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The Path to a Healthy Life
The 9th Asian Regional Conference of CICIAMS 27-30 November 2005
Professor S.H.LeeEmeritus Professor of Community Medicine, the
Chinese University of Hong Kong
United Nations:The enjoyment of the highest attainable standard of HEALTH is the fundamental rights of every human being without discrimination
WHO Constitution:HEALTH not merely the absence of disease but also mental, physical and social well-being.
The Bangkok Charter for Health Promotion in a globalized world, 2005
• Health Promotion offers a positive and inclusive concept of health as a determinant of the quality of life, and of mental and spiritual well being
• Health promotion is the process of enabling people to increase control over their health and its determinants, and thereby, improve their health.
Determinants Determinants of Healthof Health
Determinants of HealthDeterminants of Health•• Personal health practices and Personal health practices and
coping skillscoping skills•• Biological and genetic endowmentBiological and genetic endowment•• Environmental risk factorsEnvironmental risk factors•• Social and economic factorsSocial and economic factors•• Health ServicesHealth Services
Personal health practices and coping Personal health practices and coping skillsskills
• Smoking• Diet• Obesity• Lack of exercise• Stress• Alcohol abuse• Drug misuse• Sexual practices
Source: HKCOSH
Fig. 4 Smoking Trends from Below 12 to Above 16 years of Age
0
10
20
30
40
50
60
70
12 & below 13 14 15 16 & above
Age
(%)
EverSmoking(female)
EverSmoking(male)
CurrentSmoking(female)
CurrentSmoking(male)
1 2 5 2 6
1 4 6 8 7
1 7 2 2 81 6 0 1 7 1 6 1 0 7
1 4 2 9 11 3 5 4 7
1 2 9 4 5
1 3 8 8 1 9 2 32 3 2 8 2 6 1 8
3 3 8 8 3 4 8 7 3 3 8 5 3 4 9 3
0
4000
8000
12000
16000
20000
1 9 9 2 1 9 9 3 1 9 9 4 1 9 9 5 1 9 9 6 1 9 9 7 1 9 9 8 1 9 9 9
H e r o i n P s y c h o t r o p i c S u b s t a n c e
Population
0
2
4
6
8
10
12
14
95/96 96/97 97/98 98/99School Year
% o
f O
bes
e S
tuden
ts
Primary
Secondary
Biological and genetic endowmentBiological and genetic endowment
• Gender differences
• Physiological, anatomical and mental capacities
Environmental risk factorsEnvironmental risk factors
• Physical environment• Radiation exposure• Workplace hazards• Infectious agents• Home hazards• Traffic• Product design
Social and Economic factorsSocial and Economic factors
• Income and social status• Social support networks• Education• Employment and working
conditions• Social disintegration• Overpopulation• Geography and Transportation
Health ServicesHealth Services
• Accessible preventive and primary care services
• Healthy child development services• Personal health services e.g.e.g.
–– Student healthStudent health
–– Women healthWomen health
–– Elderly healthElderly health
Social, Economic Cultural &
Environmental Conditions
Lifestyle
Health and
Medical Services
Genetic Influences
The Health Field ConceptThe Health Field Concept
HEALTH
CHOOSING HEALTHMaking Healthy Choices Easier
• No smoking• Healthy Diet• Appropriate exercise• Prevent accidental falls• Ensure food and drug safety• Prevent infectious diseases• Improving mental health and well being
CHOOSING HEALTHFour Action Plans:
• Choosing a better diet• Developing a physical action plan• Stop smoking and encouraging sensible
drinking • Improving mental health and well-being
Choosing a better diet
Developing a physical action plan
Developing a physical action plan
Developing a physical action plan
Stop smoking and encouraging sensible drinking
Stop smoking and encouraging sensible drinking
Cancer
Cancer
Results of Implementing the Four Action Results
Reduction in health care cost
10 years or moreLengthening life expectancy
30%Reduction of cancer
50%Reduction of diabetes mellitus
75%Reduction of stroke and coronary heart disease
55%Reduction of hypertension
Family Health3 levels:• Personal health• Family health• Community health• A healthy individual physical, mental,
social well being of individuals source of success in life and business health of the community
Family Health
Healthy Family Healthy Community
Safe Family Safe Community
Prosperous Family Prosperous Society
Women’s Health
- Play an important role for building a healthy family, healthy community and healthy society
- Improvement in woman’s health, every family member is benefited
- Woman’s health is source of family health
- Corner stone of community health
Men’s Health
Men’s Health
Men’s Health
Health Promotion,What roles can I play?
1. To be a leader in health promotion in the place where we work, study live or love e.g.
– Workplace (Healthy Workplace)– School (Healthy Schools)– Communities (Healthy Cities, Healthy
Housing Estates)– Families (Healthy Families)– Woman (Women’s health), Youth (Adolescent
health), Elderly (Health care for elderly), Men (Men’s health)
Health Promotion,What roles can I play?
1. To be an advocate in health promotion e.g.
– Healthy and active living– Smoke Free environment– Healthy- choice, the wise choice
Health Promotion,What roles can I play?
1. To be a trainer in health promotion e.g.
– Health trainer– Health ambassador– Tai Chi and Health
活力人生 —個人經驗
第一點:保持聯繫保持聯繫
第二點:繼續向前繼續向前
木屋區木屋區
麻疹可以致命麻疹可以致命
預防注射預防注射
預防小兒麻痺症預防小兒麻痺症
0
50
100
150
200
1961 1971 1981 1992 1993 1998
Year
Rat
e pe
r 100
,000
pop
ulat
ion
癌症
心臟病
腦出血
肺炎
意外及中毒
新健康概念新健康概念
社會、經濟、文化及環境因素
生活模式
醫護服務
遺傳因素
健康
上游思索
0
50
100
150
200
1961 1971 1981 1992 1993 1998
Year
Rat
e pe
r 100
,000
pop
ulat
ion
癌症
心臟病
腦出血
肺炎
意外及中毒
新健康概念新健康概念
社會、經濟、文化及環境因素
生活模式
醫護服務
遺傳因素
健康
上游思索
第三點:經常運動經常運動
第四點:培養情趣培養情趣
第五點:保持健康保持健康
健康檢查
第六點:盡忠孝道盡忠孝道
第七點:貢獻社會貢獻社會
Healthy SchoolEnviron
ment
HealthEducati
on
Health Promot
ion
Counseling,
Psychological
&Social
Service
Family, Commu
nityInvolvement
Physical
Education
Nutrition
Services
Government
Involvement
Health Care
Services
Professionals, Acade
mic Instituti
ons and
NGOs
Partnership for HealthConclusion
ConclusionHealth is:
– The pillar of Life– The foundation for success in business
and career– The source of a happy family
Wish you all a Healthy and Happy Life
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