Community and Public Health Nursing: Why Your Street Shapes Your Lifespan
How whole populations stay healthy: social determinants, prevention, epidemiology, outbreaks, vaccines, home visits, workplaces and disasters.
Try 3 questions
1. Researchers estimate that medical care accounts for roughly what share of a population's health outcomes?
- About 60 to 70 percent
- About 90 percent or more
- About 10 to 20 percent
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Answer: About 10 to 20 percent
Behavior, social and economic conditions and the physical environment together shape far more of health than clinical care does.
2. What does the "social gradient" in health describe?
- Wealthier people tend to catch more infections
- Only the very poorest have noticeably worse health
- Health improves step by step with social position
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Answer: Health improves step by step with social position
At every rung of the social ladder, people tend to be healthier than those just below them, not just the poorest versus the rest.
3. Within a single large city, how large can the gap in life expectancy between neighborhoods be?
- Two or three years at most
- Twenty years or even more
- Usually under one year
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Answer: Twenty years or even more
Studies in cities such as Glasgow and others worldwide have found gaps of two decades between areas a few kilometers apart.
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