Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Bridging the gap between knowledge and action on the societal determinants of cardiovascular disease: how one Canadian community effort hit – and hurdled – the lifestyle wall

Bridging the gap between knowledge and action on the societal determinants of cardiovascular... An expanding conceptual and research literature identifies cardiovascular disease (CVD) as the disease whose incidence varies most, according to income level. To date however, there has been virtually no public consideration in Canada of the role that societal factors play in its incidence. In an attempt to redress this gap, a community coalition brought together the latest research on the societal determinants of CVD. Barriers to public awareness and public policy action to address these societal determinants of health included the unwillingness of health care associations to consider societal determinants of health as relevant to their activities; general resistance by the media; and active attempts by governments of the day to shift focus away from societal determinants of health. Considering these barriers, university personnel involvement appears essential to any attempt to identify and address the societal determinants of CVD and other diseases. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Health Education Emerald Publishing

Bridging the gap between knowledge and action on the societal determinants of cardiovascular disease: how one Canadian community effort hit – and hurdled – the lifestyle wall

Dennis Raphael
Health Education , Volume 103 (3): 13 – Jun 1, 2003
Download PDF
13 pages
Read Article

Loading next page...
 
/lp/emerald-publishing/bridging-the-gap-between-knowledge-and-action-on-the-societal-dIjVqiLdNU
Publisher
Emerald Publishing
Copyright
Copyright © 2003 MCB UP Ltd. All rights reserved.
ISSN
0965-4283
DOI
10.1108/09654280310472397
Publisher site
See Article on Publisher Site

Abstract

An expanding conceptual and research literature identifies cardiovascular disease (CVD) as the disease whose incidence varies most, according to income level. To date however, there has been virtually no public consideration in Canada of the role that societal factors play in its incidence. In an attempt to redress this gap, a community coalition brought together the latest research on the societal determinants of CVD. Barriers to public awareness and public policy action to address these societal determinants of health included the unwillingness of health care associations to consider societal determinants of health as relevant to their activities; general resistance by the media; and active attempts by governments of the day to shift focus away from societal determinants of health. Considering these barriers, university personnel involvement appears essential to any attempt to identify and address the societal determinants of CVD and other diseases.

