Lecture 16 - Health Inequalities

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(Health psych Catalina - (risk behaviour to psychosexual)) Applications of Psychology Fichas sobre Lecture 16 - Health Inequalities, creado por amanda_211 el 05/11/2014.
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What are health disparities? Differences in the incidence, prevalence, mortality and burden of diseases and other adverse health conditions that exist among specific population groups ie. difference in rate of disease and health outcomes
Explain the differences between health care disparity and dissimilarity Health care dissimilarity encompass things like access to care, clinical appropriateness and needs, and patient preference (these are all based on cultural/individual choices) Health care disparity includes operation of healthcare systems and discrimination (ie. the same system may be treating people differently, depending on their race)
What is the evidence of health disparities? 1. Worldwide: at least 200 mil children do not reach developmental potential; life span is significantly different across different countries 2. Australia : the ATSI pop. have higher infant mortality, 3x more likely to contract diabetes, 2x more likely to suffer from disease at a younger age, and higher prevalence of some cancers.
What are the factors influencing inequalities amongst ATSI populations? Higher unemployment rates; lower weekly income; poorer housing; less access to education; poor child/maternal health; higher susceptibility to STIs; greater drugs and alcohol use; higher suicide rates; the stress associated with living in poorer conditions, and being unable to afford health care
Explain inequalities in cancer The survival rate for many common cancers has increased over the past 20yrs, however, in developing countries, patients are 2x as likely to die from the disease. In developing countries, the focus is on palliative care (even if the cancer is treatable in developed countries) as this is the best they can provide It's quite clear that the richer you are, the better health care you can afford, and social determinants, such as stress, poverty, addiction, lack of food and nutrition etc. affect your chances of being healthy, and receiving the best health care
What are some factors contributing to health disparities? 1. Poverty : in general, the poorer the country, the worse the health care - with the exception of the USA 2. Inequalities in power, wealth and access 3. Awareness of problems at the individual/systematic level 4. Faulty policies/programs
Explain social causation model vs. social drift model 1. Social Causation Model : low SES "causes" problems 2. Social drift model : health problems "cause" low SES; seen in aust. with people with mental health
What are the 3 principles of action for improving health disparities, according to WHO? 1. Improve daily living conditions : both living and working conditions; prioritize in gvt 2. Tackle the inequitable division of power and resources : place responsibility on the highest level of gvt; publicly finance health care and education programs; identify the factors that support health care, and create frameworks and policies 3. Measure and understand the problem, and assess the impact of action : e.g. research with the ATSI people
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