Researching income and income distribution as determinants of health in
Canada: gaps between
theoretical knowledge, research practice, and policy implementation.

Abstract
The research identified gaps in Canadian knowledge and research activity
concerning the roles that income and its distribution
play in Canadians’ population health. 241 Canadian research studies on
income and health were considered along eight taxonomies:
conceptualization of income or its proxies; theoretical underpinnings;
income distribution measures; health measures;
who/what was studied, pathways mediating between income and health;
complexity of these pathways; research design; and
presence of policy implications. The study identified the following areas
of weakness: (a) poor conceptualization of income and
the means by which it influences health; (b) lack of longitudinal studies
of the impact of income-related issues upon health across
the life-span; (c) lack of linked data bases that allow complex analyses of
how income and related issues contribute to health and
well-being, and (d) little inter-disciplinary work in identifying pathways
mediating the income and health relationship. Advances
in health policy to address the health effects of income and its
distribution requires a research infrastructure that draws upon
recent theoretical developments in the area and is able to access data
sources to test these advanced conceptualizations.
© 2004 Elsevier Ireland Ltd. All rights reserved.

Available at http://www.atkinson.yorku.ca/draphael  in the last page of the
library.

dr

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