3. Lifestyle and health
How we live, how we think about and
understand our lives influences our behaviour.
How we behave affects our health
Our health is determined, to a large extent, by
the decisions we make in our everyday lives.
Sunday, February 22, 2009
5. Physical Activity, Fatness and Health
• In addition to allergic diseases, educational level and physical
activity are associated with adult onset asthma, which indicates a
role for factors associated with life style. (Huovinen et al 2001)
• There is strong evidence that physical activity reduces the risk of
colon cancer by up to 50%. (Peters et al 2001)
• Relationships between C-R fitness and CHD risk status in
adolescents are mediated by fatness, whereas the observed
relationships with fatness are independent of fitness. Primary
prevention of CHD during childhood should therefore concentrate
upon preventing or reversing undue weight gain. (Boreham et al
2001)
Sunday, February 22, 2009
7. Diet and Cancer
• Cancer is mostly a preventable disease. The chief causes of cancer
are use of tobacco and inappropriate diets
• Current data support previous findings that inappropriate diets
cause around one-third of all cancer deaths
• Substantial and varied amounts of vegetables and fruits will prevent
20 per cent or more of all cases of cancer.
• Keeping alcohol intake within recommended limits will prevent up
to 20 per cent of cases of the aerodigestive tract, the colon and
rectum and breast
• Cancers of the stomach and colon and rectum are mostly
preventable by appropriate diets and related factors.
Sunday, February 22, 2009
8. Health
Behaviour
Why do people adopt
positive health
behaviours?
Sunday, February 22, 2009
10. Social Behaviour, Cognition and Health
• Social behaviour is a consequence of perceptions of reality.
• Social cognition is concerned with understanding how individuals
make sense of social situations.
• We can divide this into:
Person Perception
• making sense of others
Self Regulation
• making sense of ourselves
Sunday, February 22, 2009
13. Health Belief Model
Threat Behavioural
Cues to Action
Perceptions Evaluation
Benefits Internal
Susceptibility
Efficacy External
Costs Health
Severity
Barriers Motivation
Sunday, February 22, 2009
14. Health Belief Model
Threat Behavioural
Cues to Action
Perceptions Evaluation
Benefits Internal
Susceptibility
Efficacy External
Costs Health
Severity
Barriers Motivation
Sunday, February 22, 2009
15. Health Belief Model
Threat Behavioural
Cues to Action
Perceptions Evaluation
Benefits Internal
Susceptibility
Efficacy External
Costs Health
Severity
Barriers Motivation
Sunday, February 22, 2009
17. Protection Motivation Theory
Threat Appraisal Coping Appraisal
Adaptive health
Action-outcome
behaviour is a Susceptibility
efficacy
consequence of-
Severity Self-efficacy
Sunday, February 22, 2009
18. Protection Motivation Theory
Threat Appraisal Coping Appraisal
Adaptive health
Action-outcome
behaviour is a Susceptibility
efficacy
consequence of-
Severity Self-efficacy
Sunday, February 22, 2009
19. Protection Motivation Theory
Threat Appraisal Coping Appraisal
Adaptive health
Action-outcome
behaviour is a Susceptibility
efficacy
consequence of-
Severity Self-efficacy
Sunday, February 22, 2009
25. Planned Behaviour Theory
Value
Attitudes = Consequences
Efficacy
Subjective Norms
Sunday, February 22, 2009
26. Planned Behaviour Theory
Value
Attitudes = Consequences
Efficacy
Views of
Subjective Norms = Others
Sunday, February 22, 2009
27. Planned Behaviour Theory
Value
Attitudes = Consequences
Efficacy
Views of
Subjective Norms = + Compliance
Others
Sunday, February 22, 2009
28. Planned Behaviour Theory
Value
Attitudes = Consequences
Efficacy
Views of
Subjective Norms = + Compliance
Others
Behavioural Control
Sunday, February 22, 2009
29. Planned Behaviour Theory
Value
Attitudes = Consequences
Efficacy
Views of
Subjective Norms = + Compliance
Others
=
Behavioural Control Resources
Sunday, February 22, 2009
30. Planned Behaviour Theory
Value
Attitudes = Consequences
Efficacy
Views of
Subjective Norms = + Compliance
Others
+
=
Behavioural Control Resources Opportunity
Sunday, February 22, 2009
38. Stress Appraisal: Lazarus
Primary Appraisal
Is this harmful,
beneficial, threatening
or challenging?
Sunday, February 22, 2009
39. Stress Appraisal: Lazarus
Primary Appraisal
Is this harmful,
beneficial, threatening
or challenging?
How do I feel about
this?
Sunday, February 22, 2009
40. Stress Appraisal: Lazarus
Primary Appraisal Secondary Appraisal
Is this harmful,
beneficial, threatening
or challenging?
How do I feel about
this?
Sunday, February 22, 2009
41. Stress Appraisal: Lazarus
Primary Appraisal Secondary Appraisal
Is this harmful,
Can I cope?
beneficial, threatening
or challenging?
How do I feel about
this?
Sunday, February 22, 2009
42. Stress Appraisal: Lazarus
Primary Appraisal Secondary Appraisal
Is this harmful,
Can I cope?
beneficial, threatening
or challenging?
