Access and Voice
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  • 1. Access and Voice: Health Equity and Income in Canada
  • 2.
    • Studies view health from a social determinants perspective.
    • That is, the recognition that elements of the social environment – the social and economic conditions in which people live – have profound effects on health.
    Health Equity and Income in Canada
  • 3. Musculoskeletal conditions: Arthritis or rheumatism
  • 4. Why do this research?
    • Canadian Community Health Survey, 2005
    • Current and comprehensive
    • 2005 – peak of the economy
    • Reinforcement of message
  • 5. Access and utilization: visits to medical professionals
  • 6. Multivariate results for chronic conditions Multivariate results for individual chronic conditions Canada, adults 18-64, 2005 1 Condition Impact associated with $1,000 change in income Self-rated health (Good, very good or excellent) 3,185 Depression (weeks depressed in past 12 months) -55,838 Diabetes -889 Migraines -861 Chronic bronchitis -629 Arthritis or rheumatism -1,281 Chronic fatigue syndrome -381 Mood disorders -995 Number of chronic conditions -9,521 Disability days in past two weeks -6,577
  • 7. Multivariate results for health care access and utilization   Impact of $1,000 income Significance 2 Has self-perceived unmet health care need (600.9) * Consultations with medical professionals:   All medical consultations 52,316.0 **** Consultations with family doctor (24,684.4) **** Consultations with medical specialists 15,923.1 **** Consultations with other medical professionals 3 46,555.9 *** Nights as a patient in a hospital, nursing home or convalescent home (5,622.6) n.s. Access to health insurance (Ontario only):   Prescription medications 13,819.0 **** Dental insurance 15,818.6 **** Eye glasses/contact lenses 13,436.6 **** Hospital charges 19,474.5 ****