Week 11: Health status and inequalities Flashcards

1
Q

What is the world health organisations definition of health?

A

Health is a state of physical, mental and social well-being. It involves more than just the absence of disease or infirm

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2
Q

How can we assess individual health status?

A

Subjective health
Daily physical symptoms
Chronic health conditions - ‘in the past 12 months has a dr diagnosed you with any chronic conditions?’

Are all self-report based

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3
Q

What forms of cancer screening is there?

A

Breast cancer
Cervical cancer
Bowel cancer

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4
Q

What procedures are used for breast cancer screening?

A

There are free, 2 yearly screening mammograms for women aged 40 and over

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5
Q

What procedures are used for cervical cancer screening?

A

National Cervical Screening Program, pap smear for women aged 20-69

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6
Q

What procedures are used for bowel cancer screening?

A

2-yearly screening to all Australians aged 50-74

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7
Q

Are there any gender differences in seeing a medical professional?

A

Men tend to not be willing to see a medical professional - women are more willing

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8
Q

What is a limitation to these government-based screening procedures?

A

Although they are given opportunities, not everyone uses them.

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9
Q

What does ‘health doesn’t happen in a bubble’ mean?

A

There are things outside of our control - eg. living in a poor country and experiencing famine - it is not relevant to ask if they consume a balanced diet

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10
Q

Explain the flint water crisis in michigan?

A

There was a change in their local pipe system in order to safe money, however caused high levels of lead to contaminate the water. The government assured them that this was safe.
50% of people are still too scared to use unfiltered water after 5 years - remnants of this will be around for years

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11
Q

What does the Flint water crisis tell us about intergenerational affects?

A

Children may have drunk this water, doesn’t leave the body - may cause distrust in government

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12
Q

What health impact does this flint water crisis have?

A

Lead is toxic and stays in the body

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13
Q

What is the diabetes belt?

A

Refers to geographical location in united states - individuals who live in this belt are more likely to have type 2 diabetes than people who live in other parts of the untied states.
- However a limitation to this is that diabetes may be under-reported in poorer states (might not be able to afford medical attention and diagnosis)

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14
Q

Disadvantaged location and breast feeding babies?

A

People in disadvantaged regions are less likely to breastfeed their babies

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15
Q

Are there any infant gender differences in breast feeding rates?

A

Female babies are less likely to be breastfed

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16
Q

Does disadvantage have anything to do with likeliness to smoke?

A

If you’re poorer, you are more likely to be a regular smoker

And the gaps between groups seems to be widening as well

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17
Q

Are there any gender-based differences in smoking rates? why?

A

Yes. There is an identifiable reduction in female smokers - may be because campaigns work better for females

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18
Q

What trends are seen in geographical location and obesity?

A

There is an overall increase in obesity regardless of location, however, poorer people are more likely to be obese

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19
Q

As people get older, what do we see?

A

A stabilisation or improvement in subjective well being

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20
Q

There is an increase in subjective wellbeing with age in richer countries - is this the same for poorer countries?

A

No - unfortunately in poorer countries, subjective wellbeing seems to decline with age

21
Q

What does inequality do?

A

Weakens the social fabric, damages health and increases crime rates

22
Q

What are the differences between the direct and indirect influences we have on our health?

A

Direct - how we take care of our body (eg. smoke, drink, eat well)
Indirect - influences that are not directly under our control (eg. gender, socioeconomic status, race/ethnicity, wealth)

23
Q

Explain chronic condition onset in different classes

A

For poor and working class - chronic conditions are typically greater at an earlier age

24
Q

What causes early onset of conditions in the poor or working class?

A

Poor nutrition, housing and healthcare access

25
How can education stop the early onset of conditions of poor or working class individuals?
When better education, more likely to eat better and have better health care as well as being less likely to smoke
26
Tobacco taxes have been implemented to discourage smoking - this doesn't work as it was planned to. Explain
Government claims it will encourage people to quit due to being unable to afford it anymore. Instead, it adds to the hardship that they and their children experience. 3 out of 4 people on income support are spending a seventh of their income on cigarettes
27
What are higher levels of discrimination associated with?
A broad range of diseases - black people are likely to die prematurely, discrimination in medical care, as well as residential segregation impacting on access to healthcare
28
Which racial group have the highest mortality rate?
African Americans - young african americans are 2x more likely to die Also 20x more likely to have high blood pressure and 7x more likely to be victims of homicide
29
What are the health problems among differing races and ethnicities related to?
Poverty Low levels of education Cultural differences Less likely to have health insurance
30
What percentage of Australians population were born overseas?
29.7% - a diverse, multicultual range of people living in Aus
31
What is the definition for socioeconomic status?
A person’s position “in a system of social stratification that differentially allocates the major resources enabling people to achieve health and other desired goals
32
Explain how education is at the start of the socioeconomic positioning process
Education leads to employment or occupational possibilities, which determines income - determining wealth
33
What is income really?
It is related to a person's ability to generate wealth (assets etc)
34
What are the affects of acculturation?
Less acculturation makes one more likely yo have physical and mental health problems
35
Why are minorities commonly diagnoses at later stages of conditions?
May be due to less access to high-quality health care and health insurance
36
Explain cumulative disadvantages
Living in unfavourable conditions (poverty, polluted areas) early in life has very likely consequences for health in later life Disadvantages accrue overtime leading to increasingly poorer health - early investment in health pays off
37
What are the effects of stress?
More stress makes someone more likely to get ill
38
What are some causes of stress for older adults?
Death of spouse/close family member Moving to assisted living Finance Retirement (if not wealthy to begin with, retirement may cause a lot of stress) This is potentially why the health gap widens over a persons life time
39
How many Australian's have a disability?
1 in 5 - yet isn't a priority in the health system
40
What basic essentials do those with a disability struggle to obtain?
Somewhere to live Work Health care
41
What are the 4 main types of disability?
Physical Sensory Psychological Intellectual
42
Disability is complex - what is something that people can be disabled by that isn't thought of?
Society can disable people
43
Those with disabilities have a high level os psychological distress - how much?
25% - compared to 5% in the general population
44
What interferes with adequate health care access for those with disabilities?
Lack of transport, poor communication and discrimination
45
What percentage of homeless people are disabled and why might this be the case?
64% - commonly fall out of home ownership due to the costs of disability
46
What percentage of women with intellectual disabilities have been sexually abused?
90%
47
How much more likely are those with disabilities to experience violence?
1.5x more likely
48
What is something that disabled parent experience?
Discrimination in the child protection system - much higher risk of having children removed even if there is no evidence of inadequate parenting
49
Income and disability?
Generally have lower incomes with 45% living on or near the poverty line even if they have the same levels of education - because of discrimination and lack of social connection