interpersonal determinants

 social determinants Essay

Interpersonal Science & Medicine 73 (2011) 50e59

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Social Science & Treatments

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Comparing social determinants of self-rated health through the United States and Canada

Steven G. Prus*

Department of Sociology, Carleton University, D795 LA, 1125 Colonel By Drive, Ottawa, Ontario, K1S 5B6 Canada

a ur t i actually c l e i actually n f o

a b h t r a c t

Article history:

Available 18 Might 2011

A big body of research shows that social determinants of well being have significant impact on the healthiness of Canadians and Americans. Yet, very few studies have straight compared the extent to which social elements are connected with health inside the two countries, in large part because of the historical lack of comparable cross-national data. This study examines differences in the effect of a wide-range of social determinants in self-rated overall health across the two populations using data clearly designed to aid comparative health researchdJoint Canada/United States Survey of Wellness. The effects show that: 1) sociodemographic and socioeconomic factors have got substantial effects on overall health in every country, although size of the consequences tends to differdgender, nativity, and race will be stronger predictors of health among People in america while the associated with age and marital status on health are much larger in Canada; the income gradient in overall health is higher in Canada while the education lean is steeper in the U. S.; 2) Socioeconomic status (SES) mediates or links sociodemographic variables with wellness in equally countriesdthe observed associations between gender, race, age, and marital position and wellness are considerably weakened after adjusting pertaining to SES; 3) psychosocial, behavioural risk and health care access factors are incredibly strong determinants of overall health in every country, even so being severely/morbidly obese, a smoker, or perhaps having low life pleasure has a better negative impact on the health of Us citizens, while getting physically sedentary or having unmet medical care needs contains a stronger result among Canadians; and 4) risk and health care access factors jointly play a minor part in relating social strength factors to health. Total, the findings demonstrate the value of social determinants of health in both countries, and that some determinants matter more in a single country relative to the different. Ó 2011 Elsevier Ltd. All rights reserved.




Self-rated health

Social determinants


Behavioural risk

Medical access



Since wealthy created nations, Canada and the United States

share various similarities of all time, culture, and living standards and styles. Both countries also differ consist of important methods, namely inside the funding, business, and delivery of medical and other interpersonal welfare programs, distribution of income, and social inequities, which probably have implication for well being determinants within and involving the two countries (Evans & Roos, 1999;

Navarro ou al., 2006; Siddiqi & Hertzman, 2007; Siddiqi & Nguyen, 2010). It is in this particular context that study examines the effects of interpersonal determinants of health around Canada and the United States.

Social, demographic, monetary, and behavioural risk factors play a vital part in shaping the health of Canadians and Americans alike. Along these factors are generally known as ‘social determinants of well being. ' Social determinants will not exist in isolation by each other, yet combine to look for the health of people, communities, and populations (Berkman & Kawachi, 2000; Kawachi & Kennedy, 2002; Website link & Phelan, 1995, 1996; Marmot & Wilkinson, 2005;

Phelan & Link, 2005; Raphael, 2008; Wilkinson & Marmot, 2003). Fig. one particular, adapted via House (2002), presents a theoretical version linking cultural determinants with health. Cultural structural (sociodemographic and socioeconomic) factors are believed underlying, or perhaps...


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