I agree with Dennis. In all of our theorizing about how the social determinants affect health, we are apt to forget that health status has powerful effect upon a persons earning and socializing ability. It's a two way street.
-----Original Message-----
From: Social Determinants of Health [mailto:[log in to unmask]]On Behalf Of
Dennis Raphael
Sent: Sunday, May 07, 2006 11:11 AM
To: [log in to unmask]
Subject: Re: [SDOH] Research results on intra-metropolitan health
gradients
getting "handouts" from government?
How about "People whose life situations are so difficult -- due to illness,
disability, or lack of employment opportunities -- that they require
government assistance report especially poor health because these benefits
are so meagre and they live lives of desperation?
dr
GRETA DOUCET <[log in to unmask]>@YORKU.CA> on 05/07/2006 11:17:12 AM
Please respond to Social Determinants of Health <[log in to unmask]>
Sent by: Social Determinants of Health <[log in to unmask]>
To: [log in to unmask]
cc:
Subject: Re: [SDOH] Research results on intra-metropolitan health
gradients
Hi all,
The italicized part following seems to indicate that people are more
healthy (and happy) if they are contributing by earning their salary doing
work rather than getting handouts from government. I find that to be very
interesting.... and something to think about. It makes sense to
me. Greta
ie "The third project demonstrated that the type of income earned matters
for individual-level health. Specifically, among those with lower incomes,
individuals living in households where income was derived entirely from
earned sources reported better health than those who receive some or
all of their income through transfer payments, even after adjusting for a
broad range of health determinants."
Dennis Raphael <[log in to unmask]> wrote:
RELEASE OF HPRP POLICY RESEARCH RESULTS
The Applied Research and Analysis Directorate is pleased to announce the
release of the research results of the Health Policy Research Program
project entitled Unpacking the Socioeconomic Health Gradient: A Canadian
Intra-Metropolitan Research Program by Dr. Nancy Ross of McGillUniversity.
The objective of this research was to gain a better understanding of
intra-metropolitan health gradients and the relative importance of
place-based factors (both economic and non-economic) on health status. The
research was conducted over two years, and consisted of three interrelated
projects.
The first project sought to identify patterns of health, disability, and
mortality by income gradients within metropolitan areas in Canada. The
second project examined the role of neighbourhood income in accounting for
patterns of health in urban Canadaand the independent effects of a broader
set of social and economic neighbourhood characteristics. The third
project examined individual health status in relation to the kind of income
that individuals receive.
The results of the first project indicated that the socioeconomic gradients
are not consistent, but rather vary in steepness by gender, outcome, and by
urban context. The second project demonstrated that neighbourhoods have a
greater influence on individuals' behaviour than on actual health outcomes.
The third project demonstrated that the type of income earned matters for
individual-level health. Specifically, among those with lower incomes,
individuals living in households where income was derived entirely from
earned sources reported better health than those who receive some or all of
their income through transfer payments, even after adjusting for a broad
range of health determinants.
Here is the link to the Summary:
http://www.hc-sc.gc.ca/sr-sr/finance/hprp-prpms/final/2005-ross_e.html
Health Canada's Health Policy Research Program (HPRP) was created in 2001
to fund health policy research of a medium to long-term nature. The
research results from the first projects that were funded have been
completed. The Research Management and Dissemination Division (RMDD) of
the Applied Research and Analysis Directorate (ARAD) is releasing the
Summaries of the research results as they become available.
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