HSCI 130 Final Exam | Questions with
Correct Answers | 100% Pass
Question 1
Briefly explain the life course perspective of the determinants of health
Correct Answer
Early life events have strong influences on immediate health status and health in
later life e.g.,quality of parenting and caregiving, exposure to domestic violence,
maternal depression, home organization, and neighbourhood safety.
Question 2
What are the features of Canadian health system?
Correct Answer
1. Health care delivery is the responsibility of the
PROVINCES
2. Privately delivered and publicly financed
3. Private providers and public not-for-profit hospitals
4. Fee-for-service funding and global budgets
5. Choice of practitioner
6. Universal coverage applies to less than ½ of total health care expenditures
Question 3
Provide an example of a population health outcome that results partly from ethnic
stratification.
Correct Answer
ethnic groups differ in life expectancy, infant mortality, and other indicators of
population health.
Page 1 of 92
,Question 4
effort-reward imbalance model
Correct Answer
Emphasizes the importance of social reciprocity in our work lives
• Adverse effects on health if time and effort devoted to work are not matched by
adequate rewards: Income, Career advancement opportunities, job security
Question 5
What are the features of lay conceptions of good health that emphasize positive
aspects
Correct Answer
Question 6
What are the causes of the healthy immigrant effect?
Correct Answer
The Government of Canada uses individual health status as one of its most
important criteria to allow an individual to immigrate into Canada
and most immigrants are skilled workers and professionals
Question 7
What are different types of self-care?
Correct Answer
regulatory self-care - health maintenance activities
preventative self-care - actions to avoid illness
reactive self-care - illness behavior
restorative self-care - to get better (sick role)
Page 2 of 92
,Question 8
Explain the demand control model
Correct Answer
HIGH DEMAND + HIGH CONTROL/SUPPORT = ACTIVE
Examples: physician, teacher, engineer, CEO
LOW DEMAND + LOW CONTROL = PASSIVE
• Examples: security guard
LOW DEMAND + HIGH CONTROL = LOW STRAIN
• Examples: scientist, repairman
HIGH DEMAND + LOW CONTROL = HIGH STRAIN
• Examples: serving staff, nurses aid
Question 9
How does an intersectional model of health and health lifestyles make it clear that
health is a complex biosocial phenomenon that changes over time? Support your
answer with the diagram of Intersectional model of health as a biosocial reality
unfolding across the life course.
Correct Answer
moves from describing inequalities based on socioeconomic status , gender,
ethnicity, and age separately to developing theories that allow us to recognize their
complex interactions (DIAGRAM)
Question 10
Describe relationship between intersectionality and health disparity.
Correct Answer
By adopting an intersectional lens, we can understand and address health
disparities.
Question 11
How do patriarchal ideologies harm both women's and men's health? Use examples
to support your answer.
Correct Answer
Multiple roles of female, especially informal care leads to poor health
Men denying their health issues to display themselves as tough and independent
are features of our cultures ideas of hegemonic masculinity.
Page 3 of 92
, Question 12
What is the healthy immigrant effect and how can it be explained?
Correct Answer
when immigrants arrive to Canada they typically arrive in better average health than
those born in Canada.
• <10 years: better self-rated health status, less chronic disease, & less disability
than native-born Canadians.
• >10 years: health status converges or even overshoot the patterns in the general
non-Aboriginal population.
Question 13
Is it possible to close the gap in social gradient? If yes, how; if not, why?
Correct Answer
no, but it can be narrowed by making a more equitable society and making policies
that narrow the gradients
Question 14
What are the two conceptual models that account for the ways in which stressful work
conditions affect health.
Correct Answer
1. The demand-control model
2. The effort-reward imbalance model
Question 15
Discuss the four key ideas of determinants of health mentioned in the Lalonde report.
