exam semester 2 Flashcards
might die!
list the social determinants of health
- early life
- work
- stress
- unemployment
- addiction
- culture
- food
- transport
- social support
- social exclusion
- social gradient
social gradient
Society is segregated into classes or levels based on wealth. People identify themselves as being upper, middle or lower class based upon their income, housing, education or accumulated wealth.
unemployment
The psychological, financial and social consequences that arise from not being employed are damaging to ones health.
early life
The health of a mother during pregnancy, presence of complications during birth and quality of the first years of a child’s life will impact heavily on the wellbeing of the individual later in life.
social exclusion
Characterised by an individual being excluded from the life of society possibly due to unemployment, homelessness poverty, racism or discrimination.
work
Working is good for health. the safety of the workplace, the interaction of staff and co-workers and the control one has over their work life all impact on health status
stress
Individuals living in stressful circumstances for a long period of time live in a constant state of ‘fight or flight’. The autonomic and sympathetic nervous systems response to a stressful situation is useful when the situation requires immediate action and is short lived.
addiction
People turn to alcohol or drugs to escape their unhappy lives due to poverty, stress or unemployment
food
A healthy nutritious balanced diet is essential for growth, development and vitality.
transport
Choice of transport such as walking, cycling, skating can increase and be good for health of an individual.
social support
People with positive, rewarding, close friendships with have a better health status and live longer than those who either are socially isolated or have less supportive relationships.
culture
the cultural group to which an individual belongs in has an impact on their health behaviours as cultural expectations will influence decisions regarding things such as food choices, help seeking and rituals or traditions.
list the environmental determinants of health (Built and natural)
Natural:
- extreme weather
- ultra violet radiation
- food and water quality
- vector agents
- air quality
build:
- indoor air quality
- walkability
- transport
- greenspace
- environmental noise
- housing
extreme weather
Incudes droughts, floods, violent storms and wind, heat waves and high levels of precipitation
Causes physical harm to individuals such as injuries
Reduced populations access to roads, food, increase stress, impacts vulnerable population (elderly)
ultraviolet radiation
Ozone layer depletion - over or under exposure to the sun
Low = vitamin D deficiency, high = melanoma and skin cancer
food and water quality
Quality is fundamental to life, bacteria virus cells present can be dangerous to health e.g. hepatitis or salmonella
vector agents
Organisms such transmit disease (Mosquitos) - ross river virus, malaria
outdoor air quality
Pollution occurs when the air contains gases, dust, fumed and can lead to respiratory problems
indoor air quality
Includes outdoor air entering building, emissions from occupants (smoking), emissions from machinery. Can cause asthma to individuals
walkability
How suited an area is to walking. Street connectivity, land use and residential density. Can encourage physical activity.
transport
Physical infrastructure or vehicles that provide movement. Exposure to air pollution or move vehicles can increase green house emissions
green space
Area of open land that allow for leisure. Mental health is more positive with increased green space.
environmental noise
Roads, trains, planes. Unwanted noise disturbance can lead to stress and sleep deprivation
housing
The place an individual resides in. could be overcrowded resulting in higher stress levels. Housing quality could be poor - high risk of injuries, illness due to mould
geographical location
Refers to where people live. The region where people live, grow up, work can have an impact on their health - access to health care.
list the socioeconomic factors of health
- family
- education
- employment
- income
- migration/refugee status
- housing/neighbourhood
- food security
- access to services
income
Lower income earners: lower health status (often due to less access to nutritious food, medication, health facilities, specialists)
food security
The stability of available food within a population. Could be the presence of food such as famine or substantial crop.
housing/neighbourhood
Poorer ventilated, lack of heating/cooling, overcrowded, lacks hot water and food storage can lead to infection, disease and injuries.
housing (neighbourhood)
People who live in poorer neighbourhoods have higher mortality rates, worse birth outcomes, more illness and poorer reported health status than people living in higher income neighbourhoods
education
Those with education have less health problems and longer life expectancy. Increased knowledge on health issues, risky behaviours and consequences.
family
Wealthier families can peruse higher education, persevere through low income jobs and chase higher goals
access to services
Don’t usually prevent ill health from occurring but can prevent from spreading or worsening
mitigation/refugee status
Process of moving either across an international boarder or within a state. Can result from disasters or conflict within or between countries and can be problematic mentally and emotionally for people.
employment
Allows access to income and social networks (improved self-worth
list the biomedical determinants of health
- birth weight
- body weight
birth weight
Usually caused by premature birth or less than ideal pregnancy conditions
- Low birth rate babies are prone to ill-health such as type 2 diabetes, high BP, neurological and physical disabilities.
body weight
Excess body fat increases risk of type 2 diabetes, cardiovascular disease and high BP
what is health literacy?
