Chapter 11

Learning Objectives 

After reading this chapter, one should be able to answer the following questions:    

1. What data is used to determine health indicators?  
2. What factors contribute to health disparities? 
3. What factors influence adherence to medical treatments?  
4. How do Integrated Care Models improve healthcare delivery?   
5. What are reasons that substance use is considered a public health problem? 
6. What are the characteristics of successful substance use prevention programs? 
7. What are ways that cultural relevance has been integrated into treatment of sexually transmitted infections and diseases? 

Test your knowledge of this chapter with this quiz!  

Question 1

In 2023, the U.S. ranked _____ globally in life expectancy.

3rd

12th

47th

1st

None

Question 2

What would be an example of integrating the community psychology into public health disease prevention?

Eliminating soda vending machines at public schools.

Police sponsored drug resistance program.

Using a celebrity spoke person in a public service campaign.

Building on existing local friendships to promote health behaviors.

None

Question 3

Integrated care is best understood as:

health care that increases connections between mental and physical wellness

a structure that allows professionals to better coordinate care and services

an approach to healthcare that increases access to services

All of the above

None

Question 4

Alcohol use among young people is:

more common than tobacco use.

more common among White females than females from other ethnic groups.

difficult to prevent.

All of the above

None

Question 5

Tobacco use causes more deaths than:

HIV

Illegal drug use

Car accidents

All of the above

None

Question 6

An example of a public policy approach to alcohol, tobacco, or marijuana prevention is:

Taxes and use restriction

Regulation of packaging

Regulation of advertising

All of the above

None

Question 7

Sexually transmitted Infections (STIs) are complex public health problems

because many have no symptoms

because they are untreatable

because they are minimally harmful

All of the above

None

Question 8

The US has one of the highest STI rates in the industrialized world.

TRUE

FALSE

None

Question 9

Which of the following is NOT a characteristic of community psychology principles applied to public health concerns?

Building systems

Remediation over prevention

Shifting focus from individuals to groups and neighborhoods

Increasing accessibility

None

Question 10

Which of the following is NOT an example of a culturally relevant approach to prevention?

Using community health advocates

Partnering with community organizations that have trusted relationships with the community

Connecting services to physician visits

Having multilingual providers

None

Time’s up

Study Questions 

1. What progress has the U.S. made in making healthcare more accessible over time? What do you think are the long-term solutions needed to make more of the population health? 
2. Individual models of health emphasize personal behaviors and decision making as key to maintaining healthy lifestyles. How do community psychology approaches differ from these models?  
3. Would you say that prioritizing health has become more or less important in the current generation of young people? What supports your opinion? 
4. What are some of the contributing factors to substance use problems that are the most challenging to change? 

Additional Resources 

• Anti-tobacco advocates push to block flavored e-cigarettes, NJ Spotlight News: https://www.youtube.com/watch?v=XnADGu6hTmI 
• CDC: https://www.cdc.gov/  
• Pandemic: Facing AIDS (2023): Presentation and discussion around the film ‘Pandemic: Facing AIDS’, presented by the Institute of Politics Harvard Kennedy School: https://www.youtube.com/watch?v=LRwD_AjqO3M 
• PBS Frontline: Sick Around America: https://www.pbs.org/video/frontline-sick-around-america/  
• Planned Parenthood: https://www.plannedparenthood.org/  
• National Center for Health Statistics: https://www.cdc.gov/nchs/index.html  
• NIH: https://www.nih.gov/ 
• What experts say about who has the world’s best health-care system – Washington Post opinion: https://www.youtube.com/watch?v=wfsJXo1h1G0