Health Determinants
Objectives
At the end of this curricular unit, students should be able to: 1. Critically analyze the global burden of disease and its determinants from the perspective of the 2030 agenda for sustainable development; 2. Identify potential interventions to address health determinants and enhance their salutogenic impact; 3. Understand the complexity of the concepts associated with the causality of disease and the determination of health and understand the theoretical advances observed in recent years from the perspectives of global health, “one health” and planetary health; 4. Understand the differences between health determinants and social health determinants and their relevance in the fight against health inequalities; 5. Understand how to measure and monitor the global burden of disease and its determinants from the perspective of the 2030 agenda for sustainable development; 6. Understand the determinants of health in each of the CPLP MS.
General characterization
Code
5788019
Credits
4
Responsible teacher
Paulo Ferrinho
Hours
Weekly - 12,5
Total - 32
Teaching language
Portuguese
Prerequisites
Attendance of 2/3 of classes is mandatory
Bibliography
• Donkin A, Goldblatt P, Allen J, et al. Global action on the social determinants of health. BMJ Global Health 2018;3:e000603. • Redvers N. The determinants of planetary health. The Lancet Planetary Health. 2021; 5: e11- e112. https://www.thelancet.com/action/showPdf?pii=S2542-5196%2821%2900008-5 • Bizouarn P. [Eco-epidemiology: towards epidemiology of complexity]. Med Sci (Paris). 2016 May;32(5):500–5. • Antonovsky A. Health Stress and Coping. San Francisco: Jossey-Bass Publishers; 1979. https://psycnet.apa.org/record/1987-97506-000 • Mittelmark MB, Bauer GF. The Meanings of Salutogenesis. In: Mittelmark MB, Sagy S, Eriksson M, Bauer GF, Pelikan JM, Lindström B, et al., editors. The Handbook of Salutogenesis [Internet]. Cham (CH): Springer; 2017 [cited 2022 Mar 29]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK435854/ • Fries CJ. Healing Health Care: From Sick Care Towards Salutogenic Healing Systems. Soc Theory Health [Internet]. 2020 Mar 1 [cited 2022 Mar 29];18(1):16–32. Available from: https://doi.org/10.1057/s41285-019-00103-2 • Bhattacharya S, Pradhan KB, Bashar MA, Tripathi S, Thiyagarajan A, Srivastava A, et al. Salutogenesis: A bona fide guide towards health preservation. J Family Med Prim Care [Internet]. 2020 Jan 28 [cited 2022 Mar 29];9(1):16–9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7014834/ • Levin J. Integrating positive psychology into epidemiologic theory: Reflections on love, salutogenesis, and determinants of population health. In: Altruism and health: Perspectives from empirical research. New York, NY, US: Oxford University Press; 2007. p. 189–218. • https://www.youtube.com/watch?v=vzRmXbjR3aM • Spiegel JM, Labonte R, Ostry AS. Understanding "Globalization" as a Determinant of Health Determinants: a Critical perspective. International Journal of Occupational and Environmental Health. 2004; 10 (4): 360-367. • Riley AR. Advancing the study of health inequality: Fundamental causes as systems of exposure [published correction appears in SSM Popul Health. 2020 Dec 10;12:100715]. SSM Popul Health. 2020;10:100555. Published 2020 Feb 7. doi:10.1016/j.ssmph.2020.100555 • Wilkinson RG, Marmot MG, editors. Social determinants of health: the solid facts. 2nd. ed. Copenhagen: Centre for Urban Health; 2003. 31 p. • Masuda J, McLaren L, Poland B. COP26: what is the message for public health? Can J Public Health [Internet]. 2022 Jan 31 [cited 2022 Mar 29];113(1):1–5. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8803277/ • Determinants of health [Internet]. [cited 2022 Mar 29]. Available from: https://www.who.int/news-room/questions-and-answers/item/determinants-of-health • Global Burden of Disease (GBD 2019) [Internet]. Institute for Health Metrics and Evaluation. 2014 [cited 2022 Mar 29]. Available from: https://www.healthdata.org/gbd/2019 • Global Burden of Disease: GBD cause and risk summaries [Internet]. [cited 2022 Mar 29]. Available from: https://www.thelancet.com/gbd/summaries • Gapminder [Internet]. [cited 2022 Mar 29]. Available from: https://www.gapminder.org/ • Michael Marmot and the Social Determinants of Health (em inglês) https://www.youtube.com/watch?v=BHYBHKma3x8 • Social Determinants of Health - an introduction (em inglês) https://www.youtube.com/watch?v=8PH4JYfF4Ns • Novas perspetivas sobre a pobreza (Hans Rosling) (em inglês com legendas em Português do Brasil) https://www.ted.com/talks/hans_rosling_new_insights_on_poverty?language=pt • Os mil milhões mais pobres (Paul Collier) (em inglês com legendas em Português do Brasil) https://www.ted.com/talks/paul_collier_the_bottom_billion?language=pt • Determinantes da saúde nos EM da CPLP – Angola (https://www.healthdata.org/angola) e Brasil. • Determinantes da saúde nos EM da CPLP - Cabo Verde (https://www.healthdata.org/cape-verde) e Guiné-Bissau. • Determinantes da saúde nos EM da CPLP – Moçambique (https://www.healthdata.org/mozambique) e Portugal (https://www.healthdata.org/portugal). • Determinantes da saúde nos EM da CPLP – São Tomé e Príncipe (https://www.healthdata.org/sao-tome-and-principe) e Timor Leste (https://www.healthdata.org/timor-leste)
Teaching method
Seminars, theoretical-practical classes, group work and tutorial guidance.
Evaluation method
Presentation of topics (60%) – Presentation that deepens and clarifies the topic. – Critical questioning on the topic. – Based on literature and personal experiences. – Alignment with general UC and DSI OAs. – Fulfillment of the allotted time. – Ability to mobilize colleagues and teacher for discussion. • Comment, debate and discussion, with teacher and colleagues (40%) – Discussion that deepens and clarifies the presentation and comments. – Critical questioning about the presentation. – Based on literature and personal experiences. – Alignment with general and DSI OAs. – Fulfillment of the allotted time. – Ability to mobilize colleagues and teacher for discussion. Students who are unable to actively participate in the learning sessions will be given a 3-hour written exam with short-answer questions.
Subject matter
I. Introduction to UC. II. From pathogenesis to salutogenesis: evolution from theories of disease causality to theories of health determination. III. Health determinants. IV. Social determinants of health and theory of root causes. V. Social determinants of health and human rights. VI. Health inequalities. VII. Measurement of health determinants. VIII. The “global burden of disease” project. IX. Introduction to GAPminder.