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Midterm 2 HP400 Fall 09

Midterm 2 HP400 Fall 09 - Midterm#2 Study Guide Fall 2009...

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Midterm #2 Study Guide, Fall 2009 HP 400, Classes Shahlapour The Midterm # 2 will cover the PowerPoint lectures, Textbook assignments student presentations and supplemental reading for classes since the midterm exam # 1: Classes # 11 through 19. From International perspectives CVD, culture and Cardio Vascular Disease From “Racial and SES Differences in Risk Factors for CVD”: 1. Know about the two strongest predictors of CVD-related premature death in the U.S. i. Female head of household ii. African American 2. Know the factors that affect the health status of African American women i. Higher prevalence of stroke than AA men ii. Income disparity 1. 27% of AA below poverty level 2. Only 9% of whites iii. Lower SES = higher CVD risk iv. Lower income regardless of education level v. More likely to have history of CVD and diabetes vi. AA women had even higher BMI than average vii. Risks differed by BMI and education viii. Health influenced by 1. Poverty 2. Racism 3. Residing in medically underserved regions 4. Lack of education opportunities with comparable economic reward From “Race, Ethnicity, and Geography”: 1. Know how rates of heart disease differ between African American and European- American women - Death rate from heart disease is 69% higher than Euro-American women 3. Know the contributing factors to the high CVD rates in African American women i. Obesity ii. High sodium intake iii. High fat diet iv. Misperceptions about seriousness v. Severity of hypertension vi. Cost of treatment vii. Lower access to health care viii. Possibly low birth weight 4. Know the risks of Southern living
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i. Population density ii. Lack of access to health care iii. High-crime neighborhoods iv. Dilapidated housing v. Environmental hazards vi. Ethnic/racial stress vii. Social injustice viii. Highest rates of death from myocardial infarction, stroke and renal failure 5. Know the death rate attributed to CVD for Latina women in 1997 i. 34% for Latino women from CVD 6. Know why women might delay seeking care for CVD i. Women may not recognize symptoms ii. Presentation is different 1. Gastrointestinal pain 2. Nausea 3. Fatigue 7. Know the components for primary prevention of CVD in ethnic minority women i. Tobacco prevention ii. Physical activity iii. Nutrition iv. Stress reduction From “Gender Gap in Heart disease Be aware of why life expectancy is declining for men in Eastern Europe v. Dramatic increase in heart disease 1. Differences seem to be psychosocial vi. Less social support and greater stress vii. Fewer coping skills viii. Avoidance as coping and exhaustion ix. Smoking, drinking not seeking help x. Rapid social and economic change 2. Know some of the stressors that have disrupted traditional male roles in Eastern Europe i. Sudden economic changes after political changes in Eastern Europe: turmoil ii. Loss of job security, breadwinner status iii. Break-up of social relations iv. Stigma of asking for help v. Faced with stress, engage in behaviors consistent with
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Midterm 2 HP400 Fall 09 - Midterm#2 Study Guide Fall 2009...

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