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Perceptions of health
                               and well being
                             Lived experiences, health, illness and disease.




Sunday, February 22, 2009
Lifestyle and health




Sunday, February 22, 2009
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
Physical Activity, Fatness and Health




Sunday, February 22, 2009
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
Diet and Cancer




Sunday, February 22, 2009
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
Health
                 Behaviour
                Why do people adopt
                  positive health
                   behaviours?




Sunday, February 22, 2009
Social Behaviour, Cognition and Health




Sunday, February 22, 2009
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
Health Belief Model




Sunday, February 22, 2009
Health Belief Model




Sunday, February 22, 2009
Health Belief Model
                              Threat      Behavioural
                                                        Cues to Action
                            Perceptions   Evaluation



                                           Benefits         Internal
                       Susceptibility
                                           Efficacy         External



                                            Costs         Health
                             Severity
                                           Barriers      Motivation


Sunday, February 22, 2009
Health Belief Model
                              Threat      Behavioural
                                                        Cues to Action
                            Perceptions   Evaluation



                                           Benefits         Internal
                       Susceptibility
                                           Efficacy         External



                                            Costs         Health
                             Severity
                                           Barriers      Motivation


Sunday, February 22, 2009
Health Belief Model
                              Threat      Behavioural
                                                        Cues to Action
                            Perceptions   Evaluation



                                           Benefits         Internal
                       Susceptibility
                                           Efficacy         External



                                            Costs         Health
                             Severity
                                           Barriers      Motivation


Sunday, February 22, 2009
Protection Motivation Theory




Sunday, February 22, 2009
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
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
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
Planned Behaviour Theory




Sunday, February 22, 2009
Planned Behaviour Theory


                       Attitudes




Sunday, February 22, 2009
Planned Behaviour Theory


                       Attitudes     =   Consequences




Sunday, February 22, 2009
Planned Behaviour Theory
                                                        Value


                       Attitudes     =   Consequences




Sunday, February 22, 2009
Planned Behaviour Theory
                                                         Value


                       Attitudes     =   Consequences

                                                        Efficacy




Sunday, February 22, 2009
Planned Behaviour Theory
                                                         Value


                       Attitudes     =   Consequences

                                                        Efficacy




             Subjective Norms




Sunday, February 22, 2009
Planned Behaviour Theory
                                                         Value


                       Attitudes     =   Consequences

                                                        Efficacy




                                           Views of
             Subjective Norms        =      Others




Sunday, February 22, 2009
Planned Behaviour Theory
                                                              Value


                       Attitudes     =   Consequences

                                                             Efficacy




                                           Views of
             Subjective Norms        =                  +   Compliance
                                            Others




Sunday, February 22, 2009
Planned Behaviour Theory
                                                              Value


                       Attitudes     =   Consequences

                                                             Efficacy




                                           Views of
             Subjective Norms        =                  +   Compliance
                                            Others




           Behavioural Control



Sunday, February 22, 2009
Planned Behaviour Theory
                                                              Value


                       Attitudes     =   Consequences

                                                             Efficacy




                                           Views of
             Subjective Norms        =                  +   Compliance
                                            Others




                                     =
           Behavioural Control            Resources




Sunday, February 22, 2009
Planned Behaviour Theory
                                                              Value


                       Attitudes     =   Consequences

                                                             Efficacy




                                           Views of
             Subjective Norms        =                  +   Compliance
                                            Others




                                                        +
                                     =
           Behavioural Control            Resources         Opportunity




Sunday, February 22, 2009
Self Efficacy Theory




Sunday, February 22, 2009
Self Efficacy Theory
                                     Situation




                                   Evaluation of




                                    Outcome
Sunday, February 22, 2009
Self Efficacy Theory
                                     Situation
                                      Action




                                   Evaluation of




                                    Outcome
                                    Outcome
Sunday, February 22, 2009
Self Efficacy Theory
                                     Situation
                                      Action

                                       Self




                                   Evaluation of




                                     Efficacy
                                    Outcome
                                    Outcome
Sunday, February 22, 2009
Self Efficacy Theory
                                      Situation
                                       Action

                                         Self




                                     Evaluation of
                                 Motivation Action




                                       Efficacy
                                      Outcome
                                      Outcome
Sunday, February 22, 2009
Stress Appraisal: Lazarus




Sunday, February 22, 2009
Stress Appraisal: Lazarus

          Primary Appraisal




Sunday, February 22, 2009
Stress Appraisal: Lazarus

          Primary Appraisal




          Is this harmful,
       beneficial, threatening
          or challenging?




