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Related Concept Videos

Dimensions of Health and Illness01:21

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The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
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Concepts of Health and Illness01:29

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Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
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Models of Health Promotion and Illness Prevention II01:18

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The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
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Models of Health Promotion and Illness Prevention I01:25

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A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
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Community Based Intervention01:30

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Factors Affecting Illness01:18

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When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
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Reimagining Rural: Shifting Paradigms About Health and Well-Being in the Rural United States.

R A Afifi1, E A Parker1, G Dino2

  • 1Department of Community and Behavioral Health, and Prevention Research Center for Rural Health, College of Public Health, University of Iowa, Iowa City, Iowa, United States; email: rima-afifi@uiowa.edu, edith-parker@uiowa.edu.

Annual Review of Public Health
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Addressing rural health disparities requires a new approach. Research must center the unique strengths of rural communities, using health equity and community engagement to improve well-being.

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Area of Science:

  • Public Health
  • Rural Health Research
  • Health Equity Studies

Background:

  • Growing national attention on rural health disparities necessitates a deeper understanding of rural contexts.
  • Current definitions of "rural" may oversimplify diverse community characteristics and strengths.
  • A paradigm shift is needed to move beyond deficit-based narratives towards recognizing rural assets.

Purpose of the Study:

  • To deconstruct prevailing definitions and narratives of "rural" communities.
  • To advocate for a paradigm shift in rural health research that centers community complexity and strengths.
  • To explore the application of health equity frameworks, implementation science, and community-engaged approaches in rural settings.

Main Methods:

  • Conceptual analysis of "rural" definitions and associated health research narratives.
  • Review of literature on health equity, implementation science, and community-engaged methodologies.
  • Synthesis of approaches to promote rural well-being by focusing on intrinsic rural characteristics.

Main Results:

  • Current approaches to rural health research often lack nuance and fail to capture the heterogeneity of rural places.
  • Rethinking "rural" as a complex entity with inherent strengths is crucial for effective health interventions.
  • Integrating health equity, implementation science, and community-engagement offers a promising pathway for advancing rural health.

Conclusions:

  • A paradigm shift focusing on the complexity and strengths of rural communities is essential for advancing health equity.
  • Partnerships with rural communities are vital for developing innovative and sustainable health interventions.
  • Research and practice should prioritize community-engaged approaches to foster rural well-being and address health disparities.