Refers to the ability of individuals to access, read and comprehend reliable health information to make informed decisions
how can poor heath literacy affect health
- Not being able to understand information on labels - medicine, food, alcohol etc - increase chance of illness
-Not being able to follow instructions on prescribe medications - over dosing, not having enough
why is HL important for positive health
- Crucial for individuals to increase control over their own health
- Allows individuals to find accurate health information
benefits of HL
- Reduce cost to the healthcare system and prevents illness and chronic disease
- Helps reduce rate of accident and death
- Leads to less hospitalisations and social exclusion
examples of good health literacy
- Getting flu vaccines and other immunisations
- Researching and using a reliable health website
- Cancer screening
- Not overdosing on medication
list the levels of health literacy
functional
interactive
critical
functional health literacy:
Characterised by individuals with enough health literacy to choose products and services for personal use
They can read and follow instructions on labels and have some knowledge of risks
interactive health literacy
Moves from basic skills requires to choose products and read instructions and describes individuals who seek to improve their personal skills and strategies to act on health advice
critical health literacy
Possessing the cognition and skills (communication and investigation) to initiate social and political action for health outcomes
cognition
The mental action or process of acquiring knowledge and understanding through thought, experience, and the senses
list the skills of health literacy
accessing
reading
comprehending
accessing
obtaining or retrieving
To being able to obtain or retrieve information you need
reading
the action or skill of reading words or information
Once a consumer accesses health information they now need to be able to read it
comprehending
grasp mentally and/or understand
- Able to locate and get hold of information
- Be able to read it
- Need to grasp what the information is telling you and understand how it applies to you or the situation at hand
self care and examples
looking after yourself or personal health maintenance.
Include:
- Eating well
- Exercising
- Self-screening (skin checks, breast exams)
- Taking medication
- Rehabilitation exercises sleep
disease management
- Approach to healthcare that teaches patients how to manage a chronic disease
- Patients learn to take responsibility for understanding how to take care of themselves and avoid potential problems or exacerbation, or worsening of their health problem
multidisciplinary
combining or involving several academic disciplines or professional specialisations in an approach to a topic or a problem
chronic disease
illness that is prolonged in duration, does not usually go away itself and is rarely cured completely
features common to chronic disease include:
- Complex causes, with multiple factors leading to disease onset
- A long development period, for which there may be no symptoms
A long illness timespan, perhaps leading to other health complications
exacerbation
the process of making a problem, bad situation or negative feeling worse
6 principals of disease management + define each
- Care planning - patients work with health professionals such as doctors and specialists to prepare a detailed disease management plan
- Self-monitoring - patients are taught the symptoms of their conditions and how to monitor themselves for signs of symptoms
- Self-administered treatment - once patients can monitor their disease themselves they can administer their own treatment and/or medication
- Allies health professionals - the patient maintains appointments with allies health services such as dieticians physiotherapists and psychologists to support them in their disease management
- Emergency contact - encourages quick access to emergency help by providing patients with contact details to their GP, specialist and pharmacist
- Review - regular appointments with a health professional such as a nurse, carer or GP to monitor progress
list the products and service
factors that influence the use of health products and services
- Media
- Transport
- Cost
- Consumer confidence
media
Current affairs and product placement can all influence the use by society of health products and services
transport - products and service
Availability of public transport, parking and accessibility can all influence the uptake of health services
cost and example
People may often choose cheap products as they cant afford top brands as they are low income earners
E.g. ACL injury to repair - ranged from $5076 to $13,950
consumer confidence
Consumers have greater confidence in products that are true to their promises
e.g. panadol