Professional Documents
Culture Documents
HSC Pdhpe Dot Point
HSC Pdhpe Dot Point
7>ÞiÊ ÝÊUÊ>ÀVÕÃÊ-iÀ
© Science Press 2011
First published 2011
All rights reserved. No part of this publication
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Contents
Introduction v
Verbs to Watch vi
Dot Points
Questions
Answers
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This book provides questions and answers for each dot point in the Board of Studies syllabus for the following
topics in the Year 12 PDHPE course.
+HDOWK3ULRULWLHVLQ$XVWUDOLD
)DFWRUV$IIHFWLQJ3HUIRUPDQFH
6SRUWV0HGLFLQH
,PSURYLQJ3HUIRUPDQFH
Completing all questions will provide you with a summary of all the work you need to know from the syllabus.
You may have done work in addition to this with your teacher as extension work. Obviously this is not covered,
but you may need to know this additional work for your school exams.
When working through the questions, write the answers you have to look up in a different colour to those you
know without having to research the work. This will provide you with a quick reference for work needing further
revision.
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Science Press
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1.1.3 Identify types of information that epidemiological data could provide to analysts about a
given population.
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1.1.5 Outline uses of epidemiological data concerning the health status of Australians.
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(b) Mortality.
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1.1.7 Compare differences between mortality and morbidity, giving example of their uses.
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Age at 65
80
70
Age at birth
60
50
1907 1917 1927 1937 1947 1957 1967 1977 1987 1997 2007
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E 2XWOLQHWKHVLJQL¿FDQFHRIWKHXSSHUOLQHVKRZLQJOLIHH[SHFWDQF\DWDJH
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1.1.10 The life expectancy for people in Australia is increasing. Identify reasons to account for this
trend.
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(a) Compare life expectancy for men and women in Australia in 2007.
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E %DVHGRQWKHVH¿JXUHVLGHQWLI\ZKHUH$XVWUDOLDUDQNVLQOLIHH[SHFWDQF\FRPSDUHGWRWKH
countries listed and suggest reasons to account for this.
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Male Female
Percentage Percentage
Number of Number
Rank Cause of death of all male Cause of death of all male
deaths of deaths
deaths deaths
Cerebrovascular
2 Lung cancer 4715 6.7 6975 10.4
diseases
Dementia and
Cerebrovascular
3 4516 6.4 Alzheimer’s 4905 7.3
diseases
disease
Chronic
obstructive
4 2965 4.2 Lung cancer 2911 4.3
pulmonary
disease
Chronic
Dementia and
obstructive
6 Alzheimer’s 2415 3.4 2187 3.3
pulmonary
disease
disease
Unknown
Colorectal
9 primary site 1832 2.6 1886 2.8
cancer
cancers
Unknown
10 Suicide 1453 2.1 primary site 1655 2.5
cancers
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(b) Has the prevalence of the leading causes of death increased, decreased or stayed stable over
the last 10 years?
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1.2.2 Social justice is one criterion used to determine priority health issues in Australia. Outline
what is meant by social justice.
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(b) Equity.
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(c) Diversity.
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1.2.4 Another criterion for identifying priority health issues is the prevalence of the condition.
Explain what is meant by this term and why it is important.
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1.2.5 Describe the potential costs an individual may incur as a result of ill health.
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1.2.6 Describe potential costs to the community that may be attributed to the poor health of an
individual.
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(c) Identify changes an individual can make to minimise the chances of contracting a preventable
chronic disease, injury or mental health problem/illness.
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1.2.8 Describe criteria used to identify national health priority issues (NHPIs).
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(b) Complete the mind map below to show the six population groups which experience lower
levels of health than the general population.
Groups experiencing
inequities
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2.1.3 Aboriginal and Torres Strait peoples make up about 2.5% of the total Australian population
DQGWKH\H[SHULHQFHVLJQL¿FDQWO\PRUHLOOKHDOWKWKDQRWKHU$XVWUDOLDQV
(a) Outline the current mortality and morbidity trends of Aboriginal and Torres Strait Islander
(ATSI) peoples.
