Public Health Exam 2 Flashcards

100 on exam 2

1
Q

Why do people engages in unhealthy behaviors?

A
  • lack of knowledge
  • psychological environments
  • risk perceptions
  • peer pressure and role modeling
  • physical environment
  • community norms
  • benefits immediate; cost deferred
  • addiction
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2
Q

Ecological Model

A

Intrapersonal, interpersonal, institutional, community, societal/public policy

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3
Q

Intrapersonal

A

biological factors, beliefs, knowledge, personal fianaces, skills, attitudes, preference, self- efficacy

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4
Q

Interpersonal

A

role modeling, peer pressure, social support, family, partner, friends

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5
Q

Institutional/ organizational

A

school, workplace, social groups, religious groups

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6
Q

community

A

community initiatives, neighborhood characteristics, relationships between organizations, community norms

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7
Q

Societal/ public policy

A

media, zoning, social norms, laws, enforcement of laws

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8
Q

health outcomes are influences by the….

A

interactive characteristics of individuals and environments

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9
Q

Major Health Risks

A

tobacco, poor diet, and lack of exercise

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10
Q

Wonder Drug

A

PHYSICAL EXERCISE
- helps with anxiety, dementia, risk of stroke
- weight, diabetes, disability, breast cancer and bowel cancer

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11
Q

Alcohol Related Death- Acute and Chronic Causes

A

Acute-
- motor vehicle crashes, poisoning, suicide, homicide, drowning
Chronic-
- stroke, hypertension, various cancers, adiction

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12
Q

Alcohol Abus is highest aroung young adults

A
  • heart disease is highest among those who do not drink and are heavy drinkers
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13
Q

Alcohol Injuries amoung college students

A
  • death, assault, and date rape
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14
Q

Policy gone wrong… Prohibition

A

positive health affects- liver problems decrease and consumption dropped
social consequences- disrespect for the law, more murder, and bootlegging

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15
Q

Reduction in Motor Vehicle injuries

A

-public health success
- target safety efforts= roadway improvements, campaigns against drunk driving, vehicle safety improvements

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16
Q

Strategies for health behavior change

A
  • Education
  • Incentives
  • law and policies
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17
Q

Certain Groups Smoking is Higher

A
  • prisons
  • rural areas
  • southern areas
  • military
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18
Q

Smoking is higher amoung those with mental health issues

A
  • because not focused on long term issues but mental health
  • people die with diesease that are tied with smoking
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19
Q

Youths are not Smoking

A
  • vaping increased than decreased
  • nicotine is not killing it is everything else in it
  • smoking rates are decreasing
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20
Q

Harm Reduction

A
  • vaping is used as harm reduction cause smoking is worse
  • harder for older people to stop smoking
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21
Q

Disability-adjusted life years

A

a measure of overall disease burden, capturing the number of years lost from poor health, disability, or premature death

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22
Q

Decision to Smoke is a Combination of

A

psychological, social, cultural, economic, and political factors influence individual behavior

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23
Q

What is Mental Health

A
  • a state of mental well-being that enables people to cope with the stresses of life, realize their abilities, learn well and work well, and contribute to their communities
  • it is an intergal component of health and well-being that underpins out individual and colective abilities to make decisions, bild relationships and shape the world we live in
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24
Q

Mental and behavioral disorder are amoung…

A

the leading causes of disability in the US

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25
Q

mental disorder are amung the costilist health conditions for adults 18-64 in the U.S

A
26
Q

Mental Health Conditions are Characterized by…

A
  1. present frequently/ daily
  2. last for substantial periods of time
  3. cause dysfunction/ disability
  4. and are not caused by another medical condition or substance use disorder
27
Q

Mental Health is on a continuum

A

in crisis, stuggling, surviving, thriving, excelling

28
Q

Heatlh Promotion is on a Continuum

A

Prevention, Treatment, continuing care

29
Q

Barriers to Accessing Mental Health Care

A
  • lack of insurance, mental illness stigma, lack of diversity among mental health care provider, distrust in health care, inadequate support for mental health service in safety net setting
30
Q

Mental Health Disparities

A
  • two or more races are most likely to report any mental illness within the last year
  • lack of cultural understand may contribute to under diagnosis of mental illness
  • difference in services used by people of different ethnic racial groups
  • minorities more likely to go to juvenile justice system than speciality primary care
31
Q

ethnic/ racial minorities often bear a dispropotionaely high burden of disability resulting from mental disorders