Journal

Health Education – Emerald Publishing

Published: Jun 1, 2003

Keywords: Social class; Income; Community; Canada; Health

References

  • Independent inquiry into inequalities in health
    Acheson, D.
  • Effects of socioeconomic status on access to invasive cardiac procedures and on mortality after acute myocardial infarction
    Alter, D.A.; Naylor, C.D.; Austin, P.; Tu, J.
  • Unraveling the Mystery of Health: How People Manage Stress and Stay Well
    Antonovsky, A.
  • Weight in infancy and death from ischemic heart disease
    Barker, D.J.; Osmond, C.; Simmonds, M.
  • Health and the life course: why safety nets matter
    Bartley, M.; Blane, D.; Montgomery, S.
  • Tackling Inequalities in Health: An Agenda for Action
    Benzeval, M.; Judge, K.; Whitehead, M.
  • The Black report
    Black, D.; Smith, C.
  • Social organization, stress, and health
    Brunner, E.; Marmot, M.G.
  • The Sociology of Health Promotion
    Bunton, R.; Nettleton, S.; Burrows, R.
  • Social Exclusion
    Byrne, D.
  • More poor children today than at any time in Canada’s history: Campaign 2000 insists on a commitment in each of the next three years
    Campaign 2000
  • Child poverty in Canada: report card 2000
    Campaign 2000
  • Heart Disease and Stroke Leading Cause of Hospitalization, CIHI Reports
    Canadian Institute for Health Information
  • Inequities in Health
    Canadian Public Health Association
  • Action statement for health promotion in Canada
    Canadian Public Health Association
  • The Health Impacts of Unemployment
    Canadian Public Health Association
  • Health Impacts of Social and Economic Conditions: Implications for Public Policy
    Canadian Public Health Association
  • Reducing poverty and its negative effects on health: resolution passed at the 2000 CPHA Annual Meeting
    Canadian Public Health Association
  • Poverty across the life‐course and health
    Davey Smith, G.; Gordon, D.
  • Life course approaches to inequalities in coronary heart disease risk
    Davey Smith, G.; Ben‐Shlomo, Y.; Lynch, J.
  • Life‐course approaches to socioeconomic differentials in cause‐specific adult mortality
    Davey Smith, G.; Grunnell, D.; Ben‐Shlomo, Y.
  • Social circumstances in childhood and cardiovasular disease mortality prospective observational study of Glasgow University students
    Davey Smith, G.; McCarron, P.; Okasha, M.; McEwan, J.
  • Lifetime socioeconomic position and mortality: prospective observational study
    Davey Smith, G.; Hart, C.; Blane, D.; Gillis, C.; Hawthorne, V.
  • A multi‐level analysis of income inequality and cardiovascular disease risk factors
    Diez‐Roux, A.V.; Link, B.G.; Northridge, M.E.
  • Exporting failure: coronary heart disease and stroke in developing countries
    Ebrahim, S.; Davey Smith, G.
  • Achieving health for all: a framework for health promotion
    Epp, J.
  • Early growth and coronary heart disease in later life: longitudinal study
    Eriksson, J.G.; Forsen, T.; Tuomoilehto, J.; Osmond, C.; Barker, D.J.
  • Catch‐up growth in childhood and death from coronary heart disease: longitudinal study
    Eriksson, J.G.; Forsen, T.; Tuomoilehto, J.; Winter, P.D.; Osmond, C.; Barker, D.J.
  • What determines health? To where should we shift resources? Attitudes towards the determinants of health among multiple stakeholder groups in Prince Edward Island, Canada
    Eyles, J.; Brimacombe, M.; Chaulk, P.; Stoddart, G.; Pranger, T.; Moase, O.
  • The Health Status of Canadians
    Federal Provincial and Territorial Advisory Committee on Population Health
  • National trends in educational differentials in mortality
    Feldman, J.J.; Makuc, D.M.; Kleinman, J.C.; Cornoni‐Huntley, J.
  • The Tyranny of Health: Doctors and the Regulation of Lifestyle
    Fitzpatrick, M.
  • Growth in utero and during childhood among women who develop coronary heart disease: longitudinal study
    Forsen, T.; Eriksson, J.G.; Tuomilehto, T.; Osmond, C.; Barker, B.J.
  • Taking action on population health: a position paper for health promotion and programs branch staff
    Health Canada
  • Statistical report on the health of Canadians
    Health Canada
  • The Changing Face of Heart Disease and Stroke in Canada 2000
    Heart and Stroke Foundation of Canada
  • Pay the Rent or Feed the Kids: The Tragedy and Disgrace of Poverty in Canada
    Hurtig, M.
  • Social patterning of individual health behaviours: the case of cigarette smoking
    Jarvis, M.J.; Wardle, J.
  • Social inequality and healthy public policy
    Labonte, R.
  • Socioeconomic factors, health behaviors, and mortality
    Lantz, P.M.; House, J.S.; Lepkowski, J.M.; Williams, D.R.; Mero, R.P.; Chen, J.J.
  • Income inequality and health: expanding the debate
    Lynch, J.
  • Socioeconomic position
    Lynch, J.; Kaplan, G.A.
  • Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic life course
    Lynch, J.W.; Kaplan, G.A.; Salonen, J.T.
  • Income inequality and mortality: importance to health of individual income, psychosocial environment, or material conditions
    Lynch, J.W.; Smith, G.D.; Kaplan, G.A.; House, J.S.
  • Social Exclusion in European Cities
    Madanipour, A.; Cars, G.; Allen, J.
  • Coronary heart disease from a population perspective
    Marmot, M.; Mustard, C.F.
  • Social Determinants of Health
