16.8 Socioeconomic and Ethnic Inequalities
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Questions and Answers

What is a primary consequence of wealth being unevenly distributed across ethnic groups?

  • Enhanced social mobility as individuals strive to overcome economic barriers.
  • Increased social cohesion due to shared economic struggles.
  • Heightened envy and potential for conflict, undermining social cohesion. (correct)
  • Reduced risk of conflict as economic disparities become less noticeable.
  • Decreased salience of ethnic identity as economic status becomes more prominent.

Which factor most significantly exacerbates the effects of socioeconomic and ethnic inequalities?

  • Policies that promote social cohesion and reduce animosity.
  • Increased access to healthcare and social services for all individuals.
  • A focus on individual achievements rather than group disparities.
  • Equal distribution of resources across all demographics.
  • The intersection of socioeconomic status and ethnicity. (correct)

Which of the following is a characteristic of institutionalized discrimination?

  • It primarily stems from personal prejudices rather than systemic issues.
  • It may involve unintentional biases in societal structures. (correct)
  • It is always a conscious and deliberate decision.
  • It involves fair and just treatment of all individuals.
  • It solely affects individuals, not groups.

How does income inequality along ethnic lines affect social dynamics and institutional development?

<p>It exacerbates group identity salience, limits social cohesion, and impedes institutional advancement. (B)</p> Signup and view all the answers

What is a potential consequence of discriminatory policies related to healthcare access?

<p>Denial of essential medical resources to specific ethnic groups. (A)</p> Signup and view all the answers

How might social integration affect a refugee's healthcare experience in a new country?

<p>Poor social integration may limit effective healthcare access due to various barriers. (E)</p> Signup and view all the answers

What role does subconscious bias play in institutionalized discrimination?

<p>It can perpetuate discrimination without individuals being overtly aware of their biases. (A)</p> Signup and view all the answers

Which outcome is least likely to arise from effective strategies to reduce ethnic inequalities?

<p>Heightened group identity salience and increased between-group animosity. (D)</p> Signup and view all the answers

Considering the interconnected factors influencing health outcomes for children from ethnic minority families, which of the following options most comprehensively encapsulates the synergistic challenges they face, as suggested by the provided information?

<p>A complex interplay of environmental hazards, psychosocial stressors, and systemic inequities in resource distribution and access. (D)</p> Signup and view all the answers

Based on the experiences of refugees like Ravi and his family, which statement most accurately characterizes the enduring health ramifications of pre-migration trauma and displacement on individuals resettling in a new country?

<p>Pre-migration adversities can establish a 'health deficit' that predisposes individuals to chronic physical and mental health conditions across their lifespan. (E)</p> Signup and view all the answers

Beyond mere physical accessibility, what deeper systemic obstacle might refugees and immigrants encounter when attempting to effectively utilize healthcare services in a new country, considering both the provided information and broader societal contexts?

<p>Systemic biases ingrained within healthcare institutions may inadvertently result in disparate treatment or culturally insensitive care delivery. (E)</p> Signup and view all the answers

The text indicates a higher prevalence of diabetes and cardiovascular disease among South Asians. Which of the following statements offers the most nuanced interpretation of the relationship between ethnicity and such health predispositions?

<p>A complex interplay encompassing genetic susceptibilities, dietary customs, environmental exposures, and culturally specific stress factors collectively contribute to these observed ethnic health disparities. (E)</p> Signup and view all the answers

If policymakers aim to meaningfully enhance the health and wellbeing of children from ethnic minority backgrounds, which of the following strategic interventions would likely yield the most comprehensive and enduring positive impact, based on the factors emphasized in the provided text?

<p>Implementing integrated, multi-pronged strategies that proactively address environmental hazards, mitigate psychosocial stressors, and foster equitable access to resources and healthcare. (D)</p> Signup and view all the answers

The Index of Multiple Deprivation (IMD) 2019 ranks areas in England from most to least deprived. Which of the following statements best explains the fundamental purpose of this ranking system?

<p>To establish a relative measure for comparing deprivation levels across small areas in England, highlighting areas requiring further investigation and support. (E)</p> Signup and view all the answers

The IMD 2019 utilizes several domains to calculate a deprivation score for each area. If a policy intervention successfully improves outcomes in the 'Education' and 'Employment' domains within a highly deprived area, what would be the MOST likely broader impact on the overall IMD score and the area's ranking?

<p>The area's IMD score would decrease, leading to an improved rank, reflecting reduced overall deprivation due to positive changes in contributing domains. (B)</p> Signup and view all the answers

Consider Jim, living in a highly deprived area, as described in Task 1. Which of the following scenarios BEST exemplifies the 'cumulative effect' of deprivation across multiple IMD domains on Jim's potential health outcomes?

