A Socio Ecological Model

A Socio Ecological Model A Socio- ecological model focuses on the influences on behaviour with focus on the environment and policy and reorientations of organizations such as the health system. The use of e ecological model presents a problem from other models, whereas other models can be specific, ecological model only give domains and does not give specific guidelines as to which domain to use for what specific behaviour. Where as psyco-social models propose a more generalised approach for example self efficacy and behavioural influences in dealing with issues ecological model has to be tailor made to a behaviour and a population. Hence other theories needs to be integrated into the model to aid in specify to deal with the problem at had Healthy Active Oregon 2003: Socio-Ecological ModelLooking Beyond the Individual http://www.balancedweightmanagement.com/TheSocio-EcologicalModel.htm The socio-ecological model recognises the interwoven interaction between the individual the environment in which he lives in. although the individual is responsible for maintaining a lifestyle that improves health and reduce risk, the social environment the individual lives in determines behaviour to a large extent, these can hence form a barrier which in a way can affect the community as a whole in achieving a behaviour change. Hence the social ecological approach suggests intrapersonal, interpersonal, community, organizational and public policy in dealing with a problem at hand. Centers for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control Programs-2007. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; October 2007. Social norms play a significant role in shaping beliefs and behaviors in healthy and unhealthy ways.10 For example, survey data from California indicate that adult smokers with strong attitudes about the health effects and restriction of secondhand smoke are more than twice as likely to have made a recent quit attempt and to have the intention to quit in the next six months.11 Adult smokers who demonstrated strong anti-tobacco industry beliefs were 65% more likely to have made a recent quit attempt and 85% more likely to have the intention to quit in the next six months.11 tobacco control program combines and coordinates community-based interventions that focus on 1) preventing initiation of tobacco use among youth and young adults, 2) promoting quitting among adults and youth, 3) eliminating exposure to secondhand smoke, and 4) identifying and eliminating tobacco-related disparities among population groups. Reducing tobacco use is particularly challenging Community Programs A community encompasses a diverse set of entities, including voluntary health agencies; civic, social, and recreational organizations; businesses and business associations; city and county governments; public health organizations; labor groups; health care systems and providers; health care professionals societies; schools and universities; faith communities; and organizations for racial and ethnic minority group State capacity and infrastructure, including clear leadership and dedicated resources, are essential to the development and implementation of a strong strategic plan that includes the identification and elimination of tobacco-related disparities Tobacco control programs need to foster the motivation to quit through policy changes and media campaigns and promote their quitline services. McLeroy, K. R., Bibeau, D., Steckler, A., Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Qarterly, 15(4), 351-377. McLeroy K R, Steckler Ab, Goodman RM and Burdine JN(1992) Health Education education research: theory and Practises-future direction. Health Education Research, 7:1-8. Piper S (2009) HEALTH PROMOTION FOR NURSES; theory and practice. Routledge Oxon pp28 Borland R, Chapman S, Owen N and Hill D (1990): Effects of Workplace Smoking Bans on Cigarette Consumption. American Journal of Public Health 80, 2 A survey by Borland et al examined the effect of smoking ban on the behaviour of workers in the workplace of Australias largest public service. Before the implementation of the ban publicity was done for a year, there were programs set up to help people quit smoking, control smoking addiction and pre-deadline restrictions were introduced at some worksites. 2,113 workers were surveyed for 2 weeks before the implementation of the ban and six month after the ban was introduced. The survey found out that of the 2113 participants, 492 participants who were smoking at the time of the initial survey had reduced to 471 giving a reduction of 21 smokers after the ban. 57 smokers at the initial survey had given up at follow up whereas 36 non-smokers at initial survey were reported to have started smoking. 