    Marmot, M.; Wilkinson, R.
  • Surveillance, health promotion and the formation of a risk identity
    Nettleton, S.
  • Sociological critiques of health promotion
    Nettleton, S.; Bunton, R.
  • The impact of a community‐based heart disease prevention program in a low income, inner city neighbourhood
    O’Loughlin, J.L.; Paradis, G.; Gray‐Donald, K.; Renaud, L.
  • Child poverty in Ontario: report card 2000
    Ontario Campaign 2000
  • Heart health Hamilton‐Wentworth survey: programming implications
    Paisley, J.; Midgett, C.; Brunetti, G.; Tomasik, H.
  • Mandatory Health Programs and Services Guidelines
    Province of Ontario
  • Canadian policy statements on income and health: sound and fury – signifying nothing
    Raphael, D.
  • Cardiovascular health in Canada: are we fiddling while Rome burns?’
    Raphael, D.
  • From increasing poverty to societal disintegration: how economic inequality affects the health of individuals and communities
    Raphael, D.
  • Inequality is bad for our hearts: low income found to be a major causes of heart disease in Canada
    Raphael, D.
  • Inequality is bad for our hearts: why low income and social exclusion are major causes of heart disease in Canada
    Raphael, D.
  • Letter from Canada: an end of the millennium update from the birthplace of the Healthy Cities Movement
    Raphael, D.
  • Population health and public social policy: Canada’s looking to the USA for policy ideas threaten citizens’ cardiovascular health
    Raphael, D.
  • Social justice is good for our hearts: why societal factors – not lifestyles – are major causes of heart disease in Canada and elsewhere
    Raphael, D.
  • Barriers to addressing the determinants of health: public health units and poverty in Ontario, Canada
    Raphael, D.
  • When social policy is health policy: why increasing poverty and low income threatens Canadians’ health and health care system
    Raphael, D.
  • Addressing cardiovascular disease in North America: shifting the paradigm
    Raphael, D.; Farrell, E.S.
  • Beyond medicine and lifestyle: addressing the societal determinants of cardiovascular disease in North America
    Raphael, D.; Farrell, E.S.
  • A city for all ages: fact or fiction? Effects of government policy decisions on Toronto seniors’ quality of life
    Raphael, D.; Brown, I.; Wheeler, J.
  • Government policies as a threat to public health
    Raphael, D.; Phillips, S.; Renwick, R.; Sehdev, H.
  • How government policy decisions affect seniors’ quality of life: findings from a participatory policy study carried out in Toronto, Canada
    Raphael, D.; Brown, I.; Bryant, T.; Wheeler, J.; Herman, R.; Houston, J.; Hussain, M.; Lanphier, C.; Lightfoot, B.; McClelland, B.; McIntosh, B.; Stevens, I.; Weisbeck, F.
  • Stress, the Aging Brain, and Mechanisms of Neuron Death
    Sapolsky, R.M.
  • Rank‐related differences in cardiovascular function among wild baboons: role of sensitivity to glucocorticoids
    Sapolsky, R.M.; Share, L.J.
  • Poverty, social exclusion, and minorities
    Shaw, M.; Dorling, D.; Davey Smith, G.
  • The Widening Gap: Health Inequalities and Policy in Britain
    Shaw, M.; Dorling, D.; Gordon, D.; Smith, G.D.
  • The behavior and physiology of social stress and depression in female cynomolgus monkeys
    Shivey, C.A.; Laird, K.L.; Anton, R.F.
  • Increasing inequalities in all‐causes and cardiovascular mortality among US adults aged 25‐64 years by socioeconomic status, 1969‐1998
    Singh, G.K.; Siahpush, M.
  • Preventing Social Exclusion
    Social Exclusion Unit
  • Millennium report to Sir Edwin Chadwick
    Sram, I.; Ashton, I.
  • Stress and the Heart: Psychosocial Pathways to Coronary Heart Disease
  • The Daily: 1996 Census, Sources of Income Earnings, and Total Income
    Statistics Canada
  • Income distributions by family size in Canada 1996
    Statistics Canada
  • Estimates of Premature Deaths (Prior to Age 75) due to Cardiovascular Disease among Canadians
    Statistics Canada
  • The soft science of dietary fat
    Taubes, G.
  • Determinants of health: a progressive political platform
    Terris, M.
  • Keeping the Vision Alive: Saving Canadian Healthcare
    United Church of Canada
  • Health, United States, 1998: Socioeconomic Status and Health Chartbook
    US Department of Health and Human Services
  • Britain Divided: The Growth of Social Exclusion in the 1980s and 1990s
  • The health divide
    Whiteside, M.
  • Changes in mortality by income in urban Canada from 1971 to 1986
    Wilkins, R.; Adams, O.; Brancker, A.
  • Trends in mortality by neighbourhood income in urban Canada from 1971 to 1996
    Wilkins, R.; Berthelot, J.; Ng, E.
  • Mind the Gap: Hierarchies, Health and Human Evolution
    Wilkinson, R.
  • Social Determinants of Health: The Solid Facts
    Wilkinson, R.; Marmot, M.
  • Unhealthy Societies: The Afflictions of Inequality
    Wilkinson, R.G.
  • The Growing Gap: A Report on Growing Inequality between the Rich and Poor in Canada
    Yalnizyan, A.

You’re reading a free preview. Subscribe to read the entire article.

Try 2 weeks free now

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

or browse the journals available

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

Sign up
for free
Start 14 day
Free Trial