Krueger Patrick M, Bhaloo Tajudaullah, Rosenau Pauline Vaillancourt
University of Texas School of Public Health.
Soc Sci Q. 2009 Oct 14;90(5):1380-1402. doi: 10.1111/j.1540-6237.2009.00660.x.
Some research suggests that social, political, and cultural life in the U.S. and Canada are growing divergent. We use health lifestyle theories to extend prior research and compare the U.S. and Canada on population health indicators. METHODS: The population health indicators include health behaviors, fertility, and cause-specific mortality for each of the United States (and Washington D.C.), and Canadian Provinces and Territories (N=64). RESULTS: Canada and the U.S. are significantly different on many health lifestyle variables. But, levels of the health lifestyle variables converge at the U.S./Canada border, and some U.S. States and Canadian Provinces or Territories exhibit similar health lifestyle patterns, regardless of whether they share an international border (these are mapped in the paper). CONCLUSIONS: Although Canada and the U.S. differ on major population health indicators, some States, Provinces, and Territories exhibit marked similarities. Our paper concludes with a discussion about how our comparative perspective might inform population health policies.
一些研究表明,美国和加拿大的社会、政治及文化生活正日益分化。我们运用健康生活方式理论拓展先前的研究,并就人口健康指标对美国和加拿大进行比较。方法:人口健康指标包括美国(及华盛顿特区)、加拿大各省和地区(N = 64)的健康行为、生育率及特定病因死亡率。结果:在许多健康生活方式变量上,加拿大和美国存在显著差异。但是,健康生活方式变量水平在美国/加拿大边境趋于一致,并且一些美国州和加拿大省份或地区呈现出相似的健康生活方式模式,无论它们是否接壤(本文绘制了相关地图)。结论:尽管加拿大和美国在主要人口健康指标上存在差异,但一些州、省和地区表现出明显的相似性。本文最后讨论了我们的比较视角如何为人口健康政策提供参考。