58% of those who gave up are reported to have done so following the implementation of the smoking ban. The study also assessed the effect of the pre-implementation restrictions on the workers. Participants were grouped into those who were allowed to smoke at the work station(43%) and those who were not allowed to smoke at their work stations (57%) . the result showed a 4.5 cigarette pre day consumption difference between those who were not allowed to smoke on site and those who were allowed. After the ban it was also found that there was a 5.2 cigarettes reduction among those who had the pre-implementation restrictions and a 1.9 cigarettes reduction among those who were not restricted. Further the survey explored. The survey further explored the effect on the participants who did not have any restrictions prior to the ban. Participants were grouped into light, heavy and moderate smokers. It was found out that whiles there were no changes in consumption among the light smokers there was an average reduction of 5.8 and 7.9 cigarettes per day among moderate and heavy smokers respectively . However heavy smokers did not appear to smoke more coffee and lunch breaks though they tend to smoke more whiles working outside. There was an average compensated increase of 0.7 cigarettes outside the working environment. This study is based on the ecological model where a change in the environment causes a change in individuals behaviour. The socio-ecological model recognises the interwoven interaction between the individual and the environment in which he lives in (Healthy Active Oregon 2003). Although the individual is responsible for maintaining a lifestyle that improves health and reduce risk, the social environment the individual lives in determines behaviour to a large extent; these can hence form a barrier which in a way can affect the community as a whole in achieving a behaviour change (Healthy Active Oregon 2003). Hence the social ecological approach suggests intrapersonal, interpersonal, community, organizational and public policy in dealing with a problem at hand (McLeroy et al, 1988). Jane Wills (2007) VITAL NOTES FOR NURSES; Promoting Health. Blackwell Publishing Ltd Oxford pp 59 Legislative action is also intended to change behaviour through the state, this includes national policies and provision of supportive systems to aid people to be able to cope with the change and sustain healthy life styles. But this intervention may be met with such resistance and people may be forced to under take smoking undercover making it difficult to actually identify the individuals who are undertaking such acts Naidoo J and Wills J (2005) PUBLIC HEALTH AND HEALTH PROMOTION; developing practice. Second edition of practising Health Promotion: Dilemmas and Challenges. BAILLIERE TINDALL, LONDON WHO (1986) Ottawa Charter for Health Promotion www.who.int/hpr/archive/docs/ottawa.html (accessed on 12/02/10) Bauer J E, Hyland A, Li Q, Steger C Cummings M K (2005): A Longitudinal Assessment of the Impact of Smoke-Free Worksite Policies on Tobacco Use. American Journal of Public Health, 95(6): 1024-1029. Stokols D (1996) Translating Social Ecological Theory into Guidelines for Community Health Promotion; American Journal of Health Promotion, 10(4):282-98 Davies M Macdowall W (2006) Health Promotion Theory; UNDERSTANDING PUBLIC HEALTH. Open University Press, ENGLAND National Tobacco Strategy (1999): A SUMMARY DOCUMENT TO ACCOMPANY THE STRATEGY http://www.health.gov.au/internet/main/publishing.nsf/Content/09C1490BFFCC1872CA256F190004478B/$File/tobccstrat1.pdf. This is part of a national tobacco strategy framework, whose main objective is to improve the health of all citizens of Australia by eradicating or limiting the exposure of tobacco and all it forms. The key strategies that was set up for the frame work was to improve the control of tobacco through community action, promote cessation of the use of tobacco, limit promotion and regulate tobacco and finally, reduce environmental exposure to the smoke of tobacco. A community is said to be well-informed when it has adequate information on tobacco to be able to make an informed decision on tobacco use. In the community information such as how to get help and quit, the difference between the use of tobacco and addiction, the effect of tobacco smoke on the environment, the benefits of quitting at any age and sooner than latter and on a whole the effect of tobacco on the society. It is a well known fact that information alone does not lead to behaviour by individuals in the community. For a community to gain control over tobacco use it has to be involved in the planning and implementation of community based programes for controlling tobacco. Community leaders, parents, schools and youth organiztions can all be involved. All though the survey does not account how data was collected to assess community participation, can be assumed that since this was part of a national frame work and employees are part of a community it may be possible for the individuals to be involved in some kind of a community based activity. And the whole employees come together forms a community that can be involved in tobacco control activities and also form a network to support each other. Egger G, Spark R Donovan R (2005): HEALTH PROMOTION STRATEGIES AND METHODS. 2nd Edition McGraw-Hill Australia Pty Ltd. It was reported in the study that 36 people who were non-smokers previously at the initial survey had started smoking at follow up (Borland et al, 1990). This reinforces the notion that knowledge does not motivate an individual to change their behaviour. Individuals are bombarded with so much information in our current society, but people perceive the information based on their own psychological inclination. People can select what they want to hear and ignores others that is likely to make them change their habits. Also people have their own beliefs and ideologies about what causes disease conditiones. And almost every smoker can point out an old smoker who has not developed cancer or someone who died of lung cancer but never smoked.

