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76 Cards in this Set

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  • Back
What is ordinal data?
Data that can be ranked into an order eg the order horses come in a race.
What is nominal data?
Putting things into groups and labelling them.
What is another word for nominal data?
Categorical data.
What is a variable?
A quantity that varies.
What is a binary variable?
A variable where only two categories are possible.
What is another word for a binary variable?
Dichotomous.
What is the median a measure of?
The measure of central tendency.
When is the median useful?
When the data is skewed.
What does the IQR describe?
The spread of data around the median.
What is the IQR?
The distance between upper and lower quartile values.
What is the standard deviation in relation to the variance?
It's the square root of the variance.
What is a skewed distribution?
An asymmetrical frequency distribution.
How could skewed data have an influence on what summary measure to choose?
The mean may not be a avery good measure of central tendency, as it's weighted towards extreme values.
What summary measure would be best if the data was skewed?
Median.
What is epidemiology?
The scientific discipline studying the incidence, distribution, and control of disease in a population.
What are the three objectives of descriptive epidemiology?
Evaluate trends and compare them, provide a basis for planning and evaluating services, and identify any problems.
What does descriptive epidemiology do?
Tells us how things are distributed.
What does analytical epidemiology do?
Exploits the distributions and asks questions.
What does experimental epidemiology do?
Allows us to change the distributions ourselves.
Give two advantages of descriptive studies over analytical studies.
They're less expensive and less time consuming.
What do prevalence studies measure?
Disease and exposure simulaneously in a well-defined population.
Give two advantages of prevalence studies.
Uses whole population, not just ill people, and identifies the prevalence of common outcomes eg blood pressure.
Give a disadvantage of prevalence studies.
Don't identify cause and effect.
Give two advantages of correlational studies.
Can generate hypotheses for case-control studies and can target high-risk factors for future studies.
Give two limitations of correlational studies.
The data is for groups, so can't be linked to individuals. Also, there may be confounders at a individual level.
Give three factors that can increase prevalence.
Increase in incidence, healthy people migrating out and ill people migrating in.
Give three factors that can decrease prevalence.
Decrease in cases, high case-fatality, improved cure rate of cases.
What proportion of the UK population smoke?
27% of 16 years and older.
What have been the current trends with smoking?
Leveled out atm; not been a decrease since the early 90s. More women now smoke, but on the whole, more men smoke than women.
Give four health effects of smoking.
Heart disease, lung cancer, stroke, COPD.
How does social position affect smoking rates?
Higher socio-economic groups are less likely to smoke.
Which age group is smoking most prevalent in?
25-34 years.
Which age group has seen the most decline in the last 15 years?
over 55.
How is a 95% reference range calculated?
Two standard deviations from the mean.
What does a 95% confidence range show?
A set of values that most of the population lie in.
What can the 95% reference range be used to do?
Highlight potentially 'abnormal' findings for an individual.
What is a 95% reference range created from?
A sample.
Give two problems with classifying people as normal and abnormal.
Stigma and labelling, and nomral and abnormal are subjective judgements.
Define stigma.
Deliberate exclusion of certain types of person due to either physical or social attribute.
What is passing stigma?
Concealment of 'invisible' stigma eg mental illness, HIV.
What is covering?
Concealment of 'visible' stigma eg eczema.
What is health promotion?
Combination of education, political and economic interventions, designed to help bahvioural and environmental adaptations which will improve or protect health.
Who in the WHO defined health promotion?
Anderson, 1983.
What are the five approaches to health promotion?
Medical
Behavioural
Educational
Client-centred
Societal
What does the client-centred part of health promotion do?
Focuses on empowering individuals.
Who made an approach to health promotion?
Beattie.
What was Beattie's approach to health promotion called?
Beattie's typology.
What is Beattie's typology?
Contrasts authoritative and negotiated health promotion, contrasts individual and collective focus.
What four segments are looked into with the Beattie's typology?
Legislative action, community development, personal counselling and health persuasion.
[Crimes Against Property]

Definition of Arson at Common Law? Mental state?
A malicious burning of a building. Malice

What does burning mean? Material wasting of structure... Scorching is not enough, part of the building must have been destroyed
What is secondary prevention?
Detecting and curing disease at an early stage.
What is tertiary care?
Minimising the effects or reducing the progression of an irreversible disease.
Name five organisations that are involved in health promotion in the UK.
GP, surestart, DoH, community workers and media.
In what decade was there evidence that the UK was being overtaken in health indicators?
1970s.
What inquiry was launched in 1977, and what for?
The black committee coz of health inequality in the UK.
Which government party launched the black committee?
Labour.
When was the black report presented?
1980.
Who was the black report presented to?
Tory minister Patrick Jenkins.
What was the black report called?
Inequalities in health.
How many copies of the black report were printed?
260.
Who was the black report published by in many editions?
Penguin.
What did the ONS investigate in the 1990s?
Variations in health.
When was variations in health published?
1997.
What was the black report a key feature of?
NHS plan 2000 - targets for tackling inequality were set.
When was there a progress report done after the NHS plan to tackle inequalities?
November 2002.
When was the Tackling Health Inequalities: A Programme for Action launched?
July 2003.
Give two examples of social inequalities in health.
Teenage pregnancies are more likely amongst lower social groups, and mortality from injury and poison is much higher for children from social group 5.
What is used to measure inequality?
Gini coefficient.
What is the Gini coefficient?
The ratio between the Lorenz Curve and a perfect distribution line (straight line).
Is health inequality getting more or less equal in the UK?
More as the gap increases between rich and poor people.
From when have indicators shifted more towards equality?
2001/2002.
Who led the black report?
Sir Douglas Black.
What did the black report say was to blame for health inequality?
Materialistic - poor housing and working environment.
Behavioural - poor health that people adopted eg smoking
Social selection - health increasing up the social classes.
What is the Wilkinson hypothesis?
Inequality itself generates ill health.
What approaches have been suggested to reduce social inequalities in health?
Reducing poverty and inequality and target health expenditure towards children and public health.
Who did new Labour ask to review the evidence of the black report?
Sir Donald Acheson.