Health Sci 1002B Final

Health Sci 1002B Final What did the study done by McClean's magazine (partnered with the CMA) examine? - Life and death by neighbourhood (where you live may decide how soon you die) Winter and spring of 2013, the CMA held public town hall meetings in Winnipeg, Hamilton, Charlottetown, Calgary, Montreal, and St. John's. What were the 4 purposes of these meetings? - 1. To determine what factors beyond the health care system influence health 2. What initiatives offset the negative impact of these determinants 3. What governments and health care providers should be doing to address these social determinants 4. How equal access for all to the health care system can be achieved McClean's magazine partnered up with the CMA to talk about and explore in a town hall format what 4 main social determinants of health? - income housing nutrition/food security early childhood development Why did McClean's magazine and the CMA decide to hold these town meetings? - - Public opinion is very important - More and more it's coming to light that health is more than just health care - A study called Code Red prompted this as well What is Code Red? What did Code Red suggest? - - Study done by a researcher in collaboration with the Hamilton Spectator (done in Hamilton, ON) - Health is predetermined by postal code. What would happen to the baby of a mother who is living in this neighbourhood: - bottom 20% of the city's income earners - six times less likely than the wealthiest hamiltonian to seek first-trimester prenatal care - more than six times as likely to be a teenager or to have dropped out of school - Her baby's future: - Born underweight and risk of needing weeks in neonatal intensive care would also be higher - Because it's born underweight + environment, the child will likely face a number of difficulties later in life (ie. heart disease, obesity, diabetes, cognitive delay/impairment) What was the purpose of the Code Red study? - To describe the disparities in the determinants of health and health status that exists in the City of Hamilton's neighborhoods in a way that could be easily comprehended by a lay audience. How was data collected for the Code Red study? - - Looked at health records; specifically emergency room visit data and hospital admission records from for every patient listing Hamilton as a home (~ 400,000 observations) - They didn't look at these records at the individual level (didn't look at names); it was anonymous - Looked at death records along with postal code of residence at the time of death Death - Both local District School Boards (Catholic and Public) provided data on high school - Variables relating to various determinants of health were collected from the 2006 Census of the Canadian population (ie. dwelling value, median income, % of immigrants etc.) - Data were entered into a GIS for mapping by renters. After gathering data and analyzing results from the Code Red study, what did the Hamilton spectator do between April 10 and April 17, 2010? - Published the Code Red series in 7 instalments (published 7 maps along with associated statistics ie. avg age of death, CV disease, hospital admission rate etc. so that people could see what was happening by area/postal code/region) - One of the maps was an aggregate map which looked at the overall results What was the key variable in the Code Red study? - Postal code Describe the statement "Two Streets Two Worlds" as it relates to Hamilton (as determined by the Code Red study)? - - In neighborhoods like Hamilton's depressed, residents die an average Third World Death - at 65.5 years of age - If they lived 5 or 6 km, say, on Rice Avenue