Week 8 H&S

Question 1

What are some barriers to participation in cervical screening (incl. specific populations). Remember the mnemonic

Answer 1

• Awareness (health literacy)
• Accessibility (can they do it financially/logistically/psychologically?)
• Acceptability (is it culturally accepted?)

Question 2

What are some challenges relating to implementation of public health screening programs for Culturally and Linguistically Diverse (CALD) communities

Answer 2

• Lack of independence
• Lack of medicare support
• Lack of understanding of healthcare system

Question 3

Describe strategies to reduce barriers to cervical screening uptake

Answer 3

• Encourage self-collected testing
• Text message reminders
• Education (e.g. GP, GP pamphlets, websites)

Question 4

What is the role of health literacy in health outcomes, particularly for CALD communities

Answer 4

• Probability of seeking testing
• Knowing when to seek further care
• Understanding importance of adherence to treatment
• Preventative care

Question 5

What are the two main types of health literacy? Elaborate on them too

Answer 5

1. Individual health literacy (individual’s ability to find/implement information, and enough understanding to use/understand the healthcare system)
2. Health literacy environment (external policies, processes and materials that affect how a student interacts with the healthcare system)

Question 6

Low health literacy associated with poorer health outcomes. What are some specific examples of this?

Answer 6

• More hospitalisations/ED usage
• Lower rates of screening (e.g. pap smear or mammogram)
• Poorer ability to interpret results/take medications
• Decreased ability to participate in their own healthcare decision making

Question 7

What is the relationship between social determinants of health and low levels of health literacy?

Answer 7

Low health literacy is associated with:
- Lower education levels
- Old age
- Low SES
- CALD background

Question 8

What are some common health literacy issues in CALD populations, from the patient side?

Answer 8

• Language barriers
• Complexity of the healthcare system
• Poor digital literacy
• Poor availability of med-specific other language resources (e.g. leaflets etc)

Question 9

Health of CALD populations can vary between cultures/individuals based on…

Answer 9

• Language (?english)
• Time since arrival
• Mode of arrival (?asylum seekers)
• Country of origin

Question 10

Women from sub-saharan africa have higher rates of…

Answer 10

• Infectious diseases (e.g. Hepatitis B)
• Poorer perinatal health outcomes (e.g. low birth weight)
• Micronutrient deficiency (e.g. anaemia, Vit D)

Question 11

Medically, asylum seekers have higher rates of…

Answer 11

• Poor health outcomes (LBW, small for gestational age)
• Nutritional problems (e.g. anaemia)
• Infectious disease (e.g. hepatitis B, tuberculosis)
• Mental health issues (makes sense)

Question 12

Do CALD populations consume more or less alcohol/tobacco than us?

Answer 12

Less. Makes sense.