies
healthy. but did you know it can also improve your overall well-being
and quality of life?
here are just a few of the ways physical activity can help you feel
better, look better and live better. because, why not?
it’s a natural mood lifter.
regular physical activity can relieve stress, anxiety, depression and
anger. you know that "feel good sensation" you get after doing
something physical? think of it as a happy pill with no side effects!
most people notice they feel better over time as physical activity
becomes a regular part of their lives.
it keeps you physically fit and able.
without regular activity, your body slowly loses its strength, stamina
and ability to function properly. it’s like the old saying: you don’t
stop moving from growing old, you grow old from stopping moving.
exercise increases muscle strength, which in turn increases your
ability to do other physical activities.
it helps keep the doctor away.
stand up when you eat your apple a day! too much sitting and other
sedentary activities can increase your risk of heart disease and
stroke. one study showed that adults who watch more than 4 hours of
television a day had an 80% higher risk of death from cardiovascular
disease.
being more active can help you:
* lower your blood pressure
* boost your levels of good cholesterol
* improve blood flow (circulation)
* keep your weight under control
* prevent bone loss that can lead to osteoporosis
all of this can add up to fewer medical expenses, interventions and
medications later in life!
it can help you live longer.
it’s true, 70 is the new 60… but only if you’re healthy. people who are
physically active and at a healthy weight live about seven years longer
than those who are not active and are obese. and the important part is
that those extra years are generally healthier years! staying active
helps delay or prevent chronic illnesses and diseases associated with
aging. so active adults maintain their quality of life and independence
longer as they age.
here are some other benefits you may get with regular physical activity:
* helps you quit smoking and stay tobacco-free.
* boosts your energy level so you can get more done.
* helps you manage stress and tension.
* promotes a positive attitude and outlook.
* helps you fall asleep faster and sleep more soundly.
* improves your self-image and self-confidence.
* provides fun ways to spend time with family, friends and pets.
* helps you spend more time outdoors or in your community.
the american heart association recommends at least 150 minutes of
moderate-intensity aerobic activity each week. you can knock that out
in just 30 minutes a day, 5 days a week. and every minute of moderate
to vigorous activity counts toward your goal.
so, this is easy! just move more, with more intensity, and sit less.
you don’t have to make big life changes to see the benefits. just start
building more activity into your day, one step at a time.
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* fitness
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the importance of health education
february 8, 2018
marcy vadurro
director of product marketing
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importanceofhealtheducationbanner
when it comes to building a healthy community, the importance of health
education cannot be overlooked. community health workers collaborate
with all stakeholders in a community - from its citizens to its
government, education and medical officials - to improve health and
wellness and ensure equal access to healthcare.
what is the importance of health education?
community health education looks at the health of a community as a
whole, seeking to identify health issues and trends within a population
and work with stakeholders to find solutions to these concerns.
the importance of health education impacts many areas of wellness
within a community, including:
* chronic disease awareness and prevention
* maternal and infant health
* tobacco use and substance abuse
* injury and violence prevention
* mental and behavioral health
* nutrition, exercise and obesity prevention
community health educators work with public health departments,
schools, government offices and even local nonprofits to design
educational programs and other resources to address a community's
specific needs.
importanceofhealtheducationbody3
"the value in these programs is having a topic or issue tailored to the
needs of the audience...and working with them one on one to make
behavioral changes," said daphne guillaume, a certified health
education specialist and public health adjunct faculty at southern new
hampshire university (snhu).
overcoming health disparities
in addition to providing educational resources and programming to a
community, public health educators also work to ensure all members of a
community have equal access to wellness resources and healthcare
services.
according to the american public health association (apha), common
health disparities affecting americans include:
* racial or ethnic health disparities
* socioeconomic health disparities
* gender health disparities
* rural health disparities
importanceofhealtheducationbody1
"we look at the issues that are going on in our communities through a
social justice lens," said snhu adjunct faculty member dede teteh, a
certified health education specialist and public health researcher.
"the main difference between [public health] and medicine is we don't
look at people one by one. we work with communities and examine trends
in behaviors and health outcomes. we attempt to decipher what's going
on within communities and determine how we can best support their
wellness efforts. but we don't act without their input or partnership."
community health education and government policy
the importance of health education also extends into policy and
legislation development at a local, state and national level, informing
and influencing key decisions that impact community health.
from campaigns and legislation to enforce seat belt use and prevent
smoking to programs that boost the awareness and prevention of
diabetes, public health workers provide research and guidance to inform
policy development.
"you're not just educating the individual person, you need the impetus
and motivation to come from the whole community," said snhu associate
dean of health professions denise bisaillon. "you have to reach the
leaders in the community. the more people invested in a change, the
more likely its success."
the economic importance of health education
health education can also boost a community's economy by reducing
healthcare spending and lost productivity due to preventable illness.
obesity and tobacco use, for example, cost the united states billions
of dollars each year in healthcare costs and lost productivity.
according to the american public health association (apha) the annual
loss in economic productivity due to obesity and related issues is
expected to total as much as $580 billion by 2030. the total economic
cost of tobacco use costs the united states more than $300 billion each
year, including $156 billion in lost productivity, according to the
cdc.
programs designed to help community members combat these expensive
health issues not only boost individuals' health, but also provide a
strong return on investment for communities.
according to the cdc, states with strong tobacco control programs see a
$55 return on every $1 investment, mostly from avoiding costs to treat
smoking-related illness. the national cost of offering the national
diabetes prevention program is about $500 per participant,
significantly lower than the $7,900 spent on diabetes care per type 2
diabetes patient each year.
importanceofhealtheducationbody4 a growing field
as the health, social and economic impacts of community health
education continue to grow, so does the field of public health and
health promotion.
according to the u.s. bureau of labor statistics (bls), employment in
the community health education field is projected to grow by 16%
through 2026, more than twice the average for all occupations.
workers with a community health education degree can find opportunities
in a wide variety of settings, according to the bls, including:
* schools and colleges
* hospitals and healthcare facilities
* nonprofit organizations
* private businesses and employee wellness programs
* government organizations and public health departments
as communities continue to focus more on improving the health and
wellness of its citizens, the field of community health education will
also continue to grow, said snhu adjunct faculty michelle gifford.
"i believe that more and more communities are seeing benefits from
wellness-related initiatives and receiving positive marks about them,
hence community leaders are seeing this as not just a business-driven
necessity, but also something that impacts the well being and quality
of life of their citizens," gifford said.
marcy vadurro is a marketing professional within nursing and health
professions in higher education.
health
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darla branda
health professions clinical faculty darla branda: a faculty q&a
december 13, 2019
after spending 4 years in the military, darla branda earned her degree
and began working in health information management. she's since joined
the faculty at snhu, and we asked her to share her thoughts about
teaching, the importance of education and more as part our faculty
spotlight series.
a student in snhu's ccne accredited nursing programs.
snhu nursing programs receive 10-year ccne reaccreditation
november 21, 2019
snhu online nursing programs recently received a 10-year
reaccreditation from the commission on collegiate nursing education
(ccne), a professional accrediting agency that strives to promote the
quality and integrity of baccalaureate and graduate nursing programs.
a group of doctors and nurses reviewing a document in a hospital
corridor.
healthcare students get to the heart of succession planning
november 13, 2019
teams of southern new hampshire university nursing and healthcare
students recently tackled the challenge of succession planning for
healthcare facilities in the latest higher education and real-world
training challenge.
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homehealth and its importance | health and its significance | the
importance of health and health
health and its importance | health and its significance | the importance of
health and health
civil blog 369 february 09, 2019
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health and its importance
health-and-its-importance
health and its importance
the word "health" refers to an emotional and physical well- being
state. healthcare is available to help people maintain this optimal
health status.
your food choices affect your health every day-how you feel today,
tomorrow and the future. good food is an important part of a healthy
lifestyle. in combination with physical activity, your diet can help
you achieve a healthy weight, reduce the risk of chronic diseases (such
as heart disease and cancer) and promote your overall health.
why does good health matter?
cells are the basic units of all organisms. they consist of a variety
of chemicals. cells move from location to location. even if the cell
does not move, there is still a lot of repairs. cells are the basic
units of all organisms.
in relation, there are various specialized activities in our body such
as the heart pumps blood, the kidney filters the urine, which even the
brain constantly probably thinks the lungs help to inhale.
there's a lot of interconnection in our body between the different
organs. our body needs energy and raw material for all these
activities. food is necessary for the functioning of cells and tissues.
therefore, if you're not good, all your physical activities begin to
get hampered.
the significance of health
health is a physical, mental and social state of complete well-being. a
person needs a balanced diet and regular exercise for a healthy life
cycle. you also have to live in a proper shelter, sleep enough and have
good hygiene habits. so, how do we make sure we do all the right things
to be healthy? let's raise awareness about the importance of health
1)all organisms ' health depends on their environment or surroundings.
in our individual health, our social environment is an important
factor.
2)for individual health, public cleanliness is important. we must
therefore ensure that we regularly collect and clear the waste. we also
need to contact an agency responsible for clearing the drains. you
could have a serious impact on your health without this.
3)we need food for health and food, by doing work, we have to earn
money. there must be an opportunity to do work for this. therefore,
individual health needs good economic conditions and jobs.
4)to be really healthy, we need to be happy. we can't be healthy or
happy if we mistreat each other and fear each other. for individual
health, social equality and harmony are important.
what is an illness?
if one or more organs or systems of our body are adversely affected
because they are interrupted in their normal functioning, we say that
we are not healthy, i.e. we have a disease. disease means that
something is wrong with our body and we feel that the body is unwell or
malfunctioning.
our health is not only affected by uneven diets, but also by diseases,
infections, poverty, large families, overcrowded homes, etc. the
disease is usually caused by external organisms (microbes), which cross
the natural barriers of the body and invade our healthy body. such
organisms can cause havoc if it is not handled immediately by our
immune system.
health-and-its-importance
health and its significance
types of health
mental and physical health are the two types of health most frequently
discussed. we also talk about, among others, "spiritual health,"
"emotional health" and "financial health." they were also linked to
lower levels of stress and mental and physical well- being.
physical health
bodily functions work at peak performance in a person who experiences
physical health, not only because of a lack of disease, but also
because of regular exercise, balanced nutrition and adequate rest. when
necessary, we receive treatment to maintain the balance.
physical well- being means a healthy lifestyle to reduce the risk of
disease. for example, maintaining physical fitness can protect the
breathing and heart function, muscle strength, flexibility and body
composition of a person and develop it.
physical health and well- being also reduce the risk of injury or
health problems. examples include minimizing risks at work, safe sex,
good hygiene, or avoiding tobacco, alcohol or illegal drugs.
mental health
mental health means the emotional, social and psychological well- being
of a person. mental health is as important to a full and active
lifestyle as physical health.
mental health is harder to define than physical health, because
diagnosis often depends on the perception of the individual's
experience. however, with test improvements, some signs of some types
of mental illness in ct scans and genetic testing are now becoming
"visible."
mental health is not just a lack of depression, anxiety or other
disorder. it also depends on the ability to: enjoy life bouncing back
after difficult experiences achieve balance, feel safe and secure in
order to achieve your potential.
there are good links between physical and mental health. if chronic
disease affects the ability of a person to perform his or her regular
tasks, depression and stress can be caused, for example, by money
problems. a mental illness such as depression or anorexia can affect
the weight and function of the body. rather than its different types,
it is important to approach "health "as a whole.
good health factors
health depends on a variety of factors. a person is born with a variety
of genes and an unusual genetic pattern can lead to a level of health
that is less than optimal in some people.
environmental factors play an important role. the environment alone
sometimes suffices to have an impact on health. an environmental
trigger can cause disease in a genetically susceptible person at other
times.
these can be summarized as:
social and economic environment: including the wealth of a family or
community.
the physical environment: including parasites in an area or levels of
pollution.
the characteristics and behaviors of the person:
according to the world health organization, the higher the socio-
economic status of a person( ses), the more likely they are to enjoy
good health, good education, a well- paid job, and if their health is
threatened, good health care will be available.
people with a lower socio- economic status are more likely to
experience stresses related to daily life, such as financial
difficulties, marital disruption and unemployment, as well as social
factors such as marginalization and discrimination. all of this adds to
the risk of poor health.
low socio- economic status means often less access to healthcare.
people in developed countries with universal health services have
longer life expectancies than people without universal health care in
developed countries.
cultural problems can have an impact on health. a society's traditions
and customs and the response of a family to them can have a good or bad
effect on health. for example, people around the mediterranean are more
likely to consume high levels of fruit, vegetables and olives and eat
as a family compared to fast food crops.
how stress is managed affects health. people who smoke, drink or take
drugs to forget about their problems are likely to experience more
health problems later than people who fight stress through healthy diet
and exercise.
men and women are susceptible to various health factors. they may be at
greater risk of poor health than men in societies where women earn less
than men or are less educated.
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1. hello healthy24 december 2019 at 19:33
good sir
visit this blog
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-under-30020.html
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home » achieve lasting weight loss » the importance of health
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public health promotes and protects the health of people and the
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first place. we also promote wellness by encouraging healthy behaviors.
from conducting scientific research to educating about health, people
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people can be healthy. that can mean vaccinating children and adults to
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workers and develops school nutrition programs to ensure kids have
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public health works to track disease outbreaks, prevent injuries and
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#what is health behavior? health risks alternate alternate
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models and mechanisms of public health
chapter 5: key principles of health behavior change
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examples of health behaviors and concepts
image
social determinants, as stated in the article by short and mollborn,
can be split into three levels, the downstream level (individual
choices), the upstream level (socio-economic, cultural systems, etc.)
and the meso level (interpersonal interactions) (short and mollborn,
2015). most research is focused on the meso level due to the immediate
effects and influence it has over someone’s health behaviors. the
systems that are involved in the meso level could be an individual’s
neighborhood, family, and friends. the importance of social
determinants and their effects on health can help determine the reasons
for specific health actions and behaviors.
the concepts of health behavior are dynamic and encompass different
areas, cultures, genders, age groups, etc. this can be seen within the
united states; the likelihood of developing smoking behaviors are more
prevalent in the south than in the west (short and mollborn, 2015).
some examples of things that health behavior can affect are diet,
physical activity, sleep, and coping with stressful events. health
behavior should be looked at on multiple levels and perspectives to
fully understand how it can promote and protect health instead of
causing harm to it.
licenses and attributions
cc licensed content, original
* authored by: christian rossman, michaela ou2019brien, gloria
poisson, and abubakry tunkara. located at:
https://courses.lumenlearning.com/suny-buffalo-environmentalhealth/
. project: models and mechanisms of public health. license: cc
by-nc-sa: attribution-noncommercial-sharealike
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health behavior
health behavior pp 3-17 | cite as
health behavior
plural perspectives
* authors
* authors and affiliations
* david s. gochman
chapter
* 16 citations
* 27 readers
* 328 downloads
abstract
what “health behavior” means, and how it is treated in this book, are
the basic topics of the first part of this chapter, which begins with a
working definition of health behavior, discusses some related terms,
and provides a definition of “health behavior research.” the chapter
continues with a discussion of conceptions of health, illness, and
disease, and concludes by identifying some research issues that relate
to these conceptions.
keywords
health behavior behavioral health behavioral medicine illness
behavior sociocultural perspective
these keywords were added by machine and not by the authors. this
process is experimental and the keywords may be updated as the learning
algorithm improves.
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health behavior and health promotion
apple icon stopping the spread of communicable diseases. catching
cancer in its early stages. preventing teenagers from smoking
cigarettes. these are all based on choices and behaviors.
our goal in the division of health behavior and health promotion (hbhp)
is to enable people to achieve their optimal level of health through
healthy decisions and behaviors. in order to accomplish this, we work
with organizations, and communities to develop the knowledge and skills
needed for making healthy decisions and enacting healthy behaviors, and
to promote the conditions and resources necessary for healthy living.
we also collaborate across disciplines at ohio state to advance
knowledge and understanding of healthy behaviors.
research
research in healthy behaviors and health promotion seeks to understand
the choices and behaviors of individuals and communities with regard to
health. we also evaluate existing and pilot health programs. much of
our scholarly work is done in collaboration across the university and
with other institutions, as well as with community partners.
our faculty are involved in active research programs that include:
* health program evaluation
* global health
* smoking cessation in specific populations
* intervention to increase colon cancer screening rates
* health disparities
* the use of the hpv vaccine in appalachian ohio
* prevention, detection and treatment of lung cancer
* early childhood eating and exercise
curriculum
our curriculum emphasizes the social and behavioral determinants of
health and methods for changing behaviors in populations.
the health behavior and health promotion program offers two outstanding
degree programs with a concentration in health behavior and health
promotion: the mph (master of public health) and the phd.
both degree programs provide students with a thorough knowledge of
health behavior and health promotion from its fundamental relationship
to public health to role in implementing intervention strategies.
courses also offer a rich array of research opportunities and practical
job experiences.
learn more about degree programs in health behavior and health promotion
mph phd
in addition, we offer a graduate minor in public health behavior and
promotion.
minor
contact us
359-a cunz hall
1841 neil ave.
columbus, oh 43210
phone: (614) 292-4685
health behavior and health promotion
* message from the chair
* faculty and staff
* course descriptions
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* careers in health behavior and health promotion
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+ environmental health sciences
+ epidemiology
+ health behavior and health promotion
+ health services management and policy
+ health outcomes and policy evaluation studies
+ center for public health practice
+ center for the advancement of tobacco science
+ business operations center
* future students
+ apply now
+ recruitment calendar
+ why public health at ohio state
+ bsph + mph in 5 years
+ dual/combined degrees
+ undergraduate programs
+ bachelor of science in public health
o environmental public health specialization
o public health sociology specialization
+ graduate programs
+ master of public health
o biomedical informatics
o biostatistics
o clinical translational science
o environmental health
o epidemiology
o health behavior and health promotion
o program for experienced professionals
# program description
# curriculum
# admissions requirements
o veterinary public health
+ master of health administration
o program of study
# competency-based curriculum
# experiential learning: outside the classroom
# leadership development framework
o administrative residency
o professional development
o student experience
o scholarships and financial aid
o graduates
# graduating student employers
o hsmp faculty and staff
o hsmp alumni society
# events
+ master of science
o biomedical informatics
o biostatistics
o environmental public health
o epidemiology
+ doctor of philosophy
o biostatistics
o environmental public health
o epidemiology
o health behavior and health promotion
o health services management and policy
+ minors/ specializations/ certificates
o graduate certificate in environmental public health risk
assessment
o graduate certificate in global one health
o graduate interdisciplinary specialization in obesity
science
o graduate interdisciplinary specialization in global
health
o graduate minor in public health behavior and promotion
o epidemiology minor
o global public health minor
+ contact us
* students
+ student forms and resources
+ graduate students
o advising and student services
o news and events
o career services
o cph graduate student handbook
o curriculum guides
o mph practicum
o mph culminating project
o mha administrative residency
o graduation
+ undergraduate students
o advising and student services
o news and events
o career services
o cph undergraduate student handbook
o curriculum guides
o capstone
o honors
o internships
o research
o education abroad
o global option in public health
o graduation
+ minors / specializations / certificates
+ competencies
+ course descriptions
+ curriculum guides
+ career services
+ scholarships
+ student organizations
+ student choice award
+ alumni connect
* career services
+ handshake
+ career events
+ career resources
+ employer resources
* research
+ research focus areas
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+ research centers
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health behavior models
behavior change models:
there are a number of theoretical models in the literature that address
effective ways to change health behaviors. the pages below outline
basic theories, their major constructs, and the recommended strategies
to help clients reduce tobacco use.
* transtheoretical model (ttm) & stages of change
* health belief model
* social cognitive theory
* theory of reasoned action/theory of planned behavior
measures:
stages of change & readiness
the stages of change algorithm can be used in research to determine an
individual’s current stage of change for quitting tobacco.
the readiness ruler is a brief, 1 item measure that can be used to
assess motivational readiness for quitting smoking. used in practice
and research.
processes of change for quitting smoking
the processes of change questionnaire is a self-report measure that
assesses an individual’s use of experiential and behavioral processes
of change to quit smoking. used in both practice and research.
temptation to smoke
the temptation to smoke scale is a self-report measure that assesses
how tempted an individual is to smoke in a variety of situations. used
in both practice and research.
confidence to abstain (self-efficacy)
the smoking self-efficacy scale is a self-report measure that assesses
an individual's confidence to abstain from smoking in a variety of
situations. used in both practice and research.
decisional balance (pros & cons of smoking)
the decisional balance scale is a self-report measure of the pros and
cons a person perceives in terms of smoking. used in both practice and
research.
screening for tobacco use
the tobacco screening measure is a brief, 1-4 item measure that can be
used to assess current smoking status as well as heaviness of smoking.
the first question should be asked of all patients, and can be helpful
in identifying “former smokers” that may otherwise be mistaken as
“never-smokers.” the tobacco screening measure was developed by
maryland m.d.s making a difference (md3), and can also be found on
their pocket guide for tobacco, alcohol, and drug screening, brief
intervention, referral, and treatment. used primarily in practice.
nicotine dependence
the fagerström test for nicotine dependence (ftnd) consists of six
multiple-choice questions meant to assess how strongly “addicted” an
individual is to nicotine. used in both practice and research.
*permission to use this scale for purposes other than research should
be obtained from k. l. fagerström.
smoking history
the smoking history questionnaire is meant to provide a more detailed
picture of both current and past tobacco use. questions may vary
depending upon the purpose or goals of this measure’s use. used
primarily in research.
**please follow the links above for more information about the models
and measures, or visit the habits lab
tags:
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what is good health?
written by adam felman on july 31, 2017
* what is health?
* types
* factors for good health
* preserving health
the word "health" refers to a state of complete emotional and physical
well-being. healthcare exists to help people maintain this optimal
state of health.
in 2015, the population of the united states (u.s.) spent an estimated
$3.2 trillion on healthcare costs.
however, despite this expenditure, a study by the u.s. national
research council, published in 2013, showed that americans die at a
younger age and experience more illness and injury than people in other
developed countries.
good health is central to handling stress and living a long and active
life.
fast facts on health
here are some key points about health. more detail is in the main
article.
* health can be defined as physical, mental, and social wellbeing,
and as a resource for living a full life.
* it refers not only to the absence of disease, but the ability to
recover and bounce back from illness and other problems.
* factors for good health include genetics, the environment,
relationships, and education.
* a healthful diet, exercise, screening for diseases, and coping
strategies can all enhance a person's health.
what is health?
health is not just absence of disease but a state of overall wellbeing.
share on pinteresthealth is not just absence of disease but a state of
overall wellbeing.
in 1948, the world health organization (who) defined health with a
phrase that is still used today.
"health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity." who, 1948.
in 1986, the who further clarified that health is:
"a resource for everyday life, not the objective of living. health is a
positive concept emphasizing social and personal resources, as well as
physical capacities."
this means that health is a resource to support an individualʼs
function in wider society. a healthful lifestyle provides the means to
lead a full life.
more recently, researchers have defined health as the ability of a body
to adapt to new threats and infirmities. they base this on the idea
that modern science has dramatically increased human awareness of
diseases and how they work in the last few decades.
types
mental and physical health are the two most commonly discussed types of
health. we also talk about "spiritual health," "emotional health," and
"financial health," among others. these have also been linked to lower
stress levels and mental and physical wellbeing.
physical health
in a person who experiences physical health, bodily functions are
working at peak performance, due not only to a lack of disease, but
also to regular exercise, balanced nutrition, and adequate rest. we
receive treatment, when necessary, to maintain the balance.
physical wellbeing involves pursuing a healthful lifestyle to decrease
the risk of disease. maintaining physical fitness, for example, can
protect and develop the endurance of a personʼs breathing and heart
function, muscular strength, flexibility, and body composition.
physical health and well-being also help reduce the risk of an injury
or health issue. examples include minimizing hazards in the workplace,
practicing safe sex, practicing good hygiene, or avoiding the use of
tobacco, alcohol, or illegal drugs.
mental health
mental health refers to a personʼs emotional, social, and psychological
wellbeing. mental health is as important as physical health to a full,
active lifestyle.
it is harder to define mental health than physical health, because, in
many cases, diagnosis depends on the individualʼs perception of their
experience. with improvements in testing, however, some signs of some
types of mental illness are now becoming "visible" in ct scans and
genetic testing.
mental health is not only the absence of depression, anxiety, or
another disorder.
it also depends on the ability to:
* enjoy life
* bounce back after difficult experiences
* achieve balance
* adapt to adversity
* feel safe and secure
* achieve your potential
physical and mental health are linked. if chronic illness affects a
personʼs ability to complete their regular tasks, this may lead to
depression and stress, for example, due to money problems.
a mental illness such as depression or anorexia nervosa can affect body
weight and function.
it is important to approach "health" as a whole, rather than its
different types.
factors for good health
health depends on a wide range of factors.
a person is born with a range of genes, and in some people, an unusual
genetic pattern can lead to a less-than-optimum level of health.
environmental factors play a role. sometimes the environment alone is
enough to impact health. other times, an environmental trigger can
cause illness in a person who is genetically susceptible.
access to healthcare plays a role, but the who suggests that the
following factors may have a bigger impact on health than this:
* where a person lives
* the state of the surrounding environment
* genetics
* income
* education level
* relationships with friends and family
these can be summarized as:
* the social and economic environment: including how wealthy a family
or community is
* the physical environment: including parasites that exist in an
area, or pollution levels
* the personʼs characteristics and behaviors: including the genes
that a person is born with and their lifestyle choices
*
according to the who, the higher a personʼs socioeconomic status (ses),
the more likely they are to enjoy good health, a good education, a
well-paid job, afford good healthcare when their health is threatened.
people with a lower socioeconomic status are more likely to experience
stresses related to daily living, such as financial difficulties,
marital disruption, and unemployment, as well as social factors, such
as marginalization and discrimination. all these add to the risk of
poor health.
a low socio-economic status often means less access to healthcare.
people in developed countries with universal healthcare services have
longer life expectancies than people in developed countries without
universal healthcare.
cultural issues can affect health. the traditions and customs of a
society and a familyʼs response to them can have a good or bad impact
on health. for example, around the mediterranean, people are more
likely to consume high levels of fruits, vegetables, and olive, and to
eat as a family, compared with cultures with a high consumption of fast
food.
how a person manages stress will affect health. people who smoke,
drink, or take drugs to forget their problems are likely to have more
health problems later than someone who combats stress through a
healthful diet and exercise.
men and women are prone to different health factors. in societies where
women earn less than men or are less educated, they may be at greater
risk than men for poor health.
preserving health
the best way to maintain health is to preserve it through a healthful
lifestyle, rather than waiting until we are sick to put things right.
this state of enhanced well-being is referred to as wellness.
the mckinley health center at the university of illinois il defines
wellness as:
"a state of optimal well-being that is oriented toward maximizing an
individualʼs potential. this is a life-long process of moving
towards enhancing your physical, intellectual, emotional, social,
spiritual, and environmental well-being."
wellness promotes an active awareness of and participation in health,
as an individual and in the community.
maintaining wellness and optimal health is a lifelong, daily
commitment.
steps that can help us maximize our health include:
* a balanced, nutritious diet, sourced as naturally as possible
* regular exercising
* screening for diseases that may present a risk
* learning to manage stress
* engaging in activities that provide purpose and connection to
others
* maintaining a positive outlook and appreciating what you have
* defining a value system, and putting it into action
peak health will be different for each person, and how you achieve
wellness may be different from how someone else does.
it may not be possible to avoid disease completely, but doing as much
as we can to develop resilience and prepare the body and mind to deal
with problems as they arise is a step we can all take.
written by adam felman on july 31, 2017
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croat med j. 2006 aug; 47(4): 662–664.
pmcid: pmc2080455
pmid: 16909464
the meanings of health and its promotion
norman sartorius
copyright and license information disclaimer
copyright © 2006 by the croatian medical journal. all rights reserved.
this is an open access article distributed under the creative commons
attribution license, which permits unrestricted non-commercial use,
distribution, and reproduction in any medium, provided the original
work is properly cited.
this article has been cited by other articles in pmc.
the constitution of the world health organization, which came into
force on april 7, 1948, defined health “as a state of complete
physical, mental and social well-being.” the writers of the
constitution were clearly aware of the tendency of seeing health as a
state dependent on the presence or absence of diseases: so they added
to that definition that an individual, if he is to be considered
healthy, should not suffer from any disease (….“and not merely the
absence of disease or infirmity”) (1). in that way, the definition of
the world health organization simply added a requirement to the
previous position that allowed to declare someone healthy if no disease
could be found: the step forward that could have been taken in the
conceptualization of health as a dimension of existence which can
co-exist with the presence of a disease or impairment was thus not
taken.
today, three types of definition of health seem to be possible and are
used. the first is that health is the absence of any disease or
impairment. the second is that health is a state that allows the
individual to adequately cope with all demands of daily life (implying
also the absence of disease and impairment). the third definition
states that health is a state of balance, an equilibrium that an
individual has established within himself and between himself and his
social and physical environment.
the consequences of adopting one or another of these definitions are
considerable. if health is defined as the absence of disease, the
medical profession is the one that can declare an individual healthy.
with the progress of medicine, individuals who are declared healthy
today may be found to be diseased tomorrow because more advanced
methods of investigations might find signs of a disease that was not
diagnosable earlier. how an individual feels about his or her state is
not relevant in this paradigm of health. how the surrounding people
judge the behavior and appearance of an individual is only relevant if
their observations are congruent with the criteria of abnormality that
the medical profession has produced. the measurement of the state of
health of a population is also simple and will involve no more than
counting the individuals who, on examination, show defined signs of
illness and comparing their numbers with those who do not.
there are obvious difficulties with the first and the second of the
definitions mentioned above and with their consequences. there are
individuals who have abnormalities that can be counted as symptoms of a
disease but do not feel ill. there are others whose body tissues do not
demonstrate changes but who feel ill and do not function well. there
are people who hear voices and might therefore be candidates for
psychiatric examination and possibly treatment – but live well in their
community and do not ask for nor receive medical care. there is a
significant number of people who have peptic ulcers and other diseases,
experience no problems, do not know that they have a disease and do not
seek treatment for it. some of these individuals will also escape the
second type of definition of health because they function as well as
expected in their age and gender group of the general population.
the third definition mentioned above makes health depend on whether a
person has established a state of balance within oneself and with the
environment. this means that those with a disease or impairment will be
considered as being healthy to a level defined by their ability to
establish an internal equilibrium that makes them get the most they can
from their life despite the presence of the disease. health would thus
be a dimension of human existence that remains in existence regardless
of the presence of diseases, somewhat like the sky that remains in
place even when covered with clouds. the advantage of this definition
is that diseases do not replace individuals’ health: they may affect
their balance more or less severely but, at all times, the patients who
suffer from a disease (and their doctors) remain aware of the need to
work simultaneously on two tasks – one, to remove or alleviate the
disease and the second to establish a state of balance, as best they
can, within oneself and in relation with their environment. in fighting
stigmatization that accompanies many chronic and some acute diseases –
such as mental disorders or leprosy – this definition is also useful
because it makes us speak and think about our patients as people who
are defined by different dimensions (including health) and who, at a
point, suffer from a disease – and thus make us say “a person with
schizophrenia” rather than “a schizophrenic,” or a ”person who has
diabetes” rather than a “diabetic” and a “person with leprosy” rather
than a “leper.”
there is another important consequence of working with this definition
of health. to establish whether someone is in good health in accordance
with this definition, the doctor must explore how individuals who have
a disease feel about it, how the disease influences their lives, how
they propose to fight their disease or live with it. laboratory
findings and the presence of symptoms are thus important and necessary
ingredients in thinking about the state of health and the presence of a
disease but are not sufficient to reach a decision about someone’s
health: it is necessary to view the disease in the context of the
person who has it in order to make a judgment about his or her level of
health. there is little doubt about the fact that going about the
treatment of diseases in this way would improve the practice of
medicine and make it a more realistic as well as a more humane
endeavor.
the promotion of health is also affected by the differences in the
definition of health. the simplest definition of health – equated with
the absence of disease – would lead to a definition of the promotion of
health as an effort to remove diseases and diminish the numbers of
individuals who suffer from them. the involvement of functioning in the
definition of health would be reflected in defining the promotion of
health as a process by which the capacity of individuals to cope will
be enhanced and strengthened, for example by regular and obligatory
physical exercise. both of these definitions would lead to
recommendations to improve the treatment of diseases, and to remove
risks factors that might lead to them – such as sedentary life style,
smoking, bad eating habits and insufficient application of hygienic
measures such as washing one’s hands before meals.
the third definition of health, by its very nature, could not stop at
efforts to remove diseases and to diminish risk factors that might lead
to disease. it would have to involve the individuals whose health is to
be promoted in an active way: it would have to address the scales of
values of individuals and communities to ensure that health is placed
higher on those scales. high value placed on health (not only on the
absence of disease) would make people undertake whatever is necessary
to enhance health: participating in preventive action and seeking
treatment would become a normal expression of the need to behave in
harmony with one’s own and one’s community values. changing the place
of health on the scale of values, however, is not possible if left to
the health sector alone: values are shaped throughout life under the
influence of parents, friends, schools, the media, laws, and one’s own
life course and experience. thus, changing values – for example to give
health a higher value, to promote health – has to be a task for all of
those involved in shaping values and placing them on a scale rather
than for the health system alone.
the huge challenges that face societies aiming to improve the health of
their citizens will not be appropriately answered if we do not change
the paradigms of health and disease and design strategies for future
work using these new paradigms. their formulation and acceptance is a
task that is before all of us and is urgent.
references
1. constitution of the world health organization. in: world health
organization: basic documents. 45th ed. geneva: world health
organization; 2005. [google scholar]
__________________________________________________________________
articles from croatian medical journal are provided here courtesy of
medicinska naklada
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fdi unveils new universally applicable definition of ‘oral health’
06 september 2016
6 september 2016
fdi unveils new universally applicable definition of ‘oral health’
poznan, 6 september 2016 – fdi world dental federation today launched
the new definition of ‘oral health’ – positioning it as an integral
part of general health and well-being – at its annual world dental
congress in poznan, poland. it was adopted by over 200 national dental
associations (ndas) and will now be rolled out to the oral health
community, globally.
“this new definition is an important milestone for the oral health
profession,” said dr patrick hescot, fdi president. “true to our vision
2020 advocacy strategy and our ambition to lead the world to optimal
oral health, the new definition will allow us to develop standardized
assessment and measurement tools for consistent data collection on a
global level.”
as defined by fdi:
oral health is multi-faceted and includes the ability to speak, smile,
smell, taste, touch, chew, swallow and convey a range of emotions
through facial expressions with confidence and without pain, discomfort
and disease of the craniofacial complex.
further attributes related to the definition state that oral health:
* is a fundamental component of health and physical and mental
wellbeing. it exists along a continuum influenced by the values and
attitudes of individuals and communities;
* reflects the physiological, social and psychological attributes
that are essential to the quality of life;
* is influenced by the individual’s changing experiences,
perceptions, expectations and ability to adapt to circumstances.
the new definition was coined by fdi’s vision 2020 think tank members,
which includes experts in oral health, public health and health
economics. together with a companion framework tested against external
stakeholders, the new oral health definition is the result of a wider
consultation which included patients, oral health professionals, ndas,
the public health community, academia, government, industry and
third-party payers.
“with this new definition, we want to raise awareness of the different
dimensions of oral health and emphasize that oral health does not occur
in isolation, but is embedded in the wider framework of overall health”
said prof. david williams, co-chair of fdi’s vision 2020 think tank.
“we are proposing a contemporary definition of oral health, which
resonates with that used by many ndas and the world health
organization,” said prof. michael glick, co-chair of fdi’s vision 2020
think tank. “it is therefore not a revolution, but an evolution.”
fdi plans to widely disseminate this oral health definition and
advocate for its operationalization to establish a standard measurement
instrument that can be applied across countries. a measurement toolbox
will be ready in 2017 to allow for assessment of individual and
population needs that can inform and drive oral health policies.
media contact
charanjit (chaz) jagait phd, fdi communications & advocacy director
e-mail: cjagait@fdiworldental.org | tel: +41 22 560 81 48
about fdi world dental federation
fdi world dental federation serves as the principal representative body
for over 1 million dentists worldwide. its membership includes some 200
national member associations and specialist groups in over 130
countries. fdi’s vision: ‘leading the world to optimal oral health’.
www.fdiworldental.org
for more fdi news, visit www.fdiworldental.org
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of the
american hospital association
for the
subcommittee on health of the committee on energy and commerce
of the
u.s. house of representatives
“improving maternal health: legislation to advance prevention efforts
and
access to care”
september 10, 2019
on behalf of our nearly 5,000 member hospitals, health systems and
other health care organizations, our clinician partners – including
more than 270,000 affiliated physicians, 2 million nurses and other
caregivers – and the 43,000 health care leaders who belong to our
professional membership groups, the american hospital association (aha)
commends the committee on energy and commerce for its efforts to
examine legislation to improve maternal health.
maternal health is a top priority for the aha and our member hospitals
and health systems, and our initial efforts are aimed at eliminating
maternal mortality and severe morbidity. the causes of maternal
mortality and morbidity are complex, including a lack of consistent
access to comprehensive care and persistent racial disparities in
health and health care. as hospitals work to improve health outcomes,
we are redoubling our efforts to improve maternal health across the
continuum of care and reaching out to community partners to aid in that
important effort.
the may 2019 vital signs report issued by the centers for disease
control and prevention (cdc) noted that about 700 women die each year
from complications related to pregnancy, and more than half of those
deaths are preventable. an estimated 31% of pregnancy-related deaths
occur during pregnancy, 36% during delivery or the week after, and 33%
one week to one year after delivery. the cdc last week released its
morbidity and mortality weekly report that showed that between
2007-2016, the pregnancy-related mortality ratio increased from 15 to
17 pregnancy-related deaths per 100,000 births and that black, american
indian and alaska native women were two to three times more likely to
die from pregnancy-related causes than white women, and this disparity
increases with age. the report also noted that racial and ethnic
disparities in pregnancy-related deaths have persisted over time.
key resources
aha statement for the energy and commerce committee of the house on
maternal health legislation pdf
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communities. not only does access to quality maternal healthcare ensure
the good health of a mother – her good health also helps to ensure the
good health of her newborn child and the rest of her family.
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maternal health
view photo uganda 2017 © frederic noy/cosmos
maternal health care provided at msf's health center in bidibidi,
uganda.
uganda 2017 © frederic noy/cosmos
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many women across the world give birth without medical assistance,
massively increasing the risk of complications or death. every day on
average 830 women die from pregnancy-related causes. most of these
deaths are preventable.
99 percent
maternal deaths
occur in developing countries
50 percent
maternal deaths
occur during delivery or within 24 hours
1.1 million
births
assisted by msf from 2013-2017, including 107,000 caesarean sections
reproductive health care is an integral part of the medical care
doctors without borders/médecins sans frontières (msf) provides,
including in emergencies. our maternal health programs in more than 25
countries focus on reducing maternal and infant mortality through
pregnancy and prenatal consultations, emergency obstetric care,
postnatal follow-up, and access to family planning services and safe
abortion care.
maternal health facts
serious, untreated complications during pregnancy or delivery can be
fatal to both mother and infant. the most common complications that may
lead to maternal death are: postpartum hemorrhage, reproductive tract
infections, eclampsia, unsafe abortion, obstructed labor, and serious
infectious diseases.
hemorrhage
hemorrhage, or excessive bleeding, can happen after a complicated
birth. often it results from failure of the uterus to contract after
delivery. normally, these contractions stop the bleeding that occurs
once the placenta separates from the uterine wall. but complications or
incomplete placental separation can lead to continued bleeding, and
without rapid medical intervention, a woman can quickly bleed to death.
when skilled birth attendants are present, oxytocin can be given to
prevent bleeding. if severe bleeding does occur, the mother is
resuscitated and attendants apply methods ranging from further
medication and manual pressure to stop the bleeding through to
emergency surgery.
severe infection
severe infection can develop during pregnancy or from unhygienic
conditions during delivery. one common type is reproductive tract
infections (rti), which cause intrauterine infections that can
eventually be fatal to the woman. they can also cause life-threatening
infection in the infant.
access to clean water and hygienic conditions during delivery, such as
clean hands and a clean delivery surface like a plastic cover, are
vital to preventing infections. if an infection occurs, early detection
and treatment with the appropriate antibiotic can prevent serious
illness or death.
eclampsia and other hypertensive disorders
eclampsia and other hypertensive disorders of pregnancy are linked to
high blood pressure and are characterized by seizures that can lead to
coma and death. eclampsia begins during pregnancy as pre-eclampsia,
which leads to high blood pressure. without prenatal care pre-eclampsia
can develop into severe pre-eclampsia or full eclampsia, causing
symptoms such as swelling, sudden weight gain, headaches, changes in
vision, and potentially fatal convulsions.
unsafe abortion
unsafe abortion is a procedure for terminating an unwanted pregnancy
either by persons lacking the necessary skills or in an environment
lacking minimal medical standards, or both, as defined by the world
health organization. globally, at least 22,000 women die every year
from unsafe abortion—the only major cause of maternal death that has
not declined in recent decades, despite it being almost complete
preventable. of those women who survive, 7 million suffer serious
consequences such as infertility, injury, or complications with future
pregnancies.
comprehensive sexual and reproductive health services can greatly
reduce the number of unsafe abortions, by offering safer alternatives
through family planning and access to safe abortion care.
obstructed labor
obstructed labor can occur if the baby’s head is too large or its
position is abnormal, blocking passage through the birth canal. when a
mother is malnourished or is very young and therefore has an
underdeveloped pelvis, the birth canal itself is often not wide enough
to accommodate the head of the baby. if an obstructed labor becomes
prolonged, lasting more than 24 hours, the baby may die and the woman
is at risk of postpartum hemorrhage, uterine rupture or fistula, and
severe infection—all potentially fatal.
skilled staff are essential in managing complicated deliveries and
identifying signs that interventions are needed. these can range from
iv fluids and/or medications to support labor, to an
instrument-assisted delivery (vacuum cup or forceps) or caesarean
section.
indirect causes
indirect causes, in particular complications from infectious disease,
account for about 20 percent of maternal deaths.
during pregnancy, already dangerous diseases can pose even greater
threats to both mother and fetus. for example, malaria in pregnant
women increases their risk of miscarriage and causes over 10,000
maternal deaths globally, while tuberculosis also increases rates of
miscarriage and maternal death. malaria, tuberculosis, and cholera all
raise the risk of stillbirths, death of newborns, or low birth weight
infants.
for pregnant women at risk for any of these diseases, protecting their
health starts with preventive measures. these can include reducing
exposure (such as by sleeping under mosquito nets in malaria regions,
and ensuring access to clean water and supplies for good hygiene) and
short-term use of anti-malarial or anti-tuberculosis drugs during
pregnancy. for those who become ill, early diagnosis and treatment are
essential. whether treating malaria, hiv, tuberculosis, or another
disease, effective treatment reduces the risk of developing severe
complications that threaten the lives of both mother and baby.
how msf responds
our obstetric care programs aim to remedy the crucial "three delays"
that can threaten the lives of both mother and child. these are: delay
in deciding to seek care; delay in reaching a health facility; and
delay in receiving appropriate treatment at the facility.
emergency obstetric care is a key component of this strategy. emergency
care administered promptly by qualified staff can save the lives of
women experiencing complications during or just after delivery, when
half of all maternal deaths occur. to help reduce barriers to use of
our emergency obstetric services, we adapt services to local cultures
and (as with all msf programs) make them free of charge, as our
beneficiaries are often among the poorest sector of the population.
during conflicts or natural disasters, where health services have often
collapsed or are inadequate, emergency obstetrical needs are among the
major needs we see. over the period of 2008-15, 56 percent of all
caesarean sections we performed were in active conflict settings. for
this reason, rapid implementation of emergency maternal care is now
incorporated into our response to these crises.
we also aim to locate services close to the people who need them. in
some settings where this is not possible or we serve a large region, we
have introduced mobile clinics that travel to areas where people often
have no access to health care, combined with referral systems to
identify women with pregnancy complications and transfer them when
necessary to a health post or hospital that can provide appropriate
care.
in remote locations such as kabezi, a rural district in burundi, we
have also implemented ambulance services, which have been linked to
significant reductions in maternal mortality.
abla ali, msf midwife, iraq
giving syrian refugees a safe place to give birth
"the best part of being a midwife is the appreciation from the mothers.
they stop me in the camp when i pass and they say to their children:
'this is abla, she’s a good midwife and she delivered you.'"
–abla ali, msf midwife
read more
antenatal care improves the mother’s health during her pregnancy and
helps reduce or manage complications for both mother and newborn. in
addition, these consultations provide opportunities to inform women and
their families about how to recognize complications and to prepare for
emergencies, and about health structures where women can go for
emergency care, if needed, and for delivery.
post-natal care is another critical area for reducing maternal and
infant death and improving the physical and mental wellbeing of mother
and child. most maternal illnesses and deaths occur at or soon after
delivery, while the majority of infant deaths occur in the first few
days post-delivery—and 30 percent of all child deaths below the age of
five occur in the first four weeks of life.
hiv/aids and preventing mother-to-child transmission
without treatment, 25 to 40 percent of all children born to
hiv-positive mothers will also be infected. this rate can be reduced to
below five percent with antiretroviral treatments for the mother and a
short course of antiretroviral drugs for the baby, together with
appropriate breastfeeding practices.
we have opened programs on prevention of mother-to-child transmission
in many of the world’s most affected regions. in swaziland, for
example, we provided hiv treatment to thousands of hiv-positive
pregnant women as soon as possible after their diagnosis to prevent
their babies from becoming infected.
providing
our research on maternal health
read more
iframe:
https://www.youtube.com/embed/zb6maradouq?autoplay=0&start=0&rel=0
care for other infectious diseases
pregnant women are more susceptible to infectious diseases, and when
infected they are more likely to experience pregnancy complications and
face an increased risk of miscarriage or stillbirth.
for this reason, we offer preventive treatment to pregnant women
exposed to diseases such as malaria and tuberculosis, and provide extra
care where appropriate to pregnant women with these diseases or others
such as cholera and hepatitis e.
support msf's work on maternal health and other medical issues
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women's rights and gender equality
aid
this article is more than 1 year old
uk 'exaggerated number of lives saved' by maternal health aid project
this article is more than 1 year old
watchdog says many more deaths could have been prevented given level of
investment in department for international development programmes
supported by
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rebecca ratcliffe
tue 30 oct 2018 06.00 gmt last modified on mon 4 mar 2019 11.56 gmt
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mother carrying baby in malawi
[ ] in malawi, heavily pregnant women camped outside health facilities
for up to a month before giving birth, the review found. photograph:
jeffrey davis/getty images/tetra images rf
the uk government has been criticised by an aid watchdog for
exaggerating the number of women’s lives it saved through its maternal
health programmes.
a review, published by the independent commission for aid impact (icai)
on tuesday, also said the number of lives saved “were significantly
below what they could have been, given the level of investment”.
the watchdog said programmes by britain’s department for international
development (dfid) had failed to significantly improve the quality and
sustainability of maternal healthcare services in partner countries.
why do women still die giving birth?
read more
dfid spent about £4.6bn on programmes in health and other sectors
between 2011 and 2015. within this, £1.3bn focused more closely on
maternal health, including family planning, reproductive healthcare and
maternal and neonatal health. but icai said investments were focused on
short-term goals, and did not do enough to strengthen healthcare
systems or target marginalised women or teenage girls.
by 2015, dfid claimed to have saved 103,000 women’s lives during
pregnancy and childbirth, more than double its goal of 50,000. in an
internal and unpublished review, this figure was revised down to
80,100.
icai said the department relied on “unrealistic assumptions” to reach
such figures. compared with the review team’s observations in countries
such as malawi, the estimates appeared inflated.
alison evans, icai’s chief commissioner, who led the review, said uk
aid had expanded access to family planning, but added “… given the
ambition, need and level of investment, the programmes fell short of
what was required to achieve adequate progress.”
health facilities in partner countries remained chronically
under-resourced, with severe shortages of beds, healthcare workers and
equipment, said evans. in northern malawi, an area visited as part of
the review, heavily pregnant women camped outside health facilities for
up to a month before giving birth.
“they are waiting because they are not sure where they are in their
pregnancy cycle because of the lack of ultrasound equipment and the
lack of effective dating of pregnancies,” she said. “they don’t know
how close to their due dates they are and because they are fearful of
giving birth in a situation where there may not be a skilled attendant
they wait outside facilities, sometimes for up to a month, sometimes in
makeshift accommodation.”
uk aid programmes had fallen short of targets to improve emergency
obstetric and neonatal care, according to the review.
dfid had promised to prioritise the poorest 40% of women, as well as
girls aged between 15 and 19 years. but icai found that few programmes
included specific measures to reach these groups, nor did the
department monitor whether its programmes were reaching teenage girls.
it also failed to include measures that would tackle discrimination and
abuse of women in health facilities.
sean roberts, policy and campaigns officer at health poverty action,
said uk aid must be better targeted at the most vulnerable groups.
“indigenous women die far more often in childbirth than other women,”
he said. “if dfid wants to meet its commitment to leave no one behind
it must implement a robust action plan to address the maternal health
of indigenous women and other excluded groups.”
while uk aid had improved access to family planning for millions of
women, in malawi such programmes were delivered through non-state
providers. such partnerships allowed funding to quickly reach large
numbers of people, but risked displacing public sector services, said
evans.
“you have this problem of sustainability,” she said. “the public sector
is not able to gear itself up to provide a similar level of outreach.”
the review team visited a sample of programmes in malawi and the
democratic republic of the congo, as well as analysing published
literature, dfid policy documents and conducting interviews with
experts.
icai warned that health facilities struggled to ensure a reliable
supply of contraceptives. it added that dfid had championed
reproductive rights at the international level, but done less work to
encourage legal, policy and cultural change in partner countries.
dfid said in a statement that the uk is a global leader in promoting
reproductive health, and added that the review was not representative
of all the department’s work.
“we welcome icai’s acknowledgement that uk aid is helping women around
the world access the life-saving services they need, but it is
disappointing the report has made some generalisations from a selected
portion of our programming and also does not fully reflect the full
impact of our work, especially in recent years,” the statement said.
topics
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* what is mental health?
what is mental health?
it’s an expression we use every day, so it might surprise you that the
term ‘mental health’ is frequently misunderstood.
‘mental health’ is often used as a substitute for mental health
conditions – such as depression, anxiety conditions, schizophrenia, and
others.
according to the world health organization, however, mental health
is “a state of well-being in which every individual realises his or her
own potential, can cope with the normal stresses of life, can work
productively and fruitfully, and is able to make a contribution to her
or his community.”
so rather than being about ‘what’s the problem?’ it’s really about
‘what’s going well?'
''mental health is about wellness rather than illness''
to make things a bit clearer, some experts have tried coming up with
different terms to explain the difference between ‘mental health’ and
‘mental health conditions’. phrases such as ‘good mental health’,
‘positive mental health’, ‘mental wellbeing’, ‘subjective wellbeing’
and even ‘happiness’ have been proposed by various people to emphasise
that mental health is about wellness rather than illness. while some
say this has been helpful, others argue that using more words to
describe the same thing just adds to the confusion.
as a result, others have tried to explain the difference by talking
about a continuum where mental health is at one end of the spectrum –
represented by feeling good and functioning well – while mental health
conditions (or mental illness) are at the other – represented by
symptoms that affect people’s thoughts, feelings or behaviour.
the benefits of staying well
research shows that high levels of mental health are associated with
increased learning, creativity and productivity, more pro-social
behaviour and positive social relationships, and with improved physical
health and life expectancy. in contrast, mental health conditions can
cause distress, impact on day-to-day functioning and relationships, and
are associated with poor physical health and premature death from
suicide.
but it’s important to remember that mental health is complex. the fact
that someone is not experiencing a mental health condition doesn’t
necessarily mean their mental health is flourishing. likewise, it’s
possible to be diagnosed with a mental health condition while feeling
well in many aspects of life.
ultimately, mental health is about being cognitively, emotionally and
socially healthy – the way we think, feel and develop relationships -
and not merely the absence of a mental health condition.
beyond blue's vision is that everyone achieves their best possible mental
health
while beyond blue's primary focus is on the needs of people affected by
depression, anxiety and suicide, we also believe that a better
understanding of what we mean by mental health and how to achieve it
will help everyone in australia reach their full potential. this will
also contribute to the prevention of mental health conditions, and
support people who have experienced these conditions to get as well as
they can and lead full and contributing lives.
having social connections, good personal relationships and being part
of a community are vital to maintaining good mental health and
contribute to people's recovery, should they become unwell.
however, if you feel that you may be affected by depression or
anxiety remember they are treatable conditions and effective
treatments are available. the earlier you seek support, the better.
take the anxiety/depression checklist
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home information & support types of mental health problems
types of mental health problems
if you’ve been diagnosed with a mental health problem you might be
looking for information on your diagnosis, treatment options and where
to go for support. our information pages will help you learn more.
filter by
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[ ] types of depression (3)
[ ] stress and anxiety (6)
[ ] sleep (1)
[ ] suicide and self-harm (2)
[ ] eating and body image (2)
[ ] types of personality disorder (2)
[ ] mania, bipolar (2)
[ ] psychosis, hearing voices and schizophrenia (5)
[ ] other (9)
anger
explains what anger is, and how to deal with it in a constructive and
healthy way.
anxiety and panic attacks
explains anxiety and panic attacks, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
bipolar disorder
explains what bipolar disorder is, what kinds of treatment are
available, and how you can help yourself cope. also provides guidance
on what friends and family can do to help.
body dysmorphic disorder (bdd)
explains body dysmorphic disorder, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
borderline personality disorder (bpd)
explains what bpd is and what it’s like to live with this diagnosis.
also provides information about self-care, treatment and recovery, and
gives guidance on how friends and family can help.
depression
explains depression, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
dissociation and dissociative disorders
explains dissociative disorders, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
and guidance for friends and family.
drugs - recreational drugs & alcohol
explains the mental health effects of recreational drugs and alcohol,
and what might happen if you use recreational drugs and also have a
mental health problem. includes suggestions for where you might find
support.
eating problems
explains eating problems, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
hearing voices
explains what it is like to hear voices, where to go for help if you
need it, and what others can do to support someone who is struggling
with hearing voices.
hoarding
explains hoarding, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
hypomania and mania
explains hypomania and mania, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
loneliness
explains loneliness, giving practical suggestions for what you can do
and where you can go for support.
mental health problems - introduction
explains what mental health problems are, what may cause them, and the
many different kinds of help, treatment and support that are available.
also provides guidance on where to find more information, and tips for
friends and family.
obsessive-compulsive disorder (ocd)
explains obsessive-compulsive disorder (ocd), including possible causes
and how you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
panic attacks
explains what panic attacks are, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
and guidance for friends and family.
paranoia
explains paranoia, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
personality disorders
explains personality disorders, including possible causes and how you
can access treatment and support.
phobias
explains phobias, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
postnatal depression & perinatal mental health
explains postnatal depression and other perinatal mental health issues,
including possible causes, sources of treatment and support. also gives
advice for friends and family.
post-traumatic stress disorder (ptsd)
explains what post-traumatic stress disorder (ptsd) and complex ptsd
are, and provides information on how you can access treatment and
support. includes self-care tips and guidance for friends and family.
premenstrual dysphoric disorder (pmdd)
explains what pmdd is and explores issues around getting a diagnosis.
also provides information on self care and treatment options, and how
friends and family can help.
psychosis
explains what psychosis is, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
schizoaffective disorder
explains what schizoaffective disorder is, including its symptoms and
causes. gives advice on how you can help yourself and what types of
treatment and support are available, as well as guidance for friends
and family.
schizophrenia
explains schizophrenia, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
seasonal affective disorder (sad)
explains seasonal affective disorder, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
self-esteem
explains how to increase your self-esteem, giving practical suggestions
for what you can do and where you can go for support.
self-harm
explains self-harm, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
sleep problems
explains insomnia and other sleep problems, giving practical
suggestions for what you can do and where you can go for support.
stress
explains what stress is, what might cause it and how it can affect you.
includes information about ways you can help yourself and how to get
support.
suicidal feelings
explains what suicidal feelings are, including possible causes and how
you can learn to cope.
tardive dyskinesia
explains what tardive dyskinesia is, what causes it and what you can do
to manage it.
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if you have, or believe you may have, mental health problem, it can be
helpful to talk about these issues with others. it can be scary to
reach out for help, but it is often the first step to helping you heal,
grow, and recover.
having a good support system and engaging with trustworthy people are
key elements to successfully talking about your own mental health.
build your support system
find someone—such as a parent, family member, teacher, faith leader,
health care provider or other trusted individual, who:
* gives good advice when you want and ask for it; assists you in
taking action that will help
* likes, respects, and trusts you and who you like, respect, and
trust, too
* allows you the space to change, grow, make decisions, and even make
mistakes
* listens to you and shares with you, both the good and bad times
* respects your need for confidentiality so you can tell him or her
anything
* lets you freely express your feelings and emotions without judging,
teasing, or criticizing
* works with you to figure out what to do the next time a difficult
situation comes up
* has your best interest in mind
find a peer group
find a group of people with mental health problems similar to yours.
peer support relationships can positively affect individual recovery
because:
* people who have common life experiences have a unique ability to
help each other based on a shared history and a deep understanding
that may go beyond what exists in other relationships
* people offer their experiences, strengths, and hopes to peers,
which allows for natural evolution of personal growth, wellness
promotion, and recovery
* peers can be very supportive since they have “been there” and serve
as living examples that individuals can and do recover from mental
health problems
* peers also serve as advocates and support others who may experience
discrimination and prejudice
you may want to start or join a self-help or peer support group.
national organizations across the country have peer support networks
and peer advocates. find an organization that can help you connect with
peer groups and other peer support.
participate in your treatment decisions
it’s also important for you to be educated, informed, and engaged about
your own mental health.
* find out as much as you can about mental health wellness and
information specific to your diagnosed mental health problem.
* play an active role in your own treatment.
get involved in your treatment through shared decision making.
participate fully with your mental health provider and make informed
treatment decisions together. participating fully in shared decision
making includes:
* recognizing a decision needs to be made
* identifying partners in the process as equals
* stating options as equal
* exploring understanding and expectations
* identifying preferences
* negotiating options/concordance
* sharing decisions
* arranging follow-up to evaluate decision-making outcomes
learn more about shared decision making.
develop a recovery plan
recovery is a process of change where individuals improve their health
and wellness, live a self-directed life, and strive to reach their full
potential. studies show that most people with mental health problems
get better, and many recover completely.
you may want to develop a written recovery plan. recovery plans:
* enable you to identify goals for achieving wellness
* specify what you can do to reach those goals
* can be daily activities as well as longer term goals
* track your mental health problem
* identify triggers or other stressful events that can make you feel
worse, and help you learn how to manage them
you can develop these plans with family members and other supporters.
learn more about recovery.
last updated: 07/11/2017
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good mental health is related to mental and psychological well-being.
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home » your-mental-health » about-mental-health » what are mental
health problems?
what are mental health problems?
what are mental health problems?
mental health problems range from the worries we all experience as part
of everyday life to serious long-term conditions. the majority of
people who experience mental health problems can get over them or learn
to live with them, especially if they get help early on.
mental health problems are usually defined and classified to enable
professionals to refer people for appropriate care and treatment. but
some diagnoses are controversial and there is much concern in the
mental health field that people are too often treated according to or
described by their label. this can have a profound effect on their
quality of life. nevertheless, diagnoses remain the most usual way of
dividing and classifying symptoms into groups.
find out about various mental health problems in our a-z guide
symptoms
most mental health symptoms have traditionally been divided into groups
called either ‘neurotic’ or ‘psychotic’ symptoms. ‘neurotic’ covers
those symptoms which can be regarded as severe forms of ‘normal’
emotional experiences such as depression, anxiety or panic. conditions
formerly referred to as ‘neuroses’ are now more frequently called
‘common mental health problems.’
less common are ‘psychotic’ symptoms, which interfere with a person’s
perception of reality, and may include hallucinations such as seeing,
hearing, smelling or feeling things that no one else can. mental health
problems affect the way you think, feel and behave. they are problems
that can be diagnosed by a doctor, not personal weaknesses.
mental health problems are very common
as found by the apms (2014), 1 in 6 people in the past week experienced
a common mental health problem.
anxiety and depression are the most common problems, with around 1 in
10 people affected at any one time.
how do mental health problems affect people?
anxiety and depression can be severe and long-lasting and have a big
impact on people’s ability to get on with life.
between one and two in every 100 people experience a severe mental
illness, such as bi-polar disorder or schizophrenia, and have periods
when they lose touch with reality. people affected may hear voices, see
things no one else sees, hold unusual or irrational beliefs, feel
unrealistically powerful, or read particular meanings into everyday
events.
although certain symptoms are common in specific mental health
problems, no two people behave in exactly the same way when they are
unwell.
many people who live with a mental health problem or are developing one
try to keep their feelings hidden because they are afraid of other
people’s reactions. and many people feel troubled without having a
diagnosed, or diagnosable, mental health problem - although that
doesn’t mean they aren’t struggling to cope with daily life.
see our a-z guide for a look at all aspects of mental health
do you need urgent help?
if your mental or emotional state quickly gets worse, or you're worried
about someone you know - help is available.
you're not alone; talk to someone you trust. sharing a problem is often
the first step to recovery.
follow us
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mental health problem symptoms, causes and effects
mental health problems can cover a broad range of disorders, but the
common characteristic is that they all affect the affected person’s
personality, thought processes or social interactions. they can be
difficult to clearly diagnose, unlike physical illnesses. according to
data from samhsa, 20 percent of people in america suffer from a form of
mental disorder, and 5 percent suffer from a disorder severe enough to
affect school, work, or other aspects of daily life. if you think that
you or someone you know has a mental disorder, call us today at .
what are the types of mental health disorders?
mental health disorders occur in a variety of forms, and symptoms can
overlap, making disorders hard to diagnoses. however, there are some
common disorders that affect people of all ages.
attention deficit hyperactivity disorder (adhd)
attention deficit hyperactivity disorder is characterized by an
inability to remain focused on task, impulsive behavior, and excessive
activity or an inability to sit still. although this disorder is most
commonly diagnosed in children, it can occur in adults as well.
anxiety/panic disorder
anxiety disorder is defined by intermittent and repeated attacks of
intense fear of something bad happening or a sense of impending doom.
bipolar disorder
bipolar disorder causes a periodic cycling of emotional states between
manic and depressive phases. manic phases contain periods of extreme
activity and heightened emotions, whereas depressive phases are
characterized by lethargy and sadness. the cycles do not tend to occur
instantly.
depression
depression covers a wide range of conditions, typically defined by a
persistent bad mood and lack of interest in pursuing daily life, as
well as bouts of lethargy and fatigue. dysthymia is a milder but
longer-lasting form of depression.
schizophrenia
schizophrenia is not, as commonly thought, solely about hearing voices
or having multiple personalities. instead, it is defined by a lack of
ability to distinguish reality. schizophrenia can cause paranoia and
belief in elaborate conspiracies.
what causes a mental health disorder?
there is no single cause for mental health disorders; instead, they can
be caused by a mixture of biological, psychological and environmental
factors. people who have a family history of mental health disorders
may be more prone to developing one at some point. changes in brain
chemistry from substance abuse or changes in diet can also cause mental
disorders. psychological factors and environmental factors such as
upbringing and social exposure can form the foundations for harmful
thought patterns associated with mental disorders. only a certified
mental health professional can provide an accurate diagnosis of the
causes of a given disorder.
what are the signs of a mental health disorder?
mental health disorders exist in broad categories: anxiety disorders,
mood disorders, psychotic disorders, personality disorders and impulse
control disorders. if someone you know experiences erratic thought
patterns, unexplained changes in mood, lack of interest in socializing,
lack of empathy, inability to tell the difference between reality and
fantasy, or a seeming lack of control, that person may have a mental
health disorder. this is, by no means, a complete list of symptoms.
emotional symptoms of mental health problems
mental health problems can cause a wide variety of emotional symptoms,
some of which include:
* changes in mood
* erratic thinking
* chronic anxiety
* exaggerated sense of self-worth
* impulsive actions
physical symptoms of mental health problems
mental health problems typically do not cause physical symptoms in and
of themselves. depression, however, can indirectly cause weight loss,
fatigue and loss of libido, among others. eating disorders, a separate
class of mental health disorders, can cause malnutrition, weight loss,
amenorrhea in women, or electrolyte imbalances caused by self-induced
vomiting. this makes eating disorders among the most deadly of mental
health disorders.
short-term and long-term effects of mental health instability
in the short-term, mental health problems can cause people to be
alienated from their peers because of perceived unattractive
personality traits or behaviors. they can also cause anger, fear,
sadness and feelings of helplessness if the person does not know or
understand what is happening. in the long-term, mental health disorders
can drive a person to commit suicide. according to the national
institute for mental health, over 90 percent of suicides have
depression or another mental disorder as factors.
is there a test or self-assessment i can do?
it is hard, bordering on impossible, to accurately diagnose yourself
for mental disorders with an online questionnaire. you do not have an
objective view of yourself and are bound to answer questions
inaccurately. also, online tests are not comprehensive, so they do not
check for all possible symptoms. only a face-to-face session with a
qualified mental health professional can begin to diagnose a mental
health disorder with any degree of accuracy, because that professional
has an outside viewpoint and can pick up on subtle cues.
medication: drug options for mental health issues
fortunately, prescription drugs can be used to treat mental health
disorders in conjunction with behavioral therapy or cognitive therapy.
antidepressants, mood stabilizers, and antipsychotics are the broad
types of medication prescribed to treat mental illness.
mental health drugs: possible options
depending on the disorder, different medications will be prescribed.
antidepressants such as paxil, zoloft, prozac, and a variety of ssris,
snris and maois can be used to treat depression. mood stabilizers such
as lithium tablets are used to treat bipolar disorder, as are
anticonvulsants like depakote. antipsychotics like olanzapine or
clozapine are used to treat schizophrenia or psychotic depression.
medication side effects
some of the side effects of mental health medication include nausea,
headache, changes in appetite, dry mouth, increased urination, change
in libido, irritability, blurred vision and drowsiness. other side
effects can occur; each person’s body and brain chemistry is unique,
and it is impossible to predict with certainty how a given medication
will affect you or how well it will work. people who are prescribed
these medications should regularly communicate with their doctors and
notify them of any side effects.
drug addiction, dependence and withdrawal
some mental health medications are known to cause physical and
psychological dependency due to their changes in brain chemistry. over
time, dependency can become an addiction if the person isn’t careful.
the withdrawal process can exacerbate the original mental illness
because of the brain’s sudden loss of some chemicals such as serotonin,
dopamine, and other endorphins. in severe cases, the person may need to
be placed in a drug rehab facility to detox from prescription
medication.
medication overdose
it is possible to overdose on medication in an effort to get the same
effects as initially received, and this is more common when users are
dependent on medications. some signs of overdose can include seizure,
coma, slowed heartbeat, or extreme paranoia. if these signs are
present, immediately call 911 or your local poison control center and
have the prescription on hand if possible.
depression and mental health
depression often coexists with other mental disorders, or certain
disorders may have caused depression in the first place. for example,
40 percent of people with post-traumatic stress disorder also have
depression.
dual diagnosis: addiction and mental health disorders
in drug rehab facilities, counselors are usually trained to identify
dual diagnosis issues. this is because addiction is itself a type of
mental health disorder, or the addiction can be the symptom of some
other disorder. people may, for instance, turn to recreational drugs to
combat depression or to help stabilize mood swings associated with
bipolar disorder.
getting help for a mental health issue
it’s important that you or your loved one should seek help to treat
mental health issue. first, a physical checkup can rule out physical
illnesses. an appointment with a mental health professional will
usually include an interview and subsequent evaluation to determine the
most obvious symptoms and to ascertain the type and severity of mental
disorder. in certain cases, an intervention may be required from family
and friends. if you or someone you know needs help, call us at to get
more information on treatment.
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mental illness and the family: recognizing warning signs and how to cope
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mental illness and the family: recognizing warning signs and how to cope
most people believe that mental health conditions are rare and “happen
to someone else." in fact, mental health conditions are common and
widespread. an estimated 44 million americans suffer from some form of
mental disorder in a given year.
most families are not prepared to cope with learning their loved one
has a mental illness. it can be physically and emotionally trying, and
can make us feel vulnerable to the opinions and judgments of others.
if you think you or someone you know may have a mental or emotional
problem, it is important to remember there is hope and help.
what is mental illness?
mental illnesses are brain-based conditions that affect thinking,
emotions, and behaviors. since we all have brains – having some kind of
mental health problem during your life is really common.
for people who have mental illnesses, their brains have changed in a
way in which they are unable to think, feel, or act in ways they want
to. for some, this means experiencing extreme and unexpected changes in
mood – like feeling more sad or worried than normal. for others, it
means not being able to think clearly, not being able to communicate
with someone who is talking to them, or having bizarre thoughts to help
explain weird feelings they are having.
there are more than 200 classified forms of mental illness. some of the
more common disorders are depression, bipolar disorder, dementia,
schizophrenia and anxiety disorders. symptoms may include changes in
mood, personality, personal habits and/or social withdrawal.
mental health problems may be related to excessive stress due to a
particular situation or series of events. as with cancer, diabetes and
heart disease, mental illnesses are often physical as well as emotional
and psychological. mental illnesses may be caused by a reaction to
environmental stresses, genetic factors, biochemical imbalances, or a
combination of these. with proper care and treatment many individuals
learn to cope or recover from a mental illness or emotional disorder.
to hear personal descriptions of mental illness, visit feelslike.
warning signs and symptoms
to learn more about symptoms that are specific to a particular mental
illness, search under mental health information.the following are signs
that your loved one may want to speak to a medical or mental health
professional.
it is especially important to pay attention to sudden changes in
thoughts and behaviors. also keep in mind that the onset of several of
the symptoms below, and not just any one change, indicates a problem
that should be assessed. the symptoms below should not be due to recent
substance use or another medical condition.
if you or someone you know is in crisis now, seek help immediately.
call 1-800-273-talk (8255) to reach a 24 hour crisis center or dial 911
for immediate assistance.
in adults, young adults and adolescents:
* confused thinking
* prolonged depression (sadness or irritability)
* feelings of extreme highs and lows
* excessive fears, worries and anxieties
* social withdrawal
* dramatic changes in eating or sleeping habits
* strong feelings of anger
* strange thoughts (delusions)
* seeing or hearing things that aren't there (hallucinations)
* growing inability to cope with daily problems and activities
* suicidal thoughts
* numerous unexplained physical ailments
* substance use
in older children and pre-adolescents:
* substance use
* inability to cope with problems and daily activities
* changes in sleeping and/or eating habits
* excessive complaints of physical ailments
* changes in ability to manage responsibilities - at home and/or at
school
* defiance of authority, truancy, theft, and/or vandalism
* intense fear
* prolonged negative mood, often accompanied by poor appetite or
thoughts of death
* frequent outbursts of anger
in younger children:
* changes in school performance
* poor grades despite strong efforts
* changes in sleeping and/or eating habits
* excessive worry or anxiety (i.e. refusing to go to bed or school)
* hyperactivity
* persistent nightmares
* persistent disobedience or aggression
* frequent temper tantrums
how to cope day-to-day
accept your feelings
despite the different symptoms and types of mental illnesses, many
families who have a loved one with mental illness, share similar
experiences. you may find yourself denying the warning signs, worrying
what other people will think because of the stigma, or wondering what
caused your loved one to become ill. accept that these feelings are
normal and common among families going through similar situations. find
out all you can about your loved one’s conditionby reading and talking
with mental health professionals. share what you have learned with
others.
__________________________________________________________________
handling unusual behavior
the outward signs of a mental illness are often behavioral.a person may
be extremely quiet or withdrawn. conversely, they may burst into tears,
have great anxiety or have outbursts of anger.
even after treatment has started, someindividuals with a mental illness
can exhibit anti-social behaviors. when in public, these behaviors can
be disruptive and difficult to accept. the next time you and your
family member visit your doctor or mental health professional, discuss
these behaviors and develop a strategy for coping.
the individual's behavior may be as dismaying to them as it is to you.
ask questions, listen with an open mind and be there to support them.
__________________________________________________________________
establishing a support network
whenever possible, seek support from friends and family members. if you
feel you cannot discuss your situation with friends or other family
members, find a self-help or support group. these groups provide an
opportunity for you to talk to other people who are experiencing the
same type of problems. they can listen and offer valuable advice.
__________________________________________________________________
seeking counseling
therapy can be beneficial for both the individual with mental illness
and other family members. a mental health professional can suggest ways
to cope and better understand your loved one’s illness.
when looking for a therapist, be patient and talk to a few
professionals so you can choose the person that is right for you and
your family. it may take time until you are comfortable, but in the
long run you will be glad you sought help.
__________________________________________________________________
taking time out
it is common for the person with the mental illness to become the focus
of family life. when this happens, other members of the family may feel
ignored or resentful. some may find it difficult to pursue their own
interests.
if you are the caregiver,youneed some time for yourself. schedule time
awayto preventbecoming frustrated or angry. if you schedule time for
yourself it will help you to keep things in perspective and you may
have more patience and compassion for coping or helping your loved
one.being physically and emotionally healthy helps you to help others.
“many families who have a loved one with mental illness share similar
experiences”
it is important to remember that there is hope for recovery and that
with treatment many people with mental illness return to a productive
and fulfilling life.
__________________________________________________________________
other resources
mental illness in the family: part 1 recognizing the warning signs &
how to copeis one in a series of pamphlets on helping family members
with mental illness. other mental health america titles include:
* mental illness in the family: part ii guidelines for seeking care
* mental illness in the family: part iii guidelines for
hospitalization
mental health america offers additional pamphlets on a variety of
mental health topics. for more information or to order multiple copies
of pamphlets, please contact mental health america
external resources
find a local mha affiliate
substance abuse and mental health services administration (samhsa)
phone 800-789-2647
national institute of mental health (nimh)
information resources and inquiries branch
phone 301-443-4513
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nanotechnology-based health products and food
nanotechnology
nanotechnology is the application of scientific knowledge to manipulate
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applications of nanotechnology
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health products and food branch (hpfb) involvement with nanotechnology
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authority
health canada adopted a broad working definition for nanomaterials to
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areas to identify regulated products and substances that may contain
nanomaterials. the working definition enables the department to
establish internal inventories, to ask for additional information, and
to integrate that new knowledge into regulatory decision making
processes. the first step to assuring adequate risk assessment and risk
management is to identify potential nanomaterials using the working
definition as a tool.
currently, there are no regulations specific to nanotechnology-based
health and food products. health canada relies on authorities within
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and safety of canadians before they can be authorised for sale.
general guidance
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addition, for any regulated product or substance that contains
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health
health
no-deal brexit 'still risk to nhs and care sector'
by nick triggle health correspondent
* 27 september 2019
* comments
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related topics
* brexit
pharmacist with drugs image copyright getty images
a no-deal brexit presents risks to the nhs and care homes despite
extensive government planning, a watchdog says.
the national audit office praised the government for the "enormous
amount of work" that had been done but said there were still
"significant" gaps.
the extra shipping capacity government was buying to bring medicines
into ports other than dover may not be completely ready by 31 october.
and there was no clear evidence the care sector was ready, the nao
said.
the report raises concerns the sector has not received enough
government support.
* uk plans £3m no-deal medicine transport
* uk seeks new no-deal brexit freight plan
the government has arranged the stockpiling of supplies for the nhs.
but for the care sector, which is fragmented in that it relies on
24,000 companies to provide services, no central arrangement has been
made to stockpile equipment and supplies, such as syringes and needles,
most of which come from or via the eu.
when it comes to medicines, however, the supply of which has been
organised for both the nhs and care sectors, the report acknowledges
the work that has been done.
this includes stockpiling six weeks' supply of drugs and arranging for
emergency supplies to be fast-tracked in - some drugs, including cancer
treatments, have a short shelf-life and so cannot be stockpiled.
but the report says it is still not known exactly what level of
stockpiling is in place.
more than 12,000 medicines are used by the nhs, and about 7,000 come
from or via the eu.
image copyright getty images
the publication of the report comes after mps attempted to block the
government leaving the eu without a withdrawal agreement.
legislation has been passed requiring the government to ask for an
extension if a deal cannot be agreed.
labour mp meg hillier, who chairs the cross-party public accounts
committee, said the report was "deeply concerning".
"i've seen countless examples of deadlines missed and government
failing," she said.
"if government gets this wrong, it could have the gravest of
consequences."
dr layla mccay, of the nhs confederation, which represents managers,
said the planning had been detailed but the situation was still
concerning.
she also warned it was the "unknowns and unknowables" that perhaps
presented the biggest risk.
a department of health and social care spokesman said: "we want to
reassure patients we are doing everything we can."
he said the government along with industry had "mounted an
unprecedented response in preparing for brexit" with stockpiles
"increasing by the day".
__________________________________________________________________
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more on this story
* uk plans £3m no-deal medicine transport
7 july 2019
* uk seeks new no-deal brexit freight plan
29 june 2019
* government pays eurotunnel £33m over brexit ferry case
1 march 2019
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featured stories
tweeze vs freeze: here's the lowdown on how to get rid of a tick
close-up of a larval tick feeding from the thin skin on an adult man’s
ankle. close-up of a larval tick feeding from the thin skin on an adult
man’s ankle.
by anna salleh
ticks can make you really sick, so how do you remove them safely?
bananas in pyjamas director survives near-fatal decision to take health into
his own hands
mr munro appearing unconscious in hospital, attached to machines that
help him breathe. mr munro appearing unconscious in hospital, attached
to machines that help him breathe.
by lexy hamilton-smith
ian munro's "gung-ho" decision to go off medication and "manage" his
condition with diet and exercise nearly cost him everything. lying in a
hospital bed his family was told a dozen times to prepare to say
goodbye.
how can you avoid a sore back on a long car or plane trip?
close up woman having pain on neck and shoulder while driving car.
close up woman having pain on neck and shoulder while driving car.
by health reporter olivia willis
a long-haul flight or interstate road trip can leave your back in
agony. so what can you do to avoid that?
chinese scientist who 'gene-edited' babies jailed for three years
he jiankui stares at a reflection of himself in a computer screen he
jiankui stares at a reflection of himself in a computer screen
chinese scientist he jiankui, who claims he made the world's first
"gene-edited" babies by altering human embryos in 2018, is convicted on
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julia was told she might have a brain tumour — but the mri scan was her real
fear
julia robertson with a scan julia robertson with a scan
by the specialist reporting team's alison branley
for people with serious illnesses who need an mri, the scan can
sometimes be the most traumatic procedure of all.
latest news
china yet to identify cause of pneumonia outbreak as cases rise to 44
chinese health authorities are trying to identify what is causing an
outbreak of pneumonia in the central city of wuhan, officials say, as
the tally of cases rises.
posted 12hhours ago / updated 9hhours ago
a crowd of commuters line up outside a train station, many wearing face
masks to protect against smog a crowd of commuters line up outside a
train station, many wearing face masks to protect against smog
call to shut emergency department at multi-million dollar new hospital
by lauren roberts
"it's a total waste of money": health experts say the nt's long-awaited
$206 million hospital is adding more pressure to its already stretched
hospital system. so what is going on with darwin's hospitals?
posted fri 3 jan 2020 / updated fri 3 jan 2020
an emergency department bed at palmerston regional hospital an
emergency department bed at palmerston regional hospital
gippsland locals survey the damage as others flee amid evacuation alerts
by nicole asher and staff
the cfa captain in the small hamlet of wairewa is feeling guilty — his
home was saved when fire went through, but 11 others were destroyed.
locals like him have begun surveying the damage in parts of east
gippsland, while others have already evacuated.
posted fri 3 jan 2020 / updated fri 3 jan 2020
steve warrington surveying a destroyed house in buchan wearing his
orange cfa jacket. steve warrington surveying a destroyed house in
buchan wearing his orange cfa jacket.
hospital in sa's second largest city unable to examine victim of alleged
sexual assault
abc south east sa
/
by rebecca chave and isadora bogle
sa police have questioned why the survivor of an alleged sexual assault
was forced to travel more than 300km to adelaide to undergo a forensic
examination.
posted fri 3 jan 2020 / updated fri 3 jan 2020
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surgeon may have missed cancer signs in hundreds of patients, investigation
launched
by emma pollard
concerns are raised about the thoroughness of 1,500 endoscopy and
colonoscopy procedures done by a doctor at a hospital, with about 1,000
patients being contacted by queensland health.
posted fri 3 jan 2020 / updated fri 3 jan 2020
colonoscopy colonoscopy
how to stop saying yes when you want to say no
abc radio national
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by namila benson and sophie kesteven for life matters
it's one of the shortest words in the english language, but many of us
struggle to say no — even when we want to. so how do we master the
graceful art of saying no, without feeling guilty about it?
posted thu 2 jan 2020
pieces of paper on a table which read 'no' surrounding a note stating
'yes'. pieces of paper on a table which read 'no' surrounding a note
stating 'yes'.
need inspiration for your 2020 fitness goals? meet the woman who ran across
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running through the desert was "mentally maddening" but, for the
33-year-old american, the harder part was doing something first and
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posted 2ddays ago
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says "darwin to adelaide". the ocean is the backdrop. a woman and man
wear big smiles as they stand near a green sign that says "darwin to
adelaide". the ocean is the backdrop.
'when it gets smoky, we're coming off': tim paine says officials watching air
quality for sydney test
the australian skipper backs officials to make the right call, but
admits that if air quality deteriorates, it could result in a loss of
play at the third test against new zealand, starting at the scg
tomorrow.
posted 2ddays ago / updated 2ddays ago
an australian cricketer sits behind a bank of microphones talking to
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talking to the media.
less than nine years after his afl dream came true, jake edwards tried to
take his own life
by tom wildie
jake edwards appeared set for something great when his name was called
out by the carlton football club on afl draft night in 2005. less than
nine years later, he tried to take his life.
posted 2ddays ago
a tight head shot of jake edwards staring down the barrel of the
camera. a tight head shot of jake edwards staring down the barrel of
the camera.
tweeze vs freeze: here's the lowdown on how to get rid of a tick
abc health & wellbeing
/ by anna salleh
ticks can make you really sick, so how do you remove them safely?
posted 3ddays ago / updated 3ddays ago
close-up of a larval tick feeding from the thin skin on an adult man’s
ankle. close-up of a larval tick feeding from the thin skin on an adult
man’s ankle.
what's changing in 2020? this is what you need to know
by lucia stein
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about what's changing from today.
posted 3ddays ago / updated 3ddays ago
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roof. a gold key in front of a small white and red model house with a
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bananas in pyjamas director survives near-fatal decision to take health into
his own hands
by lexy hamilton-smith
ian munro's "gung-ho" decision to go off medication and "manage" his
condition with diet and exercise nearly cost him everything. lying in a
hospital bed his family was told a dozen times to prepare to say
goodbye.
posted 4ddays ago / updated 4ddays ago
mr munro appearing unconscious in hospital, attached to machines that
help him breathe. mr munro appearing unconscious in hospital, attached
to machines that help him breathe.
he changed the life of a young 'crim' but for nearly 40 years, this former
cop had no idea
abc radio national
/
by claudia taranto for earshot
bill was a cop, brett was a crim. a chance encounter between them
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posted 4ddays ago / updated 4ddays ago
two men stand side-by-side in a nursing home corridor. two men stand
side-by-side in a nursing home corridor.
chinese scientist who 'gene-edited' babies jailed for three years
chinese scientist he jiankui, who claims he made the world's first
"gene-edited" babies by altering human embryos in 2018, is convicted on
charges of practising medicine illegally, according to chinese state
media.
posted 5ddays ago
he jiankui stares at a reflection of himself in a computer screen he
jiankui stares at a reflection of himself in a computer screen
'another broken promise': government health website goes live without
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by political reporter stephanie dalzell
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for patients to search and compare specialist fees.
posted 5ddays ago / updated 5ddays ago
a screenshot of the federal government's medical costs finder website.
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analysis
drink more this silly season? it's time to bust some myths
the conversation
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by nicole lee and brigid clancy
with the holiday season well underway and new year's eve approaching,
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to bust some long-standing myths, writes nicole lee and brigid clancy.
posted 5ddays ago / updated 5ddays ago
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the mysterious motivations of notorious serial abortionist elizabeth taylor
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jailed three times, nurse elizabeth taylor became notorious for her
role in the "abominable trade" of procuring abortions for melbourne
women in the late 1800s. and she wasn't the only one.
posted 5ddays ago / updated 5ddays ago
an old sepia-tone mugshot of a woman. an old sepia-tone mugshot of a
woman.
samoa lifts six-week state of emergency after bringing measles outbreak under
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the samoa government ends aggressive measures, including closing
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contain the outbreak of the virus which killed 81 people and infected
more than 5,600.
posted 6ddays ago / updated 5ddays ago
close-up photo of a new zealand health official preparing a measles
vaccination. close-up photo of a new zealand health official preparing
a measles vaccination.
why this parenting guru says people are being sold a 'disney-like illusion'
about having kids
abc radio national
/
by sarah scopelianos
parenting guru maggie dent says people are being sold a "disney-like
illusion" about having kids — but the reality isn't always so magical.
we asked the experts for a reality check and some real-world advice.
posted 6ddays ago / updated 5ddays ago
a mother and father together with her baby boy. a mother and father
together with her baby boy.
inside sydney's lavish dance parties that are missing one thing
by kevin nguyen
there's a throng of performers, lavish lighting and a bumping dance
floor — it sounds like the perfect party, but there's something very
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posted 6ddays ago / updated 5ddays ago
a woman in colourful make up before a sunset and lasers a woman in
colourful make up before a sunset and lasers
the good news stories you may have missed in 2019
by bridget judd
in a year marred by tragedy both at home and abroad, it can be easy to
think of the news cycle as little more than doom and gloom. but beneath
the sombre headlines were stories of hope and optimism that are bound
to have even the most pessimistic among us struggling to stifle a
smile.
posted 6ddays ago / updated 5ddays ago
two men carry a woman sitting in a specially-built chair up a bush
track. two men carry a woman sitting in a specially-built chair up a
bush track.
nursing home staff receive death and rape threats following christmas meal
post
by daniel keane
the chief of an adelaide nursing home at the centre of a social media
storm says the reaction to a photo of baked beans and mashed potato
served on christmas day has been "extreme" and filled with "hatred".
posted frifriday 27 decdecember 2019 at 10:01pm / updated frifriday 27
decdecember 2019 at 11:21pm
a plate of unappetising mashed potato and baked beans. a plate of
unappetising mashed potato and baked beans.
julia was told she might have a brain tumour — but the mri scan was her real
fear
by the specialist reporting team's alison branley
for people with serious illnesses who need an mri, the scan can
sometimes be the most traumatic procedure of all.
posted frifriday 27 decdecember 2019 at 6:47pm / updated frifriday 27
decdecember 2019 at 10:16pm
julia robertson with a scan julia robertson with a scan
christmas meal 'slop' served at adelaide nursing home prompts outrage
an adelaide nursing home concedes a meal consisting of baked beans and
mashed potato served to aged care residents on christmas day was short
of expectations, after a south australian mp shared a photo of the dish
online.
posted thuthursday 26 decdecember 2019 at 6:45am
a plate of unappetising mashed potato and baked beans. a plate of
unappetising mashed potato and baked beans.
'from day dot it's been a nightmare': the dangerous surprise that's costing
homeowners a fortune
by state political reporter bridget rollason
anais wood says it took years to find the right apartment to buy. but
now she's being forced to find tens of thousands of dollars to remove
combustible cladding — or face criminal charges.
posted wedwednesday 25 decdecember 2019 at 7:03pm / updated frifriday
27 decdecember 2019 at 4:03am
michelle wood (left) and anais wood (right) stand close together
outside anais wood's apartment building. michelle wood (left) and anais
wood (right) stand close together outside anais wood's apartment
building.
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mental health still the number one reason people visit their gp, report finds
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abc health & wellbeing
by health reporter olivia willis
close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
(getty images: hero images)
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close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
getty images: hero images
(button) close
mental health issues are driving australians to visit their gp more
than any other health concern.
key points
key points
* report finds psychological issues most common problem gps treat,
second year in a row
* gp body says longer consultation times are needed to adequately
treat complex illness
* government developing 10-year primary care plan to improve medicare
delivery
but gps say they're struggling to keep up with demand because mental
healthcare is complex and often requires more time than a standard
consultation allows.
a survey of 1,200 gps published today by the royal australian college
of general practitioners (racgp) found two in three doctors reported
"psychological issues" as the most common ailment they now treated.
"if you think about where you can go if you've got a mental health
issue, there are very few places," said harry nespolon, president of
the racgp.
dr nespolon said the shift from institutional to community-based care
for mental health patients, as well as a waning reliance on religious
institutions for pastoral care, has led to more australians using gp
services for psychological support.
"[gps see] everything from relationship problems all the way through to
people with severe schizophrenia," he said.
"if you do come into a crisis … often a gp is a trusted person that's
been taking care of you for 10 or 15 years."
bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
(health of the nation 2019)
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bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
health of the nation 2019
(button) close
but dr nespolon said the current medicare structure favoured shorter
consultations for straightforward health conditions, and undervalued
longer consultations required for complex issues.
"at the moment, there's really only one [medicare] item number for
mental health issues, which is a 20-minute consultation," he said.
"in other words, you can sort out all mental health issues in 20
minutes — which we all know is not true."
without longer subsidised consultations, dr nespolon said many gps were
being forced to cram patients with complex needs into short
appointments, charge patients for more time, or wear the out-of-pocket
cost themselves.
"we want to see the government provide financial support for dealing
with these complex cases," he said.
the health of the nation report found out-of-pocket costs to see the gp
were rising, and for the first time, all areas outside major cities had
seen a decline in bulk billing.
"this has a major effect on the 7 million australians who live in
regional, rural and remote areas," dr nespolon said.
"the growing gap between the cost of providing care and the medicare
rebate will have a devastating impact on the sustainability and
accessibility of general practice."
rebates explained
quick explanation of rebates
* the medicare benefits schedule (mbs) is a list of medical services
for which the australian government provides a medicare rebate.
* each mbs item has its own scheduled fee — this is the amount the
government considers appropriate for a particular service (e.g.
getting a blood test or seeing a psychologist).
* rebates are typically paid as a percentage of the medicare
scheduled fee. in the case of gp consultations, the rebate is 100
per cent of the schedule fee.
* this means that bulk-billing gps agree to charge patients the
medicare schedule fee ($37.60 for a standard appointment) and are
directly reimbursed by the government, and there is no cost to the
patient.
* gps who don't bulk bill charge a fee higher than the medicare
schedule fee, meaning patients must pay the difference between the
schedule fee and the doctor's fee — out of their own pocket.
* for example, if your doctor charges $75 for a standard
consultation, you'll pay $75 and receive a rebate of $37.60 —
leaving you $37.40 worse off.
longer consultations needed for complex care
in australia, a standard physical consultation of 20-40 minutes with a
gp attracts a rebate of $73.95. that increases once the consultation
exceeds 40 minutes.
by comparison, any gp mental health consultation longer than 20 minutes
— excluding appointments to prepare or review mental health treatment
plans — attracts a rebate of $72.85.
dr nespolon said there needs to be recognition in the medicare rebate
schedule that dealing with mental health issues and other complex
health conditions takes time.
"we know that people with mental health issues tend to have many more
physical problems … so the gp is there dealing with all the patient's
issues, not just their mental health issue," he said.
"we've been pushing for 40- and 60-minute [mental health] item numbers,
so people get the time, and gps are not acting as a charity when it
comes to dealing with mental health issues."
in july, the federal government ended a freeze on the medicare rebate
for gp visits as part of a $1.1 billion primary healthcare plan. the
move was designed to close the gap on rising out-of-pocket medical
costs.
but dr nespolon said even with the lifting of the medicare freeze,
rebates still failed to reflect the true cost of delivering services.
"gps are small businesses. they need to pay staff, pay their leases or
mortgages, and [these] go up at much higher rates than the percentage
increase that the government provides," he said.
"like any small business, you've got a choice. you either recover your
costs or you go broke. and that's exactly what we're seeing happening
at the moment."
the growing gap between the cost of providing care and the medicare
rebate was reflected in rising out-of-pocket costs, he said.
in 2018-19, the average out-of-pocket cost for a gp service was $38.46
— a gap that's risen roughly $7 in five years.
out-pocket-costs varied across australia, with patients in the northern
territory, act, remote and very remote areas experiencing significantly
higher costs.
how mental health plans work
how mental health plans work
if you're living with a diagnosable mental illness, you are entitled to
receive a medicare rebate.
bulk billing rates predicted to decline
the report also found bulk billing was not as common as medicare
statistics — or the federal health minister greg hunt — have previously
suggested.
"medicare statistics indicate that 86.2 per cent of general practice
services were bulk billed in 2018-19," the report states.
"while this figure provides an indication of total bulk-billed services
in australia over this period, it does not represent the number of
patients who are bulk billed, nor does it represent the number of
patients who are bulk billed for all of their general practice care."
since patients may receive a number of services during a single visit
to a gp, with some services bulk billed and others not, the proportion
of people who face zero out-of-pocket costs for care is much lower than
the rate of services overall.
"in 2016-17, while 86 per cent of gp services were bulk billed,
nationally only 66 per cent of patients had all of their gp services
bulk billed."
although the number of gp services being bulk billed has increased in
the last four years, the racgp predicts bulk-billing rates will decline
from 2020, as the rate of increase continues to slow.
in 2019, just 18 per cent of gps reported bulk billing all of their
patients, down from 29 per cent in 2017.
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improving mental health for gps, too
in addition to access to mental health for the general public, dr
nespolon said the mental health of gps also deserved close attention.
"research shows that doctors experience higher levels of mental
distress than the general population. yet four in ten gps report that
they have personally delayed seeking treatment or care in the past two
years," he said.
part of this could be attributed to time constraints, he said, but also
to mandatory reporting laws, which posed a "significant deterrent" to
doctors seeking care.
"with the exception of western australia, all of australia's states and
territories require doctors to report their colleagues if they believe
patient safety is at risk and this includes if a colleague has sought
their help as a patient," he said.
"we believe that doctors should be exempt from mandatory reporting so
that they feel free to discuss their health issues confidentially ...
so they can continue to provide the best possible care for all
australians."
medicare 'stronger than ever', government says
in a statement to the abc, a spokesperson for the minister for health
said the government had committed $1.6 billion to support doctors and
specialists to strengthen primary care to deliver improved access for
outcomes.
"our goal is to make primary health care more patient focused, more
accessible, and better able to provide preventative health and
management of chronic conditions," they said.
the spokesperson said the government would increase medicare funding by
$6 billion over the next four years, to reach $31 billion of annual
funding in 2022–23.
"we are working with gps, specialists and consumers, including the
racgp, to develop a 10-year primary care plan that supports a more
flexible and innovative medicare, starting with a $448.4 million
investment in a new patient enrolment model for patients over 70 years.
"medicare today is stronger and better protected than it's ever been."
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* article number one reason why people see their gps? mental health
* article what you need to know when choosing a mental health
professional
* article victorian town in 'crisis mode' as doctor shortage looms
* article greg hunt said fewer patients face costs to see a gp under
the coalition. is he correct?
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* health
* mental health
* doctors and medical professionals
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in this file photo from march 27, 2015, commander of iran's quds force,
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analysis: here's why the us killing iranian general qassem soleimani is
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the death of qassem soleimani is a watershed moment, even in the long
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5. antimicrobial resistance (amr)
news story
uk to invest in new research against evolving global health threats
the chief medical officer has announced funding for projects to help
beat antimicrobial resistance (amr) and achieve global universal health
coverage.
published 25 september 2019
from:
department of health and social care
a scientist in a laboratory uses a pipette.
image credit: roger harris photography
the funding will include:
* £6.2 million to strengthen existing surveillance systems tracking
amr trends across africa and asia
* £12 million to improve collaborations on health systems research
between low- and middle-income countries and the uk, for example
countries in sub-saharan africa
the chief medical officer, professor dame sally davies, announced the
funding for the projects at the un general assembly.
she warned that the world cannot achieve universal health coverage
without addressing the threat of amr.
universal health coverage is a un ambition, and aims for every person
across the globe to have access to basic healthcare, whatever their
situation.
amr is involved in 700,000 deaths around the world every year, and this
is expected to rise to 10 million deaths a year by 2050. if amr
continues to follow current trends, common infections will become
complex and expensive to treat, affecting tens of millions of people.
achieving universal healthcare coverage also requires rigorous research
to inform health policy and health systems.
professor davies is representing the uk at the un general assembly
high-level meeting on universal health coverage in new york alongside
heads of state, health experts and policy-makers.
she will point to infection prevention and control measures, such as
immunisation, good hygiene and appropriate antibiotic use, as crucial
to achieving both universal healthcare coverage and eliminating the
threat of amr.
the £6.2 million in uk aid investment will come from the fleming
fund. it will help improve amr data quality, collection and sharing
across africa and asia, with the aim of developing policy and action
from that data.
the invitation to apply for a share of £12 million of funding is being
made by the national institute of health research (nihr) global health
research programme. it will enable experts from low- and middle-income
countries and the uk to form partnerships to contribute to universal
health coverage and sustainable development goals.
the fleming fund and nihr global health research funding was first
announced as part of the 2015 spending review.
the un has committed to ensuring all people have access to affordable
healthcare by 2030, and yesterday member states adopted a declaration
recognising that tackling amr and innovative health research is crucial
to this.
chief medical officer for england, professor dame sally davies said:
achieving our common goal of universal health coverage will require
global action on a multitude of fronts, including tackling the
escalating threat of antimicrobial resistance and investing in
research.
i am delighted to announce this funding, which will catalyse
regional collaboration to help strengthen amr surveillance systems
across africa and asia and support the next generation of health
policy and systems research.
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published 25 september 2019
explore the topic
* antimicrobial resistance (amr)
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iframe: https://www.youtube.com/embed/lwdlcbxqtc4
50th anniversary of newborn metabolic screening
stella's story is one of six videos to commemorate the 50th anniversary
of newborn metabolic screening. this screening means metabolic
conditions can be diagnosed and treated before a baby becomes unwell.
view other stories like stella's. find out more about newborn metabolic
screening.
transcript
title: newborn metabolic screening programmestella’s story
[photograph of stella as a baby]
[text on screen of stella’s birthdate] 26 august 2018
[video of stella and her parents sitting on floor inside house]
[photograph of stella as a baby]
tanya - stella’s mother:
had a really healthy pregnancy, had a dream labour and took her home
and she was healthy as, and then when she was eight days old the
midwife turned up.
on the way to our house she’d got a phone call from the specialists at
starship, the immunologists, that said look there’s something, there’s
something wrong.
[text on screen] at 10 days old stella was diagnosed with severe
combined immune deficiency (scid).
dr shannon brothers - paediatric immunologist:
babies with combined immune deficiency (scid) are born without a
functioning immune system. although they appear healthy at birth, they
go on to develop severe, persistent infections and die by a year of
age.
[text on screen over video of stella in hospital] stella had
chemotherapy and a bone marrow transplant when she was four months old.
justin - stella’s father:
the medical side of the thing, watching your kid go through this, it’s
not easy.
[photograph and video of stella in hospital with her parents]
tanya:
luckily at that point my mum was actually up there with us, and so
between the three of us one of us stayed awake and held her every
single hour for that time that she was sick.
[text on screen] she battled a serious infection.
[video of tanya attaching baby bottle with milk to pump and attaching
pump to stella’s feeding tube]
tanya:
because she got ulcers through transplant, she stopped eating, drinking
her milk, and she hasn’t worked that one out yet so we’re still feeding
her through the tube down her nose.
[video of justin following stella as she walks and carrying stella’s
pump]
tanya:
might be easier if you push it.
justin:
it’s a bit of a, bit of a worry if she falls over and hurts herself.
[text on screen] due to her compromised immunity stella has not been
able to interact with people other than her family.
[video of stella walking towards doll being held by her mother]
tanya:
who’s this? is it luna? you going to give her a cuddle?
[video of doll which also has a feeding tube attached to its cheek]
tanya:
we’ve got to get the tube out, teach her how to eat and soon enough
she’ll be like every other kid, you’d never know, yeah.
[video of stella being held by justin while tanya puts stella’s hat and
coat on]
[text on screen] now, stella’s natural immunity is improving.
[video of justin carrying stella outside with tanya, closing door
behind them and justin putting stella in car seat in car]
justin:
it’s nice that we can get to take her out a bit more, nice walking
tracks and some parks where there’s not too many people.
tanya:
it’s your kid’s life. for us if we hadn’t have found out early, we’d be
in a completely different situation now and it’s life or death.
[video of stella walking outside on lawn, being picked up by tanya]
tanya:
and i know you think you’re not going to be that one because everyone
thinks you’re not going to be the one in 100,000 or whatever but screw
the statistics, when it comes down to it, we’re that one.
in our eyes if it wasn’t for the newborn screening, she may not have
made it to her first birthday.
[video of justin, tanya and stella together outside]
tanya:
that test is everything for us. it gave her the best chance of success
in life.
nz cancer action plan 2019–2029.
new zealand cancer action plan 2019–2029
the new zealand cancer action plan 2019–2029 sets out the actions
required over the next 10 years to ensure better cancer outcomes.
news
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and quality improvement
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nutrition
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27 health and nutrition tips that are actually evidence-based
written by kris gunnars, bsc on june 7, 2019
it’s easy to get confused when it comes to health and nutrition.
even qualified experts often seem to hold opposing opinions.
yet, despite all the disagreements, a number of wellness tips are well
supported by research.
here are 27 health and nutrition tips that are actually based on good
science.
27 health and nutrition tips share on pinterest
1. don’t drink sugar calories
sugary drinks are among the most fattening items you can put into your
body.
this is because your brain doesn’t measure calories from liquid sugar
the same way it does for solid food (1).
therefore, when you drink soda, you end up eating more total calories
(2, 3).
sugary drinks are strongly associated with obesity, type 2 diabetes,
heart disease, and many other health problems (4, 5, 6, 7).
keep in mind that certain fruit juices may be almost as bad as soda in
this regard, as they sometimes contain just as much sugar. their small
amounts of antioxidants do not negate the sugar’s harmful effects (8).
2. eat nuts
despite being high in fat, nuts are incredibly nutritious and healthy.
they’re loaded with magnesium, vitamin e, fiber, and various other
nutrients (9).
studies demonstrate that nuts can help you lose weight and may help
fight type 2 diabetes and heart disease (10, 11, 12).
additionally, your body doesn’t absorb 10–15% of the calories in nuts.
some evidence also suggests that this food can boost metabolism (13).
in one study, almonds were shown to increase weight loss by 62%,
compared with complex carbs (14).
3. avoid processed junk food (eat real food instead)
processed junk food is incredibly unhealthy.
these foods have been engineered to trigger your pleasure centers, so
they trick your brain into overeating — even promoting food addiction
in some people (15).
they’re usually low in fiber, protein, and micronutrients but high in
unhealthy ingredients like added sugar and refined grains. thus, they
provide mostly empty calories.
4. don’t fear coffee
coffee is very healthy.
it’s high in antioxidants, and studies have linked coffee intake to
longevity and a reduced risk of type 2 diabetes, parkinson’s and
alzheimer’s diseases, and numerous other illnesses (16, 17, 18, 19, 20,
21).
5. eat fatty fish
fish is a great source of high-quality protein and healthy fat.
this is particularly true of fatty fish, such as salmon, which is
loaded with omega-3 fatty acids and various other nutrients (22).
studies show that people who eat the most fish have a lower risk of
several conditions, including heart disease, dementia, and depression
(23, 24, 25).
6. get enough sleep
the importance of getting enough quality sleep cannot be overstated.
poor sleep can drive insulin resistance, disrupt your appetite
hormones, and reduce your physical and mental performance (26, 27, 28,
29).
whatʼs more, poor sleep is one of the strongest individual risk factors
for weight gain and obesity. one study linked insufficient sleep to an
89% and 55% increased risk of obesity in children and adults,
respectively (30).
7. take care of your gut health with probiotics and fiber
the bacteria in your gut, collectively called the gut microbiota, are
incredibly important for overall health.
a disruption in gut bacteria is linked to some of the world’s most
serious chronic diseases, including obesity (31, 32).
good ways to improve gut health include eating probiotic foods like
yogurt and sauerkraut, taking probiotic supplements, and eating plenty
of fiber. notably, fiber functions as fuel for your gut bacteria (33,
34).
8. drink some water, especially before meals
drinking enough water can have numerous benefits.
surprisingly, it can boost the number of calories you burn.
two studies note that it can increase metabolism by 24–30% over 1–1.5
hours. this can amount to 96 additional calories burned if you drink
8.4 cups (2 liters) of water per day (35, 36).
the optimal time to drink it is before meals. one study showed that
downing 2.1 cups (500 ml) of water 30 minutes before each meal
increased weight loss by 44% (37).
9. don’t overcook or burn your meat
meat can be a nutritious and healthy part of your diet. it’s very high
in protein and contains various important nutrients.
however, problems occur when meat is overcooked or burnt. this can lead
to the formation of harmful compounds that raise your risk of cancer
(38).
when you cook meat, make sure not to overcook or burn it.
10. avoid bright lights before sleep
when you’re exposed to bright lights in the evening, it may disrupt
your production of the sleep hormone melatonin (39, 40).
one strategy is to use a pair of amber-tinted glasses that block blue
light from entering your eyes in the evening.
this allows melatonin to be produced as if it were completely dark,
helping you sleep better (41).
11. take vitamin d3 if you don’t get much sun exposure
sunlight is a great source of vitamin d.
yet, most people don’t get enough sun exposure.
in fact, about 41.6% of the u.s. population is deficient in this
critical vitamin (42).
if you’re unable to get adequate sun exposure, vitamin d supplements
are a good alternative.
their benefits include improved bone health, increased strength,
reduced symptoms of depression, and a lower risk of cancer. vitamin d
may also help you live longer (43, 44, 45, 46, 47, 48, 49).
12. eat vegetables and fruits
vegetables and fruits are loaded with prebiotic fiber, vitamins,
minerals, and many antioxidants, some of which have potent biological
effects.
studies show that people who eat the most vegetables and fruits live
longer and have a lower risk of heart disease, type 2 diabetes,
obesity, and other illnesses (50, 51).
13. make sure to eat enough protein
eating enough protein is vital for optimal health.
what’s more, this nutrient is particularly important for weight loss
(52).
high protein intake can boost metabolism significantly while making you
feel full enough to automatically eat fewer calories. it can also
reduce cravings and your desire to snack late at night (53, 54, 55,
56).
sufficient protein intake has also been shown to lower blood sugar and
blood pressure levels (57, 58).
