Neighbourhood deprivation and regional inequalities in self-reported health among Canadians: Are we equally at risk?

Individual-level data from the Canadian Community Health Survey was combined with area-level data from the 2001 Canada Census to explore the relationship between neighbourhood deprivation and regional inequalities in self-reported health (n=120,290). While neighbourhood deprivation was a significant...

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Bibliographic Details
Published in:Health & place 2011-01, Vol.17 (1), p.361-369
Main Authors: White, Heather L., Matheson, Flora I., Moineddin, Rahim, Dunn, James R., Glazier, Richard H.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Aged
Canada
Canada - epidemiology
Census
Coastal zone
Deprivation
Female
Geographic factors
Health inequalities
Health inequality
Health status
Health Status Disparities
Health Surveys
Health technology assessment
Humans
Male
Middle Aged
Neighbourhoods
Perception
Poverty Areas
Regional disparities
Regional inequalities
Regional variations
Residence characteristics
Residence Characteristics - statistics & numerical data
Risk
Risk Factors
Self Report
Self-evaluation
Sex Factors
Socioeconomic Factors
Socioeconomic status
Young Adult
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Summary:Individual-level data from the Canadian Community Health Survey was combined with area-level data from the 2001 Canada Census to explore the relationship between neighbourhood deprivation and regional inequalities in self-reported health (n=120,290). While neighbourhood deprivation was a significant predictor of fair/poor health in all geographic regions (OR=1.11; 95% CI: 1.08, 1.14), living on the Atlantic and Pacific coasts exacerbated the detrimental effects of neighbourhood deprivation on the perceived health of respondents (OR=1.21; 1.28). By failing to explore regional variations in risk, we could fail to identify areas where provincial policies may interact with neighbourhood factors to reinforce health inequalities amongst deprived communities.
ISSN:1353-8292
1873-2054
DOI:10.1016/j.healthplace.2010.11.016