Unit3HealthBehaviorStudyGuide.pdf

PUH 5304, Health Behavior 1

Course Learning Outcomes for Unit III

Upon completion of this unit, students should be able to:

1. Appraise the theoretical models used to define health behavior principles.
1.1 Analyze the role determinants of health play in utilizing the PRECEDE-PROCEED Planning

Model.

4. Analyze the concept of determinants of health behavior.
4.1 Deduce the effect determinants of health behavior have on intervention planning.

Course/Unit
Learning Outcomes

Learning Activity

1.1

Unit Lesson
Chapter 3
Video: Determinants of Adult Health (Segment 3 of 5)
Unit III Assignment

4.1

Unit Lesson
Chapter 3
Video: Determinants of Adult Health (Segment 3 of 5)
Unit III Assignment

Reading Assignment

Chapter 3: The PRECEDE-PROCEED Planning Model

In to access the following resource, click the link below.

Video Education America (Producer). (2011). Determinants of adult health (Segment 3 of 5) [Video file].

Retrieved from
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ylists.aspx?wID=273866&xtid=47482&loid=128861

The transcript for this video can be found by clicking the “Transcript” tab to the right of the video in the Films
on Demand database.

Unit Lesson

Welcome to Unit III. At this point, you should start to feel comfortable with the textbook and how each of the
chapter readings are divided into sections of introduction, key concepts, and take-home messages. Starting in
this unit, many of the chapters also have an applied example that may be useful as you are learning the
content. Understanding how the textbook is structured makes it easier to refer to things you read and
reference key concepts in your assignments and posts. In the previous unit, we addressed how the
socioecological model applies to health behavior. In this unit, we are going to address how determinants of
health affect ones’ health behavior. The textbook reading this unit discusses the different stages of the
PRECEDE-PROCEED planning model. When a health educator is considering an intervention using the steps
outlined in the PRECEDE-PROCEED planning g model, he or she must also take into consideration
determinants of health that will affect the successfulness of the intervention.

UNIT III STUDY GUIDE

Health Behavior and
Determinants of Health

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PUH 5304, Health Behavior 2

UNIT x STUDY GUIDE

Title

Determinants of Health

By now, it should be apparent that whether a person is participating in healthy behavior, their health is
determined by more than just their willpower. Factors such as where a person lives, a person’s neighbor(s),
education level, mental health, social circle, and even the genes their parents gave them can affect their
likelihood to participate in different health behaviors (Braveman & Gottlieb, 2014). All of these factors are
determinants of health. DiClemente, Salazar, and Crosby (2019) define determinants as any factors that
“influence the health behavior” (p. 30). Determinants of health include one’s social environment, economic
environment, physical environment, individual characteristics, and individual behaviors (Braveman & Gottlieb,
2014).

Examples of Determinants of Health

Education Low educational levels have been associated with
not only poorer health, but also higher levels of
stress and lower self-confidence (Hiza, Casavale,
Guenther, & Davis, 2013).

Employment and work conditions People who have steady employment are
healthier than people who do not have steady
work, and people who work in ideal work settings
are healthier than those that work in harsh/unsafe
work conditions (Allanson & Petrie, 2013).

Genetics The genes that a person inherits affects their
lifespan, health, and the likelihood of developing
certain illnesses (Bartels, 2015).

Gender Men are at higher risk for certain diseases and
health issues when compared to women and vice
versa (Hiza et al., 2013).

Health services As access to and use of health services that treat
and prevent health disease increases, so does
one’s health (Betancourt, Green, Carrillo & Owusu
Ananeh-Firempong, 2003).

Income and social status Increased incomes and social class have been
linked to having better health than those who have
a low income and little to no social class level
(Allanson & Petrie, 2013; Hiza et al., 2013).

