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The works of McKeown showed that ________.


A) the main driver of decline in mortality from the most common infectious diseases in the beginning of the twentieth century in Europe is improved health care
B) the main driver of decline in mortality from the most common infectious diseases in the beginning of the twentieth century in Europe is changing social conditions
C) the demographic transition is not an accurate predictor of population change
D) immunization is a driving force for reduction in mortality rates from measles and scurvy

E) B) and C)
F) All of the above

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The text identifies ________ as the two modern figures that are closely associated with the revival of a population-health perspective.


A) Gerry Rodgers and George Kaplan
B) Thomas McKeown and Geoffrey Rose
C) Γ‰mile Durkheim and Friedrich Engels
D) Rudolf Virchow and John Snow

E) B) and C)
F) A) and D)

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A recent high-quality study of reported differences among-and between-Canadians and Americans shows that health inequalities are mostly attributable to ________.


A) differences in smoking habits
B) levels of physical activity
C) obesity and excessive weight differences
D) education and household income

E) All of the above
F) A) and D)

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D

Thomas McKeown's (1976) research showed that the sharp decline in mortality in western Europe after 1850 was due to changing social and environmental factors, notably the availability and affordability of better diet.

A) True
B) False

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The epidemiological transition is said to occur when societies reach a level of affluence equivalent roughly to $6,000-$10,000 per capita income.

A) True
B) False

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Crude death rates are calculated by ________.


A) comparing the average life span of individuals
B) computing life expectancy and mortality rates
C) counting the total deaths in a population within a given period of time, usually a year
D) calculating years of life lost before age 70

E) B) and C)
F) B) and D)

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The individual-level model of health and disease is generally referred to as risk factors model.

A) True
B) False

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The study of the social patterning of behaviour suggests that our behaviour ________.


A) is the best predictor of our health
B) is shaped by our social context and people with whom we interact
C) is a better predictor of health than our genetic makeup
D) is influenced by our genes

E) All of the above
F) A) and C)

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Sex is one of the host characteristics that is commonly used in the risk factors model. What are the problems associated with using sex as a predictor of one's health status?

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Problems associated with using sex as a predictor of one's health status include the following: \(\bullet\) Biologic sex is a spectrum, not binary. \(\bullet\) Health differenences between men and women are overstated. \(\bullet\) Sex is confounded with gender; many health differences are gender-, not sex-related, and gender roles vary by time and place. Therefore, sex and gender need to both be considered. (pp. 21-22)

What is wrong with the idea that disease is caused by behaviour combined with genetic susceptibility?

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While genetic and behavioural factors in...

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In epidemiology, a secular change ________.


A) is a transition from highly religious society to a secular one
B) is a social and cultural change toward greater materialism and individualism
C) is a change in the behaviour of a population that occurs rapidly for no apparent reason
D) occurs when a change in behaviour happens in response to broader changes in society

E) A) and B)
F) None of the above

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The different levels of analysis discussed in your textbook in reference to health refer to ________ levels.


A) individual, community, and population
B) social, contextual, and biological
C) distal, intermediate, and proximal
D) local, international, and global

E) None of the above
F) B) and D)

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Overall, risk factors at the individual level account for only a small proportion of the incidence of disease.

A) True
B) False

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The findings from the field of epigenetics suggest that ________.


A) environmental factors have little impact on the expression of genes influencing our health
B) genes do not determine our health status which can be completely explained by environmental factors
C) genes react to environmental factors and neither our genes nor the environment decisively determines who we are and how healthy we will be
D) most diseases have underlying genetic causes

E) C) and D)
F) All of the above

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An individual's genetics are the only accurate predictor of one's health status.

A) True
B) False

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What is the predictive capacity of genetics in the risk factors model?

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Predictive factors:
blured image Susceptibility to s...

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Friedrich Engels's 1844 data on the working people of Manchester showed that the ________.


A) death rates of rich people in newly industrialized urban centres were much higher than the death rates of poor people in rural settings
B) death rates of poor people in rural settings were much higher than the death rates of poor people in newly industrialized urban centres
C) death rates of rich people in rural settings were much higher than the death rates of rich people in urban settings
D) death rates of poor people in newly industrialized urban centres were much higher than the death rates of poor people in non-industrialized urban centres

E) A) and B)
F) A) and C)

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The first phase in the demographic transition is characterized by ________.


A) low fertility rates, low mortality, rates and high population growth
B) low fertility rates, low mortality rates, and low population growth
C) high fertility rates, high mortality rates, and near-zero population growth
D) high fertility rates, low mortality rates, and high population growth

E) C) and D)
F) None of the above

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The following statement regarding prevalence is TRUE: ________.


A) Prevalence is equivalent to the rate of disease in a population
B) Prevalence is calculated by considering the likelyhood of members of a population being exposed to a known risk
C) Prevalence does not tell us anything about probability of risk of contracting the disease
D) Prevalence and incidence are two identical measures

E) B) and C)
F) A) and C)

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What are some the ways sex and gender affect health of Canadians?

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The answer should make it clear that sex and gender are associated with behaviour and social expectations, roles, and responsibilities. It is the complex interaction of the physiological and social variables that produces most of the observed differences in incidence of accidents, disease, disability, and premature mortality (pp. 21-22).

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