14. do some cardio
doing aerobic exercise, also called cardio, is one of the best things
you can do for your mental and physical health.
it’s particularly effective at reducing belly fat, the harmful type of
fat that builds up around your organs. reduced belly fat should lead to
major improvements in metabolic health (59, 60, 61).
15. don’t smoke or do drugs, and only drink in moderation
if you smoke or abuse drugs, tackle those problems first. diet and
exercise can wait.
if you drink alcohol, do so in moderation and consider avoiding it
completely if you tend to drink too much.
16. use extra virgin olive oil
extra virgin olive oil is one of the healthiest vegetable oils.
it’s loaded with heart-healthy monounsaturated fats and powerful
antioxidants that can fight inflammation (62, 63, 64).
extra virgin olive oil benefits heart health, as people who consume it
have a much lower risk of dying from heart attacks and strokes (65,
66).
17. minimize your sugar intake
added sugar is one of the worst ingredients in the modern diet, as
large amounts can harm your metabolic health (67).
high sugar intake is linked to numerous ailments, including obesity,
type 2 diabetes, heart disease, and many forms of cancer (68, 69, 70,
71, 72).
18. don’t eat a lot of refined carbs
not all carbs are created equal.
refined carbs have been highly processed to remove their fiber. they’re
relatively low in nutrients and can harm your health when eaten in
excess.
studies show that refined carbs are linked to overeating and numerous
metabolic diseases (73, 74, 75, 76, 77).
19. don’t fear saturated fat
saturated fat has been controversial.
while it’s true that saturated fat raises cholesterol levels, it also
raises hdl (good) cholesterol and shrinks your ldl (bad) particles,
which is linked to a lower risk of heart disease (78, 79, 80, 81).
new studies in hundreds of thousands of people have questioned the
association between saturated fat intake and heart disease (82, 83).
20. lift heavy things
lifting weights is one of the best things you can do to strengthen your
muscles and improve your body composition.
it also leads to massive improvements in metabolic health, including
improved insulin sensitivity (84, 85).
the best approach is to lift weights, but doing bodyweight exercises
can be just as effective.
21. avoid artificial trans fats
artificial trans fats are harmful, man-made fats that are strongly
linked to inflammation and heart disease (86, 87, 88, 89).
while trans fats have been largely banned in the united states and
elsewhere, the u.s. ban hasn’t gone fully into effect — and some foods
still contain them.
22. use plenty of herbs and spices
many incredibly healthy herbs and spices exist.
for example, ginger and turmeric both have potent anti-inflammatory and
antioxidant effects, leading to various health benefits (90, 91, 92,
93).
due to their powerful benefits, you should try to include as many herbs
and spices as possible in your diet.
23. take care of your relationships
social relationships are incredibly important not only for your mental
well-being but also your physical health.
studies show that people who have close friends and family are
healthier and live much longer than those who do not (94, 95, 96).
24. track your food intake every now and then
the only way to know exactly how many calories you eat is to weigh your
food and use a nutrition tracker.
it’s also essential to make sure that you’re getting enough protein,
fiber, and micronutrients.
studies reveal that people who track their food intake tend to be more
successful at losing weight and sticking to a healthy diet (97).
25. if you have excess belly fat, get rid of it
belly fat is particularly harmful.
it accumulates around your organs and is strongly linked to metabolic
disease (98, 99).
for this reason, your waist size may be a much stronger marker of your
health than your weight.
cutting carbs and eating more protein and fiber are all excellent ways
to get rid of belly fat (100, 101, 102, 103).
26. don’t go on a diet
diets are notoriously ineffective and rarely work well in the long
term.
in fact, dieting is one of the strongest predictors for future weight
gain (104).
instead of going on a diet, try adopting a healthier lifestyle. focus
on nourishing your body instead of depriving it.
weight loss should follow as you transition to whole, nutritious foods.
27. eat eggs, yolk and all
whole eggs are so nutritious that they’re often termed “nature’s
multivitamin.”
it’s a myth that eggs are bad for you because of their cholesterol
content. studies show that they have no effect on blood cholesterol in
the majority of people (105).
additionally, a massive review in 263,938 people found that egg intake
had no association with heart disease risk (106).
instead, eggs are one of the planet’s most nutritious foods. notably,
the yolk contains almost all of the healthy compounds.
the bottom line
a few simple steps can go a long way toward improving your diet and
wellness.
still, if you’re trying to live a healthier life, don’t just focus on
the foods you eat. exercise, sleep, and social relationships are also
important.
with the tips above, it’s easy to get your body feeling great every
day.
written by kris gunnars, bsc on june 7, 2019
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women's health tips for heart, mind, and body
by kara mayer robinson
from the webmd archives
looking for the path toward a healthier you? it's not hard to find. the
journey begins with some simple tweaks to your lifestyle. the right
diet, exercise, and stress-relief plan all play a big role.
follow a heart-healthy diet
there's an easy recipe if your goal is to keep away problems like heart
disease and strokes.
* eat more fruits and veggies.
* choose whole grains. try brown rice instead of white. switch to
whole wheat pasta.
* choose lean proteins like poultry, fish, beans, and legumes.
* cut down on processed foods, sugar, salt, and saturated fat.
when eating healthy, flexibility often works best, says joyce meng, md,
assistant professor at the pat and jim calhoun cardiology center at
uconn health. if you like to follow a strict diet plan, go for it. if
not, it's ok. "find what works for you."
tricia montgomery, 52, the founder of k9 fit club, knows first-hand how
the right diet and lifestyle can help. for her, choosing healthy foods
and planning small, frequent meals works well. "i don't deny myself
anything," she says. "i still have dessert -- key lime pie, yum! -- and
i love frozen gummy bears, but moderation is key."
exercise every day
the more active you are, the better, meng says. exercise boosts your
heart health, builds muscle and bone strength, and wards off health
problems.
aim for 2 and a half hours of moderate activity, like brisk walking or
dancing, every week. if you're ok with vigorous exercise, stick to 1
hour and 15 minutes a week of things like running or playing tennis.
add a couple of days of strength training, too.
if you're busy, try short bursts of activity throughout the day. walk
often. a good target is 10,000 steps a day. take the stairs. park your
car far away from your destination.
montgomery exercises every day, often with her dog. by adding lunges,
squats, and stairs to a walk, she turns it into a power workout. "i
also am a huge pilates fan," she says.
lose weight
when you shed pounds you'll lower your risk of heart disease, type 2
diabetes, and cancer.
continued
aim for a slow, steady drop. try to lose 1-2 pounds a week by being
active and eating better.
"it doesn't have to be an hour of intense exercise every day," meng
says. "any little bit helps."
as you improve, dial up the time and how hard you work out. if you want
to lose a lot of weight, try for 300 minutes of exercise a week.
"eating a healthy diet will go a long way," meng says. start by cutting
sugar, which she says is often hiding in plain sight -- in store-bought
items like salad dressing, packaged bread, and nuts. try to avoid soda
and sugar-laced coffee drinks, too.
visit your doctor
get regular checkups. your doctor keeps track of your medical history
and can help you stay healthy. for example, if you're at risk for
osteoporosis, a condition that weakens bones, he may want you to get
more calcium and vitamin d.
your doctor may recommend screening tests to keep an eye on your health
and catch conditions early when they're easier to treat.
keep the lines of communication open. "if you have questions, ask your
doctor," meng says. "make sure you understand things to your
satisfaction." if you're worried about a medication or procedure, talk
to him about it.
cut down your stress
it can take a toll on your health. you probably can't avoid it
altogether, but you can find ways to ease the impact. don't take on too
much. try to set limits with yourself and others. it's ok to say no.
to relieve stress, try:
* deep breathing
* meditation
* yoga
* massage
* exercise
* healthy eating
* talking to a friend, family member, or professional counselor
create healthy habits
if you make the right choices today, you can ward off problems
tomorrow.
* brush your teeth twice a day and floss every day.
* don't smoke.
* limit your alcohol. keep it to one drink a day.
* if you have medication, take it exactly how your doctor prescribed
it.
* improve your sleep. aim for 8 hours. if you have trouble getting
shut-eye, talk to your doctor.
* use sunscreen and stay out of the sun from 10 a.m. to 3 p.m.
* wear your seatbelt.
take time every day to invest in your health, meng says.
it paid off for montgomery. she says she overcame health problems,
feels good, and has a positive outlook. "my life," she says, "is
forever changed."
webmd feature reviewed by lisa bernstein, md on june 21, 2016
sources
sources:
joyce meng, md, assistant professor of medicine, pat and jim calhoun
cardiovascular center, uconn health.
american heart association: "alcohol and heart health."
office on women's health, u.s. department of health and human services:
"heart-healthy eating," "overweight, obesity, and weight loss fact
sheet," "physical activity (exercise) fact sheet," "screening tests and
vaccines," "osteoporosis fact sheet," "a lifetime of good health: your
guide to staying healthy."
university of california san francisco medical center: "tips for
staying healthy."
© 2016 webmd, llc. all rights reserved.
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the abcs of health screening
health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you need to know about health screening
all you need to know about health screening
related: before the first antenatal visit (choosing your doctor)
1. what is health screening?
health screening is important to everyone. it involves the use of
tests, physical examinations or other procedures to detect
conditions early in people who look or feel well. this is different
from diagnostic tests which are done when someone is already showing
signs and/or symptoms of a condition.
2. why should i go for health screening?
health screening helps you find out if you have a particular condition
even if you feel perfectly well, without any symptoms and/or signs.
early detection, followed by treatment and good control of the
condition can result in better outcomes, and lowers the risk of serious
complications. it is therefore important to get yourself screened even
if you feel perfectly healthy.
3. what kind of screening tests should i go for?
there are 3 types of screening tests^1.
type 1
beneficial for everyone: these tests are listed in table a.
type 2
beneficial for some but not others: decision to be made on an
'individual' level, based on your individual risk factors e.g. self or
family history of hereditary or chronic diseases, exposure to factors
that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently, there is not enough
information to support the use of these tests.
it is best to speak to your family doctor who will advise you to go for
the relevant screening tests based on your individual health profile.
find out more about type 2 and type 3 tests.
view the report of the screening test review committee.
table a – general screening tests (beneficial for everyone)
general screening tests for adults
recommended for^2 to screen for screening test screening frequency^3
individuals aged 18 yrs and above
obesity body mass index (bmi)
waist circumference once a year
hypertension (high blood pressure)
blood pressure measurement once every two years or more frequently as
advised by your doctor
individuals aged 40 yrs and above
diabetes mellitus
fasting blood glucose
hba1c
once every three years or more frequently as advised by your doctor
hyperlipidaemia (high blood cholesterol)
fasting lipids
non-fasting lipids
individuals aged 50 yrs and above
colorectal cancer
faecal immunochemical test (to test for blood in stools)
or
once a year
colonoscopy
once every ten years
additional tests for women
women aged 25-69 yrs, who have had sexual intercourse
cervical cancer
pap test once every three years
hpv test
once every five years
women aged 50-69 yrs breast cancer
mammogram once every two years
general screening tests for newborns
recommended for to screen for screening test screening frequency
newborns aged 0-4 weeks old hearing loss audiometry once
glucose-6-phosphate dehydrogenase (g6pd) deficiency
screen with umbilical cord blood once
inborn errors of metabolism (iem)
metabolic screen with
tandem mass spectrometry (tms)
once
primary hypothyroidism
thyroid function test (tft)
once
4. what should i do after health screening?
if your screening results are normal, you should continue to go for
regular screening at the recommended frequency because screening only
detects health conditions that are present at the time of screening. if
you develop signs or symptoms after your screening, please see your
doctor and do not wait for your next screening appointment.
if your screening results are abnormal, you should follow-up with your
doctor immediately even if you feel perfectly well. early treatment and
good control of your condition can result in better outcomes and
prevent or delay serious complications.
5. why do i need to go for regular screening at the recommended frequency?
a one-off screening will only pick up health conditions that are
present at the time of screening. regular screening helps to detect
conditions that may develop after the previous screening. hence, it is
important for you to go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening tests?
health screening is heavily subsidised for singaporeans and permanent
residents. if you have a health assist card (under chas – community
health assist scheme), you will be entitled to enojoy the subsidies of
the above tests (according to age) and a follow-up consultataion, if
required, at $2 at chas gps. all other singaporeans can enjoy these
subsidies for the above test (according to age) and a follow-up
consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the screening
tests (offered under screen for life - sfl) and the follow-up
consultation, if required, is also fully subsidised. pg cardholders can
also claim up to $28.50, for each screening-related and follow-up
consultation, for up to two times per year.
check out the exact costs of the screening tests.
if you have difficulty paying for the screening tests, please speak to
the medical social worker at the polyclinics
7. my screening results are not too good, and my doctor has advised me to get
follow up treatment.
what should i do if i cannot afford the follow up treatment?
good, affordable basic healthcare is also available to singaporeans
through subsidised medical services offered at public hospitals and
polyclinics. medisave, medishield life, elder shield and medifund
schemes can help singaporeans offset their medical expenses.
8. where can i go for health screening?
health screening is available at many private medical clinics and
polyclinics. visit the directory for the list of screening locations.
9. can i use my medisave to pay for the health screening cost?
currently, medisave cannot be used for other health screening such as
screening for diabetes or high cholesterol. however, if you are
diagnosed with a chronic condition covered under the chronic disease
management programme (cdmp), medisave may be used to pay for part of
the outpatient treatment cost of these diseases.
women aged 50 and above can use their own or immediate family member’s
medisave for their screening mammograms at approved mammogram centres.
under the medisave 400 scheme, up to $400 per medisave account a year
can be used for screening mammograms.
persons aged 50 and above can also use their own or their immediate
family member’s medisave for their screening colonoscopies (to screen
for colorectal cancer) at approved colonoscopy centres.
check out the list of approved centres or find out more.
10. can i have a health screening if i am pregnant?
please consult your doctor to find out if a health screening is
necessary for you.
11. i am 70 years old (or older), do i still need to go for a health
screening?
if you have not been screened in the past three years, and you do not
have a chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health screening.
12. if i am currently on medication for one of the chronic diseases, should i
still go for a health screening?
if you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
^1 report of the screening test review committee. january 2019, academy
of medicine, singapore.
^2,3 screening can start at an earlier age or be done more frequently
if someone has risk factors for the condition.
__________________________________________________________________
having trouble keeping up with your appointments? myhealth keeps track
of not only your health appointments and medical records, but also your
family's as well.
read these next:
* make a commitment to get screened for better health this year
* diabetes prevention and risk factors
* how screening saved my life
* screen for life - subsidised health screenings for singaporeans
* school health screenings for students
this article was last reviewed on monday, december 9, 2019
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health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you
need to know about health screening
related:
before the first
antenatal visit (choosing your doctor)
1. what is health screening?
<
span style="color:#0000ff;">health screening is
important to everyone. it involves the use of tests, physical
examinations or other procedures to detect conditions early in people
who look or feel well. this is different from diagnostic tests which
are done when someone is already showing signs and/or symptoms of a
condition.
2. why should i go for health
screening?
health screening helps you find out if you have a
particular condition even if you feel perfectly well, without any
symptoms and/or signs. early detection, followed by treatment and good
control of the condition can result in better outcomes, and lowers the
risk of serious complications. it is therefore important to get
yourself screened even if you feel perfectly healthy.
3. what
kind of screening tests should i go for?
there are 3 types of
screening tests1.
type 1
beneficial for everyone: these tests are listed in table
a.
type 2
beneficial for some but not others:
decision to be made on an 'individual' level, based on your individual
risk factors e.g. self or family history of hereditary or chronic
diseases, exposure to factors that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently,
there is not enough information to support the use of these
tests.
it is best to speak to your family doctor who will advise
you to go for the relevant screening tests based on your individual
health profile.
find out more about
type 2 and
type 3
tests.
view the report of the
screening test
review committee.
table a – general screening tests (beneficial for
everyone)
general screening tests for adults
recommended
for2 |
to screen for |
screening test |
screening
frequency3 |
individuals aged 18 yrs
and above
| obesity |
body
mass index (bmi)
waist circumference | once a year |
hypertension (high blood pressure) | blood pressure measurement | once every two years or more
frequently as advised by your doctor |
individuals aged 40 yrs
and above
|
diabetes
mellitus | fasting blood glucose
hba1c
| once every three
years or more frequently as advised by your doctor
|
hyperlipidaemia (high blood cholesterol)
| fasting lipids
non-fasting lipids
|
individuals aged 50 yrs
and above
|
colorectal cancer
| faecal
immunochemical test (to test for blood in stools)
or
| once a year
|
colonoscopy
| once every ten
years
|
additional tests for women |
women aged 25-69 yrs,
who have had sexual intercourse
| cervical cancer
|
pap
test | once every three
years |
hpv test
| once every five
years
|
women aged 50-69 yrs | breast cancer
| mammogram | once every two
years |
general screening tests for newborns
recommended for |
to screen for |
screening test |
screening
frequency |
newborns aged 0-4 weeks old | hearing loss |
audiometry | once |
| glucose-6-phosphate dehydrogenase (g6pd) deficiency
| screen with umbilical
cord blood | once |
|
inborn errors of metabolism (iem)
| metabolic screen with
tandem mass spectrometry (tms) | once |
|
primary hypothyroidism
|
thyroid function test (tft) | once |
4. what should i do after health screening?
if your
screening results are normal, you should continue to go for regular
screening at the recommended frequency because screening only detects
health conditions that are present at the time of screening. if you
develop signs or symptoms after your screening, please see your doctor
and do not wait for your next screening appointment.
if your
screening results are abnormal, you should follow-up with your doctor
immediately even if you feel perfectly well. early treatment and good
control of your condition can result in better outcomes and prevent or
delay serious complications.
5. why do i need to go for regular
screening at the recommended frequency?
a one-off screening will
only pick up health conditions that are present at the time of
screening. regular screening helps to detect conditions that may
develop after the previous screening. hence, it is important for you to
go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening
tests?
health screening is heavily subsidised for
singaporeans and permanent residents. if you have a health assist card
(under
chas
– community health assist scheme), you will be entitled to enojoy
the subsidies of the above tests (according to age) and a follow-up
consultataion, if required, at $2 at chas gps. all other singaporeans
can enjoy these subsidies for the above test (according to age) and a
follow-up consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the
screening tests (offered under
screen
for life - sfl) and the follow-up consultation, if required, is
also fully subsidised. pg cardholders can also claim up to $28.50, for
each screening-related and follow-up consultation, for up to two times
per year.
check out the
e
xact costs of the screening tests.
if you have difficulty
paying for the screening tests, please speak to the medical social
worker at the polyclinics
7. my screening results are not
too good, and my doctor has advised me to get follow up
treatment.
what should i do if i cannot afford the follow up
treatment?
good, affordable basic healthcare is also available
to singaporeans through subsidised medical services offered at public
hospitals and polyclinics.
medisave,
medishield life,
elder shield and
medifund schemes can help
singaporeans offset their medical expenses.
8. where can i go
for health screening?
health screening is available at many
private medical clinics and polyclinics. visit the
directory for the list of
screening locations.
9. can i use my medisave to pay for
the health screening cost?
currently, medisave cannot be used
for other health screening such as screening for diabetes or high
cholesterol. however, if you are diagnosed with a chronic condition
covered under the chronic disease management programme (cdmp), medisave
may be used to pay for part of the outpatient treatment cost of these
diseases.
women aged 50 and above can use their own or immediate
family member’s medisave for their screening mammograms at approved
mammogram centres. under the medisave 400 scheme, up to $400 per
medisave account a year can be used for screening
mammograms.
persons aged 50 and above can also use their own or
their immediate family member’s medisave for their screening
colonoscopies (to screen for colorectal cancer) at approved colonoscopy
centres.
check out the
list of approved centres
or find out more.
10. can i have a health screening
if i am pregnant?
please consult your doctor to find out if a
health screening is necessary for you.
11. i am 70 years old (or
older), do i still need to go for a health screening?
if you
have not been screened in the past three years, and you do not have a
chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health
screening.
12. if i am currently on medication for one of the
chronic diseases, should i still go for a health screening?
if
you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
1 report of the screening test review committee.
january 2019, academy of medicine, singapore.
2,3 screening can start at an earlier age or be done more
frequently if someone has risk factors for the condition.
having trouble keeping up with your appointments?
myhealth keeps
track of not only your health appointments and medical records, but
also your family's as well.
read these next:
monday, may 18, 2015
monday, may 18, 2015
icd-21-health services,per_senior citizen,pgm_obesity
prevention,pgm_healthy screening,age_adult,age_senior,interest_chronic
illnesses,
no
403
monday, december 9, 2019
health
promotion board
3 second hospital avenue
singapore 168937
hpb_mailbox@hpb.gov.sg
established
in 2001, the health promotion board (hpb) has a vision to build a
nation of healthy people.
hpb implements programmes that reach out to the population,
specifically children, adults and the elderly. these programmes include
health and dental services for school children, breastscreen singapore,
aids education programme, cervicalscreen singapore, childhood injury
prevention programme, mental health education programme, national
myopia prevention programme, physical activity, national smoking
control programme, nutrition programme, osteoporosis education
programme, workplace health promotion programme, hpb online,
healthline, health information centre and healthzone. new programmes
will also be initiated over time to address health concerns among the
community.
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health promotion board
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http://www.hpb.gov.sg
the abcs of health screening
articles
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pgm_healthy screening, age_adult, age_senior, interest_chronic
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why health screen?
the importance of health screening
health screening or blood test is a major part of many routine medical
examinations. while doctors are able to make fairly accurate diagnosis
by assessing the signs and symptoms a patient exhibits, one of the best
ways to confirm the diagnosis is through blood tests. for a healthy
person, health screening could also detect abnormalities that the
person is not aware of and provide important information for diagnosis,
treatment or preventive measures for illnesses and diseases.
therefore, getting regular health checkups, preventive screening tests
are among the most crucial things you can do for yourself. periodic
health screenings can help you and your health care professional
identify health problems early, when treatment may be more successful
compared to if the problems are detected later.
lifestyle changes are a very effective way to substantially reduce risk
but to make those changes, you first need to know if you are at risk.
knowledge gives you the power to take charge of your health. remember,
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instead of a one-size-fits-all package, parkway shenton’s quality
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diabetes, anaemia, as well as healthy organ function. depending on your
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* health screening
[share-icon.png] share a a
health screening
page image
screening tests can help find diseases and health conditions early,
when they are easier to treat.
page content
also known as secondary prevention, health screening identifies health
problems as soon as possible to ensure that you and your family can
benefit from early medical treatment.
there are a variety of health screening tests and tools. many can be
done as part of regular checkups with your health care provider. others
may require you to visit a lab or specialized screening location.
typically, routine health screening is recommended according to your
age or stage of life.
prenatal/infant_____prenatal/infant
prenatal
prenatal genetic screening during your pregnancy can tell you
your chance of having a baby with certain genetic disorders. it is
offered free of charge as a choice to all pregnant people with medical
services plan (msp) coverage in bc.
resources
* prenatal genetic screening program (perinatal services bc)
infant
there are a number of screening tests that are recommended for all
newborns and infants born in bc. these tests identify diseases or
conditions where early treatment is important to prevent disability and
promote healthy development.
regular checkups will allow your care provider to monitor your baby's
development and check for possible problems.
resources
* screening, birth to 12 months (healthlink bc)
* provincial screening programs:
* newborn screening program (perinatal services bc)
* biliary atresia home screening program (perinatal services bc)
* bc early hearing program (provincial health services authority)
child_______________child
regular checkups will allow your care provider to monitor your child's
growth and development and check for possible problems.
resources
* screening, 13 months to 12 years (healthlink bc)
youth/young adult___youth/young adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
resources
* screening, 13 to 18 years (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
adult_______________adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
regular screening is important throughout adulthood, especially if
you're at increased risk for a chronic disease or an infectious
disease. you may be referred for blood or urine tests or for other
screening procedures. recommended regular screening tests for all
adults include:
* blood pressure
* cholesterol
* kidney function
* type 2 diabetes
* skin cancer
* hearing and vision
* weight
* mental health and substance use
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
depending on your age and your risk of disease, other screening tests
may be recommended:
* cervical cancer screening (pap test) is a test that can find
abnormal cells in the cervix before they become cancer. between age
25-69, pap tests are recommended every three years for anyone with
a cervix. it's important to follow these recommendations even if
you've had the hpv vaccine. read the recommendations
* screening mammograms are used to find cancers in breast tissue as
early as possible. screening mammograms are available for eligible
individuals in bc age 40 and up. your screening recommendations
will vary according to your age and your family history of breast
cancer. read the recommendations
* colon cancer screening detects non-cancerous polyps and cancer
early. everyone aged 50-74 should get screened regularly for colon
cancer. the type of screening test recommended for you will depend
on your family history and your personal medical history. read the
recommendations
* prostate cancer screening checks for abnormalities of the prostate
gland. screening is performed through digital rectal examination,
done by your doctor during a regular check up. between age 50-70,
annual screening is recommended for individuals with a prostate as
long as they are in reasonably good health. you can also talk to
your doctor about the pros and cons of psa testing.
resources
* screening, adult women (healthlink bc)
* screening, adult men (healthlink bc)
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* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
cancer screening (screening bc):
* cervix
* breast
* colon
* hereditary
please note: the health information provided here is general and
appropriate for most people, most of the time. wherever possible,
resources are also provided to address the health needs of specific
populations, including people living with a chronic health condition,
indigenous people and lgbtq individuals. check with your health care
provider to determine the health recommendations and resources that are
right for you.
in this section
content editor [2]
quick links
* prenatal genetic screening
* newborn screening
* biliary atresia home screening
* infant hearing screening
* get tested: sti clinic finder
* cervical cancer screening (pap test)
* breast cancer screening (mammogram)
* colon cancer screening
content editor [1]
key organizations
perinatal services bc
provincial health services authority
bc centre for disease control (bccdc)
screening bc - bc cancer agency
healthlink bc – the bc government's comprehensive non-emergency health
information and advice service for british columbians.
source: health screening ( )
page printed: . unofficial document if printed. please refer to source
for latest information.
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provincial health services authority - province-wide solutions. better
health.
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copyright © 2020 provincial health services authority
#healthcare nutrition council » feed alternate alternate
healthcare nutrition council healthcare nutrition council
* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
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healthcare nutrition council
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* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
+ nutrition & healthcare[outcomes and benefits]
* patient access
* advocacy
+ position statements
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* about hnc
+ priorities
+ hnc staff
+ members
+ contact us
* events
+ medical foods workshop
+ aspen malnutrition awareness week
why nutrition matters
nutrition is critically important to the human body in terms of growth
and development, overall health and wellness throughout life, and the
function of organs and body systems. it also plays a role in disease
management and supports overall quality of life. malnutrition, or lack
of proper nutrition, is associated with billions of dollars per year in
medical expenses. ¹
learn more
as there is no universally accepted definition of “malnutrition,” and
since malnutrition can have different meanings in different contexts,
the healthcare nutrition council (hnc) has adopted a definition of
malnutrition. please see hnc’s expanded definition of malnutrition to
learn more.
hnc malnutrition expanded definition
patient access
all patients have the right to receive high quality care, and that
includes nutrition support products as part of their care. at times,
access to nutrition support products — such as medical foods — can be a
significant challenge for patients. as a result, hnc raises awareness
and works with key stakeholders to help overcome obstacles to patient
access. we continue to work towards systematic changes that will foster
innovation and utilize new science and discoveries, ultimately leading
to higher quality healthcare, better patient outcomes, and improvements
in overall patient health and nutrition.
learn more
maintaining access flyer
enteral facts
parenteral facts
who we are
hnc is an organization representing the manufacturers of nutrition
support products, specifically enteral nutrition (en) formulas,
parenteral nutrition (pn) solutions, supplies and equipment. hnc member
companies are committed to improving health by advancing policies that
address and raise awareness of nutrition and its impact on patient
outcomes and healthcare costs. this includes promoting nutritional
screenings, diagnoses, assessments, and appropriate and timely clinical
nutrition interventions while maintaining patients’ access to
specialized nutrition support products and services throughout the
continuum of care.
learn more
priorities
members
position statements
public comments
1. goates, scott; kristy du, carol braunschweig, and mary beth
arensberg. economic burden of disease-associated malnutrition at
the state level. plos one. 2016; 11(9): 1-15.
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public health nutr. 2004 aug;7(5):591-8.
public health nutrition and food policy.
caraher m^1, coveney j.
author information
1
department of health management and food policy, institute of
health sciences, city university, goswell place, northampton
square, london ec1v 0hb, uk. m.caraher@city.ac.uk
abstract
food in its many manifestations allows us to explore the global control
of health and to examine the ways in which food choice is moulded by
many interests. the global food market is controlled by a small number
of companies who operate a system that delivers 'cheap' food to the
countries of the developed world. this 'cheap' food comes at a price,
which externalises costs to the nation state in terms of health
consequences (diabetes, coronary heart disease and other food-related
diseases) and to the environment in terms of pollution and the
associated clean-up strategies. food policy has not to any great extent
dealt with these issues, opting instead for an approach based on
nutrition, food choice and biomedical health. ignoring wider elements
of the food system including issues of ecology and sustainability
constrains a broader understanding within public health nutrition. here
we argue that public health nutrition, through the medium of health
promotion, needs to address these wider issues of who controls the food
supply, and thus the influences on the food chain and the food choices
of the individual and communities. such an upstream approach to food
policy (one that has been learned from work on tobacco) is necessary if
we are seriously to influence food choice.
comment in
* editorial. public health nutrition as a field of practice. [public
health nutr. 2004]
pmid:
15251049
doi:
10.1079/phn2003575
[indexed for medline]
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wphna congress 2020
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about us
__________________________________________________________________
we are a professional association that brings together people with a
common interest in promoting and improving public health nutrition. we
work to ensure that in all possible circumstances, adequate nourishing
food is available to and affordable by all.
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our members are spread across countries in all continents of the world.
they are committed to advancing public health nutrition and sharing
their experience to the world.
find out more about who they are, there are many networking
opportunities awaiting.
read more
our certification scheme has been developed to establish and assure
professional standards in public health nutrition worldwide.
become a certified public health nutritionist (cphn), applications are
open all year long.
read more
in accordance with the wphna aims, and under the principle that the
highest attainable level of health is a human right, we aim to employ
and promote ethical principles, including those of transparency, equity
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with this philosophy, we are inviting our members and colleagues, to
report and document situations where risks of interference and conflict
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federally funded health researchers disclose at least $188 million in
conflicts of interest
__________________________________________________________________
federally funded health researchers disclose at least $188 million in
conflicts of interest. can you trust their findings? — propublica
read more12/08/2019 - 17:51
wphna announces a scientific paper writing contest
__________________________________________________________________
we are happy to announce a scientific paper writing contest. it is
addressed to low and middle-income countries´ residents. winners will
have the paper published in world nutrition and the opportunity to
attend the wphn congress in brisbane, australia from march 31 to april
2020. find the details here.
read more06/10/2019 - 21:32
wphna congress brisbane 2020
__________________________________________________________________
we are happy to announce that our call for abstracts for the wphna
congress brisbane 31 march - 3 april is now open.
find more here
read more05/07/2019 - 12:29
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#my health my data » feed my health my data » comments feed
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hospitals → store data with patients access rights → expose cleared
data over blockchain businesses → access cleared data over blockchain →
request access → offer incentives research centres → access cleared
data over the blockchain → leverage the value of large datasets
fostering scientific discoveries and technological innovation patients
→ set and manage consent through smart contracts → receive alerts,
requests, incentives
a new paradigm in healthcare data privacy and security
myhealthmydata (mhmd) is a horizon 2020 research and innovation action
which aims at fundamentally changing the way sensitive data are shared.
mhmd is poised to be the first open biomedical information network
centred on the connection between organisations and individuals,
encouraging hospitals to start making anonymised data available for
open research, while prompting citizens to become the ultimate owners
and controllers of their health data. mhmd is intended to become a true
information marketplace, based on new mechanisms of trust and direct,
value-based relationships between eu citizens, hospitals, research
centres and businesses.
key elements of this innovation, implemented through this new model, include:
[blockchain.png]
blockchain
a shared public data ledger where information is boiled down into hash
language-based codes, which everyone can inspect but no single user
controls. this system is used to distribute control of fraudulent
activities to the entire network of stakeholders, as any attempt to
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health: definition and importance of health
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health: definition and importance of health!
definition:
the term ‘health’ is a positive and dynamic concept. in common
parlance, health implies absence of disease. however, that industrial
health implies much more than mere absence of disease is clear from the
following definitions of health:
the world health organisation (who) has defined health as: “a state of
complete physical, mental and social well-being and not merely the
absence of disease or illness or infirmity”. as regards the industrial
health, it refers to a system of public health and preventive medicine
which is applicable to industrial concerns.
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here, the definition of health given by the joint i.l.o/w.h o.
committee on organisational health is worth quoting:
(i) the prevention and maintenance of physical, mental and social
well-being of workers in all organisations;
(ii) prevention among workers of ill-health caused by the working
conditions;
(iii) protection of workers in their employment from risk resulting
from factors adverse to health; and
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(iv) placing and maintenance of the worker in an occupational
environment adapted to his physical and psychological equipment.
thus the modem concept of health emphasises on the “whole man concept.”
in other words, health refers to the outcome of the interaction between
the individual and his environment. so to say, he/she is healthy who is
well adjusted with environment.
the modem concept of health thus, anticipates and recognizes
potentially harmful situations and applies engineering control measures
to prevent disease or illness or infirmity. in this way, industrial
health depends not only on the individual worker but also on the
environment in which he/she lives and works.
there are two types of employee health:
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physical health and mental health
a brief mention of these follows:
physical health:
the physical health refers to infirmity in the employee’s health.
employee’s physical health and his work are intimately related. while
an unhealthy employee works less both quantitatively and qualitatively,
commits accidents, and remains absent from work, a healthy employee
produces results opposite to these. the same underlines the need for
and importance of healthy employees in an organisation.
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mental health:
this refers to the mental soundness of the employees. as is physical
health important for good performance, so is mental health also.
experience suggests that three factors, namely, mental breakdowns,
mental disturbances, and mental illness impair the mental health of
employees.
importance of health:
the trite saying ‘health is wealth’ explains the importance of health.
ill health results in high rate of absenteeism and turnover, industrial
discontent and indiscipline, poor performance, low productivity and
more accidents. on the contrary, the natural consequences of good
health are reduction in the rate of absenteeism and turnover, accidents
and occupational diseases.
besides, employee health also provides other benefits such as reduced
spoilage, improved morale of employee, increased productivity of
employee and also longer working period of an employee which, of
course, cannot be easily measured.
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in long and short, employee health is important because it helps:
1. maintain and improve the employee performance both quantitatively
and qualitatively.
2. reduce employee absenteeism and turnover.
3. minimize industrial unrest and indiscipline.
4. improve employee morale and motivation.
it is this importance of health, increasing emphasis is given to the
employee health through various laws and provisions in this regard. for
example, in india, the royal commission on labour (1931), die labour
investigation committee (1946), the health safety and development
committee (1943), the labour welfare committee (1969) and the national
commission on labour (1969), all have expressed concern for employee
health.
these emphasised upon the creation and maintenance of as healthy an
environment as possible, in the homes of the employees as well as in
all places where they congregate for work, amusement or recreation,
the i.l.o. in its recommendation no. 112 envisaged the importance of
employee health in these words:
occupational health services should be established in or near a place
of employment for the purpose of:
(i) protecting the workers against any health hazard arising out of
work or conditions in which it is carried on;
(ii) contributing towards worker’s physical and mental adjustment; and
(iii) contributing to establishment and maintenance of the highest
possible degree of physical and mental well-being of the workers.
related articles:
1. necessity and importance of labour law and principles
2. labour welfare: meaning and definition of labour welfare
health
measures to maintain safety and avoid accidents in industries
occupational hazards: 4 main types of occupational hazards – explained!
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importance of good nutrition
your food choices each day affect your health — how you feel today,
tomorrow, and in the future.
good nutrition is an important part of leading a healthy lifestyle.
combined with physical activity, your diet can help you to reach and
maintain a healthy weight, reduce your risk of chronic diseases (like
heart disease and cancer), and promote your overall health.
the impact of nutrition on your health
unhealthy eating habits have contributed to the obesity epidemic in the
united states: about one-third of u.s. adults (33.8%) are obese and
approximately 17% (or 12.5 million) of children and adolescents aged
2—19 years are obese.^1 even for people at a healthy weight, a poor
diet is associated with major health risks that can cause illness and
even death. these include heart disease, hypertension (high blood
pressure), type 2 diabetes, osteoporosis, and certain types of cancer.
by making smart food choices, you can help protect yourself from these
health problems.
the risk factors for adult chronic diseases, like hypertension and type
2 diabetes, are increasingly seen in younger ages, often a result of
unhealthy eating habits and increased weight gain. dietary habits
established in childhood often carry into adulthood, so teaching
children how to eat healthy at a young age will help them stay healthy
throughout their life.
the link between good nutrition and healthy weight, reduced chronic
disease risk, and overall health is too important to ignore. by taking
steps to eat healthy, you'll be on your way to getting the nutrients
your body needs to stay healthy, active, and strong. as with physical
activity, making small changes in your diet can go a long way, and it's
easier than you think!
eat healthy
now that you know the benefits, it's time to start eating healthy:
start your pala+ journey today and use these tips on ways to eating
healthy and resources to earn it.
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references
to return to the page content, select the respective footnote number.
^1 centers for disease control and prevention. u.s. obesity trends.
2011. available at: https://www.cdc.gov/obesity/data/databases.html
#fittip
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eur j public health. 2018 dec; 28(6): 1087–1092.
published online 2018 sep 3. doi: 10.1093/eurpub/cky174
pmcid: pmc6241207
pmid: 30184063
the importance of health behaviours and especially broader self-management
abilities for older turkish immigrants
jane m cramm^^ and anna p nieboer^
jane m cramm
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by jane m cramm
anna p nieboer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by anna p nieboer
author information copyright and license information disclaimer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
correspondence: jane m. cramm, department of social medical sciences,
erasmus school of health policy and management, erasmus university
rotterdam, p.o. box 1738, 3000 dr rotterdam, the netherlands, tel: +31
10 408 8555, e-mail: ln.rue.mphse@mmarc
copyright © the author(s) 2018. published by oxford university press on
behalf of the european public health association.
this is an open access article distributed under the terms of the
creative commons attribution-noncommercial-noderivs licence
(http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits
non-commercial reproduction and distribution of the work, in any
medium, provided the original work is not altered or transformed in any
way, and that the work is properly cited. for commercial re-use, please
contactjournals.permissions@oup.com
this article has been cited by other articles in pmc.
abstract
background
this study aims to identify the relationships between health
behaviours, self-management abilities, physical health, depressive
symptoms and well-being among turkish older immigrants.
methods
a total of 2350 older turkish migrants aged > 65 years residing in
rotterdam, the netherlands were identified using the municipal register
of which 680 respondents completed the questionnaires (response rate of
32%).
results
average age of the respondents was 72.90 (standard deviation 5.02)
(range 66–95) years and about half of them were women (47.6%). the
majority of respondents reported having a low education (80.3%), low
income level (83.4%), is chronically ill (90.6%), overweight (86.5%)
and about half obese (46.0%). more than half of the respondents eat
enough fruit (58.2%) and vegetables per week (55.3%). about a third of
the respondents smoke (33.5%) and 43.0% can be considered to be
physically active. looking at the health behaviours a weak positive
relationship was found between eating enough vegetables and well-being
(β = 0.14; p = 0.017). in addition, weak relationships were found
between physical activity and depressive symptoms (β = −0.16; p =
0.007), smoking and depressive symptoms (β = 0.16; p = 0.009) and
self-management abilities and physical health (β = 0.17; p = 0.015).
strongest relationships were found between self-management abilities
and depressive symptoms (β = −0.39; p < 0.001) and self-management
abilities with overall well-being (β = 0.49; p < 0.001).
conclusions
from this study, we can conclude that next to health behaviours broader
self-management abilities to maintain overall well-being are important
for turkish older people. interventions to improve self-management
abilities may help turkish older people better deal with function
losses and chronic diseases as they age further.
introduction
europe witnessed a post-war mass migration at the end of the 1950s and
the early 1960s, mostly from non-western origin with a predominance of
young adults. even though a number of the early migrants have returned
to their birth-country, considerable numbers remain in their migratory
destinations who recently approached retirement age.^1 in general, poor
physical and mental health, worse health-related quality of life and
well-being, functional limitations, depressive symptoms and chronic
conditions are much more prevalent among these immigrant populations
compared with those of natives throughout europe.^2–4 as a consequence,
older immigrants use 13–20% more health services than native-borns.^5
the rapid increase in the prevalence of chronic illness among older
(immigrant) populations is an important factor underlying the increased
demand for health care services and constraints on the organization and
delivery of care in europe.^5^,^6
unhealthy behaviours, such as poor diet, smoking and physical
inactivity, are important and adjustable risk factors for many chronic
diseases and leading causes of death and disability.^7 thus, the
improvement of health behaviours among older (immigrant) populations to
prevent the onset of chronic diseases is becoming a critical issue.
health behaviours, such as smoking, eating habits and physical
activity, are known to differ between immigrants and natives, which may
explain the greater prevalence of chronic diseases, physical
limitations and poor health outcomes among the former. for example, in
the netherlands, overweight is much more prevalent among immigrants,^8
and smoking is especially prevalent among turks.^9 although
health-related behaviours have been investigated among immigrant groups
aged 35–60 years,^9 and those aged ≥18 years,^8 no such research has
been conducted among older immigrants.
not only health behaviours but also older people’s abilities to deal
with the process of ageing and the ways in which they cope with certain
life events are of interest. as people grow older, they often begin to
experience losses in various life domains. people are known to differ
in their ability to self-regulate or self-manage their lives and ageing
processes, which requires the proactive management of resources in an
environment of increasing losses and declining gains.^10 these
self-regulation or self-management abilities often target only the
physical health aspects of ageing, such as physical exercise and
healthy diet.^11^,^12 the social and psychological life domains,
however, have been proven to be equally important for the health and
well-being of older people.^13
thus, in addition to health behaviours and health outcomes, examination
of broader self-management abilities related to the maintenance of
overall well-being may be of interest.^14 as these abilities are
critical predictors of physical health, depressive symptoms and overall
well-being,^14–17 a shift in focus to include not only traditionally
addressed health- and disease-specific aspects (e.g. smoking, physical
activity, healthy diet) but also abilities such as investment behaviour
(e.g. pursuing interests, keeping busy, maintaining contact with loved
ones), initiative taking and self-efficacy (e.g. belief in one’s
ability to achieve goals and express care for others) is urgently
needed.^14
research investigating health behaviours and self-management abilities
related to the maintenance of overall well-being among older turkish
immigrants is lacking. thus, this study aimed to identify relationships
of background characteristics, health behaviours and self-management
abilities with physical health, depressive symptoms and well-being
among older turkish immigrants residing in rotterdam, the netherlands.
methods
data collection
community-dwelling turkish people aged > 65 years in rotterdam, the
netherlands, were identified using the municipal register and asked to
participate between march 2015 and february 2016 (with a summer break,
given that most of this population spends the summer in turkey). we
asked respondents to fill in a questionnaire containing 153 questions
in total (provided in the dutch as well as turkish language). these
questionnaires were first distributed via post, followed by a postal
reminder and finally a minimum of two home visit attempts (by
interviewers speaking dutch as well as the turkish language). the
personal interviews lasted about 60–90 min. an information leaflet was
provided to respondents explaining the aim of the study with contact
details (of dutch as well as turkish speaking research assistants) in
case they had additional questions. no (financial) incentives were
provided.
ethical approval
according to the central committee on research involving human subjects
(ccmo), the current study did not fall within the scope of the medical
research involving human subjects act and thus did not require prior
review by an accredited medical research and ethics committee or the
ccmo. all respondents were informed about the aims of the study, and
assured that participation was anonymous and voluntary, prior to
providing consent.
measures
well-being was measured with the 14-item turkish version of the social
production function instrument for the level of well-being (spf-il).^18
the stimulation item ‘are your activities challenging to you?’ of the
original 15-item dutch version^19 proved to be problematic during
validation and thus was omitted from the turkish version. the spf-il
measures levels of physical (comfort, stimulation) and social
(behavioural confirmation, affection, status) well-being. examples of
questions are ‘do people really love you?’ (affection), ‘do you feel
useful to others?’ (behavioural confirmation), ‘are you known for the
things you have accomplished?’ (status), ‘in the past few months, have
you felt physically comfortable?’ (comfort) and ‘do you really enjoy
your activities?’ (stimulation). responses are given on a 4-point scale
ranging from never (1) to always (4), with higher mean scores
indicating greater well-being. total scores were calculated based on
the mean scores for the five subscales. cronbach’s alpha of the spf-il
based on the five subscales was 0.76, indicating good reliability.
patients’ physical quality of life was assessed using the physical
component of the short form 12 health survey.^20 the summary physical
component score for physical health was constructed using standard
scoring procedures.
we used the 7-item depression section of the hospital anxiety and
depression scale to assess symptoms of depression.^21 all items were
rated on a 4-point scale (0–3), with higher scores indicating greater
depressive symptomatology.
self-management abilities related to the maintenance of overall
well-being were measured using an adjusted version of the short
(18-item) version of the self-management ability scale (smas-s).^22
this instrument assesses a broad repertoire of self-management
abilities: (i) initiative taking (being instrumental or self-motivating
in realizing aspects of well-being), (ii) investment in resources for
long-term benefits, (iii) maintenance of variety in resources (gaining
and maintaining various resources for each dimension of well-being),
(iv) ensuring resource multifunctionality (gaining and maintaining
resources or activities that serve multiple dimensions of well-being
simultaneously and in a mutually reinforcing way), (v) self-efficacy in
resource management (gaining and maintaining a belief in personal
competence to achieve well-being) and (vi) maintenance of a positive
frame of mind. the initiative taking, investment, self-efficacy,
variety and multifunctionality subscales are related to the physical
and social dimensions of well-being, and the subscale measuring the
ability to have a positive frame of mind is considered to be a more
general cognitive frame. following earlier research, we reduced the
number of response categories for 5 subscales from 6 to 4 to make
completion of the instrument less complex. higher scores indicate
better self-management abilities. the item ‘when things go against you,
how often do you think that it could always be worse?’ proved to be
problematic during validation and thus was omitted from the turkish
version. cronbach’s alpha of the smas-s based on the six subscales was
0.92, indicating excellent reliability.
physical activity was assessed by asking respondents how many days per
week they were physically active (e.g. sport activities, exercise,
housecleaning, work in the garden) for at least 30 min. government
agencies use this measure to monitor physical activity in the dutch
population. we used mean physical activity, measured in number of days
per week, in our analyses. in addition, we dichotomized the physical
activity scale according to the dutch standard for healthy physical
activity into 1 (at least 30 min of physical activity at least five
times per week) and 0 (at least 30 min of physical activity less than
five times per week),^23 to compare the proportion of physically active
patients with the dutch average. this threshold is also in line with
the international recommendation for the minimum physical activity
level of at least 150 min of moderate or vigorous physical activity per
week.^24
self-reported current smoking was assessed with a yes/no question.
consumption of fruits and consumption of vegetables were assessed
separately as indicators of healthy dietary behaviours, measured in
servings per day. the world health organization and the dutch
guidelines use a minimum of 200 g of vegetables and two servings of
fruit per day to distinguish healthy from unhealthy eating.^25 fruit
consumption was determined by summing the servings per day and was
dichotomized as 1 (healthy diet, consumption of at least two pieces of
fruit per day) and 0 (unhealthy diet, consumption of less than two
pieces of fruit per day). vegetable consumption was determined by
summing the servings per day and was dichotomized as 1 (healthy diet,
consumption of ≥200 g of vegetables per day) and 0 (unhealthy diet,
consumption of <200 g of vegetables per day).^25
respondents were asked to report the highest educational level
completed in the netherlands or abroad, with the option to select ‘no
schooling’ or to write in another response for unlisted forms of
schooling. this variable was dichotomized into low (completion of
elementary school or less) and high (more than elementary school).
income level was determined based on respondents’ reported monthly
household income, including social benefits, pensions and alimony.
responses ranged from 1 (less than €1000 a month) to 4 (€3050 or more a
month). ‘do not know/do not want to tell’ was included as a fifth
category. income level was dichotomized into low (less than €1350) and
high (€1350 or more).
respondents were asked to indicate whether they were married, divorced,
widowed, single, or cohabitating. a dichotomous variable was created:
divorced, single and widowed; and married.
the questionnaire also solicited information on respondents’ age,
gender and number of chronic conditions experienced in the past 12
months. respondents were provided with a list of 14 chronic conditions
(e.g. lung diseases, cardiovascular diseases, diabetes) and space to
write in other conditions. only conditions that were classified as
chronic by o'halloran et al.^26 were included.
analyses
the characteristics of the study sample were examined using descriptive
statistics. bivariate associations of variables expressing background
characteristics, health behaviours and self-management abilities with
those reflecting physical health, depressive symptoms and well-being
were examined. regression analyses were then performed to identify
relationships of health behaviours, self-management abilities, and
physical health with depressive symptoms and well-being while
controlling for background characteristics.
results
of, 2350 older turkish immigrants asked to participate, 213 were
ineligible due to change of address (n = 110), serious medical issue or
death (n = 102) or non-turkish ethnic background (n = 1). a total of
680 respondents completed the questionnaire (final response rate 32%).
table 1 displays descriptive statistics for the older turkish immigrant
population. the average age of the 680 respondents was 72.90 [standard
deviation (sd) 5.02; range 66–95] years, and 47.6% of them were women.
the majority of respondents reported having low education (80.3%) and
low income (83.4%) levels. the mean number of chronic diseases was 2.68
(sd 1.87; range 0–10). most (90.6%) respondents were chronically ill,
and 69.4% had more than one chronic disease. according to their
self-reported body mass indices, 86.5% of respondents were overweight
and 46.0% were obese. more than half of respondents had sufficient
weekly fruit (58.2%) and vegetable (55.3%) consumption. about one-third
(33.5%) of respondents smoked and 43.0% could be considered to be
physically active.
table 1
descriptive statistics for older turkish older immigrants (n = 680)
characteristic range % or mean (sd)
sex (female) 47.6%
age (years) 66–95 72.90 (5.02)
marital status (single/widowed) 28.7%
education (low) 80.3%
income (low) 83.4%
number of chronic diseases 0–10 2.68 (1.87)
chronically ill 90.6%
co-/multi-morbidity 69.4%
body mass index (kg/m^2) 17.65–68.59 30.32 (5.61)
overweight 86.5%
obese 46.0%
healthy diet
sufficient fruit consumption 58.2%
sufficient vegetable consumption 55.3%
physically active 43.0%
smoking 33.5%
self-management abilities 1–4 2.52 (0.62)
physical health 0–100 54.83 (18.18)
depressive symptoms 1–4 2.28 (0.66)
well-being 1–4 2.79 (0.55)
open in a separate window
sd, standard deviation.
table 2 displays the results of the bivariate analyses. single marital
status and low educational level were associated positively with
depressive symptoms and negatively with well-being. the number of
chronic conditions was associated negatively with physical health and
well-being, and positively with depressive symptoms. a positive
relationship was found between sufficient vegetable consumption and
well-being (r = 0.11, p < 0.01). physically active status was
associated positively with physical health (r = 0.09, p < 0.05) and
overall well-being (r = 0.20, p < 0.001), and negatively with
depressive symptoms (r = –0.28, p < 0.001). smoking was related
positively to depressive symptoms (r = 0.16, p < 0.001).
self-management abilities were related positively to physical health (r
= 0.12, p < 0.05) and well-being (r = 0.54, p < 0.001) and negatively
to depressive symptoms (r = –0.53, p < 0.001).
table 2
associations with physical health, depressive symptoms and well-being
(n = 680)
characteristics physical health depressive symptoms well-being
sex (female) 0.12^** 0.21^*** –0.11^**
age (years) –0.05 0.08^* –0.06
marital status (single/widowed) –0.05 0.16^*** –0.11^**
education (low) –0.07 0.16^*** –0.11^**
income (low) –0.06 0.10^* –0.06
number of chronic diseases –0.15^*** 0.36^*** –0.26^***
body mass index –0.13^*** 0.06 –0.06
eating enough fruit –0.01 –0.06 0.07
eating enough vegetables –0.01 –0.07 0.11^**
physically active 0.09^* –0.28^*** 0.20^***
smoking 0.06 0.16^*** 0.07
self-management abilities 0.12^** –0.53^*** 0.54^***
open in a separate window
^***p < 0.001.
^**p < 0.01.
^*p < 0.05.
the results of the multivariate regression analyses are displayed in
table 3. the number of chronic diseases was associated negatively with
physical health (β = –0.20, p = 0.005) and overall well-being (β =
–0.13, p = 0.039), and positively with depressive symptoms (β = 0.21, p
< 0.001). among health behaviours, a weak positive relationship was
found between sufficient vegetable consumption and well-being (β =
0.14, p = 0.017). in addition, weak relationships were found between
physical activity and depressive symptoms (β = –0.16, p = 0.007),
smoking and depressive symptoms (β = 0.16, p = 0.009), and
self-management abilities and physical health (β = 0.17, p = 0.015).
the strongest relationships were found between self-management
abilities and depressive symptoms (β = –0.39, p < 0.001) and overall
well-being (β = 0.49, p < 0.001).
table 3
results of multivariate regression analyses
characteristic physical health depressive symptoms well-being
β p β p β p
sex (female) –0.04 0.643 0.04 0.632 –0.03 0.694
age (years) –0.00 0.949 0.02 0.699 –0.07 0.264
marital status (single/widowed) 0.14 0.070 –0.03 0.691 0.03 0.670
education (low) 0.01 0.936 0.06 0.303 0.01 0.918
income (low) 0.01 0.944 0.03 0.582 0.03 0.584
number of chronic diseases –0.20 0.005 0.21 <0.001 –0.13 0.039
body mass index –0.08 0.282 –0.03 0.609 –0.05 0.433
sufficient fruit consumption 0.03 0.636 0.05 0.390 –0.06 0.303
sufficient vegetable consumption 0.03 0.697 –0.06 0.290 0.14 0.017
physically active 0.01 0.940 –0.16 0.007 0.02 0.731
smoking 0.09 0.206 0.16 0.009 0.01 0.886
self-management abilities 0.17 0.015 –0.39 <0.001 0.49 <0.001
r^2 12% 36% 31%
open in a separate window
significance of bold values is p < 0.05.
discussion
this study aimed to identify relationships of background
characteristics, health behaviours and self-management abilities with
physical health, depressive symptoms and well-being among older turkish
immigrants residing in rotterdam, the netherlands. chronic diseases,
overweight and obesity were highly prevalent among respondents. during
the same period in which this study was conducted (2015/2016), a much
smaller percentage of the general dutch population aged ≥ 65 years was
overweight compared with our turkish sample (60% vs. 86.5%); the
prevalence of obesity differed to a lesser degree (42% vs. 46%).^27 in
addition, a larger percentage of turkish elders were chronically ill
compared with the general dutch population aged ≥ 65 years (90.6% vs.
79.9%).^28 the prevalence of chronic diseases is known to be higher
among those with lower educational levels,^29 which could explain this
finding, as 80.3% of older turkish immigrants participating in this
study were less educated.
with increasing numbers of chronic diseases, older immigrants had worse
physical health and well-being, and more depressive symptoms. healthy
behaviours and self-management abilities may protect chronically ill
older immigrants from the deterioration of health and well-being, and
the onset of depressive symptoms. however, we found only weak
relationships between the outcome variables and physical activity,
sufficient vegetable consumption and smoking, and the latter two health
behaviours were not associated with all outcome variables. a smaller
percentage of older immigrants met the norm for physical activity
compared with the general older population in the netherlands (43% vs.
50%).^30 the prevalence of smoking was also greater among older turks
compared with the general dutch population aged ≥ 65 years (33.5% vs.
∼15%).^31 this is in line with earlier research showing that the
percentage of smoking in the netherlands is highest in the turkish
population, especially among turkish men.^32^,^33 regarding dietary
behaviour, older turkish respondents were healthier than the older
general population in the netherlands in 2015/2016 in terms of
sufficient fruit (58.2% vs. 43%) and vegetable (55.3% vs. 30%)
consumption. these findings are in line with earlier research showing
that immigrants ate more fruit and vegetables than did older dutch
people.^34 in terms of health behaviours, older turkish people are thus
expected to benefit especially from smoking cessation and physical
activity interventions.
the strongest relationships were found between broader self-management
abilities and the outcome variables, especially depressive symptoms and
overall well-being. these findings are important, given that these
abilities are amendable. examples of the most commonly used
self-management interventions are health education, lifestyle
education, enhancement of knowledge about chronic diseases and their
risk factors, support of a healthy diet and promotion of physical
exercise and smoking cessation. however, older patients’ abilities to
self-manage their overall well-being, such as having a positive frame
of mind, taking initiative and self-efficacy, should also be addressed.
interventions that aim to enhance self-management abilities may be
useful additions to traditional interventions, which usually focus
solely on the physical decline associated with ageing and chronic
conditions.^35–37
the limitations of this study should be considered when interpreting
the findings. first, although the response rate was low, it was
comparable to those in other surveys conducted in this population [61].
most non-response was due to the inability to reach respondents after a
minimum of two door-to-door contact attempts (following the two contact
attempts via mail), potentially resulting in non-response bias. to
improve the response rate, this number should be increased to six
contact attempts, which was not feasible in our study.^38^,^39 to
investigate potential non-response bias, we conducted non-response
analyses. no significant difference in gender was found between
respondents and non-respondents. the mean age of these groups, however,
differed significantly; on average, respondents were younger than
non-respondents [72.11 (sd = 5.10) vs. 72.73 (sd = 5.00),
respectively]. educational level of our sample is comparable to other
studies showing that ∼80% of turkish older migrants only completed
elementary school or less.^40 second, the data collected were
cross-sectional, preventing determination of causality. third, although
this study showed that self-management abilities are important for
older turkish people, we did not investigate whether interventions
aiming to enhance these abilities actually improved self-management.
further research is necessary to explore ways in which the
self-management abilities of older turkish people can be improved.
fourth, we investigated fruit and vegetable consumption only, not how
food was prepared or the total fat or calorie intake per day, which are
also known to be important.^41 fifth, we also did not include alcohol
consumption to our analyses given that only two male respondents drank
more than the norm (≥3 units per day at ≥4 days a week). if you would
look at health behaviours among immigrant populations outside the
muslim community, it would be interesting to add this health behaviour.
finally, our study sample consisted of older turkish people residing in
rotterdam, which limits the generalizability of our study findings.
conclusion
based on the results of this study, we can conclude that in addition to
health behaviours, broader self-management abilities related to the
maintenance of overall well-being are important for older turkish
people. while only weak relationships were found with health
behaviours, strong relationships were found with broader
self-management abilities, depressive symptoms and well-being. in terms
of health behaviours, older turkish people are expected to benefit most
from smoking cessation and physical activity interventions. older
immigrants, including turks, however, may especially benefit from
interventions that enhance broader self-management abilities related to
the maintenance of overall well-being. interventions to improve
self-management abilities may help older turkish people better deal
with functional losses and chronic diseases as they age further. such
interventions will probably need to be adjusted for this population to
be effective.^38 the current national public health policy, however,
devotes no specific attention to high-risk ethnic groups. we feel that
these results provide a useful basis for the design of effective
interventions for successful ageing among older turkish people in the
netherlands.
funding
this study was supported by a grant provided by the erasmus university
of rotterdam.
conflicts of interest: none declared.
key points
* chronic diseases, overweight and obesity are highly prevalent among
turkish elderly.
* smoking cessation and physical activity interventions may partly
improve outcomes.
* interventions aimed at broader self-management abilities seem
especially effective.
* a broader focus is needed on self-management abilities to maintain
overall well-being.
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1. home
2. healthy living
3. fitness
4. fitness basics
5. why is physical activity so important for health and wellbeing?
search ____________________
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why is physical activity so important for health and wellbeing?
woman stretching
there are so many reasons why regular activity boosts your health. read
to learn what those are and how you can incorporate exercise into your
day.
we know that staying active is one of the best ways to keep our bodies
healthy. but did you know it can also improve your overall well-being
and quality of life?
here are just a few of the ways physical activity can help you feel
better, look better and live better. because, why not?
it’s a natural mood lifter.
regular physical activity can relieve stress, anxiety, depression and
anger. you know that "feel good sensation" you get after doing
something physical? think of it as a happy pill with no side effects!
most people notice they feel better over time as physical activity
becomes a regular part of their lives.
it keeps you physically fit and able.
without regular activity, your body slowly loses its strength, stamina
and ability to function properly. it’s like the old saying: you don’t
stop moving from growing old, you grow old from stopping moving.
exercise increases muscle strength, which in turn increases your
ability to do other physical activities.
it helps keep the doctor away.
stand up when you eat your apple a day! too much sitting and other
sedentary activities can increase your risk of heart disease and
stroke. one study showed that adults who watch more than 4 hours of
television a day had an 80% higher risk of death from cardiovascular
disease.
being more active can help you:
* lower your blood pressure
* boost your levels of good cholesterol
* improve blood flow (circulation)
* keep your weight under control
* prevent bone loss that can lead to osteoporosis
all of this can add up to fewer medical expenses, interventions and
medications later in life!
it can help you live longer.
it’s true, 70 is the new 60… but only if you’re healthy. people who are
physically active and at a healthy weight live about seven years longer
than those who are not active and are obese. and the important part is
that those extra years are generally healthier years! staying active
helps delay or prevent chronic illnesses and diseases associated with
aging. so active adults maintain their quality of life and independence
longer as they age.
here are some other benefits you may get with regular physical activity:
* helps you quit smoking and stay tobacco-free.
* boosts your energy level so you can get more done.
* helps you manage stress and tension.
* promotes a positive attitude and outlook.
* helps you fall asleep faster and sleep more soundly.
* improves your self-image and self-confidence.
* provides fun ways to spend time with family, friends and pets.
* helps you spend more time outdoors or in your community.
the american heart association recommends at least 150 minutes of
moderate-intensity aerobic activity each week. you can knock that out
in just 30 minutes a day, 5 days a week. and every minute of moderate
to vigorous activity counts toward your goal.
so, this is easy! just move more, with more intensity, and sit less.
you don’t have to make big life changes to see the benefits. just start
building more activity into your day, one step at a time.
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no time for exercise? here are 7 easy ways to move more!
make every move count infographic
* fitness
* fitness basics
+ recommendations for physical activity in adults
+ warm up with cool-weather workouts
+ recommendations for physical activity in children
+ recommendations for physical activity in kids infographic
+ american heart association recommendations for physical
activity infographic
+ balance exercise
+ endurance exercise aerobic
+ flexibility exercise stretching
+ how to keep cool during warm weather workouts
+ is your workout working? infographic
+ keeping your feet happy and pain-free infographic
+ make every move count infographic
+ move more for whole body health infographic
+ move more month
+ preventing injury during your workout
+ staying hydrated - staying healthy
+ strength and resistance training exercise
+ know your target heart rates for exercise, losing weight and
health
+ treat your feet right
+ warm up cool down
+ what to wear when you work out infographic
+ when is the best time of day to work out?
+ why is physical activity so important for health and
wellbeing?
* getting active
* staying motivated
* walking
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the importance of health education
february 8, 2018
marcy vadurro
director of product marketing
explore programs
importanceofhealtheducationbanner
when it comes to building a healthy community, the importance of health
education cannot be overlooked. community health workers collaborate
with all stakeholders in a community - from its citizens to its
government, education and medical officials - to improve health and
wellness and ensure equal access to healthcare.
what is the importance of health education?
community health education looks at the health of a community as a
whole, seeking to identify health issues and trends within a population
and work with stakeholders to find solutions to these concerns.
the importance of health education impacts many areas of wellness
within a community, including:
* chronic disease awareness and prevention
* maternal and infant health
* tobacco use and substance abuse
* injury and violence prevention
* mental and behavioral health
* nutrition, exercise and obesity prevention
community health educators work with public health departments,
schools, government offices and even local nonprofits to design
educational programs and other resources to address a community's
specific needs.
importanceofhealtheducationbody3
"the value in these programs is having a topic or issue tailored to the
needs of the audience...and working with them one on one to make
behavioral changes," said daphne guillaume, a certified health
education specialist and public health adjunct faculty at southern new
hampshire university (snhu).
overcoming health disparities
in addition to providing educational resources and programming to a
community, public health educators also work to ensure all members of a
community have equal access to wellness resources and healthcare
services.
according to the american public health association (apha), common
health disparities affecting americans include:
* racial or ethnic health disparities
* socioeconomic health disparities
* gender health disparities
* rural health disparities
importanceofhealtheducationbody1
"we look at the issues that are going on in our communities through a
social justice lens," said snhu adjunct faculty member dede teteh, a
certified health education specialist and public health researcher.
"the main difference between [public health] and medicine is we don't
look at people one by one. we work with communities and examine trends
in behaviors and health outcomes. we attempt to decipher what's going
on within communities and determine how we can best support their
wellness efforts. but we don't act without their input or partnership."
community health education and government policy
the importance of health education also extends into policy and
legislation development at a local, state and national level, informing
and influencing key decisions that impact community health.
from campaigns and legislation to enforce seat belt use and prevent
smoking to programs that boost the awareness and prevention of
diabetes, public health workers provide research and guidance to inform
policy development.
"you're not just educating the individual person, you need the impetus
and motivation to come from the whole community," said snhu associate
dean of health professions denise bisaillon. "you have to reach the
leaders in the community. the more people invested in a change, the
more likely its success."
the economic importance of health education
health education can also boost a community's economy by reducing
healthcare spending and lost productivity due to preventable illness.
obesity and tobacco use, for example, cost the united states billions
of dollars each year in healthcare costs and lost productivity.
according to the american public health association (apha) the annual
loss in economic productivity due to obesity and related issues is
expected to total as much as $580 billion by 2030. the total economic
cost of tobacco use costs the united states more than $300 billion each
year, including $156 billion in lost productivity, according to the
cdc.
programs designed to help community members combat these expensive
health issues not only boost individuals' health, but also provide a
strong return on investment for communities.
according to the cdc, states with strong tobacco control programs see a
$55 return on every $1 investment, mostly from avoiding costs to treat
smoking-related illness. the national cost of offering the national
diabetes prevention program is about $500 per participant,
significantly lower than the $7,900 spent on diabetes care per type 2
diabetes patient each year.
importanceofhealtheducationbody4 a growing field
as the health, social and economic impacts of community health
education continue to grow, so does the field of public health and
health promotion.
according to the u.s. bureau of labor statistics (bls), employment in
the community health education field is projected to grow by 16%
through 2026, more than twice the average for all occupations.
workers with a community health education degree can find opportunities
in a wide variety of settings, according to the bls, including:
* schools and colleges
* hospitals and healthcare facilities
* nonprofit organizations
* private businesses and employee wellness programs
* government organizations and public health departments
as communities continue to focus more on improving the health and
wellness of its citizens, the field of community health education will
also continue to grow, said snhu adjunct faculty michelle gifford.
"i believe that more and more communities are seeing benefits from
wellness-related initiatives and receiving positive marks about them,
hence community leaders are seeing this as not just a business-driven
necessity, but also something that impacts the well being and quality
of life of their citizens," gifford said.
marcy vadurro is a marketing professional within nursing and health
professions in higher education.
health
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darla branda
health professions clinical faculty darla branda: a faculty q&a
december 13, 2019
after spending 4 years in the military, darla branda earned her degree
and began working in health information management. she's since joined
the faculty at snhu, and we asked her to share her thoughts about
teaching, the importance of education and more as part our faculty
spotlight series.
a student in snhu's ccne accredited nursing programs.
snhu nursing programs receive 10-year ccne reaccreditation
november 21, 2019
snhu online nursing programs recently received a 10-year
reaccreditation from the commission on collegiate nursing education
(ccne), a professional accrediting agency that strives to promote the
quality and integrity of baccalaureate and graduate nursing programs.
a group of doctors and nurses reviewing a document in a hospital
corridor.
healthcare students get to the heart of succession planning
november 13, 2019
teams of southern new hampshire university nursing and healthcare
students recently tackled the challenge of succession planning for
healthcare facilities in the latest higher education and real-world
training challenge.
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civil blog 369
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homehealth and its importance | health and its significance | the
importance of health and health
health and its importance | health and its significance | the importance of
health and health
civil blog 369 february 09, 2019
[ins: :ins]
health and its importance
health-and-its-importance
health and its importance
the word "health" refers to an emotional and physical well- being
state. healthcare is available to help people maintain this optimal
health status.
your food choices affect your health every day-how you feel today,
tomorrow and the future. good food is an important part of a healthy
lifestyle. in combination with physical activity, your diet can help
you achieve a healthy weight, reduce the risk of chronic diseases (such
as heart disease and cancer) and promote your overall health.
why does good health matter?
cells are the basic units of all organisms. they consist of a variety
of chemicals. cells move from location to location. even if the cell
does not move, there is still a lot of repairs. cells are the basic
units of all organisms.
in relation, there are various specialized activities in our body such
as the heart pumps blood, the kidney filters the urine, which even the
brain constantly probably thinks the lungs help to inhale.
there's a lot of interconnection in our body between the different
organs. our body needs energy and raw material for all these
activities. food is necessary for the functioning of cells and tissues.
therefore, if you're not good, all your physical activities begin to
get hampered.
the significance of health
health is a physical, mental and social state of complete well-being. a
person needs a balanced diet and regular exercise for a healthy life
cycle. you also have to live in a proper shelter, sleep enough and have
good hygiene habits. so, how do we make sure we do all the right things
to be healthy? let's raise awareness about the importance of health
1)all organisms ' health depends on their environment or surroundings.
in our individual health, our social environment is an important
factor.
2)for individual health, public cleanliness is important. we must
therefore ensure that we regularly collect and clear the waste. we also
need to contact an agency responsible for clearing the drains. you
could have a serious impact on your health without this.
3)we need food for health and food, by doing work, we have to earn
money. there must be an opportunity to do work for this. therefore,
individual health needs good economic conditions and jobs.
4)to be really healthy, we need to be happy. we can't be healthy or
happy if we mistreat each other and fear each other. for individual
health, social equality and harmony are important.
what is an illness?
if one or more organs or systems of our body are adversely affected
because they are interrupted in their normal functioning, we say that
we are not healthy, i.e. we have a disease. disease means that
something is wrong with our body and we feel that the body is unwell or
malfunctioning.
our health is not only affected by uneven diets, but also by diseases,
infections, poverty, large families, overcrowded homes, etc. the
disease is usually caused by external organisms (microbes), which cross
the natural barriers of the body and invade our healthy body. such
organisms can cause havoc if it is not handled immediately by our
immune system.
health-and-its-importance
health and its significance
types of health
mental and physical health are the two types of health most frequently
discussed. we also talk about, among others, "spiritual health,"
"emotional health" and "financial health." they were also linked to
lower levels of stress and mental and physical well- being.
physical health
bodily functions work at peak performance in a person who experiences
physical health, not only because of a lack of disease, but also
because of regular exercise, balanced nutrition and adequate rest. when
necessary, we receive treatment to maintain the balance.
physical well- being means a healthy lifestyle to reduce the risk of
disease. for example, maintaining physical fitness can protect the
breathing and heart function, muscle strength, flexibility and body
composition of a person and develop it.
physical health and well- being also reduce the risk of injury or
health problems. examples include minimizing risks at work, safe sex,
good hygiene, or avoiding tobacco, alcohol or illegal drugs.
mental health
mental health means the emotional, social and psychological well- being
of a person. mental health is as important to a full and active
lifestyle as physical health.
mental health is harder to define than physical health, because
diagnosis often depends on the perception of the individual's
experience. however, with test improvements, some signs of some types
of mental illness in ct scans and genetic testing are now becoming
"visible."
mental health is not just a lack of depression, anxiety or other
disorder. it also depends on the ability to: enjoy life bouncing back
after difficult experiences achieve balance, feel safe and secure in
order to achieve your potential.
there are good links between physical and mental health. if chronic
disease affects the ability of a person to perform his or her regular
tasks, depression and stress can be caused, for example, by money
problems. a mental illness such as depression or anorexia can affect
the weight and function of the body. rather than its different types,
it is important to approach "health "as a whole.
good health factors
health depends on a variety of factors. a person is born with a variety
of genes and an unusual genetic pattern can lead to a level of health
that is less than optimal in some people.
environmental factors play an important role. the environment alone
sometimes suffices to have an impact on health. an environmental
trigger can cause disease in a genetically susceptible person at other
times.
these can be summarized as:
social and economic environment: including the wealth of a family or
community.
the physical environment: including parasites in an area or levels of
pollution.
the characteristics and behaviors of the person:
according to the world health organization, the higher the socio-
economic status of a person( ses), the more likely they are to enjoy
good health, good education, a well- paid job, and if their health is
threatened, good health care will be available.
people with a lower socio- economic status are more likely to
experience stresses related to daily life, such as financial
difficulties, marital disruption and unemployment, as well as social
factors such as marginalization and discrimination. all of this adds to
the risk of poor health.
low socio- economic status means often less access to healthcare.
people in developed countries with universal health services have
longer life expectancies than people without universal health care in
developed countries.
cultural problems can have an impact on health. a society's traditions
and customs and the response of a family to them can have a good or bad
effect on health. for example, people around the mediterranean are more
likely to consume high levels of fruit, vegetables and olives and eat
as a family compared to fast food crops.
how stress is managed affects health. people who smoke, drink or take
drugs to forget about their problems are likely to experience more
health problems later than people who fight stress through healthy diet
and exercise.
men and women are susceptible to various health factors. they may be at
greater risk of poor health than men in societies where women earn less
than men or are less educated.
[ins: :ins]
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1. hello healthy24 december 2019 at 19:33
good sir
visit this blog
https://myhellohealthy.blogspot.com/2019/12/10-make-ahead-breakfast
-under-30020.html
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home » achieve lasting weight loss » the importance of health
natural health boosters
the importance of health can’t be understated. think about it: your
health is truly the foundation of your life. when you don’t physically
feel well, the rest of your life suffers, too. without it, you can’t
focus, and ultimately, you can’t pursue your goals.
people go to extreme lengths to feel healthier. think of all the fad
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“the higher your energy level, the more efficient your body, and the
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what could you accomplish if you were living in peak health? would you
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while it’s often easier to settle for suboptimal health, if we’re
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an official journal of the the royal society for public health and a
sister journal of public health in practice.
public health is an international, multidisciplinary peer-reviewed
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an official journal of the the royal society for public health and a
sister journal of public health in practice.
public health is an international, multidisciplinary peer-reviewed
journal. it publishes original papers, reviews and short reports on all
aspects of the science, philosophy, and practice of public health.
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models and mechanisms of public health
chapter 5: key principles of health behavior change
search for: ____________________ search
examples of health behaviors and concepts
image
social determinants, as stated in the article by short and mollborn,
can be split into three levels, the downstream level (individual
choices), the upstream level (socio-economic, cultural systems, etc.)
and the meso level (interpersonal interactions) (short and mollborn,
2015). most research is focused on the meso level due to the immediate
effects and influence it has over someone’s health behaviors. the
systems that are involved in the meso level could be an individual’s
neighborhood, family, and friends. the importance of social
determinants and their effects on health can help determine the reasons
for specific health actions and behaviors.
the concepts of health behavior are dynamic and encompass different
areas, cultures, genders, age groups, etc. this can be seen within the
united states; the likelihood of developing smoking behaviors are more
prevalent in the south than in the west (short and mollborn, 2015).
some examples of things that health behavior can affect are diet,
physical activity, sleep, and coping with stressful events. health
behavior should be looked at on multiple levels and perspectives to
fully understand how it can promote and protect health instead of
causing harm to it.
licenses and attributions
cc licensed content, original
* authored by: christian rossman, michaela ou2019brien, gloria
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health behavior
health behavior pp 3-17 | cite as
health behavior
plural perspectives
* authors
* authors and affiliations
* david s. gochman
chapter
* 16 citations
* 27 readers
* 328 downloads
abstract
what “health behavior” means, and how it is treated in this book, are
the basic topics of the first part of this chapter, which begins with a
working definition of health behavior, discusses some related terms,
and provides a definition of “health behavior research.” the chapter
continues with a discussion of conceptions of health, illness, and
disease, and concludes by identifying some research issues that relate
to these conceptions.
keywords
health behavior behavioral health behavioral medicine illness
behavior sociocultural perspective
these keywords were added by machine and not by the authors. this
process is experimental and the keywords may be updated as the learning
algorithm improves.
this is a preview of subscription content, log in to check access.
preview
unable to display preview. download preview pdf.
unable to display preview. download preview pdf.
references
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copyright information
© springer science+business media new york 1988
authors and affiliations
* david s. gochman
+ 1
1. 1.raymond a. kent school of social workuniversity of
louisvillelouisvilleusa
about this chapter
cite this chapter as:
gochman d.s. (1988) health behavior. in: gochman d.s. (eds)
health behavior. springer, boston, ma
* doi https://doi.org/10.1007/978-1-4899-0833-9_1
* publisher name springer, boston, ma
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health behavior and health promotion
apple icon stopping the spread of communicable diseases. catching
cancer in its early stages. preventing teenagers from smoking
cigarettes. these are all based on choices and behaviors.
our goal in the division of health behavior and health promotion (hbhp)
is to enable people to achieve their optimal level of health through
healthy decisions and behaviors. in order to accomplish this, we work
with organizations, and communities to develop the knowledge and skills
needed for making healthy decisions and enacting healthy behaviors, and
to promote the conditions and resources necessary for healthy living.
we also collaborate across disciplines at ohio state to advance
knowledge and understanding of healthy behaviors.
research
research in healthy behaviors and health promotion seeks to understand
the choices and behaviors of individuals and communities with regard to
health. we also evaluate existing and pilot health programs. much of
our scholarly work is done in collaboration across the university and
with other institutions, as well as with community partners.
our faculty are involved in active research programs that include:
* health program evaluation
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curriculum
our curriculum emphasizes the social and behavioral determinants of
health and methods for changing behaviors in populations.
the health behavior and health promotion program offers two outstanding
degree programs with a concentration in health behavior and health
promotion: the mph (master of public health) and the phd.
both degree programs provide students with a thorough knowledge of
health behavior and health promotion from its fundamental relationship
to public health to role in implementing intervention strategies.
courses also offer a rich array of research opportunities and practical
job experiences.
learn more about degree programs in health behavior and health promotion
mph phd
in addition, we offer a graduate minor in public health behavior and
promotion.
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* message from the chair
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+ apply now
+ recruitment calendar
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+ bsph + mph in 5 years
+ dual/combined degrees
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o environmental public health specialization
o public health sociology specialization
+ graduate programs
+ master of public health
o biomedical informatics
o biostatistics
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o environmental health
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o health behavior and health promotion
o program for experienced professionals
# program description
# curriculum
# admissions requirements
o veterinary public health
+ master of health administration
o program of study
# competency-based curriculum
# experiential learning: outside the classroom
# leadership development framework
o administrative residency
o professional development
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o graduates
# graduating student employers
o hsmp faculty and staff
o hsmp alumni society
# events
+ master of science
o biomedical informatics
o biostatistics
o environmental public health
o epidemiology
+ doctor of philosophy
o biostatistics
o environmental public health
o epidemiology
o health behavior and health promotion
o health services management and policy
+ minors/ specializations/ certificates
o graduate certificate in environmental public health risk
assessment
o graduate certificate in global one health
o graduate interdisciplinary specialization in obesity
science
o graduate interdisciplinary specialization in global
health
o graduate minor in public health behavior and promotion
o epidemiology minor
o global public health minor
+ contact us
* students
+ student forms and resources
+ graduate students
o advising and student services
o news and events
o career services
o cph graduate student handbook
o curriculum guides
o mph practicum
o mph culminating project
o mha administrative residency
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+ undergraduate students
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health behavior models
behavior change models:
there are a number of theoretical models in the literature that address
effective ways to change health behaviors. the pages below outline
basic theories, their major constructs, and the recommended strategies
to help clients reduce tobacco use.
* transtheoretical model (ttm) & stages of change
* health belief model
* social cognitive theory
* theory of reasoned action/theory of planned behavior
measures:
stages of change & readiness
the stages of change algorithm can be used in research to determine an
individual’s current stage of change for quitting tobacco.
the readiness ruler is a brief, 1 item measure that can be used to
assess motivational readiness for quitting smoking. used in practice
and research.
processes of change for quitting smoking
the processes of change questionnaire is a self-report measure that
assesses an individual’s use of experiential and behavioral processes
of change to quit smoking. used in both practice and research.
temptation to smoke
the temptation to smoke scale is a self-report measure that assesses
how tempted an individual is to smoke in a variety of situations. used
in both practice and research.
confidence to abstain (self-efficacy)
the smoking self-efficacy scale is a self-report measure that assesses
an individual's confidence to abstain from smoking in a variety of
situations. used in both practice and research.
decisional balance (pros & cons of smoking)
the decisional balance scale is a self-report measure of the pros and
cons a person perceives in terms of smoking. used in both practice and
research.
screening for tobacco use
the tobacco screening measure is a brief, 1-4 item measure that can be
used to assess current smoking status as well as heaviness of smoking.
the first question should be asked of all patients, and can be helpful
in identifying “former smokers” that may otherwise be mistaken as
“never-smokers.” the tobacco screening measure was developed by
maryland m.d.s making a difference (md3), and can also be found on
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what is good health?
written by adam felman on july 31, 2017
* what is health?
* types
* factors for good health
* preserving health
the word "health" refers to a state of complete emotional and physical
well-being. healthcare exists to help people maintain this optimal
state of health.
in 2015, the population of the united states (u.s.) spent an estimated
$3.2 trillion on healthcare costs.
however, despite this expenditure, a study by the u.s. national
research council, published in 2013, showed that americans die at a
younger age and experience more illness and injury than people in other
developed countries.
good health is central to handling stress and living a long and active
life.
fast facts on health
here are some key points about health. more detail is in the main
article.
* health can be defined as physical, mental, and social wellbeing,
and as a resource for living a full life.
* it refers not only to the absence of disease, but the ability to
recover and bounce back from illness and other problems.
* factors for good health include genetics, the environment,
relationships, and education.
* a healthful diet, exercise, screening for diseases, and coping
strategies can all enhance a person's health.
what is health?
health is not just absence of disease but a state of overall wellbeing.
share on pinteresthealth is not just absence of disease but a state of
overall wellbeing.
in 1948, the world health organization (who) defined health with a
phrase that is still used today.
"health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity." who, 1948.
in 1986, the who further clarified that health is:
"a resource for everyday life, not the objective of living. health is a
positive concept emphasizing social and personal resources, as well as
physical capacities."
this means that health is a resource to support an individualʼs
function in wider society. a healthful lifestyle provides the means to
lead a full life.
more recently, researchers have defined health as the ability of a body
to adapt to new threats and infirmities. they base this on the idea
that modern science has dramatically increased human awareness of
diseases and how they work in the last few decades.
types
mental and physical health are the two most commonly discussed types of
health. we also talk about "spiritual health," "emotional health," and
"financial health," among others. these have also been linked to lower
stress levels and mental and physical wellbeing.
physical health
in a person who experiences physical health, bodily functions are
working at peak performance, due not only to a lack of disease, but
also to regular exercise, balanced nutrition, and adequate rest. we
receive treatment, when necessary, to maintain the balance.
physical wellbeing involves pursuing a healthful lifestyle to decrease
the risk of disease. maintaining physical fitness, for example, can
protect and develop the endurance of a personʼs breathing and heart
function, muscular strength, flexibility, and body composition.
physical health and well-being also help reduce the risk of an injury
or health issue. examples include minimizing hazards in the workplace,
practicing safe sex, practicing good hygiene, or avoiding the use of
tobacco, alcohol, or illegal drugs.
mental health
mental health refers to a personʼs emotional, social, and psychological
wellbeing. mental health is as important as physical health to a full,
active lifestyle.
it is harder to define mental health than physical health, because, in
many cases, diagnosis depends on the individualʼs perception of their
experience. with improvements in testing, however, some signs of some
types of mental illness are now becoming "visible" in ct scans and
genetic testing.
mental health is not only the absence of depression, anxiety, or
another disorder.
it also depends on the ability to:
* enjoy life
* bounce back after difficult experiences
* achieve balance
* adapt to adversity
* feel safe and secure
* achieve your potential
physical and mental health are linked. if chronic illness affects a
personʼs ability to complete their regular tasks, this may lead to
depression and stress, for example, due to money problems.
a mental illness such as depression or anorexia nervosa can affect body
weight and function.
it is important to approach "health" as a whole, rather than its
different types.
factors for good health
health depends on a wide range of factors.
a person is born with a range of genes, and in some people, an unusual
genetic pattern can lead to a less-than-optimum level of health.
environmental factors play a role. sometimes the environment alone is
enough to impact health. other times, an environmental trigger can
cause illness in a person who is genetically susceptible.
access to healthcare plays a role, but the who suggests that the
following factors may have a bigger impact on health than this:
* where a person lives
* the state of the surrounding environment
* genetics
* income
* education level
* relationships with friends and family
these can be summarized as:
* the social and economic environment: including how wealthy a family
or community is
* the physical environment: including parasites that exist in an
area, or pollution levels
* the personʼs characteristics and behaviors: including the genes
that a person is born with and their lifestyle choices
*
according to the who, the higher a personʼs socioeconomic status (ses),
the more likely they are to enjoy good health, a good education, a
well-paid job, afford good healthcare when their health is threatened.
people with a lower socioeconomic status are more likely to experience
stresses related to daily living, such as financial difficulties,
marital disruption, and unemployment, as well as social factors, such
as marginalization and discrimination. all these add to the risk of
poor health.
a low socio-economic status often means less access to healthcare.
people in developed countries with universal healthcare services have
longer life expectancies than people in developed countries without
universal healthcare.
cultural issues can affect health. the traditions and customs of a
society and a familyʼs response to them can have a good or bad impact
on health. for example, around the mediterranean, people are more
likely to consume high levels of fruits, vegetables, and olive, and to
eat as a family, compared with cultures with a high consumption of fast
food.
how a person manages stress will affect health. people who smoke,
drink, or take drugs to forget their problems are likely to have more
health problems later than someone who combats stress through a
healthful diet and exercise.
men and women are prone to different health factors. in societies where
women earn less than men or are less educated, they may be at greater
risk than men for poor health.
preserving health
the best way to maintain health is to preserve it through a healthful
lifestyle, rather than waiting until we are sick to put things right.
this state of enhanced well-being is referred to as wellness.
the mckinley health center at the university of illinois il defines
wellness as:
"a state of optimal well-being that is oriented toward maximizing an
individualʼs potential. this is a life-long process of moving
towards enhancing your physical, intellectual, emotional, social,
spiritual, and environmental well-being."
wellness promotes an active awareness of and participation in health,
as an individual and in the community.
maintaining wellness and optimal health is a lifelong, daily
commitment.
steps that can help us maximize our health include:
* a balanced, nutritious diet, sourced as naturally as possible
* regular exercising
* screening for diseases that may present a risk
* learning to manage stress
* engaging in activities that provide purpose and connection to
others
* maintaining a positive outlook and appreciating what you have
* defining a value system, and putting it into action
peak health will be different for each person, and how you achieve
wellness may be different from how someone else does.
it may not be possible to avoid disease completely, but doing as much
as we can to develop resilience and prepare the body and mind to deal
with problems as they arise is a step we can all take.
written by adam felman on july 31, 2017
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* croat med j
* v.47(4); 2006 aug
* pmc2080455
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croat med j. 2006 aug; 47(4): 662–664.
pmcid: pmc2080455
pmid: 16909464
the meanings of health and its promotion
norman sartorius
copyright and license information disclaimer
copyright © 2006 by the croatian medical journal. all rights reserved.
this is an open access article distributed under the creative commons
attribution license, which permits unrestricted non-commercial use,
distribution, and reproduction in any medium, provided the original
work is properly cited.
this article has been cited by other articles in pmc.
the constitution of the world health organization, which came into
force on april 7, 1948, defined health “as a state of complete
physical, mental and social well-being.” the writers of the
constitution were clearly aware of the tendency of seeing health as a
state dependent on the presence or absence of diseases: so they added
to that definition that an individual, if he is to be considered
healthy, should not suffer from any disease (….“and not merely the
absence of disease or infirmity”) (1). in that way, the definition of
the world health organization simply added a requirement to the
previous position that allowed to declare someone healthy if no disease
could be found: the step forward that could have been taken in the
conceptualization of health as a dimension of existence which can
co-exist with the presence of a disease or impairment was thus not
taken.
today, three types of definition of health seem to be possible and are
used. the first is that health is the absence of any disease or
impairment. the second is that health is a state that allows the
individual to adequately cope with all demands of daily life (implying
also the absence of disease and impairment). the third definition
states that health is a state of balance, an equilibrium that an
individual has established within himself and between himself and his
social and physical environment.
the consequences of adopting one or another of these definitions are
considerable. if health is defined as the absence of disease, the
medical profession is the one that can declare an individual healthy.
with the progress of medicine, individuals who are declared healthy
today may be found to be diseased tomorrow because more advanced
methods of investigations might find signs of a disease that was not
diagnosable earlier. how an individual feels about his or her state is
not relevant in this paradigm of health. how the surrounding people
judge the behavior and appearance of an individual is only relevant if
their observations are congruent with the criteria of abnormality that
the medical profession has produced. the measurement of the state of
health of a population is also simple and will involve no more than
counting the individuals who, on examination, show defined signs of
illness and comparing their numbers with those who do not.
there are obvious difficulties with the first and the second of the
definitions mentioned above and with their consequences. there are
individuals who have abnormalities that can be counted as symptoms of a
disease but do not feel ill. there are others whose body tissues do not
demonstrate changes but who feel ill and do not function well. there
are people who hear voices and might therefore be candidates for
psychiatric examination and possibly treatment – but live well in their
community and do not ask for nor receive medical care. there is a
significant number of people who have peptic ulcers and other diseases,
experience no problems, do not know that they have a disease and do not
seek treatment for it. some of these individuals will also escape the
second type of definition of health because they function as well as
expected in their age and gender group of the general population.
the third definition mentioned above makes health depend on whether a
person has established a state of balance within oneself and with the
environment. this means that those with a disease or impairment will be
considered as being healthy to a level defined by their ability to
establish an internal equilibrium that makes them get the most they can
from their life despite the presence of the disease. health would thus
be a dimension of human existence that remains in existence regardless
of the presence of diseases, somewhat like the sky that remains in
place even when covered with clouds. the advantage of this definition
is that diseases do not replace individuals’ health: they may affect
their balance more or less severely but, at all times, the patients who
suffer from a disease (and their doctors) remain aware of the need to
work simultaneously on two tasks – one, to remove or alleviate the
disease and the second to establish a state of balance, as best they
can, within oneself and in relation with their environment. in fighting
stigmatization that accompanies many chronic and some acute diseases –
such as mental disorders or leprosy – this definition is also useful
because it makes us speak and think about our patients as people who
are defined by different dimensions (including health) and who, at a
point, suffer from a disease – and thus make us say “a person with
schizophrenia” rather than “a schizophrenic,” or a ”person who has
diabetes” rather than a “diabetic” and a “person with leprosy” rather
than a “leper.”
there is another important consequence of working with this definition
of health. to establish whether someone is in good health in accordance
with this definition, the doctor must explore how individuals who have
a disease feel about it, how the disease influences their lives, how
they propose to fight their disease or live with it. laboratory
findings and the presence of symptoms are thus important and necessary
ingredients in thinking about the state of health and the presence of a
disease but are not sufficient to reach a decision about someone’s
health: it is necessary to view the disease in the context of the
person who has it in order to make a judgment about his or her level of
health. there is little doubt about the fact that going about the
treatment of diseases in this way would improve the practice of
medicine and make it a more realistic as well as a more humane
endeavor.
the promotion of health is also affected by the differences in the
definition of health. the simplest definition of health – equated with
the absence of disease – would lead to a definition of the promotion of
health as an effort to remove diseases and diminish the numbers of
individuals who suffer from them. the involvement of functioning in the
definition of health would be reflected in defining the promotion of
health as a process by which the capacity of individuals to cope will
be enhanced and strengthened, for example by regular and obligatory
physical exercise. both of these definitions would lead to
recommendations to improve the treatment of diseases, and to remove
risks factors that might lead to them – such as sedentary life style,
smoking, bad eating habits and insufficient application of hygienic
measures such as washing one’s hands before meals.
the third definition of health, by its very nature, could not stop at
efforts to remove diseases and to diminish risk factors that might lead
to disease. it would have to involve the individuals whose health is to
be promoted in an active way: it would have to address the scales of
values of individuals and communities to ensure that health is placed
higher on those scales. high value placed on health (not only on the
absence of disease) would make people undertake whatever is necessary
to enhance health: participating in preventive action and seeking
treatment would become a normal expression of the need to behave in
harmony with one’s own and one’s community values. changing the place
of health on the scale of values, however, is not possible if left to
the health sector alone: values are shaped throughout life under the
influence of parents, friends, schools, the media, laws, and one’s own
life course and experience. thus, changing values – for example to give
health a higher value, to promote health – has to be a task for all of
those involved in shaping values and placing them on a scale rather
than for the health system alone.
the huge challenges that face societies aiming to improve the health of
their citizens will not be appropriately answered if we do not change
the paradigms of health and disease and design strategies for future
work using these new paradigms. their formulation and acceptance is a
task that is before all of us and is urgent.
references
1. constitution of the world health organization. in: world health
organization: basic documents. 45th ed. geneva: world health
organization; 2005. [google scholar]
__________________________________________________________________
articles from croatian medical journal are provided here courtesy of
medicinska naklada
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fdi unveils new universally applicable definition of ‘oral health’
06 september 2016
6 september 2016
fdi unveils new universally applicable definition of ‘oral health’
poznan, 6 september 2016 – fdi world dental federation today launched
the new definition of ‘oral health’ – positioning it as an integral
part of general health and well-being – at its annual world dental
congress in poznan, poland. it was adopted by over 200 national dental
associations (ndas) and will now be rolled out to the oral health
community, globally.
“this new definition is an important milestone for the oral health
profession,” said dr patrick hescot, fdi president. “true to our vision
2020 advocacy strategy and our ambition to lead the world to optimal
oral health, the new definition will allow us to develop standardized
assessment and measurement tools for consistent data collection on a
global level.”
as defined by fdi:
oral health is multi-faceted and includes the ability to speak, smile,
smell, taste, touch, chew, swallow and convey a range of emotions
through facial expressions with confidence and without pain, discomfort
and disease of the craniofacial complex.
further attributes related to the definition state that oral health:
* is a fundamental component of health and physical and mental
wellbeing. it exists along a continuum influenced by the values and
attitudes of individuals and communities;
* reflects the physiological, social and psychological attributes
that are essential to the quality of life;
* is influenced by the individual’s changing experiences,
perceptions, expectations and ability to adapt to circumstances.
the new definition was coined by fdi’s vision 2020 think tank members,
which includes experts in oral health, public health and health
economics. together with a companion framework tested against external
stakeholders, the new oral health definition is the result of a wider
consultation which included patients, oral health professionals, ndas,
the public health community, academia, government, industry and
third-party payers.
“with this new definition, we want to raise awareness of the different
dimensions of oral health and emphasize that oral health does not occur
in isolation, but is embedded in the wider framework of overall health”
said prof. david williams, co-chair of fdi’s vision 2020 think tank.
“we are proposing a contemporary definition of oral health, which
resonates with that used by many ndas and the world health
organization,” said prof. michael glick, co-chair of fdi’s vision 2020
think tank. “it is therefore not a revolution, but an evolution.”
fdi plans to widely disseminate this oral health definition and
advocate for its operationalization to establish a standard measurement
instrument that can be applied across countries. a measurement toolbox
will be ready in 2017 to allow for assessment of individual and
population needs that can inform and drive oral health policies.
media contact
charanjit (chaz) jagait phd, fdi communications & advocacy director
e-mail: cjagait@fdiworldental.org | tel: +41 22 560 81 48
about fdi world dental federation
fdi world dental federation serves as the principal representative body
for over 1 million dentists worldwide. its membership includes some 200
national member associations and specialist groups in over 130
countries. fdi’s vision: ‘leading the world to optimal oral health’.
www.fdiworldental.org
for more fdi news, visit www.fdiworldental.org
fdi world federation - avenue louis casai 51 - ch - 1216 cointrin -
geneva - switzerland
© fdi world dental federation - all rights reserved
www.fdiworldental.org
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a closer look at health equity
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in this aha advancing health podcast, duane reynolds, president and ceo
of the aha’s institute for diversity and health equity, and priya
bathija, vice president of aha’s the value initiative, discuss how
health equity is a moral issue that affects the length and quality of
people’s lives. they share how hospitals and health system leaders are
addressing the social determinants of health and social needs to make
care more equitable.
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aha statement for house energy and commerce committee on maternal health
legislation
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statement
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“improving maternal health: legislation to advance prevention efforts
and
access to care”
september 10, 2019
on behalf of our nearly 5,000 member hospitals, health systems and
other health care organizations, our clinician partners – including
more than 270,000 affiliated physicians, 2 million nurses and other
caregivers – and the 43,000 health care leaders who belong to our
professional membership groups, the american hospital association (aha)
commends the committee on energy and commerce for its efforts to
examine legislation to improve maternal health.
maternal health is a top priority for the aha and our member hospitals
and health systems, and our initial efforts are aimed at eliminating
maternal mortality and severe morbidity. the causes of maternal
mortality and morbidity are complex, including a lack of consistent
access to comprehensive care and persistent racial disparities in
health and health care. as hospitals work to improve health outcomes,
we are redoubling our efforts to improve maternal health across the
continuum of care and reaching out to community partners to aid in that
important effort.
the may 2019 vital signs report issued by the centers for disease
control and prevention (cdc) noted that about 700 women die each year
from complications related to pregnancy, and more than half of those
deaths are preventable. an estimated 31% of pregnancy-related deaths
occur during pregnancy, 36% during delivery or the week after, and 33%
one week to one year after delivery. the cdc last week released its
morbidity and mortality weekly report that showed that between
2007-2016, the pregnancy-related mortality ratio increased from 15 to
17 pregnancy-related deaths per 100,000 births and that black, american
indian and alaska native women were two to three times more likely to
die from pregnancy-related causes than white women, and this disparity
increases with age. the report also noted that racial and ethnic
disparities in pregnancy-related deaths have persisted over time.
key resources
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maternal & child health
every child deserves to have a healthy start in life, and every mother
should have access to quality healthcare during pregnancy and
childbirth. the birth of a new child should be a time for celebration,
and yet for many women around the world it is a time of fear. according
to the world health organisation, more than 800 women die every day
from complications in pregnancy and childbirth. the majority of these
deaths could be prevented given the right resources and care. most of
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rural areas.
in these remote areas, women, newborns and children are often the most
vulnerable to health problems. health centres can be difficult to
reach, and without alternative forms of transport available to them,
women and children sometimes have to walk for days to get there. even
when they reach the facilities, they might find them understaffed or
underequipped.
indigenous women and girls are even more likely to experience worse
maternal health outcomes, and frequently face discrimination and abuse
from health centre staff. for example, maasai women in kenya are twice
as likely to have had no antenatal care, and san women in namibia are
ten times more likely to give birth without skilled attendance.
au sits inside her mud-walled hut near tsumkwe, namibia
au, a traditional birth attendant in namibia
all of these factors discourage mothers from visiting health centres
during pregnancy and to give birth, and often they instead rely on
traditional birth attendants (tbas) in the community as their only
source of maternal health support. the position of tba is passed down
through generations of women, and is a highly respected role in the
community. however, these women very rarely have access to any health
training, leaving them without the skills or tools to identify and
treat difficulties in childbirth. overall, the lack of infrastructure,
transport and training means women and newborns are still dying in
childbirth.
at health poverty action we believe maternal health is particularly
important because of the far-reaching impacts it has on families and
communities. not only does access to quality maternal healthcare ensure
the good health of a mother – her good health also helps to ensure the
good health of her newborn child and the rest of her family.
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maternal health
view photo uganda 2017 © frederic noy/cosmos
maternal health care provided at msf's health center in bidibidi,
uganda.
uganda 2017 © frederic noy/cosmos
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many women across the world give birth without medical assistance,
massively increasing the risk of complications or death. every day on
average 830 women die from pregnancy-related causes. most of these
deaths are preventable.
99 percent
maternal deaths
occur in developing countries
50 percent
maternal deaths
occur during delivery or within 24 hours
1.1 million
births
assisted by msf from 2013-2017, including 107,000 caesarean sections
reproductive health care is an integral part of the medical care
doctors without borders/médecins sans frontières (msf) provides,
including in emergencies. our maternal health programs in more than 25
countries focus on reducing maternal and infant mortality through
pregnancy and prenatal consultations, emergency obstetric care,
postnatal follow-up, and access to family planning services and safe
abortion care.
maternal health facts
serious, untreated complications during pregnancy or delivery can be
fatal to both mother and infant. the most common complications that may
lead to maternal death are: postpartum hemorrhage, reproductive tract
infections, eclampsia, unsafe abortion, obstructed labor, and serious
infectious diseases.
hemorrhage
hemorrhage, or excessive bleeding, can happen after a complicated
birth. often it results from failure of the uterus to contract after
delivery. normally, these contractions stop the bleeding that occurs
once the placenta separates from the uterine wall. but complications or
incomplete placental separation can lead to continued bleeding, and
without rapid medical intervention, a woman can quickly bleed to death.
when skilled birth attendants are present, oxytocin can be given to
prevent bleeding. if severe bleeding does occur, the mother is
resuscitated and attendants apply methods ranging from further
medication and manual pressure to stop the bleeding through to
emergency surgery.
severe infection
severe infection can develop during pregnancy or from unhygienic
conditions during delivery. one common type is reproductive tract
infections (rti), which cause intrauterine infections that can
eventually be fatal to the woman. they can also cause life-threatening
infection in the infant.
access to clean water and hygienic conditions during delivery, such as
clean hands and a clean delivery surface like a plastic cover, are
vital to preventing infections. if an infection occurs, early detection
and treatment with the appropriate antibiotic can prevent serious
illness or death.
eclampsia and other hypertensive disorders
eclampsia and other hypertensive disorders of pregnancy are linked to
high blood pressure and are characterized by seizures that can lead to
coma and death. eclampsia begins during pregnancy as pre-eclampsia,
which leads to high blood pressure. without prenatal care pre-eclampsia
can develop into severe pre-eclampsia or full eclampsia, causing
symptoms such as swelling, sudden weight gain, headaches, changes in
vision, and potentially fatal convulsions.
unsafe abortion
unsafe abortion is a procedure for terminating an unwanted pregnancy
either by persons lacking the necessary skills or in an environment
lacking minimal medical standards, or both, as defined by the world
health organization. globally, at least 22,000 women die every year
from unsafe abortion—the only major cause of maternal death that has
not declined in recent decades, despite it being almost complete
preventable. of those women who survive, 7 million suffer serious
consequences such as infertility, injury, or complications with future
pregnancies.
comprehensive sexual and reproductive health services can greatly
reduce the number of unsafe abortions, by offering safer alternatives
through family planning and access to safe abortion care.
obstructed labor
obstructed labor can occur if the baby’s head is too large or its
position is abnormal, blocking passage through the birth canal. when a
mother is malnourished or is very young and therefore has an
underdeveloped pelvis, the birth canal itself is often not wide enough
to accommodate the head of the baby. if an obstructed labor becomes
prolonged, lasting more than 24 hours, the baby may die and the woman
is at risk of postpartum hemorrhage, uterine rupture or fistula, and
severe infection—all potentially fatal.
skilled staff are essential in managing complicated deliveries and
identifying signs that interventions are needed. these can range from
iv fluids and/or medications to support labor, to an
instrument-assisted delivery (vacuum cup or forceps) or caesarean
section.
indirect causes
indirect causes, in particular complications from infectious disease,
account for about 20 percent of maternal deaths.
during pregnancy, already dangerous diseases can pose even greater
threats to both mother and fetus. for example, malaria in pregnant
women increases their risk of miscarriage and causes over 10,000
maternal deaths globally, while tuberculosis also increases rates of
miscarriage and maternal death. malaria, tuberculosis, and cholera all
raise the risk of stillbirths, death of newborns, or low birth weight
infants.
for pregnant women at risk for any of these diseases, protecting their
health starts with preventive measures. these can include reducing
exposure (such as by sleeping under mosquito nets in malaria regions,
and ensuring access to clean water and supplies for good hygiene) and
short-term use of anti-malarial or anti-tuberculosis drugs during
pregnancy. for those who become ill, early diagnosis and treatment are
essential. whether treating malaria, hiv, tuberculosis, or another
disease, effective treatment reduces the risk of developing severe
complications that threaten the lives of both mother and baby.
how msf responds
our obstetric care programs aim to remedy the crucial "three delays"
that can threaten the lives of both mother and child. these are: delay
in deciding to seek care; delay in reaching a health facility; and
delay in receiving appropriate treatment at the facility.
emergency obstetric care is a key component of this strategy. emergency
care administered promptly by qualified staff can save the lives of
women experiencing complications during or just after delivery, when
half of all maternal deaths occur. to help reduce barriers to use of
our emergency obstetric services, we adapt services to local cultures
and (as with all msf programs) make them free of charge, as our
beneficiaries are often among the poorest sector of the population.
during conflicts or natural disasters, where health services have often
collapsed or are inadequate, emergency obstetrical needs are among the
major needs we see. over the period of 2008-15, 56 percent of all
caesarean sections we performed were in active conflict settings. for
this reason, rapid implementation of emergency maternal care is now
incorporated into our response to these crises.
we also aim to locate services close to the people who need them. in
some settings where this is not possible or we serve a large region, we
have introduced mobile clinics that travel to areas where people often
have no access to health care, combined with referral systems to
identify women with pregnancy complications and transfer them when
necessary to a health post or hospital that can provide appropriate
care.
in remote locations such as kabezi, a rural district in burundi, we
have also implemented ambulance services, which have been linked to
significant reductions in maternal mortality.
abla ali, msf midwife, iraq
giving syrian refugees a safe place to give birth
"the best part of being a midwife is the appreciation from the mothers.
they stop me in the camp when i pass and they say to their children:
'this is abla, she’s a good midwife and she delivered you.'"