Social support networks Increased support from friends, family, and
community is associated with better health (Maher
et al., 2014)

Health Professional Interview

In this unit, we interviewed Dr. Brent Powell, a public health professional that has developed interventions in
California that has a goal to get adolescents to participate in healthy health behaviors by providing sex
education. Dr. Powell has a PhD in Health Education and Health Promotion from joint programs between the
University of Alabama and University of Alabama at Birmingham. He is currently an associate professor of
Health Promotion in the Department of Kinesiology at California State University Stanislaus. Dr. Powell also
served as a creator and co-director of the Health Science Degree Completion Program with a concentration in
health leadership and administration. Dr. Powell has several research publications and conference
presentations, including at SHAPE America, SSSS, ACHA; ASHA; and state organizations of ASAHPERD
and CAHPERD. Professional service includes Eta Sigma Gamma, AAHE, SHAPE America, ASAHPERD and
CAHPERD. To learn more about what these organizations mentioned above are, click here. His research
interests include sexuality education, school health education, and health behavior.

https://online.columbiasouthern.edu/bbcswebdav/xid-111890326_1

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Click here to listen to the interview.
Click here to view the transcript.

Bring it All Together

In this unit, we were able to see that health educators have to look at the whole person and not just the
desired health behavior that is in front of them. For instance, Dr. Powell mentioned that he had to research
the areas a student lived or the school district in which they were enrolled as an environmental determinant of
health. If Dr. Powell used the different stages of the PRECEDE-PROCEED model to plan an intervention, he
would have to take into account how the determinants of health may affect program outcomes. He would also
have to be sure to plan provisions as it relates to any barriers that could affect the planning process. In the
assignment this unit, you will identify determinants of health concepts to your hometown and discuss how
they will affect program planning. As always, continue reviewing the feedback provided on previous
assignments and use that to improve the assignment you submit in this unit.

References

Allanson, P., & Petrie, D. (2013). On the choice of health inequality measure for the longitudinal analysis of
income‐related health inequalities. Health Economics, 22(3), 353–365. doi:10.1002/hec.2803

Bartels, M. (2015). Genetics of wellbeing and its components satisfaction with life, happiness, and quality of

life: A review and meta-analysis of heritability studies. Behavior Genetics, 45(2), 137–156.
doi:10.1007/s10519-015-9713-y

Betancourt, J. R., Green, A. R., Carrillo, J. E., & Ananeh-Firempong, O., II. (2003). Defining cultural

competence: A practical framework for addressing racial/ethnic disparities in health and health care.
Public Health Reports, 118(4), 293–302. doi:10.1093/phr/118.4.293

Braveman, P., & Gottlieb, L. (2014). The social determinants of health: It’s time to consider the causes of the

causes. Public Health Reports, 129(1_suppl2), 19–31. doi:10.1177/00333549141291S206

DiClemente, R. J., Salazar, L. F., & Crosby, R. A. (2019). Health behavior theory for public health: Principles,

Foundations and applications (2nd ed.). Burlington, MA: Jones & Bartlett Learning.

Hiza, H. A., Casavale, K. O., Guenther, P. M., & Davis, C. A. (2013). Diet quality of Americans differs by age,

sex, race/ethnicity, income, and education level. Journal of the Academy of Nutrition and Dietetics,
113(2), 297-306. doi:10.1016/j.jand.2012.08.011

Maher, C. A., Lewis, L. K., Ferrar, K., Marshall, S., De Bourdeaudhuij, I., & Vandelanotte, C. (2014). Are

health behavior change interventions that use online social networks effective? A systematic review.
Journal of Medical Internet Research, 16(2). doi:10.2196/jmir.2952

https://online.columbiasouthern.edu/bbcswebdav/xid-111890331_1

https://online.columbiasouthern.edu/bbcswebdav/xid-111890314_1

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Learning Activities (Nongraded)

Nongraded Learning Activities are provided to aid students in their course of study. You do not have to submit
them. If you have questions, contact your instructor for further guidance and information.

In this unit, we heard from Dr. Brent Powell, a professional in the field of health education and promotion. As a
student, consider the importance of hearing from someone already in the field of health. What did you learn?
What could you take away from the interview and apply to your own life?