Poverty reduction as a prescription for health
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Poverty Reduction as a Prescription for Health. BCHLA Webinar December 2012 Ted Bruce. We Are Living Longer. What’s Helping Us Live Longer?. Social and Economic Environment. Health Care System. Biology and Genetic Endowment. Physical Environment.

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Poverty Reduction as a Prescription for Health

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Poverty Reduction as a Prescription for Health

BCHLA Webinar

December 2012

Ted Bruce

We Are Living Longer

What’s Helping Us Live Longer?

Social andEconomic


Health Care System

Biology andGenetic Endowment

Physical Environment

Source: Select Standing Committee on Social Affairs, Science and Technology (2001).

There are Important Differences in Life Expectancy(BC Stats 2002-2006)

And Differences in the Burden of Disease

Heart Disease Prevalence by Income

(Data source: Statistics Canada Canadian Community Health Survey Cycle 3.1 2005; Percentages were standardized to the 2004 Canadian population as the reference with bootstrap weight valued provided by Statistics Canada. Confidence intervals for age-standardized percentages(45-64, 65+) were calculated with the method based on the gamma distribution developed by Fay and Feuer in 1997)

Hospitalization Rates

Pan-Canadian Age-Standardized Hospitalization Rates by SES Group*

Note* For each indicator, all rates are significantly different between low-, average- and high-SES groups at the 95% confidence level.

SourceCPHI analysis of 2003–2004 to 2005–2006 Discharge Abstract Database and National Trauma Registry data, Canadian Institute for Health Information.

Causes of the Causes

Poverty and Low Income

Why does a person on low income not exercise?

Early Childhood Experiences

Why does a child not pay attention at school?

Exclusion and Racism

Why does a young First Nations mom not seek support from available programs?

Pathways to HealthPublic Health Agency of Canada

Protective Factors: Family and School Connectedness

McCreary Centre Society

  • Youth more highly connected to family or school were less likely to report:

    • binge drinking

    • suicidal thoughts

    • suicide attempts

    • poor or fair health

Protective Factors

Early Childhood Development

Food Security

Built Environment


Income Security

Healthy Futures for BC Families - BCHLA Findings

Food & income security

Early childhood development & care

Education & literacy

Housing, the built environment & community:

housing quality/homelessness, physical activity, food access, obesity, air/water, injuries/safety, social well-being

Employment, income security & working conditions

Health care system – integrated primary health care; inequities lens, workplace wellness

Health Inequities Are Costly

Health Inequities Are Costly (2)

Health Inequities Are Costly (3)

Health CostsStudy by Canadian Centre for Policy Alternatives

PHSA Report

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