The West Bengal University of Health Sciences

Issues in Social and Behavioural Sciences

MPH (2nd Semester) Examination, 2018 | Detailed Answers

Question 1: Culture, Gender, and Health-Seeking Behaviour

Meaning of Culture

Culture refers to learned patterns of behaviour, beliefs, values, customs, traditions, language, religion, food habits, dress, and social practices shared by a group and passed from generation to generation. Culture shapes how people think, behave, communicate, and respond to illness and health.

Characteristics: Learned through socialization, shared by society, transmitted across generations, dynamic, influences behaviour and lifestyle.

Relationship Between Gender and Culture

Gender refers to socially constructed roles, responsibilities, and expectations of men and women. Culture strongly influences gender roles by defining roles of men and women, influencing freedom and decision-making, determining access to education and employment, and influencing behaviour and appearance.

Effect on Health-Seeking Behaviour

  • Delay in treatment due to family responsibilities
  • Preference for traditional healing over modern medicine
  • Gender discrimination in healthcare access
  • Stigma and shame for certain diseases
  • Restricted mobility for women
  • Influence on maternal health practices
  • Health communication barriers

Conclusion: Culture and gender are closely interconnected and greatly influence attitudes toward health and illness. Understanding these issues helps public health professionals design effective healthcare programs.

Question 2: Short Notes

(a) Cognitive Behavioural Therapy (CBT)

Definition: Psychological treatment method that helps individuals identify and change negative thoughts and behaviours based on the idea that thoughts, feelings, and behaviours are interconnected.

Principles: Negative thoughts influence emotions and behaviour; changing thought patterns improves mental health; behavioural changes reduce stress.

Techniques: Cognitive restructuring, problem-solving, relaxation training, behaviour modification, exposure therapy.

Uses: Depression, anxiety disorders, phobias, OCD, stress management, addiction treatment.

Advantages: Short-term structured therapy, improves coping skills, evidence-based, helps self-reliance.

(b) Social Defence

Definition: Measures adopted by society and government to protect vulnerable individuals and prevent antisocial behaviour and social problems.

Objectives: Protection of vulnerable groups, prevention of crime and delinquency, rehabilitation of offenders, maintenance of social order.

Groups covered: Juvenile delinquents, beggars, drug addicts, elderly, women/children in distress, persons with disabilities.

Methods: Legal measures, rehabilitation programs, counselling services, welfare schemes, community participation.

(c) Acculturation

Definition: Process through which individuals or groups adopt cultural traits, beliefs, and practices of another culture after continuous contact.

Types: Assimilation (complete adoption), Integration (maintain own + adopt another), Separation (reject other culture), Marginalization (loss of both cultures).

Effects: Positive – better adaptation, cultural exchange; Negative – loss of traditional identity, cultural conflict, psychological stress.

Question 3: Social Capital and its Importance for Program Officers

Meaning of Social Capital

Social capital refers to networks, trust, relationships, cooperation, and social connections among individuals and groups that enable society to function effectively.

Components: Trust, social networks, cooperation, shared values and norms, community participation.

Types: Bonding (family/close groups), Bridging (between different communities), Linking (communities with institutions/government).

Importance for Program Officer

  • Community participation in programs
  • Better communication and awareness
  • Increased acceptance with community leader support
  • Resource mobilization
  • Improved sustainability
  • Conflict reduction

Relationship Between Culture and Social Capital

  • Shared traditions increase unity
  • Religious/cultural activities strengthen social bonds
  • Cultural norms influence trust and cooperation
  • Cultural discrimination may reduce social inclusion

Example: Rural festivals and traditions create social unity helping health workers conduct vaccination programs successfully.

Question 4: Social Exclusion and Poverty Links

Definition of Social Exclusion

Social exclusion is a process through which individuals or groups are denied equal opportunities, resources, rights, and participation in social, economic, political, and cultural life.

Characteristics: Multidimensional, dynamic and long-term, leads to inequality, associated with discrimination and deprivation.

Causes: Poverty, caste discrimination, gender inequality, disability, unemployment, illiteracy, ethnicity/religion.

How Exclusion Leads to Poverty

  • Lack of education → unemployment
  • Discrimination limits job opportunities
  • Limited healthcare access → disease burden
  • Political exclusion → no government benefits
  • Poor living conditions (slums/isolated areas)

How Poverty Leads to Exclusion

  • Cannot afford education or healthcare
  • Reduced social participation
  • Financial hardship causes discrimination/stigma

Examples

  • Caste-based exclusion in education/employment
  • Gender exclusion denying education/employment
  • Disabled persons excluded from schools/jobs
  • Slum dwellers lacking sanitation and healthcare

Measures to reduce exclusion: Education for all, employment generation, social welfare schemes, gender equality programs, equal healthcare access, legal protection against discrimination.

Question 5: Health Behaviour and Influencing Factors

Meaning of Health Behaviour

Health behaviour refers to activities and actions performed by individuals or communities that affect health positively or negatively – including prevention, treatment, nutrition, hygiene, exercise, and healthcare utilization.

Positive Health Behaviour

  • Regular exercise, healthy diet, vaccination, hand washing, avoiding tobacco/alcohol

Negative Health Behaviour

  • Smoking, substance abuse, unsafe sex, poor hygiene, sedentary lifestyle

Factors Influencing Health Behaviour

  • Biological: Age, sex, genetics
  • Psychological: Attitudes, beliefs, motivation, stress
  • Social: Family influence, peer pressure, community norms
  • Cultural: Traditional beliefs, religious practices
  • Economic: Income, employment, affordability
  • Educational: Literacy, health awareness
  • Environmental: Housing, sanitation, water supply
  • Healthcare system: Availability, accessibility, quality
  • Media: TV, internet, social media, health campaigns
  • Political/Policy: Government programs, health laws
📌 Conclusion: Understanding culture, gender, social capital, social exclusion, and health behaviour is essential for designing effective public health interventions. Social and behavioural sciences provide critical insights for improving community health outcomes and addressing health inequalities.