Foundational Concept 10A! Flashcards

Spatial Inequality, Social Class, Health (Care) Disparities

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1
Q

MCAT Behavioural Sciences - Social Inequality

Which of the following best describes the component of socioeconomic status attributable to direct individual efforts?
1. Ascribed status
2. Meritocratic competition
3. Anomic condition
4. Achieved status

What are the definitions of each?

A

4) Achieved Status

Ascribed socioeconmic status is based on identifiable external characteristics. Achieved status may be due to meritocratic competition or other individual efforts. Anomic conditions are those that cause a breakdown between the individual and society

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2
Q

MCAT Behavioural Sciences - Social Inequality

Which of the following displays a correct association?
1. High social networking and low social capital
2. High social mobility and low social capital
3. Low social class and low social capital
4. Low social networking and high social capital

A

3) Low social class and low social capital

Members of the lower class often have smaller number of weakc ties in social networks, and therefore have less opportunity to invest in society and reap its benefits

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3
Q

MCAT Behavioural Sciences - Social Inequality

Which of the following concepts are LEAST likely to coincide?
1. Hazardous waste facilities and low-income neighbourhoods
2. Tuberculosis and poor living conditions
3. Environmental pollution and high minority population
4. Globalisation and global equality

How do each of these concepts coincide?

A

4) Globalisation and Global Equality

Globalisation tends to create further global inequalities. Higher numbers of hazardous waste facilities tend to be found in low-income areas. Poor living conditions tend to be associated with greater health problems. Environmental pollution is more prevalent in areas with minority populations

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4
Q

MCAT Behavioural Sciences - Social Inequality

Which of the following trends is most likely FALSE?
1. Mortality rates are increased in low-income racial and ethnic minorities
2. Life expectancy is decreased in high-income groups
3. Birth weights are decreased in children of low-income women
4. Rates of lung cancer are increased in low-income groups

A

2) Life expectancy is decreased in high-income groups

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5
Q

MCAT Behavioural Sciences - Social Inequality

A small town has 1000 residents, including 500 men and 500 women. In this town, 20 of the men have prostate cancer. During a calendar year, 10 more men are diagnosed with prostate cancer. Assume none of the men are cured or die during the year.

What is the prevalence of prostate cancer in this population at the end of the year?
1. 10 / 480
2. 10 / 1000
3. 20 / 500
4. 30 / 1000

What is the incidence of prostate cancer in this population during the year?
1. 10 / 480
2. 10 / 1000
3. 20 / 500
4. 30 / 1000

What is the definition of prevalence and incidence?

A

4) 30 / 100
1) 10/480

Prevalence is the number of cases divided by the the total population during a period of time. Incidence is the total number of cases divided by the at-risk population during a period of time.

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6
Q

MCAT Behavioural Sciences - Social Inequality

A low-income single mother works a part-time job and lives in a small apartment in the city. When her children grow up, they take similar jobs and live in similar housing. This is an example of:
1. Upward social mobility
2. Downward social mobility
3. Social exclusion
4. Social reproduction

A

4) Social Reproduction

The children remain in the same socioeconomic class as their mother, indicating a lack of social mobility

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7
Q

MCAT Behavioural Sciences - Social Inequality

Which of the following is true with regard to relative poverty?
1. Individuals in relative poverty have incomes below the poverty line
2. Individuals in relative poverty exhibit downard social mobility
3. Individuals in relative poverty may be in the upper class
4. Individuals in relative poverty exhibit upward social mobility

A

3) Individuals in relative poverty may be in the upper class

Relative poverty describes being poorer than those in the surrounding population

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8
Q

MCAT Behavioural Sciences - Social Inequality

In comparison to urban centers, suburbs tend to have:
1. Larger racial and ethnic minority populations
2. Higher rates of poverty
3. Larger high- and middle-class populations
4. Higher rates of crime and homicide

A

3) Larger high- and middle-class populations

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9
Q

MCAT Behavioural Sciences - Social Inequality

Which of the following terms refers to the burden or degree of disease associated with a given illness?
1. Morbidity
2. Mortality
3. Second sickness
4. Chronicity

Define each term.

