Exam Prep Determinants Of Health Natives Ch5

Part II Indigenous Health and the Canadian Healthcare System

Chapter 5 – Understanding the Determinants of Health and Canada’s Native Population

Test Questions

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

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

a. control.

b. financial resources.

c. spirituality.

d. self-preservation.

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

a. education.

b. income.

c. drugs and alcohol.

d. healthcare.

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

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.

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

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.

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

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.

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.

11. Canadians with low education are more likely to

a. smoke less.

b. have excellent health.

c. obtain job satisfaction.

d. have poorer health.

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.

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

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.

15. Public health services include

a. vaccinations.

b. mammograms.

c. open heart surgery.

d. a and b.

e. none of the above.

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.

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.

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.

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.

20. Contaminants in the physical environment can cause

a. cancer.

b. respiratory disease.

c. birth defects.

d. a and c.

e. all of the above.

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.

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.

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

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

25. Health Canada, from 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.

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.

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%.

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

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

a. True

b. False

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

a. True

b. False

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

a. True

b. False

32. Education and literacy increases opportunities for jobs and income security.

a. True

b. False

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

a. True

b. False

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

a. True

b. False

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

a. True

b. False

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

a. True

b. False

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

a. True

b. False

Type: MT

Matching (13 Marks)