Understanding the Determinants of Health: Key Decision Makers in Saskatchewan Health Districts and Saskatchewan Health, 1998

Kahan, Barbara; Goodstadt, Michael S.

doi:10.1007/bf03403580

Cited by 5 publications

(8 citation statements)

References 5 publications

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“…Indeed, it is not uncommon for authors who examine perceptions of various Canadian groups on the SDOH to include calls for education of these groups [14,17,24,42]. The landmark document by the CSDH also recommends that educational institutions “increase understanding of the social determinants of health among non-medical professionals and the general public” [1], p.189].…”

Section: Resultsmentioning

confidence: 99%

“…Respondents from the finance sector were consistent outliers with respect to both familiarity and attitude with/towards the SDOH framework and did not see the ideas about the determinants of health as relevant for major government initiatives [ 23 ]. Two research groups conducted analyses on the perception on the SDOH by key stakeholders in provincial health (Prince Edward Island and Saskatchewan) in Canada in the late 1990s [ 19 , 24 ]. Health system employees as well as key decision makers were asked to assign priority rankings to the determinants of health they felt were most influential on the health of their community.…”

Section: Introductionmentioning

confidence: 99%

“…“Personal health practices” were ranked as most influential on health by the respondents in the PEI study [ 19 ]. Kahan and Goodstadt similarly found that, although the majority of respondents agreed that the health of a population is strongly affected by social justice, only few thought that high priority should be given to shifting resources towards addressing equity issues [ 24 ]. In general, their survey results revealed significant inconsistencies in how respondents understood the determinants of health.…”

Section: Introductionmentioning

confidence: 99%

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Perceptions of the social determinants of health by two groups more and less affiliated with public health in Canada

et al. 2013

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BackgroundDespite strong academic recognition of the SDOH both in Canada and internationally, acknowledgement and uptake of the SDOH in health policy and public consciousness have remained weak. This paper aims to discern reasons for limited action on the SDOH by examining the perceptions of the SDOH held by two groups more and less affiliated with public health in Canada.We conducted formal consultation with group members on their interpretation of the SDOH and their thoughts on the nature and basis of differences between those more and less aligned with the SDOH as a basis for action. Thematic analysis was used to evaluate the views of the two groups.FindingsGroup 1 (community/public health workers) felt overwhelmed when confronted with questions regarding action on the SDOH within the context of their professional lives. They suggested an expanded list of health determinants that included factors such as voluntarism and happiness, transcending traditional notions of “root causes.” Furthermore, they did not articulate value-based reasons why others would oppose the SDOH; rather, in line with their professional roles, they adopted a value-neutral and pragmatic approach to working to improve health. Group 2 (child and youth advocacy organization members) seemed rooted in the 1986 Ottawa Charter for Health Promotion framework, with their recommendations aligned with strategies such as building healthy public policy and reorienting health services. Neither group made reference to issues of social justice or inequity when they made suggestions for improving health.ConclusionsWe found that two groups with different affiliations to formal public health could discuss the SDOH without acknowledging the inequitable distribution of power and resources that lies at its root. We also found that those working in public health had difficulty moving beyond individual actions that they or their clients could take to improve health. For a group more focused on advocacy than direct service provision, the Ottawa Charter framework seemed more easily suited to their recommendations for action than suggesting actions that would address the SDOH. Our findings indicate that there remains work to be done in terms of translating the SDOH concept into action in Canada.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perceptions of the social determinants of health by two groups more and less affiliated with public health in Canada

et al. 2013

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“…The framework is grounded in the notion that health determinants must be adaptive over both space and time based on the knowledge of the communities affected (Health Canada 2004). The framework is not intended to provide a standardised approach because the choice of health determinants in EIA must be a function of culture, geography, lifecycle and history (Kahan and Goodstadt 1999). The intent is to provide a broader conceptualisation of health determinants in northern EIA, adaptive to traditional and western knowledge systems, and to serve as a foundation on which additional determinants could be added as EIA practices unfold.…”

Section: Scope Of Health Determinantsmentioning

confidence: 99%

“…Birley (2002) concurs, arguing the need to redirect attention in EIA to the determinants of health rather than concentrating on predicting uncertain health impacts and health outcomes. Determinants of health are not themselves 'health impacts'; rather, they are factors that influence or provide an indication of health and well being (Kahan and Goodstadt 1999) and include such factors as income, physical environments, health services, and social support networks.…”

Section: Introductionmentioning

confidence: 99%

Health determinants in Canadian northern environmental impact assessment

Bronson

Noble

2006

Polar Record

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The need to address the human health implications of northern development is well founded, and the role of health determinants in environmental impact assessment is increasingly recognised; however, there is limited understanding of the nature of health determinants and current practices in northern project assessment and decision making. This paper reports on a study of the nature and use of health determinants in Canadian northern environmental impact assessment, and discusses the key challenges to, and opportunities for, improved practice. Four themes emerged from this study. First, the consideration of health is limited to physical environments and the physical determinants of health, with limited attention to broader social and cultural health determinants. Second, when health is considered in northern project impact assessments such considerations rarely carry forward to post-project approval monitoring of health determinants and evaluation of health impact management programmes. Third, while there is general consensus that health determinants should be an integral part of northern impact assessment, there exist different expectations of the role of health determinants in project evaluation and decision making due in large part to different understandings and interpretations of health. Finally, a broader conceptualisation of health and health determinants in northern environmental impact assessment is required; one that takes into consideration northern cultures and knowledge systems, and is adaptive to local context, geography and life cycles.

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Applying a Population Health Approach

Butler-Jones

1999

Can J Public Health

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Understanding the Determinants of Health: Key Decision Makers in Saskatchewan Health Districts and Saskatchewan Health, 1998

Cited by 5 publications

References 5 publications

Perceptions of the social determinants of health by two groups more and less affiliated with public health in Canada

Perceptions of the social determinants of health by two groups more and less affiliated with public health in Canada

Health determinants in Canadian northern environmental impact assessment

Applying a Population Health Approach

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