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Key Topics in Public Health E-Book

Key Topics in Public Health E-Book

Linda Ewles

(2005)

Additional Information

Book Details

Abstract

Key Topics is a short, easy-to-read text that provides basic information about twelve key topics in public health, such as diabetes, cancer, smoking and teenage pregnancy, and how prevention and health promotion should be tackled at community and one-to-one levels. The twelve topics are the 'must-dos' of public health action. They have been selected because they are those addressed in current national public health strategies such as Saving Lives: our healthier nation , and comparable strategies in Scotland, Wales and Northern Ireland. Many are the subject of National Service Frameworks and other national policies and plans; they are often accompanied by targets which health workers are expected to meet.

  • Accessible and useful, in clear plain English.
  • Provides a foundation for further study, planning a work programme, or planning a strategy to meet targets.
  • Practical focus: on health inequalities and how to tackle them, and on help for practitioners who work at a community and one-to-one level.
  • Explicit links to national current public health policy and targets. Reflects recommendations based on best practice and evidence of effectiveness.
  • Focuses on a topic framework (except for the last two chapters) in contrast to other frameworks for health promotion and public health.
  • Attractive layout making full use of bullet points and boxes.
  • Simple line diagrams or tables to illustrate each chapter.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Key Topics in Public Health: Essential Briefings on Prevention and Health Promotion iii
Copyright Page iv
Table of Contents v
About the editor and contributors vii
Foreword xi
REFERENCES xii
Editor’s preface xiii
WHO IS THIS BOOK FOR? xiv
WHY WAS IT WRITTEN? xiv
MAKING THE CHAPTERS HANG TOGETHER xiv
DECISIONS AND DILEMMAS xv
ACKNOWLEDGEMENTS xvi
FINALLY... xvi
REFERENCES xvi
Chapter 1. Cancer 1
SUMMARY OVERVIEW AND LINKS TO OTHER TOPICS 1
WHAT IS CANCER? 2
WHAT CAUSES CANCER? 3
WHY IS CANCER AN IMPORTANT PUBLIC HEALTH ISSUE? 5
HOW IS IT ADDRESSED IN NATIONAL POLICY? 6
WHAT ARE THE KEY TRENDS IN CANCER? 7
DO HEALTH INEQUALITIES FEATURE IN CANCER? 8
WHAT CAN WE DO ABOUT PREVENTION AND HEALTH PROMOTION AT A COMMUNITY LEVEL? 10
HOW CAN WE BEST HELP INDIVIDUALS? 12
CONTROVERSIAL ISSUES 13
COMMON MYTHS AND QUESTIONS 14
WHAT DON’T WE KNOW ENOUGH ABOUT YET? 15
Key sources of further information and help 15
References 16
Chapter 2. Coronary heart disease and stroke 19
SUMMARY OVERVIEW AND LINKS TO OTHER TOPICS 19
CORONARY HEART DISEASE AND STROKES EXPLAINED 20
WHY ARE CHD AND STROKES AN IMPORTANT PUBLIC HEALTH ISSUE? 21
WHAT ARE THE CAUSES, RISK FACTORS AND AT-RISK GROUPS? 21
WHAT ARE THE CURRENT TRENDS IN CHD AND STROKE PREVALENCE? 28
HOW ARE CHD AND STROKES ADDRESSED IN NATIONAL POLICY? 30
WHAT CAN WE DO ABOUT PREVENTION AND HEALTH PROMOTION? 31
CONTROVERSIAL ISSUES 35
WHAT QUESTIONS STILL NEED ANSWERS? 36
Key sources of further information and help 36
References 37
Chapter 3. Diabetes 39
SUMMARY OVERVIEW AND LINKS TO OTHER TOPICS 39
WHAT IS DIABETES? 40
WHAT CAUSES DIABETES? 42
WHY IS DIABETES AN IMPORTANT PUBLIC HEALTH ISSUE? 43
HOW IS DIABETES ADDRESSED IN NATIONAL POLICY? 47