Correct Answer
a) human biology: genetic predisposition
b) lifestyle: personal health practices such as smoking and exercising
c) environment: social environment: age structure, gender structure, employment
and
working conditions, physical environment: what we drink, the air we breathe and
our exposure to pollution and the built environment
d) health care: access to physician and hospital care
Page 4 of 92
Correct Answers | 100% Pass
Question 1
Briefly explain the life course perspective of the determinants of health
Correct Answer
Early life events have strong influences on immediate health status and health in
later life e.g.,quality of parenting and caregiving, exposure to domestic violence,
maternal depression, home organization, and neighbourhood safety.
Question 2
What are the features of Canadian health system?
Correct Answer
1. Health care delivery is the responsibility of the
PROVINCES
2. Privately delivered and publicly financed
3. Private providers and public not-for-profit hospitals
4. Fee-for-service funding and global budgets
5. Choice of practitioner
6. Universal coverage applies to less than ½ of total health care expenditures
Question 3
Provide an example of a population health outcome that results partly from ethnic
stratification.
Correct Answer
ethnic groups differ in life expectancy, infant mortality, and other indicators of
population health.
Page 1 of 92
,Question 4
effort-reward imbalance model
Correct Answer
Emphasizes the importance of social reciprocity in our work lives
• Adverse effects on health if time and effort devoted to work are not matched by
adequate rewards: Income, Career advancement opportunities, job security
Question 5
What are the features of lay conceptions of good health that emphasize positive
aspects
Correct Answer
Question 6
What are the causes of the healthy immigrant effect?
Correct Answer
The Government of Canada uses individual health status as one of its most
important criteria to allow an individual to immigrate into Canada
and most immigrants are skilled workers and professionals
Question 7
What are different types of self-care?
Correct Answer
regulatory self-care - health maintenance activities
preventative self-care - actions to avoid illness
reactive self-care - illness behavior
restorative self-care - to get better (sick role)
Page 2 of 92
,Question 8
Explain the demand control model
Correct Answer
HIGH DEMAND + HIGH CONTROL/SUPPORT = ACTIVE
Examples: physician, teacher, engineer, CEO
LOW DEMAND + LOW CONTROL = PASSIVE
• Examples: security guard
LOW DEMAND + HIGH CONTROL = LOW STRAIN
• Examples: scientist, repairman
HIGH DEMAND + LOW CONTROL = HIGH STRAIN
• Examples: serving staff, nurses aid
Question 9
How does an intersectional model of health and health lifestyles make it clear that
health is a complex biosocial phenomenon that changes over time? Support your
answer with the diagram of Intersectional model of health as a biosocial reality
unfolding across the life course.
Correct Answer
moves from describing inequalities based on socioeconomic status , gender,
ethnicity, and age separately to developing theories that allow us to recognize their
complex interactions (DIAGRAM)
Question 10
Describe relationship between intersectionality and health disparity.
Correct Answer
By adopting an intersectional lens, we can understand and address health
disparities.
Question 11
How do patriarchal ideologies harm both women's and men's health? Use examples
to support your answer.
Correct Answer
Multiple roles of female, especially informal care leads to poor health
Men denying their health issues to display themselves as tough and independent
are features of our cultures ideas of hegemonic masculinity.
Page 3 of 92
, Question 12
What is the healthy immigrant effect and how can it be explained?
Correct Answer
when immigrants arrive to Canada they typically arrive in better average health than
those born in Canada.
• <10 years: better self-rated health status, less chronic disease, & less disability
than native-born Canadians.
• >10 years: health status converges or even overshoot the patterns in the general
non-Aboriginal population.
Question 13
Is it possible to close the gap in social gradient? If yes, how; if not, why?
Correct Answer
no, but it can be narrowed by making a more equitable society and making policies
that narrow the gradients
Question 14
What are the two conceptual models that account for the ways in which stressful work
conditions affect health.
Correct Answer
1. The demand-control model
2. The effort-reward imbalance model
Question 15
Discuss the four key ideas of determinants of health mentioned in the Lalonde report.
Correct Answer
a) human biology: genetic predisposition
b) lifestyle: personal health practices such as smoking and exercising
c) environment: social environment: age structure, gender structure, employment
and
working conditions, physical environment: what we drink, the air we breathe and
our exposure to pollution and the built environment
d) health care: access to physician and hospital care
Page 4 of 92
