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HSO107 pt 2
HS0107
Question | Answer |
---|---|
Define proximal: | A direct influence on health on the micro (downstream) and macro level Includes lifestyle and behavioural factors. |
Define micro: | Includes treatment systems, disease management and investment in clinical research. |
Define macro: | Includes government policies, global trade agreements and investment in population health research. |
Define downstream: | Those at micro level. |
Define upstream: | Those at macro level. |
Define distal: | Indirect influence on health at the macro level (upstream), includes polocies and laws. |
Define the social determinants of health: | They are conditions in which people are born, grow, live, work and age, including the health system. |
What conceptualizes the determinants of health? | 'Social' is an umbrella term that involves political, environmental, economic, cultural, psychological, spiritual or other determinants. |
What are the social determinants shaped by? | Distribution of money, power and resources at a global, national and local level. They are themselves influenced by policy choices. |
What do the social determinants help to do? | Help understand the health-disease process by giving a more political and philosophical view. |
What are the social determinants responsible for? | Health inequalities: which are unfair and avoidable differences in health status between and within countries. |
What is the main model of social determinants studied in HSO107? | 'The Solid Facts' by Wilkinson and Marmot (2003) |
What determinants are the Wilkinson and Marmot model made up of? | - Social gradient - Stress - Early life - Social exclusion - Work - Unemployment - Social support - Addiction - Food - Transport |
What are the indigenous perspectives of the SDOH? | - History of health - Racism and marginalisation - Poverty - Social class - Education - Training - Control over own health - Powerlessness - Employment - Place - Income - The justice system - Family seperation - Land |
What could the deterioration of the planets health attribute to? | Not addressing core issues. |
Health iceberg model is comprised of: | THE TIP: risk factors (contributing factors) THE MIDDLE: lifestyle factors (can develop into contributing risk factors) THE BOTTOM: determinants of health (individual and population level) |
Give an example of the iceberg model: OUTCOME: lung cancer | THE TIP: deepening of craving and dependence, respiratory disorders etc THE MIDDLE: normalisation of smoking, peer pressure THE BOTTOM: Stress, difficult early life, unemployment |
Outline what the social gradient is: | - linear decrease in health associated with socioeconomic position - clear relationship between health and income - social variations include stress, inequality, less social connection |
If you're lower in the social gradient you will be: | - at a higher risk of disease |
If you're higher in the social gradient you will be: | - at a lower risk of disease |
Outline stress as a SDOH: | - stressful circumstances make people anxious and unable to cope - stress is damaging to health - can lead to premature death |
Outline early life as a SDOH: | - a good start in life means supporting mothers and young children - a healthier start means a better chance at life |
Outline social exclusion as a SDOH: | - by causing hardship, resentment, poverty, social exclusion can lead to premature death - it relates to systematic discrimination and exclusion from community life |
Outline work/unemployment as a SDOH: | - Job security increases health, well being and job satisfaction |
Outline transport as a SDOH: | - Good transport means less driving and more walking and cycling, as well as being backed up by a better public transport |
Outline addiction as a SDOH: | - Individuals turn to alcohol, drugs and tobacco and suffer from their use - Use is influenced by wider social settings |
Outline food as a SDOH: | - Global market force control on the food supply - Healthy food is a political issue |