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
Q

personally-mediated racism

A

defined as prejudice and discrimination based on race/ethnicity

22
Q

‘snowflake’ hypothesis

A

early development:
increased parental monitoring, parental stress/financial, geopolitical polarisation

over protection and low resilience

23
Q

‘igen’ hypothesis

A

current aspects:
social media, internet access

increasing perfectionism, emphasis on exceptionalism, individual achievement, experience of racism and discrimination

24
Q

‘doomer’ hypothesis

A

aspects affecting the future:
impact of job insecurities, housing affordability, climate crisis, political polarisation, disinformation and misinformation

25
Q

service and policy changes for youth health

A

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
Q

Change in DALYs causes over time

A

CD is decreasing
NCD is increasing
“epidemiological transition”

27
Q

Epidemiological Transition

A

shift in the common causes of death and disability from infectious diseases to chronic diseases

28
Q

PAR

A

the amount of extra disease burden attributable to a particular risk factor in the population
a+b/p - b/cg

28
Q

Risk Transition

A

changes in risk factor profile as countries shift from low to higher income where risk for CD is replaced with NCD

28
Q

Double burden of disease

A

MIC have both NCD and Cd affecting them - challenges for health policy

29
Q

Busted Myths of NCD

A
  • 80% NCD in LMIC
  • conc in poor
  • not just old people
  • can be prevented
30
Q

Smoking trend NZ

A

over time smoking prevalence is decreasing
inequities persist in populations

31
Q

Commercial sector impact on NCD

A

creates uneven distribution of risk
- changes social norms
- targetted ads
- conc of outlets
- influence on policy
- emphasis on education rather than upstream

32
Q

Policy inertia

A

gov not willing to implement health policy
- lack of public demand
- conflicts of interest
- lobbying

32
Q

Stratagies used by commercial sector

A
  • partnership
  • lobbying
  • oppostion to policy
    -employing narratives
  • self regulatory codes
33
Q

industrial epidemic

A

Diseases arising from overconsumption of unhealthy commercial products

34
Q

Who is the most at risk of AIDS

A
  • women
  • subsaharan Africa
  • gay men
  • injecting drug users
  • mother to child
  • LIC
35
Q

Why is the death rate and new infections rate of HIV decreasing but number of people with HIV increasing

A

Prevention and treatment option have stopped people dying so they live longer with the disease

36
Q

Feminisation of HIV

A

increasing proportions of new infections are among women, mostly due to heterosexual transmission of the infection

37
Q

Social determinants of HIV

A
  • gender violence
  • negotiating condom use
  • stigmatisation of testing and partner notification
  • financial dependance
  • lower access to health services
  • early school drop out
38
Q

How to improve HIV social determinants

A
  • education
  • financial freedom
  • improve access to health services
39
Q

HIV mother to child

A

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
Q

HIV prevention

A
  • condom usage
  • education
  • needle exchange
  • prevent needle stick injuries
  • screen blood
  • testing and counselling
  • antivirals for positive mothers
40
Q

Māori Health is exemplified by systematic disparities

A
  • in health outcomes
  • health system responsiveness
  • health system representation
  • exposure to determinants of health
41
Q

What has lead to worse Maori health

A
  • poverty due to land stolen
  • maori overrepresented in higher deprivation
42
Q

The Right to Health

A

system of laws which endorses the right to health for all
right to health does not mean the right to be healthy

43
Q

R2H RPF

A

Respect - no discrimination
Protect - no 3rd party interference
Fulfil - adopt measures to achieve equity

44
Q

R2H in NZ

A
  • Pae Ora
  • NZ public health and disability act
  • TOW
  • UN declaration on rights of indigenous peoples
  • Code of patient rights