ArticlePloS one2014
How do people attribute income-related inequalities in health? A cross-sectional study in Ontario, Canada.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Effectiveness of Narrative Messaging Styles about the Social Determinants of Health and Health Inequities in Ontario, Canada.International journal of environmental research and public health · 2021Article
- Pessimistic health and optimistic wealth distributions perceptions in Germany and the UK: evidence from an online-survey.BMC public health · 2021Article
- Using Cross-Sectional Data to Identify and Quantify the Relative Importance of Factors Associated with and Leading to Food Insecurity.International journal of environmental research and public health · 2018Article
- Impact of new rural cooperative medical scheme on the equity of health services in rural China.BMC health services research · 2018Article
- Using self-reported data on the social determinants of health in primary care to identify cancer screening disparities: opportunities and challenges.BMC family practice · 2017Article
- Addressing health inequities in Ontario, Canada: what solutions do the public support?BMC public health · 2017Article
- Assessing the relationship between dental appearance and the potential for discrimination in Ontario, Canada.SSM - population health · 2015Article
- Macroeconomic policies and increasing social-health inequality in Iran.International journal of health policy and management · 2014Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextSubstantive equity-focused policy changes in Ontario, Canada have yet to be realized and may be limited by a lack of widespread public support. An understanding of how the public attributes inequalities can be informative for developing widespread support. Therefore, the objectives of this study were to examine how Ontarians attribute income-related health inequalities.
methodsWe conducted a telephone survey of 2,006 Ontarians using random digit dialing. The survey included thirteen questions relevant to the theme of attributions of income-related health inequalities, with each statement linked to a known social determinant of health. The statements were further categorized depending on whether the statement was framed around blaming the poor for health inequalities, the plight of the poor as a cause of health inequalities, or the privilege of the rich as a cause of health inequalities.
resultsThere was high agreement for statements that attributed inequalities to differences between the rich and the poor in terms of employment, social status, income and food security, and conversely, the least agreement for statements that attributed inequalities to differences in terms of early childhood development, social exclusion, the social gradient and personal health practices and coping skills. Mean agreement was lower for the two statements that suggested blame for income-related health inequalities lies with the poor (43.1%) than for the three statements that attributed inequalities to the plight of the poor (58.3%) or the eight statements that attributed inequalities to the privilege of the rich (58.7%). DISCUSSION: A majority of this sample of Ontarians were willing to attribute inequalities to the social determinants of health, and were willing to accept messages that framed inequalities around the privilege of the rich or the plight of the poor. These findings will inform education campaigns, campaigns aimed at increasing public support for equity-focused public policy, and knowledge translation strategies.
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