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53 Cards in this Set

  • Front
  • Back

Sex

Anatomical or Chromosomal categories of male or female

Gender

People's socially acquired physiological and cultural characteristics

Women only Health problems

Breast cancer, Cervical cancer, Menopausal/menstural problems, clildbirth complications

Male only health problems

Prostate cancer, Early onset heart disease

Sociocultural risks for women

Rape, infanticide, domestic violence, contraception, Agoraphobia, Depression, Abortion

Sociocultural risks for men

Alcohol abuse, tobacco smoking, accidents, suicide

Gender differences in diet

Women eat more healthily than men

Gender differences in excercise

Women and men exercise differently

Gender differences in obesity

More obese women than men but men have more central fat so greater CVD risk

Race

Biological division of a species into groups- the frequency with which certain hereditary traits appear among its members

Issue with race definition

Humans have 99% same traits- hard to ascribe to a racial group

Ethnicity

Social division of people into groups based on identification with shared cultural characteristics e.g. food, language, religion. It is a situational definition

Ethnic minorities

Lower employment rates and low pay work

Racial discrimination

Linked to mental health and hypertension directly. Also linked to employment, education and housing which all affect health.

Access to healthcare and race

Racial minorities have higher G.P. consultation rates

Pharmacogenetics

Greater drug efficacy and safety for individuals ad racial groups

Felt Stigma

Internal stigma

Enacted stigma

Stigma from others

Formative childhood experiences making people more prone to shame

Bullying, Abuse, Neglect, Parental divorce, economic background, Parental pressure

Social and political factors making people more prone to shame

Link to terrorism, media portrayal, effect of pity, cultural systems by association

Presenting features of shame

Covering face, looking away, avoiding eye contact, apologizing for illness, downplaying symptoms, good appearence

Allostatic load

The wear and tear the body experiences due to repeated cycles of allostasis and due to inefficient turning on and off of responses

Allostasis

Adaption in the face of potentially stressful challenges- maintaining stability through change and secretion of cortisol

cascade

Predisposition to over react to situations due to early life events

Marxist concept of class

Those who control production and own means of production are the 'bourgeoisie'.


Those who must sell their labor power are the wage workers or 'proletariat'.


Class antagonism-war between classes

Bordieu concept of class

How you choose to present your social space to the world determines your class. Each class faction teaches their aesthetic preferences to their offspring. Children internalise these preferences and this guides them to their appropriate social positions. The class factions depend on social, economic and culural capitol

WHO definition of health

Complete state of physical, social and mental wellbeing, not merely the absence of disease.

Issue with WHO definition of health

Utopian ideal, not obtainable

BMJ definition of health

The ability to adapt and self manage

Biomedical definition of health

The absence of disease

Determinants of health

General socioeconomic conditions; working, cultural and environmental (employment, money etc. )conditions; Individual lifestyle; Age; Sex; Hereditary factors; Relationships; Social conditions and Living and working conditions.

Disease

'Biological'. Categories or concepts with which doctors attempt to understand and control illness.

Illness

'Psychological'. The subjective state involving the experience of symptoms.

Sickness

'Social'. A social performance which may be legitimate and elicits responses from others. It is what you do when you're ill and is what can be observed by others.

The sick role

Illness is a deviance from the social norm.


It identifies 2 roles: Exception from normal social role; Removal of responsibility for one's own state.


It identifies 2 responsibilities: To want to get better speedily; To consult medical professional.



Qualification to be a refugee

Eligible if have a well founded fear of persecution due to religion, race, nationality, membership of a social group (eg. homosexual) or political opinion. The state is persecuting you or cannot protect you.

Asylum Seeker

Somebody who has requested protection from the state that they are living in.

Refugee

Somebody who has applied to another state for protection. That state has recognised their need for protection.

Migrant

Someone who has left their country of origin for a new country.

Undocumented migrant

For example: someone who entered the country without papers; someone who arrived on a student visa but didn't leave

Illegal Immigrant

Non specific definition. No chance to resolve situation.

Economic migrant

Someone who has emigrated only for employment purposes.

Health tourist

Someone who comes to the UK for free healthcare on the NHS. There is no solid evidence how much this takes place.

Co-designing healthcare

Planning of services by the doctor and patient.

Co-decision making

Allocation of resources by both doctor and patient.

Patient leader

Those patients, users and carers who have capability and confidence to influence change. Their purpose is to improve health and well being in the community.

Barriers to healthcare for homeless people

GP registration policies, discrimination/attitudes, formal environment difficult, communication difficulties

Inverse Care Law

More deprived area = worse health care

Social determinants of health

Early childhood development, How much education the person has, Ability to get and keep job, what kind of job a person has, food/ability to get food, access to health services, housing status, earnings, discrimination and social support.

WHO definition of social determinants of health

The conditions in which people are born, live, grow, work and age

Health inequalities

Avoidable inequalities in health between groups f people within countries and between countries

Position in hierachy consequences

Low position = long term chronic stress= altered physiological responses e.g. symatho-adrenal pathway; Hypothalamic-pituitary-adrenal axis; Blood clotting systems; Inflammation and Immunity

Interventions to improve health

Increased health inequalities