{"id":192,"date":"2021-08-26T11:36:21","date_gmt":"2021-08-26T15:36:21","guid":{"rendered":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursingmain\/chapter\/health-determinants\/"},"modified":"2024-06-05T15:10:47","modified_gmt":"2024-06-05T19:10:47","slug":"health-determinants","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursingmain\/chapter\/health-determinants\/","title":{"raw":"Health Determinants","rendered":"Health Determinants"},"content":{"raw":"<p style=\"text-align: left\"><span style=\"color: #000000\">The Ottawa Charter for Health Promotion from the 1980s remains relevant, but in the 1990s there was a shift to a more expansive understanding of health determinants. See <strong>Table 6<\/strong> for some examples of health determinants.<\/span><\/p>\r\n<p style=\"text-align: left\"><span style=\"color: #000000\"><strong>Table 6<\/strong>: Health determinants. (adapted from the Canadian Public Health Association, 1996).<\/span><\/p>\r\n&nbsp;\r\n<table class=\"lines\" style=\"border-collapse: collapse;width: 100%;height: 135px\" border=\"0\">\r\n<tbody>\r\n<tr style=\"height: 15px\">\r\n<th class=\"shaded\" style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\"><strong>Health determinants\u00a0<\/strong><\/span><\/p>\r\n<\/th>\r\n<th class=\"shaded\" style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\"><strong>Considerations<\/strong><\/span><\/p>\r\n<\/th>\r\n<\/tr>\r\n<tr style=\"height: 15px\">\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">Healthy child development.<\/span><\/p>\r\n<\/td>\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">Assessment of healthy child development focuses on the physical, cognitive, and emotional development of the child and whether their needs are being met and developmental milestones are being reached.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 15px\">\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">Lifelong learning.<\/span><\/p>\r\n<\/td>\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">This type of learning involves the personal and professional pursuit of knowledge. It can involve developing job skills and improving employability, and thus socioeconomic stability. It may also inspire personal development and foster a continual pursuit of knowledge even into older adulthood<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 15px\">\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">Absence of <strong>[pb_glossary id=\"358\"]racism[\/pb_glossary]<\/strong> and <strong>[pb_glossary id=\"360\"]discrimination[\/pb_glossary]<\/strong> associated with culture, gender, and sexual orientation.<\/span><\/p>\r\n<\/td>\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">Discrimination and racism can negatively affect a person\u2019s health and wellbeing. Therefore, you should assess for the presence of these in a client\u2019s life and how it affects them.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 15px\">\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">A life free of violence.<\/span><\/p>\r\n<\/td>\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">A life free of violence positively influences health and wellbeing. It is important to be aware of the negative effects of violence on a person\u2019s life and how you can screen and assess for it.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 15px\">\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">Work opportunities and adequate income.<\/span><\/p>\r\n<\/td>\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">Access to work opportunities supports an individual\u2019s development over the course of their life and also provides access to adequate income. Limited access to these opportunities can have negative effects on health and wellbeing.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 15px\">\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">Healthy lifestyles (nutrition, activity\/exercise, sleep\/rest, coping and stress management, and smoke free).<\/span><\/p>\r\n<\/td>\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">A range of lifestyle factors can negatively affect health and wellbeing and lead to certain disease processes. Inquiring about these factors is part of many assessments.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 15px\">\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">Healthy, social relationships.<\/span><\/p>\r\n<\/td>\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">Healthy, social relationships are positive health determinants throughout all life stages. These can include parenting relationships, friends, work, and intimate partner relationships: all of these can support development and quality of life.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 15px\">\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">Protection from infectious diseases and environmental hazards.<\/span><\/p>\r\n<\/td>\r\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\r\n<p class=\"no-indent\"><span style=\"color: #000000\">Living in an environment free from and\/or protected from infectious diseases and environmental hazards is important to overall health and wellbeing.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h2 style=\"text-align: left\"><span style=\"color: #000000\"><strong>References<\/strong><\/span><\/h2>\r\n<p style=\"text-align: left\"><span style=\"color: #000000\">Canadian Public Health Association (1996).\u00a0<em>Action statement for health promotion in Canada<\/em>.\u00a0<\/span><a href=\"https:\/\/www.cpha.ca\/action-statement-health-promotion-canada\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cpha.ca\/action-statement-health-promotion-canada<\/a><\/p>","rendered":"<p style=\"text-align: left\"><span style=\"color: #000000\">The Ottawa Charter for Health Promotion from the 1980s remains relevant, but in the 1990s there was a shift to a more expansive understanding of health determinants. See <strong>Table 6<\/strong> for some examples of health determinants.<\/span><\/p>\n<p style=\"text-align: left\"><span style=\"color: #000000\"><strong>Table 6<\/strong>: Health determinants. (adapted from the Canadian Public Health Association, 1996).