Social Determinants of HealthOnline version What actually causes health, and ill-health? by Alan Ramsay 1 Health is best described as a resource that allows a person to have: a A social and spiritual life b A productive social and economic life c Economic well-being d Physical capacity 2 Primary prevention is concerned with: a Preventing disease or illness occurring b Delaying the progress of an existing disease or illness c Maintaining current health status d Treatment of an existing disease or illness 3 The main aim of public health is to improve health by: a Providing medical intervention appropriate for the individual b Performing research to compare the effectiveness of treatments c Promoting health and preventing disease in populations d Providing advice on risk markers and genetics to families 4 Which approach to health is most concerned with the social causes of disease, injustice and inequity? a Biomedical b Behavioural c Ecological d New public health 5 Sustainability refers to the ability of a program to: a Be uncompromising when disturbances occur in social and environmental systems b Identify and reduce risk factors and lifestyle behaviours affecting health c Meet current needs without affecting the ability of people in the future to meet their needs d Focus on the social, political, economic and ecological dimensions of health 6 Primary health care focuses on: a Providing early diagnosis and treatment b Performing health surveillance measures c Exploring the relationship between determinants of health d Reducing inequity and improving effects of disadvantage 7 An example of primary health care is an: a Nurse Practitioner clinic b Aboriginal Community Controlled Health Organisation c Outpatient clinic for a specific disease process d Aged Care Services Organisation 8 Which of the following models of health is the primary health care approach based on? a Behavioural b Economic c Social d Education 9 Which of the following best describes the principles that underlie the social health model? a Individualised technologies and responsibilities b Separation of health from the environment and spiritual beliefs c Reduction of individual risk factors and individual or community-based education d Reduction of inequality and empowerment within individuals and communities 10 Comprehensive primary health care is characterised by activities that work to change: a Social and political determinants of illness b Economic and educational well-being c Health status in communities, regions or cities d All of the above 11 The key elements the World Health Organization sees as necessary to achieve better health for all include: a Decreasing inclusion in health care coverage b Increasing stakeholder participation c Centralising and standardising health service delivery d Reducing use of collaborative models 12 Health care is predominantly: a The province of the diagnostician b Community focused c Political in nature d Independent in nature 13 Social determinants of health: a Are constant between similar populations b Refer specifically to the characteristics of health c May vary between similar populations d Refer specifically to methods that can be used to measure health 14 The Ottawa Charter described health in terms of: a The presence of disease b The presence of health c The objective for living d Physical capabilities 15 Predictors of future population health include factors such as: a People’s circumstances b Childhood lifestyle factors c Geographic location of people d All of the above 16 Understanding of health determinants is essential for: a Primary health care interventions and assessment b Effective programs to enable people to maintain good health c Organisation of health services in regions or cities d Acute care service provision 17 Most people view health based on their: a Personal knowledge and experience b Life situations c Cultural background d All of the above 18 For primary health care to improve health, people must first have: a Access to medical services b Their basic needs met c A health promotion program d Electronic medical records 19 What distinguishes primary health care from primary care? a A focus on primary, secondary and tertiary intervention b Provision of interventions specific to the health need c Works within a multidisciplinary framework d Planning and operation of services is centralised 20 Health equity refers to the: a Right to fair distribution of health services b Disparities in health status among individuals c Discrimination inherent in health care d Statistical differences in health between groups 21 The term used to describe measurable differences in attaining health is: a Health equity b Health inequity c Health gradient d Health inequality 22 Allocation of health resources to one geographic area or group is an example of: a Health inequity b Health equity c Health inequality d Health justice 23 Health literacy is best defined as the capacity of a person to: a Read health-related literature b Follow medical instructions for a specific health care problem c Recognise and know how to find information about a health problem d Access the internet 24 Social justice refers to: a Ensuring the punishment fits the crime b An ethical concept based on human rights and fairness c Social inclusion d An ethical concept based on autonomy 25 Which of the following is the best description of life expectancy? a The number of years people in a specific group or population can expect to live b The number of years all people in all populations expect to live c The minimum number of years people in a specific group expect to live d The maximum number of years people in a specific group or population expect to live