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E ,GHQWLI\VRFLRFXOWXUDOVRFLRHFRQRPLFDQGHQYLURQPHQWDOGHWHUPLQDQWVZKLFKKDYHLQÀXHQFHG
the health of Aboriginal and Torres Strait Islander (ATSI) peoples.
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(c) Suggest strategies to deal with health inequities of Aboriginal and Torres Strait Islander
peoples.
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(b) Outline the current mortality and morbidity trends for socioeconomically disadvantaged
people (those with low social economic status).
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F 2XWOLQHIDFWRUVWKDWKDYHLQÀXHQFHGWKHVHWUHQGV
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2.1.5
(a) Outline the current mortality and morbidity trends of people living in rural and remote areas.
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2.1.6
(a) Outline the current mortality and morbidity trends for overseas-born Australians.
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E ,GHQWLI\IDFWRUVWKDWKDYHLQÀXHQFHGWKHVHWUHQGV
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2.1.8
(a) Outline the current mortality and morbidity trends of people with disabilities.
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Preventable
chronic disease,
injury and mental
health problems
2.2.2 Cardiovascular disease (CVD) is a chronic but preventable health problem. It is one of the
leading causes of sickness and death in Australia.
(a) Describe what is meant by cardiovascular disease.
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2.2.4 Use examples to show that determinants of cardiovascular disease can be sociocultural,
socioeconomic and environmental.
(a) Sociocultural.
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(b) Socioeconomic.
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(c) Environmental.
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2.2.5 Outline the actions an individual can take to reduce the chances of contracting cardiovascular
disease.
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2.2.6 Justify the inclusion of cardiovascular disease as a priority health issue for Australia.
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Factor Cancer
Determinants:
Sociocultural
Socioeconomic
Environmental
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Incidence, trends
Factor Nature of the problem
and priority groups
Diabetes
Respiratory disease
(asthma and chronic
obstructive pulmonary
disease (COPD))
Injury
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Risk factors
Protective
factors
Determinants:
Sociocultural
Socioeconomic
Environmental
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Australian population
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(b) List possible problems that could arise with the development of an ageing population as
LOOXVWUDWHGE\WKHVH¿JXUHV
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2.3.3 Identify structures that support an individual’s ability to maintain good health as they age.
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2.3.5 Carers and volunteers make a substantial contribution to the care of the elderly in Australia.
Discuss the potential limitations of relying on volunteers and carers to assist the elderly.
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3.1.2 ,Q$XVWUDOLDKHDOWKFDUHIDFLOLWLHVFDQEHFODVVL¿HGDVSURYLGLQJHLWKHULQVWLWXWLRQDORUQRQ
institutional care. Distinguish between institutional and non-institutional health care services.
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3.1.3 Examine the responsibilities of the commonwealth, state and local governments for health
facilities and services.
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3.1.4 The principles of social justice require that all Australians should have equal access to
affordable, high quality medical services.
'HVFULEHKRZWKH3KDUPDFHXWLFDO%HQH¿WV6FKHPH 3%6 DQGWKH3%66DIHW\1HWUHÀHFWWKH
ideology of social justice.
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3.1.6 Compare the types of health care services likely to be accessed by a young person and an
elderly person.
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3.1.7 Compare the health care services provided to those who live in urban and rural areas.
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3.1.8 What does the term advocacy mean in relation to heath promotion?
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3.1.10 ([SODLQZK\SUHYHQWLRQLVEHWWHUWKDQFXUHIRUERWK¿QDQFLDODQGVRFLDOUHDVRQV
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3.1.11 Describe the support structures an individual can access for a degenerative disease.
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3.1.12 Identify new treatments and technologies that have impacted on health care.
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3.1.15 Describe initiatives established by the Australian government to decrease the burden of public
health care.
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Alternative/complementary
Function of the service/product
services/products
3.2.2 Account for the growth of alternative and complementary medicines in Australia.
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3.2.3 Justify the inclusion of alternative medicines in private health care rebates.
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(b) Outline a possible solution to the escalating problem of health care costs.
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3.2.6 Outline the consumer skills an individual needs when selecting alternative medical services.
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4.1 Health promotion based on the five action areas of the Ottawa Charter.
