Faculty of Arts and Social Sciences
Birth outcomes, like other health indicators, follow the wealth-health gradient. Explain
why wealthier and more educated mothers have better outcomes. According to the film,
why do African American women at each income level have worse outcomes than their
white counterparts? - correct answerEasier access to health care and better level of
health care. Can buy healthiest foods and healthier lifestyles. Live in safer
neighborhoods and all of these cause less stress for the person.
Define "social determinants of health" - correct answerThe conditions in the
environments where people are born, live, learn, work, play, worship, and age that
affect a wide range of health, functioning, and quality-of-life outcomes and risks.
Define health disparities and health inequities - correct answerHealth Disparities:
Differences that exist among specific population groups in the US in the attainment of
full health potential that can be measured in incidence, prevalence, mortality, burden of
disease, and other adverse health conditions.
Health Inequities: Systematic difference in the health of groups and communities
occupying unequal positions in society that are avoidable and unjust
Describe Dr.Lu's "life-course perspective." How does it broaden conventional
approaches, which focus primarily on risk factors during pregnancy? - correct
answerLife-course perspective: exposure to experiences of racism, discrimination,
prejudice, micro-aggressions over the course of a person's whole life
We need to take care of the women's whole life, not just when they are pregnant.
Understand their entire life-course.
Describe examples from the film that illustrate how racism imposes an additional health
burden on people of color. Give examples of both "everyday" racism (being treated
unfairly) and "structural" racism (access to resources, power, status and wealth) and
describe how these might affect health in different ways. - correct answerThe doctor title
still does not help with respect
African Americans left out of G.I. Bill
Poor housing options
Limited resources in their different districts
Being exposed to it constantly
Dening power/status
Describe how the life-course perspective supports a link between racism and premature
or low birth-weight babies. - correct answerYou can do all the things right but can still
have an unhealthy baby. It is not just what you do while you are pregnant. It is
everything leading up to your pregnancy.
Discuss some policies, laws, and other factors that have been shown to affect where
people live, work, and incarceration status and disparities therein - correct answerSocial
, Security Act of 1935- deliberately excluded agricultural workers and domestic servants,
occupations largely held by black men and women
Those who qualifies able to acquire wealth and pass it down to their children
War on Drugs and tough-on-crime policies (1970s and 1980s)- stereotyped black
Americans as drug addicts, despite similar prevalence of illicit drug use in white
Americans, and disproportionately targeted black people for incarceration
Annual incarceration rate of black men is 3.8-10.5 times higher than that of white men
Redlining: legal practice in 1934, mark maps with red lines to delineate neighborhoods
where mortgages were denied to marginalized racialized groups to steer them away
from white neighborhoods.
Racial discrimination in hiring practices
Disparities linked with SDOH:
Economic injustice and social deprivation
Environmental and occupational health inequities
Psychosocial trauma
Targeted marketing of health-harming substances
Inadequate health care
State-sanctioned violence and alienation from property and traditional lands
Political exclusion
Maladaptive coping behavior
Stereotype threats
Discuss the latest research regarding SDOH - correct answerIncarceration is a key
issue in the Social and Community Context domain.
Worse mental and physical health
More cases of hypertension, cancer, arthritis
Racial/ethnic minorities and people with low education are more likely to be
incarcerated.
People do not receive treatment for their illness
After their release, it is hard to find health care, housing, employment, etc.
Higher suicide rates
Children with incarcerated parents are more likely to end up homeless.
Higher rates of learning disabilities
Discuss work that has been done in Delaware to reduce racial gaps in cancer deaths -
correct answerPersistent disparities in screening and treatment among people of color
Nationally, cancer kill Black people at higher rates than other groups
Used money from 1998 tobacco settlement ot set up universal cancer screening, up to
two years of tx
Even for undocumented residents, have no health insurance, or those earning up to 6.5
times the federal poverty rate
Patient navigators
Increase awareness of services
Schedules exams, send them reminders, arranges for rides
Handles health insurance, serves as a translator
Other obstacles
Birth outcomes, like other health indicators, follow the wealth-health gradient. Explain
why wealthier and more educated mothers have better outcomes. According to the film,
why do African American women at each income level have worse outcomes than their
white counterparts? - correct answerEasier access to health care and better level of
health care. Can buy healthiest foods and healthier lifestyles. Live in safer
neighborhoods and all of these cause less stress for the person.