Comparing Violence in Kanes Blasted, Bonds Lear and Pinters The Home

Displays of Violence in Kane's Blasted, Bond's Lear and Pinter's The Homecoming In Sarah Kane's Blasted, a woman and a man are raped on stage, eyeballs and dead babies are consumed and a man shoots himself through the head. In Edward Bond's Lear, several men and women are shot, a man is severly beaten and another is blinded, and the body of a woman is disected on stage. Both Kane and Bond claim that the use of violence on stage is vital for the message they want to get across. Harold Pinter, however, seems to deliver the same message by referring to violence without actually displaying it on stage. By looking at the authors' reasons for staging violence, questioning the effect on the play's audience and the plausability and necessity of the violent acts on stage, it can be said that the portrayal of physical violence on stage is a hallmark of shallow melodrama, gratuitously pandering to the sensationalism of the audience. Sarah Kane's intention was to present her audience with the horrors of real life : war, cruelty and death, in the hope to bring it closer to the audience and to get people to think about what was happening beyond their safe homes, for instance in Jugoslawia, by drawing comparisons between local and global violence. She felt the horror of the war in Jugoslawia very strongly herself, and suffered from depressions that drove her to suicide in 1999. In the preface to Lear, Edward Bond says that it would be 'immoral not to write about violence' (v). He claims that violence originates through unnatural circumstances, and that this can be proven by comparing the behaviour of animals in their natural surroundings with animals in captivity. '[...] in normal surroundings and conditions, members of the same spec... ...al executions on stage would hade made : it shows the human side of violence, namely that of the victims. As a conclusion it can be said that, although the violence itself is well-argumented by the authors and serves its purpose in the plot, the actual act of violence needs not be shown on stage. It does not contribute to the plot, and its shockeffects are questionable. Furthermore, it might even make people aggressive. Staging violence turns the action into melodrama : it can no longer be distuinguised from the violent actionfilms meant to entertain and lure people to the cinema. Works Cited Bond, Edward. Lear. London : Eyre Methuen LTD, 1972. Abelard. Children and Television Violence ; Gerbner. Online. Internet. 2 July 2002. Kane, Sarah. Blasted. London : Eyre Methuen LTD, 1995. Pinter, Harold. The Homecoming. London : Eyre Methuen LTD, 1965.

