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Canadian Journal of Public Health

, Volume 98, Issue 6, pp 484–488 | Cite as

Health Disparity Knowledge and Support for Intervention in Saskatoon

  • Mark Lemstra
  • Cory Neudorf
  • Gary Beaudin
Article

Abstract

Background

A number of reports suggest that we need to determine public understanding about the broad determinants of health and also determine public support for actions to reduce health disparities in Canada.

Methods

A cross-sectional random survey of 5,000 Saskatoon residents was used to determine knowledge about health determinants and health disparity and then determine public support for various interventions to address health disparity.

Findings

Saskatoon residents understand most of the determinants of health except they understate the importance of social class and gender. Saskatoon residents do not have a good understanding of the magnitude of health disparity between income groups. A majority believe risk behaviours are mostly individual choices and are not associated with income status. Most residents believe even small differences in health status between income groups is unacceptable and a majority believe that something can be done to address health disparity by income status. Interventions proposed by residents to alleviate health disparity were evidence-based, including work-earning supplements and strengthening early intervention programs. Logistic regression revealed that greatest support for transferring money from health care treatment to health creation services (like affordable housing and education) came from young Aboriginal males with low income.

Interpretation

Saskatoon residents have knowledge of health determinants and have a strong desire to support health disparity intervention. More knowledge transfer is required on the magnitude of health disparity based on income status. Broad-based health disparity intervention in Saskatoon appears possible.

MeSH terms

Income income distribution socioeconomic factors health health knowledge and attitudes 

Résumé

Contexte

Plusieurs études suggèrent qu’il faudrait analyser 1) ce que le public connaît des grands déterminants de la santé et 2) s’il appuie les mesures de réduction des disparités sur le plan de la santé au Canada.

Méthode

Au moyen d’une enquête aléatoire transversale auprès de 5 000 résidents de Saskatoon, nous avons évalué les connaissances des déterminants de la santé et des disparités sur le plan de la santé. Nous avons ensuite évalué l’appui du public à diverses mesures de réduction des disparités sur le plan de la santé.

Résultats

Les résidents de Saskatoon connaissent la plupart des déterminants de la santé, mais sous-estiment l’importance de la classe sociale et du sexe. Ces résidents connaissent mal l’ampleur des disparités sur le plan de la santé entre les catégories de revenu. La majorité croit que les comportements à risque sont pour la plupart des choix personnels sans lien aucun avec le revenu. La plupart des résidents considèrent cependant que même des écarts minimes dans l’état de santé selon les catégories de revenu sont inacceptables, et la majorité croit qu’il faut faire quelque chose pour réduire les disparités sur le plan de la santé associées au revenu. Les répondants ont suggéré des mesures éprouvées pour réduire les disparités sur le plan de la santé, dont les suppléments du revenu de travail et le renforcement des programmes d’intervention précoce. Une analyse de régression logistique a montré que ce sont les jeunes hommes autochtones à faible revenu qui sont le plus en faveur des mesures, comme le logement abordable et l’instruction, qui nécessitent des transferts budgétaires entre les soins de santé et les services de « création de la santé ».

Interprétation

Les résidents de Saskatoon connaissent les déterminants de la santé et appuient solidement les mesures de réduction des disparités sur le plan de la santé. Il faudrait accroître le transfert des connaissances sur l’ampleur des disparités sur le plan de la santé entre les catégories de revenu. Des mesures générales de réduction des disparités sur le plan de la santé sont envisageables à Saskatoon.

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Copyright information

© The Canadian Public Health Association 2007

Authors and Affiliations

  1. 1.Saskatoon Health RegionSaskatoonCanada

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