Midterm Module 2 Flashcards

1
Q

Why is public health important?

A

Since the 1900s the average lifespan has increased has increased by 30 years and 25 of the years are due to advances in public heath
The work being done outside of hospitals are the cause

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2
Q

12 Great Achievements in Public Health

A
  • Control of infectious diseases
    o Many infectious diseases have been controlled and the spread has lessen
  • Safer workplaces (increases span of people’s lives, lessens deaths and accidents)
    o Safety measures at workplaces
  • Motor vehicle safety
    o Laws around road safety and car seat tests for parents
  • Safer and healthier food
    o Safe quality
  • Decline in deaths from cardiovascular disease
    o Since the mid 1960s cardiovascular disease has declined
  • Recognition of tobacco use as a health hazard
    o Education on tobacco and shifts in attitudes
  • Healthier mothers and babies
    o 12 to 18 months maternity leave
  • Universal policies Family planning
    o Providing birth control for women and families
    o Waiting until 18 years old to have a child and the waiting 2 years until conceiving the next child after having one
    o Abortion being legal
  • Healthier environments
    o Reduce toxic emissions because of research and regulating companies to lessen their emissions
  • Vaccination
    o Infections used to be the leading cause of death world-wide and now it is less than 5% in Canada
  • Acting on the social determinants of health
    o Recognizing that many factors outside of the health deeply influence their health. Things such as income, education, early childhood development, and social connections
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3
Q

How do you see the world?

A
  • Previous
  • Upbringing
  • Culture
  • Gender
  • Socioeconomic background
  • Region
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4
Q

What are the social determinants of health?

A

Income and income distribution; education; unemployment and job security; employment and working conditions; early childhood development; food insecurity; environment; housing; social exclusions; social safety network; health services; gender; culture, race, and racism; disability, health promotion, indigenous status

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5
Q

Income and Income distribution

A

o 12.3% of Canadians live in poverty in 2018
o Low income and impoverished Canadians such as Indigenous, racialized, immigrants, and women are more likely to experience food insecurity (a state of being without reliable access to a sufficient quantity of affordable and nutritious food), hunger, lack of affordable housing, and homelessness, growing, inequality, interpersonal violence, substance ause, chronic and communicable diseases, and ill health

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6
Q

Education

A

o As education and literacy improve so does health
o “Education is closely linked socioeconomic status effective education for children and life long learning for adults is key to good health”
o “Health literacy is the skills that enable individuals to obtain, understand, and use information to make decisions and take actions that will have an impact on health status”
o Functional (math) literacy
o Critical literacy making critical decisions based on critical information
o Interactive literacy is the ability to apply change a stituion after gaining knowledg

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7
Q

Unemployment and Job Security

A

o Employment offers financial security and a sense of purpose while not having a job provides stress and material and social deprivation

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8
Q

Employment and Working Conditions

A

o Working conditions can either support and damage health
o Workplace stress is linked to more physical injuries

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9
Q

Early Child Hood Development

A

o Children who experience disadvantages in their childhood are at a higher risk of being vulnerable in all areas of early development
o Conception to age 6 has the most impactful time on the brains neurons connecting
o Toxic stress is the excess or prolonged activation of the sress respone sustems in the body and the brain
o Schools are important for children as they provide an environment where they feel safe so they can succeed

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10
Q

Food Insecurity

A

o Food insecurity is linked to poor health, worse quality of life, multiple health conditions, distress, anxiety and depression

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11
Q

Environment

A

o Physical and environmental quality are important.
o Contaminants in the air, water, soil, and food, can cause bad effects on health such as cancer birth defects, respiratory, and gastrointestinal issues.
o Is healthcare close and accessible or is it far to get to

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12
Q

Housing

A

o If a person does not have reliable, safe housing they are at risk of having worse health, if the quality of the home is bad such as having lead and poor heating systems health is affected directly
o Spending excess money on housing leads to little money left over to afford food and health care

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13
Q

Social Exclusion

A

o Being socially outcasted causes individuals to not have the basic human need of connection leaving them to be at risk of behaviours such as smoking, substance use, and overeating

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14
Q

Social Safety Network

A

o Social safety networks are the practical, emotional, informational, and affirmational support networks.
o Not having access to good social support can lead to chronic conditions that affect health, health behaviours, and heath care utilization
o Men, lone parent familes, and lower income Canadians reported having lower support. Support is crucial as helps people cope and maintain a sense of control over their lives.
o Good support networks act as a buffer against health problems.

