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Helen Keleher - Understanding Health

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Helen Keleher Understanding Health

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A comprehensive introduction to public health through a social justice and equity lens.Understanding Health introduces foundational knowledge for a broad range of contemporary health subjects. It explains the various factors that influence health, and what we can do as a society to improve peoples health and wellbeing. This book encourages students to analyse the complex range of interactions that influence health at individual, community and global levels through a social justice and health equity lens.Relevant to many fields of study, this new edition will help students deeply engage with the perspectives of different sectors and industries to broaden their understanding and expand how they think about health. It has been comprehensively updated to align with contemporary public health topics including epidemiological concepts and COVID-19 discussions.A new, flexible structure provides an accessible text with rich pedagogical features and learning tools to assist students in developing the knowledge and skills they need for the many varied health challenges they will experience throughout their career.NEW TO THIS EDITIONNine new chapters address the most relevant and important challenges for, and changes in, public health:Chapter 6: Measuring health status of AustraliansChapter 8: Primary health care systems in AustraliaChapter 9: Primary health care in practiceChapter 13: Working with indigenous communitiesChapter 14: Gender mattersChapter 15: Migration and Australia: attitudes, health and politicsChapter 16: Food, food systems and healthChapter 18: Anti-science and public healthChapter 19: Public health in the post-truth worldNew case studies on topics including COVID-19, global migration, climate change, anti-science and public health misinformation equip students with real-world examples and questions.New Pause for Reflection questions encourage students to reflect on key learnings as they read each chapter.New Review your Learning questions test students comprehension on the content they have learnt.Revised Discussion Questions promote deeper thinking, knowledge and skill development.

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Oxford University Press is a department of the University of Oxford. It furthers the Universitys objective of excellence in research, scholarship, and education by publishing worldwide. Oxford is a registered trademark of Oxford University Press in the UK and in certain other countries.

Published in Australia by

Oxford University Press

Level 8, 737 Bourke Street, Docklands, Victoria 3008, Australia.

Helen Keleher and Colin MacDougall 2022

The moral rights of the authors have been asserted

First published 2004

Second edition published 2008

Third edition published 2011

Fourth edition published 2016

Fifth edition published 2022

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by licence, or under terms agreed with the reprographics rights organisation. Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above.

You must not circulate this work in any other form and you must impose this same condition on any acquirer.

ISBN 9780190323431 Reproduction and communication for educational purposes - photo 4

ISBN 9780190323431

Reproduction and communication for educational purposes The Australian - photo 5

Reproduction and communication for educational purposes

The Australian Copyright Act 1968 (the Act) allows educational institutions that are covered by remuneration arrangements with Copyright Agency to reproduce and communicate certain material for educational purposes. For more information, see copyright.com.au.

Edited by Jennifer Butler

Typeset by Integra Software Services Pvt. Ltd.

Proofread by Kellyanne Martin and Kate McGregor

Indexed by Mei Yen Chua

Printed in Singapore by Markono Print Media Pte Ltd

Disclaimer

Indigenous Australians and Torres Strait Islanders are advised that this publication may include images or names of people now deceased.

Links to third party websites are provided by Oxford in good faith and for information only. Oxford disclaims any responsibility for the materials contained in any third party website referenced in this work.

FIGURES

TABLES

ABBREVIATIONS

ABSAustralian Bureau of Statistics
ACCHOAboriginal Community Controlled Health Organisation
AIHWAustralian Institute of Health and Welfare
AMAAustralian Medical Association
ANFAustralian Nursing Federation
ASGSAustralian Statistical Geography Standard
CHScommunity health services
CDCCenters for Disease Control and Prevention
COAGCouncil of Australian Governments
CSDHCommission on the Social Determinants of Health
DALYdisability adjusted life year
DHHSDepartment of Health and Human Services
EBMevidence-based medicine
GBDGlobal Burden of Disease
GGGIGlobal Gender Gap Index
GHGgreenhouse gas
HiAPHealth in All Policies
IHBInternational Health Board
ILOInternational Labor Organisation
IOMInstitute of Medicine
IPCCIntergovernmental Panel on Climate Change
LGAlocal government area
MDGMillennium Development Goal
MMRmaternal mortality rate
NCDnon-communicable disease
NGOnon-government organisation
NHSNational Health Service
OECDOrganisation for Economic Co-operation and Development
OHCHROffice of the High Commissioner for Human Rights
PARparticipatory action research
PBSPharmaceutical Benefits Scheme
PHAAPublic Health Association of Australia
PHCprimary health care
PHIDUPublic Health Information Development Unit
PHMPeoples Health Movement
PHNPrimary Health Network
PPHpotentially preventable hospitalisations
PTSDpost-traumatic stress disorder
SAstatistical area
SDGSustainable Development Goal
SIDSSmall Island Developing States
TBtuberculosis
ToCtheory of change
UNUnited Nations
UNCRCUnited Nations Convention on the Rights of the Child
UNHCRUnited Nations High Commissioner for Refugees
UNICEFUnited Nations International Childrens Fund
WHOWorld Health Organization
YPLLYears of Potential Life Lost

CONTRIBUTORS

Editors

Helen Keleher, BA, MA, PhD; Life Member Public Health Assoc. of Australia, Adjunct Professor School of Rural Health, Monash University; Principal, Keleher Consulting.

Colin MacDougall, BA (Hons) MA, PhD; Emeritus Professor of Public Health, College of Medicine and Public Health, Flinders University; (Honorary), Child & Community Wellbeing Unit, Centre for Health Equity, The Melbourne School of Population and Global Health, University of Melbourne.

Contributors

Teresa Capetola, BBSc, BA (Hons), MA; Lecturer, Deakin University.

Toby Freeman, BPsyc (Hons), PhD; Senior Research Fellow and Deputy Director of the Southgate Institute for Health, Society and Equity, College of Medicine and Public Health, Flinders University.

Melissa Graham, BPH (Hons), Grad Cert High Ed, Grad Dip Epi Biostats, PhD; Associate Professor, La Trobe University.

Claire Henderson-Wilson, BAppSci (Hons), Grad Cert Ed Studies/Disability, Grad Cert High Ed, PhD; Senior Lecturer, Deakin University.

Fiona McKay, BSc, MPH, PhD; Senior Lecturer, Deakin University.

Kim ODonnell, DipT, MPHC, DrPH; Research Fellow Indigenous Health, The Southgate Institute for Health, Society and Equity, College of Medicine and Public Health, Flinders University; Senior Researcher Adelaide Nursing School, Faculty of Health and Medical Sciences, Adelaide University.

Rebecca Patrick, BAppSc (Hons), GCertHigherEd, PhD; Senior Lecturer, Deakin University.

Tahna L. Pettman, BHS (Life Science), Grad Cert Clin. Research, PhD; Public Health Academic Consultant.

Heather R. Yeatman, BSc, DipEd, GDipNutDiet, MPH, DrPH; Hon Professor Public Health, University of Wollongong, Life Member Public Health Assoc. of Australia.

PREFACE

We want this book to spread the word about contemporary understandings of health, what shapes it and how we take action to improve it. Public health would be so easy if health was determined only by the visible and commonly discussed factors of biology, behaviour and the health care system. But it is not as easy as that. Public health is complicated, because health is determined by the circumstances in which we live, work, study, love, raise children, shop, play, google, travel and care for our planet. These circumstances are called the social determinants of health. Thankfully researchers, practitioners, policymakers and communities have been working together to chart ways through this complexity. In this book, we discuss the latest evidence on how to work with communities to lead global, national and local strategies to produce social conditions that enable people to live healthier and more satisfying lives.

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