Discussion

“The Reversal of Fortunes” by Ezzati, In general public health measures appear to be working. Not only has US life expectancy increased over the past half century, but mortality rates of major lifestyle-related diseases—particularly heart disease and stroke—have decreased in both men and women. In the 1980s, however, a disconcerting “reversal of fortunes” began to occur in some vulnerable populations in some regions of the US. Describe what happened and give the proximal (immediate) influences for this backward trend.

· What do you think are the distal (ultimate) influences for the “reversal of fortunes” described in the article? Suggest a comprehensive intervention plan to reverse this reversal. Upon which theoretical framework or model would it be based? Why? MLAFormart