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Nursing 287 > SeDoH's > Flashcards

SeDoH's Flashcards

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1
Q

SeDoH’s

A

socio-ecological determinants of health
socio-ecological = an individuals interaction with their social circumstances and external environment
determinants of health = factors that influence the health status of individuals, communities, and society as a whole

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2
Q

why emphasize the social determinants of health?

A

they have a direct impact on health
they predict the greatest proportion of health status variance
they structure health behaviours
they interact with each other to produce health

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3
Q

vulnerable groups vs. marginalized groups

A 
vulnerable = individual level, more likely than other populations to have adverse health outcomes
marginalized = community level, experience fewer privileges, rights, access, and power as a result of their position within the political system and social structure
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4
Q

health indicators when it comes to income

A 
standard of living
family income
retirement income
low income incidence
low income persistence
net worth (wealth)
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5
Q

measures of income

A 
LICO 
socioeconomic status
housing 
core housing needs
income distribution
income disparities
poverty
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6
Q

LICO

A

low income cutoffs
an income threshold where a family is likely to spend 20% more of its income on food, shelter, and clothing than the average family

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7
Q

what is included in socioeconomic status (SES)

A

income
education
occupation

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8
Q

core housing need

A

affordable
adequate
suitable

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9
Q

problems with housing in northern canada

A

higher cost of living
crowded dwellings
in need of repair

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10
Q

maslow’s hierarchy of needs

A 
base to top
physiological (housing fits here)
safety
love/belonging
esteem (coping fits here)
self-actualization
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11
Q

material poverty vs. social poverty

A

material = lack of money
social = lack of belonging
both pathways of poverty

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12
Q

poverty stigma

A

usually stigmatized by society
can be harmful
consequences can include = one feeling like a burden, isolation, substance use etc

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13
Q

conditions created by pathways of poverty

A 
social hierarchy
control/power
society's perceptions
poverty stigma 
social exclusion
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14
Q

human capital vs. social capital

A

human capital = cognitive and verbal ability may predict someone’s potential to participate in work force
social capital = healthy citizens that are engaged in their communities, creating social cohesion are more productive and have better overall wellbeing

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15
Q

education

A

level of educational attainment
literacy
health literacy

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16
Q

literacy

A

means more than knowing how to read, write, or calculate

involves understanding and being able to use the information required to function effectively

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17
Q

types of literacy

A

document
prose
numeracy
problem-solving

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18
Q

document

A

ability to find and use information in forms, charts, graphs and other ables

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19
Q

prose

A

the knowledge and skills required to understand and appropriately use information from print materials

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20
Q

numeracy

A

ability to use basic math skills in everyday life

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21
Q

problem-solving

A

the ability to think and act in situations for which no routine solution procedure is available

22
Q

level of proficiency sccores

A

level 1= very poor literacy skills
level 2 = a capacity to deal only with simple, clear material involving uncomplicated tasks
level 3 = adequate to cope with the demands of everyday life and work in advanced society
levels 4 and 5 = strong skills

23
Q

definition of health literacy

A

ability to access, understand, evaluate, and communicate information as a way to promote, maintain, and improve health in a variety of settings across the life-course
60% of adults lack health literacy

24
Q

health literacy effects

A

direct effects = incorrect medication use, failure to comply with medical instructions, difficulty comprehending safety instructions
indirect effects = impacts other SeDoH’s

25
Q

health literacy activities that need to happen

A

health promotion = enhance and maintain health
health protection = safeguard health of individuals and communities
disease prevention = take preventative measures and engage in early detection
health care and maintenance = seek care and for a partnership with healthcare providers
systems navigation = access needed services, understand rights

26
Q

individual level indicators that show low health literacy

A 
frequently missed appointments
arriving without completing forms
avoid referring to written information
bringing family members to appointments
claiming to have vision problems
ignoring or misunderstanding instructions
27
Q

personal coping skills

A

health practices and behaviours
actions by which individuals can prevent diseases and promote self-care, cope with challenges, and develop self-reliance, solve problems and make choices to enhance health

28
Q

learning domains

A

cognitive
affective
psychomotor

29
Q

developmental theory

A

explains how we develop across the lifespan and the factors that influence this process

30
Q

piagets theory of cognitive development

A

refers to the manner in which people learn to think, reason, and use language

31
Q

piagets four stages of cognitive development

A

sensorimotor = birth to two years
preoperational = two to seven years
concrete operational = seven to eleven years
formal operational = eleven to fifteen years

32
Q

eriksons theory of psychosocial development

A

self concept = how someone perceives their appearance, values and beliefs which impacts their behaviours
a person is not born with a self concept but develops one as a result of social interactions

33
Q

stages of eriksons psychosocial development

A 
infancy = birth to 18 months
early childhood = 2-3 years
preschool = 3-5
school age = 6-11
adolescence = 12-18
young adulthood = 19-40 
middle adulthood = 40-65
maturity = 65 to death
34
Q

resilience

A

ability to rebound from adversity and overcome difficult circumstances

35
Q

health belief model

A 
predicts why people will take action
individual beliefs 
perceived susceptibility and severity
perceived benefits
perceived barriers or costs 
perceived self efficacy
cues to action 
modifying factors
36
Q

perceived susceptibility

A

beliefs about the likelihood of getting a disease or condition or belief that a diagnosis of an illness is accurate

37
Q

perceived severity

A

concerns about contracting or leaving an illness untreated

believes there are medical or social consequences

38
Q

perceived benefits

A

behaviour change may occur if the client believes in the action or other positive outcomes will occur as a result of the action

39
Q

perceived barriers or costs

A

refers to the complexity, duration, and accessibility of treatment

40
Q

perceived self efficacy

A

belief that one can successfully execute the behaviour to produce the desired outcome

41
Q

cues to action

A

cues that instigate action such as body events, environmental events or media publicity

42
Q

modifying factors

A

include personal variables, patient satisfaction, and socio-demographic factors (age, gender) that enable or act as barriers for the action

43
Q

TRA & TPB

A

theory of reasoned action and theory of planned behaviour
individual motivational factors determine the likelihood of performing a behaviour
behavioural intention predicted by = attitude towards behaviour, control over performing behaviour, social normative perceptions regarding the behaviour (similar to cues to action in health belief model)

44
Q

where do we intervene to promote change?

A 
consciousness raising
environmental reevaluation
helping relationships
reinforcement management
stimulus control
social liberation
self efficacy
45
Q

transtheoretical model (TTM) and stages of change = prochaska

A 
precontemplation = no intention to take action within the next six months
contemplation = intends to take action within the next six months
preparation = intends to take action within the next 30 days and has taken some steps towards action
action = changed behaviour for less than six months
maintenance = changed behaviour for more than six months 
termination = no temptation to relapse and 100% confidence
46
Q

measures for community development

A

capacity
empowerment
participation

47
Q

indicators of capacity

A 
citizen participation
increased social networks and support
decreased isolation
building relationships with those who control resources
behavioural or structural change
build on existing strenghs
48
Q

empowerment

A

an active, involved process where people, groups, and communities move towards increased individual and community control, political efficacy, improved quality of community life and social justice

49
Q

change measured at individual level and community level

A 
readiness 
attitudes
awareness
knowledge
action
50
Q

community level change outcomes

A

capacity
empowerment
participation

Nursing 287 (12 decks)

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