A

1) Mobidity

Morbidity refers to the burden/severity of the illness. Mortality refers to the deaths caused by a given illness. Second sickness describes the exacerbation of health outcomes due to social injustice. Chronicity refers to the duration of a disease.

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10
Q

MCAT Behavioural Sciences - Social Inequality

Compared to white Americans, which of the following racial or ethnic groups tends to have a better overall health profile?
1. African-Americans
2. Asian-Americans
3. Hispanic Americans
4. Native Americans

A

B) Asian-Americans

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11
Q

MCAT Behavioural Sciences - Social Inequality

Which of the following best describes the populations targeted by Medicare and Medicaid, respectively?
1. Medicare: mostly patients without employer-guaranteed healthcare; Medicaid: mostly patients who have recently immigrated
2. Medicare: mostly patients who have recently immigrated; Medicaid: mostly patients without employer-guaranteed healthcare
3. Medicare: mostly patients in older age groups; Medicaid: mostly patients with low socioeconomic status
4. Medicare: mostly patients in older age groups; Medicaid: mostly patients with low socioeconomic status

A

3) Medicare: mostly patients in older age groups; Medicaid: mostly patients with low socioeconomic status

Medicare covers patients over the age of 65, those with end-stage renal disease, and those with amyotrophic lateral scleorsis.

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12
Q

MCAT Behavioural Sciences - Social Inequality

Morbidity is increased in low-income groups because of all the following EXCEPT:
1. Higher rates of obesity
2. Less access to healthcare
3. Higher rates of homicide
4. Lower rates of physical activity

Why?

A

3) Higher rates of of homicide

Morbidity is the burden/severity of disease. High homicide rates cause increases in prevalence of the disease

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13
Q

MCAT Behavioural Sciences - Social Inequality

Hypertension can be diagnosed by having two or more blood pressure readings higher than 140/90 on two different occasions, separated by a week. Suppose that the criteria were changed to include anyone with a reading higher than 130/80 on at least one occasion. How would this change the prevalence of diagnosed hypertension in the population?
1. The prevalence would increase
2. The prevalence would decrease
3. The prevalence would remain the same
4. There is not enough information to determine the change in prevalence

Why?

A

1) The prevalence would increase

If the threshold is lowered, more people will fit the criteria, so the prevalence will also increase.

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14
Q

MCAT Behavioural Sciences - Social Inequality

Which of the following trends regarding healthcare disparities has NOT been documented?
1. Females are more likely to be insured than males
2. Primary care use is more likely among males than females
3. Low-income individuals have more difficulty accessing care than high-income individuals
4. LGBT individuals have more barriers to healthcare to heterosexuals

A

2) Primary care use is more likely among males than females

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15
Q

MCAT Behavioural Sciences - Social Inequality

Define Ascribed Status

A

Involuntary and dervies from clearly identifable characteristics, such as age, gender, and skin colour

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16
Q

MCAT Behavioural Sciences - Social Inequality

Define Achieved Status

A

Acquired through direct, individual efforts

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17
Q

MCAT Behavioural Sciences - Social Inequality

Define Social Class

A

A category of people with shared socioeconomic characteristics, and similar lifestyles, job opportunities, attitudes, and behaviours

18
Q

MCAT Behavioural Sciences - Social Inequality

Define Prestige

A

The respect and importance tied to specific occupations or associations

19
Q

MCAT Behavioural Sciences - Social Inequality

Define Power

How is power created?

A

The capacity to influence people through real or percieved rewards and punishments

It depends on the unequal distribution of valued resources

20
Q

MCAT Behavioural Sciences - Social Inequality

Define Anomic Conditions

A

The erosion of social solidarity by means of excessive individualism, social inequality, and isolation

21
Q

MCAT Behavioural Sciences - Social Inequality

Define Social Capital

A

The investment people make in their society in return for economic or collective rewards

22
Q

MCAT Behavioural Sciences - Social Inequality

Define Meritocracy

A

A society in which advancement up the social ladder is based on intellectual talent and achievement

23
Q

MCAT Behavioural Sciences - Social Inequality

Define Social Mobility

A

Allows one to acquire higher-level employment opportunities by achieving required credentials and experience

24
Q

MCAT Behavioural Sciences - Social Inequality

How is the poverty line (US) determined?

