Indice de défavorisation matérielle et sociale : son application au secteur de la santé et du bien-être

Abstract

The interest in measuring social inequalities in health in Québec is relatively recent and has been hampered by the lack of socioeconomic information in the administrative databases on health. To compensate for this lack of data, a material and social deprivation index has been introduced into a dozen of these databases, making it possible to carry out numerous analyses. The present article describes the design and uses of this index and underlines the importance of social inequalities in terms of population health (healthy life expectancy), certain health and social problems (intentional or unintentional injuries, problems experienced by youth), use of health and social services at the national (hospitalization, day surgery and long-term care facilities) and local (services offered by local community service centres) levels, and allocation of public resources (physician compensation and funding of community organizations). The advantages and limitations of this index are also put into perspective, as are the possibilities it offers for research and decision-making.

Inégalités sociales de santé : influence des milieux de vie

“…La sélection de ces territoires repose sur les indices de défavorisa-tion sociale et matérielle développés par Pampalon et Raymond (2003) ainsi que sur quatre indices de l'état de santé relatifs à la mortalité et à l'admission dans les hôpitaux † 2 . Afin de nous assurer de la validité des contrastes, nous avons effectué une vérification empirique en visitant les territoires étudiés.…”

SLiCA: Arctic living conditions

“…Certain indications lead us to believe that it would be worth looking into this idea more closely. As seen with the Inuit, studies conducted in deprived areas 112 of Québec for instance show more social and health problems in these areas when compared with provincial averages: a shorter life expectancy, more frequent hospitalizations, increased incidences of unintentional trauma (especially road accidents and accidental falls) and intentional trauma (suicides and murders), more young people living in social assistance families, a higher adolescent fertility rate, and a higher proportion of young people whose situation has been submitted to regional youth protection organizations for more in-depth evaluation due to maltreatment (abuse and neglect) or behavioural problems (Pampalon and Raymond 2003). The statistical measures differ from those used for the Inuit, but the main findings are quite similar, hence the pertinence of more closely examining the factors at the root of these similarities.…”

“…We will not attempt to explain the incidence of these problems, or to verify whether the general sociological explanations for them might be ────────────────────────── 112 This is a question of a statistical deprivation index resulting from the work of Pampalon and Raymond (2003). The material dimension includes education, employment and income; and the social dimension includes the non-integration into a social network (separation, divorce, widowhood, single parenthood or living alone).…”

Does where you live matter? Leisure-time physical activity among Canadian youth: a multiple cross-sectional study

“…The measures of deprivation are based on the factor score of 2 dimensions resulting from a principal component analysis that estimates the material and social deprivation of the neighbourhood using Canada-wide census information (proportions of adults who live alone, are single parents, do not have a high school diploma and are unemployed, and the mean income of the area). 26 The distribution of the neighbourhood deprivation levels was broken into quintiles by province for all census units.…”