<p>The combined impact of Jim’s limited access to healthy food (Income), poorer quality housing (Housing), and higher crime rates in his neighbourhood (Crime) synergistically increases his risk of chronic health conditions. (B)</p> Signup and view all the answers

Risk factors are described as predictors of potential ill-health in certain groups. In the context of socioeconomic inequalities, which statement BEST distinguishes risk factors from direct causes of ill-health?

<p>Risk factors are statistical indicators that increase the likelihood of ill-health within a population, while direct causes are the biological or behavioral mechanisms that lead to disease in individuals. (A)</p> Signup and view all the answers

Considering the influence of socioeconomic status (SES) on health, if two individuals have identical genetic predispositions to heart disease, but one lives in a high SES area and the other in a low SES area, what is the MOST probable outcome regarding their health trajectories?

<p>The individual in the low SES area is likely to experience earlier onset and potentially more severe heart disease due to factors associated with lower SES. (A)</p> Signup and view all the answers

Within the 'Income' domain of the IMD, 'unaffordable gym/sport membership' is cited as a potential barrier for individuals in deprived areas like Jim. Which broader health-related consequence is MOST directly linked to this specific income-related barrier?

<p>Elevated likelihood of chronic physical health conditions due to reduced opportunities for regular physical activity. (B)</p> Signup and view all the answers

The 'Education' domain in the IMD considers health literacy as a crucial factor. How does limited health literacy, often correlated with lower educational attainment, MOST significantly undermine an individual's ability to navigate health risks and promote wellness?

<p>It fundamentally hinders the comprehension of health information, informed decision-making about healthcare, and adoption of preventative health behaviors. (A)</p> Signup and view all the answers

Considering the 'Living Environment' domain of the IMD, higher likelihood of pollution and noise pollution are identified as factors in deprived neighbourhoods. What is the MOST significant pathway through which these environmental factors contribute to health inequalities?

<p>Chronic exposure to pollution and noise directly triggers physiological stress responses, increasing the risk of respiratory and cardiovascular diseases, thereby exacerbating health inequalities. (E)</p> Signup and view all the answers

The example answers in Task 1 worksheet mention 'better lifestyle choices' as being less likely in lower socioeconomic groups. Which of the following statements offers the MOST nuanced understanding of why 'lifestyle choices' are not solely a matter of individual volition in determining health outcomes?

<p>Socioeconomic circumstances create environments that constrain healthy choices and promote unhealthy ones, limiting genuine autonomy in lifestyle decisions. (D)</p> Signup and view all the answers

Considering the concept of 'social mobility options limited with less education' as mentioned in the Task 1 example answers, how does restricted social mobility MOST profoundly contribute to long-term health inequalities?

<p>Restricted social mobility confines individuals and future generations to lower socioeconomic positions, perpetuating exposure to health-damaging environments and limited resources across their lifespans. (E)</p> Signup and view all the answers

Flashcards

Ethnicity Health Risks

Increased incidence of certain diseases in South Asians.

Healthcare Disruption

Unavailability of healthcare and medication due to conflict.

War Trauma Impact

Potential injuries, anxiety, and PTSD from witnessing violence.

Migration Health Risks

Malnutrition and infection risks during transit to a new country.

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New Country Challenges

Difficulties accessing healthcare, education, and employment.

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Social Integration

The ability of individuals to integrate into a community and live without friction.

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Institutionalised Discrimination

Unjust treatment by societal structures against a group.

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Ethnic Wealth Inequality

When wealth is unevenly distributed across ethnic groups.

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Social Immobility

Limited movement between socioeconomic classes.

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Between-Group Animosity

Negative feelings or dislike towards a group.

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Salience of Group Identity

The significance and prominence of one's group identification.

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Negative Health Outcomes

Unfavourable outcomes that can arise due to where you stand.

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Occupational Context

How your job impacts your overall wellness.

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Risk Factors

Factors that can increase the likelihood of developing a disease or health condition.

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Index of Multiple Deprivation (IMD)

A measure of the relative deprivation in small areas in England.

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Cumulative Effects

The combined impact of various disadvantages on health outcomes.

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Income Deprivation

Limited access to resources due to low income.

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Limited Social Mobility

Reduced chances for career advancement and improved living standards.

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Healthcare Accessibility

Problems with accessing healthcare services due to location or availability.

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Poor Living Environment

Living in conditions that are dangerous, polluted, or unhealthy.

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Lack of Recreational Facilities

Reduced access to recreational activities or community resources.

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High Crime Rate

Increased likelihood of exposure to crime and violence.

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Socioeconomic impact on Wellness

The effect of inequalities on people's overall well-being.