A

The poverty line is the government’s calculation of the minimum income requirements for families to acquire the minimum necessities of life

25
Q

MCAT Behavioural Sciences - Social Inequality

Define Social Reproduction

A

The passing on of social inequality, especially poverty, from one generation to the next

26
Q

MCAT Behavioural Sciences - Social Inequality

Define Absolute Poverty

A

When people do not have enough resources to acquire basic life necessities, such as shelter, food, clothing, and water.

27
Q

MCAT Behavioural Sciences - Social Inequality

Define Relative Poverty

A

When one is poor in comparison to a larger population

28
Q

MCAT Behavioural Sciences - Social Inequality

Define Social Exclusion

A

The sense of powerlessness when individuals feel alienated from society

29
Q

MCAT Behavioural Sciences - Social Inequality

Define Spatial Inequality

A

A form of social stratification across territories and their populations, and can occur along residential, environmental, and global lines

30
Q

MCAT Behavioural Sciences - Social Inequality

Define Environmental Injustice

How does environmental injustice occur?

A

An uneven distribution of environmental hazards in communities

Lower-incomer neighbourhoods may lack the social and political power to prevent the placement of environmental hazaerds in their neighbourhoods

31
Q

MCAT Behavioural Sciences - Social Inequality

Describe the effects of Globalisation and how they occur

A

Globalisation has led to further inequalities in space, food and water, energy, housing, and education, as the production of goods shift to cheaper labour markets. This has resulted in significant economic hardship in industrialising nations

32
Q

MCAT Behavioural Sciences - Social Inequality

Define Incidence (of a Disease)

A

The number of new cases of a disease per population at risk in a given time

33
Q

MCAT Behavioural Sciences - Social Inequality

Define Prevalence (of a Disease)

A

The number of cases of a disease per population in a given period of time.

34
Q

MCAT Behavioural Sciences - Social Inequality

Define Morbidity (of a Disease)

A

The burden/degree of illness associated with a given disease

35
Q

MCAT Behavioural Sciences - Social Inequality

Define Mortality (of a Disease)

A

The number of deaths caused by a given disease

36
Q

MCAT Behavioural Sciences - Social Inequality

Define Second Sickness

A

The exacerbation of health outcomes caused by social injustice

37
Q

MCAT Behavioural Sciences - Social Inequality

Describe three health-insurance schemes that aim to improve healthcare for underserved populations

A

Affordable Care Act (ACA) - attempts to increase coverage/affordability of health insurance
Medicare - government-funded insurance covering those over the age of 65, those with end-stage renal disease, and those with ALS
Medicaid - government-funded insurance for those in significant financial need

38
Q

MCAT Behavioural Sciences - Social Inequality

Define Caste System

A

Determined by the position they were born/married into

39
Q

MCAT Behavioural Sciences - Social Inequality

Define Plutocracy

A

Ruled by the upper classes

40
Q

MCAT Behavioural Sciences - Social Inequality

Define Class Consciousness

Compare to false consciousness

A

Awareness of a social class regarding their shared interests, societal position, and potential for collective action within a larger societal structure

False consciousness is the misconception of one’s actual position in society, making them unlikely to see their alleged exploitation and oppression

41
Q

MCAT Behavioural Sciences - Social Inequality

Define Spatial Mismatch

A

Low-incone segregated communities would have better opportunities further away from their community, making it harder for them to access

42
Q

MCAT Behavioural Sciences - Social Inequality

Define Social Disorganisation Theory

Why does this occur?

A

That a residential location is more significant than a person’s characteristics when predicting criminal activity.

Criminal activity requires social control - enforcement of conformity either by law or social pressure