Public awareness of income-related health inequalities in Ontario, Canada.
Public awareness of income-related health inequalities in Ontario, Canada.
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DOI：
10.1186/1475-9276-11-26
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发表时间：
2012-05-21
影响因子：
4.8
通讯作者：
Quiñonez C
中科院分区：
文献类型：
--
作者：
Shankardass K;Lofters A;Kirst M;Quiñonez C
加拿大需要继续采取行动解决健康不平等问题，因为收入较低的人继续面临一系列负面健康后果的更高风险。可以说，在这方面缺乏实施政策变化的政治意愿。因此，我们在2010年底调查了具有普遍代表性的安大略省人的样本，调查了公众对与收入相关的健康不平等的认识。数据是通过电话调查从2,006名安大略省成年人中收集的。调查要求参与者同意或不同意各种断言安大略省普遍存在或不存在健康不平等的说法，包括与安大略省描述的不平等现象有关的九种具体情况的问题。使用二元Logistic回归的多阶段过程确定了参与者亚组之间对健康不平等的认识是否存在差异。在这份调查样本中，近73%的安大略省人同意安大略省并不是所有人都一样健康这一普遍假设，但更少的参与者意识到富人和穷人之间的健康不平等(53%-，取决于问题的框架)。对特定结果中与收入相关的不平等的认识要低得多，从事故的18%到肥胖的35%不等。这是加拿大第一项全省范围的研究，也是安大略省第一项探索公众对健康不平等的认识的研究。鉴于政治意愿是由公众意识和舆论决定的，这些结果表明，可能需要更多的意识来推动安大略省的卫生公平议程。健康公平倡导者、医生和研究人员需要提高识别和探索健康不平等的研究的知识转化活动的有效性。
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. 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. 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. 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.
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DOI：
10.1007/bf03405444
发表时间：
2007-11-01
影响因子：
4.3
作者：
Lemstra, Mark;Neudorf, Cory;Beaudin, Gary
通讯作者：
Beaudin, Gary
DOI：
10.1136/bmj.b4036
发表时间：
2009-10-26
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Hwang SW;Wilkins R;Tjepkema M;O'Campo PJ;Dunn JR
通讯作者：
Dunn JR
影响因子：
3.4
作者：
Keeter, Scott;Kennedy, Courtney;Craighill, Peyton
通讯作者：
Craighill, Peyton
影响因子：
14.6
作者：
Joseph, K. S.;Liston, Robert M.;Allen, Alexander C.
通讯作者：
Allen, Alexander C.
影响因子：
3.3
作者：
Bryant, Toba;Raphael, Dennis;Labonte, Ronald
通讯作者：
Labonte, Ronald