–abla ali, msf midwife
read more
antenatal care improves the mother’s health during her pregnancy and
helps reduce or manage complications for both mother and newborn. in
addition, these consultations provide opportunities to inform women and
their families about how to recognize complications and to prepare for
emergencies, and about health structures where women can go for
emergency care, if needed, and for delivery.
post-natal care is another critical area for reducing maternal and
infant death and improving the physical and mental wellbeing of mother
and child. most maternal illnesses and deaths occur at or soon after
delivery, while the majority of infant deaths occur in the first few
days post-delivery—and 30 percent of all child deaths below the age of
five occur in the first four weeks of life.
hiv/aids and preventing mother-to-child transmission
without treatment, 25 to 40 percent of all children born to
hiv-positive mothers will also be infected. this rate can be reduced to
below five percent with antiretroviral treatments for the mother and a
short course of antiretroviral drugs for the baby, together with
appropriate breastfeeding practices.
we have opened programs on prevention of mother-to-child transmission
in many of the world’s most affected regions. in swaziland, for
example, we provided hiv treatment to thousands of hiv-positive
pregnant women as soon as possible after their diagnosis to prevent
their babies from becoming infected.
providing
our research on maternal health
read more
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care for other infectious diseases
pregnant women are more susceptible to infectious diseases, and when
infected they are more likely to experience pregnancy complications and
face an increased risk of miscarriage or stillbirth.
for this reason, we offer preventive treatment to pregnant women
exposed to diseases such as malaria and tuberculosis, and provide extra
care where appropriate to pregnant women with these diseases or others
such as cholera and hepatitis e.
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women's rights and gender equality
aid
this article is more than 1 year old
uk 'exaggerated number of lives saved' by maternal health aid project
this article is more than 1 year old
watchdog says many more deaths could have been prevented given level of
investment in department for international development programmes
supported by
count me in! consortium about this content
rebecca ratcliffe
tue 30 oct 2018 06.00 gmt last modified on mon 4 mar 2019 11.56 gmt
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mother carrying baby in malawi
[ ] in malawi, heavily pregnant women camped outside health facilities
for up to a month before giving birth, the review found. photograph:
jeffrey davis/getty images/tetra images rf
the uk government has been criticised by an aid watchdog for
exaggerating the number of women’s lives it saved through its maternal
health programmes.
a review, published by the independent commission for aid impact (icai)
on tuesday, also said the number of lives saved “were significantly
below what they could have been, given the level of investment”.
the watchdog said programmes by britain’s department for international
development (dfid) had failed to significantly improve the quality and
sustainability of maternal healthcare services in partner countries.
why do women still die giving birth?
read more
dfid spent about £4.6bn on programmes in health and other sectors
between 2011 and 2015. within this, £1.3bn focused more closely on
maternal health, including family planning, reproductive healthcare and
maternal and neonatal health. but icai said investments were focused on
short-term goals, and did not do enough to strengthen healthcare
systems or target marginalised women or teenage girls.
by 2015, dfid claimed to have saved 103,000 women’s lives during
pregnancy and childbirth, more than double its goal of 50,000. in an
internal and unpublished review, this figure was revised down to
80,100.
icai said the department relied on “unrealistic assumptions” to reach
such figures. compared with the review team’s observations in countries
such as malawi, the estimates appeared inflated.
alison evans, icai’s chief commissioner, who led the review, said uk
aid had expanded access to family planning, but added “… given the
ambition, need and level of investment, the programmes fell short of
what was required to achieve adequate progress.”
health facilities in partner countries remained chronically
under-resourced, with severe shortages of beds, healthcare workers and
equipment, said evans. in northern malawi, an area visited as part of
the review, heavily pregnant women camped outside health facilities for
up to a month before giving birth.
“they are waiting because they are not sure where they are in their
pregnancy cycle because of the lack of ultrasound equipment and the
lack of effective dating of pregnancies,” she said. “they don’t know
how close to their due dates they are and because they are fearful of
giving birth in a situation where there may not be a skilled attendant
they wait outside facilities, sometimes for up to a month, sometimes in
makeshift accommodation.”
uk aid programmes had fallen short of targets to improve emergency
obstetric and neonatal care, according to the review.
dfid had promised to prioritise the poorest 40% of women, as well as
girls aged between 15 and 19 years. but icai found that few programmes
included specific measures to reach these groups, nor did the
department monitor whether its programmes were reaching teenage girls.
it also failed to include measures that would tackle discrimination and
abuse of women in health facilities.
sean roberts, policy and campaigns officer at health poverty action,
said uk aid must be better targeted at the most vulnerable groups.
“indigenous women die far more often in childbirth than other women,”
he said. “if dfid wants to meet its commitment to leave no one behind
it must implement a robust action plan to address the maternal health
of indigenous women and other excluded groups.”
while uk aid had improved access to family planning for millions of
women, in malawi such programmes were delivered through non-state
providers. such partnerships allowed funding to quickly reach large
numbers of people, but risked displacing public sector services, said
evans.
“you have this problem of sustainability,” she said. “the public sector
is not able to gear itself up to provide a similar level of outreach.”
the review team visited a sample of programmes in malawi and the
democratic republic of the congo, as well as analysing published
literature, dfid policy documents and conducting interviews with
experts.
icai warned that health facilities struggled to ensure a reliable
supply of contraceptives. it added that dfid had championed
reproductive rights at the international level, but done less work to
encourage legal, policy and cultural change in partner countries.
dfid said in a statement that the uk is a global leader in promoting
reproductive health, and added that the review was not representative
of all the department’s work.
“we welcome icai’s acknowledgement that uk aid is helping women around
the world access the life-saving services they need, but it is
disappointing the report has made some generalisations from a selected
portion of our programming and also does not fully reflect the full
impact of our work, especially in recent years,” the statement said.
topics
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* what is mental health?
what is mental health?
it’s an expression we use every day, so it might surprise you that the
term ‘mental health’ is frequently misunderstood.
‘mental health’ is often used as a substitute for mental health
conditions – such as depression, anxiety conditions, schizophrenia, and
others.
according to the world health organization, however, mental health
is “a state of well-being in which every individual realises his or her
own potential, can cope with the normal stresses of life, can work
productively and fruitfully, and is able to make a contribution to her
or his community.”
so rather than being about ‘what’s the problem?’ it’s really about
‘what’s going well?'
''mental health is about wellness rather than illness''
to make things a bit clearer, some experts have tried coming up with
different terms to explain the difference between ‘mental health’ and
‘mental health conditions’. phrases such as ‘good mental health’,
‘positive mental health’, ‘mental wellbeing’, ‘subjective wellbeing’
and even ‘happiness’ have been proposed by various people to emphasise
that mental health is about wellness rather than illness. while some
say this has been helpful, others argue that using more words to
describe the same thing just adds to the confusion.
as a result, others have tried to explain the difference by talking
about a continuum where mental health is at one end of the spectrum –
represented by feeling good and functioning well – while mental health
conditions (or mental illness) are at the other – represented by
symptoms that affect people’s thoughts, feelings or behaviour.
the benefits of staying well
research shows that high levels of mental health are associated with
increased learning, creativity and productivity, more pro-social
behaviour and positive social relationships, and with improved physical
health and life expectancy. in contrast, mental health conditions can
cause distress, impact on day-to-day functioning and relationships, and
are associated with poor physical health and premature death from
suicide.
but it’s important to remember that mental health is complex. the fact
that someone is not experiencing a mental health condition doesn’t
necessarily mean their mental health is flourishing. likewise, it’s
possible to be diagnosed with a mental health condition while feeling
well in many aspects of life.
ultimately, mental health is about being cognitively, emotionally and
socially healthy – the way we think, feel and develop relationships -
and not merely the absence of a mental health condition.
beyond blue's vision is that everyone achieves their best possible mental
health
while beyond blue's primary focus is on the needs of people affected by
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understanding of what we mean by mental health and how to achieve it
will help everyone in australia reach their full potential. this will
also contribute to the prevention of mental health conditions, and
support people who have experienced these conditions to get as well as
they can and lead full and contributing lives.
having social connections, good personal relationships and being part
of a community are vital to maintaining good mental health and
contribute to people's recovery, should they become unwell.
however, if you feel that you may be affected by depression or
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home information & support types of mental health problems
types of mental health problems
if you’ve been diagnosed with a mental health problem you might be
looking for information on your diagnosis, treatment options and where
to go for support. our information pages will help you learn more.
filter by
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[ ] types of depression (3)
[ ] stress and anxiety (6)
[ ] sleep (1)
[ ] suicide and self-harm (2)
[ ] eating and body image (2)
[ ] types of personality disorder (2)
[ ] mania, bipolar (2)
[ ] psychosis, hearing voices and schizophrenia (5)
[ ] other (9)
anger
explains what anger is, and how to deal with it in a constructive and
healthy way.
anxiety and panic attacks
explains anxiety and panic attacks, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
bipolar disorder
explains what bipolar disorder is, what kinds of treatment are
available, and how you can help yourself cope. also provides guidance
on what friends and family can do to help.
body dysmorphic disorder (bdd)
explains body dysmorphic disorder, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
borderline personality disorder (bpd)
explains what bpd is and what it’s like to live with this diagnosis.
also provides information about self-care, treatment and recovery, and
gives guidance on how friends and family can help.
depression
explains depression, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
dissociation and dissociative disorders
explains dissociative disorders, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
and guidance for friends and family.
drugs - recreational drugs & alcohol
explains the mental health effects of recreational drugs and alcohol,
and what might happen if you use recreational drugs and also have a
mental health problem. includes suggestions for where you might find
support.
eating problems
explains eating problems, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
hearing voices
explains what it is like to hear voices, where to go for help if you
need it, and what others can do to support someone who is struggling
with hearing voices.
hoarding
explains hoarding, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
hypomania and mania
explains hypomania and mania, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
loneliness
explains loneliness, giving practical suggestions for what you can do
and where you can go for support.
mental health problems - introduction
explains what mental health problems are, what may cause them, and the
many different kinds of help, treatment and support that are available.
also provides guidance on where to find more information, and tips for
friends and family.
obsessive-compulsive disorder (ocd)
explains obsessive-compulsive disorder (ocd), including possible causes
and how you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
panic attacks
explains what panic attacks are, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
and guidance for friends and family.
paranoia
explains paranoia, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
personality disorders
explains personality disorders, including possible causes and how you
can access treatment and support.
phobias
explains phobias, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
postnatal depression & perinatal mental health
explains postnatal depression and other perinatal mental health issues,
including possible causes, sources of treatment and support. also gives
advice for friends and family.
post-traumatic stress disorder (ptsd)
explains what post-traumatic stress disorder (ptsd) and complex ptsd
are, and provides information on how you can access treatment and
support. includes self-care tips and guidance for friends and family.
premenstrual dysphoric disorder (pmdd)
explains what pmdd is and explores issues around getting a diagnosis.
also provides information on self care and treatment options, and how
friends and family can help.
psychosis
explains what psychosis is, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
schizoaffective disorder
explains what schizoaffective disorder is, including its symptoms and
causes. gives advice on how you can help yourself and what types of
treatment and support are available, as well as guidance for friends
and family.
schizophrenia
explains schizophrenia, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
seasonal affective disorder (sad)
explains seasonal affective disorder, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
self-esteem
explains how to increase your self-esteem, giving practical suggestions
for what you can do and where you can go for support.
self-harm
explains self-harm, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
sleep problems
explains insomnia and other sleep problems, giving practical
suggestions for what you can do and where you can go for support.
stress
explains what stress is, what might cause it and how it can affect you.
includes information about ways you can help yourself and how to get
support.
suicidal feelings
explains what suicidal feelings are, including possible causes and how
you can learn to cope.
tardive dyskinesia
explains what tardive dyskinesia is, what causes it and what you can do
to manage it.
mental health a-z
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if you have, or believe you may have, mental health problem, it can be
helpful to talk about these issues with others. it can be scary to
reach out for help, but it is often the first step to helping you heal,
grow, and recover.
having a good support system and engaging with trustworthy people are
key elements to successfully talking about your own mental health.
build your support system
find someone—such as a parent, family member, teacher, faith leader,
health care provider or other trusted individual, who:
* gives good advice when you want and ask for it; assists you in
taking action that will help
* likes, respects, and trusts you and who you like, respect, and
trust, too
* allows you the space to change, grow, make decisions, and even make
mistakes
* listens to you and shares with you, both the good and bad times
* respects your need for confidentiality so you can tell him or her
anything
* lets you freely express your feelings and emotions without judging,
teasing, or criticizing
* works with you to figure out what to do the next time a difficult
situation comes up
* has your best interest in mind
find a peer group
find a group of people with mental health problems similar to yours.
peer support relationships can positively affect individual recovery
because:
* people who have common life experiences have a unique ability to
help each other based on a shared history and a deep understanding
that may go beyond what exists in other relationships
* people offer their experiences, strengths, and hopes to peers,
which allows for natural evolution of personal growth, wellness
promotion, and recovery
* peers can be very supportive since they have “been there” and serve
as living examples that individuals can and do recover from mental
health problems
* peers also serve as advocates and support others who may experience
discrimination and prejudice
you may want to start or join a self-help or peer support group.
national organizations across the country have peer support networks
and peer advocates. find an organization that can help you connect with
peer groups and other peer support.
participate in your treatment decisions
it’s also important for you to be educated, informed, and engaged about
your own mental health.
* find out as much as you can about mental health wellness and
information specific to your diagnosed mental health problem.
* play an active role in your own treatment.
get involved in your treatment through shared decision making.
participate fully with your mental health provider and make informed
treatment decisions together. participating fully in shared decision
making includes:
* recognizing a decision needs to be made
* identifying partners in the process as equals
* stating options as equal
* exploring understanding and expectations
* identifying preferences
* negotiating options/concordance
* sharing decisions
* arranging follow-up to evaluate decision-making outcomes
learn more about shared decision making.
develop a recovery plan
recovery is a process of change where individuals improve their health
and wellness, live a self-directed life, and strive to reach their full
potential. studies show that most people with mental health problems
get better, and many recover completely.
you may want to develop a written recovery plan. recovery plans:
* enable you to identify goals for achieving wellness
* specify what you can do to reach those goals
* can be daily activities as well as longer term goals
* track your mental health problem
* identify triggers or other stressful events that can make you feel
worse, and help you learn how to manage them
you can develop these plans with family members and other supporters.
learn more about recovery.
last updated: 07/11/2017
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home » your-mental-health » about-mental-health » what are mental
health problems?
what are mental health problems?
what are mental health problems?
mental health problems range from the worries we all experience as part
of everyday life to serious long-term conditions. the majority of
people who experience mental health problems can get over them or learn
to live with them, especially if they get help early on.
mental health problems are usually defined and classified to enable
professionals to refer people for appropriate care and treatment. but
some diagnoses are controversial and there is much concern in the
mental health field that people are too often treated according to or
described by their label. this can have a profound effect on their
quality of life. nevertheless, diagnoses remain the most usual way of
dividing and classifying symptoms into groups.
find out about various mental health problems in our a-z guide
symptoms
most mental health symptoms have traditionally been divided into groups
called either ‘neurotic’ or ‘psychotic’ symptoms. ‘neurotic’ covers
those symptoms which can be regarded as severe forms of ‘normal’
emotional experiences such as depression, anxiety or panic. conditions
formerly referred to as ‘neuroses’ are now more frequently called
‘common mental health problems.’
less common are ‘psychotic’ symptoms, which interfere with a person’s
perception of reality, and may include hallucinations such as seeing,
hearing, smelling or feeling things that no one else can. mental health
problems affect the way you think, feel and behave. they are problems
that can be diagnosed by a doctor, not personal weaknesses.
mental health problems are very common
as found by the apms (2014), 1 in 6 people in the past week experienced
a common mental health problem.
anxiety and depression are the most common problems, with around 1 in
10 people affected at any one time.
how do mental health problems affect people?
anxiety and depression can be severe and long-lasting and have a big
impact on people’s ability to get on with life.
between one and two in every 100 people experience a severe mental
illness, such as bi-polar disorder or schizophrenia, and have periods
when they lose touch with reality. people affected may hear voices, see
things no one else sees, hold unusual or irrational beliefs, feel
unrealistically powerful, or read particular meanings into everyday
events.
although certain symptoms are common in specific mental health
problems, no two people behave in exactly the same way when they are
unwell.
many people who live with a mental health problem or are developing one
try to keep their feelings hidden because they are afraid of other
people’s reactions. and many people feel troubled without having a
diagnosed, or diagnosable, mental health problem - although that
doesn’t mean they aren’t struggling to cope with daily life.
see our a-z guide for a look at all aspects of mental health
do you need urgent help?
if your mental or emotional state quickly gets worse, or you're worried
about someone you know - help is available.
you're not alone; talk to someone you trust. sharing a problem is often
the first step to recovery.
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mental health problem symptoms, causes and effects
mental health problems can cover a broad range of disorders, but the
common characteristic is that they all affect the affected person’s
personality, thought processes or social interactions. they can be
difficult to clearly diagnose, unlike physical illnesses. according to
data from samhsa, 20 percent of people in america suffer from a form of
mental disorder, and 5 percent suffer from a disorder severe enough to
affect school, work, or other aspects of daily life. if you think that
you or someone you know has a mental disorder, call us today at .
what are the types of mental health disorders?
mental health disorders occur in a variety of forms, and symptoms can
overlap, making disorders hard to diagnoses. however, there are some
common disorders that affect people of all ages.
attention deficit hyperactivity disorder (adhd)
attention deficit hyperactivity disorder is characterized by an
inability to remain focused on task, impulsive behavior, and excessive
activity or an inability to sit still. although this disorder is most
commonly diagnosed in children, it can occur in adults as well.
anxiety/panic disorder
anxiety disorder is defined by intermittent and repeated attacks of
intense fear of something bad happening or a sense of impending doom.
bipolar disorder
bipolar disorder causes a periodic cycling of emotional states between
manic and depressive phases. manic phases contain periods of extreme
activity and heightened emotions, whereas depressive phases are
characterized by lethargy and sadness. the cycles do not tend to occur
instantly.
depression
depression covers a wide range of conditions, typically defined by a
persistent bad mood and lack of interest in pursuing daily life, as
well as bouts of lethargy and fatigue. dysthymia is a milder but
longer-lasting form of depression.
schizophrenia
schizophrenia is not, as commonly thought, solely about hearing voices
or having multiple personalities. instead, it is defined by a lack of
ability to distinguish reality. schizophrenia can cause paranoia and
belief in elaborate conspiracies.
what causes a mental health disorder?
there is no single cause for mental health disorders; instead, they can
be caused by a mixture of biological, psychological and environmental
factors. people who have a family history of mental health disorders
may be more prone to developing one at some point. changes in brain
chemistry from substance abuse or changes in diet can also cause mental
disorders. psychological factors and environmental factors such as
upbringing and social exposure can form the foundations for harmful
thought patterns associated with mental disorders. only a certified
mental health professional can provide an accurate diagnosis of the
causes of a given disorder.
what are the signs of a mental health disorder?
mental health disorders exist in broad categories: anxiety disorders,
mood disorders, psychotic disorders, personality disorders and impulse
control disorders. if someone you know experiences erratic thought
patterns, unexplained changes in mood, lack of interest in socializing,
lack of empathy, inability to tell the difference between reality and
fantasy, or a seeming lack of control, that person may have a mental
health disorder. this is, by no means, a complete list of symptoms.
emotional symptoms of mental health problems
mental health problems can cause a wide variety of emotional symptoms,
some of which include:
* changes in mood
* erratic thinking
* chronic anxiety
* exaggerated sense of self-worth
* impulsive actions
physical symptoms of mental health problems
mental health problems typically do not cause physical symptoms in and
of themselves. depression, however, can indirectly cause weight loss,
fatigue and loss of libido, among others. eating disorders, a separate
class of mental health disorders, can cause malnutrition, weight loss,
amenorrhea in women, or electrolyte imbalances caused by self-induced
vomiting. this makes eating disorders among the most deadly of mental
health disorders.
short-term and long-term effects of mental health instability
in the short-term, mental health problems can cause people to be
alienated from their peers because of perceived unattractive
personality traits or behaviors. they can also cause anger, fear,
sadness and feelings of helplessness if the person does not know or
understand what is happening. in the long-term, mental health disorders
can drive a person to commit suicide. according to the national
institute for mental health, over 90 percent of suicides have
depression or another mental disorder as factors.
is there a test or self-assessment i can do?
it is hard, bordering on impossible, to accurately diagnose yourself
for mental disorders with an online questionnaire. you do not have an
objective view of yourself and are bound to answer questions
inaccurately. also, online tests are not comprehensive, so they do not
check for all possible symptoms. only a face-to-face session with a
qualified mental health professional can begin to diagnose a mental
health disorder with any degree of accuracy, because that professional
has an outside viewpoint and can pick up on subtle cues.
medication: drug options for mental health issues
fortunately, prescription drugs can be used to treat mental health
disorders in conjunction with behavioral therapy or cognitive therapy.
antidepressants, mood stabilizers, and antipsychotics are the broad
types of medication prescribed to treat mental illness.
mental health drugs: possible options
depending on the disorder, different medications will be prescribed.
antidepressants such as paxil, zoloft, prozac, and a variety of ssris,
snris and maois can be used to treat depression. mood stabilizers such
as lithium tablets are used to treat bipolar disorder, as are
anticonvulsants like depakote. antipsychotics like olanzapine or
clozapine are used to treat schizophrenia or psychotic depression.
medication side effects
some of the side effects of mental health medication include nausea,
headache, changes in appetite, dry mouth, increased urination, change
in libido, irritability, blurred vision and drowsiness. other side
effects can occur; each person’s body and brain chemistry is unique,
and it is impossible to predict with certainty how a given medication
will affect you or how well it will work. people who are prescribed
these medications should regularly communicate with their doctors and
notify them of any side effects.
drug addiction, dependence and withdrawal
some mental health medications are known to cause physical and
psychological dependency due to their changes in brain chemistry. over
time, dependency can become an addiction if the person isn’t careful.
the withdrawal process can exacerbate the original mental illness
because of the brain’s sudden loss of some chemicals such as serotonin,
dopamine, and other endorphins. in severe cases, the person may need to
be placed in a drug rehab facility to detox from prescription
medication.
medication overdose
it is possible to overdose on medication in an effort to get the same
effects as initially received, and this is more common when users are
dependent on medications. some signs of overdose can include seizure,
coma, slowed heartbeat, or extreme paranoia. if these signs are
present, immediately call 911 or your local poison control center and
have the prescription on hand if possible.
depression and mental health
depression often coexists with other mental disorders, or certain
disorders may have caused depression in the first place. for example,
40 percent of people with post-traumatic stress disorder also have
depression.
dual diagnosis: addiction and mental health disorders
in drug rehab facilities, counselors are usually trained to identify
dual diagnosis issues. this is because addiction is itself a type of
mental health disorder, or the addiction can be the symptom of some
other disorder. people may, for instance, turn to recreational drugs to
combat depression or to help stabilize mood swings associated with
bipolar disorder.
getting help for a mental health issue
it’s important that you or your loved one should seek help to treat
mental health issue. first, a physical checkup can rule out physical
illnesses. an appointment with a mental health professional will
usually include an interview and subsequent evaluation to determine the
most obvious symptoms and to ascertain the type and severity of mental
disorder. in certain cases, an intervention may be required from family
and friends. if you or someone you know needs help, call us at to get
more information on treatment.
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mental illness and the family: recognizing warning signs and how to cope
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mental illness and the family: recognizing warning signs and how to cope
most people believe that mental health conditions are rare and “happen
to someone else." in fact, mental health conditions are common and
widespread. an estimated 44 million americans suffer from some form of
mental disorder in a given year.
most families are not prepared to cope with learning their loved one
has a mental illness. it can be physically and emotionally trying, and
can make us feel vulnerable to the opinions and judgments of others.
if you think you or someone you know may have a mental or emotional
problem, it is important to remember there is hope and help.
what is mental illness?
mental illnesses are brain-based conditions that affect thinking,
emotions, and behaviors. since we all have brains – having some kind of
mental health problem during your life is really common.
for people who have mental illnesses, their brains have changed in a
way in which they are unable to think, feel, or act in ways they want
to. for some, this means experiencing extreme and unexpected changes in
mood – like feeling more sad or worried than normal. for others, it
means not being able to think clearly, not being able to communicate
with someone who is talking to them, or having bizarre thoughts to help
explain weird feelings they are having.
there are more than 200 classified forms of mental illness. some of the
more common disorders are depression, bipolar disorder, dementia,
schizophrenia and anxiety disorders. symptoms may include changes in
mood, personality, personal habits and/or social withdrawal.
mental health problems may be related to excessive stress due to a
particular situation or series of events. as with cancer, diabetes and
heart disease, mental illnesses are often physical as well as emotional
and psychological. mental illnesses may be caused by a reaction to
environmental stresses, genetic factors, biochemical imbalances, or a
combination of these. with proper care and treatment many individuals
learn to cope or recover from a mental illness or emotional disorder.
to hear personal descriptions of mental illness, visit feelslike.
warning signs and symptoms
to learn more about symptoms that are specific to a particular mental
illness, search under mental health information.the following are signs
that your loved one may want to speak to a medical or mental health
professional.
it is especially important to pay attention to sudden changes in
thoughts and behaviors. also keep in mind that the onset of several of
the symptoms below, and not just any one change, indicates a problem
that should be assessed. the symptoms below should not be due to recent
substance use or another medical condition.
if you or someone you know is in crisis now, seek help immediately.
call 1-800-273-talk (8255) to reach a 24 hour crisis center or dial 911
for immediate assistance.
in adults, young adults and adolescents:
* confused thinking
* prolonged depression (sadness or irritability)
* feelings of extreme highs and lows
* excessive fears, worries and anxieties
* social withdrawal
* dramatic changes in eating or sleeping habits
* strong feelings of anger
* strange thoughts (delusions)
* seeing or hearing things that aren't there (hallucinations)
* growing inability to cope with daily problems and activities
* suicidal thoughts
* numerous unexplained physical ailments
* substance use
in older children and pre-adolescents:
* substance use
* inability to cope with problems and daily activities
* changes in sleeping and/or eating habits
* excessive complaints of physical ailments
* changes in ability to manage responsibilities - at home and/or at
school
* defiance of authority, truancy, theft, and/or vandalism
* intense fear
* prolonged negative mood, often accompanied by poor appetite or
thoughts of death
* frequent outbursts of anger
in younger children:
* changes in school performance
* poor grades despite strong efforts
* changes in sleeping and/or eating habits
* excessive worry or anxiety (i.e. refusing to go to bed or school)
* hyperactivity
* persistent nightmares
* persistent disobedience or aggression
* frequent temper tantrums
how to cope day-to-day
accept your feelings
despite the different symptoms and types of mental illnesses, many
families who have a loved one with mental illness, share similar
experiences. you may find yourself denying the warning signs, worrying
what other people will think because of the stigma, or wondering what
caused your loved one to become ill. accept that these feelings are
normal and common among families going through similar situations. find
out all you can about your loved one’s conditionby reading and talking
with mental health professionals. share what you have learned with
others.
__________________________________________________________________
handling unusual behavior
the outward signs of a mental illness are often behavioral.a person may
be extremely quiet or withdrawn. conversely, they may burst into tears,
have great anxiety or have outbursts of anger.
even after treatment has started, someindividuals with a mental illness
can exhibit anti-social behaviors. when in public, these behaviors can
be disruptive and difficult to accept. the next time you and your
family member visit your doctor or mental health professional, discuss
these behaviors and develop a strategy for coping.
the individual's behavior may be as dismaying to them as it is to you.
ask questions, listen with an open mind and be there to support them.
__________________________________________________________________
establishing a support network
whenever possible, seek support from friends and family members. if you
feel you cannot discuss your situation with friends or other family
members, find a self-help or support group. these groups provide an
opportunity for you to talk to other people who are experiencing the
same type of problems. they can listen and offer valuable advice.
__________________________________________________________________
seeking counseling
therapy can be beneficial for both the individual with mental illness
and other family members. a mental health professional can suggest ways
to cope and better understand your loved one’s illness.
when looking for a therapist, be patient and talk to a few
professionals so you can choose the person that is right for you and
your family. it may take time until you are comfortable, but in the
long run you will be glad you sought help.
__________________________________________________________________
taking time out
it is common for the person with the mental illness to become the focus
of family life. when this happens, other members of the family may feel
ignored or resentful. some may find it difficult to pursue their own
interests.
if you are the caregiver,youneed some time for yourself. schedule time
awayto preventbecoming frustrated or angry. if you schedule time for
yourself it will help you to keep things in perspective and you may
have more patience and compassion for coping or helping your loved
one.being physically and emotionally healthy helps you to help others.
“many families who have a loved one with mental illness share similar
experiences”
it is important to remember that there is hope for recovery and that
with treatment many people with mental illness return to a productive
and fulfilling life.
__________________________________________________________________
other resources
mental illness in the family: part 1 recognizing the warning signs &
how to copeis one in a series of pamphlets on helping family members
with mental illness. other mental health america titles include:
* mental illness in the family: part ii guidelines for seeking care
* mental illness in the family: part iii guidelines for
hospitalization
mental health america offers additional pamphlets on a variety of
mental health topics. for more information or to order multiple copies
of pamphlets, please contact mental health america
external resources
find a local mha affiliate
substance abuse and mental health services administration (samhsa)
phone 800-789-2647
national institute of mental health (nimh)
information resources and inquiries branch
phone 301-443-4513
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nanotechnology-based health products and food
nanotechnology
nanotechnology is the application of scientific knowledge to manipulate
and control matter in the nanoscale to make use of size- and
structure-dependent properties and phenomena distinct from those
associated with individual atoms or molecules or with bulk materials.
the term "nanoscale" is defined as 1 to 100 nanometers (nm) inclusive.
health canada's working definition for the products of nanotechnology
as international consensus on a definition for the products of
nanotechnology has not been reached yet, health canada has adopted a
working definition for nanomaterials. the working definition is
described in the policy statement on health canada's working definition
for nanomaterial that can be found on health canada's website.
the policy statement will continue to be updated as the science evolves
and international norms progress.
applications of nanotechnology
nanotechnology and products derived from nanotechnology have a wide
range of applications and the potential to impact many sectors,
including the health and food sectors. in the health sector, the
applications of nanotechnology impact new natural health products,
medical devices, drugs, drug delivery systems, regenerative medicines
and diagnostic devices for improved detection and treatment of
illnesses. in the food sector, nanomaterials could be used to preserve
food, improve nutritional values and enhance flavours.
health products and food branch (hpfb) involvement with nanotechnology
hpfb participates in an interdepartmental health portfolio
nanotechnology working group which gathers information and acts as a
discussion forum for issues related to nanotechnology. this working
group contains members from health canada, the public health agency of
canada (phac), and the canadian institutes of health research (cihr).
additionally hpfb participates in the interdepartmental network chaired
by industry canada.
health canada participates in a number of international initiatives,
such as the working party on manufactured nanomaterials of the
organisation for economic co-operation (oecd), development and the
technical committee 229 of the international organization for
standardization (iso) and collaborates with international counterparts.
authority
health canada adopted a broad working definition for nanomaterials to
provide a consistent approach across several diverse regulatory program
areas to identify regulated products and substances that may contain
nanomaterials. the working definition enables the department to
establish internal inventories, to ask for additional information, and
to integrate that new knowledge into regulatory decision making
processes. the first step to assuring adequate risk assessment and risk
management is to identify potential nanomaterials using the working
definition as a tool.
currently, there are no regulations specific to nanotechnology-based
health and food products. health canada relies on authorities within
existing legislative and regulatory frameworks, which require the
assessment of potential risks and benefits of products to the health
and safety of canadians before they can be authorised for sale.
general guidance
according to health canada's working definition for nanomaterial, the
term "nanoscale" means 1 to 100 nm inclusive. however, individual
regulatory programs may request information above the 100 nm size range
to an upper limit of 1000 nm in order to maintain flexibility to assess
potential nanomaterials, including suspected nanoscale properties and
phenomena. the 1000 nm cut-off attempts to separate characteristics
attributable to macro-scaled materials from those of nanomaterials. in
addition, for any regulated product or substance that contains
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health
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no-deal brexit 'still risk to nhs and care sector'
by nick triggle health correspondent
* 27 september 2019
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* brexit
pharmacist with drugs image copyright getty images
a no-deal brexit presents risks to the nhs and care homes despite
extensive government planning, a watchdog says.
the national audit office praised the government for the "enormous
amount of work" that had been done but said there were still
"significant" gaps.
the extra shipping capacity government was buying to bring medicines
into ports other than dover may not be completely ready by 31 october.
and there was no clear evidence the care sector was ready, the nao
said.
the report raises concerns the sector has not received enough
government support.
* uk plans £3m no-deal medicine transport
* uk seeks new no-deal brexit freight plan
the government has arranged the stockpiling of supplies for the nhs.
but for the care sector, which is fragmented in that it relies on
24,000 companies to provide services, no central arrangement has been
made to stockpile equipment and supplies, such as syringes and needles,
most of which come from or via the eu.
when it comes to medicines, however, the supply of which has been
organised for both the nhs and care sectors, the report acknowledges
the work that has been done.
this includes stockpiling six weeks' supply of drugs and arranging for
emergency supplies to be fast-tracked in - some drugs, including cancer
treatments, have a short shelf-life and so cannot be stockpiled.
but the report says it is still not known exactly what level of
stockpiling is in place.
more than 12,000 medicines are used by the nhs, and about 7,000 come
from or via the eu.
image copyright getty images
the publication of the report comes after mps attempted to block the
government leaving the eu without a withdrawal agreement.
legislation has been passed requiring the government to ask for an
extension if a deal cannot be agreed.
labour mp meg hillier, who chairs the cross-party public accounts
committee, said the report was "deeply concerning".
"i've seen countless examples of deadlines missed and government
failing," she said.
"if government gets this wrong, it could have the gravest of
consequences."
dr layla mccay, of the nhs confederation, which represents managers,
said the planning had been detailed but the situation was still
concerning.
she also warned it was the "unknowns and unknowables" that perhaps
presented the biggest risk.
a department of health and social care spokesman said: "we want to
reassure patients we are doing everything we can."
he said the government along with industry had "mounted an
unprecedented response in preparing for brexit" with stockpiles
"increasing by the day".
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* uk plans £3m no-deal medicine transport
7 july 2019
* uk seeks new no-deal brexit freight plan
29 june 2019
* government pays eurotunnel £33m over brexit ferry case
1 march 2019
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mental health issues are driving australians to visit their gp more
than any other health concern.
key points
key points
* report finds psychological issues most common problem gps treat,
second year in a row
* gp body says longer consultation times are needed to adequately
treat complex illness
* government developing 10-year primary care plan to improve medicare
delivery
but gps say they're struggling to keep up with demand because mental
healthcare is complex and often requires more time than a standard
consultation allows.
a survey of 1,200 gps published today by the royal australian college
of general practitioners (racgp) found two in three doctors reported
"psychological issues" as the most common ailment they now treated.
"if you think about where you can go if you've got a mental health
issue, there are very few places," said harry nespolon, president of
the racgp.
dr nespolon said the shift from institutional to community-based care
for mental health patients, as well as a waning reliance on religious
institutions for pastoral care, has led to more australians using gp
services for psychological support.
"[gps see] everything from relationship problems all the way through to
people with severe schizophrenia," he said.
"if you do come into a crisis … often a gp is a trusted person that's
been taking care of you for 10 or 15 years."
bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
(health of the nation 2019)
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bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
health of the nation 2019
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but dr nespolon said the current medicare structure favoured shorter
consultations for straightforward health conditions, and undervalued
longer consultations required for complex issues.
"at the moment, there's really only one [medicare] item number for
mental health issues, which is a 20-minute consultation," he said.
"in other words, you can sort out all mental health issues in 20
minutes — which we all know is not true."
without longer subsidised consultations, dr nespolon said many gps were
being forced to cram patients with complex needs into short
appointments, charge patients for more time, or wear the out-of-pocket
cost themselves.
"we want to see the government provide financial support for dealing
with these complex cases," he said.
the health of the nation report found out-of-pocket costs to see the gp
were rising, and for the first time, all areas outside major cities had
seen a decline in bulk billing.
"this has a major effect on the 7 million australians who live in
regional, rural and remote areas," dr nespolon said.
"the growing gap between the cost of providing care and the medicare
rebate will have a devastating impact on the sustainability and
accessibility of general practice."
rebates explained
quick explanation of rebates
* the medicare benefits schedule (mbs) is a list of medical services
for which the australian government provides a medicare rebate.
* each mbs item has its own scheduled fee — this is the amount the
government considers appropriate for a particular service (e.g.
getting a blood test or seeing a psychologist).
* rebates are typically paid as a percentage of the medicare
scheduled fee. in the case of gp consultations, the rebate is 100
per cent of the schedule fee.
* this means that bulk-billing gps agree to charge patients the
medicare schedule fee ($37.60 for a standard appointment) and are
directly reimbursed by the government, and there is no cost to the
patient.
* gps who don't bulk bill charge a fee higher than the medicare
schedule fee, meaning patients must pay the difference between the
schedule fee and the doctor's fee — out of their own pocket.
* for example, if your doctor charges $75 for a standard
consultation, you'll pay $75 and receive a rebate of $37.60 —
leaving you $37.40 worse off.
longer consultations needed for complex care
in australia, a standard physical consultation of 20-40 minutes with a
gp attracts a rebate of $73.95. that increases once the consultation
exceeds 40 minutes.
by comparison, any gp mental health consultation longer than 20 minutes
— excluding appointments to prepare or review mental health treatment
plans — attracts a rebate of $72.85.
dr nespolon said there needs to be recognition in the medicare rebate
schedule that dealing with mental health issues and other complex
health conditions takes time.
"we know that people with mental health issues tend to have many more
physical problems … so the gp is there dealing with all the patient's
issues, not just their mental health issue," he said.
"we've been pushing for 40- and 60-minute [mental health] item numbers,
so people get the time, and gps are not acting as a charity when it
comes to dealing with mental health issues."
in july, the federal government ended a freeze on the medicare rebate
for gp visits as part of a $1.1 billion primary healthcare plan. the
move was designed to close the gap on rising out-of-pocket medical
costs.
but dr nespolon said even with the lifting of the medicare freeze,
rebates still failed to reflect the true cost of delivering services.
"gps are small businesses. they need to pay staff, pay their leases or
mortgages, and [these] go up at much higher rates than the percentage
increase that the government provides," he said.
"like any small business, you've got a choice. you either recover your
costs or you go broke. and that's exactly what we're seeing happening
at the moment."
the growing gap between the cost of providing care and the medicare
rebate was reflected in rising out-of-pocket costs, he said.
in 2018-19, the average out-of-pocket cost for a gp service was $38.46
— a gap that's risen roughly $7 in five years.
out-pocket-costs varied across australia, with patients in the northern
territory, act, remote and very remote areas experiencing significantly
higher costs.
how mental health plans work
how mental health plans work
if you're living with a diagnosable mental illness, you are entitled to
receive a medicare rebate.
bulk billing rates predicted to decline
the report also found bulk billing was not as common as medicare
statistics — or the federal health minister greg hunt — have previously
suggested.
"medicare statistics indicate that 86.2 per cent of general practice
services were bulk billed in 2018-19," the report states.
"while this figure provides an indication of total bulk-billed services
in australia over this period, it does not represent the number of
patients who are bulk billed, nor does it represent the number of
patients who are bulk billed for all of their general practice care."
since patients may receive a number of services during a single visit
to a gp, with some services bulk billed and others not, the proportion
of people who face zero out-of-pocket costs for care is much lower than
the rate of services overall.
"in 2016-17, while 86 per cent of gp services were bulk billed,
nationally only 66 per cent of patients had all of their gp services
bulk billed."
although the number of gp services being bulk billed has increased in
the last four years, the racgp predicts bulk-billing rates will decline
from 2020, as the rate of increase continues to slow.
in 2019, just 18 per cent of gps reported bulk billing all of their
patients, down from 29 per cent in 2017.
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improving mental health for gps, too
in addition to access to mental health for the general public, dr
nespolon said the mental health of gps also deserved close attention.
"research shows that doctors experience higher levels of mental
distress than the general population. yet four in ten gps report that
they have personally delayed seeking treatment or care in the past two
years," he said.
part of this could be attributed to time constraints, he said, but also
to mandatory reporting laws, which posed a "significant deterrent" to
doctors seeking care.
"with the exception of western australia, all of australia's states and
territories require doctors to report their colleagues if they believe
patient safety is at risk and this includes if a colleague has sought
their help as a patient," he said.
"we believe that doctors should be exempt from mandatory reporting so
that they feel free to discuss their health issues confidentially ...
so they can continue to provide the best possible care for all
australians."
medicare 'stronger than ever', government says
in a statement to the abc, a spokesperson for the minister for health
said the government had committed $1.6 billion to support doctors and
specialists to strengthen primary care to deliver improved access for
outcomes.
"our goal is to make primary health care more patient focused, more
accessible, and better able to provide preventative health and
management of chronic conditions," they said.
the spokesperson said the government would increase medicare funding by
$6 billion over the next four years, to reach $31 billion of annual
funding in 2022–23.
"we are working with gps, specialists and consumers, including the
racgp, to develop a 10-year primary care plan that supports a more
flexible and innovative medicare, starting with a $448.4 million
investment in a new patient enrolment model for patients over 70 years.
"medicare today is stronger and better protected than it's ever been."
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5. antimicrobial resistance (amr)
news story
uk to invest in new research against evolving global health threats
the chief medical officer has announced funding for projects to help
beat antimicrobial resistance (amr) and achieve global universal health
coverage.
published 25 september 2019
from:
department of health and social care
a scientist in a laboratory uses a pipette.
image credit: roger harris photography
the funding will include:
* £6.2 million to strengthen existing surveillance systems tracking
amr trends across africa and asia
* £12 million to improve collaborations on health systems research
between low- and middle-income countries and the uk, for example
countries in sub-saharan africa
the chief medical officer, professor dame sally davies, announced the
funding for the projects at the un general assembly.
she warned that the world cannot achieve universal health coverage
without addressing the threat of amr.
universal health coverage is a un ambition, and aims for every person
across the globe to have access to basic healthcare, whatever their
situation.
amr is involved in 700,000 deaths around the world every year, and this
is expected to rise to 10 million deaths a year by 2050. if amr
continues to follow current trends, common infections will become
complex and expensive to treat, affecting tens of millions of people.
achieving universal healthcare coverage also requires rigorous research
to inform health policy and health systems.
professor davies is representing the uk at the un general assembly
high-level meeting on universal health coverage in new york alongside
heads of state, health experts and policy-makers.
she will point to infection prevention and control measures, such as
immunisation, good hygiene and appropriate antibiotic use, as crucial
to achieving both universal healthcare coverage and eliminating the
threat of amr.
the £6.2 million in uk aid investment will come from the fleming
fund. it will help improve amr data quality, collection and sharing
across africa and asia, with the aim of developing policy and action
from that data.
the invitation to apply for a share of £12 million of funding is being
made by the national institute of health research (nihr) global health
research programme. it will enable experts from low- and middle-income
countries and the uk to form partnerships to contribute to universal
health coverage and sustainable development goals.
the fleming fund and nihr global health research funding was first
announced as part of the 2015 spending review.
the un has committed to ensuring all people have access to affordable
healthcare by 2030, and yesterday member states adopted a declaration
recognising that tackling amr and innovative health research is crucial
to this.
chief medical officer for england, professor dame sally davies said:
achieving our common goal of universal health coverage will require
global action on a multitude of fronts, including tackling the
escalating threat of antimicrobial resistance and investing in
research.
i am delighted to announce this funding, which will catalyse
regional collaboration to help strengthen amr surveillance systems
across africa and asia and support the next generation of health
policy and systems research.
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published 25 september 2019
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iframe: https://www.youtube.com/embed/lwdlcbxqtc4
50th anniversary of newborn metabolic screening
stella's story is one of six videos to commemorate the 50th anniversary
of newborn metabolic screening. this screening means metabolic
conditions can be diagnosed and treated before a baby becomes unwell.
view other stories like stella's. find out more about newborn metabolic
screening.
transcript
title: newborn metabolic screening programmestella’s story
[photograph of stella as a baby]
[text on screen of stella’s birthdate] 26 august 2018
[video of stella and her parents sitting on floor inside house]
[photograph of stella as a baby]
tanya - stella’s mother:
had a really healthy pregnancy, had a dream labour and took her home
and she was healthy as, and then when she was eight days old the
midwife turned up.
on the way to our house she’d got a phone call from the specialists at
starship, the immunologists, that said look there’s something, there’s
something wrong.
[text on screen] at 10 days old stella was diagnosed with severe
combined immune deficiency (scid).
dr shannon brothers - paediatric immunologist:
babies with combined immune deficiency (scid) are born without a
functioning immune system. although they appear healthy at birth, they
go on to develop severe, persistent infections and die by a year of
age.
[text on screen over video of stella in hospital] stella had
chemotherapy and a bone marrow transplant when she was four months old.
justin - stella’s father:
the medical side of the thing, watching your kid go through this, it’s
not easy.
[photograph and video of stella in hospital with her parents]
tanya:
luckily at that point my mum was actually up there with us, and so
between the three of us one of us stayed awake and held her every
single hour for that time that she was sick.
[text on screen] she battled a serious infection.
[video of tanya attaching baby bottle with milk to pump and attaching
pump to stella’s feeding tube]
tanya:
because she got ulcers through transplant, she stopped eating, drinking
her milk, and she hasn’t worked that one out yet so we’re still feeding
her through the tube down her nose.
[video of justin following stella as she walks and carrying stella’s
pump]
tanya:
might be easier if you push it.
justin:
it’s a bit of a, bit of a worry if she falls over and hurts herself.
[text on screen] due to her compromised immunity stella has not been
able to interact with people other than her family.
[video of stella walking towards doll being held by her mother]
tanya:
who’s this? is it luna? you going to give her a cuddle?
[video of doll which also has a feeding tube attached to its cheek]
tanya:
we’ve got to get the tube out, teach her how to eat and soon enough
she’ll be like every other kid, you’d never know, yeah.
[video of stella being held by justin while tanya puts stella’s hat and
coat on]
[text on screen] now, stella’s natural immunity is improving.
[video of justin carrying stella outside with tanya, closing door
behind them and justin putting stella in car seat in car]
justin:
it’s nice that we can get to take her out a bit more, nice walking
tracks and some parks where there’s not too many people.
tanya:
it’s your kid’s life. for us if we hadn’t have found out early, we’d be
in a completely different situation now and it’s life or death.
[video of stella walking outside on lawn, being picked up by tanya]
tanya:
and i know you think you’re not going to be that one because everyone
thinks you’re not going to be the one in 100,000 or whatever but screw
the statistics, when it comes down to it, we’re that one.
in our eyes if it wasn’t for the newborn screening, she may not have
made it to her first birthday.
[video of justin, tanya and stella together outside]
tanya:
that test is everything for us. it gave her the best chance of success
in life.
nz cancer action plan 2019–2029.
new zealand cancer action plan 2019–2029
the new zealand cancer action plan 2019–2029 sets out the actions
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nutrition
(button) evidence based
27 health and nutrition tips that are actually evidence-based
written by kris gunnars, bsc on june 7, 2019
it’s easy to get confused when it comes to health and nutrition.
even qualified experts often seem to hold opposing opinions.
yet, despite all the disagreements, a number of wellness tips are well
supported by research.
here are 27 health and nutrition tips that are actually based on good
science.
27 health and nutrition tips share on pinterest
1. don’t drink sugar calories
sugary drinks are among the most fattening items you can put into your
body.
this is because your brain doesn’t measure calories from liquid sugar
the same way it does for solid food (1).
therefore, when you drink soda, you end up eating more total calories
(2, 3).
sugary drinks are strongly associated with obesity, type 2 diabetes,
heart disease, and many other health problems (4, 5, 6, 7).
keep in mind that certain fruit juices may be almost as bad as soda in
this regard, as they sometimes contain just as much sugar. their small
amounts of antioxidants do not negate the sugar’s harmful effects (8).
2. eat nuts
despite being high in fat, nuts are incredibly nutritious and healthy.
they’re loaded with magnesium, vitamin e, fiber, and various other
nutrients (9).
studies demonstrate that nuts can help you lose weight and may help
fight type 2 diabetes and heart disease (10, 11, 12).
additionally, your body doesn’t absorb 10–15% of the calories in nuts.
some evidence also suggests that this food can boost metabolism (13).
in one study, almonds were shown to increase weight loss by 62%,
compared with complex carbs (14).
3. avoid processed junk food (eat real food instead)
processed junk food is incredibly unhealthy.
these foods have been engineered to trigger your pleasure centers, so
they trick your brain into overeating — even promoting food addiction
in some people (15).
they’re usually low in fiber, protein, and micronutrients but high in
unhealthy ingredients like added sugar and refined grains. thus, they
provide mostly empty calories.
4. don’t fear coffee
coffee is very healthy.
it’s high in antioxidants, and studies have linked coffee intake to
longevity and a reduced risk of type 2 diabetes, parkinson’s and
alzheimer’s diseases, and numerous other illnesses (16, 17, 18, 19, 20,
21).
5. eat fatty fish
fish is a great source of high-quality protein and healthy fat.
this is particularly true of fatty fish, such as salmon, which is
loaded with omega-3 fatty acids and various other nutrients (22).
studies show that people who eat the most fish have a lower risk of
several conditions, including heart disease, dementia, and depression
(23, 24, 25).
6. get enough sleep
the importance of getting enough quality sleep cannot be overstated.
poor sleep can drive insulin resistance, disrupt your appetite
hormones, and reduce your physical and mental performance (26, 27, 28,
29).
whatʼs more, poor sleep is one of the strongest individual risk factors
for weight gain and obesity. one study linked insufficient sleep to an
89% and 55% increased risk of obesity in children and adults,
respectively (30).
7. take care of your gut health with probiotics and fiber
the bacteria in your gut, collectively called the gut microbiota, are
incredibly important for overall health.
a disruption in gut bacteria is linked to some of the world’s most
serious chronic diseases, including obesity (31, 32).
good ways to improve gut health include eating probiotic foods like
yogurt and sauerkraut, taking probiotic supplements, and eating plenty
of fiber. notably, fiber functions as fuel for your gut bacteria (33,
34).
8. drink some water, especially before meals
drinking enough water can have numerous benefits.
surprisingly, it can boost the number of calories you burn.
two studies note that it can increase metabolism by 24–30% over 1–1.5
hours. this can amount to 96 additional calories burned if you drink
8.4 cups (2 liters) of water per day (35, 36).
the optimal time to drink it is before meals. one study showed that
downing 2.1 cups (500 ml) of water 30 minutes before each meal
increased weight loss by 44% (37).
9. don’t overcook or burn your meat
meat can be a nutritious and healthy part of your diet. it’s very high
in protein and contains various important nutrients.
however, problems occur when meat is overcooked or burnt. this can lead
to the formation of harmful compounds that raise your risk of cancer
(38).
when you cook meat, make sure not to overcook or burn it.
10. avoid bright lights before sleep
when you’re exposed to bright lights in the evening, it may disrupt
your production of the sleep hormone melatonin (39, 40).
one strategy is to use a pair of amber-tinted glasses that block blue
light from entering your eyes in the evening.
this allows melatonin to be produced as if it were completely dark,
helping you sleep better (41).
11. take vitamin d3 if you don’t get much sun exposure
sunlight is a great source of vitamin d.
yet, most people don’t get enough sun exposure.
in fact, about 41.6% of the u.s. population is deficient in this
critical vitamin (42).
if you’re unable to get adequate sun exposure, vitamin d supplements
are a good alternative.
their benefits include improved bone health, increased strength,
reduced symptoms of depression, and a lower risk of cancer. vitamin d
may also help you live longer (43, 44, 45, 46, 47, 48, 49).
12. eat vegetables and fruits
vegetables and fruits are loaded with prebiotic fiber, vitamins,
minerals, and many antioxidants, some of which have potent biological
effects.
studies show that people who eat the most vegetables and fruits live
longer and have a lower risk of heart disease, type 2 diabetes,
obesity, and other illnesses (50, 51).
13. make sure to eat enough protein
eating enough protein is vital for optimal health.
what’s more, this nutrient is particularly important for weight loss
(52).
high protein intake can boost metabolism significantly while making you
feel full enough to automatically eat fewer calories. it can also
reduce cravings and your desire to snack late at night (53, 54, 55,
56).
sufficient protein intake has also been shown to lower blood sugar and
blood pressure levels (57, 58).
14. do some cardio
doing aerobic exercise, also called cardio, is one of the best things
you can do for your mental and physical health.
it’s particularly effective at reducing belly fat, the harmful type of
fat that builds up around your organs. reduced belly fat should lead to
major improvements in metabolic health (59, 60, 61).
15. don’t smoke or do drugs, and only drink in moderation
if you smoke or abuse drugs, tackle those problems first. diet and
exercise can wait.
if you drink alcohol, do so in moderation and consider avoiding it
completely if you tend to drink too much.
16. use extra virgin olive oil
extra virgin olive oil is one of the healthiest vegetable oils.
it’s loaded with heart-healthy monounsaturated fats and powerful
antioxidants that can fight inflammation (62, 63, 64).
extra virgin olive oil benefits heart health, as people who consume it
have a much lower risk of dying from heart attacks and strokes (65,
66).
17. minimize your sugar intake
added sugar is one of the worst ingredients in the modern diet, as
large amounts can harm your metabolic health (67).
high sugar intake is linked to numerous ailments, including obesity,
type 2 diabetes, heart disease, and many forms of cancer (68, 69, 70,
71, 72).
18. don’t eat a lot of refined carbs
not all carbs are created equal.
refined carbs have been highly processed to remove their fiber. they’re
relatively low in nutrients and can harm your health when eaten in
excess.
studies show that refined carbs are linked to overeating and numerous
metabolic diseases (73, 74, 75, 76, 77).
19. don’t fear saturated fat
saturated fat has been controversial.
while it’s true that saturated fat raises cholesterol levels, it also
raises hdl (good) cholesterol and shrinks your ldl (bad) particles,
which is linked to a lower risk of heart disease (78, 79, 80, 81).
new studies in hundreds of thousands of people have questioned the
association between saturated fat intake and heart disease (82, 83).
20. lift heavy things
lifting weights is one of the best things you can do to strengthen your
muscles and improve your body composition.
it also leads to massive improvements in metabolic health, including
improved insulin sensitivity (84, 85).
the best approach is to lift weights, but doing bodyweight exercises
can be just as effective.
21. avoid artificial trans fats
artificial trans fats are harmful, man-made fats that are strongly
linked to inflammation and heart disease (86, 87, 88, 89).
while trans fats have been largely banned in the united states and
elsewhere, the u.s. ban hasn’t gone fully into effect — and some foods
still contain them.
22. use plenty of herbs and spices
many incredibly healthy herbs and spices exist.
for example, ginger and turmeric both have potent anti-inflammatory and
antioxidant effects, leading to various health benefits (90, 91, 92,
93).
due to their powerful benefits, you should try to include as many herbs
and spices as possible in your diet.
23. take care of your relationships
social relationships are incredibly important not only for your mental
well-being but also your physical health.
studies show that people who have close friends and family are
healthier and live much longer than those who do not (94, 95, 96).
24. track your food intake every now and then
the only way to know exactly how many calories you eat is to weigh your
food and use a nutrition tracker.
it’s also essential to make sure that you’re getting enough protein,
fiber, and micronutrients.
studies reveal that people who track their food intake tend to be more
successful at losing weight and sticking to a healthy diet (97).
25. if you have excess belly fat, get rid of it
belly fat is particularly harmful.
it accumulates around your organs and is strongly linked to metabolic
disease (98, 99).
for this reason, your waist size may be a much stronger marker of your
health than your weight.
cutting carbs and eating more protein and fiber are all excellent ways
to get rid of belly fat (100, 101, 102, 103).
26. don’t go on a diet
diets are notoriously ineffective and rarely work well in the long
term.
in fact, dieting is one of the strongest predictors for future weight
gain (104).
instead of going on a diet, try adopting a healthier lifestyle. focus
on nourishing your body instead of depriving it.
weight loss should follow as you transition to whole, nutritious foods.
27. eat eggs, yolk and all
whole eggs are so nutritious that they’re often termed “nature’s
multivitamin.”
it’s a myth that eggs are bad for you because of their cholesterol
content. studies show that they have no effect on blood cholesterol in
the majority of people (105).
additionally, a massive review in 263,938 people found that egg intake
had no association with heart disease risk (106).
instead, eggs are one of the planet’s most nutritious foods. notably,
the yolk contains almost all of the healthy compounds.
the bottom line
a few simple steps can go a long way toward improving your diet and
wellness.
still, if you’re trying to live a healthier life, don’t just focus on
the foods you eat. exercise, sleep, and social relationships are also
important.
with the tips above, it’s easy to get your body feeling great every
day.
written by kris gunnars, bsc on june 7, 2019
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looking for the path toward a healthier you? it's not hard to find. the
journey begins with some simple tweaks to your lifestyle. the right
diet, exercise, and stress-relief plan all play a big role.
follow a heart-healthy diet
there's an easy recipe if your goal is to keep away problems like heart
disease and strokes.
* eat more fruits and veggies.
* choose whole grains. try brown rice instead of white. switch to
whole wheat pasta.
* choose lean proteins like poultry, fish, beans, and legumes.
* cut down on processed foods, sugar, salt, and saturated fat.
when eating healthy, flexibility often works best, says joyce meng, md,
assistant professor at the pat and jim calhoun cardiology center at
uconn health. if you like to follow a strict diet plan, go for it. if
not, it's ok. "find what works for you."
tricia montgomery, 52, the founder of k9 fit club, knows first-hand how
the right diet and lifestyle can help. for her, choosing healthy foods
and planning small, frequent meals works well. "i don't deny myself
anything," she says. "i still have dessert -- key lime pie, yum! -- and
i love frozen gummy bears, but moderation is key."
exercise every day
the more active you are, the better, meng says. exercise boosts your
heart health, builds muscle and bone strength, and wards off health
problems.
aim for 2 and a half hours of moderate activity, like brisk walking or
dancing, every week. if you're ok with vigorous exercise, stick to 1
hour and 15 minutes a week of things like running or playing tennis.
add a couple of days of strength training, too.
if you're busy, try short bursts of activity throughout the day. walk
often. a good target is 10,000 steps a day. take the stairs. park your
car far away from your destination.
montgomery exercises every day, often with her dog. by adding lunges,
squats, and stairs to a walk, she turns it into a power workout. "i
also am a huge pilates fan," she says.
lose weight
when you shed pounds you'll lower your risk of heart disease, type 2
diabetes, and cancer.
continued
aim for a slow, steady drop. try to lose 1-2 pounds a week by being
active and eating better.
"it doesn't have to be an hour of intense exercise every day," meng
says. "any little bit helps."
as you improve, dial up the time and how hard you work out. if you want
to lose a lot of weight, try for 300 minutes of exercise a week.
"eating a healthy diet will go a long way," meng says. start by cutting
sugar, which she says is often hiding in plain sight -- in store-bought
items like salad dressing, packaged bread, and nuts. try to avoid soda
and sugar-laced coffee drinks, too.
visit your doctor
get regular checkups. your doctor keeps track of your medical history
and can help you stay healthy. for example, if you're at risk for
osteoporosis, a condition that weakens bones, he may want you to get
more calcium and vitamin d.
your doctor may recommend screening tests to keep an eye on your health
and catch conditions early when they're easier to treat.
keep the lines of communication open. "if you have questions, ask your
doctor," meng says. "make sure you understand things to your
satisfaction." if you're worried about a medication or procedure, talk
to him about it.
cut down your stress
it can take a toll on your health. you probably can't avoid it
altogether, but you can find ways to ease the impact. don't take on too
much. try to set limits with yourself and others. it's ok to say no.
to relieve stress, try:
* deep breathing
* meditation
* yoga
* massage
* exercise
* healthy eating
* talking to a friend, family member, or professional counselor
create healthy habits
if you make the right choices today, you can ward off problems
tomorrow.
* brush your teeth twice a day and floss every day.
* don't smoke.
* limit your alcohol. keep it to one drink a day.
* if you have medication, take it exactly how your doctor prescribed
it.
* improve your sleep. aim for 8 hours. if you have trouble getting
shut-eye, talk to your doctor.
* use sunscreen and stay out of the sun from 10 a.m. to 3 p.m.
* wear your seatbelt.
take time every day to invest in your health, meng says.
it paid off for montgomery. she says she overcame health problems,
feels good, and has a positive outlook. "my life," she says, "is
forever changed."
webmd feature reviewed by lisa bernstein, md on june 21, 2016
sources
sources:
joyce meng, md, assistant professor of medicine, pat and jim calhoun
cardiovascular center, uconn health.
american heart association: "alcohol and heart health."
office on women's health, u.s. department of health and human services:
"heart-healthy eating," "overweight, obesity, and weight loss fact
sheet," "physical activity (exercise) fact sheet," "screening tests and
vaccines," "osteoporosis fact sheet," "a lifetime of good health: your
guide to staying healthy."
university of california san francisco medical center: "tips for
staying healthy."
© 2016 webmd, llc. all rights reserved.
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the abcs of health screening
health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you need to know about health screening
all you need to know about health screening
related: before the first antenatal visit (choosing your doctor)
1. what is health screening?
health screening is important to everyone. it involves the use of
tests, physical examinations or other procedures to detect
conditions early in people who look or feel well. this is different
from diagnostic tests which are done when someone is already showing
signs and/or symptoms of a condition.
2. why should i go for health screening?
health screening helps you find out if you have a particular condition
even if you feel perfectly well, without any symptoms and/or signs.
early detection, followed by treatment and good control of the
condition can result in better outcomes, and lowers the risk of serious
complications. it is therefore important to get yourself screened even
if you feel perfectly healthy.
3. what kind of screening tests should i go for?
there are 3 types of screening tests^1.
type 1
beneficial for everyone: these tests are listed in table a.
type 2
beneficial for some but not others: decision to be made on an
'individual' level, based on your individual risk factors e.g. self or
family history of hereditary or chronic diseases, exposure to factors
that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently, there is not enough
information to support the use of these tests.
it is best to speak to your family doctor who will advise you to go for
the relevant screening tests based on your individual health profile.
find out more about type 2 and type 3 tests.
view the report of the screening test review committee.
table a – general screening tests (beneficial for everyone)
general screening tests for adults
recommended for^2 to screen for screening test screening frequency^3
individuals aged 18 yrs and above
obesity body mass index (bmi)
waist circumference once a year
hypertension (high blood pressure)
blood pressure measurement once every two years or more frequently as
advised by your doctor
individuals aged 40 yrs and above
diabetes mellitus
fasting blood glucose
hba1c
once every three years or more frequently as advised by your doctor
hyperlipidaemia (high blood cholesterol)
fasting lipids
non-fasting lipids
individuals aged 50 yrs and above
colorectal cancer
faecal immunochemical test (to test for blood in stools)
or
once a year
colonoscopy
once every ten years
additional tests for women
women aged 25-69 yrs, who have had sexual intercourse
cervical cancer
pap test once every three years
hpv test
once every five years
women aged 50-69 yrs breast cancer
mammogram once every two years
general screening tests for newborns
recommended for to screen for screening test screening frequency
newborns aged 0-4 weeks old hearing loss audiometry once
glucose-6-phosphate dehydrogenase (g6pd) deficiency
screen with umbilical cord blood once
inborn errors of metabolism (iem)
metabolic screen with
tandem mass spectrometry (tms)
once
primary hypothyroidism
thyroid function test (tft)
once
4. what should i do after health screening?
if your screening results are normal, you should continue to go for
regular screening at the recommended frequency because screening only
detects health conditions that are present at the time of screening. if
you develop signs or symptoms after your screening, please see your
doctor and do not wait for your next screening appointment.
if your screening results are abnormal, you should follow-up with your
doctor immediately even if you feel perfectly well. early treatment and
good control of your condition can result in better outcomes and
prevent or delay serious complications.
5. why do i need to go for regular screening at the recommended frequency?
a one-off screening will only pick up health conditions that are
present at the time of screening. regular screening helps to detect
conditions that may develop after the previous screening. hence, it is
important for you to go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening tests?
health screening is heavily subsidised for singaporeans and permanent
residents. if you have a health assist card (under chas – community
health assist scheme), you will be entitled to enojoy the subsidies of
the above tests (according to age) and a follow-up consultataion, if
required, at $2 at chas gps. all other singaporeans can enjoy these
subsidies for the above test (according to age) and a follow-up
consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the screening
tests (offered under screen for life - sfl) and the follow-up
consultation, if required, is also fully subsidised. pg cardholders can
also claim up to $28.50, for each screening-related and follow-up
consultation, for up to two times per year.
check out the exact costs of the screening tests.
if you have difficulty paying for the screening tests, please speak to
the medical social worker at the polyclinics
7. my screening results are not too good, and my doctor has advised me to get
follow up treatment.
what should i do if i cannot afford the follow up treatment?
good, affordable basic healthcare is also available to singaporeans
through subsidised medical services offered at public hospitals and
polyclinics. medisave, medishield life, elder shield and medifund
schemes can help singaporeans offset their medical expenses.
8. where can i go for health screening?
health screening is available at many private medical clinics and
polyclinics. visit the directory for the list of screening locations.
9. can i use my medisave to pay for the health screening cost?
currently, medisave cannot be used for other health screening such as
screening for diabetes or high cholesterol. however, if you are
diagnosed with a chronic condition covered under the chronic disease
management programme (cdmp), medisave may be used to pay for part of
the outpatient treatment cost of these diseases.
women aged 50 and above can use their own or immediate family member’s
medisave for their screening mammograms at approved mammogram centres.
under the medisave 400 scheme, up to $400 per medisave account a year
can be used for screening mammograms.
persons aged 50 and above can also use their own or their immediate
family member’s medisave for their screening colonoscopies (to screen
for colorectal cancer) at approved colonoscopy centres.
check out the list of approved centres or find out more.
10. can i have a health screening if i am pregnant?
please consult your doctor to find out if a health screening is
necessary for you.
11. i am 70 years old (or older), do i still need to go for a health
screening?
if you have not been screened in the past three years, and you do not
have a chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health screening.
12. if i am currently on medication for one of the chronic diseases, should i
still go for a health screening?
if you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
^1 report of the screening test review committee. january 2019, academy
of medicine, singapore.
^2,3 screening can start at an earlier age or be done more frequently
if someone has risk factors for the condition.
__________________________________________________________________
having trouble keeping up with your appointments? myhealth keeps track
of not only your health appointments and medical records, but also your
family's as well.
read these next:
* make a commitment to get screened for better health this year
* diabetes prevention and risk factors
* how screening saved my life
* screen for life - subsidised health screenings for singaporeans
* school health screenings for students
this article was last reviewed on monday, december 9, 2019
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health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you
need to know about health screening
related:
before the first
antenatal visit (choosing your doctor)
1. what is health screening?
<
span style="color:#0000ff;">health screening is
important to everyone. it involves the use of tests, physical
examinations or other procedures to detect conditions early in people
who look or feel well. this is different from diagnostic tests which
are done when someone is already showing signs and/or symptoms of a
condition.
2. why should i go for health
screening?
health screening helps you find out if you have a
particular condition even if you feel perfectly well, without any
symptoms and/or signs. early detection, followed by treatment and good
control of the condition can result in better outcomes, and lowers the
risk of serious complications. it is therefore important to get
yourself screened even if you feel perfectly healthy.
3. what
kind of screening tests should i go for?
there are 3 types of
screening tests1.
type 1
beneficial for everyone: these tests are listed in table
a.
type 2
beneficial for some but not others:
decision to be made on an 'individual' level, based on your individual
risk factors e.g. self or family history of hereditary or chronic
diseases, exposure to factors that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently,
there is not enough information to support the use of these
tests.
it is best to speak to your family doctor who will advise
you to go for the relevant screening tests based on your individual
health profile.
find out more about
type 2 and
type 3
tests.
view the report of the
screening test
review committee.
table a – general screening tests (beneficial for
everyone)
general screening tests for adults
recommended
for2 |
to screen for |
screening test |
screening
frequency3 |
individuals aged 18 yrs
and above
| obesity |
body
mass index (bmi)
waist circumference | once a year |
hypertension (high blood pressure) | blood pressure measurement | once every two years or more
frequently as advised by your doctor |
individuals aged 40 yrs
and above
|
diabetes
mellitus | fasting blood glucose
hba1c
| once every three
years or more frequently as advised by your doctor
|
hyperlipidaemia (high blood cholesterol)
| fasting lipids
non-fasting lipids
|
individuals aged 50 yrs
and above
|
colorectal cancer
| faecal
immunochemical test (to test for blood in stools)
or
| once a year
|
colonoscopy
| once every ten
years
|
additional tests for women |
women aged 25-69 yrs,
who have had sexual intercourse
| cervical cancer
|
pap
test | once every three
years |
hpv test
| once every five
years
|
women aged 50-69 yrs | breast cancer
| mammogram | once every two
years |
general screening tests for newborns
recommended for |
to screen for |
screening test |
screening
frequency |
newborns aged 0-4 weeks old | hearing loss |
audiometry | once |
| glucose-6-phosphate dehydrogenase (g6pd) deficiency
| screen with umbilical
cord blood | once |
|
inborn errors of metabolism (iem)
| metabolic screen with
tandem mass spectrometry (tms) | once |
|
primary hypothyroidism
|
thyroid function test (tft) | once |
4. what should i do after health screening?
if your
screening results are normal, you should continue to go for regular
screening at the recommended frequency because screening only detects
health conditions that are present at the time of screening. if you
develop signs or symptoms after your screening, please see your doctor
and do not wait for your next screening appointment.
if your
screening results are abnormal, you should follow-up with your doctor
immediately even if you feel perfectly well. early treatment and good
control of your condition can result in better outcomes and prevent or
delay serious complications.
5. why do i need to go for regular
screening at the recommended frequency?
a one-off screening will
only pick up health conditions that are present at the time of
screening. regular screening helps to detect conditions that may
develop after the previous screening. hence, it is important for you to
go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening
tests?
health screening is heavily subsidised for
singaporeans and permanent residents. if you have a health assist card
(under
chas
– community health assist scheme), you will be entitled to enojoy
the subsidies of the above tests (according to age) and a follow-up
consultataion, if required, at $2 at chas gps. all other singaporeans
can enjoy these subsidies for the above test (according to age) and a
follow-up consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the
screening tests (offered under
screen
for life - sfl) and the follow-up consultation, if required, is
also fully subsidised. pg cardholders can also claim up to $28.50, for
each screening-related and follow-up consultation, for up to two times
per year.
check out the
e
xact costs of the screening tests.
if you have difficulty
paying for the screening tests, please speak to the medical social
worker at the polyclinics
7. my screening results are not
too good, and my doctor has advised me to get follow up
treatment.
what should i do if i cannot afford the follow up
treatment?
good, affordable basic healthcare is also available
to singaporeans through subsidised medical services offered at public
hospitals and polyclinics.
medisave,
medishield life,
elder shield and
medifund schemes can help
singaporeans offset their medical expenses.
8. where can i go
for health screening?
health screening is available at many
private medical clinics and polyclinics. visit the
directory for the list of
screening locations.
9. can i use my medisave to pay for
the health screening cost?
currently, medisave cannot be used
for other health screening such as screening for diabetes or high
cholesterol. however, if you are diagnosed with a chronic condition
covered under the chronic disease management programme (cdmp), medisave
may be used to pay for part of the outpatient treatment cost of these
diseases.
women aged 50 and above can use their own or immediate
family member’s medisave for their screening mammograms at approved
mammogram centres. under the medisave 400 scheme, up to $400 per
medisave account a year can be used for screening
mammograms.
persons aged 50 and above can also use their own or
their immediate family member’s medisave for their screening
colonoscopies (to screen for colorectal cancer) at approved colonoscopy
centres.
check out the
list of approved centres
or find out more.
10. can i have a health screening
if i am pregnant?
please consult your doctor to find out if a
health screening is necessary for you.
11. i am 70 years old (or
older), do i still need to go for a health screening?
if you
have not been screened in the past three years, and you do not have a
chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health
screening.
12. if i am currently on medication for one of the
chronic diseases, should i still go for a health screening?
if
you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
1 report of the screening test review committee.
january 2019, academy of medicine, singapore.
2,3 screening can start at an earlier age or be done more
frequently if someone has risk factors for the condition.
having trouble keeping up with your appointments?
myhealth keeps
track of not only your health appointments and medical records, but
also your family's as well.
read these next:
monday, may 18, 2015
monday, may 18, 2015
icd-21-health services,per_senior citizen,pgm_obesity
prevention,pgm_healthy screening,age_adult,age_senior,interest_chronic
illnesses,
no
403
monday, december 9, 2019
health
promotion board
3 second hospital avenue
singapore 168937
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established
in 2001, the health promotion board (hpb) has a vision to build a
nation of healthy people.
hpb implements programmes that reach out to the population,
specifically children, adults and the elderly. these programmes include
health and dental services for school children, breastscreen singapore,
aids education programme, cervicalscreen singapore, childhood injury
prevention programme, mental health education programme, national
myopia prevention programme, physical activity, national smoking
control programme, nutrition programme, osteoporosis education
programme, workplace health promotion programme, hpb online,
healthline, health information centre and healthzone. new programmes
will also be initiated over time to address health concerns among the
community.
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why health screen?
the importance of health screening
health screening or blood test is a major part of many routine medical
examinations. while doctors are able to make fairly accurate diagnosis
by assessing the signs and symptoms a patient exhibits, one of the best
ways to confirm the diagnosis is through blood tests. for a healthy
person, health screening could also detect abnormalities that the
person is not aware of and provide important information for diagnosis,
treatment or preventive measures for illnesses and diseases.
therefore, getting regular health checkups, preventive screening tests
are among the most crucial things you can do for yourself. periodic
health screenings can help you and your health care professional
identify health problems early, when treatment may be more successful
compared to if the problems are detected later.
lifestyle changes are a very effective way to substantially reduce risk
but to make those changes, you first need to know if you are at risk.
knowledge gives you the power to take charge of your health. remember,
your health is your greatest asset and early detection can save lives!
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personalised executive health screening
instead of a one-size-fits-all package, parkway shenton’s quality
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historical trends for optimised results. we have 7 ehs facilities
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1 personalised health screening designed according to demographic and
risk profile
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recommendations
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executive health screening
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your screening starts at the core of your health, covering the heart,
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diabetes, anaemia, as well as healthy organ function. depending on your
age, gender and risk profile, you may opt for additional tests such as
stroke screening, ageing biomarker tests, and gender specific tests
such as breast screening and pap smear for females, and prostate
screening for males.
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executive health screening package
executive health screening packages
preventive health screening starts from birth and continues throughout
life. at our executive health screening centres, we tailor health
screening packages based on age, medical history, risk factors, family
history and health concerns. with our team of experienced healthcare
professionals and staff, feel at ease with personalised and attentive
care at every visit.
a detailed report containing your health screening results will be
delivered to you within 14 business days from your screening
appointment. we encourage you to review the test results with our
doctor who can help you determine the next steps. if we find a
condition that requires urgent attention, we will notify you
immediately.
a detailed report containing your health screening results will be
delivered to you within 14 business days from your screening
appointment. we encourage you to review the test results with our
doctor who can help you determine the next steps. if we find a
condition that requires urgent attention, we will notify you
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provincial health services authority - province-wide solutions. better
health.
provincial health services authority (phsa) improves the health of
british columbians by seeking province-wide solutions to specialized
health care needs in collaboration with bc health authorities and other
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health screening
page image
screening tests can help find diseases and health conditions early,
when they are easier to treat.
page content
also known as secondary prevention, health screening identifies health
problems as soon as possible to ensure that you and your family can
benefit from early medical treatment.
there are a variety of health screening tests and tools. many can be
done as part of regular checkups with your health care provider. others
may require you to visit a lab or specialized screening location.
typically, routine health screening is recommended according to your
age or stage of life.
prenatal/infant_____prenatal/infant
prenatal
prenatal genetic screening during your pregnancy can tell you
your chance of having a baby with certain genetic disorders. it is
offered free of charge as a choice to all pregnant people with medical
services plan (msp) coverage in bc.
resources
* prenatal genetic screening program (perinatal services bc)
infant
there are a number of screening tests that are recommended for all
newborns and infants born in bc. these tests identify diseases or
conditions where early treatment is important to prevent disability and
promote healthy development.
regular checkups will allow your care provider to monitor your baby's
development and check for possible problems.
resources
* screening, birth to 12 months (healthlink bc)
* provincial screening programs:
* newborn screening program (perinatal services bc)
* biliary atresia home screening program (perinatal services bc)
* bc early hearing program (provincial health services authority)
child_______________child
regular checkups will allow your care provider to monitor your child's
growth and development and check for possible problems.
resources
* screening, 13 months to 12 years (healthlink bc)
youth/young adult___youth/young adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
resources
* screening, 13 to 18 years (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
adult_______________adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
regular screening is important throughout adulthood, especially if
you're at increased risk for a chronic disease or an infectious
disease. you may be referred for blood or urine tests or for other
screening procedures. recommended regular screening tests for all
adults include:
* blood pressure
* cholesterol
* kidney function
* type 2 diabetes
* skin cancer
* hearing and vision
* weight
* mental health and substance use
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
depending on your age and your risk of disease, other screening tests
may be recommended:
* cervical cancer screening (pap test) is a test that can find
abnormal cells in the cervix before they become cancer. between age
25-69, pap tests are recommended every three years for anyone with
a cervix. it's important to follow these recommendations even if
you've had the hpv vaccine. read the recommendations
* screening mammograms are used to find cancers in breast tissue as
early as possible. screening mammograms are available for eligible
individuals in bc age 40 and up. your screening recommendations
will vary according to your age and your family history of breast
cancer. read the recommendations
* colon cancer screening detects non-cancerous polyps and cancer
early. everyone aged 50-74 should get screened regularly for colon
cancer. the type of screening test recommended for you will depend
on your family history and your personal medical history. read the
recommendations
* prostate cancer screening checks for abnormalities of the prostate
gland. screening is performed through digital rectal examination,
done by your doctor during a regular check up. between age 50-70,
annual screening is recommended for individuals with a prostate as
long as they are in reasonably good health. you can also talk to
your doctor about the pros and cons of psa testing.
resources
* screening, adult women (healthlink bc)
* screening, adult men (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
cancer screening (screening bc):
* cervix
* breast
* colon
* hereditary
please note: the health information provided here is general and
appropriate for most people, most of the time. wherever possible,
resources are also provided to address the health needs of specific
populations, including people living with a chronic health condition,
indigenous people and lgbtq individuals. check with your health care
provider to determine the health recommendations and resources that are
right for you.
in this section
content editor [2]
quick links
* prenatal genetic screening
* newborn screening
* biliary atresia home screening
* infant hearing screening
* get tested: sti clinic finder
* cervical cancer screening (pap test)
* breast cancer screening (mammogram)
* colon cancer screening
content editor [1]
key organizations
perinatal services bc
provincial health services authority
bc centre for disease control (bccdc)
screening bc - bc cancer agency
healthlink bc – the bc government's comprehensive non-emergency health
information and advice service for british columbians.
source: health screening ( )
page printed: . unofficial document if printed. please refer to source
for latest information.
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health.
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british-columbia patient-care-quality-office
copyright © 2020 provincial health services authority
#healthcare nutrition council » feed alternate alternate
healthcare nutrition council healthcare nutrition council
* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
+ nutrition & healthcare[outcomes and benefits]
* patient access
* advocacy
+ position statements
+ public comments
+ coalitions
+ market access challenges
* about hnc
+ priorities
+ hnc staff
+ members
+ contact us
* events
+ medical foods workshop
+ aspen malnutrition awareness week
*
healthcare nutrition council
*
* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
+ nutrition & healthcare[outcomes and benefits]
* patient access
* advocacy
+ position statements
+ public comments
+ coalitions
+ market access challenges
* about hnc
+ priorities
+ hnc staff
+ members
+ contact us
* events
+ medical foods workshop
+ aspen malnutrition awareness week
why nutrition matters
nutrition is critically important to the human body in terms of growth
and development, overall health and wellness throughout life, and the
function of organs and body systems. it also plays a role in disease
management and supports overall quality of life. malnutrition, or lack
of proper nutrition, is associated with billions of dollars per year in
medical expenses. ¹
learn more
as there is no universally accepted definition of “malnutrition,” and
since malnutrition can have different meanings in different contexts,
the healthcare nutrition council (hnc) has adopted a definition of
malnutrition. please see hnc’s expanded definition of malnutrition to
learn more.
hnc malnutrition expanded definition
patient access
all patients have the right to receive high quality care, and that
includes nutrition support products as part of their care. at times,
access to nutrition support products — such as medical foods — can be a
significant challenge for patients. as a result, hnc raises awareness
and works with key stakeholders to help overcome obstacles to patient
access. we continue to work towards systematic changes that will foster
innovation and utilize new science and discoveries, ultimately leading
to higher quality healthcare, better patient outcomes, and improvements
in overall patient health and nutrition.
learn more
maintaining access flyer
enteral facts
parenteral facts
who we are
hnc is an organization representing the manufacturers of nutrition
support products, specifically enteral nutrition (en) formulas,
parenteral nutrition (pn) solutions, supplies and equipment. hnc member
companies are committed to improving health by advancing policies that
address and raise awareness of nutrition and its impact on patient
outcomes and healthcare costs. this includes promoting nutritional
screenings, diagnoses, assessments, and appropriate and timely clinical
nutrition interventions while maintaining patients’ access to
specialized nutrition support products and services throughout the
continuum of care.
learn more
priorities
members
position statements
public comments
1. goates, scott; kristy du, carol braunschweig, and mary beth
arensberg. economic burden of disease-associated malnutrition at
the state level. plos one. 2016; 11(9): 1-15.
* clinical nutrition
* patient access
* advocacy
* about hnc
529 14th street nw, suite 1280, washington, d.c. 20045
(202) 207-1129
contact us
healthcare nutrition council
© healthcare nutrition council
* terms & conditions
* privacy policy
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public health nutr. 2004 aug;7(5):591-8.
public health nutrition and food policy.
caraher m^1, coveney j.
author information
1
department of health management and food policy, institute of
health sciences, city university, goswell place, northampton
square, london ec1v 0hb, uk. m.caraher@city.ac.uk
abstract
food in its many manifestations allows us to explore the global control
of health and to examine the ways in which food choice is moulded by
many interests. the global food market is controlled by a small number
of companies who operate a system that delivers 'cheap' food to the
countries of the developed world. this 'cheap' food comes at a price,
which externalises costs to the nation state in terms of health
consequences (diabetes, coronary heart disease and other food-related
diseases) and to the environment in terms of pollution and the
associated clean-up strategies. food policy has not to any great extent
dealt with these issues, opting instead for an approach based on
nutrition, food choice and biomedical health. ignoring wider elements
of the food system including issues of ecology and sustainability
constrains a broader understanding within public health nutrition. here
we argue that public health nutrition, through the medium of health
promotion, needs to address these wider issues of who controls the food
supply, and thus the influences on the food chain and the food choices
of the individual and communities. such an upstream approach to food
policy (one that has been learned from work on tobacco) is necessary if
we are seriously to influence food choice.
comment in
* editorial. public health nutrition as a field of practice. [public
health nutr. 2004]
pmid:
15251049
doi:
10.1079/phn2003575
[indexed for medline]
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health: definition and importance of health
article shared by : [createimage.php?author=smriti
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[ins: :ins]
health: definition and importance of health!
definition:
the term ‘health’ is a positive and dynamic concept. in common
parlance, health implies absence of disease. however, that industrial
health implies much more than mere absence of disease is clear from the
following definitions of health:
the world health organisation (who) has defined health as: “a state of
complete physical, mental and social well-being and not merely the
absence of disease or illness or infirmity”. as regards the industrial
health, it refers to a system of public health and preventive medicine
which is applicable to industrial concerns.
advertisements:
[ins: :ins]
here, the definition of health given by the joint i.l.o/w.h o.
committee on organisational health is worth quoting:
(i) the prevention and maintenance of physical, mental and social
well-being of workers in all organisations;
(ii) prevention among workers of ill-health caused by the working
conditions;
(iii) protection of workers in their employment from risk resulting
from factors adverse to health; and
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[ins: :ins]
(iv) placing and maintenance of the worker in an occupational
environment adapted to his physical and psychological equipment.
thus the modem concept of health emphasises on the “whole man concept.”
in other words, health refers to the outcome of the interaction between
the individual and his environment. so to say, he/she is healthy who is
well adjusted with environment.
the modem concept of health thus, anticipates and recognizes
potentially harmful situations and applies engineering control measures
to prevent disease or illness or infirmity. in this way, industrial
health depends not only on the individual worker but also on the
environment in which he/she lives and works.
there are two types of employee health:
advertisements:
[ins: :ins]
physical health and mental health
a brief mention of these follows:
physical health:
the physical health refers to infirmity in the employee’s health.
employee’s physical health and his work are intimately related. while
an unhealthy employee works less both quantitatively and qualitatively,
commits accidents, and remains absent from work, a healthy employee
produces results opposite to these. the same underlines the need for
and importance of healthy employees in an organisation.
advertisements:
[ins: :ins]
mental health:
this refers to the mental soundness of the employees. as is physical
health important for good performance, so is mental health also.
experience suggests that three factors, namely, mental breakdowns,
mental disturbances, and mental illness impair the mental health of
employees.
importance of health:
the trite saying ‘health is wealth’ explains the importance of health.
ill health results in high rate of absenteeism and turnover, industrial
discontent and indiscipline, poor performance, low productivity and
more accidents. on the contrary, the natural consequences of good
health are reduction in the rate of absenteeism and turnover, accidents
and occupational diseases.
besides, employee health also provides other benefits such as reduced
spoilage, improved morale of employee, increased productivity of
employee and also longer working period of an employee which, of
course, cannot be easily measured.
advertisements:
[ins: :ins]
in long and short, employee health is important because it helps:
1. maintain and improve the employee performance both quantitatively
and qualitatively.
2. reduce employee absenteeism and turnover.
3. minimize industrial unrest and indiscipline.
4. improve employee morale and motivation.
it is this importance of health, increasing emphasis is given to the
employee health through various laws and provisions in this regard. for
example, in india, the royal commission on labour (1931), die labour
investigation committee (1946), the health safety and development
committee (1943), the labour welfare committee (1969) and the national
commission on labour (1969), all have expressed concern for employee
health.
these emphasised upon the creation and maintenance of as healthy an
environment as possible, in the homes of the employees as well as in
all places where they congregate for work, amusement or recreation,
the i.l.o. in its recommendation no. 112 envisaged the importance of
employee health in these words:
occupational health services should be established in or near a place
of employment for the purpose of:
(i) protecting the workers against any health hazard arising out of
work or conditions in which it is carried on;
(ii) contributing towards worker’s physical and mental adjustment; and
(iii) contributing to establishment and maintenance of the highest
possible degree of physical and mental well-being of the workers.
related articles:
1. necessity and importance of labour law and principles
2. labour welfare: meaning and definition of labour welfare
health
measures to maintain safety and avoid accidents in industries
occupational hazards: 4 main types of occupational hazards – explained!
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importance of good nutrition
your food choices each day affect your health — how you feel today,
tomorrow, and in the future.
good nutrition is an important part of leading a healthy lifestyle.
combined with physical activity, your diet can help you to reach and
maintain a healthy weight, reduce your risk of chronic diseases (like
heart disease and cancer), and promote your overall health.
the impact of nutrition on your health
unhealthy eating habits have contributed to the obesity epidemic in the
united states: about one-third of u.s. adults (33.8%) are obese and
approximately 17% (or 12.5 million) of children and adolescents aged
2—19 years are obese.^1 even for people at a healthy weight, a poor
diet is associated with major health risks that can cause illness and
even death. these include heart disease, hypertension (high blood
pressure), type 2 diabetes, osteoporosis, and certain types of cancer.
by making smart food choices, you can help protect yourself from these
health problems.
the risk factors for adult chronic diseases, like hypertension and type
2 diabetes, are increasingly seen in younger ages, often a result of
unhealthy eating habits and increased weight gain. dietary habits
established in childhood often carry into adulthood, so teaching
children how to eat healthy at a young age will help them stay healthy
throughout their life.
the link between good nutrition and healthy weight, reduced chronic
disease risk, and overall health is too important to ignore. by taking
steps to eat healthy, you'll be on your way to getting the nutrients
your body needs to stay healthy, active, and strong. as with physical
activity, making small changes in your diet can go a long way, and it's
easier than you think!
eat healthy
now that you know the benefits, it's time to start eating healthy:
start your pala+ journey today and use these tips on ways to eating
healthy and resources to earn it.
_______________________
references
to return to the page content, select the respective footnote number.
^1 centers for disease control and prevention. u.s. obesity trends.
2011. available at: https://www.cdc.gov/obesity/data/databases.html
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eur j public health. 2018 dec; 28(6): 1087–1092.
published online 2018 sep 3. doi: 10.1093/eurpub/cky174
pmcid: pmc6241207
pmid: 30184063
the importance of health behaviours and especially broader self-management
abilities for older turkish immigrants
jane m cramm^^ and anna p nieboer^
jane m cramm
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by jane m cramm
anna p nieboer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by anna p nieboer
author information copyright and license information disclaimer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
correspondence: jane m. cramm, department of social medical sciences,
erasmus school of health policy and management, erasmus university
rotterdam, p.o. box 1738, 3000 dr rotterdam, the netherlands, tel: +31
10 408 8555, e-mail: ln.rue.mphse@mmarc
copyright © the author(s) 2018. published by oxford university press on
behalf of the european public health association.
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abstract
background
this study aims to identify the relationships between health
behaviours, self-management abilities, physical health, depressive
symptoms and well-being among turkish older immigrants.
methods
a total of 2350 older turkish migrants aged > 65 years residing in
rotterdam, the netherlands were identified using the municipal register
of which 680 respondents completed the questionnaires (response rate of
32%).
results
average age of the respondents was 72.90 (standard deviation 5.02)
(range 66–95) years and about half of them were women (47.6%). the
majority of respondents reported having a low education (80.3%), low
income level (83.4%), is chronically ill (90.6%), overweight (86.5%)
and about half obese (46.0%). more than half of the respondents eat
enough fruit (58.2%) and vegetables per week (55.3%). about a third of
the respondents smoke (33.5%) and 43.0% can be considered to be
physically active. looking at the health behaviours a weak positive
relationship was found between eating enough vegetables and well-being
(β = 0.14; p = 0.017). in addition, weak relationships were found
between physical activity and depressive symptoms (β = −0.16; p =
0.007), smoking and depressive symptoms (β = 0.16; p = 0.009) and
self-management abilities and physical health (β = 0.17; p = 0.015).
strongest relationships were found between self-management abilities
and depressive symptoms (β = −0.39; p < 0.001) and self-management
abilities with overall well-being (β = 0.49; p < 0.001).
conclusions
from this study, we can conclude that next to health behaviours broader
self-management abilities to maintain overall well-being are important
for turkish older people. interventions to improve self-management
abilities may help turkish older people better deal with function
losses and chronic diseases as they age further.
introduction
europe witnessed a post-war mass migration at the end of the 1950s and
the early 1960s, mostly from non-western origin with a predominance of
young adults. even though a number of the early migrants have returned
to their birth-country, considerable numbers remain in their migratory
destinations who recently approached retirement age.^1 in general, poor
physical and mental health, worse health-related quality of life and
well-being, functional limitations, depressive symptoms and chronic
conditions are much more prevalent among these immigrant populations
compared with those of natives throughout europe.^2–4 as a consequence,
older immigrants use 13–20% more health services than native-borns.^5
the rapid increase in the prevalence of chronic illness among older
(immigrant) populations is an important factor underlying the increased
demand for health care services and constraints on the organization and
delivery of care in europe.^5^,^6
unhealthy behaviours, such as poor diet, smoking and physical
inactivity, are important and adjustable risk factors for many chronic
diseases and leading causes of death and disability.^7 thus, the
improvement of health behaviours among older (immigrant) populations to
prevent the onset of chronic diseases is becoming a critical issue.
health behaviours, such as smoking, eating habits and physical
activity, are known to differ between immigrants and natives, which may
explain the greater prevalence of chronic diseases, physical
limitations and poor health outcomes among the former. for example, in
the netherlands, overweight is much more prevalent among immigrants,^8
and smoking is especially prevalent among turks.^9 although
health-related behaviours have been investigated among immigrant groups
aged 35–60 years,^9 and those aged ≥18 years,^8 no such research has
been conducted among older immigrants.
not only health behaviours but also older people’s abilities to deal
with the process of ageing and the ways in which they cope with certain
life events are of interest. as people grow older, they often begin to
experience losses in various life domains. people are known to differ
in their ability to self-regulate or self-manage their lives and ageing
processes, which requires the proactive management of resources in an
environment of increasing losses and declining gains.^10 these
self-regulation or self-management abilities often target only the
physical health aspects of ageing, such as physical exercise and
healthy diet.^11^,^12 the social and psychological life domains,
however, have been proven to be equally important for the health and
well-being of older people.^13
thus, in addition to health behaviours and health outcomes, examination
of broader self-management abilities related to the maintenance of
overall well-being may be of interest.^14 as these abilities are
critical predictors of physical health, depressive symptoms and overall
well-being,^14–17 a shift in focus to include not only traditionally
addressed health- and disease-specific aspects (e.g. smoking, physical
activity, healthy diet) but also abilities such as investment behaviour
(e.g. pursuing interests, keeping busy, maintaining contact with loved
ones), initiative taking and self-efficacy (e.g. belief in one’s
ability to achieve goals and express care for others) is urgently
needed.^14
research investigating health behaviours and self-management abilities
related to the maintenance of overall well-being among older turkish
immigrants is lacking. thus, this study aimed to identify relationships
of background characteristics, health behaviours and self-management
abilities with physical health, depressive symptoms and well-being
among older turkish immigrants residing in rotterdam, the netherlands.
methods
data collection
community-dwelling turkish people aged > 65 years in rotterdam, the
netherlands, were identified using the municipal register and asked to
participate between march 2015 and february 2016 (with a summer break,
given that most of this population spends the summer in turkey). we
asked respondents to fill in a questionnaire containing 153 questions
in total (provided in the dutch as well as turkish language). these
questionnaires were first distributed via post, followed by a postal
reminder and finally a minimum of two home visit attempts (by
interviewers speaking dutch as well as the turkish language). the
personal interviews lasted about 60–90 min. an information leaflet was
provided to respondents explaining the aim of the study with contact
details (of dutch as well as turkish speaking research assistants) in
case they had additional questions. no (financial) incentives were
provided.
ethical approval
according to the central committee on research involving human subjects
(ccmo), the current study did not fall within the scope of the medical
research involving human subjects act and thus did not require prior
review by an accredited medical research and ethics committee or the
ccmo. all respondents were informed about the aims of the study, and
assured that participation was anonymous and voluntary, prior to
providing consent.
measures
well-being was measured with the 14-item turkish version of the social
production function instrument for the level of well-being (spf-il).^18
the stimulation item ‘are your activities challenging to you?’ of the
original 15-item dutch version^19 proved to be problematic during
validation and thus was omitted from the turkish version. the spf-il
measures levels of physical (comfort, stimulation) and social
(behavioural confirmation, affection, status) well-being. examples of
questions are ‘do people really love you?’ (affection), ‘do you feel
useful to others?’ (behavioural confirmation), ‘are you known for the
things you have accomplished?’ (status), ‘in the past few months, have
you felt physically comfortable?’ (comfort) and ‘do you really enjoy
your activities?’ (stimulation). responses are given on a 4-point scale
ranging from never (1) to always (4), with higher mean scores
indicating greater well-being. total scores were calculated based on
the mean scores for the five subscales. cronbach’s alpha of the spf-il
based on the five subscales was 0.76, indicating good reliability.
patients’ physical quality of life was assessed using the physical
component of the short form 12 health survey.^20 the summary physical
component score for physical health was constructed using standard
scoring procedures.
we used the 7-item depression section of the hospital anxiety and
depression scale to assess symptoms of depression.^21 all items were
rated on a 4-point scale (0–3), with higher scores indicating greater
depressive symptomatology.
self-management abilities related to the maintenance of overall
well-being were measured using an adjusted version of the short
(18-item) version of the self-management ability scale (smas-s).^22
this instrument assesses a broad repertoire of self-management
abilities: (i) initiative taking (being instrumental or self-motivating
in realizing aspects of well-being), (ii) investment in resources for
long-term benefits, (iii) maintenance of variety in resources (gaining
and maintaining various resources for each dimension of well-being),
(iv) ensuring resource multifunctionality (gaining and maintaining
resources or activities that serve multiple dimensions of well-being
simultaneously and in a mutually reinforcing way), (v) self-efficacy in
resource management (gaining and maintaining a belief in personal
competence to achieve well-being) and (vi) maintenance of a positive
frame of mind. the initiative taking, investment, self-efficacy,
variety and multifunctionality subscales are related to the physical
and social dimensions of well-being, and the subscale measuring the
ability to have a positive frame of mind is considered to be a more
general cognitive frame. following earlier research, we reduced the
number of response categories for 5 subscales from 6 to 4 to make
completion of the instrument less complex. higher scores indicate
better self-management abilities. the item ‘when things go against you,
how often do you think that it could always be worse?’ proved to be
problematic during validation and thus was omitted from the turkish
version. cronbach’s alpha of the smas-s based on the six subscales was
0.92, indicating excellent reliability.
physical activity was assessed by asking respondents how many days per
week they were physically active (e.g. sport activities, exercise,
housecleaning, work in the garden) for at least 30 min. government
agencies use this measure to monitor physical activity in the dutch
population. we used mean physical activity, measured in number of days
per week, in our analyses. in addition, we dichotomized the physical
activity scale according to the dutch standard for healthy physical
activity into 1 (at least 30 min of physical activity at least five
times per week) and 0 (at least 30 min of physical activity less than
five times per week),^23 to compare the proportion of physically active
patients with the dutch average. this threshold is also in line with
the international recommendation for the minimum physical activity
level of at least 150 min of moderate or vigorous physical activity per
week.^24
self-reported current smoking was assessed with a yes/no question.
consumption of fruits and consumption of vegetables were assessed
separately as indicators of healthy dietary behaviours, measured in
servings per day. the world health organization and the dutch
guidelines use a minimum of 200 g of vegetables and two servings of
fruit per day to distinguish healthy from unhealthy eating.^25 fruit
consumption was determined by summing the servings per day and was
dichotomized as 1 (healthy diet, consumption of at least two pieces of
fruit per day) and 0 (unhealthy diet, consumption of less than two
pieces of fruit per day). vegetable consumption was determined by
summing the servings per day and was dichotomized as 1 (healthy diet,
consumption of ≥200 g of vegetables per day) and 0 (unhealthy diet,
consumption of <200 g of vegetables per day).^25
respondents were asked to report the highest educational level
completed in the netherlands or abroad, with the option to select ‘no
schooling’ or to write in another response for unlisted forms of
schooling. this variable was dichotomized into low (completion of
elementary school or less) and high (more than elementary school).
income level was determined based on respondents’ reported monthly
household income, including social benefits, pensions and alimony.
responses ranged from 1 (less than €1000 a month) to 4 (€3050 or more a
month). ‘do not know/do not want to tell’ was included as a fifth
category. income level was dichotomized into low (less than €1350) and
high (€1350 or more).
respondents were asked to indicate whether they were married, divorced,
widowed, single, or cohabitating. a dichotomous variable was created:
divorced, single and widowed; and married.
the questionnaire also solicited information on respondents’ age,
gender and number of chronic conditions experienced in the past 12
months. respondents were provided with a list of 14 chronic conditions
(e.g. lung diseases, cardiovascular diseases, diabetes) and space to
write in other conditions. only conditions that were classified as
chronic by o'halloran et al.^26 were included.
analyses
the characteristics of the study sample were examined using descriptive
statistics. bivariate associations of variables expressing background
characteristics, health behaviours and self-management abilities with
those reflecting physical health, depressive symptoms and well-being
were examined. regression analyses were then performed to identify
relationships of health behaviours, self-management abilities, and
physical health with depressive symptoms and well-being while
controlling for background characteristics.
results
of, 2350 older turkish immigrants asked to participate, 213 were
ineligible due to change of address (n = 110), serious medical issue or
death (n = 102) or non-turkish ethnic background (n = 1). a total of
680 respondents completed the questionnaire (final response rate 32%).
table 1 displays descriptive statistics for the older turkish immigrant
population. the average age of the 680 respondents was 72.90 [standard
deviation (sd) 5.02; range 66–95] years, and 47.6% of them were women.
the majority of respondents reported having low education (80.3%) and
low income (83.4%) levels. the mean number of chronic diseases was 2.68
(sd 1.87; range 0–10). most (90.6%) respondents were chronically ill,
and 69.4% had more than one chronic disease. according to their
self-reported body mass indices, 86.5% of respondents were overweight
and 46.0% were obese. more than half of respondents had sufficient
weekly fruit (58.2%) and vegetable (55.3%) consumption. about one-third
(33.5%) of respondents smoked and 43.0% could be considered to be
physically active.
table 1
descriptive statistics for older turkish older immigrants (n = 680)
characteristic range % or mean (sd)
sex (female) 47.6%
age (years) 66–95 72.90 (5.02)
marital status (single/widowed) 28.7%
education (low) 80.3%
income (low) 83.4%
number of chronic diseases 0–10 2.68 (1.87)
chronically ill 90.6%
co-/multi-morbidity 69.4%
body mass index (kg/m^2) 17.65–68.59 30.32 (5.61)
overweight 86.5%
obese 46.0%
healthy diet
sufficient fruit consumption 58.2%
sufficient vegetable consumption 55.3%
physically active 43.0%
smoking 33.5%
self-management abilities 1–4 2.52 (0.62)
physical health 0–100 54.83 (18.18)
depressive symptoms 1–4 2.28 (0.66)
well-being 1–4 2.79 (0.55)
open in a separate window
sd, standard deviation.
table 2 displays the results of the bivariate analyses. single marital
status and low educational level were associated positively with
depressive symptoms and negatively with well-being. the number of
chronic conditions was associated negatively with physical health and
well-being, and positively with depressive symptoms. a positive
relationship was found between sufficient vegetable consumption and
well-being (r = 0.11, p < 0.01). physically active status was
associated positively with physical health (r = 0.09, p < 0.05) and
overall well-being (r = 0.20, p < 0.001), and negatively with
depressive symptoms (r = –0.28, p < 0.001). smoking was related
positively to depressive symptoms (r = 0.16, p < 0.001).
self-management abilities were related positively to physical health (r
= 0.12, p < 0.05) and well-being (r = 0.54, p < 0.001) and negatively
to depressive symptoms (r = –0.53, p < 0.001).
table 2
associations with physical health, depressive symptoms and well-being
(n = 680)
characteristics physical health depressive symptoms well-being
sex (female) 0.12^** 0.21^*** –0.11^**
age (years) –0.05 0.08^* –0.06
marital status (single/widowed) –0.05 0.16^*** –0.11^**
education (low) –0.07 0.16^*** –0.11^**
income (low) –0.06 0.10^* –0.06
number of chronic diseases –0.15^*** 0.36^*** –0.26^***
body mass index –0.13^*** 0.06 –0.06
eating enough fruit –0.01 –0.06 0.07
eating enough vegetables –0.01 –0.07 0.11^**
physically active 0.09^* –0.28^*** 0.20^***
smoking 0.06 0.16^*** 0.07
self-management abilities 0.12^** –0.53^*** 0.54^***
open in a separate window
^***p < 0.001.
^**p < 0.01.
^*p < 0.05.
the results of the multivariate regression analyses are displayed in
table 3. the number of chronic diseases was associated negatively with
physical health (β = –0.20, p = 0.005) and overall well-being (β =
–0.13, p = 0.039), and positively with depressive symptoms (β = 0.21, p
< 0.001). among health behaviours, a weak positive relationship was
found between sufficient vegetable consumption and well-being (β =
0.14, p = 0.017). in addition, weak relationships were found between
physical activity and depressive symptoms (β = –0.16, p = 0.007),
smoking and depressive symptoms (β = 0.16, p = 0.009), and
self-management abilities and physical health (β = 0.17, p = 0.015).
the strongest relationships were found between self-management
abilities and depressive symptoms (β = –0.39, p < 0.001) and overall
well-being (β = 0.49, p < 0.001).
table 3
results of multivariate regression analyses
characteristic physical health depressive symptoms well-being
β p β p β p
sex (female) –0.04 0.643 0.04 0.632 –0.03 0.694
age (years) –0.00 0.949 0.02 0.699 –0.07 0.264
marital status (single/widowed) 0.14 0.070 –0.03 0.691 0.03 0.670
education (low) 0.01 0.936 0.06 0.303 0.01 0.918
income (low) 0.01 0.944 0.03 0.582 0.03 0.584
number of chronic diseases –0.20 0.005 0.21 <0.001 –0.13 0.039
body mass index –0.08 0.282 –0.03 0.609 –0.05 0.433
sufficient fruit consumption 0.03 0.636 0.05 0.390 –0.06 0.303
sufficient vegetable consumption 0.03 0.697 –0.06 0.290 0.14 0.017
physically active 0.01 0.940 –0.16 0.007 0.02 0.731
smoking 0.09 0.206 0.16 0.009 0.01 0.886
self-management abilities 0.17 0.015 –0.39 <0.001 0.49 <0.001
r^2 12% 36% 31%
open in a separate window
significance of bold values is p < 0.05.
discussion
this study aimed to identify relationships of background
characteristics, health behaviours and self-management abilities with
physical health, depressive symptoms and well-being among older turkish
immigrants residing in rotterdam, the netherlands. chronic diseases,
overweight and obesity were highly prevalent among respondents. during
the same period in which this study was conducted (2015/2016), a much
smaller percentage of the general dutch population aged ≥ 65 years was
overweight compared with our turkish sample (60% vs. 86.5%); the
prevalence of obesity differed to a lesser degree (42% vs. 46%).^27 in
addition, a larger percentage of turkish elders were chronically ill
compared with the general dutch population aged ≥ 65 years (90.6% vs.
79.9%).^28 the prevalence of chronic diseases is known to be higher
among those with lower educational levels,^29 which could explain this
finding, as 80.3% of older turkish immigrants participating in this
study were less educated.
with increasing numbers of chronic diseases, older immigrants had worse
physical health and well-being, and more depressive symptoms. healthy
behaviours and self-management abilities may protect chronically ill
older immigrants from the deterioration of health and well-being, and
the onset of depressive symptoms. however, we found only weak
relationships between the outcome variables and physical activity,
sufficient vegetable consumption and smoking, and the latter two health
behaviours were not associated with all outcome variables. a smaller
percentage of older immigrants met the norm for physical activity
compared with the general older population in the netherlands (43% vs.
