Week 8a: Diversity and Inequality and health promotion Flashcards

(53 cards)

1
Q

Health inequity

A

Unjust differences in health btwn persons of diff social groups; a normative concept

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2
Q

Example of health inequity

A

Canadians in remote regions don’t have access to nutritious foods

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3
Q

Health inequality

A

Observable health diff btwn subgroups within a population; can be measured and monitored

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4
Q

Examples of health inequalities

A

Diff due to genes or choices you make

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5
Q

Health disparities

A

The differences in the state of health and health outcomes btwn people
*similar to health inequalities

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6
Q

What types of health inequalities exist?

A
  • Physical and mental inequalities
  • Socio-economic factors (education, income, housing)
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7
Q

Nine factors to social isolation for seniors

A
  1. Poverty/lack of resources
  2. Age and gender
  3. Ethnicity
  4. Sexual and gender identity
  5. Geography
  6. Health and disabilities
  7. Life transitions
  8. Knowledge and resources
  9. Social relationships
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8
Q

How was Indigenous health in Canada prior to colonization?

A

Good
Nutritious diets, rich and diverse healing systems and active lifestyles

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9
Q

How did contact with European settlers affect health outcomes of Indigenous peoples?

A

Poorer health outcomes
More chronic illness and disabilities (heart disease and diabetes)

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10
Q

Direct cause of poor health outcomes for Indigenous peoples

A

Embedded racism and loss of a support system
ex. residential schools

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11
Q

Do the effects of colonization effect the health and healthy aging of Indigenous peoples living in Canada today?

A

Yes

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12
Q

What impact does caregiving have on older adults?

A

Increased burden
Financial stress
Poor health
Loneliness
Social isolation

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13
Q

Risks of being a spousal caregiver?

A

Decreased social support and loneliness
Increased stress and worsening health

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14
Q

Prevalence of caregivers

A

In 2018 1/4 of seniors age 65+ provided care to family or friends w a long-term condition, physical or mental disability or aging problems

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15
Q

Interventions for caregivers

A
  • Helping and financial support through informal assistance
  • Respite services
  • Home care or related services
  • Income and tax relief programs
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16
Q

Neurodiversity (ND)

A

Those living with intellectual/developmental disability, autism spectrum disorder, fetal alcohol spectrum disorder, down syndrome

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17
Q

Challenges of older adults with ND

A

Social exclusion
Unequal conditions that negatively impact their health and well being

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18
Q

Consequences of social exclusion for older adults with ND

A

More likely to live in poverty
Limited housing options and lack of opportunity to socially engage

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19
Q

Recommendations for older adults with ND

A
  • Formal mechanisms for collaboration btwn diff sectors
  • Enhance training for service providers
  • Include them and family in decision making
  • Prioritize the delivery of emotional, psychological, social and recreational responses
  • Consider respite as essential service
  • Create peer-led initiatives
  • Provide psychological, social and emotional support
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20
Q

Are there a lot of older adult immigrants in Canada?

A

Seniors aged 65+ represent 3.3% of immigrants

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21
Q

Immigrant older adults vs Canadian born older adults

A

Lonelier
Lower prevalence of successful aging

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22
Q

“Healthy immigrant effect” and “Unhealthy assimilation effect”

A

Immigrants are healthier when they first arrive to Canada BUT the longer they stay, the health advantage diminishes to a point lower than Canadian-born older adults

23
Q

Healthy aging interventions for immigrants

A
  • Data collection and research on immigrant older adults
  • Culturally and linguistically appropriate programs and services
  • Public transportation, health and support systems more accessible
  • Outreach sessions and education w older adults
  • Creating user and aging-friendly communities specific to needs of older adult immigrants
24
Q

What percentage of seniors in Canada live in rural areas?

25
What does living in rural areas lead to for older adults?
Increased risk of social isolation, smaller support networks, loneliness, lower utilization rates of health and social services
26
Why are rural areas considered a health disparity group?
Higher mental health concerns, chronic disease, worse health outcomes than non-rural populations
27
Health concerns of rural older adults?
Increased risk of morbidity, obesity, diabetes, coronary heart disease, cancer, COVID-19 and excess mortality
28
Strategies to address older adults healthy aging in rural areas
1. Better access to health and social care services 2. Joining up services to improve cost-effective service provision and access to services 3. Developing cost effective transport 4. Improving housing and local environment conditions to age in place 5. Developing volunteering and community based initiatives 6. Improve economic diversity and attractiveness
29
Most financially vulnerable Canadian population
Older adults
30
Risks of low-income older adults
Loneliness Social isolation Poor health outcomes Low Q of L Premature mortality
31
Evidence informed policy options for low-income older adults
- Protected pensions for older adults Canadians - New class of workplace pensions - Improve retirement income options
32
Graph on poverty rates
Poverty rates have decreased for every age group but older adults
33
How to increase cultural competence in healthy aging
1. Awareness 2. Knowledge 3. Skills
34
What is culturally sensitive healthcare?
Interventions that help health care providers look at conditions among all specific vulnerable populations (ex. race, gender, ethnicity)
35
How to create cultural competence
Cultural targeting, Under-served needs and patient centered care/ health literacy
36
Interventions to improve cultural competence
1. Completing education programs 2. Patient-provider relationships 3. Trustful relationship w relatives 4. Engage in cultural discussion
37
What is health promotion?
Process of enabling people to increase control over and improve their health by developing their resources to maintain/enhance well being; an action for health using knowledge, communication and understanding
38
How is health promotion implemented?
Complementing existing health promotion programs to ensure they are adequately meeting the needs of older adults, especially vulnerable populations
39
Types of health promotion strategies
Urban development Age-friendly community Ageing in place
40
Health promotion- urban development
"Active streets, active people" - creating an environment so that older adults can be more mobile (benches placed sporadically)
41
Healthy aging framework around national prevention strategy
1. Identify what matters most for patient 2. Engage patient in developing action plan for healthy aging 3. Provide patient education, support and resources 4. Coach 5. Revise
42
Age-friendly community
One that responds to opportunities and challenges of an aging population by creating physical and social environments that support independent active living
43
8 Stategies for creating age-friendly communities
1. Housing 2. Social participation 3. Respect and social inclusion 4. Civic participation 5. Communication and information 6. Community support and health service 7. Outdoor spaces and buildings 8. Transportation
44
What is the aging in place program?
Aging in your own home for as long as possible
45
4 goals of the aging in place program
1. Safety 2. Health 3. Connection 4. Standards
46
Aging in place: safety
Safe and injury free aging ex. smart devices, AI-assisted decision making
47
Aging in place: health
Managing cognition, physical health and activities of daily living ex. brain health, physical health, activities of daily living
48
Aging in place: connection
Reduction in barriers to mobility, transportation and social engagement
49
Aging in place: standards
Increase in Canadian AgeTech adoption through evidence-based age-friendly standards and policies ex. data privacy and cybersecurity
50
Increased self-efficacy and healthy aging
- Increased self-care - Increased energy - Better sleep - Decreased pain and discomfort - Resilience against depression - Increased use of healthcare system - Successful healthy aging
51
Role models for older adults
Most often parents or grandparents
52
Expectations of aging - master athletes
Increased engagement in preventative health behaviours and successful aging & longevity
53
Role models who are master athletes
- Unrealistic standards - Constrained by socioeconomic factors - Reliant on free time, travel cost - Negative social comparisons - Reduced motivation - "othering" - Perpetuating stereotypes