Knowledge into action? understanding ideological barriers to addressing health inequalities at the local level

Health Policy
Patricia A CollinsJohn D Eyles

Abstract

The objective of this study was to explore the presence of ideological barriers to addressing local health inequalities in Hamilton, Ontario, Canada. A survey of active citizens revealed low levels of awareness of the social determinants of health (SDOH) framework, and some incongruence between understanding and attitudes towards the SDOH. Support for addressing health inequalities was associated with awareness of the SDOH framework, liberal value-systems, and a cluster of socio-demographic characteristics. Liberal leaning participants were also more politically active than their conservative counterparts. Ideological barriers included lack of SDOH awareness, narrow understandings of the relative influences of the SDOH, resistance to de-prioritizing healthcare, and conservative values. Advancement of a SDOH policy agenda should incorporate wider dissemination efforts to citizens and local service providers to increase support for this framework, and utilization of existing support and political engagement from liberal-leaning demographics.

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Citations

May 27, 2010·International Journal for Equity in Health·Patricia A Collins, Michael V Hayes
Mar 27, 2009·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Perla Werner
Dec 15, 2010·Journal of Evaluation in Clinical Practice·James J ClarkAdrienne Whitt-Woosley
Jul 23, 2011·American Journal of Public Health·Stephanie A Robert, Bridget C Booske
Jun 7, 2011·Social Science & Medicine·Deborah Chinn
May 30, 2014·BMJ Open·Joana MorrisonUNKNOWN partners from the INEQ-Cities Project
Sep 18, 2010·Health Research Policy and Systems·Joyce de GoedeHans Am van Oers
Mar 14, 2014·The British Journal of Nutrition·Inge SpronkHelen O'Connor
Mar 12, 2018·International Journal of Health Policy and Management·Phillip BakerTamara Mackean
Jul 22, 2015·Journal of Pediatric Endocrinology & Metabolism : JPEM·Zeynep Gökçe Gayretli AydinPeyami Cinaz
Sep 21, 2013·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Patricia A Collins, Michael V Hayes
May 10, 2018·Health Literacy Research and Practice·Xuewei ChenLisako E McKyer

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