50%).^30 the prevalence of smoking was also greater among older turks
compared with the general dutch population aged ≥ 65 years (33.5% vs.
∼15%).^31 this is in line with earlier research showing that the
percentage of smoking in the netherlands is highest in the turkish
population, especially among turkish men.^32^,^33 regarding dietary
behaviour, older turkish respondents were healthier than the older
general population in the netherlands in 2015/2016 in terms of
sufficient fruit (58.2% vs. 43%) and vegetable (55.3% vs. 30%)
consumption. these findings are in line with earlier research showing
that immigrants ate more fruit and vegetables than did older dutch
people.^34 in terms of health behaviours, older turkish people are thus
expected to benefit especially from smoking cessation and physical
activity interventions.
the strongest relationships were found between broader self-management
abilities and the outcome variables, especially depressive symptoms and
overall well-being. these findings are important, given that these
abilities are amendable. examples of the most commonly used
self-management interventions are health education, lifestyle
education, enhancement of knowledge about chronic diseases and their
risk factors, support of a healthy diet and promotion of physical
exercise and smoking cessation. however, older patients’ abilities to
self-manage their overall well-being, such as having a positive frame
of mind, taking initiative and self-efficacy, should also be addressed.
interventions that aim to enhance self-management abilities may be
useful additions to traditional interventions, which usually focus
solely on the physical decline associated with ageing and chronic
conditions.^35–37
the limitations of this study should be considered when interpreting
the findings. first, although the response rate was low, it was
comparable to those in other surveys conducted in this population [61].
most non-response was due to the inability to reach respondents after a
minimum of two door-to-door contact attempts (following the two contact
attempts via mail), potentially resulting in non-response bias. to
improve the response rate, this number should be increased to six
contact attempts, which was not feasible in our study.^38^,^39 to
investigate potential non-response bias, we conducted non-response
analyses. no significant difference in gender was found between
respondents and non-respondents. the mean age of these groups, however,
differed significantly; on average, respondents were younger than
non-respondents [72.11 (sd = 5.10) vs. 72.73 (sd = 5.00),
respectively]. educational level of our sample is comparable to other
studies showing that ∼80% of turkish older migrants only completed
elementary school or less.^40 second, the data collected were
cross-sectional, preventing determination of causality. third, although
this study showed that self-management abilities are important for
older turkish people, we did not investigate whether interventions
aiming to enhance these abilities actually improved self-management.
further research is necessary to explore ways in which the
self-management abilities of older turkish people can be improved.
fourth, we investigated fruit and vegetable consumption only, not how
food was prepared or the total fat or calorie intake per day, which are
also known to be important.^41 fifth, we also did not include alcohol
consumption to our analyses given that only two male respondents drank
more than the norm (≥3 units per day at ≥4 days a week). if you would
look at health behaviours among immigrant populations outside the
muslim community, it would be interesting to add this health behaviour.
finally, our study sample consisted of older turkish people residing in
rotterdam, which limits the generalizability of our study findings.
conclusion
based on the results of this study, we can conclude that in addition to
health behaviours, broader self-management abilities related to the
maintenance of overall well-being are important for older turkish
people. while only weak relationships were found with health
behaviours, strong relationships were found with broader
self-management abilities, depressive symptoms and well-being. in terms
of health behaviours, older turkish people are expected to benefit most
from smoking cessation and physical activity interventions. older
immigrants, including turks, however, may especially benefit from
interventions that enhance broader self-management abilities related to
the maintenance of overall well-being. interventions to improve
self-management abilities may help older turkish people better deal
with functional losses and chronic diseases as they age further. such
interventions will probably need to be adjusted for this population to
be effective.^38 the current national public health policy, however,
devotes no specific attention to high-risk ethnic groups. we feel that
these results provide a useful basis for the design of effective
interventions for successful ageing among older turkish people in the
netherlands.
funding
this study was supported by a grant provided by the erasmus university
of rotterdam.
conflicts of interest: none declared.
key points
* chronic diseases, overweight and obesity are highly prevalent among
turkish elderly.
* smoking cessation and physical activity interventions may partly
improve outcomes.
* interventions aimed at broader self-management abilities seem
especially effective.
* a broader focus is needed on self-management abilities to maintain
overall well-being.
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2017, date last accessed).
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4. fitness basics
5. why is physical activity so important for health and wellbeing?
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why is physical activity so important for health and wellbeing?
woman stretching
there are so many reasons why regular activity boosts your health. read
to learn what those are and how you can incorporate exercise into your
day.
we know that staying active is one of the best ways to keep our bodies
healthy. but did you know it can also improve your overall well-being
and quality of life?
here are just a few of the ways physical activity can help you feel
better, look better and live better. because, why not?
it’s a natural mood lifter.
regular physical activity can relieve stress, anxiety, depression and
anger. you know that "feel good sensation" you get after doing
something physical? think of it as a happy pill with no side effects!
most people notice they feel better over time as physical activity
becomes a regular part of their lives.
it keeps you physically fit and able.
without regular activity, your body slowly loses its strength, stamina
and ability to function properly. it’s like the old saying: you don’t
stop moving from growing old, you grow old from stopping moving.
exercise increases muscle strength, which in turn increases your
ability to do other physical activities.
it helps keep the doctor away.
stand up when you eat your apple a day! too much sitting and other
sedentary activities can increase your risk of heart disease and
stroke. one study showed that adults who watch more than 4 hours of
television a day had an 80% higher risk of death from cardiovascular
disease.
being more active can help you:
* lower your blood pressure
* boost your levels of good cholesterol
* improve blood flow (circulation)
* keep your weight under control
* prevent bone loss that can lead to osteoporosis
all of this can add up to fewer medical expenses, interventions and
medications later in life!
it can help you live longer.
it’s true, 70 is the new 60… but only if you’re healthy. people who are
physically active and at a healthy weight live about seven years longer
than those who are not active and are obese. and the important part is
that those extra years are generally healthier years! staying active
helps delay or prevent chronic illnesses and diseases associated with
aging. so active adults maintain their quality of life and independence
longer as they age.
here are some other benefits you may get with regular physical activity:
* helps you quit smoking and stay tobacco-free.
* boosts your energy level so you can get more done.
* helps you manage stress and tension.
* promotes a positive attitude and outlook.
* helps you fall asleep faster and sleep more soundly.
* improves your self-image and self-confidence.
* provides fun ways to spend time with family, friends and pets.
* helps you spend more time outdoors or in your community.
the american heart association recommends at least 150 minutes of
moderate-intensity aerobic activity each week. you can knock that out
in just 30 minutes a day, 5 days a week. and every minute of moderate
to vigorous activity counts toward your goal.
so, this is easy! just move more, with more intensity, and sit less.
you don’t have to make big life changes to see the benefits. just start
building more activity into your day, one step at a time.
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* fitness
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+ american heart association recommendations for physical
activity infographic
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+ is your workout working? infographic
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* getting active
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related articles
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no time for exercise? here are 7 easy ways to move more!
make every move count infographic
* fitness
* fitness basics
+ recommendations for physical activity in adults
+ warm up with cool-weather workouts
+ recommendations for physical activity in children
+ recommendations for physical activity in kids infographic
+ american heart association recommendations for physical
activity infographic
+ balance exercise
+ endurance exercise aerobic
+ flexibility exercise stretching
+ how to keep cool during warm weather workouts
+ is your workout working? infographic
+ keeping your feet happy and pain-free infographic
+ make every move count infographic
+ move more for whole body health infographic
+ move more month
+ preventing injury during your workout
+ staying hydrated - staying healthy
+ strength and resistance training exercise
+ know your target heart rates for exercise, losing weight and
health
+ treat your feet right
+ warm up cool down
+ what to wear when you work out infographic
+ when is the best time of day to work out?
+ why is physical activity so important for health and
wellbeing?
* getting active
* staying motivated
* walking
*all health/medical information on this website has been reviewed and
approved by the american heart association, based on scientific
research and american heart association guidelines. use this link for
more information on our content editorial process.
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the importance of health education
february 8, 2018
marcy vadurro
director of product marketing
explore programs
importanceofhealtheducationbanner
when it comes to building a healthy community, the importance of health
education cannot be overlooked. community health workers collaborate
with all stakeholders in a community - from its citizens to its
government, education and medical officials - to improve health and
wellness and ensure equal access to healthcare.
what is the importance of health education?
community health education looks at the health of a community as a
whole, seeking to identify health issues and trends within a population
and work with stakeholders to find solutions to these concerns.
the importance of health education impacts many areas of wellness
within a community, including:
* chronic disease awareness and prevention
* maternal and infant health
* tobacco use and substance abuse
* injury and violence prevention
* mental and behavioral health
* nutrition, exercise and obesity prevention
community health educators work with public health departments,
schools, government offices and even local nonprofits to design
educational programs and other resources to address a community's
specific needs.
importanceofhealtheducationbody3
"the value in these programs is having a topic or issue tailored to the
needs of the audience...and working with them one on one to make
behavioral changes," said daphne guillaume, a certified health
education specialist and public health adjunct faculty at southern new
hampshire university (snhu).
overcoming health disparities
in addition to providing educational resources and programming to a
community, public health educators also work to ensure all members of a
community have equal access to wellness resources and healthcare
services.
according to the american public health association (apha), common
health disparities affecting americans include:
* racial or ethnic health disparities
* socioeconomic health disparities
* gender health disparities
* rural health disparities
importanceofhealtheducationbody1
"we look at the issues that are going on in our communities through a
social justice lens," said snhu adjunct faculty member dede teteh, a
certified health education specialist and public health researcher.
"the main difference between [public health] and medicine is we don't
look at people one by one. we work with communities and examine trends
in behaviors and health outcomes. we attempt to decipher what's going
on within communities and determine how we can best support their
wellness efforts. but we don't act without their input or partnership."
community health education and government policy
the importance of health education also extends into policy and
legislation development at a local, state and national level, informing
and influencing key decisions that impact community health.
from campaigns and legislation to enforce seat belt use and prevent
smoking to programs that boost the awareness and prevention of
diabetes, public health workers provide research and guidance to inform
policy development.
"you're not just educating the individual person, you need the impetus
and motivation to come from the whole community," said snhu associate
dean of health professions denise bisaillon. "you have to reach the
leaders in the community. the more people invested in a change, the
more likely its success."
the economic importance of health education
health education can also boost a community's economy by reducing
healthcare spending and lost productivity due to preventable illness.
obesity and tobacco use, for example, cost the united states billions
of dollars each year in healthcare costs and lost productivity.
according to the american public health association (apha) the annual
loss in economic productivity due to obesity and related issues is
expected to total as much as $580 billion by 2030. the total economic
cost of tobacco use costs the united states more than $300 billion each
year, including $156 billion in lost productivity, according to the
cdc.
programs designed to help community members combat these expensive
health issues not only boost individuals' health, but also provide a
strong return on investment for communities.
according to the cdc, states with strong tobacco control programs see a
$55 return on every $1 investment, mostly from avoiding costs to treat
smoking-related illness. the national cost of offering the national
diabetes prevention program is about $500 per participant,
significantly lower than the $7,900 spent on diabetes care per type 2
diabetes patient each year.
importanceofhealtheducationbody4 a growing field
as the health, social and economic impacts of community health
education continue to grow, so does the field of public health and
health promotion.
according to the u.s. bureau of labor statistics (bls), employment in
the community health education field is projected to grow by 16%
through 2026, more than twice the average for all occupations.
workers with a community health education degree can find opportunities
in a wide variety of settings, according to the bls, including:
* schools and colleges
* hospitals and healthcare facilities
* nonprofit organizations
* private businesses and employee wellness programs
* government organizations and public health departments
as communities continue to focus more on improving the health and
wellness of its citizens, the field of community health education will
also continue to grow, said snhu adjunct faculty michelle gifford.
"i believe that more and more communities are seeing benefits from
wellness-related initiatives and receiving positive marks about them,
hence community leaders are seeing this as not just a business-driven
necessity, but also something that impacts the well being and quality
of life of their citizens," gifford said.
marcy vadurro is a marketing professional within nursing and health
professions in higher education.
health
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darla branda
health professions clinical faculty darla branda: a faculty q&a
december 13, 2019
after spending 4 years in the military, darla branda earned her degree
and began working in health information management. she's since joined
the faculty at snhu, and we asked her to share her thoughts about
teaching, the importance of education and more as part our faculty
spotlight series.
a student in snhu's ccne accredited nursing programs.
snhu nursing programs receive 10-year ccne reaccreditation
november 21, 2019
snhu online nursing programs recently received a 10-year
reaccreditation from the commission on collegiate nursing education
(ccne), a professional accrediting agency that strives to promote the
quality and integrity of baccalaureate and graduate nursing programs.
a group of doctors and nurses reviewing a document in a hospital
corridor.
healthcare students get to the heart of succession planning
november 13, 2019
teams of southern new hampshire university nursing and healthcare
students recently tackled the challenge of succession planning for
healthcare facilities in the latest higher education and real-world
training challenge.
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homehealth and its importance | health and its significance | the
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health and its importance | health and its significance | the importance of
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health and its importance
health-and-its-importance
health and its importance
the word "health" refers to an emotional and physical well- being
state. healthcare is available to help people maintain this optimal
health status.
your food choices affect your health every day-how you feel today,
tomorrow and the future. good food is an important part of a healthy
lifestyle. in combination with physical activity, your diet can help
you achieve a healthy weight, reduce the risk of chronic diseases (such
as heart disease and cancer) and promote your overall health.
why does good health matter?
cells are the basic units of all organisms. they consist of a variety
of chemicals. cells move from location to location. even if the cell
does not move, there is still a lot of repairs. cells are the basic
units of all organisms.
in relation, there are various specialized activities in our body such
as the heart pumps blood, the kidney filters the urine, which even the
brain constantly probably thinks the lungs help to inhale.
there's a lot of interconnection in our body between the different
organs. our body needs energy and raw material for all these
activities. food is necessary for the functioning of cells and tissues.
therefore, if you're not good, all your physical activities begin to
get hampered.
the significance of health
health is a physical, mental and social state of complete well-being. a
person needs a balanced diet and regular exercise for a healthy life
cycle. you also have to live in a proper shelter, sleep enough and have
good hygiene habits. so, how do we make sure we do all the right things
to be healthy? let's raise awareness about the importance of health
1)all organisms ' health depends on their environment or surroundings.
in our individual health, our social environment is an important
factor.
2)for individual health, public cleanliness is important. we must
therefore ensure that we regularly collect and clear the waste. we also
need to contact an agency responsible for clearing the drains. you
could have a serious impact on your health without this.
3)we need food for health and food, by doing work, we have to earn
money. there must be an opportunity to do work for this. therefore,
individual health needs good economic conditions and jobs.
4)to be really healthy, we need to be happy. we can't be healthy or
happy if we mistreat each other and fear each other. for individual
health, social equality and harmony are important.
what is an illness?
if one or more organs or systems of our body are adversely affected
because they are interrupted in their normal functioning, we say that
we are not healthy, i.e. we have a disease. disease means that
something is wrong with our body and we feel that the body is unwell or
malfunctioning.
our health is not only affected by uneven diets, but also by diseases,
infections, poverty, large families, overcrowded homes, etc. the
disease is usually caused by external organisms (microbes), which cross
the natural barriers of the body and invade our healthy body. such
organisms can cause havoc if it is not handled immediately by our
immune system.
health-and-its-importance
health and its significance
types of health
mental and physical health are the two types of health most frequently
discussed. we also talk about, among others, "spiritual health,"
"emotional health" and "financial health." they were also linked to
lower levels of stress and mental and physical well- being.
physical health
bodily functions work at peak performance in a person who experiences
physical health, not only because of a lack of disease, but also
because of regular exercise, balanced nutrition and adequate rest. when
necessary, we receive treatment to maintain the balance.
physical well- being means a healthy lifestyle to reduce the risk of
disease. for example, maintaining physical fitness can protect the
breathing and heart function, muscle strength, flexibility and body
composition of a person and develop it.
physical health and well- being also reduce the risk of injury or
health problems. examples include minimizing risks at work, safe sex,
good hygiene, or avoiding tobacco, alcohol or illegal drugs.
mental health
mental health means the emotional, social and psychological well- being
of a person. mental health is as important to a full and active
lifestyle as physical health.
mental health is harder to define than physical health, because
diagnosis often depends on the perception of the individual's
experience. however, with test improvements, some signs of some types
of mental illness in ct scans and genetic testing are now becoming
"visible."
mental health is not just a lack of depression, anxiety or other
disorder. it also depends on the ability to: enjoy life bouncing back
after difficult experiences achieve balance, feel safe and secure in
order to achieve your potential.
there are good links between physical and mental health. if chronic
disease affects the ability of a person to perform his or her regular
tasks, depression and stress can be caused, for example, by money
problems. a mental illness such as depression or anorexia can affect
the weight and function of the body. rather than its different types,
it is important to approach "health "as a whole.
good health factors
health depends on a variety of factors. a person is born with a variety
of genes and an unusual genetic pattern can lead to a level of health
that is less than optimal in some people.
environmental factors play an important role. the environment alone
sometimes suffices to have an impact on health. an environmental
trigger can cause disease in a genetically susceptible person at other
times.
these can be summarized as:
social and economic environment: including the wealth of a family or
community.
the physical environment: including parasites in an area or levels of
pollution.
the characteristics and behaviors of the person:
according to the world health organization, the higher the socio-
economic status of a person( ses), the more likely they are to enjoy
good health, good education, a well- paid job, and if their health is
threatened, good health care will be available.
people with a lower socio- economic status are more likely to
experience stresses related to daily life, such as financial
difficulties, marital disruption and unemployment, as well as social
factors such as marginalization and discrimination. all of this adds to
the risk of poor health.
low socio- economic status means often less access to healthcare.
people in developed countries with universal health services have
longer life expectancies than people without universal health care in
developed countries.
cultural problems can have an impact on health. a society's traditions
and customs and the response of a family to them can have a good or bad
effect on health. for example, people around the mediterranean are more
likely to consume high levels of fruit, vegetables and olives and eat
as a family compared to fast food crops.
how stress is managed affects health. people who smoke, drink or take
drugs to forget about their problems are likely to experience more
health problems later than people who fight stress through healthy diet
and exercise.
men and women are susceptible to various health factors. they may be at
greater risk of poor health than men in societies where women earn less
than men or are less educated.
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1. hello healthy24 december 2019 at 19:33
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home » achieve lasting weight loss » the importance of health
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#what is health behavior? health risks alternate alternate
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models and mechanisms of public health
chapter 5: key principles of health behavior change
search for: ____________________ search
examples of health behaviors and concepts
image
social determinants, as stated in the article by short and mollborn,
can be split into three levels, the downstream level (individual
choices), the upstream level (socio-economic, cultural systems, etc.)
and the meso level (interpersonal interactions) (short and mollborn,
2015). most research is focused on the meso level due to the immediate
effects and influence it has over someone’s health behaviors. the
systems that are involved in the meso level could be an individual’s
neighborhood, family, and friends. the importance of social
determinants and their effects on health can help determine the reasons
for specific health actions and behaviors.
the concepts of health behavior are dynamic and encompass different
areas, cultures, genders, age groups, etc. this can be seen within the
united states; the likelihood of developing smoking behaviors are more
prevalent in the south than in the west (short and mollborn, 2015).
some examples of things that health behavior can affect are diet,
physical activity, sleep, and coping with stressful events. health
behavior should be looked at on multiple levels and perspectives to
fully understand how it can promote and protect health instead of
causing harm to it.
licenses and attributions
cc licensed content, original
* authored by: christian rossman, michaela ou2019brien, gloria
poisson, and abubakry tunkara. located at:
https://courses.lumenlearning.com/suny-buffalo-environmentalhealth/
. project: models and mechanisms of public health. license: cc
by-nc-sa: attribution-noncommercial-sharealike
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health behavior
health behavior pp 3-17 | cite as
health behavior
plural perspectives
* authors
* authors and affiliations
* david s. gochman
chapter
* 16 citations
* 27 readers
* 328 downloads
abstract
what “health behavior” means, and how it is treated in this book, are
the basic topics of the first part of this chapter, which begins with a
working definition of health behavior, discusses some related terms,
and provides a definition of “health behavior research.” the chapter
continues with a discussion of conceptions of health, illness, and
disease, and concludes by identifying some research issues that relate
to these conceptions.
keywords
health behavior behavioral health behavioral medicine illness
behavior sociocultural perspective
these keywords were added by machine and not by the authors. this
process is experimental and the keywords may be updated as the learning
algorithm improves.
this is a preview of subscription content, log in to check access.
preview
unable to display preview. download preview pdf.
unable to display preview. download preview pdf.
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copyright information
© springer science+business media new york 1988
authors and affiliations
* david s. gochman
+ 1
1. 1.raymond a. kent school of social workuniversity of
louisvillelouisvilleusa
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gochman d.s. (1988) health behavior. in: gochman d.s. (eds)
health behavior. springer, boston, ma
* doi https://doi.org/10.1007/978-1-4899-0833-9_1
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health behavior and health promotion
apple icon stopping the spread of communicable diseases. catching
cancer in its early stages. preventing teenagers from smoking
cigarettes. these are all based on choices and behaviors.
our goal in the division of health behavior and health promotion (hbhp)
is to enable people to achieve their optimal level of health through
healthy decisions and behaviors. in order to accomplish this, we work
with organizations, and communities to develop the knowledge and skills
needed for making healthy decisions and enacting healthy behaviors, and
to promote the conditions and resources necessary for healthy living.
we also collaborate across disciplines at ohio state to advance
knowledge and understanding of healthy behaviors.
research
research in healthy behaviors and health promotion seeks to understand
the choices and behaviors of individuals and communities with regard to
health. we also evaluate existing and pilot health programs. much of
our scholarly work is done in collaboration across the university and
with other institutions, as well as with community partners.
our faculty are involved in active research programs that include:
* health program evaluation
* global health
* smoking cessation in specific populations
* intervention to increase colon cancer screening rates
* health disparities
* the use of the hpv vaccine in appalachian ohio
* prevention, detection and treatment of lung cancer
* early childhood eating and exercise
curriculum
our curriculum emphasizes the social and behavioral determinants of
health and methods for changing behaviors in populations.
the health behavior and health promotion program offers two outstanding
degree programs with a concentration in health behavior and health
promotion: the mph (master of public health) and the phd.
both degree programs provide students with a thorough knowledge of
health behavior and health promotion from its fundamental relationship
to public health to role in implementing intervention strategies.
courses also offer a rich array of research opportunities and practical
job experiences.
learn more about degree programs in health behavior and health promotion
mph phd
in addition, we offer a graduate minor in public health behavior and
promotion.
minor
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# program description
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+ master of science
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+ doctor of philosophy
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o environmental public health
o epidemiology
o health behavior and health promotion
o health services management and policy
+ minors/ specializations/ certificates
o graduate certificate in environmental public health risk
assessment
o graduate certificate in global one health
o graduate interdisciplinary specialization in obesity
science
o graduate interdisciplinary specialization in global
health
o graduate minor in public health behavior and promotion
o epidemiology minor
o global public health minor
+ contact us
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health behavior models
behavior change models:
there are a number of theoretical models in the literature that address
effective ways to change health behaviors. the pages below outline
basic theories, their major constructs, and the recommended strategies
to help clients reduce tobacco use.
* transtheoretical model (ttm) & stages of change
* health belief model
* social cognitive theory
* theory of reasoned action/theory of planned behavior
measures:
stages of change & readiness
the stages of change algorithm can be used in research to determine an
individual’s current stage of change for quitting tobacco.
the readiness ruler is a brief, 1 item measure that can be used to
assess motivational readiness for quitting smoking. used in practice
and research.
processes of change for quitting smoking
the processes of change questionnaire is a self-report measure that
assesses an individual’s use of experiential and behavioral processes
of change to quit smoking. used in both practice and research.
temptation to smoke
the temptation to smoke scale is a self-report measure that assesses
how tempted an individual is to smoke in a variety of situations. used
in both practice and research.
confidence to abstain (self-efficacy)
the smoking self-efficacy scale is a self-report measure that assesses
an individual's confidence to abstain from smoking in a variety of
situations. used in both practice and research.
decisional balance (pros & cons of smoking)
the decisional balance scale is a self-report measure of the pros and
cons a person perceives in terms of smoking. used in both practice and
research.
screening for tobacco use
the tobacco screening measure is a brief, 1-4 item measure that can be
used to assess current smoking status as well as heaviness of smoking.
the first question should be asked of all patients, and can be helpful
in identifying “former smokers” that may otherwise be mistaken as
“never-smokers.” the tobacco screening measure was developed by
maryland m.d.s making a difference (md3), and can also be found on
their pocket guide for tobacco, alcohol, and drug screening, brief
intervention, referral, and treatment. used primarily in practice.
nicotine dependence
the fagerström test for nicotine dependence (ftnd) consists of six
multiple-choice questions meant to assess how strongly “addicted” an
individual is to nicotine. used in both practice and research.
*permission to use this scale for purposes other than research should
be obtained from k. l. fagerström.
smoking history
the smoking history questionnaire is meant to provide a more detailed
picture of both current and past tobacco use. questions may vary
depending upon the purpose or goals of this measure’s use. used
primarily in research.
**please follow the links above for more information about the models
and measures, or visit the habits lab
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what is good health?
written by adam felman on july 31, 2017
* what is health?
* types
* factors for good health
* preserving health
the word "health" refers to a state of complete emotional and physical
well-being. healthcare exists to help people maintain this optimal
state of health.
in 2015, the population of the united states (u.s.) spent an estimated
$3.2 trillion on healthcare costs.
however, despite this expenditure, a study by the u.s. national
research council, published in 2013, showed that americans die at a
younger age and experience more illness and injury than people in other
developed countries.
good health is central to handling stress and living a long and active
life.
fast facts on health
here are some key points about health. more detail is in the main
article.
* health can be defined as physical, mental, and social wellbeing,
and as a resource for living a full life.
* it refers not only to the absence of disease, but the ability to
recover and bounce back from illness and other problems.
* factors for good health include genetics, the environment,
relationships, and education.
* a healthful diet, exercise, screening for diseases, and coping
strategies can all enhance a person's health.
what is health?
health is not just absence of disease but a state of overall wellbeing.
share on pinteresthealth is not just absence of disease but a state of
overall wellbeing.
in 1948, the world health organization (who) defined health with a
phrase that is still used today.
"health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity." who, 1948.
in 1986, the who further clarified that health is:
"a resource for everyday life, not the objective of living. health is a
positive concept emphasizing social and personal resources, as well as
physical capacities."
this means that health is a resource to support an individualʼs
function in wider society. a healthful lifestyle provides the means to
lead a full life.
more recently, researchers have defined health as the ability of a body
to adapt to new threats and infirmities. they base this on the idea
that modern science has dramatically increased human awareness of
diseases and how they work in the last few decades.
types
mental and physical health are the two most commonly discussed types of
health. we also talk about "spiritual health," "emotional health," and
"financial health," among others. these have also been linked to lower
stress levels and mental and physical wellbeing.
physical health
in a person who experiences physical health, bodily functions are
working at peak performance, due not only to a lack of disease, but
also to regular exercise, balanced nutrition, and adequate rest. we
receive treatment, when necessary, to maintain the balance.
physical wellbeing involves pursuing a healthful lifestyle to decrease
the risk of disease. maintaining physical fitness, for example, can
protect and develop the endurance of a personʼs breathing and heart
function, muscular strength, flexibility, and body composition.
physical health and well-being also help reduce the risk of an injury
or health issue. examples include minimizing hazards in the workplace,
practicing safe sex, practicing good hygiene, or avoiding the use of
tobacco, alcohol, or illegal drugs.
mental health
mental health refers to a personʼs emotional, social, and psychological
wellbeing. mental health is as important as physical health to a full,
active lifestyle.
it is harder to define mental health than physical health, because, in
many cases, diagnosis depends on the individualʼs perception of their
experience. with improvements in testing, however, some signs of some
types of mental illness are now becoming "visible" in ct scans and
genetic testing.
mental health is not only the absence of depression, anxiety, or
another disorder.
it also depends on the ability to:
* enjoy life
* bounce back after difficult experiences
* achieve balance
* adapt to adversity
* feel safe and secure
* achieve your potential
physical and mental health are linked. if chronic illness affects a
personʼs ability to complete their regular tasks, this may lead to
depression and stress, for example, due to money problems.
a mental illness such as depression or anorexia nervosa can affect body
weight and function.
it is important to approach "health" as a whole, rather than its
different types.
factors for good health
health depends on a wide range of factors.
a person is born with a range of genes, and in some people, an unusual
genetic pattern can lead to a less-than-optimum level of health.
environmental factors play a role. sometimes the environment alone is
enough to impact health. other times, an environmental trigger can
cause illness in a person who is genetically susceptible.
access to healthcare plays a role, but the who suggests that the
following factors may have a bigger impact on health than this:
* where a person lives
* the state of the surrounding environment
* genetics
* income
* education level
* relationships with friends and family
these can be summarized as:
* the social and economic environment: including how wealthy a family
or community is
* the physical environment: including parasites that exist in an
area, or pollution levels
* the personʼs characteristics and behaviors: including the genes
that a person is born with and their lifestyle choices
*
according to the who, the higher a personʼs socioeconomic status (ses),
the more likely they are to enjoy good health, a good education, a
well-paid job, afford good healthcare when their health is threatened.
people with a lower socioeconomic status are more likely to experience
stresses related to daily living, such as financial difficulties,
marital disruption, and unemployment, as well as social factors, such
as marginalization and discrimination. all these add to the risk of
poor health.
a low socio-economic status often means less access to healthcare.
people in developed countries with universal healthcare services have
longer life expectancies than people in developed countries without
universal healthcare.
cultural issues can affect health. the traditions and customs of a
society and a familyʼs response to them can have a good or bad impact
on health. for example, around the mediterranean, people are more
likely to consume high levels of fruits, vegetables, and olive, and to
eat as a family, compared with cultures with a high consumption of fast
food.
how a person manages stress will affect health. people who smoke,
drink, or take drugs to forget their problems are likely to have more
health problems later than someone who combats stress through a
healthful diet and exercise.
men and women are prone to different health factors. in societies where
women earn less than men or are less educated, they may be at greater
risk than men for poor health.
preserving health
the best way to maintain health is to preserve it through a healthful
lifestyle, rather than waiting until we are sick to put things right.
this state of enhanced well-being is referred to as wellness.
the mckinley health center at the university of illinois il defines
wellness as:
"a state of optimal well-being that is oriented toward maximizing an
individualʼs potential. this is a life-long process of moving
towards enhancing your physical, intellectual, emotional, social,
spiritual, and environmental well-being."
wellness promotes an active awareness of and participation in health,
as an individual and in the community.
maintaining wellness and optimal health is a lifelong, daily
commitment.
steps that can help us maximize our health include:
* a balanced, nutritious diet, sourced as naturally as possible
* regular exercising
* screening for diseases that may present a risk
* learning to manage stress
* engaging in activities that provide purpose and connection to
others
* maintaining a positive outlook and appreciating what you have
* defining a value system, and putting it into action
peak health will be different for each person, and how you achieve
wellness may be different from how someone else does.
it may not be possible to avoid disease completely, but doing as much
as we can to develop resilience and prepare the body and mind to deal
with problems as they arise is a step we can all take.
written by adam felman on july 31, 2017
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* croat med j
* v.47(4); 2006 aug
* pmc2080455
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croat med j. 2006 aug; 47(4): 662–664.
pmcid: pmc2080455
pmid: 16909464
the meanings of health and its promotion
norman sartorius
copyright and license information disclaimer
copyright © 2006 by the croatian medical journal. all rights reserved.
this is an open access article distributed under the creative commons
attribution license, which permits unrestricted non-commercial use,
distribution, and reproduction in any medium, provided the original
work is properly cited.
this article has been cited by other articles in pmc.
the constitution of the world health organization, which came into
force on april 7, 1948, defined health “as a state of complete
physical, mental and social well-being.” the writers of the
constitution were clearly aware of the tendency of seeing health as a
state dependent on the presence or absence of diseases: so they added
to that definition that an individual, if he is to be considered
healthy, should not suffer from any disease (….“and not merely the
absence of disease or infirmity”) (1). in that way, the definition of
the world health organization simply added a requirement to the
previous position that allowed to declare someone healthy if no disease
could be found: the step forward that could have been taken in the
conceptualization of health as a dimension of existence which can
co-exist with the presence of a disease or impairment was thus not
taken.
today, three types of definition of health seem to be possible and are
used. the first is that health is the absence of any disease or
impairment. the second is that health is a state that allows the
individual to adequately cope with all demands of daily life (implying
also the absence of disease and impairment). the third definition
states that health is a state of balance, an equilibrium that an
individual has established within himself and between himself and his
social and physical environment.
the consequences of adopting one or another of these definitions are
considerable. if health is defined as the absence of disease, the
medical profession is the one that can declare an individual healthy.
with the progress of medicine, individuals who are declared healthy
today may be found to be diseased tomorrow because more advanced
methods of investigations might find signs of a disease that was not
diagnosable earlier. how an individual feels about his or her state is
not relevant in this paradigm of health. how the surrounding people
judge the behavior and appearance of an individual is only relevant if
their observations are congruent with the criteria of abnormality that
the medical profession has produced. the measurement of the state of
health of a population is also simple and will involve no more than
counting the individuals who, on examination, show defined signs of
illness and comparing their numbers with those who do not.
there are obvious difficulties with the first and the second of the
definitions mentioned above and with their consequences. there are
individuals who have abnormalities that can be counted as symptoms of a
disease but do not feel ill. there are others whose body tissues do not
demonstrate changes but who feel ill and do not function well. there
are people who hear voices and might therefore be candidates for
psychiatric examination and possibly treatment – but live well in their
community and do not ask for nor receive medical care. there is a
significant number of people who have peptic ulcers and other diseases,
experience no problems, do not know that they have a disease and do not
seek treatment for it. some of these individuals will also escape the
second type of definition of health because they function as well as
expected in their age and gender group of the general population.
the third definition mentioned above makes health depend on whether a
person has established a state of balance within oneself and with the
environment. this means that those with a disease or impairment will be
considered as being healthy to a level defined by their ability to
establish an internal equilibrium that makes them get the most they can
from their life despite the presence of the disease. health would thus
be a dimension of human existence that remains in existence regardless
of the presence of diseases, somewhat like the sky that remains in
place even when covered with clouds. the advantage of this definition
is that diseases do not replace individuals’ health: they may affect
their balance more or less severely but, at all times, the patients who
suffer from a disease (and their doctors) remain aware of the need to
work simultaneously on two tasks – one, to remove or alleviate the
disease and the second to establish a state of balance, as best they
can, within oneself and in relation with their environment. in fighting
stigmatization that accompanies many chronic and some acute diseases –
such as mental disorders or leprosy – this definition is also useful
because it makes us speak and think about our patients as people who
are defined by different dimensions (including health) and who, at a
point, suffer from a disease – and thus make us say “a person with
schizophrenia” rather than “a schizophrenic,” or a ”person who has
diabetes” rather than a “diabetic” and a “person with leprosy” rather
than a “leper.”
there is another important consequence of working with this definition
of health. to establish whether someone is in good health in accordance
with this definition, the doctor must explore how individuals who have
a disease feel about it, how the disease influences their lives, how
they propose to fight their disease or live with it. laboratory
findings and the presence of symptoms are thus important and necessary
ingredients in thinking about the state of health and the presence of a
disease but are not sufficient to reach a decision about someone’s
health: it is necessary to view the disease in the context of the
person who has it in order to make a judgment about his or her level of
health. there is little doubt about the fact that going about the
treatment of diseases in this way would improve the practice of
medicine and make it a more realistic as well as a more humane
endeavor.
the promotion of health is also affected by the differences in the
definition of health. the simplest definition of health – equated with
the absence of disease – would lead to a definition of the promotion of
health as an effort to remove diseases and diminish the numbers of
individuals who suffer from them. the involvement of functioning in the
definition of health would be reflected in defining the promotion of
health as a process by which the capacity of individuals to cope will
be enhanced and strengthened, for example by regular and obligatory
physical exercise. both of these definitions would lead to
recommendations to improve the treatment of diseases, and to remove
risks factors that might lead to them – such as sedentary life style,
smoking, bad eating habits and insufficient application of hygienic
measures such as washing one’s hands before meals.
the third definition of health, by its very nature, could not stop at
efforts to remove diseases and to diminish risk factors that might lead
to disease. it would have to involve the individuals whose health is to
be promoted in an active way: it would have to address the scales of
values of individuals and communities to ensure that health is placed
higher on those scales. high value placed on health (not only on the
absence of disease) would make people undertake whatever is necessary
to enhance health: participating in preventive action and seeking
treatment would become a normal expression of the need to behave in
harmony with one’s own and one’s community values. changing the place
of health on the scale of values, however, is not possible if left to
the health sector alone: values are shaped throughout life under the
influence of parents, friends, schools, the media, laws, and one’s own
life course and experience. thus, changing values – for example to give
health a higher value, to promote health – has to be a task for all of
those involved in shaping values and placing them on a scale rather
than for the health system alone.
the huge challenges that face societies aiming to improve the health of
their citizens will not be appropriately answered if we do not change
the paradigms of health and disease and design strategies for future
work using these new paradigms. their formulation and acceptance is a
task that is before all of us and is urgent.
references
1. constitution of the world health organization. in: world health
organization: basic documents. 45th ed. geneva: world health
organization; 2005. [google scholar]
__________________________________________________________________
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fdi unveils new universally applicable definition of ‘oral health’
06 september 2016
6 september 2016
fdi unveils new universally applicable definition of ‘oral health’
poznan, 6 september 2016 – fdi world dental federation today launched
the new definition of ‘oral health’ – positioning it as an integral
part of general health and well-being – at its annual world dental
congress in poznan, poland. it was adopted by over 200 national dental
associations (ndas) and will now be rolled out to the oral health
community, globally.
“this new definition is an important milestone for the oral health
profession,” said dr patrick hescot, fdi president. “true to our vision
2020 advocacy strategy and our ambition to lead the world to optimal
oral health, the new definition will allow us to develop standardized
assessment and measurement tools for consistent data collection on a
global level.”
as defined by fdi:
oral health is multi-faceted and includes the ability to speak, smile,
smell, taste, touch, chew, swallow and convey a range of emotions
through facial expressions with confidence and without pain, discomfort
and disease of the craniofacial complex.
further attributes related to the definition state that oral health:
* is a fundamental component of health and physical and mental
wellbeing. it exists along a continuum influenced by the values and
attitudes of individuals and communities;
* reflects the physiological, social and psychological attributes
that are essential to the quality of life;
* is influenced by the individual’s changing experiences,
perceptions, expectations and ability to adapt to circumstances.
the new definition was coined by fdi’s vision 2020 think tank members,
which includes experts in oral health, public health and health
economics. together with a companion framework tested against external
stakeholders, the new oral health definition is the result of a wider
consultation which included patients, oral health professionals, ndas,
the public health community, academia, government, industry and
third-party payers.
“with this new definition, we want to raise awareness of the different
dimensions of oral health and emphasize that oral health does not occur
in isolation, but is embedded in the wider framework of overall health”
said prof. david williams, co-chair of fdi’s vision 2020 think tank.
“we are proposing a contemporary definition of oral health, which
resonates with that used by many ndas and the world health
organization,” said prof. michael glick, co-chair of fdi’s vision 2020
think tank. “it is therefore not a revolution, but an evolution.”
fdi plans to widely disseminate this oral health definition and
advocate for its operationalization to establish a standard measurement
instrument that can be applied across countries. a measurement toolbox
will be ready in 2017 to allow for assessment of individual and
population needs that can inform and drive oral health policies.
media contact
charanjit (chaz) jagait phd, fdi communications & advocacy director
e-mail: cjagait@fdiworldental.org | tel: +41 22 560 81 48
about fdi world dental federation
fdi world dental federation serves as the principal representative body
for over 1 million dentists worldwide. its membership includes some 200
national member associations and specialist groups in over 130
countries. fdi’s vision: ‘leading the world to optimal oral health’.
www.fdiworldental.org
for more fdi news, visit www.fdiworldental.org
fdi world federation - avenue louis casai 51 - ch - 1216 cointrin -
geneva - switzerland
© fdi world dental federation - all rights reserved
www.fdiworldental.org
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aha statement for house energy and commerce committee on maternal health
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“improving maternal health: legislation to advance prevention efforts
and
access to care”
september 10, 2019
on behalf of our nearly 5,000 member hospitals, health systems and
other health care organizations, our clinician partners – including
more than 270,000 affiliated physicians, 2 million nurses and other
caregivers – and the 43,000 health care leaders who belong to our
professional membership groups, the american hospital association (aha)
commends the committee on energy and commerce for its efforts to
examine legislation to improve maternal health.
maternal health is a top priority for the aha and our member hospitals
and health systems, and our initial efforts are aimed at eliminating
maternal mortality and severe morbidity. the causes of maternal
mortality and morbidity are complex, including a lack of consistent
access to comprehensive care and persistent racial disparities in
health and health care. as hospitals work to improve health outcomes,
we are redoubling our efforts to improve maternal health across the
continuum of care and reaching out to community partners to aid in that
important effort.
the may 2019 vital signs report issued by the centers for disease
control and prevention (cdc) noted that about 700 women die each year
from complications related to pregnancy, and more than half of those
deaths are preventable. an estimated 31% of pregnancy-related deaths
occur during pregnancy, 36% during delivery or the week after, and 33%
one week to one year after delivery. the cdc last week released its
morbidity and mortality weekly report that showed that between
2007-2016, the pregnancy-related mortality ratio increased from 15 to
17 pregnancy-related deaths per 100,000 births and that black, american
indian and alaska native women were two to three times more likely to
die from pregnancy-related causes than white women, and this disparity
increases with age. the report also noted that racial and ethnic
disparities in pregnancy-related deaths have persisted over time.
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maternal & child health
every child deserves to have a healthy start in life, and every mother
should have access to quality healthcare during pregnancy and
childbirth. the birth of a new child should be a time for celebration,
and yet for many women around the world it is a time of fear. according
to the world health organisation, more than 800 women die every day
from complications in pregnancy and childbirth. the majority of these
deaths could be prevented given the right resources and care. most of
these deaths happen in the global south, and are particularly high in
rural areas.
in these remote areas, women, newborns and children are often the most
vulnerable to health problems. health centres can be difficult to
reach, and without alternative forms of transport available to them,
women and children sometimes have to walk for days to get there. even
when they reach the facilities, they might find them understaffed or
underequipped.
indigenous women and girls are even more likely to experience worse
maternal health outcomes, and frequently face discrimination and abuse
from health centre staff. for example, maasai women in kenya are twice
as likely to have had no antenatal care, and san women in namibia are
ten times more likely to give birth without skilled attendance.
au sits inside her mud-walled hut near tsumkwe, namibia
au, a traditional birth attendant in namibia
all of these factors discourage mothers from visiting health centres
during pregnancy and to give birth, and often they instead rely on
traditional birth attendants (tbas) in the community as their only
source of maternal health support. the position of tba is passed down
through generations of women, and is a highly respected role in the
community. however, these women very rarely have access to any health
training, leaving them without the skills or tools to identify and
treat difficulties in childbirth. overall, the lack of infrastructure,
transport and training means women and newborns are still dying in
childbirth.
at health poverty action we believe maternal health is particularly
important because of the far-reaching impacts it has on families and
communities. not only does access to quality maternal healthcare ensure
the good health of a mother – her good health also helps to ensure the
good health of her newborn child and the rest of her family.
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maternal health
view photo uganda 2017 © frederic noy/cosmos
maternal health care provided at msf's health center in bidibidi,
uganda.
uganda 2017 © frederic noy/cosmos
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many women across the world give birth without medical assistance,
massively increasing the risk of complications or death. every day on
average 830 women die from pregnancy-related causes. most of these
deaths are preventable.
99 percent
maternal deaths
occur in developing countries
50 percent
maternal deaths
occur during delivery or within 24 hours
1.1 million
births
assisted by msf from 2013-2017, including 107,000 caesarean sections
reproductive health care is an integral part of the medical care
doctors without borders/médecins sans frontières (msf) provides,
including in emergencies. our maternal health programs in more than 25
countries focus on reducing maternal and infant mortality through
pregnancy and prenatal consultations, emergency obstetric care,
postnatal follow-up, and access to family planning services and safe
abortion care.
maternal health facts
serious, untreated complications during pregnancy or delivery can be
fatal to both mother and infant. the most common complications that may
lead to maternal death are: postpartum hemorrhage, reproductive tract
infections, eclampsia, unsafe abortion, obstructed labor, and serious
infectious diseases.
hemorrhage
hemorrhage, or excessive bleeding, can happen after a complicated
birth. often it results from failure of the uterus to contract after
delivery. normally, these contractions stop the bleeding that occurs
once the placenta separates from the uterine wall. but complications or
incomplete placental separation can lead to continued bleeding, and
without rapid medical intervention, a woman can quickly bleed to death.
when skilled birth attendants are present, oxytocin can be given to
prevent bleeding. if severe bleeding does occur, the mother is
resuscitated and attendants apply methods ranging from further
medication and manual pressure to stop the bleeding through to
emergency surgery.
severe infection
severe infection can develop during pregnancy or from unhygienic
conditions during delivery. one common type is reproductive tract
infections (rti), which cause intrauterine infections that can
eventually be fatal to the woman. they can also cause life-threatening
infection in the infant.
access to clean water and hygienic conditions during delivery, such as
clean hands and a clean delivery surface like a plastic cover, are
vital to preventing infections. if an infection occurs, early detection
and treatment with the appropriate antibiotic can prevent serious
illness or death.
eclampsia and other hypertensive disorders
eclampsia and other hypertensive disorders of pregnancy are linked to
high blood pressure and are characterized by seizures that can lead to
coma and death. eclampsia begins during pregnancy as pre-eclampsia,
which leads to high blood pressure. without prenatal care pre-eclampsia
can develop into severe pre-eclampsia or full eclampsia, causing
symptoms such as swelling, sudden weight gain, headaches, changes in
vision, and potentially fatal convulsions.
unsafe abortion
unsafe abortion is a procedure for terminating an unwanted pregnancy
either by persons lacking the necessary skills or in an environment
lacking minimal medical standards, or both, as defined by the world
health organization. globally, at least 22,000 women die every year
from unsafe abortion—the only major cause of maternal death that has
not declined in recent decades, despite it being almost complete
preventable. of those women who survive, 7 million suffer serious
consequences such as infertility, injury, or complications with future
pregnancies.
comprehensive sexual and reproductive health services can greatly
reduce the number of unsafe abortions, by offering safer alternatives
through family planning and access to safe abortion care.
obstructed labor
obstructed labor can occur if the baby’s head is too large or its
position is abnormal, blocking passage through the birth canal. when a
mother is malnourished or is very young and therefore has an
underdeveloped pelvis, the birth canal itself is often not wide enough
to accommodate the head of the baby. if an obstructed labor becomes
prolonged, lasting more than 24 hours, the baby may die and the woman
is at risk of postpartum hemorrhage, uterine rupture or fistula, and
severe infection—all potentially fatal.
skilled staff are essential in managing complicated deliveries and
identifying signs that interventions are needed. these can range from
iv fluids and/or medications to support labor, to an
instrument-assisted delivery (vacuum cup or forceps) or caesarean
section.
indirect causes
indirect causes, in particular complications from infectious disease,
account for about 20 percent of maternal deaths.
during pregnancy, already dangerous diseases can pose even greater
threats to both mother and fetus. for example, malaria in pregnant
women increases their risk of miscarriage and causes over 10,000
maternal deaths globally, while tuberculosis also increases rates of
miscarriage and maternal death. malaria, tuberculosis, and cholera all
raise the risk of stillbirths, death of newborns, or low birth weight
infants.
for pregnant women at risk for any of these diseases, protecting their
health starts with preventive measures. these can include reducing
exposure (such as by sleeping under mosquito nets in malaria regions,
and ensuring access to clean water and supplies for good hygiene) and
short-term use of anti-malarial or anti-tuberculosis drugs during
pregnancy. for those who become ill, early diagnosis and treatment are
essential. whether treating malaria, hiv, tuberculosis, or another
disease, effective treatment reduces the risk of developing severe
complications that threaten the lives of both mother and baby.
how msf responds
our obstetric care programs aim to remedy the crucial "three delays"
that can threaten the lives of both mother and child. these are: delay
in deciding to seek care; delay in reaching a health facility; and
delay in receiving appropriate treatment at the facility.
emergency obstetric care is a key component of this strategy. emergency
care administered promptly by qualified staff can save the lives of
women experiencing complications during or just after delivery, when
half of all maternal deaths occur. to help reduce barriers to use of
our emergency obstetric services, we adapt services to local cultures
and (as with all msf programs) make them free of charge, as our
beneficiaries are often among the poorest sector of the population.
during conflicts or natural disasters, where health services have often
collapsed or are inadequate, emergency obstetrical needs are among the
major needs we see. over the period of 2008-15, 56 percent of all
caesarean sections we performed were in active conflict settings. for
this reason, rapid implementation of emergency maternal care is now
incorporated into our response to these crises.
we also aim to locate services close to the people who need them. in
some settings where this is not possible or we serve a large region, we
have introduced mobile clinics that travel to areas where people often
have no access to health care, combined with referral systems to
identify women with pregnancy complications and transfer them when
necessary to a health post or hospital that can provide appropriate
care.
in remote locations such as kabezi, a rural district in burundi, we
have also implemented ambulance services, which have been linked to
significant reductions in maternal mortality.
abla ali, msf midwife, iraq
giving syrian refugees a safe place to give birth
"the best part of being a midwife is the appreciation from the mothers.
they stop me in the camp when i pass and they say to their children:
'this is abla, she’s a good midwife and she delivered you.'"
–abla ali, msf midwife
read more
antenatal care improves the mother’s health during her pregnancy and
helps reduce or manage complications for both mother and newborn. in
addition, these consultations provide opportunities to inform women and
their families about how to recognize complications and to prepare for
emergencies, and about health structures where women can go for
emergency care, if needed, and for delivery.
post-natal care is another critical area for reducing maternal and
infant death and improving the physical and mental wellbeing of mother
and child. most maternal illnesses and deaths occur at or soon after
delivery, while the majority of infant deaths occur in the first few
days post-delivery—and 30 percent of all child deaths below the age of
five occur in the first four weeks of life.
hiv/aids and preventing mother-to-child transmission
without treatment, 25 to 40 percent of all children born to
hiv-positive mothers will also be infected. this rate can be reduced to
below five percent with antiretroviral treatments for the mother and a
short course of antiretroviral drugs for the baby, together with
appropriate breastfeeding practices.
we have opened programs on prevention of mother-to-child transmission
in many of the world’s most affected regions. in swaziland, for
example, we provided hiv treatment to thousands of hiv-positive
pregnant women as soon as possible after their diagnosis to prevent
their babies from becoming infected.
providing
our research on maternal health
read more
iframe:
https://www.youtube.com/embed/zb6maradouq?autoplay=0&start=0&rel=0
care for other infectious diseases
pregnant women are more susceptible to infectious diseases, and when
infected they are more likely to experience pregnancy complications and
face an increased risk of miscarriage or stillbirth.
for this reason, we offer preventive treatment to pregnant women
exposed to diseases such as malaria and tuberculosis, and provide extra
care where appropriate to pregnant women with these diseases or others
such as cholera and hepatitis e.
support msf's work on maternal health and other medical issues
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aid
this article is more than 1 year old
uk 'exaggerated number of lives saved' by maternal health aid project
this article is more than 1 year old
watchdog says many more deaths could have been prevented given level of
investment in department for international development programmes
supported by
count me in! consortium about this content
rebecca ratcliffe
tue 30 oct 2018 06.00 gmt last modified on mon 4 mar 2019 11.56 gmt
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mother carrying baby in malawi
[ ] in malawi, heavily pregnant women camped outside health facilities
for up to a month before giving birth, the review found. photograph:
jeffrey davis/getty images/tetra images rf
the uk government has been criticised by an aid watchdog for
exaggerating the number of women’s lives it saved through its maternal
health programmes.
a review, published by the independent commission for aid impact (icai)
on tuesday, also said the number of lives saved “were significantly
below what they could have been, given the level of investment”.
the watchdog said programmes by britain’s department for international
development (dfid) had failed to significantly improve the quality and
sustainability of maternal healthcare services in partner countries.
why do women still die giving birth?
read more
dfid spent about £4.6bn on programmes in health and other sectors
between 2011 and 2015. within this, £1.3bn focused more closely on
maternal health, including family planning, reproductive healthcare and
maternal and neonatal health. but icai said investments were focused on
short-term goals, and did not do enough to strengthen healthcare
systems or target marginalised women or teenage girls.
by 2015, dfid claimed to have saved 103,000 women’s lives during
pregnancy and childbirth, more than double its goal of 50,000. in an
internal and unpublished review, this figure was revised down to
80,100.
icai said the department relied on “unrealistic assumptions” to reach
such figures. compared with the review team’s observations in countries
such as malawi, the estimates appeared inflated.
alison evans, icai’s chief commissioner, who led the review, said uk
aid had expanded access to family planning, but added “… given the
ambition, need and level of investment, the programmes fell short of
what was required to achieve adequate progress.”
health facilities in partner countries remained chronically
under-resourced, with severe shortages of beds, healthcare workers and
equipment, said evans. in northern malawi, an area visited as part of
the review, heavily pregnant women camped outside health facilities for
up to a month before giving birth.
“they are waiting because they are not sure where they are in their
pregnancy cycle because of the lack of ultrasound equipment and the
lack of effective dating of pregnancies,” she said. “they don’t know
how close to their due dates they are and because they are fearful of
giving birth in a situation where there may not be a skilled attendant
they wait outside facilities, sometimes for up to a month, sometimes in
makeshift accommodation.”
uk aid programmes had fallen short of targets to improve emergency
obstetric and neonatal care, according to the review.
dfid had promised to prioritise the poorest 40% of women, as well as
girls aged between 15 and 19 years. but icai found that few programmes
included specific measures to reach these groups, nor did the
department monitor whether its programmes were reaching teenage girls.
it also failed to include measures that would tackle discrimination and
abuse of women in health facilities.
sean roberts, policy and campaigns officer at health poverty action,
said uk aid must be better targeted at the most vulnerable groups.
“indigenous women die far more often in childbirth than other women,”
he said. “if dfid wants to meet its commitment to leave no one behind
it must implement a robust action plan to address the maternal health
of indigenous women and other excluded groups.”
while uk aid had improved access to family planning for millions of
women, in malawi such programmes were delivered through non-state
providers. such partnerships allowed funding to quickly reach large
numbers of people, but risked displacing public sector services, said
evans.
“you have this problem of sustainability,” she said. “the public sector
is not able to gear itself up to provide a similar level of outreach.”
the review team visited a sample of programmes in malawi and the
democratic republic of the congo, as well as analysing published
literature, dfid policy documents and conducting interviews with
experts.
icai warned that health facilities struggled to ensure a reliable
supply of contraceptives. it added that dfid had championed
reproductive rights at the international level, but done less work to
encourage legal, policy and cultural change in partner countries.
dfid said in a statement that the uk is a global leader in promoting
reproductive health, and added that the review was not representative
of all the department’s work.
“we welcome icai’s acknowledgement that uk aid is helping women around
the world access the life-saving services they need, but it is
disappointing the report has made some generalisations from a selected
portion of our programming and also does not fully reflect the full
impact of our work, especially in recent years,” the statement said.
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* the facts
* what is mental health?
what is mental health?
it’s an expression we use every day, so it might surprise you that the
term ‘mental health’ is frequently misunderstood.
‘mental health’ is often used as a substitute for mental health
conditions – such as depression, anxiety conditions, schizophrenia, and
others.
according to the world health organization, however, mental health
is “a state of well-being in which every individual realises his or her
own potential, can cope with the normal stresses of life, can work
productively and fruitfully, and is able to make a contribution to her
or his community.”
so rather than being about ‘what’s the problem?’ it’s really about
‘what’s going well?'
''mental health is about wellness rather than illness''
to make things a bit clearer, some experts have tried coming up with
different terms to explain the difference between ‘mental health’ and
‘mental health conditions’. phrases such as ‘good mental health’,
‘positive mental health’, ‘mental wellbeing’, ‘subjective wellbeing’
and even ‘happiness’ have been proposed by various people to emphasise
that mental health is about wellness rather than illness. while some
say this has been helpful, others argue that using more words to
describe the same thing just adds to the confusion.
as a result, others have tried to explain the difference by talking
about a continuum where mental health is at one end of the spectrum –
represented by feeling good and functioning well – while mental health
conditions (or mental illness) are at the other – represented by
symptoms that affect people’s thoughts, feelings or behaviour.
the benefits of staying well
research shows that high levels of mental health are associated with
increased learning, creativity and productivity, more pro-social
behaviour and positive social relationships, and with improved physical
health and life expectancy. in contrast, mental health conditions can
cause distress, impact on day-to-day functioning and relationships, and
are associated with poor physical health and premature death from
suicide.
but it’s important to remember that mental health is complex. the fact
that someone is not experiencing a mental health condition doesn’t
necessarily mean their mental health is flourishing. likewise, it’s
possible to be diagnosed with a mental health condition while feeling
well in many aspects of life.
ultimately, mental health is about being cognitively, emotionally and
socially healthy – the way we think, feel and develop relationships -
and not merely the absence of a mental health condition.
beyond blue's vision is that everyone achieves their best possible mental
health
while beyond blue's primary focus is on the needs of people affected by
depression, anxiety and suicide, we also believe that a better
understanding of what we mean by mental health and how to achieve it
will help everyone in australia reach their full potential. this will
also contribute to the prevention of mental health conditions, and
support people who have experienced these conditions to get as well as
they can and lead full and contributing lives.
having social connections, good personal relationships and being part
of a community are vital to maintaining good mental health and
contribute to people's recovery, should they become unwell.
however, if you feel that you may be affected by depression or
anxiety remember they are treatable conditions and effective
treatments are available. the earlier you seek support, the better.
take the anxiety/depression checklist
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home information & support types of mental health problems
types of mental health problems
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[ ] types of depression (3)
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explains what anger is, and how to deal with it in a constructive and
healthy way.
anxiety and panic attacks
explains anxiety and panic attacks, including possible causes and how
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yourself, and guidance for friends and family.
bipolar disorder
explains what bipolar disorder is, what kinds of treatment are
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body dysmorphic disorder (bdd)
explains body dysmorphic disorder, including possible causes and how
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yourself, and guidance for friends and family.
borderline personality disorder (bpd)
explains what bpd is and what it’s like to live with this diagnosis.
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gives guidance on how friends and family can help.
depression
explains depression, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
dissociation and dissociative disorders
explains dissociative disorders, including possible causes and how you
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and guidance for friends and family.
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hearing voices
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obsessive-compulsive disorder (ocd)
explains obsessive-compulsive disorder (ocd), including possible causes
and how you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
panic attacks
explains what panic attacks are, including possible causes and how you
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and guidance for friends and family.
paranoia
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personality disorders
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self-esteem
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suicidal feelings
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if you have, or believe you may have, mental health problem, it can be
helpful to talk about these issues with others. it can be scary to
reach out for help, but it is often the first step to helping you heal,
grow, and recover.
having a good support system and engaging with trustworthy people are
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build your support system
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* gives good advice when you want and ask for it; assists you in
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trust, too
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mistakes
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* respects your need for confidentiality so you can tell him or her
anything
* lets you freely express your feelings and emotions without judging,
teasing, or criticizing
* works with you to figure out what to do the next time a difficult
situation comes up
* has your best interest in mind
find a peer group
find a group of people with mental health problems similar to yours.
peer support relationships can positively affect individual recovery
because:
* people who have common life experiences have a unique ability to
help each other based on a shared history and a deep understanding
that may go beyond what exists in other relationships
* people offer their experiences, strengths, and hopes to peers,
which allows for natural evolution of personal growth, wellness
promotion, and recovery
* peers can be very supportive since they have “been there” and serve
as living examples that individuals can and do recover from mental
health problems
* peers also serve as advocates and support others who may experience
discrimination and prejudice
you may want to start or join a self-help or peer support group.
national organizations across the country have peer support networks
and peer advocates. find an organization that can help you connect with
peer groups and other peer support.
participate in your treatment decisions
it’s also important for you to be educated, informed, and engaged about
your own mental health.
* find out as much as you can about mental health wellness and
information specific to your diagnosed mental health problem.
* play an active role in your own treatment.
get involved in your treatment through shared decision making.
participate fully with your mental health provider and make informed
treatment decisions together. participating fully in shared decision
making includes:
* recognizing a decision needs to be made
* identifying partners in the process as equals
* stating options as equal
* exploring understanding and expectations
* identifying preferences
* negotiating options/concordance
* sharing decisions
* arranging follow-up to evaluate decision-making outcomes
learn more about shared decision making.
develop a recovery plan
recovery is a process of change where individuals improve their health
and wellness, live a self-directed life, and strive to reach their full
potential. studies show that most people with mental health problems
get better, and many recover completely.
you may want to develop a written recovery plan. recovery plans:
* enable you to identify goals for achieving wellness
* specify what you can do to reach those goals
* can be daily activities as well as longer term goals
* track your mental health problem
* identify triggers or other stressful events that can make you feel
worse, and help you learn how to manage them
you can develop these plans with family members and other supporters.
learn more about recovery.
last updated: 07/11/2017
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national suicide prevention lifeline. 1-800-273-8255(talk)
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veterans crisis line. 1-800-273-8255. press 1.
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2 october 2019
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good mental health is related to mental and psychological well-being.
who’s work to improve the mental health of individuals and society at
large includes the promotion of mental well-being, the prevention of
mental disorders, the protection of human rights and the care of people
affected by mental disorders.
who/s.volkov
© credits
mental, neurological and substance use disorders make up 10% of the global
burden of disease and 30% of non-fatal disease burden.
who/k. reidy
© credits
around 1 in 5 of the world's children and adolescents have a mental disorder.
who/matthew johnstone
© credits
depression is one of the leading causes of disability, affecting 264 million
people.
who/e. schwab
© credits
about half of mental disorders begin before the age of 14.
who/a. brunier
© credits
almost 800 000 people die by suicide every year; 1 person dies from suicide
every 40 seconds. suicide is the second leading cause of death in individuals
aged 15-29 years.
who
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around 1 in 9 people in settings affected by conflict have a moderate or
severe mental disorder.
who/e. rice
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people with severe mental disorders die 10 to 20 years earlier than the
general population.
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rates of mental health workers vary from below 2 per 100 000 population in
low-income countries to over 70 per 100 000 in high-income countries.
erminia colucci, breaking the chains
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less than half of the 139 countries that have mental health policies and
plans report having these aligned with human rights conventions.
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the global economy loses about us$ 1 trillion per year in productivity due to
depression and anxiety.
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home » your-mental-health » about-mental-health » what are mental
health problems?
what are mental health problems?
what are mental health problems?
mental health problems range from the worries we all experience as part
of everyday life to serious long-term conditions. the majority of
people who experience mental health problems can get over them or learn
to live with them, especially if they get help early on.
mental health problems are usually defined and classified to enable
professionals to refer people for appropriate care and treatment. but
some diagnoses are controversial and there is much concern in the
mental health field that people are too often treated according to or
described by their label. this can have a profound effect on their
quality of life. nevertheless, diagnoses remain the most usual way of
dividing and classifying symptoms into groups.
find out about various mental health problems in our a-z guide
symptoms
most mental health symptoms have traditionally been divided into groups
called either ‘neurotic’ or ‘psychotic’ symptoms. ‘neurotic’ covers
those symptoms which can be regarded as severe forms of ‘normal’
emotional experiences such as depression, anxiety or panic. conditions
formerly referred to as ‘neuroses’ are now more frequently called
‘common mental health problems.’
less common are ‘psychotic’ symptoms, which interfere with a person’s
perception of reality, and may include hallucinations such as seeing,
hearing, smelling or feeling things that no one else can. mental health
problems affect the way you think, feel and behave. they are problems
that can be diagnosed by a doctor, not personal weaknesses.
mental health problems are very common
as found by the apms (2014), 1 in 6 people in the past week experienced
a common mental health problem.
anxiety and depression are the most common problems, with around 1 in
10 people affected at any one time.
how do mental health problems affect people?
anxiety and depression can be severe and long-lasting and have a big
impact on people’s ability to get on with life.
between one and two in every 100 people experience a severe mental
illness, such as bi-polar disorder or schizophrenia, and have periods
when they lose touch with reality. people affected may hear voices, see
things no one else sees, hold unusual or irrational beliefs, feel
unrealistically powerful, or read particular meanings into everyday
events.
although certain symptoms are common in specific mental health
problems, no two people behave in exactly the same way when they are
unwell.
many people who live with a mental health problem or are developing one
try to keep their feelings hidden because they are afraid of other
people’s reactions. and many people feel troubled without having a
diagnosed, or diagnosable, mental health problem - although that
doesn’t mean they aren’t struggling to cope with daily life.
see our a-z guide for a look at all aspects of mental health
do you need urgent help?
if your mental or emotional state quickly gets worse, or you're worried
about someone you know - help is available.
you're not alone; talk to someone you trust. sharing a problem is often
the first step to recovery.
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mental health problem symptoms, causes and effects
mental health problems can cover a broad range of disorders, but the
common characteristic is that they all affect the affected person’s
personality, thought processes or social interactions. they can be
difficult to clearly diagnose, unlike physical illnesses. according to
data from samhsa, 20 percent of people in america suffer from a form of
mental disorder, and 5 percent suffer from a disorder severe enough to
affect school, work, or other aspects of daily life. if you think that
you or someone you know has a mental disorder, call us today at .
what are the types of mental health disorders?
mental health disorders occur in a variety of forms, and symptoms can
overlap, making disorders hard to diagnoses. however, there are some
common disorders that affect people of all ages.
attention deficit hyperactivity disorder (adhd)
attention deficit hyperactivity disorder is characterized by an
inability to remain focused on task, impulsive behavior, and excessive
activity or an inability to sit still. although this disorder is most
commonly diagnosed in children, it can occur in adults as well.
anxiety/panic disorder
anxiety disorder is defined by intermittent and repeated attacks of
intense fear of something bad happening or a sense of impending doom.
bipolar disorder
bipolar disorder causes a periodic cycling of emotional states between
manic and depressive phases. manic phases contain periods of extreme
activity and heightened emotions, whereas depressive phases are
characterized by lethargy and sadness. the cycles do not tend to occur
instantly.
depression
depression covers a wide range of conditions, typically defined by a
persistent bad mood and lack of interest in pursuing daily life, as
well as bouts of lethargy and fatigue. dysthymia is a milder but
longer-lasting form of depression.
schizophrenia
schizophrenia is not, as commonly thought, solely about hearing voices
or having multiple personalities. instead, it is defined by a lack of
ability to distinguish reality. schizophrenia can cause paranoia and
belief in elaborate conspiracies.
what causes a mental health disorder?
there is no single cause for mental health disorders; instead, they can
be caused by a mixture of biological, psychological and environmental
factors. people who have a family history of mental health disorders
may be more prone to developing one at some point. changes in brain
chemistry from substance abuse or changes in diet can also cause mental
disorders. psychological factors and environmental factors such as
upbringing and social exposure can form the foundations for harmful
thought patterns associated with mental disorders. only a certified
mental health professional can provide an accurate diagnosis of the
causes of a given disorder.
what are the signs of a mental health disorder?
mental health disorders exist in broad categories: anxiety disorders,
mood disorders, psychotic disorders, personality disorders and impulse
control disorders. if someone you know experiences erratic thought
patterns, unexplained changes in mood, lack of interest in socializing,
lack of empathy, inability to tell the difference between reality and
fantasy, or a seeming lack of control, that person may have a mental
health disorder. this is, by no means, a complete list of symptoms.
emotional symptoms of mental health problems
mental health problems can cause a wide variety of emotional symptoms,
some of which include:
* changes in mood
* erratic thinking
* chronic anxiety
* exaggerated sense of self-worth
* impulsive actions
physical symptoms of mental health problems
mental health problems typically do not cause physical symptoms in and
of themselves. depression, however, can indirectly cause weight loss,
fatigue and loss of libido, among others. eating disorders, a separate
class of mental health disorders, can cause malnutrition, weight loss,
amenorrhea in women, or electrolyte imbalances caused by self-induced
vomiting. this makes eating disorders among the most deadly of mental
health disorders.
short-term and long-term effects of mental health instability
in the short-term, mental health problems can cause people to be
alienated from their peers because of perceived unattractive
personality traits or behaviors. they can also cause anger, fear,
sadness and feelings of helplessness if the person does not know or
understand what is happening. in the long-term, mental health disorders
can drive a person to commit suicide. according to the national
institute for mental health, over 90 percent of suicides have
depression or another mental disorder as factors.
is there a test or self-assessment i can do?
it is hard, bordering on impossible, to accurately diagnose yourself
for mental disorders with an online questionnaire. you do not have an
objective view of yourself and are bound to answer questions
inaccurately. also, online tests are not comprehensive, so they do not
check for all possible symptoms. only a face-to-face session with a
qualified mental health professional can begin to diagnose a mental
health disorder with any degree of accuracy, because that professional
has an outside viewpoint and can pick up on subtle cues.
medication: drug options for mental health issues
fortunately, prescription drugs can be used to treat mental health
disorders in conjunction with behavioral therapy or cognitive therapy.
antidepressants, mood stabilizers, and antipsychotics are the broad
types of medication prescribed to treat mental illness.
mental health drugs: possible options
depending on the disorder, different medications will be prescribed.
antidepressants such as paxil, zoloft, prozac, and a variety of ssris,
snris and maois can be used to treat depression. mood stabilizers such
as lithium tablets are used to treat bipolar disorder, as are
anticonvulsants like depakote. antipsychotics like olanzapine or
clozapine are used to treat schizophrenia or psychotic depression.
medication side effects
some of the side effects of mental health medication include nausea,
headache, changes in appetite, dry mouth, increased urination, change
in libido, irritability, blurred vision and drowsiness. other side
effects can occur; each person’s body and brain chemistry is unique,
and it is impossible to predict with certainty how a given medication
will affect you or how well it will work. people who are prescribed
these medications should regularly communicate with their doctors and
notify them of any side effects.
drug addiction, dependence and withdrawal
some mental health medications are known to cause physical and
psychological dependency due to their changes in brain chemistry. over
time, dependency can become an addiction if the person isn’t careful.
the withdrawal process can exacerbate the original mental illness
because of the brain’s sudden loss of some chemicals such as serotonin,
dopamine, and other endorphins. in severe cases, the person may need to
be placed in a drug rehab facility to detox from prescription
medication.
medication overdose
it is possible to overdose on medication in an effort to get the same
effects as initially received, and this is more common when users are
dependent on medications. some signs of overdose can include seizure,
coma, slowed heartbeat, or extreme paranoia. if these signs are
present, immediately call 911 or your local poison control center and
have the prescription on hand if possible.
depression and mental health
depression often coexists with other mental disorders, or certain
disorders may have caused depression in the first place. for example,
40 percent of people with post-traumatic stress disorder also have
depression.
dual diagnosis: addiction and mental health disorders
in drug rehab facilities, counselors are usually trained to identify
dual diagnosis issues. this is because addiction is itself a type of
mental health disorder, or the addiction can be the symptom of some
other disorder. people may, for instance, turn to recreational drugs to
combat depression or to help stabilize mood swings associated with
bipolar disorder.
getting help for a mental health issue
it’s important that you or your loved one should seek help to treat
mental health issue. first, a physical checkup can rule out physical
illnesses. an appointment with a mental health professional will
usually include an interview and subsequent evaluation to determine the
most obvious symptoms and to ascertain the type and severity of mental
disorder. in certain cases, an intervention may be required from family
and friends. if you or someone you know needs help, call us at to get
more information on treatment.
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for those seeking addiction treatment for themselves or a loved one,
the psychguides.com helpline is a private and convenient solution.
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mental illness and the family: recognizing warning signs and how to cope
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mental illness and the family: recognizing warning signs and how to cope
most people believe that mental health conditions are rare and “happen
to someone else." in fact, mental health conditions are common and
widespread. an estimated 44 million americans suffer from some form of
mental disorder in a given year.
most families are not prepared to cope with learning their loved one
has a mental illness. it can be physically and emotionally trying, and
can make us feel vulnerable to the opinions and judgments of others.
if you think you or someone you know may have a mental or emotional
problem, it is important to remember there is hope and help.
what is mental illness?
mental illnesses are brain-based conditions that affect thinking,
emotions, and behaviors. since we all have brains – having some kind of
mental health problem during your life is really common.
for people who have mental illnesses, their brains have changed in a
way in which they are unable to think, feel, or act in ways they want
to. for some, this means experiencing extreme and unexpected changes in
mood – like feeling more sad or worried than normal. for others, it
means not being able to think clearly, not being able to communicate
with someone who is talking to them, or having bizarre thoughts to help
explain weird feelings they are having.
there are more than 200 classified forms of mental illness. some of the
more common disorders are depression, bipolar disorder, dementia,
schizophrenia and anxiety disorders. symptoms may include changes in
mood, personality, personal habits and/or social withdrawal.
mental health problems may be related to excessive stress due to a
particular situation or series of events. as with cancer, diabetes and
heart disease, mental illnesses are often physical as well as emotional
and psychological. mental illnesses may be caused by a reaction to
environmental stresses, genetic factors, biochemical imbalances, or a
combination of these. with proper care and treatment many individuals
learn to cope or recover from a mental illness or emotional disorder.
to hear personal descriptions of mental illness, visit feelslike.
warning signs and symptoms
to learn more about symptoms that are specific to a particular mental
illness, search under mental health information.the following are signs
that your loved one may want to speak to a medical or mental health
professional.
it is especially important to pay attention to sudden changes in
thoughts and behaviors. also keep in mind that the onset of several of
the symptoms below, and not just any one change, indicates a problem
that should be assessed. the symptoms below should not be due to recent
substance use or another medical condition.
if you or someone you know is in crisis now, seek help immediately.
call 1-800-273-talk (8255) to reach a 24 hour crisis center or dial 911
for immediate assistance.
in adults, young adults and adolescents:
* confused thinking
* prolonged depression (sadness or irritability)
* feelings of extreme highs and lows
* excessive fears, worries and anxieties
* social withdrawal
* dramatic changes in eating or sleeping habits
* strong feelings of anger
* strange thoughts (delusions)
* seeing or hearing things that aren't there (hallucinations)
* growing inability to cope with daily problems and activities
* suicidal thoughts
* numerous unexplained physical ailments
* substance use
in older children and pre-adolescents:
* substance use
* inability to cope with problems and daily activities
* changes in sleeping and/or eating habits
* excessive complaints of physical ailments
* changes in ability to manage responsibilities - at home and/or at
school
* defiance of authority, truancy, theft, and/or vandalism
* intense fear
* prolonged negative mood, often accompanied by poor appetite or
thoughts of death
* frequent outbursts of anger
in younger children:
* changes in school performance
* poor grades despite strong efforts
* changes in sleeping and/or eating habits
* excessive worry or anxiety (i.e. refusing to go to bed or school)
* hyperactivity
* persistent nightmares
* persistent disobedience or aggression
* frequent temper tantrums
how to cope day-to-day
accept your feelings
despite the different symptoms and types of mental illnesses, many
families who have a loved one with mental illness, share similar
experiences. you may find yourself denying the warning signs, worrying
what other people will think because of the stigma, or wondering what
caused your loved one to become ill. accept that these feelings are
normal and common among families going through similar situations. find
out all you can about your loved one’s conditionby reading and talking
with mental health professionals. share what you have learned with
others.
__________________________________________________________________
handling unusual behavior
the outward signs of a mental illness are often behavioral.a person may
be extremely quiet or withdrawn. conversely, they may burst into tears,
have great anxiety or have outbursts of anger.
even after treatment has started, someindividuals with a mental illness
can exhibit anti-social behaviors. when in public, these behaviors can
be disruptive and difficult to accept. the next time you and your
family member visit your doctor or mental health professional, discuss
these behaviors and develop a strategy for coping.
the individual's behavior may be as dismaying to them as it is to you.
ask questions, listen with an open mind and be there to support them.
__________________________________________________________________
establishing a support network
whenever possible, seek support from friends and family members. if you
feel you cannot discuss your situation with friends or other family
members, find a self-help or support group. these groups provide an
opportunity for you to talk to other people who are experiencing the
same type of problems. they can listen and offer valuable advice.
__________________________________________________________________
seeking counseling
therapy can be beneficial for both the individual with mental illness
and other family members. a mental health professional can suggest ways
to cope and better understand your loved one’s illness.
when looking for a therapist, be patient and talk to a few
professionals so you can choose the person that is right for you and
your family. it may take time until you are comfortable, but in the
long run you will be glad you sought help.
__________________________________________________________________
taking time out
it is common for the person with the mental illness to become the focus
of family life. when this happens, other members of the family may feel
ignored or resentful. some may find it difficult to pursue their own
interests.
if you are the caregiver,youneed some time for yourself. schedule time
awayto preventbecoming frustrated or angry. if you schedule time for
yourself it will help you to keep things in perspective and you may
have more patience and compassion for coping or helping your loved
one.being physically and emotionally healthy helps you to help others.
“many families who have a loved one with mental illness share similar
experiences”
it is important to remember that there is hope for recovery and that
with treatment many people with mental illness return to a productive
and fulfilling life.
__________________________________________________________________
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mental illness in the family: part 1 recognizing the warning signs &
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nanotechnology-based health products and food
nanotechnology
nanotechnology is the application of scientific knowledge to manipulate
and control matter in the nanoscale to make use of size- and
structure-dependent properties and phenomena distinct from those
associated with individual atoms or molecules or with bulk materials.
the term "nanoscale" is defined as 1 to 100 nanometers (nm) inclusive.
health canada's working definition for the products of nanotechnology
as international consensus on a definition for the products of
nanotechnology has not been reached yet, health canada has adopted a
working definition for nanomaterials. the working definition is
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for nanomaterial that can be found on health canada's website.
the policy statement will continue to be updated as the science evolves
and international norms progress.
applications of nanotechnology
nanotechnology and products derived from nanotechnology have a wide
range of applications and the potential to impact many sectors,
including the health and food sectors. in the health sector, the
applications of nanotechnology impact new natural health products,
medical devices, drugs, drug delivery systems, regenerative medicines
and diagnostic devices for improved detection and treatment of
illnesses. in the food sector, nanomaterials could be used to preserve
food, improve nutritional values and enhance flavours.
health products and food branch (hpfb) involvement with nanotechnology
hpfb participates in an interdepartmental health portfolio
nanotechnology working group which gathers information and acts as a
discussion forum for issues related to nanotechnology. this working
group contains members from health canada, the public health agency of
canada (phac), and the canadian institutes of health research (cihr).
additionally hpfb participates in the interdepartmental network chaired
by industry canada.
health canada participates in a number of international initiatives,
such as the working party on manufactured nanomaterials of the
organisation for economic co-operation (oecd), development and the
technical committee 229 of the international organization for
standardization (iso) and collaborates with international counterparts.
authority
health canada adopted a broad working definition for nanomaterials to
provide a consistent approach across several diverse regulatory program
areas to identify regulated products and substances that may contain
nanomaterials. the working definition enables the department to
establish internal inventories, to ask for additional information, and
to integrate that new knowledge into regulatory decision making
processes. the first step to assuring adequate risk assessment and risk
management is to identify potential nanomaterials using the working
definition as a tool.
currently, there are no regulations specific to nanotechnology-based
health and food products. health canada relies on authorities within
existing legislative and regulatory frameworks, which require the
assessment of potential risks and benefits of products to the health
and safety of canadians before they can be authorised for sale.
general guidance
according to health canada's working definition for nanomaterial, the
term "nanoscale" means 1 to 100 nm inclusive. however, individual
regulatory programs may request information above the 100 nm size range
to an upper limit of 1000 nm in order to maintain flexibility to assess
potential nanomaterials, including suspected nanoscale properties and
phenomena. the 1000 nm cut-off attempts to separate characteristics
attributable to macro-scaled materials from those of nanomaterials. in
addition, for any regulated product or substance that contains
nanomaterial and measures beyond 1 micron in size (for example, bundles
of carbon nanotubes that are very long), regardless of the size,
information may be requested for risk assessment purposes.
to identify a nano-based product/material the sponsor will be asked to
self-identify when their application concerns a nanomaterial or
'nanoproduct'.
recently the drug submission application form for human, veterinary,
disinfectant drugs and clinical trial application/attestation (hc/sc
3011) was revised to facilitate this process. section 59 of the revised
form allows the sponsor to identify medicinal (active) ingredient(s) or
non-medicinal ingredient(s) listed under section 56 or 57 that are a
nanomaterial. a similar approach has been adapted for natural health
products. it is planned that the medical devices licence application
form will also be revised to request the manufacturer to state whether
their devices contain nanomaterials.
health canada encourages sponsors and other stakeholders to communicate
with the responsible regulatory authority early in the development
process, especially for combination products that are, contain or make
use of nanomaterials. in order to identify and assess potential risks
and benefits of nanotechnology based health and food products, the
department encourages manufacturers to request a pre-submission meeting
with the responsible regulatory authority to discuss type of
information that may be required for their product's safety assessment.
in discussion with the sponsor the department may require the following
types of information, including but not limited to:
* intended use of the nanomaterial, including any end product in
which it will be used;
* manufacturing methods;
* characterization and physico-chemical properties of the
nanomaterial, including identity, composition and purity;
* toxicological, eco-toxicological, metabolism and environmental fate
data that may be both generic and specific to the nanomaterial if
applicable; and,
* risk assessment and risk management strategies, if considered or
implemented.
given the range of products covered by health canada's regulatory
responsibilities, the working definition was developed to be
intentionally broad and will be applied more specifically in each
regulatory program area. future guidance specific to program areas and
legislative and regulatory authorities will be developed in a manner
that promotes a consistent set of approaches.
for additional guidance regarding any elements of the working
definition and to address specific questions, consultation with the
individual program areas is recommended.
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section of our website.
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health
health
no-deal brexit 'still risk to nhs and care sector'
by nick triggle health correspondent
* 27 september 2019
* comments
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related topics
* brexit
pharmacist with drugs image copyright getty images
a no-deal brexit presents risks to the nhs and care homes despite
extensive government planning, a watchdog says.
the national audit office praised the government for the "enormous
amount of work" that had been done but said there were still
"significant" gaps.
the extra shipping capacity government was buying to bring medicines
into ports other than dover may not be completely ready by 31 october.
and there was no clear evidence the care sector was ready, the nao
said.
the report raises concerns the sector has not received enough
government support.
* uk plans £3m no-deal medicine transport
* uk seeks new no-deal brexit freight plan
the government has arranged the stockpiling of supplies for the nhs.
but for the care sector, which is fragmented in that it relies on
24,000 companies to provide services, no central arrangement has been
made to stockpile equipment and supplies, such as syringes and needles,
most of which come from or via the eu.
when it comes to medicines, however, the supply of which has been
organised for both the nhs and care sectors, the report acknowledges
the work that has been done.
this includes stockpiling six weeks' supply of drugs and arranging for
emergency supplies to be fast-tracked in - some drugs, including cancer
treatments, have a short shelf-life and so cannot be stockpiled.
but the report says it is still not known exactly what level of
stockpiling is in place.
more than 12,000 medicines are used by the nhs, and about 7,000 come
from or via the eu.
image copyright getty images
the publication of the report comes after mps attempted to block the
government leaving the eu without a withdrawal agreement.
legislation has been passed requiring the government to ask for an
extension if a deal cannot be agreed.
labour mp meg hillier, who chairs the cross-party public accounts
committee, said the report was "deeply concerning".
"i've seen countless examples of deadlines missed and government
failing," she said.
"if government gets this wrong, it could have the gravest of
consequences."
dr layla mccay, of the nhs confederation, which represents managers,
said the planning had been detailed but the situation was still
concerning.
she also warned it was the "unknowns and unknowables" that perhaps
presented the biggest risk.
a department of health and social care spokesman said: "we want to
reassure patients we are doing everything we can."
he said the government along with industry had "mounted an
unprecedented response in preparing for brexit" with stockpiles
"increasing by the day".
__________________________________________________________________
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more on this story
* uk plans £3m no-deal medicine transport
7 july 2019
* uk seeks new no-deal brexit freight plan
29 june 2019
* government pays eurotunnel £33m over brexit ferry case
1 march 2019
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mental health still the number one reason people visit their gp, report finds
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abc health & wellbeing
by health reporter olivia willis
close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
(getty images: hero images)
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close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
getty images: hero images
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mental health issues are driving australians to visit their gp more
than any other health concern.
key points
key points
* report finds psychological issues most common problem gps treat,
second year in a row
* gp body says longer consultation times are needed to adequately
treat complex illness
* government developing 10-year primary care plan to improve medicare
delivery
but gps say they're struggling to keep up with demand because mental
healthcare is complex and often requires more time than a standard
consultation allows.
a survey of 1,200 gps published today by the royal australian college
of general practitioners (racgp) found two in three doctors reported
"psychological issues" as the most common ailment they now treated.
"if you think about where you can go if you've got a mental health
issue, there are very few places," said harry nespolon, president of
the racgp.
dr nespolon said the shift from institutional to community-based care
for mental health patients, as well as a waning reliance on religious
institutions for pastoral care, has led to more australians using gp
services for psychological support.
"[gps see] everything from relationship problems all the way through to
people with severe schizophrenia," he said.
"if you do come into a crisis … often a gp is a trusted person that's
been taking care of you for 10 or 15 years."
bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
(health of the nation 2019)
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bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
health of the nation 2019
(button) close
but dr nespolon said the current medicare structure favoured shorter
consultations for straightforward health conditions, and undervalued
longer consultations required for complex issues.
"at the moment, there's really only one [medicare] item number for
mental health issues, which is a 20-minute consultation," he said.
"in other words, you can sort out all mental health issues in 20
minutes — which we all know is not true."
without longer subsidised consultations, dr nespolon said many gps were
being forced to cram patients with complex needs into short
appointments, charge patients for more time, or wear the out-of-pocket
cost themselves.
"we want to see the government provide financial support for dealing
with these complex cases," he said.
the health of the nation report found out-of-pocket costs to see the gp
were rising, and for the first time, all areas outside major cities had
seen a decline in bulk billing.
"this has a major effect on the 7 million australians who live in
regional, rural and remote areas," dr nespolon said.
"the growing gap between the cost of providing care and the medicare
rebate will have a devastating impact on the sustainability and
accessibility of general practice."
rebates explained
quick explanation of rebates
* the medicare benefits schedule (mbs) is a list of medical services
for which the australian government provides a medicare rebate.
* each mbs item has its own scheduled fee — this is the amount the
government considers appropriate for a particular service (e.g.
getting a blood test or seeing a psychologist).
* rebates are typically paid as a percentage of the medicare
scheduled fee. in the case of gp consultations, the rebate is 100
per cent of the schedule fee.
* this means that bulk-billing gps agree to charge patients the
medicare schedule fee ($37.60 for a standard appointment) and are
directly reimbursed by the government, and there is no cost to the
patient.
* gps who don't bulk bill charge a fee higher than the medicare
schedule fee, meaning patients must pay the difference between the
schedule fee and the doctor's fee — out of their own pocket.
* for example, if your doctor charges $75 for a standard
consultation, you'll pay $75 and receive a rebate of $37.60 —
leaving you $37.40 worse off.
longer consultations needed for complex care
in australia, a standard physical consultation of 20-40 minutes with a
gp attracts a rebate of $73.95. that increases once the consultation
exceeds 40 minutes.
by comparison, any gp mental health consultation longer than 20 minutes
— excluding appointments to prepare or review mental health treatment
plans — attracts a rebate of $72.85.
dr nespolon said there needs to be recognition in the medicare rebate
schedule that dealing with mental health issues and other complex
health conditions takes time.
"we know that people with mental health issues tend to have many more
physical problems … so the gp is there dealing with all the patient's
issues, not just their mental health issue," he said.
"we've been pushing for 40- and 60-minute [mental health] item numbers,
so people get the time, and gps are not acting as a charity when it
comes to dealing with mental health issues."
in july, the federal government ended a freeze on the medicare rebate
for gp visits as part of a $1.1 billion primary healthcare plan. the
move was designed to close the gap on rising out-of-pocket medical
costs.
but dr nespolon said even with the lifting of the medicare freeze,
rebates still failed to reflect the true cost of delivering services.
"gps are small businesses. they need to pay staff, pay their leases or
mortgages, and [these] go up at much higher rates than the percentage
increase that the government provides," he said.
"like any small business, you've got a choice. you either recover your
costs or you go broke. and that's exactly what we're seeing happening
at the moment."
the growing gap between the cost of providing care and the medicare
rebate was reflected in rising out-of-pocket costs, he said.
in 2018-19, the average out-of-pocket cost for a gp service was $38.46
— a gap that's risen roughly $7 in five years.
out-pocket-costs varied across australia, with patients in the northern
territory, act, remote and very remote areas experiencing significantly
higher costs.
how mental health plans work
how mental health plans work
if you're living with a diagnosable mental illness, you are entitled to
receive a medicare rebate.
bulk billing rates predicted to decline
the report also found bulk billing was not as common as medicare
statistics — or the federal health minister greg hunt — have previously
suggested.
"medicare statistics indicate that 86.2 per cent of general practice
services were bulk billed in 2018-19," the report states.
"while this figure provides an indication of total bulk-billed services
in australia over this period, it does not represent the number of
patients who are bulk billed, nor does it represent the number of
patients who are bulk billed for all of their general practice care."
since patients may receive a number of services during a single visit
to a gp, with some services bulk billed and others not, the proportion
of people who face zero out-of-pocket costs for care is much lower than
the rate of services overall.
"in 2016-17, while 86 per cent of gp services were bulk billed,
nationally only 66 per cent of patients had all of their gp services
bulk billed."
although the number of gp services being bulk billed has increased in
the last four years, the racgp predicts bulk-billing rates will decline
from 2020, as the rate of increase continues to slow.
in 2019, just 18 per cent of gps reported bulk billing all of their
patients, down from 29 per cent in 2017.
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improving mental health for gps, too
in addition to access to mental health for the general public, dr
nespolon said the mental health of gps also deserved close attention.
"research shows that doctors experience higher levels of mental
distress than the general population. yet four in ten gps report that
they have personally delayed seeking treatment or care in the past two
years," he said.
part of this could be attributed to time constraints, he said, but also
to mandatory reporting laws, which posed a "significant deterrent" to
doctors seeking care.
"with the exception of western australia, all of australia's states and
territories require doctors to report their colleagues if they believe
patient safety is at risk and this includes if a colleague has sought
their help as a patient," he said.
"we believe that doctors should be exempt from mandatory reporting so
that they feel free to discuss their health issues confidentially ...
so they can continue to provide the best possible care for all
australians."
medicare 'stronger than ever', government says
in a statement to the abc, a spokesperson for the minister for health
said the government had committed $1.6 billion to support doctors and
specialists to strengthen primary care to deliver improved access for
outcomes.
"our goal is to make primary health care more patient focused, more
accessible, and better able to provide preventative health and
management of chronic conditions," they said.
the spokesperson said the government would increase medicare funding by
$6 billion over the next four years, to reach $31 billion of annual
funding in 2022–23.
"we are working with gps, specialists and consumers, including the
racgp, to develop a 10-year primary care plan that supports a more
flexible and innovative medicare, starting with a $448.4 million
investment in a new patient enrolment model for patients over 70 years.
"medicare today is stronger and better protected than it's ever been."
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nurse in a hospital car park
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5. antimicrobial resistance (amr)
news story
uk to invest in new research against evolving global health threats
the chief medical officer has announced funding for projects to help
beat antimicrobial resistance (amr) and achieve global universal health
coverage.
published 25 september 2019
from:
department of health and social care
a scientist in a laboratory uses a pipette.
image credit: roger harris photography
the funding will include:
* £6.2 million to strengthen existing surveillance systems tracking
amr trends across africa and asia
* £12 million to improve collaborations on health systems research
between low- and middle-income countries and the uk, for example
countries in sub-saharan africa
the chief medical officer, professor dame sally davies, announced the
funding for the projects at the un general assembly.
she warned that the world cannot achieve universal health coverage
without addressing the threat of amr.
universal health coverage is a un ambition, and aims for every person
across the globe to have access to basic healthcare, whatever their
situation.
amr is involved in 700,000 deaths around the world every year, and this
is expected to rise to 10 million deaths a year by 2050. if amr
continues to follow current trends, common infections will become
complex and expensive to treat, affecting tens of millions of people.
achieving universal healthcare coverage also requires rigorous research
to inform health policy and health systems.
professor davies is representing the uk at the un general assembly
high-level meeting on universal health coverage in new york alongside
heads of state, health experts and policy-makers.
she will point to infection prevention and control measures, such as
immunisation, good hygiene and appropriate antibiotic use, as crucial
to achieving both universal healthcare coverage and eliminating the
threat of amr.
the £6.2 million in uk aid investment will come from the fleming
fund. it will help improve amr data quality, collection and sharing
across africa and asia, with the aim of developing policy and action
from that data.
the invitation to apply for a share of £12 million of funding is being
made by the national institute of health research (nihr) global health
research programme. it will enable experts from low- and middle-income
countries and the uk to form partnerships to contribute to universal
health coverage and sustainable development goals.
the fleming fund and nihr global health research funding was first
announced as part of the 2015 spending review.
the un has committed to ensuring all people have access to affordable
healthcare by 2030, and yesterday member states adopted a declaration
recognising that tackling amr and innovative health research is crucial
to this.
chief medical officer for england, professor dame sally davies said:
achieving our common goal of universal health coverage will require
global action on a multitude of fronts, including tackling the
escalating threat of antimicrobial resistance and investing in
research.
i am delighted to announce this funding, which will catalyse
regional collaboration to help strengthen amr surveillance systems
across africa and asia and support the next generation of health
policy and systems research.
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published 25 september 2019
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* antimicrobial resistance (amr)
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iframe: https://www.youtube.com/embed/lwdlcbxqtc4
50th anniversary of newborn metabolic screening
stella's story is one of six videos to commemorate the 50th anniversary
of newborn metabolic screening. this screening means metabolic
conditions can be diagnosed and treated before a baby becomes unwell.
view other stories like stella's. find out more about newborn metabolic
screening.
transcript
title: newborn metabolic screening programmestella’s story
[photograph of stella as a baby]
[text on screen of stella’s birthdate] 26 august 2018
[video of stella and her parents sitting on floor inside house]
[photograph of stella as a baby]
tanya - stella’s mother:
had a really healthy pregnancy, had a dream labour and took her home
and she was healthy as, and then when she was eight days old the
midwife turned up.
on the way to our house she’d got a phone call from the specialists at
starship, the immunologists, that said look there’s something, there’s
something wrong.
[text on screen] at 10 days old stella was diagnosed with severe
combined immune deficiency (scid).
dr shannon brothers - paediatric immunologist:
babies with combined immune deficiency (scid) are born without a
functioning immune system. although they appear healthy at birth, they
go on to develop severe, persistent infections and die by a year of
age.
[text on screen over video of stella in hospital] stella had
chemotherapy and a bone marrow transplant when she was four months old.
justin - stella’s father:
the medical side of the thing, watching your kid go through this, it’s
not easy.
[photograph and video of stella in hospital with her parents]
tanya:
luckily at that point my mum was actually up there with us, and so
between the three of us one of us stayed awake and held her every
single hour for that time that she was sick.
[text on screen] she battled a serious infection.
[video of tanya attaching baby bottle with milk to pump and attaching
pump to stella’s feeding tube]
tanya:
because she got ulcers through transplant, she stopped eating, drinking
her milk, and she hasn’t worked that one out yet so we’re still feeding
her through the tube down her nose.
[video of justin following stella as she walks and carrying stella’s
pump]
tanya:
might be easier if you push it.
justin:
it’s a bit of a, bit of a worry if she falls over and hurts herself.
[text on screen] due to her compromised immunity stella has not been
able to interact with people other than her family.
[video of stella walking towards doll being held by her mother]
tanya:
who’s this? is it luna? you going to give her a cuddle?
[video of doll which also has a feeding tube attached to its cheek]
tanya:
we’ve got to get the tube out, teach her how to eat and soon enough
she’ll be like every other kid, you’d never know, yeah.
[video of stella being held by justin while tanya puts stella’s hat and
coat on]
[text on screen] now, stella’s natural immunity is improving.
[video of justin carrying stella outside with tanya, closing door
behind them and justin putting stella in car seat in car]
justin:
it’s nice that we can get to take her out a bit more, nice walking
tracks and some parks where there’s not too many people.
tanya:
it’s your kid’s life. for us if we hadn’t have found out early, we’d be
in a completely different situation now and it’s life or death.
[video of stella walking outside on lawn, being picked up by tanya]
tanya:
and i know you think you’re not going to be that one because everyone
thinks you’re not going to be the one in 100,000 or whatever but screw
the statistics, when it comes down to it, we’re that one.
in our eyes if it wasn’t for the newborn screening, she may not have
made it to her first birthday.
[video of justin, tanya and stella together outside]
tanya:
that test is everything for us. it gave her the best chance of success
in life.
nz cancer action plan 2019–2029.
new zealand cancer action plan 2019–2029
the new zealand cancer action plan 2019–2029 sets out the actions
required over the next 10 years to ensure better cancer outcomes.
news
view more news
* medsafe reinforces advice on lamotrigine
media release
20 december 2019
* release of new ethical standards for health and disability research
and quality improvement
news article
20 december 2019
* iconic newborn screening programme turns 50
news article
13 december 2019
* maximising health and wellbeing for all older people
news article
12 december 2019
* report highlights severity of harm from surgical mesh
news article
12 december 2019
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* report of the parliamentary review committee regarding the national
cervical screening programme: april 2019
18 december 2019
* mortality 2017 data tables
18 december 2019
* care and support workforce qualification attainment
18 december 2019
* new zealand obstetric ultrasound guidelines
13 december 2019
* new cancer registrations 2017
12 december 2019
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nutrition
(button) evidence based
27 health and nutrition tips that are actually evidence-based
written by kris gunnars, bsc on june 7, 2019
it’s easy to get confused when it comes to health and nutrition.
even qualified experts often seem to hold opposing opinions.
yet, despite all the disagreements, a number of wellness tips are well
supported by research.
here are 27 health and nutrition tips that are actually based on good
science.
27 health and nutrition tips share on pinterest
1. don’t drink sugar calories
sugary drinks are among the most fattening items you can put into your
body.
this is because your brain doesn’t measure calories from liquid sugar
the same way it does for solid food (1).
therefore, when you drink soda, you end up eating more total calories
(2, 3).
sugary drinks are strongly associated with obesity, type 2 diabetes,
heart disease, and many other health problems (4, 5, 6, 7).
keep in mind that certain fruit juices may be almost as bad as soda in
this regard, as they sometimes contain just as much sugar. their small
amounts of antioxidants do not negate the sugar’s harmful effects (8).
2. eat nuts
despite being high in fat, nuts are incredibly nutritious and healthy.
they’re loaded with magnesium, vitamin e, fiber, and various other
nutrients (9).
studies demonstrate that nuts can help you lose weight and may help
fight type 2 diabetes and heart disease (10, 11, 12).
additionally, your body doesn’t absorb 10–15% of the calories in nuts.
some evidence also suggests that this food can boost metabolism (13).
in one study, almonds were shown to increase weight loss by 62%,
compared with complex carbs (14).
3. avoid processed junk food (eat real food instead)
processed junk food is incredibly unhealthy.
these foods have been engineered to trigger your pleasure centers, so
they trick your brain into overeating — even promoting food addiction
in some people (15).
they’re usually low in fiber, protein, and micronutrients but high in
unhealthy ingredients like added sugar and refined grains. thus, they
provide mostly empty calories.
4. don’t fear coffee
coffee is very healthy.
it’s high in antioxidants, and studies have linked coffee intake to
longevity and a reduced risk of type 2 diabetes, parkinson’s and
alzheimer’s diseases, and numerous other illnesses (16, 17, 18, 19, 20,
21).
5. eat fatty fish
fish is a great source of high-quality protein and healthy fat.
this is particularly true of fatty fish, such as salmon, which is
loaded with omega-3 fatty acids and various other nutrients (22).
studies show that people who eat the most fish have a lower risk of
several conditions, including heart disease, dementia, and depression
(23, 24, 25).
6. get enough sleep
the importance of getting enough quality sleep cannot be overstated.
poor sleep can drive insulin resistance, disrupt your appetite
hormones, and reduce your physical and mental performance (26, 27, 28,
29).
whatʼs more, poor sleep is one of the strongest individual risk factors
for weight gain and obesity. one study linked insufficient sleep to an
89% and 55% increased risk of obesity in children and adults,
respectively (30).
7. take care of your gut health with probiotics and fiber
the bacteria in your gut, collectively called the gut microbiota, are
incredibly important for overall health.
a disruption in gut bacteria is linked to some of the world’s most
serious chronic diseases, including obesity (31, 32).
good ways to improve gut health include eating probiotic foods like
yogurt and sauerkraut, taking probiotic supplements, and eating plenty
of fiber. notably, fiber functions as fuel for your gut bacteria (33,
34).
8. drink some water, especially before meals
drinking enough water can have numerous benefits.
surprisingly, it can boost the number of calories you burn.
two studies note that it can increase metabolism by 24–30% over 1–1.5
hours. this can amount to 96 additional calories burned if you drink
8.4 cups (2 liters) of water per day (35, 36).
the optimal time to drink it is before meals. one study showed that
downing 2.1 cups (500 ml) of water 30 minutes before each meal
increased weight loss by 44% (37).
9. don’t overcook or burn your meat
meat can be a nutritious and healthy part of your diet. it’s very high
in protein and contains various important nutrients.
however, problems occur when meat is overcooked or burnt. this can lead
to the formation of harmful compounds that raise your risk of cancer
(38).
when you cook meat, make sure not to overcook or burn it.
10. avoid bright lights before sleep
when you’re exposed to bright lights in the evening, it may disrupt
your production of the sleep hormone melatonin (39, 40).
one strategy is to use a pair of amber-tinted glasses that block blue
light from entering your eyes in the evening.
this allows melatonin to be produced as if it were completely dark,
helping you sleep better (41).
11. take vitamin d3 if you don’t get much sun exposure
sunlight is a great source of vitamin d.
yet, most people don’t get enough sun exposure.
in fact, about 41.6% of the u.s. population is deficient in this
critical vitamin (42).
if you’re unable to get adequate sun exposure, vitamin d supplements
are a good alternative.
their benefits include improved bone health, increased strength,
reduced symptoms of depression, and a lower risk of cancer. vitamin d
may also help you live longer (43, 44, 45, 46, 47, 48, 49).
12. eat vegetables and fruits
vegetables and fruits are loaded with prebiotic fiber, vitamins,
minerals, and many antioxidants, some of which have potent biological
effects.
studies show that people who eat the most vegetables and fruits live
longer and have a lower risk of heart disease, type 2 diabetes,
obesity, and other illnesses (50, 51).
13. make sure to eat enough protein
eating enough protein is vital for optimal health.
what’s more, this nutrient is particularly important for weight loss
(52).
high protein intake can boost metabolism significantly while making you
feel full enough to automatically eat fewer calories. it can also
reduce cravings and your desire to snack late at night (53, 54, 55,
56).
sufficient protein intake has also been shown to lower blood sugar and
blood pressure levels (57, 58).
14. do some cardio
doing aerobic exercise, also called cardio, is one of the best things
you can do for your mental and physical health.
it’s particularly effective at reducing belly fat, the harmful type of
fat that builds up around your organs. reduced belly fat should lead to
major improvements in metabolic health (59, 60, 61).
15. don’t smoke or do drugs, and only drink in moderation
if you smoke or abuse drugs, tackle those problems first. diet and
exercise can wait.
if you drink alcohol, do so in moderation and consider avoiding it
completely if you tend to drink too much.
16. use extra virgin olive oil
extra virgin olive oil is one of the healthiest vegetable oils.
it’s loaded with heart-healthy monounsaturated fats and powerful
antioxidants that can fight inflammation (62, 63, 64).
extra virgin olive oil benefits heart health, as people who consume it
have a much lower risk of dying from heart attacks and strokes (65,
66).
17. minimize your sugar intake
added sugar is one of the worst ingredients in the modern diet, as
large amounts can harm your metabolic health (67).
high sugar intake is linked to numerous ailments, including obesity,
type 2 diabetes, heart disease, and many forms of cancer (68, 69, 70,
71, 72).
18. don’t eat a lot of refined carbs
not all carbs are created equal.
refined carbs have been highly processed to remove their fiber. they’re
relatively low in nutrients and can harm your health when eaten in
excess.
studies show that refined carbs are linked to overeating and numerous
metabolic diseases (73, 74, 75, 76, 77).
19. don’t fear saturated fat
saturated fat has been controversial.
while it’s true that saturated fat raises cholesterol levels, it also
raises hdl (good) cholesterol and shrinks your ldl (bad) particles,
which is linked to a lower risk of heart disease (78, 79, 80, 81).
new studies in hundreds of thousands of people have questioned the
association between saturated fat intake and heart disease (82, 83).
20. lift heavy things
lifting weights is one of the best things you can do to strengthen your
muscles and improve your body composition.
it also leads to massive improvements in metabolic health, including
improved insulin sensitivity (84, 85).
the best approach is to lift weights, but doing bodyweight exercises
can be just as effective.
21. avoid artificial trans fats
artificial trans fats are harmful, man-made fats that are strongly
linked to inflammation and heart disease (86, 87, 88, 89).
while trans fats have been largely banned in the united states and
elsewhere, the u.s. ban hasn’t gone fully into effect — and some foods
still contain them.
22. use plenty of herbs and spices
many incredibly healthy herbs and spices exist.
for example, ginger and turmeric both have potent anti-inflammatory and
antioxidant effects, leading to various health benefits (90, 91, 92,
93).
due to their powerful benefits, you should try to include as many herbs
and spices as possible in your diet.
23. take care of your relationships
social relationships are incredibly important not only for your mental
well-being but also your physical health.
studies show that people who have close friends and family are
healthier and live much longer than those who do not (94, 95, 96).
24. track your food intake every now and then
the only way to know exactly how many calories you eat is to weigh your
food and use a nutrition tracker.
it’s also essential to make sure that you’re getting enough protein,
fiber, and micronutrients.
studies reveal that people who track their food intake tend to be more
successful at losing weight and sticking to a healthy diet (97).
