Health inequalities 1 Flashcards

1
Q

What are protected characteristics

A
age
disability
gender reassignment
marriage and civil partnership
race
religion or belief 
sex
sexual orientation
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2
Q

What are the SES measures for socioeconomic inequalities

A
education
income
occupational social class
housing
area-based measures
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3
Q

What are the social class groupings

A
I professional 
II managerial & technical
III-N non-manual skilled
III-M manual skilled
IV partly skilled
V unskilled
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4
Q

What about people makes an area affluent or deprived

A

social environment, culture, community, networks

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5
Q

What about physical environment makes an area affluent or deprived

A

services, safety, transport, parks/recreation, safety, air quality

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6
Q

What does SIMD range of domains include data from

A
employment
income
health
education, skills, training
geographic access to services
crime
housing
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7
Q

What is the inverse care law

A

access and uptake of health services

those with greatest needs for GPs and medical health services are least likely to access it

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8
Q

What are the effect of health inequalities

A

access and uptake of health services
health behaviors
health and disease outcomes
life expectancy

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9
Q

What is the effect of health behaviors

A

smoking, diet, alcohol, exercise

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10
Q

What are the measurements of inequalities

A

absolute measures (difference)
relative measures (ratio/gradient0
simple measures
complex measures

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11
Q

What are the socioeconomic rank of cancers in males

A
  1. lung
  2. head and neck
  3. stomach
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12
Q

What are the socioeconomic rank of cancers in females

A
  1. lung
  2. cervical
  3. head and neck
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13
Q

What are biomedical perspectives on oral health determinants

A
oral hygiene
sugar consumption
smoking and alcohol 
exposure to fluoride
use of dental services
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14
Q

What are social perspectives on oral health determinants

A

structural determinants - power, money, wealth
conditions of daily life
political

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15
Q

What are effective policies to reduce inequalities

A
structural changes in environment 
legislative and regulatory controls
fiscal policies
starting young
community action
improving accessibility of services
prioritizing disadvantages population groups
reorientate health services
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16
Q

What are ineffective interventions that increase inequalities

A

information based campaigns (mass media programs)
written materials (leaflets and posters)
campaigns reliant on people taking the initiative to opt in
health education campaigns designed for the whole population
approaches which involve significant costs or other barriers

17
Q

What are upstream policy examples

A

smoking ban in public places
school food policy
sugar tax
min. wage / income taxation

18
Q

What are midstream policies

A

community development/engagement

social prescribing/community link workers/dental health support workers

19
Q

What are downstream examples

A

chair-side clinical prevention

smoking cessation

20
Q

Describe the diff parts of the childsmile program

A

supervised toothbrushing program - universal

nursery and school FV program - targeted

practice and community program - U&T

21
Q

What is oral health improvement advice

A

demonstrate and observe hands on brushing instructions

tailored advice on diet and nutrition

action plan

22
Q

What is fluorides part to play in oral health improvement advice

A

for children from 2 years, apply varnish 2 x per year

additional 2x per year in nursery and primary schools

23
Q

Where is supervised toothbrushing done

A

nursery - universal coverage

primary school (P1 and 2) for deprived areas

24
Q

What is holistic person-centre care social prescribing

A

when health professionals refer/link patients to support in the community, in order to improve their health and wellbeing