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Administrative databases in the Canadian health sector do not contain socio-economic information. To facilitate the monitoring of social inequalities for health planning, this study proposes a material and social deprivation index for Canada. After explaining the concept of deprivation, we describe the methodological aspects of the index and apply it to the(More)
BACKGROUND Recent immigrants to Canada tend to be healthier than the non-immigrant population. Less is known about the health of different ethnic, cultural, and linguistic subgroups of immigrants in Canada. METHODS Data were taken from the 2005 Canadian Community Health Survey (Cycle 3.1). We used multiple logistic regression to examine associations for(More)
Very few studies have employed local-scale analyses to evaluate how well primary health care and social services reach the most socially and economically deprived individuals. This paper describes a project, conducted in close partnership with decision-makers and practitioners at selected local community service centres (in French, CLSCs) in Quebec, Canada,(More)
OBJECTIVE To assess gambling behaviours and the problems associated with pathological gambling among the adult population of Quebec in 2002. METHOD In Phase 1 of this 2-phase study, a total sample of 8842 adults was assessed. We used the South Oaks Gambling Screen (SOGS), adapted for telephone interview, to assess one-half of the sample; the other(More)
This study offers an overview of the health status of rural populations and its major determinants in Québec. A wide range of indicators are examined along a spatial grid that allows rural-urban as well as intrarural comparisons. Differences between urban and rural populations mainly concern specific health problems and determinants, while notable(More)
BACKGROUND Area-based indicators are commonly used to measure and track health outcomes by socioeconomic group. This is largely because of the absence of socio-economic information about individuals in health administrative databases. The literature shows that the magnitude of differences in health outcomes varies depending on whether the socio-economic(More)
BACKGROUND Socioeconomic status (SES) and area of residence are known to impact access to invasive cardiac procedures. Low SES adversely affects long-term mortality after acute myocardial infarction (AMI). Most of the data were derived from private healthcare systems. Our objectives were to evaluate the effects of SES and area of residence on access to(More)
This paper addresses two questions: (1) Can people's perceptions of problems and social cohesion in the neighbourhood be considered as contextual variables; and (2) are these perceptions related to people's health? Data come from a general health survey carried out in 2004 among 1634 individuals living in three localities of the region of Québec City,(More)
Social health inequalities are smaller in rural than urban areas because, some argue, people's social conditions are estimated at a small-area level, hiding variability at the individual or household level. This paper compares inequalities in survival according to an individual and area-based version of a deprivation index among a large sample of Canadians(More)
This study investigated the association between individual and area socioeconomic status (SES) and leading causes of unintentional injury mortality in Canadian adults. Using the 1991-2001 Canadian Census Mortality Follow-up Study cohort (N=2,735,152), Cox proportional hazard regression was used to calculate hazard ratios and 95% confidence intervals for(More)