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53 Cards in this Set
- Front
- Back
Sex |
Anatomical or Chromosomal categories of male or female |
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Gender |
People's socially acquired physiological and cultural characteristics |
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Women only Health problems |
Breast cancer, Cervical cancer, Menopausal/menstural problems, clildbirth complications |
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Male only health problems |
Prostate cancer, Early onset heart disease |
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Sociocultural risks for women |
Rape, infanticide, domestic violence, contraception, Agoraphobia, Depression, Abortion |
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Sociocultural risks for men |
Alcohol abuse, tobacco smoking, accidents, suicide |
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Gender differences in diet |
Women eat more healthily than men |
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Gender differences in excercise |
Women and men exercise differently |
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Gender differences in obesity |
More obese women than men but men have more central fat so greater CVD risk |
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Race |
Biological division of a species into groups- the frequency with which certain hereditary traits appear among its members |
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Issue with race definition |
Humans have 99% same traits- hard to ascribe to a racial group |
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Ethnicity |
Social division of people into groups based on identification with shared cultural characteristics e.g. food, language, religion. It is a situational definition |
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Ethnic minorities |
Lower employment rates and low pay work |
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Racial discrimination |
Linked to mental health and hypertension directly. Also linked to employment, education and housing which all affect health. |
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Access to healthcare and race |
Racial minorities have higher G.P. consultation rates |
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Pharmacogenetics |
Greater drug efficacy and safety for individuals ad racial groups |
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Felt Stigma |
Internal stigma |
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Enacted stigma |
Stigma from others |
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Formative childhood experiences making people more prone to shame |
Bullying, Abuse, Neglect, Parental divorce, economic background, Parental pressure |
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Social and political factors making people more prone to shame |
Link to terrorism, media portrayal, effect of pity, cultural systems by association |
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Presenting features of shame |
Covering face, looking away, avoiding eye contact, apologizing for illness, downplaying symptoms, good appearence |
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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 |
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Allostasis |
Adaption in the face of potentially stressful challenges- maintaining stability through change and secretion of cortisol |
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cascade |
Predisposition to over react to situations due to early life events |
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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 |
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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 |
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WHO definition of health |
Complete state of physical, social and mental wellbeing, not merely the absence of disease. |
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Issue with WHO definition of health |
Utopian ideal, not obtainable |
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BMJ definition of health |
The ability to adapt and self manage |
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Biomedical definition of health |
The absence of disease |
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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. |
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Disease |
'Biological'. Categories or concepts with which doctors attempt to understand and control illness. |
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Illness |
'Psychological'. The subjective state involving the experience of symptoms. |
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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. |
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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. |
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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. |
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Asylum Seeker |
Somebody who has requested protection from the state that they are living in. |
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Refugee |
Somebody who has applied to another state for protection. That state has recognised their need for protection. |
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Migrant |
Someone who has left their country of origin for a new country. |
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Undocumented migrant |
For example: someone who entered the country without papers; someone who arrived on a student visa but didn't leave |
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Illegal Immigrant |
Non specific definition. No chance to resolve situation. |
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Economic migrant |
Someone who has emigrated only for employment purposes. |
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Health tourist |
Someone who comes to the UK for free healthcare on the NHS. There is no solid evidence how much this takes place. |
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Co-designing healthcare |
Planning of services by the doctor and patient. |
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Co-decision making |
Allocation of resources by both doctor and patient. |
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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. |
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Barriers to healthcare for homeless people |
GP registration policies, discrimination/attitudes, formal environment difficult, communication difficulties |
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Inverse Care Law |
More deprived area = worse health care |
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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. |
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WHO definition of social determinants of health |
The conditions in which people are born, live, grow, work and age |
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Health inequalities |
Avoidable inequalities in health between groups f people within countries and between countries |
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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 |
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Interventions to improve health |
Increased health inequalities |