Common risk factors - ANSWER unhealthy diet, physical inactivity, tobacco use
Childhood risk - ANSWER conditions before birth and early in childhood influence
health in adult life.
Risk accumulation - ANSWER Ageing is an important marker of the accumulation
of modifiable risks for chronic disease
Underlying determinants - ANSWER a reflection of the major forces driving social,
economic, and cultural change. I.e. globalization, urbanization, population ageing,
and general policy environment
Poverty - ANSWER interconnected with chronic disease in a vicious circle
increasing exposure to risks and decreased access to health services
Primary prevention - ANSWER aims to prevent disease. I.e. banning hazardous
products, educating on healthy/safe habits, immunizations
Secondary prevention - ANSWER reduce impact of disease or injury that has
already occurred. I.e. screening tests, low-dose ASA, suitably modified work
Tertiary prevention - ANSWER aims to soften impact of ongoing illness. I.e. cardiac
or stroke rehab, support groups, vocational rehab
Cross Cultural Health Care Program (CCHCP) - ANSWER materials to improve
cultural competency among health providers to provide healthcare interventions and
other cultural variants
Marginalization - ANSWER Major cause of vulnerability referring to exposure to a
range of possible harms
Variables at risk for marginalization - ANSWER high risk health literacy, cultural
barriers, low english proficiency
Cultural competence - ANSWER a dynamic, fluid, continuous process whereby an
individual, system or health care agency find meaningful and useful care delivery
strategies based on knowledge of the cultural heritage, beliefs, attitudes, and
behavior of those whom they render care
Norms & values - ANSWER soecific practices that guide the actions and decisions
of each person in a group based on their culture. Can be learned or shared.
Kleinman Explanatory Model - ANSWER A set of questions that the APN can use in
order to assess the culture of a patient.
, Socioeconomic status - ANSWER A measure that takes into account three
interrelated dimensions: a person's income level, education level, and typ of
occupation.
Disparities - ANSWER a higher burden of illness, injury, disability, or mortality
experiences by one grup relative to another
Minorities - ANSWER a group of people who because of their physical or cultural
characteristics, are singled out from the other in society
Food desert - ANSWER neighborhoods and communities that have limited access
to affordable and nutritious foods
Social determinants of health - ANSWER poverty, education level, raciam, income,
and poor housisng that effect access to healthcare
Social justice theory - ANSWER the goal that all people will have equal opportunity
to healthcare access and quality of healthcare will be the same
Data sources utilized to access determinants of health - ANSWER Healthy People
2020, US Census, US Department of Health and Human Services, Office of Minority
Health and Health Disparities
Accommodation - ANSWER To create an environment that accomodates health
practice and ritual from other cultures within a plan of care
Acculturation - ANSWER degree to which an individual from one culture has given
up the traits of that culture and adopted the traits of the dominant culture in which
they now reside
Assimilation - ANSWER the social, economic, and political integration of a cultural
group into mainstream society to which it may have emigrated
Genetics - ANSWER place patients at higher risk for certain disease and if family
history reveals this a screening tool could be used to determine the likelihood of a
person developing the disease
Genetic risk assessment - ANSWER when a patient is determined to have a gene
that places them at a higher risk of having a disease such as cancer, diabetes, or
cardiovascular disease
Genomics - ANSWER study of all genes in the human genome as well as their
interaction with other genes, the individuals environment, and the influence of
cultural and psychosocial factors
Pharmacogenomics - ANSWER medication efficacy, toxicity, and drug interaction
based on genetic variations
Components of genetic risk assessment - ANSWER Accurate family history for 3
generations or genetic blood testing to reveal genes