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The Sociological Perspective
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- Focuses on social patterns rather than the individual behaviors.
- generated within social systems, social structures, and social organizations.
- generated within social systems, social structures, and social organizations.
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Applying the Sociological perspective means...
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- Social patterns and interventions will be directed toward concerns outside of the individual
- Framing the problem as a public issue is not a personal trouble/ tribulation
- Departs from the assumption that individuals create their own fate through effort or personal qualities
- Framing the problem as a public issue is not a personal trouble/ tribulation
- Departs from the assumption that individuals create their own fate through effort or personal qualities
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The Sociology of Medicine
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how do organizational policies shape the likelihood of populations being screened for these cancers?
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The Sociology in Medicine
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what is the best time to screen for breast or prostate cancer?
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What is an epidemic?
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a widespread occurrence of an infectious disease in a community at a particular time.
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Most common causes of death pre 1900
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- Influenza and pneumonia
- Tuberculosis
- Diarrhea, enteritis, intestinal ulcers
- Heart disease
- Strokes
- Chronic kidney disease
- Accidents
- Cancer
- Senility
- Diphtheria
- Tuberculosis
- Diarrhea, enteritis, intestinal ulcers
- Heart disease
- Strokes
- Chronic kidney disease
- Accidents
- Cancer
- Senility
- Diphtheria
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Epidemiological Transition
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- point in history when infectious and parasitic diseases declines significantly, life expectancies increases and degenerative and chronic diseases become more common
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Change in life expectancy in the U.S. post 1900
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in 1850, whites 40, blacks 23
in 2013 - whites 79 , blacks 75
in 2013 - whites 79 , blacks 75
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Epidemiology
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the study of epidemics
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Morbidity
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Refers to ill health in an individual and the levels of ill health in a population or group.
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Mortality
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death rate
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Epidemiological measures: case
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an instance of a disorder, illness, or injury involving a person.
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Epidemiological measures: incidence
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the number of new cases of a specific health disorder within a given population during a stated period of time
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Epidemiological measures: prevalence
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the total number of cases of a health disorder that exist at any given time
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Contemporary rise of infectious disease
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A new rise of infectious disease include new forms and reemergence of old forms of disease
· HIV/ AIDS first new report in 1981
· Ebola virus
· Cholera and streptococcus have become more deadly
· Drug resistant tuberculosis
· Measles
· HIV/ AIDS first new report in 1981
· Ebola virus
· Cholera and streptococcus have become more deadly
· Drug resistant tuberculosis
· Measles
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Chronic Disease
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long term illness such as muscular dystrophy, Huntington disease, PD
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Acute disease
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strikes and disappears quickly sometimes fatal other times only mild - infectious
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Infectious Disease
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A disease that is caused by a pathogen and that can be spread from one individual to another.
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Manufacturers of illness
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groups that promote illness-causing behaviors and social conditions. such as, Alcohol and tobaccos producers and distributors
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Manufactures of Illness tell a story of:
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No harm done
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Obesity health risks
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hypertension, heart disease, stroke, inflammation, sleep apnea, type 2 diabetes, GERD, gallstones, cancer
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Second leading cause of preventable deaths in America
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Medical errors
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Medical errors causing injury or death include
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Operating on the wrong patient, amputating the wrong limb or breast, using drugs at full strength that should be diluted for stray, drug interactions....
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Health Belief Model
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- Belief that they are susceptible to a particular health problem.
- Belief that the problem is serious.
- Belief that adopting preventive measures will lessen the risk.
- There are no significant barriers to adopting preventive measures
- Belief that the problem is serious.
- Belief that adopting preventive measures will lessen the risk.
- There are no significant barriers to adopting preventive measures
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Health Project
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belief that good health outcomes result from individual hard work not from God, nature, or genes.
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Fundamental Cause Theory
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argues that even though the common diseases and their causes may change over time and place, in each situation those with greater access to resources will experience better health because those resources help protect their health
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Social Drift Theory
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A theory holding that lower-class persons have higher rates of illness because middle-class persons who become ill drift over time into the lower class.
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Health Lifestyles, life chances, and life choices
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are "collective patterns of health-related behavior based on [life] choices from options available to people according to their life chances".