An Environmental Analysis Essay

An environmental analysis of the constraints in both the host and home countries is of primary significance in determining the conditions of the host market, thus giving the home country the option to adjust according to the conditions in the host country. There are several important factors that should be considered in the environmental analysis, specifically of the host country, Turkey, and of the home country, the United States of America. The factors for both the host and home countries include but are not limited to the political environment, the judicial and legal environments and the economic environment. The current political environment in the United States is primarily led by the Republican Party headed by President George W. Bush. However, the presidential elections are scheduled November this year where Senators Barack Obama and John McCain from the democratic and republican parties respectively will represent their political affiliations and seek office in White House. America’s structure of government is a representative democracy and the system of government is a federal republic where there are contiguous states. On the other hand, the legal environment in America is basically pegged on the country’s system of governance. That is, the laws of the country are created by the bicameral Congress composed of the House of Representatives and the Senate, apart from the state and local laws created by the state and local levels of the government. The judicial system is basically comprised of the lower federal courts and Supreme Court which is the ultimate arbiter of the American laws. There are also appellate courts where cases can be filed for appeal and where decisions can be overturned depending on the merit of the case filed. In general, business in the United States in the context of the legal and judicial systems is healthy as there is a very minimal government control of the market, key private players in the economy are given the freedom to decide for themselves on a micro level as far as the market is concerned, and some of the laws are created to actually foster foreign and local trades. The United States economy has recently encountered a major setback primarily in the stock market, thus becoming a major cause of concern for the local corporations operating in the local economy. Nevertheless, the U. S. Federal Reserve System has been consistent in adjusting the interest rates so as to resolve the problem and bring the economy back on its feet (Guha, 2008, p. 9). On the other hand, the host country, Turkey, is nonetheless a regional power with influence reaching Europe, the Caucasus and beyond, and whose membership in the European Parliament is a key step towards becoming a full member of the European Union (Mooradian, 1995, p. 3). But even though there have been significant advancements in the economy of Turkey in more recent years, the country â€Å"cannot consider itself a true democracy† since it â€Å"does not tolerate the freedoms of speech and expression (Angacian, 2004, p. 3). † The country has been under military rule, and that there have been previous business threats from the ruling government aimed at France and Canada after the two latter countries recognized the Armenian Genocide. After both countries recognized the genocide, the Turkish government implemented a boycott in French wines and textiles as well as a boycott on Canadian products and enforced changes in the business contracts entered into by Canada with Turkey. Two of these changed contracts are contracts worth approximately $335 million and one that is close to a billion dollars worth of investments (Angacian, 2004, p. 3). But even though there are negative sides to the history of Turkey, it can hardly be denied that the country’s economy has been on the rise in more recent times. In 2004, Turkey’s economy has posted an eight percent growth with inflation rates dropping down to single digits. However, the recent developments in the country have substantially diminished its chances of joining the European Union as Turkey has become the â€Å"primary culprit† in the Union’s livelihood as Turkey has become a nation â€Å"stealing manufacturing work while delivering an influx of indigent job-seekers (Goodman, 2005, p. D. 01). † on the positive side, the home country, United States, can opt to venture into the rising industries in Turkey given the fact that the production costs in Turkey such as manpower is lower than its neighboring countries. Since the goods of the country primarily find their way to the rest of Western Europe, the advantage is that the investing foreign company has little to worry about production cost and market reach. On the other hand, the negative side of the market environment in Turkey is that the interest rates in credit are high, thereby resulting to higher prices of products which also results to limited exportation and new investments. Thus, it is significant for the company to consider relying on its capital resources rather than investing by financial borrowing as doing the opposite will most certainly result to higher prices of products manufactured. Moreover, it appears that the business environment in Turkey is not entirely friendly when the context of military rule is solely considered. In more recent years, Turkey has also experienced a steady growth in its technology sector although a large par of the country remains agricultural. The apparent diversity in culture, especially the Kurds and Turks, has resulted to differences in access in technology among the population as most Kurds are situated in the outskirts of the country. Some cultural considerations that should be addressed are the variations in the local purchases of goods depending on the financial capabilities of the local residents as well as the prospect of export in Western Europe where more cultural varieties are present, the strategies molded from the cultural context in Turkey and the leadership style of the company needed to address the economic and political concerns faced by the country and its people. References Angacian, S.(2004). The Undemocratic Democracy of Turkey. Armenian Reporter International, 36(48): 3. Goodman, P. S. (2005). Turkey’s Evolving Economy: Country Ties its Fortune Closer to Global Trade, Putting Pressure on Western Europe. The Washington Post: D. 01. Guha, K. (2008). Blowing in the Wind: America Braces Itself for the Risk of a Second Dip. Financial Times: 9. Mooradian, M. (1995). Political Analysis—Turkey: A Regional Power. Armenian Reporter International, 29(12): 3

Essay about Diabetes - 853 Words

Diabetes Nearly 16 million people in the United States have diabetes, the disease classified as a problem with insulin. The problem could be that your body does not make insulin, does not make enough, or it simply does not know how to use it properly. Diabetes is also known as diabetes mellitus. There are many types of diabetes. The two I will be discussing are type 1 and type 2. Type 1 generally affects young people and requires treatment with insulin. Five to ten percent of Americans with diabetes have this type. People with type 1 diabetes do not produce insulin and need regular shots of it to keep their blood glucose levels normal. People who are at risk for type 1 are those who have a family history of the disease,†¦show more content†¦Frequent urination leads to excessive water loss and dehydration, which seriously jeopardizes health. Being extremely thirsty is another symptom. A person becomes thirsty because of the loss of water through urine. Excess sugar concentrates the blood, which also triggers thirst. Fatigue occurs because glucose is unable to be effectively used as a fuel by muscle cells. They are fuel deprived and are less able to perform work. Dehydration also causes fatigue. Weight loss is another symptom of a diabetic. It may be slow or rapid. Lots of people with early diabetes actually eat more and still continue to lose weight. This is due to the amount of water loss and the increased breakdown of fat and protein tissues, as the body makes up for poor glucose utilization. Hunger is also a symptom because glucose is unavailable to cells as fuel. Blurry vision develops as the rapidly rising blood sugar levels cause fluid shifts in the lens of the eye. Lastly, infections of the gums, bladder, skin, and vagina become harder to treat. This is because germs thrive in the high sugar content of blood and body fluids. Type 1 and type 2 diabetes are different disorders with different causes. 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