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Determinants of Health
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Genetic Inheritance
Genetic inheritance refers to the biological traits and predispositions passed from parents to offspring. It can determine susceptibility to certain diseases, impacting individual health outcomes. However, lifestyle and environmental factors also significantly influence the expression of genes.
Climate Change
Climate change impacts health through increased frequency and intensity of extreme weather events, alterations in vector-borne disease patterns, and effects on food and water supplies. These changes can lead to a higher incidence of health issues like respiratory and infectious diseases.
Healthcare Access
Healthcare access refers to the ease with which individuals can obtain health services. Barriers can include affordability, transportation issues, and availability of services. Adequate access can lead to early detection of disease, proper management of illnesses, and overall improved health outcomes.
Education
Education is a determinant of health that affects the knowledge and skills individuals have to make health-promoting choices. Higher education levels are generally associated with better health outcomes due to a combination of higher income potential, better employment options, and increased health literacy.
Social Support Networks
Social support networks, including family, friends, and community connections, provide emotional and practical support. Strong social networks can improve health outcomes by reducing stress, depression, and anxiety and by providing support for healthy behaviors.
Cultural Influences
Cultural influences determine health-related beliefs and practices that can either support or hinder health. They shape dietary habits, perceptions of illness, and the use of traditional remedies and affect health-seeking behaviors and attitudes towards healthcare systems.
Behavioral Patterns
Behavioral patterns, including smoking, alcohol consumption, and sleep habits, significantly impact health. Engaging in risky behaviors can lead to a higher incidence of chronic diseases, accidents, and overall morbidity.
Income Inequality
Income inequality refers to the extent to which income is distributed unevenly among a population. High levels of income inequality can lead to health disparities, with poorer populations experiencing worse health outcomes and reduced access to healthcare.
Urbanization
Urbanization can influence health through changes in living conditions, environmental factors, and lifestyle behaviors. It can lead to both positive impacts, such as improved access to services, and negative impacts, such as increased pollution and sedentary lifestyles.
Socioeconomic Status
Socioeconomic status (SES) is a composite measure of an individual’s economic and sociological standing. It is typically based on factors such as education, income, and occupation. SES impacts health by influencing the availability of resources, access to quality healthcare, and exposure to stress-related health conditions.
Diet and Nutrition
Diet and nutrition play crucial roles in maintaining health. A balanced diet provides the body with necessary nutrients, reducing the risk of malnutrition and diet-related diseases such as obesity, diabetes, and heart disease.
Environmental Quality
Environmental quality includes factors such as air and water quality, exposure to toxic substances, and the presence of green spaces. Higher environmental quality typically leads to better health outcomes by reducing rates of respiratory and allergic diseases, and mental health disorders.
Public Safety
Public safety, including protection from crime and injury, directly affects physical and mental health. Safe environments reduce the risk of violence and injury, leading to higher levels of physical activity, better mental health, and community well-being.
Community Engagement
Community engagement in health involves the participation of community members in health decisions and actions. It can foster a sense of ownership, improve the relevancy and quality of health interventions, and enhance social cohesion and collective efficacy for health.
Physical Activity
Regular physical activity is a determinant that contributes to overall health by reducing the risk of chronic diseases, improving mental health, increasing life expectancy, and enhancing the quality of life.
Transportation
Transportation affects health by determining physical access to healthcare services, work, education, and grocery stores selling healthy food. Lack of transportation can lead to missed healthcare appointments, job loss, educational setbacks, and poor dietary behaviors.
Health Policies
Health policies, including laws and regulations, determine the framework for action to promote and protect public health. Effective health policies can lead to better disease prevention, health promotion, and equitable access to healthcare services.
Health Literacy
Health literacy is the capacity to obtain, process, and understand basic health information and services to make appropriate health decisions. High levels of health literacy can empower individuals to manage their health effectively, leading to improved health outcomes.
Employment and Working Conditions
Employment provides income and often health insurance, while working conditions can directly affect physical and mental health. Poor working conditions can lead to job stress, injury, and illness whereas good working conditions can promote health and well-being.
Healthcare Quality
Healthcare quality refers to the level of care provided by health services. High-quality healthcare is effective, safe, patient-centered, timely, efficient, and equitable, leading to improved health outcomes and patient satisfaction.
Housing and Living Conditions
Housing and living conditions can impact health through factors like exposure to hazardous substances, availability of running water and sanitation, and the physical safety of the surrounding area. Good housing conditions can lead to improved mental health and reduced risk of chronic illnesses.
Early Childhood Development
Early childhood development encompasses the physical, social, emotional, and cognitive development of children from birth to age five. Positive early childhood experiences can lead to better educational outcomes, healthier lifestyles, and a reduced risk of chronic diseases later in life.
Social Inclusion and Non-discrimination
Social inclusion and the absence of discrimination are associated with increased access to healthcare, employment, and social support, leading to better mental and physical health outcomes. Discrimination can lead to chronic stress and negatively affect health.
Substance Abuse
Substance abuse, including the use of drugs, alcohol, or tobacco, can lead to a range of negative health outcomes like addiction, mental health disorders, and increased risk of diseases like cancer and heart disease.
Globalization
Globalization affects health by spreading diseases across borders, influencing economic and social policies, and impacting global food markets and supply chains. It can lead to the diffusion of health innovations but also to health inequalities and the spread of non-communicable diseases.
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