4.1.1 2XWOLQHWKH¿YHPDLQDFWLRQDUHDVRIWKH2WWDZD&KDUWHU
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4.1.2 The Ottawa Charter was developed to help promote health worldwide.
(a) Outline the two main aims of health promotion.
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4.1.3 7KH¿UVWSULQFLSOHRIWKH2WWDZDFKDUWHUUHODWHVWRHPSRZHULQJWKHLQGLYLGXDO([SODLQZKDW
empowerment of the individual means and how it relates to health promotion.
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4.1.4 The Ottawa Charter recommended strengthening community action with regards to health.
Compare the role of the community sector in the past with its role in recent times.
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4.1.6 It has been said that, health care professionals and the government are solely responsible for
an individual’s health.
Discuss this statement using examples to illustrate your understanding.
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4.1.7 The World Health Organisation (WHO) has recognised the importance of intersectoral action
on health. Explain what is meant by intersectoral collaboration and provide an example.
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4.1.8 Evaluate the effectiveness of one health promotion initiative for a national health priority area
you have studied.
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4.1.10 It is said that health promotion based on the Ottawa Charter promotes social justice.
(a) Recall the principles of social justice.
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(b) Is access to health care equitable for all groups in Australia? Explain.
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(c) Recall population groups in Australia that do not experience social justice and show how this
relates to their levels of health.
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(b) Creating supportive environments: Identify personal support networks in workplaces, schools
and where we live which can help reduce the prevalence of cardiovascular disease (CVD).
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(c) Strengthening community action: Suggest community-based support networks that help
reduce the prevalence of cardiovascular disease (CVD).
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(d) Reorienting health services: Outline ways money and resources used on curative services
has been redirected to prevention and promotion in order to help reduce the prevalence of
cardiovascular disease.
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4.1.14 6KRZKRZ$XVWUDOLDLVWDFNOLQJWKHLGHQWL¿HGSULRULW\KHDOWKSULRULW\DUHDRIFDQFHUE\XVLQJ
KHDOWKSURPRWLRQLQLWLDWLYHVEDVHGRQWKH¿YHDFWLRQDUHDVRIWKH2WWDZD&KDUWHU
(a) Developing personal skills: Identify how modifying personal behaviours and accessing
information can help reduce the prevalence of cancer.
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(b) Creating supportive environments: Outline ways that identifying personal support networks
in workplaces, schools and where we live can reduce the prevalence of cancer.
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(c) Strengthening community action: Suggest community-based support activities that will
reduce the prevalence of cancer.
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(e) Building a public health policy: Identify legislation the government has implemented aimed
at helping to reduce the prevalence of cancer.
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4.1.15 6KRZKRZ$XVWUDOLDLVWDFNOLQJWKHLGHQWL¿HGSULRULW\KHDOWKSULRULW\DUHDRIGLDEHWHVE\XVLQJ
KHDOWKSURPRWLRQLQLWLDWLYHVEDVHGRQWKH¿YHDFWLRQDUHDVRIWKH2WWDZD&KDUWHU
(a) Developing personal skills: Identify how modifying personal behaviour and accessing
information can help reduce the prevalence of diabetes.
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(b) Creating supportive environments: Recall how identifying personal support networks in
workplaces, schools and where we live can help deal with diabetes.
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(d) Reorienting health services: Recall the ways money and resources used on curative services
can be redirected to prevention and promotion to reduce the prevalence of diabetes.
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(e) Building a public health policy: Identify legislation the government has implemented to
reduce the prevalence of diabetes.
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(b) Creating supportive environments: Suggest how identifying personal support networks in
workplaces, schools and where we live can reduce the prevalence of mental illness.
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(c) Strengthening community action: Recall community-based support networks that will reduce
the prevalence of mental illness.
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(e) Building a public health policy: Identify legislation the government has implemented to
reduce the prevalence of mental illness.
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4.1.17 6KRZKRZ$XVWUDOLDLVWDFNOLQJWKHLGHQWL¿HGSULRULW\KHDOWKSULRULW\DUHDRIUHVSLUDWRU\
GLVHDVHE\XVLQJKHDOWKSURPRWLRQLQLWLDWLYHVEDVHGRQWKH¿YHDFWLRQDUHDVRIWKH2WWDZD
Charter.
