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12 Cards in this Set

  • Front
  • Back
allostatic load
body's response to chronic stress, increase in cortisol secretion, leads to deleterious health outcomes such as cell inflammation,etc
low autonomy/low social participation and adverse health effects
-social anomie (Durkheim)
-lack of social networks
-status syndrome
-increased stress which adds to allostatic load
social anomie and health effects
social anomie leads to rejection of social behaviors/norms even if beneficial
stress and health effects
stress can lead to changes in behavior such as drinking, eating/not eating, smoking and substance abuse
Isaacs/Schroeder article "The Ignored Determinants of Health"
-racial disparity is result of overrepresentation of minorities in low SES groups
-policy should be directed to class differences
Marmot article "Status Syndrome"
-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
Avedano study "Health Disadvantage in US Adults"
-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
McGrail et. al study " CAN and US"
-compared health of Canadians (universal coverage) versus Americans
-health of lower classes better in CAN
Muenning et al. "The Relative Health Burden of Selected Social and Behavioral Risk Factors"
-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)
Isaacs/Schroeder "Class as aDeterminant of Health"
-social intervention that promotes healthier lifestyles is most important but target class
US v CAN perceptions on health care
CAN: community emphasis; illegal to pay for healthcare
US: individualistic mindset of citizens; if you can afford it, buy it
change in policy that can improve health
shift from specialized care that prolongs life to preventative care