Public health 101

Question 1

What is role of public health?

Answer 1

Improve health protection and promotion
Prevent ill health and prolong life through efforts society
Population lvl- Local, regional, national, international
Maximise health gain in population

Question 2

State 3 domains public health? Examples?

Answer 2

1) Health protection
Infectious disease, chemical poison, radiation, emergency

2) Health improvement/promotion
Lifestyle, inequality, education, housing, employment

3) Improve services
Clinical effectiveness, efficiency, audit evaluation, equity

Question 3

Define epidemiology?

Answer 3

Study distribution and determinant of health related states/events in specified population

Question 4

Define incidence?
Define prevalence?

Answer 4

Incidence- How many NEW cases in a year
Prevalence- Proportion of population affected

Question 5

Define incidence?

Answer 5

How many new cases in a year

Question 6

Define prevalence and state 2 factors influence it?

Answer 6

Proportion of population affected
Affected- incidence
- rate cure/death

Question 7

Define burden of disease?

Answer 7

How it affects your life

Question 8

Define incidence rate?

Answer 8

Number people becoming cases / total person

Question 9

State 3 social influences on health?

Answer 9

1) Life expectancy
Decrease as social class decrease

2) Income division
Wider gap- worse health
More unequal

3) Income threshold
Disease stop being due poverty- degenerative
Income no effect health nation

Question 10

What is gini coefficient?

Answer 10

Statistical representation of a nation’s income distribution
The lower the coefficient, the greater the equality

Question 11

What coefficient measures representation of nations income distribution?

Answer 11

Gini coefficient

Question 12

What is social class a measure of?

Answer 12

Occupation
Hierachial rank
Social position
Access power/resources

Question 13

What is inverse care law?

Answer 13

Availability of medical care varies inversely with need for it in population

Question 14

What is law availability of medical care varies inversely with need for it in population

Answer 14

Inverse care law

Question 15

Patient compliance
What is doctors view?
What is patients view?

Answer 15

Doctor’s view – disease is objective, malfunction and physiology interaction
Patient’s view – lifestyle changes, personal threat to health

Question 16

Define disease and illness?

Answer 16

Disease– objective medical definition of a deviation in normal function
Illness– subjective perception of a deviation from normal experience

Question 17

When was cholera discovered/who?

Answer 17

John snow
1854- Soho outbreak
Broad street pump

Question 18

State notifiable diseases?

Answer 18

Cholera
Malaria
Rabies
Yellow fever
Measles, Mumps, Rubella
Meningitis

Question 19

Explain dahlgren and Whitehead 1991 model for determining health inequalities?

Answer 19

Rainbow
1) Age, sex
2) Individual lifestyle factors
3) Social and community networks
4) Living and working conditions- education, work env, unemployment, health care services, housing
5) General socio-economic, culture and env conditions