Dawn Papanayotou
BA, RRT
CURATED CONTENT MHST 601
Curated jewels to facilitate learnings in this course
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Unit 4 Multilevel Approach to Understanding Health - Beyond the Individual
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Agurs-Collins, T., Persky, S., Paskett, E. D., Barkin, S. L., Meissner, H. I., Nansel, T. R., Farhat, T. (2019). Designing and Assessing Multilevel Interventions to Improve Minority Health and Reduce Health Disparities. American Journal of Public Health,109(S1). doi:10.2105/ajph.2018.304730
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This article discusses ways to minimize health inequities by means of a multi-level approach to health. The factors responsible for health disparities are also discussed.​
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DeCamp, M., DeSalvo, K., & Dzeng, E. (2020). Ethics and Spheres of Influence in Addressing Social Determinants of Health. Journal of General Internal Medicine, 35(9), 2743–2745. https://doi.org/10.1007/s11606-020-05973-1
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Ethical principles that shape clinicians, health care organizations and the broader community are explored by using the concept of spheres of influence or “core spheres”. The authors discuss this concept in relation to the social determinants of health.
Fry, D. & Zask, A. (2017). Applying the Ottawa Charter to inform health promotion programme design. Health Promotion International, 32(5), 901–912. https://doi.org/10.1093/heapro/daw022
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Evaluating health promotion planning and design based on the concepts of the Ottawa Charter of Health Promotion and its five action areas. The authors apply various programs against the Charter's framework to evaluate the effectiveness of Ottawa Charter of Health as a health promotion tool.
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Gershon, A. S., Dolmage, T. E., Stephenson, A., & Jackson, B. (2012). Chronic obstructive pulmonary disease and socioeconomic status: a systematic review. COPD: Journal of Chronic Obstructive Pulmonary Disease, 9(3), 216–226. https://doi.org/10.3109/15412555.2011.648030
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The authors examine the relationship between socioeconomic status and COPD.
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Gershon, A.S., Mecredy, G., Ratnasingham, S. (2017). Chronic Obstructive Pulmonary Disease in Ontario, 1996/97 to 2014/15. Institute for Clinical Evaluative Sciences. https://www.ices.on.ca/Publications/%20Atlases-and-Reports/2017/COPD
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A study describing persons with COPD by age, sex and income level, as well as prevalence, incidence and mortality for the province of Ontario from 1996 to 2015.
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Golden, S. D., & Earp, J. A. (2012). Social ecological approaches to individuals and their contexts: twenty years of health education & behavior health promotion interventions. Health Education & Behavior: the Official Publication of the Society for Public Health Education, 39(3), 364–372. https://doi.org/10.1177/1090198111418634
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The authors review twenty years of publications as it pertains to the use of the social ecological model and its 5 levels of influence for health promotion. Interventions as well as targeted changes are discussed.
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Government of Canada. (n.d.). Achieving health for all: A framework for health promotion. https://www.canada.ca/en/health-canada/services/health-care-system/reports-publications/health-care-system/achieving-health-framework-health-promotion.html
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A framework for health promotion proposed by the government of Canada recognizing the country’s current health challenges. Strategies involving the individual, the community and the political realm are provided with goals of decreasing health inequities and increasing health promotion as a means of enabling people in taking control of their health.
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Greiner, K. P. (2021, April 19). Concept 3: Spheres of influence (SEM 2.0). The Social Change Cookbook. https://medium.com/the-social-change-cookbook/concept-3-spheres-of-influence-44bd5bd940ac
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The author of this blog updates Bronfenbrenner’s model of SEM to include a virtual sphere to account for digital and internet-based content that may exert influence.
Health Quality Ontario. (n.d.). Health Quality Ontario Health Equity Plan. https://www.hqontario.ca/Portals/0/documents/health-quality/Health_Equity_Plan_Report_En.pdf
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A framework for recognizing and addressing health inequity in the province of Ontario followed by recommendations for Health Quality Ontario.
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Karches, K., DeCamp, M., George, M., Prochaska, M., Saunders, M., Thorsteinsdottir, B., & Dzeng, E. (2021). Spheres of Influence and Strategic Advocacy for Equity in Medicine. Journal of General Internal Medicine, 36(11), 3537–3540. https://doi.org/10.1007/s11606-021-06893-4
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The authors describe practical ways for physicians to promote health equity by applying the concept of spheres of influence, and further describe how physicians may exert influence not only at the direct patient care level, but also at the health systems level and at the community level.
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Manisalidis, I., Stavropoulou, E., Stavropoulos, A., & Bezirtzoglou, E. (2020). Environmental and Health Impacts of Air Pollution: a Review. Frontiers in Public Health, 8(14).
https://doi.org/10.3389/fpubh.2020.00014
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This article discusses air pollution, the pollutants that contribute, their toxic health effects, and the health risks associated with these pollutants.
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Peterson, A., Charles, V., Yeung, D., & Coyle, K. (2021). The health equity framework: A science- and justice-based model for public health researchers and practitioners. Health Promotion Practice, 22(6), 741–746. https://doi.org/10.1177/1524839920950730
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This article describes the Health Equity Framework and discusses the influence environments have over health outcomes.
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World Health Organization. (1986, November 21). Ottawa Charter for Health Promotion: First International Conference on Health Promotion. https://www.canada.ca/content/dam/phac-aspc/documents/services/health-promotion/population-health/ottawa-charter-health-promotion-international-conference-on-health-promotion/charter.pdf
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The original Ottawa Charter of Health Promotion document that describes the intention and goals behind the Charter as well as its strategies and action areas.
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