The recent report  "Integrating Social Determinants of Health and Health 
Equity into Canadian Public Health Practice: Environmental Scan 2010" 
by the NCC-DH available at 
http://www.nccdh.ca/supportfiles/Environmental-Scan-2010.pdf presented 
three frameworks and asked the following of 318 stakeholders: 

In order to best support the actions of public health organizations and 
their staff to address the determinants of health, which DOH framework 
should be the focus of the NCCDH?s work?

Determinants of Health
»» Income and Social Status
»» Social Support Networks
»» Education and Literacy
»» Employment/Working Conditions
»» Social Environments
»» Physical Environments
»» Personal Health Practices and Coping
»» Healthy Child Development
»» Biology and Genetic Endowment
»» Health Services
»» Gender
»» Culture
Source: Public Health Agency of Canada

Social Determinants of Health
»» Income and Income Distribution
»» Education
»» Unemployment and Job Security
»» Employment and Working Conditions
»» Early Childhood Development
»» Food Insecurity
»» Housing
»» Social Exclusion
»» Social Safety Network
»» Health Services
»» Aboriginal Status
»» Gender
»» Race
»» Disability
Source: Raphael

CPHO Report - 2008
»» Income
»» Employment & working conditions
»» Food security
»» Environment & housing
»» Early childhood development
»» Education & literacy
»» Social support & connectedness
»» Health behaviours
»» Access to health care
Source: CPHO Report 2008: Addressing
Health Inequalities

The responses? 

Focus ? Health Determinant Framework

Table 10: Preference for Which Determinant of Health Framework the NCCDH 
Should Utilize

Framework                                                       Frequency 
Percent
Social Determinants of Health                                   151 47.5
Determinants of Health (PHAC)                           94 29.6
Selected Determinants - Chief Public Health Officer Report 
(Addressing Health Inequalities)                                55 17.2
Other                                                           18 5.7
Total                                                           318 100.0

Of the 151 that chose the SDOH framework, the majority (66%) supported a 
focus on all of the determinants versus specific ones.

dr





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