ethnicity and illness Flashcards

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1
Q

race

A

superficial characteristics, such as skin color and facial features, used to differentiate groups of people biologically

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2
Q

culture

A

anything that is made by human beings and not derived from nature, such as beliefs, customs, food, etc

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3
Q

ethnicity

A

the social division of people into groups based on their identification with shared cultural characteristics and other people (having shared culture)

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4
Q

shared culture

A

language, food, religion, clothing, origins, myths, traditions, music, art

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5
Q

ethnic group

A

social membership and identity

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6
Q

ethnic origin

A

common ancestry and place of origin

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7
Q

most ethnic groups have

A
  • lower life expectancy
  • poorer health
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8
Q

ethnoization

A

when a particular disease/illness is mistakingly associated with one specific ethnic group

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9
Q

ethnoization can lead to stereotypes; give an example

A
  • sickle cell disease and African/African Caribbean groups
  • CHD and South Asians
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10
Q

if ethnicity does not directly cause ill health, what other factors can be influential

A
  • differences in culture and consequent health behaviors
  • socioeconomic disadvantages
  • adopting the western lifestyle
  • low population density
  • racism
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11
Q

how can “difference in culture and health behaviors” cause ill health

A

migrants bring their own understanding of health and illness, which is culturally induced

(ex: refusing to get vaccinated)

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12
Q

how can “socioeconomic disadvantage” cause ill health

A

migrants are low-income workers, therefore are likely to live in poverty or become unemployed

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13
Q

how can “adopting the western lifestyle” cause ill health

A

2nd and 3rd generation migrants tend to adopt the western unhealthy lifestyle

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14
Q

how can “low population density” cause ill health

A

social isolation may lead to limited opportunities for social support and triggers

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15
Q

how can “racism” cause ill health

A

feelings of injustice and social isolation may lead to depression and social disadvantage

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16
Q

ethnicity is a _____ and alone does not lead to ill health

A

social construct

17
Q

racism consists of two dimensions

A

prejudice and discrimination

18
Q

prejudice

A

negative attitudes towards someone/something

19
Q

discrimination

A

actions based on prejudice

20
Q

factors racism is associated with

A
  • social isolation
  • inactivity
  • unemployment
  • low salaries
  • chronic stress
21
Q

institutionalized racism

A

exclusion from goods, services and opportunities that are integral to institutions arising from a racist ideology

22
Q

cultural competence

A
  • understanding the importance of social and cultural influences on patients’ health beliefs and behaviors
  • considering how these factors interact at multiple levels of the health care delivery system
  • devising interventions that take these issues into account to assure quality health care delivery to diverse patient populations
23
Q

factors cultural competence is associated with

A
  • patient satisfaction
  • improved doctor-patient relationship
  • improved adherence
24
Q

skills for cultural competence

A
  • critically reflect on own values and beliefs
  • communicate in a nondiscriminatory, non-stereotypical way regardless of cultural and ethnic background
  • empathy regardless of ethnic background
  • knowledge of social determinants of health
  • awareness of intersectionality