social determinants of health Flashcards

1
Q

define determinant

A

a determining factor or agent. A ruling factor.

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2
Q

define determine

A

to fix or decide causally; to condition as a cause or antecedent.

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3
Q

what is a necessary cause in a antecedent study

A

it’s presence is most definitely required for the occurrence of an event.
Can’t have the disease without exposure to the cause but exposure doesn’t always lead to outcome

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4
Q

what is sufficient cause

A

A factor whose presence leads to an effect.

Exposure alone would induce the outcome but other exposures may induce the same outcome

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5
Q

what is an example of necessary and sufficient disorder

A

genetic disorders.

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6
Q

what is an example of a necessary but not sufficent disorder

A

so you need the exposure but it doesn’t mean it is sufficient to cause the disease
e.g. pathogen.

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7
Q

what is an example for a sufficient but not necessary disorder

A

exposure is enough to cause the disease but not necessarily the only cause of disease.
men fertility

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8
Q

what is an example of neither necessary not sufficient disorder

A

cancer

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9
Q

what are the determinants of malaria

A

parasite, mosquito, infected persons in community, therefore needs certain favourable environmental conditions- location, climate

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10
Q

what determines malaria

A

geographical location

being bitten

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11
Q

what are the social determinants of acquiring malaria

A

education (being aware of early signs) and economic status(buying prevention)

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12
Q

what are the factors involved in the social determinants of health

A

individual lifestyle factors
social and community networks
general socioeconomic, cultural and environmental conditions.

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13
Q

what determines health

A

social and biological factors but mainly biological factors

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14
Q

what model explains the differences in health of a population

A

health determinants such as education, living and working standards are not equally distributed.

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15
Q

how is gender a social determinant of health

A

women are likely to live longer

women over 80 are more likely to get dementia

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16
Q

how is ethnicity a social determinant of health

A

prevalence of diabetes in Bangladeshi- due to high sweet intake.

17
Q

how is education a social determinant

A

Likelihood of having limiting long-term illness in 40’s increases as your highest educational attainment decreases.
(Educational attainment is linked to socioeconomic position)

18
Q

how is cognitive ability a social determinant

A

Less smart kids from high status families eventually outperform the more smart kids from low status families.

19
Q

what factor affect health behaviours

A

socioeconomic status

Smoking for both men and women has a social gradient

20
Q

which socioeconomic group has higher drinking habits

A

affluent drink more

21
Q

which is the most deprived area

A

kensington

22
Q

which is the least deprived area

A

Glasgow

23
Q

how does access to food affect social determinants of health in the most deprived areas

A

Growing phenomena of food deserts – areas where there is little access to good quality fairly priced healthy food. The rise of large out of town superstores has contributed to this.

24
Q

how does postcode lottery work affect social determinants of health

A

different CCG’s offer different services and often ration services against the NICE guidelines.

25
Q

what does inequalities in health mean

A

Variation in health status, life expectancy, mortality and morbidity between different groups
Systematic differences in health that are judged to be avoidable by reasonable action
Unjust distribution of health and healthcare (health inequity)

26
Q

what factors are crucial to explaining health inequalities

A

structural determinants and conditions of daily life.