Sunday, February 22, 2009
Stress Appraisal: Lazarus

          Primary Appraisal




          Is this harmful,
       beneficial, threatening
          or challenging?




         How do I feel about
               this?


Sunday, February 22, 2009
Stress Appraisal: Lazarus

          Primary Appraisal         Secondary Appraisal




          Is this harmful,
       beneficial, threatening
          or challenging?




         How do I feel about
               this?


Sunday, February 22, 2009
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
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
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
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
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
Stressful Events




Sunday, February 22, 2009
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
Self Efficacy
                            Lazarus and Folkman 1987

     I can do this                               I can’t do this




Sunday, February 22, 2009
Self Efficacy
                              Lazarus and Folkman 1987

     I can do this                                 I can’t do this


             Less Stressful                          More Stressful




Sunday, February 22, 2009
Other Theories




Sunday, February 22, 2009
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
Physiological Consequences of Stress




Sunday, February 22, 2009
Physiological Consequences of Stress


                      Sympathetic Nervous System Activation
                      increase in:
                            •
                            Heart rate
                            •
                            Blood pressure
                            •
                            Sweating
                            •
                            Pupil dilation
                            •
                            Respiration



Sunday, February 22, 2009
Some Questions




Sunday, February 22, 2009
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

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Perceptions Of Health

  • 1. Perceptions of health and well being Lived experiences, health, illness and disease. Sunday, February 22, 2009
  • 2. Lifestyle and health Sunday, February 22, 2009
  • 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
  • 4. Physical Activity, Fatness and Health 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
  • 6. Diet and Cancer 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
  • 9. Social Behaviour, Cognition and Health 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
  • 11. Health Belief Model Sunday, February 22, 2009
  • 12. Health Belief Model 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
  • 20. Planned Behaviour Theory Sunday, February 22, 2009
  • 21. Planned Behaviour Theory Attitudes Sunday, February 22, 2009
  • 22. Planned Behaviour Theory Attitudes = Consequences Sunday, February 22, 2009
  • 23. Planned Behaviour Theory Value Attitudes = Consequences Sunday, February 22, 2009
  • 24. Planned Behaviour Theory Value Attitudes = Consequences 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
  • 31. Self Efficacy Theory Sunday, February 22, 2009
  • 32. Self Efficacy Theory Situation Evaluation of Outcome Sunday, February 22, 2009
  • 33. Self Efficacy Theory Situation Action Evaluation of Outcome Outcome Sunday, February 22, 2009
  • 34. Self Efficacy Theory Situation Action Self Evaluation of Efficacy Outcome Outcome Sunday, February 22, 2009
  • 35. Self Efficacy Theory Situation Action Self Evaluation of Motivation Action Efficacy Outcome Outcome Sunday, February 22, 2009
  • 37. Stress Appraisal: Lazarus Primary Appraisal 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
  • 52. Physiological Consequences of Stress Sunday, February 22, 2009
  • 53. Physiological Consequences of Stress Sympathetic Nervous System Activation increase in: • Heart rate • Blood pressure • Sweating • Pupil dilation • Respiration 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

  1. 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
  2. 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
  3. 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
  4. 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
  5. Associated with fear of ill health how effective is the proposed action? how likely is it that I can do this?
  6. Associated with fear of ill health how effective is the proposed action? how likely is it that I can do this?
  7. Associated with fear of ill health how effective is the proposed action? how likely is it that I can do this?
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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?
  19. 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?
  20. 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?
  21. 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?