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15
Q

Health Services

A

o A push to community health is aiding the issue of overcrowded hospitals
o Medicare which only some things are covered (does not cover dental, drug costs)
o More health care services help support health such as prenatal care and immunization clinics and more accessible primary care.
o Medical Services only account for about 25% of a population’s health status, other services are child benefits, housing, gender equality, equity, reconciliation, and climate change.
o Quality and accessible primary care, long term care, hospital care, home care, and public health services, as well as prenatal care, well-child, and immunization clinics are important to health.
o The government has being moving to increase community based healthcare; however the push has been slow.

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16
Q

Primary Healthcare

A

o Helps have a high level of health and well-being
o Equitable distribution
o Having primary care clinic
o Patient centered
o Early access, before condition becomes worse
o On a continuum (health promotion, disease prevention, treatment, rehab)
o Accessible
o Public participation
o Intersectoral cooperation

17
Q

Gender

A

o Gender stereotypes
o Females make less money than males and they have increased depression and stress
o Males have increased social exclusion and die prematurely.

18
Q

Culture, Race, and Racism

A

o Stereotypes and racism cause people to have negative interactions with the healthcare system and puts up barriers to access health information and promotion
o The low financial status of immigrants also hinders their health
o Many BIPOC face racism while receiving care in the healthcare system.

19
Q

Disability

A

o People with disabilities are more likely to experience social isolation due to accessibility issues
o Rural, women who face many barriers are more likely to smoke to come with stress

20
Q

Health promotion

A

o Is directed towards increasing the level of well-being and self-actualization
o Build healthy public policy
o Create supportive environments
o Strengthen community action
o Develop personal skills
o Reorient health services

21
Q

Indigenous Status

A

o Due to colonization and racism from past discrimination has caused indigenous peoples to be more likely to experience health inequities and the burden of disease.
o Over 150,000 indigenous children were forced to into government funded residential schools from the 1870’s until the late 1990’s to force they to assimilate into Euro-Canadian Society by stripping away the children from their families.o Due to colonization and racism from past discrimination has caused indigenous peoples to be more likely to experience health inequities and the burden of disease.
o Over 150,000 indigenous children were forced to into government funded residential schools from the 1870’s until the late 1990’s to force they to assimilate into Euro-Canadian Society by stripping away the children from their families
o They face intergenerational trauma, and they were forbidden to live within their own culture

22
Q

Who was Jordan River Anderson

A

He lived over two years in a hospital because federal and provincial
governments could not agree on who would pay for his at-home
care.”
o It currently takes 6 months to 2 years to receive status

23
Q

What is Social Justice?

A

o Is being fair
o Rooted in social responsibility and fairness
o Focus is on relative social advantage of
individuals or groups over others
o Examines root causes of inequities (& health
disparities) and how to eliminate them

24
Q

Ottawa Carter of Health and Development: 5 Health Promotions

A
  • The Ottawa Charter outlined five major strategies to promote health:
    building healthy public policy
    creating supportive environments strengthening community action
    developing personal skills reorienting health services
25
Q

What are the prerequisites for health?

A

peace, education,
shelter, food, income, ecosystem, resources,
with a focus on…
social justice and equity

26
Q

Health Equity

A

Health equity reflects social justice and is critical and necessary to achieve health for all, with the concept that health is a human right!
Health inequity puts those disadvantaged at a
further disadvantage

27
Q

What is disease prevention?

A

Action to avoid or forestall illness/disease

28
Q

What is health promotion?

A

directed towards increasing the level of well-being and self actualization. Ottawa Charter: regards health promotion as
overarching, and enabling people.
Focus is on community development & policy work,
looking beyond individual health.

29
Q

What are the health promotion principles?

A

contextual, draw on knowledge, holistic, long term, multisectoral

30
Q

The 3 levels of disease prevention:

A
  • Primary
    o Preventing the disease or injury (policy)
  • Secondary
    o is reducing the impact of disease or illness (screening/education)
  • Tertiary
    o Management of illness or injury and the long-term effects
31
Q

Community Health needs

A
  • Adequate resources
  • Patient advocacy
  • Communication
  • Education