1. Population Health and
Social Change
How do changing social conditions influence health?
2. • Social change is a normal process that
occurs throughout human society
• It occurs over time in response to complex
environmental, political and social factors.
8. Why Demography is important
• Estimation of current social needs and prediction
of future social needs.
9. Why Demography is important
• Estimation of current social needs and prediction
of future social needs.
• Size
10. Why Demography is important
• Estimation of current social needs and prediction
of future social needs.
• Size
• Distribution
11. Why Demography is important
• Estimation of current social needs and prediction
of future social needs.
• Size
• Distribution
• Structure- age, gender, ethnicity, wealth
12. Why Demography is important
• Estimation of current social needs and prediction
of future social needs.
• Size
• Distribution
• Structure- age, gender, ethnicity, wealth
• Fertility, morbidity and mortality
13. Why Demography is important
• Estimation of current social needs and prediction
of future social needs.
• Size
• Distribution
• Structure- age, gender, ethnicity, wealth
• Fertility, morbidity and mortality
• Migration
14. Why Demography is important
• Estimation of current social needs and prediction
of future social needs.
• Size
• Distribution
• Structure- age, gender, ethnicity, wealth
• Fertility, morbidity and mortality
• Migration
• Future trends
15. Largest Cities 2015
Source: UN Dept. of Economic and Social Affairs, Population Division (2005)
16. Largest Cities 2015
Tokyo 35.4
Mumbai 21.8
Mexico City 21.5
Sao Paulo 20.5
New York 19.8
Delhi 18.6
Shanghai 17.2
Calcutta 16.9
Dhaka 16.9
Jakarta 16.8
London (29) 8.6
0 10 20 30 40
Source: UN Dept. of Economic and Social Affairs, Population Division (2005)
18. Global Urbanisation
3,000
2,414
2,400
1,800
1,363
1,200
579 644
600 522 542
394
249 332 276 294 234
21 29 109 70 32
7
0
50
00
25
50
00
25
50
00
25
50
00
25
50
00
25
50
00
25
19
20
20
19
20
20
19
20
20
19
20
20
19
20
20
19
20
20
ica
pe
n
ia
a
ia
ric
a
an
As
be
ro
er
Af
ce
Eu
ib
Am
O
ar
/C
th
or
ica
N
er
Am
tin
La
Source: UN Dept. of Economic and Social Affairs, Population Division (2005)
24. Cultural Change
Culture refers to values, customs, traditions and norms of
behaviour shared by a community.
25. Cultural Change
Culture refers to values, customs, traditions and norms of
behaviour shared by a community.
Cultural values shape the way we think about and interpret the
world; they provide us with a world view and are the basis for
communication.
27. The extent of cultural influences
People who share a culture
tend to associate with each
other
28. The extent of cultural influences
People who share a culture
tend to associate with each
other
Values are pervasive, not
equally shared by
individuals within a
community
29. The extent of cultural influences
People who share a culture
tend to associate with each
other
Values are pervasive, not
equally shared by
individuals within a
community
The degree of commitment
to cultural values varies
according to age, gender,
social layer etc.,
67. Values, customs and traditions
Shared values, traditions and lifestyles of a
group or community
68. Values, customs and traditions
Shared values, traditions and lifestyles of a
group or community
Terminal values: Why we live our life.
(wealth, happiness, religion.)
69. Values, customs and traditions
Shared values, traditions and lifestyles of a
group or community
Terminal values: Why we live our life.
(wealth, happiness, religion.)
Instrumental values: How we live our life
(the things we value, family, technology,
clothes, cars etc.)
70. Values, customs and traditions
Shared values, traditions and lifestyles of a
group or community
Terminal values: Why we live our life.
(wealth, happiness, religion.)
Instrumental values: How we live our life
(the things we value, family, technology,
clothes, cars etc.)
Customs: Contemporary ways of doing things
71. Values, customs and traditions
Shared values, traditions and lifestyles of a
group or community
Terminal values: Why we live our life.
(wealth, happiness, religion.)
Instrumental values: How we live our life
(the things we value, family, technology,
clothes, cars etc.)
Customs: Contemporary ways of doing things
Tradition: Historical ways of doing things
72. Values, customs and traditions
Shared values, traditions and lifestyles of a
group or community
Terminal values: Why we live our life.
(wealth, happiness, religion.)
Instrumental values: How we live our life
(the things we value, family, technology,
clothes, cars etc.)
Customs: Contemporary ways of doing things
Tradition: Historical ways of doing things
Value sets: Collection of values adopted by a
cultural group or sub group
73. Acculturation
Resistance/Receptiveness
Duration
& Intensity Variables Cultural Similarity
of Contact
Degree of Integration
Notas do Editor
Culture refers to values, customs, traditions and norms of behaviour shared by a community. Cultural values shape the way we think about and interpret the world; they provide us with a worldview and are the basis for communication. Training for health professionals in the UK emphasises the need for a participatory relationship between professionals and their clients reflecting an emphasis on cultural values such as individuality, choice and autonomy. Over the last twenty years medical practice in diagnostic disclosure has slowly shifted from non-disclosure to full disclosure at the patient’s request. However in other cultures diagnostic disclosure to patients, especially where there is a poor prognosis, is considered to be undesirable. In Singapore, Chinese patients may hold a strong preference for non-disclosure of a cancer diagnosis. Families often request that the patient is not informed and some patients will actively avoid discussion about their diagnosis if they suspect cancer. Discussion of treatment options and involvement in decision-making is considered to be the responsibility of family members rather than patients. For Chinese patients cancer may be “attributed to bad luck, punishment for sins committed in this life or a previous one, an unbalanced ‘yin-yang’ or the will of a supreme being” The use of the term cancer by clinicians could bring about a family crisis due to the social stigma associated with cancer.
Culture refers to values, customs, traditions and norms of behaviour shared by a community. Cultural values shape the way we think about and interpret the world; they provide us with a worldview and are the basis for communication. Training for health professionals in the UK emphasises the need for a participatory relationship between professionals and their clients reflecting an emphasis on cultural values such as individuality, choice and autonomy. Over the last twenty years medical practice in diagnostic disclosure has slowly shifted from non-disclosure to full disclosure at the patient’s request. However in other cultures diagnostic disclosure to patients, especially where there is a poor prognosis, is considered to be undesirable. In Singapore, Chinese patients may hold a strong preference for non-disclosure of a cancer diagnosis. Families often request that the patient is not informed and some patients will actively avoid discussion about their diagnosis if they suspect cancer. Discussion of treatment options and involvement in decision-making is considered to be the responsibility of family members rather than patients. For Chinese patients cancer may be “attributed to bad luck, punishment for sins committed in this life or a previous one, an unbalanced ‘yin-yang’ or the will of a supreme being” The use of the term cancer by clinicians could bring about a family crisis due to the social stigma associated with cancer.