Determinants of Health Meaning
factors that influence the health of individuals of groups and help explain why some people experience poorer health than others
Factors in Determinants of health
Where people were born, grew up, live, work, and an individuals age
Health status
Holistic concept encompassing life expectancy and self-assessment of health, not just the presence or absence of disease
Community Health Measures
Birth and death rates
access to care
morbidity and mortality rates related to disease and injury
Health disparities meaning
differences in the incidence, prevalence, mortality rate, and burden of diseases that exist among specific population groups
Health Equity
achieved when every person has the opportunity to attain their health potential and no one is disadvantaged
Ethnicity and Race
subjective and based on self report, used interchangeably
Factors and Conditions Leading to Health Disparities
- age
- disability status
- education-ethnicity and race
- gender
- health care provider attitude/biases
- health literacy
- income status
- lack of health care service access
- language barrier
- occupation or unemployment
- place
- sexual orientation
Place
refers to geographic and environmental location where a person is born, grows, lives, works, and ages. This affects use of health services, health status, and health behaviors
Adults without a high school diploma are 3 times more likely to die before 65 than those with a college degree T/F
True
Health literacy definition
the degree to which a person has the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions
Health Literacy Needed abilities
- to read, understand, and analyze information
- understand instructions
- weigh risks and benefits
- make decisions and take action
Low health literacy is associated with
- more hospitalizations
- greater use of emergency department
- decreased use of cancer screening
- decreased use of influenza vaccine
- decreased ability to use medications correctly
- higher mortality rates among older adults
Question to ask to get a sense of health literacy
Can you understand and fill out these forms on your own?
Women are less likely than men to have procedures T/F
True
Women visit the doctor more often than men T.F
true
Sexuality Definition
a persons romantic, emotional, or sexual attraction to another person
Discrimination and bias are likely to result in
- less aggressive or negative treatment practices
- delay of proper diagnosis due to assumptions about patient
Culture Definitions
- The way of life for a group of people, includes behaviors, beliefs, values, traditions, and symbols that the group accepts
- cultivated behavior through social learning, generation to generation
- the totality of a persons learned, accumulated experience that is socially transmitted
Values Definition
the set of rules by which persons, families, groups, and communities live
-principles and standards that serve as the basis for that culture
Basic Characteristics of Culture 0 Table 2.2
- Dynamic and ever-changing
- Not always shared by all members of a cultural group
- adapted to specific conditions like environmental factors
- learned through oral and written histories and socialization
Cultural Characteristics - Asian American
- Cultured foods
- Family loyalty
- Folk healing
- harmonious relationships
- harmony and balance with body vital for preservation of life energy
- respect for elders, parents, and ancestors
Cultural Characteristics - African American
- Cultural foods
- Family networks
- Folk healing
- Importance of religion
- Interdependence within ethnic group
- Music and physical activities valued
Cultural Characteristics - European American
- Equal rights of genders
- Independence and freedom
- Individualistic and competitive
- Materialistic
- Self-reliance valued
- Youth and beauty valued
