Wellness as a Health Goal
- Health: The overall condition of body or mind and the presence or absence of illness or
Injury
- Wellness: Optimal health and vitality, encompassing all the dimensions of well-being
= Depends on conscious decisions that affect risk factors
Dimensions of Wellness
- Nine interrelated dimensions of wellness interact continuously
- Making changes in one dimension often affects others
The Long and the Short of Life Expectancy
- Life expectancy: The period a member of a given population is expected to live
- Our genes can determine up to 25% of the variability in our life span
- Correlated to a shorter life span are susceptibility to coronary artery disease and
Modifiable behaviors such as cigarette smoking
- Other factors such as obesity and drug use also strongly correlate to life span
- Education helps us live longer
- Morbidity and mortality rates from common infectious diseases were much higher in the
Early 20th century
- Life expectancy has nearly doubled
- Major differences between life span and health span is freedom from chronic or
Disabling disease
- Chronic disease: A disease that develops and continues over a long period
- Each of us can take responsibility for our lifestyle choices Promoting National Health
- Health promotion: The process of enabling people to increase control over their health and
Its determinants
- National Institute of Health
- Centers for Disease Control and Prevention
Health Insurance Options
- Affordable Care Act was signed into law in 2010
- Has remained in effect, but certain provisions have been altered
- Health insurance marketplace facilitates the purchase of health insurance at the state
Level
- Those who are below income requirements are eligible for federal help with premiums
- Students benefit in specific ways, such as with the ability to stay on their parents’ plans
Until 26 years old
The Healthy People Initiative
- Healthy People 2030, in development, proposes the following broad objectives
- Eliminating preventable disease, disability, injury, and premature death
- Achieve health equity, eliminate disparities, and improve health literacy
- Create social, economic, and physical environments that promote good health for all
- Promote healthy development and healthy behaviors across every stage of life
- Engage leadership and the public to design effective health policies
Health Issues for Diverse Populations
- Health disparities are linked to social, economic, and/or environmental disadvantage - Other differences are biological and cultural
- Sex and Gender
- Race and Ethnicity
- Income and education
- Disability
- Geographic location
- Sexual orientation and gender identity
Factors That Influence Wellness
- Health habits
- Heredity/family history
- Environment
- Access to health care
- Personal health behaviors
- Your personal behavior can tip the balance toward good health, even when heredity or
Environment is a negative factor.
Reaching Wellness through Lifestyle Management
- Behavior change: Cultivating healthy behaviors and working to overcome unhealthy ones
- Getting serious about your health
- Examine your current health habits
- Choose a target behavior
- Learn about your target behavior
- Find help - Building motivation to change
- Examine the pros and cons of change
- Boost self-efficacy
- Locus of control: The extent to which a person believes he or she has control
Over the events of his or her life
- Internal locus of control versus external locus of control
- Visualization and self-talk
- Role models and supportive people
- Identify and overcome barriers to change
- Enhancing your readiness to change
- Transtheoretical, or “stages of change”, model
- What stage are you in?
- Precontemplation
- Contemplation
- Preparation
- Action
- Maintenance
- Termination
Developing Skills for Change: Creating a Personalized Plan
- Monitor your behavior and gather data
- Analyze the data and identify patterns
- Be “SMART” about setting goals - Specific
- Measurable
- Attainable
- Realistic
- Time-frame specific
- Devise a plan of action
- Get what you need
- Modify your environment
- Control related habits
- Reward yourself
- Involve the people around you
- Plan for challenges
- Make a personal contract