Surveillance des inégalités sociales de santé en contexte autochtone : documenter les déterminants sociaux de la santé aux niveaux individuels, des logements et des communautés afin de soutenir les interventions populationnelles

 

Mylène Riva

Centre de recherche du Centre hospitalier universitaire de Québec

 

Domaine : santé des populations

Programme chercheurs-boursiers - Junior 1

Concours 2014-2015

It is now acknowledged that the systematic inequalities in health-related behaviors, morbidity and mortality between Aboriginal and non-Aboriginal populations are paralleled by unequal distribution in the social determinants of health (e.g. income, education, housing and community conditions). Yet some Aboriginal peoples and communities are healthier than others. Documenting the social determinants of Aboriginal health is essential to identify avenues for actions aiming to promote health and reduce health inequalities.

First, this research program aims to identify the social determinants relevant to Inuit (Canada and Greenland) and Cree (Quebec) health, at the individual and community levels, and their change over time. Cross-sectional and prospective data from health surveys conducted among Inuit and Cree populations will be analyzed. Housing conditions occupy a focal point in this research program. In many Aboriginal communities, the lack of housing, overcrowding and inadequate housing conditions are reaching alarming levels and are compromising population health and community development.

Second, this program will assess and monitor the health impacts of interventions formulated outside the health sector that modifies the social determinants of health. The aim is to assess whether rehousing (i.e. moving into a new house) reduces exposure to overcrowding, a health risk, and thus lead to health and social benefits for Inuit families in Nunavik and Nunavut. The goals of this research program have been developed in consultation with Aboriginal leaders, community members, organizations and governments to address local priorities; some of these stakeholders are part of a steering committee for the program, creating natural and sustainable environment for knowledge exchange.

Overall, knowledge produced by this research program will be useful for informing the formulation and implementation of healthy public policies aiming to improve health and reduce health inequalities.


Deuxièmement, ce programme évaluera les impacts sur la santé d'interventions populationnelles formulées hors du secteur sanitaire et qui modifient les déterminants sociaux de la santé. Il s'agira d'évaluer les impacts de l'accès à un logement pour la santé des familles inuit du Nunavik et Nunavut. Les objectifs de ce programme ont été développés en consultation avec les communautés, organismes et gouvernements autochtones des régions concernées afin de répondre aux priorités locales. Une structure de gouvernance, dans laquelle sont impliqués des représentants autochtones, confère au programme un environnement favorable et pérenne pour l'échange des connaissances.

Les résultats produits par ce programme de recherche alimenteront la formulation et l'implantation des politiques publiques saines en milieu autochtone.