Health disparity knowledge and support for intervention in Saskatoon
Health disparity knowledge and support for intervention in Saskatoon
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DOI：
10.1007/bf03405444
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发表时间：
2007-11-01
影响因子：
4.3
通讯作者：
Beaudin, Gary
中科院分区：
文献类型：
--
作者：
Lemstra, Mark;Neudorf, Cory;Beaudin, Gary
背景：一些报告表明，我们需要确定公众对健康决定因素的广泛理解，并确定公众对加拿大缩小健康差距行动的支持。方法：采用横断面随机调查方法，对5000名萨斯卡通居民进行调查，以确定他们对健康决定因素和健康差距的知识，然后确定公众对解决健康差距的各种干预措施的支持。结果：萨斯卡通居民了解大多数健康决定因素，但他们低估了社会阶层和性别的重要性。萨斯卡通居民没有很好地了解收入群体之间健康差距的严重程度。大多数人认为，冒险行为大多是个人选择，与收入状况无关。大多数居民认为，收入群体之间的健康状况即使是微小的差异也是不可接受的，大多数人认为可以采取一些措施来解决收入状况的健康差距。居民提出的缓解健康差距的干预措施是基于证据的，包括工作收入补充和加强早期干预计划。Logistic回归分析显示，最大的支持将资金从医疗保健转移到健康创造服务(如保障性住房和教育)来自收入较低的年轻原住民男性。解释：萨斯卡通居民了解健康决定因素，并有强烈的意愿支持健康差距干预。需要就基于收入状况的健康差距的大小进行更多的知识转让。在萨斯卡通进行广泛的健康差距干预似乎是可能的。
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.