(a) Developing personal skills: Suggest ways that modifying personal behaviours and accessing
information can help in the prevention and management of chronic respiratory disease.
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(c) Strengthening community action: Identify community-based support networks that will
reduce the prevalence of a respiratory disease such as asthma.
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(d) Reorienting health services: Outline the ways money and resources used on curative services
can be redirected to prevention and promotion to reduce the prevalence of a respiratory
disease such as asthma.
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(e) Building a public health policy: Recall the legislation the government has implemented to
reduce the prevalence of a respiratory disease such as asthma.
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(b) Creating supportive environments: Outline ways that identifying personal support networks
in workplaces, schools and where we live can reduce the prevalence of injuries.
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(c) Strengthening community action: Recall community-based support networks that will reduce
the prevalence of injury.
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(e) Building public health policy: Describe how government implementation of legislation has
helped to reduce the prevalence of injury in the population.
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4.1.19 You have studied two health promotion initiatives related to Australia’s health priorities. For
one of those initiatives, answer the following questions.
(a) Identify the initiative.
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(d) Analyse the impact of this initiative on one of Australia’s named health priority areas.
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1.1.1 (a) Epidemiology is the study of patterns (distribution and frequency) of health and disease across a population. It
involves collecting, verifying and analysing data on a population.
(b) Epidemiological data comes from many sources, e.g. hospitals, doctors and other health professionals, public and
private health insurance providers and health surveys as well as government statistics on information such as births
and deaths.
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particular groups or populations. It is used to develop policies and strategies aimed at promoting health of individuals within
the population.
1.1.3 The types of information provided by the data include: births, cause of death, disease incidence and prevalence, frequency and
duration of contact with health providers, e.g. doctors, hospital usage (types of treatment and reason for admission), money
spent on health care and days absent from work.
1.1.4 The limitations of epidemiological data include:
s lack of reliability of data (e.g. if sources are varied and numerous, or an imprecise method of collection is used)
s poor comprehension of surveys by some individuals
s non-standardised questioning in some surveys
s data may not be complete and thus not give a full picture of health problems within a population
s data can show correlations, but a correlation does not prove a causal relationship.
1.1.5 Epidemiological data can be used to identify and promote behaviours and strategies which will help to:
s control and prevent disease
s identify health care needs and allocate resources
s describe and compare patterns of health in groups or populations
s allow health professionals and governments to establish health priorities.
1.1.6 (a) Morbidity is the degree of illness and injury in a given population. Injury and sickness which does not lead to death
can still reduce quality of life on a temporary or permanent basis.
(b) Mortality is the number of deaths in a given population from a particular cause in a given time period, usually one
year.
(c) Life expectancy refers to the average number of years a person can expect to live at any given age (often given as life
expectancy at birth). Life expectancy is based on current death rates.
1.1.7 Mortality rates (death rates) are available for all known causes of death and can be an excellent tool in establishing inequities
across groups and even countries. Standardised mortality rates allow comparisons to be drawn across different diseases or
causes of death such as malignant neoplasm, cardiovascular disease and injury. Infant mortality is an often used health status
indicator as it draws upon many contributing factors, such as technology, neonatal and postnatal care, available access to care,
socioeconomic status, and isolation. It is a good indicator of health status as it takes into account many political and social
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environmental safety, recreational and even home safety. Rates of road or pedestrian injuries, workplace injuries and sporting
injuries can illustrate policy and place a personal emphasis on prevention or treatment. Morbidity information provides
information about conditions which, while not resulting in death, can still reduce quality of life of many people within the
community.
1.1.8 The prevalence of a disease is the number of existing cases of a disease in a population at a given time.
The incidence of a disease refers to the number of new cases of a disease arising in a population over a given time period.
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2.1.2 (a) Sociocultural determinants of health include peers, family, media, culture and religion.
(b) Socioeconomic determinants of health include employment, education and income.
(c) Environmental determinants of health include geographic location and access to health services and resources.
2.1.3 (a) Aboriginal and Torres Strait Islander peoples have lower life expectancy than non-indigenous Australians. Indigenous
males live 18.7 years less than non-indigenous males whilst females live 18.2 years less than non-indigenous females.
