in glasgow a couple of years ago, a young woman working in a bakery noticed my american accent and asked why i had come to scotland and glasgow in particular. i said i was interested in the topic of health inequity.. just couldnt think of a way to be more concise. so she said. "achhh yess, we have a real problem with that. the poor folks die here so young and its because of the way we have to live!!!!"
when will i have that kind of conversation in the us.
ken
pittsburgh
-----Original Message-----
From: Social Determinants of Health on behalf of Dennis Raphael
Sent: Wed 6/28/2006 1:57 PM
To: [log in to unmask]
Subject: [SDOH] ideological barriers to addressing health inequalities at the local level
Health Policy xxx (2006) xxx.xxx
Knowledge into action?
Understanding ideological barriers to addressing
health inequalities at the local level
Patricia A. Collins a,., Julia Abelson b, John D. Eyles b,c
a Department of Geography, RCB 7230, Simon Fraser University, 8888
University Drive, Burnaby, BC, Canada V5A 1S6
b Department of Clinical Epidemiology and Biostatistics, Centre for Health
Economics and Policy Analysis,
McMaster University, 1200 Main St. W, Hamilton, Ont., Canada L8N 3Z5
c School of Geography and Geology, McMaster University, 1280 Main St. W,
Hamilton, Ont., Canada L8S 4K1
Abstract
The objective of this studywas to explore the presence of ideological
barriers to addressing local health inequalities in Hamilton, Ontario,
Canada. A survey of active citizens revealed low levels of awareness of
the social determinants of health (SDOH) framework, and some incongruence
between understanding and attitudes towards the SDOH. Support for
addressing health inequalities was associated with awareness of the SDOH
framework, liberal value-systems, and a cluster of socio-demographic
characteristics. Liberal leaning participants were also more politically
active than their conservative counterparts. Ideological barriers included
lack of SDOH awareness, narrow understandings of the relative influences
of the SDOH, resistance to deprioritizing healthcare, and conservative
values. Advancement of a SDOH policy agenda should incorporate wider
dissemination efforts to citizens and local service providers to increase
support for this framework, and utilization of existing support and
political engagement from liberal-leaning demographics
http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6V8X-4JRVFN2-2-7&_cdi=5882&_user=866177&_orig=browse&_coverDate=04%2F18%2F2006&_sk=999999999&view=c&wchp=dGLbVzb-zSkzS&md5=b7a20225d0bf5c4a4e39da9c3dcc135a&ie=/sdarticle.pdf
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