2023-09-28 14:46:10 +00:00
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abstract: 'This paper uses a comparative case study of Canada and the USA to argue
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that, in order to fully understand the associations between population
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health and the socioeconomic environment we must begin to place
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importance on the dynamic aspect of these factors-examining them as they
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evolve over time. In particular, for institutional and policy shifts
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that often unfold over decades, population health must attend to these
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big, slow moving processes by adopting a historical perspective to the
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knowledge base. We compare Canada and the USA on basic health outcomes
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and a range of determinants of health for which routine data have been
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collected for all or most of the period between 1950 and the present.
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During the analysis that follows, we are able to establish that, at the
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level of society (i) greater economic well being and spending on health
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care does not yield better health outcomes, that (ii) public provision
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and income redistribution trump economic success where population health
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is concerned, and (iii) that the gradual development of public provision
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represents the buildup of social infrastructure that has long-lasting
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effects on health status. Our case study shows what can be gleaned from
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a comparative perspective and a long-term view. The long view allows us
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to detect the gradual divergence in health status between these two
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societies and to trace potential institutional causes that would
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otherwise go unnoticed. The perspective introduced here, and in
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particular the comparison of Canada and the USA, provides strong support
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for the use of cross-national comparative work, and a historical
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perspective on the investigation of societies that successfully support
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population health. (c) 2006 Elsevier Ltd. All rights reserved.'
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affiliation: 'Siddiqi, A (Corresponding Author), Univ Tennessee, Knoxville, TN 37996
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USA.
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Univ Tennessee, Knoxville, TN 37996 USA.'
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author: Siddiqi, Arjumand and Hertzman, Clyde
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author-email: 'asiddiqi@utk.edu
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hertzman@interchange.ubc.ca'
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author_list:
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- family: Siddiqi
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given: Arjumand
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- family: Hertzman
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given: Clyde
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da: '2023-09-28'
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doi: 10.1016/j.socscimed.2006.09.034
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files: []
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issn: 0277-9536
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journal: SOCIAL SCIENCE \& MEDICINE
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keywords: 'income inequality; Canada; USA; social epidemiology; historical
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analysis; structural determinants; institutional determinants'
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keywords-plus: 'CROSS-SECTIONAL ANALYSIS; INCOME INEQUALITY; SOCIOECONOMIC-STATUS;
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INDIVIDUAL INCOME; LIFE EXPECTANCY; MORTALITY; ADULTS'
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language: English
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month: FEB
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number: '3'
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number-of-cited-references: '44'
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pages: 589-603
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papis_id: 5099e281faa04297b30dec23f7545d0c
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ref: Siddiqi2007epidemiologicalunder
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times-cited: '51'
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title: 'Towards an epidemiological understanding of the effects of long-term institutional
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changes on population health: A case study of Canada versus the USA'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000244260900008
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usage-count-last-180-days: '0'
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usage-count-since-2013: '12'
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volume: '64'
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web-of-science-categories: 'Public, Environmental \& Occupational Health; Social Sciences,
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Biomedical'
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year: '2007'
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