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We are how we live

Social determinants of health and well being




                                               Vincent O’Brien
Biological Determinants




         Health
Biological Determinants


                  Genetics


         Health
Biological Determinants


                  Genetics


         Health


              Morphology
Biological Determinants


     Sex            Genetics


           Health


                Morphology
Biological Determinants


     Sex            Genetics


           Health


     Age        Morphology
Social Determinants



   Sex             Genetics



         Health


  Age             Morphology
Social Determinants
         Economic


   Sex               Genetics



          Health


  Age               Morphology
Social Determinants
         Economic




                                 Social Structure
   Sex               Genetics



          Health


  Age               Morphology
Social Determinants
                       Economic




                                               Social Structure
                 Sex               Genetics
Environment


                        Health


                Age               Morphology
Social Determinants
                         Economic




                                                 Social Structure
                 Sex                 Genetics
Environment


                           Health


                Age                 Morphology




                       Cultural Values
Health is Subjective
Health is Subjective

               Expectations




Knowledge       Personal      Motivation




                 Values
Health is Subjective

               Expectations

                Societal




Knowledge       Personal      Motivation




                 Values
Health is Subjective

               Expectations

                Societal




Knowledge       Personal      Peers   Motivation




                 Values
Health is Subjective

                     Expectations

                      Societal




Knowledge   Family    Personal      Peers   Motivation




                       Values
Health is Subjective

                     Expectations

                      Societal




Knowledge   Family    Personal      Peers   Motivation




                       Cultural


                       Values
Planned Behaviour Theory




Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
Planned Behaviour Theory

Attitudes




    Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
Planned Behaviour Theory

Attitudes                         =         Consequences




    Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
Planned Behaviour Theory
                                                                                                     Value
Attitudes                         =         Consequences




    Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
Planned Behaviour Theory
                                                                                                     Value
Attitudes                         =         Consequences
                                                                                                    Efficacy




    Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
Planned Behaviour Theory
                                                                                                         Value
   Attitudes                          =         Consequences
                                                                                                        Efficacy




Subjective Norms




        Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
Planned Behaviour Theory
                                                                                                         Value
   Attitudes                          =         Consequences
                                                                                                        Efficacy




                                                   Views of
Subjective Norms                      =            Others




        Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
Planned Behaviour Theory
                                                                                                         Value
   Attitudes                          =         Consequences
                                                                                                        Efficacy




                                                   Views of
Subjective Norms                      =            Others                         +                  Compliance




        Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
Planned Behaviour Theory
                                                                                                          Value
     Attitudes                         =         Consequences
                                                                                                         Efficacy




                                                    Views of
 Subjective Norms                      =            Others                         +                  Compliance




Behavioural Control



         Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
Planned Behaviour Theory
                                                                                                          Value
     Attitudes                         =         Consequences
                                                                                                         Efficacy




                                                    Views of
 Subjective Norms                      =            Others                         +                  Compliance




Behavioural Control                    =           Resources




         Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
Planned Behaviour Theory
                                                                                                          Value
     Attitudes                         =         Consequences
                                                                                                         Efficacy




                                                    Views of
 Subjective Norms                      =            Others                         +                  Compliance




Behavioural Control                    =           Resources                        +                 Opportunity




         Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
Sense of Coherence




Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of
Health Enhancement and Disease Prevention, 114-129.
Sense of Coherence




Comprehensible



    Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of
    Health Enhancement and Disease Prevention, 114-129.
Sense of Coherence




Comprehensible
                                                             Structured




    Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of
    Health Enhancement and Disease Prevention, 114-129.
Sense of Coherence




                                                             Predictable
Comprehensible
                                                             Structured




    Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of
    Health Enhancement and Disease Prevention, 114-129.
Sense of Coherence




                                                              Explicable
                                                             Predictable
Comprehensible
                                                             Structured




    Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of
    Health Enhancement and Disease Prevention, 114-129.
Sense of Coherence




  Manageable
                                                              Explicable
                                                             Predictable
Comprehensible
                                                             Structured




    Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of
    Health Enhancement and Disease Prevention, 114-129.
Sense of Coherence




  Manageable                                          Internal Resources
                                                              Explicable
                                                             Predictable
Comprehensible
                                                             Structured




    Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of
    Health Enhancement and Disease Prevention, 114-129.
Sense of Coherence




                                                     External Resources
  Manageable                                          Internal Resources
                                                              Explicable
                                                             Predictable
Comprehensible
                                                             Structured




    Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of
    Health Enhancement and Disease Prevention, 114-129.
Sense of Coherence



  Meaningful
                                                     External Resources
  Manageable                                          Internal Resources
                                                              Explicable
                                                             Predictable
Comprehensible
                                                             Structured




    Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of
    Health Enhancement and Disease Prevention, 114-129.
Sense of Coherence



  Meaningful
                                                       Significant Others
                                                     External Resources
  Manageable                                          Internal Resources
                                                              Explicable
                                                             Predictable
Comprehensible
                                                             Structured




    Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of
    Health Enhancement and Disease Prevention, 114-129.
Sense of Coherence


                                                                    Self
  Meaningful
                                                       Significant Others
                                                     External Resources
  Manageable                                          Internal Resources
                                                              Explicable
                                                             Predictable
Comprehensible
                                                             Structured




    Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of
    Health Enhancement and Disease Prevention, 114-129.
How Can Schools Influence Health?

