Model within the Field of Public Health

DQ1

Present one theory or model within the field of public health which describes either how people maintain health and/or how illness is caused? Presentation of the theory or model may be submitted in graphic or narrative format. Even if this is not your personal viewpoint/belief, how can these multiple theories and models be beneficial to public health professionals? It is not appropriate to repeat one that has already been posted unless you are providing new information. Review all peer submissions and become familiar with the multiple theories and models. Respond to three peeress posts asking any questions or verifying your analysis of the theory/model.Model within the Field of Public Health

DQ2

What role should culture play in how a person’s health issues are handled? Is this demonstrated in the health system today? Support your position with examples and/or evidence.

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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.Model within the Field of Public Health

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.Model within the Field of Public Health

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

The public health model emphasizes the overall health of the public. In contrast, traditional healthcare focuses on the health of one individual. Public health uses a three-prong approach to prevention and intervention. This is known as “the agent, the host, and the environment.” Threats to public health require: 1) a susceptible host (e.g., a person) 2) an infectious agent, and 3) a supportive environment (meaning an environment that makes the spread of infection possible such as unsanitary or unsafe living conditions). The public health model originally developed his 3-sided triangular model for infectious disease. The model now includes addictions.Model within the Field of Public Health

According to the public health model, interventions may target any part of this triangle and we would expect public health to improve. . For example, an addiction prevention strategy that targets “the host” (a person) teaches children “refusal skills.” These skills reduce their susceptibility to addiction.  An intervention aimed at the infectious agent (drugs) is to control access to drugs (laws that regulate alcohol and tobacco).  Conversely, we could  limit exposure to drugs by making them illegal and difficult to obtain.  An intervention targeting the environment is a public health campaign that strives to change people’s attitudes towards gambling.

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Harm reduction is a specific type of public health strategy. Harm reduction is more applicable to drugs and alcohol than activity addictions. Harm reduction accepts that it is not possible to eliminate addiction. Instead, the public health goal becomes reducing the harmful effects of addiction. Because addiction affects both individuals with addictions and their communities, harm reduction seeks to reduce harm through any means necessary. The goal is an overall improvement in public health. For instance, IV drug users who become HIV+ can spread this disease to addicts and non-addicts alike. A harm reduction approach could be a needle exchange program (providing free, clean needles to IV drug users). People who abuse alcohol can kill someone with their car. A harm reduction approach might be a public health campaign that encourages the use of a sober “designated drivers.” This approach accepts that people will get drunk but reduces harm by providing an alternative to drunk driving.Model within the Field of Public Health

Other, more controversial examples of the harm reduction approach are methadone maintenance programs and drug consumption rooms.  Methadone maintenance programs provide heroin addicts an oral dose methadone to replace IV heroin use, at a supervised medical clinic.  Some European nations are experimenting with drug consumption rooms. Here, IV drug users can go to use their own drugs.  They receive clean needles and medical monitoring while they are using drugs.  These harm reduction strategies have several public health goals:  1) To substitute high risk drug use, with more hygienic, lower risk drug use, 2) To reduce morbidity, mortality, while promoting  the long-term health of users and the general public, and 3) To reduce crime and public nuisance associated with drug use.Model within the Field of Public Health