KNPE 335 Final Flashcards
Health Inequity
unjust or unfair differences between persons, often rooted in social, economic, environmental or systemic conditions that disadvantage certain groups
*preventable
examples of inequity
more infant mortality in lower income places, access to healthcare, race, gender etc
Health Inequaltiy
observable or measurable health differences in health status or outcomes among different population groups
*differences quantifiable
*natural result of diverse pop
examples of inequality
varying life expectancy, mortality rates, older adults are more susceptible to chronic illness
Diversity with aging
as people age, experiences of health, support andn well being vary based on social det. of health which can lead to inequalities naturally
Health inequality in aging
measurable differences in health outcomes among older adults
-often result from many factors
Health inequity in aging
often stem from lifelong disadvantages such as poverty, racism, limited access to healthcare, affecting adults late life
*preventable, reflects social injustice
ex. rich ppl get better healthcare
links with health outcomes
-physical and mental inequities
-socio-economic factors
-poverty and disadvantage
inequities and inequalities relates to survival from various health conditions are closely linked to
age, sex, ethnicity
risk factors for senior risk of isolation, health inequality & inequity
-age and gender
-ethnicity
-social relationships
-poverty/lack of resources
-sexual & gender identity
-geography
-life transitions
-health&disability
-knowledge & awareness
opposite of a risk factor
in some cases the opposite of a risk factor is a protective factor
Indigenous peoples in canada
-were in good health prior to colonization
-included nutritious diets, rich and diverse healing systems and active lifestyles
how did contact with european settlers greatly affect health outcomes and continues to affect their health
-poorer health outcomes
-suffer from more chronic illnesses and disabilities (heart disease and diabetes)
direct causes of poor health outcomes for indigenous people living in canada
embedded racism & loss of support system
*type 2 diabetes continues to be 5 times more common against indigenous due to historical trauma and land dispossession
example of systemic discrimination
residential school system; loss of cultural identity is a loss of health
which entho-racial groups have higher risks of developing dementia
Black, hispanic/Latino, Native Hawaiian/Pacific Islander
*differences persist despite similar rates of cognitive decline
risk and expression of dementia are influenced by
social determinants, discrimination and access to healthcare
disparities in dementia care
access, diagnosis and outcomes
influential factors of disparities of dementia:
socioeconomic status, cultural diversity and geographical location
how are 12 risk factors of dementia influenced by inequities
lower income ad minorities face more barriers to managing risk
Prescription drug access
-insurance generally does not cover this
-people w private insurance plans have better access
-many older adults, indigenous and immigrants struggle to afford meds leading to poor adherance and health outcomes
Oral health inequities
-affect older adult
-often based on income and private benefits not provincial plans
why do many older adults avoid dental care
high costs
how does poor oral health impact overall health for older adults
-lost/broken teeth affect nutritional status = additional health complications
-stigma around poor oral appearance can affect mental health leading to social isolation