Patients with Diverse Cultures - PUBLIC HEALTH

Question 1

What are BAME groups

Answer 1

Black and Minority Ethnic Groups

Question 2

What is the inverse care law

Answer 2

The availability of good medical care tends to vary inversely with the need for it in the population served

Question 3

In what ethnic community is Hep B commonly prevalent

Answer 3

Slovakian

Question 4

Are all BME groups more likely to experience morbid at young ages

Answer 4

No, only the vulnerable ones

Question 5

What should we aim towards achieving to make advancements in the inverse care law

Answer 5

Introducing the positive care law

Question 6

How can clinicians reduce inequality

Answer 6

Advocacy
Activism
Education
Research
Providing a senior workforce that reflects our population
Providing the best/flexible services for all our patients

Question 7

Difference between the term race and ethnicity

Answer 7

Race: Classification based on physical characteristics into which human kind was divided.

Ethnicity: A group of people whose members identify with each other through a common heritage, often consisting of a common language, common culture or ideology that stresses a common ancestry.

Question 8

Define a BME group

Answer 8

Umbrella term used to describe people from minority social groups who share common experience of discrimination or inequality because of their ethnic origin, language. culture or religion

Question 9

What is the difference between inequity and inequality

Answer 9

Health inequality - Differences in health status or in the distribution of the health determinants between different population groups

Equity - how thinks ought to be (normative concept)
Equality - descriptive concept

Question 10

What are the three features of socioeconomic position and circumstance

Answer 10

1. Income
2. Class
3. Status

Question 11

Define Vulnerable

Answer 11

Indicates an inability to cope with a hostile environment

Question 12

Define Social Exclusion

Answer 12

Inability of an individual group or community to participate effectively in economic, social, political and cultural life - alienation and distance form mainstream society

Question 13

Why does ethnicity cause a variation in health

Answer 13

1. Genetic/Biological Factors
2. Individual Behaviour
3. Material/ Structural Factors
4. Migration and Racism
5. Inequalities in access to health care
6. artefact

Question 14

What ethnic group have a high risk of death from CHD

Answer 14

South Asians (men are 40% higher than the whole population)

Question 15

What risk factors put south asians at a higher risk of CHD

Answer 15

1. Low HDL
2. Excersise
   3, Compliance to treatments

Question 16

What is the most common genetic disease in the UK

Answer 16

SCD

Question 17

What ethnicity does Beta Thalassaemia mainly effect

Answer 17

People of African Origin

Question 18

Relative cancer frequency in BME societies

Answer 18

Lower than mainstream

Question 19

Where are lung cancer rates lower in relation to ireleand and scotland and why

Answer 19

S. Asia
Caribbean
Africa

Less smoking culture

Question 20

Why is the chance of getting breast cancer in Jewish communities higher

Answer 20

Presence of Ty-Sachs gene

Question 21

Two factors for fit D deficiency

Answer 21

Reduced exposure to sunlight

Pigmented Skin

Question 22

What are four symptoms of Vit D deficiency

Answer 22

1. Unexplained bone pains
2. Muscular weakness
3. Dental Deformities
4. Symptoms and signs of rickets and hypocalcaemia

Question 23

Where is psychosis more prominent

Answer 23

In afro-caribbean societies (7 times higher than england!!)

Question 24

What communities does TB tend to effect

Answer 24

Poorest and most marginalised groups

Question 25

Why can TB be missed in check=ups

Answer 25

Because of its long latent interval and extra pulmonary TB symptoms can be overseen

Question 26

How can we as clinicians reduce health inequality

Answer 26

1. ASSIST - asylum seeker volunteering
2. Prevent stereotyping
   3.