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Epidemiological measures: Ratio
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the total number of cases (numerator) of a disease compared to the total number of people within a population (denominator). Used to describe a particular health disorder in relation to a particular population
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Infant mortality rate
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is a measure of all infant deaths (under the age of one) in a geographic area divided by the number of live births in the region during a given time period.
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Intersex babies
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Having characteristics of both sexes
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Doctors' decisions about intersex babies
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Modern Western Medicine normally tries to hide, stigmatize, or eliminate it.
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Globalization
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Diseases and disease-causing conditions spread rapidly from less to more developed nations and vice versa.
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Global Health
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Refers to the ways that health and illness transcend borders- along with people, goods, health providers, floods, crops, and so on.
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Implications of social networks for individuals' health
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Social networks can:
- affect health by exposing individuals to specific social norms
- people with smaller networks will be less able to avoid or recover from illness, injury, or substance abuse
- affect health by exposing individuals to specific social norms
- people with smaller networks will be less able to avoid or recover from illness, injury, or substance abuse
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Causes of infant mortality
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Most common causes of infant mortality in poorer nations are malnutrition and infections
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Causes of maternal mortality
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Occurs most often when malnutrition or malaria causes anemia and as a result it causes women to hemorrhage during birth
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Chronic malnutrition
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Occurs most often in countries where resources are most inequitably distributed
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Environmental Racism
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Refers to the disproportionate burden of environmental pollution experienced by ethnic minorities
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The feminization of aging
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The steady rise in the proportion of the population who are female in each older age group so that women comprise a larger proportion of the elderly than of the young and middle aged.
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Sex differences vs. gender differences
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Sex refers to the biological categories of male and female.
Gender refers to the social categories of masculine and feminine expectations.
Gender refers to the social categories of masculine and feminine expectations.
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Social control
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A way of reinforcing social expectations and power relationships
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Intimate partner violence
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domestic violence or battering between two people in a close relationship
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Postneonatal infant mortality
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Deaths occurring between 28 days and 11 months after birth.
Stem from poverty, malnutrition, maternal tobacco use, poor living conditions, and lack of health care fr ill infants.
Stem from poverty, malnutrition, maternal tobacco use, poor living conditions, and lack of health care fr ill infants.
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Access to contraception and abortion
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The access has declines and cuts in public function have reduced options for teenagers and infant mortality.
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Life expectancy in less developed nations
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The lowest age in less developed countries is 66, while the highest age is 75.
In most developed the highest age is 83 to put into perspective.
In most developed the highest age is 83 to put into perspective.
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Legitimating results of published studies.
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...
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Income and illness relationship (link between social class and health)
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strong and consistent. some sociologists label social class a "fundamental cause" of disease.
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Race/ethnicity mortality
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those considered minorities have less chances at life longevity. The correlation between social class and health is clear.
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Environmental Justice
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A recognition that access to a clean, healthy environment is a fundamental right of all human beings.
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Measuring a country's developmental level
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The HDI combines data for life expectancy, adult literacy and GDP per capita (a country's wealth divided by its population) to produce one single measure that is put on a scale from zero to one, where a scores closer to one indicate higher levels of development
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Health problems along the U.S. Mexico boarder
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According to Emergent Public Health Issues in the U.S. Mexico Border Region, rates of obesity and diabetes in the U.S.-Mexico border region are found to be the highest documented in the world with obesity affecting 40% of the adult population, and with diabetes rates more than 20% for some border population subgroups
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HIV/AIDS in Africa
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-South Africa is the epicenter of global HIV/AIDS crisis
-rural to urban migration facilitates the spread in south africa
-Nature of sexual relationships: having casual unsafe and absusive sexual relationships. accept multiple partners and engage in unprotected sex, rejecting condoms.
-rural to urban migration facilitates the spread in south africa
-Nature of sexual relationships: having casual unsafe and absusive sexual relationships. accept multiple partners and engage in unprotected sex, rejecting condoms.
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Deaths caused by Malaria
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Malaria is a disease caused by a parasite. The parasite is spread to humans through the bites of infected mosquitoes. People who have malaria usually feel very sick with a high fever and shaking chills. While the disease is uncommon in temperate climates, malaria is still common in tropical and subtropical countries.
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Consequences of anti-malaria pesticides
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Can cause debilitating side effects and cost more than many residents of developing nations can afford.
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Health of populations
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emphasize the health of their entire populations of members. care specific to types of patients
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Armed conflict and civilians
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