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Study Notes

Here are five different options for study notes on the provided text:

Option 1

  • Socioeconomic and ethnic inequalities in health are explored
  • The Index of Multiple Deprivation (IMD) 2019 is the official measurement of relative deprivation in England for small areas and neighborhoods
  • The IMD ranks areas in England (Lower Super Output Area) from 1 (most deprived) to 32,844 (least deprived)
  • 7 domains of deprivation are included in the Index
  • The seven domains are income, employment, education, health, crime, barriers to housing and services, and living environment
  • Each domain has a weighting and uses a group of indicators
  • Socioeconomic and ethnic inequalities are problematic and disadvantageous when wealth distribution is unequal across ethnic groups
  • Issues of inequality create a lack of social cohesion, social immobility, hatred, envy and potentiate conflict
  • These issues generally have negative health consequences
  • Institutionalized discrimination is unjust and discriminatory mistreatment perpetuated by society and its institutions
  • Discrimination is enacted through unequal intentional or unintentional bias or selection
  • Such biases may not be a conscious choice
  • Factors like socioeconomic status, employment and overall context have various risk factors contributing to health outcomes
  • Ethnic inequalities can lead to social immobility and institutionalized discrimination, resulting in negative outcomes
  • Socioeconomic status and ethnic inequality often intersect, exacerbating disadvantages for certain groups

Option 2

  • Socio-economic and ethnic factors influence health outcomes
  • Risk factors affect health and lead to chronic conditions; they can also predict potential ill-health in groups
  • Socioeconomic status and ethnicity can influence a person's health and wellness
  • The Index of Multiple Deprivation (IMD) 2019 is the official measure of relative deprivation in England's small areas
  • England's Lower Super Output Areas are ranked from 1 (most deprived) to 32,844 (least deprived)
  • The IMD includes seven domains of deprivation; income, employment, education, and health make up more than 80%
  • Considerations of inequality between socioeconomic status and ethnic groups include negative consequences to health
  • Institutionalized discrimination leads to mistreatment of groups or individuals in society and its institutions
  • Intentional or unintentional biases or selection may cause discrimination; this bias might not always be conscious
  • Socioeconomic and ethnic inequalities can exacerbate one another, further disadvantaging groups

Option 3

  • Inequalities related to socioeconomic status and ethnicity in healthcare settings
  • Socioeconomic status and ethnic background are determinants to to health
  • Risk factors that affect health can lead to chronic conditions
  • Risk factors serve as predictors for potential ill health in specific groups
  • Socioeconomic status and ethnicity impact health and overall wellness
  • Deprivation is measured officially by the Index of Multiple Deprivation (IMD) 2019 in England for small areas (neighborhoods)
  • Areas in England are ranked by IMD; those with lower super output are ranked from 1 (most deprived) to 32,844 (least deprived.)
  • There are 7 domains of deprivation in the IMD including income, employment, education, and health
  • Disadvantage can result from inequality, especially when wealth is unevenly distributed across ethnic groups
  • Inequality can cause lack of cohesion, social immobility, hatred, envy, and conflict
  • Discrimination is defined as unjust and discriminatory mistreatment of a group or individual which leads to negative health consequences
  • Intentional or unintentional biases in selection cause mistreatment
  • Socioeconomic status alongside ethnic inequality are factors that exacerbate disadvantages for certain demographics
  • The consideration of socioeconomic status, employment and occupational context all factor into risk factors that can have a profound impact on health outcomes.

Option 4

  • Socio-economic and ethnic inequalities in health-Consolidation
  • Risk factors may affect health, leading to chronic conditions
  • Socioeconomic status or ethnicity may influence a person's health and wellness
  • The Index of Multiple Deprivation (IMD) 2019 measures deprivation in small areas of England
  • England areas are ranked on a scale
  • The IMD has 7 domains of deprivation: Income (22.5%), and Employment (22.5%)
  • Each domain is weighted
  • Socioeconomic inequality, is already problematic
  • Inequality is more disadvantageous since wealth isn't evenly distributed across ethnic groups.(Alesina et al. 2012)
  • Inequality Issues have negative consequences for health
  • Discrimination is mistreatment of groups
  • Social mobility, institutionalized discrimination and negative outcomes exist
  • Ethnic inequality and socioeconomic status further disadvantages some groups

Option 5

  • Socio-economic status and ethnicity in health
  • Risk factors affect health and chronic conditions, and are also predictors for health issues
  • Socioeconomic status and ethnicity influence a person's well being
  • The Index of Multiple Deprivation (IMD) 2019 is the measure of deprivation in areas like neighborhoods in England.
  • England areas are ranked on a scale of 1-32,844 by the IMD
  • The IMD has 7 domains of deprivation including income, employment, and health.
  • Each domain is weighted
  • Socioeconomic and ethnic inequality lead to loss of social cohesion, and hatred
  • Discrimination is mistreatment of groups which is done unintentionally or intentionally
  • Negative health outcomes may come from institutionalized discrimination and low social mobility
  • Socioeconomic status intersects with ethnic inequality disadvantaging some groups

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Description

Exploration of socioeconomic and ethnic inequalities in health. The Index of Multiple Deprivation (IMD) 2019, the official measurement of relative deprivation in England, ranks areas based on seven domains: income, employment, education, health, crime, housing, and environment. Socioeconomic and ethnic inequalities are problematic and disadvantageous.

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