Ideas at the margin or marginalized ideas? Nonmedical determinants of health in
Canada
Health Affairs; Mar/Apr 2002; John N Lavis; 21, 2, 107-112

Abstract:
Beginning with the release of the Lalonde report in 1974, Canadian policymakers
and researchers have been continually exposed to ideas about the nonmedical
determinants of health. At their simplest, these ideas highlight the importance
of nonmedical factors such as income, employment, and social support in
explaining the level and distribution of health in populations. Nonmedical
factors appear to explain a large part of why some people are healthy and others
are not. The litmus test for the impact of ideas on nonmedical determinants of
health is whether they have had an impact on the health of Canadians. To conduct
this test, changes in the level and distribution of health in Canada are
described, followed by an assessment of the links in a causal chain that would
have to be established to confirm that any changes in health are attributable to
action on the basis of these ideas.
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The short answer is that policymakers (AND THE MEDIA IN CAPITALS) have ignored
the SDOH and have instituted policies that threaten population health of
Canadians.

dr

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