FOM 6.3.1

Question 1

What is the association b/t education level and health status? What are the two statistics used?

Answer 1

A direct association of perceived and actual outcomes. Decreased education is associated with increased people who rate their health as poor/fair (perceived). Also, lower education leads to a higher age-adjusted mortality rate (actual).

Question 2

What is the difference b/t a health disparity and health inequity?

Answer 2

Health disparities are not amenable to change (gender, age). Health inequities are amenable to change.

Question 3

Name some health inequities.

Answer 3

Socioeconomic, Class, Race, Education, Geo, Multiple factors

Question 4

What type of relation exists b//t health status and education level?

Answer 4

Direct relationship (there may be confounding factors)

Question 5

Based off the county health calculator, if 5% more people attended some college, How would that effect income above 200% of the FPL, lives saved, diabetes, and diabetes cost?

Answer 5

-4% more over -200% of FPLl -save 825 lives -prevent 8,200 cases of diabetes -eliminate $47.9 million in diabetes care

Question 6

How do Johnson and Wyandotte County compare to Kansas in terms of Education % of some college and Income % @ 200% FPL?

Answer 6

Look at pic

Question 7

What are some possible risk factors of a rural geographic region?

Answer 7

Access to care, occupational risk (outdoor work), recreational risk (gun availability, ATV), relation to socio-economic status

Question 8

Where are the five densely populated counties located? Where is population density low?

Answer 8

Around Wichita and KCK. Population density is low in most of the eastern portion of the state

Question 9

What is the breakdown and % weight of Outcomes and Determinants in the KHI model?

Answer 9

Outcomes: -mortality rate (33%) -general health status (33%) -low birth weight (33%) Determinants: -Health care (10%) -Health behaviors (40%) -Socioeconomic factors (40%0 -Physical enviro (10%)

Question 10

What are some contributing factors to health behaviors, clinical care, social and economic factors, physical enviro?

Answer 10

Look at pic

Question 11

What region of the state is densely packed with counties that have poor health factors?

Answer 11

Southeast

Question 12

How does the map of health outcomes compare with the map of health factors?

Answer 12

Southeast has negative outcomes that almost directly correlate w/ health factors.

Question 13

Why do Scott County (good factors, bad outcomes) and Seward county (bad factors, good outcomes) break the trend of relationship b/t health factors and outcomes?

Answer 13

Scott: oldest population in KS Seward: Younger population

Question 14

What are some geographic issues that arise with urban areas?

Answer 14

Less exercise, more violence, more stress, FOOD DESERTS (Argentine community in KC)

Question 15

What are some other disparities that relate to special needs?

Answer 15

Disabled, HIV, adolescent, prisoner

Question 16

What are the two examples of multi-factorial risks?

Answer 16

Katrina & Chicago Heat wave

Question 17

What two stats were striking about evacuees of Katrina in Houston?

Answer 17

50% no insurance, 41% had chronic health conditions (heart dz, diabetes, asthma)

Question 18

What was striking about the death rates in Chicago during the heat wave?

Answer 18

Adjacent neighborhoods had markedly different death rates despite similar poverty (based on community characteristics).

Question 19

Author Klinenberg describes the difference in what factor that lead to higher risk in African American communities than Latino communities despite similar poverty?

Answer 19

Social cohesion or social capital- reduces risk b/c people are looking out for eachother

Question 20

Describe the cliff picture and its components.

Answer 20

See pic