Infant mortality is also four times the national average. Indigenous people experience higher morbidity rates for
cardiovascular disease, cancer, motor vehicle accidents, homicide, suicide, respiratory diseases, eye and ear diseases,
and nutritional diseases such as diabetes.
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dislocation; and family separation (including forced separations).
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low educational levels reached, higher levels of unemployment, poor quality and overcrowded housing, greater levels
of drug-taking (smoking and drinking), poor diets (high in saturated fats and low in nutrients) and greater exposure to
violence.
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physical environment including housing, water supply and sanitation available; protection from environmental threats,
e.g. pests and climate extremes.
(c) Individuals, communities and governments all need to tackle the health inequities of Aboriginal and Torres Strait
Islander peoples. Possible strategies include:
s Increase the level of education and awareness of health issues and healthy lifestyle practices through prevention
and health promotion initiatives, e.g. improving nutrition and reducing chronic disease risk factors.
s Cultural awareness and reconciliation programs.
s Increase the funding for health care services and facilities.
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Preventable chronic
disease, injury and
Diabetes Respiratory disease
mental health
problems
2.2.2 (a) Cardiovascular disease (CVD) is a degenerative disease that affects the heart and blood vessels of the circulatory
system. It includes coronary heart disease (blockage of the coronary arteries which supply blood to the heart walls),
peripheral vascular disease (disease of blood vessels) and stroke (interruption of blood supply to brain cells). The
cause of most cardiovascular disease is atherosclerosis, the formation of plaques of fatty tissue on the inside walls of
blood vessels.
(b) In Australia, CVD is the leading cause of death and sickness, and is responsible for 32% of all deaths. At present the
incidence of CVD, morbidity and mortality are decreasing.
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Nature of the problem Cancer refers to a group of diseases that cause uncontrolled cell growth and spread abnormal cells, thus
producing tumours. Tumours can be benign or malignant. Benign tumours are usually slow-growing and generally
stay localised within a capsule that limits their spread. Malignant tumours are fast-growing and can spread to
invade surrounding tissue or spread to other parts of the body.
Trends (the extent of Cancer affects 1 in 4 females and 1 in 3 males by the age of 75.
the problem) Cancer is more common in men than in women, except between the ages of 25 and 54 where the incidence is
higher in women than in men.
Cancer is a major cause of death, with lung cancer being the most common cause and the rate decreasing for men
and increasing for women.
Cancer mortality rates are decreasing due to improvements in early detection and treatment.
Cancer morbidity is increasing in both males and females.
The most common cancers in females are breast cancer, melanoma, lung and colorectal cancers.
The most common cancers in males are prostate, colorectal, melanoma and lung cancer.
Risk factors – for Modifiable risk factors are exposure to carcinogens such as cigarette smoke, UV-rays and industrial chemicals,
groups at risk from poor diets that are high in fat and low in fibre, excessive alcohol consumption, obesity and lack of exercise,
breast, lung and skin multiple sexual partners, and early age for first sexual intercourse.
cancers Non-modifiable risk factors are gender, age, family history and fair skin colour.
Risk cancers are specific to the type of cancer.
Breast cancer – highest risk is for women who are obese; have never given birth; are over 50 years old; have a
family history of breast cancer; started menstruating early; and had late menopause.
Lung cancer – highest risk is for cigarette smokers; those exposed to dangerous chemicals, e.g. asbestos; those
over 50 years old.
Skin cancer – highest risk is for those with fair skin; those experiencing intermittent sun exposure without
protective clothing; young people; those living in areas with high hours of sunlight, at lower latitudes.
Determinants: Sociocultural – Cultural background is important, e.g. higher incidence of lung cancer in Aboriginal and Torres
Sociocultural Strait Islander peoples. Increased risk with a family history of cancer. Cultural values and attitudes can be
Socioeconomic important, e.g. if friends and family support reducing sun exposure to protect against skin cancer or promote sun
Environmental bathing.
Socioeconomic – Income, occupation, education, wealth, employment can all affect cancer rates. People with
lower socioeconomic status have higher rates of cancer. Occupations with exposure to carcinogens, e.g. asbestos
are more at risk. Low education levels are linked to poor choices and less access to health services.
