W7: Social, personality and cultural impacts on health Flashcards

Lecture

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1
Q

Macro-social influences are - (2)

A

Large-scale social, economic, political, and cultural forces that influence the life course of people simultaneously

(influences that are out of our control)

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2
Q

Examples of macro-social influences are (6)

A
  1. Actions and policies of governmental organizations
  2. Cultures
  3. Historical legacies
  4. Organized religions
  5. Multinational corporations and banks
  6. Unpredictable, large-scale environmental events (e.g Covid-19)
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3
Q

Dominant public health policy assumes individuals are responsible for their own health

Illness is due to …

A

Illness due to personal lifestyle is seen as fault of the individual, not a consequence of macro-social influences

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4
Q

Epidemiology is the

A

Study of disease, death, determinants, and consequences

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5
Q

Two types of diseased epidemiologists that are concerned with (2)

A
  • Communicable diseases
  • Non-communicable diseases
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6
Q

Epidemiology - communicable disease (2)

A

Communicable diseases spread from one person to another

e.g., influenza, HIV, polio, COVID

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7
Q

Epidemiology - non- communicable (chronic) disease (3)

A

Non-communicable (chronic) diseases have long duration and slow progression

e.g., cardiovascular diseases, cancer, diabetes

Leading cause of death in the world (63% according to WHO)

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8
Q

Cultural differences - As a country’s economy becomes larger (2) (e.g USA/UK)

A

Communicable diseases decrease

Non-communicable (chronic) diseases increase - Associated with access to alcohol, tobacco, and processed foods

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9
Q

Cultural differences

Low and middle-income countries go through the transition between the prevalence of these diseases

A

Often face a double burden with high prevalence of both (communicable vs non-communicable)

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10
Q

Socioeconomic status (SES) is… (2)

A
  1. Measure of wealth, education, and status
  2. Higher SES = better health and longer life expectancy
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11
Q

Social capital is

A

How many resources you have based on number of social relationships

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12
Q

Social capital is measured by (4)

A
  1. Community engagement
  2. Trust and safety in the community
  3. Reciprocity in community
  4. Diversity in community
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13
Q

Social capital mindmap

A
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14
Q

Certain communities have greater social capital and often have more

A

positive health outcomes

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15
Q

Gender differences - Lifespan (2)

A

Men die earlier than women, but women have poorer health

In less developed countries, men still live longer than women

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16
Q

Gender differences - Illness type (3)

A

Women suffer more non-fatal illnesses (e.g cold) and are hospitalized more often

Women have twice the rate of depression compared to men

Men have higher rates of injuries, suicides, homicides, and heart disease

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17
Q

Gender Differences - Psychosocial and lifestyle differences among women (7)

A
  1. Childbirth
  2. Rape
  3. Domestic violence
  4. Sexism
  5. Work inequalities
  6. Concern about weight
  7. Divided attention between roles of parent and worker
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18
Q

Gender stereotypes (3)

A
  • Social constructs of masculinity and femininity affect health behaviors
  • Men are more likely than women to adopt risky behaviours - sterotypically
  • Women are more likely to engage in health-protective behaviours - sterotypically
19
Q

Biological justifications for these social constructs in gender stereotypes?

A

Neurosexism - does not exist since men more likely to engage than women in risky behaviours is just society driven than biological

20
Q

The health of minority groups is generally poorer than that of the majority of the population

due to… - (4)

A
  1. Racism
  2. Ethnocentrism
  3. SES
  4. Genetics
21
Q

What is ethnocentrism?

A

one’s own culture is superior to all others and is the standard by which all other cultures should be ..

22
Q

Racism is when

A

Minority racial and ethnic groups are the subject of discrimination at a number of different levels

23
Q

Racism and health (2)

A

Discrimination in the health care system reduces access to the system and poorer levels of communication

Racism-related stress a predictor of poor health

24
Q

Racism is know to be a longest contributor to

A

health disparities in most countries

25
Q

Two pathways from racism to poor health - Stress response

A

Stress response

  • Direct, short-term consequences
  • Chronic, long-term consequences
26
Q

Racism and stress

Direct-short-term stress consequences of experiencing racism (3)

A
  1. Activation of HPA axis
  2. Heightened blood pressure
  3. Excess cortisol release
27
Q

Racism and stress

Chronic, long-term consequence/stress response of prolonged racist experiences (3)

A

Blunted stress response

Changes in HPA responsiveness - only respond to extreme stresses and not minor stresses

Chronic inflammation (interleukins)

28
Q

Racism and stress - behavioural adaptations (2)

A

Those who faced discrimination constantly lead to maladaptive coping mechanisms

such as alcohol and substance abuse (most attention)

29
Q

Long-term impacts of racism

Gibbons et al. (2004;2014) - (3)

A
  • Experiences of Black Americans longitudinally measured
  • Racism assessed at age 10/11
    • This predicted mental health and substance use 5 years later
30
Q

Experience discrimination, sexism, racism (any type)

Acuet stress response (2)

A
  • Fight or flight
  • HPA activity
31
Q

Experience discrimination, sexism, racism (any type)

Anticipation for future discrimination (3) - that’s why health consequences happens

A
  • Anxiety for future racism/sexism

Anticipatory stress and rumination

Dysregulates homeostasis

32
Q

Anticipation of future discrimination research

Gender stigma consciousness

A

Seeing higher frequency/quantity of alcohol use in women with those with higher stigma consciousness than those with low stigma consciousness

33
Q

Stigma leads to

A

the unfavourable reaction towards people when they are perceived to possess attributes that are undesirable

34
Q

Stigma underlies discrimination in which stigma means

A

there is devalued social identitiy

35
Q

Stigma leads to the source of: (4)

A

Physical and psychological stress

Denial of employment opportunities

Restricted access to sevices

Social exclusion

36
Q

Stigma affects health

For example stereotype threat

A

ST is the idea of conforming to negative stereotypes about a group

37
Q

Stigma affects health

ST can lead to… (3)

A

Heightened cardiovascular activity

Poorer academic performance

Disengagement and axiety

38
Q

Cost of stereotype threat

Self-control failure (2)

A

When stereotypes are made aware to someone who is a minority, they have to suppress their emotions or behaviours (e.,g feeling sad) to maintain an outward appearence­

After prolonged suppression of emotions or behaviour, subsequent behaviors are impacted

39
Q

Stereotype Threat - stigma affect health

A

­Vick et al 2008 research

40
Q

Cross-cultural psychology (2)

A

­Culture as fixed system of beliefs, meanings, and symbols that belong to a group of people who speak a common language

­Examine cultural differences in approaches to health

41
Q

What things influence health other than the dominant health policy (individuals are responsible for their health) -(7)

A
  1. Social capital
  2. Macro-social influences
  3. Cultural differences - countries income - communicable vs non-communicable
  4. SES on health
  5. Social capital
  6. Gender Differences
  7. Racism-related stress
42
Q

Alternative medicines (6) - Homeopathy

A

Use of substances to trigger the body’s natural healing system

A substance that can cause symptoms when taken in large
doses can be used to treat the same symptoms when taken in
smaller doses

  • Nightshade
  • Poison ivy
  • Stinging nettle
  • Apricot seeds (cyanide)
43
Q

Alternative medicines (4) - Herbal medicine

A

Use of plants to treat illnesses or promote well-being

In the UK, about 1 in 3 adults take herbal medicine

  • ~20% in the US

Inconclusive evidence for most popular herbal remedies