25. if you have excess belly fat, get rid of it
belly fat is particularly harmful.
it accumulates around your organs and is strongly linked to metabolic
disease (98, 99).
for this reason, your waist size may be a much stronger marker of your
health than your weight.
cutting carbs and eating more protein and fiber are all excellent ways
to get rid of belly fat (100, 101, 102, 103).
26. don’t go on a diet
diets are notoriously ineffective and rarely work well in the long
term.
in fact, dieting is one of the strongest predictors for future weight
gain (104).
instead of going on a diet, try adopting a healthier lifestyle. focus
on nourishing your body instead of depriving it.
weight loss should follow as you transition to whole, nutritious foods.
27. eat eggs, yolk and all
whole eggs are so nutritious that they’re often termed “nature’s
multivitamin.”
it’s a myth that eggs are bad for you because of their cholesterol
content. studies show that they have no effect on blood cholesterol in
the majority of people (105).
additionally, a massive review in 263,938 people found that egg intake
had no association with heart disease risk (106).
instead, eggs are one of the planet’s most nutritious foods. notably,
the yolk contains almost all of the healthy compounds.
the bottom line
a few simple steps can go a long way toward improving your diet and
wellness.
still, if you’re trying to live a healthier life, don’t just focus on
the foods you eat. exercise, sleep, and social relationships are also
important.
with the tips above, it’s easy to get your body feeling great every
day.
written by kris gunnars, bsc on june 7, 2019
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feature stories
women's health tips for heart, mind, and body
by kara mayer robinson
from the webmd archives
looking for the path toward a healthier you? it's not hard to find. the
journey begins with some simple tweaks to your lifestyle. the right
diet, exercise, and stress-relief plan all play a big role.
follow a heart-healthy diet
there's an easy recipe if your goal is to keep away problems like heart
disease and strokes.
* eat more fruits and veggies.
* choose whole grains. try brown rice instead of white. switch to
whole wheat pasta.
* choose lean proteins like poultry, fish, beans, and legumes.
* cut down on processed foods, sugar, salt, and saturated fat.
when eating healthy, flexibility often works best, says joyce meng, md,
assistant professor at the pat and jim calhoun cardiology center at
uconn health. if you like to follow a strict diet plan, go for it. if
not, it's ok. "find what works for you."
tricia montgomery, 52, the founder of k9 fit club, knows first-hand how
the right diet and lifestyle can help. for her, choosing healthy foods
and planning small, frequent meals works well. "i don't deny myself
anything," she says. "i still have dessert -- key lime pie, yum! -- and
i love frozen gummy bears, but moderation is key."
exercise every day
the more active you are, the better, meng says. exercise boosts your
heart health, builds muscle and bone strength, and wards off health
problems.
aim for 2 and a half hours of moderate activity, like brisk walking or
dancing, every week. if you're ok with vigorous exercise, stick to 1
hour and 15 minutes a week of things like running or playing tennis.
add a couple of days of strength training, too.
if you're busy, try short bursts of activity throughout the day. walk
often. a good target is 10,000 steps a day. take the stairs. park your
car far away from your destination.
montgomery exercises every day, often with her dog. by adding lunges,
squats, and stairs to a walk, she turns it into a power workout. "i
also am a huge pilates fan," she says.
lose weight
when you shed pounds you'll lower your risk of heart disease, type 2
diabetes, and cancer.
continued
aim for a slow, steady drop. try to lose 1-2 pounds a week by being
active and eating better.
"it doesn't have to be an hour of intense exercise every day," meng
says. "any little bit helps."
as you improve, dial up the time and how hard you work out. if you want
to lose a lot of weight, try for 300 minutes of exercise a week.
"eating a healthy diet will go a long way," meng says. start by cutting
sugar, which she says is often hiding in plain sight -- in store-bought
items like salad dressing, packaged bread, and nuts. try to avoid soda
and sugar-laced coffee drinks, too.
visit your doctor
get regular checkups. your doctor keeps track of your medical history
and can help you stay healthy. for example, if you're at risk for
osteoporosis, a condition that weakens bones, he may want you to get
more calcium and vitamin d.
your doctor may recommend screening tests to keep an eye on your health
and catch conditions early when they're easier to treat.
keep the lines of communication open. "if you have questions, ask your
doctor," meng says. "make sure you understand things to your
satisfaction." if you're worried about a medication or procedure, talk
to him about it.
cut down your stress
it can take a toll on your health. you probably can't avoid it
altogether, but you can find ways to ease the impact. don't take on too
much. try to set limits with yourself and others. it's ok to say no.
to relieve stress, try:
* deep breathing
* meditation
* yoga
* massage
* exercise
* healthy eating
* talking to a friend, family member, or professional counselor
create healthy habits
if you make the right choices today, you can ward off problems
tomorrow.
* brush your teeth twice a day and floss every day.
* don't smoke.
* limit your alcohol. keep it to one drink a day.
* if you have medication, take it exactly how your doctor prescribed
it.
* improve your sleep. aim for 8 hours. if you have trouble getting
shut-eye, talk to your doctor.
* use sunscreen and stay out of the sun from 10 a.m. to 3 p.m.
* wear your seatbelt.
take time every day to invest in your health, meng says.
it paid off for montgomery. she says she overcame health problems,
feels good, and has a positive outlook. "my life," she says, "is
forever changed."
webmd feature reviewed by lisa bernstein, md on june 21, 2016
sources
sources:
joyce meng, md, assistant professor of medicine, pat and jim calhoun
cardiovascular center, uconn health.
american heart association: "alcohol and heart health."
office on women's health, u.s. department of health and human services:
"heart-healthy eating," "overweight, obesity, and weight loss fact
sheet," "physical activity (exercise) fact sheet," "screening tests and
vaccines," "osteoporosis fact sheet," "a lifetime of good health: your
guide to staying healthy."
university of california san francisco medical center: "tips for
staying healthy."
© 2016 webmd, llc. all rights reserved.
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the abcs of health screening
health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you need to know about health screening
all you need to know about health screening
related: before the first antenatal visit (choosing your doctor)
1. what is health screening?
health screening is important to everyone. it involves the use of
tests, physical examinations or other procedures to detect
conditions early in people who look or feel well. this is different
from diagnostic tests which are done when someone is already showing
signs and/or symptoms of a condition.
2. why should i go for health screening?
health screening helps you find out if you have a particular condition
even if you feel perfectly well, without any symptoms and/or signs.
early detection, followed by treatment and good control of the
condition can result in better outcomes, and lowers the risk of serious
complications. it is therefore important to get yourself screened even
if you feel perfectly healthy.
3. what kind of screening tests should i go for?
there are 3 types of screening tests^1.
type 1
beneficial for everyone: these tests are listed in table a.
type 2
beneficial for some but not others: decision to be made on an
'individual' level, based on your individual risk factors e.g. self or
family history of hereditary or chronic diseases, exposure to factors
that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently, there is not enough
information to support the use of these tests.
it is best to speak to your family doctor who will advise you to go for
the relevant screening tests based on your individual health profile.
find out more about type 2 and type 3 tests.
view the report of the screening test review committee.
table a – general screening tests (beneficial for everyone)
general screening tests for adults
recommended for^2 to screen for screening test screening frequency^3
individuals aged 18 yrs and above
obesity body mass index (bmi)
waist circumference once a year
hypertension (high blood pressure)
blood pressure measurement once every two years or more frequently as
advised by your doctor
individuals aged 40 yrs and above
diabetes mellitus
fasting blood glucose
hba1c
once every three years or more frequently as advised by your doctor
hyperlipidaemia (high blood cholesterol)
fasting lipids
non-fasting lipids
individuals aged 50 yrs and above
colorectal cancer
faecal immunochemical test (to test for blood in stools)
or
once a year
colonoscopy
once every ten years
additional tests for women
women aged 25-69 yrs, who have had sexual intercourse
cervical cancer
pap test once every three years
hpv test
once every five years
women aged 50-69 yrs breast cancer
mammogram once every two years
general screening tests for newborns
recommended for to screen for screening test screening frequency
newborns aged 0-4 weeks old hearing loss audiometry once
glucose-6-phosphate dehydrogenase (g6pd) deficiency
screen with umbilical cord blood once
inborn errors of metabolism (iem)
metabolic screen with
tandem mass spectrometry (tms)
once
primary hypothyroidism
thyroid function test (tft)
once
4. what should i do after health screening?
if your screening results are normal, you should continue to go for
regular screening at the recommended frequency because screening only
detects health conditions that are present at the time of screening. if
you develop signs or symptoms after your screening, please see your
doctor and do not wait for your next screening appointment.
if your screening results are abnormal, you should follow-up with your
doctor immediately even if you feel perfectly well. early treatment and
good control of your condition can result in better outcomes and
prevent or delay serious complications.
5. why do i need to go for regular screening at the recommended frequency?
a one-off screening will only pick up health conditions that are
present at the time of screening. regular screening helps to detect
conditions that may develop after the previous screening. hence, it is
important for you to go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening tests?
health screening is heavily subsidised for singaporeans and permanent
residents. if you have a health assist card (under chas – community
health assist scheme), you will be entitled to enojoy the subsidies of
the above tests (according to age) and a follow-up consultataion, if
required, at $2 at chas gps. all other singaporeans can enjoy these
subsidies for the above test (according to age) and a follow-up
consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the screening
tests (offered under screen for life - sfl) and the follow-up
consultation, if required, is also fully subsidised. pg cardholders can
also claim up to $28.50, for each screening-related and follow-up
consultation, for up to two times per year.
check out the exact costs of the screening tests.
if you have difficulty paying for the screening tests, please speak to
the medical social worker at the polyclinics
7. my screening results are not too good, and my doctor has advised me to get
follow up treatment.
what should i do if i cannot afford the follow up treatment?
good, affordable basic healthcare is also available to singaporeans
through subsidised medical services offered at public hospitals and
polyclinics. medisave, medishield life, elder shield and medifund
schemes can help singaporeans offset their medical expenses.
8. where can i go for health screening?
health screening is available at many private medical clinics and
polyclinics. visit the directory for the list of screening locations.
9. can i use my medisave to pay for the health screening cost?
currently, medisave cannot be used for other health screening such as
screening for diabetes or high cholesterol. however, if you are
diagnosed with a chronic condition covered under the chronic disease
management programme (cdmp), medisave may be used to pay for part of
the outpatient treatment cost of these diseases.
women aged 50 and above can use their own or immediate family member’s
medisave for their screening mammograms at approved mammogram centres.
under the medisave 400 scheme, up to $400 per medisave account a year
can be used for screening mammograms.
persons aged 50 and above can also use their own or their immediate
family member’s medisave for their screening colonoscopies (to screen
for colorectal cancer) at approved colonoscopy centres.
check out the list of approved centres or find out more.
10. can i have a health screening if i am pregnant?
please consult your doctor to find out if a health screening is
necessary for you.
11. i am 70 years old (or older), do i still need to go for a health
screening?
if you have not been screened in the past three years, and you do not
have a chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health screening.
12. if i am currently on medication for one of the chronic diseases, should i
still go for a health screening?
if you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
^1 report of the screening test review committee. january 2019, academy
of medicine, singapore.
^2,3 screening can start at an earlier age or be done more frequently
if someone has risk factors for the condition.
__________________________________________________________________
having trouble keeping up with your appointments? myhealth keeps track
of not only your health appointments and medical records, but also your
family's as well.
read these next:
* make a commitment to get screened for better health this year
* diabetes prevention and risk factors
* how screening saved my life
* screen for life - subsidised health screenings for singaporeans
* school health screenings for students
this article was last reviewed on monday, december 9, 2019
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cervical cancer a thing of the past with regular screening and/or
vaccination. the national cervical cancer screening programme has been
screening singaporean women since 2004. in 2019, this programme has
been enhanced to provide you with a more effective test at a highly
subsidised rate. keep reading to find out more.
learn more
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health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you
need to know about health screening
related:
before the first
antenatal visit (choosing your doctor)
1. what is health screening?
<
span style="color:#0000ff;">health screening is
important to everyone. it involves the use of tests, physical
examinations or other procedures to detect conditions early in people
who look or feel well. this is different from diagnostic tests which
are done when someone is already showing signs and/or symptoms of a
condition.
2. why should i go for health
screening?
health screening helps you find out if you have a
particular condition even if you feel perfectly well, without any
symptoms and/or signs. early detection, followed by treatment and good
control of the condition can result in better outcomes, and lowers the
risk of serious complications. it is therefore important to get
yourself screened even if you feel perfectly healthy.
3. what
kind of screening tests should i go for?
there are 3 types of
screening tests1.
type 1
beneficial for everyone: these tests are listed in table
a.
type 2
beneficial for some but not others:
decision to be made on an 'individual' level, based on your individual
risk factors e.g. self or family history of hereditary or chronic
diseases, exposure to factors that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently,
there is not enough information to support the use of these
tests.
it is best to speak to your family doctor who will advise
you to go for the relevant screening tests based on your individual
health profile.
find out more about
type 2 and
type 3
tests.
view the report of the
screening test
review committee.
table a – general screening tests (beneficial for
everyone)
general screening tests for adults
recommended
for2 |
to screen for |
screening test |
screening
frequency3 |
individuals aged 18 yrs
and above
| obesity |
body
mass index (bmi)
waist circumference | once a year |
hypertension (high blood pressure) | blood pressure measurement | once every two years or more
frequently as advised by your doctor |
individuals aged 40 yrs
and above
|
diabetes
mellitus | fasting blood glucose
hba1c
| once every three
years or more frequently as advised by your doctor
|
hyperlipidaemia (high blood cholesterol)
| fasting lipids
non-fasting lipids
|
individuals aged 50 yrs
and above
|
colorectal cancer
| faecal
immunochemical test (to test for blood in stools)
or
| once a year
|
colonoscopy
| once every ten
years
|
additional tests for women |
women aged 25-69 yrs,
who have had sexual intercourse
| cervical cancer
|
pap
test | once every three
years |
hpv test
| once every five
years
|
women aged 50-69 yrs | breast cancer
| mammogram | once every two
years |
general screening tests for newborns
recommended for |
to screen for |
screening test |
screening
frequency |
newborns aged 0-4 weeks old | hearing loss |
audiometry | once |
| glucose-6-phosphate dehydrogenase (g6pd) deficiency
| screen with umbilical
cord blood | once |
|
inborn errors of metabolism (iem)
| metabolic screen with
tandem mass spectrometry (tms) | once |
|
primary hypothyroidism
|
thyroid function test (tft) | once |
4. what should i do after health screening?
if your
screening results are normal, you should continue to go for regular
screening at the recommended frequency because screening only detects
health conditions that are present at the time of screening. if you
develop signs or symptoms after your screening, please see your doctor
and do not wait for your next screening appointment.
if your
screening results are abnormal, you should follow-up with your doctor
immediately even if you feel perfectly well. early treatment and good
control of your condition can result in better outcomes and prevent or
delay serious complications.
5. why do i need to go for regular
screening at the recommended frequency?
a one-off screening will
only pick up health conditions that are present at the time of
screening. regular screening helps to detect conditions that may
develop after the previous screening. hence, it is important for you to
go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening
tests?
health screening is heavily subsidised for
singaporeans and permanent residents. if you have a health assist card
(under
chas
– community health assist scheme), you will be entitled to enojoy
the subsidies of the above tests (according to age) and a follow-up
consultataion, if required, at $2 at chas gps. all other singaporeans
can enjoy these subsidies for the above test (according to age) and a
follow-up consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the
screening tests (offered under
screen
for life - sfl) and the follow-up consultation, if required, is
also fully subsidised. pg cardholders can also claim up to $28.50, for
each screening-related and follow-up consultation, for up to two times
per year.
check out the
e
xact costs of the screening tests.
if you have difficulty
paying for the screening tests, please speak to the medical social
worker at the polyclinics
7. my screening results are not
too good, and my doctor has advised me to get follow up
treatment.
what should i do if i cannot afford the follow up
treatment?
good, affordable basic healthcare is also available
to singaporeans through subsidised medical services offered at public
hospitals and polyclinics.
medisave,
medishield life,
elder shield and
medifund schemes can help
singaporeans offset their medical expenses.
8. where can i go
for health screening?
health screening is available at many
private medical clinics and polyclinics. visit the
directory for the list of
screening locations.
9. can i use my medisave to pay for
the health screening cost?
currently, medisave cannot be used
for other health screening such as screening for diabetes or high
cholesterol. however, if you are diagnosed with a chronic condition
covered under the chronic disease management programme (cdmp), medisave
may be used to pay for part of the outpatient treatment cost of these
diseases.
women aged 50 and above can use their own or immediate
family member’s medisave for their screening mammograms at approved
mammogram centres. under the medisave 400 scheme, up to $400 per
medisave account a year can be used for screening
mammograms.
persons aged 50 and above can also use their own or
their immediate family member’s medisave for their screening
colonoscopies (to screen for colorectal cancer) at approved colonoscopy
centres.
check out the
list of approved centres
or find out more.
10. can i have a health screening
if i am pregnant?
please consult your doctor to find out if a
health screening is necessary for you.
11. i am 70 years old (or
older), do i still need to go for a health screening?
if you
have not been screened in the past three years, and you do not have a
chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health
screening.
12. if i am currently on medication for one of the
chronic diseases, should i still go for a health screening?
if
you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
1 report of the screening test review committee.
january 2019, academy of medicine, singapore.
2,3 screening can start at an earlier age or be done more
frequently if someone has risk factors for the condition.
having trouble keeping up with your appointments?
myhealth keeps
track of not only your health appointments and medical records, but
also your family's as well.
read these next:
monday, may 18, 2015
monday, may 18, 2015
icd-21-health services,per_senior citizen,pgm_obesity
prevention,pgm_healthy screening,age_adult,age_senior,interest_chronic
illnesses,
no
403
monday, december 9, 2019
health
promotion board
3 second hospital avenue
singapore 168937
hpb_mailbox@hpb.gov.sg
established
in 2001, the health promotion board (hpb) has a vision to build a
nation of healthy people.
hpb implements programmes that reach out to the population,
specifically children, adults and the elderly. these programmes include
health and dental services for school children, breastscreen singapore,
aids education programme, cervicalscreen singapore, childhood injury
prevention programme, mental health education programme, national
myopia prevention programme, physical activity, national smoking
control programme, nutrition programme, osteoporosis education
programme, workplace health promotion programme, hpb online,
healthline, health information centre and healthzone. new programmes
will also be initiated over time to address health concerns among the
community.
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health promotion board
64353500
http://www.hpb.gov.sg
the abcs of health screening
articles
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pgm_healthy screening, age_adult, age_senior, interest_chronic
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why health screen?
the importance of health screening
health screening or blood test is a major part of many routine medical
examinations. while doctors are able to make fairly accurate diagnosis
by assessing the signs and symptoms a patient exhibits, one of the best
ways to confirm the diagnosis is through blood tests. for a healthy
person, health screening could also detect abnormalities that the
person is not aware of and provide important information for diagnosis,
treatment or preventive measures for illnesses and diseases.
therefore, getting regular health checkups, preventive screening tests
are among the most crucial things you can do for yourself. periodic
health screenings can help you and your health care professional
identify health problems early, when treatment may be more successful
compared to if the problems are detected later.
lifestyle changes are a very effective way to substantially reduce risk
but to make those changes, you first need to know if you are at risk.
knowledge gives you the power to take charge of your health. remember,
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instead of a one-size-fits-all package, parkway shenton’s quality
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your screening starts at the core of your health, covering the heart,
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age, gender and risk profile, you may opt for additional tests such as
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such as breast screening and pap smear for females, and prostate
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a detailed report containing your health screening results will be
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appointment. we encourage you to review the test results with our
doctor who can help you determine the next steps. if we find a
condition that requires urgent attention, we will notify you
immediately.
a detailed report containing your health screening results will be
delivered to you within 14 business days from your screening
appointment. we encourage you to review the test results with our
doctor who can help you determine the next steps. if we find a
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screening tests can help find diseases and health conditions early,
when they are easier to treat.
page content
also known as secondary prevention, health screening identifies health
problems as soon as possible to ensure that you and your family can
benefit from early medical treatment.
there are a variety of health screening tests and tools. many can be
done as part of regular checkups with your health care provider. others
may require you to visit a lab or specialized screening location.
typically, routine health screening is recommended according to your
age or stage of life.
prenatal/infant_____prenatal/infant
prenatal
prenatal genetic screening during your pregnancy can tell you
your chance of having a baby with certain genetic disorders. it is
offered free of charge as a choice to all pregnant people with medical
services plan (msp) coverage in bc.
resources
* prenatal genetic screening program (perinatal services bc)
infant
there are a number of screening tests that are recommended for all
newborns and infants born in bc. these tests identify diseases or
conditions where early treatment is important to prevent disability and
promote healthy development.
regular checkups will allow your care provider to monitor your baby's
development and check for possible problems.
resources
* screening, birth to 12 months (healthlink bc)
* provincial screening programs:
* newborn screening program (perinatal services bc)
* biliary atresia home screening program (perinatal services bc)
* bc early hearing program (provincial health services authority)
child_______________child
regular checkups will allow your care provider to monitor your child's
growth and development and check for possible problems.
resources
* screening, 13 months to 12 years (healthlink bc)
youth/young adult___youth/young adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
resources
* screening, 13 to 18 years (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
adult_______________adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
regular screening is important throughout adulthood, especially if
you're at increased risk for a chronic disease or an infectious
disease. you may be referred for blood or urine tests or for other
screening procedures. recommended regular screening tests for all
adults include:
* blood pressure
* cholesterol
* kidney function
* type 2 diabetes
* skin cancer
* hearing and vision
* weight
* mental health and substance use
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
depending on your age and your risk of disease, other screening tests
may be recommended:
* cervical cancer screening (pap test) is a test that can find
abnormal cells in the cervix before they become cancer. between age
25-69, pap tests are recommended every three years for anyone with
a cervix. it's important to follow these recommendations even if
you've had the hpv vaccine. read the recommendations
* screening mammograms are used to find cancers in breast tissue as
early as possible. screening mammograms are available for eligible
individuals in bc age 40 and up. your screening recommendations
will vary according to your age and your family history of breast
cancer. read the recommendations
* colon cancer screening detects non-cancerous polyps and cancer
early. everyone aged 50-74 should get screened regularly for colon
cancer. the type of screening test recommended for you will depend
on your family history and your personal medical history. read the
recommendations
* prostate cancer screening checks for abnormalities of the prostate
gland. screening is performed through digital rectal examination,
done by your doctor during a regular check up. between age 50-70,
annual screening is recommended for individuals with a prostate as
long as they are in reasonably good health. you can also talk to
your doctor about the pros and cons of psa testing.
resources
* screening, adult women (healthlink bc)
* screening, adult men (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
cancer screening (screening bc):
* cervix
* breast
* colon
* hereditary
please note: the health information provided here is general and
appropriate for most people, most of the time. wherever possible,
resources are also provided to address the health needs of specific
populations, including people living with a chronic health condition,
indigenous people and lgbtq individuals. check with your health care
provider to determine the health recommendations and resources that are
right for you.
in this section
content editor [2]
quick links
* prenatal genetic screening
* newborn screening
* biliary atresia home screening
* infant hearing screening
* get tested: sti clinic finder
* cervical cancer screening (pap test)
* breast cancer screening (mammogram)
* colon cancer screening
content editor [1]
key organizations
perinatal services bc
provincial health services authority
bc centre for disease control (bccdc)
screening bc - bc cancer agency
healthlink bc – the bc government's comprehensive non-emergency health
information and advice service for british columbians.
source: health screening ( )
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#healthcare nutrition council » feed alternate alternate
healthcare nutrition council healthcare nutrition council
* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
+ nutrition & healthcare[outcomes and benefits]
* patient access
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* about hnc
+ priorities
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+ aspen malnutrition awareness week
*
healthcare nutrition council
*
* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
+ nutrition & healthcare[outcomes and benefits]
* patient access
* advocacy
+ position statements
+ public comments
+ coalitions
+ market access challenges
* about hnc
+ priorities
+ hnc staff
+ members
+ contact us
* events
+ medical foods workshop
+ aspen malnutrition awareness week
why nutrition matters
nutrition is critically important to the human body in terms of growth
and development, overall health and wellness throughout life, and the
function of organs and body systems. it also plays a role in disease
management and supports overall quality of life. malnutrition, or lack
of proper nutrition, is associated with billions of dollars per year in
medical expenses. ¹
learn more
as there is no universally accepted definition of “malnutrition,” and
since malnutrition can have different meanings in different contexts,
the healthcare nutrition council (hnc) has adopted a definition of
malnutrition. please see hnc’s expanded definition of malnutrition to
learn more.
hnc malnutrition expanded definition
patient access
all patients have the right to receive high quality care, and that
includes nutrition support products as part of their care. at times,
access to nutrition support products — such as medical foods — can be a
significant challenge for patients. as a result, hnc raises awareness
and works with key stakeholders to help overcome obstacles to patient
access. we continue to work towards systematic changes that will foster
innovation and utilize new science and discoveries, ultimately leading
to higher quality healthcare, better patient outcomes, and improvements
in overall patient health and nutrition.
learn more
maintaining access flyer
enteral facts
parenteral facts
who we are
hnc is an organization representing the manufacturers of nutrition
support products, specifically enteral nutrition (en) formulas,
parenteral nutrition (pn) solutions, supplies and equipment. hnc member
companies are committed to improving health by advancing policies that
address and raise awareness of nutrition and its impact on patient
outcomes and healthcare costs. this includes promoting nutritional
screenings, diagnoses, assessments, and appropriate and timely clinical
nutrition interventions while maintaining patients’ access to
specialized nutrition support products and services throughout the
continuum of care.
learn more
priorities
members
position statements
public comments
1. goates, scott; kristy du, carol braunschweig, and mary beth
arensberg. economic burden of disease-associated malnutrition at
the state level. plos one. 2016; 11(9): 1-15.
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public health nutr. 2004 aug;7(5):591-8.
public health nutrition and food policy.
caraher m^1, coveney j.
author information
1
department of health management and food policy, institute of
health sciences, city university, goswell place, northampton
square, london ec1v 0hb, uk. m.caraher@city.ac.uk
abstract
food in its many manifestations allows us to explore the global control
of health and to examine the ways in which food choice is moulded by
many interests. the global food market is controlled by a small number
of companies who operate a system that delivers 'cheap' food to the
countries of the developed world. this 'cheap' food comes at a price,
which externalises costs to the nation state in terms of health
consequences (diabetes, coronary heart disease and other food-related
diseases) and to the environment in terms of pollution and the
associated clean-up strategies. food policy has not to any great extent
dealt with these issues, opting instead for an approach based on
nutrition, food choice and biomedical health. ignoring wider elements
of the food system including issues of ecology and sustainability
constrains a broader understanding within public health nutrition. here
we argue that public health nutrition, through the medium of health
promotion, needs to address these wider issues of who controls the food
supply, and thus the influences on the food chain and the food choices
of the individual and communities. such an upstream approach to food
policy (one that has been learned from work on tobacco) is necessary if
we are seriously to influence food choice.
comment in
* editorial. public health nutrition as a field of practice. [public
health nutr. 2004]
pmid:
15251049
doi:
10.1079/phn2003575
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federally funded health researchers disclose at least $188 million in
conflicts of interest. can you trust their findings? — propublica
read more12/08/2019 - 17:51
wphna announces a scientific paper writing contest
__________________________________________________________________
we are happy to announce a scientific paper writing contest. it is
addressed to low and middle-income countries´ residents. winners will
have the paper published in world nutrition and the opportunity to
attend the wphn congress in brisbane, australia from march 31 to april
2020. find the details here.
read more06/10/2019 - 21:32
wphna congress brisbane 2020
__________________________________________________________________
we are happy to announce that our call for abstracts for the wphna
congress brisbane 31 march - 3 april is now open.
find more here
read more05/07/2019 - 12:29
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health: definition and importance of health!
definition:
the term ‘health’ is a positive and dynamic concept. in common
parlance, health implies absence of disease. however, that industrial
health implies much more than mere absence of disease is clear from the
following definitions of health:
the world health organisation (who) has defined health as: “a state of
complete physical, mental and social well-being and not merely the
absence of disease or illness or infirmity”. as regards the industrial
health, it refers to a system of public health and preventive medicine
which is applicable to industrial concerns.
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here, the definition of health given by the joint i.l.o/w.h o.
committee on organisational health is worth quoting:
(i) the prevention and maintenance of physical, mental and social
well-being of workers in all organisations;
(ii) prevention among workers of ill-health caused by the working
conditions;
(iii) protection of workers in their employment from risk resulting
from factors adverse to health; and
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(iv) placing and maintenance of the worker in an occupational
environment adapted to his physical and psychological equipment.
thus the modem concept of health emphasises on the “whole man concept.”
in other words, health refers to the outcome of the interaction between
the individual and his environment. so to say, he/she is healthy who is
well adjusted with environment.
the modem concept of health thus, anticipates and recognizes
potentially harmful situations and applies engineering control measures
to prevent disease or illness or infirmity. in this way, industrial
health depends not only on the individual worker but also on the
environment in which he/she lives and works.
there are two types of employee health:
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physical health and mental health
a brief mention of these follows:
physical health:
the physical health refers to infirmity in the employee’s health.
employee’s physical health and his work are intimately related. while
an unhealthy employee works less both quantitatively and qualitatively,
commits accidents, and remains absent from work, a healthy employee
produces results opposite to these. the same underlines the need for
and importance of healthy employees in an organisation.
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mental health:
this refers to the mental soundness of the employees. as is physical
health important for good performance, so is mental health also.
experience suggests that three factors, namely, mental breakdowns,
mental disturbances, and mental illness impair the mental health of
employees.
importance of health:
the trite saying ‘health is wealth’ explains the importance of health.
ill health results in high rate of absenteeism and turnover, industrial
discontent and indiscipline, poor performance, low productivity and
more accidents. on the contrary, the natural consequences of good
health are reduction in the rate of absenteeism and turnover, accidents
and occupational diseases.
besides, employee health also provides other benefits such as reduced
spoilage, improved morale of employee, increased productivity of
employee and also longer working period of an employee which, of
course, cannot be easily measured.
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in long and short, employee health is important because it helps:
1. maintain and improve the employee performance both quantitatively
and qualitatively.
2. reduce employee absenteeism and turnover.
3. minimize industrial unrest and indiscipline.
4. improve employee morale and motivation.
it is this importance of health, increasing emphasis is given to the
employee health through various laws and provisions in this regard. for
example, in india, the royal commission on labour (1931), die labour
investigation committee (1946), the health safety and development
committee (1943), the labour welfare committee (1969) and the national
commission on labour (1969), all have expressed concern for employee
health.
these emphasised upon the creation and maintenance of as healthy an
environment as possible, in the homes of the employees as well as in
all places where they congregate for work, amusement or recreation,
the i.l.o. in its recommendation no. 112 envisaged the importance of
employee health in these words:
occupational health services should be established in or near a place
of employment for the purpose of:
(i) protecting the workers against any health hazard arising out of
work or conditions in which it is carried on;
(ii) contributing towards worker’s physical and mental adjustment; and
(iii) contributing to establishment and maintenance of the highest
possible degree of physical and mental well-being of the workers.
related articles:
1. necessity and importance of labour law and principles
2. labour welfare: meaning and definition of labour welfare
health
measures to maintain safety and avoid accidents in industries
occupational hazards: 4 main types of occupational hazards – explained!
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importance of good nutrition
your food choices each day affect your health — how you feel today,
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good nutrition is an important part of leading a healthy lifestyle.
combined with physical activity, your diet can help you to reach and
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references
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^1 centers for disease control and prevention. u.s. obesity trends.
2011. available at: https://www.cdc.gov/obesity/data/databases.html
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eur j public health. 2018 dec; 28(6): 1087–1092.
published online 2018 sep 3. doi: 10.1093/eurpub/cky174
pmcid: pmc6241207
pmid: 30184063
the importance of health behaviours and especially broader self-management
abilities for older turkish immigrants
jane m cramm^^ and anna p nieboer^
jane m cramm
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by jane m cramm
anna p nieboer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by anna p nieboer
author information copyright and license information disclaimer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
correspondence: jane m. cramm, department of social medical sciences,
erasmus school of health policy and management, erasmus university
rotterdam, p.o. box 1738, 3000 dr rotterdam, the netherlands, tel: +31
10 408 8555, e-mail: ln.rue.mphse@mmarc
copyright © the author(s) 2018. published by oxford university press on
behalf of the european public health association.
this is an open access article distributed under the terms of the
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(http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits
non-commercial reproduction and distribution of the work, in any
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this article has been cited by other articles in pmc.
abstract
background
this study aims to identify the relationships between health
behaviours, self-management abilities, physical health, depressive
symptoms and well-being among turkish older immigrants.
methods
a total of 2350 older turkish migrants aged > 65 years residing in
rotterdam, the netherlands were identified using the municipal register
of which 680 respondents completed the questionnaires (response rate of
32%).
results
average age of the respondents was 72.90 (standard deviation 5.02)
(range 66–95) years and about half of them were women (47.6%). the
majority of respondents reported having a low education (80.3%), low
income level (83.4%), is chronically ill (90.6%), overweight (86.5%)
and about half obese (46.0%). more than half of the respondents eat
enough fruit (58.2%) and vegetables per week (55.3%). about a third of
the respondents smoke (33.5%) and 43.0% can be considered to be
physically active. looking at the health behaviours a weak positive
relationship was found between eating enough vegetables and well-being
(β = 0.14; p = 0.017). in addition, weak relationships were found
between physical activity and depressive symptoms (β = −0.16; p =
0.007), smoking and depressive symptoms (β = 0.16; p = 0.009) and
self-management abilities and physical health (β = 0.17; p = 0.015).
strongest relationships were found between self-management abilities
and depressive symptoms (β = −0.39; p < 0.001) and self-management
abilities with overall well-being (β = 0.49; p < 0.001).
conclusions
from this study, we can conclude that next to health behaviours broader
self-management abilities to maintain overall well-being are important
for turkish older people. interventions to improve self-management
abilities may help turkish older people better deal with function
losses and chronic diseases as they age further.
introduction
europe witnessed a post-war mass migration at the end of the 1950s and
the early 1960s, mostly from non-western origin with a predominance of
young adults. even though a number of the early migrants have returned
to their birth-country, considerable numbers remain in their migratory
destinations who recently approached retirement age.^1 in general, poor
physical and mental health, worse health-related quality of life and
well-being, functional limitations, depressive symptoms and chronic
conditions are much more prevalent among these immigrant populations
compared with those of natives throughout europe.^2–4 as a consequence,
older immigrants use 13–20% more health services than native-borns.^5
the rapid increase in the prevalence of chronic illness among older
(immigrant) populations is an important factor underlying the increased
demand for health care services and constraints on the organization and
delivery of care in europe.^5^,^6
unhealthy behaviours, such as poor diet, smoking and physical
inactivity, are important and adjustable risk factors for many chronic
diseases and leading causes of death and disability.^7 thus, the
improvement of health behaviours among older (immigrant) populations to
prevent the onset of chronic diseases is becoming a critical issue.
health behaviours, such as smoking, eating habits and physical
activity, are known to differ between immigrants and natives, which may
explain the greater prevalence of chronic diseases, physical
limitations and poor health outcomes among the former. for example, in
the netherlands, overweight is much more prevalent among immigrants,^8
and smoking is especially prevalent among turks.^9 although
health-related behaviours have been investigated among immigrant groups
aged 35–60 years,^9 and those aged ≥18 years,^8 no such research has
been conducted among older immigrants.
not only health behaviours but also older people’s abilities to deal
with the process of ageing and the ways in which they cope with certain
life events are of interest. as people grow older, they often begin to
experience losses in various life domains. people are known to differ
in their ability to self-regulate or self-manage their lives and ageing
processes, which requires the proactive management of resources in an
environment of increasing losses and declining gains.^10 these
self-regulation or self-management abilities often target only the
physical health aspects of ageing, such as physical exercise and
healthy diet.^11^,^12 the social and psychological life domains,
however, have been proven to be equally important for the health and
well-being of older people.^13
thus, in addition to health behaviours and health outcomes, examination
of broader self-management abilities related to the maintenance of
overall well-being may be of interest.^14 as these abilities are
critical predictors of physical health, depressive symptoms and overall
well-being,^14–17 a shift in focus to include not only traditionally
addressed health- and disease-specific aspects (e.g. smoking, physical
activity, healthy diet) but also abilities such as investment behaviour
(e.g. pursuing interests, keeping busy, maintaining contact with loved
ones), initiative taking and self-efficacy (e.g. belief in one’s
ability to achieve goals and express care for others) is urgently
needed.^14
research investigating health behaviours and self-management abilities
related to the maintenance of overall well-being among older turkish
immigrants is lacking. thus, this study aimed to identify relationships
of background characteristics, health behaviours and self-management
abilities with physical health, depressive symptoms and well-being
among older turkish immigrants residing in rotterdam, the netherlands.
methods
data collection
community-dwelling turkish people aged > 65 years in rotterdam, the
netherlands, were identified using the municipal register and asked to
participate between march 2015 and february 2016 (with a summer break,
given that most of this population spends the summer in turkey). we
asked respondents to fill in a questionnaire containing 153 questions
in total (provided in the dutch as well as turkish language). these
questionnaires were first distributed via post, followed by a postal
reminder and finally a minimum of two home visit attempts (by
interviewers speaking dutch as well as the turkish language). the
personal interviews lasted about 60–90 min. an information leaflet was
provided to respondents explaining the aim of the study with contact
details (of dutch as well as turkish speaking research assistants) in
case they had additional questions. no (financial) incentives were
provided.
ethical approval
according to the central committee on research involving human subjects
(ccmo), the current study did not fall within the scope of the medical
research involving human subjects act and thus did not require prior
review by an accredited medical research and ethics committee or the
ccmo. all respondents were informed about the aims of the study, and
assured that participation was anonymous and voluntary, prior to
providing consent.
measures
well-being was measured with the 14-item turkish version of the social
production function instrument for the level of well-being (spf-il).^18
the stimulation item ‘are your activities challenging to you?’ of the
original 15-item dutch version^19 proved to be problematic during
validation and thus was omitted from the turkish version. the spf-il
measures levels of physical (comfort, stimulation) and social
(behavioural confirmation, affection, status) well-being. examples of
questions are ‘do people really love you?’ (affection), ‘do you feel
useful to others?’ (behavioural confirmation), ‘are you known for the
things you have accomplished?’ (status), ‘in the past few months, have
you felt physically comfortable?’ (comfort) and ‘do you really enjoy
your activities?’ (stimulation). responses are given on a 4-point scale
ranging from never (1) to always (4), with higher mean scores
indicating greater well-being. total scores were calculated based on
the mean scores for the five subscales. cronbach’s alpha of the spf-il
based on the five subscales was 0.76, indicating good reliability.
patients’ physical quality of life was assessed using the physical
component of the short form 12 health survey.^20 the summary physical
component score for physical health was constructed using standard
scoring procedures.
we used the 7-item depression section of the hospital anxiety and
depression scale to assess symptoms of depression.^21 all items were
rated on a 4-point scale (0–3), with higher scores indicating greater
depressive symptomatology.
self-management abilities related to the maintenance of overall
well-being were measured using an adjusted version of the short
(18-item) version of the self-management ability scale (smas-s).^22
this instrument assesses a broad repertoire of self-management
abilities: (i) initiative taking (being instrumental or self-motivating
in realizing aspects of well-being), (ii) investment in resources for
long-term benefits, (iii) maintenance of variety in resources (gaining
and maintaining various resources for each dimension of well-being),
(iv) ensuring resource multifunctionality (gaining and maintaining
resources or activities that serve multiple dimensions of well-being
simultaneously and in a mutually reinforcing way), (v) self-efficacy in
resource management (gaining and maintaining a belief in personal
competence to achieve well-being) and (vi) maintenance of a positive
frame of mind. the initiative taking, investment, self-efficacy,
variety and multifunctionality subscales are related to the physical
and social dimensions of well-being, and the subscale measuring the
ability to have a positive frame of mind is considered to be a more
general cognitive frame. following earlier research, we reduced the
number of response categories for 5 subscales from 6 to 4 to make
completion of the instrument less complex. higher scores indicate
better self-management abilities. the item ‘when things go against you,
how often do you think that it could always be worse?’ proved to be
problematic during validation and thus was omitted from the turkish
version. cronbach’s alpha of the smas-s based on the six subscales was
0.92, indicating excellent reliability.
physical activity was assessed by asking respondents how many days per
week they were physically active (e.g. sport activities, exercise,
housecleaning, work in the garden) for at least 30 min. government
agencies use this measure to monitor physical activity in the dutch
population. we used mean physical activity, measured in number of days
per week, in our analyses. in addition, we dichotomized the physical
activity scale according to the dutch standard for healthy physical
activity into 1 (at least 30 min of physical activity at least five
times per week) and 0 (at least 30 min of physical activity less than
five times per week),^23 to compare the proportion of physically active
patients with the dutch average. this threshold is also in line with
the international recommendation for the minimum physical activity
level of at least 150 min of moderate or vigorous physical activity per
week.^24
self-reported current smoking was assessed with a yes/no question.
consumption of fruits and consumption of vegetables were assessed
separately as indicators of healthy dietary behaviours, measured in
servings per day. the world health organization and the dutch
guidelines use a minimum of 200 g of vegetables and two servings of
fruit per day to distinguish healthy from unhealthy eating.^25 fruit
consumption was determined by summing the servings per day and was
dichotomized as 1 (healthy diet, consumption of at least two pieces of
fruit per day) and 0 (unhealthy diet, consumption of less than two
pieces of fruit per day). vegetable consumption was determined by
summing the servings per day and was dichotomized as 1 (healthy diet,
consumption of ≥200 g of vegetables per day) and 0 (unhealthy diet,
consumption of <200 g of vegetables per day).^25
respondents were asked to report the highest educational level
completed in the netherlands or abroad, with the option to select ‘no
schooling’ or to write in another response for unlisted forms of
schooling. this variable was dichotomized into low (completion of
elementary school or less) and high (more than elementary school).
income level was determined based on respondents’ reported monthly
household income, including social benefits, pensions and alimony.
responses ranged from 1 (less than €1000 a month) to 4 (€3050 or more a
month). ‘do not know/do not want to tell’ was included as a fifth
category. income level was dichotomized into low (less than €1350) and
high (€1350 or more).
respondents were asked to indicate whether they were married, divorced,
widowed, single, or cohabitating. a dichotomous variable was created:
divorced, single and widowed; and married.
the questionnaire also solicited information on respondents’ age,
gender and number of chronic conditions experienced in the past 12
months. respondents were provided with a list of 14 chronic conditions
(e.g. lung diseases, cardiovascular diseases, diabetes) and space to
write in other conditions. only conditions that were classified as
chronic by o'halloran et al.^26 were included.
analyses
the characteristics of the study sample were examined using descriptive
statistics. bivariate associations of variables expressing background
characteristics, health behaviours and self-management abilities with
those reflecting physical health, depressive symptoms and well-being
were examined. regression analyses were then performed to identify
relationships of health behaviours, self-management abilities, and
physical health with depressive symptoms and well-being while
controlling for background characteristics.
results
of, 2350 older turkish immigrants asked to participate, 213 were
ineligible due to change of address (n = 110), serious medical issue or
death (n = 102) or non-turkish ethnic background (n = 1). a total of
680 respondents completed the questionnaire (final response rate 32%).
table 1 displays descriptive statistics for the older turkish immigrant
population. the average age of the 680 respondents was 72.90 [standard
deviation (sd) 5.02; range 66–95] years, and 47.6% of them were women.
the majority of respondents reported having low education (80.3%) and
low income (83.4%) levels. the mean number of chronic diseases was 2.68
(sd 1.87; range 0–10). most (90.6%) respondents were chronically ill,
and 69.4% had more than one chronic disease. according to their
self-reported body mass indices, 86.5% of respondents were overweight
and 46.0% were obese. more than half of respondents had sufficient
weekly fruit (58.2%) and vegetable (55.3%) consumption. about one-third
(33.5%) of respondents smoked and 43.0% could be considered to be
physically active.
table 1
descriptive statistics for older turkish older immigrants (n = 680)
characteristic range % or mean (sd)
sex (female) 47.6%
age (years) 66–95 72.90 (5.02)
marital status (single/widowed) 28.7%
education (low) 80.3%
income (low) 83.4%
number of chronic diseases 0–10 2.68 (1.87)
chronically ill 90.6%
co-/multi-morbidity 69.4%
body mass index (kg/m^2) 17.65–68.59 30.32 (5.61)
overweight 86.5%
obese 46.0%
healthy diet
sufficient fruit consumption 58.2%
sufficient vegetable consumption 55.3%
physically active 43.0%
smoking 33.5%
self-management abilities 1–4 2.52 (0.62)
physical health 0–100 54.83 (18.18)
depressive symptoms 1–4 2.28 (0.66)
well-being 1–4 2.79 (0.55)
open in a separate window
sd, standard deviation.
table 2 displays the results of the bivariate analyses. single marital
status and low educational level were associated positively with
depressive symptoms and negatively with well-being. the number of
chronic conditions was associated negatively with physical health and
well-being, and positively with depressive symptoms. a positive
relationship was found between sufficient vegetable consumption and
well-being (r = 0.11, p < 0.01). physically active status was
associated positively with physical health (r = 0.09, p < 0.05) and
overall well-being (r = 0.20, p < 0.001), and negatively with
depressive symptoms (r = –0.28, p < 0.001). smoking was related
positively to depressive symptoms (r = 0.16, p < 0.001).
self-management abilities were related positively to physical health (r
= 0.12, p < 0.05) and well-being (r = 0.54, p < 0.001) and negatively
to depressive symptoms (r = –0.53, p < 0.001).
table 2
associations with physical health, depressive symptoms and well-being
(n = 680)
characteristics physical health depressive symptoms well-being
sex (female) 0.12^** 0.21^*** –0.11^**
age (years) –0.05 0.08^* –0.06
marital status (single/widowed) –0.05 0.16^*** –0.11^**
education (low) –0.07 0.16^*** –0.11^**
income (low) –0.06 0.10^* –0.06
number of chronic diseases –0.15^*** 0.36^*** –0.26^***
body mass index –0.13^*** 0.06 –0.06
eating enough fruit –0.01 –0.06 0.07
eating enough vegetables –0.01 –0.07 0.11^**
physically active 0.09^* –0.28^*** 0.20^***
smoking 0.06 0.16^*** 0.07
self-management abilities 0.12^** –0.53^*** 0.54^***
open in a separate window
^***p < 0.001.
^**p < 0.01.
^*p < 0.05.
the results of the multivariate regression analyses are displayed in
table 3. the number of chronic diseases was associated negatively with
physical health (β = –0.20, p = 0.005) and overall well-being (β =
–0.13, p = 0.039), and positively with depressive symptoms (β = 0.21, p
< 0.001). among health behaviours, a weak positive relationship was
found between sufficient vegetable consumption and well-being (β =
0.14, p = 0.017). in addition, weak relationships were found between
physical activity and depressive symptoms (β = –0.16, p = 0.007),
smoking and depressive symptoms (β = 0.16, p = 0.009), and
self-management abilities and physical health (β = 0.17, p = 0.015).
the strongest relationships were found between self-management
abilities and depressive symptoms (β = –0.39, p < 0.001) and overall
well-being (β = 0.49, p < 0.001).
table 3
results of multivariate regression analyses
characteristic physical health depressive symptoms well-being
β p β p β p
sex (female) –0.04 0.643 0.04 0.632 –0.03 0.694
age (years) –0.00 0.949 0.02 0.699 –0.07 0.264
marital status (single/widowed) 0.14 0.070 –0.03 0.691 0.03 0.670
education (low) 0.01 0.936 0.06 0.303 0.01 0.918
income (low) 0.01 0.944 0.03 0.582 0.03 0.584
number of chronic diseases –0.20 0.005 0.21 <0.001 –0.13 0.039
body mass index –0.08 0.282 –0.03 0.609 –0.05 0.433
sufficient fruit consumption 0.03 0.636 0.05 0.390 –0.06 0.303
sufficient vegetable consumption 0.03 0.697 –0.06 0.290 0.14 0.017
physically active 0.01 0.940 –0.16 0.007 0.02 0.731
smoking 0.09 0.206 0.16 0.009 0.01 0.886
self-management abilities 0.17 0.015 –0.39 <0.001 0.49 <0.001
r^2 12% 36% 31%
open in a separate window
significance of bold values is p < 0.05.
discussion
this study aimed to identify relationships of background
characteristics, health behaviours and self-management abilities with
physical health, depressive symptoms and well-being among older turkish
immigrants residing in rotterdam, the netherlands. chronic diseases,
overweight and obesity were highly prevalent among respondents. during
the same period in which this study was conducted (2015/2016), a much
smaller percentage of the general dutch population aged ≥ 65 years was
overweight compared with our turkish sample (60% vs. 86.5%); the
prevalence of obesity differed to a lesser degree (42% vs. 46%).^27 in
addition, a larger percentage of turkish elders were chronically ill
compared with the general dutch population aged ≥ 65 years (90.6% vs.
79.9%).^28 the prevalence of chronic diseases is known to be higher
among those with lower educational levels,^29 which could explain this
finding, as 80.3% of older turkish immigrants participating in this
study were less educated.
with increasing numbers of chronic diseases, older immigrants had worse
physical health and well-being, and more depressive symptoms. healthy
behaviours and self-management abilities may protect chronically ill
older immigrants from the deterioration of health and well-being, and
the onset of depressive symptoms. however, we found only weak
relationships between the outcome variables and physical activity,
sufficient vegetable consumption and smoking, and the latter two health
behaviours were not associated with all outcome variables. a smaller
percentage of older immigrants met the norm for physical activity
compared with the general older population in the netherlands (43% vs.
50%).^30 the prevalence of smoking was also greater among older turks
compared with the general dutch population aged ≥ 65 years (33.5% vs.
∼15%).^31 this is in line with earlier research showing that the
percentage of smoking in the netherlands is highest in the turkish
population, especially among turkish men.^32^,^33 regarding dietary
behaviour, older turkish respondents were healthier than the older
general population in the netherlands in 2015/2016 in terms of
sufficient fruit (58.2% vs. 43%) and vegetable (55.3% vs. 30%)
consumption. these findings are in line with earlier research showing
that immigrants ate more fruit and vegetables than did older dutch
people.^34 in terms of health behaviours, older turkish people are thus
expected to benefit especially from smoking cessation and physical
activity interventions.
the strongest relationships were found between broader self-management
abilities and the outcome variables, especially depressive symptoms and
overall well-being. these findings are important, given that these
abilities are amendable. examples of the most commonly used
self-management interventions are health education, lifestyle
education, enhancement of knowledge about chronic diseases and their
risk factors, support of a healthy diet and promotion of physical
exercise and smoking cessation. however, older patients’ abilities to
self-manage their overall well-being, such as having a positive frame
of mind, taking initiative and self-efficacy, should also be addressed.
interventions that aim to enhance self-management abilities may be
useful additions to traditional interventions, which usually focus
solely on the physical decline associated with ageing and chronic
conditions.^35–37
the limitations of this study should be considered when interpreting
the findings. first, although the response rate was low, it was
comparable to those in other surveys conducted in this population [61].
most non-response was due to the inability to reach respondents after a
minimum of two door-to-door contact attempts (following the two contact
attempts via mail), potentially resulting in non-response bias. to
improve the response rate, this number should be increased to six
contact attempts, which was not feasible in our study.^38^,^39 to
investigate potential non-response bias, we conducted non-response
analyses. no significant difference in gender was found between
respondents and non-respondents. the mean age of these groups, however,
differed significantly; on average, respondents were younger than
non-respondents [72.11 (sd = 5.10) vs. 72.73 (sd = 5.00),
respectively]. educational level of our sample is comparable to other
studies showing that ∼80% of turkish older migrants only completed
elementary school or less.^40 second, the data collected were
cross-sectional, preventing determination of causality. third, although
this study showed that self-management abilities are important for
older turkish people, we did not investigate whether interventions
aiming to enhance these abilities actually improved self-management.
further research is necessary to explore ways in which the
self-management abilities of older turkish people can be improved.
fourth, we investigated fruit and vegetable consumption only, not how
food was prepared or the total fat or calorie intake per day, which are
also known to be important.^41 fifth, we also did not include alcohol
consumption to our analyses given that only two male respondents drank
more than the norm (≥3 units per day at ≥4 days a week). if you would
look at health behaviours among immigrant populations outside the
muslim community, it would be interesting to add this health behaviour.
finally, our study sample consisted of older turkish people residing in
rotterdam, which limits the generalizability of our study findings.
conclusion
based on the results of this study, we can conclude that in addition to
health behaviours, broader self-management abilities related to the
maintenance of overall well-being are important for older turkish
people. while only weak relationships were found with health
behaviours, strong relationships were found with broader
self-management abilities, depressive symptoms and well-being. in terms
of health behaviours, older turkish people are expected to benefit most
from smoking cessation and physical activity interventions. older
immigrants, including turks, however, may especially benefit from
interventions that enhance broader self-management abilities related to
the maintenance of overall well-being. interventions to improve
self-management abilities may help older turkish people better deal
with functional losses and chronic diseases as they age further. such
interventions will probably need to be adjusted for this population to
be effective.^38 the current national public health policy, however,
devotes no specific attention to high-risk ethnic groups. we feel that
these results provide a useful basis for the design of effective
interventions for successful ageing among older turkish people in the
netherlands.
funding
this study was supported by a grant provided by the erasmus university
of rotterdam.
conflicts of interest: none declared.
key points
* chronic diseases, overweight and obesity are highly prevalent among
turkish elderly.
* smoking cessation and physical activity interventions may partly
improve outcomes.
* interventions aimed at broader self-management abilities seem
especially effective.
* a broader focus is needed on self-management abilities to maintain
overall well-being.
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the importance of health education
february 8, 2018
marcy vadurro
director of product marketing
explore programs
importanceofhealtheducationbanner
when it comes to building a healthy community, the importance of health
education cannot be overlooked. community health workers collaborate
with all stakeholders in a community - from its citizens to its
government, education and medical officials - to improve health and
wellness and ensure equal access to healthcare.
what is the importance of health education?
community health education looks at the health of a community as a
whole, seeking to identify health issues and trends within a population
and work with stakeholders to find solutions to these concerns.
the importance of health education impacts many areas of wellness
within a community, including:
* chronic disease awareness and prevention
* maternal and infant health
* tobacco use and substance abuse
* injury and violence prevention
* mental and behavioral health
* nutrition, exercise and obesity prevention
community health educators work with public health departments,
schools, government offices and even local nonprofits to design
educational programs and other resources to address a community's
specific needs.
importanceofhealtheducationbody3
"the value in these programs is having a topic or issue tailored to the
needs of the audience...and working with them one on one to make
behavioral changes," said daphne guillaume, a certified health
education specialist and public health adjunct faculty at southern new
hampshire university (snhu).
overcoming health disparities
in addition to providing educational resources and programming to a
community, public health educators also work to ensure all members of a
community have equal access to wellness resources and healthcare
services.
according to the american public health association (apha), common
health disparities affecting americans include:
* racial or ethnic health disparities
* socioeconomic health disparities
* gender health disparities
* rural health disparities
importanceofhealtheducationbody1
"we look at the issues that are going on in our communities through a
social justice lens," said snhu adjunct faculty member dede teteh, a
certified health education specialist and public health researcher.
"the main difference between [public health] and medicine is we don't
look at people one by one. we work with communities and examine trends
in behaviors and health outcomes. we attempt to decipher what's going
on within communities and determine how we can best support their
wellness efforts. but we don't act without their input or partnership."
community health education and government policy
the importance of health education also extends into policy and
legislation development at a local, state and national level, informing
and influencing key decisions that impact community health.
from campaigns and legislation to enforce seat belt use and prevent
smoking to programs that boost the awareness and prevention of
diabetes, public health workers provide research and guidance to inform
policy development.
"you're not just educating the individual person, you need the impetus
and motivation to come from the whole community," said snhu associate
dean of health professions denise bisaillon. "you have to reach the
leaders in the community. the more people invested in a change, the
more likely its success."
the economic importance of health education
health education can also boost a community's economy by reducing
healthcare spending and lost productivity due to preventable illness.
obesity and tobacco use, for example, cost the united states billions
of dollars each year in healthcare costs and lost productivity.
according to the american public health association (apha) the annual
loss in economic productivity due to obesity and related issues is
expected to total as much as $580 billion by 2030. the total economic
cost of tobacco use costs the united states more than $300 billion each
year, including $156 billion in lost productivity, according to the
cdc.
programs designed to help community members combat these expensive
health issues not only boost individuals' health, but also provide a
strong return on investment for communities.
according to the cdc, states with strong tobacco control programs see a
$55 return on every $1 investment, mostly from avoiding costs to treat
smoking-related illness. the national cost of offering the national
diabetes prevention program is about $500 per participant,
significantly lower than the $7,900 spent on diabetes care per type 2
diabetes patient each year.
importanceofhealtheducationbody4 a growing field
as the health, social and economic impacts of community health
education continue to grow, so does the field of public health and
health promotion.
according to the u.s. bureau of labor statistics (bls), employment in
the community health education field is projected to grow by 16%
through 2026, more than twice the average for all occupations.
workers with a community health education degree can find opportunities
in a wide variety of settings, according to the bls, including:
* schools and colleges
* hospitals and healthcare facilities
* nonprofit organizations
* private businesses and employee wellness programs
* government organizations and public health departments
as communities continue to focus more on improving the health and
wellness of its citizens, the field of community health education will
also continue to grow, said snhu adjunct faculty michelle gifford.
"i believe that more and more communities are seeing benefits from
wellness-related initiatives and receiving positive marks about them,
hence community leaders are seeing this as not just a business-driven
necessity, but also something that impacts the well being and quality
of life of their citizens," gifford said.
marcy vadurro is a marketing professional within nursing and health
professions in higher education.
health
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darla branda
health professions clinical faculty darla branda: a faculty q&a
december 13, 2019
after spending 4 years in the military, darla branda earned her degree
and began working in health information management. she's since joined
the faculty at snhu, and we asked her to share her thoughts about
teaching, the importance of education and more as part our faculty
spotlight series.
a student in snhu's ccne accredited nursing programs.
snhu nursing programs receive 10-year ccne reaccreditation
november 21, 2019
snhu online nursing programs recently received a 10-year
reaccreditation from the commission on collegiate nursing education
(ccne), a professional accrediting agency that strives to promote the
quality and integrity of baccalaureate and graduate nursing programs.
a group of doctors and nurses reviewing a document in a hospital
corridor.
healthcare students get to the heart of succession planning
november 13, 2019
teams of southern new hampshire university nursing and healthcare
students recently tackled the challenge of succession planning for
healthcare facilities in the latest higher education and real-world
training challenge.
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homehealth and its importance | health and its significance | the
importance of health and health
health and its importance | health and its significance | the importance of
health and health
civil blog 369 february 09, 2019
[ins: :ins]
health and its importance
health-and-its-importance
health and its importance
the word "health" refers to an emotional and physical well- being
state. healthcare is available to help people maintain this optimal
health status.
your food choices affect your health every day-how you feel today,
tomorrow and the future. good food is an important part of a healthy
lifestyle. in combination with physical activity, your diet can help
you achieve a healthy weight, reduce the risk of chronic diseases (such
as heart disease and cancer) and promote your overall health.
why does good health matter?
cells are the basic units of all organisms. they consist of a variety
of chemicals. cells move from location to location. even if the cell
does not move, there is still a lot of repairs. cells are the basic
units of all organisms.
in relation, there are various specialized activities in our body such
as the heart pumps blood, the kidney filters the urine, which even the
brain constantly probably thinks the lungs help to inhale.
there's a lot of interconnection in our body between the different
organs. our body needs energy and raw material for all these
activities. food is necessary for the functioning of cells and tissues.
therefore, if you're not good, all your physical activities begin to
get hampered.
the significance of health
health is a physical, mental and social state of complete well-being. a
person needs a balanced diet and regular exercise for a healthy life
cycle. you also have to live in a proper shelter, sleep enough and have
good hygiene habits. so, how do we make sure we do all the right things
to be healthy? let's raise awareness about the importance of health
1)all organisms ' health depends on their environment or surroundings.
in our individual health, our social environment is an important
factor.
2)for individual health, public cleanliness is important. we must
therefore ensure that we regularly collect and clear the waste. we also
need to contact an agency responsible for clearing the drains. you
could have a serious impact on your health without this.
3)we need food for health and food, by doing work, we have to earn
money. there must be an opportunity to do work for this. therefore,
individual health needs good economic conditions and jobs.
4)to be really healthy, we need to be happy. we can't be healthy or
happy if we mistreat each other and fear each other. for individual
health, social equality and harmony are important.
what is an illness?
if one or more organs or systems of our body are adversely affected
because they are interrupted in their normal functioning, we say that
we are not healthy, i.e. we have a disease. disease means that
something is wrong with our body and we feel that the body is unwell or
malfunctioning.
our health is not only affected by uneven diets, but also by diseases,
infections, poverty, large families, overcrowded homes, etc. the
disease is usually caused by external organisms (microbes), which cross
the natural barriers of the body and invade our healthy body. such
organisms can cause havoc if it is not handled immediately by our
immune system.
health-and-its-importance
health and its significance
types of health
mental and physical health are the two types of health most frequently
discussed. we also talk about, among others, "spiritual health,"
"emotional health" and "financial health." they were also linked to
lower levels of stress and mental and physical well- being.
physical health
bodily functions work at peak performance in a person who experiences
physical health, not only because of a lack of disease, but also
because of regular exercise, balanced nutrition and adequate rest. when
necessary, we receive treatment to maintain the balance.
physical well- being means a healthy lifestyle to reduce the risk of
disease. for example, maintaining physical fitness can protect the
breathing and heart function, muscle strength, flexibility and body
composition of a person and develop it.
physical health and well- being also reduce the risk of injury or
health problems. examples include minimizing risks at work, safe sex,
good hygiene, or avoiding tobacco, alcohol or illegal drugs.
mental health
mental health means the emotional, social and psychological well- being
of a person. mental health is as important to a full and active
lifestyle as physical health.
mental health is harder to define than physical health, because
diagnosis often depends on the perception of the individual's
experience. however, with test improvements, some signs of some types
of mental illness in ct scans and genetic testing are now becoming
"visible."
mental health is not just a lack of depression, anxiety or other
disorder. it also depends on the ability to: enjoy life bouncing back
after difficult experiences achieve balance, feel safe and secure in
order to achieve your potential.
there are good links between physical and mental health. if chronic
disease affects the ability of a person to perform his or her regular
tasks, depression and stress can be caused, for example, by money
problems. a mental illness such as depression or anorexia can affect
the weight and function of the body. rather than its different types,
it is important to approach "health "as a whole.
good health factors
health depends on a variety of factors. a person is born with a variety
of genes and an unusual genetic pattern can lead to a level of health
that is less than optimal in some people.
environmental factors play an important role. the environment alone
sometimes suffices to have an impact on health. an environmental
trigger can cause disease in a genetically susceptible person at other
times.
these can be summarized as:
social and economic environment: including the wealth of a family or
community.
the physical environment: including parasites in an area or levels of
pollution.
the characteristics and behaviors of the person:
according to the world health organization, the higher the socio-
economic status of a person( ses), the more likely they are to enjoy
good health, good education, a well- paid job, and if their health is
threatened, good health care will be available.
people with a lower socio- economic status are more likely to
experience stresses related to daily life, such as financial
difficulties, marital disruption and unemployment, as well as social
factors such as marginalization and discrimination. all of this adds to
the risk of poor health.
low socio- economic status means often less access to healthcare.
people in developed countries with universal health services have
longer life expectancies than people without universal health care in
developed countries.
cultural problems can have an impact on health. a society's traditions
and customs and the response of a family to them can have a good or bad
effect on health. for example, people around the mediterranean are more
likely to consume high levels of fruit, vegetables and olives and eat
as a family compared to fast food crops.
how stress is managed affects health. people who smoke, drink or take
drugs to forget about their problems are likely to experience more
health problems later than people who fight stress through healthy diet
and exercise.
men and women are susceptible to various health factors. they may be at
greater risk of poor health than men in societies where women earn less
than men or are less educated.
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1. hello healthy24 december 2019 at 19:33
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home » achieve lasting weight loss » the importance of health
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#what is health behavior? health risks alternate alternate
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models and mechanisms of public health
chapter 5: key principles of health behavior change
search for: ____________________ search
examples of health behaviors and concepts
image
social determinants, as stated in the article by short and mollborn,
can be split into three levels, the downstream level (individual
choices), the upstream level (socio-economic, cultural systems, etc.)
and the meso level (interpersonal interactions) (short and mollborn,
2015). most research is focused on the meso level due to the immediate
effects and influence it has over someone’s health behaviors. the
systems that are involved in the meso level could be an individual’s
neighborhood, family, and friends. the importance of social
determinants and their effects on health can help determine the reasons
for specific health actions and behaviors.
the concepts of health behavior are dynamic and encompass different
areas, cultures, genders, age groups, etc. this can be seen within the
united states; the likelihood of developing smoking behaviors are more
prevalent in the south than in the west (short and mollborn, 2015).
some examples of things that health behavior can affect are diet,
physical activity, sleep, and coping with stressful events. health
behavior should be looked at on multiple levels and perspectives to
fully understand how it can promote and protect health instead of
causing harm to it.
licenses and attributions
cc licensed content, original
* authored by: christian rossman, michaela ou2019brien, gloria
poisson, and abubakry tunkara. located at:
https://courses.lumenlearning.com/suny-buffalo-environmentalhealth/
. project: models and mechanisms of public health. license: cc
by-nc-sa: attribution-noncommercial-sharealike
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health behavior
health behavior pp 3-17 | cite as
health behavior
plural perspectives
* authors
* authors and affiliations
* david s. gochman
chapter
* 16 citations
* 27 readers
* 328 downloads
abstract
what “health behavior” means, and how it is treated in this book, are
the basic topics of the first part of this chapter, which begins with a
working definition of health behavior, discusses some related terms,
and provides a definition of “health behavior research.” the chapter
continues with a discussion of conceptions of health, illness, and
disease, and concludes by identifying some research issues that relate
to these conceptions.
keywords
health behavior behavioral health behavioral medicine illness
behavior sociocultural perspective
these keywords were added by machine and not by the authors. this
process is experimental and the keywords may be updated as the learning
algorithm improves.
this is a preview of subscription content, log in to check access.
preview
unable to display preview. download preview pdf.
unable to display preview. download preview pdf.
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copyright information
© springer science+business media new york 1988
authors and affiliations
* david s. gochman
+ 1
1. 1.raymond a. kent school of social workuniversity of
louisvillelouisvilleusa
about this chapter
cite this chapter as:
gochman d.s. (1988) health behavior. in: gochman d.s. (eds)
health behavior. springer, boston, ma
* doi https://doi.org/10.1007/978-1-4899-0833-9_1
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what is good health?
written by adam felman on july 31, 2017
* what is health?
* types
* factors for good health
* preserving health
the word "health" refers to a state of complete emotional and physical
well-being. healthcare exists to help people maintain this optimal
state of health.
in 2015, the population of the united states (u.s.) spent an estimated
$3.2 trillion on healthcare costs.
however, despite this expenditure, a study by the u.s. national
research council, published in 2013, showed that americans die at a
younger age and experience more illness and injury than people in other
developed countries.
good health is central to handling stress and living a long and active
life.
fast facts on health
here are some key points about health. more detail is in the main
article.
* health can be defined as physical, mental, and social wellbeing,
and as a resource for living a full life.
* it refers not only to the absence of disease, but the ability to
recover and bounce back from illness and other problems.
* factors for good health include genetics, the environment,
relationships, and education.
* a healthful diet, exercise, screening for diseases, and coping
strategies can all enhance a person's health.
what is health?
health is not just absence of disease but a state of overall wellbeing.
share on pinteresthealth is not just absence of disease but a state of
overall wellbeing.
in 1948, the world health organization (who) defined health with a
phrase that is still used today.
"health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity." who, 1948.
in 1986, the who further clarified that health is:
"a resource for everyday life, not the objective of living. health is a
positive concept emphasizing social and personal resources, as well as
physical capacities."
this means that health is a resource to support an individualʼs
function in wider society. a healthful lifestyle provides the means to
lead a full life.
more recently, researchers have defined health as the ability of a body
to adapt to new threats and infirmities. they base this on the idea
that modern science has dramatically increased human awareness of
diseases and how they work in the last few decades.
types
mental and physical health are the two most commonly discussed types of
health. we also talk about "spiritual health," "emotional health," and
"financial health," among others. these have also been linked to lower
stress levels and mental and physical wellbeing.
physical health
in a person who experiences physical health, bodily functions are
working at peak performance, due not only to a lack of disease, but
also to regular exercise, balanced nutrition, and adequate rest. we
receive treatment, when necessary, to maintain the balance.
physical wellbeing involves pursuing a healthful lifestyle to decrease
the risk of disease. maintaining physical fitness, for example, can
protect and develop the endurance of a personʼs breathing and heart
function, muscular strength, flexibility, and body composition.
physical health and well-being also help reduce the risk of an injury
or health issue. examples include minimizing hazards in the workplace,
practicing safe sex, practicing good hygiene, or avoiding the use of
tobacco, alcohol, or illegal drugs.
mental health
mental health refers to a personʼs emotional, social, and psychological
wellbeing. mental health is as important as physical health to a full,
active lifestyle.
it is harder to define mental health than physical health, because, in
many cases, diagnosis depends on the individualʼs perception of their
experience. with improvements in testing, however, some signs of some
types of mental illness are now becoming "visible" in ct scans and
genetic testing.
mental health is not only the absence of depression, anxiety, or
another disorder.
it also depends on the ability to:
* enjoy life
* bounce back after difficult experiences
* achieve balance
* adapt to adversity
* feel safe and secure
* achieve your potential
physical and mental health are linked. if chronic illness affects a
personʼs ability to complete their regular tasks, this may lead to
depression and stress, for example, due to money problems.
a mental illness such as depression or anorexia nervosa can affect body
weight and function.
it is important to approach "health" as a whole, rather than its
different types.
factors for good health
health depends on a wide range of factors.
a person is born with a range of genes, and in some people, an unusual
genetic pattern can lead to a less-than-optimum level of health.
environmental factors play a role. sometimes the environment alone is
enough to impact health. other times, an environmental trigger can
cause illness in a person who is genetically susceptible.
access to healthcare plays a role, but the who suggests that the
following factors may have a bigger impact on health than this:
* where a person lives
* the state of the surrounding environment
* genetics
* income
* education level
* relationships with friends and family
these can be summarized as:
* the social and economic environment: including how wealthy a family
or community is
* the physical environment: including parasites that exist in an
area, or pollution levels
* the personʼs characteristics and behaviors: including the genes
that a person is born with and their lifestyle choices
*
according to the who, the higher a personʼs socioeconomic status (ses),
the more likely they are to enjoy good health, a good education, a
well-paid job, afford good healthcare when their health is threatened.
people with a lower socioeconomic status are more likely to experience
stresses related to daily living, such as financial difficulties,
marital disruption, and unemployment, as well as social factors, such
as marginalization and discrimination. all these add to the risk of
poor health.
a low socio-economic status often means less access to healthcare.
people in developed countries with universal healthcare services have
longer life expectancies than people in developed countries without
universal healthcare.
cultural issues can affect health. the traditions and customs of a
society and a familyʼs response to them can have a good or bad impact
on health. for example, around the mediterranean, people are more
likely to consume high levels of fruits, vegetables, and olive, and to
eat as a family, compared with cultures with a high consumption of fast
food.
how a person manages stress will affect health. people who smoke,
drink, or take drugs to forget their problems are likely to have more
health problems later than someone who combats stress through a
healthful diet and exercise.
men and women are prone to different health factors. in societies where
women earn less than men or are less educated, they may be at greater
risk than men for poor health.
preserving health
the best way to maintain health is to preserve it through a healthful
lifestyle, rather than waiting until we are sick to put things right.
this state of enhanced well-being is referred to as wellness.
the mckinley health center at the university of illinois il defines
wellness as:
"a state of optimal well-being that is oriented toward maximizing an
individualʼs potential. this is a life-long process of moving
towards enhancing your physical, intellectual, emotional, social,
spiritual, and environmental well-being."
wellness promotes an active awareness of and participation in health,
as an individual and in the community.
maintaining wellness and optimal health is a lifelong, daily
commitment.
steps that can help us maximize our health include:
* a balanced, nutritious diet, sourced as naturally as possible
* regular exercising
* screening for diseases that may present a risk
* learning to manage stress
* engaging in activities that provide purpose and connection to
others
* maintaining a positive outlook and appreciating what you have
* defining a value system, and putting it into action
peak health will be different for each person, and how you achieve
wellness may be different from how someone else does.
it may not be possible to avoid disease completely, but doing as much
as we can to develop resilience and prepare the body and mind to deal
with problems as they arise is a step we can all take.
written by adam felman on july 31, 2017
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* croat med j
* v.47(4); 2006 aug
* pmc2080455
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croat med j. 2006 aug; 47(4): 662–664.
pmcid: pmc2080455
pmid: 16909464
the meanings of health and its promotion
norman sartorius
copyright and license information disclaimer
copyright © 2006 by the croatian medical journal. all rights reserved.
this is an open access article distributed under the creative commons
attribution license, which permits unrestricted non-commercial use,
distribution, and reproduction in any medium, provided the original
work is properly cited.
this article has been cited by other articles in pmc.
the constitution of the world health organization, which came into
force on april 7, 1948, defined health “as a state of complete
physical, mental and social well-being.” the writers of the
constitution were clearly aware of the tendency of seeing health as a
state dependent on the presence or absence of diseases: so they added
to that definition that an individual, if he is to be considered
healthy, should not suffer from any disease (….“and not merely the
absence of disease or infirmity”) (1). in that way, the definition of
the world health organization simply added a requirement to the
previous position that allowed to declare someone healthy if no disease
could be found: the step forward that could have been taken in the
conceptualization of health as a dimension of existence which can
co-exist with the presence of a disease or impairment was thus not
taken.
today, three types of definition of health seem to be possible and are
used. the first is that health is the absence of any disease or
impairment. the second is that health is a state that allows the
individual to adequately cope with all demands of daily life (implying
also the absence of disease and impairment). the third definition
states that health is a state of balance, an equilibrium that an
individual has established within himself and between himself and his
social and physical environment.
the consequences of adopting one or another of these definitions are
considerable. if health is defined as the absence of disease, the
medical profession is the one that can declare an individual healthy.
with the progress of medicine, individuals who are declared healthy
today may be found to be diseased tomorrow because more advanced
methods of investigations might find signs of a disease that was not
diagnosable earlier. how an individual feels about his or her state is
not relevant in this paradigm of health. how the surrounding people
judge the behavior and appearance of an individual is only relevant if
their observations are congruent with the criteria of abnormality that
the medical profession has produced. the measurement of the state of
health of a population is also simple and will involve no more than
counting the individuals who, on examination, show defined signs of
illness and comparing their numbers with those who do not.
there are obvious difficulties with the first and the second of the
definitions mentioned above and with their consequences. there are
individuals who have abnormalities that can be counted as symptoms of a
disease but do not feel ill. there are others whose body tissues do not
demonstrate changes but who feel ill and do not function well. there
are people who hear voices and might therefore be candidates for
psychiatric examination and possibly treatment – but live well in their
community and do not ask for nor receive medical care. there is a
significant number of people who have peptic ulcers and other diseases,
experience no problems, do not know that they have a disease and do not
seek treatment for it. some of these individuals will also escape the
second type of definition of health because they function as well as
expected in their age and gender group of the general population.
the third definition mentioned above makes health depend on whether a
person has established a state of balance within oneself and with the
environment. this means that those with a disease or impairment will be
considered as being healthy to a level defined by their ability to
establish an internal equilibrium that makes them get the most they can
from their life despite the presence of the disease. health would thus
be a dimension of human existence that remains in existence regardless
of the presence of diseases, somewhat like the sky that remains in
place even when covered with clouds. the advantage of this definition
is that diseases do not replace individuals’ health: they may affect
their balance more or less severely but, at all times, the patients who
suffer from a disease (and their doctors) remain aware of the need to
work simultaneously on two tasks – one, to remove or alleviate the
disease and the second to establish a state of balance, as best they
can, within oneself and in relation with their environment. in fighting
stigmatization that accompanies many chronic and some acute diseases –
such as mental disorders or leprosy – this definition is also useful
because it makes us speak and think about our patients as people who
are defined by different dimensions (including health) and who, at a
point, suffer from a disease – and thus make us say “a person with
schizophrenia” rather than “a schizophrenic,” or a ”person who has
diabetes” rather than a “diabetic” and a “person with leprosy” rather
than a “leper.”
there is another important consequence of working with this definition
of health. to establish whether someone is in good health in accordance
with this definition, the doctor must explore how individuals who have
a disease feel about it, how the disease influences their lives, how
they propose to fight their disease or live with it. laboratory
findings and the presence of symptoms are thus important and necessary
ingredients in thinking about the state of health and the presence of a
disease but are not sufficient to reach a decision about someone’s
health: it is necessary to view the disease in the context of the
person who has it in order to make a judgment about his or her level of
health. there is little doubt about the fact that going about the
treatment of diseases in this way would improve the practice of
medicine and make it a more realistic as well as a more humane
endeavor.
the promotion of health is also affected by the differences in the
definition of health. the simplest definition of health – equated with
the absence of disease – would lead to a definition of the promotion of
health as an effort to remove diseases and diminish the numbers of
individuals who suffer from them. the involvement of functioning in the
definition of health would be reflected in defining the promotion of
health as a process by which the capacity of individuals to cope will
be enhanced and strengthened, for example by regular and obligatory
physical exercise. both of these definitions would lead to
recommendations to improve the treatment of diseases, and to remove
risks factors that might lead to them – such as sedentary life style,
smoking, bad eating habits and insufficient application of hygienic
measures such as washing one’s hands before meals.
the third definition of health, by its very nature, could not stop at
efforts to remove diseases and to diminish risk factors that might lead
to disease. it would have to involve the individuals whose health is to
be promoted in an active way: it would have to address the scales of
values of individuals and communities to ensure that health is placed
higher on those scales. high value placed on health (not only on the
absence of disease) would make people undertake whatever is necessary
to enhance health: participating in preventive action and seeking
treatment would become a normal expression of the need to behave in
harmony with one’s own and one’s community values. changing the place
of health on the scale of values, however, is not possible if left to
the health sector alone: values are shaped throughout life under the
influence of parents, friends, schools, the media, laws, and one’s own
life course and experience. thus, changing values – for example to give
health a higher value, to promote health – has to be a task for all of
those involved in shaping values and placing them on a scale rather
than for the health system alone.
the huge challenges that face societies aiming to improve the health of
their citizens will not be appropriately answered if we do not change
the paradigms of health and disease and design strategies for future
work using these new paradigms. their formulation and acceptance is a
task that is before all of us and is urgent.
references
1. constitution of the world health organization. in: world health
organization: basic documents. 45th ed. geneva: world health
organization; 2005. [google scholar]
__________________________________________________________________
articles from croatian medical journal are provided here courtesy of
medicinska naklada
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fdi unveils new universally applicable definition of ‘oral health’
06 september 2016
6 september 2016
fdi unveils new universally applicable definition of ‘oral health’
poznan, 6 september 2016 – fdi world dental federation today launched
the new definition of ‘oral health’ – positioning it as an integral
part of general health and well-being – at its annual world dental
congress in poznan, poland. it was adopted by over 200 national dental
associations (ndas) and will now be rolled out to the oral health
community, globally.
“this new definition is an important milestone for the oral health
profession,” said dr patrick hescot, fdi president. “true to our vision
2020 advocacy strategy and our ambition to lead the world to optimal
oral health, the new definition will allow us to develop standardized
assessment and measurement tools for consistent data collection on a
global level.”
as defined by fdi:
oral health is multi-faceted and includes the ability to speak, smile,
smell, taste, touch, chew, swallow and convey a range of emotions
through facial expressions with confidence and without pain, discomfort
and disease of the craniofacial complex.
further attributes related to the definition state that oral health:
* is a fundamental component of health and physical and mental
wellbeing. it exists along a continuum influenced by the values and
attitudes of individuals and communities;
* reflects the physiological, social and psychological attributes
that are essential to the quality of life;
* is influenced by the individual’s changing experiences,
perceptions, expectations and ability to adapt to circumstances.
the new definition was coined by fdi’s vision 2020 think tank members,
which includes experts in oral health, public health and health
economics. together with a companion framework tested against external
stakeholders, the new oral health definition is the result of a wider
consultation which included patients, oral health professionals, ndas,
the public health community, academia, government, industry and
third-party payers.
“with this new definition, we want to raise awareness of the different
dimensions of oral health and emphasize that oral health does not occur
in isolation, but is embedded in the wider framework of overall health”
said prof. david williams, co-chair of fdi’s vision 2020 think tank.
“we are proposing a contemporary definition of oral health, which
resonates with that used by many ndas and the world health
organization,” said prof. michael glick, co-chair of fdi’s vision 2020
think tank. “it is therefore not a revolution, but an evolution.”
fdi plans to widely disseminate this oral health definition and
advocate for its operationalization to establish a standard measurement
instrument that can be applied across countries. a measurement toolbox
will be ready in 2017 to allow for assessment of individual and
population needs that can inform and drive oral health policies.
media contact
charanjit (chaz) jagait phd, fdi communications & advocacy director
e-mail: cjagait@fdiworldental.org | tel: +41 22 560 81 48
about fdi world dental federation
fdi world dental federation serves as the principal representative body
for over 1 million dentists worldwide. its membership includes some 200
national member associations and specialist groups in over 130
countries. fdi’s vision: ‘leading the world to optimal oral health’.
www.fdiworldental.org
for more fdi news, visit www.fdiworldental.org
fdi world federation - avenue louis casai 51 - ch - 1216 cointrin -
geneva - switzerland
© fdi world dental federation - all rights reserved
www.fdiworldental.org
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a closer look at health equity
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in this aha advancing health podcast, duane reynolds, president and ceo
of the aha’s institute for diversity and health equity, and priya
bathija, vice president of aha’s the value initiative, discuss how
health equity is a moral issue that affects the length and quality of
people’s lives. they share how hospitals and health system leaders are
addressing the social determinants of health and social needs to make
care more equitable.
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aha statement for house energy and commerce committee on maternal health
legislation
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“improving maternal health: legislation to advance prevention efforts
and
access to care”
september 10, 2019
on behalf of our nearly 5,000 member hospitals, health systems and
other health care organizations, our clinician partners – including
more than 270,000 affiliated physicians, 2 million nurses and other
caregivers – and the 43,000 health care leaders who belong to our
professional membership groups, the american hospital association (aha)
commends the committee on energy and commerce for its efforts to
examine legislation to improve maternal health.
maternal health is a top priority for the aha and our member hospitals
and health systems, and our initial efforts are aimed at eliminating
maternal mortality and severe morbidity. the causes of maternal
mortality and morbidity are complex, including a lack of consistent
access to comprehensive care and persistent racial disparities in
health and health care. as hospitals work to improve health outcomes,
we are redoubling our efforts to improve maternal health across the
continuum of care and reaching out to community partners to aid in that
important effort.
the may 2019 vital signs report issued by the centers for disease
control and prevention (cdc) noted that about 700 women die each year
from complications related to pregnancy, and more than half of those
deaths are preventable. an estimated 31% of pregnancy-related deaths
occur during pregnancy, 36% during delivery or the week after, and 33%
one week to one year after delivery. the cdc last week released its
morbidity and mortality weekly report that showed that between
2007-2016, the pregnancy-related mortality ratio increased from 15 to
17 pregnancy-related deaths per 100,000 births and that black, american
indian and alaska native women were two to three times more likely to
die from pregnancy-related causes than white women, and this disparity
increases with age. the report also noted that racial and ethnic
disparities in pregnancy-related deaths have persisted over time.
key resources
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maternal & child health
every child deserves to have a healthy start in life, and every mother
should have access to quality healthcare during pregnancy and
childbirth. the birth of a new child should be a time for celebration,
and yet for many women around the world it is a time of fear. according
to the world health organisation, more than 800 women die every day
from complications in pregnancy and childbirth. the majority of these
deaths could be prevented given the right resources and care. most of
these deaths happen in the global south, and are particularly high in
rural areas.
in these remote areas, women, newborns and children are often the most
vulnerable to health problems. health centres can be difficult to
reach, and without alternative forms of transport available to them,
women and children sometimes have to walk for days to get there. even
when they reach the facilities, they might find them understaffed or
underequipped.
indigenous women and girls are even more likely to experience worse
maternal health outcomes, and frequently face discrimination and abuse
from health centre staff. for example, maasai women in kenya are twice
as likely to have had no antenatal care, and san women in namibia are
ten times more likely to give birth without skilled attendance.
au sits inside her mud-walled hut near tsumkwe, namibia
au, a traditional birth attendant in namibia
all of these factors discourage mothers from visiting health centres
during pregnancy and to give birth, and often they instead rely on
traditional birth attendants (tbas) in the community as their only
source of maternal health support. the position of tba is passed down
through generations of women, and is a highly respected role in the
community. however, these women very rarely have access to any health
training, leaving them without the skills or tools to identify and
treat difficulties in childbirth. overall, the lack of infrastructure,
transport and training means women and newborns are still dying in
childbirth.
at health poverty action we believe maternal health is particularly
important because of the far-reaching impacts it has on families and
communities. not only does access to quality maternal healthcare ensure
the good health of a mother – her good health also helps to ensure the
good health of her newborn child and the rest of her family.
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maternal health
view photo uganda 2017 © frederic noy/cosmos
maternal health care provided at msf's health center in bidibidi,
uganda.
uganda 2017 © frederic noy/cosmos
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many women across the world give birth without medical assistance,
massively increasing the risk of complications or death. every day on
average 830 women die from pregnancy-related causes. most of these
deaths are preventable.
99 percent
maternal deaths
occur in developing countries
50 percent
maternal deaths
occur during delivery or within 24 hours
1.1 million
births
assisted by msf from 2013-2017, including 107,000 caesarean sections
reproductive health care is an integral part of the medical care
doctors without borders/médecins sans frontières (msf) provides,
including in emergencies. our maternal health programs in more than 25
countries focus on reducing maternal and infant mortality through
pregnancy and prenatal consultations, emergency obstetric care,
postnatal follow-up, and access to family planning services and safe
abortion care.
maternal health facts
serious, untreated complications during pregnancy or delivery can be
fatal to both mother and infant. the most common complications that may
lead to maternal death are: postpartum hemorrhage, reproductive tract
infections, eclampsia, unsafe abortion, obstructed labor, and serious
infectious diseases.
hemorrhage
hemorrhage, or excessive bleeding, can happen after a complicated
birth. often it results from failure of the uterus to contract after
delivery. normally, these contractions stop the bleeding that occurs
once the placenta separates from the uterine wall. but complications or
incomplete placental separation can lead to continued bleeding, and
without rapid medical intervention, a woman can quickly bleed to death.
when skilled birth attendants are present, oxytocin can be given to
prevent bleeding. if severe bleeding does occur, the mother is
resuscitated and attendants apply methods ranging from further
medication and manual pressure to stop the bleeding through to
emergency surgery.
severe infection
severe infection can develop during pregnancy or from unhygienic
conditions during delivery. one common type is reproductive tract
infections (rti), which cause intrauterine infections that can
eventually be fatal to the woman. they can also cause life-threatening
infection in the infant.
access to clean water and hygienic conditions during delivery, such as
clean hands and a clean delivery surface like a plastic cover, are
vital to preventing infections. if an infection occurs, early detection
and treatment with the appropriate antibiotic can prevent serious
illness or death.
eclampsia and other hypertensive disorders
eclampsia and other hypertensive disorders of pregnancy are linked to
high blood pressure and are characterized by seizures that can lead to
coma and death. eclampsia begins during pregnancy as pre-eclampsia,
which leads to high blood pressure. without prenatal care pre-eclampsia
can develop into severe pre-eclampsia or full eclampsia, causing
symptoms such as swelling, sudden weight gain, headaches, changes in
vision, and potentially fatal convulsions.
unsafe abortion
unsafe abortion is a procedure for terminating an unwanted pregnancy
either by persons lacking the necessary skills or in an environment
lacking minimal medical standards, or both, as defined by the world
health organization. globally, at least 22,000 women die every year
from unsafe abortion—the only major cause of maternal death that has
not declined in recent decades, despite it being almost complete
preventable. of those women who survive, 7 million suffer serious
consequences such as infertility, injury, or complications with future
pregnancies.
comprehensive sexual and reproductive health services can greatly
reduce the number of unsafe abortions, by offering safer alternatives
through family planning and access to safe abortion care.
obstructed labor
obstructed labor can occur if the baby’s head is too large or its
position is abnormal, blocking passage through the birth canal. when a
mother is malnourished or is very young and therefore has an
underdeveloped pelvis, the birth canal itself is often not wide enough
to accommodate the head of the baby. if an obstructed labor becomes
prolonged, lasting more than 24 hours, the baby may die and the woman
is at risk of postpartum hemorrhage, uterine rupture or fistula, and
severe infection—all potentially fatal.
skilled staff are essential in managing complicated deliveries and
identifying signs that interventions are needed. these can range from
iv fluids and/or medications to support labor, to an
instrument-assisted delivery (vacuum cup or forceps) or caesarean
section.
indirect causes
indirect causes, in particular complications from infectious disease,
account for about 20 percent of maternal deaths.
during pregnancy, already dangerous diseases can pose even greater
threats to both mother and fetus. for example, malaria in pregnant
women increases their risk of miscarriage and causes over 10,000
maternal deaths globally, while tuberculosis also increases rates of
miscarriage and maternal death. malaria, tuberculosis, and cholera all
raise the risk of stillbirths, death of newborns, or low birth weight
infants.
for pregnant women at risk for any of these diseases, protecting their
health starts with preventive measures. these can include reducing
exposure (such as by sleeping under mosquito nets in malaria regions,
and ensuring access to clean water and supplies for good hygiene) and
short-term use of anti-malarial or anti-tuberculosis drugs during
pregnancy. for those who become ill, early diagnosis and treatment are
essential. whether treating malaria, hiv, tuberculosis, or another
disease, effective treatment reduces the risk of developing severe
complications that threaten the lives of both mother and baby.
how msf responds
our obstetric care programs aim to remedy the crucial "three delays"
that can threaten the lives of both mother and child. these are: delay
in deciding to seek care; delay in reaching a health facility; and
delay in receiving appropriate treatment at the facility.
emergency obstetric care is a key component of this strategy. emergency
care administered promptly by qualified staff can save the lives of
women experiencing complications during or just after delivery, when
half of all maternal deaths occur. to help reduce barriers to use of
our emergency obstetric services, we adapt services to local cultures
and (as with all msf programs) make them free of charge, as our
beneficiaries are often among the poorest sector of the population.
during conflicts or natural disasters, where health services have often
collapsed or are inadequate, emergency obstetrical needs are among the
major needs we see. over the period of 2008-15, 56 percent of all
caesarean sections we performed were in active conflict settings. for
this reason, rapid implementation of emergency maternal care is now
incorporated into our response to these crises.
we also aim to locate services close to the people who need them. in
some settings where this is not possible or we serve a large region, we
have introduced mobile clinics that travel to areas where people often
have no access to health care, combined with referral systems to
identify women with pregnancy complications and transfer them when
necessary to a health post or hospital that can provide appropriate
care.
in remote locations such as kabezi, a rural district in burundi, we
have also implemented ambulance services, which have been linked to
significant reductions in maternal mortality.
abla ali, msf midwife, iraq
giving syrian refugees a safe place to give birth
"the best part of being a midwife is the appreciation from the mothers.
they stop me in the camp when i pass and they say to their children:
'this is abla, she’s a good midwife and she delivered you.'"
–abla ali, msf midwife
read more
antenatal care improves the mother’s health during her pregnancy and
helps reduce or manage complications for both mother and newborn. in
addition, these consultations provide opportunities to inform women and
their families about how to recognize complications and to prepare for
emergencies, and about health structures where women can go for
emergency care, if needed, and for delivery.
post-natal care is another critical area for reducing maternal and
infant death and improving the physical and mental wellbeing of mother
and child. most maternal illnesses and deaths occur at or soon after
delivery, while the majority of infant deaths occur in the first few
days post-delivery—and 30 percent of all child deaths below the age of
five occur in the first four weeks of life.
hiv/aids and preventing mother-to-child transmission
without treatment, 25 to 40 percent of all children born to
hiv-positive mothers will also be infected. this rate can be reduced to
below five percent with antiretroviral treatments for the mother and a
short course of antiretroviral drugs for the baby, together with
appropriate breastfeeding practices.
we have opened programs on prevention of mother-to-child transmission
in many of the world’s most affected regions. in swaziland, for
example, we provided hiv treatment to thousands of hiv-positive
pregnant women as soon as possible after their diagnosis to prevent
their babies from becoming infected.
providing
our research on maternal health
read more
iframe:
https://www.youtube.com/embed/zb6maradouq?autoplay=0&start=0&rel=0
care for other infectious diseases
pregnant women are more susceptible to infectious diseases, and when
infected they are more likely to experience pregnancy complications and
face an increased risk of miscarriage or stillbirth.
for this reason, we offer preventive treatment to pregnant women
exposed to diseases such as malaria and tuberculosis, and provide extra
care where appropriate to pregnant women with these diseases or others
such as cholera and hepatitis e.
support msf's work on maternal health and other medical issues
share this to help raise awareness
sign up to receive emails from doctors without borders
donate now to support doctors without borders work on maternal health
and other medical issues around the world
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women's rights and gender equality
aid
this article is more than 1 year old
uk 'exaggerated number of lives saved' by maternal health aid project
this article is more than 1 year old
watchdog says many more deaths could have been prevented given level of
investment in department for international development programmes
supported by
count me in! consortium about this content
rebecca ratcliffe
tue 30 oct 2018 06.00 gmt last modified on mon 4 mar 2019 11.56 gmt
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mother carrying baby in malawi
[ ] in malawi, heavily pregnant women camped outside health facilities
for up to a month before giving birth, the review found. photograph:
jeffrey davis/getty images/tetra images rf
the uk government has been criticised by an aid watchdog for
exaggerating the number of women’s lives it saved through its maternal
health programmes.
a review, published by the independent commission for aid impact (icai)
on tuesday, also said the number of lives saved “were significantly
below what they could have been, given the level of investment”.
the watchdog said programmes by britain’s department for international
development (dfid) had failed to significantly improve the quality and
sustainability of maternal healthcare services in partner countries.
why do women still die giving birth?
read more
dfid spent about £4.6bn on programmes in health and other sectors
between 2011 and 2015. within this, £1.3bn focused more closely on
maternal health, including family planning, reproductive healthcare and
maternal and neonatal health. but icai said investments were focused on
short-term goals, and did not do enough to strengthen healthcare
systems or target marginalised women or teenage girls.
by 2015, dfid claimed to have saved 103,000 women’s lives during
pregnancy and childbirth, more than double its goal of 50,000. in an
internal and unpublished review, this figure was revised down to
80,100.
icai said the department relied on “unrealistic assumptions” to reach
such figures. compared with the review team’s observations in countries
such as malawi, the estimates appeared inflated.
alison evans, icai’s chief commissioner, who led the review, said uk
aid had expanded access to family planning, but added “… given the
ambition, need and level of investment, the programmes fell short of
what was required to achieve adequate progress.”
health facilities in partner countries remained chronically
under-resourced, with severe shortages of beds, healthcare workers and
equipment, said evans. in northern malawi, an area visited as part of
the review, heavily pregnant women camped outside health facilities for
up to a month before giving birth.
“they are waiting because they are not sure where they are in their
pregnancy cycle because of the lack of ultrasound equipment and the
lack of effective dating of pregnancies,” she said. “they don’t know
how close to their due dates they are and because they are fearful of
giving birth in a situation where there may not be a skilled attendant
they wait outside facilities, sometimes for up to a month, sometimes in
makeshift accommodation.”
uk aid programmes had fallen short of targets to improve emergency
obstetric and neonatal care, according to the review.
dfid had promised to prioritise the poorest 40% of women, as well as
girls aged between 15 and 19 years. but icai found that few programmes
included specific measures to reach these groups, nor did the
department monitor whether its programmes were reaching teenage girls.
it also failed to include measures that would tackle discrimination and
abuse of women in health facilities.
sean roberts, policy and campaigns officer at health poverty action,
said uk aid must be better targeted at the most vulnerable groups.
“indigenous women die far more often in childbirth than other women,”
he said. “if dfid wants to meet its commitment to leave no one behind
it must implement a robust action plan to address the maternal health
of indigenous women and other excluded groups.”
while uk aid had improved access to family planning for millions of
women, in malawi such programmes were delivered through non-state
providers. such partnerships allowed funding to quickly reach large
numbers of people, but risked displacing public sector services, said
evans.
“you have this problem of sustainability,” she said. “the public sector
is not able to gear itself up to provide a similar level of outreach.”
the review team visited a sample of programmes in malawi and the
democratic republic of the congo, as well as analysing published
literature, dfid policy documents and conducting interviews with
experts.
icai warned that health facilities struggled to ensure a reliable
supply of contraceptives. it added that dfid had championed
reproductive rights at the international level, but done less work to
encourage legal, policy and cultural change in partner countries.
dfid said in a statement that the uk is a global leader in promoting
reproductive health, and added that the review was not representative
of all the department’s work.
“we welcome icai’s acknowledgement that uk aid is helping women around
the world access the life-saving services they need, but it is
disappointing the report has made some generalisations from a selected
portion of our programming and also does not fully reflect the full
impact of our work, especially in recent years,” the statement said.
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* the facts
* what is mental health?
what is mental health?
it’s an expression we use every day, so it might surprise you that the
term ‘mental health’ is frequently misunderstood.
‘mental health’ is often used as a substitute for mental health
conditions – such as depression, anxiety conditions, schizophrenia, and
others.
according to the world health organization, however, mental health
is “a state of well-being in which every individual realises his or her
own potential, can cope with the normal stresses of life, can work
productively and fruitfully, and is able to make a contribution to her
or his community.”
so rather than being about ‘what’s the problem?’ it’s really about
‘what’s going well?'
''mental health is about wellness rather than illness''
to make things a bit clearer, some experts have tried coming up with
different terms to explain the difference between ‘mental health’ and
‘mental health conditions’. phrases such as ‘good mental health’,
‘positive mental health’, ‘mental wellbeing’, ‘subjective wellbeing’
and even ‘happiness’ have been proposed by various people to emphasise
that mental health is about wellness rather than illness. while some
say this has been helpful, others argue that using more words to
describe the same thing just adds to the confusion.
as a result, others have tried to explain the difference by talking
about a continuum where mental health is at one end of the spectrum –
represented by feeling good and functioning well – while mental health
conditions (or mental illness) are at the other – represented by
symptoms that affect people’s thoughts, feelings or behaviour.
the benefits of staying well
research shows that high levels of mental health are associated with
increased learning, creativity and productivity, more pro-social
behaviour and positive social relationships, and with improved physical
health and life expectancy. in contrast, mental health conditions can
cause distress, impact on day-to-day functioning and relationships, and
are associated with poor physical health and premature death from
suicide.
but it’s important to remember that mental health is complex. the fact
that someone is not experiencing a mental health condition doesn’t
necessarily mean their mental health is flourishing. likewise, it’s
possible to be diagnosed with a mental health condition while feeling
well in many aspects of life.
ultimately, mental health is about being cognitively, emotionally and
socially healthy – the way we think, feel and develop relationships -
and not merely the absence of a mental health condition.
beyond blue's vision is that everyone achieves their best possible mental
health
while beyond blue's primary focus is on the needs of people affected by
depression, anxiety and suicide, we also believe that a better
understanding of what we mean by mental health and how to achieve it
will help everyone in australia reach their full potential. this will
also contribute to the prevention of mental health conditions, and
support people who have experienced these conditions to get as well as
they can and lead full and contributing lives.
having social connections, good personal relationships and being part
of a community are vital to maintaining good mental health and
contribute to people's recovery, should they become unwell.
however, if you feel that you may be affected by depression or
anxiety remember they are treatable conditions and effective
treatments are available. the earlier you seek support, the better.
take the anxiety/depression checklist
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if you have, or believe you may have, mental health problem, it can be
helpful to talk about these issues with others. it can be scary to
reach out for help, but it is often the first step to helping you heal,
grow, and recover.
having a good support system and engaging with trustworthy people are
key elements to successfully talking about your own mental health.
build your support system
find someone—such as a parent, family member, teacher, faith leader,
health care provider or other trusted individual, who:
* gives good advice when you want and ask for it; assists you in
taking action that will help
* likes, respects, and trusts you and who you like, respect, and
trust, too
* allows you the space to change, grow, make decisions, and even make
mistakes
* listens to you and shares with you, both the good and bad times
* respects your need for confidentiality so you can tell him or her
anything
* lets you freely express your feelings and emotions without judging,
teasing, or criticizing
* works with you to figure out what to do the next time a difficult
situation comes up
* has your best interest in mind
find a peer group
find a group of people with mental health problems similar to yours.
peer support relationships can positively affect individual recovery
because:
* people who have common life experiences have a unique ability to
help each other based on a shared history and a deep understanding
that may go beyond what exists in other relationships
* people offer their experiences, strengths, and hopes to peers,
which allows for natural evolution of personal growth, wellness
promotion, and recovery
* peers can be very supportive since they have “been there” and serve
as living examples that individuals can and do recover from mental
health problems
* peers also serve as advocates and support others who may experience
discrimination and prejudice
you may want to start or join a self-help or peer support group.
national organizations across the country have peer support networks
and peer advocates. find an organization that can help you connect with
peer groups and other peer support.
participate in your treatment decisions
it’s also important for you to be educated, informed, and engaged about
your own mental health.
* find out as much as you can about mental health wellness and
information specific to your diagnosed mental health problem.
* play an active role in your own treatment.
get involved in your treatment through shared decision making.
participate fully with your mental health provider and make informed
treatment decisions together. participating fully in shared decision
making includes:
* recognizing a decision needs to be made
* identifying partners in the process as equals
* stating options as equal
* exploring understanding and expectations
* identifying preferences
* negotiating options/concordance
* sharing decisions
* arranging follow-up to evaluate decision-making outcomes
learn more about shared decision making.
develop a recovery plan
recovery is a process of change where individuals improve their health
and wellness, live a self-directed life, and strive to reach their full
potential. studies show that most people with mental health problems
get better, and many recover completely.
you may want to develop a written recovery plan. recovery plans:
* enable you to identify goals for achieving wellness
* specify what you can do to reach those goals
* can be daily activities as well as longer term goals
* track your mental health problem
* identify triggers or other stressful events that can make you feel
worse, and help you learn how to manage them
you can develop these plans with family members and other supporters.
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last updated: 07/11/2017
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2 october 2019
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good mental health is related to mental and psychological well-being.
who’s work to improve the mental health of individuals and society at
large includes the promotion of mental well-being, the prevention of
mental disorders, the protection of human rights and the care of people
affected by mental disorders.
who/s.volkov
© credits
mental, neurological and substance use disorders make up 10% of the global
burden of disease and 30% of non-fatal disease burden.
who/k. reidy
© credits
around 1 in 5 of the world's children and adolescents have a mental disorder.
who/matthew johnstone
© credits
depression is one of the leading causes of disability, affecting 264 million
people.
who/e. schwab
© credits
about half of mental disorders begin before the age of 14.
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almost 800 000 people die by suicide every year; 1 person dies from suicide
every 40 seconds. suicide is the second leading cause of death in individuals
aged 15-29 years.
who
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around 1 in 9 people in settings affected by conflict have a moderate or
severe mental disorder.
who/e. rice
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people with severe mental disorders die 10 to 20 years earlier than the
general population.
who/a. brunier
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rates of mental health workers vary from below 2 per 100 000 population in
low-income countries to over 70 per 100 000 in high-income countries.
erminia colucci, breaking the chains
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less than half of the 139 countries that have mental health policies and
plans report having these aligned with human rights conventions.
who
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the global economy loses about us$ 1 trillion per year in productivity due to
depression and anxiety.
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home » your-mental-health » about-mental-health » what are mental
health problems?
what are mental health problems?
what are mental health problems?
mental health problems range from the worries we all experience as part
of everyday life to serious long-term conditions. the majority of
people who experience mental health problems can get over them or learn
to live with them, especially if they get help early on.
mental health problems are usually defined and classified to enable
professionals to refer people for appropriate care and treatment. but
some diagnoses are controversial and there is much concern in the
mental health field that people are too often treated according to or
described by their label. this can have a profound effect on their
quality of life. nevertheless, diagnoses remain the most usual way of
dividing and classifying symptoms into groups.
find out about various mental health problems in our a-z guide
symptoms
most mental health symptoms have traditionally been divided into groups
called either ‘neurotic’ or ‘psychotic’ symptoms. ‘neurotic’ covers
those symptoms which can be regarded as severe forms of ‘normal’
emotional experiences such as depression, anxiety or panic. conditions
formerly referred to as ‘neuroses’ are now more frequently called
‘common mental health problems.’
less common are ‘psychotic’ symptoms, which interfere with a person’s
perception of reality, and may include hallucinations such as seeing,
hearing, smelling or feeling things that no one else can. mental health
problems affect the way you think, feel and behave. they are problems
that can be diagnosed by a doctor, not personal weaknesses.
mental health problems are very common
as found by the apms (2014), 1 in 6 people in the past week experienced
a common mental health problem.
anxiety and depression are the most common problems, with around 1 in
10 people affected at any one time.
how do mental health problems affect people?
anxiety and depression can be severe and long-lasting and have a big
impact on people’s ability to get on with life.
between one and two in every 100 people experience a severe mental
illness, such as bi-polar disorder or schizophrenia, and have periods
when they lose touch with reality. people affected may hear voices, see
things no one else sees, hold unusual or irrational beliefs, feel
unrealistically powerful, or read particular meanings into everyday
events.
although certain symptoms are common in specific mental health
problems, no two people behave in exactly the same way when they are
unwell.
many people who live with a mental health problem or are developing one
try to keep their feelings hidden because they are afraid of other
people’s reactions. and many people feel troubled without having a
diagnosed, or diagnosable, mental health problem - although that
doesn’t mean they aren’t struggling to cope with daily life.
see our a-z guide for a look at all aspects of mental health
do you need urgent help?
if your mental or emotional state quickly gets worse, or you're worried
about someone you know - help is available.
you're not alone; talk to someone you trust. sharing a problem is often
the first step to recovery.