It’s all about maximising potentials by buidling on:
                  Sense of Future
                     Self Worth
                 Social Integration
                    Knowledge
                        Skills
                 Capacity to Learn




  Personal                                    Social                                Environmental




           Seedhouse, D. (1986). Health: The Foundations for Achievement. Chichester: John Wiley and Sons Ltd.

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Social determinants health well-being

  • 1. We are how we live Social determinants of health and well being Vincent O’Brien
  • 2.
  • 4. Biological Determinants Genetics Health
  • 5. Biological Determinants Genetics Health Morphology
  • 6. Biological Determinants Sex Genetics Health Morphology
  • 7. Biological Determinants Sex Genetics Health Age Morphology
  • 8. Social Determinants Sex Genetics Health Age Morphology
  • 9. Social Determinants Economic Sex Genetics Health Age Morphology
  • 10. Social Determinants Economic Social Structure Sex Genetics Health Age Morphology
  • 11. Social Determinants Economic Social Structure Sex Genetics Environment Health Age Morphology
  • 12. Social Determinants Economic Social Structure Sex Genetics Environment Health Age Morphology Cultural Values
  • 14. Health is Subjective Expectations Knowledge Personal Motivation Values
  • 15. Health is Subjective Expectations Societal Knowledge Personal Motivation Values
  • 16. Health is Subjective Expectations Societal Knowledge Personal Peers Motivation Values
  • 17. Health is Subjective Expectations Societal Knowledge Family Personal Peers Motivation Values
  • 18. Health is Subjective Expectations Societal Knowledge Family Personal Peers Motivation Cultural Values
  • 19. Planned Behaviour Theory Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
  • 20. Planned Behaviour Theory Attitudes Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
  • 21. Planned Behaviour Theory Attitudes = Consequences Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
  • 22. Planned Behaviour Theory Value Attitudes = Consequences Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
  • 23. Planned Behaviour Theory Value Attitudes = Consequences Efficacy Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
  • 24. Planned Behaviour Theory Value Attitudes = Consequences Efficacy Subjective Norms Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
  • 25. Planned Behaviour Theory Value Attitudes = Consequences Efficacy Views of Subjective Norms = Others Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
  • 26. Planned Behaviour Theory Value Attitudes = Consequences Efficacy Views of Subjective Norms = Others + Compliance Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
  • 27. Planned Behaviour Theory Value Attitudes = Consequences Efficacy Views of Subjective Norms = Others + Compliance Behavioural Control Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
  • 28. Planned Behaviour Theory Value Attitudes = Consequences Efficacy Views of Subjective Norms = Others + Compliance Behavioural Control = Resources Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
  • 29. Planned Behaviour Theory Value Attitudes = Consequences Efficacy Views of Subjective Norms = Others + Compliance Behavioural Control = Resources + Opportunity Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
  • 30. Sense of Coherence Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of Health Enhancement and Disease Prevention, 114-129.
  • 31. Sense of Coherence Comprehensible Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of Health Enhancement and Disease Prevention, 114-129.
  • 32. Sense of Coherence Comprehensible Structured Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of Health Enhancement and Disease Prevention, 114-129.
  • 33. Sense of Coherence Predictable Comprehensible Structured Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of Health Enhancement and Disease Prevention, 114-129.
  • 34. Sense of Coherence Explicable Predictable Comprehensible Structured Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of Health Enhancement and Disease Prevention, 114-129.
  • 35. Sense of Coherence Manageable Explicable Predictable Comprehensible Structured Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of Health Enhancement and Disease Prevention, 114-129.
  • 36. Sense of Coherence Manageable Internal Resources Explicable Predictable Comprehensible Structured Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of Health Enhancement and Disease Prevention, 114-129.
  • 37. Sense of Coherence External Resources Manageable Internal Resources Explicable Predictable Comprehensible Structured Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of Health Enhancement and Disease Prevention, 114-129.
  • 38. Sense of Coherence Meaningful External Resources Manageable Internal Resources Explicable Predictable Comprehensible Structured Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of Health Enhancement and Disease Prevention, 114-129.
  • 39. Sense of Coherence Meaningful Significant Others External Resources Manageable Internal Resources Explicable Predictable Comprehensible Structured Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of Health Enhancement and Disease Prevention, 114-129.
  • 40. Sense of Coherence Self Meaningful Significant Others External Resources Manageable Internal Resources Explicable Predictable Comprehensible Structured Antonovsky, A. (1984). The sense of coherence as a determinant of health. Behavioral Health: A Handbook of Health Enhancement and Disease Prevention, 114-129.
  • 41. How Can Schools Influence Health? It’s all about maximising potentials by buidling on: Sense of Future Self Worth Social Integration Knowledge Skills Capacity to Learn Personal Social Environmental Seedhouse, D. (1986). Health: The Foundations for Achievement. Chichester: John Wiley and Sons Ltd.