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Poverty and Health. BCHLA Webinar Dr. Brian O’Connor, MD, MHSc April 17, 2013. The WHO Commission on the Social Determinants (2008) . Reducing health inequities is an ethical imperative. Social injustice is killing people on a grand scale. What is the Principle Underlying Inequity.

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poverty and health

Poverty and Health

BCHLA Webinar

Dr. Brian O’Connor, MD, MHSc

April 17, 2013

the who commission on the social determinants 2008
The WHO Commission on the Social Determinants (2008)

Reducing health inequities is an ethical imperative. Social injustice is killing people on a grand scale.

what is the principle underlying inequity
What is the Principle Underlying Inequity
  • Inequities are differences that are unfair, unjust, avoidable and remediable – often through the application of politicial will.
  • Inequalities – sex, genetics, heredity
slide5

The Gap – Health is Not Distributed Equally

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)

slide6

The Gap – Health is Not Distributed Equally

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.

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

what are the reasons
What are the Reasons
  • Increased rates of income inequity
  • Reduction in social programs (Real or relative)
  • Differences in levels of uptake of health promoting behaviours between income groups
the case of children families
The Case of Children & Families
  • The cycle of poverty
  • The importance of ECD – Lifelong success
  • Most poor children live in families with at LEAST one parent working full time
  • Need programs to assist young families so our children have equal chance for success
so how do we achieve equitable health status for all bc1
So How Do We Achieve Equitable Health Status for All BC

Early Childhood Development

Food Security

Built Environment

Connectedness

Income Security

slide17

What are the Possible Solutions?

  • Poverty reduction plan with legislated targets and timelines, and a responsible and accountable minister
  • Sub-elements within a plan can include
    • ECD strategies
    • Income and food security strategies
    • Housing strategies
slide18

Thank you

  • Brian O’Connor
  • brian.o’connor@vch.ca