Lecture 14: Epidemiology, a population health perspective Flashcards

1
Q

What is Epidemiology?

A

the study of the occurrence and distribution of health-related events, states or processes in specific populations

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2
Q

What is population health?

A

The health outcomes of a group of individuals including the distribution of such outcomes within the group

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3
Q

What is population health not an example of?

A

The health of an individual

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4
Q

What is specific about Maori males/females in terms of life expectancy at birth?

A

It is lower then the respective male/female non-Maori

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5
Q

What is the difference between Maori and and non-Maori in hospitalisation for chronic diseases?

A

It is much higher in Maori

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6
Q

What happened to hospitalisations for serious skin infections across different decile socioeconomic statuses?

A

The number of hospitalisations increased across the higher deciles/lower socioeconomic classes

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7
Q

What happened to the number of people diagnosed with type 2 diabetes across different decile socioeconomic statuses?

A

The number increased across higher deciles/lower socioeconomic classes

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8
Q

What are 2 important patterns of health distribution in New Zealand?

A
  • Ethnicity

- Socioeconomic status

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9
Q

What has happened to the number of Maori people living in high deprivation deciles?

A

It increases opposed to non-Maori

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10
Q

What is the disparity between high/low income Maori people and their non-Maori counterparts?

A

Their respective incomes are still lower than their non-Maori counterparts

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11
Q

What are factors to consider when assessing socioeconomic status?
(4)

A
  • Occupation
  • Income
  • Education
  • Living standards measures
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12
Q

What factors contribute into consideration for occupation when assessing socioeconomic status?
(3)

A
  • Non workers
  • Classification of jobs
  • Changing jobs
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13
Q

What factors contribute into consideration for Income when assessing socioeconomic status?
(2)

A
  • Gross or net income

- Individual or house hold

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14
Q

What factors contribute into consideration for education when assessing socioeconomic status?

A

Highest qualification

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15
Q

What factors contribute into consideration for living standard measures when assessing socioeconomic status?
(3)

A
  • Economic living standard index

- Survey’s with a range of aspects

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16
Q

What is NZDep?

A

Area based measure of deprivation

17
Q

What is the size of the area for an NZDep?

18
Q

What does NZDep consider for their index?

A

Range of aspects including:

  • Income
  • Employment
  • Living conditions etc
19
Q

Who can be assessed using the NZDep?

20
Q

What can be used to assess individuals NZDep?

21
Q

What is absolute poverty?

A

Income level below which a minimum nutritionally adequate diet plus essential non-food requirements is not affordable

22
Q

What is relative poverty?

A

The amount of income a person, family or group needs to purchase a relative amount of basic necessities of live

23
Q

What are relative necessities defined as?

A

Basic necessities are identified relative to each society and economy

24
Q

Neighbourhoods are not a measure of what?

A

Individuals within a decile

25
What are 4 complications of the NZDep
- Neighbourhood measure not individual - Incorporates a range of aspects but not everything - Not a label - Measures relative socioeconomic deprivation
26
What does a social gradient show about health outcomes and deprivation?
The higher someones deprivation, the higher poor health outcomes are going to be likely
27
What can follow low socioeconomic status?
Poor housing then poor health conditions
28
What are social determinants of health?
The conditions in which people are born, grow, live work and age and the wider set of forces and systems shaping the conditions of daily life
29
What are singular factors of health?
Hereditary factors
30
What are first level factors of health?
Individual life style factors
31
What are second level factors of health?
Social and community influences
32
What are third level factors of health?
Living and working conditions
33
What are fourth level factors of health?
General socioeconomic, cultural environmental conditions