PH Mental Health and Chronic Disease

  1. T/F Chronic diseases have more complex causations than infectious disease
  2. Rarely does a ____ cause chronic illness
    Single Cause
  3. Chronic Disease: "Normal" replaced by "_____"
  4. 4 Ways to Prevent Oral Cancer
    Diet rich in fruits and vegetables, safe sex, oral hygiene and dental care, substance abuse control
  5. Which cancer kills the most U.S. citizens?
    Lung (including throat)
  6. _____ people are expected to die from cigarette use by 2100 if consumption stays constant
  7. Tobacco companies new cigarettes were dangerous by _____
  8. Risk factors for cardiovascular disease combine in ___ ways
  9. Factors causing reduction in number of heart attack deaths (5)
    Reduced fatality, increased awareness, decline in smoking, increased physical activity, pharmaceuticals
  10. Heart disease disparities: heart attacks are more fatal for men or women? higher attack rates in which race? higher risk of stroke in which race?
    women; african- americans, african- americans
  11. 3 social risk factors for heart disease and stroke
    Being male, African- American, under educated
  12. Most common chronic disease in American children
  13. 65% of asthmatic children live in areas where ___
    pollution exceeds recommended levels
  14. ___ increase in asthma mortality since _____
    40%, 1980's
  15. African- American children have __ times more mortality from asthma
  16. What is chronic obstructive pulmonary disorder(COPD)?
    Occurs in advanced stages of chronic disease and obstructs airflow due to chronic bronchitis
  17. COPD affects ___% of males in U.S. and causes _____ deaths/ year
    30; 100,000
  18. _____ Americans will have a cancer in their lifetimes; __% more risk of cancer in African- Americans; ___ more risk of cancer death in African- Americans
    1 in 3; 10; 30 (50% in men)
  19. _____ has highest levels of heart disease
  20. Testing home for radon is a means of primary prevention for the following cancers (3)
    lung, skin, gastrointestinal
  21. Elimination of chemical and toxin exposure is a means of primary prevention for the following cancers (3)
    Lung, leukemia, lymphoma
  22. Eating a low- fat diet reduced risk of the following cancers (3)
    breast, colorectal
  23. ____ is the main cause of gender disparities in cancer; it accounts for __% of all cancers
    Smoking; 15-30%
  24. 6 main causes of cancer
    Smoking, diet, obesity and lack of exercise, alcohol, HPV, environmental and occupational hazards
  25. Reasons why PH might have ignored mental health in the past (3)
    Preoccupation with prevention, emphasis on sanitation and environmental health, difficulties measuring mental health morbidity and preventing complex causal chains
  26. Tools to measure mental health
    General Health Questionnaire (GHQ 12), Hospital Anxiety and Depression Scale (HAD)
  27. Sensitivity and specificity for HAD
    96% sensitivity, 57% specificity for depression
  28. What is the National Comorbidity Survey
    Study of 12- month mental disease prevalence in U.S. population
  29. Findings of the National Comorbidity Survey (4)
    50% report 1 disorder in lifetime, 30% report illness in past 12 month, over half with 1 disorder have 2 or 3 (14% of total population). fewer than 40% of those with at least 1 disorder receive treatment (over 60% untreated)
  30. Mental and neurological disorders account for ___% of global DALYs
  31. Three types of mental disorders
    Neurological, CMDs, Behavioral
  32. 3 Neurological disorders
    Autism, dementia, mental retardation
  33. 3 CMDs
    Schizophrenia, neurosis (anxiety, OCD), mood disorders (depression, bipolar)
  34. 3 Behavioral Disorders
    Eating disorders, personality disorders, substance abuse
  35. Most common mental health disorders (2)
    Neuroses, mood disorders
  36. Globally, ____% of the population experiences unipolar depression every year
  37. ____ phobia is the most common
  38. Leading cause of years of life lived with disability for both sexes
  39. Clinical psychiatry historically has focused on ___ and ____
    tertiary care; clinical management through outpatient services
  40. ___% of countries lack community based mental health approaches
  41. In the 1990s, there was boom in _____
    public health reframing of mental, emotional and behavioral health
  42. The "Four Filters" of Mental Health Epidemiology
    1) population 2) attention in primary care 3) referrals to specialists 4) hospitalization 5) psychiatric inpatients
  43. The most expensive form of mental care is _____, which accounts for ___% of all psychiatric costs. It can also (3)
    Inpatient care; 85%; compound feelings of alienation, segregation, lead to human rights abuses, cause links to criminal justice system
Card Set
PH Mental Health and Chronic Disease