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mental health problem symptoms, causes and effects
mental health problems can cover a broad range of disorders, but the
common characteristic is that they all affect the affected person’s
personality, thought processes or social interactions. they can be
difficult to clearly diagnose, unlike physical illnesses. according to
data from samhsa, 20 percent of people in america suffer from a form of
mental disorder, and 5 percent suffer from a disorder severe enough to
affect school, work, or other aspects of daily life. if you think that
you or someone you know has a mental disorder, call us today at .
what are the types of mental health disorders?
mental health disorders occur in a variety of forms, and symptoms can
overlap, making disorders hard to diagnoses. however, there are some
common disorders that affect people of all ages.
attention deficit hyperactivity disorder (adhd)
attention deficit hyperactivity disorder is characterized by an
inability to remain focused on task, impulsive behavior, and excessive
activity or an inability to sit still. although this disorder is most
commonly diagnosed in children, it can occur in adults as well.
anxiety/panic disorder
anxiety disorder is defined by intermittent and repeated attacks of
intense fear of something bad happening or a sense of impending doom.
bipolar disorder
bipolar disorder causes a periodic cycling of emotional states between
manic and depressive phases. manic phases contain periods of extreme
activity and heightened emotions, whereas depressive phases are
characterized by lethargy and sadness. the cycles do not tend to occur
instantly.
depression
depression covers a wide range of conditions, typically defined by a
persistent bad mood and lack of interest in pursuing daily life, as
well as bouts of lethargy and fatigue. dysthymia is a milder but
longer-lasting form of depression.
schizophrenia
schizophrenia is not, as commonly thought, solely about hearing voices
or having multiple personalities. instead, it is defined by a lack of
ability to distinguish reality. schizophrenia can cause paranoia and
belief in elaborate conspiracies.
what causes a mental health disorder?
there is no single cause for mental health disorders; instead, they can
be caused by a mixture of biological, psychological and environmental
factors. people who have a family history of mental health disorders
may be more prone to developing one at some point. changes in brain
chemistry from substance abuse or changes in diet can also cause mental
disorders. psychological factors and environmental factors such as
upbringing and social exposure can form the foundations for harmful
thought patterns associated with mental disorders. only a certified
mental health professional can provide an accurate diagnosis of the
causes of a given disorder.
what are the signs of a mental health disorder?
mental health disorders exist in broad categories: anxiety disorders,
mood disorders, psychotic disorders, personality disorders and impulse
control disorders. if someone you know experiences erratic thought
patterns, unexplained changes in mood, lack of interest in socializing,
lack of empathy, inability to tell the difference between reality and
fantasy, or a seeming lack of control, that person may have a mental
health disorder. this is, by no means, a complete list of symptoms.
emotional symptoms of mental health problems
mental health problems can cause a wide variety of emotional symptoms,
some of which include:
* changes in mood
* erratic thinking
* chronic anxiety
* exaggerated sense of self-worth
* impulsive actions
physical symptoms of mental health problems
mental health problems typically do not cause physical symptoms in and
of themselves. depression, however, can indirectly cause weight loss,
fatigue and loss of libido, among others. eating disorders, a separate
class of mental health disorders, can cause malnutrition, weight loss,
amenorrhea in women, or electrolyte imbalances caused by self-induced
vomiting. this makes eating disorders among the most deadly of mental
health disorders.
short-term and long-term effects of mental health instability
in the short-term, mental health problems can cause people to be
alienated from their peers because of perceived unattractive
personality traits or behaviors. they can also cause anger, fear,
sadness and feelings of helplessness if the person does not know or
understand what is happening. in the long-term, mental health disorders
can drive a person to commit suicide. according to the national
institute for mental health, over 90 percent of suicides have
depression or another mental disorder as factors.
is there a test or self-assessment i can do?
it is hard, bordering on impossible, to accurately diagnose yourself
for mental disorders with an online questionnaire. you do not have an
objective view of yourself and are bound to answer questions
inaccurately. also, online tests are not comprehensive, so they do not
check for all possible symptoms. only a face-to-face session with a
qualified mental health professional can begin to diagnose a mental
health disorder with any degree of accuracy, because that professional
has an outside viewpoint and can pick up on subtle cues.
medication: drug options for mental health issues
fortunately, prescription drugs can be used to treat mental health
disorders in conjunction with behavioral therapy or cognitive therapy.
antidepressants, mood stabilizers, and antipsychotics are the broad
types of medication prescribed to treat mental illness.
mental health drugs: possible options
depending on the disorder, different medications will be prescribed.
antidepressants such as paxil, zoloft, prozac, and a variety of ssris,
snris and maois can be used to treat depression. mood stabilizers such
as lithium tablets are used to treat bipolar disorder, as are
anticonvulsants like depakote. antipsychotics like olanzapine or
clozapine are used to treat schizophrenia or psychotic depression.
medication side effects
some of the side effects of mental health medication include nausea,
headache, changes in appetite, dry mouth, increased urination, change
in libido, irritability, blurred vision and drowsiness. other side
effects can occur; each person’s body and brain chemistry is unique,
and it is impossible to predict with certainty how a given medication
will affect you or how well it will work. people who are prescribed
these medications should regularly communicate with their doctors and
notify them of any side effects.
drug addiction, dependence and withdrawal
some mental health medications are known to cause physical and
psychological dependency due to their changes in brain chemistry. over
time, dependency can become an addiction if the person isn’t careful.
the withdrawal process can exacerbate the original mental illness
because of the brain’s sudden loss of some chemicals such as serotonin,
dopamine, and other endorphins. in severe cases, the person may need to
be placed in a drug rehab facility to detox from prescription
medication.
medication overdose
it is possible to overdose on medication in an effort to get the same
effects as initially received, and this is more common when users are
dependent on medications. some signs of overdose can include seizure,
coma, slowed heartbeat, or extreme paranoia. if these signs are
present, immediately call 911 or your local poison control center and
have the prescription on hand if possible.
depression and mental health
depression often coexists with other mental disorders, or certain
disorders may have caused depression in the first place. for example,
40 percent of people with post-traumatic stress disorder also have
depression.
dual diagnosis: addiction and mental health disorders
in drug rehab facilities, counselors are usually trained to identify
dual diagnosis issues. this is because addiction is itself a type of
mental health disorder, or the addiction can be the symptom of some
other disorder. people may, for instance, turn to recreational drugs to
combat depression or to help stabilize mood swings associated with
bipolar disorder.
getting help for a mental health issue
it’s important that you or your loved one should seek help to treat
mental health issue. first, a physical checkup can rule out physical
illnesses. an appointment with a mental health professional will
usually include an interview and subsequent evaluation to determine the
most obvious symptoms and to ascertain the type and severity of mental
disorder. in certain cases, an intervention may be required from family
and friends. if you or someone you know needs help, call us at to get
more information on treatment.
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mental illness and the family: recognizing warning signs and how to cope
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mental illness and the family: recognizing warning signs and how to cope
most people believe that mental health conditions are rare and “happen
to someone else." in fact, mental health conditions are common and
widespread. an estimated 44 million americans suffer from some form of
mental disorder in a given year.
most families are not prepared to cope with learning their loved one
has a mental illness. it can be physically and emotionally trying, and
can make us feel vulnerable to the opinions and judgments of others.
if you think you or someone you know may have a mental or emotional
problem, it is important to remember there is hope and help.
what is mental illness?
mental illnesses are brain-based conditions that affect thinking,
emotions, and behaviors. since we all have brains – having some kind of
mental health problem during your life is really common.
for people who have mental illnesses, their brains have changed in a
way in which they are unable to think, feel, or act in ways they want
to. for some, this means experiencing extreme and unexpected changes in
mood – like feeling more sad or worried than normal. for others, it
means not being able to think clearly, not being able to communicate
with someone who is talking to them, or having bizarre thoughts to help
explain weird feelings they are having.
there are more than 200 classified forms of mental illness. some of the
more common disorders are depression, bipolar disorder, dementia,
schizophrenia and anxiety disorders. symptoms may include changes in
mood, personality, personal habits and/or social withdrawal.
mental health problems may be related to excessive stress due to a
particular situation or series of events. as with cancer, diabetes and
heart disease, mental illnesses are often physical as well as emotional
and psychological. mental illnesses may be caused by a reaction to
environmental stresses, genetic factors, biochemical imbalances, or a
combination of these. with proper care and treatment many individuals
learn to cope or recover from a mental illness or emotional disorder.
to hear personal descriptions of mental illness, visit feelslike.
warning signs and symptoms
to learn more about symptoms that are specific to a particular mental
illness, search under mental health information.the following are signs
that your loved one may want to speak to a medical or mental health
professional.
it is especially important to pay attention to sudden changes in
thoughts and behaviors. also keep in mind that the onset of several of
the symptoms below, and not just any one change, indicates a problem
that should be assessed. the symptoms below should not be due to recent
substance use or another medical condition.
if you or someone you know is in crisis now, seek help immediately.
call 1-800-273-talk (8255) to reach a 24 hour crisis center or dial 911
for immediate assistance.
in adults, young adults and adolescents:
* confused thinking
* prolonged depression (sadness or irritability)
* feelings of extreme highs and lows
* excessive fears, worries and anxieties
* social withdrawal
* dramatic changes in eating or sleeping habits
* strong feelings of anger
* strange thoughts (delusions)
* seeing or hearing things that aren't there (hallucinations)
* growing inability to cope with daily problems and activities
* suicidal thoughts
* numerous unexplained physical ailments
* substance use
in older children and pre-adolescents:
* substance use
* inability to cope with problems and daily activities
* changes in sleeping and/or eating habits
* excessive complaints of physical ailments
* changes in ability to manage responsibilities - at home and/or at
school
* defiance of authority, truancy, theft, and/or vandalism
* intense fear
* prolonged negative mood, often accompanied by poor appetite or
thoughts of death
* frequent outbursts of anger
in younger children:
* changes in school performance
* poor grades despite strong efforts
* changes in sleeping and/or eating habits
* excessive worry or anxiety (i.e. refusing to go to bed or school)
* hyperactivity
* persistent nightmares
* persistent disobedience or aggression
* frequent temper tantrums
how to cope day-to-day
accept your feelings
despite the different symptoms and types of mental illnesses, many
families who have a loved one with mental illness, share similar
experiences. you may find yourself denying the warning signs, worrying
what other people will think because of the stigma, or wondering what
caused your loved one to become ill. accept that these feelings are
normal and common among families going through similar situations. find
out all you can about your loved one’s conditionby reading and talking
with mental health professionals. share what you have learned with
others.
__________________________________________________________________
handling unusual behavior
the outward signs of a mental illness are often behavioral.a person may
be extremely quiet or withdrawn. conversely, they may burst into tears,
have great anxiety or have outbursts of anger.
even after treatment has started, someindividuals with a mental illness
can exhibit anti-social behaviors. when in public, these behaviors can
be disruptive and difficult to accept. the next time you and your
family member visit your doctor or mental health professional, discuss
these behaviors and develop a strategy for coping.
the individual's behavior may be as dismaying to them as it is to you.
ask questions, listen with an open mind and be there to support them.
__________________________________________________________________
establishing a support network
whenever possible, seek support from friends and family members. if you
feel you cannot discuss your situation with friends or other family
members, find a self-help or support group. these groups provide an
opportunity for you to talk to other people who are experiencing the
same type of problems. they can listen and offer valuable advice.
__________________________________________________________________
seeking counseling
therapy can be beneficial for both the individual with mental illness
and other family members. a mental health professional can suggest ways
to cope and better understand your loved one’s illness.
when looking for a therapist, be patient and talk to a few
professionals so you can choose the person that is right for you and
your family. it may take time until you are comfortable, but in the
long run you will be glad you sought help.
__________________________________________________________________
taking time out
it is common for the person with the mental illness to become the focus
of family life. when this happens, other members of the family may feel
ignored or resentful. some may find it difficult to pursue their own
interests.
if you are the caregiver,youneed some time for yourself. schedule time
awayto preventbecoming frustrated or angry. if you schedule time for
yourself it will help you to keep things in perspective and you may
have more patience and compassion for coping or helping your loved
one.being physically and emotionally healthy helps you to help others.
“many families who have a loved one with mental illness share similar
experiences”
it is important to remember that there is hope for recovery and that
with treatment many people with mental illness return to a productive
and fulfilling life.
__________________________________________________________________
other resources
mental illness in the family: part 1 recognizing the warning signs &
how to copeis one in a series of pamphlets on helping family members
with mental illness. other mental health america titles include:
* mental illness in the family: part ii guidelines for seeking care
* mental illness in the family: part iii guidelines for
hospitalization
mental health america offers additional pamphlets on a variety of
mental health topics. for more information or to order multiple copies
of pamphlets, please contact mental health america
external resources
find a local mha affiliate
substance abuse and mental health services administration (samhsa)
phone 800-789-2647
national institute of mental health (nimh)
information resources and inquiries branch
phone 301-443-4513
mental health america logo
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4. drugs and health products
nanotechnology-based health products and food
nanotechnology
nanotechnology is the application of scientific knowledge to manipulate
and control matter in the nanoscale to make use of size- and
structure-dependent properties and phenomena distinct from those
associated with individual atoms or molecules or with bulk materials.
the term "nanoscale" is defined as 1 to 100 nanometers (nm) inclusive.
health canada's working definition for the products of nanotechnology
as international consensus on a definition for the products of
nanotechnology has not been reached yet, health canada has adopted a
working definition for nanomaterials. the working definition is
described in the policy statement on health canada's working definition
for nanomaterial that can be found on health canada's website.
the policy statement will continue to be updated as the science evolves
and international norms progress.
applications of nanotechnology
nanotechnology and products derived from nanotechnology have a wide
range of applications and the potential to impact many sectors,
including the health and food sectors. in the health sector, the
applications of nanotechnology impact new natural health products,
medical devices, drugs, drug delivery systems, regenerative medicines
and diagnostic devices for improved detection and treatment of
illnesses. in the food sector, nanomaterials could be used to preserve
food, improve nutritional values and enhance flavours.
health products and food branch (hpfb) involvement with nanotechnology
hpfb participates in an interdepartmental health portfolio
nanotechnology working group which gathers information and acts as a
discussion forum for issues related to nanotechnology. this working
group contains members from health canada, the public health agency of
canada (phac), and the canadian institutes of health research (cihr).
additionally hpfb participates in the interdepartmental network chaired
by industry canada.
health canada participates in a number of international initiatives,
such as the working party on manufactured nanomaterials of the
organisation for economic co-operation (oecd), development and the
technical committee 229 of the international organization for
standardization (iso) and collaborates with international counterparts.
authority
health canada adopted a broad working definition for nanomaterials to
provide a consistent approach across several diverse regulatory program
areas to identify regulated products and substances that may contain
nanomaterials. the working definition enables the department to
establish internal inventories, to ask for additional information, and
to integrate that new knowledge into regulatory decision making
processes. the first step to assuring adequate risk assessment and risk
management is to identify potential nanomaterials using the working
definition as a tool.
currently, there are no regulations specific to nanotechnology-based
health and food products. health canada relies on authorities within
existing legislative and regulatory frameworks, which require the
assessment of potential risks and benefits of products to the health
and safety of canadians before they can be authorised for sale.
general guidance
according to health canada's working definition for nanomaterial, the
term "nanoscale" means 1 to 100 nm inclusive. however, individual
regulatory programs may request information above the 100 nm size range
to an upper limit of 1000 nm in order to maintain flexibility to assess
potential nanomaterials, including suspected nanoscale properties and
phenomena. the 1000 nm cut-off attempts to separate characteristics
attributable to macro-scaled materials from those of nanomaterials. in
addition, for any regulated product or substance that contains
nanomaterial and measures beyond 1 micron in size (for example, bundles
of carbon nanotubes that are very long), regardless of the size,
information may be requested for risk assessment purposes.
to identify a nano-based product/material the sponsor will be asked to
self-identify when their application concerns a nanomaterial or
'nanoproduct'.
recently the drug submission application form for human, veterinary,
disinfectant drugs and clinical trial application/attestation (hc/sc
3011) was revised to facilitate this process. section 59 of the revised
form allows the sponsor to identify medicinal (active) ingredient(s) or
non-medicinal ingredient(s) listed under section 56 or 57 that are a
nanomaterial. a similar approach has been adapted for natural health
products. it is planned that the medical devices licence application
form will also be revised to request the manufacturer to state whether
their devices contain nanomaterials.
health canada encourages sponsors and other stakeholders to communicate
with the responsible regulatory authority early in the development
process, especially for combination products that are, contain or make
use of nanomaterials. in order to identify and assess potential risks
and benefits of nanotechnology based health and food products, the
department encourages manufacturers to request a pre-submission meeting
with the responsible regulatory authority to discuss type of
information that may be required for their product's safety assessment.
in discussion with the sponsor the department may require the following
types of information, including but not limited to:
* intended use of the nanomaterial, including any end product in
which it will be used;
* manufacturing methods;
* characterization and physico-chemical properties of the
nanomaterial, including identity, composition and purity;
* toxicological, eco-toxicological, metabolism and environmental fate
data that may be both generic and specific to the nanomaterial if
applicable; and,
* risk assessment and risk management strategies, if considered or
implemented.
given the range of products covered by health canada's regulatory
responsibilities, the working definition was developed to be
intentionally broad and will be applied more specifically in each
regulatory program area. future guidance specific to program areas and
legislative and regulatory authorities will be developed in a manner
that promotes a consistent set of approaches.
for additional guidance regarding any elements of the working
definition and to address specific questions, consultation with the
individual program areas is recommended.
find more information about nanomaterials in the science and research
section of our website.
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health
health
no-deal brexit 'still risk to nhs and care sector'
by nick triggle health correspondent
* 27 september 2019
* comments
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related topics
* brexit
pharmacist with drugs image copyright getty images
a no-deal brexit presents risks to the nhs and care homes despite
extensive government planning, a watchdog says.
the national audit office praised the government for the "enormous
amount of work" that had been done but said there were still
"significant" gaps.
the extra shipping capacity government was buying to bring medicines
into ports other than dover may not be completely ready by 31 october.
and there was no clear evidence the care sector was ready, the nao
said.
the report raises concerns the sector has not received enough
government support.
* uk plans £3m no-deal medicine transport
* uk seeks new no-deal brexit freight plan
the government has arranged the stockpiling of supplies for the nhs.
but for the care sector, which is fragmented in that it relies on
24,000 companies to provide services, no central arrangement has been
made to stockpile equipment and supplies, such as syringes and needles,
most of which come from or via the eu.
when it comes to medicines, however, the supply of which has been
organised for both the nhs and care sectors, the report acknowledges
the work that has been done.
this includes stockpiling six weeks' supply of drugs and arranging for
emergency supplies to be fast-tracked in - some drugs, including cancer
treatments, have a short shelf-life and so cannot be stockpiled.
but the report says it is still not known exactly what level of
stockpiling is in place.
more than 12,000 medicines are used by the nhs, and about 7,000 come
from or via the eu.
image copyright getty images
the publication of the report comes after mps attempted to block the
government leaving the eu without a withdrawal agreement.
legislation has been passed requiring the government to ask for an
extension if a deal cannot be agreed.
labour mp meg hillier, who chairs the cross-party public accounts
committee, said the report was "deeply concerning".
"i've seen countless examples of deadlines missed and government
failing," she said.
"if government gets this wrong, it could have the gravest of
consequences."
dr layla mccay, of the nhs confederation, which represents managers,
said the planning had been detailed but the situation was still
concerning.
she also warned it was the "unknowns and unknowables" that perhaps
presented the biggest risk.
a department of health and social care spokesman said: "we want to
reassure patients we are doing everything we can."
he said the government along with industry had "mounted an
unprecedented response in preparing for brexit" with stockpiles
"increasing by the day".
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more on this story
* uk plans £3m no-deal medicine transport
7 july 2019
* uk seeks new no-deal brexit freight plan
29 june 2019
* government pays eurotunnel £33m over brexit ferry case
1 march 2019
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posted frifriday 27 decdecember 2019 at 10:01pm / updated frifriday 27
decdecember 2019 at 11:21pm
a plate of unappetising mashed potato and baked beans. a plate of
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decdecember 2019 at 10:16pm
julia robertson with a scan julia robertson with a scan
christmas meal 'slop' served at adelaide nursing home prompts outrage
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a plate of unappetising mashed potato and baked beans. a plate of
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27 decdecember 2019 at 4:03am
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mental health still the number one reason people visit their gp, report finds
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abc health & wellbeing
by health reporter olivia willis
close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
(getty images: hero images)
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close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
getty images: hero images
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mental health issues are driving australians to visit their gp more
than any other health concern.
key points
key points
* report finds psychological issues most common problem gps treat,
second year in a row
* gp body says longer consultation times are needed to adequately
treat complex illness
* government developing 10-year primary care plan to improve medicare
delivery
but gps say they're struggling to keep up with demand because mental
healthcare is complex and often requires more time than a standard
consultation allows.
a survey of 1,200 gps published today by the royal australian college
of general practitioners (racgp) found two in three doctors reported
"psychological issues" as the most common ailment they now treated.
"if you think about where you can go if you've got a mental health
issue, there are very few places," said harry nespolon, president of
the racgp.
dr nespolon said the shift from institutional to community-based care
for mental health patients, as well as a waning reliance on religious
institutions for pastoral care, has led to more australians using gp
services for psychological support.
"[gps see] everything from relationship problems all the way through to
people with severe schizophrenia," he said.
"if you do come into a crisis … often a gp is a trusted person that's
been taking care of you for 10 or 15 years."
bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
(health of the nation 2019)
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bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
health of the nation 2019
(button) close
but dr nespolon said the current medicare structure favoured shorter
consultations for straightforward health conditions, and undervalued
longer consultations required for complex issues.
"at the moment, there's really only one [medicare] item number for
mental health issues, which is a 20-minute consultation," he said.
"in other words, you can sort out all mental health issues in 20
minutes — which we all know is not true."
without longer subsidised consultations, dr nespolon said many gps were
being forced to cram patients with complex needs into short
appointments, charge patients for more time, or wear the out-of-pocket
cost themselves.
"we want to see the government provide financial support for dealing
with these complex cases," he said.
the health of the nation report found out-of-pocket costs to see the gp
were rising, and for the first time, all areas outside major cities had
seen a decline in bulk billing.
"this has a major effect on the 7 million australians who live in
regional, rural and remote areas," dr nespolon said.
"the growing gap between the cost of providing care and the medicare
rebate will have a devastating impact on the sustainability and
accessibility of general practice."
rebates explained
quick explanation of rebates
* the medicare benefits schedule (mbs) is a list of medical services
for which the australian government provides a medicare rebate.
* each mbs item has its own scheduled fee — this is the amount the
government considers appropriate for a particular service (e.g.
getting a blood test or seeing a psychologist).
* rebates are typically paid as a percentage of the medicare
scheduled fee. in the case of gp consultations, the rebate is 100
per cent of the schedule fee.
* this means that bulk-billing gps agree to charge patients the
medicare schedule fee ($37.60 for a standard appointment) and are
directly reimbursed by the government, and there is no cost to the
patient.
* gps who don't bulk bill charge a fee higher than the medicare
schedule fee, meaning patients must pay the difference between the
schedule fee and the doctor's fee — out of their own pocket.
* for example, if your doctor charges $75 for a standard
consultation, you'll pay $75 and receive a rebate of $37.60 —
leaving you $37.40 worse off.
longer consultations needed for complex care
in australia, a standard physical consultation of 20-40 minutes with a
gp attracts a rebate of $73.95. that increases once the consultation
exceeds 40 minutes.
by comparison, any gp mental health consultation longer than 20 minutes
— excluding appointments to prepare or review mental health treatment
plans — attracts a rebate of $72.85.
dr nespolon said there needs to be recognition in the medicare rebate
schedule that dealing with mental health issues and other complex
health conditions takes time.
"we know that people with mental health issues tend to have many more
physical problems … so the gp is there dealing with all the patient's
issues, not just their mental health issue," he said.
"we've been pushing for 40- and 60-minute [mental health] item numbers,
so people get the time, and gps are not acting as a charity when it
comes to dealing with mental health issues."
in july, the federal government ended a freeze on the medicare rebate
for gp visits as part of a $1.1 billion primary healthcare plan. the
move was designed to close the gap on rising out-of-pocket medical
costs.
but dr nespolon said even with the lifting of the medicare freeze,
rebates still failed to reflect the true cost of delivering services.
"gps are small businesses. they need to pay staff, pay their leases or
mortgages, and [these] go up at much higher rates than the percentage
increase that the government provides," he said.
"like any small business, you've got a choice. you either recover your
costs or you go broke. and that's exactly what we're seeing happening
at the moment."
the growing gap between the cost of providing care and the medicare
rebate was reflected in rising out-of-pocket costs, he said.
in 2018-19, the average out-of-pocket cost for a gp service was $38.46
— a gap that's risen roughly $7 in five years.
out-pocket-costs varied across australia, with patients in the northern
territory, act, remote and very remote areas experiencing significantly
higher costs.
how mental health plans work
how mental health plans work
if you're living with a diagnosable mental illness, you are entitled to
receive a medicare rebate.
bulk billing rates predicted to decline
the report also found bulk billing was not as common as medicare
statistics — or the federal health minister greg hunt — have previously
suggested.
"medicare statistics indicate that 86.2 per cent of general practice
services were bulk billed in 2018-19," the report states.
"while this figure provides an indication of total bulk-billed services
in australia over this period, it does not represent the number of
patients who are bulk billed, nor does it represent the number of
patients who are bulk billed for all of their general practice care."
since patients may receive a number of services during a single visit
to a gp, with some services bulk billed and others not, the proportion
of people who face zero out-of-pocket costs for care is much lower than
the rate of services overall.
"in 2016-17, while 86 per cent of gp services were bulk billed,
nationally only 66 per cent of patients had all of their gp services
bulk billed."
although the number of gp services being bulk billed has increased in
the last four years, the racgp predicts bulk-billing rates will decline
from 2020, as the rate of increase continues to slow.
in 2019, just 18 per cent of gps reported bulk billing all of their
patients, down from 29 per cent in 2017.
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improving mental health for gps, too
in addition to access to mental health for the general public, dr
nespolon said the mental health of gps also deserved close attention.
"research shows that doctors experience higher levels of mental
distress than the general population. yet four in ten gps report that
they have personally delayed seeking treatment or care in the past two
years," he said.
part of this could be attributed to time constraints, he said, but also
to mandatory reporting laws, which posed a "significant deterrent" to
doctors seeking care.
"with the exception of western australia, all of australia's states and
territories require doctors to report their colleagues if they believe
patient safety is at risk and this includes if a colleague has sought
their help as a patient," he said.
"we believe that doctors should be exempt from mandatory reporting so
that they feel free to discuss their health issues confidentially ...
so they can continue to provide the best possible care for all
australians."
medicare 'stronger than ever', government says
in a statement to the abc, a spokesperson for the minister for health
said the government had committed $1.6 billion to support doctors and
specialists to strengthen primary care to deliver improved access for
outcomes.
"our goal is to make primary health care more patient focused, more
accessible, and better able to provide preventative health and
management of chronic conditions," they said.
the spokesperson said the government would increase medicare funding by
$6 billion over the next four years, to reach $31 billion of annual
funding in 2022–23.
"we are working with gps, specialists and consumers, including the
racgp, to develop a 10-year primary care plan that supports a more
flexible and innovative medicare, starting with a $448.4 million
investment in a new patient enrolment model for patients over 70 years.
"medicare today is stronger and better protected than it's ever been."
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1. home
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5. antimicrobial resistance (amr)
news story
uk to invest in new research against evolving global health threats
the chief medical officer has announced funding for projects to help
beat antimicrobial resistance (amr) and achieve global universal health
coverage.
published 25 september 2019
from:
department of health and social care
a scientist in a laboratory uses a pipette.
image credit: roger harris photography
the funding will include:
* £6.2 million to strengthen existing surveillance systems tracking
amr trends across africa and asia
* £12 million to improve collaborations on health systems research
between low- and middle-income countries and the uk, for example
countries in sub-saharan africa
the chief medical officer, professor dame sally davies, announced the
funding for the projects at the un general assembly.
she warned that the world cannot achieve universal health coverage
without addressing the threat of amr.
universal health coverage is a un ambition, and aims for every person
across the globe to have access to basic healthcare, whatever their
situation.
amr is involved in 700,000 deaths around the world every year, and this
is expected to rise to 10 million deaths a year by 2050. if amr
continues to follow current trends, common infections will become
complex and expensive to treat, affecting tens of millions of people.
achieving universal healthcare coverage also requires rigorous research
to inform health policy and health systems.
professor davies is representing the uk at the un general assembly
high-level meeting on universal health coverage in new york alongside
heads of state, health experts and policy-makers.
she will point to infection prevention and control measures, such as
immunisation, good hygiene and appropriate antibiotic use, as crucial
to achieving both universal healthcare coverage and eliminating the
threat of amr.
the £6.2 million in uk aid investment will come from the fleming
fund. it will help improve amr data quality, collection and sharing
across africa and asia, with the aim of developing policy and action
from that data.
the invitation to apply for a share of £12 million of funding is being
made by the national institute of health research (nihr) global health
research programme. it will enable experts from low- and middle-income
countries and the uk to form partnerships to contribute to universal
health coverage and sustainable development goals.
the fleming fund and nihr global health research funding was first
announced as part of the 2015 spending review.
the un has committed to ensuring all people have access to affordable
healthcare by 2030, and yesterday member states adopted a declaration
recognising that tackling amr and innovative health research is crucial
to this.
chief medical officer for england, professor dame sally davies said:
achieving our common goal of universal health coverage will require
global action on a multitude of fronts, including tackling the
escalating threat of antimicrobial resistance and investing in
research.
i am delighted to announce this funding, which will catalyse
regional collaboration to help strengthen amr surveillance systems
across africa and asia and support the next generation of health
policy and systems research.
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published 25 september 2019
explore the topic
* antimicrobial resistance (amr)
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iframe: https://www.youtube.com/embed/lwdlcbxqtc4
50th anniversary of newborn metabolic screening
stella's story is one of six videos to commemorate the 50th anniversary
of newborn metabolic screening. this screening means metabolic
conditions can be diagnosed and treated before a baby becomes unwell.
view other stories like stella's. find out more about newborn metabolic
screening.
transcript
title: newborn metabolic screening programmestella’s story
[photograph of stella as a baby]
[text on screen of stella’s birthdate] 26 august 2018
[video of stella and her parents sitting on floor inside house]
[photograph of stella as a baby]
tanya - stella’s mother:
had a really healthy pregnancy, had a dream labour and took her home
and she was healthy as, and then when she was eight days old the
midwife turned up.
on the way to our house she’d got a phone call from the specialists at
starship, the immunologists, that said look there’s something, there’s
something wrong.
[text on screen] at 10 days old stella was diagnosed with severe
combined immune deficiency (scid).
dr shannon brothers - paediatric immunologist:
babies with combined immune deficiency (scid) are born without a
functioning immune system. although they appear healthy at birth, they
go on to develop severe, persistent infections and die by a year of
age.
[text on screen over video of stella in hospital] stella had
chemotherapy and a bone marrow transplant when she was four months old.
justin - stella’s father:
the medical side of the thing, watching your kid go through this, it’s
not easy.
[photograph and video of stella in hospital with her parents]
tanya:
luckily at that point my mum was actually up there with us, and so
between the three of us one of us stayed awake and held her every
single hour for that time that she was sick.
[text on screen] she battled a serious infection.
[video of tanya attaching baby bottle with milk to pump and attaching
pump to stella’s feeding tube]
tanya:
because she got ulcers through transplant, she stopped eating, drinking
her milk, and she hasn’t worked that one out yet so we’re still feeding
her through the tube down her nose.
[video of justin following stella as she walks and carrying stella’s
pump]
tanya:
might be easier if you push it.
justin:
it’s a bit of a, bit of a worry if she falls over and hurts herself.
[text on screen] due to her compromised immunity stella has not been
able to interact with people other than her family.
[video of stella walking towards doll being held by her mother]
tanya:
who’s this? is it luna? you going to give her a cuddle?
[video of doll which also has a feeding tube attached to its cheek]
tanya:
we’ve got to get the tube out, teach her how to eat and soon enough
she’ll be like every other kid, you’d never know, yeah.
[video of stella being held by justin while tanya puts stella’s hat and
coat on]
[text on screen] now, stella’s natural immunity is improving.
[video of justin carrying stella outside with tanya, closing door
behind them and justin putting stella in car seat in car]
justin:
it’s nice that we can get to take her out a bit more, nice walking
tracks and some parks where there’s not too many people.
tanya:
it’s your kid’s life. for us if we hadn’t have found out early, we’d be
in a completely different situation now and it’s life or death.
[video of stella walking outside on lawn, being picked up by tanya]
tanya:
and i know you think you’re not going to be that one because everyone
thinks you’re not going to be the one in 100,000 or whatever but screw
the statistics, when it comes down to it, we’re that one.
in our eyes if it wasn’t for the newborn screening, she may not have
made it to her first birthday.
[video of justin, tanya and stella together outside]
tanya:
that test is everything for us. it gave her the best chance of success
in life.
nz cancer action plan 2019–2029.
new zealand cancer action plan 2019–2029
the new zealand cancer action plan 2019–2029 sets out the actions
required over the next 10 years to ensure better cancer outcomes.
news
view more news
* medsafe reinforces advice on lamotrigine
media release
20 december 2019
* release of new ethical standards for health and disability research
and quality improvement
news article
20 december 2019
* iconic newborn screening programme turns 50
news article
13 december 2019
* maximising health and wellbeing for all older people
news article
12 december 2019
* report highlights severity of harm from surgical mesh
news article
12 december 2019
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cervical screening programme: april 2019
18 december 2019
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18 december 2019
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18 december 2019
* new zealand obstetric ultrasound guidelines
13 december 2019
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12 december 2019
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nutrition
(button) evidence based
27 health and nutrition tips that are actually evidence-based
written by kris gunnars, bsc on june 7, 2019
it’s easy to get confused when it comes to health and nutrition.
even qualified experts often seem to hold opposing opinions.
yet, despite all the disagreements, a number of wellness tips are well
supported by research.
here are 27 health and nutrition tips that are actually based on good
science.
27 health and nutrition tips share on pinterest
1. don’t drink sugar calories
sugary drinks are among the most fattening items you can put into your
body.
this is because your brain doesn’t measure calories from liquid sugar
the same way it does for solid food (1).
therefore, when you drink soda, you end up eating more total calories
(2, 3).
sugary drinks are strongly associated with obesity, type 2 diabetes,
heart disease, and many other health problems (4, 5, 6, 7).
keep in mind that certain fruit juices may be almost as bad as soda in
this regard, as they sometimes contain just as much sugar. their small
amounts of antioxidants do not negate the sugar’s harmful effects (8).
2. eat nuts
despite being high in fat, nuts are incredibly nutritious and healthy.
they’re loaded with magnesium, vitamin e, fiber, and various other
nutrients (9).
studies demonstrate that nuts can help you lose weight and may help
fight type 2 diabetes and heart disease (10, 11, 12).
additionally, your body doesn’t absorb 10–15% of the calories in nuts.
some evidence also suggests that this food can boost metabolism (13).
in one study, almonds were shown to increase weight loss by 62%,
compared with complex carbs (14).
3. avoid processed junk food (eat real food instead)
processed junk food is incredibly unhealthy.
these foods have been engineered to trigger your pleasure centers, so
they trick your brain into overeating — even promoting food addiction
in some people (15).
they’re usually low in fiber, protein, and micronutrients but high in
unhealthy ingredients like added sugar and refined grains. thus, they
provide mostly empty calories.
4. don’t fear coffee
coffee is very healthy.
it’s high in antioxidants, and studies have linked coffee intake to
longevity and a reduced risk of type 2 diabetes, parkinson’s and
alzheimer’s diseases, and numerous other illnesses (16, 17, 18, 19, 20,
21).
5. eat fatty fish
fish is a great source of high-quality protein and healthy fat.
this is particularly true of fatty fish, such as salmon, which is
loaded with omega-3 fatty acids and various other nutrients (22).
studies show that people who eat the most fish have a lower risk of
several conditions, including heart disease, dementia, and depression
(23, 24, 25).
6. get enough sleep
the importance of getting enough quality sleep cannot be overstated.
poor sleep can drive insulin resistance, disrupt your appetite
hormones, and reduce your physical and mental performance (26, 27, 28,
29).
whatʼs more, poor sleep is one of the strongest individual risk factors
for weight gain and obesity. one study linked insufficient sleep to an
89% and 55% increased risk of obesity in children and adults,
respectively (30).
7. take care of your gut health with probiotics and fiber
the bacteria in your gut, collectively called the gut microbiota, are
incredibly important for overall health.
a disruption in gut bacteria is linked to some of the world’s most
serious chronic diseases, including obesity (31, 32).
good ways to improve gut health include eating probiotic foods like
yogurt and sauerkraut, taking probiotic supplements, and eating plenty
of fiber. notably, fiber functions as fuel for your gut bacteria (33,
34).
8. drink some water, especially before meals
drinking enough water can have numerous benefits.
surprisingly, it can boost the number of calories you burn.
two studies note that it can increase metabolism by 24–30% over 1–1.5
hours. this can amount to 96 additional calories burned if you drink
8.4 cups (2 liters) of water per day (35, 36).
the optimal time to drink it is before meals. one study showed that
downing 2.1 cups (500 ml) of water 30 minutes before each meal
increased weight loss by 44% (37).
9. don’t overcook or burn your meat
meat can be a nutritious and healthy part of your diet. it’s very high
in protein and contains various important nutrients.
however, problems occur when meat is overcooked or burnt. this can lead
to the formation of harmful compounds that raise your risk of cancer
(38).
when you cook meat, make sure not to overcook or burn it.
10. avoid bright lights before sleep
when you’re exposed to bright lights in the evening, it may disrupt
your production of the sleep hormone melatonin (39, 40).
one strategy is to use a pair of amber-tinted glasses that block blue
light from entering your eyes in the evening.
this allows melatonin to be produced as if it were completely dark,
helping you sleep better (41).
11. take vitamin d3 if you don’t get much sun exposure
sunlight is a great source of vitamin d.
yet, most people don’t get enough sun exposure.
in fact, about 41.6% of the u.s. population is deficient in this
critical vitamin (42).
if you’re unable to get adequate sun exposure, vitamin d supplements
are a good alternative.
their benefits include improved bone health, increased strength,
reduced symptoms of depression, and a lower risk of cancer. vitamin d
may also help you live longer (43, 44, 45, 46, 47, 48, 49).
12. eat vegetables and fruits
vegetables and fruits are loaded with prebiotic fiber, vitamins,
minerals, and many antioxidants, some of which have potent biological
effects.
studies show that people who eat the most vegetables and fruits live
longer and have a lower risk of heart disease, type 2 diabetes,
obesity, and other illnesses (50, 51).
13. make sure to eat enough protein
eating enough protein is vital for optimal health.
what’s more, this nutrient is particularly important for weight loss
(52).
high protein intake can boost metabolism significantly while making you
feel full enough to automatically eat fewer calories. it can also
reduce cravings and your desire to snack late at night (53, 54, 55,
56).
sufficient protein intake has also been shown to lower blood sugar and
blood pressure levels (57, 58).
14. do some cardio
doing aerobic exercise, also called cardio, is one of the best things
you can do for your mental and physical health.
it’s particularly effective at reducing belly fat, the harmful type of
fat that builds up around your organs. reduced belly fat should lead to
major improvements in metabolic health (59, 60, 61).
15. don’t smoke or do drugs, and only drink in moderation
if you smoke or abuse drugs, tackle those problems first. diet and
exercise can wait.
if you drink alcohol, do so in moderation and consider avoiding it
completely if you tend to drink too much.
16. use extra virgin olive oil
extra virgin olive oil is one of the healthiest vegetable oils.
it’s loaded with heart-healthy monounsaturated fats and powerful
antioxidants that can fight inflammation (62, 63, 64).
extra virgin olive oil benefits heart health, as people who consume it
have a much lower risk of dying from heart attacks and strokes (65,
66).
17. minimize your sugar intake
added sugar is one of the worst ingredients in the modern diet, as
large amounts can harm your metabolic health (67).
high sugar intake is linked to numerous ailments, including obesity,
type 2 diabetes, heart disease, and many forms of cancer (68, 69, 70,
71, 72).
18. don’t eat a lot of refined carbs
not all carbs are created equal.
refined carbs have been highly processed to remove their fiber. they’re
relatively low in nutrients and can harm your health when eaten in
excess.
studies show that refined carbs are linked to overeating and numerous
metabolic diseases (73, 74, 75, 76, 77).
19. don’t fear saturated fat
saturated fat has been controversial.
while it’s true that saturated fat raises cholesterol levels, it also
raises hdl (good) cholesterol and shrinks your ldl (bad) particles,
which is linked to a lower risk of heart disease (78, 79, 80, 81).
new studies in hundreds of thousands of people have questioned the
association between saturated fat intake and heart disease (82, 83).
20. lift heavy things
lifting weights is one of the best things you can do to strengthen your
muscles and improve your body composition.
it also leads to massive improvements in metabolic health, including
improved insulin sensitivity (84, 85).
the best approach is to lift weights, but doing bodyweight exercises
can be just as effective.
21. avoid artificial trans fats
artificial trans fats are harmful, man-made fats that are strongly
linked to inflammation and heart disease (86, 87, 88, 89).
while trans fats have been largely banned in the united states and
elsewhere, the u.s. ban hasn’t gone fully into effect — and some foods
still contain them.
22. use plenty of herbs and spices
many incredibly healthy herbs and spices exist.
for example, ginger and turmeric both have potent anti-inflammatory and
antioxidant effects, leading to various health benefits (90, 91, 92,
93).
due to their powerful benefits, you should try to include as many herbs
and spices as possible in your diet.
23. take care of your relationships
social relationships are incredibly important not only for your mental
well-being but also your physical health.
studies show that people who have close friends and family are
healthier and live much longer than those who do not (94, 95, 96).
24. track your food intake every now and then
the only way to know exactly how many calories you eat is to weigh your
food and use a nutrition tracker.
it’s also essential to make sure that you’re getting enough protein,
fiber, and micronutrients.
studies reveal that people who track their food intake tend to be more
successful at losing weight and sticking to a healthy diet (97).
25. if you have excess belly fat, get rid of it
belly fat is particularly harmful.
it accumulates around your organs and is strongly linked to metabolic
disease (98, 99).
for this reason, your waist size may be a much stronger marker of your
health than your weight.
cutting carbs and eating more protein and fiber are all excellent ways
to get rid of belly fat (100, 101, 102, 103).
26. don’t go on a diet
diets are notoriously ineffective and rarely work well in the long
term.
in fact, dieting is one of the strongest predictors for future weight
gain (104).
instead of going on a diet, try adopting a healthier lifestyle. focus
on nourishing your body instead of depriving it.
weight loss should follow as you transition to whole, nutritious foods.
27. eat eggs, yolk and all
whole eggs are so nutritious that they’re often termed “nature’s
multivitamin.”
it’s a myth that eggs are bad for you because of their cholesterol
content. studies show that they have no effect on blood cholesterol in
the majority of people (105).
additionally, a massive review in 263,938 people found that egg intake
had no association with heart disease risk (106).
instead, eggs are one of the planet’s most nutritious foods. notably,
the yolk contains almost all of the healthy compounds.
the bottom line
a few simple steps can go a long way toward improving your diet and
wellness.
still, if you’re trying to live a healthier life, don’t just focus on
the foods you eat. exercise, sleep, and social relationships are also
important.
with the tips above, it’s easy to get your body feeling great every
day.
written by kris gunnars, bsc on june 7, 2019
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women's health tips for heart, mind, and body
by kara mayer robinson
from the webmd archives
looking for the path toward a healthier you? it's not hard to find. the
journey begins with some simple tweaks to your lifestyle. the right
diet, exercise, and stress-relief plan all play a big role.
follow a heart-healthy diet
there's an easy recipe if your goal is to keep away problems like heart
disease and strokes.
* eat more fruits and veggies.
* choose whole grains. try brown rice instead of white. switch to
whole wheat pasta.
* choose lean proteins like poultry, fish, beans, and legumes.
* cut down on processed foods, sugar, salt, and saturated fat.
when eating healthy, flexibility often works best, says joyce meng, md,
assistant professor at the pat and jim calhoun cardiology center at
uconn health. if you like to follow a strict diet plan, go for it. if
not, it's ok. "find what works for you."
tricia montgomery, 52, the founder of k9 fit club, knows first-hand how
the right diet and lifestyle can help. for her, choosing healthy foods
and planning small, frequent meals works well. "i don't deny myself
anything," she says. "i still have dessert -- key lime pie, yum! -- and
i love frozen gummy bears, but moderation is key."
exercise every day
the more active you are, the better, meng says. exercise boosts your
heart health, builds muscle and bone strength, and wards off health
problems.
aim for 2 and a half hours of moderate activity, like brisk walking or
dancing, every week. if you're ok with vigorous exercise, stick to 1
hour and 15 minutes a week of things like running or playing tennis.
add a couple of days of strength training, too.
if you're busy, try short bursts of activity throughout the day. walk
often. a good target is 10,000 steps a day. take the stairs. park your
car far away from your destination.
montgomery exercises every day, often with her dog. by adding lunges,
squats, and stairs to a walk, she turns it into a power workout. "i
also am a huge pilates fan," she says.
lose weight
when you shed pounds you'll lower your risk of heart disease, type 2
diabetes, and cancer.
continued
aim for a slow, steady drop. try to lose 1-2 pounds a week by being
active and eating better.
"it doesn't have to be an hour of intense exercise every day," meng
says. "any little bit helps."
as you improve, dial up the time and how hard you work out. if you want
to lose a lot of weight, try for 300 minutes of exercise a week.
"eating a healthy diet will go a long way," meng says. start by cutting
sugar, which she says is often hiding in plain sight -- in store-bought
items like salad dressing, packaged bread, and nuts. try to avoid soda
and sugar-laced coffee drinks, too.
visit your doctor
get regular checkups. your doctor keeps track of your medical history
and can help you stay healthy. for example, if you're at risk for
osteoporosis, a condition that weakens bones, he may want you to get
more calcium and vitamin d.
your doctor may recommend screening tests to keep an eye on your health
and catch conditions early when they're easier to treat.
keep the lines of communication open. "if you have questions, ask your
doctor," meng says. "make sure you understand things to your
satisfaction." if you're worried about a medication or procedure, talk
to him about it.
cut down your stress
it can take a toll on your health. you probably can't avoid it
altogether, but you can find ways to ease the impact. don't take on too
much. try to set limits with yourself and others. it's ok to say no.
to relieve stress, try:
* deep breathing
* meditation
* yoga
* massage
* exercise
* healthy eating
* talking to a friend, family member, or professional counselor
create healthy habits
if you make the right choices today, you can ward off problems
tomorrow.
* brush your teeth twice a day and floss every day.
* don't smoke.
* limit your alcohol. keep it to one drink a day.
* if you have medication, take it exactly how your doctor prescribed
it.
* improve your sleep. aim for 8 hours. if you have trouble getting
shut-eye, talk to your doctor.
* use sunscreen and stay out of the sun from 10 a.m. to 3 p.m.
* wear your seatbelt.
take time every day to invest in your health, meng says.
it paid off for montgomery. she says she overcame health problems,
feels good, and has a positive outlook. "my life," she says, "is
forever changed."
webmd feature reviewed by lisa bernstein, md on june 21, 2016
sources
sources:
joyce meng, md, assistant professor of medicine, pat and jim calhoun
cardiovascular center, uconn health.
american heart association: "alcohol and heart health."
office on women's health, u.s. department of health and human services:
"heart-healthy eating," "overweight, obesity, and weight loss fact
sheet," "physical activity (exercise) fact sheet," "screening tests and
vaccines," "osteoporosis fact sheet," "a lifetime of good health: your
guide to staying healthy."
university of california san francisco medical center: "tips for
staying healthy."
© 2016 webmd, llc. all rights reserved.
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the abcs of health screening
health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you need to know about health screening
all you need to know about health screening
related: before the first antenatal visit (choosing your doctor)
1. what is health screening?
health screening is important to everyone. it involves the use of
tests, physical examinations or other procedures to detect
conditions early in people who look or feel well. this is different
from diagnostic tests which are done when someone is already showing
signs and/or symptoms of a condition.
2. why should i go for health screening?
health screening helps you find out if you have a particular condition
even if you feel perfectly well, without any symptoms and/or signs.
early detection, followed by treatment and good control of the
condition can result in better outcomes, and lowers the risk of serious
complications. it is therefore important to get yourself screened even
if you feel perfectly healthy.
3. what kind of screening tests should i go for?
there are 3 types of screening tests^1.
type 1
beneficial for everyone: these tests are listed in table a.
type 2
beneficial for some but not others: decision to be made on an
'individual' level, based on your individual risk factors e.g. self or
family history of hereditary or chronic diseases, exposure to factors
that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently, there is not enough
information to support the use of these tests.
it is best to speak to your family doctor who will advise you to go for
the relevant screening tests based on your individual health profile.
find out more about type 2 and type 3 tests.
view the report of the screening test review committee.
table a – general screening tests (beneficial for everyone)
general screening tests for adults
recommended for^2 to screen for screening test screening frequency^3
individuals aged 18 yrs and above
obesity body mass index (bmi)
waist circumference once a year
hypertension (high blood pressure)
blood pressure measurement once every two years or more frequently as
advised by your doctor
individuals aged 40 yrs and above
diabetes mellitus
fasting blood glucose
hba1c
once every three years or more frequently as advised by your doctor
hyperlipidaemia (high blood cholesterol)
fasting lipids
non-fasting lipids
individuals aged 50 yrs and above
colorectal cancer
faecal immunochemical test (to test for blood in stools)
or
once a year
colonoscopy
once every ten years
additional tests for women
women aged 25-69 yrs, who have had sexual intercourse
cervical cancer
pap test once every three years
hpv test
once every five years
women aged 50-69 yrs breast cancer
mammogram once every two years
general screening tests for newborns
recommended for to screen for screening test screening frequency
newborns aged 0-4 weeks old hearing loss audiometry once
glucose-6-phosphate dehydrogenase (g6pd) deficiency
screen with umbilical cord blood once
inborn errors of metabolism (iem)
metabolic screen with
tandem mass spectrometry (tms)
once
primary hypothyroidism
thyroid function test (tft)
once
4. what should i do after health screening?
if your screening results are normal, you should continue to go for
regular screening at the recommended frequency because screening only
detects health conditions that are present at the time of screening. if
you develop signs or symptoms after your screening, please see your
doctor and do not wait for your next screening appointment.
if your screening results are abnormal, you should follow-up with your
doctor immediately even if you feel perfectly well. early treatment and
good control of your condition can result in better outcomes and
prevent or delay serious complications.
5. why do i need to go for regular screening at the recommended frequency?
a one-off screening will only pick up health conditions that are
present at the time of screening. regular screening helps to detect
conditions that may develop after the previous screening. hence, it is
important for you to go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening tests?
health screening is heavily subsidised for singaporeans and permanent
residents. if you have a health assist card (under chas – community
health assist scheme), you will be entitled to enojoy the subsidies of
the above tests (according to age) and a follow-up consultataion, if
required, at $2 at chas gps. all other singaporeans can enjoy these
subsidies for the above test (according to age) and a follow-up
consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the screening
tests (offered under screen for life - sfl) and the follow-up
consultation, if required, is also fully subsidised. pg cardholders can
also claim up to $28.50, for each screening-related and follow-up
consultation, for up to two times per year.
check out the exact costs of the screening tests.
if you have difficulty paying for the screening tests, please speak to
the medical social worker at the polyclinics
7. my screening results are not too good, and my doctor has advised me to get
follow up treatment.
what should i do if i cannot afford the follow up treatment?
good, affordable basic healthcare is also available to singaporeans
through subsidised medical services offered at public hospitals and
polyclinics. medisave, medishield life, elder shield and medifund
schemes can help singaporeans offset their medical expenses.
8. where can i go for health screening?
health screening is available at many private medical clinics and
polyclinics. visit the directory for the list of screening locations.
9. can i use my medisave to pay for the health screening cost?
currently, medisave cannot be used for other health screening such as
screening for diabetes or high cholesterol. however, if you are
diagnosed with a chronic condition covered under the chronic disease
management programme (cdmp), medisave may be used to pay for part of
the outpatient treatment cost of these diseases.
women aged 50 and above can use their own or immediate family member’s
medisave for their screening mammograms at approved mammogram centres.
under the medisave 400 scheme, up to $400 per medisave account a year
can be used for screening mammograms.
persons aged 50 and above can also use their own or their immediate
family member’s medisave for their screening colonoscopies (to screen
for colorectal cancer) at approved colonoscopy centres.
check out the list of approved centres or find out more.
10. can i have a health screening if i am pregnant?
please consult your doctor to find out if a health screening is
necessary for you.
11. i am 70 years old (or older), do i still need to go for a health
screening?
if you have not been screened in the past three years, and you do not
have a chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health screening.
12. if i am currently on medication for one of the chronic diseases, should i
still go for a health screening?
if you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
^1 report of the screening test review committee. january 2019, academy
of medicine, singapore.
^2,3 screening can start at an earlier age or be done more frequently
if someone has risk factors for the condition.
__________________________________________________________________
having trouble keeping up with your appointments? myhealth keeps track
of not only your health appointments and medical records, but also your
family's as well.
read these next:
* make a commitment to get screened for better health this year
* diabetes prevention and risk factors
* how screening saved my life
* screen for life - subsidised health screenings for singaporeans
* school health screenings for students
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health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
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result in better outcomes. find out which recommended health screening
test is suitable for you
all you
need to know about health screening
related:
before the first
antenatal visit (choosing your doctor)
1. what is health screening?
<
span style="color:#0000ff;">health screening is
important to everyone. it involves the use of tests, physical
examinations or other procedures to detect conditions early in people
who look or feel well. this is different from diagnostic tests which
are done when someone is already showing signs and/or symptoms of a
condition.
2. why should i go for health
screening?
health screening helps you find out if you have a
particular condition even if you feel perfectly well, without any
symptoms and/or signs. early detection, followed by treatment and good
control of the condition can result in better outcomes, and lowers the
risk of serious complications. it is therefore important to get
yourself screened even if you feel perfectly healthy.
3. what
kind of screening tests should i go for?
there are 3 types of
screening tests1.
type 1
beneficial for everyone: these tests are listed in table
a.
type 2
beneficial for some but not others:
decision to be made on an 'individual' level, based on your individual
risk factors e.g. self or family history of hereditary or chronic
diseases, exposure to factors that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently,
there is not enough information to support the use of these
tests.
it is best to speak to your family doctor who will advise
you to go for the relevant screening tests based on your individual
health profile.
find out more about
type 2 and
type 3
tests.
view the report of the
screening test
review committee.
table a – general screening tests (beneficial for
everyone)
general screening tests for adults
recommended
for2 |
to screen for |
screening test |
screening
frequency3 |
individuals aged 18 yrs
and above
| obesity |
body
mass index (bmi)
waist circumference | once a year |
hypertension (high blood pressure) | blood pressure measurement | once every two years or more
frequently as advised by your doctor |
individuals aged 40 yrs
and above
|
diabetes
mellitus | fasting blood glucose
hba1c
| once every three
years or more frequently as advised by your doctor
|
hyperlipidaemia (high blood cholesterol)
| fasting lipids
non-fasting lipids
|
individuals aged 50 yrs
and above
|
colorectal cancer
| faecal
immunochemical test (to test for blood in stools)
or
| once a year
|
colonoscopy
| once every ten
years
|
additional tests for women |
women aged 25-69 yrs,
who have had sexual intercourse
| cervical cancer
|
pap
test | once every three
years |
hpv test
| once every five
years
|
women aged 50-69 yrs | breast cancer
| mammogram | once every two
years |
general screening tests for newborns
recommended for |
to screen for |
screening test |
screening
frequency |
newborns aged 0-4 weeks old | hearing loss |
audiometry | once |
| glucose-6-phosphate dehydrogenase (g6pd) deficiency
| screen with umbilical
cord blood | once |
|
inborn errors of metabolism (iem)
| metabolic screen with
tandem mass spectrometry (tms) | once |
|
primary hypothyroidism
|
thyroid function test (tft) | once |
4. what should i do after health screening?
if your
screening results are normal, you should continue to go for regular
screening at the recommended frequency because screening only detects
health conditions that are present at the time of screening. if you
develop signs or symptoms after your screening, please see your doctor
and do not wait for your next screening appointment.
if your
screening results are abnormal, you should follow-up with your doctor
immediately even if you feel perfectly well. early treatment and good
control of your condition can result in better outcomes and prevent or
delay serious complications.
5. why do i need to go for regular
screening at the recommended frequency?
a one-off screening will
only pick up health conditions that are present at the time of
screening. regular screening helps to detect conditions that may
develop after the previous screening. hence, it is important for you to
go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening
tests?
health screening is heavily subsidised for
singaporeans and permanent residents. if you have a health assist card
(under
chas
– community health assist scheme), you will be entitled to enojoy
the subsidies of the above tests (according to age) and a follow-up
consultataion, if required, at $2 at chas gps. all other singaporeans
can enjoy these subsidies for the above test (according to age) and a
follow-up consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the
screening tests (offered under
screen
for life - sfl) and the follow-up consultation, if required, is
also fully subsidised. pg cardholders can also claim up to $28.50, for
each screening-related and follow-up consultation, for up to two times
per year.
check out the
e
xact costs of the screening tests.
if you have difficulty
paying for the screening tests, please speak to the medical social
worker at the polyclinics
7. my screening results are not
too good, and my doctor has advised me to get follow up
treatment.
what should i do if i cannot afford the follow up
treatment?
good, affordable basic healthcare is also available
to singaporeans through subsidised medical services offered at public
hospitals and polyclinics.
medisave,
medishield life,
elder shield and
medifund schemes can help
singaporeans offset their medical expenses.
8. where can i go
for health screening?
health screening is available at many
private medical clinics and polyclinics. visit the
directory for the list of
screening locations.
9. can i use my medisave to pay for
the health screening cost?
currently, medisave cannot be used
for other health screening such as screening for diabetes or high
cholesterol. however, if you are diagnosed with a chronic condition
covered under the chronic disease management programme (cdmp), medisave
may be used to pay for part of the outpatient treatment cost of these
diseases.
women aged 50 and above can use their own or immediate
family member’s medisave for their screening mammograms at approved
mammogram centres. under the medisave 400 scheme, up to $400 per
medisave account a year can be used for screening
mammograms.
persons aged 50 and above can also use their own or
their immediate family member’s medisave for their screening
colonoscopies (to screen for colorectal cancer) at approved colonoscopy
centres.
check out the
list of approved centres
or find out more.
10. can i have a health screening
if i am pregnant?
please consult your doctor to find out if a
health screening is necessary for you.
11. i am 70 years old (or
older), do i still need to go for a health screening?
if you
have not been screened in the past three years, and you do not have a
chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health
screening.
12. if i am currently on medication for one of the
chronic diseases, should i still go for a health screening?
if
you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
1 report of the screening test review committee.
january 2019, academy of medicine, singapore.
2,3 screening can start at an earlier age or be done more
frequently if someone has risk factors for the condition.
having trouble keeping up with your appointments?
myhealth keeps
track of not only your health appointments and medical records, but
also your family's as well.
read these next:
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prevention,pgm_healthy screening,age_adult,age_senior,interest_chronic
illnesses,
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403
monday, december 9, 2019
health
promotion board
3 second hospital avenue
singapore 168937
hpb_mailbox@hpb.gov.sg
established
in 2001, the health promotion board (hpb) has a vision to build a
nation of healthy people.
hpb implements programmes that reach out to the population,
specifically children, adults and the elderly. these programmes include
health and dental services for school children, breastscreen singapore,
aids education programme, cervicalscreen singapore, childhood injury
prevention programme, mental health education programme, national
myopia prevention programme, physical activity, national smoking
control programme, nutrition programme, osteoporosis education
programme, workplace health promotion programme, hpb online,
healthline, health information centre and healthzone. new programmes
will also be initiated over time to address health concerns among the
community.
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why health screen?
the importance of health screening
health screening or blood test is a major part of many routine medical
examinations. while doctors are able to make fairly accurate diagnosis
by assessing the signs and symptoms a patient exhibits, one of the best
ways to confirm the diagnosis is through blood tests. for a healthy
person, health screening could also detect abnormalities that the
person is not aware of and provide important information for diagnosis,
treatment or preventive measures for illnesses and diseases.
therefore, getting regular health checkups, preventive screening tests
are among the most crucial things you can do for yourself. periodic
health screenings can help you and your health care professional
identify health problems early, when treatment may be more successful
compared to if the problems are detected later.
lifestyle changes are a very effective way to substantially reduce risk
but to make those changes, you first need to know if you are at risk.
knowledge gives you the power to take charge of your health. remember,
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screening tests can help find diseases and health conditions early,
when they are easier to treat.
page content
also known as secondary prevention, health screening identifies health
problems as soon as possible to ensure that you and your family can
benefit from early medical treatment.
there are a variety of health screening tests and tools. many can be
done as part of regular checkups with your health care provider. others
may require you to visit a lab or specialized screening location.
typically, routine health screening is recommended according to your
age or stage of life.
prenatal/infant_____prenatal/infant
prenatal
prenatal genetic screening during your pregnancy can tell you
your chance of having a baby with certain genetic disorders. it is
offered free of charge as a choice to all pregnant people with medical
services plan (msp) coverage in bc.
resources
* prenatal genetic screening program (perinatal services bc)
infant
there are a number of screening tests that are recommended for all
newborns and infants born in bc. these tests identify diseases or
conditions where early treatment is important to prevent disability and
promote healthy development.
regular checkups will allow your care provider to monitor your baby's
development and check for possible problems.
resources
* screening, birth to 12 months (healthlink bc)
* provincial screening programs:
* newborn screening program (perinatal services bc)
* biliary atresia home screening program (perinatal services bc)
* bc early hearing program (provincial health services authority)
child_______________child
regular checkups will allow your care provider to monitor your child's
growth and development and check for possible problems.
resources
* screening, 13 months to 12 years (healthlink bc)
youth/young adult___youth/young adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
resources
* screening, 13 to 18 years (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
adult_______________adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
regular screening is important throughout adulthood, especially if
you're at increased risk for a chronic disease or an infectious
disease. you may be referred for blood or urine tests or for other
screening procedures. recommended regular screening tests for all
adults include:
* blood pressure
* cholesterol
* kidney function
* type 2 diabetes
* skin cancer
* hearing and vision
* weight
* mental health and substance use
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
depending on your age and your risk of disease, other screening tests
may be recommended:
* cervical cancer screening (pap test) is a test that can find
abnormal cells in the cervix before they become cancer. between age
25-69, pap tests are recommended every three years for anyone with
a cervix. it's important to follow these recommendations even if
you've had the hpv vaccine. read the recommendations
* screening mammograms are used to find cancers in breast tissue as
early as possible. screening mammograms are available for eligible
individuals in bc age 40 and up. your screening recommendations
will vary according to your age and your family history of breast
cancer. read the recommendations
* colon cancer screening detects non-cancerous polyps and cancer
early. everyone aged 50-74 should get screened regularly for colon
cancer. the type of screening test recommended for you will depend
on your family history and your personal medical history. read the
recommendations
* prostate cancer screening checks for abnormalities of the prostate
gland. screening is performed through digital rectal examination,
done by your doctor during a regular check up. between age 50-70,
annual screening is recommended for individuals with a prostate as
long as they are in reasonably good health. you can also talk to
your doctor about the pros and cons of psa testing.
resources
* screening, adult women (healthlink bc)
* screening, adult men (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
cancer screening (screening bc):
* cervix
* breast
* colon
* hereditary
please note: the health information provided here is general and
appropriate for most people, most of the time. wherever possible,
resources are also provided to address the health needs of specific
populations, including people living with a chronic health condition,
indigenous people and lgbtq individuals. check with your health care
provider to determine the health recommendations and resources that are
right for you.
in this section
content editor [2]
quick links
* prenatal genetic screening
* newborn screening
* biliary atresia home screening
* infant hearing screening
* get tested: sti clinic finder
* cervical cancer screening (pap test)
* breast cancer screening (mammogram)
* colon cancer screening
content editor [1]
key organizations
perinatal services bc
provincial health services authority
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#healthcare nutrition council » feed alternate alternate
healthcare nutrition council healthcare nutrition council
* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
+ nutrition & healthcare[outcomes and benefits]
* patient access
* advocacy
+ position statements
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+ coalitions
+ market access challenges
* about hnc
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*
healthcare nutrition council
*
* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
+ nutrition & healthcare[outcomes and benefits]
* patient access
* advocacy
+ position statements
+ public comments
+ coalitions
+ market access challenges
* about hnc
+ priorities
+ hnc staff
+ members
+ contact us
* events
+ medical foods workshop
+ aspen malnutrition awareness week
why nutrition matters
nutrition is critically important to the human body in terms of growth
and development, overall health and wellness throughout life, and the
function of organs and body systems. it also plays a role in disease
management and supports overall quality of life. malnutrition, or lack
of proper nutrition, is associated with billions of dollars per year in
medical expenses. ¹
learn more
as there is no universally accepted definition of “malnutrition,” and
since malnutrition can have different meanings in different contexts,
the healthcare nutrition council (hnc) has adopted a definition of
malnutrition. please see hnc’s expanded definition of malnutrition to
learn more.
hnc malnutrition expanded definition
patient access
all patients have the right to receive high quality care, and that
includes nutrition support products as part of their care. at times,
access to nutrition support products — such as medical foods — can be a
significant challenge for patients. as a result, hnc raises awareness
and works with key stakeholders to help overcome obstacles to patient
access. we continue to work towards systematic changes that will foster
innovation and utilize new science and discoveries, ultimately leading
to higher quality healthcare, better patient outcomes, and improvements
in overall patient health and nutrition.
learn more
maintaining access flyer
enteral facts
parenteral facts
who we are
hnc is an organization representing the manufacturers of nutrition
support products, specifically enteral nutrition (en) formulas,
parenteral nutrition (pn) solutions, supplies and equipment. hnc member
companies are committed to improving health by advancing policies that
address and raise awareness of nutrition and its impact on patient
outcomes and healthcare costs. this includes promoting nutritional
screenings, diagnoses, assessments, and appropriate and timely clinical
nutrition interventions while maintaining patients’ access to
specialized nutrition support products and services throughout the
continuum of care.
learn more
priorities
members
position statements
public comments
1. goates, scott; kristy du, carol braunschweig, and mary beth
arensberg. economic burden of disease-associated malnutrition at
the state level. plos one. 2016; 11(9): 1-15.
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public health nutr. 2004 aug;7(5):591-8.
public health nutrition and food policy.
caraher m^1, coveney j.
author information
1
department of health management and food policy, institute of
health sciences, city university, goswell place, northampton
square, london ec1v 0hb, uk. m.caraher@city.ac.uk
abstract
food in its many manifestations allows us to explore the global control
of health and to examine the ways in which food choice is moulded by
many interests. the global food market is controlled by a small number
of companies who operate a system that delivers 'cheap' food to the
countries of the developed world. this 'cheap' food comes at a price,
which externalises costs to the nation state in terms of health
consequences (diabetes, coronary heart disease and other food-related
diseases) and to the environment in terms of pollution and the
associated clean-up strategies. food policy has not to any great extent
dealt with these issues, opting instead for an approach based on
nutrition, food choice and biomedical health. ignoring wider elements
of the food system including issues of ecology and sustainability
constrains a broader understanding within public health nutrition. here
we argue that public health nutrition, through the medium of health
promotion, needs to address these wider issues of who controls the food
supply, and thus the influences on the food chain and the food choices
of the individual and communities. such an upstream approach to food
policy (one that has been learned from work on tobacco) is necessary if
we are seriously to influence food choice.
comment in
* editorial. public health nutrition as a field of practice. [public
health nutr. 2004]
pmid:
15251049
doi:
10.1079/phn2003575
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federally funded health researchers disclose at least $188 million in
conflicts of interest. can you trust their findings? — propublica
read more12/08/2019 - 17:51
wphna announces a scientific paper writing contest
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we are happy to announce a scientific paper writing contest. it is
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attend the wphn congress in brisbane, australia from march 31 to april
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read more06/10/2019 - 21:32
wphna congress brisbane 2020
__________________________________________________________________
we are happy to announce that our call for abstracts for the wphna
congress brisbane 31 march - 3 april is now open.
find more here
read more05/07/2019 - 12:29
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health: definition and importance of health
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[ins: :ins]
health: definition and importance of health!
definition:
the term ‘health’ is a positive and dynamic concept. in common
parlance, health implies absence of disease. however, that industrial
health implies much more than mere absence of disease is clear from the
following definitions of health:
the world health organisation (who) has defined health as: “a state of
complete physical, mental and social well-being and not merely the
absence of disease or illness or infirmity”. as regards the industrial
health, it refers to a system of public health and preventive medicine
which is applicable to industrial concerns.
advertisements:
[ins: :ins]
here, the definition of health given by the joint i.l.o/w.h o.
committee on organisational health is worth quoting:
(i) the prevention and maintenance of physical, mental and social
well-being of workers in all organisations;
(ii) prevention among workers of ill-health caused by the working
conditions;
(iii) protection of workers in their employment from risk resulting
from factors adverse to health; and
advertisements:
[ins: :ins]
(iv) placing and maintenance of the worker in an occupational
environment adapted to his physical and psychological equipment.
thus the modem concept of health emphasises on the “whole man concept.”
in other words, health refers to the outcome of the interaction between
the individual and his environment. so to say, he/she is healthy who is
well adjusted with environment.
the modem concept of health thus, anticipates and recognizes
potentially harmful situations and applies engineering control measures
to prevent disease or illness or infirmity. in this way, industrial
health depends not only on the individual worker but also on the
environment in which he/she lives and works.
there are two types of employee health:
advertisements:
[ins: :ins]
physical health and mental health
a brief mention of these follows:
physical health:
the physical health refers to infirmity in the employee’s health.
employee’s physical health and his work are intimately related. while
an unhealthy employee works less both quantitatively and qualitatively,
commits accidents, and remains absent from work, a healthy employee
produces results opposite to these. the same underlines the need for
and importance of healthy employees in an organisation.
advertisements:
[ins: :ins]
mental health:
this refers to the mental soundness of the employees. as is physical
health important for good performance, so is mental health also.
experience suggests that three factors, namely, mental breakdowns,
mental disturbances, and mental illness impair the mental health of
employees.
importance of health:
the trite saying ‘health is wealth’ explains the importance of health.
ill health results in high rate of absenteeism and turnover, industrial
discontent and indiscipline, poor performance, low productivity and
more accidents. on the contrary, the natural consequences of good
health are reduction in the rate of absenteeism and turnover, accidents
and occupational diseases.
besides, employee health also provides other benefits such as reduced
spoilage, improved morale of employee, increased productivity of
employee and also longer working period of an employee which, of
course, cannot be easily measured.
advertisements:
[ins: :ins]
in long and short, employee health is important because it helps:
1. maintain and improve the employee performance both quantitatively
and qualitatively.
2. reduce employee absenteeism and turnover.
3. minimize industrial unrest and indiscipline.
4. improve employee morale and motivation.
it is this importance of health, increasing emphasis is given to the
employee health through various laws and provisions in this regard. for
example, in india, the royal commission on labour (1931), die labour
investigation committee (1946), the health safety and development
committee (1943), the labour welfare committee (1969) and the national
commission on labour (1969), all have expressed concern for employee
health.
these emphasised upon the creation and maintenance of as healthy an
environment as possible, in the homes of the employees as well as in
all places where they congregate for work, amusement or recreation,
the i.l.o. in its recommendation no. 112 envisaged the importance of
employee health in these words:
occupational health services should be established in or near a place
of employment for the purpose of:
(i) protecting the workers against any health hazard arising out of
work or conditions in which it is carried on;
(ii) contributing towards worker’s physical and mental adjustment; and
(iii) contributing to establishment and maintenance of the highest
possible degree of physical and mental well-being of the workers.
related articles:
1. necessity and importance of labour law and principles
2. labour welfare: meaning and definition of labour welfare
health
measures to maintain safety and avoid accidents in industries
occupational hazards: 4 main types of occupational hazards – explained!
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importance of good nutrition
your food choices each day affect your health — how you feel today,
tomorrow, and in the future.
good nutrition is an important part of leading a healthy lifestyle.
combined with physical activity, your diet can help you to reach and
maintain a healthy weight, reduce your risk of chronic diseases (like
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the impact of nutrition on your health
unhealthy eating habits have contributed to the obesity epidemic in the
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approximately 17% (or 12.5 million) of children and adolescents aged
2—19 years are obese.^1 even for people at a healthy weight, a poor
diet is associated with major health risks that can cause illness and
even death. these include heart disease, hypertension (high blood
pressure), type 2 diabetes, osteoporosis, and certain types of cancer.
by making smart food choices, you can help protect yourself from these
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the risk factors for adult chronic diseases, like hypertension and type
2 diabetes, are increasingly seen in younger ages, often a result of
unhealthy eating habits and increased weight gain. dietary habits
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the link between good nutrition and healthy weight, reduced chronic
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your body needs to stay healthy, active, and strong. as with physical
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references
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^1 centers for disease control and prevention. u.s. obesity trends.
2011. available at: https://www.cdc.gov/obesity/data/databases.html
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eur j public health. 2018 dec; 28(6): 1087–1092.
published online 2018 sep 3. doi: 10.1093/eurpub/cky174
pmcid: pmc6241207
pmid: 30184063
the importance of health behaviours and especially broader self-management
abilities for older turkish immigrants
jane m cramm^^ and anna p nieboer^
jane m cramm
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by jane m cramm
anna p nieboer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by anna p nieboer
author information copyright and license information disclaimer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
correspondence: jane m. cramm, department of social medical sciences,
erasmus school of health policy and management, erasmus university
rotterdam, p.o. box 1738, 3000 dr rotterdam, the netherlands, tel: +31
10 408 8555, e-mail: ln.rue.mphse@mmarc
copyright © the author(s) 2018. published by oxford university press on
behalf of the european public health association.
this is an open access article distributed under the terms of the
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(http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits
non-commercial reproduction and distribution of the work, in any
medium, provided the original work is not altered or transformed in any
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this article has been cited by other articles in pmc.
abstract
background
this study aims to identify the relationships between health
behaviours, self-management abilities, physical health, depressive
symptoms and well-being among turkish older immigrants.
methods
a total of 2350 older turkish migrants aged > 65 years residing in
rotterdam, the netherlands were identified using the municipal register
of which 680 respondents completed the questionnaires (response rate of
32%).
results
average age of the respondents was 72.90 (standard deviation 5.02)
(range 66–95) years and about half of them were women (47.6%). the
majority of respondents reported having a low education (80.3%), low
income level (83.4%), is chronically ill (90.6%), overweight (86.5%)
and about half obese (46.0%). more than half of the respondents eat
enough fruit (58.2%) and vegetables per week (55.3%). about a third of
the respondents smoke (33.5%) and 43.0% can be considered to be
physically active. looking at the health behaviours a weak positive
relationship was found between eating enough vegetables and well-being
(β = 0.14; p = 0.017). in addition, weak relationships were found
between physical activity and depressive symptoms (β = −0.16; p =
0.007), smoking and depressive symptoms (β = 0.16; p = 0.009) and
self-management abilities and physical health (β = 0.17; p = 0.015).
strongest relationships were found between self-management abilities
and depressive symptoms (β = −0.39; p < 0.001) and self-management
abilities with overall well-being (β = 0.49; p < 0.001).
conclusions
from this study, we can conclude that next to health behaviours broader
self-management abilities to maintain overall well-being are important
for turkish older people. interventions to improve self-management
abilities may help turkish older people better deal with function
losses and chronic diseases as they age further.
introduction
europe witnessed a post-war mass migration at the end of the 1950s and
the early 1960s, mostly from non-western origin with a predominance of
young adults. even though a number of the early migrants have returned
to their birth-country, considerable numbers remain in their migratory
destinations who recently approached retirement age.^1 in general, poor
physical and mental health, worse health-related quality of life and
well-being, functional limitations, depressive symptoms and chronic
conditions are much more prevalent among these immigrant populations
compared with those of natives throughout europe.^2–4 as a consequence,
older immigrants use 13–20% more health services than native-borns.^5
the rapid increase in the prevalence of chronic illness among older
(immigrant) populations is an important factor underlying the increased
demand for health care services and constraints on the organization and
delivery of care in europe.^5^,^6
unhealthy behaviours, such as poor diet, smoking and physical
inactivity, are important and adjustable risk factors for many chronic
diseases and leading causes of death and disability.^7 thus, the
improvement of health behaviours among older (immigrant) populations to
prevent the onset of chronic diseases is becoming a critical issue.
health behaviours, such as smoking, eating habits and physical
activity, are known to differ between immigrants and natives, which may
explain the greater prevalence of chronic diseases, physical
limitations and poor health outcomes among the former. for example, in
the netherlands, overweight is much more prevalent among immigrants,^8
and smoking is especially prevalent among turks.^9 although
health-related behaviours have been investigated among immigrant groups
aged 35–60 years,^9 and those aged ≥18 years,^8 no such research has
been conducted among older immigrants.
not only health behaviours but also older people’s abilities to deal
with the process of ageing and the ways in which they cope with certain
life events are of interest. as people grow older, they often begin to
experience losses in various life domains. people are known to differ
in their ability to self-regulate or self-manage their lives and ageing
processes, which requires the proactive management of resources in an
environment of increasing losses and declining gains.^10 these
self-regulation or self-management abilities often target only the
physical health aspects of ageing, such as physical exercise and
healthy diet.^11^,^12 the social and psychological life domains,
however, have been proven to be equally important for the health and
well-being of older people.^13
thus, in addition to health behaviours and health outcomes, examination
of broader self-management abilities related to the maintenance of
overall well-being may be of interest.^14 as these abilities are
critical predictors of physical health, depressive symptoms and overall
well-being,^14–17 a shift in focus to include not only traditionally
addressed health- and disease-specific aspects (e.g. smoking, physical
activity, healthy diet) but also abilities such as investment behaviour
(e.g. pursuing interests, keeping busy, maintaining contact with loved
ones), initiative taking and self-efficacy (e.g. belief in one’s
ability to achieve goals and express care for others) is urgently
needed.^14
research investigating health behaviours and self-management abilities
related to the maintenance of overall well-being among older turkish
immigrants is lacking. thus, this study aimed to identify relationships
of background characteristics, health behaviours and self-management
abilities with physical health, depressive symptoms and well-being
among older turkish immigrants residing in rotterdam, the netherlands.
methods
data collection
community-dwelling turkish people aged > 65 years in rotterdam, the
netherlands, were identified using the municipal register and asked to
participate between march 2015 and february 2016 (with a summer break,
given that most of this population spends the summer in turkey). we
asked respondents to fill in a questionnaire containing 153 questions
in total (provided in the dutch as well as turkish language). these
questionnaires were first distributed via post, followed by a postal
reminder and finally a minimum of two home visit attempts (by
interviewers speaking dutch as well as the turkish language). the
personal interviews lasted about 60–90 min. an information leaflet was
provided to respondents explaining the aim of the study with contact
details (of dutch as well as turkish speaking research assistants) in
case they had additional questions. no (financial) incentives were
provided.
ethical approval
according to the central committee on research involving human subjects
(ccmo), the current study did not fall within the scope of the medical
research involving human subjects act and thus did not require prior
review by an accredited medical research and ethics committee or the
ccmo. all respondents were informed about the aims of the study, and
assured that participation was anonymous and voluntary, prior to
providing consent.
measures
well-being was measured with the 14-item turkish version of the social
production function instrument for the level of well-being (spf-il).^18
the stimulation item ‘are your activities challenging to you?’ of the
original 15-item dutch version^19 proved to be problematic during
validation and thus was omitted from the turkish version. the spf-il
measures levels of physical (comfort, stimulation) and social
(behavioural confirmation, affection, status) well-being. examples of
questions are ‘do people really love you?’ (affection), ‘do you feel
useful to others?’ (behavioural confirmation), ‘are you known for the
things you have accomplished?’ (status), ‘in the past few months, have
you felt physically comfortable?’ (comfort) and ‘do you really enjoy
your activities?’ (stimulation). responses are given on a 4-point scale
ranging from never (1) to always (4), with higher mean scores
indicating greater well-being. total scores were calculated based on
the mean scores for the five subscales. cronbach’s alpha of the spf-il
based on the five subscales was 0.76, indicating good reliability.
patients’ physical quality of life was assessed using the physical
component of the short form 12 health survey.^20 the summary physical
component score for physical health was constructed using standard
scoring procedures.
we used the 7-item depression section of the hospital anxiety and
depression scale to assess symptoms of depression.^21 all items were
rated on a 4-point scale (0–3), with higher scores indicating greater
depressive symptomatology.
self-management abilities related to the maintenance of overall
well-being were measured using an adjusted version of the short
(18-item) version of the self-management ability scale (smas-s).^22
this instrument assesses a broad repertoire of self-management
abilities: (i) initiative taking (being instrumental or self-motivating
in realizing aspects of well-being), (ii) investment in resources for
long-term benefits, (iii) maintenance of variety in resources (gaining
and maintaining various resources for each dimension of well-being),
(iv) ensuring resource multifunctionality (gaining and maintaining
resources or activities that serve multiple dimensions of well-being
simultaneously and in a mutually reinforcing way), (v) self-efficacy in
resource management (gaining and maintaining a belief in personal
competence to achieve well-being) and (vi) maintenance of a positive
frame of mind. the initiative taking, investment, self-efficacy,
variety and multifunctionality subscales are related to the physical
and social dimensions of well-being, and the subscale measuring the
ability to have a positive frame of mind is considered to be a more
general cognitive frame. following earlier research, we reduced the
number of response categories for 5 subscales from 6 to 4 to make
completion of the instrument less complex. higher scores indicate
better self-management abilities. the item ‘when things go against you,
how often do you think that it could always be worse?’ proved to be
problematic during validation and thus was omitted from the turkish
version. cronbach’s alpha of the smas-s based on the six subscales was
0.92, indicating excellent reliability.
physical activity was assessed by asking respondents how many days per
week they were physically active (e.g. sport activities, exercise,
housecleaning, work in the garden) for at least 30 min. government
agencies use this measure to monitor physical activity in the dutch
population. we used mean physical activity, measured in number of days
per week, in our analyses. in addition, we dichotomized the physical
activity scale according to the dutch standard for healthy physical
activity into 1 (at least 30 min of physical activity at least five
times per week) and 0 (at least 30 min of physical activity less than
five times per week),^23 to compare the proportion of physically active
patients with the dutch average. this threshold is also in line with
the international recommendation for the minimum physical activity
level of at least 150 min of moderate or vigorous physical activity per
week.^24
self-reported current smoking was assessed with a yes/no question.
consumption of fruits and consumption of vegetables were assessed
separately as indicators of healthy dietary behaviours, measured in
servings per day. the world health organization and the dutch
guidelines use a minimum of 200 g of vegetables and two servings of
fruit per day to distinguish healthy from unhealthy eating.^25 fruit
consumption was determined by summing the servings per day and was
dichotomized as 1 (healthy diet, consumption of at least two pieces of
fruit per day) and 0 (unhealthy diet, consumption of less than two
pieces of fruit per day). vegetable consumption was determined by
summing the servings per day and was dichotomized as 1 (healthy diet,
consumption of ≥200 g of vegetables per day) and 0 (unhealthy diet,
consumption of <200 g of vegetables per day).^25
respondents were asked to report the highest educational level
completed in the netherlands or abroad, with the option to select ‘no
schooling’ or to write in another response for unlisted forms of
schooling. this variable was dichotomized into low (completion of
elementary school or less) and high (more than elementary school).
income level was determined based on respondents’ reported monthly
household income, including social benefits, pensions and alimony.
responses ranged from 1 (less than €1000 a month) to 4 (€3050 or more a
month). ‘do not know/do not want to tell’ was included as a fifth
category. income level was dichotomized into low (less than €1350) and
high (€1350 or more).
respondents were asked to indicate whether they were married, divorced,
widowed, single, or cohabitating. a dichotomous variable was created:
divorced, single and widowed; and married.
the questionnaire also solicited information on respondents’ age,
gender and number of chronic conditions experienced in the past 12
months. respondents were provided with a list of 14 chronic conditions
(e.g. lung diseases, cardiovascular diseases, diabetes) and space to
write in other conditions. only conditions that were classified as
chronic by o'halloran et al.^26 were included.
analyses
the characteristics of the study sample were examined using descriptive
statistics. bivariate associations of variables expressing background
characteristics, health behaviours and self-management abilities with
those reflecting physical health, depressive symptoms and well-being
were examined. regression analyses were then performed to identify
relationships of health behaviours, self-management abilities, and
physical health with depressive symptoms and well-being while
controlling for background characteristics.
results
of, 2350 older turkish immigrants asked to participate, 213 were
ineligible due to change of address (n = 110), serious medical issue or
death (n = 102) or non-turkish ethnic background (n = 1). a total of
680 respondents completed the questionnaire (final response rate 32%).
table 1 displays descriptive statistics for the older turkish immigrant
population. the average age of the 680 respondents was 72.90 [standard
deviation (sd) 5.02; range 66–95] years, and 47.6% of them were women.
the majority of respondents reported having low education (80.3%) and
low income (83.4%) levels. the mean number of chronic diseases was 2.68
(sd 1.87; range 0–10). most (90.6%) respondents were chronically ill,
and 69.4% had more than one chronic disease. according to their
self-reported body mass indices, 86.5% of respondents were overweight
and 46.0% were obese. more than half of respondents had sufficient
weekly fruit (58.2%) and vegetable (55.3%) consumption. about one-third
(33.5%) of respondents smoked and 43.0% could be considered to be
physically active.
table 1
descriptive statistics for older turkish older immigrants (n = 680)
characteristic range % or mean (sd)
sex (female) 47.6%
age (years) 66–95 72.90 (5.02)
marital status (single/widowed) 28.7%
education (low) 80.3%
income (low) 83.4%
number of chronic diseases 0–10 2.68 (1.87)
chronically ill 90.6%
co-/multi-morbidity 69.4%
body mass index (kg/m^2) 17.65–68.59 30.32 (5.61)
overweight 86.5%
obese 46.0%
healthy diet
sufficient fruit consumption 58.2%
sufficient vegetable consumption 55.3%
physically active 43.0%
smoking 33.5%
self-management abilities 1–4 2.52 (0.62)
physical health 0–100 54.83 (18.18)
depressive symptoms 1–4 2.28 (0.66)
well-being 1–4 2.79 (0.55)
open in a separate window
sd, standard deviation.
table 2 displays the results of the bivariate analyses. single marital
status and low educational level were associated positively with
depressive symptoms and negatively with well-being. the number of
chronic conditions was associated negatively with physical health and
well-being, and positively with depressive symptoms. a positive
relationship was found between sufficient vegetable consumption and
well-being (r = 0.11, p < 0.01). physically active status was
associated positively with physical health (r = 0.09, p < 0.05) and
overall well-being (r = 0.20, p < 0.001), and negatively with
depressive symptoms (r = –0.28, p < 0.001). smoking was related
positively to depressive symptoms (r = 0.16, p < 0.001).
self-management abilities were related positively to physical health (r
= 0.12, p < 0.05) and well-being (r = 0.54, p < 0.001) and negatively
to depressive symptoms (r = –0.53, p < 0.001).
table 2
associations with physical health, depressive symptoms and well-being
(n = 680)
characteristics physical health depressive symptoms well-being
sex (female) 0.12^** 0.21^*** –0.11^**
age (years) –0.05 0.08^* –0.06
marital status (single/widowed) –0.05 0.16^*** –0.11^**
education (low) –0.07 0.16^*** –0.11^**
income (low) –0.06 0.10^* –0.06
number of chronic diseases –0.15^*** 0.36^*** –0.26^***
body mass index –0.13^*** 0.06 –0.06
eating enough fruit –0.01 –0.06 0.07
eating enough vegetables –0.01 –0.07 0.11^**
physically active 0.09^* –0.28^*** 0.20^***
smoking 0.06 0.16^*** 0.07
self-management abilities 0.12^** –0.53^*** 0.54^***
open in a separate window
^***p < 0.001.
^**p < 0.01.
^*p < 0.05.
the results of the multivariate regression analyses are displayed in
table 3. the number of chronic diseases was associated negatively with
physical health (β = –0.20, p = 0.005) and overall well-being (β =
–0.13, p = 0.039), and positively with depressive symptoms (β = 0.21, p
< 0.001). among health behaviours, a weak positive relationship was
found between sufficient vegetable consumption and well-being (β =
0.14, p = 0.017). in addition, weak relationships were found between
physical activity and depressive symptoms (β = –0.16, p = 0.007),
smoking and depressive symptoms (β = 0.16, p = 0.009), and
self-management abilities and physical health (β = 0.17, p = 0.015).
the strongest relationships were found between self-management
abilities and depressive symptoms (β = –0.39, p < 0.001) and overall
well-being (β = 0.49, p < 0.001).
table 3
results of multivariate regression analyses
characteristic physical health depressive symptoms well-being
β p β p β p
sex (female) –0.04 0.643 0.04 0.632 –0.03 0.694
age (years) –0.00 0.949 0.02 0.699 –0.07 0.264
marital status (single/widowed) 0.14 0.070 –0.03 0.691 0.03 0.670
education (low) 0.01 0.936 0.06 0.303 0.01 0.918
income (low) 0.01 0.944 0.03 0.582 0.03 0.584
number of chronic diseases –0.20 0.005 0.21 <0.001 –0.13 0.039
body mass index –0.08 0.282 –0.03 0.609 –0.05 0.433
sufficient fruit consumption 0.03 0.636 0.05 0.390 –0.06 0.303
sufficient vegetable consumption 0.03 0.697 –0.06 0.290 0.14 0.017
physically active 0.01 0.940 –0.16 0.007 0.02 0.731
smoking 0.09 0.206 0.16 0.009 0.01 0.886
self-management abilities 0.17 0.015 –0.39 <0.001 0.49 <0.001
r^2 12% 36% 31%
open in a separate window
significance of bold values is p < 0.05.
discussion
this study aimed to identify relationships of background
characteristics, health behaviours and self-management abilities with
physical health, depressive symptoms and well-being among older turkish
immigrants residing in rotterdam, the netherlands. chronic diseases,
overweight and obesity were highly prevalent among respondents. during
the same period in which this study was conducted (2015/2016), a much
smaller percentage of the general dutch population aged ≥ 65 years was
overweight compared with our turkish sample (60% vs. 86.5%); the
prevalence of obesity differed to a lesser degree (42% vs. 46%).^27 in
addition, a larger percentage of turkish elders were chronically ill
compared with the general dutch population aged ≥ 65 years (90.6% vs.
79.9%).^28 the prevalence of chronic diseases is known to be higher
among those with lower educational levels,^29 which could explain this
finding, as 80.3% of older turkish immigrants participating in this
study were less educated.
with increasing numbers of chronic diseases, older immigrants had worse
physical health and well-being, and more depressive symptoms. healthy
behaviours and self-management abilities may protect chronically ill
older immigrants from the deterioration of health and well-being, and
the onset of depressive symptoms. however, we found only weak
relationships between the outcome variables and physical activity,
sufficient vegetable consumption and smoking, and the latter two health
behaviours were not associated with all outcome variables. a smaller
percentage of older immigrants met the norm for physical activity
compared with the general older population in the netherlands (43% vs.
50%).^30 the prevalence of smoking was also greater among older turks
compared with the general dutch population aged ≥ 65 years (33.5% vs.
∼15%).^31 this is in line with earlier research showing that the
percentage of smoking in the netherlands is highest in the turkish
population, especially among turkish men.^32^,^33 regarding dietary
behaviour, older turkish respondents were healthier than the older
general population in the netherlands in 2015/2016 in terms of
sufficient fruit (58.2% vs. 43%) and vegetable (55.3% vs. 30%)
consumption. these findings are in line with earlier research showing
that immigrants ate more fruit and vegetables than did older dutch
people.^34 in terms of health behaviours, older turkish people are thus
expected to benefit especially from smoking cessation and physical
activity interventions.
the strongest relationships were found between broader self-management
abilities and the outcome variables, especially depressive symptoms and
overall well-being. these findings are important, given that these
abilities are amendable. examples of the most commonly used
self-management interventions are health education, lifestyle
education, enhancement of knowledge about chronic diseases and their
risk factors, support of a healthy diet and promotion of physical
exercise and smoking cessation. however, older patients’ abilities to
self-manage their overall well-being, such as having a positive frame
of mind, taking initiative and self-efficacy, should also be addressed.
interventions that aim to enhance self-management abilities may be
useful additions to traditional interventions, which usually focus
solely on the physical decline associated with ageing and chronic
conditions.^35–37
the limitations of this study should be considered when interpreting
the findings. first, although the response rate was low, it was
comparable to those in other surveys conducted in this population [61].
most non-response was due to the inability to reach respondents after a
minimum of two door-to-door contact attempts (following the two contact
attempts via mail), potentially resulting in non-response bias. to
improve the response rate, this number should be increased to six
contact attempts, which was not feasible in our study.^38^,^39 to
investigate potential non-response bias, we conducted non-response
analyses. no significant difference in gender was found between
respondents and non-respondents. the mean age of these groups, however,
differed significantly; on average, respondents were younger than
non-respondents [72.11 (sd = 5.10) vs. 72.73 (sd = 5.00),
respectively]. educational level of our sample is comparable to other
studies showing that ∼80% of turkish older migrants only completed
elementary school or less.^40 second, the data collected were
cross-sectional, preventing determination of causality. third, although
this study showed that self-management abilities are important for
older turkish people, we did not investigate whether interventions
aiming to enhance these abilities actually improved self-management.
further research is necessary to explore ways in which the
self-management abilities of older turkish people can be improved.
fourth, we investigated fruit and vegetable consumption only, not how
food was prepared or the total fat or calorie intake per day, which are
also known to be important.^41 fifth, we also did not include alcohol
consumption to our analyses given that only two male respondents drank
more than the norm (≥3 units per day at ≥4 days a week). if you would
look at health behaviours among immigrant populations outside the
muslim community, it would be interesting to add this health behaviour.
finally, our study sample consisted of older turkish people residing in
rotterdam, which limits the generalizability of our study findings.
conclusion
based on the results of this study, we can conclude that in addition to
health behaviours, broader self-management abilities related to the
maintenance of overall well-being are important for older turkish
people. while only weak relationships were found with health
behaviours, strong relationships were found with broader
self-management abilities, depressive symptoms and well-being. in terms
of health behaviours, older turkish people are expected to benefit most
from smoking cessation and physical activity interventions. older
immigrants, including turks, however, may especially benefit from
interventions that enhance broader self-management abilities related to
the maintenance of overall well-being. interventions to improve
self-management abilities may help older turkish people better deal
with functional losses and chronic diseases as they age further. such
interventions will probably need to be adjusted for this population to
be effective.^38 the current national public health policy, however,
devotes no specific attention to high-risk ethnic groups. we feel that
these results provide a useful basis for the design of effective
interventions for successful ageing among older turkish people in the
netherlands.
funding
this study was supported by a grant provided by the erasmus university
of rotterdam.
conflicts of interest: none declared.
key points
* chronic diseases, overweight and obesity are highly prevalent among
turkish elderly.
* smoking cessation and physical activity interventions may partly
improve outcomes.
* interventions aimed at broader self-management abilities seem
especially effective.
* a broader focus is needed on self-management abilities to maintain
overall well-being.
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the importance of health education
february 8, 2018
marcy vadurro
director of product marketing
explore programs
importanceofhealtheducationbanner
when it comes to building a healthy community, the importance of health
education cannot be overlooked. community health workers collaborate
with all stakeholders in a community - from its citizens to its
government, education and medical officials - to improve health and
wellness and ensure equal access to healthcare.
what is the importance of health education?
community health education looks at the health of a community as a
whole, seeking to identify health issues and trends within a population
and work with stakeholders to find solutions to these concerns.
the importance of health education impacts many areas of wellness
within a community, including:
* chronic disease awareness and prevention
* maternal and infant health
* tobacco use and substance abuse
* injury and violence prevention
* mental and behavioral health
* nutrition, exercise and obesity prevention
community health educators work with public health departments,
schools, government offices and even local nonprofits to design
educational programs and other resources to address a community's
specific needs.
importanceofhealtheducationbody3
"the value in these programs is having a topic or issue tailored to the
needs of the audience...and working with them one on one to make
behavioral changes," said daphne guillaume, a certified health
education specialist and public health adjunct faculty at southern new
hampshire university (snhu).
overcoming health disparities
in addition to providing educational resources and programming to a
community, public health educators also work to ensure all members of a
community have equal access to wellness resources and healthcare
services.
according to the american public health association (apha), common
health disparities affecting americans include:
* racial or ethnic health disparities
* socioeconomic health disparities
* gender health disparities
* rural health disparities
importanceofhealtheducationbody1
"we look at the issues that are going on in our communities through a
social justice lens," said snhu adjunct faculty member dede teteh, a
certified health education specialist and public health researcher.
"the main difference between [public health] and medicine is we don't
look at people one by one. we work with communities and examine trends
in behaviors and health outcomes. we attempt to decipher what's going
on within communities and determine how we can best support their
wellness efforts. but we don't act without their input or partnership."
community health education and government policy
the importance of health education also extends into policy and
legislation development at a local, state and national level, informing
and influencing key decisions that impact community health.
from campaigns and legislation to enforce seat belt use and prevent
smoking to programs that boost the awareness and prevention of
diabetes, public health workers provide research and guidance to inform
policy development.
"you're not just educating the individual person, you need the impetus
and motivation to come from the whole community," said snhu associate
dean of health professions denise bisaillon. "you have to reach the
leaders in the community. the more people invested in a change, the
more likely its success."
the economic importance of health education
health education can also boost a community's economy by reducing
healthcare spending and lost productivity due to preventable illness.
obesity and tobacco use, for example, cost the united states billions
of dollars each year in healthcare costs and lost productivity.
according to the american public health association (apha) the annual
loss in economic productivity due to obesity and related issues is
expected to total as much as $580 billion by 2030. the total economic
cost of tobacco use costs the united states more than $300 billion each
year, including $156 billion in lost productivity, according to the
cdc.
programs designed to help community members combat these expensive
health issues not only boost individuals' health, but also provide a
strong return on investment for communities.
according to the cdc, states with strong tobacco control programs see a
$55 return on every $1 investment, mostly from avoiding costs to treat
smoking-related illness. the national cost of offering the national
diabetes prevention program is about $500 per participant,
significantly lower than the $7,900 spent on diabetes care per type 2
diabetes patient each year.
importanceofhealtheducationbody4 a growing field
as the health, social and economic impacts of community health
education continue to grow, so does the field of public health and
health promotion.
according to the u.s. bureau of labor statistics (bls), employment in
the community health education field is projected to grow by 16%
through 2026, more than twice the average for all occupations.
workers with a community health education degree can find opportunities
in a wide variety of settings, according to the bls, including:
* schools and colleges
* hospitals and healthcare facilities
* nonprofit organizations
* private businesses and employee wellness programs
* government organizations and public health departments
as communities continue to focus more on improving the health and
wellness of its citizens, the field of community health education will
also continue to grow, said snhu adjunct faculty michelle gifford.
"i believe that more and more communities are seeing benefits from
wellness-related initiatives and receiving positive marks about them,
hence community leaders are seeing this as not just a business-driven
necessity, but also something that impacts the well being and quality
of life of their citizens," gifford said.
marcy vadurro is a marketing professional within nursing and health
professions in higher education.
health
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darla branda
health professions clinical faculty darla branda: a faculty q&a
december 13, 2019
after spending 4 years in the military, darla branda earned her degree
and began working in health information management. she's since joined
the faculty at snhu, and we asked her to share her thoughts about
teaching, the importance of education and more as part our faculty
spotlight series.
a student in snhu's ccne accredited nursing programs.
snhu nursing programs receive 10-year ccne reaccreditation
november 21, 2019
snhu online nursing programs recently received a 10-year
reaccreditation from the commission on collegiate nursing education
(ccne), a professional accrediting agency that strives to promote the
quality and integrity of baccalaureate and graduate nursing programs.
a group of doctors and nurses reviewing a document in a hospital
corridor.
healthcare students get to the heart of succession planning
november 13, 2019
teams of southern new hampshire university nursing and healthcare
students recently tackled the challenge of succession planning for
healthcare facilities in the latest higher education and real-world
training challenge.
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homehealth and its importance | health and its significance | the
importance of health and health
health and its importance | health and its significance | the importance of
health and health
civil blog 369 february 09, 2019
[ins: :ins]
health and its importance
health-and-its-importance
health and its importance
the word "health" refers to an emotional and physical well- being
state. healthcare is available to help people maintain this optimal
health status.
your food choices affect your health every day-how you feel today,
tomorrow and the future. good food is an important part of a healthy
lifestyle. in combination with physical activity, your diet can help
you achieve a healthy weight, reduce the risk of chronic diseases (such
as heart disease and cancer) and promote your overall health.
why does good health matter?
cells are the basic units of all organisms. they consist of a variety
of chemicals. cells move from location to location. even if the cell
does not move, there is still a lot of repairs. cells are the basic
units of all organisms.
in relation, there are various specialized activities in our body such
as the heart pumps blood, the kidney filters the urine, which even the
brain constantly probably thinks the lungs help to inhale.
there's a lot of interconnection in our body between the different
organs. our body needs energy and raw material for all these
activities. food is necessary for the functioning of cells and tissues.
therefore, if you're not good, all your physical activities begin to
get hampered.
the significance of health
health is a physical, mental and social state of complete well-being. a
person needs a balanced diet and regular exercise for a healthy life
cycle. you also have to live in a proper shelter, sleep enough and have
good hygiene habits. so, how do we make sure we do all the right things
to be healthy? let's raise awareness about the importance of health
1)all organisms ' health depends on their environment or surroundings.
in our individual health, our social environment is an important
factor.
2)for individual health, public cleanliness is important. we must
therefore ensure that we regularly collect and clear the waste. we also
need to contact an agency responsible for clearing the drains. you
could have a serious impact on your health without this.
3)we need food for health and food, by doing work, we have to earn
money. there must be an opportunity to do work for this. therefore,
individual health needs good economic conditions and jobs.
4)to be really healthy, we need to be happy. we can't be healthy or
happy if we mistreat each other and fear each other. for individual
health, social equality and harmony are important.
what is an illness?
if one or more organs or systems of our body are adversely affected
because they are interrupted in their normal functioning, we say that
we are not healthy, i.e. we have a disease. disease means that
something is wrong with our body and we feel that the body is unwell or
malfunctioning.
our health is not only affected by uneven diets, but also by diseases,
infections, poverty, large families, overcrowded homes, etc. the
disease is usually caused by external organisms (microbes), which cross
the natural barriers of the body and invade our healthy body. such
organisms can cause havoc if it is not handled immediately by our
immune system.
health-and-its-importance
health and its significance
types of health
mental and physical health are the two types of health most frequently
discussed. we also talk about, among others, "spiritual health,"
"emotional health" and "financial health." they were also linked to
lower levels of stress and mental and physical well- being.
physical health
bodily functions work at peak performance in a person who experiences
physical health, not only because of a lack of disease, but also
because of regular exercise, balanced nutrition and adequate rest. when
necessary, we receive treatment to maintain the balance.
physical well- being means a healthy lifestyle to reduce the risk of
disease. for example, maintaining physical fitness can protect the
breathing and heart function, muscle strength, flexibility and body
composition of a person and develop it.
physical health and well- being also reduce the risk of injury or
health problems. examples include minimizing risks at work, safe sex,
good hygiene, or avoiding tobacco, alcohol or illegal drugs.
mental health
mental health means the emotional, social and psychological well- being
of a person. mental health is as important to a full and active
lifestyle as physical health.
mental health is harder to define than physical health, because
diagnosis often depends on the perception of the individual's
experience. however, with test improvements, some signs of some types
of mental illness in ct scans and genetic testing are now becoming
"visible."
mental health is not just a lack of depression, anxiety or other
disorder. it also depends on the ability to: enjoy life bouncing back
after difficult experiences achieve balance, feel safe and secure in
order to achieve your potential.
there are good links between physical and mental health. if chronic
disease affects the ability of a person to perform his or her regular
tasks, depression and stress can be caused, for example, by money
problems. a mental illness such as depression or anorexia can affect
the weight and function of the body. rather than its different types,
it is important to approach "health "as a whole.
good health factors
health depends on a variety of factors. a person is born with a variety
of genes and an unusual genetic pattern can lead to a level of health
that is less than optimal in some people.
environmental factors play an important role. the environment alone
sometimes suffices to have an impact on health. an environmental
trigger can cause disease in a genetically susceptible person at other
times.
these can be summarized as:
social and economic environment: including the wealth of a family or
community.
the physical environment: including parasites in an area or levels of
pollution.
the characteristics and behaviors of the person:
according to the world health organization, the higher the socio-
economic status of a person( ses), the more likely they are to enjoy
good health, good education, a well- paid job, and if their health is
threatened, good health care will be available.
people with a lower socio- economic status are more likely to
experience stresses related to daily life, such as financial
difficulties, marital disruption and unemployment, as well as social
factors such as marginalization and discrimination. all of this adds to
the risk of poor health.
low socio- economic status means often less access to healthcare.
people in developed countries with universal health services have
longer life expectancies than people without universal health care in
developed countries.
cultural problems can have an impact on health. a society's traditions
and customs and the response of a family to them can have a good or bad
effect on health. for example, people around the mediterranean are more
likely to consume high levels of fruit, vegetables and olives and eat
as a family compared to fast food crops.
how stress is managed affects health. people who smoke, drink or take
drugs to forget about their problems are likely to experience more
health problems later than people who fight stress through healthy diet
and exercise.
men and women are susceptible to various health factors. they may be at
greater risk of poor health than men in societies where women earn less
than men or are less educated.
