Public health Flashcards

1
Q

Health inequality WHO def

A

all variation in health

More F than M get breast cancer

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2
Q

Traditional health inequality vs inequity

A

inequality: unfair
inequity: non-modifiable eg FHx

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3
Q

Race def

A

what they look like

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4
Q

Ethnicity

A

mix of culture and heritage

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5
Q

Inverse Equity Hypothesis

A

With a new intervention, the most advantaged benefit first,
This leads to an increased initial inequality
Before the rest follow, reducing the gap

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6
Q

5 axis of inequality

A
gender
socioeconomic
geographical
race/ethnicicty
age
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7
Q

Relative inequality

A

ratio between least advantaged and most advantaged groups

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8
Q

Absolute inequality

A

difference in health outcomes between the least advantaged and most advantaged groups

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9
Q

Healthy screening bias

A

People who come for screening tend to be healthier

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10
Q

Length time bias

A

picks up slowly progressing disease

so all the less invasive ones are included, giving the screening a better result than it actually has

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11
Q

Lead time bias

A

people who were picked up by screening sooner,

a biased increase in survival time

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12
Q

3 domains of public health

A

Health promotion
Health protection
Improving services

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13
Q

Leading cause of death in women

A

dementia

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14
Q

Leading cause of death in men

A

IHD

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15
Q

Basic reproduction number (R0)

A

number of secondary cases you get from one primary infection

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16
Q

Effective reproduction number (R)

A

R= R0 * proportion susceptible

17
Q

Herd immunity threshold

A

the proportion of population that needs to be immune for the disease to become stable (R=1)

18
Q

What happens when R<1

A

disease dies out

19
Q

Eradication definition

A

Transmission risk = 0

20
Q

Elimination definition

A

Transmission risk almost 0

21
Q

Control definition

A

Transmission risk reduced to pre-defined levels

22
Q

Standardised Mortality Ratio (SMR)

A

death rates compared to general population

23
Q

SMR > 100

A

more deaths than population

24
Q

SMR < 100

A

less deaths