Social Determinants Of Health: The Canadian Facts

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Social Determinants of Health: The Canadian Facts Juha Mikkonen Dennis Raphael [COVER] Social Determinants of Health THE CANADIAN FACTS Juha Mikkonen Dennis Raphael Social Determinants of Health: The Canadian Facts Mikkonen, J., & Raphael, D. (2010). Social Determinants of Health: The Canadian Facts. Toronto: York University School of Health Policy and Management. The publication is available at http://www.thecanadianfacts.org/ Pictures by Juha Mikkonen (p. 7, 10, 12, 20, 26, 29, 32, 35, 38, 41, 53), Gregory Talas (p. 17, 44, 47), Heidi Malm (p. 15), Laurence Parent (p. 50) and Dennis Raphael (p. 23). Copyright © 2010 Juha Mikkonen and Dennis Raphael The authors gratefully acknowledge the financial support provided…show more content…
Everyone agrees that populations of Bangladesh, Sierra Leone or Haiti have low life expectancy, are malnourished, live in fearful and unhealthy environments, and are having a terrible time just trying to survive. But what does that have to do with us in Canada? For years, we bragged that we were identified by the United Nations as “the best country in the world in which to live”. We have since dropped a few ranks, but our bragging continues. We would be the most surprised to learn that, in all countries – and that includes Canada – health and illness follow a social gradient: the lower the socioeconomic position, the worse the health. The truth is that Canada – the ninth richest country in the world – is so wealthy that it manages to mask the reality of poverty, social exclusion and discrimination, the erosion of employment quality, its adverse mental health outcomes, and youth suicides. While one of the world’s biggest spenders in health care, we have one of the worst records in providing an effective social safety net. What good does it do to treat people’s illnesses, to then send them back to the conditions that made them…show more content…
There is much evidence that the quality of the social determinants of health Canadians experience helps explain the wide health inequalities that exist among Canadians. How long Canadians can expect to live and whether they will experience cardiovascular disease or adult-onset diabetes is very much determined by their living conditions. The same goes for the health of their children: differences among Canadian children in their surviving beyond their first year of life, experiencing childhood afflictions such as asthma and injuries, and whether they fall behind in school are strongly related to the social determinants of health they experience. Research is also finding that the quality of these health-shaping living conditions is strongly determined by decisions that governments make in a range of different public policy domains. Governments at the municipal,

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