question
what is the definition of social determinants of health (SDoH) defined by the world health organization?
answer
conditions in which people are born, grow, live, work, and age shaped by the distribution of money, power and resources at global, national and local levels
question
our ____ cultivates our communities and our communities nurture our ____
answer
our ENVIRONMENT cultivates our communities and our communities nurture our HEALTH
question
when it comes to health, your _____ code matters mare than your ___ code
-dr. tony iton
-dr. tony iton
answer
zip code matters more than genetic code
question
Americans suffer higher death rates from (7)
answer
obesity, smoking, homicides, opioid overdoses, suicides, road accidents, and infant deaths
question
what are the levels of maslow's hierarchies from peak of the triangle to the bottom? (5)
answer
self actualization
esteem
love/belonging
safety
physiological
esteem
love/belonging
safety
physiological
question
which maslow's hierarchy is being described?
morality, creativity, spontaneity, problems solving, lack of prejudice, acceptance of facts
morality, creativity, spontaneity, problems solving, lack of prejudice, acceptance of facts
answer
self actualization
question
which maslow's hierarchy is being described?
self-esteem, confidence, achievement, respect of others, respect by others
self-esteem, confidence, achievement, respect of others, respect by others
answer
esteem
question
which maslow's hierarchy is being described?
friendship, family, sexual intimiacy
friendship, family, sexual intimiacy
answer
love/belonging
question
which maslow's hierarchy is being described?
security of body of employment, of resources, or morality, of the family, of health, of property
security of body of employment, of resources, or morality, of the family, of health, of property
answer
safety
question
which maslow's hierarchy is being described?
breathing, food, water, sex, sleep, homeostasis, excretion
breathing, food, water, sex, sleep, homeostasis, excretion
answer
physiological
question
what are some social determinants of health? (5)
answer
economic stability
education access and quality
health care access and quality
neighborhood and built environment
social and community context
education access and quality
health care access and quality
neighborhood and built environment
social and community context
question
___ life-enhancing resources whose distribution across populations effectively determines length and quality of life
what are some examples? (7)
what are some examples? (7)
answer
social determinants of health
-food supply
-housing
-economic relationships
-social relationships
-transportation
-education
-health care
-food supply
-housing
-economic relationships
-social relationships
-transportation
-education
-health care
question
unemployment increases risk of (3)
answer
HTN, DM, heart disease
question
___ belief you can success in a particular situation
answer
self-efficacy
question
how is economic stability a part of social determinants of health? (4)
answer
discrimination, stigma, or unfair treatment in the workplace has a profound impact on health (HTN and increased HR)
steady employment reduces risk of poverty and associated with health
employment referral programs, career counseling, and high-quality childcare promote employment
policies to help people pay for food, house, health care, and education reduce poverty and improve health and well-being
(#1)
steady employment reduces risk of poverty and associated with health
employment referral programs, career counseling, and high-quality childcare promote employment
policies to help people pay for food, house, health care, and education reduce poverty and improve health and well-being
(#1)
question
children are more likely to struggle with reading and math if they (2)
answer
are front low-income families
experience social discrimination (eg bullying)
(#2)
experience social discrimination (eg bullying)
(#2)
question
education access and quality education is closely tied to ___ status
answer
socioeconomic status (#2)
question
higher education is associated with (4)
answer
better access to health care
longer life expectancy
improved quality of health
health-promoting behaviors such as regular physical activity, avoiding smoking, routine checkups
(#2 education access)
longer life expectancy
improved quality of health
health-promoting behaviors such as regular physical activity, avoiding smoking, routine checkups
(#2 education access)
question
people without health insurance are less likely to have ___ and may miss important _____
answer
people without health insurance are less likely to have a primary care provider and may miss important screenings
(#3 health care access and quality)
(#3 health care access and quality)
question
social determinants of health are highly influenced by (3)
what is an example?
what is an example?
answer
policies, systems, and environment
example: tobacco = poor health outcomes and decreased tobacco use is impacted by cost of cigs and smoke-free environment
example: tobacco = poor health outcomes and decreased tobacco use is impacted by cost of cigs and smoke-free environment
question
how does neighborhood and built environment affect health? (5)
answer
need safe neighborhood for children to play --> physical activity increases when safe
poor housing = risk of accidents due to poor structure
household contaminants may occur (mold/toxins)
lower value homes may be in close proximity to air pollution and noise exposure
lack of affordable housing may lead families to chose between food, heating, and other basic needs
poor housing = risk of accidents due to poor structure
household contaminants may occur (mold/toxins)
lower value homes may be in close proximity to air pollution and noise exposure
lack of affordable housing may lead families to chose between food, heating, and other basic needs
question
lack of helath food choices (due to access issues) can increase risk of (6)
answer
obesity, cardiovascular disease, diabetes, cancer, eye disease, tooth decay
question
what is a food desert?
