midterm 2 Flashcards
health inequity
unjust or unfair differences in health between persons, often rooted in social, economic, environmental, or systemic conditions that disadvantges certain grousp
health inequality
observable or measurable health differences in health status or outcomes among different population groups
diversity in aging
as people age, experiences of health, support, and well-being vary widely based on social determinants of health, which can lead to health inequalities
health inequailty in aging
measureable differences in health outcomes among older adults in various groups, such as varying levels of moblility, cognitive health, or life expectancy
health inequity in aging
often stem from lifelong disadvantages, such as poverty, racism or limited access to healthcare, which effect older adults later in life
what are health outcomes linked to
physical and mental inequalities
- socio-economic factors
intro to health inequalities
- influence of poverty and disadvantage on health inequalities is consistent over time
substantial evidence-based research to show that:
- older adults living in disadvantaged areas have less access to health care
- disadvantaged groups have higher mortality and lower changes of survival
- inequalities related to survuval from various health conditions are closely related to age, sex, ethnicity
what influences older adults risk for social isolation
risk factors related to health inequality and health inequity
indigenous peoples living in Canada
- were in good health prior to colonization
- included nutritious diets, rich and diverse healing systems, and active lifestyles
indigenous and European settlers
- have poorer health outcomes
- suffer from more chronic illness and disabilities, including heart disease and diabetes
indigenous and racisms (impacts)
- racism and loss of support has been direct to poor health outcomes
- type II more common as years go with indigenous
- residential schools
- effects of colonials continues to effect the health and healthy aging of indigenous peoples living in Canada today
dementia and different groups
- certain ethno-racial groups (black, hispanic, hawwiian) have higher risks of developing dementia
- these difference persist despite similar rate of cognitive decline across groups
risk and expression of dementia
are influenced by social determinants, discrimination, and access to care
- there are disparities in access, diagnosis and outcomes in dementia care
influential factors for dementia
- socioeconomic status
- cultural diversity
- geographical location
prescription drug access
- Canadas public health insurance covers hospital and physician visits but generally does not cover prescription medications
- no policy (national) covers drug prescriptions (resulting in inconsistent access to medications)
what does the medication issue led to
- health inequities and social injustice amongst some Canadians, disproportionately affecting those without private or provincial coverage options
who has better access to medications
people with private insurance or provincial drug benefit plans (older adults, ppl with disabilities)
oral health inequities
- cover based on income and private benefits and typically not included in provinal health plans
due to lack of oral coverage
many older adults avoid dental care because of high costs
poor oral health can impact overall health by:
- lost or broken teeth negatively affecting nutritional status= additional health complications
- stigma around poor oral appearance can affect mental health, potentially leading to social isolation
caregivers and older adults
almost one quarter of seniors 65+ provided care or help to family members or friends with a long-term condition, a physical or mental disability, or problems with aging
what happens with caregivers
- increased burden, depression, stress, financial problems, poor health, loneliness, social isolation
- Spousal caregivers at greater risk of experiencing loneliness and decreased social support
caregiver interventions
- physical and financial support through informal assistance
- respite services
- home care or related services
- income and tax relief programs
- education and skills training
- psychological support
- interactive online activities and groups
immigrant older adults in Canada
- older adults represented a relatively smaller proportion of immigrants at 3.3% in Canada
- considerable diversity among the immigrant population of older adults
what are older immigrants more likely to get
- lonelier than Canadian-born older adults
Canadian born older adults
had higher prevalence of successful aging than immigrants
health immigrant effect
meaning immigrants are generally healthier than domestic-born Canadian when they first arrive
inclusive healthy aging interventions for immigrant older adults in Canada
- additional data collection and research on immigrant older adults in Canada
- culturally linguistically appropriate programs and services (finical aids, language programs, information and referral services)
older adults in rural/remote areas
approximately 23% of all seniors in canada live in rural areas
- increase risk of social isolation, smaller support networks, greater loneliness, and lower utilizations rates of health and social services
what are rural populations considered
a health disparity group in part because these populations have higher rate of mental health concerns, chronic disease and worse general health
what do rural older adults face?
