Module 3+ Flashcards

1
Q

for a country entering the obesity epidemic - who gets fatter first?

A

high income, urban, middle-aged women

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1
Q

diets result from:

A

individual factors being affected by food environment (which is affected by food industry, governmount and society)

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1
Q

hallmark of environment effects of obesity

A

all age groups increasing simultaneously and equivalently, therefore must be environmental driver

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1
Q

food environments: [4]

A
  • physical
  • economic
  • policy
  • socio-cultural
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1
Q

drivers of obesity

A

neoliberal political economics, technologies for data mining/targeted marketing, national wealth

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2
Q

mediators of obesity

A

food availability, food prices, food composition, e-bikes/scooters, food and PA behaviours

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3
Q

moderators of obesity

A

culture, built environment, food culture/cuisine, local climate, religion

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4
Q

control (pandemic response)

A

reduce to an acceptable endemic level using feasible means

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5
Q

mitigation (pandemic response)

A

reduce to avoid overwhelming the health system

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6
Q

suppression (pandemic response)

A

reduce to minimise negative health impacts

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7
Q

elimination (pandemic response)

A

reduce to zero in a country or region for prolonged periods

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8
Q

eradication (pandemic response)

A

reduce to zero at a global level permanently

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9
Q

objectives of NZ’s initial covid response: [4]

A
  • preventing illness and deaths especially in most vulnerable populations (equity)
  • protecting the health care system and health care workers
  • protecting the economy
  • protecting pacific countries
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10
Q

roles of surveillance: [3]

A
  • serves as an early warning system for impending outbreaks
  • enables monitoring and evaluation of the impact of an intervention
  • monitors and clarifies the epidemiology of health problems, guiding priority-setting and planning and evaluation of public health policy and strategies
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11
Q

R[eff]

A

the mean number of additional infections caused by an initial infection at a specific point in time

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12
Q

channels

A

relevant, accessible, trustworthy

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13
Q

message

A

appropriate, co-designed, tested

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14
Q

messenger

A

trusted, credible

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15
Q

opportunities in climate change

A
  • mostly we know what we need to do
  • the main barriers are political, not technical
  • many of the solutions will have additional population health benefits
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16
Q

climate change - inequality vicious cycle

A
  • multidimensional inequality
  • greater exposure and vulnerability of disadvantaged groups to climate hazards
  • disproportionate loss of assets and income suffered by disadvantaged groups

(made worse by climate hazards)

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17
Q

‘risk multipliers’ in unequal impacts of climate change

A
  • heat extremes
  • access to food, water, shelter
18
Q

nz emissions

A
  • 1/2 agriculture
  • transport 18%
  • not reducing
19
Q

important direct effects of transport systems on health: [3]

A
  • physical activity
  • air pollution
  • vechile crashes
20
Q

inverse care law

A

the availability of good medical [or social] care tends to vary inversely with the need for it in the population served

21
personally-mediated racism
defined as prejudice and discrimination based on race/ethnicity
22
'snowflake' hypothesis
early development: increased parental monitoring, parental stress/financial, geopolitical polarisation over protection and low resilience
23
'igen' hypothesis
current aspects: social media, internet access increasing perfectionism, emphasis on exceptionalism, individual achievement, experience of racism and discrimination
24
'doomer' hypothesis
aspects affecting the future: impact of job insecurities, housing affordability, climate crisis, political polarisation, disinformation and misinformation
25
service and policy changes for youth health
government increased spending in mental health services (services in schools, promotion efforts, addiction services) but young people now wait longer for specialist mental health services
26
Change in DALYs causes over time
CD is decreasing NCD is increasing "epidemiological transition"
27
Epidemiological Transition
shift in the common causes of death and disability from infectious diseases to chronic diseases
28
PAR
the amount of extra disease burden attributable to a particular risk factor in the population a+b/p - b/cg
28
Risk Transition
changes in risk factor profile as countries shift from low to higher income where risk for CD is replaced with NCD
28
Double burden of disease
MIC have both NCD and Cd affecting them - challenges for health policy
29
Busted Myths of NCD
- 80% NCD in LMIC - conc in poor - not just old people - can be prevented
30
Smoking trend NZ
over time smoking prevalence is decreasing inequities persist in populations
31
Commercial sector impact on NCD
creates uneven distribution of risk - changes social norms - targetted ads - conc of outlets - influence on policy - emphasis on education rather than upstream
32
Policy inertia
gov not willing to implement health policy - lack of public demand - conflicts of interest - lobbying
32
Stratagies used by commercial sector
- partnership - lobbying - oppostion to policy -employing narratives - self regulatory codes
33
industrial epidemic
Diseases arising from overconsumption of unhealthy commercial products
34
Who is the most at risk of AIDS
- women - subsaharan Africa - gay men - injecting drug users - mother to child - LIC
35
Why is the death rate and new infections rate of HIV decreasing but number of people with HIV increasing
Prevention and treatment option have stopped people dying so they live longer with the disease
36
Feminisation of HIV
increasing proportions of new infections are among women, mostly due to heterosexual transmission of the infection
37
Social determinants of HIV
- gender violence - negotiating condom use - stigmatisation of testing and partner notification - financial dependance - lower access to health services - early school drop out
38
How to improve HIV social determinants
- education - financial freedom - improve access to health services
39
HIV mother to child
Many children whose mothers are HIV-positive will be infected can be prevented by testing antiviral drugs prevent progression in mothers (secondary) and onset to children (primary)
39
HIV prevention
- condom usage - education - needle exchange - prevent needle stick injuries - screen blood - testing and counselling - antivirals for positive mothers
40
Māori Health is exemplified by systematic disparities
- in health outcomes - health system responsiveness - health system representation - exposure to determinants of health
41
What has lead to worse Maori health
- poverty due to land stolen - maori overrepresented in higher deprivation
42
The Right to Health
system of laws which endorses the right to health for all right to health does not mean the right to be healthy
43
R2H RPF
Respect - no discrimination Protect - no 3rd party interference Fulfil - adopt measures to achieve equity
44
R2H in NZ
- Pae Ora - NZ public health and disability act - TOW - UN declaration on rights of indigenous peoples - Code of patient rights