Deck 5: Understanding the Determinants of Health and Canadas Native Population

Question 1

What are the determinants of health?

A) Factors in people's physical, social, economic and biological environment that affect their health
B) Key pharmaceuticals that are used to treat important chronic diseases
C) Collective impact of public health agencies on each Canadian's health.
D) Components of a standard medical risk scoring sheet for maternal health

Answer 1

A

Question 2

Individuals and communities reporting high levels of health have a greater sense of

A) control.
B) financial resources.
C) spirituality.
D) self-preservation.

Answer 2

A

Question 3

The determinant of health that has the greatest impact on health is

A) education.
B) income.
C) drugs and alcohol.
D) healthcare.

Answer 3

B

Question 4

Which of the following are considered to impact the health of a population?
I) Access to healthcare services iii. Income
Ii) Drinking water iv. Leisure activities

A) None of the above
B) i, ii and iii
C) All of the above
D) i and iii

Question 5

In Canada, higher income and social status usually correlate with

A) better health.
B) higher alcohol consumption.
C) consumption of fatty foods.
D) purchases of Mediterranean food products.

Question 6

Which Indigenous population has the lowest levels of income in Canada?

A) Métis
B) On-reserve First Nations
C) Off-reserve First Nations
D) Inuit

Question 7

Social support networks provide individuals with

A) a network of friends and supporters to help them weather adverse circumstances.
B) peer pressure that can lead to unwise personal health decisions.
C) a strong sense of control and mastery over life.
D) all of the above.

Question 8

How can we measure the strength of social support networks?

A) By measuring physical response to staged family crisis scenarios
B) Through participation in family and community events
C) By estimating the maximum number of interpersonal relationships possible in the community
D) Through use of psychological evaluation

Question 9

Canadians with low levels of education are more likely to

A) smoke less.
B) have excellent health.
C) obtain job satisfaction.
D) have poorer health.

Question 10

When compared with the non-Indigenous population, Indigenous rates of post-secondary trades certification are

A) much lower.
B) about the same.
C) much higher.
D) not calculated.

Question 11

Canadians with low education are more likely to

A) smoke less.
B) have excellent health.
C) obtain job satisfaction.
D) have poorer health.

Question 12

The Indigenous unemployment rate is

A) lower than the Canadian average.
B) roughly the same as the Canadian average.
C) a little higher than the Canadian average.
D) much higher than the Canadian average.

Question 13

What are the most important years in an individual's development?

A) Birth to age 6
B) Birth to age 12
C) Ages 12 to 16
D) Ages 18 to 30

Question 14

An individual's genetic endowment

A) will determine their health throughout their life.
B) can influence their health, but seldom determines it.
C) has no effect on individual health.
D) refers to modern biomedical gene selection techniques.

Question 15

Public health services include

A) vaccinations.
B) mammograms.
C) open heart surgery.
D) a and b

Question 16

Gender roles

A) are biologically invariant.
B) are socially assigned and culturally embedded.
C) may be changed through surgical and pharmaceutical intervention.
D) have important implications for health.
E) b and d.

Question 17

Traditional Indigenous health views differ from traditional Western medicine in that

A) Indigenous view is that health is holistic; Western view is that medicine is not holistic.
B) Indigenous view is that health is earned; Western belief is that health is bought.
C) Indigenous view is that health is a gift; Western belief is that health is holistic.
D) both share the same philosophical underpinnings.

Question 18

Culture influences health through

A) the cultural stereotypes that society imposes upon individuals.
B) the cultural roles individuals internalize and incorporate into their lives.
C) providing a secure social identity with which to navigate society.
D) all of the above.

Question 19

When compared with the general Canadian population, the incidence of cancer mortality among First Nations is

A) less of a problem.
B) more of a problem.
C) increasing.
D) the same.

Question 20

Contaminants in the physical environment can cause

A) cancer.
B) respiratory disease.
C) birth defects.
D) a and

Question 21

The Gaia Theory

A) sees human beings as an integral part of the planetary ecosystem.
B) is a mystical belief that the Earth itself is alive and takes the form of an ancient goddess.
C) has been discredited by recent scientific research.
D) all of the above.

Question 22

Gaia Theory considers the Earth to be

A) a unified interconnected whole.
B) easily described by a number of unrelated individual scientific theories.
C) a living goddess and the spiritual mother of the world.
D) a simple piece of inanimate matter.

Question 23

What is population health?

A) The overall health of a population
B) The health of each individual in a population
C) A statistical measure of average prescription drug consumption in a population
D) All of the above

Question 24

What is the relationship between the determinants of health and population health?

A) The determinants of health are the means by which population health can be measured
B) There is no relationship
C) The determinants of health measure individual health, while population health uses statistical measures
D) b and c

Question 25

Health Canada, from HYPERLINK "http://www/hcsc.gc.ca/hppb/phdd/approach/index.html" http://www/hcsc.gc.ca/hppb/phdd/approach/index.html, adopted population health approach as a tool for population health promotion and public policy specifically to

A) consider gathering information on health inequities among population groups.
B) improve the health of the population.
C) reflect on the capacity of people to come to terms with life's challenges.
D) discount the range of social, economic and physical factors that contribute to health.

Question 26

How does population health relate to individual health?

