Social Determinants of Health Flashcards
Definition of social determinance
Circumstances in which people are born, live, work, age.
Also the systems in place to deal with illness
What wider set of forces shape an individuals determinants of health
economics
social policies
politics
What is the socioeconomic gradiant of health?
stepwise fashion in which health outcomes improve as their socioeconomic position improves
the richer you are, the healthier you are.
the poorer you are, the sicker you are
Examples of determinants of health (8)
social support working conditions physical environment health services coping skills genetic endowment education income/social status
Poor diet and erratic feeding leads to…
increase risk of diabetes
smoking or exposure to smoke leads to…
allergies, resp illness/disorder
environmental exposures to what, can lead to increase risk of cognitive impairment?
lead
asbestos
mold
Definition of trauma
defined by the individual
How can PTSD manifest in adults?
emotional disturbance
fear
anxiety
anger
“Woe is me” attitudes precipitates what?
social dysfunction and physical illness
What do men do with bad experiences?
burry them.
what does ignoring or burying bad experiences lead to?
Increase in CV disease
self-destructive behavior
violent behavior
TRUE STORY:
76 year old female told me she didn’t go to college because her father told her she wasn’t smart enough. She also shied away from pursuing romantic relationships because her father told her she “wasn’t as pretty as my sister”
I interviewed her in a prison cell – she had “lost it” and ran over her mother in a car when she was 49 years old. Her mother was 70 years old at the time of her death.
SEE PPT FOR THE REST OF THE STORY (and follow up discussion)
What is health?
State of complete physical, mental, social well-being and not merely the absence of disease
