“enabling” public health statutes, which typically specify the mission, function, structure, and authorities of state or local public health agencies (also known as health departments).

Terms and concepts for this course

Policy vs policy

Advocacy v lobbying

Health communication

Social marketing

Media advocacy

Social Ecological Model (SEM)

Health Impact Pyramid

Social Determinants of Health

Health Equity

Health disparities

(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)

Health communications https://www.cdc.gov/healthcommunication/healthbasics/whatishc.html

Health Marketing

https://www.cdc.gov/healthcommunication/toolstemplates/whatishm.html

Health literacy

https://www.cdc.gov/healthliteracy/learn/index.html

1

Reference

Eyler, A.A., Chriqui, J.F., Moreland-Russell, S.M., & Brownson, R.C. (Eds.). (2016) Prevention, policy, and public health (1st ed.) New York, NY: Oxford University Press.

(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)

Policy and policy

Capital “P”: Legislative judicial, regulatory

Population/ community wide impact

May be:

Infrastructural

“enabling” public health statutes, which typically specify the mission, function, structure, and authorities of state or local public health agencies (also known as health departments).

Interventional

Federal, state, or local law or policy designed to modify a health risk factor.

Intersectoral (HIAP)

Federal, state, or local law or policy implemented by a non-health agency for a primary purpose other than health, but which has intended or unintended health effects.

Typically follows prescribed steps to implementation (slow)

Lowercase “p”: voluntary, guidelines, social norms

Situational, may be applied unequally

Limited impact, temporary, often by whim of one decision maker

Typically implemented quickly

(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)

Give me an example of POLICY and policy?

Infrastructural: So called

Interventional:

Intersectoral: Federal, state, or local law or policy implemented by a non-health agency for a primary purpose other than health, but which has intended or unintended health effects.

IOM, 2011

3

Chapter 1

Power of Policy to Improve Health

(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)

Why policy?

Policy linked to health promotion and disease prevention

Create opportunities for broad and sustainable improvements in population health

Because…

80% of U.S. deaths are caused by chronic disease

Heart disease

Cancer

Hypertension

Stroke

Diabetes

75% of annual spending on medical care

Chronic disease linked to modifiable factors

Lifestyle and

Risk factors

(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)

(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)

Policy Focused on Prevention

(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)

Why policy?

Assemble into 4 groups

Review box 1.1 together

Federal prevention policy: Prevention and public health within the Affordable Care Act

Each group summarize the associated paragraph (write on flip chart)

(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)

Public Policy and Public Health within a Socio-Ecological Framework

(CDC, 2015)

https://www.cdc.gov/cancer/nbccedp/sem.htm

(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)

Why Use Policies to Prevent Disease and Improve Population Health?

Policy have the potential to affect both the environment and behavior to reduce health risks.

Result in systemic improvements to environments

Economic

Physical

Social

that create opportunities for healthy behaviors

Example:

Policies enforcing fines for the sale of alcoholic beverages to minors lead to decreased access for minors and have potential to reduce underage drinking

Policy has a broad scope = can benefit all people within the environment

(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)

Integrating Policy with Public Health Research and Practice

Continue to increase body of research on development, implementation and policy outcome

Increase the number of research networks to study policy

Need stakeholders from a wide range of networks to implement policy

Table 1.2

Policies are integrated with public health practice

National Public Health Performance Standards Program outlines ten essential public health services – two are policy-based

Develop policies and plans supporting individual and community health efforts

Enforce laws and regulations protecting and ensuring safety

(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)

Table 1.2 p11

(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)

Integrating Policy with Public Health Research and Practice

Policies are integrated with public health practice

National Public Health Performance Standards Program outlines ten essential public health services – two are policy-based

Develop policies and plans supporting individual and community health efforts

Enforce laws and regulations protecting and ensuring safety

(Eyler, Chriqui, Moreland-Russell & Brownson, 2016)