Health Equity Flashcards
define health equity
the attainment of the highest health for ALL PEOPLE. no one is disadvantaged from attaining the highest level of health because of “social position or other socially determined circumstances”
define health inequity
differences in health outcomes, ROOTED IN STRUCTURAL AND SOCIAL inequities that ARE AVOIDABLE, unfair, and unjust
“the metrics we use to measure progress towards achieving health equity”
health disparities
name the determinants of health and which is the largest “chunk of the pie”
social and economic factors — 40%
health behaviors
clinical care
physical environment
genes and biology
true or false
deaths due to low education in 2000 were higher than those from acute myocarditis
true
what could be a POSITIVE social determinant of health
community and social context – support systems
what are health outcomes evaluated in determining health inequity
mortality
morbidity
life expectancy
health care expenditures
health status
functional limitations
which determinants of health are mostly responsible for health inequities?
SOCIAL
the STRUCTURAL ROOTS of health inequities lie within what systems?
how can it be changed?
education
taxing
labor and housing markets
urban planning
gov regulation
health care systems
no direct personal control – individuals cant do anything
only can be altered through social and economic policies and processes
if 1 neighborhood has no park and is in a poor neighboorhood, and there is a different neighborhood that is wealthy with a park but they want to expand, what should you do with your money
give more to poor neighborhood
socioeconomic factors affects the largest population in regards to health, and….
individuals cant do anything about it – only government
unequal access to opportunities
inequality
custom tools that identify and address inequality
equity
is evenly distributed tools and assistance considered equality?
no —– also need access to both tools and opportunities
fixing the system to offer equal access to both tools AND opportunities
justice
when policies, practices, and systems within institutions create and sustain racialized outcomes either intentionally or unintentionally
institutional racism
racial equity is both a ____ and a _____
outcome and a process
we achieve racial equity when……
race no longer determines outcomes
when do we apply racial equity?
when those most impacted by racism are involved in the decisions that impact their lives – not determined by race
INTERSECTIONALITY refers to a view of….
seeing different forms of inequalities and how they can work together to exacerbate (make worse) each other
give an example of intersectionality
inequalities based on race, sexuality, gender, class, etc can simultaneously affect an individual
“occurs underneath, all around, and across institutions AND society”
structural racism
“cumulative and compounded effects of factors that systemically privilege white people and disadvantage people of color”
structural racism
name 4 reasons why we ended up in structural racism
historical legacies
policies and practices
implicit/explicit biases
hoarding resources
what is a key indicator of the health and well being of a society?
maternal mortality
true or false
maternal mortality is an ongoing problem in the US
true
US has highest rates
_____to____% of pregnancy related deaths in the US can be prevented
66-80%
what are the 3 measures used to describe maternal deaths in the US
pregnancy associated mortality
pregnancy related mortality
maternal mortality
explain pregnancy associated mortality
deaths during pregnancy and up to a year after, REGARDLESS of cause
explain pregnancy-related mortality
deaths during pregnancy and up to a year after, RELATED to pregnancy and its effects
explain maternal mortality
death during or within the last 42 days of pregnancy, from ANY CAUSE RELATED TO PREGANCY OR ITS MANAGEMENT
Which population has the highest maternal mortality rates
non-hispanic black women
true or false
the maternal mortality rates have increased every year since 2018-2020 for ALL RACES
true
what age group has the highest maternal mortality rates
women 40 and older
what are the 3 most common causes of maternal death in black women as compared to non-black women
cardiomyopathy, thrombotic pulmonary embolism, hypertensive disorders
disparities exist due to what 4 issues
structural racism
implicit bias
underlying chronic conditions (more likely in certain populations)
variations in healthcare quality
true or false
there is a smaller % of OB-GYNS and specialized nurses who are black
true
ppl typically view health disparities through 3 dominant frames:
- personal responsibility – “not my fault”
- unfortunate but not unjust
- nothing can be done
people need to CHALLENGE THEIR OWN ASSUMPTIONS
5 link
didnt do