A
32
Q

Person First Language

A

Def: language choice that emphasizes the person as a whole and views the disorder, disease, condition, or disability as only on part of the person

33
Q

Obesity as an example of a chronic disease

A

obesity defined: complex state of excess adipose tissue that may affect health resulting from a variety of factors such as genetics, diet, and physical inactivity

34
Q

Obesity is…

A
  1. Prevalent
  2. Serious- health and economic consequences
  3. Preventable and treatable
    (make it a public health problem)
35
Q

contributions to increase in obesity

A
  • dietary intake/ nutrition
  • physical activity
  • genetics- sleep
  • environmental exposures
36
Q

Macronutrients- yield energy

A
  • carbohydrates
  • lipids/ fats
  • proteins
37
Q

Micronutrients- need in smaller amounts

A
  • vitamins
  • minerals
  • water
38
Q

Dietary Reference Intake (DRI)

A

recommendation for nutrients a persona should consume per day to stay healthy

39
Q

Folate

A

critical in synthesis of DNA and cell division (helps close the spinal cord)- if not difficulty walking, fluid build up in brain, tethered spine

40
Q

Fortification Efforts

A
  • iodine in salt,
  • vitamin D in milk, cheese, yogurt
  • niacin, iron in flours
41
Q

Dietary Guidelines for Americans (DGA)

A
  • detailed report for professions: health professionals, policymakers, and researchers
    -goals: promote health behaviors, prevent chronic disease, provide tools for individual to monitor food intake
42
Q

Regular Physical Activity Benefits

A
  • reduces onset of many disease states
  • improve quality of sleep
  • improve cognitive function: academic performance, memory, etc.
  • maintains muscle and bone mass
43
Q

Type 2 diabetes

A
  • chronic disease: due to obesity, physical inactivity, genetics, age, socioeconomic status race
44
Q

Type 2 Diabetes: Interventions

A

lifestyle changes: weight loss, physical activity, diet
Medication

45
Q

mental health disorders

A

are a leading cuse of disability, morbidity, and morality and the leading cause of disability for young adults

46
Q

early prevention, detection and treament saves lives

A
47
Q

Academically yUntreated mental health disorder are associated

A

with lower GPA, enrollment discontinuity, and drop-out

48
Q

economic case for investing in student mental health

A

increased retentions, increased lifetime productivity (earnings), increased student satisfaction

49
Q

Impact of Covid on mental health

A
  • Increase in severe depression
  • Increase in academic impairment and distress
  • Increase barrier to care
  • Decrease in student access to care
50
Q

Socio-political events- impact mental health

A

There mental health increased post trump election travel ban of muslim students

51
Q

Higher mental health issues

A

Gender and sexual minorities are experiencing high mental health concerns
International and students of color also experience higher mental health concerns

52
Q

Public health Approach

A
  • Addresses basic needs
  • Develop life skills
  • Promoting social networks
  • Identity students at-risk
  • Encourage help seeking
  • Provide mental health services
53
Q

Addresses basic needs

A
  • Undermines educations experiences and credential attainment- food and housing insecurity
  • Associated with poor physical health, symptoms of depression and higher perceived stress
54
Q

Promoting social networks

A

Important protective factor, students turn to each other when in distress

55
Q

What works for improving mental health in higher education?

A
  • skill training with supervised practice, screening, peer programs, beloning interventions
56
Q

What DOES NOT work for improving mental health in higher education?

A

Psychoeducational (just telling students information and leaving them to be), gatekeeper (program where people reach out to non mental health professionals- life RAs, and professors…)

57
Q

Mental health needs public health

A

Clinical services and insufficient
inequalities= large and persistent
Population level approaches that address root causes and focus on prevention are needed

58
Q

Types of gun injuries and deaths

A
  • intentional, suicide and homicide
  • unintentional accidental injury
  • unknown
59
Q

those with a gun in the home

A

3x more likely to die by homicide
7x more likely to die by suicide

60
Q

Interpersonal/ intrapersonal gun violence

A

intimate partner violence/ mental health

61
Q

What levels may be well suited for intervention?

A

Public policy (is the big one)
Community and interpersonal

62
Q

What examples of intervention at each level?
Institutional

A

Metal detectors, government identifying warning for groups with hella guns, ways to identify teachers with mental health issues that someone could cause harm to themselves or other, security