increased risk of morbidity, obesity, diabetes, coronoary hearth disease, cancer, covid, excess mortality
strategies for improving healthy aging in remote/rural areas
- reducing
- joining
- developing
- improving
- developing
- stimulating
reducing
- reducing health inequlities by providing older people with better access to health and social care services in rural/remote areas
joining
joining up transport, housing, health and social care services to improve cost effective service provision and access to services
developing
cost effective transport solutions to afford accessibility to services and better social integration
improving
housing and local environment conditions to allow older people to age in place
developing -2
developing volunteering and community based initiative to improve social integration of older adults in rural/remote areas
stimulating
- bottom up social enterprises and collaborative ventures to improve the economic diversity and attractiveness of rural areas to encourage further economic development
who are the most financially vulnerable in Canada populations
older adults (especially those who live alone)
specifically what older adults are most finically vulnerable
- with less education
- intermittent work histories and low wages
- older immigrants
- indigenous older adults
- those with chronic health conditions
- those with disabilities
is the rate of older Canadian living in low income increasing or decreasing
increasing
with low income there is also increased risk of ?
loneliness, social isolation, poor health outcomes, lower quality of life, premature mortality
what is good about higher income
more years of good health than those with lower incomes
programs and services to help low income older adults
- income assistance
- provincial and territorial programs
- residential rehabilitations assistance program (RRAP)
- advanced life deferred annuities (ALDAs)
- variable life payment annuities (VPLAs)
income assistance
- low income seniors who don’t qualify for the full amount of Canada public pension programs may be eligible for income assistance, disability assistance, or hardship assistance
provincial and territorial program
- many provinces and territories offer programs to provide extra support to people receiving the guaranteed income supplement (GIS) or allowance
- can include tax deferment, prescription drug subsidies and rental subsidies
residential rehabilitation assistance program (RRAP)
offers financial assistance to create affordable housing for low-income seniors and adults with disabilities
advanced life deferred annuities
ALDAs allow individuals to put up to 25% of qualified registered funds into annuity, which can start paying an income at age 85
variable life payment annuities
VPLAs provide payments based on pooled investment risk to help ensure that retirees have income at older ages
health care professionals- increasing cultural competence in healthy aging
awareness
knowledge
skills
culturally sensitive healthcare
all of these overlap
- patient centered care/ health literacy
- cultural targeting
- cultural competence
- under-served needs
negative expectations for old age
- smelly
- demanding
- loss of autonomy
- time of loss
- boring
what is a age-related stereotypes
are defined as cognitive structures embedding beliefs and expectations that people hold about different age stages
what are stereotypes
assumptions and generalizations about how people at or over a certain age should behave
explicit attitudes
- previously learned information
- what people consciously endorse or believe
- direct and deliberate
- can be acknowledged
implicit priming
- associations that are outside of the conscious awareness
- unconscious and effortless
- indirect and automatic
- involuntarily active
what is the stereotype content model (SCM)
- first proposed in 2002
- all group stereotypes and interpersonal impressions form along two dimensions
- the model is based on the notion that people are evolutionarily predisposed to first assess a strangers intent to either harm or help them (warmth) and second to judge the strangers capacity to act on that perceived intention (competence)
what are the 2 dimensions of SCM
warmth
competence
stone and baker
- self efficacy and biomechanics related to stair navigation in older adults
- primed older adults can navigate stairs with more confidence, quickness and efficiency
barber et..
- stereotype threat can impair older adults physical performance
- dependent on tasks objective difficulty and participants subjective evaluations of their own recourses
what is ageism?
- refers to how we think (stereotype), feel (prejudice) and act (discrimination) towards other or ourselves based on age
everyday ageism
- occurs in day-to-day lives through interpersonal interactions and exposure to ageist beliefs, assumptions, and stereotypes
adults every days ageism (50-80)
- 82% experiences one or more forms of everyday
- 65% exposure to ageist messages
- 45% ageism in interpersonal interactions
- 36% internalized ageism
what does ageism affect?
organizations, institutions, relationships and ourselves
what does ageism affect? workplace?
ageism can affect financial security and mental health
what does ageism affect? healthcare
is prevalent in healthcare, through communication, diagnosis, and treatment decisions
what does ageism affect? media
ageism is present in the media with negative portrayals, underrepresentation, and framing aging as the program
what does ageism affect? legal system
with ageism language, age, restrictions, and accessibility
how does ageism affect somebody?
- shortens older adults lives
- poor physical health
- delay in injury or illness recovery
- decreased mental health
- increased social isolation and loneliness
- lower quality of life
ageism affect everyone
- cost society billions of dollars
- causes conflict between generations
- causes loss of productivity in the workplace
- causes elder abuse
media representations
- portrayal of older adults: never make them the hero. older adults hardly have major roles, and are mostly men
- many portrayed as negative or villainous