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International Journal for Equity in Health
Published in: International Journal for Equity in Health 1/2012

Open Access 01-12-2012 | Research

Public awareness of income-related health inequalities in Ontario, Canada

Authors: Ketan Shankardass, Aisha Lofters, Maritt Kirst, Carlos Quiñonez

Published in: International Journal for Equity in Health | Issue 1/2012

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Abstract

Introduction

Continued action is needed to tackle health inequalities in Canada, as those of lower income continue to be at higher risk for a range of negative health outcomes. There is arguably a lack of political will to implement policy change in this respect. As a result, we investigated public awareness of income-related health inequalities in a generally representative sample of Ontarians in late 2010.

Methods

Data were collected from 2,006 Ontario adults using a telephone survey. The survey asked participants to agree or disagree with various statements asserting that there are or are not health inequalities in general and by income in Ontario, including questions pertaining to nine specific conditions for which inequalities have been described in Ontario. A multi-stage process using binary logistic regression determined whether awareness of health inequalities differed between participant subgroups.

Results

Almost 73% of this sample of Ontarians agreed with the general premise that not all people are equally healthy in Ontario, but fewer participants were aware of health inequalities between the rich and the poor (53%–64%, depending on the framing of the question). Awareness of income-related inequalities in specific outcomes was considerably lower, ranging from 18% for accidents to 35% for obesity.