Environmental – Exposure to UV radiation, tobacco smoke, toxins in the workplace, home or environment will
increase the risk of developing cancer. Those living in rural and remote areas have less access to screening and
other health services.
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Risk factors Type 1 – Genetics and possibly a viral infection when young.
Type 2 – (age-onset diabetes) Genetic predisposition, family history, ethnicity, e.g. ATSI peoples, Pacific islanders
and Chinese have a greater risk.
Develops with age.
A diet high in refined sugars, saturated fats and excessive alcohol intake.
Lack of exercise.
Obesity.
High blood pressure.
Smoking cigarettes.
Non-modifiable risk factors are family history, age, cultural background, and pregnancy.
Modifiable risk factors include diet and lifestyle choices.
Protective factors Type 1 diabetes – cannot be prevented, but a healthy life style assists in its management.
Actions to reduce chances of contracting diabetes: There are a number of precautions and positive health choices
an individual can make to decrease the chances of contracting diabetes, e.g.
s monitor the diet by decreasing the level of saturated fats and sugars
s eat a well-balanced diet in moderation
s moderate alcohol intake.
s regular physical activity
s have regular health checks (blood glucose levels).
Determinants Sociocultural – Cultural background, e.g. Aboriginal and Torres Strait Islander peoples are at higher risk of type 2
Sociocultural diabetes. Pacific island, Indian or Chinese cultural background increases the risk of diabetes. Family history is the
main risk for type 1 diabetes. Social acceptance of risk factors, e.g. high alcohol consumption.
Socioeconomic
The population is ageing so the incidence of diabetes is increasing.
Environmental
Socioeconomic – Low socioeconomic status and the associated poor lifestyle choices increases the risk of type 2
diabetes.These people are more likely to consume more alcohol, and a diet high in fats and sugar, and have a less
active lifestyle.
Environmentlal – Geographic isolation can make detection and treatment difficult. Greater access to technology
can lead to a more sedentary lifestyle.
Reasons for inclusion Diabetes satisfies all the criteria that a national health priority issue must exhibit.
as a national health s Diabetes has the third largest prevalence for both mortality and morbidity statistics.
priority issue
s The majority of predisposing factors that cause diabetes are modifiable, therefore the individual has the
potential to change these behaviours.
s Diabetes is overrepresented in certain population groups and these people quite often do not experience the
same levels of social justice as the rest of the population.
s Diabetes costs both individuals and the community a disproportionate amount of money and resources
therefore putting a burden on all areas of society.
2.2.10 The government and health authorities have to recognise the importance of social determinants because they play an integral
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individual exists. If the government is willing to challenge these inequities, health status can be greatly improved.
Education levels of many Australians are considerably limited, which means that many lifestyle choices may be made without
sound knowledge of the consequences. For example, choosing foods that are high in saturated fats can ultimately lead to high
blood cholesterol levels and possibly cardiovascular disease.
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medical insurance, therefore making services such as diagnostic and ancillary treatments out of reach for many. Statistics
show that people from lower socioeconomic status are more likely to engage in risk-taking behaviours such as drug abuse,
namely smoking and drinking.
An individual’s occupation can negatively impact upon health. For example, many blue collar workers are exposed to carcinogens
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sedentary occupations that can lead to obesity and high blood pressure, which are causal factors for cardiovascular disease and
diabetes.
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Alternative/
complementary Function of the service/product
services/products
Naturopathy Provides a holistic approach to treatment of the individual by evaluating symptoms of the disease/injury and treating
the causes of the illness.
Acupuncture A traditional medicine that involves inserting needles into the skin in particular areas to alleviate illness by stimulating
the natural healing response.
Chiropractic Treatment based on the role of the nervous system coordinating all of the body’s functions and the idea that disease
results from a lack of normal nerve function. Employs manipulation and specific adjustment of body structures such
as the spinal column. Chiropractors manipulate the spine with their hands to realign the vertebrae and relieve the
pressure on nerves.
Meditation Based on the concept of focusing on an object or one’s breathing to reach a meditative state, whereupon the
individual will experience inner peace which will help the body to resolve any health conditions.
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