Chapter 4 Flashcards

(43 cards)

1
Q

Define collinearity

A

A situation in which several predictive variables are highly correlated with one another, making it hard to determine the importance of each.

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2
Q

Define asymptotic

A

A curvilinear relationship in which as values get higher, the relationship between the variables approaches zero

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3
Q

Define social capital

A

Collective benefits arising from cooperative attitudes and practices, grounded in trust and reciprocity.

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4
Q

Define the materialist hypothesis

A

The contention that most differences in health between groups are due to differences in capabilities, opportunities and access to resources

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5
Q

Define wealth

A

Accumulated assets such as property, investments and savings

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6
Q

Define liberal regimes

A

Countries that place high emphasis on personal liberty and rights. Governments leave most social and economic activity to non-governmental organizations such as voluntary organizations and corporations and avoid, as much as possible the regulation of social and economic affairs.

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7
Q

Define social democratic regimes

A

Countries where solidarity forms a key value and hence governments pursue policies aimed at assisting all citizens to achieve as affluent and successful a life as possible.

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8
Q

What is the GINI coefficient?

A

A widely used measure of income inequality where 0 is assigned to a hypothetical population that shares everything and 1 is assigned to a hypothetical population where one individual has everything.

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9
Q

What is fuel insecurity?

A

The risk of avoidable health outcomes associated with exposure to cold and damp due to lack of money to pay for electricity, natural gas, or fuel oil required for domestic heating

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10
Q

What is food insecurity?

A

The risk of avoidable health problems associated with exposure to cold and damp due to lack of resources required to secure an adequate, nutritious supply of food on a regular, ongoing basis.

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11
Q

Define residualism

A

The policy belief that society is better off when only very limited public support is provided to individuals and everyone is expected to rely upon their own resources

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12
Q

Define neo-liberalism

A

An ideology that emerged in the 70s and 80s that believes the govt’s role is to minimize tax and regulatory burden on people, and should reduce public services in favour of for profit corporate services and promote economic growth

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13
Q

Define targeting

A

Aiming a policy, program or therapy at those deemed to be in greatest need or at highest risk of adverse outcomes

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14
Q

Why is income the most important determinant of health?

A

Because income connects us to resources

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15
Q

Describe the relationship between income and education

A

Income and education are covariates. Income increases with education.

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16
Q

Why is the relationship between health and income considered complex?

A
  • Collinearity
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17
Q

What is an example of an income variable?

A

Income distribution - how equally income is distributed across individuals in a population

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18
Q

Describe Preston’s work

A

A country’s GDP correlates strongly with life expectancies in poor countries

GDP correlates weakly with life expectancies in rich countries.

19
Q

Why is Preston’s curve important?

A

It shows a curvilinear relationship between income and life expectancy

20
Q

Describe Rodgers’ work

A

Found a correlation between infant mortality rates and country level income inequality measures

21
Q

Describe Kaplan’s work

A

Income share of the lower half of the distribution is strongly correlated with state level mortality rates

22
Q

Why is Wilkinson’s synthesis important?

A

Because he was the first person to develop an integrated theory around the findings respecting income inequality and health

23
Q

What 3 sources did Wilkinson use for his synthesis?

A
  1. Social capital theory
  2. Sociology and criminology
  3. Primatology
24
Q

Describe social capital theory

A

Robert Putnam proposed it.

Norms of reciprocity and mutual trust are essential for stable and accountable governance.

Norms include seeking social and economic exchanges with others are generated through social transactions in family and community

25
Describe how sociology and criminology connect to Wilkinson’s synthesis
Durkheim claimed that a degree of stability and predictability is essential to human well-being. Breakdowns in such stability can create stress and drive suicide rates. Modern sociology and criminology built on Durkheim’s findings, exploring the relationship between social change and, inequalities in society, breakdowns in social integration and crime rates
26
How does primatology connect to Wilkinson’s synthesis?
Dominant animals are healthier and live longer Basal cortisol levels differ between dominant and subordinate animals.
27
Describe Wilkinson’s synthesis
Chronic stress determines bad health Diabetes, heart disease Stress response activation Blood pressure, glucose metabolism
28
Describe the attacks on the inequality hypothesis
Inconsistencies across levels of analysis Comparative inconsistencies Animal models are a false comparison Psychological explanation that motivates keeping the status quo Income is a confounder
29
What conclusions that can be drawn from the literature on income and health?
Income inequality is still very important, regardless If not morbidity and life expectancy, then other undesirable outcomes
30
Describe progressive tax systems
Tax policy a key mechanism for redistribution Tax policies less progressive in Canada, despite public support Increase in inequality among OECD countries Diminution of welfare programs Ballooning pay for top earners Countries with wider income distribution have more poor people Wages stagnating
31
Describe public programs and services
Many different strategies for redistribution Public health services are also redistributive Especially benefits those less well-off including children Esping-Andersen’s typology Social democratic regimes: Most generous Liberal regimes: Least generous Conservative-corporatist: Somewhere in the middle Canada better than the USA, worse than Australia Similar in terms of Gini coefficient Gini is rising in Canadian cities
32
How is inequality measured?
GINI Coefficient
33
Describe poverty
Poverty varies by country and subnational region 15% in the USA 14% in Canada More in Atlantic Canada, Fewer in the West Child poverty 17% in Canada, 21% in the USA 40% among Canadian indigenous youth Disproportionately impacts certain groups Harms to health
34
Describe welfare programs
Style of welfare programming Emphasis on personal responsibility, discipline ‘Means tested’ Stigmatizing Benefits are not generous Outcomes USA, Canada have not performed well in poverty mitigation
35
What are the problems associated with neo-liberalism?
Neoliberalism: A special case Specific set of policy recommendations / tendencies Retraction of government from social spheres Worsened by globalization Ideological
36
Describe theoretical considerations
Income available to an individual or household can be linked to health via materialist hypothesis
37
What are the prof's comments on income distribution?
Tax policy a key mechanism for redistribution Tax policies less progressive in Canada, despite public support Increase in inequality among OECD countries Diminution of welfare programs Ballooning pay for top earners Countries with wider income distribution have more poor people Wages stagnating
38
Describe public programs and services
Many different strategies for redistribution Public health services are also redistributive Especially benefits those less well-off including children Esping-Andersen’s typology Social democratic regimes: Most generous Liberal regimes: Least generous Conservative-corporatist: Somewhere in the middle Canada better than the USA, worse than Australia Similar in terms of Gini coefficient Gini is rising in Canadian cities
39
Describe poverty and its mitigation
Poverty varies by country and subnational region 15% in the USA 14% in Canada More in Atlantic Canada, Fewer in the West Child poverty 17% in Canada, 21% in the USA 40% among Canadian indigenous youth Disproportionately impacts certain groups Harms to health
40
Describe residualism
Residualism Britain and former colonies Government intervention is a last resort Government intervention should be limited Other organizations should play a role
41
Describe style of welfare programming
Emphasis on personal responsibility, discipline ‘Means tested’ Stigmatizing Benefits are not generous
42
What outcomes has this led to?
USA, Canada have not performed well in poverty mitigation
43
What are the policy implications?
Tax benefits are not neutral! Some meaningful only to wealthy people Need better targeting for the least well-off Neoliberalism: A special case Specific set of policy recommendations / tendencies Retraction of government from social spheres Worsened by globalization Ideological