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1. hello healthy24 december 2019 at 19:33
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home » achieve lasting weight loss » the importance of health
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#what is health behavior? health risks alternate alternate
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models and mechanisms of public health
chapter 5: key principles of health behavior change
search for: ____________________ search
examples of health behaviors and concepts
image
social determinants, as stated in the article by short and mollborn,
can be split into three levels, the downstream level (individual
choices), the upstream level (socio-economic, cultural systems, etc.)
and the meso level (interpersonal interactions) (short and mollborn,
2015). most research is focused on the meso level due to the immediate
effects and influence it has over someone’s health behaviors. the
systems that are involved in the meso level could be an individual’s
neighborhood, family, and friends. the importance of social
determinants and their effects on health can help determine the reasons
for specific health actions and behaviors.
the concepts of health behavior are dynamic and encompass different
areas, cultures, genders, age groups, etc. this can be seen within the
united states; the likelihood of developing smoking behaviors are more
prevalent in the south than in the west (short and mollborn, 2015).
some examples of things that health behavior can affect are diet,
physical activity, sleep, and coping with stressful events. health
behavior should be looked at on multiple levels and perspectives to
fully understand how it can promote and protect health instead of
causing harm to it.
licenses and attributions
cc licensed content, original
* authored by: christian rossman, michaela ou2019brien, gloria
poisson, and abubakry tunkara. located at:
https://courses.lumenlearning.com/suny-buffalo-environmentalhealth/
. project: models and mechanisms of public health. license: cc
by-nc-sa: attribution-noncommercial-sharealike
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health behavior
health behavior pp 3-17 | cite as
health behavior
plural perspectives
* authors
* authors and affiliations
* david s. gochman
chapter
* 16 citations
* 27 readers
* 328 downloads
abstract
what “health behavior” means, and how it is treated in this book, are
the basic topics of the first part of this chapter, which begins with a
working definition of health behavior, discusses some related terms,
and provides a definition of “health behavior research.” the chapter
continues with a discussion of conceptions of health, illness, and
disease, and concludes by identifying some research issues that relate
to these conceptions.
keywords
health behavior behavioral health behavioral medicine illness
behavior sociocultural perspective
these keywords were added by machine and not by the authors. this
process is experimental and the keywords may be updated as the learning
algorithm improves.
this is a preview of subscription content, log in to check access.
preview
unable to display preview. download preview pdf.
unable to display preview. download preview pdf.
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copyright information
© springer science+business media new york 1988
authors and affiliations
* david s. gochman
+ 1
1. 1.raymond a. kent school of social workuniversity of
louisvillelouisvilleusa
about this chapter
cite this chapter as:
gochman d.s. (1988) health behavior. in: gochman d.s. (eds)
health behavior. springer, boston, ma
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health behavior and health promotion
apple icon stopping the spread of communicable diseases. catching
cancer in its early stages. preventing teenagers from smoking
cigarettes. these are all based on choices and behaviors.
our goal in the division of health behavior and health promotion (hbhp)
is to enable people to achieve their optimal level of health through
healthy decisions and behaviors. in order to accomplish this, we work
with organizations, and communities to develop the knowledge and skills
needed for making healthy decisions and enacting healthy behaviors, and
to promote the conditions and resources necessary for healthy living.
we also collaborate across disciplines at ohio state to advance
knowledge and understanding of healthy behaviors.
research
research in healthy behaviors and health promotion seeks to understand
the choices and behaviors of individuals and communities with regard to
health. we also evaluate existing and pilot health programs. much of
our scholarly work is done in collaboration across the university and
with other institutions, as well as with community partners.
our faculty are involved in active research programs that include:
* health program evaluation
* global health
* smoking cessation in specific populations
* intervention to increase colon cancer screening rates
* health disparities
* the use of the hpv vaccine in appalachian ohio
* prevention, detection and treatment of lung cancer
* early childhood eating and exercise
curriculum
our curriculum emphasizes the social and behavioral determinants of
health and methods for changing behaviors in populations.
the health behavior and health promotion program offers two outstanding
degree programs with a concentration in health behavior and health
promotion: the mph (master of public health) and the phd.
both degree programs provide students with a thorough knowledge of
health behavior and health promotion from its fundamental relationship
to public health to role in implementing intervention strategies.
courses also offer a rich array of research opportunities and practical
job experiences.
learn more about degree programs in health behavior and health promotion
mph phd
in addition, we offer a graduate minor in public health behavior and
promotion.
minor
contact us
359-a cunz hall
1841 neil ave.
columbus, oh 43210
phone: (614) 292-4685
health behavior and health promotion
* message from the chair
* faculty and staff
* course descriptions
* research
* careers in health behavior and health promotion
peace
* about
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what is good health?
written by adam felman on july 31, 2017
* what is health?
* types
* factors for good health
* preserving health
the word "health" refers to a state of complete emotional and physical
well-being. healthcare exists to help people maintain this optimal
state of health.
in 2015, the population of the united states (u.s.) spent an estimated
$3.2 trillion on healthcare costs.
however, despite this expenditure, a study by the u.s. national
research council, published in 2013, showed that americans die at a
younger age and experience more illness and injury than people in other
developed countries.
good health is central to handling stress and living a long and active
life.
fast facts on health
here are some key points about health. more detail is in the main
article.
* health can be defined as physical, mental, and social wellbeing,
and as a resource for living a full life.
* it refers not only to the absence of disease, but the ability to
recover and bounce back from illness and other problems.
* factors for good health include genetics, the environment,
relationships, and education.
* a healthful diet, exercise, screening for diseases, and coping
strategies can all enhance a person's health.
what is health?
health is not just absence of disease but a state of overall wellbeing.
share on pinteresthealth is not just absence of disease but a state of
overall wellbeing.
in 1948, the world health organization (who) defined health with a
phrase that is still used today.
"health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity." who, 1948.
in 1986, the who further clarified that health is:
"a resource for everyday life, not the objective of living. health is a
positive concept emphasizing social and personal resources, as well as
physical capacities."
this means that health is a resource to support an individualʼs
function in wider society. a healthful lifestyle provides the means to
lead a full life.
more recently, researchers have defined health as the ability of a body
to adapt to new threats and infirmities. they base this on the idea
that modern science has dramatically increased human awareness of
diseases and how they work in the last few decades.
types
mental and physical health are the two most commonly discussed types of
health. we also talk about "spiritual health," "emotional health," and
"financial health," among others. these have also been linked to lower
stress levels and mental and physical wellbeing.
physical health
in a person who experiences physical health, bodily functions are
working at peak performance, due not only to a lack of disease, but
also to regular exercise, balanced nutrition, and adequate rest. we
receive treatment, when necessary, to maintain the balance.
physical wellbeing involves pursuing a healthful lifestyle to decrease
the risk of disease. maintaining physical fitness, for example, can
protect and develop the endurance of a personʼs breathing and heart
function, muscular strength, flexibility, and body composition.
physical health and well-being also help reduce the risk of an injury
or health issue. examples include minimizing hazards in the workplace,
practicing safe sex, practicing good hygiene, or avoiding the use of
tobacco, alcohol, or illegal drugs.
mental health
mental health refers to a personʼs emotional, social, and psychological
wellbeing. mental health is as important as physical health to a full,
active lifestyle.
it is harder to define mental health than physical health, because, in
many cases, diagnosis depends on the individualʼs perception of their
experience. with improvements in testing, however, some signs of some
types of mental illness are now becoming "visible" in ct scans and
genetic testing.
mental health is not only the absence of depression, anxiety, or
another disorder.
it also depends on the ability to:
* enjoy life
* bounce back after difficult experiences
* achieve balance
* adapt to adversity
* feel safe and secure
* achieve your potential
physical and mental health are linked. if chronic illness affects a
personʼs ability to complete their regular tasks, this may lead to
depression and stress, for example, due to money problems.
a mental illness such as depression or anorexia nervosa can affect body
weight and function.
it is important to approach "health" as a whole, rather than its
different types.
factors for good health
health depends on a wide range of factors.
a person is born with a range of genes, and in some people, an unusual
genetic pattern can lead to a less-than-optimum level of health.
environmental factors play a role. sometimes the environment alone is
enough to impact health. other times, an environmental trigger can
cause illness in a person who is genetically susceptible.
access to healthcare plays a role, but the who suggests that the
following factors may have a bigger impact on health than this:
* where a person lives
* the state of the surrounding environment
* genetics
* income
* education level
* relationships with friends and family
these can be summarized as:
* the social and economic environment: including how wealthy a family
or community is
* the physical environment: including parasites that exist in an
area, or pollution levels
* the personʼs characteristics and behaviors: including the genes
that a person is born with and their lifestyle choices
*
according to the who, the higher a personʼs socioeconomic status (ses),
the more likely they are to enjoy good health, a good education, a
well-paid job, afford good healthcare when their health is threatened.
people with a lower socioeconomic status are more likely to experience
stresses related to daily living, such as financial difficulties,
marital disruption, and unemployment, as well as social factors, such
as marginalization and discrimination. all these add to the risk of
poor health.
a low socio-economic status often means less access to healthcare.
people in developed countries with universal healthcare services have
longer life expectancies than people in developed countries without
universal healthcare.
cultural issues can affect health. the traditions and customs of a
society and a familyʼs response to them can have a good or bad impact
on health. for example, around the mediterranean, people are more
likely to consume high levels of fruits, vegetables, and olive, and to
eat as a family, compared with cultures with a high consumption of fast
food.
how a person manages stress will affect health. people who smoke,
drink, or take drugs to forget their problems are likely to have more
health problems later than someone who combats stress through a
healthful diet and exercise.
men and women are prone to different health factors. in societies where
women earn less than men or are less educated, they may be at greater
risk than men for poor health.
preserving health
the best way to maintain health is to preserve it through a healthful
lifestyle, rather than waiting until we are sick to put things right.
this state of enhanced well-being is referred to as wellness.
the mckinley health center at the university of illinois il defines
wellness as:
"a state of optimal well-being that is oriented toward maximizing an
individualʼs potential. this is a life-long process of moving
towards enhancing your physical, intellectual, emotional, social,
spiritual, and environmental well-being."
wellness promotes an active awareness of and participation in health,
as an individual and in the community.
maintaining wellness and optimal health is a lifelong, daily
commitment.
steps that can help us maximize our health include:
* a balanced, nutritious diet, sourced as naturally as possible
* regular exercising
* screening for diseases that may present a risk
* learning to manage stress
* engaging in activities that provide purpose and connection to
others
* maintaining a positive outlook and appreciating what you have
* defining a value system, and putting it into action
peak health will be different for each person, and how you achieve
wellness may be different from how someone else does.
it may not be possible to avoid disease completely, but doing as much
as we can to develop resilience and prepare the body and mind to deal
with problems as they arise is a step we can all take.
written by adam felman on july 31, 2017
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* croat med j
* v.47(4); 2006 aug
* pmc2080455
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croat med j. 2006 aug; 47(4): 662–664.
pmcid: pmc2080455
pmid: 16909464
the meanings of health and its promotion
norman sartorius
copyright and license information disclaimer
copyright © 2006 by the croatian medical journal. all rights reserved.
this is an open access article distributed under the creative commons
attribution license, which permits unrestricted non-commercial use,
distribution, and reproduction in any medium, provided the original
work is properly cited.
this article has been cited by other articles in pmc.
the constitution of the world health organization, which came into
force on april 7, 1948, defined health “as a state of complete
physical, mental and social well-being.” the writers of the
constitution were clearly aware of the tendency of seeing health as a
state dependent on the presence or absence of diseases: so they added
to that definition that an individual, if he is to be considered
healthy, should not suffer from any disease (….“and not merely the
absence of disease or infirmity”) (1). in that way, the definition of
the world health organization simply added a requirement to the
previous position that allowed to declare someone healthy if no disease
could be found: the step forward that could have been taken in the
conceptualization of health as a dimension of existence which can
co-exist with the presence of a disease or impairment was thus not
taken.
today, three types of definition of health seem to be possible and are
used. the first is that health is the absence of any disease or
impairment. the second is that health is a state that allows the
individual to adequately cope with all demands of daily life (implying
also the absence of disease and impairment). the third definition
states that health is a state of balance, an equilibrium that an
individual has established within himself and between himself and his
social and physical environment.
the consequences of adopting one or another of these definitions are
considerable. if health is defined as the absence of disease, the
medical profession is the one that can declare an individual healthy.
with the progress of medicine, individuals who are declared healthy
today may be found to be diseased tomorrow because more advanced
methods of investigations might find signs of a disease that was not
diagnosable earlier. how an individual feels about his or her state is
not relevant in this paradigm of health. how the surrounding people
judge the behavior and appearance of an individual is only relevant if
their observations are congruent with the criteria of abnormality that
the medical profession has produced. the measurement of the state of
health of a population is also simple and will involve no more than
counting the individuals who, on examination, show defined signs of
illness and comparing their numbers with those who do not.
there are obvious difficulties with the first and the second of the
definitions mentioned above and with their consequences. there are
individuals who have abnormalities that can be counted as symptoms of a
disease but do not feel ill. there are others whose body tissues do not
demonstrate changes but who feel ill and do not function well. there
are people who hear voices and might therefore be candidates for
psychiatric examination and possibly treatment – but live well in their
community and do not ask for nor receive medical care. there is a
significant number of people who have peptic ulcers and other diseases,
experience no problems, do not know that they have a disease and do not
seek treatment for it. some of these individuals will also escape the
second type of definition of health because they function as well as
expected in their age and gender group of the general population.
the third definition mentioned above makes health depend on whether a
person has established a state of balance within oneself and with the
environment. this means that those with a disease or impairment will be
considered as being healthy to a level defined by their ability to
establish an internal equilibrium that makes them get the most they can
from their life despite the presence of the disease. health would thus
be a dimension of human existence that remains in existence regardless
of the presence of diseases, somewhat like the sky that remains in
place even when covered with clouds. the advantage of this definition
is that diseases do not replace individuals’ health: they may affect
their balance more or less severely but, at all times, the patients who
suffer from a disease (and their doctors) remain aware of the need to
work simultaneously on two tasks – one, to remove or alleviate the
disease and the second to establish a state of balance, as best they
can, within oneself and in relation with their environment. in fighting
stigmatization that accompanies many chronic and some acute diseases –
such as mental disorders or leprosy – this definition is also useful
because it makes us speak and think about our patients as people who
are defined by different dimensions (including health) and who, at a
point, suffer from a disease – and thus make us say “a person with
schizophrenia” rather than “a schizophrenic,” or a ”person who has
diabetes” rather than a “diabetic” and a “person with leprosy” rather
than a “leper.”
there is another important consequence of working with this definition
of health. to establish whether someone is in good health in accordance
with this definition, the doctor must explore how individuals who have
a disease feel about it, how the disease influences their lives, how
they propose to fight their disease or live with it. laboratory
findings and the presence of symptoms are thus important and necessary
ingredients in thinking about the state of health and the presence of a
disease but are not sufficient to reach a decision about someone’s
health: it is necessary to view the disease in the context of the
person who has it in order to make a judgment about his or her level of
health. there is little doubt about the fact that going about the
treatment of diseases in this way would improve the practice of
medicine and make it a more realistic as well as a more humane
endeavor.
the promotion of health is also affected by the differences in the
definition of health. the simplest definition of health – equated with
the absence of disease – would lead to a definition of the promotion of
health as an effort to remove diseases and diminish the numbers of
individuals who suffer from them. the involvement of functioning in the
definition of health would be reflected in defining the promotion of
health as a process by which the capacity of individuals to cope will
be enhanced and strengthened, for example by regular and obligatory
physical exercise. both of these definitions would lead to
recommendations to improve the treatment of diseases, and to remove
risks factors that might lead to them – such as sedentary life style,
smoking, bad eating habits and insufficient application of hygienic
measures such as washing one’s hands before meals.
the third definition of health, by its very nature, could not stop at
efforts to remove diseases and to diminish risk factors that might lead
to disease. it would have to involve the individuals whose health is to
be promoted in an active way: it would have to address the scales of
values of individuals and communities to ensure that health is placed
higher on those scales. high value placed on health (not only on the
absence of disease) would make people undertake whatever is necessary
to enhance health: participating in preventive action and seeking
treatment would become a normal expression of the need to behave in
harmony with one’s own and one’s community values. changing the place
of health on the scale of values, however, is not possible if left to
the health sector alone: values are shaped throughout life under the
influence of parents, friends, schools, the media, laws, and one’s own
life course and experience. thus, changing values – for example to give
health a higher value, to promote health – has to be a task for all of
those involved in shaping values and placing them on a scale rather
than for the health system alone.
the huge challenges that face societies aiming to improve the health of
their citizens will not be appropriately answered if we do not change
the paradigms of health and disease and design strategies for future
work using these new paradigms. their formulation and acceptance is a
task that is before all of us and is urgent.
references
1. constitution of the world health organization. in: world health
organization: basic documents. 45th ed. geneva: world health
organization; 2005. [google scholar]
__________________________________________________________________
articles from croatian medical journal are provided here courtesy of
medicinska naklada
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fdi unveils new universally applicable definition of ‘oral health’
06 september 2016
6 september 2016
fdi unveils new universally applicable definition of ‘oral health’
poznan, 6 september 2016 – fdi world dental federation today launched
the new definition of ‘oral health’ – positioning it as an integral
part of general health and well-being – at its annual world dental
congress in poznan, poland. it was adopted by over 200 national dental
associations (ndas) and will now be rolled out to the oral health
community, globally.
“this new definition is an important milestone for the oral health
profession,” said dr patrick hescot, fdi president. “true to our vision
2020 advocacy strategy and our ambition to lead the world to optimal
oral health, the new definition will allow us to develop standardized
assessment and measurement tools for consistent data collection on a
global level.”
as defined by fdi:
oral health is multi-faceted and includes the ability to speak, smile,
smell, taste, touch, chew, swallow and convey a range of emotions
through facial expressions with confidence and without pain, discomfort
and disease of the craniofacial complex.
further attributes related to the definition state that oral health:
* is a fundamental component of health and physical and mental
wellbeing. it exists along a continuum influenced by the values and
attitudes of individuals and communities;
* reflects the physiological, social and psychological attributes
that are essential to the quality of life;
* is influenced by the individual’s changing experiences,
perceptions, expectations and ability to adapt to circumstances.
the new definition was coined by fdi’s vision 2020 think tank members,
which includes experts in oral health, public health and health
economics. together with a companion framework tested against external
stakeholders, the new oral health definition is the result of a wider
consultation which included patients, oral health professionals, ndas,
the public health community, academia, government, industry and
third-party payers.
“with this new definition, we want to raise awareness of the different
dimensions of oral health and emphasize that oral health does not occur
in isolation, but is embedded in the wider framework of overall health”
said prof. david williams, co-chair of fdi’s vision 2020 think tank.
“we are proposing a contemporary definition of oral health, which
resonates with that used by many ndas and the world health
organization,” said prof. michael glick, co-chair of fdi’s vision 2020
think tank. “it is therefore not a revolution, but an evolution.”
fdi plans to widely disseminate this oral health definition and
advocate for its operationalization to establish a standard measurement
instrument that can be applied across countries. a measurement toolbox
will be ready in 2017 to allow for assessment of individual and
population needs that can inform and drive oral health policies.
media contact
charanjit (chaz) jagait phd, fdi communications & advocacy director
e-mail: cjagait@fdiworldental.org | tel: +41 22 560 81 48
about fdi world dental federation
fdi world dental federation serves as the principal representative body
for over 1 million dentists worldwide. its membership includes some 200
national member associations and specialist groups in over 130
countries. fdi’s vision: ‘leading the world to optimal oral health’.
www.fdiworldental.org
for more fdi news, visit www.fdiworldental.org
fdi world federation - avenue louis casai 51 - ch - 1216 cointrin -
geneva - switzerland
© fdi world dental federation - all rights reserved
www.fdiworldental.org
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a closer look at health equity
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in this aha advancing health podcast, duane reynolds, president and ceo
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bathija, vice president of aha’s the value initiative, discuss how
health equity is a moral issue that affects the length and quality of
people’s lives. they share how hospitals and health system leaders are
addressing the social determinants of health and social needs to make
care more equitable.
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aha statement for house energy and commerce committee on maternal health
legislation
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“improving maternal health: legislation to advance prevention efforts
and
access to care”
september 10, 2019
on behalf of our nearly 5,000 member hospitals, health systems and
other health care organizations, our clinician partners – including
more than 270,000 affiliated physicians, 2 million nurses and other
caregivers – and the 43,000 health care leaders who belong to our
professional membership groups, the american hospital association (aha)
commends the committee on energy and commerce for its efforts to
examine legislation to improve maternal health.
maternal health is a top priority for the aha and our member hospitals
and health systems, and our initial efforts are aimed at eliminating
maternal mortality and severe morbidity. the causes of maternal
mortality and morbidity are complex, including a lack of consistent
access to comprehensive care and persistent racial disparities in
health and health care. as hospitals work to improve health outcomes,
we are redoubling our efforts to improve maternal health across the
continuum of care and reaching out to community partners to aid in that
important effort.
the may 2019 vital signs report issued by the centers for disease
control and prevention (cdc) noted that about 700 women die each year
from complications related to pregnancy, and more than half of those
deaths are preventable. an estimated 31% of pregnancy-related deaths
occur during pregnancy, 36% during delivery or the week after, and 33%
one week to one year after delivery. the cdc last week released its
morbidity and mortality weekly report that showed that between
2007-2016, the pregnancy-related mortality ratio increased from 15 to
17 pregnancy-related deaths per 100,000 births and that black, american
indian and alaska native women were two to three times more likely to
die from pregnancy-related causes than white women, and this disparity
increases with age. the report also noted that racial and ethnic
disparities in pregnancy-related deaths have persisted over time.
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maternal & child health
every child deserves to have a healthy start in life, and every mother
should have access to quality healthcare during pregnancy and
childbirth. the birth of a new child should be a time for celebration,
and yet for many women around the world it is a time of fear. according
to the world health organisation, more than 800 women die every day
from complications in pregnancy and childbirth. the majority of these
deaths could be prevented given the right resources and care. most of
these deaths happen in the global south, and are particularly high in
rural areas.
in these remote areas, women, newborns and children are often the most
vulnerable to health problems. health centres can be difficult to
reach, and without alternative forms of transport available to them,
women and children sometimes have to walk for days to get there. even
when they reach the facilities, they might find them understaffed or
underequipped.
indigenous women and girls are even more likely to experience worse
maternal health outcomes, and frequently face discrimination and abuse
from health centre staff. for example, maasai women in kenya are twice
as likely to have had no antenatal care, and san women in namibia are
ten times more likely to give birth without skilled attendance.
au sits inside her mud-walled hut near tsumkwe, namibia
au, a traditional birth attendant in namibia
all of these factors discourage mothers from visiting health centres
during pregnancy and to give birth, and often they instead rely on
traditional birth attendants (tbas) in the community as their only
source of maternal health support. the position of tba is passed down
through generations of women, and is a highly respected role in the
community. however, these women very rarely have access to any health
training, leaving them without the skills or tools to identify and
treat difficulties in childbirth. overall, the lack of infrastructure,
transport and training means women and newborns are still dying in
childbirth.
at health poverty action we believe maternal health is particularly
important because of the far-reaching impacts it has on families and
communities. not only does access to quality maternal healthcare ensure
the good health of a mother – her good health also helps to ensure the
good health of her newborn child and the rest of her family.
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maternal health
view photo uganda 2017 © frederic noy/cosmos
maternal health care provided at msf's health center in bidibidi,
uganda.
uganda 2017 © frederic noy/cosmos
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many women across the world give birth without medical assistance,
massively increasing the risk of complications or death. every day on
average 830 women die from pregnancy-related causes. most of these
deaths are preventable.
99 percent
maternal deaths
occur in developing countries
50 percent
maternal deaths
occur during delivery or within 24 hours
1.1 million
births
assisted by msf from 2013-2017, including 107,000 caesarean sections
reproductive health care is an integral part of the medical care
doctors without borders/médecins sans frontières (msf) provides,
including in emergencies. our maternal health programs in more than 25
countries focus on reducing maternal and infant mortality through
pregnancy and prenatal consultations, emergency obstetric care,
postnatal follow-up, and access to family planning services and safe
abortion care.
maternal health facts
serious, untreated complications during pregnancy or delivery can be
fatal to both mother and infant. the most common complications that may
lead to maternal death are: postpartum hemorrhage, reproductive tract
infections, eclampsia, unsafe abortion, obstructed labor, and serious
infectious diseases.
hemorrhage
hemorrhage, or excessive bleeding, can happen after a complicated
birth. often it results from failure of the uterus to contract after
delivery. normally, these contractions stop the bleeding that occurs
once the placenta separates from the uterine wall. but complications or
incomplete placental separation can lead to continued bleeding, and
without rapid medical intervention, a woman can quickly bleed to death.
when skilled birth attendants are present, oxytocin can be given to
prevent bleeding. if severe bleeding does occur, the mother is
resuscitated and attendants apply methods ranging from further
medication and manual pressure to stop the bleeding through to
emergency surgery.
severe infection
severe infection can develop during pregnancy or from unhygienic
conditions during delivery. one common type is reproductive tract
infections (rti), which cause intrauterine infections that can
eventually be fatal to the woman. they can also cause life-threatening
infection in the infant.
access to clean water and hygienic conditions during delivery, such as
clean hands and a clean delivery surface like a plastic cover, are
vital to preventing infections. if an infection occurs, early detection
and treatment with the appropriate antibiotic can prevent serious
illness or death.
eclampsia and other hypertensive disorders
eclampsia and other hypertensive disorders of pregnancy are linked to
high blood pressure and are characterized by seizures that can lead to
coma and death. eclampsia begins during pregnancy as pre-eclampsia,
which leads to high blood pressure. without prenatal care pre-eclampsia
can develop into severe pre-eclampsia or full eclampsia, causing
symptoms such as swelling, sudden weight gain, headaches, changes in
vision, and potentially fatal convulsions.
unsafe abortion
unsafe abortion is a procedure for terminating an unwanted pregnancy
either by persons lacking the necessary skills or in an environment
lacking minimal medical standards, or both, as defined by the world
health organization. globally, at least 22,000 women die every year
from unsafe abortion—the only major cause of maternal death that has
not declined in recent decades, despite it being almost complete
preventable. of those women who survive, 7 million suffer serious
consequences such as infertility, injury, or complications with future
pregnancies.
comprehensive sexual and reproductive health services can greatly
reduce the number of unsafe abortions, by offering safer alternatives
through family planning and access to safe abortion care.
obstructed labor
obstructed labor can occur if the baby’s head is too large or its
position is abnormal, blocking passage through the birth canal. when a
mother is malnourished or is very young and therefore has an
underdeveloped pelvis, the birth canal itself is often not wide enough
to accommodate the head of the baby. if an obstructed labor becomes
prolonged, lasting more than 24 hours, the baby may die and the woman
is at risk of postpartum hemorrhage, uterine rupture or fistula, and
severe infection—all potentially fatal.
skilled staff are essential in managing complicated deliveries and
identifying signs that interventions are needed. these can range from
iv fluids and/or medications to support labor, to an
instrument-assisted delivery (vacuum cup or forceps) or caesarean
section.
indirect causes
indirect causes, in particular complications from infectious disease,
account for about 20 percent of maternal deaths.
during pregnancy, already dangerous diseases can pose even greater
threats to both mother and fetus. for example, malaria in pregnant
women increases their risk of miscarriage and causes over 10,000
maternal deaths globally, while tuberculosis also increases rates of
miscarriage and maternal death. malaria, tuberculosis, and cholera all
raise the risk of stillbirths, death of newborns, or low birth weight
infants.
for pregnant women at risk for any of these diseases, protecting their
health starts with preventive measures. these can include reducing
exposure (such as by sleeping under mosquito nets in malaria regions,
and ensuring access to clean water and supplies for good hygiene) and
short-term use of anti-malarial or anti-tuberculosis drugs during
pregnancy. for those who become ill, early diagnosis and treatment are
essential. whether treating malaria, hiv, tuberculosis, or another
disease, effective treatment reduces the risk of developing severe
complications that threaten the lives of both mother and baby.
how msf responds
our obstetric care programs aim to remedy the crucial "three delays"
that can threaten the lives of both mother and child. these are: delay
in deciding to seek care; delay in reaching a health facility; and
delay in receiving appropriate treatment at the facility.
emergency obstetric care is a key component of this strategy. emergency
care administered promptly by qualified staff can save the lives of
women experiencing complications during or just after delivery, when
half of all maternal deaths occur. to help reduce barriers to use of
our emergency obstetric services, we adapt services to local cultures
and (as with all msf programs) make them free of charge, as our
beneficiaries are often among the poorest sector of the population.
during conflicts or natural disasters, where health services have often
collapsed or are inadequate, emergency obstetrical needs are among the
major needs we see. over the period of 2008-15, 56 percent of all
caesarean sections we performed were in active conflict settings. for
this reason, rapid implementation of emergency maternal care is now
incorporated into our response to these crises.
we also aim to locate services close to the people who need them. in
some settings where this is not possible or we serve a large region, we
have introduced mobile clinics that travel to areas where people often
have no access to health care, combined with referral systems to
identify women with pregnancy complications and transfer them when
necessary to a health post or hospital that can provide appropriate
care.
in remote locations such as kabezi, a rural district in burundi, we
have also implemented ambulance services, which have been linked to
significant reductions in maternal mortality.
abla ali, msf midwife, iraq
giving syrian refugees a safe place to give birth
"the best part of being a midwife is the appreciation from the mothers.
they stop me in the camp when i pass and they say to their children:
'this is abla, she’s a good midwife and she delivered you.'"
–abla ali, msf midwife
read more
antenatal care improves the mother’s health during her pregnancy and
helps reduce or manage complications for both mother and newborn. in
addition, these consultations provide opportunities to inform women and
their families about how to recognize complications and to prepare for
emergencies, and about health structures where women can go for
emergency care, if needed, and for delivery.
post-natal care is another critical area for reducing maternal and
infant death and improving the physical and mental wellbeing of mother
and child. most maternal illnesses and deaths occur at or soon after
delivery, while the majority of infant deaths occur in the first few
days post-delivery—and 30 percent of all child deaths below the age of
five occur in the first four weeks of life.
hiv/aids and preventing mother-to-child transmission
without treatment, 25 to 40 percent of all children born to
hiv-positive mothers will also be infected. this rate can be reduced to
below five percent with antiretroviral treatments for the mother and a
short course of antiretroviral drugs for the baby, together with
appropriate breastfeeding practices.
we have opened programs on prevention of mother-to-child transmission
in many of the world’s most affected regions. in swaziland, for
example, we provided hiv treatment to thousands of hiv-positive
pregnant women as soon as possible after their diagnosis to prevent
their babies from becoming infected.
providing
our research on maternal health
read more
iframe:
https://www.youtube.com/embed/zb6maradouq?autoplay=0&start=0&rel=0
care for other infectious diseases
pregnant women are more susceptible to infectious diseases, and when
infected they are more likely to experience pregnancy complications and
face an increased risk of miscarriage or stillbirth.
for this reason, we offer preventive treatment to pregnant women
exposed to diseases such as malaria and tuberculosis, and provide extra
care where appropriate to pregnant women with these diseases or others
such as cholera and hepatitis e.
support msf's work on maternal health and other medical issues
share this to help raise awareness
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donate now to support doctors without borders work on maternal health
and other medical issues around the world
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women's rights and gender equality
aid
this article is more than 1 year old
uk 'exaggerated number of lives saved' by maternal health aid project
this article is more than 1 year old
watchdog says many more deaths could have been prevented given level of
investment in department for international development programmes
supported by
count me in! consortium about this content
rebecca ratcliffe
tue 30 oct 2018 06.00 gmt last modified on mon 4 mar 2019 11.56 gmt
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mother carrying baby in malawi
[ ] in malawi, heavily pregnant women camped outside health facilities
for up to a month before giving birth, the review found. photograph:
jeffrey davis/getty images/tetra images rf
the uk government has been criticised by an aid watchdog for
exaggerating the number of women’s lives it saved through its maternal
health programmes.
a review, published by the independent commission for aid impact (icai)
on tuesday, also said the number of lives saved “were significantly
below what they could have been, given the level of investment”.
the watchdog said programmes by britain’s department for international
development (dfid) had failed to significantly improve the quality and
sustainability of maternal healthcare services in partner countries.
why do women still die giving birth?
read more
dfid spent about £4.6bn on programmes in health and other sectors
between 2011 and 2015. within this, £1.3bn focused more closely on
maternal health, including family planning, reproductive healthcare and
maternal and neonatal health. but icai said investments were focused on
short-term goals, and did not do enough to strengthen healthcare
systems or target marginalised women or teenage girls.
by 2015, dfid claimed to have saved 103,000 women’s lives during
pregnancy and childbirth, more than double its goal of 50,000. in an
internal and unpublished review, this figure was revised down to
80,100.
icai said the department relied on “unrealistic assumptions” to reach
such figures. compared with the review team’s observations in countries
such as malawi, the estimates appeared inflated.
alison evans, icai’s chief commissioner, who led the review, said uk
aid had expanded access to family planning, but added “… given the
ambition, need and level of investment, the programmes fell short of
what was required to achieve adequate progress.”
health facilities in partner countries remained chronically
under-resourced, with severe shortages of beds, healthcare workers and
equipment, said evans. in northern malawi, an area visited as part of
the review, heavily pregnant women camped outside health facilities for
up to a month before giving birth.
“they are waiting because they are not sure where they are in their
pregnancy cycle because of the lack of ultrasound equipment and the
lack of effective dating of pregnancies,” she said. “they don’t know
how close to their due dates they are and because they are fearful of
giving birth in a situation where there may not be a skilled attendant
they wait outside facilities, sometimes for up to a month, sometimes in
makeshift accommodation.”
uk aid programmes had fallen short of targets to improve emergency
obstetric and neonatal care, according to the review.
dfid had promised to prioritise the poorest 40% of women, as well as
girls aged between 15 and 19 years. but icai found that few programmes
included specific measures to reach these groups, nor did the
department monitor whether its programmes were reaching teenage girls.
it also failed to include measures that would tackle discrimination and
abuse of women in health facilities.
sean roberts, policy and campaigns officer at health poverty action,
said uk aid must be better targeted at the most vulnerable groups.
“indigenous women die far more often in childbirth than other women,”
he said. “if dfid wants to meet its commitment to leave no one behind
it must implement a robust action plan to address the maternal health
of indigenous women and other excluded groups.”
while uk aid had improved access to family planning for millions of
women, in malawi such programmes were delivered through non-state
providers. such partnerships allowed funding to quickly reach large
numbers of people, but risked displacing public sector services, said
evans.
“you have this problem of sustainability,” she said. “the public sector
is not able to gear itself up to provide a similar level of outreach.”
the review team visited a sample of programmes in malawi and the
democratic republic of the congo, as well as analysing published
literature, dfid policy documents and conducting interviews with
experts.
icai warned that health facilities struggled to ensure a reliable
supply of contraceptives. it added that dfid had championed
reproductive rights at the international level, but done less work to
encourage legal, policy and cultural change in partner countries.
dfid said in a statement that the uk is a global leader in promoting
reproductive health, and added that the review was not representative
of all the department’s work.
“we welcome icai’s acknowledgement that uk aid is helping women around
the world access the life-saving services they need, but it is
disappointing the report has made some generalisations from a selected
portion of our programming and also does not fully reflect the full
impact of our work, especially in recent years,” the statement said.
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* the facts
* what is mental health?
what is mental health?
it’s an expression we use every day, so it might surprise you that the
term ‘mental health’ is frequently misunderstood.
‘mental health’ is often used as a substitute for mental health
conditions – such as depression, anxiety conditions, schizophrenia, and
others.
according to the world health organization, however, mental health
is “a state of well-being in which every individual realises his or her
own potential, can cope with the normal stresses of life, can work
productively and fruitfully, and is able to make a contribution to her
or his community.”
so rather than being about ‘what’s the problem?’ it’s really about
‘what’s going well?'
''mental health is about wellness rather than illness''
to make things a bit clearer, some experts have tried coming up with
different terms to explain the difference between ‘mental health’ and
‘mental health conditions’. phrases such as ‘good mental health’,
‘positive mental health’, ‘mental wellbeing’, ‘subjective wellbeing’
and even ‘happiness’ have been proposed by various people to emphasise
that mental health is about wellness rather than illness. while some
say this has been helpful, others argue that using more words to
describe the same thing just adds to the confusion.
as a result, others have tried to explain the difference by talking
about a continuum where mental health is at one end of the spectrum –
represented by feeling good and functioning well – while mental health
conditions (or mental illness) are at the other – represented by
symptoms that affect people’s thoughts, feelings or behaviour.
the benefits of staying well
research shows that high levels of mental health are associated with
increased learning, creativity and productivity, more pro-social
behaviour and positive social relationships, and with improved physical
health and life expectancy. in contrast, mental health conditions can
cause distress, impact on day-to-day functioning and relationships, and
are associated with poor physical health and premature death from
suicide.
but it’s important to remember that mental health is complex. the fact
that someone is not experiencing a mental health condition doesn’t
necessarily mean their mental health is flourishing. likewise, it’s
possible to be diagnosed with a mental health condition while feeling
well in many aspects of life.
ultimately, mental health is about being cognitively, emotionally and
socially healthy – the way we think, feel and develop relationships -
and not merely the absence of a mental health condition.
beyond blue's vision is that everyone achieves their best possible mental
health
while beyond blue's primary focus is on the needs of people affected by
depression, anxiety and suicide, we also believe that a better
understanding of what we mean by mental health and how to achieve it
will help everyone in australia reach their full potential. this will
also contribute to the prevention of mental health conditions, and
support people who have experienced these conditions to get as well as
they can and lead full and contributing lives.
having social connections, good personal relationships and being part
of a community are vital to maintaining good mental health and
contribute to people's recovery, should they become unwell.
however, if you feel that you may be affected by depression or
anxiety remember they are treatable conditions and effective
treatments are available. the earlier you seek support, the better.
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home information & support types of mental health problems
types of mental health problems
if you’ve been diagnosed with a mental health problem you might be
looking for information on your diagnosis, treatment options and where
to go for support. our information pages will help you learn more.
filter by
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[ ] types of depression (3)
[ ] stress and anxiety (6)
[ ] sleep (1)
[ ] suicide and self-harm (2)
[ ] eating and body image (2)
[ ] types of personality disorder (2)
[ ] mania, bipolar (2)
[ ] psychosis, hearing voices and schizophrenia (5)
[ ] other (9)
anger
explains what anger is, and how to deal with it in a constructive and
healthy way.
anxiety and panic attacks
explains anxiety and panic attacks, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
bipolar disorder
explains what bipolar disorder is, what kinds of treatment are
available, and how you can help yourself cope. also provides guidance
on what friends and family can do to help.
body dysmorphic disorder (bdd)
explains body dysmorphic disorder, including possible causes and how
you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
borderline personality disorder (bpd)
explains what bpd is and what it’s like to live with this diagnosis.
also provides information about self-care, treatment and recovery, and
gives guidance on how friends and family can help.
depression
explains depression, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
dissociation and dissociative disorders
explains dissociative disorders, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
and guidance for friends and family.
drugs - recreational drugs & alcohol
explains the mental health effects of recreational drugs and alcohol,
and what might happen if you use recreational drugs and also have a
mental health problem. includes suggestions for where you might find
support.
eating problems
explains eating problems, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
hearing voices
explains what it is like to hear voices, where to go for help if you
need it, and what others can do to support someone who is struggling
with hearing voices.
hoarding
explains hoarding, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
hypomania and mania
explains hypomania and mania, including possible causes and how you can
access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
loneliness
explains loneliness, giving practical suggestions for what you can do
and where you can go for support.
mental health problems - introduction
explains what mental health problems are, what may cause them, and the
many different kinds of help, treatment and support that are available.
also provides guidance on where to find more information, and tips for
friends and family.
obsessive-compulsive disorder (ocd)
explains obsessive-compulsive disorder (ocd), including possible causes
and how you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
panic attacks
explains what panic attacks are, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
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if you have, or believe you may have, mental health problem, it can be
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reach out for help, but it is often the first step to helping you heal,
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having a good support system and engaging with trustworthy people are
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build your support system
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develop a recovery plan
recovery is a process of change where individuals improve their health
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you may want to develop a written recovery plan. recovery plans:
* enable you to identify goals for achieving wellness
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* track your mental health problem
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you can develop these plans with family members and other supporters.
learn more about recovery.
last updated: 07/11/2017
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good mental health is related to mental and psychological well-being.
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depression and anxiety.
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home » your-mental-health » about-mental-health » what are mental
health problems?
what are mental health problems?
what are mental health problems?
mental health problems range from the worries we all experience as part
of everyday life to serious long-term conditions. the majority of
people who experience mental health problems can get over them or learn
to live with them, especially if they get help early on.
mental health problems are usually defined and classified to enable
professionals to refer people for appropriate care and treatment. but
some diagnoses are controversial and there is much concern in the
mental health field that people are too often treated according to or
described by their label. this can have a profound effect on their
quality of life. nevertheless, diagnoses remain the most usual way of
dividing and classifying symptoms into groups.
find out about various mental health problems in our a-z guide
symptoms
most mental health symptoms have traditionally been divided into groups
called either ‘neurotic’ or ‘psychotic’ symptoms. ‘neurotic’ covers
those symptoms which can be regarded as severe forms of ‘normal’
emotional experiences such as depression, anxiety or panic. conditions
formerly referred to as ‘neuroses’ are now more frequently called
‘common mental health problems.’
less common are ‘psychotic’ symptoms, which interfere with a person’s
perception of reality, and may include hallucinations such as seeing,
hearing, smelling or feeling things that no one else can. mental health
problems affect the way you think, feel and behave. they are problems
that can be diagnosed by a doctor, not personal weaknesses.
mental health problems are very common
as found by the apms (2014), 1 in 6 people in the past week experienced
a common mental health problem.
anxiety and depression are the most common problems, with around 1 in
10 people affected at any one time.
how do mental health problems affect people?
anxiety and depression can be severe and long-lasting and have a big
impact on people’s ability to get on with life.
between one and two in every 100 people experience a severe mental
illness, such as bi-polar disorder or schizophrenia, and have periods
when they lose touch with reality. people affected may hear voices, see
things no one else sees, hold unusual or irrational beliefs, feel
unrealistically powerful, or read particular meanings into everyday
events.
although certain symptoms are common in specific mental health
problems, no two people behave in exactly the same way when they are
unwell.
many people who live with a mental health problem or are developing one
try to keep their feelings hidden because they are afraid of other
people’s reactions. and many people feel troubled without having a
diagnosed, or diagnosable, mental health problem - although that
doesn’t mean they aren’t struggling to cope with daily life.
see our a-z guide for a look at all aspects of mental health
do you need urgent help?
if your mental or emotional state quickly gets worse, or you're worried
about someone you know - help is available.
you're not alone; talk to someone you trust. sharing a problem is often
the first step to recovery.
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mental health problem symptoms, causes and effects
mental health problems can cover a broad range of disorders, but the
common characteristic is that they all affect the affected person’s
personality, thought processes or social interactions. they can be
difficult to clearly diagnose, unlike physical illnesses. according to
data from samhsa, 20 percent of people in america suffer from a form of
mental disorder, and 5 percent suffer from a disorder severe enough to
affect school, work, or other aspects of daily life. if you think that
you or someone you know has a mental disorder, call us today at .
what are the types of mental health disorders?
mental health disorders occur in a variety of forms, and symptoms can
overlap, making disorders hard to diagnoses. however, there are some
common disorders that affect people of all ages.
attention deficit hyperactivity disorder (adhd)
attention deficit hyperactivity disorder is characterized by an
inability to remain focused on task, impulsive behavior, and excessive
activity or an inability to sit still. although this disorder is most
commonly diagnosed in children, it can occur in adults as well.
anxiety/panic disorder
anxiety disorder is defined by intermittent and repeated attacks of
intense fear of something bad happening or a sense of impending doom.
bipolar disorder
bipolar disorder causes a periodic cycling of emotional states between
manic and depressive phases. manic phases contain periods of extreme
activity and heightened emotions, whereas depressive phases are
characterized by lethargy and sadness. the cycles do not tend to occur
instantly.
depression
depression covers a wide range of conditions, typically defined by a
persistent bad mood and lack of interest in pursuing daily life, as
well as bouts of lethargy and fatigue. dysthymia is a milder but
longer-lasting form of depression.
schizophrenia
schizophrenia is not, as commonly thought, solely about hearing voices
or having multiple personalities. instead, it is defined by a lack of
ability to distinguish reality. schizophrenia can cause paranoia and
belief in elaborate conspiracies.
what causes a mental health disorder?
there is no single cause for mental health disorders; instead, they can
be caused by a mixture of biological, psychological and environmental
factors. people who have a family history of mental health disorders
may be more prone to developing one at some point. changes in brain
chemistry from substance abuse or changes in diet can also cause mental
disorders. psychological factors and environmental factors such as
upbringing and social exposure can form the foundations for harmful
thought patterns associated with mental disorders. only a certified
mental health professional can provide an accurate diagnosis of the
causes of a given disorder.
what are the signs of a mental health disorder?
mental health disorders exist in broad categories: anxiety disorders,
mood disorders, psychotic disorders, personality disorders and impulse
control disorders. if someone you know experiences erratic thought
patterns, unexplained changes in mood, lack of interest in socializing,
lack of empathy, inability to tell the difference between reality and
fantasy, or a seeming lack of control, that person may have a mental
health disorder. this is, by no means, a complete list of symptoms.
emotional symptoms of mental health problems
mental health problems can cause a wide variety of emotional symptoms,
some of which include:
* changes in mood
* erratic thinking
* chronic anxiety
* exaggerated sense of self-worth
* impulsive actions
physical symptoms of mental health problems
mental health problems typically do not cause physical symptoms in and
of themselves. depression, however, can indirectly cause weight loss,
fatigue and loss of libido, among others. eating disorders, a separate
class of mental health disorders, can cause malnutrition, weight loss,
amenorrhea in women, or electrolyte imbalances caused by self-induced
vomiting. this makes eating disorders among the most deadly of mental
health disorders.
short-term and long-term effects of mental health instability
in the short-term, mental health problems can cause people to be
alienated from their peers because of perceived unattractive
personality traits or behaviors. they can also cause anger, fear,
sadness and feelings of helplessness if the person does not know or
understand what is happening. in the long-term, mental health disorders
can drive a person to commit suicide. according to the national
institute for mental health, over 90 percent of suicides have
depression or another mental disorder as factors.
is there a test or self-assessment i can do?
it is hard, bordering on impossible, to accurately diagnose yourself
for mental disorders with an online questionnaire. you do not have an
objective view of yourself and are bound to answer questions
inaccurately. also, online tests are not comprehensive, so they do not
check for all possible symptoms. only a face-to-face session with a
qualified mental health professional can begin to diagnose a mental
health disorder with any degree of accuracy, because that professional
has an outside viewpoint and can pick up on subtle cues.
medication: drug options for mental health issues
fortunately, prescription drugs can be used to treat mental health
disorders in conjunction with behavioral therapy or cognitive therapy.
antidepressants, mood stabilizers, and antipsychotics are the broad
types of medication prescribed to treat mental illness.
mental health drugs: possible options
depending on the disorder, different medications will be prescribed.
antidepressants such as paxil, zoloft, prozac, and a variety of ssris,
snris and maois can be used to treat depression. mood stabilizers such
as lithium tablets are used to treat bipolar disorder, as are
anticonvulsants like depakote. antipsychotics like olanzapine or
clozapine are used to treat schizophrenia or psychotic depression.
medication side effects
some of the side effects of mental health medication include nausea,
headache, changes in appetite, dry mouth, increased urination, change
in libido, irritability, blurred vision and drowsiness. other side
effects can occur; each person’s body and brain chemistry is unique,
and it is impossible to predict with certainty how a given medication
will affect you or how well it will work. people who are prescribed
these medications should regularly communicate with their doctors and
notify them of any side effects.
drug addiction, dependence and withdrawal
some mental health medications are known to cause physical and
psychological dependency due to their changes in brain chemistry. over
time, dependency can become an addiction if the person isn’t careful.
the withdrawal process can exacerbate the original mental illness
because of the brain’s sudden loss of some chemicals such as serotonin,
dopamine, and other endorphins. in severe cases, the person may need to
be placed in a drug rehab facility to detox from prescription
medication.
medication overdose
it is possible to overdose on medication in an effort to get the same
effects as initially received, and this is more common when users are
dependent on medications. some signs of overdose can include seizure,
coma, slowed heartbeat, or extreme paranoia. if these signs are
present, immediately call 911 or your local poison control center and
have the prescription on hand if possible.
depression and mental health
depression often coexists with other mental disorders, or certain
disorders may have caused depression in the first place. for example,
40 percent of people with post-traumatic stress disorder also have
depression.
dual diagnosis: addiction and mental health disorders
in drug rehab facilities, counselors are usually trained to identify
dual diagnosis issues. this is because addiction is itself a type of
mental health disorder, or the addiction can be the symptom of some
other disorder. people may, for instance, turn to recreational drugs to
combat depression or to help stabilize mood swings associated with
bipolar disorder.
getting help for a mental health issue
it’s important that you or your loved one should seek help to treat
mental health issue. first, a physical checkup can rule out physical
illnesses. an appointment with a mental health professional will
usually include an interview and subsequent evaluation to determine the
most obvious symptoms and to ascertain the type and severity of mental
disorder. in certain cases, an intervention may be required from family
and friends. if you or someone you know needs help, call us at to get
more information on treatment.
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mental illness and the family: recognizing warning signs and how to cope
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mental illness and the family: recognizing warning signs and how to cope
most people believe that mental health conditions are rare and “happen
to someone else." in fact, mental health conditions are common and
widespread. an estimated 44 million americans suffer from some form of
mental disorder in a given year.
most families are not prepared to cope with learning their loved one
has a mental illness. it can be physically and emotionally trying, and
can make us feel vulnerable to the opinions and judgments of others.
if you think you or someone you know may have a mental or emotional
problem, it is important to remember there is hope and help.
what is mental illness?
mental illnesses are brain-based conditions that affect thinking,
emotions, and behaviors. since we all have brains – having some kind of
mental health problem during your life is really common.
for people who have mental illnesses, their brains have changed in a
way in which they are unable to think, feel, or act in ways they want
to. for some, this means experiencing extreme and unexpected changes in
mood – like feeling more sad or worried than normal. for others, it
means not being able to think clearly, not being able to communicate
with someone who is talking to them, or having bizarre thoughts to help
explain weird feelings they are having.
there are more than 200 classified forms of mental illness. some of the
more common disorders are depression, bipolar disorder, dementia,
schizophrenia and anxiety disorders. symptoms may include changes in
mood, personality, personal habits and/or social withdrawal.
mental health problems may be related to excessive stress due to a
particular situation or series of events. as with cancer, diabetes and
heart disease, mental illnesses are often physical as well as emotional
and psychological. mental illnesses may be caused by a reaction to
environmental stresses, genetic factors, biochemical imbalances, or a
combination of these. with proper care and treatment many individuals
learn to cope or recover from a mental illness or emotional disorder.
to hear personal descriptions of mental illness, visit feelslike.
warning signs and symptoms
to learn more about symptoms that are specific to a particular mental
illness, search under mental health information.the following are signs
that your loved one may want to speak to a medical or mental health
professional.
it is especially important to pay attention to sudden changes in
thoughts and behaviors. also keep in mind that the onset of several of
the symptoms below, and not just any one change, indicates a problem
that should be assessed. the symptoms below should not be due to recent
substance use or another medical condition.
if you or someone you know is in crisis now, seek help immediately.
call 1-800-273-talk (8255) to reach a 24 hour crisis center or dial 911
for immediate assistance.
in adults, young adults and adolescents:
* confused thinking
* prolonged depression (sadness or irritability)
* feelings of extreme highs and lows
* excessive fears, worries and anxieties
* social withdrawal
* dramatic changes in eating or sleeping habits
* strong feelings of anger
* strange thoughts (delusions)
* seeing or hearing things that aren't there (hallucinations)
* growing inability to cope with daily problems and activities
* suicidal thoughts
* numerous unexplained physical ailments
* substance use
in older children and pre-adolescents:
* substance use
* inability to cope with problems and daily activities
* changes in sleeping and/or eating habits
* excessive complaints of physical ailments
* changes in ability to manage responsibilities - at home and/or at
school
* defiance of authority, truancy, theft, and/or vandalism
* intense fear
* prolonged negative mood, often accompanied by poor appetite or
thoughts of death
* frequent outbursts of anger
in younger children:
* changes in school performance
* poor grades despite strong efforts
* changes in sleeping and/or eating habits
* excessive worry or anxiety (i.e. refusing to go to bed or school)
* hyperactivity
* persistent nightmares
* persistent disobedience or aggression
* frequent temper tantrums
how to cope day-to-day
accept your feelings
despite the different symptoms and types of mental illnesses, many
families who have a loved one with mental illness, share similar
experiences. you may find yourself denying the warning signs, worrying
what other people will think because of the stigma, or wondering what
caused your loved one to become ill. accept that these feelings are
normal and common among families going through similar situations. find
out all you can about your loved one’s conditionby reading and talking
with mental health professionals. share what you have learned with
others.
__________________________________________________________________
handling unusual behavior
the outward signs of a mental illness are often behavioral.a person may
be extremely quiet or withdrawn. conversely, they may burst into tears,
have great anxiety or have outbursts of anger.
even after treatment has started, someindividuals with a mental illness
can exhibit anti-social behaviors. when in public, these behaviors can
be disruptive and difficult to accept. the next time you and your
family member visit your doctor or mental health professional, discuss
these behaviors and develop a strategy for coping.
the individual's behavior may be as dismaying to them as it is to you.
ask questions, listen with an open mind and be there to support them.
__________________________________________________________________
establishing a support network
whenever possible, seek support from friends and family members. if you
feel you cannot discuss your situation with friends or other family
members, find a self-help or support group. these groups provide an
opportunity for you to talk to other people who are experiencing the
same type of problems. they can listen and offer valuable advice.
__________________________________________________________________
seeking counseling
therapy can be beneficial for both the individual with mental illness
and other family members. a mental health professional can suggest ways
to cope and better understand your loved one’s illness.
when looking for a therapist, be patient and talk to a few
professionals so you can choose the person that is right for you and
your family. it may take time until you are comfortable, but in the
long run you will be glad you sought help.
__________________________________________________________________
taking time out
it is common for the person with the mental illness to become the focus
of family life. when this happens, other members of the family may feel
ignored or resentful. some may find it difficult to pursue their own
interests.
if you are the caregiver,youneed some time for yourself. schedule time
awayto preventbecoming frustrated or angry. if you schedule time for
yourself it will help you to keep things in perspective and you may
have more patience and compassion for coping or helping your loved
one.being physically and emotionally healthy helps you to help others.
“many families who have a loved one with mental illness share similar
experiences”
it is important to remember that there is hope for recovery and that
with treatment many people with mental illness return to a productive
and fulfilling life.
__________________________________________________________________
other resources
mental illness in the family: part 1 recognizing the warning signs &
how to copeis one in a series of pamphlets on helping family members
with mental illness. other mental health america titles include:
* mental illness in the family: part ii guidelines for seeking care
* mental illness in the family: part iii guidelines for
hospitalization
mental health america offers additional pamphlets on a variety of
mental health topics. for more information or to order multiple copies
of pamphlets, please contact mental health america
external resources
find a local mha affiliate
substance abuse and mental health services administration (samhsa)
phone 800-789-2647
national institute of mental health (nimh)
information resources and inquiries branch
phone 301-443-4513
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4. drugs and health products
nanotechnology-based health products and food
nanotechnology
nanotechnology is the application of scientific knowledge to manipulate
and control matter in the nanoscale to make use of size- and
structure-dependent properties and phenomena distinct from those
associated with individual atoms or molecules or with bulk materials.
the term "nanoscale" is defined as 1 to 100 nanometers (nm) inclusive.
health canada's working definition for the products of nanotechnology
as international consensus on a definition for the products of
nanotechnology has not been reached yet, health canada has adopted a
working definition for nanomaterials. the working definition is
described in the policy statement on health canada's working definition
for nanomaterial that can be found on health canada's website.
the policy statement will continue to be updated as the science evolves
and international norms progress.
applications of nanotechnology
nanotechnology and products derived from nanotechnology have a wide
range of applications and the potential to impact many sectors,
including the health and food sectors. in the health sector, the
applications of nanotechnology impact new natural health products,
medical devices, drugs, drug delivery systems, regenerative medicines
and diagnostic devices for improved detection and treatment of
illnesses. in the food sector, nanomaterials could be used to preserve
food, improve nutritional values and enhance flavours.
health products and food branch (hpfb) involvement with nanotechnology
hpfb participates in an interdepartmental health portfolio
nanotechnology working group which gathers information and acts as a
discussion forum for issues related to nanotechnology. this working
group contains members from health canada, the public health agency of
canada (phac), and the canadian institutes of health research (cihr).
additionally hpfb participates in the interdepartmental network chaired
by industry canada.
health canada participates in a number of international initiatives,
such as the working party on manufactured nanomaterials of the
organisation for economic co-operation (oecd), development and the
technical committee 229 of the international organization for
standardization (iso) and collaborates with international counterparts.
authority
health canada adopted a broad working definition for nanomaterials to
provide a consistent approach across several diverse regulatory program
areas to identify regulated products and substances that may contain
nanomaterials. the working definition enables the department to
establish internal inventories, to ask for additional information, and
to integrate that new knowledge into regulatory decision making
processes. the first step to assuring adequate risk assessment and risk
management is to identify potential nanomaterials using the working
definition as a tool.
currently, there are no regulations specific to nanotechnology-based
health and food products. health canada relies on authorities within
existing legislative and regulatory frameworks, which require the
assessment of potential risks and benefits of products to the health
and safety of canadians before they can be authorised for sale.
general guidance
according to health canada's working definition for nanomaterial, the
term "nanoscale" means 1 to 100 nm inclusive. however, individual
regulatory programs may request information above the 100 nm size range
to an upper limit of 1000 nm in order to maintain flexibility to assess
potential nanomaterials, including suspected nanoscale properties and
phenomena. the 1000 nm cut-off attempts to separate characteristics
attributable to macro-scaled materials from those of nanomaterials. in
addition, for any regulated product or substance that contains
nanomaterial and measures beyond 1 micron in size (for example, bundles
of carbon nanotubes that are very long), regardless of the size,
information may be requested for risk assessment purposes.
to identify a nano-based product/material the sponsor will be asked to
self-identify when their application concerns a nanomaterial or
'nanoproduct'.
recently the drug submission application form for human, veterinary,
disinfectant drugs and clinical trial application/attestation (hc/sc
3011) was revised to facilitate this process. section 59 of the revised
form allows the sponsor to identify medicinal (active) ingredient(s) or
non-medicinal ingredient(s) listed under section 56 or 57 that are a
nanomaterial. a similar approach has been adapted for natural health
products. it is planned that the medical devices licence application
form will also be revised to request the manufacturer to state whether
their devices contain nanomaterials.
health canada encourages sponsors and other stakeholders to communicate
with the responsible regulatory authority early in the development
process, especially for combination products that are, contain or make
use of nanomaterials. in order to identify and assess potential risks
and benefits of nanotechnology based health and food products, the
department encourages manufacturers to request a pre-submission meeting
with the responsible regulatory authority to discuss type of
information that may be required for their product's safety assessment.
in discussion with the sponsor the department may require the following
types of information, including but not limited to:
* intended use of the nanomaterial, including any end product in
which it will be used;
* manufacturing methods;
* characterization and physico-chemical properties of the
nanomaterial, including identity, composition and purity;
* toxicological, eco-toxicological, metabolism and environmental fate
data that may be both generic and specific to the nanomaterial if
applicable; and,
* risk assessment and risk management strategies, if considered or
implemented.
given the range of products covered by health canada's regulatory
responsibilities, the working definition was developed to be
intentionally broad and will be applied more specifically in each
regulatory program area. future guidance specific to program areas and
legislative and regulatory authorities will be developed in a manner
that promotes a consistent set of approaches.
for additional guidance regarding any elements of the working
definition and to address specific questions, consultation with the
individual program areas is recommended.
find more information about nanomaterials in the science and research
section of our website.
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health
health
no-deal brexit 'still risk to nhs and care sector'
by nick triggle health correspondent
* 27 september 2019
* comments
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related topics
* brexit
pharmacist with drugs image copyright getty images
a no-deal brexit presents risks to the nhs and care homes despite
extensive government planning, a watchdog says.
the national audit office praised the government for the "enormous
amount of work" that had been done but said there were still
"significant" gaps.
the extra shipping capacity government was buying to bring medicines
into ports other than dover may not be completely ready by 31 october.
and there was no clear evidence the care sector was ready, the nao
said.
the report raises concerns the sector has not received enough
government support.
* uk plans £3m no-deal medicine transport
* uk seeks new no-deal brexit freight plan
the government has arranged the stockpiling of supplies for the nhs.
but for the care sector, which is fragmented in that it relies on
24,000 companies to provide services, no central arrangement has been
made to stockpile equipment and supplies, such as syringes and needles,
most of which come from or via the eu.
when it comes to medicines, however, the supply of which has been
organised for both the nhs and care sectors, the report acknowledges
the work that has been done.
this includes stockpiling six weeks' supply of drugs and arranging for
emergency supplies to be fast-tracked in - some drugs, including cancer
treatments, have a short shelf-life and so cannot be stockpiled.
but the report says it is still not known exactly what level of
stockpiling is in place.
more than 12,000 medicines are used by the nhs, and about 7,000 come
from or via the eu.
image copyright getty images
the publication of the report comes after mps attempted to block the
government leaving the eu without a withdrawal agreement.
legislation has been passed requiring the government to ask for an
extension if a deal cannot be agreed.
labour mp meg hillier, who chairs the cross-party public accounts
committee, said the report was "deeply concerning".
"i've seen countless examples of deadlines missed and government
failing," she said.
"if government gets this wrong, it could have the gravest of
consequences."
dr layla mccay, of the nhs confederation, which represents managers,
said the planning had been detailed but the situation was still
concerning.
she also warned it was the "unknowns and unknowables" that perhaps
presented the biggest risk.
a department of health and social care spokesman said: "we want to
reassure patients we are doing everything we can."
he said the government along with industry had "mounted an
unprecedented response in preparing for brexit" with stockpiles
"increasing by the day".
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more on this story
* uk plans £3m no-deal medicine transport
7 july 2019
* uk seeks new no-deal brexit freight plan
29 june 2019
* government pays eurotunnel £33m over brexit ferry case
1 march 2019
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julia robertson with a scan julia robertson with a scan
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an adelaide nursing home concedes a meal consisting of baked beans and
mashed potato served to aged care residents on christmas day was short
of expectations, after a south australian mp shared a photo of the dish
online.
posted thuthursday 26 decdecember 2019 at 6:45am
a plate of unappetising mashed potato and baked beans. a plate of
unappetising mashed potato and baked beans.
'from day dot it's been a nightmare': the dangerous surprise that's costing
homeowners a fortune
by state political reporter bridget rollason
anais wood says it took years to find the right apartment to buy. but
now she's being forced to find tens of thousands of dollars to remove
combustible cladding — or face criminal charges.
posted wedwednesday 25 decdecember 2019 at 7:03pm / updated frifriday
27 decdecember 2019 at 4:03am
michelle wood (left) and anais wood (right) stand close together
outside anais wood's apartment building. michelle wood (left) and anais
wood (right) stand close together outside anais wood's apartment
building.
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mental health still the number one reason people visit their gp, report finds
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abc health & wellbeing
by health reporter olivia willis
close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
(getty images: hero images)
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close up male doctor writing in medical record.
australians access general practice more than any other area of the
health system.
getty images: hero images
(button) close
mental health issues are driving australians to visit their gp more
than any other health concern.
key points
key points
* report finds psychological issues most common problem gps treat,
second year in a row
* gp body says longer consultation times are needed to adequately
treat complex illness
* government developing 10-year primary care plan to improve medicare
delivery
but gps say they're struggling to keep up with demand because mental
healthcare is complex and often requires more time than a standard
consultation allows.
a survey of 1,200 gps published today by the royal australian college
of general practitioners (racgp) found two in three doctors reported
"psychological issues" as the most common ailment they now treated.
"if you think about where you can go if you've got a mental health
issue, there are very few places," said harry nespolon, president of
the racgp.
dr nespolon said the shift from institutional to community-based care
for mental health patients, as well as a waning reliance on religious
institutions for pastoral care, has led to more australians using gp
services for psychological support.
"[gps see] everything from relationship problems all the way through to
people with severe schizophrenia," he said.
"if you do come into a crisis … often a gp is a trusted person that's
been taking care of you for 10 or 15 years."
bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
(health of the nation 2019)
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bar graph displaying the most common health issues gps reported dealing
with.
gps were asked to list the three most common ailments they deal with.
health of the nation 2019
(button) close
but dr nespolon said the current medicare structure favoured shorter
consultations for straightforward health conditions, and undervalued
longer consultations required for complex issues.
"at the moment, there's really only one [medicare] item number for
mental health issues, which is a 20-minute consultation," he said.
"in other words, you can sort out all mental health issues in 20
minutes — which we all know is not true."
without longer subsidised consultations, dr nespolon said many gps were
being forced to cram patients with complex needs into short
appointments, charge patients for more time, or wear the out-of-pocket
cost themselves.
"we want to see the government provide financial support for dealing
with these complex cases," he said.
the health of the nation report found out-of-pocket costs to see the gp
were rising, and for the first time, all areas outside major cities had
seen a decline in bulk billing.
"this has a major effect on the 7 million australians who live in
regional, rural and remote areas," dr nespolon said.
"the growing gap between the cost of providing care and the medicare
rebate will have a devastating impact on the sustainability and
accessibility of general practice."
rebates explained
quick explanation of rebates
* the medicare benefits schedule (mbs) is a list of medical services
for which the australian government provides a medicare rebate.
* each mbs item has its own scheduled fee — this is the amount the
government considers appropriate for a particular service (e.g.
getting a blood test or seeing a psychologist).
* rebates are typically paid as a percentage of the medicare
scheduled fee. in the case of gp consultations, the rebate is 100
per cent of the schedule fee.
* this means that bulk-billing gps agree to charge patients the
medicare schedule fee ($37.60 for a standard appointment) and are
directly reimbursed by the government, and there is no cost to the
patient.
* gps who don't bulk bill charge a fee higher than the medicare
schedule fee, meaning patients must pay the difference between the
schedule fee and the doctor's fee — out of their own pocket.
* for example, if your doctor charges $75 for a standard
consultation, you'll pay $75 and receive a rebate of $37.60 —
leaving you $37.40 worse off.
longer consultations needed for complex care
in australia, a standard physical consultation of 20-40 minutes with a
gp attracts a rebate of $73.95. that increases once the consultation
exceeds 40 minutes.
by comparison, any gp mental health consultation longer than 20 minutes
— excluding appointments to prepare or review mental health treatment
plans — attracts a rebate of $72.85.
dr nespolon said there needs to be recognition in the medicare rebate
schedule that dealing with mental health issues and other complex
health conditions takes time.
"we know that people with mental health issues tend to have many more
physical problems … so the gp is there dealing with all the patient's
issues, not just their mental health issue," he said.
"we've been pushing for 40- and 60-minute [mental health] item numbers,
so people get the time, and gps are not acting as a charity when it
comes to dealing with mental health issues."
in july, the federal government ended a freeze on the medicare rebate
for gp visits as part of a $1.1 billion primary healthcare plan. the
move was designed to close the gap on rising out-of-pocket medical
costs.
but dr nespolon said even with the lifting of the medicare freeze,
rebates still failed to reflect the true cost of delivering services.
"gps are small businesses. they need to pay staff, pay their leases or
mortgages, and [these] go up at much higher rates than the percentage
increase that the government provides," he said.
"like any small business, you've got a choice. you either recover your
costs or you go broke. and that's exactly what we're seeing happening
at the moment."
the growing gap between the cost of providing care and the medicare
rebate was reflected in rising out-of-pocket costs, he said.
in 2018-19, the average out-of-pocket cost for a gp service was $38.46
— a gap that's risen roughly $7 in five years.
out-pocket-costs varied across australia, with patients in the northern
territory, act, remote and very remote areas experiencing significantly
higher costs.
how mental health plans work
how mental health plans work
if you're living with a diagnosable mental illness, you are entitled to
receive a medicare rebate.
bulk billing rates predicted to decline
the report also found bulk billing was not as common as medicare
statistics — or the federal health minister greg hunt — have previously
suggested.
"medicare statistics indicate that 86.2 per cent of general practice
services were bulk billed in 2018-19," the report states.
"while this figure provides an indication of total bulk-billed services
in australia over this period, it does not represent the number of
patients who are bulk billed, nor does it represent the number of
patients who are bulk billed for all of their general practice care."
since patients may receive a number of services during a single visit
to a gp, with some services bulk billed and others not, the proportion
of people who face zero out-of-pocket costs for care is much lower than
the rate of services overall.
"in 2016-17, while 86 per cent of gp services were bulk billed,
nationally only 66 per cent of patients had all of their gp services
bulk billed."
although the number of gp services being bulk billed has increased in
the last four years, the racgp predicts bulk-billing rates will decline
from 2020, as the rate of increase continues to slow.
in 2019, just 18 per cent of gps reported bulk billing all of their
patients, down from 29 per cent in 2017.
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improving mental health for gps, too
in addition to access to mental health for the general public, dr
nespolon said the mental health of gps also deserved close attention.
"research shows that doctors experience higher levels of mental
distress than the general population. yet four in ten gps report that
they have personally delayed seeking treatment or care in the past two
years," he said.
part of this could be attributed to time constraints, he said, but also
to mandatory reporting laws, which posed a "significant deterrent" to
doctors seeking care.
"with the exception of western australia, all of australia's states and
territories require doctors to report their colleagues if they believe
patient safety is at risk and this includes if a colleague has sought
their help as a patient," he said.
"we believe that doctors should be exempt from mandatory reporting so
that they feel free to discuss their health issues confidentially ...
so they can continue to provide the best possible care for all
australians."
medicare 'stronger than ever', government says
in a statement to the abc, a spokesperson for the minister for health
said the government had committed $1.6 billion to support doctors and
specialists to strengthen primary care to deliver improved access for
outcomes.
"our goal is to make primary health care more patient focused, more
accessible, and better able to provide preventative health and
management of chronic conditions," they said.
the spokesperson said the government would increase medicare funding by
$6 billion over the next four years, to reach $31 billion of annual
funding in 2022–23.
"we are working with gps, specialists and consumers, including the
racgp, to develop a 10-year primary care plan that supports a more
flexible and innovative medicare, starting with a $448.4 million
investment in a new patient enrolment model for patients over 70 years.
"medicare today is stronger and better protected than it's ever been."
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5. antimicrobial resistance (amr)
news story
uk to invest in new research against evolving global health threats
the chief medical officer has announced funding for projects to help
beat antimicrobial resistance (amr) and achieve global universal health
coverage.
published 25 september 2019
from:
department of health and social care
a scientist in a laboratory uses a pipette.
image credit: roger harris photography
the funding will include:
* £6.2 million to strengthen existing surveillance systems tracking
amr trends across africa and asia
* £12 million to improve collaborations on health systems research
between low- and middle-income countries and the uk, for example
countries in sub-saharan africa
the chief medical officer, professor dame sally davies, announced the
funding for the projects at the un general assembly.
she warned that the world cannot achieve universal health coverage
without addressing the threat of amr.
universal health coverage is a un ambition, and aims for every person
across the globe to have access to basic healthcare, whatever their
situation.
amr is involved in 700,000 deaths around the world every year, and this
is expected to rise to 10 million deaths a year by 2050. if amr
continues to follow current trends, common infections will become
complex and expensive to treat, affecting tens of millions of people.
achieving universal healthcare coverage also requires rigorous research
to inform health policy and health systems.
professor davies is representing the uk at the un general assembly
high-level meeting on universal health coverage in new york alongside
heads of state, health experts and policy-makers.
she will point to infection prevention and control measures, such as
immunisation, good hygiene and appropriate antibiotic use, as crucial
to achieving both universal healthcare coverage and eliminating the
threat of amr.
the £6.2 million in uk aid investment will come from the fleming
fund. it will help improve amr data quality, collection and sharing
across africa and asia, with the aim of developing policy and action
from that data.
the invitation to apply for a share of £12 million of funding is being
made by the national institute of health research (nihr) global health
research programme. it will enable experts from low- and middle-income
countries and the uk to form partnerships to contribute to universal
health coverage and sustainable development goals.
the fleming fund and nihr global health research funding was first
announced as part of the 2015 spending review.
the un has committed to ensuring all people have access to affordable
healthcare by 2030, and yesterday member states adopted a declaration
recognising that tackling amr and innovative health research is crucial
to this.
chief medical officer for england, professor dame sally davies said:
achieving our common goal of universal health coverage will require
global action on a multitude of fronts, including tackling the
escalating threat of antimicrobial resistance and investing in
research.
i am delighted to announce this funding, which will catalyse
regional collaboration to help strengthen amr surveillance systems
across africa and asia and support the next generation of health
policy and systems research.
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published 25 september 2019
explore the topic
* antimicrobial resistance (amr)
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iframe: https://www.youtube.com/embed/lwdlcbxqtc4
50th anniversary of newborn metabolic screening
stella's story is one of six videos to commemorate the 50th anniversary
of newborn metabolic screening. this screening means metabolic
conditions can be diagnosed and treated before a baby becomes unwell.
view other stories like stella's. find out more about newborn metabolic
screening.
transcript
title: newborn metabolic screening programmestella’s story
[photograph of stella as a baby]
[text on screen of stella’s birthdate] 26 august 2018
[video of stella and her parents sitting on floor inside house]
[photograph of stella as a baby]
tanya - stella’s mother:
had a really healthy pregnancy, had a dream labour and took her home
and she was healthy as, and then when she was eight days old the
midwife turned up.
on the way to our house she’d got a phone call from the specialists at
starship, the immunologists, that said look there’s something, there’s
something wrong.
[text on screen] at 10 days old stella was diagnosed with severe
combined immune deficiency (scid).
dr shannon brothers - paediatric immunologist:
babies with combined immune deficiency (scid) are born without a
functioning immune system. although they appear healthy at birth, they
go on to develop severe, persistent infections and die by a year of
age.
[text on screen over video of stella in hospital] stella had
chemotherapy and a bone marrow transplant when she was four months old.
justin - stella’s father:
the medical side of the thing, watching your kid go through this, it’s
not easy.
[photograph and video of stella in hospital with her parents]
tanya:
luckily at that point my mum was actually up there with us, and so
between the three of us one of us stayed awake and held her every
single hour for that time that she was sick.
[text on screen] she battled a serious infection.
[video of tanya attaching baby bottle with milk to pump and attaching
pump to stella’s feeding tube]
tanya:
because she got ulcers through transplant, she stopped eating, drinking
her milk, and she hasn’t worked that one out yet so we’re still feeding
her through the tube down her nose.
[video of justin following stella as she walks and carrying stella’s
pump]
tanya:
might be easier if you push it.
justin:
it’s a bit of a, bit of a worry if she falls over and hurts herself.
[text on screen] due to her compromised immunity stella has not been
able to interact with people other than her family.
[video of stella walking towards doll being held by her mother]
tanya:
who’s this? is it luna? you going to give her a cuddle?
[video of doll which also has a feeding tube attached to its cheek]
tanya:
we’ve got to get the tube out, teach her how to eat and soon enough
she’ll be like every other kid, you’d never know, yeah.
[video of stella being held by justin while tanya puts stella’s hat and
coat on]
[text on screen] now, stella’s natural immunity is improving.
[video of justin carrying stella outside with tanya, closing door
behind them and justin putting stella in car seat in car]
justin:
it’s nice that we can get to take her out a bit more, nice walking
tracks and some parks where there’s not too many people.
tanya:
it’s your kid’s life. for us if we hadn’t have found out early, we’d be
in a completely different situation now and it’s life or death.
[video of stella walking outside on lawn, being picked up by tanya]
tanya:
and i know you think you’re not going to be that one because everyone
thinks you’re not going to be the one in 100,000 or whatever but screw
the statistics, when it comes down to it, we’re that one.
in our eyes if it wasn’t for the newborn screening, she may not have
made it to her first birthday.
[video of justin, tanya and stella together outside]
tanya:
that test is everything for us. it gave her the best chance of success
in life.
nz cancer action plan 2019–2029.
new zealand cancer action plan 2019–2029
the new zealand cancer action plan 2019–2029 sets out the actions
required over the next 10 years to ensure better cancer outcomes.
news
view more news
* medsafe reinforces advice on lamotrigine
media release
20 december 2019
* release of new ethical standards for health and disability research
and quality improvement
news article
20 december 2019
* iconic newborn screening programme turns 50
news article
13 december 2019
* maximising health and wellbeing for all older people
news article
12 december 2019
* report highlights severity of harm from surgical mesh
news article
12 december 2019
publications
view more publications
* report of the parliamentary review committee regarding the national
cervical screening programme: april 2019
18 december 2019
* mortality 2017 data tables
18 december 2019
* care and support workforce qualification attainment
18 december 2019
* new zealand obstetric ultrasound guidelines
13 december 2019
* new cancer registrations 2017
12 december 2019
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nutrition
(button) evidence based
27 health and nutrition tips that are actually evidence-based
written by kris gunnars, bsc on june 7, 2019
it’s easy to get confused when it comes to health and nutrition.
even qualified experts often seem to hold opposing opinions.
yet, despite all the disagreements, a number of wellness tips are well
supported by research.
here are 27 health and nutrition tips that are actually based on good
science.
27 health and nutrition tips share on pinterest
1. don’t drink sugar calories
sugary drinks are among the most fattening items you can put into your
body.
this is because your brain doesn’t measure calories from liquid sugar
the same way it does for solid food (1).
therefore, when you drink soda, you end up eating more total calories
(2, 3).
sugary drinks are strongly associated with obesity, type 2 diabetes,
heart disease, and many other health problems (4, 5, 6, 7).
keep in mind that certain fruit juices may be almost as bad as soda in
this regard, as they sometimes contain just as much sugar. their small
amounts of antioxidants do not negate the sugar’s harmful effects (8).
2. eat nuts
despite being high in fat, nuts are incredibly nutritious and healthy.
they’re loaded with magnesium, vitamin e, fiber, and various other
nutrients (9).
studies demonstrate that nuts can help you lose weight and may help
fight type 2 diabetes and heart disease (10, 11, 12).
additionally, your body doesn’t absorb 10–15% of the calories in nuts.
some evidence also suggests that this food can boost metabolism (13).
in one study, almonds were shown to increase weight loss by 62%,
compared with complex carbs (14).
3. avoid processed junk food (eat real food instead)
processed junk food is incredibly unhealthy.
these foods have been engineered to trigger your pleasure centers, so
they trick your brain into overeating — even promoting food addiction
in some people (15).
they’re usually low in fiber, protein, and micronutrients but high in
unhealthy ingredients like added sugar and refined grains. thus, they
provide mostly empty calories.
4. don’t fear coffee
coffee is very healthy.
it’s high in antioxidants, and studies have linked coffee intake to
longevity and a reduced risk of type 2 diabetes, parkinson’s and
alzheimer’s diseases, and numerous other illnesses (16, 17, 18, 19, 20,
21).
5. eat fatty fish
fish is a great source of high-quality protein and healthy fat.
this is particularly true of fatty fish, such as salmon, which is
loaded with omega-3 fatty acids and various other nutrients (22).
studies show that people who eat the most fish have a lower risk of
several conditions, including heart disease, dementia, and depression
(23, 24, 25).
6. get enough sleep
the importance of getting enough quality sleep cannot be overstated.
poor sleep can drive insulin resistance, disrupt your appetite
hormones, and reduce your physical and mental performance (26, 27, 28,
29).
whatʼs more, poor sleep is one of the strongest individual risk factors
for weight gain and obesity. one study linked insufficient sleep to an
89% and 55% increased risk of obesity in children and adults,
respectively (30).
7. take care of your gut health with probiotics and fiber
the bacteria in your gut, collectively called the gut microbiota, are
incredibly important for overall health.
a disruption in gut bacteria is linked to some of the world’s most
serious chronic diseases, including obesity (31, 32).
good ways to improve gut health include eating probiotic foods like
yogurt and sauerkraut, taking probiotic supplements, and eating plenty
of fiber. notably, fiber functions as fuel for your gut bacteria (33,
34).
8. drink some water, especially before meals
drinking enough water can have numerous benefits.
surprisingly, it can boost the number of calories you burn.
two studies note that it can increase metabolism by 24–30% over 1–1.5
hours. this can amount to 96 additional calories burned if you drink
8.4 cups (2 liters) of water per day (35, 36).
the optimal time to drink it is before meals. one study showed that
downing 2.1 cups (500 ml) of water 30 minutes before each meal
increased weight loss by 44% (37).
9. don’t overcook or burn your meat
meat can be a nutritious and healthy part of your diet. it’s very high
in protein and contains various important nutrients.
however, problems occur when meat is overcooked or burnt. this can lead
to the formation of harmful compounds that raise your risk of cancer
(38).
when you cook meat, make sure not to overcook or burn it.
10. avoid bright lights before sleep
when you’re exposed to bright lights in the evening, it may disrupt
your production of the sleep hormone melatonin (39, 40).
one strategy is to use a pair of amber-tinted glasses that block blue
light from entering your eyes in the evening.
this allows melatonin to be produced as if it were completely dark,
helping you sleep better (41).
11. take vitamin d3 if you don’t get much sun exposure
sunlight is a great source of vitamin d.
yet, most people don’t get enough sun exposure.
in fact, about 41.6% of the u.s. population is deficient in this
critical vitamin (42).
if you’re unable to get adequate sun exposure, vitamin d supplements
are a good alternative.
their benefits include improved bone health, increased strength,
reduced symptoms of depression, and a lower risk of cancer. vitamin d
may also help you live longer (43, 44, 45, 46, 47, 48, 49).
12. eat vegetables and fruits
vegetables and fruits are loaded with prebiotic fiber, vitamins,
minerals, and many antioxidants, some of which have potent biological
effects.
studies show that people who eat the most vegetables and fruits live
longer and have a lower risk of heart disease, type 2 diabetes,
obesity, and other illnesses (50, 51).
13. make sure to eat enough protein
eating enough protein is vital for optimal health.
what’s more, this nutrient is particularly important for weight loss
(52).
high protein intake can boost metabolism significantly while making you
feel full enough to automatically eat fewer calories. it can also
reduce cravings and your desire to snack late at night (53, 54, 55,
56).
sufficient protein intake has also been shown to lower blood sugar and
blood pressure levels (57, 58).
14. do some cardio
doing aerobic exercise, also called cardio, is one of the best things
you can do for your mental and physical health.
it’s particularly effective at reducing belly fat, the harmful type of
fat that builds up around your organs. reduced belly fat should lead to
major improvements in metabolic health (59, 60, 61).
15. don’t smoke or do drugs, and only drink in moderation
if you smoke or abuse drugs, tackle those problems first. diet and
exercise can wait.
if you drink alcohol, do so in moderation and consider avoiding it
completely if you tend to drink too much.
16. use extra virgin olive oil
extra virgin olive oil is one of the healthiest vegetable oils.
it’s loaded with heart-healthy monounsaturated fats and powerful
antioxidants that can fight inflammation (62, 63, 64).
extra virgin olive oil benefits heart health, as people who consume it
have a much lower risk of dying from heart attacks and strokes (65,
66).
17. minimize your sugar intake
added sugar is one of the worst ingredients in the modern diet, as
large amounts can harm your metabolic health (67).
high sugar intake is linked to numerous ailments, including obesity,
type 2 diabetes, heart disease, and many forms of cancer (68, 69, 70,
71, 72).
18. don’t eat a lot of refined carbs
not all carbs are created equal.
refined carbs have been highly processed to remove their fiber. they’re
relatively low in nutrients and can harm your health when eaten in
excess.
studies show that refined carbs are linked to overeating and numerous
metabolic diseases (73, 74, 75, 76, 77).
19. don’t fear saturated fat
saturated fat has been controversial.
while it’s true that saturated fat raises cholesterol levels, it also
raises hdl (good) cholesterol and shrinks your ldl (bad) particles,
which is linked to a lower risk of heart disease (78, 79, 80, 81).
new studies in hundreds of thousands of people have questioned the
association between saturated fat intake and heart disease (82, 83).
20. lift heavy things
lifting weights is one of the best things you can do to strengthen your
muscles and improve your body composition.
it also leads to massive improvements in metabolic health, including
improved insulin sensitivity (84, 85).
the best approach is to lift weights, but doing bodyweight exercises
can be just as effective.
21. avoid artificial trans fats
artificial trans fats are harmful, man-made fats that are strongly
linked to inflammation and heart disease (86, 87, 88, 89).
while trans fats have been largely banned in the united states and
elsewhere, the u.s. ban hasn’t gone fully into effect — and some foods
still contain them.
22. use plenty of herbs and spices
many incredibly healthy herbs and spices exist.
for example, ginger and turmeric both have potent anti-inflammatory and
antioxidant effects, leading to various health benefits (90, 91, 92,
93).
due to their powerful benefits, you should try to include as many herbs
and spices as possible in your diet.
23. take care of your relationships
social relationships are incredibly important not only for your mental
well-being but also your physical health.
studies show that people who have close friends and family are
healthier and live much longer than those who do not (94, 95, 96).
24. track your food intake every now and then
the only way to know exactly how many calories you eat is to weigh your
food and use a nutrition tracker.
it’s also essential to make sure that you’re getting enough protein,
fiber, and micronutrients.
studies reveal that people who track their food intake tend to be more
successful at losing weight and sticking to a healthy diet (97).
25. if you have excess belly fat, get rid of it
belly fat is particularly harmful.
it accumulates around your organs and is strongly linked to metabolic
disease (98, 99).
for this reason, your waist size may be a much stronger marker of your
health than your weight.
cutting carbs and eating more protein and fiber are all excellent ways
to get rid of belly fat (100, 101, 102, 103).
26. don’t go on a diet
diets are notoriously ineffective and rarely work well in the long
term.
in fact, dieting is one of the strongest predictors for future weight
gain (104).
instead of going on a diet, try adopting a healthier lifestyle. focus
on nourishing your body instead of depriving it.
weight loss should follow as you transition to whole, nutritious foods.
27. eat eggs, yolk and all
whole eggs are so nutritious that they’re often termed “nature’s
multivitamin.”
it’s a myth that eggs are bad for you because of their cholesterol
content. studies show that they have no effect on blood cholesterol in
the majority of people (105).
additionally, a massive review in 263,938 people found that egg intake
had no association with heart disease risk (106).
instead, eggs are one of the planet’s most nutritious foods. notably,
the yolk contains almost all of the healthy compounds.
the bottom line
a few simple steps can go a long way toward improving your diet and
wellness.
still, if you’re trying to live a healthier life, don’t just focus on
the foods you eat. exercise, sleep, and social relationships are also
important.
with the tips above, it’s easy to get your body feeling great every
day.
written by kris gunnars, bsc on june 7, 2019
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there are many things you can do to lose weight and improve health.
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most weight loss methods are unproven and ineffective. here is a
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it can be difficult to stick to a healthy diet for more than a few
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medically reviewed by daniel bubnis, ms, nasm-cpt, nase level
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to choose foods…
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women's health tips for heart, mind, and body
by kara mayer robinson
from the webmd archives
looking for the path toward a healthier you? it's not hard to find. the
journey begins with some simple tweaks to your lifestyle. the right
diet, exercise, and stress-relief plan all play a big role.
follow a heart-healthy diet
there's an easy recipe if your goal is to keep away problems like heart
disease and strokes.
* eat more fruits and veggies.
* choose whole grains. try brown rice instead of white. switch to
whole wheat pasta.
* choose lean proteins like poultry, fish, beans, and legumes.
* cut down on processed foods, sugar, salt, and saturated fat.
when eating healthy, flexibility often works best, says joyce meng, md,
assistant professor at the pat and jim calhoun cardiology center at
uconn health. if you like to follow a strict diet plan, go for it. if
not, it's ok. "find what works for you."
tricia montgomery, 52, the founder of k9 fit club, knows first-hand how
the right diet and lifestyle can help. for her, choosing healthy foods
and planning small, frequent meals works well. "i don't deny myself
anything," she says. "i still have dessert -- key lime pie, yum! -- and
i love frozen gummy bears, but moderation is key."
exercise every day
the more active you are, the better, meng says. exercise boosts your
heart health, builds muscle and bone strength, and wards off health
problems.
aim for 2 and a half hours of moderate activity, like brisk walking or
dancing, every week. if you're ok with vigorous exercise, stick to 1
hour and 15 minutes a week of things like running or playing tennis.
add a couple of days of strength training, too.
if you're busy, try short bursts of activity throughout the day. walk
often. a good target is 10,000 steps a day. take the stairs. park your
car far away from your destination.
montgomery exercises every day, often with her dog. by adding lunges,
squats, and stairs to a walk, she turns it into a power workout. "i
also am a huge pilates fan," she says.
lose weight
when you shed pounds you'll lower your risk of heart disease, type 2
diabetes, and cancer.
continued
aim for a slow, steady drop. try to lose 1-2 pounds a week by being
active and eating better.
"it doesn't have to be an hour of intense exercise every day," meng
says. "any little bit helps."
as you improve, dial up the time and how hard you work out. if you want
to lose a lot of weight, try for 300 minutes of exercise a week.
"eating a healthy diet will go a long way," meng says. start by cutting
sugar, which she says is often hiding in plain sight -- in store-bought
items like salad dressing, packaged bread, and nuts. try to avoid soda
and sugar-laced coffee drinks, too.
visit your doctor
get regular checkups. your doctor keeps track of your medical history
and can help you stay healthy. for example, if you're at risk for
osteoporosis, a condition that weakens bones, he may want you to get
more calcium and vitamin d.
your doctor may recommend screening tests to keep an eye on your health
and catch conditions early when they're easier to treat.
keep the lines of communication open. "if you have questions, ask your
doctor," meng says. "make sure you understand things to your
satisfaction." if you're worried about a medication or procedure, talk
to him about it.
cut down your stress
it can take a toll on your health. you probably can't avoid it
altogether, but you can find ways to ease the impact. don't take on too
much. try to set limits with yourself and others. it's ok to say no.
to relieve stress, try:
* deep breathing
* meditation
* yoga
* massage
* exercise
* healthy eating
* talking to a friend, family member, or professional counselor
create healthy habits
if you make the right choices today, you can ward off problems
tomorrow.
* brush your teeth twice a day and floss every day.
* don't smoke.
* limit your alcohol. keep it to one drink a day.
* if you have medication, take it exactly how your doctor prescribed
it.
* improve your sleep. aim for 8 hours. if you have trouble getting
shut-eye, talk to your doctor.
* use sunscreen and stay out of the sun from 10 a.m. to 3 p.m.
* wear your seatbelt.
take time every day to invest in your health, meng says.
it paid off for montgomery. she says she overcame health problems,
feels good, and has a positive outlook. "my life," she says, "is
forever changed."
webmd feature reviewed by lisa bernstein, md on june 21, 2016
sources
sources:
joyce meng, md, assistant professor of medicine, pat and jim calhoun
cardiovascular center, uconn health.
american heart association: "alcohol and heart health."
office on women's health, u.s. department of health and human services:
"heart-healthy eating," "overweight, obesity, and weight loss fact
sheet," "physical activity (exercise) fact sheet," "screening tests and
vaccines," "osteoporosis fact sheet," "a lifetime of good health: your
guide to staying healthy."
university of california san francisco medical center: "tips for
staying healthy."
© 2016 webmd, llc. all rights reserved.
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the abcs of health screening
health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you need to know about health screening
all you need to know about health screening
related: before the first antenatal visit (choosing your doctor)
1. what is health screening?
health screening is important to everyone. it involves the use of
tests, physical examinations or other procedures to detect
conditions early in people who look or feel well. this is different
from diagnostic tests which are done when someone is already showing
signs and/or symptoms of a condition.
2. why should i go for health screening?
health screening helps you find out if you have a particular condition
even if you feel perfectly well, without any symptoms and/or signs.
early detection, followed by treatment and good control of the
condition can result in better outcomes, and lowers the risk of serious
complications. it is therefore important to get yourself screened even
if you feel perfectly healthy.
3. what kind of screening tests should i go for?
there are 3 types of screening tests^1.
type 1
beneficial for everyone: these tests are listed in table a.
type 2
beneficial for some but not others: decision to be made on an
'individual' level, based on your individual risk factors e.g. self or
family history of hereditary or chronic diseases, exposure to factors
that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently, there is not enough
information to support the use of these tests.
it is best to speak to your family doctor who will advise you to go for
the relevant screening tests based on your individual health profile.
find out more about type 2 and type 3 tests.
view the report of the screening test review committee.
table a – general screening tests (beneficial for everyone)
general screening tests for adults
recommended for^2 to screen for screening test screening frequency^3
individuals aged 18 yrs and above
obesity body mass index (bmi)
waist circumference once a year
hypertension (high blood pressure)
blood pressure measurement once every two years or more frequently as
advised by your doctor
individuals aged 40 yrs and above
diabetes mellitus
fasting blood glucose
hba1c
once every three years or more frequently as advised by your doctor
hyperlipidaemia (high blood cholesterol)
fasting lipids
non-fasting lipids
individuals aged 50 yrs and above
colorectal cancer
faecal immunochemical test (to test for blood in stools)
or
once a year
colonoscopy
once every ten years
additional tests for women
women aged 25-69 yrs, who have had sexual intercourse
cervical cancer
pap test once every three years
hpv test
once every five years
women aged 50-69 yrs breast cancer
mammogram once every two years
general screening tests for newborns
recommended for to screen for screening test screening frequency
newborns aged 0-4 weeks old hearing loss audiometry once
glucose-6-phosphate dehydrogenase (g6pd) deficiency
screen with umbilical cord blood once
inborn errors of metabolism (iem)
metabolic screen with
tandem mass spectrometry (tms)
once
primary hypothyroidism
thyroid function test (tft)
once
4. what should i do after health screening?
if your screening results are normal, you should continue to go for
regular screening at the recommended frequency because screening only
detects health conditions that are present at the time of screening. if
you develop signs or symptoms after your screening, please see your
doctor and do not wait for your next screening appointment.
if your screening results are abnormal, you should follow-up with your
doctor immediately even if you feel perfectly well. early treatment and
good control of your condition can result in better outcomes and
prevent or delay serious complications.
5. why do i need to go for regular screening at the recommended frequency?
a one-off screening will only pick up health conditions that are
present at the time of screening. regular screening helps to detect
conditions that may develop after the previous screening. hence, it is
important for you to go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening tests?
health screening is heavily subsidised for singaporeans and permanent
residents. if you have a health assist card (under chas – community
health assist scheme), you will be entitled to enojoy the subsidies of
the above tests (according to age) and a follow-up consultataion, if
required, at $2 at chas gps. all other singaporeans can enjoy these
subsidies for the above test (according to age) and a follow-up
consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the screening
tests (offered under screen for life - sfl) and the follow-up
consultation, if required, is also fully subsidised. pg cardholders can
also claim up to $28.50, for each screening-related and follow-up
consultation, for up to two times per year.
check out the exact costs of the screening tests.
if you have difficulty paying for the screening tests, please speak to
the medical social worker at the polyclinics
7. my screening results are not too good, and my doctor has advised me to get
follow up treatment.
what should i do if i cannot afford the follow up treatment?
good, affordable basic healthcare is also available to singaporeans
through subsidised medical services offered at public hospitals and
polyclinics. medisave, medishield life, elder shield and medifund
schemes can help singaporeans offset their medical expenses.
8. where can i go for health screening?
health screening is available at many private medical clinics and
polyclinics. visit the directory for the list of screening locations.
9. can i use my medisave to pay for the health screening cost?
currently, medisave cannot be used for other health screening such as
screening for diabetes or high cholesterol. however, if you are
diagnosed with a chronic condition covered under the chronic disease
management programme (cdmp), medisave may be used to pay for part of
the outpatient treatment cost of these diseases.
women aged 50 and above can use their own or immediate family member’s
medisave for their screening mammograms at approved mammogram centres.
under the medisave 400 scheme, up to $400 per medisave account a year
can be used for screening mammograms.
persons aged 50 and above can also use their own or their immediate
family member’s medisave for their screening colonoscopies (to screen
for colorectal cancer) at approved colonoscopy centres.
check out the list of approved centres or find out more.
10. can i have a health screening if i am pregnant?
please consult your doctor to find out if a health screening is
necessary for you.
11. i am 70 years old (or older), do i still need to go for a health
screening?
if you have not been screened in the past three years, and you do not
have a chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health screening.
12. if i am currently on medication for one of the chronic diseases, should i
still go for a health screening?
if you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
^1 report of the screening test review committee. january 2019, academy
of medicine, singapore.
^2,3 screening can start at an earlier age or be done more frequently
if someone has risk factors for the condition.
__________________________________________________________________
having trouble keeping up with your appointments? myhealth keeps track
of not only your health appointments and medical records, but also your
family's as well.
read these next:
* make a commitment to get screened for better health this year
* diabetes prevention and risk factors
* how screening saved my life
* screen for life - subsidised health screenings for singaporeans
* school health screenings for students
this article was last reviewed on monday, december 9, 2019
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health screening enables you to find out if you have a particular
condition even if you do not have any symptoms and/or signs. early
detection, followed by treatment and good control of the condition can
result in better outcomes. find out which recommended health screening
test is suitable for you
all you
need to know about health screening
related:
before the first
antenatal visit (choosing your doctor)
1. what is health screening?
<
span style="color:#0000ff;">health screening is
important to everyone. it involves the use of tests, physical
examinations or other procedures to detect conditions early in people
who look or feel well. this is different from diagnostic tests which
are done when someone is already showing signs and/or symptoms of a
condition.
2. why should i go for health
screening?
health screening helps you find out if you have a
particular condition even if you feel perfectly well, without any
symptoms and/or signs. early detection, followed by treatment and good
control of the condition can result in better outcomes, and lowers the
risk of serious complications. it is therefore important to get
yourself screened even if you feel perfectly healthy.
3. what
kind of screening tests should i go for?
there are 3 types of
screening tests1.
type 1
beneficial for everyone: these tests are listed in table
a.
type 2
beneficial for some but not others:
decision to be made on an 'individual' level, based on your individual
risk factors e.g. self or family history of hereditary or chronic
diseases, exposure to factors that can lead to disease e.g. smoking.
type 3
not recommended for screening: currently,
there is not enough information to support the use of these
tests.
it is best to speak to your family doctor who will advise
you to go for the relevant screening tests based on your individual
health profile.
find out more about
type 2 and
type 3
tests.
view the report of the
screening test
review committee.
table a – general screening tests (beneficial for
everyone)
general screening tests for adults
recommended
for2 |
to screen for |
screening test |
screening
frequency3 |
individuals aged 18 yrs
and above
| obesity |
body
mass index (bmi)
waist circumference | once a year |
hypertension (high blood pressure) | blood pressure measurement | once every two years or more
frequently as advised by your doctor |
individuals aged 40 yrs
and above
|
diabetes
mellitus | fasting blood glucose
hba1c
| once every three
years or more frequently as advised by your doctor
|
hyperlipidaemia (high blood cholesterol)
| fasting lipids
non-fasting lipids
|
individuals aged 50 yrs
and above
|
colorectal cancer
| faecal
immunochemical test (to test for blood in stools)
or
| once a year
|
colonoscopy
| once every ten
years
|
additional tests for women |
women aged 25-69 yrs,
who have had sexual intercourse
| cervical cancer
|
pap
test | once every three
years |
hpv test
| once every five
years
|
women aged 50-69 yrs | breast cancer
| mammogram | once every two
years |
general screening tests for newborns
recommended for |
to screen for |
screening test |
screening
frequency |
newborns aged 0-4 weeks old | hearing loss |
audiometry | once |
| glucose-6-phosphate dehydrogenase (g6pd) deficiency
| screen with umbilical
cord blood | once |
|
inborn errors of metabolism (iem)
| metabolic screen with
tandem mass spectrometry (tms) | once |
|
primary hypothyroidism
|
thyroid function test (tft) | once |
4. what should i do after health screening?
if your
screening results are normal, you should continue to go for regular
screening at the recommended frequency because screening only detects
health conditions that are present at the time of screening. if you
develop signs or symptoms after your screening, please see your doctor
and do not wait for your next screening appointment.
if your
screening results are abnormal, you should follow-up with your doctor
immediately even if you feel perfectly well. early treatment and good
control of your condition can result in better outcomes and prevent or
delay serious complications.
5. why do i need to go for regular
screening at the recommended frequency?
a one-off screening will
only pick up health conditions that are present at the time of
screening. regular screening helps to detect conditions that may
develop after the previous screening. hence, it is important for you to
go for regular screening tests at the recommended
frequency.
6. what should i do if i cannot afford the screening
tests?
health screening is heavily subsidised for
singaporeans and permanent residents. if you have a health assist card
(under
chas
– community health assist scheme), you will be entitled to enojoy
the subsidies of the above tests (according to age) and a follow-up
consultataion, if required, at $2 at chas gps. all other singaporeans
can enjoy these subsidies for the above test (according to age) and a
follow-up consultation, if required, at $5 at chas gps.
if you belong to the pioneer generation (pg), the cost of the
screening tests (offered under
screen
for life - sfl) and the follow-up consultation, if required, is
also fully subsidised. pg cardholders can also claim up to $28.50, for
each screening-related and follow-up consultation, for up to two times
per year.
check out the
e
xact costs of the screening tests.
if you have difficulty
paying for the screening tests, please speak to the medical social
worker at the polyclinics
7. my screening results are not
too good, and my doctor has advised me to get follow up
treatment.
what should i do if i cannot afford the follow up
treatment?
good, affordable basic healthcare is also available
to singaporeans through subsidised medical services offered at public
hospitals and polyclinics.
medisave,
medishield life,
elder shield and
medifund schemes can help
singaporeans offset their medical expenses.
8. where can i go
for health screening?
health screening is available at many
private medical clinics and polyclinics. visit the
directory for the list of
screening locations.
9. can i use my medisave to pay for
the health screening cost?
currently, medisave cannot be used
for other health screening such as screening for diabetes or high
cholesterol. however, if you are diagnosed with a chronic condition
covered under the chronic disease management programme (cdmp), medisave
may be used to pay for part of the outpatient treatment cost of these
diseases.
women aged 50 and above can use their own or immediate
family member’s medisave for their screening mammograms at approved
mammogram centres. under the medisave 400 scheme, up to $400 per
medisave account a year can be used for screening
mammograms.
persons aged 50 and above can also use their own or
their immediate family member’s medisave for their screening
colonoscopies (to screen for colorectal cancer) at approved colonoscopy
centres.
check out the
list of approved centres
or find out more.
10. can i have a health screening
if i am pregnant?
please consult your doctor to find out if a
health screening is necessary for you.
11. i am 70 years old (or
older), do i still need to go for a health screening?
if you
have not been screened in the past three years, and you do not have a
chronic condition (such as diabetes, high blood pressure or high
cholesterol), please consult your gp for advice on screening. if you
have been screened within the last three years, do continue to see your
gp for the necessary follow up and advice on health
screening.
12. if i am currently on medication for one of the
chronic diseases, should i still go for a health screening?
if
you already have one of the chronic conditions and are on
medication(s), your doctor would be monitoring your condition as a form
of management. please consult your gp on other suitable health
screening tests that are necessary for you.
1 report of the screening test review committee.
january 2019, academy of medicine, singapore.
2,3 screening can start at an earlier age or be done more
frequently if someone has risk factors for the condition.
having trouble keeping up with your appointments?
myhealth keeps
track of not only your health appointments and medical records, but
also your family's as well.
read these next:
monday, may 18, 2015
monday, may 18, 2015
icd-21-health services,per_senior citizen,pgm_obesity
prevention,pgm_healthy screening,age_adult,age_senior,interest_chronic
illnesses,
no
403
monday, december 9, 2019
health
promotion board
3 second hospital avenue
singapore 168937
hpb_mailbox@hpb.gov.sg
established
in 2001, the health promotion board (hpb) has a vision to build a
nation of healthy people.
hpb implements programmes that reach out to the population,
specifically children, adults and the elderly. these programmes include
health and dental services for school children, breastscreen singapore,
aids education programme, cervicalscreen singapore, childhood injury
prevention programme, mental health education programme, national
myopia prevention programme, physical activity, national smoking
control programme, nutrition programme, osteoporosis education
programme, workplace health promotion programme, hpb online,
healthline, health information centre and healthzone. new programmes
will also be initiated over time to address health concerns among the
community.
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health promotion board
64353500
http://www.hpb.gov.sg
the abcs of health screening
articles
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why health screen?
the importance of health screening
health screening or blood test is a major part of many routine medical
examinations. while doctors are able to make fairly accurate diagnosis
by assessing the signs and symptoms a patient exhibits, one of the best
ways to confirm the diagnosis is through blood tests. for a healthy
person, health screening could also detect abnormalities that the
person is not aware of and provide important information for diagnosis,
treatment or preventive measures for illnesses and diseases.
therefore, getting regular health checkups, preventive screening tests
are among the most crucial things you can do for yourself. periodic
health screenings can help you and your health care professional
identify health problems early, when treatment may be more successful
compared to if the problems are detected later.
lifestyle changes are a very effective way to substantially reduce risk
but to make those changes, you first need to know if you are at risk.
knowledge gives you the power to take charge of your health. remember,
your health is your greatest asset and early detection can save lives!
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personalised executive health screening
instead of a one-size-fits-all package, parkway shenton’s quality
executive health screening (ehs) services are designed based on an
individual’s demographic and risk profile, cross-referenced with
historical trends for optimised results. we have 7 ehs facilities
strategically located in our hospitals and key business districts, each
a well-equipped, one-stop centre.
we offer delivery of screening results and a full, targeted review that
includes lifestyle recommendations and health advice. for those
requiring medical intervention, we provide a one-stop experience with
direct access to our specialists, facilities and premium medical
services.
1 personalised health screening designed according to demographic and
risk profile
2 delivery of screening results and a full, targeted review and health
recommendations
3 7 well-equipped, one-stop screening facilities located in our
hospitals and key business districts
executive health screening
__________________________________________________________________
customised health screening
customised screening for each individual
your screening starts at the core of your health, covering the heart,
kidney, liver, blood and more. this will test for conditions such as
diabetes, anaemia, as well as healthy organ function. depending on your
age, gender and risk profile, you may opt for additional tests such as
stroke screening, ageing biomarker tests, and gender specific tests
such as breast screening and pap smear for females, and prostate
screening for males.
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executive health screening package
executive health screening packages
preventive health screening starts from birth and continues throughout
life. at our executive health screening centres, we tailor health
screening packages based on age, medical history, risk factors, family
history and health concerns. with our team of experienced healthcare
professionals and staff, feel at ease with personalised and attentive
care at every visit.
a detailed report containing your health screening results will be
delivered to you within 14 business days from your screening
appointment. we encourage you to review the test results with our
doctor who can help you determine the next steps. if we find a
condition that requires urgent attention, we will notify you
immediately.
a detailed report containing your health screening results will be
delivered to you within 14 business days from your screening
appointment. we encourage you to review the test results with our
doctor who can help you determine the next steps. if we find a
condition that requires urgent attention, we will notify you
immediately.
