Lesson 7 Flashcards

1
Q

What is socio-economic position?

A

The social and economic factors that influence what positions individuals or groups hold within the structure of a society

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2
Q

What do the determinants have to be?

A

Objective, measurable and meaningful

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3
Q

Why do we measure S.E.P?

A

Are used to quantify the level of inequality within or between societies

May highlight changes to population structures over time, between Census periods or even between generations!

Are needed to help understand the relationship between health and other social variables (age, sex, ethnicity)
Have been associated with health and life chances for as long as social groups have existed

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4
Q

What are the individual measures of S.E.P?

E.I.O.H.A

A
Education 
Income 
Occupation 
Housing 
Assets and Wealth
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5
Q

What are the population measures for populations?

A

Area measures:
Deprivation
Access

Population measures:
Income equality
Literacy rates
GDP per capita

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6
Q

What has a major effect on your S.E.P

A

Your parents education, occupation and income have an effect on you own SEP. It is used to measure SEP in studies involving children and adolescents

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7
Q

What is social mobility?

A

Describes the movement of individuals or groups of individuals, up or down the social ladder.

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8
Q

What are the two types of social mobility?

A

Intra-generational mobility

Inter-generational mobility

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9
Q

What is Intra-generational mobility ?

A

Intra = within
The movement of individuals up or down the social ladder within a lifetime.
Increased income, changed occupation, etc.

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10
Q

What is Inter-generational mobility?

A

Inter = across / between

The movement of moving up or down the social ladder between generations.

Parents’ highest education level achieved was high school, while their children graduated from university.

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11
Q

What are some inequalities regarding social mobility?

A

People with higher income are likely to have greater intergenerational mobility as their children do not need to rush out of school to work, etc.

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12
Q

What is the social gradient?

A

Social gradient describes the relationship between increasing socio-economic position and increasing health and wellbeing.

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13
Q

What does the NZ DEP use to measure deprivation?

A

There are 9 factors

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14
Q

List the 9 factors NZ Dep uses to measure deprivation

Come, I, Invite, Everyone, Q, say, on later today

A
Communication 
Income (benefit) 
Income (equalised household) 
Employment 
Qualifications 
Support 
Owned Home 
Living Space 
Transport
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15
Q

What is Communication?

A

People aged <65, no access to internet at home

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16
Q

What is Income (benefit)?

A

People ages 18-64 receiving a means tested benefit

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17
Q

What is income (equalised household)?

A

People living in equalised households with an income below an income threshold

18
Q

What is employment?

A

People aged 18-64 unemployed

19
Q

What is qualifications?

A

People ages 18-64 without qualifications

20
Q

What is owned home?

A

People not living in own home

21
Q

What is living space?

A

People living in equalised households below a bedroom occupancy threshold

22
Q

What is support?

A

People aged <65 living in a single parent family

23
Q

What is transport?

A

People with no access to a car

24
Q

What does IMD stand for?

A

Index of multiple deprivation

25
Q

What are the 7 components of the IMD?

EI HHEA

A
Employment 
Income 
Housing 
Health 
Education 
Access
26
Q

In terms of the IMD, what is employment?

A

Measure the degree to which working age people are excluded from employment

27
Q

In terms of the IMD, what is income?

A

Captures the extent of income deprivation in a data zone by measuring state-funded financial assistance to those with insufficient income

28
Q

In terms of the IMD, what is housing?

A

Proportion of people living in overcrowded housing and the proportion living in rented accommodation

29
Q

In terms of the IMD, what is health?

A

Identifies areas with a high level of ill health (hospitalisations, cancer,) or mortality

30
Q

In terms of the IMD, what is education?

A

Captures youth disengagement, and the proportion of the working age without a formal education

31
Q

In terms of the IMD, what is access?

A

Measures the cost and inconvenience if travelling to access basic services. Supermarkets, GP’s, service stations, ECE, primary and intermediate schools

32
Q

In terms of the IMD, what is crime?

A

The crime domain measures the risk of personal and material victimisations: damage to person or property

33
Q

Reminder: What are inequities?

A

Those inequalities that are deemed to be unfair or stemming from some form of injustice.

Health inequities are differences in the distribution of resources/services across populations which do not reflect health needs

34
Q

Reminder: What are inequalities?

A

Measurable differences or variations in health

differences in health experience and outcomes between different population groups - according to SEP, area, age, disability, gender, ethnic groups

35
Q

What is PROGRESS?

A

Is used to determine how the intervention is improving these different aspects mentioned

36
Q

State what each letter of PROGRESS is

A
Place of residence 
Race/ethnicity/language/culture 
Occupation
Gender 
Religion
Education
Socioeconomic status 
Social capital
37
Q

Why is place of residence important when considering interventions?

A

It relates to what kind of resources you have within your area

38
Q

Why is language (which is under R) important when considering interventions?

A

Language is huge barrier for health information being passed on effectively. Should there be translators? Doctors learn Maori?

39
Q

Why is occupation important when considering interventions?

A

Certain occupations have greater health risks than others, i.e construction workers, how is this dealt with.

40
Q

Why is religion important when considering interventions?

A

Certain religions may not stand for certain interventions, how is this respected?

41
Q

Why is social capital important when considering interventions?

A

Interpersonal trust between communities, realise collective goals and how they are enabling and facilitating each other towards reaching them.

42
Q

Reminder: Why should we reduce inequities?

A

They are unfair
They are avoidable
They affect everybody
They can be cost effective to reduce