Public Health And Behavioural Science Flashcards

1
Q

What are the 3 domains of public health

A

Health improvement
Health protection
Health services delivery

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2
Q

What are the 3 drivers of public health

A

Cost effectiveness
Population health needs
Ethics and values

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3
Q

Define health

A

A state of complete physical, mental and social wellbeing

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4
Q

How is burden of disease measured

A

DALYs

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5
Q

What is a DALY

A

Disability adjusted life year

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6
Q

What is a QALY

A

Quality adjusted life year

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7
Q

Define self efficacy

A

A persons confidence to perform a particular behaviour

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8
Q

What are the 5 stages of eliciting change in the transtheoretical model

A

Pre-contemplation
Contemplation
Preparation
Action
Maintenance

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9
Q

What does the dual processing theory suggest

A

Behaviour is controlled by 2 processes:
Deliberate or reflective
Implicit or impulsive

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10
Q

What does it mean if evidence is reliable

A

Under the same conditions, results can be replicated at another time by other people

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11
Q

What does it mean if evidence is valid

A

Variables are defines, theory base is credible and research methods are comprehensive and reliable

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12
Q

What is considered the gold standard research method

A

Randomised control trial

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13
Q

What is a meta analysis

A

Secondary analysis of primary research data

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14
Q

Phase 1 of a drug trial

A

Tests the safety and dosage of a new treatment in humans

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15
Q

Phase 2 of a drug trial

A

Tests the effectiveness and side effects of a new treatment in a specific disease

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16
Q

Phase 3 of a drug trial

A

Tests the comparison of a new treatment with a standard treatment in a larger population

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17
Q

Phase 4 of a drug trial

A

Tests the long term benefits and risks of a new treatment

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18
Q

What is a confounding variable

A

A variable associated with the outcome and the exposure where the real association may be masked or diluted

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19
Q

How is the outcome of a case control design expressed

A

An odds ratio with a 95% confidence interval and a p value

20
Q

Absolute risk

A

The number of new cases of a disease in an at risk population during a specified time period / total number of individuals in at risk population at the same time

21
Q

Relative risk

A

Absolute risk of all individuals exposed to a risk factor during a period of time / absolute risk of all individuals not exposed to a risk factor during the same time period

22
Q

Odds ratio

A

Odds of disease in a population exposed to a risk factor / odds of disease in population not exposed to a risk factor

23
Q

Relative risk score >1

A

Indicates increased possibility of health outcome occurring

24
Q

Relative risk score <1

A

Indicates reduced possibility that the health outcome will occur

25
Accuracy
How close the results are to the true value
26
Precision
The reproducibility of an analytical result
27
Internal quality control
Expected results are known, actual results are compared with previous results
28
External quality control
Samples are circulated by and external lab to lots of other labs
29
Sensitivity
Tells you how good the test is at identifying disease
30
Specificity
Measure of how good the test is at identifying health
31
Positive predictive value
The percentage of people with a positive test who have the disease
32
Negative predictive value
The percentage of people with a negative test who do not have the disease
33
What is screening
The process of identifying apparently healthy people who may be at risk of a disease or condition
34
Incidence
The rate of new cases of a disease occurring in a population over a particular period of time
35
Prevalence
Number of cases of a disease in a specific population at a particular time or over a specified period of time
36
How to calculate sensitivity
Number of results where disease is detected in people with the disease/ number of people with the disease x 100
37
How to calculate specificity
Number of negative results where the disease is not detected in people who don’t have the disease / number of people without the disease x 100
38
How to calculate positive predictive value
Number of people with a positive test who have the disease / number of people with a positive test result x 100
39
How to calculate negative predictive value
Number of people who have a negative test result and don’t have the disease / number of people with a negative test result x 100
40
Lead time bias
Survival time seems to increase due to earlier detection which may occur before symptoms
41
Primary prevention
Aims to prevent disease or injury before it occurs
42
Secondary prevention
Aims to reduce the impact of a disease or an injury that has already occurred
43
Tertiary prevention
Aims to soften the impact of ongoing illness or injury that has lasting effects
44
Planetary health
The health of human civilisation and the state of the natural system in which it depends
45
Sustainable healthcare
System that protects the health of current and future generations whilst minimising its environmental and social costs
46
What is the largest environmental cause of disease and death
Pollution