answer
neighborhoods that lack access to stores where affordable healthy food is readily available
question
vulnerable populations such as women, children, youth, disabled, low-income groups, and the elderly often rely on what transportation methods?
answer
walking, cycling, public transportation
question
how does social determinant #5 social and community context affect health?
answer
relationships and interactions with family, friends, co-workers, and community members vital to maintaining good health
question
___ is associated with stronger immune system and reduced risk of depression
answer
social engagement
question
impact of social isolation
answer
health risks such as coronary artery disease, HTN, cancer
(#5 social and community context)
(#5 social and community context)
question
what are some health inequities (3)
answer
unequal access to quality education, healthcare, housing, transportation, other resources (grocery stores, car seats)
unequal employment opportunities and pay/income
discrimination based upon social status/other factors
unequal employment opportunities and pay/income
discrimination based upon social status/other factors
question
when inequities are __ and community assets are ___ health outcomes decline
answer
when inequities are HIGH and community assets are LOW health outcomes decline
question
__ opportunity for everyone to attain his or her full health potential
answer
health equity
question
three levels of actions or interventions to improve health inequities
answer
upstream
midstream
downstream
midstream
downstream
question
actions or interventions to improve health inequities: upstream
answer
poly and programs
-corporations and business
-govt agencies
-schools
social inequities
-class
-race
-gender
-immigration status
-sexual orientation
-corporations and business
-govt agencies
-schools
social inequities
-class
-race
-gender
-immigration status
-sexual orientation
question
actions or interventions to improve health inequities: midstream
answer
physical environment
-housing
-land use
-transportation
-residential segregation
behavior
-smoking
-nutrition
-physical actvities
-violence
-housing
-land use
-transportation
-residential segregation
behavior
-smoking
-nutrition
-physical actvities
-violence
question
actions or interventions to improve health inequities: downstream
answer
disease and injury
-infectious disease
-chronic disease
-injury
mortality
-infant mortality
-life expectancy
-infectious disease
-chronic disease
-injury
mortality
-infant mortality
-life expectancy
question
what is lifestyle drift?
answer
policy initiatives start of broad SDoH (upstream -education housing, poverty, education access) but drift downstream to largely individual lifestyle factors (downstream - smoking, drinking, exercise)
question
why does lifestyle drift occur
answer
lifestyle interventions (downstream) are easier to devise than interventions that tackle upstream issues like poverty and social disadvantage
question
what are some overarching goals of health people 2030? (5)
answer
healthy, thriving lives and well-being free of PREVENTABLE disease, disability, injury, and premature death
eliminate health disparities, achieve health equity, and attain health literacy to improve health and well-being
create social, physical, and economic env. that promote attaining the full potential for health and well-being for all
promote health development, behaviors, and well-being for all life stages
engage leadership, key constituency and the public across multiple sectors to take action and design policies that improve the health and well-being of all
eliminate health disparities, achieve health equity, and attain health literacy to improve health and well-being
create social, physical, and economic env. that promote attaining the full potential for health and well-being for all
promote health development, behaviors, and well-being for all life stages
engage leadership, key constituency and the public across multiple sectors to take action and design policies that improve the health and well-being of all
question
___ the opportunity for everyone to attain his or her full health potential and no one is disadvantaged from achieving this potential because of his or her social position or other socially determined circumstance
-food supply
-housing
-economic/social relationships
-transportation
-education
-health care
-food supply
-housing
-economic/social relationships
-transportation
-education
-health care
answer
health equity
question
___ life enhancing resources whose distribution across populations determines length and quality of life
-equal access to quality education, healthcare, housing, transportation
-equitable pay/income
-equal opportunity for employment
-absence of discrimination based on social status
-equal access to quality education, healthcare, housing, transportation
-equitable pay/income
-equal opportunity for employment
-absence of discrimination based on social status
answer
social determinants of health
question
___ systematic and unjust distributions of social, economic, and environmental conditions needed for health
-unequal access to quality education, healthcare, housing, transportation
-unequal employment opportunities
-discrimination based on social status
-unequal access to quality education, healthcare, housing, transportation
-unequal employment opportunities
-discrimination based on social status
answer
health inequities
question
___ differences in the incidence and prevalence of health conditions and health status between groups based on
-race/ethnicity
-socioeconomic status
-sexual orientation
-gender
-disability status
-geographic location
-combo
-race/ethnicity
-socioeconomic status
-sexual orientation
-gender
-disability status
-geographic location
-combo
answer
health disparities
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