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provincial health services authority - province-wide solutions. better
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[share-icon.png] share a a
health screening
page image
screening tests can help find diseases and health conditions early,
when they are easier to treat.
page content
also known as secondary prevention, health screening identifies health
problems as soon as possible to ensure that you and your family can
benefit from early medical treatment.
there are a variety of health screening tests and tools. many can be
done as part of regular checkups with your health care provider. others
may require you to visit a lab or specialized screening location.
typically, routine health screening is recommended according to your
age or stage of life.
prenatal/infant_____prenatal/infant
prenatal
prenatal genetic screening during your pregnancy can tell you
your chance of having a baby with certain genetic disorders. it is
offered free of charge as a choice to all pregnant people with medical
services plan (msp) coverage in bc.
resources
* prenatal genetic screening program (perinatal services bc)
infant
there are a number of screening tests that are recommended for all
newborns and infants born in bc. these tests identify diseases or
conditions where early treatment is important to prevent disability and
promote healthy development.
regular checkups will allow your care provider to monitor your baby's
development and check for possible problems.
resources
* screening, birth to 12 months (healthlink bc)
* provincial screening programs:
* newborn screening program (perinatal services bc)
* biliary atresia home screening program (perinatal services bc)
* bc early hearing program (provincial health services authority)
child_______________child
regular checkups will allow your care provider to monitor your child's
growth and development and check for possible problems.
resources
* screening, 13 months to 12 years (healthlink bc)
youth/young adult___youth/young adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
resources
* screening, 13 to 18 years (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
adult_______________adult
regular checkups will allow your care provider to monitor your health
and check for possible problems.
regular screening is important throughout adulthood, especially if
you're at increased risk for a chronic disease or an infectious
disease. you may be referred for blood or urine tests or for other
screening procedures. recommended regular screening tests for all
adults include:
* blood pressure
* cholesterol
* kidney function
* type 2 diabetes
* skin cancer
* hearing and vision
* weight
* mental health and substance use
if you are sexually active, it's a good idea to get tested for sexually
transmitted infections (stis), including hiv. you can see your doctor
about testing, or visit a clinic. read when to test.
depending on your age and your risk of disease, other screening tests
may be recommended:
* cervical cancer screening (pap test) is a test that can find
abnormal cells in the cervix before they become cancer. between age
25-69, pap tests are recommended every three years for anyone with
a cervix. it's important to follow these recommendations even if
you've had the hpv vaccine. read the recommendations
* screening mammograms are used to find cancers in breast tissue as
early as possible. screening mammograms are available for eligible
individuals in bc age 40 and up. your screening recommendations
will vary according to your age and your family history of breast
cancer. read the recommendations
* colon cancer screening detects non-cancerous polyps and cancer
early. everyone aged 50-74 should get screened regularly for colon
cancer. the type of screening test recommended for you will depend
on your family history and your personal medical history. read the
recommendations
* prostate cancer screening checks for abnormalities of the prostate
gland. screening is performed through digital rectal examination,
done by your doctor during a regular check up. between age 50-70,
annual screening is recommended for individuals with a prostate as
long as they are in reasonably good health. you can also talk to
your doctor about the pros and cons of psa testing.
resources
* screening, adult women (healthlink bc)
* screening, adult men (healthlink bc)
* sexually transmitted infections (stis):
* get tested (smartsexresource.com)
* clinic finder (smartsexresource.com)
cancer screening (screening bc):
* cervix
* breast
* colon
* hereditary
please note: the health information provided here is general and
appropriate for most people, most of the time. wherever possible,
resources are also provided to address the health needs of specific
populations, including people living with a chronic health condition,
indigenous people and lgbtq individuals. check with your health care
provider to determine the health recommendations and resources that are
right for you.
in this section
content editor [2]
quick links
* prenatal genetic screening
* newborn screening
* biliary atresia home screening
* infant hearing screening
* get tested: sti clinic finder
* cervical cancer screening (pap test)
* breast cancer screening (mammogram)
* colon cancer screening
content editor [1]
key organizations
perinatal services bc
provincial health services authority
bc centre for disease control (bccdc)
screening bc - bc cancer agency
healthlink bc – the bc government's comprehensive non-emergency health
information and advice service for british columbians.
source: health screening ( )
page printed: . unofficial document if printed. please refer to source
for latest information.
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health.
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#healthcare nutrition council » feed alternate alternate
healthcare nutrition council healthcare nutrition council
* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
+ nutrition & healthcare[outcomes and benefits]
* patient access
* advocacy
+ position statements
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* about hnc
+ priorities
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+ contact us
* events
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+ aspen malnutrition awareness week
*
healthcare nutrition council
*
* clinical nutrition
+ feeding methods[enteral, oral, tube, parenteral]
+ nutrition & healthcare[outcomes and benefits]
* patient access
* advocacy
+ position statements
+ public comments
+ coalitions
+ market access challenges
* about hnc
+ priorities
+ hnc staff
+ members
+ contact us
* events
+ medical foods workshop
+ aspen malnutrition awareness week
why nutrition matters
nutrition is critically important to the human body in terms of growth
and development, overall health and wellness throughout life, and the
function of organs and body systems. it also plays a role in disease
management and supports overall quality of life. malnutrition, or lack
of proper nutrition, is associated with billions of dollars per year in
medical expenses. ¹
learn more
as there is no universally accepted definition of “malnutrition,” and
since malnutrition can have different meanings in different contexts,
the healthcare nutrition council (hnc) has adopted a definition of
malnutrition. please see hnc’s expanded definition of malnutrition to
learn more.
hnc malnutrition expanded definition
patient access
all patients have the right to receive high quality care, and that
includes nutrition support products as part of their care. at times,
access to nutrition support products — such as medical foods — can be a
significant challenge for patients. as a result, hnc raises awareness
and works with key stakeholders to help overcome obstacles to patient
access. we continue to work towards systematic changes that will foster
innovation and utilize new science and discoveries, ultimately leading
to higher quality healthcare, better patient outcomes, and improvements
in overall patient health and nutrition.
learn more
maintaining access flyer
enteral facts
parenteral facts
who we are
hnc is an organization representing the manufacturers of nutrition
support products, specifically enteral nutrition (en) formulas,
parenteral nutrition (pn) solutions, supplies and equipment. hnc member
companies are committed to improving health by advancing policies that
address and raise awareness of nutrition and its impact on patient
outcomes and healthcare costs. this includes promoting nutritional
screenings, diagnoses, assessments, and appropriate and timely clinical
nutrition interventions while maintaining patients’ access to
specialized nutrition support products and services throughout the
continuum of care.
learn more
priorities
members
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the state level. plos one. 2016; 11(9): 1-15.
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public health nutr. 2004 aug;7(5):591-8.
public health nutrition and food policy.
caraher m^1, coveney j.
author information
1
department of health management and food policy, institute of
health sciences, city university, goswell place, northampton
square, london ec1v 0hb, uk. m.caraher@city.ac.uk
abstract
food in its many manifestations allows us to explore the global control
of health and to examine the ways in which food choice is moulded by
many interests. the global food market is controlled by a small number
of companies who operate a system that delivers 'cheap' food to the
countries of the developed world. this 'cheap' food comes at a price,
which externalises costs to the nation state in terms of health
consequences (diabetes, coronary heart disease and other food-related
diseases) and to the environment in terms of pollution and the
associated clean-up strategies. food policy has not to any great extent
dealt with these issues, opting instead for an approach based on
nutrition, food choice and biomedical health. ignoring wider elements
of the food system including issues of ecology and sustainability
constrains a broader understanding within public health nutrition. here
we argue that public health nutrition, through the medium of health
promotion, needs to address these wider issues of who controls the food
supply, and thus the influences on the food chain and the food choices
of the individual and communities. such an upstream approach to food
policy (one that has been learned from work on tobacco) is necessary if
we are seriously to influence food choice.
comment in
* editorial. public health nutrition as a field of practice. [public
health nutr. 2004]
pmid:
15251049
doi:
10.1079/phn2003575
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health: definition and importance of health
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[ins: :ins]
health: definition and importance of health!
definition:
the term ‘health’ is a positive and dynamic concept. in common
parlance, health implies absence of disease. however, that industrial
health implies much more than mere absence of disease is clear from the
following definitions of health:
the world health organisation (who) has defined health as: “a state of
complete physical, mental and social well-being and not merely the
absence of disease or illness or infirmity”. as regards the industrial
health, it refers to a system of public health and preventive medicine
which is applicable to industrial concerns.
advertisements:
[ins: :ins]
here, the definition of health given by the joint i.l.o/w.h o.
committee on organisational health is worth quoting:
(i) the prevention and maintenance of physical, mental and social
well-being of workers in all organisations;
(ii) prevention among workers of ill-health caused by the working
conditions;
(iii) protection of workers in their employment from risk resulting
from factors adverse to health; and
advertisements:
[ins: :ins]
(iv) placing and maintenance of the worker in an occupational
environment adapted to his physical and psychological equipment.
thus the modem concept of health emphasises on the “whole man concept.”
in other words, health refers to the outcome of the interaction between
the individual and his environment. so to say, he/she is healthy who is
well adjusted with environment.
the modem concept of health thus, anticipates and recognizes
potentially harmful situations and applies engineering control measures
to prevent disease or illness or infirmity. in this way, industrial
health depends not only on the individual worker but also on the
environment in which he/she lives and works.
there are two types of employee health:
advertisements:
[ins: :ins]
physical health and mental health
a brief mention of these follows:
physical health:
the physical health refers to infirmity in the employee’s health.
employee’s physical health and his work are intimately related. while
an unhealthy employee works less both quantitatively and qualitatively,
commits accidents, and remains absent from work, a healthy employee
produces results opposite to these. the same underlines the need for
and importance of healthy employees in an organisation.
advertisements:
[ins: :ins]
mental health:
this refers to the mental soundness of the employees. as is physical
health important for good performance, so is mental health also.
experience suggests that three factors, namely, mental breakdowns,
mental disturbances, and mental illness impair the mental health of
employees.
importance of health:
the trite saying ‘health is wealth’ explains the importance of health.
ill health results in high rate of absenteeism and turnover, industrial
discontent and indiscipline, poor performance, low productivity and
more accidents. on the contrary, the natural consequences of good
health are reduction in the rate of absenteeism and turnover, accidents
and occupational diseases.
besides, employee health also provides other benefits such as reduced
spoilage, improved morale of employee, increased productivity of
employee and also longer working period of an employee which, of
course, cannot be easily measured.
advertisements:
[ins: :ins]
in long and short, employee health is important because it helps:
1. maintain and improve the employee performance both quantitatively
and qualitatively.
2. reduce employee absenteeism and turnover.
3. minimize industrial unrest and indiscipline.
4. improve employee morale and motivation.
it is this importance of health, increasing emphasis is given to the
employee health through various laws and provisions in this regard. for
example, in india, the royal commission on labour (1931), die labour
investigation committee (1946), the health safety and development
committee (1943), the labour welfare committee (1969) and the national
commission on labour (1969), all have expressed concern for employee
health.
these emphasised upon the creation and maintenance of as healthy an
environment as possible, in the homes of the employees as well as in
all places where they congregate for work, amusement or recreation,
the i.l.o. in its recommendation no. 112 envisaged the importance of
employee health in these words:
occupational health services should be established in or near a place
of employment for the purpose of:
(i) protecting the workers against any health hazard arising out of
work or conditions in which it is carried on;
(ii) contributing towards worker’s physical and mental adjustment; and
(iii) contributing to establishment and maintenance of the highest
possible degree of physical and mental well-being of the workers.
related articles:
1. necessity and importance of labour law and principles
2. labour welfare: meaning and definition of labour welfare
health
measures to maintain safety and avoid accidents in industries
occupational hazards: 4 main types of occupational hazards – explained!
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importance of good nutrition
your food choices each day affect your health — how you feel today,
tomorrow, and in the future.
good nutrition is an important part of leading a healthy lifestyle.
combined with physical activity, your diet can help you to reach and
maintain a healthy weight, reduce your risk of chronic diseases (like
heart disease and cancer), and promote your overall health.
the impact of nutrition on your health
unhealthy eating habits have contributed to the obesity epidemic in the
united states: about one-third of u.s. adults (33.8%) are obese and
approximately 17% (or 12.5 million) of children and adolescents aged
2—19 years are obese.^1 even for people at a healthy weight, a poor
diet is associated with major health risks that can cause illness and
even death. these include heart disease, hypertension (high blood
pressure), type 2 diabetes, osteoporosis, and certain types of cancer.
by making smart food choices, you can help protect yourself from these
health problems.
the risk factors for adult chronic diseases, like hypertension and type
2 diabetes, are increasingly seen in younger ages, often a result of
unhealthy eating habits and increased weight gain. dietary habits
established in childhood often carry into adulthood, so teaching
children how to eat healthy at a young age will help them stay healthy
throughout their life.
the link between good nutrition and healthy weight, reduced chronic
disease risk, and overall health is too important to ignore. by taking
steps to eat healthy, you'll be on your way to getting the nutrients
your body needs to stay healthy, active, and strong. as with physical
activity, making small changes in your diet can go a long way, and it's
easier than you think!
eat healthy
now that you know the benefits, it's time to start eating healthy:
start your pala+ journey today and use these tips on ways to eating
healthy and resources to earn it.
_______________________
references
to return to the page content, select the respective footnote number.
^1 centers for disease control and prevention. u.s. obesity trends.
2011. available at: https://www.cdc.gov/obesity/data/databases.html
#fittip
come together as a family for meals. spend time with the kids while
modeling healthy eating.
your health journey is uniquely yours. don’t compare—strive to be your
best self & enjoy!
for more healthy living tips, follow pcsfn on twitter @fitnessgov
content created by president’s council on sports, fitness & nutrition
content last reviewed on january 26, 2017
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eur j public health. 2018 dec; 28(6): 1087–1092.
published online 2018 sep 3. doi: 10.1093/eurpub/cky174
pmcid: pmc6241207
pmid: 30184063
the importance of health behaviours and especially broader self-management
abilities for older turkish immigrants
jane m cramm^^ and anna p nieboer^
jane m cramm
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by jane m cramm
anna p nieboer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
find articles by anna p nieboer
author information copyright and license information disclaimer
department of social medical sciences, erasmus school of health policy
and management, erasmus university rotterdam, rotterdam, the
netherlands
correspondence: jane m. cramm, department of social medical sciences,
erasmus school of health policy and management, erasmus university
rotterdam, p.o. box 1738, 3000 dr rotterdam, the netherlands, tel: +31
10 408 8555, e-mail: ln.rue.mphse@mmarc
copyright © the author(s) 2018. published by oxford university press on
behalf of the european public health association.
this is an open access article distributed under the terms of the
creative commons attribution-noncommercial-noderivs licence
(http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits
non-commercial reproduction and distribution of the work, in any
medium, provided the original work is not altered or transformed in any
way, and that the work is properly cited. for commercial re-use, please
contactjournals.permissions@oup.com
this article has been cited by other articles in pmc.
abstract
background
this study aims to identify the relationships between health
behaviours, self-management abilities, physical health, depressive
symptoms and well-being among turkish older immigrants.
methods
a total of 2350 older turkish migrants aged > 65 years residing in
rotterdam, the netherlands were identified using the municipal register
of which 680 respondents completed the questionnaires (response rate of
32%).
results
average age of the respondents was 72.90 (standard deviation 5.02)
(range 66–95) years and about half of them were women (47.6%). the
majority of respondents reported having a low education (80.3%), low
income level (83.4%), is chronically ill (90.6%), overweight (86.5%)
and about half obese (46.0%). more than half of the respondents eat
enough fruit (58.2%) and vegetables per week (55.3%). about a third of
the respondents smoke (33.5%) and 43.0% can be considered to be
physically active. looking at the health behaviours a weak positive
relationship was found between eating enough vegetables and well-being
(β = 0.14; p = 0.017). in addition, weak relationships were found
between physical activity and depressive symptoms (β = −0.16; p =
0.007), smoking and depressive symptoms (β = 0.16; p = 0.009) and
self-management abilities and physical health (β = 0.17; p = 0.015).
strongest relationships were found between self-management abilities
and depressive symptoms (β = −0.39; p < 0.001) and self-management
abilities with overall well-being (β = 0.49; p < 0.001).
conclusions
from this study, we can conclude that next to health behaviours broader
self-management abilities to maintain overall well-being are important
for turkish older people. interventions to improve self-management
abilities may help turkish older people better deal with function
losses and chronic diseases as they age further.
introduction
europe witnessed a post-war mass migration at the end of the 1950s and
the early 1960s, mostly from non-western origin with a predominance of
young adults. even though a number of the early migrants have returned
to their birth-country, considerable numbers remain in their migratory
destinations who recently approached retirement age.^1 in general, poor
physical and mental health, worse health-related quality of life and
well-being, functional limitations, depressive symptoms and chronic
conditions are much more prevalent among these immigrant populations
compared with those of natives throughout europe.^2–4 as a consequence,
older immigrants use 13–20% more health services than native-borns.^5
the rapid increase in the prevalence of chronic illness among older
(immigrant) populations is an important factor underlying the increased
demand for health care services and constraints on the organization and
delivery of care in europe.^5^,^6
unhealthy behaviours, such as poor diet, smoking and physical
inactivity, are important and adjustable risk factors for many chronic
diseases and leading causes of death and disability.^7 thus, the
improvement of health behaviours among older (immigrant) populations to
prevent the onset of chronic diseases is becoming a critical issue.
health behaviours, such as smoking, eating habits and physical
activity, are known to differ between immigrants and natives, which may
explain the greater prevalence of chronic diseases, physical
limitations and poor health outcomes among the former. for example, in
the netherlands, overweight is much more prevalent among immigrants,^8
and smoking is especially prevalent among turks.^9 although
health-related behaviours have been investigated among immigrant groups
aged 35–60 years,^9 and those aged ≥18 years,^8 no such research has
been conducted among older immigrants.
not only health behaviours but also older people’s abilities to deal
with the process of ageing and the ways in which they cope with certain
life events are of interest. as people grow older, they often begin to
experience losses in various life domains. people are known to differ
in their ability to self-regulate or self-manage their lives and ageing
processes, which requires the proactive management of resources in an
environment of increasing losses and declining gains.^10 these
self-regulation or self-management abilities often target only the
physical health aspects of ageing, such as physical exercise and
healthy diet.^11^,^12 the social and psychological life domains,
however, have been proven to be equally important for the health and
well-being of older people.^13
thus, in addition to health behaviours and health outcomes, examination
of broader self-management abilities related to the maintenance of
overall well-being may be of interest.^14 as these abilities are
critical predictors of physical health, depressive symptoms and overall
well-being,^14–17 a shift in focus to include not only traditionally
addressed health- and disease-specific aspects (e.g. smoking, physical
activity, healthy diet) but also abilities such as investment behaviour
(e.g. pursuing interests, keeping busy, maintaining contact with loved
ones), initiative taking and self-efficacy (e.g. belief in one’s
ability to achieve goals and express care for others) is urgently
needed.^14
research investigating health behaviours and self-management abilities
related to the maintenance of overall well-being among older turkish
immigrants is lacking. thus, this study aimed to identify relationships
of background characteristics, health behaviours and self-management
abilities with physical health, depressive symptoms and well-being
among older turkish immigrants residing in rotterdam, the netherlands.
methods
data collection
community-dwelling turkish people aged > 65 years in rotterdam, the
netherlands, were identified using the municipal register and asked to
participate between march 2015 and february 2016 (with a summer break,
given that most of this population spends the summer in turkey). we
asked respondents to fill in a questionnaire containing 153 questions
in total (provided in the dutch as well as turkish language). these
questionnaires were first distributed via post, followed by a postal
reminder and finally a minimum of two home visit attempts (by
interviewers speaking dutch as well as the turkish language). the
personal interviews lasted about 60–90 min. an information leaflet was
provided to respondents explaining the aim of the study with contact
details (of dutch as well as turkish speaking research assistants) in
case they had additional questions. no (financial) incentives were
provided.
ethical approval
according to the central committee on research involving human subjects
(ccmo), the current study did not fall within the scope of the medical
research involving human subjects act and thus did not require prior
review by an accredited medical research and ethics committee or the
ccmo. all respondents were informed about the aims of the study, and
assured that participation was anonymous and voluntary, prior to
providing consent.
measures
well-being was measured with the 14-item turkish version of the social
production function instrument for the level of well-being (spf-il).^18
the stimulation item ‘are your activities challenging to you?’ of the
original 15-item dutch version^19 proved to be problematic during
validation and thus was omitted from the turkish version. the spf-il
measures levels of physical (comfort, stimulation) and social
(behavioural confirmation, affection, status) well-being. examples of
questions are ‘do people really love you?’ (affection), ‘do you feel
useful to others?’ (behavioural confirmation), ‘are you known for the
things you have accomplished?’ (status), ‘in the past few months, have
you felt physically comfortable?’ (comfort) and ‘do you really enjoy
your activities?’ (stimulation). responses are given on a 4-point scale
ranging from never (1) to always (4), with higher mean scores
indicating greater well-being. total scores were calculated based on
the mean scores for the five subscales. cronbach’s alpha of the spf-il
based on the five subscales was 0.76, indicating good reliability.
patients’ physical quality of life was assessed using the physical
component of the short form 12 health survey.^20 the summary physical
component score for physical health was constructed using standard
scoring procedures.
we used the 7-item depression section of the hospital anxiety and
depression scale to assess symptoms of depression.^21 all items were
rated on a 4-point scale (0–3), with higher scores indicating greater
depressive symptomatology.
self-management abilities related to the maintenance of overall
well-being were measured using an adjusted version of the short
(18-item) version of the self-management ability scale (smas-s).^22
this instrument assesses a broad repertoire of self-management
abilities: (i) initiative taking (being instrumental or self-motivating
in realizing aspects of well-being), (ii) investment in resources for
long-term benefits, (iii) maintenance of variety in resources (gaining
and maintaining various resources for each dimension of well-being),
(iv) ensuring resource multifunctionality (gaining and maintaining
resources or activities that serve multiple dimensions of well-being
simultaneously and in a mutually reinforcing way), (v) self-efficacy in
resource management (gaining and maintaining a belief in personal
competence to achieve well-being) and (vi) maintenance of a positive
frame of mind. the initiative taking, investment, self-efficacy,
variety and multifunctionality subscales are related to the physical
and social dimensions of well-being, and the subscale measuring the
ability to have a positive frame of mind is considered to be a more
general cognitive frame. following earlier research, we reduced the
number of response categories for 5 subscales from 6 to 4 to make
completion of the instrument less complex. higher scores indicate
better self-management abilities. the item ‘when things go against you,
how often do you think that it could always be worse?’ proved to be
problematic during validation and thus was omitted from the turkish
version. cronbach’s alpha of the smas-s based on the six subscales was
0.92, indicating excellent reliability.
physical activity was assessed by asking respondents how many days per
week they were physically active (e.g. sport activities, exercise,
housecleaning, work in the garden) for at least 30 min. government
agencies use this measure to monitor physical activity in the dutch
population. we used mean physical activity, measured in number of days
per week, in our analyses. in addition, we dichotomized the physical
activity scale according to the dutch standard for healthy physical
activity into 1 (at least 30 min of physical activity at least five
times per week) and 0 (at least 30 min of physical activity less than
five times per week),^23 to compare the proportion of physically active
patients with the dutch average. this threshold is also in line with
the international recommendation for the minimum physical activity
level of at least 150 min of moderate or vigorous physical activity per
week.^24
self-reported current smoking was assessed with a yes/no question.
consumption of fruits and consumption of vegetables were assessed
separately as indicators of healthy dietary behaviours, measured in
servings per day. the world health organization and the dutch
guidelines use a minimum of 200 g of vegetables and two servings of
fruit per day to distinguish healthy from unhealthy eating.^25 fruit
consumption was determined by summing the servings per day and was
dichotomized as 1 (healthy diet, consumption of at least two pieces of
fruit per day) and 0 (unhealthy diet, consumption of less than two
pieces of fruit per day). vegetable consumption was determined by
summing the servings per day and was dichotomized as 1 (healthy diet,
consumption of ≥200 g of vegetables per day) and 0 (unhealthy diet,
consumption of <200 g of vegetables per day).^25
respondents were asked to report the highest educational level
completed in the netherlands or abroad, with the option to select ‘no
schooling’ or to write in another response for unlisted forms of
schooling. this variable was dichotomized into low (completion of
elementary school or less) and high (more than elementary school).
income level was determined based on respondents’ reported monthly
household income, including social benefits, pensions and alimony.
responses ranged from 1 (less than €1000 a month) to 4 (€3050 or more a
month). ‘do not know/do not want to tell’ was included as a fifth
category. income level was dichotomized into low (less than €1350) and
high (€1350 or more).
respondents were asked to indicate whether they were married, divorced,
widowed, single, or cohabitating. a dichotomous variable was created:
divorced, single and widowed; and married.
the questionnaire also solicited information on respondents’ age,
gender and number of chronic conditions experienced in the past 12
months. respondents were provided with a list of 14 chronic conditions
(e.g. lung diseases, cardiovascular diseases, diabetes) and space to
write in other conditions. only conditions that were classified as
chronic by o'halloran et al.^26 were included.
analyses
the characteristics of the study sample were examined using descriptive
statistics. bivariate associations of variables expressing background
characteristics, health behaviours and self-management abilities with
those reflecting physical health, depressive symptoms and well-being
were examined. regression analyses were then performed to identify
relationships of health behaviours, self-management abilities, and
physical health with depressive symptoms and well-being while
controlling for background characteristics.
results
of, 2350 older turkish immigrants asked to participate, 213 were
ineligible due to change of address (n = 110), serious medical issue or
death (n = 102) or non-turkish ethnic background (n = 1). a total of
680 respondents completed the questionnaire (final response rate 32%).
table 1 displays descriptive statistics for the older turkish immigrant
population. the average age of the 680 respondents was 72.90 [standard
deviation (sd) 5.02; range 66–95] years, and 47.6% of them were women.
the majority of respondents reported having low education (80.3%) and
low income (83.4%) levels. the mean number of chronic diseases was 2.68
(sd 1.87; range 0–10). most (90.6%) respondents were chronically ill,
and 69.4% had more than one chronic disease. according to their
self-reported body mass indices, 86.5% of respondents were overweight
and 46.0% were obese. more than half of respondents had sufficient
weekly fruit (58.2%) and vegetable (55.3%) consumption. about one-third
(33.5%) of respondents smoked and 43.0% could be considered to be
physically active.
table 1
descriptive statistics for older turkish older immigrants (n = 680)
characteristic range % or mean (sd)
sex (female) 47.6%
age (years) 66–95 72.90 (5.02)
marital status (single/widowed) 28.7%
education (low) 80.3%
income (low) 83.4%
number of chronic diseases 0–10 2.68 (1.87)
chronically ill 90.6%
co-/multi-morbidity 69.4%
body mass index (kg/m^2) 17.65–68.59 30.32 (5.61)
overweight 86.5%
obese 46.0%
healthy diet
sufficient fruit consumption 58.2%
sufficient vegetable consumption 55.3%
physically active 43.0%
smoking 33.5%
self-management abilities 1–4 2.52 (0.62)
physical health 0–100 54.83 (18.18)
depressive symptoms 1–4 2.28 (0.66)
well-being 1–4 2.79 (0.55)
open in a separate window
sd, standard deviation.
table 2 displays the results of the bivariate analyses. single marital
status and low educational level were associated positively with
depressive symptoms and negatively with well-being. the number of
chronic conditions was associated negatively with physical health and
well-being, and positively with depressive symptoms. a positive
relationship was found between sufficient vegetable consumption and
well-being (r = 0.11, p < 0.01). physically active status was
associated positively with physical health (r = 0.09, p < 0.05) and
overall well-being (r = 0.20, p < 0.001), and negatively with
depressive symptoms (r = –0.28, p < 0.001). smoking was related
positively to depressive symptoms (r = 0.16, p < 0.001).
self-management abilities were related positively to physical health (r
= 0.12, p < 0.05) and well-being (r = 0.54, p < 0.001) and negatively
to depressive symptoms (r = –0.53, p < 0.001).
table 2
associations with physical health, depressive symptoms and well-being
(n = 680)
characteristics physical health depressive symptoms well-being
sex (female) 0.12^** 0.21^*** –0.11^**
age (years) –0.05 0.08^* –0.06
marital status (single/widowed) –0.05 0.16^*** –0.11^**
education (low) –0.07 0.16^*** –0.11^**
income (low) –0.06 0.10^* –0.06
number of chronic diseases –0.15^*** 0.36^*** –0.26^***
body mass index –0.13^*** 0.06 –0.06
eating enough fruit –0.01 –0.06 0.07
eating enough vegetables –0.01 –0.07 0.11^**
physically active 0.09^* –0.28^*** 0.20^***
smoking 0.06 0.16^*** 0.07
self-management abilities 0.12^** –0.53^*** 0.54^***
open in a separate window
^***p < 0.001.
^**p < 0.01.
^*p < 0.05.
the results of the multivariate regression analyses are displayed in
table 3. the number of chronic diseases was associated negatively with
physical health (β = –0.20, p = 0.005) and overall well-being (β =
–0.13, p = 0.039), and positively with depressive symptoms (β = 0.21, p
< 0.001). among health behaviours, a weak positive relationship was
found between sufficient vegetable consumption and well-being (β =
0.14, p = 0.017). in addition, weak relationships were found between
physical activity and depressive symptoms (β = –0.16, p = 0.007),
smoking and depressive symptoms (β = 0.16, p = 0.009), and
self-management abilities and physical health (β = 0.17, p = 0.015).
the strongest relationships were found between self-management
abilities and depressive symptoms (β = –0.39, p < 0.001) and overall
well-being (β = 0.49, p < 0.001).
table 3
results of multivariate regression analyses
characteristic physical health depressive symptoms well-being
β p β p β p
sex (female) –0.04 0.643 0.04 0.632 –0.03 0.694
age (years) –0.00 0.949 0.02 0.699 –0.07 0.264
marital status (single/widowed) 0.14 0.070 –0.03 0.691 0.03 0.670
education (low) 0.01 0.936 0.06 0.303 0.01 0.918
income (low) 0.01 0.944 0.03 0.582 0.03 0.584
number of chronic diseases –0.20 0.005 0.21 <0.001 –0.13 0.039
body mass index –0.08 0.282 –0.03 0.609 –0.05 0.433
sufficient fruit consumption 0.03 0.636 0.05 0.390 –0.06 0.303
sufficient vegetable consumption 0.03 0.697 –0.06 0.290 0.14 0.017
physically active 0.01 0.940 –0.16 0.007 0.02 0.731
smoking 0.09 0.206 0.16 0.009 0.01 0.886
self-management abilities 0.17 0.015 –0.39 <0.001 0.49 <0.001
r^2 12% 36% 31%
open in a separate window
significance of bold values is p < 0.05.
discussion
this study aimed to identify relationships of background
characteristics, health behaviours and self-management abilities with
physical health, depressive symptoms and well-being among older turkish
immigrants residing in rotterdam, the netherlands. chronic diseases,
overweight and obesity were highly prevalent among respondents. during
the same period in which this study was conducted (2015/2016), a much
smaller percentage of the general dutch population aged ≥ 65 years was
overweight compared with our turkish sample (60% vs. 86.5%); the
prevalence of obesity differed to a lesser degree (42% vs. 46%).^27 in
addition, a larger percentage of turkish elders were chronically ill
compared with the general dutch population aged ≥ 65 years (90.6% vs.
79.9%).^28 the prevalence of chronic diseases is known to be higher
among those with lower educational levels,^29 which could explain this
finding, as 80.3% of older turkish immigrants participating in this
study were less educated.
with increasing numbers of chronic diseases, older immigrants had worse
physical health and well-being, and more depressive symptoms. healthy
behaviours and self-management abilities may protect chronically ill
older immigrants from the deterioration of health and well-being, and
the onset of depressive symptoms. however, we found only weak
relationships between the outcome variables and physical activity,
sufficient vegetable consumption and smoking, and the latter two health
behaviours were not associated with all outcome variables. a smaller
percentage of older immigrants met the norm for physical activity
compared with the general older population in the netherlands (43% vs.
50%).^30 the prevalence of smoking was also greater among older turks
compared with the general dutch population aged ≥ 65 years (33.5% vs.
∼15%).^31 this is in line with earlier research showing that the
percentage of smoking in the netherlands is highest in the turkish
population, especially among turkish men.^32^,^33 regarding dietary
behaviour, older turkish respondents were healthier than the older
general population in the netherlands in 2015/2016 in terms of
sufficient fruit (58.2% vs. 43%) and vegetable (55.3% vs. 30%)
consumption. these findings are in line with earlier research showing
that immigrants ate more fruit and vegetables than did older dutch
people.^34 in terms of health behaviours, older turkish people are thus
expected to benefit especially from smoking cessation and physical
activity interventions.
the strongest relationships were found between broader self-management
abilities and the outcome variables, especially depressive symptoms and
overall well-being. these findings are important, given that these
abilities are amendable. examples of the most commonly used
self-management interventions are health education, lifestyle
education, enhancement of knowledge about chronic diseases and their
risk factors, support of a healthy diet and promotion of physical
exercise and smoking cessation. however, older patients’ abilities to
self-manage their overall well-being, such as having a positive frame
of mind, taking initiative and self-efficacy, should also be addressed.
interventions that aim to enhance self-management abilities may be
useful additions to traditional interventions, which usually focus
solely on the physical decline associated with ageing and chronic
conditions.^35–37
the limitations of this study should be considered when interpreting
the findings. first, although the response rate was low, it was
comparable to those in other surveys conducted in this population [61].
most non-response was due to the inability to reach respondents after a
minimum of two door-to-door contact attempts (following the two contact
attempts via mail), potentially resulting in non-response bias. to
improve the response rate, this number should be increased to six
contact attempts, which was not feasible in our study.^38^,^39 to
investigate potential non-response bias, we conducted non-response
analyses. no significant difference in gender was found between
respondents and non-respondents. the mean age of these groups, however,
differed significantly; on average, respondents were younger than
non-respondents [72.11 (sd = 5.10) vs. 72.73 (sd = 5.00),
respectively]. educational level of our sample is comparable to other
studies showing that ∼80% of turkish older migrants only completed
elementary school or less.^40 second, the data collected were
cross-sectional, preventing determination of causality. third, although
this study showed that self-management abilities are important for
older turkish people, we did not investigate whether interventions
aiming to enhance these abilities actually improved self-management.
further research is necessary to explore ways in which the
self-management abilities of older turkish people can be improved.
fourth, we investigated fruit and vegetable consumption only, not how
food was prepared or the total fat or calorie intake per day, which are
also known to be important.^41 fifth, we also did not include alcohol
consumption to our analyses given that only two male respondents drank
more than the norm (≥3 units per day at ≥4 days a week). if you would
look at health behaviours among immigrant populations outside the
muslim community, it would be interesting to add this health behaviour.
finally, our study sample consisted of older turkish people residing in
rotterdam, which limits the generalizability of our study findings.
conclusion
based on the results of this study, we can conclude that in addition to
health behaviours, broader self-management abilities related to the
maintenance of overall well-being are important for older turkish
people. while only weak relationships were found with health
behaviours, strong relationships were found with broader
self-management abilities, depressive symptoms and well-being. in terms
of health behaviours, older turkish people are expected to benefit most
from smoking cessation and physical activity interventions. older
immigrants, including turks, however, may especially benefit from
interventions that enhance broader self-management abilities related to
the maintenance of overall well-being. interventions to improve
self-management abilities may help older turkish people better deal
with functional losses and chronic diseases as they age further. such
interventions will probably need to be adjusted for this population to
be effective.^38 the current national public health policy, however,
devotes no specific attention to high-risk ethnic groups. we feel that
these results provide a useful basis for the design of effective
interventions for successful ageing among older turkish people in the
netherlands.
funding
this study was supported by a grant provided by the erasmus university
of rotterdam.
conflicts of interest: none declared.
key points
* chronic diseases, overweight and obesity are highly prevalent among
turkish elderly.
* smoking cessation and physical activity interventions may partly
improve outcomes.
* interventions aimed at broader self-management abilities seem
especially effective.
* a broader focus is needed on self-management abilities to maintain
overall well-being.
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4. fitness basics
5. why is physical activity so important for health and wellbeing?
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why is physical activity so important for health and wellbeing?
woman stretching
there are so many reasons why regular activity boosts your health. read
to learn what those are and how you can incorporate exercise into your
day.
we know that staying active is one of the best ways to keep our bodies
healthy. but did you know it can also improve your overall well-being
and quality of life?
here are just a few of the ways physical activity can help you feel
better, look better and live better. because, why not?
it’s a natural mood lifter.
regular physical activity can relieve stress, anxiety, depression and
anger. you know that "feel good sensation" you get after doing
something physical? think of it as a happy pill with no side effects!
most people notice they feel better over time as physical activity
becomes a regular part of their lives.
it keeps you physically fit and able.
without regular activity, your body slowly loses its strength, stamina
and ability to function properly. it’s like the old saying: you don’t
stop moving from growing old, you grow old from stopping moving.
exercise increases muscle strength, which in turn increases your
ability to do other physical activities.
it helps keep the doctor away.
stand up when you eat your apple a day! too much sitting and other
sedentary activities can increase your risk of heart disease and
stroke. one study showed that adults who watch more than 4 hours of
television a day had an 80% higher risk of death from cardiovascular
disease.
being more active can help you:
* lower your blood pressure
* boost your levels of good cholesterol
* improve blood flow (circulation)
* keep your weight under control
* prevent bone loss that can lead to osteoporosis
all of this can add up to fewer medical expenses, interventions and
medications later in life!
it can help you live longer.
it’s true, 70 is the new 60… but only if you’re healthy. people who are
physically active and at a healthy weight live about seven years longer
than those who are not active and are obese. and the important part is
that those extra years are generally healthier years! staying active
helps delay or prevent chronic illnesses and diseases associated with
aging. so active adults maintain their quality of life and independence
longer as they age.
here are some other benefits you may get with regular physical activity:
* helps you quit smoking and stay tobacco-free.
* boosts your energy level so you can get more done.
* helps you manage stress and tension.
* promotes a positive attitude and outlook.
* helps you fall asleep faster and sleep more soundly.
* improves your self-image and self-confidence.
* provides fun ways to spend time with family, friends and pets.
* helps you spend more time outdoors or in your community.
the american heart association recommends at least 150 minutes of
moderate-intensity aerobic activity each week. you can knock that out
in just 30 minutes a day, 5 days a week. and every minute of moderate
to vigorous activity counts toward your goal.
so, this is easy! just move more, with more intensity, and sit less.
you don’t have to make big life changes to see the benefits. just start
building more activity into your day, one step at a time.
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* fitness
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activity infographic
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* getting active
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related articles
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no time for exercise? here are 7 easy ways to move more!
make every move count infographic
* fitness
* fitness basics
+ recommendations for physical activity in adults
+ warm up with cool-weather workouts
+ recommendations for physical activity in children
+ recommendations for physical activity in kids infographic
+ american heart association recommendations for physical
activity infographic
+ balance exercise
+ endurance exercise aerobic
+ flexibility exercise stretching
+ how to keep cool during warm weather workouts
+ is your workout working? infographic
+ keeping your feet happy and pain-free infographic
+ make every move count infographic
+ move more for whole body health infographic
+ move more month
+ preventing injury during your workout
+ staying hydrated - staying healthy
+ strength and resistance training exercise
+ know your target heart rates for exercise, losing weight and
health
+ treat your feet right
+ warm up cool down
+ what to wear when you work out infographic
+ when is the best time of day to work out?
+ why is physical activity so important for health and
wellbeing?
* getting active
* staying motivated
* walking
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research and american heart association guidelines. use this link for
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the importance of health education
february 8, 2018
marcy vadurro
director of product marketing
explore programs
importanceofhealtheducationbanner
when it comes to building a healthy community, the importance of health
education cannot be overlooked. community health workers collaborate
with all stakeholders in a community - from its citizens to its
government, education and medical officials - to improve health and
wellness and ensure equal access to healthcare.
what is the importance of health education?
community health education looks at the health of a community as a
whole, seeking to identify health issues and trends within a population
and work with stakeholders to find solutions to these concerns.
the importance of health education impacts many areas of wellness
within a community, including:
* chronic disease awareness and prevention
* maternal and infant health
* tobacco use and substance abuse
* injury and violence prevention
* mental and behavioral health
* nutrition, exercise and obesity prevention
community health educators work with public health departments,
schools, government offices and even local nonprofits to design
educational programs and other resources to address a community's
specific needs.
importanceofhealtheducationbody3
"the value in these programs is having a topic or issue tailored to the
needs of the audience...and working with them one on one to make
behavioral changes," said daphne guillaume, a certified health
education specialist and public health adjunct faculty at southern new
hampshire university (snhu).
overcoming health disparities
in addition to providing educational resources and programming to a
community, public health educators also work to ensure all members of a
community have equal access to wellness resources and healthcare
services.
according to the american public health association (apha), common
health disparities affecting americans include:
* racial or ethnic health disparities
* socioeconomic health disparities
* gender health disparities
* rural health disparities
importanceofhealtheducationbody1
"we look at the issues that are going on in our communities through a
social justice lens," said snhu adjunct faculty member dede teteh, a
certified health education specialist and public health researcher.
"the main difference between [public health] and medicine is we don't
look at people one by one. we work with communities and examine trends
in behaviors and health outcomes. we attempt to decipher what's going
on within communities and determine how we can best support their
wellness efforts. but we don't act without their input or partnership."
community health education and government policy
the importance of health education also extends into policy and
legislation development at a local, state and national level, informing
and influencing key decisions that impact community health.
from campaigns and legislation to enforce seat belt use and prevent
smoking to programs that boost the awareness and prevention of
diabetes, public health workers provide research and guidance to inform
policy development.
"you're not just educating the individual person, you need the impetus
and motivation to come from the whole community," said snhu associate
dean of health professions denise bisaillon. "you have to reach the
leaders in the community. the more people invested in a change, the
more likely its success."
the economic importance of health education
health education can also boost a community's economy by reducing
healthcare spending and lost productivity due to preventable illness.
obesity and tobacco use, for example, cost the united states billions
of dollars each year in healthcare costs and lost productivity.
according to the american public health association (apha) the annual
loss in economic productivity due to obesity and related issues is
expected to total as much as $580 billion by 2030. the total economic
cost of tobacco use costs the united states more than $300 billion each
year, including $156 billion in lost productivity, according to the
cdc.
programs designed to help community members combat these expensive
health issues not only boost individuals' health, but also provide a
strong return on investment for communities.
according to the cdc, states with strong tobacco control programs see a
$55 return on every $1 investment, mostly from avoiding costs to treat
smoking-related illness. the national cost of offering the national
diabetes prevention program is about $500 per participant,
significantly lower than the $7,900 spent on diabetes care per type 2
diabetes patient each year.
importanceofhealtheducationbody4 a growing field
as the health, social and economic impacts of community health
education continue to grow, so does the field of public health and
health promotion.
according to the u.s. bureau of labor statistics (bls), employment in
the community health education field is projected to grow by 16%
through 2026, more than twice the average for all occupations.
workers with a community health education degree can find opportunities
in a wide variety of settings, according to the bls, including:
* schools and colleges
* hospitals and healthcare facilities
* nonprofit organizations
* private businesses and employee wellness programs
* government organizations and public health departments
as communities continue to focus more on improving the health and
wellness of its citizens, the field of community health education will
also continue to grow, said snhu adjunct faculty michelle gifford.
"i believe that more and more communities are seeing benefits from
wellness-related initiatives and receiving positive marks about them,
hence community leaders are seeing this as not just a business-driven
necessity, but also something that impacts the well being and quality
of life of their citizens," gifford said.
marcy vadurro is a marketing professional within nursing and health
professions in higher education.
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december 13, 2019
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homehealth and its importance | health and its significance | the
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health and its importance | health and its significance | the importance of
health and health
civil blog 369 february 09, 2019
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health and its importance
health-and-its-importance
health and its importance
the word "health" refers to an emotional and physical well- being
state. healthcare is available to help people maintain this optimal
health status.
your food choices affect your health every day-how you feel today,
tomorrow and the future. good food is an important part of a healthy
lifestyle. in combination with physical activity, your diet can help
you achieve a healthy weight, reduce the risk of chronic diseases (such
as heart disease and cancer) and promote your overall health.
why does good health matter?
cells are the basic units of all organisms. they consist of a variety
of chemicals. cells move from location to location. even if the cell
does not move, there is still a lot of repairs. cells are the basic
units of all organisms.
in relation, there are various specialized activities in our body such
as the heart pumps blood, the kidney filters the urine, which even the
brain constantly probably thinks the lungs help to inhale.
there's a lot of interconnection in our body between the different
organs. our body needs energy and raw material for all these
activities. food is necessary for the functioning of cells and tissues.
therefore, if you're not good, all your physical activities begin to
get hampered.
the significance of health
health is a physical, mental and social state of complete well-being. a
person needs a balanced diet and regular exercise for a healthy life
cycle. you also have to live in a proper shelter, sleep enough and have
good hygiene habits. so, how do we make sure we do all the right things
to be healthy? let's raise awareness about the importance of health
1)all organisms ' health depends on their environment or surroundings.
in our individual health, our social environment is an important
factor.
2)for individual health, public cleanliness is important. we must
therefore ensure that we regularly collect and clear the waste. we also
need to contact an agency responsible for clearing the drains. you
could have a serious impact on your health without this.
3)we need food for health and food, by doing work, we have to earn
money. there must be an opportunity to do work for this. therefore,
individual health needs good economic conditions and jobs.
4)to be really healthy, we need to be happy. we can't be healthy or
happy if we mistreat each other and fear each other. for individual
health, social equality and harmony are important.
what is an illness?
if one or more organs or systems of our body are adversely affected
because they are interrupted in their normal functioning, we say that
we are not healthy, i.e. we have a disease. disease means that
something is wrong with our body and we feel that the body is unwell or
malfunctioning.
our health is not only affected by uneven diets, but also by diseases,
infections, poverty, large families, overcrowded homes, etc. the
disease is usually caused by external organisms (microbes), which cross
the natural barriers of the body and invade our healthy body. such
organisms can cause havoc if it is not handled immediately by our
immune system.
health-and-its-importance
health and its significance
types of health
mental and physical health are the two types of health most frequently
discussed. we also talk about, among others, "spiritual health,"
"emotional health" and "financial health." they were also linked to
lower levels of stress and mental and physical well- being.
physical health
bodily functions work at peak performance in a person who experiences
physical health, not only because of a lack of disease, but also
because of regular exercise, balanced nutrition and adequate rest. when
necessary, we receive treatment to maintain the balance.
physical well- being means a healthy lifestyle to reduce the risk of
disease. for example, maintaining physical fitness can protect the
breathing and heart function, muscle strength, flexibility and body
composition of a person and develop it.
physical health and well- being also reduce the risk of injury or
health problems. examples include minimizing risks at work, safe sex,
good hygiene, or avoiding tobacco, alcohol or illegal drugs.
mental health
mental health means the emotional, social and psychological well- being
of a person. mental health is as important to a full and active
lifestyle as physical health.
mental health is harder to define than physical health, because
diagnosis often depends on the perception of the individual's
experience. however, with test improvements, some signs of some types
of mental illness in ct scans and genetic testing are now becoming
"visible."
mental health is not just a lack of depression, anxiety or other
disorder. it also depends on the ability to: enjoy life bouncing back
after difficult experiences achieve balance, feel safe and secure in
order to achieve your potential.
there are good links between physical and mental health. if chronic
disease affects the ability of a person to perform his or her regular
tasks, depression and stress can be caused, for example, by money
problems. a mental illness such as depression or anorexia can affect
the weight and function of the body. rather than its different types,
it is important to approach "health "as a whole.
good health factors
health depends on a variety of factors. a person is born with a variety
of genes and an unusual genetic pattern can lead to a level of health
that is less than optimal in some people.
environmental factors play an important role. the environment alone
sometimes suffices to have an impact on health. an environmental
trigger can cause disease in a genetically susceptible person at other
times.
these can be summarized as:
social and economic environment: including the wealth of a family or
community.
the physical environment: including parasites in an area or levels of
pollution.
the characteristics and behaviors of the person:
according to the world health organization, the higher the socio-
economic status of a person( ses), the more likely they are to enjoy
good health, good education, a well- paid job, and if their health is
threatened, good health care will be available.
people with a lower socio- economic status are more likely to
experience stresses related to daily life, such as financial
difficulties, marital disruption and unemployment, as well as social
factors such as marginalization and discrimination. all of this adds to
the risk of poor health.
low socio- economic status means often less access to healthcare.
people in developed countries with universal health services have
longer life expectancies than people without universal health care in
developed countries.
cultural problems can have an impact on health. a society's traditions
and customs and the response of a family to them can have a good or bad
effect on health. for example, people around the mediterranean are more
likely to consume high levels of fruit, vegetables and olives and eat
as a family compared to fast food crops.
how stress is managed affects health. people who smoke, drink or take
drugs to forget about their problems are likely to experience more
health problems later than people who fight stress through healthy diet
and exercise.
men and women are susceptible to various health factors. they may be at
greater risk of poor health than men in societies where women earn less
than men or are less educated.
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1. hello healthy24 december 2019 at 19:33
good sir
visit this blog
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-under-30020.html
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home » achieve lasting weight loss » the importance of health
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an official journal of the the royal society for public health and a
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#what is health behavior? health risks alternate alternate
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models and mechanisms of public health
chapter 5: key principles of health behavior change
search for: ____________________ search
examples of health behaviors and concepts
image
social determinants, as stated in the article by short and mollborn,
can be split into three levels, the downstream level (individual
choices), the upstream level (socio-economic, cultural systems, etc.)
and the meso level (interpersonal interactions) (short and mollborn,
2015). most research is focused on the meso level due to the immediate
effects and influence it has over someone’s health behaviors. the
systems that are involved in the meso level could be an individual’s
neighborhood, family, and friends. the importance of social
determinants and their effects on health can help determine the reasons
for specific health actions and behaviors.
the concepts of health behavior are dynamic and encompass different
areas, cultures, genders, age groups, etc. this can be seen within the
united states; the likelihood of developing smoking behaviors are more
prevalent in the south than in the west (short and mollborn, 2015).
some examples of things that health behavior can affect are diet,
physical activity, sleep, and coping with stressful events. health
behavior should be looked at on multiple levels and perspectives to
fully understand how it can promote and protect health instead of
causing harm to it.
licenses and attributions
cc licensed content, original
* authored by: christian rossman, michaela ou2019brien, gloria
poisson, and abubakry tunkara. located at:
https://courses.lumenlearning.com/suny-buffalo-environmentalhealth/
. project: models and mechanisms of public health. license: cc
by-nc-sa: attribution-noncommercial-sharealike
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health behavior
health behavior pp 3-17 | cite as
health behavior
plural perspectives
* authors
* authors and affiliations
* david s. gochman
chapter
* 16 citations
* 27 readers
* 328 downloads
abstract
what “health behavior” means, and how it is treated in this book, are
the basic topics of the first part of this chapter, which begins with a
working definition of health behavior, discusses some related terms,
and provides a definition of “health behavior research.” the chapter
continues with a discussion of conceptions of health, illness, and
disease, and concludes by identifying some research issues that relate
to these conceptions.
keywords
health behavior behavioral health behavioral medicine illness
behavior sociocultural perspective
these keywords were added by machine and not by the authors. this
process is experimental and the keywords may be updated as the learning
algorithm improves.
this is a preview of subscription content, log in to check access.
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unable to display preview. download preview pdf.
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* doi https://doi.org/10.1007/978-1-4899-0833-9_1
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health behavior and health promotion
apple icon stopping the spread of communicable diseases. catching
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our goal in the division of health behavior and health promotion (hbhp)
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research in healthy behaviors and health promotion seeks to understand
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our curriculum emphasizes the social and behavioral determinants of
health and methods for changing behaviors in populations.
the health behavior and health promotion program offers two outstanding
degree programs with a concentration in health behavior and health
promotion: the mph (master of public health) and the phd.
both degree programs provide students with a thorough knowledge of
health behavior and health promotion from its fundamental relationship
to public health to role in implementing intervention strategies.
courses also offer a rich array of research opportunities and practical
job experiences.
learn more about degree programs in health behavior and health promotion
mph phd
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o environmental public health
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o health behavior and health promotion
o health services management and policy
+ minors/ specializations/ certificates
o graduate certificate in environmental public health risk
assessment
o graduate certificate in global one health
o graduate interdisciplinary specialization in obesity
science
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health
o graduate minor in public health behavior and promotion
o epidemiology minor
o global public health minor
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health behavior models
behavior change models:
there are a number of theoretical models in the literature that address
effective ways to change health behaviors. the pages below outline
basic theories, their major constructs, and the recommended strategies
to help clients reduce tobacco use.
* transtheoretical model (ttm) & stages of change
* health belief model
* social cognitive theory
* theory of reasoned action/theory of planned behavior
measures:
stages of change & readiness
the stages of change algorithm can be used in research to determine an
individual’s current stage of change for quitting tobacco.
the readiness ruler is a brief, 1 item measure that can be used to
assess motivational readiness for quitting smoking. used in practice
and research.
processes of change for quitting smoking
the processes of change questionnaire is a self-report measure that
assesses an individual’s use of experiential and behavioral processes
of change to quit smoking. used in both practice and research.
temptation to smoke
the temptation to smoke scale is a self-report measure that assesses
how tempted an individual is to smoke in a variety of situations. used
in both practice and research.
confidence to abstain (self-efficacy)
the smoking self-efficacy scale is a self-report measure that assesses
an individual's confidence to abstain from smoking in a variety of
situations. used in both practice and research.
decisional balance (pros & cons of smoking)
the decisional balance scale is a self-report measure of the pros and
cons a person perceives in terms of smoking. used in both practice and
research.
screening for tobacco use
the tobacco screening measure is a brief, 1-4 item measure that can be
used to assess current smoking status as well as heaviness of smoking.
the first question should be asked of all patients, and can be helpful
in identifying “former smokers” that may otherwise be mistaken as
“never-smokers.” the tobacco screening measure was developed by
maryland m.d.s making a difference (md3), and can also be found on
their pocket guide for tobacco, alcohol, and drug screening, brief
intervention, referral, and treatment. used primarily in practice.
nicotine dependence
the fagerström test for nicotine dependence (ftnd) consists of six
multiple-choice questions meant to assess how strongly “addicted” an
individual is to nicotine. used in both practice and research.
*permission to use this scale for purposes other than research should
be obtained from k. l. fagerström.
smoking history
the smoking history questionnaire is meant to provide a more detailed
picture of both current and past tobacco use. questions may vary
depending upon the purpose or goals of this measure’s use. used
primarily in research.
**please follow the links above for more information about the models
and measures, or visit the habits lab
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what is good health?
written by adam felman on july 31, 2017
* what is health?
* types
* factors for good health
* preserving health
the word "health" refers to a state of complete emotional and physical
well-being. healthcare exists to help people maintain this optimal
state of health.
in 2015, the population of the united states (u.s.) spent an estimated
$3.2 trillion on healthcare costs.
however, despite this expenditure, a study by the u.s. national
research council, published in 2013, showed that americans die at a
younger age and experience more illness and injury than people in other
developed countries.
good health is central to handling stress and living a long and active
life.
fast facts on health
here are some key points about health. more detail is in the main
article.
* health can be defined as physical, mental, and social wellbeing,
and as a resource for living a full life.
* it refers not only to the absence of disease, but the ability to
recover and bounce back from illness and other problems.
* factors for good health include genetics, the environment,
relationships, and education.
* a healthful diet, exercise, screening for diseases, and coping
strategies can all enhance a person's health.
what is health?
health is not just absence of disease but a state of overall wellbeing.
share on pinteresthealth is not just absence of disease but a state of
overall wellbeing.
in 1948, the world health organization (who) defined health with a
phrase that is still used today.
"health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity." who, 1948.
in 1986, the who further clarified that health is:
"a resource for everyday life, not the objective of living. health is a
positive concept emphasizing social and personal resources, as well as
physical capacities."
this means that health is a resource to support an individualʼs
function in wider society. a healthful lifestyle provides the means to
lead a full life.
more recently, researchers have defined health as the ability of a body
to adapt to new threats and infirmities. they base this on the idea
that modern science has dramatically increased human awareness of
diseases and how they work in the last few decades.
types
mental and physical health are the two most commonly discussed types of
health. we also talk about "spiritual health," "emotional health," and
"financial health," among others. these have also been linked to lower
stress levels and mental and physical wellbeing.
physical health
in a person who experiences physical health, bodily functions are
working at peak performance, due not only to a lack of disease, but
also to regular exercise, balanced nutrition, and adequate rest. we
receive treatment, when necessary, to maintain the balance.
physical wellbeing involves pursuing a healthful lifestyle to decrease
the risk of disease. maintaining physical fitness, for example, can
protect and develop the endurance of a personʼs breathing and heart
function, muscular strength, flexibility, and body composition.
physical health and well-being also help reduce the risk of an injury
or health issue. examples include minimizing hazards in the workplace,
practicing safe sex, practicing good hygiene, or avoiding the use of
tobacco, alcohol, or illegal drugs.
mental health
mental health refers to a personʼs emotional, social, and psychological
wellbeing. mental health is as important as physical health to a full,
active lifestyle.
it is harder to define mental health than physical health, because, in
many cases, diagnosis depends on the individualʼs perception of their
experience. with improvements in testing, however, some signs of some
types of mental illness are now becoming "visible" in ct scans and
genetic testing.
mental health is not only the absence of depression, anxiety, or
another disorder.
it also depends on the ability to:
* enjoy life
* bounce back after difficult experiences
* achieve balance
* adapt to adversity
* feel safe and secure
* achieve your potential
physical and mental health are linked. if chronic illness affects a
personʼs ability to complete their regular tasks, this may lead to
depression and stress, for example, due to money problems.
a mental illness such as depression or anorexia nervosa can affect body
weight and function.
it is important to approach "health" as a whole, rather than its
different types.
factors for good health
health depends on a wide range of factors.
a person is born with a range of genes, and in some people, an unusual
genetic pattern can lead to a less-than-optimum level of health.
environmental factors play a role. sometimes the environment alone is
enough to impact health. other times, an environmental trigger can
cause illness in a person who is genetically susceptible.
access to healthcare plays a role, but the who suggests that the
following factors may have a bigger impact on health than this:
* where a person lives
* the state of the surrounding environment
* genetics
* income
* education level
* relationships with friends and family
these can be summarized as:
* the social and economic environment: including how wealthy a family
or community is
* the physical environment: including parasites that exist in an
area, or pollution levels
* the personʼs characteristics and behaviors: including the genes
that a person is born with and their lifestyle choices
*
according to the who, the higher a personʼs socioeconomic status (ses),
the more likely they are to enjoy good health, a good education, a
well-paid job, afford good healthcare when their health is threatened.
people with a lower socioeconomic status are more likely to experience
stresses related to daily living, such as financial difficulties,
marital disruption, and unemployment, as well as social factors, such
as marginalization and discrimination. all these add to the risk of
poor health.
a low socio-economic status often means less access to healthcare.
people in developed countries with universal healthcare services have
longer life expectancies than people in developed countries without
universal healthcare.
cultural issues can affect health. the traditions and customs of a
society and a familyʼs response to them can have a good or bad impact
on health. for example, around the mediterranean, people are more
likely to consume high levels of fruits, vegetables, and olive, and to
eat as a family, compared with cultures with a high consumption of fast
food.
how a person manages stress will affect health. people who smoke,
drink, or take drugs to forget their problems are likely to have more
health problems later than someone who combats stress through a
healthful diet and exercise.
men and women are prone to different health factors. in societies where
women earn less than men or are less educated, they may be at greater
risk than men for poor health.
preserving health
the best way to maintain health is to preserve it through a healthful
lifestyle, rather than waiting until we are sick to put things right.
this state of enhanced well-being is referred to as wellness.
the mckinley health center at the university of illinois il defines
wellness as:
"a state of optimal well-being that is oriented toward maximizing an
individualʼs potential. this is a life-long process of moving
towards enhancing your physical, intellectual, emotional, social,
spiritual, and environmental well-being."
wellness promotes an active awareness of and participation in health,
as an individual and in the community.
maintaining wellness and optimal health is a lifelong, daily
commitment.
steps that can help us maximize our health include:
* a balanced, nutritious diet, sourced as naturally as possible
* regular exercising
* screening for diseases that may present a risk
* learning to manage stress
* engaging in activities that provide purpose and connection to
others
* maintaining a positive outlook and appreciating what you have
* defining a value system, and putting it into action
peak health will be different for each person, and how you achieve
wellness may be different from how someone else does.
it may not be possible to avoid disease completely, but doing as much
as we can to develop resilience and prepare the body and mind to deal
with problems as they arise is a step we can all take.
written by adam felman on july 31, 2017
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losing weight effectively and keeping it down involves a number of
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* croat med j
* v.47(4); 2006 aug
* pmc2080455
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croat med j. 2006 aug; 47(4): 662–664.
pmcid: pmc2080455
pmid: 16909464
the meanings of health and its promotion
norman sartorius
copyright and license information disclaimer
copyright © 2006 by the croatian medical journal. all rights reserved.
this is an open access article distributed under the creative commons
attribution license, which permits unrestricted non-commercial use,
distribution, and reproduction in any medium, provided the original
work is properly cited.
this article has been cited by other articles in pmc.
the constitution of the world health organization, which came into
force on april 7, 1948, defined health “as a state of complete
physical, mental and social well-being.” the writers of the
constitution were clearly aware of the tendency of seeing health as a
state dependent on the presence or absence of diseases: so they added
to that definition that an individual, if he is to be considered
healthy, should not suffer from any disease (….“and not merely the
absence of disease or infirmity”) (1). in that way, the definition of
the world health organization simply added a requirement to the
previous position that allowed to declare someone healthy if no disease
could be found: the step forward that could have been taken in the
conceptualization of health as a dimension of existence which can
co-exist with the presence of a disease or impairment was thus not
taken.
today, three types of definition of health seem to be possible and are
used. the first is that health is the absence of any disease or
impairment. the second is that health is a state that allows the
individual to adequately cope with all demands of daily life (implying
also the absence of disease and impairment). the third definition
states that health is a state of balance, an equilibrium that an
individual has established within himself and between himself and his
social and physical environment.
the consequences of adopting one or another of these definitions are
considerable. if health is defined as the absence of disease, the
medical profession is the one that can declare an individual healthy.
with the progress of medicine, individuals who are declared healthy
today may be found to be diseased tomorrow because more advanced
methods of investigations might find signs of a disease that was not
diagnosable earlier. how an individual feels about his or her state is
not relevant in this paradigm of health. how the surrounding people
judge the behavior and appearance of an individual is only relevant if
their observations are congruent with the criteria of abnormality that
the medical profession has produced. the measurement of the state of
health of a population is also simple and will involve no more than
counting the individuals who, on examination, show defined signs of
illness and comparing their numbers with those who do not.
there are obvious difficulties with the first and the second of the
definitions mentioned above and with their consequences. there are
individuals who have abnormalities that can be counted as symptoms of a
disease but do not feel ill. there are others whose body tissues do not
demonstrate changes but who feel ill and do not function well. there
are people who hear voices and might therefore be candidates for
psychiatric examination and possibly treatment – but live well in their
community and do not ask for nor receive medical care. there is a
significant number of people who have peptic ulcers and other diseases,
experience no problems, do not know that they have a disease and do not
seek treatment for it. some of these individuals will also escape the
second type of definition of health because they function as well as
expected in their age and gender group of the general population.
the third definition mentioned above makes health depend on whether a
person has established a state of balance within oneself and with the
environment. this means that those with a disease or impairment will be
considered as being healthy to a level defined by their ability to
establish an internal equilibrium that makes them get the most they can
from their life despite the presence of the disease. health would thus
be a dimension of human existence that remains in existence regardless
of the presence of diseases, somewhat like the sky that remains in
place even when covered with clouds. the advantage of this definition
is that diseases do not replace individuals’ health: they may affect
their balance more or less severely but, at all times, the patients who
suffer from a disease (and their doctors) remain aware of the need to
work simultaneously on two tasks – one, to remove or alleviate the
disease and the second to establish a state of balance, as best they
can, within oneself and in relation with their environment. in fighting
stigmatization that accompanies many chronic and some acute diseases –
such as mental disorders or leprosy – this definition is also useful
because it makes us speak and think about our patients as people who
are defined by different dimensions (including health) and who, at a
point, suffer from a disease – and thus make us say “a person with
schizophrenia” rather than “a schizophrenic,” or a ”person who has
diabetes” rather than a “diabetic” and a “person with leprosy” rather
than a “leper.”
there is another important consequence of working with this definition
of health. to establish whether someone is in good health in accordance
with this definition, the doctor must explore how individuals who have
a disease feel about it, how the disease influences their lives, how
they propose to fight their disease or live with it. laboratory
findings and the presence of symptoms are thus important and necessary
ingredients in thinking about the state of health and the presence of a
disease but are not sufficient to reach a decision about someone’s
health: it is necessary to view the disease in the context of the
person who has it in order to make a judgment about his or her level of
health. there is little doubt about the fact that going about the
treatment of diseases in this way would improve the practice of
medicine and make it a more realistic as well as a more humane
endeavor.
the promotion of health is also affected by the differences in the
definition of health. the simplest definition of health – equated with
the absence of disease – would lead to a definition of the promotion of
health as an effort to remove diseases and diminish the numbers of
individuals who suffer from them. the involvement of functioning in the
definition of health would be reflected in defining the promotion of
health as a process by which the capacity of individuals to cope will
be enhanced and strengthened, for example by regular and obligatory
physical exercise. both of these definitions would lead to
recommendations to improve the treatment of diseases, and to remove
risks factors that might lead to them – such as sedentary life style,
smoking, bad eating habits and insufficient application of hygienic
measures such as washing one’s hands before meals.
the third definition of health, by its very nature, could not stop at
efforts to remove diseases and to diminish risk factors that might lead
to disease. it would have to involve the individuals whose health is to
be promoted in an active way: it would have to address the scales of
values of individuals and communities to ensure that health is placed
higher on those scales. high value placed on health (not only on the
absence of disease) would make people undertake whatever is necessary
to enhance health: participating in preventive action and seeking
treatment would become a normal expression of the need to behave in
harmony with one’s own and one’s community values. changing the place
of health on the scale of values, however, is not possible if left to
the health sector alone: values are shaped throughout life under the
influence of parents, friends, schools, the media, laws, and one’s own
life course and experience. thus, changing values – for example to give
health a higher value, to promote health – has to be a task for all of
those involved in shaping values and placing them on a scale rather
than for the health system alone.
the huge challenges that face societies aiming to improve the health of
their citizens will not be appropriately answered if we do not change
the paradigms of health and disease and design strategies for future
work using these new paradigms. their formulation and acceptance is a
task that is before all of us and is urgent.
references
1. constitution of the world health organization. in: world health
organization: basic documents. 45th ed. geneva: world health
organization; 2005. [google scholar]
__________________________________________________________________
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fdi unveils new universally applicable definition of ‘oral health’
06 september 2016
6 september 2016
fdi unveils new universally applicable definition of ‘oral health’
poznan, 6 september 2016 – fdi world dental federation today launched
the new definition of ‘oral health’ – positioning it as an integral
part of general health and well-being – at its annual world dental
congress in poznan, poland. it was adopted by over 200 national dental
associations (ndas) and will now be rolled out to the oral health
community, globally.
“this new definition is an important milestone for the oral health
profession,” said dr patrick hescot, fdi president. “true to our vision
2020 advocacy strategy and our ambition to lead the world to optimal
oral health, the new definition will allow us to develop standardized
assessment and measurement tools for consistent data collection on a
global level.”
as defined by fdi:
oral health is multi-faceted and includes the ability to speak, smile,
smell, taste, touch, chew, swallow and convey a range of emotions
through facial expressions with confidence and without pain, discomfort
and disease of the craniofacial complex.
further attributes related to the definition state that oral health:
* is a fundamental component of health and physical and mental
wellbeing. it exists along a continuum influenced by the values and
attitudes of individuals and communities;
* reflects the physiological, social and psychological attributes
that are essential to the quality of life;
* is influenced by the individual’s changing experiences,
perceptions, expectations and ability to adapt to circumstances.
the new definition was coined by fdi’s vision 2020 think tank members,
which includes experts in oral health, public health and health
economics. together with a companion framework tested against external
stakeholders, the new oral health definition is the result of a wider
consultation which included patients, oral health professionals, ndas,
the public health community, academia, government, industry and
third-party payers.
“with this new definition, we want to raise awareness of the different
dimensions of oral health and emphasize that oral health does not occur
in isolation, but is embedded in the wider framework of overall health”
said prof. david williams, co-chair of fdi’s vision 2020 think tank.
“we are proposing a contemporary definition of oral health, which
resonates with that used by many ndas and the world health
organization,” said prof. michael glick, co-chair of fdi’s vision 2020
think tank. “it is therefore not a revolution, but an evolution.”
fdi plans to widely disseminate this oral health definition and
advocate for its operationalization to establish a standard measurement
instrument that can be applied across countries. a measurement toolbox
will be ready in 2017 to allow for assessment of individual and
population needs that can inform and drive oral health policies.
media contact
charanjit (chaz) jagait phd, fdi communications & advocacy director
e-mail: cjagait@fdiworldental.org | tel: +41 22 560 81 48
about fdi world dental federation
fdi world dental federation serves as the principal representative body
for over 1 million dentists worldwide. its membership includes some 200
national member associations and specialist groups in over 130
countries. fdi’s vision: ‘leading the world to optimal oral health’.
www.fdiworldental.org
for more fdi news, visit www.fdiworldental.org
fdi world federation - avenue louis casai 51 - ch - 1216 cointrin -
geneva - switzerland
© fdi world dental federation - all rights reserved
www.fdiworldental.org
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aha statement for house energy and commerce committee on maternal health
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“improving maternal health: legislation to advance prevention efforts
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access to care”
september 10, 2019
on behalf of our nearly 5,000 member hospitals, health systems and
other health care organizations, our clinician partners – including
more than 270,000 affiliated physicians, 2 million nurses and other
caregivers – and the 43,000 health care leaders who belong to our
professional membership groups, the american hospital association (aha)
commends the committee on energy and commerce for its efforts to
examine legislation to improve maternal health.
maternal health is a top priority for the aha and our member hospitals
and health systems, and our initial efforts are aimed at eliminating
maternal mortality and severe morbidity. the causes of maternal
mortality and morbidity are complex, including a lack of consistent
access to comprehensive care and persistent racial disparities in
health and health care. as hospitals work to improve health outcomes,
we are redoubling our efforts to improve maternal health across the
continuum of care and reaching out to community partners to aid in that
important effort.
the may 2019 vital signs report issued by the centers for disease
control and prevention (cdc) noted that about 700 women die each year
from complications related to pregnancy, and more than half of those
deaths are preventable. an estimated 31% of pregnancy-related deaths
occur during pregnancy, 36% during delivery or the week after, and 33%
one week to one year after delivery. the cdc last week released its
morbidity and mortality weekly report that showed that between
2007-2016, the pregnancy-related mortality ratio increased from 15 to
17 pregnancy-related deaths per 100,000 births and that black, american
indian and alaska native women were two to three times more likely to
die from pregnancy-related causes than white women, and this disparity
increases with age. the report also noted that racial and ethnic
disparities in pregnancy-related deaths have persisted over time.
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au, a traditional birth attendant in namibia
all of these factors discourage mothers from visiting health centres
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community. however, these women very rarely have access to any health
training, leaving them without the skills or tools to identify and
treat difficulties in childbirth. overall, the lack of infrastructure,
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good health of her newborn child and the rest of her family.
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maternal health
view photo uganda 2017 © frederic noy/cosmos
maternal health care provided at msf's health center in bidibidi,
uganda.
uganda 2017 © frederic noy/cosmos
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many women across the world give birth without medical assistance,
massively increasing the risk of complications or death. every day on
average 830 women die from pregnancy-related causes. most of these
deaths are preventable.
99 percent
maternal deaths
occur in developing countries
50 percent
maternal deaths
occur during delivery or within 24 hours
1.1 million
births
assisted by msf from 2013-2017, including 107,000 caesarean sections
reproductive health care is an integral part of the medical care
doctors without borders/médecins sans frontières (msf) provides,
including in emergencies. our maternal health programs in more than 25
countries focus on reducing maternal and infant mortality through
pregnancy and prenatal consultations, emergency obstetric care,
postnatal follow-up, and access to family planning services and safe
abortion care.
maternal health facts
serious, untreated complications during pregnancy or delivery can be
fatal to both mother and infant. the most common complications that may
lead to maternal death are: postpartum hemorrhage, reproductive tract
infections, eclampsia, unsafe abortion, obstructed labor, and serious
infectious diseases.
hemorrhage
hemorrhage, or excessive bleeding, can happen after a complicated
birth. often it results from failure of the uterus to contract after
delivery. normally, these contractions stop the bleeding that occurs
once the placenta separates from the uterine wall. but complications or
incomplete placental separation can lead to continued bleeding, and
without rapid medical intervention, a woman can quickly bleed to death.
when skilled birth attendants are present, oxytocin can be given to
prevent bleeding. if severe bleeding does occur, the mother is
resuscitated and attendants apply methods ranging from further
medication and manual pressure to stop the bleeding through to
emergency surgery.
severe infection
severe infection can develop during pregnancy or from unhygienic
conditions during delivery. one common type is reproductive tract
infections (rti), which cause intrauterine infections that can
eventually be fatal to the woman. they can also cause life-threatening
infection in the infant.
access to clean water and hygienic conditions during delivery, such as
clean hands and a clean delivery surface like a plastic cover, are
vital to preventing infections. if an infection occurs, early detection
and treatment with the appropriate antibiotic can prevent serious
illness or death.
eclampsia and other hypertensive disorders
eclampsia and other hypertensive disorders of pregnancy are linked to
high blood pressure and are characterized by seizures that can lead to
coma and death. eclampsia begins during pregnancy as pre-eclampsia,
which leads to high blood pressure. without prenatal care pre-eclampsia
can develop into severe pre-eclampsia or full eclampsia, causing
symptoms such as swelling, sudden weight gain, headaches, changes in
vision, and potentially fatal convulsions.
unsafe abortion
unsafe abortion is a procedure for terminating an unwanted pregnancy
either by persons lacking the necessary skills or in an environment
lacking minimal medical standards, or both, as defined by the world
health organization. globally, at least 22,000 women die every year
from unsafe abortion—the only major cause of maternal death that has
not declined in recent decades, despite it being almost complete
preventable. of those women who survive, 7 million suffer serious
consequences such as infertility, injury, or complications with future
pregnancies.
comprehensive sexual and reproductive health services can greatly
reduce the number of unsafe abortions, by offering safer alternatives
through family planning and access to safe abortion care.
obstructed labor
obstructed labor can occur if the baby’s head is too large or its
position is abnormal, blocking passage through the birth canal. when a
mother is malnourished or is very young and therefore has an
underdeveloped pelvis, the birth canal itself is often not wide enough
to accommodate the head of the baby. if an obstructed labor becomes
prolonged, lasting more than 24 hours, the baby may die and the woman
is at risk of postpartum hemorrhage, uterine rupture or fistula, and
severe infection—all potentially fatal.
skilled staff are essential in managing complicated deliveries and
identifying signs that interventions are needed. these can range from
iv fluids and/or medications to support labor, to an
instrument-assisted delivery (vacuum cup or forceps) or caesarean
section.
indirect causes
indirect causes, in particular complications from infectious disease,
account for about 20 percent of maternal deaths.
during pregnancy, already dangerous diseases can pose even greater
threats to both mother and fetus. for example, malaria in pregnant
women increases their risk of miscarriage and causes over 10,000
maternal deaths globally, while tuberculosis also increases rates of
miscarriage and maternal death. malaria, tuberculosis, and cholera all
raise the risk of stillbirths, death of newborns, or low birth weight
infants.
for pregnant women at risk for any of these diseases, protecting their
health starts with preventive measures. these can include reducing
exposure (such as by sleeping under mosquito nets in malaria regions,
and ensuring access to clean water and supplies for good hygiene) and
short-term use of anti-malarial or anti-tuberculosis drugs during
pregnancy. for those who become ill, early diagnosis and treatment are
essential. whether treating malaria, hiv, tuberculosis, or another
disease, effective treatment reduces the risk of developing severe
complications that threaten the lives of both mother and baby.
how msf responds
our obstetric care programs aim to remedy the crucial "three delays"
that can threaten the lives of both mother and child. these are: delay
in deciding to seek care; delay in reaching a health facility; and
delay in receiving appropriate treatment at the facility.
emergency obstetric care is a key component of this strategy. emergency
care administered promptly by qualified staff can save the lives of
women experiencing complications during or just after delivery, when
half of all maternal deaths occur. to help reduce barriers to use of
our emergency obstetric services, we adapt services to local cultures
and (as with all msf programs) make them free of charge, as our
beneficiaries are often among the poorest sector of the population.
during conflicts or natural disasters, where health services have often
collapsed or are inadequate, emergency obstetrical needs are among the
major needs we see. over the period of 2008-15, 56 percent of all
caesarean sections we performed were in active conflict settings. for
this reason, rapid implementation of emergency maternal care is now
incorporated into our response to these crises.
we also aim to locate services close to the people who need them. in
some settings where this is not possible or we serve a large region, we
have introduced mobile clinics that travel to areas where people often
have no access to health care, combined with referral systems to
identify women with pregnancy complications and transfer them when
necessary to a health post or hospital that can provide appropriate
care.
in remote locations such as kabezi, a rural district in burundi, we
have also implemented ambulance services, which have been linked to
significant reductions in maternal mortality.
abla ali, msf midwife, iraq
giving syrian refugees a safe place to give birth
"the best part of being a midwife is the appreciation from the mothers.
they stop me in the camp when i pass and they say to their children:
'this is abla, she’s a good midwife and she delivered you.'"
–abla ali, msf midwife
read more
antenatal care improves the mother’s health during her pregnancy and
helps reduce or manage complications for both mother and newborn. in
addition, these consultations provide opportunities to inform women and
their families about how to recognize complications and to prepare for
emergencies, and about health structures where women can go for
emergency care, if needed, and for delivery.
post-natal care is another critical area for reducing maternal and
infant death and improving the physical and mental wellbeing of mother
and child. most maternal illnesses and deaths occur at or soon after
delivery, while the majority of infant deaths occur in the first few
days post-delivery—and 30 percent of all child deaths below the age of
five occur in the first four weeks of life.
hiv/aids and preventing mother-to-child transmission
without treatment, 25 to 40 percent of all children born to
hiv-positive mothers will also be infected. this rate can be reduced to
below five percent with antiretroviral treatments for the mother and a
short course of antiretroviral drugs for the baby, together with
appropriate breastfeeding practices.
we have opened programs on prevention of mother-to-child transmission
in many of the world’s most affected regions. in swaziland, for
example, we provided hiv treatment to thousands of hiv-positive
pregnant women as soon as possible after their diagnosis to prevent
their babies from becoming infected.
providing
our research on maternal health
read more
iframe:
https://www.youtube.com/embed/zb6maradouq?autoplay=0&start=0&rel=0
care for other infectious diseases
pregnant women are more susceptible to infectious diseases, and when
infected they are more likely to experience pregnancy complications and
face an increased risk of miscarriage or stillbirth.
for this reason, we offer preventive treatment to pregnant women
exposed to diseases such as malaria and tuberculosis, and provide extra
care where appropriate to pregnant women with these diseases or others
such as cholera and hepatitis e.
support msf's work on maternal health and other medical issues
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women's rights and gender equality
aid
this article is more than 1 year old
uk 'exaggerated number of lives saved' by maternal health aid project
this article is more than 1 year old
watchdog says many more deaths could have been prevented given level of
investment in department for international development programmes
supported by
count me in! consortium about this content
rebecca ratcliffe
tue 30 oct 2018 06.00 gmt last modified on mon 4 mar 2019 11.56 gmt
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mother carrying baby in malawi
[ ] in malawi, heavily pregnant women camped outside health facilities
for up to a month before giving birth, the review found. photograph:
jeffrey davis/getty images/tetra images rf
the uk government has been criticised by an aid watchdog for
exaggerating the number of women’s lives it saved through its maternal
health programmes.
a review, published by the independent commission for aid impact (icai)
on tuesday, also said the number of lives saved “were significantly
below what they could have been, given the level of investment”.
the watchdog said programmes by britain’s department for international
development (dfid) had failed to significantly improve the quality and
sustainability of maternal healthcare services in partner countries.
why do women still die giving birth?
read more
dfid spent about £4.6bn on programmes in health and other sectors
between 2011 and 2015. within this, £1.3bn focused more closely on
maternal health, including family planning, reproductive healthcare and
maternal and neonatal health. but icai said investments were focused on
short-term goals, and did not do enough to strengthen healthcare
systems or target marginalised women or teenage girls.
by 2015, dfid claimed to have saved 103,000 women’s lives during
pregnancy and childbirth, more than double its goal of 50,000. in an
internal and unpublished review, this figure was revised down to
80,100.
icai said the department relied on “unrealistic assumptions” to reach
such figures. compared with the review team’s observations in countries
such as malawi, the estimates appeared inflated.
alison evans, icai’s chief commissioner, who led the review, said uk
aid had expanded access to family planning, but added “… given the
ambition, need and level of investment, the programmes fell short of
what was required to achieve adequate progress.”
health facilities in partner countries remained chronically
under-resourced, with severe shortages of beds, healthcare workers and
equipment, said evans. in northern malawi, an area visited as part of
the review, heavily pregnant women camped outside health facilities for
up to a month before giving birth.
“they are waiting because they are not sure where they are in their
pregnancy cycle because of the lack of ultrasound equipment and the
lack of effective dating of pregnancies,” she said. “they don’t know
how close to their due dates they are and because they are fearful of
giving birth in a situation where there may not be a skilled attendant
they wait outside facilities, sometimes for up to a month, sometimes in
makeshift accommodation.”
uk aid programmes had fallen short of targets to improve emergency
obstetric and neonatal care, according to the review.
dfid had promised to prioritise the poorest 40% of women, as well as
girls aged between 15 and 19 years. but icai found that few programmes
included specific measures to reach these groups, nor did the
department monitor whether its programmes were reaching teenage girls.
it also failed to include measures that would tackle discrimination and
abuse of women in health facilities.
sean roberts, policy and campaigns officer at health poverty action,
said uk aid must be better targeted at the most vulnerable groups.
“indigenous women die far more often in childbirth than other women,”
he said. “if dfid wants to meet its commitment to leave no one behind
it must implement a robust action plan to address the maternal health
of indigenous women and other excluded groups.”
while uk aid had improved access to family planning for millions of
women, in malawi such programmes were delivered through non-state
providers. such partnerships allowed funding to quickly reach large
numbers of people, but risked displacing public sector services, said
evans.
“you have this problem of sustainability,” she said. “the public sector
is not able to gear itself up to provide a similar level of outreach.”
the review team visited a sample of programmes in malawi and the
democratic republic of the congo, as well as analysing published
literature, dfid policy documents and conducting interviews with
experts.
icai warned that health facilities struggled to ensure a reliable
supply of contraceptives. it added that dfid had championed
reproductive rights at the international level, but done less work to
encourage legal, policy and cultural change in partner countries.
dfid said in a statement that the uk is a global leader in promoting
reproductive health, and added that the review was not representative
of all the department’s work.
“we welcome icai’s acknowledgement that uk aid is helping women around
the world access the life-saving services they need, but it is
disappointing the report has made some generalisations from a selected
portion of our programming and also does not fully reflect the full
impact of our work, especially in recent years,” the statement said.
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* the facts
* what is mental health?
what is mental health?
it’s an expression we use every day, so it might surprise you that the
term ‘mental health’ is frequently misunderstood.
‘mental health’ is often used as a substitute for mental health
conditions – such as depression, anxiety conditions, schizophrenia, and
others.
according to the world health organization, however, mental health
is “a state of well-being in which every individual realises his or her
own potential, can cope with the normal stresses of life, can work
productively and fruitfully, and is able to make a contribution to her
or his community.”
so rather than being about ‘what’s the problem?’ it’s really about
‘what’s going well?'
''mental health is about wellness rather than illness''
to make things a bit clearer, some experts have tried coming up with
different terms to explain the difference between ‘mental health’ and
‘mental health conditions’. phrases such as ‘good mental health’,
‘positive mental health’, ‘mental wellbeing’, ‘subjective wellbeing’
and even ‘happiness’ have been proposed by various people to emphasise
that mental health is about wellness rather than illness. while some
say this has been helpful, others argue that using more words to
describe the same thing just adds to the confusion.
as a result, others have tried to explain the difference by talking
about a continuum where mental health is at one end of the spectrum –
represented by feeling good and functioning well – while mental health
conditions (or mental illness) are at the other – represented by
symptoms that affect people’s thoughts, feelings or behaviour.
the benefits of staying well
research shows that high levels of mental health are associated with
increased learning, creativity and productivity, more pro-social
behaviour and positive social relationships, and with improved physical
health and life expectancy. in contrast, mental health conditions can
cause distress, impact on day-to-day functioning and relationships, and
are associated with poor physical health and premature death from
suicide.
but it’s important to remember that mental health is complex. the fact
that someone is not experiencing a mental health condition doesn’t
necessarily mean their mental health is flourishing. likewise, it’s
possible to be diagnosed with a mental health condition while feeling
well in many aspects of life.
ultimately, mental health is about being cognitively, emotionally and
socially healthy – the way we think, feel and develop relationships -
and not merely the absence of a mental health condition.
beyond blue's vision is that everyone achieves their best possible mental
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support people who have experienced these conditions to get as well as
they can and lead full and contributing lives.
having social connections, good personal relationships and being part
of a community are vital to maintaining good mental health and
contribute to people's recovery, should they become unwell.
however, if you feel that you may be affected by depression or
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anxiety and panic attacks
explains anxiety and panic attacks, including possible causes and how
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bipolar disorder
explains what bipolar disorder is, what kinds of treatment are
available, and how you can help yourself cope. also provides guidance
on what friends and family can do to help.
body dysmorphic disorder (bdd)
explains body dysmorphic disorder, including possible causes and how
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yourself, and guidance for friends and family.
borderline personality disorder (bpd)
explains what bpd is and what it’s like to live with this diagnosis.
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gives guidance on how friends and family can help.
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explains depression, including possible causes and how you can access
treatment and support. includes tips for helping yourself, and guidance
for friends and family.
dissociation and dissociative disorders
explains dissociative disorders, including possible causes and how you
can access treatment and support. includes tips for helping yourself,
and guidance for friends and family.
drugs - recreational drugs & alcohol
explains the mental health effects of recreational drugs and alcohol,
and what might happen if you use recreational drugs and also have a
mental health problem. includes suggestions for where you might find
support.
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access treatment and support. includes tips for helping yourself, and
guidance for friends and family.
hearing voices
explains what it is like to hear voices, where to go for help if you
need it, and what others can do to support someone who is struggling
with hearing voices.
hoarding
explains hoarding, including possible causes and how you can access
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hypomania and mania
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access treatment and support. includes tips for helping yourself, and
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obsessive-compulsive disorder (ocd)
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and how you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
panic attacks
explains what panic attacks are, including possible causes and how you
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and guidance for friends and family.
paranoia
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personality disorders
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can access treatment and support.
phobias
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including possible causes, sources of treatment and support. also gives
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premenstrual dysphoric disorder (pmdd)
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psychosis
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schizoaffective disorder
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causes. gives advice on how you can help yourself and what types of
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and family.
schizophrenia
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seasonal affective disorder (sad)
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you can access treatment and support. includes tips for helping
yourself, and guidance for friends and family.
self-esteem
explains how to increase your self-esteem, giving practical suggestions
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self-harm
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if you have, or believe you may have, mental health problem, it can be
helpful to talk about these issues with others. it can be scary to
reach out for help, but it is often the first step to helping you heal,
grow, and recover.
having a good support system and engaging with trustworthy people are
key elements to successfully talking about your own mental health.
build your support system
find someone—such as a parent, family member, teacher, faith leader,
health care provider or other trusted individual, who:
* gives good advice when you want and ask for it; assists you in
taking action that will help
* likes, respects, and trusts you and who you like, respect, and
trust, too
* allows you the space to change, grow, make decisions, and even make
mistakes
* listens to you and shares with you, both the good and bad times
* respects your need for confidentiality so you can tell him or her
anything
* lets you freely express your feelings and emotions without judging,
teasing, or criticizing
* works with you to figure out what to do the next time a difficult
situation comes up
* has your best interest in mind
find a peer group
find a group of people with mental health problems similar to yours.
peer support relationships can positively affect individual recovery
because:
* people who have common life experiences have a unique ability to
help each other based on a shared history and a deep understanding
that may go beyond what exists in other relationships
* people offer their experiences, strengths, and hopes to peers,
which allows for natural evolution of personal growth, wellness
promotion, and recovery
* peers can be very supportive since they have “been there” and serve
as living examples that individuals can and do recover from mental
health problems
* peers also serve as advocates and support others who may experience
discrimination and prejudice
you may want to start or join a self-help or peer support group.
national organizations across the country have peer support networks
and peer advocates. find an organization that can help you connect with
peer groups and other peer support.
participate in your treatment decisions
it’s also important for you to be educated, informed, and engaged about
your own mental health.
* find out as much as you can about mental health wellness and
information specific to your diagnosed mental health problem.
* play an active role in your own treatment.
get involved in your treatment through shared decision making.
participate fully with your mental health provider and make informed
treatment decisions together. participating fully in shared decision
making includes:
* recognizing a decision needs to be made
* identifying partners in the process as equals
* stating options as equal
* exploring understanding and expectations
* identifying preferences
* negotiating options/concordance
* sharing decisions
* arranging follow-up to evaluate decision-making outcomes
learn more about shared decision making.
develop a recovery plan
recovery is a process of change where individuals improve their health
and wellness, live a self-directed life, and strive to reach their full
potential. studies show that most people with mental health problems
get better, and many recover completely.
you may want to develop a written recovery plan. recovery plans:
* enable you to identify goals for achieving wellness
* specify what you can do to reach those goals
* can be daily activities as well as longer term goals
* track your mental health problem
* identify triggers or other stressful events that can make you feel
worse, and help you learn how to manage them
you can develop these plans with family members and other supporters.
learn more about recovery.
last updated: 07/11/2017
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good mental health is related to mental and psychological well-being.
who’s work to improve the mental health of individuals and society at
large includes the promotion of mental well-being, the prevention of
mental disorders, the protection of human rights and the care of people
affected by mental disorders.
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mental, neurological and substance use disorders make up 10% of the global
burden of disease and 30% of non-fatal disease burden.
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around 1 in 5 of the world's children and adolescents have a mental disorder.
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depression is one of the leading causes of disability, affecting 264 million
people.
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about half of mental disorders begin before the age of 14.
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almost 800 000 people die by suicide every year; 1 person dies from suicide
every 40 seconds. suicide is the second leading cause of death in individuals
aged 15-29 years.
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around 1 in 9 people in settings affected by conflict have a moderate or
severe mental disorder.
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people with severe mental disorders die 10 to 20 years earlier than the
general population.
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rates of mental health workers vary from below 2 per 100 000 population in
low-income countries to over 70 per 100 000 in high-income countries.
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less than half of the 139 countries that have mental health policies and
plans report having these aligned with human rights conventions.
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the global economy loses about us$ 1 trillion per year in productivity due to
depression and anxiety.
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home » your-mental-health » about-mental-health » what are mental
health problems?
what are mental health problems?
what are mental health problems?
mental health problems range from the worries we all experience as part
of everyday life to serious long-term conditions. the majority of
people who experience mental health problems can get over them or learn
to live with them, especially if they get help early on.
mental health problems are usually defined and classified to enable
professionals to refer people for appropriate care and treatment. but
some diagnoses are controversial and there is much concern in the
mental health field that people are too often treated according to or
described by their label. this can have a profound effect on their
quality of life. nevertheless, diagnoses remain the most usual way of
dividing and classifying symptoms into groups.
find out about various mental health problems in our a-z guide
symptoms
most mental health symptoms have traditionally been divided into groups
called either ‘neurotic’ or ‘psychotic’ symptoms. ‘neurotic’ covers
those symptoms which can be regarded as severe forms of ‘normal’
emotional experiences such as depression, anxiety or panic. conditions
formerly referred to as ‘neuroses’ are now more frequently called
‘common mental health problems.’
less common are ‘psychotic’ symptoms, which interfere with a person’s
perception of reality, and may include hallucinations such as seeing,
hearing, smelling or feeling things that no one else can. mental health
problems affect the way you think, feel and behave. they are problems
that can be diagnosed by a doctor, not personal weaknesses.
mental health problems are very common
as found by the apms (2014), 1 in 6 people in the past week experienced
a common mental health problem.
anxiety and depression are the most common problems, with around 1 in
10 people affected at any one time.
how do mental health problems affect people?
anxiety and depression can be severe and long-lasting and have a big
impact on people’s ability to get on with life.
between one and two in every 100 people experience a severe mental
illness, such as bi-polar disorder or schizophrenia, and have periods
when they lose touch with reality. people affected may hear voices, see
things no one else sees, hold unusual or irrational beliefs, feel
unrealistically powerful, or read particular meanings into everyday
events.
although certain symptoms are common in specific mental health
problems, no two people behave in exactly the same way when they are
unwell.
many people who live with a mental health problem or are developing one
try to keep their feelings hidden because they are afraid of other
people’s reactions. and many people feel troubled without having a
diagnosed, or diagnosable, mental health problem - although that
doesn’t mean they aren’t struggling to cope with daily life.
see our a-z guide for a look at all aspects of mental health
do you need urgent help?
if your mental or emotional state quickly gets worse, or you're worried
about someone you know - help is available.
you're not alone; talk to someone you trust. sharing a problem is often
the first step to recovery.
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mental health problem symptoms, causes and effects
mental health problems can cover a broad range of disorders, but the
common characteristic is that they all affect the affected person’s
personality, thought processes or social interactions. they can be
difficult to clearly diagnose, unlike physical illnesses. according to
data from samhsa, 20 percent of people in america suffer from a form of
mental disorder, and 5 percent suffer from a disorder severe enough to
affect school, work, or other aspects of daily life. if you think that
you or someone you know has a mental disorder, call us today at .
what are the types of mental health disorders?
mental health disorders occur in a variety of forms, and symptoms can
overlap, making disorders hard to diagnoses. however, there are some
common disorders that affect people of all ages.
attention deficit hyperactivity disorder (adhd)
attention deficit hyperactivity disorder is characterized by an
inability to remain focused on task, impulsive behavior, and excessive
activity or an inability to sit still. although this disorder is most
commonly diagnosed in children, it can occur in adults as well.
anxiety/panic disorder
anxiety disorder is defined by intermittent and repeated attacks of
intense fear of something bad happening or a sense of impending doom.
bipolar disorder
bipolar disorder causes a periodic cycling of emotional states between
manic and depressive phases. manic phases contain periods of extreme
activity and heightened emotions, whereas depressive phases are
characterized by lethargy and sadness. the cycles do not tend to occur
instantly.
depression
depression covers a wide range of conditions, typically defined by a
persistent bad mood and lack of interest in pursuing daily life, as
well as bouts of lethargy and fatigue. dysthymia is a milder but
longer-lasting form of depression.
schizophrenia
schizophrenia is not, as commonly thought, solely about hearing voices
or having multiple personalities. instead, it is defined by a lack of
ability to distinguish reality. schizophrenia can cause paranoia and
belief in elaborate conspiracies.
what causes a mental health disorder?
there is no single cause for mental health disorders; instead, they can
be caused by a mixture of biological, psychological and environmental
factors. people who have a family history of mental health disorders
may be more prone to developing one at some point. changes in brain
chemistry from substance abuse or changes in diet can also cause mental
disorders. psychological factors and environmental factors such as
upbringing and social exposure can form the foundations for harmful
thought patterns associated with mental disorders. only a certified
mental health professional can provide an accurate diagnosis of the
causes of a given disorder.
what are the signs of a mental health disorder?
mental health disorders exist in broad categories: anxiety disorders,
mood disorders, psychotic disorders, personality disorders and impulse
control disorders. if someone you know experiences erratic thought
patterns, unexplained changes in mood, lack of interest in socializing,
lack of empathy, inability to tell the difference between reality and
fantasy, or a seeming lack of control, that person may have a mental
health disorder. this is, by no means, a complete list of symptoms.
emotional symptoms of mental health problems
mental health problems can cause a wide variety of emotional symptoms,
some of which include:
* changes in mood
* erratic thinking
* chronic anxiety
* exaggerated sense of self-worth
* impulsive actions
physical symptoms of mental health problems
mental health problems typically do not cause physical symptoms in and
of themselves. depression, however, can indirectly cause weight loss,
fatigue and loss of libido, among others. eating disorders, a separate
class of mental health disorders, can cause malnutrition, weight loss,
amenorrhea in women, or electrolyte imbalances caused by self-induced
vomiting. this makes eating disorders among the most deadly of mental
health disorders.
short-term and long-term effects of mental health instability
in the short-term, mental health problems can cause people to be
alienated from their peers because of perceived unattractive
personality traits or behaviors. they can also cause anger, fear,
sadness and feelings of helplessness if the person does not know or
understand what is happening. in the long-term, mental health disorders
can drive a person to commit suicide. according to the national
institute for mental health, over 90 percent of suicides have
depression or another mental disorder as factors.
is there a test or self-assessment i can do?
it is hard, bordering on impossible, to accurately diagnose yourself
for mental disorders with an online questionnaire. you do not have an
objective view of yourself and are bound to answer questions
inaccurately. also, online tests are not comprehensive, so they do not
check for all possible symptoms. only a face-to-face session with a
qualified mental health professional can begin to diagnose a mental
health disorder with any degree of accuracy, because that professional
has an outside viewpoint and can pick up on subtle cues.
medication: drug options for mental health issues
fortunately, prescription drugs can be used to treat mental health
disorders in conjunction with behavioral therapy or cognitive therapy.
antidepressants, mood stabilizers, and antipsychotics are the broad
types of medication prescribed to treat mental illness.
mental health drugs: possible options
depending on the disorder, different medications will be prescribed.
antidepressants such as paxil, zoloft, prozac, and a variety of ssris,
snris and maois can be used to treat depression. mood stabilizers such
as lithium tablets are used to treat bipolar disorder, as are
anticonvulsants like depakote. antipsychotics like olanzapine or
clozapine are used to treat schizophrenia or psychotic depression.
medication side effects
some of the side effects of mental health medication include nausea,
headache, changes in appetite, dry mouth, increased urination, change
in libido, irritability, blurred vision and drowsiness. other side
effects can occur; each person’s body and brain chemistry is unique,
and it is impossible to predict with certainty how a given medication
will affect you or how well it will work. people who are prescribed
these medications should regularly communicate with their doctors and
notify them of any side effects.
drug addiction, dependence and withdrawal
some mental health medications are known to cause physical and
psychological dependency due to their changes in brain chemistry. over
time, dependency can become an addiction if the person isn’t careful.
the withdrawal process can exacerbate the original mental illness
because of the brain’s sudden loss of some chemicals such as serotonin,
dopamine, and other endorphins. in severe cases, the person may need to
be placed in a drug rehab facility to detox from prescription
medication.
medication overdose
it is possible to overdose on medication in an effort to get the same
effects as initially received, and this is more common when users are
dependent on medications. some signs of overdose can include seizure,
coma, slowed heartbeat, or extreme paranoia. if these signs are
present, immediately call 911 or your local poison control center and
have the prescription on hand if possible.
depression and mental health
depression often coexists with other mental disorders, or certain
disorders may have caused depression in the first place. for example,
40 percent of people with post-traumatic stress disorder also have
depression.
dual diagnosis: addiction and mental health disorders
in drug rehab facilities, counselors are usually trained to identify
dual diagnosis issues. this is because addiction is itself a type of
mental health disorder, or the addiction can be the symptom of some
other disorder. people may, for instance, turn to recreational drugs to
combat depression or to help stabilize mood swings associated with
bipolar disorder.
getting help for a mental health issue
it’s important that you or your loved one should seek help to treat
mental health issue. first, a physical checkup can rule out physical
illnesses. an appointment with a mental health professional will
usually include an interview and subsequent evaluation to determine the
most obvious symptoms and to ascertain the type and severity of mental
disorder. in certain cases, an intervention may be required from family
and friends. if you or someone you know needs help, call us at to get
more information on treatment.
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mental illness and the family: recognizing warning signs and how to cope
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mental illness and the family: recognizing warning signs and how to cope
most people believe that mental health conditions are rare and “happen
to someone else." in fact, mental health conditions are common and
widespread. an estimated 44 million americans suffer from some form of
mental disorder in a given year.
most families are not prepared to cope with learning their loved one
has a mental illness. it can be physically and emotionally trying, and
can make us feel vulnerable to the opinions and judgments of others.
if you think you or someone you know may have a mental or emotional
problem, it is important to remember there is hope and help.
what is mental illness?
mental illnesses are brain-based conditions that affect thinking,
emotions, and behaviors. since we all have brains – having some kind of
mental health problem during your life is really common.
for people who have mental illnesses, their brains have changed in a
way in which they are unable to think, feel, or act in ways they want
to. for some, this means experiencing extreme and unexpected changes in
mood – like feeling more sad or worried than normal. for others, it
means not being able to think clearly, not being able to communicate
with someone who is talking to them, or having bizarre thoughts to help
explain weird feelings they are having.
there are more than 200 classified forms of mental illness. some of the
more common disorders are depression, bipolar disorder, dementia,
schizophrenia and anxiety disorders. symptoms may include changes in
mood, personality, personal habits and/or social withdrawal.
mental health problems may be related to excessive stress due to a
particular situation or series of events. as with cancer, diabetes and
heart disease, mental illnesses are often physical as well as emotional
and psychological. mental illnesses may be caused by a reaction to
environmental stresses, genetic factors, biochemical imbalances, or a
combination of these. with proper care and treatment many individuals
learn to cope or recover from a mental illness or emotional disorder.
to hear personal descriptions of mental illness, visit feelslike.
warning signs and symptoms
to learn more about symptoms that are specific to a particular mental
illness, search under mental health information.the following are signs
that your loved one may want to speak to a medical or mental health
professional.
it is especially important to pay attention to sudden changes in
thoughts and behaviors. also keep in mind that the onset of several of
the symptoms below, and not just any one change, indicates a problem
that should be assessed. the symptoms below should not be due to recent
substance use or another medical condition.
if you or someone you know is in crisis now, seek help immediately.
call 1-800-273-talk (8255) to reach a 24 hour crisis center or dial 911
for immediate assistance.
in adults, young adults and adolescents:
* confused thinking
* prolonged depression (sadness or irritability)
* feelings of extreme highs and lows
* excessive fears, worries and anxieties
* social withdrawal
* dramatic changes in eating or sleeping habits
* strong feelings of anger
* strange thoughts (delusions)
* seeing or hearing things that aren't there (hallucinations)
* growing inability to cope with daily problems and activities
* suicidal thoughts
* numerous unexplained physical ailments
* substance use
in older children and pre-adolescents:
* substance use
* inability to cope with problems and daily activities
* changes in sleeping and/or eating habits
* excessive complaints of physical ailments
* changes in ability to manage responsibilities - at home and/or at
school
* defiance of authority, truancy, theft, and/or vandalism
* intense fear
* prolonged negative mood, often accompanied by poor appetite or
thoughts of death
* frequent outbursts of anger
in younger children:
* changes in school performance
* poor grades despite strong efforts
* changes in sleeping and/or eating habits
* excessive worry or anxiety (i.e. refusing to go to bed or school)
* hyperactivity
* persistent nightmares
* persistent disobedience or aggression
* frequent temper tantrums
how to cope day-to-day
accept your feelings
despite the different symptoms and types of mental illnesses, many
families who have a loved one with mental illness, share similar
experiences. you may find yourself denying the warning signs, worrying
what other people will think because of the stigma, or wondering what
caused your loved one to become ill. accept that these feelings are
normal and common among families going through similar situations. find
out all you can about your loved one’s conditionby reading and talking
with mental health professionals. share what you have learned with
others.
__________________________________________________________________
handling unusual behavior
the outward signs of a mental illness are often behavioral.a person may
be extremely quiet or withdrawn. conversely, they may burst into tears,
have great anxiety or have outbursts of anger.
even after treatment has started, someindividuals with a mental illness
can exhibit anti-social behaviors. when in public, these behaviors can
be disruptive and difficult to accept. the next time you and your
family member visit your doctor or mental health professional, discuss
these behaviors and develop a strategy for coping.
the individual's behavior may be as dismaying to them as it is to you.
ask questions, listen with an open mind and be there to support them.
__________________________________________________________________
establishing a support network
whenever possible, seek support from friends and family members. if you
feel you cannot discuss your situation with friends or other family
members, find a self-help or support group. these groups provide an
opportunity for you to talk to other people who are experiencing the
same type of problems. they can listen and offer valuable advice.
__________________________________________________________________
seeking counseling
therapy can be beneficial for both the individual with mental illness
and other family members. a mental health professional can suggest ways
to cope and better understand your loved one’s illness.
when looking for a therapist, be patient and talk to a few
professionals so you can choose the person that is right for you and
your family. it may take time until you are comfortable, but in the
long run you will be glad you sought help.
__________________________________________________________________
taking time out
it is common for the person with the mental illness to become the focus
of family life. when this happens, other members of the family may feel
ignored or resentful. some may find it difficult to pursue their own
interests.
if you are the caregiver,youneed some time for yourself. schedule time
awayto preventbecoming frustrated or angry. if you schedule time for
yourself it will help you to keep things in perspective and you may
have more patience and compassion for coping or helping your loved
one.being physically and emotionally healthy helps you to help others.
“many families who have a loved one with mental illness share similar
experiences”
it is important to remember that there is hope for recovery and that
with treatment many people with mental illness return to a productive
and fulfilling life.
__________________________________________________________________
other resources
mental illness in the family: part 1 recognizing the warning signs &
how to copeis one in a series of pamphlets on helping family members
with mental illness. other mental health america titles include:
* mental illness in the family: part ii guidelines for seeking care
* mental illness in the family: part iii guidelines for
hospitalization
mental health america offers additional pamphlets on a variety of
mental health topics. for more information or to order multiple copies
of pamphlets, please contact mental health america
external resources
find a local mha affiliate
substance abuse and mental health services administration (samhsa)
phone 800-789-2647
national institute of mental health (nimh)
information resources and inquiries branch
phone 301-443-4513
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