Race & Ethnicity
Race is a social construct based on perceived physical traits. Ethnicity refers to cultural identity such as language, ancestry, or traditions.
Racism
Systemic or individual discrimination that leads to unequal opportunities and health outcomes based on race.
Health Disparities
Differences in health outcomes between groups, often linked to social, economic, and environmental disadvantages.
Health Equity
Everyone has a fair and just opportunity to be healthy by reducing barriers like poverty, racism, and access issues.
Upstream/Downstream Determinants
Upstream factors = social and structural causes (housing, policy). Downstream = direct outcomes or behaviors (disease, medication use).
Cultural Competence
Ability to understand and work effectively with people from diverse cultural backgrounds.
Community Engagement
Working with community members in planning, decision-making, and implementation of programs.
Community Empowerment
Giving communities control, resources, and authority to make decisions that improve health.
Cultural Humility
Self-reflection and lifelong learning to understand others’ cultures without assuming expertise.
Cultural Awareness
Recognizing cultural differences exist and influence experiences.
Cultural Sensitivity
Respecting cultural differences and avoiding behaviors that may be offensive.
Efficacy (Self & Collective)
Self-efficacy = confidence in one’s ability. Collective efficacy = group belief in joint ability to achieve goals.
Stakeholder
Anyone affected by or involved in a program (residents, officials, providers, funders).
Primary/Secondary/Tertiary Prevention
Primary prevents disease (vaccines). Secondary detects early (screening). Tertiary manages disease to reduce harm (rehab, treatment).
Demographic Transition
Shift from high birth/death rates to low birth/death rates with population aging over time.
Population Growth
Increase in number of people due to births, decreased deaths, or migration.
Life Expectancy
Average number of years a person is expected to live.
Social Support
Emotional, informational, or practical support that reduces stress and improves health.
Active Listening
Fully focusing on and understanding the speaker to build trust and communication.
Determinants of Health
Factors influencing health like environment, genetics, behaviors, policy, social conditions.
Health Literacy
Ability to understand health information to make informed decisions; low literacy worsens outcomes.
Nuremberg Code
Ethics guidelines created after WWII requiring voluntary consent in research.
Belmont Report
Ethical principles for research: respect for persons, beneficence, justice.
Declaration of Helsinki
Global research ethics standard protecting human subjects.