There are tons of these indicators here...

http://thecanadianfacts.org



________________________________________
From: Social Determinants of Health <[log in to unmask]> on behalf of Igor Zverev <[log in to unmask]>
Sent: Wednesday, September 7, 2022 11:03 AM
To: sdoh
Subject: Re: [SDOH] population health frameworks

Thank you for sharing the modified framework! And you are right, I should have mentioned the question I am trying to answer. I would like to use the framework to organize existing Statistics Canada indicators and identify gaps that need to be filled. Currently most indicators are very downstream and deal mostly with health outcomes. But Statistics Canada has data that can address more upstream determinants of health as well.

On Wed, Sep 7, 2022 at 10:37 AM Canan Karatekin <[log in to unmask]<mailto:[log in to unmask]>> wrote:
That's a great question! I still like that framework as a general way of organizing the vast lit in my mind, but I now think there's a big hole in it where political, corporate, and commercial determinants should be (probably because of who funds the WHO? See Navarro, 2009<https://journals.sagepub.com/doi/pdf/10.2190/HS.39.3.a?casa_token=qZAn7UVvnYwAAAAA%3A5EpQP6tyKJ237hjbAtp8RtvUGEXO7TSCglnzxSJF4d9MkVk1m1uc6Bkjjhl3hnKBJkBPBCY_ooAwlQ&>, and because there's relatively a lot less research linking these to health & health inequities, especially at the time the WHO framework was formulated?).  There are various articles on these other determinants, but I haven't found one that puts them all in one comprehensive, reasonably detailed, useful, and actionable framework. I attached my feeble attempt to try to adapt the WHO framework specifically to the field of adverse childhood experiences, but that left-hand box (Socioeconomic & Political Context) is very incomplete & needs as much elaboration as the right-hand side of the figure. An earlier, published version of this modified WHO figure is in here<https://www.sciencedirect.com/science/article/abs/pii/S0190740922000615?dgcid=author>.
I guess the framework you need & how detailed you want it to be depends on the research question you are interested in. I wanted that level of detail in the WHO framework to show how the ACEs lit was over-focused on the downstream & how there was so little to nothing going on regarding upstream factors.
I also like the figure that Dennis sent & am looking forward to how others in this group respond to this question.
Good luck with your quest!
Canan
--
Canan Karatekin, Ph.D.
Associate Professor | Institute of Child Development, 206C | icd.umn.edu<http://icd.umn.edu/>
University of Minnesota | umn.edu<http://umn.edu/>
http://www.cehd.umn.edu/icd/research/KaratekinLab <http://www.cehd.umn.edu/icd/research/KaratekinLab> | 612-626-9891


On Wed, Sep 7, 2022 at 8:42 AM Igor Zverev <[log in to unmask]<mailto:[log in to unmask]>> wrote:
I've been out of the population health framework loop for a couple of years. I am looking at the literature, but thought I'd ask you guys as well. Are there any frameworks that you like? My default was the WHO commission on SDOH, but I'd be interested to see if there are any that you deem to be better. Looking for a general framework, not specific to any population.

Thanks!
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