The role of sense of community belonging on unmet health care needs in Ontario, Canada: findings from the 2012 Canadian community health survey
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This article examines the association between sense of community belonging and unmet health-care needs among individuals in Ontario, Canada, after adjusting for predisposing, enabling, and need factors associated with health-service use.
Subjects and methods
This study is based on data from Statistics Canada’s 2012 Canadian Community Health Survey. A sample of 21,257 individuals aged 12 and older was analyzed. Logistic regression was conducted to examine the association between sense of community belonging and unmet health-care needs.
The study found that one in ten individuals reported having unmet health-care needs. Sense of community belonging had a significant independent effect on unmet health-care needs. Respondents with a weak sense of community belonging were 1.27 times more likely to report having unmet health-care needs. Respondents who were younger, were females, had a higher education, or were without a regular doctor were more likely to have unmet health-care needs. Other factors associated with unmet health-care needs included poor physical health, poor mental health, difficulties in carrying out instrumental activities of daily living, and chronic conditions.
The findings of this study emphasize the need to develop health-care policies and programs that appropriate and meet the needs of individuals with different health-related problems alongside the need to increase sense of community belonging.
KeywordsUnmet health-care needs Sense of community belonging Access to health services Canadian community health survey
This study was based on data collected by Statistics Canada. The views and opinions expressed in this article are those of the authors and do not represent the views of Statistics Canada. We thank the anonymous reviewers of this manuscript whose constructive suggestions and observations have considerably improved the manuscript.
Declaration of conflict of interest
The authors declared that they had no conflicts of interests with respect to their authorship or the publication of this article.
- Andersen RM, Newman JF (2005) Societal and individual determinants of medical care utilization in the United States. Milbank Q 83(4):1–28Google Scholar
- Arku G, Mkandawire P, Luginaah IN, Baiden P (2014) Healthcare access in three residential neighbourhoods in Accra, Ghana. In: Weeks JR, Hill AG, Stoler J (eds) Spatial Inequalities. Springer, The Netherlands, pp 191–204Google Scholar
- Chen J, Hou C, Sanmartin C, Houle S, Tremblay S, Berthelot J (2002) Unmet health care needs. Can Soc Trends 67:18–22Google Scholar
- Putnam RD (1993) The prosperous community. American Prospect 4(13):35–42Google Scholar
- Putnam RD (2001) Social capital: measurement and consequences. Can J Policy Res 2(1):41–51Google Scholar
- Raphael D, Bryant T, Rioux MH (eds) (2010) Staying alive: critical perspectives on health, illness, and health care. Scholars’ Press, CanadianGoogle Scholar
- Sanmartin C, Houle C, Tremblay S, Berthelot JM (2002) Changes in unmet health care needs. Health Reports/Statistics Canada 13(3):15Google Scholar
- Sibley LM, Glazier RH (2009) Reasons for self-reported unmet healthcare needs in Canada: a population-based provincial comparison. Health Policy 5(1):87–101Google Scholar
- Statistics Canada (2013) Canadian Community Health Survey—Annual component, 2012), http://www23.statcan.gc.ca/imdb/p2SV.pl?Function=getSurvey&SDDS=3226. Accessed January 10th 2014
- Sunderland A, Findlay LC (2013) Perceived need for mental health care in Canada: results from the 2012 Canadian community health survey–mental health. Health Reports/Statistics Canada 24(9):3–9Google Scholar