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Macrosocial influences
Large-scale social, economic, political, and cultural forces that influence the life course of people simultaneously
Dominant public health policy assumes individuals are responsible for their own health
Poverty, socioeconomic status, Social capital
Social capital
social relationships as resources. Those with greater social capital have more positive health outcomes
Gender differences lifespan
men die earlier but women have poorer health, in less developed countries men live longer
Gender differences illness
women suffer more non-fatal illness and hospitalised more women have twice the rate of depression, men have higher rates of injury, suicides, homicides
Gender differences - Lifestyle differences for women
birth, rape, DV, sexism
gender differences - stereotypes
men more likely to adopt risky behaviours, women more likely to engage in health protective behaviours
Gender differences - neurosexism
differences in male and females from brain development, sex hormones, corpus callosum larger in females
Racial differences - racism
discrimination in health care system, racial stress creates poor health (blood pressure, chronic inflammation)
Racial differences - ethnocentrism
ignore cultural, lifestyle and language differences
Racial differences- SES
live in unhealthy environments due to lower SES
Racial differences - genetics
epigenetics changes for stress response, sickle-cell disorder affecting African Caribbean
Stigma
Unfavourable reactions towards people when they are perceived to possess attributes that are undesirable. Creates stress and unemployment, Stereotype threat and environmental cues
Stereotype threat
Fear of conforming to negative stereotypes about group. Creates heightened cardiovascular reactivity, anxiety
Environmental cues
Stereotypes made salient by environment, eg hyper masculine environments
Other sources of stress
Daily hassles, burnout, self control failure, biopsychosocial model of threat
Biopsychosocial model of threat
When situation is viewed as a challenge, tends to result in bodily responses
challenge response = responding well to stress
Threat response = responding poorly to stress