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Journal ArticleDOI

« Les variations géographiques de la santé au Québec : une analyse de l'enquête Santé Québec par aire homogène. »

01 Jan 1990-Vol. 34, Iss: 92, pp 137-160

AbstractLe present article propose une lecture de l'enquete Sante Quebec, realisee en 1987, a travers une grille geographique par aire homogene (ou aire sociale). On procede d'abord a l'elaboration de cette grille par aire homogene, puis on en decrit les caracteristiques geo-socio-economiques pour finalement en tracer le bilan sanitaire. Il ressort de cette lecture d'importantes disparites entre les aires homogenes, tant dans les determinants de l'etat de sante (consommation d'alcool, de tabac, activite physique et soutien social), que dans l'etat de sante lui-meme (diverses pathologies) ou encore dans les consequences de cet etat de sante (incapacite, recours aux services, medication). Cette lecture retrace les populations les plus vulnerables au Quebec, c'est-a-dire les residants des vieux centres-villes et de certains secteurs limitrophes d'agglomerations et de villes, des capitales regionales et de la metropole, ainsi que les residants de l'arriere-pays et de certaines petites villes de la peripherie.

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Journal ArticleDOI
TL;DR: Results show the existence of significant local area variations in health perception after having allowed for individual characteristics and variations at the household level, however, at the regional level, no systematic and significant variations remain although some individual regions are found to have a significant impact on health perception.
Abstract: Self perceived health is a widely used measure and, in Quebec, it has been shown to vary significantly between geographical areas. In the present study, these geographical variations are examined in a multilevel analysis in order to disentangle compositional (individual characteristics) and contextual (place) effects. The analysis recognizes four levels of variation: individual, household, local and regional. Similar analyses carried out in Britain, have considered only two levels: individual and local. Data come from the 1992–1993 Quebec Health and Social Survey, a general household survey using a stratified two-stage sampling design. Health perception (the response variable) is considered with a set of individual predictor characteristics reflecting gender, lifestyle, socio-economic conditions, marital status and social support. Results show the existence of significant local area variations in health perception after having allowed for individual characteristics and variations at the household level. At the regional level, however, no systematic and significant variations remain although some individual regions are found to have a significant impact on health perception.

57 citations


Journal ArticleDOI
TL;DR: Variations by age and living environment differences suggest that children's conception of health may reflect differences in their organization of information into schemata on the basis of their experience as well as structural changes in cognitive development.
Abstract: This study describes children's conception of health within the context of their daily life Participants were boys and girls (n = 1,674) from three age groups (5–6, 8–9, and 11–12 years old) from different socio-economic living environments in urban and rural areas In general, the results indicate that children's conception of health is multidimensional and is rooted in their daily-life experiences Essentially, it is organized around three main dimensions, functionality, adherence to good lifestyle health habits, and mental health Variations by age and living environment differences suggest that children's conception of health may reflect differences in their organization of information into schemata on the basis of their experience as well as structural changes in cognitive development

43 citations


Journal ArticleDOI
TL;DR: The Québec Health Survey is analyzed using a geographic grid which defines three different rural areas: that area bordering urban centers, a more remote area and the very remote hinterland, bringing to light major, statistically significant, discrepancies between these areas in three sectors.
Abstract: Little information exists on health discrepancies within rural areas. Our research proposes to analyse the Quebec Health Survey--a population health survey carried out in Quebec in 1987--using a geographic grid which defines three different rural areas: that area bordering urban centers, a more remote area and the very remote hinterland. The analysis brings to light major, statistically significant, discrepancies between these areas in three sectors: health status determinants (physical activity and social support), the actual state of health (perceived health, a global health index and various pathologies) and the consequences that may be attributed to this state of health (disability and medication). It shows the difficult situation of inhabitants of the very remote hinterland.

35 citations


Journal Article
TL;DR: Elements of mobility that predicted death during the two-year follow-up period included difficulty in dressing, which is potentially useful to clinicians and health professionals by providing prognostic information to supply to families and suggesting areas in which interventions to improve survival might be focused.
Abstract: In order to identify elements of mobility that predict survival in elderly people with dementia, we conducted a two-year follow-up of a cohort of dementia subjects from the population-based Canadian Study of Health and Aging. There were 749 prevalent cases of Alzheimer's disease (AD) and 208 prevalent cases of vascular dementia. Elements of mobility that predicted death during the two-year follow-up period included difficulty in dressing (OR = 2.08, 95% CI 1.41 3.07), difficulty in getting about (OR = 1.69, 95% CI 1.18 2.40), history of falls (OR = 1.43, 95% CI 1.05 1.94), abnormal gait (OR = 1.61, 95% CI 1.08 2.40) and abnormal motor strength (OR = 1.51, 95% CI 1.07 2.15). Sociodemographic factors such as older age and male sex were also significant predictors of decreased survival. These associations are potentially useful to clinicians and health professionals by providing prognostic information to supply to families and suggesting areas in which interventions to improve survival might be focused

20 citations


Cites result from "« Les variations géographiques de l..."

  • ...This pattern is fairly similar to the results of Quebec health and social surveys concerning people’s satisfaction with their social life.(44,45)...

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Journal ArticleDOI
TL;DR: The first migration between health territories of 6873 patients newly diagnosed with schizophrenia in Quebec in 2001 is studied, aiming to describe the pattern of migration and assess the influence of the place of residence on migration.
Abstract: Migration of patients with schizophrenia might influence health care access and utilization. However, the time between diagnosis and migration of these patients has not yet been explored. We studied the first migration between health territories of 6873 patients newly diagnosed with schizophrenia in Quebec in 2001, aiming to describe the pattern of migration and assess the influence of the place of residence on migration. Between 2001 and 2007, 34.5% of patients migrated between health territories; those living in metropolitan areas were more likely to migrate than others but tended to remain in metropolitan areas. Migrant patients were also more likely to stay in or migrate to the most socially or materially deprived territories.

18 citations


References
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Book
01 Jan 1973

38 citations


Journal ArticleDOI
Abstract: This article defines social area analysis and identifies its conceptual roots and principal applications. By reviewing the uses of demographic data among several disciplines, the utility of social area analysis is assessed. The authors cite and briefly review the seminal and most recent contributions to the field. Several types of ecological fallacies and other problematic facets of social area analysis are considered, as well as specific issues in the derivation of statistical inferences from cross-level and same-level areal and case data.

7 citations


Journal ArticleDOI
Abstract: Nous avons examine la mortalite par lieu de residence dans la region de Montreal durant la periode 1975-1977. Selon nos resultats, l’ecart en esperance de vie entre les quartiers aises de proche banlieue et les quartiers pauvres du centre, se chiffre a plus de neuf ans (moyenne des deux sexes a la naissance). Par rapport aux cinq grandes zones de residence que nous avons etablies pour fins d’analyse, on remarque que la courbe des esperances de vie suit tres fidelement la courbe des revenus, de scolarite et de professions, tous les trois etant nos meilleurs indices de la classe sociale des residents. En meme temps, on constate une variation geographique de la mortalite en zones concentriques autour du centre, correspondant a la disposition spatiale des classes sociales a Montreal. L’etude examine aussi la mortalite infantile, la surmortalite masculine, les probabilites de survie et l’esperance de vie a 55 ans, de meme que les consequences de l’ensemble de ces disparites sociales de mortalite sur la structure des populations stationnaires.

6 citations