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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)
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)
INTRODUCTION With the growing burden of chronic diseases, surveillance will play an essential role in improving their prevention and control. The Institut national de santé publique du Québec has developed an innovative chronic disease surveillance system, the Quebec Integrated Chronic Disease Surveillance System (QICDSS). We discuss the primary features,(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)
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)
BACKGROUND The evaluation of care and the surveillance of disease are important in respect to cardiovascular disease because it is prevalent and costly. In Canada, medico-administrative hospital data are readily available, continuously updated, and offer comprehensive coverage of the patient population. However, there is concern about the quality of the(More)
BACKGROUND Disability is understood to arise from person-environment interactions. Hence, heterogeneity in local-area characteristics should be associated with local-area variation in disability prevalence. This study evaluated the associations of disability prevalence with local-area socioeconomic status and contextual features. METHODS Disability(More)
OBJECTIVES To overcome the absence of socio-economic information in administrative databases and to monitor social inequalities in health, a material and social deprivation index was developed for Québec and Canada. METHODS The index is based on the smallest area unit used in Canadian censuses, with 400 to 700 persons on average. It includes six(More)