It is the viciousness of this situation, where the cause-effect seem to
be acquiring a successively rebouncing and compounding effect. Low
health status and underemployment resulting in sub-level incomes is a
mutually reinforcing trap.
It is not about - "income was derived entirely from earned sources
reported better health than those who receive some or all of their
income through transfer payments,..."
This comparasion between EARNED INCOME and Transfer PAYMENTS is morally
burdened and stigmatizing and there needs to be a caution against such
descriptions. As has also been raised in the discussion already, the
welfare payments may be meagre as well, but more so, the focus needs to
be on a societal system that does not provide decent remunerative income
for people who are capable and skilled. And who are rendered in a
position to depend upon 'handouts'.
In that sense, not finding adequate employment is ofcourse an issue of
mental well-being. The finding needs to be read within the discourse of
'self-respect' and 'hard-work' and 'earned income' , which too is a trap
of sorts, where people accepting sub-employment and feel morally correct
and upright; they have no options - consider the scores professionally
qualified immigrant populations in menial, low paying jobs -if and when
they beocme available to them. This minimal earned income also comes at
a high cost as most of such jobs lack benefits or a decent salary and do
not have the best work-conditions. So I wonder about the health status
of these individual/s and families and also wonder how it is measured by
the data-banks.
These discourses need to be delved a little deeper to look into the
politics of welfare state and capitalist economies and to have a
critical stance on such important reports for people who are being left
behind in this.
reena
>>> [log in to unmask] 05/10/06 11:15 AM >>>
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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