1-SPECTRUM OF HEALTH 2-DETERMINENTS OF HEALTH

11. Biological Determinants

13. RISK factors – those factors that are detrimental to health Many determinants interrelate Behavioural – excessive drinking Biological - overweight Social – lack of social connections

14. PROTECTIVE factors – those factors that promote or enhance health Many determinants interrelate Behavioural – regular physical activity Biological- healthy body weight Social – belonging to a team

19. Biological Determinant Age Age influences many aspect of health Condition Influence of age Blood cholesterol The prevalence of high blood cholesterol increased with age to peak for females 65-74 and for males 55-64. Blood Pressure The proportion of males and females with HBP increases markedly with age. Obesity The rates of obesity have increased in all age groups with the most marked increase among 25 – 44 and 75 years and over. CVD The burden of disease attributed to CVD increases markedly with age, particularly 60 years and over. Diabetes The proportion of people with diagnosed diabetes increased with age and the highest prevalence rate was for the age 65 – 74. Mental Illness The burden of disease from mental illness for both sexes was greater in early to middle adulthood than at other ages.

23. Behavioural Determinants: Refer to the choices people make in their lives that impact on health

24. Behavioural Determinants

29. Social Determinants Socio Economic Status Social Exclusion Food Security Housing Early Life Experiences Stress Access to Health Care Transport Work Social Determinants Refer to the determinants within the social environment that impact on health status

30. Social Determinants Socio Economic Status SES – measure of an adult’s or family’s economic or social position within society relative to others High SES Medium SES Low SES

35. LITERACY RATES RANK STATE 2001 CENSUS 2011 CENSUS 1 KERALA 90.86 93.9 2 MIZORAM 88.8 91.6 13 ANDHRA PRADESH 60.47 67.7 27 JHARKAND 53.56 67.6 28 BIHAR 47 63.8

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