<\/span><\/p>\n<p>&nbsp;<\/p>\n<table class=\"lines\" style=\"border-collapse: collapse;width: 100%;height: 135px\">\n<tbody>\n<tr style=\"height: 15px\">\n<th class=\"shaded\" style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\"><strong>Health determinants\u00a0<\/strong><\/span><\/p>\n<\/th>\n<th class=\"shaded\" style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\"><strong>Considerations<\/strong><\/span><\/p>\n<\/th>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">Healthy child development.<\/span><\/p>\n<\/td>\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">Assessment of healthy child development focuses on the physical, cognitive, and emotional development of the child and whether their needs are being met and developmental milestones are being reached.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">Lifelong learning.<\/span><\/p>\n<\/td>\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">This type of learning involves the personal and professional pursuit of knowledge. It can involve developing job skills and improving employability, and thus socioeconomic stability. It may also inspire personal development and foster a continual pursuit of knowledge even into older adulthood<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">Absence of <strong><button class=\"glossary-term\" aria-describedby=\"192-358\">racism<\/button><\/strong> and <strong><button class=\"glossary-term\" aria-describedby=\"192-360\">discrimination<\/button><\/strong> associated with culture, gender, and sexual orientation.<\/span><\/p>\n<\/td>\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">Discrimination and racism can negatively affect a person\u2019s health and wellbeing. Therefore, you should assess for the presence of these in a client\u2019s life and how it affects them.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">A life free of violence.<\/span><\/p>\n<\/td>\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">A life free of violence positively influences health and wellbeing. It is important to be aware of the negative effects of violence on a person\u2019s life and how you can screen and assess for it.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">Work opportunities and adequate income.<\/span><\/p>\n<\/td>\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">Access to work opportunities supports an individual\u2019s development over the course of their life and also provides access to adequate income. Limited access to these opportunities can have negative effects on health and wellbeing.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">Healthy lifestyles (nutrition, activity\/exercise, sleep\/rest, coping and stress management, and smoke free).<\/span><\/p>\n<\/td>\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">A range of lifestyle factors can negatively affect health and wellbeing and lead to certain disease processes. Inquiring about these factors is part of many assessments.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">Healthy, social relationships.<\/span><\/p>\n<\/td>\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">Healthy, social relationships are positive health determinants throughout all life stages. These can include parenting relationships, friends, work, and intimate partner relationships: all of these can support development and quality of life.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">Protection from infectious diseases and environmental hazards.<\/span><\/p>\n<\/td>\n<td style=\"width: 50%;text-align: left;vertical-align: top;height: 15px\">\n<p class=\"no-indent\"><span style=\"color: #000000\">Living in an environment free from and\/or protected from infectious diseases and environmental hazards is important to overall health and wellbeing.<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 style=\"text-align: left\"><span style=\"color: #000000\"><strong>References<\/strong><\/span><\/h2>\n<p style=\"text-align: left\"><span style=\"color: #000000\">Canadian Public Health Association (1996).\u00a0<em>Action statement for health promotion in Canada<\/em>.\u00a0<\/span><a href=\"https:\/\/www.cpha.ca\/action-statement-health-promotion-canada\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cpha.ca\/action-statement-health-promotion-canada<\/a><\/p>\n<div class=\"glossary\"><div class=\"glossary__tooltip\" id=\"192-358\" hidden><p>refers to individual behaviour and policies and practices entrenched by biased attitudes based on race and privileging white people and disadvantaging racialized people.<\/p>\n<\/div><div class=\"glossary__tooltip\" id=\"192-360\" hidden><p>refers specifically to actions against a person or community\/group of people based on the group\/category that they belong (e.g., race, gender, socioeconomic status).<\/p>\n<\/div><\/div>","protected":false},"author":34,"menu_order":11,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":"cc-by-nc"},"chapter-type":[],"contributor":[61],"license":[56],"class_list":["post-192","chapter","type-chapter","status-publish","hentry","contributor-61","license-cc-by-nc"],"part":170,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursingmain\/wp-json\/pressbooks\/v2\/chapters\/192","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursingmain\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursingmain\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursingmain\/wp-json\/wp\/v2\/users\/34"}],"version-history":[{"count":3,"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursingmain\/wp-json\/pressbooks\/v2\/chapters\/192\/revisions"}],"predecessor-version":[{"id":2561,"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursingmain\/wp-json\/pressbooks\/v2\/chapters\/192\/revisions\/2561"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursingmain\/wp-json\/pressbooks\/v2\/parts\/170"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursingmain\/wp-json\/pressbooks\/v2\/chapters\/192\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursingmain\/wp-json\/wp\/v2\/media?parent=192"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursingmain\/wp-json\/pressbooks\/v2\/chapter-type?post=192"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursingmain\/wp-json\/wp\/v2\/contributor?post=192"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/assessmentnursingmain\/wp-json\/wp\/v2\/license?post=192"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}