Social & Structural determinants of health

Question 1

What is health?

Answer 1

a state of complete physical, mental and social well-being. (Not just being free of disease)

Question 2

What is social well-being?

Answer 2

having a sense of belonging and positive relationships with other people

Question 3

Health disparity

Answer 3

Differences in health status between different population groups

Question 4

Diet related chronic diseases is more likely among

Answer 4

lowest socioeconomic status,

Question 5

Health inequity

Answer 5

unfair disparity in health status between groups due to avoidable differences in social, economic, environmental or healthcare resources

Question 6

What is the cause of health inequities

Answer 6

SDOH and Structural determinants

Question 7

The determinants of health include

Answer 7

genetics, age, gender, personal lifestyle, life conditions and circumstances

Question 8

An individuals lifestyle choices are heavily structed by

Answer 8

conditions and circumstances in their life

Question 9

Rank the following for What contributes to health:
–> Health care, Biology, Your environment and life

Answer 9

Biology 15%
Health care 25%
Environment and life 60

Question 10

SDOH

Answer 10

Conditions which people are born, grow, live, work, and age, that influence health +/-

includes: Income, education, employment , food insecurity, housing, childhood development, social inclusion and non-discrimination, health service

Question 11

What is a better predictor of health than weight or activity

Answer 11

income

Question 12

Basic perquisites of health

Answer 12

food, clothing, housing, water

Question 13

low income contributes to:

Answer 13

Social exclusion
Degree of control (health)
Food environment (fast food)

Question 14

Why is education a SDOH

Answer 14

equips people with knowledge and skills for daily living, enables them to participate in their community, increases opportunity for employment

Question 15

Why is early child development a SDoH

Answer 15

Positive prenatal and early childhood experiences influence a persons environment and life

Question 16

Why is racism a SDoH

Answer 16

economic and social deprivation, occupational health inequalities, psychosocial trauma and inadequate access to health care
- denied employment, income, education, housing

Question 17

What is victim blaming?

Answer 17

blaming people for things that are out of their control - your fat b/c of your lifestyle, not your circumstances

Question 18

Disease stigma

Answer 18

people are made to feel embarrassed or ashamed of their condition because they are told all the time that they are in control of their condition

Question 19

Structural determinants of health

Answer 19

Shape and distribution of power and resources across the population, engendering health inequities b/w groups
Policies, laws, institutions that create disparities in distribution of SDOH and produce and maintain health inequities

Question 20

What is the main Structural detriment of health to affect First Nations and why?

Answer 20

1876 Indian Act: Assimilation policies, residential schools, “60’s scoop”,

Question 21

What are the Structural determinates of income and of housing in Canada/Alberta

Answer 21

In Canada: Taxation policies allow the rich to get richer (income)
In Alberta: Rent control policies allow landlords no limit on rent raises (housing)

Question 22

Why does Health promotion focus on upstream casual determinates of health to make changes?

Answer 22

Upstream focuses on Structural DOH (laws, policies) to improve community conditions

Question 23

Which part of the stream would you focus on for Social DOH? what is the focus?

Answer 23

Midstream: addresses individual impact