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Socioeconomic inequalities in health among Indigenous peoples living off-reserve in Canada: Trends and determinants.
Hajizadeh, Mohammad; Hu, Min; Bombay, Amy; Asada, Yukiko.
Afiliación
  • Hajizadeh M; School of Health Administration, Dalhousie University, Canada. Electronic address: m.hajizadeh@dal.ca.
  • Hu M; Department of Economics, Dalhousie University, Canada.
  • Bombay A; Department of Psychiatry and School of Nursing, Dalhousie University, Canada.
  • Asada Y; Department of Community Health & Epidemiology, Dalhousie University, Canada.
Health Policy ; 122(8): 854-865, 2018 08.
Article en En | MEDLINE | ID: mdl-30017106
Using three nationally representative Aboriginal Peoples Surveys (2001, 2006 and 2012, n = 68,040), we examined income-related inequalities in self-perceived poor/fair general health status among Indigenous adults (18+) living off-reserve in Canada. We used the relative and absolute concentration indices (RC and AC, respectively) to quantify income-related inequalities in health for men and women, within the three Indigenous populations (First Nations, Métis, and Inuit), and in different geographic regions. Moreover, we performed decomposition analysis to determine factors that explain income-related inequality in health within the Indigenous peoples living off-reserve in Canada. The prevalence of poor/fair health status among the Indigenous population living off-reserve increased from 18% in 2001 to 22% in 2012. The extent of pro-rich relative (absolute) income-related inequalities in health increased by 23% (42%) from 2001 to 2012. Income-related inequalities in health increased statistically significantly within First Nations and Métis populations as well as in Atlantic provinces, Ontario, Alberta, British Columbia and Territories. Decomposition analyses indicated that, besides income itself, occupational status and educational attainment were the most important factors contributing to the pro-rich distribution of health among Indigenous peoples living off-reserve. Growing socioeconomic inequalities in health among Indigenous peoples should warrant more attention. Policies designed to address the broader array of social determinants of health may mitigate the continuing inequalities in health among Indigenous peoples living off-reserve in Canada.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Factores Socioeconómicos / Indígenas Norteamericanos / Grupos de Población / Disparidades en el Estado de Salud Tipo de estudio: Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Health Policy Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SAUDE PUBLICA Año: 2018 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Factores Socioeconómicos / Indígenas Norteamericanos / Grupos de Población / Disparidades en el Estado de Salud Tipo de estudio: Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Health Policy Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SAUDE PUBLICA Año: 2018 Tipo del documento: Article Pais de publicación: Irlanda