Unit 3 & 4 Health Behavior Assignment
PUH 5304, Health Behavior 1
Course Learning Outcomes for Unit III Upon completion of this unit, students should be able to:
1. Appraise the theoretical models used to define health behavior principles. 1.1 Analyze the role determinants of health play in utilizing the PRECEDE-PROCEED Planning
Model.
4. Analyze the concept of determinants of health behavior. 4.1 Deduce the effect determinants of health behavior have on intervention planning.
Course/Unit Learning Outcomes
Learning Activity
1.1
Unit Lesson Chapter 3 Video: Determinants of Adult Health (Segment 3 of 5) Unit III Assignment
4.1
Unit Lesson Chapter 3 Video: Determinants of Adult Health (Segment 3 of 5) Unit III Assignment
Reading Assignment Chapter 3: The PRECEDE-PROCEED Planning Model In order to access the following resource, click the link below. Video Education America (Producer). (2011). Determinants of adult health (Segment 3 of 5) [Video file].
Retrieved from https://libraryresources.columbiasouthern.edu/login?auth=CAS&url=http://fod.infobase.com/PortalPla ylists.aspx?wID=273866&xtid=47482&loid=128861
The transcript for this video can be found by clicking the “Transcript” tab to the right of the video in the Films on Demand database.
Unit Lesson Welcome to Unit III. At this point, you should start to feel comfortable with the textbook and how each of the chapter readings are divided into sections of introduction, key concepts, and take-home messages. Starting in this unit, many of the chapters also have an applied example that may be useful as you are learning the content. Understanding how the textbook is structured makes it easier to refer to things you read and reference key concepts in your assignments and posts. In the previous unit, we addressed how the socioecological model applies to health behavior. In this unit, we are going to address how determinants of health affect ones’ health behavior. The textbook reading this unit discusses the different stages of the PRECEDE-PROCEED planning model. When a health educator is considering an intervention using the steps outlined in the PRECEDE-PROCEED planning g model, he or she must also take into consideration determinants of health that will affect the successfulness of the intervention.
UNIT III STUDY GUIDE
Health Behavior and Determinants of Health
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Determinants of Health By now, it should be apparent that whether a person is participating in healthy behavior, their health is determined by more than just their willpower. Factors such as where a person lives, a person’s neighbor(s), education level, mental health, social circle, and even the genes their parents gave them can affect their likelihood to participate in different health behaviors (Braveman & Gottlieb, 2014). All of these factors are determinants of health. DiClemente, Salazar, and Crosby (2019) define determinants as any factors that “influence the health behavior” (p. 30). Determinants of health include one’s social environment, economic environment, physical environment, individual characteristics, and individual behaviors (Braveman & Gottlieb, 2014).
Examples of Determinants of Health
Education Low educational levels have been associated with not only poorer health, but also higher levels of stress and lower self-confidence (Hiza, Casavale, Guenther, & Davis, 2013).
Employment and work conditions People who have steady employment are healthier than people who do not have steady work, and people who work in ideal work settings are healthier than those that work in harsh/unsafe work conditions (Allanson & Petrie, 2013).
Genetics The genes that a person inherits affects their lifespan, health, and the likelihood of developing certain illnesses (Bartels, 2015).
Gender Men are at higher risk for certain diseases and health issues when compared to women and vice versa (Hiza et al., 2013).
Health services As access to and use of health services that treat and prevent health disease increases, so does one’s health (Betancourt, Green, Carrillo & Owusu Ananeh-Firempong, 2003).
Income and social status Increased incomes and social class have been linked to having better health than those who have a low income and little to no social class level (Allanson & Petrie, 2013; Hiza et al., 2013).
Social support networks Increased support from friends, family, and community is associated with better health (Maher et al., 2014)
Health Professional Interview In this unit, we interviewed Dr. Brent Powell, a public health professional that has developed interventions in California that has a goal to get adolescents to participate in healthy health behaviors by providing sex education. Dr. Powell has a PhD in Health Education and Health Promotion from joint programs between the University of Alabama and University of Alabama at Birmingham. He is currently an associate professor of Health Promotion in the Department of Kinesiology at California State University Stanislaus. Dr. Powell also served as a creator and co-director of the Health Science Degree Completion Program with a concentration in health leadership and administration. Dr. Powell has several research publications and conference presentations, including at SHAPE America, SSSS, ACHA; ASHA; and state organizations of ASAHPERD and CAHPERD. Professional service includes Eta Sigma Gamma, AAHE, SHAPE America, ASAHPERD and CAHPERD. To learn more about what these organizations mentioned above are, click here. His research interests include sexuality education, school health education, and health behavior.
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Click here to listen to the interview. Click here to view the transcript.
Bring it All Together In this unit, we were able to see that health educators have to look at the whole person and not just the desired health behavior that is in front of them. For instance, Dr. Powell mentioned that he had to research the areas a student lived or the school district in which they were enrolled as an environmental determinant of health. If Dr. Powell used the different stages of the PRECEDE-PROCEED model to plan an intervention, he would have to take into account how the determinants of health may affect program outcomes. He would also have to be sure to plan provisions as it relates to any barriers that could affect the planning process. In the assignment this unit, you will identify determinants of health concepts to your hometown and discuss how they will affect program planning. As always, continue reviewing the feedback provided on previous assignments and use that to improve the assignment you submit in this unit.
References
Allanson, P., & Petrie, D. (2013). On the choice of health inequality measure for the longitudinal analysis of income‐related health inequalities. Health Economics, 22(3), 353–365. doi:10.1002/hec.2803
Bartels, M. (2015). Genetics of wellbeing and its components satisfaction with life, happiness, and quality of
life: A review and meta-analysis of heritability studies. Behavior Genetics, 45(2), 137–156. doi:10.1007/s10519-015-9713-y
Betancourt, J. R., Green, A. R., Carrillo, J. E., & Ananeh-Firempong, O., II. (2003). Defining cultural
competence: A practical framework for addressing racial/ethnic disparities in health and health care. Public Health Reports, 118(4), 293–302. doi:10.1093/phr/118.4.293
Braveman, P., & Gottlieb, L. (2014). The social determinants of health: It's time to consider the causes of the
causes. Public Health Reports, 129(1_suppl2), 19–31. doi:10.1177/00333549141291S206 DiClemente, R. J., Salazar, L. F., & Crosby, R. A. (2019). Health behavior theory for public health: Principles,
Foundations and applications (2nd ed.). Burlington, MA: Jones & Bartlett Learning. Hiza, H. A., Casavale, K. O., Guenther, P. M., & Davis, C. A. (2013). Diet quality of Americans differs by age,
sex, race/ethnicity, income, and education level. Journal of the Academy of Nutrition and Dietetics, 113(2), 297-306. doi:10.1016/j.jand.2012.08.011
Maher, C. A., Lewis, L. K., Ferrar, K., Marshall, S., De Bourdeaudhuij, I., & Vandelanotte, C. (2014). Are
health behavior change interventions that use online social networks effective? A systematic review. Journal of Medical Internet Research, 16(2). doi:10.2196/jmir.2952
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Learning Activities (Nongraded) Nongraded Learning Activities are provided to aid students in their course of study. You do not have to submit them. If you have questions, contact your instructor for further guidance and information. In this unit, we heard from Dr. Brent Powell, a professional in the field of health education and promotion. As a student, consider the importance of hearing from someone already in the field of health. What did you learn? What could you take away from the interview and apply to your own life?