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4 Pathways to Unequal Health Outcomes Online Quiz Questions

Use this free practice quiz with 20 questions to review 4 Pathways to Unequal Health Outcomes, test your knowledge, and prepare for your next test or exam.

20 questions
01
True or false
1 point

A difference in health outcomes between two social groups is automatically a health inequity, even if it is not avoidable or linked to social disadvantage.

  1. A

    True

  2. B

    False

02
Choose one
1 point

A community health team is examining how the political and economic context shapes people's social positions and access to resources. Which level of determinant is the team examining?

  1. A

    Housing quality in a particular neighborhood

  2. B

    Political and economic systems that distribute power and resources

  3. C

    Stress and social support in a person's daily life

  4. D

    The availability of a particular health service

03
Fill in the blank
1 point

In the Healthy People 2030 framework, transportation and neighborhood safety belong to the domain.

04
Written response
1 point

Health risks tend to increase at each step down the social hierarchy, rather than being concentrated only among the poorest group. What is this pattern called?

05
True or false
1 point

Poor health can deepen the economic and social conditions that contributed to it, for example by reducing a person's ability to work and increasing expenses.

  1. A

    True

  2. B

    False

06
Written response
1 point

In Levesque, Harris, and Russell's access framework, which ability is constrained when a person cannot afford out-of-pocket costs?

07
Choose one
1 point

A clinic provides a needed service, but it is open only during standard work hours. Which service accessibility dimension most directly describes this scheduling barrier?

  1. A

    Approachability

  2. B

    Affordability

  3. C

    Availability and accommodation

  4. D

    Appropriateness

08
Fill in the blank
1 point

Housing and working conditions, psychosocial circumstances, and the health system are examples of .

09
Choose one
1 point

A person lives in poorly maintained housing with mold and also has low wages, inflexible work hours, and unreliable transportation. Which pathway best explains how these circumstances may contribute to uncontrolled asthma?

  1. A

    Mold exposure can aggravate asthma, while barriers to care can make it harder to control.

  2. B

    Mold exposure affects health only when a person lacks insurance.

  3. C

    Housing conditions matter only after a person has received treatment.

  4. D

    Access barriers can affect treatment but cannot influence health outcomes.

10
Choose all
1 point

Which of the following are intermediary determinants in the World Health Organization framework? Select all that apply.

  1. A

    Housing and working conditions

  2. B

    Stress and social support

  3. C

    The political and economic context

  4. D

    Systems that distribute power and resources

  5. E

    The health system

11
Choose one
1 point

A study finds similar insurance coverage across two neighborhoods but different rates of complications. Which measurement plan would best assess whether differences in access and care may help explain the outcome gap?

  1. A

    Record insurance coverage only.

  2. B

    Count the number of clinics in each area only.

  3. C

    Measure timeliness, continuity, effectiveness, and respectfulness of care alongside health outcomes and patient experience.

  4. D

    Compare the number of people who report needing care, without measuring whether they received it.

12
Choose all
1 point

Researchers find similar average outcomes for two broad population groups but suspect that the averages hide important differences within each group. Which approaches could help reveal those differences? Select all that apply.

  1. A

    Compare outcomes across overlapping characteristics such as income, disability, age, and location.

  2. B

    Use only a single average for each broad social group.

  3. C

    Assume that everyone within a social group has the same exposure and access to care.

  4. D

    Examine whether patterns differ for people who experience multiple forms of disadvantage.

13
Open ended
1 point

A health team finds that asthma-related emergency visits are more common in one neighborhood than another. Explain how the team could analyze this difference using structural and intermediary determinants and the care-access pathway. Include relevant conditions to investigate, a way to assess care or outcomes, and how to decide whether the difference is a health inequity.

14
Choose one
1 point

A community’s transportation system affects residents’ ability to reach both jobs and health services. Which Healthy People 2030 domain most directly organizes this issue?

  1. A

    Education access and quality

  2. B

    Neighborhood and built environment

  3. C

    Economic stability

  4. D

    Social and community context

15
Written response
1 point

What term generally describes avoidable, unjust differences in health linked to social disadvantage?

16
Choose one
1 point

In the WHO framework, a study finds that poorly maintained housing exposes residents to mold. How should housing be classified in the framework?

  1. A

    Political and economic context

  2. B

    Systems that distribute power, money, and resources

  3. C

    Material circumstances such as housing

  4. D

    Social position, including income and occupation

17
Choose one
1 point

A patient does not seek help because the available health information is difficult to understand in their language. Which part of the care pathway is most directly affected?

  1. A

    Recognizing and seeking care

  2. B

    Reaching and paying for care

  3. C

    Receiving effective care

  4. D

    Living with illness

18
Written response
1 point

In the Levesque framework, which ability corresponds to the service accessibility dimension of availability and accommodation?

19
True or false
1 point

A social gradient in health describes disadvantage affecting only the poorest group.

  1. A

    True

  2. B

    False

20
Choose one
1 point

A health service is available, but the care it provides does not fit a person's needs. Which service accessibility dimension is most directly implicated?

  1. A

    Approachability

  2. B

    Acceptability

  3. C

    Affordability

  4. D

    Appropriateness