A Conceptual Approach to Managing the Behavioral Determinant of Public Health

Abstract

Introduction: The behavioral determinant includes a set of factors related to human behavior with respect to health and performance of labor, military, reproductive and other strategically important social roles and functions. The implementation of the latter plays a key role in ensuring the national security of the country. Materials and methods: The approach was developed in compliance with recommendations contained in the Urban Health Index methodology by the World Health Organization, GOST R ISO/TS 21667-2009 “Health informatics – Health indicators conceptual framework”, and “Tools and Ethics for Applied Behavioural Insights: The BASIC Toolkit” by the OECD. We systematized the results of 33 studies published since 1980 and found in the RSCI, Springer, and PubMed databases using the keywords “behavior”, “public health”, and “health”. Results: The behavioral determinant of public health is proposed to be managed in six steps, the implementation of which will help establish the causes of behavioral errors. The article outlines the approach to developing a strategy for action to form target behavior aimed at maintaining the quality of public health and gives the examples of various behavioral errors, including limited attention of people, wrong estimation of outcomes and probabilities, and contextual influence. Other behavioral errors, however, can be identified in the sphere of public health. Discussion: Further research should be aimed at compiling a comprehensive list of behavioral errors to be managed in order to maintain public health.

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