SDOH - FINAL EXAM QUESTIONS AND
ANSWERS
Lalonde Report - what, when, controvery - Correct Answers -1974
States that improving public health policy is not the most effective form of improving
overall health. It is individual choices and collective action.
This is preventative, and economic progress has been detrimental to health.
It suggested that health care may not be as important as we think it is.
Biomedical model of health/conventional model of health - Correct Answers -
Susceptibility to health risks are determined by genetics and the risk factor approach. It
focuses on susceptibility and behaviours.
This differs from Davidson: Davidson doesn't believe in the individual risk factors - he
believes in larger determinants of health (education, income, race)
Moralizing - Correct Answers -Blaming the victim - people are largely a product of their
environment, so they should not be blamed for things.
Why you can't use population risk factor to determine individual risk factor? - Correct
Answers -It is an accumulation of the entire group, it does not reflect every single
individual, nor will it necessarily reflect any of them.
Epp Report - Correct Answers -1986
Health for All: health inequities between high and low income people and to prevent
injury and disease. Embraces physical, mental, social well-being.
It focuses on prevention based on lifestyles but appreciates that decisions are affected
by their environment and state.
Differs from Lalonde because it recognizes the factors influencing their decisions.
Health Disparities - Correct Answers -Differences in health outcomes among groups
, Health inequalities - Correct Answers -differences, variations, and disparities in the
health achievements of individuals and groups of people
This is the things we have no control over
Health inequities - Correct Answers -inequalities that are avoidable, unfair, and unjust
Ex. a child cannot get cancer treatment because parents cannot afford it
Neoliberalism (definition) - Correct Answers -Shrink government size, increase trade,
reduce regulations on corporations & lower taxes
Neoliberalism (or liberal individualism) does not support the improvement of population
health because: - Correct Answers -- it aligns with the conventional view of health that
sees health as genes and lifestyle
- doesn't support government intervention that is needed for public health
- tax cuts mean less funding
- tends to increase income inequality
Chronic Stress: define, who, effects, type of job - Correct Answers -- occurs when there
is ongoing pressure and those affected don't have the ability to control it
- has the biggest effect on high demand/low control jobs
- prolonged activation of stress pathways (memory, immune system, heart rate, blood
pressure etc.)
Rudolf Virchow - Correct Answers -Improving health of upper Silesia required political,
economic and social reforms
Health lifestyles: who does it affect and who doesn't it - Correct Answers -- have the
greatest positive health effects on those already
- have little measurable impact on the health of lower-income people
Thomas McKeown - Correct Answers -deaths from infectious diseases, fell sharply after
1850 because of changes in social and environmental factors, especially better nutrition
Social Patterning of Behaviour - Correct Answers -refers to the unconscious
determination of behaviours by contextual factors (social norms and social position) -
the choices are influenced by the conditions
According to Friedrich Engels, "health-harming" behaviours (such excessive alcohol
consumption and family violence) among the working classes were: - Correct Answers -
a product of appalling living and working conditions
ANSWERS
Lalonde Report - what, when, controvery - Correct Answers -1974
States that improving public health policy is not the most effective form of improving
overall health. It is individual choices and collective action.
This is preventative, and economic progress has been detrimental to health.
It suggested that health care may not be as important as we think it is.
Biomedical model of health/conventional model of health - Correct Answers -
Susceptibility to health risks are determined by genetics and the risk factor approach. It
focuses on susceptibility and behaviours.
This differs from Davidson: Davidson doesn't believe in the individual risk factors - he
believes in larger determinants of health (education, income, race)
Moralizing - Correct Answers -Blaming the victim - people are largely a product of their
environment, so they should not be blamed for things.
Why you can't use population risk factor to determine individual risk factor? - Correct
Answers -It is an accumulation of the entire group, it does not reflect every single
individual, nor will it necessarily reflect any of them.
Epp Report - Correct Answers -1986
Health for All: health inequities between high and low income people and to prevent
injury and disease. Embraces physical, mental, social well-being.
It focuses on prevention based on lifestyles but appreciates that decisions are affected
by their environment and state.
Differs from Lalonde because it recognizes the factors influencing their decisions.
Health Disparities - Correct Answers -Differences in health outcomes among groups
, Health inequalities - Correct Answers -differences, variations, and disparities in the
health achievements of individuals and groups of people
This is the things we have no control over
Health inequities - Correct Answers -inequalities that are avoidable, unfair, and unjust
Ex. a child cannot get cancer treatment because parents cannot afford it
Neoliberalism (definition) - Correct Answers -Shrink government size, increase trade,
reduce regulations on corporations & lower taxes
Neoliberalism (or liberal individualism) does not support the improvement of population
health because: - Correct Answers -- it aligns with the conventional view of health that
sees health as genes and lifestyle
- doesn't support government intervention that is needed for public health
- tax cuts mean less funding
- tends to increase income inequality
Chronic Stress: define, who, effects, type of job - Correct Answers -- occurs when there
is ongoing pressure and those affected don't have the ability to control it
- has the biggest effect on high demand/low control jobs
- prolonged activation of stress pathways (memory, immune system, heart rate, blood
pressure etc.)
Rudolf Virchow - Correct Answers -Improving health of upper Silesia required political,
economic and social reforms
Health lifestyles: who does it affect and who doesn't it - Correct Answers -- have the
greatest positive health effects on those already
- have little measurable impact on the health of lower-income people
Thomas McKeown - Correct Answers -deaths from infectious diseases, fell sharply after
1850 because of changes in social and environmental factors, especially better nutrition
Social Patterning of Behaviour - Correct Answers -refers to the unconscious
determination of behaviours by contextual factors (social norms and social position) -
the choices are influenced by the conditions
According to Friedrich Engels, "health-harming" behaviours (such excessive alcohol
consumption and family violence) among the working classes were: - Correct Answers -
a product of appalling living and working conditions
