GRT 2100 Lecture Notes - Lecture 4: Social Inequality

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crimsongoat0

20 Aug 2016

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Countries with higher degrees of social inequality do worse when it comes to a range of health outcomes. Women aged 100+ will become more common, especially in developed countries. Life expectancy at birth is expected to increase in all major countries. General life expectancy is estimated to be around 78 in the mdr. General life expectancy is estimated to be around 68 in the ldr. Social inequality in a country is a signi cant predictor of the health of the population of the country. Countries with higher degrees of income inequality tend to have poorer health outcomes. Health of a population is better in many countries with less income disparity, and greater social equality/equity. Perceived equity: feeling as though distribution of resources is fair. Social equality: does not work out in theory since we do not all start off in the same place; we need different things that are speci c/proportionate to our needs.

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Comment or give a summary of the following post. Substantive comments should be scholarly, probing, extend the conversation by beginning a dialogue, and continue exploring the concepts

Honduras

I will be providing information on Honduras, which is one of the poorest countries in the western hemisphere. I have had the chance to witness first-hand how poor the country is, and how little the people there have. In both 2015 and 2016, I had the privilege to spend a week there, working with a surgical team in a hospital to do procedures for people free of charge. They ranged from relatively simple hernia repairs and cholecystectomies to more advanced things like moving the esophagus and removal of large tumors. Honduras seemed to rank around the 125-130 mark for most of the information I found.

The country has a population of just over 8 million, with about half residing in urban areas (WHO, 2017). They also ranked around that area for infant mortality, which was 17.7%, and literacy rate runs around 89% (Factbook, n.d.), which surprisingly ranks it as 149th, well below half of the other countries in the world. Life expectancy averaged 71.1 years, broken down to 69.5 years for males and 72.8 years for women (WHO, 2017). Surprisingly, 93% of the population are subscribers of cell phone service (U.N., 2016). Healthy life expectancy at birth was 64.9 years, slightly lower than average life expectancy. Cause of death registration coverage was very low at 17%. Many of the people in the country work either in some type of agricultural setting or working to make textiles. Knit sweaters and knit t-shirts both account for about 12% of exports. Coffee came in at the same percentage. Banana exports are about 4% of total exports, and sadly the major money from that is not kept in-country.

The companies that own the plantations and factories do not have an interest in the country and send the money elsewhere. Insulated wire is another large export with 9% of the exports from that. 1.9% of exports are created from rolled tobacco, mostly cigars (OEC, n.d.). As a cigar aficionado, I believe they produce fine tobacco there. Textile scraps, narrow woven fabric, undergarments, melons and other fruit, fish, vehicle parts, soap, gold, and petroleum each hold less than 2% each of export totals. All are important to the economy of the country. The country ranks very low in many health-related areas. For example, the cause of death registration coverage does not seem very high.

One of the patients I dealt with in the hospital had been in a motorcycle accident and had a severe closed head injury. He eventually died, but they continued to manually ventilate him until his heart stopped on its own. His heart rate fluctuated for many hours due to the swelling in his head, but I am unsure how they documented his death, whether it be cardiac arrest or a vehicle accident. There is little to no tracking of patients in a hospital, and there are many risks associated with that. Patients do not wear identification and their charts are stacked at the nurse's desk. Documentation is all done on paper, which can be misread or even get lost. Access to healthcare is limited to those who can afford it, and I would not say they have much of a public health system. While nurses, physicians, and other healthcare providers are highly educated, many citizens that work other jobs do not have the need or luxury for obtaining further education.

There is an obvious gap between those who have money and those who do not. There is not much of a middle-class, as we have here in the United States. While the country has improved slightly over the past decade, it is still far from being a developed country. Nearby countries like Belize and Costa Rica offer tourism, which can draw in money to improve conditions. Unfortunately, the biggest draw for Honduras tourism is the island of Roatan. This does not provide much income to the country. Hopefully, the trend of improvement will continue for years to come, and increase the level of health in the country.

coffeekangaroo879

Please, help me with the following questions on Chronic Diseases and Risks. No guess work, thank you!