How do I feel about What are the
this? alternatives?
Sunday, February 22, 2009
43. Stress Appraisal: Lazarus
Primary Appraisal Secondary Appraisal
Is this harmful,
Can I cope?
beneficial, threatening
or challenging?
How do I feel about What are the I can cope
this? alternatives?
Sunday, February 22, 2009
44. Stress Appraisal: Lazarus
Primary Appraisal Secondary Appraisal
Is this harmful,
Can I cope?
beneficial, threatening
or challenging?
How do I feel about What are the I can cope
this? alternatives?
Sunday, February 22, 2009
45. Stress Appraisal: Lazarus
Primary Appraisal Secondary Appraisal I can’t cope
Is this harmful,
Can I cope?
beneficial, threatening
or challenging?
How do I feel about What are the I can cope
this? alternatives?
Sunday, February 22, 2009
47. Stressful Events
• Salient : What is most important?
• Work, Family, Status, Money
• Overload
• Not just one event but the general background of
stressful events
• Ambiguous Events
• Events that are not clearly defined may be more
stressful
• Uncontrollable Events
• Surprise or shock
• Predictability may be important
Sunday, February 22, 2009
48. Self Efficacy
Lazarus and Folkman 1987
I can do this I can’t do this
Sunday, February 22, 2009
49. Self Efficacy
Lazarus and Folkman 1987
I can do this I can’t do this
Less Stressful More Stressful
Sunday, February 22, 2009
51. Other Theories
• Hardiness (Kobasa 1982)
• Feelings of control
• Desire to accept challenges
• Commitment
• Mastery (Karasek and Theorell 1990)
• The degree to which I think I can manage
stressful events.
Sunday, February 22, 2009
55. Some Questions
• Are some people more stress sensitive?
• If so does this mean they suffer more physical consequences?
• Does gender make a difference?
• If we talk about negative stress more (cultural predisposition) do
we suffer more?
• Do we learn to be stressed?
• What factors increase stress in contemporary society?
Sunday, February 22, 2009
Hinweis der Redaktion
HBM uses two aspects of representations of health: perception of illness threat and evaluation of counter measures.
Internal cues: physical symptoms
external: campaigns, advice from others
HBM uses two aspects of representations of health: perception of illness threat and evaluation of counter measures.
Internal cues: physical symptoms
external: campaigns, advice from others
HBM uses two aspects of representations of health: perception of illness threat and evaluation of counter measures.
Internal cues: physical symptoms
external: campaigns, advice from others
HBM uses two aspects of representations of health: perception of illness threat and evaluation of counter measures.
Internal cues: physical symptoms
external: campaigns, advice from others
Associated with fear of ill health
how effective is the proposed action?
how likely is it that I can do this?
Associated with fear of ill health
how effective is the proposed action?
how likely is it that I can do this?
Associated with fear of ill health
how effective is the proposed action?
how likely is it that I can do this?
Connor and Sparks 1991
Attitudes to health behaviour
Will follow a health behaviour if
It leads to valued outcomes
supported by people who’s views they value
access to necessary resources
Connor and Sparks 1991
Attitudes to health behaviour
Will follow a health behaviour if
It leads to valued outcomes
supported by people who’s views they value
access to necessary resources
Connor and Sparks 1991
Attitudes to health behaviour
Will follow a health behaviour if
It leads to valued outcomes
supported by people who’s views they value
access to necessary resources
Connor and Sparks 1991
Attitudes to health behaviour
Will follow a health behaviour if
It leads to valued outcomes
supported by people who’s views they value
access to necessary resources
Connor and Sparks 1991
Attitudes to health behaviour
Will follow a health behaviour if
It leads to valued outcomes
supported by people who’s views they value
access to necessary resources
Connor and Sparks 1991
Attitudes to health behaviour
Will follow a health behaviour if
It leads to valued outcomes
supported by people who’s views they value
access to necessary resources
Connor and Sparks 1991
Attitudes to health behaviour
Will follow a health behaviour if
It leads to valued outcomes
supported by people who’s views they value
access to necessary resources
Connor and Sparks 1991
Attitudes to health behaviour
Will follow a health behaviour if
It leads to valued outcomes
supported by people who’s views they value
access to necessary resources
Connor and Sparks 1991
Attitudes to health behaviour
Will follow a health behaviour if
It leads to valued outcomes
supported by people who’s views they value
access to necessary resources
Connor and Sparks 1991
Attitudes to health behaviour
Will follow a health behaviour if
It leads to valued outcomes
supported by people who’s views they value
access to necessary resources
Bandura (1977)
What will happen if I take no action?
How likely is it that the behaviour will be beneficial?
How realistic is this behaviour for me?
Bandura (1977)
What will happen if I take no action?
How likely is it that the behaviour will be beneficial?
How realistic is this behaviour for me?
Bandura (1977)
What will happen if I take no action?
How likely is it that the behaviour will be beneficial?
How realistic is this behaviour for me?
Bandura (1977)
What will happen if I take no action?
How likely is it that the behaviour will be beneficial?
How realistic is this behaviour for me?