Social Determinants of Health Flashcards
What is a determinant?
A determining factor or agent
What is the definition of determine?
To fix or decide causally
In the majority of conditions what are most causal factors actually seen as?
Contributory factors
What is necessary cause?
Presence of causal factor is required for the occurrence of the event. The event may not occur though
What is sufficient cause?
A factor who’s presence leads to an effect. Exposure alone would induce the outcome but other exposures may induce the same outcome. The event may not occur though
What are the 4 categories relating to sufficient and necessary cause?
- Both necessary and sufficient
- Necessary but not sufficient
- Sufficient but not necessary
- Neither necessary nor sufficient
What is the necessary cause of malaria?
Parasitic protist; plasmodium
How is malaria transmitted?
By female anopheles mosquito
What increases the chance of acquiring malaria?
No ITN protection (net)
Not spraying insecticide
Pregnancy
Age
What are some genetic protective factors against malaria?
Natural genetic resistance
Sickle cell anaemia
Thalassaemia
What are the economic and geographical limiting factors associated with malaria?
Economic
Income governs if you can get help or if you are educated enough to know when to seek help
ITNs and sprays are expensive for the poor
Social
Where do you live? Is there a healthcare centre near you? Do you have dependants that can’t be left alone etc
What is the explanation for why variation in health states exists between and within societies?
The individual determinants are not equally distributed
What approximate percentage can the variance in health status be attributed to individuals are necessary causality|?
25%
Which order do the following rank in, from greatest to least influence, on acquiring disease?
SOCIETAL CHARACTERISTICS
HEALTH BEHAVIOURS
MEDICAL CARE
GENETICS
SOCIAL CHARACTERISTICS
HEALTH BEHAVIOURS
MEDICAL CARE
GENETICS
What is the link between life expectancy and deprivation between men and women?
Women from more deprived groups have the same amount of healthy life expectancy as men from higher social groups