QUESTION 1 Comorbidity refers to simultaneous occurance in a person of two ore more disorders; comorbid conditions can increase the risk of adverse outcomes True False

QUESTION 2 Emerging evidence supports starting promotion efforts during pregnancy and early childhood and continuing efforts throughout life lower exposures to major chronic disease risk factors True False

QUESTION 3 Increased cumulative exposure to risk factors over the lifecourse combined with social and economic inequalities, leads to the levels of inequalities seen in later adult life. True False

QUESTION 4 The "compression of morbidity" model proposes that morbidity due to aging cannot be postponed or mitigated by disease prevention programs True False

QUESTION 5 There are few significant funding sources for chronic diseases in low-and middle-income countries True False

QUESTION 6 To combat chronic diseases, modern, evidence-based interventions emphasize shared decision making and collaborative goal setting among providers and patients. True False

QUESTION 7 In the absence of legislative, financial and engineering approaches, health education programs often have a limited impact on preventing or reducing chronic diseases True False

QUESTION 8 It is estimated that deaths from diet-related chronic disease in China will triple between 1995 and 2025 True False

QUESTION 9 The third highest percent of global DALY's is attributed to which risk factor? a. Alcohol use b. Tobacco use c. Unsafe sex d. Childhood underweight

QUESTION 10 In the 1990's which country experienced a substantial decline in male life expectancy as a result of dramatic socio-political changes a. China b. Russia c. India d. Canada

jadeyellowjacket581

PLEASE ANSWER ALL QUESTIONS..PLEASE NOT ONLY 1 QUESTION. THANK YOU

QUESTION 1. Chronic diseases generally have several underlying characteristics, including a.A long latency period between exposure to risk and disease outcomes b. Low degree of preventability c. High curve rate d.None of the above

QUESTION 2.Which of the following risk factors collectively explain a significant proportion (not incidence) of most chronic diseases. a.Tobacco, alcohol, diet b.Tobacco, alcohol, diet, physical activity c. Alcohol, physical activity d.Tobacco, diet, physical activity

QUESTION 3.Adherence to treatment is influenced by several interacting dimensions including a.Social and economic factors b. Healthcare system factors c.Condition-related factors d.Therapy-related factors e.Patient related factors f.All of the above

QUESTION 4. _________ is the leading cause of cancer in both developed and developing countries worlwide a.Radiation exposure b. Tobacco use c.Pesticide exposure d.Air pollution

QUESTION 5.This week's YouTube video on treating non-communicable diseases in Rwanda showed how a community health worker helps to treat heart disease, diabetes and _______ a.Cancer b.Asthma c.Hepatitis d.HIV/AIDS

QUESTION 6.Which of these are myths of chronic disease control a.Benefits of chronic disease control accrue not only to the individual but also to the population b.Economic growth improves all health conditions c. Chronic diseases are associated with low SES/poverty d.Chronic disease only occurs in the elderly e.a and c f.b and d

QUESTION 7 ___________ remains the leading cause of death among both men and women in low- and middle-income countries a.Cancer b.Cardiovascular disease c. Diabetes d.Obesity e.Respiratory disease

QUESTION 8.Chronic disease in adults accounts for approximately 60% of all deaths worldwide. True False

QUESTION 9.The WHO's Innovative Care for Chronic Conditions Framework includes a positive policy environment. True False

QUESTION 10.It is estimated that the overall number of cancer cases will rise by 50% in the next 20 years. True False

QUESTION 11.Comorbidity refers to simultaneous occurrence in a person of two or more disorders; comorbid conditions can increase the risk of adverse outcomes. True False

QUESTION 12.Emerging evidence supports starting promotion efforts during pregnancy and early childhood and continuing efforts throughout life lower exposures to major chronic disease risk factors. True False

QUESTION 13. Increased cumulative exposure to risk factors over the lifecourse combined with social and economic inequalities, leads to the levels of inequalities seen in later adult life. True False

QUESTION 14.The "compression of morbidity" model proposes that morbidity due to aging cannot be postponed or mitigated by disease prevention programs True False

QUESTION 15.There is few significant funding sources for chronic diseases in low-and middle-income countries. True False

QUESTION 16.To combat chronic diseases, modern, evidence-based interventions emphasize shared decision making and collaborative goal setting among providers and patients. True False

QUESTION 17.In the absence of legislative, financial and engineering approaches, health education programs often have a limited impact on preventing or reducing chronic diseases. True False

QUESTION 18. It is estimated that deaths from diet-related chronic disease in China will triple between 1995 and 2025. True False

QUESTION 19.The third highest percent of global DALY's is attributed to which risk factor? a.Alcohol use b.Tobacco use c.Unsafe sex d.Childhood underweight

QUESTION 20.In the 1990's which country experienced a substantial decline in male life expectancy as a result of dramatic socio-political changes a.China b.Russia c. India d.Canada

jademole302

GRT 2100 Lecture Notes - Lecture 4: Social Inequality

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