Define "social determinants of health" - correct answerThe conditions in the
environments where people are born, live, learn, work, play, worship, and age that
affect a wide range of health, functioning, and quality-of-life outcomes and risks.
Define health disparities and health inequities - correct answerHealth Disparities:
Differences that exist among specific population groups in the US in the attainment of
full health potential that can be measured in incidence, prevalence, mortality, burden of
disease, and other adverse health conditions.
Health Inequities: Systematic difference in the health of groups and communities
occupying unequal positions in society that are avoidable and unjust
Describe Dr.Lu's "life-course perspective." How does it broaden conventional
approaches, which focus primarily on risk factors during pregnancy? - correct
answerLife-course perspective: exposure to experiences of racism, discrimination,
prejudice, micro-aggressions over the course of a person's whole life
We need to take care of the women's whole life, not just when they are pregnant.
Understand their entire life-course.
Describe examples from the film that illustrate how racism imposes an additional health
burden on people of color. Give examples of both "everyday" racism (being treated
unfairly) and "structural" racism (access to resources, power, status and wealth) and
describe how these might affect health in different ways. - correct answerThe doctor title
still does not help with respect
African Americans left out of G.I. Bill
Poor housing options
Limited resources in their different districts
Being exposed to it constantly
Dening power/status
Describe how the life-course perspective supports a link between racism and premature
or low birth-weight babies. - correct answerYou can do all the things right but can still
have an unhealthy baby. It is not just what you do while you are pregnant. It is
everything leading up to your pregnancy.
Discuss some policies, laws, and other factors that have been shown to affect where
people live, work, and incarceration status and disparities therein - correct answerSocial
, Security Act of 1935- deliberately excluded agricultural workers and domestic servants,
occupations largely held by black men and women
Those who qualifies able to acquire wealth and pass it down to their children
War on Drugs and tough-on-crime policies (1970s and 1980s)- stereotyped black
Americans as drug addicts, despite similar prevalence of illicit drug use in white
Americans, and disproportionately targeted black people for incarceration
Annual incarceration rate of black men is 3.8-10.5 times higher than that of white men
Redlining: legal practice in 1934, mark maps with red lines to delineate neighborhoods
where mortgages were denied to marginalized racialized groups to steer them away
from white neighborhoods.
Racial discrimination in hiring practices
Disparities linked with SDOH:
Economic injustice and social deprivation
Environmental and occupational health inequities
Psychosocial trauma
Targeted marketing of health-harming substances
Inadequate health care
State-sanctioned violence and alienation from property and traditional lands
Political exclusion
Maladaptive coping behavior
Stereotype threats
Discuss the latest research regarding SDOH - correct answerIncarceration is a key
issue in the Social and Community Context domain.
Worse mental and physical health
More cases of hypertension, cancer, arthritis
Racial/ethnic minorities and people with low education are more likely to be
incarcerated.
People do not receive treatment for their illness
After their release, it is hard to find health care, housing, employment, etc.
Higher suicide rates
Children with incarcerated parents are more likely to end up homeless.
Higher rates of learning disabilities
Discuss work that has been done in Delaware to reduce racial gaps in cancer deaths -
correct answerPersistent disparities in screening and treatment among people of color
Nationally, cancer kill Black people at higher rates than other groups
Used money from 1998 tobacco settlement ot set up universal cancer screening, up to
two years of tx
Even for undocumented residents, have no health insurance, or those earning up to 6.5
times the federal poverty rate
Patient navigators
Increase awareness of services
Schedules exams, send them reminders, arranges for rides
Handles health insurance, serves as a translator
Other obstacles
