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macro-social influences
large-scale social, economic, political, and cultural forces that simultaneously influence people's life course. This can include actions and policies of governments, cultures, historical legacies etc
poverty
approx. 70% of the world’s population live in low or middle income countries and half of the world’s population lack access to medial care and essential medications. Other major impacts of poverty caused by the absence of: safe water, sanitation, adequate diet, housing, basic education
socioeconomic status (SES)
measure of wealth, education, and status, for example, higher SES = better health and longer life expectancy
social capital (loneliness)
social relationships as resources. This can enforce community engagement, trust, and safety, reciprocity and diversity
gender and racial difference in health
men die earlier than women, but women have poorer health. In less developed countries, men still live longer than women. Women suffer more non-fatal illnesses and hospitalized more often, they also have double the depression rate than men. But men have higher rates of injuries, suicides, homicides and heart disease. Women experience different psychosocial and lifestyle differences such as childbirth, rape, domestic abuse, sexism, concerns about weight, work inequalities
role of stereotypes and socialization
social constructs of masculinity and femininity affect health behaviours. Men are more likely to adopt risky behaviours but women are more likely to engage in health-protective behaviours. Early childhood socialization in gender differences in skills such as toys, like girls playing with dolls engages them in stereotypically domestic-related activites
neurosexism
the assumption that differences between males and females are from brain development and biology was used to justify stereotypes
acute experiences of stress
acute stress responses via discrimination causes fight or flight and anticipate future discrimination, causing anxiety
stress overlap with SES
studies of race and health generally control for SES, and race-related differences frequently disappear after adjustment for SES
stigma
a negative perception, stereotype or mark of shame attached to a particular characteristic, behaviour or condition
stereotype threat
a fear of confirming to negative stereotypes about a group, for example, stereotypes about math ability (women) or intelligence in minority groups
threatening environments
these may be hypermasculine environments, gendered environments being non-inviting, underrepresentation of stigmatized groups in marketing
burnout
exhaustion and depletion of emotional and physical resources which can lead to pessimism (negative attitudes). This can be caused by overwhelming amount of work, feeling lack of control or large emotional component of job
ego-depletion for impacts of stress
requires high self-monitoring and prolonged suppression of emotions and behavior, impacting subsequent control. Extended stress can reduce self-control, and this leads to poor decision-making
biopsychosocial model of challenge
Challenge response = responding well to stress (increased physiological arousal where the individual has the resources to cope)
Threat response = responding poorly to stress (when an individual feels overwhelmed and believe they cannot handle the demands of the situation)