Lecture 3

Question 1

Determinants of Health

Answer 1

is simply something that can impact an individual’s, a family’s or a community’s health.

Question 2

Social determinants of health:

Answer 2

• resulting from social constructions and situations.
• provide us with a framework for understanding health and what influences it.

Question 3

Example of Determinants of Health

Answer 3

Where a person lives may impact their health status. Think of various places around the world where there is a lack of food, employment opportunities or access to medical services.

Question 4

The World Health Organization (WHO) states Social Determinants of Health (SDoH) are

Answer 4

the conditions in which people are born, grow, live, work, and age, including the health system.

Question 4

Lalonde Report (1974) and the Ottawa Charter of Health Promotion (1986) acknowledged

Answer 4

the need for an approach to holistically explore what factors influence health and wellbeing.

Question 5

The Public Health Agency of Canada: 12 Key DoH

Answer 5

Income and Social Status:
Social Support Networks
Education and Literacy
Employment/Working Conditions
Social Environments
Physical Environments
Personal Health Practices and Coping Skills
Healthy Child Development
Biology and Genetic Endowment
Health Services
Gender
Culture

Question 6

____ of Indigenous people rated quality of care in Emergency Departments as either fair or poor.

Answer 6

44%

Question 7

____ of Indigenous people reported receiving poor treatment due to racism and discrimination.

Answer 7

43%

Question 8

Indigenous people often experience missed or late diagnosis

Answer 8

due stereotyping/assumptions related to drug/alcohol seeking behavior.

Question 9

Health Transfer

Answer 9

allows for some administrative flexibilities and control over funding, However, it still exists within a larger system that has significant restraints.

Question 10

Brian Sinclair

Question 11

Joyce Echequan

Question 12

Social relation factors can influence patient-

Answer 12

provider relations

Question 13

The Chandler and Lalonde Study (2008) referred

Answer 13

to often in Indigenous health research.

Question 14

The Chandler and Lalonde Study (2008) demonstrated

Answer 14

the important role cultural continuity and self-determination in health status, particularly that of social/mental health and suicide rates.

Question 15

Indigenous people account for __ of the total population in BC but account for__of all suicides in BC.

Answer 15

3% ; 9%

Question 16

Indigenousyouth account for ___ of all youth suicides in BC.

Answer 16

23%

Question 17

In the period covered by the Lalonde study, 90% of suicides were

Answer 17

in less than 10% of the bands.

Question 18

Cultural Continuity

Answer 18

can be defined as the integration of people within their culture and the methods through which traditional knowledge is maintained and transmitted. In the study’s context, it also means Indigenous self-determination (Indigenous control of decision-making).

Question 19

The six factors associated with cultural continuity include:

Answer 19

Land claims;
Self-government;
Self-Determination
Education services;
Police and fire services;
Health services; and
Cultural facilities

Question 20

Chandler and Lalonde Study Findings

Answer 20

• Communities with more of the six factors related to cultural continuity had either no suicides or reduced rates compared to communities without any of the factors or only a few of them.
• Increased cultural continuity = reduced suicide rates