8360664
Beschreibung
Karteikarten von Ashutosh Kumar, aktualisiert more than 1 year ago
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Erstellt von Ashutosh Kumar
vor mehr als 7 Jahre
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| Frage | Antworten |
| Exam question: Obesity prevalence continues to rise around the world. Using the Ottawa charter (or other similar framework) discuss what health promotions strategies are currently being (or should be) undertaken in New Zealand to reduce the harm associated with obesity. | Exam question: Obesity prevalence continues to rise around the world. Using the Ottawa charter (or other similar framework) discuss what health promotions strategies are currently being (or should be) undertaken in New Zealand to reduce the harm associated with obesity. |
| Introduction: | Introduction: Define the problem: There has been a substantial and statistically significant increase in the prevalence of obesity in New Zealand. At risk groups: Maori, Pacific Islanders and lower socioeconomic status (when adjusted for ethnicity) proportionately have a greater prevalence of obesity. However, in terms of absolute numbers, more New Zealand european and other constitute the obese population in New Zealand. The high prevalence of obesity extends (or rather arises) from childhood as well, with Maori and Pacific overrepresented again. In addition, the socioeconomic gradient is steeper. In order to curtail this prevalence of obesity, health promotion strategies will be: Based on the principles of the Ottawa Charter. Based on the principles of the Treaty of Waitangi. Evidence based, from randomized control trials (RCTs) and analytical observational studies. |
| The strategies of the Ottawa charter: | The Principles of the Ottawa charter: Building healthy public policy. Creating environments supportive of health. Strengthening community action. Develop personal skills. Reorient health services. |
| The articles of the treaty of Waitangi: | The articles of the treaty of Waitangi: Kawanatanga: the right to good governance (encompassing health promotion strategies 1 and 5 from the Ottawa Charter). Tino Rangatiratanga: the right to self determination/sovereignty (encompassing health promotion strategies 2, 3 and 4). Orangatanga: the right to equity (encompassing health promotion strategies 1 and 4) |
| NZMA recommendations: | NZMA recommendations: Health professionals taking every opportunity to sensitively engage with obese individuals (5 and 4). Community based approaches to obesity, as well as nutrition and exercise programmes (3). Greater protection from the marketing of unhealthy food should be afforded to children (1 and 2). Use of fiscal instruments in a NZ context should be evaluated as a means of influencing food consumption (1). A consistent and easy to understand food labelling system to inform food consumers about their food choices (1) Food and nutrition guidelines should be introduced to school canteens and public health services such as hospitals (1 and 2). Nutrition should be introduced to the mandatory curriculum in schools. Licensing of fast food outlets which are regularly audited, with a view of reducing proximity to schools and leisure centres (1). Increasing the amount of bariatric surgery (5). Introducing cycle lanes (2). |
| Recommendations of which interventions: Evaluation: | These interventions on their own will not be sufficient to reverse or halt the rising prevalence of obesity in New Zealand. Interventions need to be applied at all stages of health promotion as per the Ottawa charter strategies. These interventions will need to be evaluated to ensure that they are affecting the target populations and are cost effective. |
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