addressing health disparities

Question 1

disaparity

Answer 1

type of health difference closely linked with social, economic, and/or env disadvantage
preventable dif in burden of disease, injury, violence, opportunities to achieve optimal health, experienced by socially disadvant pops
directly r/t historical and current dif in social, political, economic, env resources

Question 2

pops burdened

Answer 2

increased r/o health disparities and negative health outcomes
LGBTQ+, racial/ethnic, religion, gender, age, disability, geographic

Question 3

examples of disparities

Answer 3

L of life, QOL, disease rates, disability, death, severity of disease, tm access

Question 4

how to address

Answer 4

create fair and just opp to be healthier
remove obstacles to health -> pov, discrimination, powerlessness, lack of access, good jobs, fair pay, edu, housing, safe env, air qual
provide everyone with opportunity to attain highest level of health
success when everyone achieves highest level of health, no one disadvantaged d/t social position or other socially determined circumstance

Question 5

implicit bias

Answer 5

make quick decisions as cavemen
attitude/stereotype that affect understanding, actions, decisions in unconscious manner
favorable and unfavorable assessments, invol
feelings and attitudes towards others based on race, ethnicity, sexual orientation, gender, age, appearance

Question 6

implicit bias: facts

Answer 6

pervasive -> everyone has
malleable -> can be gradually unlearned
r/t explicit bias but they are distinct mental constructs, can reinforce each other
dont necessarily align with declared beliefs, knee jerk rxn
tend to favor our own ingroup

Question 7

implicit bias: in healthcare

Answer 7

even with same insurance, status, comorbidities, etc are controlled, people with minoritized racial and ethnic identities receive decreased quality of healthcare than white people
leads to differential tm -> different outcomes

Question 8

implicit bias: why? - system 1 thinking

Answer 8

evolutionary past
fast, automatic; susceptible to env influences, intuitive, unconscious, culture, life experiences

Question 9

implicit bias: why? - system 2 thinking

Answer 9

slow, reflective, consider goals and intentions, motivations

Question 10

implicit bias: stigma and health outcomes

Answer 10

experience stigma from hcp (if hcp unaware) -> anticipate future stigma -> avoid hc system -> poor health outcomes -> decreased QOL