A) Good population health means that every individual is healthy.
B) Poor population health means that every individual is in poor health.
C) Good population health facilitates individual health.
D) a and b

Question 27

Vaccination rates among the First Nations population are

A) lower than among the non-Indigenous population.
B) higher than among the non-Indigenous population.
C) non-existent.
D) 100%.

Question 28

What has been a major factor in preserving and promoting health among the Aboriginal population?

A) Low smoking rates
B) Traditional diet and lifestyle
C) Modern medical treatment
D) Improved education for health life choices

Question 29

The design and implementation of health policies and programs can promote or violate human rights.

Question 30

Health status improves with each step up in income and social status.

Question 31

Canadians with low levels of education are more likely to have poorer health.

Question 32

Education and literacy increases opportunities for jobs and income security.

Question 33

High levels of trust and group membership are factors of social environment that are associated with reduced mortality rates.

Question 34

Personal health practices such as immunisation and mammograms are showing positive results in disease prevention.

Question 35

The mind, body, birthplace and spirit are all integral parts of health according to Indigenous people.

Question 36

The Gaia Theory is an example of how scientific epistemology can reflect aspects of the traditional Indigenous world view.

Question 37

Indigenous people experience health problems that are linked with their historical position in the Canadian social system.

Question 38

Matching:
-The capacity of people to adapt to, respond to, or control life's challenges and changes

A) Social environment
B) Income and social status
C) Health services
D) Personal health practices
E) Education and literacy
F) Health
G) Physical environment
H) Employment/working conditions
I) Personal health practices/coping skills
J) Biology/genetic endowment
K) Gender

Question 39

Matching:
-Array of roles, traits, attitudes, behaviours, values, relative power and influence that society ascribes to

A) Social environment
B) Income and social status
C) Health services
D) Personal health practices
E) Education and literacy
F) Health
G) Physical environment
H) Employment/working conditions
I) Personal health practices/coping skills
J) Biology/genetic endowment
K) Gender

Question 40

Matching:
-Each step up improves health status

A) Social environment
B) Income and social status
C) Health services
D) Personal health practices
E) Education and literacy
F) Health
G) Physical environment
H) Employment/working conditions
I) Personal health practices/coping skills
J) Biology/genetic endowment
K) Gender

Question 41

Matching:
-Provides a buffer against health problems

A) Social environment
B) Income and social status
C) Health services
D) Personal health practices
E) Education and literacy
F) Health
G) Physical environment
H) Employment/working conditions
I) Personal health practices/coping skills
J) Biology/genetic endowment
K) Gender

Question 42

Matching:
-Values and norms of a society influence health

A) Social environment
B) Income and social status
C) Health services
D) Personal health practices
E) Education and literacy
F) Health
G) Physical environment
H) Employment/working conditions
I) Personal health practices/coping skills
J) Biology/genetic endowment
K) Gender

Question 43

Matching:
-Unsafe, lack of or instability can cause adverse effects on mental and physical health

A) Social environment
B) Income and social status
C) Health services
D) Personal health practices
E) Education and literacy
F) Health
G) Physical environment
H) Employment/working conditions
I) Personal health practices/coping skills
J) Biology/genetic endowment
K) Gender

Question 44

Matching:
-Link between hospital admissions for respiratory illness in the summer months and levels of sulphates and ozone in the air

A) Social environment
B) Income and social status
C) Health services
D) Personal health practices
E) Education and literacy
F) Health
G) Physical environment
H) Employment/working conditions
I) Personal health practices/coping skills
J) Biology/genetic endowment
K) Gender

Question 45

Matching:
-Equips people with knowledge and skills for problem-solving

A) Social environment
B) Income and social status
C) Health services
D) Personal health practices
E) Education and literacy
F) Health
G) Physical environment
H) Employment/working conditions
I) Personal health practices/coping skills
J) Biology/genetic endowment
K) Gender

Question 46

Matching:
-Indoor air quality, design of communities and transportation

A) Social environment
B) Income and social status
C) Health services
D) Personal health practices
E) Education and literacy
F) Health
G) Physical environment
H) Employment/working conditions
I) Personal health practices/coping skills
J) Biology/genetic endowment
K) Gender

Question 47

Matching:
-Immunisation and mammograms are showing positive results in disease prevention

A) Social environment
B) Income and social status
C) Health services
D) Personal health practices
E) Education and literacy
F) Health
G) Physical environment
H) Employment/working conditions
I) Personal health practices/coping skills
J) Biology/genetic endowment
K) Gender

Question 48

Matching:
-Actions to prevent diseases and promote self-care

A) Social environment
B) Income and social status
C) Health services
D) Personal health practices
E) Education and literacy
F) Health
G) Physical environment
H) Employment/working conditions
I) Personal health practices/coping skills
J) Biology/genetic endowment
K) Gender

Question 49

Matching:
-Predisposes certain individuals to particular health problems or diseases

A) Social environment
B) Income and social status
C) Health services
D) Personal health practices
E) Education and literacy
F) Health
G) Physical environment
H) Employment/working conditions
I) Personal health practices/coping skills
J) Biology/genetic endowment
K) Gender

Question 50

Matching:
-Trust and group membership associated with reduced mortality rates

A) Social environment
B) Income and social status
C) Health services
D) Personal health practices
E) Education and literacy
F) Health
G) Physical environment
H) Employment/working conditions
I) Personal health practices/coping skills
J) Biology/genetic endowment
K) Gender

Question 51

Explain how the determinants of health contribute to and have an impact on Indigenous health.