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12 Cards in this Set
- Front
- Back
allostatic load
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body's response to chronic stress, increase in cortisol secretion, leads to deleterious health outcomes such as cell inflammation,etc
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low autonomy/low social participation and adverse health effects
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-social anomie (Durkheim)
-lack of social networks -status syndrome -increased stress which adds to allostatic load |
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social anomie and health effects
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social anomie leads to rejection of social behaviors/norms even if beneficial
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stress and health effects
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stress can lead to changes in behavior such as drinking, eating/not eating, smoking and substance abuse
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Isaacs/Schroeder article "The Ignored Determinants of Health"
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-racial disparity is result of overrepresentation of minorities in low SES groups
-policy should be directed to class differences |
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Marmot article "Status Syndrome"
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-position in social hierarchy can restrict opportunities and participation
-blacks are at a disadvantage because of harassment and lower income neighborhoods (violence, etc); not able to fully participate in mainstream society |
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Avedano study "Health Disadvantage in US Adults"
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-Americans less healthy than European counterparts
-could be attributed to better social support in Europe (universal health care, better unemployment benefits, etc) allow people to seek care without going broke -greater emphasis on primary care in Europe |
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McGrail et. al study " CAN and US"
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-compared health of Canadians (universal coverage) versus Americans
-health of lower classes better in CAN |
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Muenning et al. "The Relative Health Burden of Selected Social and Behavioral Risk Factors"
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-social issues rather than health issues need to be addressed
-socio-behavioral tendencies are the proximate causes of many diseases -bidirectionality of poverty and health (poverty can lead to neg health, neg health can lead to unemployment etc) |
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Isaacs/Schroeder "Class as aDeterminant of Health"
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-social intervention that promotes healthier lifestyles is most important but target class
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US v CAN perceptions on health care
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CAN: community emphasis; illegal to pay for healthcare
US: individualistic mindset of citizens; if you can afford it, buy it |
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change in policy that can improve health
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shift from specialized care that prolongs life to preventative care
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