WHO IS AT RISK OF DIABETES? 48
DO HEALTH INEQUALITIES FEATURE FOR DIABETES? 48
WHAT CAN WE DO TO PREVENT DIABETES AND ITS COMPLICATIONS AT COMMUNITY LEVEL? 50
HOW CAN WE BEST HELP INDIVIDUALS WITH DIABETES? 51
CONTROVERSIES, DILEMMAS AND MYTHS 54
WHAT QUESTIONS STILL NEED ANSWERS? 55
Key sources of further information and help 56
References 56
Chapter 4. Smoking 59
SUMMARY OVERVIEW AND LINKS TO OTHER TOPICS 59
WHAT IS SMOKING? 60
WHY DO PEOPLE SMOKE? 61
WHY IS SMOKING AN IMPORTANT PUBLIC HEALTH ISSUE? 62
HOW IS SMOKING ADDRESSED IN NATIONAL POLICY? 63
WHAT’S THE CURRENT PICTURE – WHO IS AT RISK? 64
IS THE PREVALENCE OF SMOKING INCREASING OR DECREASING? 66
DO HEALTH INEQUALITIES FEATURE IN SMOKING? 67
WHAT CAN WE DO ABOUT PREVENTION AND HEALTH PROMOTION AT A COMMUNITY LEVEL? 68
HOW CAN WE BEST HELP INDIVIDUALS? 69
CONTROVERSIAL ISSUES 71
COMMON MYTHS AND QUESTIONS 73
WHAT QUESTIONS ABOUT SMOKING STILL NEED ANSWERS? 75
Key sources of further information and help 76
References 76
Chapter 5. Obesity 79
SUMMARY OVERVIEW AND LINKS TO OTHER TOPICS 79
WHAT IS OBESITY? 80
CAUSES OF OBESITY 82
WHY IS OBESITY AN IMPORTANT PUBLIC HEALTH ISSUE? 83
WHO IS AT RISK? DO HEALTH INEQUALITIES FEATURE IN OBESITY? 85
TRENDS IN PREVALENCE OF OBESITY 86
NATIONAL POLICY 87
WHAT CAN WE DO ABOUT PREVENTION AND HEALTH PROMOTION? 88
CURRENT DEBATES AND DILEMMAS 97
COMMON MYTHS AND QUESTIONS 98
WHAT DON’T WE KNOW ENOUGH ABOUT YET? 98
Key sources of further information and help 99
References 100
Chapter 6. Physical activity 103
SUMMARY OVERVIEW AND LINKS TO OTHER TOPICS 103
WHAT IS PHYSICAL ACTIVITY? 104
WHY IS PHYSICAL ACTIVITY AN IMPORTANT PUBLIC HEALTH ISSUE? 106
WHAT CAUSES THE PROBLEM OF SEDENTARY LIVING? 108
HOW IS PHYSICAL ACTIVITY ADDRESSED IN NATIONAL POLICY? 108
WHAT’S THE CURRENT PICTURE – WHO IS AT RISK? 110
IS THE PROBLEM OF INACTIVITY GETTING BETTER OR WORSE? 110
DO HEALTH INEQUALITIES FEATURE IN PHYSICAL ACTIVITY? 111
WHAT CAN WE DO TO PROMOTE PHYSICAL ACTIVITY? 112
CONTROVERSIAL ISSUES 115
COMMON MYTHS AND QUESTIONS 115
WHAT QUESTIONS STILL NEED ANSWERS? 115
Key sources of further information and help 116
References 116
Chapter 7. Injury prevention 119
SUMMARY OVERVIEW AND LINKS TO OTHER TOPICS 119
WHAT IS INJURY PREVENTION? 120
WHAT CAUSES INJURIES? 120
WHY IS INJURY PREVENTION AN IMPORTANT PUBLIC HEALTH ISSUE? 121
HOW IS INJURY PREVENTION ADDRESSED IN NATIONAL POLICY? 122
WHAT IS THE CURRENT PICTURE – WHO IS AT RISK? 122
IS THE PROBLEM GETTING BETTER OR WORSE? 124
DO HEALTH INEQUALITIES FEATURE IN THIS TOPIC? 125
WHAT CAN WE DO ABOUT PREVENTING INJURIES AT A COMMUNITY LEVEL? 126
HOW CAN WE BEST HELP INDIVIDUALS? 127
CONTROVERSIAL ISSUES 128
COMMON MYTHS AND QUESTIONS 129
WHAT QUESTIONS STILL NEED ANSWERS? 130
Key sources of further information and help 132
References 133
Chapter 8. Teenage pregnancy 135
SUMMARY OVERVIEW AND LINKS TO OTHER TOPICS 135
WHAT DO WE MEAN BY ‘TEENAGE PREGNANCY’? 136
WHAT IS THE CURRENT PICTURE? 136
WHO BECOMES PREGNANT AS A TEENAGER? 137
WHY IS TEENAGE PREGNANCY A ‘PROBLEM’ AND AN IMPORTANT PUBLIC HEALTH ISSUE? 138
WHY ARE RATES IN THE UK SO HIGH? 139
A NATIONAL STRATEGY FOR TACKLING TEENAGE PREGNANCY 140
CURRENT TRENDS AND A LOOK TO THE FUTURE 150
CONTROVERSIAL ISSUES AND COMMON MYTHS 151
WHAT RESEARCH QUESTIONS STILL NEED ANSWERS? 153
Key sources of further information and help 154
References 154