Conclusions

This is the first province-wide study in Canada, and the first in Ontario, to explore public awareness on health inequalities. Given that political will is shaped by public awareness and opinion, these results suggest that greater awareness may be required to move the health equity agenda forward in Ontario. There is a need for health equity advocates, physicians and researchers to increase the effectiveness of knowledge translation activities for studies that identify and explore health inequalities.
Literature
1.
Bierman AS, Jaakkimainen RL, Abramson BL, Kapral MK, Azad N, Hall R, Lindsay P, Honein G, Degani N: Cardiovascular Disease. Project for an Ontario Women’s Health Evidence-Based Report: Volume 1. Edited by: Bierman AS. 2009, The POWER Study, Toronto
2.
Government of Canada: The Human Face of Mental Health and Mental Illness in Canada. 2006, Minister of Public Works and Government Services, Ottawa
3.
Shields M: Social anxiety disorder - beyond shyness. Health Reports. 2004, 15 (Supplement): 47-81.
4.
Lin E, Diaz-Granados N, Stewart D, Rhodes A, Yeritsyan N, Johns A, Duong-Hua M, Bierman AS: Depression. Project for an Ontario Women’s Health Evidence-Based Report: Volume 1. Edited by: Bierman AS. 2009, The POWER Study, Toronto
5.
Tjepkema M: Alcohol and illicit drug dependence. Health Rep. 2004, 15 (Suppl): 9-19.PubMed
6.
Sharpe A, Hardt J: Five Deaths a Day: Workplace Fatalities in Canada, 1993–2005. 2006, Centre for the Study of Living Standards, Ottawa
7.
Booth GL, Lipscombe LL, Bhattacharyya O, Feig DS, Shah BR, Johns A, Degani N, Ko B, Bierman AS: Diabetes. Project for an Ontario Women’s Health Evidence-Based Report: Volume 2. Edited by: Bierman AS. 2010, The POWER Study, Toronto
8.
Phipps S, Lethbridge L: Income and the Outcomes of Children. Analytical Studies Branch Research Paper Series, vol. 11F0019MIE-281. 2006, Statistics Canada, Ottawa
9.
Krzyzanowska MK, Barbera L, Elit L, Kwon J, Lofters A, Saskin R, Yeritsyan N, Bierman AS: Cancer. Project for an Ontario Women’s Health Evidence-Based Report: Volume 1. Edited by: Bierman AS. 2009, The POWER Study, Toronto
10.
Joseph KS, Liston RM, Dodds L, Dahlgren L, Allen AC: Socioeconomic status and perinatal outcomes in a setting with universal access to essential health care services. CMAJ. 2007, 177: 583-590. 10.1503/cmaj.061198.PubMedCentralCrossRefPubMed
11.
Ng E, Wilkins R, Fung MF, Berthelot JM: Cervical cancer mortality by neighbourhood income in urban Canada from 1971 to 1996. CMAJ. 2004, 170: 1545-1549. 10.1503/cmaj.1031528.PubMedCentralCrossRefPubMed
12.
KPMG: MOHLTC-LHIN Effectiveness Review - Final Report. 2008, Ministry of Health and Long-Term Care, Toronto
13.
Bryant T: The current state of housing in canada as a social determinant of health. Policy Options (March 2003). pp. 52–56. 2003, Institute for Research on Public Policy, Montreal, 52-56.
14.
Fuller-Thomson E, Hulchanski JD, Hwang S: The Housing/Health Relationship: What Do We Know?. Reviews on Environmental Health. 2000, 15: 109-134.CrossRefPubMed
15.
Hwang SW, Wilkins R, Tjepkema M, O'Campo PJ, Dunn JR: Mortality among residents of shelters, rooming houses, and hotels in Canada: 11 year follow-up study. BMJ. 2009, 339: b4036-10.1136/bmj.b4036.PubMedCentralCrossRefPubMed
16.
17.
Mikkonen J, Raphael D: Social Determinants of Health: The Canadian Facts. 2010, York University School of Health Policy and Management, Toronto
18.
Mhatre SL, Deber RB: From equal access to health care to equitable access to health: a review of Canadian provincial health commissions and reports. Int J Health Serv. 1992, 22: 645-668. 10.2190/UT6U-XDU0-VBQ6-K11E.CrossRefPubMed
19.
Spasoff RA, Panel on Health Goals: Health for all Ontario: Report of the Panel on Health Goals for Ontario. 1987, Ontario Ministry of Health, Toronto
20.
Ontario Non-Profit Housing Association: 2011 Report on Waiting List Statistics for Ontario. 2011, ONPHA, Toronto
21.
Kingdon JW: Agendas, alternatives, and public policies. 1984, Little, Brown, Boston
22.
Hulchanski JD: What Factors Shape Canadian Housing Policy? The Intergovernmental Role in Canada’s Housing System. The State of the Federation 2004 − Municipal-Federal-Provincial Relations in Canada. Edited by: Young R, Leuprecht C. 2004, McGill-Queen's University Press, Kingston
23.
Petry F, Mendelsohn M: Public Opinion and Policy Making in Canada 1994–2001. Canadian Journal of Political Science. 2004, 3: 505-529.
24.
Rigby E, Soss J, Booske BC, Rohan AMK, Robert SA: Public Responses to Health Disparities: How Group Cues Influence Support for Government Intervention. Social Science Quarterly. 2009, 90: 1321-1340. 10.1111/j.1540-6237.2009.00646.x.CrossRef
25.
Levin B: These may be good times: An argument that things are getting better. The Future of Educational Change: International Perspectives. Edited by: Sugrue C. 2008, RoutledgeFalmer, London, 34-37.
26.
Viggiano T: Who are the Uninsured?: The Public's Perception and its Effect on Health Policy Initiatives. 99th Annual Meeting of the American Sociological Association. 2004, , San Francisco, CA
27.
Bryant T, Raphael D, Schrecker T, Labonte R: Canada: a land of missed opportunity for addressing the social determinants of health. Health Policy. 2011, 101: 44-58. 10.1016/j.healthpol.2010.08.022.CrossRefPubMed
28.
Lemstra M, Neudorf C, Beaudin G: Health disparity knowledge and support for intervention in Saskatoon. Can J Public Health. 2007, 98: 484-488.PubMed
29.
30.
31.
Canadian Population Health Initiative: Select Highlights on Public Views of the Determinants of Health. 2005, Canadian Institute for Health Information, Ottawa
32.
Commission on Social Determinants of Health: Closing the gap in a generation: health equity through action on the social determinants of health, Final Report of the Commission on Social Determinants of Health. 2008, World Health Organization, Geneva
33.
Federal/Provincial/Territorial Advisory Committee on Population Health: Strategies for Population Health Investing in the Health of Canadians. 1994, Minister of Supply and Services Canada, Ottawa
34.
Green LW, Ottoson JM, Garcia C, Hiatt RA: Diffusion theory and knowledge dissemination, utilization, and integration in public health. Annu Rev Public Health. 2009, 30: 151-174. 10.1146/annurev.publhealth.031308.100049.CrossRefPubMed
35.
Nutbeam D: Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000, 15: 259-267. 10.1093/heapro/15.3.259.CrossRef
36.
Siegel M, Lotenberg LD: Marketing Public Health: Strategies to Promote Social Change. 2007, Jones and Bartlett Publishers, Sudbury
37.
Chaire de relations publiques et communication marketing de l’Université du Québec à Montréal: Content Analysis Of Media Coverage Of Health Inequalities In Canada, 2008. 2009, National Collaborating Centre for Healthy Public Policy, Montreal, QC
38.
Raphael D: Addressing the social determinants of heath in Canada: Bridging the gap between research findings and public policy. Policy Options. 2003
39.
Raphael D: Mainstream media and the social determinants of health in Canada: is it time to call it a day?. Health Promot Int. 2011, 26: 220-229. 10.1093/heapro/dar008.CrossRefPubMed
40.
Davidson R, Kitzinger J, Hunt K: The wealthy get healthy, the poor get poorly? Lay perceptions of health inequalities. Soc Sci Med. 2006, 62: 2171-2182. 10.1016/j.socscimed.2005.10.010.CrossRefPubMed
41.
Sciadas G: The digital divide in Canada. 2002, Statistics Canada, Science, Innovation and Electronic Information Division, Ottawa
42.
Keeter S, Kennedy C, Dimock M, Best J, Craighill P: Gauging the impact of growing nonresponse on estimates from a national RDD telephone survey. Public Opinion Quarterly. 2006, 70: 759-779. 10.1093/poq/nfl035.CrossRef
43.
Keren GB: Perspectives on framing. 2010, Psychology Press/Taylor and Franscis, New York
44.
Irwin A, Valentine N, Brown C, Loewenson R, Solar O, Brown H, Koller T, Vega J: The commission on social determinants of health: tackling the social roots of health inequities. PLoS Med. 2006, 3: e106-10.1371/journal.pmed.0030106.PubMedCentralCrossRefPubMed
45.
Raphael D: Health inequalities in Canada: current discourses and implications for public health action. Critical Public Health. 2000, 10: 193-216. 10.1080/713658246.CrossRef
46.
Dahlgren G, Whitehead M: European Strategies for Tackling Social Inequities in Health: Levelling up Part 2. 2006, World Health Organization, Copenhagen
47.
Office of Economic Policy (Government of Ontario): 2006 Census Highlights: Educational Attainment of Ontarians. 2008, Ministry of Finance, Toronto
Metadata
Title
Public awareness of income-related health inequalities in Ontario, Canada
Authors
Ketan Shankardass
Aisha Lofters
Maritt Kirst
Carlos Quiñonez
Publication date
01-12-2012
Publisher
BioMed Central
Published in
International Journal for Equity in Health / Issue 1/2012
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/1475-9276-11-26

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