Professional Documents
Culture Documents
1. The most common response to symptoms of illness by people throughout the world is:
a. Health behavior.
b. Illness behavior.
c. Self care.
d. Doctor visits.
e. None of the above.
3. The data in the Dutton (1978) study on health care utilization among the poor favored the
_______________ hypothesis.
a. Systems barrier.
b. Financial coverage.
c. Culture of poverty.
d. Disparities.
e. None of the above.
4. Which group has the highest percentage of persons without health insurance?
a. Non-Hispanic white.
b. Non-Hispanic black.
c. Hispanic, Mexican.
d. Asians.
e. European migrants.
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d. Lower classes.
e. All of the above.
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a. Taking preventive measures.
b. Self-treatment of symptoms.
c. Managing chronic conditions.
d. Consultation with health care providers.
e. All of the above are components of self-care.
11. A number of factors have promoted self-care on the part of laypersons. Which is a factor?
a. The shift in disease patterns from acute to chronic illnesses.
b. Dissatisfaction with professional medical care that is depersonalized.
c. Recognition of the limits of modern medicine.
d. The increasing awareness of alternative healing practices.
e. All of the above are factors promoting self-care.
12. People have been doing self-care for ______________ and it is made easier today by
access to the Internet with its abundance of medical information.
a. A couple years.
b. Decades.
c. Centuries.
d. Self-care is relatively new, and we don’t know how long it has been occurring.
e. None of the above.
13. People engage in self-care in a manner ____________ with medical norms, values, and
information.
a. Consistent.
b. Inconsistent.
c. At odds with.
d. In tandem.
e. None of the above.
Page: 144
14. Which point in the life course is NOT a peak period for when women visit doctors the
most?
a. Childhood.
b. Childbearing years.
c. After 35.
d. After 45.
e. All of these are peaks in the visitation pattern for females.
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Answer: C Page: 165
15. Woman’s reproductive role accounts for less than _________ of all doctor visits.
a. 10%.
b. 20%.
c. 30%.
d. 40%.
e. 50%.
17. The process by which a family provides a child with a specific social identity is:
a. Classification.
b. Socialization.
c. Enculturation.
d. Brain washing.
e. None of the above.
18. Which refers to the social relationships a person has during day-to-day interaction, which
serves to suggest, advise, influence, or coerce an individual into taking or not
taking particular courses of action.
a. Intrapersonal affect.
b. Lay-referral system.
c. Family.
d. Social network.
e. None of the above.
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d. Family members.
e. None of the above..
20. The higher an individual’s socioeconomic position, the __________ ethnic the person
often becomes.
a. Less.
b. More.
c. Balanced.
d. Really.
e. None of the above.
22. Which group has a higher rate of those covered by private insurance than the national
average?
a. Blacks.
b. Hispanics.
c. Asians.
d. Native Americans.
e. None of the above.
23. Koos’s study helped establish the premise that _______________ persons are less likely
than others to recognize various symptoms as requiring medical treatment and that these
beliefs contribute to differences in the actual use of services.
a. Lower-class.
b. Middle-class.
c. Upper-class.
d. Middle- and upper-class.
e. Lower- and middle-class.
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24. Dutton tested different explanations concerning why the poor would show lower use rates
in relation to actual need than the non-poor. Which was NOT a tested explanation?
a. Financial coverage.
b. Level of education.
c. Culture of poverty.
d. Systems barrier.
e. All of these were tested.
27. _______________ does not promote equality among laypersons when direct physician–
patient interaction is required, nor does it provide a context within which such an
orientation can grow within the medical environment.
a. Health care philosophy.
b. The lay-referral system.
c. The culture of medicine.
d. Consumerism.
e. None of the above.
1. Christakis and Fowler found that obese persons were highly likely to have social
networks of family and friends who were similarly obese people with shared outlooks.
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2. Puerto Rican Americans are among those most likely to report that they could not afford
health insurance as the main reason they did not have coverage.
3. Given that the poor are visiting doctors in greater numbers, it is generally accepted that
they use the same sources of medical treatment as those of higher income groups.
4. On average, females tend to visit physicians more often than males in the U.S.
5. Patients as consumers are making decisions on their own about which steps are
most appropriate for them in dealing with doctors and maintaining their health.
7. About 12 percent of the American population does not have health insurance.
9. It appears that men generally know more about health matters than women, but women
take better care of themselves.
10. The family represents a social experience that influences how a particular person
perceives his or her health situation.
11. The strategies that people employ for seeking health care are socially organized around
the opportunities they have for interacting with people in a position to help.
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12. Ethnicity’s influence on physician utilization appears wide-sweeping and goes beyond its
role in providing a cultural context for decision making within social networks.
13. Surprisingly, socioeconomic status does not confound the effects of ethnicity on help
seeking.
14. The culture of poverty includes traits of dependence, fatalism, inability to delay
gratification, and a lower value placed on health.
15. Only some 10 percent of all American physicians are of Hispanic origin.
16. When actual need for health services is taken into account, low-income persons appear to
use fewer services relative to their needs.
17. Dutton found the culture of poverty explanation to have little to no validity when
combined with measures of income.
18. Beliefs can have an impact on the use of physician services that is independent of
financial constraints and the structural organization of services.
19. Blacks and less educated individuals have gained less equitable access to the health care
system with the advent of Medicare and Medicaid.
20. There is more of a consumer orientation toward health among socially advantaged
persons.
Essay Questions
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1. Describe the relationship between socioeconomic status and illness behavior. Explain the
basis for your answer.
2. Define and discuss Mechanic’s ten determinants. How does it relate to illness?
3. Compare and contrast the systems barrier and culture of poverty theories. How are they
similar? How are they different?
4. Define Medicare and Medicaid. How have Medicare and Medicaid affected health care
access and utilization across various groups?
5. What are some patterns and trends we see amongst various racial/ethnic groups in illness
behavior? Blacks, Hispanics, Native Americans, and Asians?
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