MI and social determination

Question 1

7 social determinations of health

Answer 1

Neighbourhood conditions & communities
Lifetime & generational factors
Working conditions
Income & wealth
Race & racism
Education
sex

Question 2

7 ways education impacts health

Answer 2

literacy, including health literacy
Employment opportunities
Healthier work conditions (physical and psychosocial)
Higher pay and employment-related benefits
Perception of control
Social standing
Social support

Question 3

4 ways income impacts health

Answer 3

educational achievement and quality
childhood circumstances
impact of the neighbourhood
working conditions
perceived social status

Question 4

4 ways stress impacts health

Answer 4

Neuroendocrine system, inflammatory pathways, immune mechanism and/or vascular effects
Release of cytokines, cortisol and other mediators that adversely impact on vital organs and the body’s immune defences
Progression or more rapid development of chronic diseases such as cardiovascular disease
Stress can also lead to the uptake of risky health behaviours as a method of coping.

Question 5

4 risks of alcohol

Answer 5

liver cirrhosis, pancreatic and liver cancer, hypertension and memory deficits

Question 6

3 risk of smoking

Answer 6

Related to lung, throat and stomach cancer, CHD, emphysema

Question 7

bmi ranking

Answer 7

20-24.9=normal
25-29.9=overweight
30+=obese

Question 8

Waist circumference

Answer 8

> 102cm for men
88cm for women

Question 9

OBESOGENIC ENVIRONMENT

Answer 9

Sedentary lifestyle
Less manual labour
More car use
Town planning
Remote controls
Mobile phones
More fast food
Less cooking
More eating out
More snacking

Question 10

4 benefits of weight loss

Answer 10

Improved blood pressure
Reduction in CHD risk
Improvements for diabetics
Elation, improved self-confidence, well being

Question 11

6 stages of change model

Answer 11

• precontemplation stage
• contemplation stage
• preparation stage
• action stage
• maintenance stage
• relapse stage

Question 12

OARS

Answer 12

open ended questions
affirmation
reflection
summaries

Question 13

6 wasy of reflecting

Answer 13

Repeating
Re-phrasing
Paraphrasing
Reflection of feeling
Double sided reflection
Amplified reflection

Question 14

3 things MI do

Answer 14

Increases focus on discomfort
Change behaviour and cognitions
Remove dissonance