Wilson Kathi, Eyles John, Elliott Susan, Keller-Olaman Sue
Department of Geography, University of Toronto Mississauga, 3359 Mississauga Road N., Mississauga, Ontario, Canada L5L 1C6.
Health Place. 2009 Mar;15(1):374-82. doi: 10.1016/j.healthplace.2008.07.002. Epub 2008 Jul 12.
The population health perspective recognizes a broad range of characteristics that are thought to be important determinants of health. In Canada, 12 such determinants of health are recognized, which range from lifestyle practices and the use of health care services to social and physical environments. While the list of social determinants is quite exhaustive, few studies have examined the relative importance of these determinants. The intent of this paper is to examine the relative importance of a range of social determinants of health in predicting four health outcomes of interest using data from a neighbourhood-level cross-sectional health survey conducted in Hamilton, Ontario. The results show that key social determinants of health vary by health outcome. The significance of the findings is discussed in terms of policy relevance and future research.
人群健康视角认识到一系列被认为是健康重要决定因素的特征。在加拿大,人们认识到12个这样的健康决定因素,其范围从生活方式习惯、医疗保健服务的使用到社会和物理环境。虽然社会决定因素的清单相当详尽,但很少有研究考察这些决定因素的相对重要性。本文的目的是利用安大略省汉密尔顿市进行的社区层面横断面健康调查数据,考察一系列健康社会决定因素在预测四种感兴趣的健康结果方面的相对重要性。结果表明,健康的关键社会决定因素因健康结果而异。从政策相关性和未来研究的角度讨论了研究结果的意义。