Chapter 9. Sexually transmitted infections 157
SUMMARY OVERVIEW AND LINKS TO OTHER TOPICS 157
SEXUALLY TRANSMITTED INFECTIONS AND HIV 158
HOW IS SEXUAL HEALTH ADDRESSED IN NATIONAL POLICY? 160
WHAT IS THE CURRENT PICTURE AND WHAT ARE THE TRENDS IN STI TRANSMISSION? 160
WHAT CAN WE DO ABOUT STIs AND HIV? 169
WHAT ARE THE GAPS IN CURRENT KNOWLEDGE? 172
CONTROVERSIAL ISSUES 173
Key sources of further information and help 174
References 175
Chapter 10. Alcohol use and misuse 177
SUMMARY OVERVIEW AND LINKS TO OTHER TOPICS 177
WHAT IS ALCOHOL MISUSE? 178
WHAT CAUSES ALCOHOL MISUSE? 180
WHY IS ALCOHOL MISUSE AN IMPORTANT PUBLIC HEALTH ISSUE? 182
HOW IS ALCOHOL MISUSE ADDRESSED IN NATIONAL POLICY? 186
DO HEALTH INEQUALITIES FEATURE IN ALCOHOL MISUSE? 188
WHAT CAN WE DO ABOUT ALCOHOL MISUSE? 189
CONTROVERSIAL ISSUES 192
COMMON MYTHS 193
QUESTIONS THAT STILL NEED ANSWERS 194
Key sources of further information and help 194
References 195
Chapter 11. Drug use and misuse 197
SUMMARY OVERVIEW AND LINKS TO OTHER TOPICS 197
WHAT IS DRUG MISUSE? 198
WHAT CAUSES DRUG MISUSE? 200
WHY IS DRUG MISUSE AN IMPORTANT PUBLIC HEALTH ISSUE? 200
IS DRUG MISUSE GETTING BETTER OR WORSE? 205
WHO IS AT RISK? DO HEALTH INEQUALITIES FEATURE IN THIS TOPIC? 206
HOW IS DRUG ABUSE ADDRESSED IN NATIONAL POLICY? 206
WHAT CAN WE DO ABOUT PREVENTION AND HEALTH PROMOTION? 209
CONTROVERSIAL ISSUES 214
COMMON MYTHS 216
WHAT DON’T WE KNOW ENOUGH ABOUT YET? 216
Key sources of further information and help 217
References 218
Chapter 12. Mental health and mental health promotion 221
SUMMARY OVERVIEW AND LINKS TO OTHER TOPICS 221
WHAT IS MENTAL HEALTH? 222
WHAT CAUSES POOR MENTAL HEALTH? 223
WHAT IS MENTAL HEALTH PROMOTION? 225
WHY IS MENTAL HEALTH AND ITS PROMOTION AN IMPORTANT PUBLIC HEALTH ISSUE? 226
HOW IS MENTAL HEALTH ADDRESSED IN NATIONAL POLICY? 227
PREVALENCE AND TRENDS IN MENTAL HEALTH 228
DO HEALTH INEQUALITIES FEATURE IN MENTAL HEALTH? 229
WHAT CAN WE DO ABOUT PREVENTION AND HEALTH PROMOTION? 231
CONTROVERSIAL ISSUES 236
COMMON MYTHS AND QUESTIONS 237
WHAT QUESTIONS STILL NEED ANSWERS? 238
Key sources of further information and help 239
References 239
Chapter 13. Tackling inequalities in health 243
SUMMARY OVERVIEW AND LINKS TO OTHER TOPICS 243
WHAT ARE INEQUALITIES IN HEALTH? 244
WHAT IS THE EVIDENCE FOR SOCIO-ECONOMIC INEQUALITIES IN HEALTH? 245
WHY ARE INEQUALITIES IN HEALTH IMPORTANT? 246
WHAT ARE THE CAUSES OF INEQUALITY IN HEALTH? 246
ARE INEQUALITIES IN HEALTH GETTING BETTER OR WORSE? 247
HOW ARE INEQUALITIES IN HEALTH ADDRESSED IN NATIONAL POLICY? 248
HOW EFFECTIVE HAS UK POLICY BEEN IN REDUCING INEQUALITIES IN HEALTH? 249
ARE THERE CONTROVERSIAL ISSUES IN TACKLING INEQUALITIES IN HEALTH? 250
WHAT CHOICES DO WE FACE IN TRYING TO REDUCE INEQUALITIES IN HEALTH? 251
WHAT CAN YOU DO AS A PRACTITIONER ABOUT INEQUALITIES IN HEALTH? 252
WHAT QUESTIONS STILL NEED ANSWERING? 256
CONCLUSION 256
Key sources of further information and help 257
References 258
Chapter 14. Helping individuals to change behaviour 261
SUMMARY OVERVIEW AND LINKS TO OTHER TOPICS 261
WHY IS BEHAVIOUR CHANGE IMPORTANT? 262
WHAT IS THE HEALTH PROFESSIONAL’S ROLE? 263
WHAT MODELS DO WE HAVE FOR UNDERSTANDING HEALTH BEHAVIOUR CHANGE? 264
WHAT MODELS DO WE HAVE FOR PRACTICAL WORK WITH INDIVIDUALS? 267
IS WORKING WITH INDIVIDUALS EFFECTIVE? 274
Key sources of further information and help 275
References 275
Glossary 277
Index 285