Explaining the Health Gap Experienced by Girls and Women in Canada: A Social Determinants of Health Perspective

Benoit, Cecilia; Shumka, Leah; Vallance, Kate; Hallgrímsdóttir, Helga Kristín; Phillips, Rachel; Kobayashi, Karen; Hankivsky, Olena; Reid, Colleen; Brief, Elana

doi:10.5153/sro.2024

Cited by 21 publications

(11 citation statements)

References 56 publications

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“…More specifically, it captures the institutional arrangements, norms, behaviours, and organization of society for males and females in a manner that influences differential access to resources, opportunities, and life experiences (Benoit et al, 2009). Women have exhibited greater concerns for societal issues, including drinking water (Park, Scherer, & Glynn, 2001).…”

Section: Variables and Hypothesesmentioning

confidence: 99%

“Is it Safe?” Risk Perception and Drinking Water in a Vulnerable Population

Spence

Walters

2012

iipj

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Access to safe drinking water is a pressing social policy issue globally. Despite the milestones reached in this area of Canadian public health, marginalized and vulnerable populations, including those founded on racialized identity, such as First Nations, continue to be plagued by accessibility issues. This work sheds new perspective on the issue, arguing for a research and policy focus that is inclusive of risk perception. A model of risk perception of drinking water is developed and tested for First Nations on reserve in Canada using the 2001 Aboriginal Peoples Survey. It is shown that the analytical use of racialized identity advances understanding of risk perception and the environment (water). Moreover, a large degree of heterogeneity within the First Nation population across a number of social determinants of risk perception illustrates the shortcomings of framing the issue in a simplistic manner (First Nation population versus general population). Implications for risk research, including risk communication & management, and policy are provided.

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Section: Variables and Hypothesesmentioning

confidence: 99%

“Is it Safe?” Risk Perception and Drinking Water in a Vulnerable Population

Spence

Walters

2012

iipj

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“…We came to this work with a commitment to reducing health inequities, many of which arise from the very conditions that marginalize and disempower some women in Canada [ 6 , 9 ]. The goal of this project was to develop a model to meaningfully engage women in health services planning, with a focus on including a diversity of women whose voices are typically excluded from such processes.…”

Section: Introductionmentioning

confidence: 99%

Heard and valued: the development of a model to meaningfully engage marginalized populations in health services planning

Snow

Tweedie

Pederson

2018

BMC Health Serv Res

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BackgroundRecently, patient engagement has been identified as a promising strategy for supporting healthcare planning. However, the context and structure of universalistic, “one-size-fits-all” approaches often used for patient engagement may not enable diverse patients to participate in decision-making about programs intended to meet their needs. Specifically, standard patient engagement approaches are gender-blind and might not facilitate the engagement of those marginalized by, for example, substance use, low income, experiences of violence, homelessness, and/or mental health challenges—highly gendered health and social experiences. The project’s purpose was to develop a heuristic model to assist planners to engage patients who are not traditionally included in healthcare planning.MethodsUsing a qualitative research approach, we reviewed literature and conducted interviews with patients and healthcare planners regarding engaging marginalized populations in health services planning. From these inputs, we created a model and planning manual to assist healthcare planners to engage marginalized patients in health services planning, which we piloted in two clinical programs undergoing health services design. The findings from the pilots were used to refine the model.ResultsThe analysis of the interviews and literature identified power and gender as barriers to participation, and generated suggestions to support diverse populations both to attend patient engagement events and to participate meaningfully. Engaging marginalized populations cannot be reduced to a single defined process, but instead needs to be understood as an iterative process of fitting engagement methods to a particular situation. Underlying this process are principles for meaningfully engaging marginalized people in healthcare planning.ConclusionA one-size-fits-all approach to patient engagement is not appropriate given patients’ diverse barriers to meaningful participation in healthcare planning. Instead, planners need a repertoire of skills and strategies to align the purpose of engagement with the capacities and needs of patient participants. Just as services need to meet diverse patients’ needs, so too must patient engagement experiences.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-2969-1) contains supplementary material, which is available to authorized users.

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“…Moreover, it makes it illegal for newspaper/magazine publishers, website administrators, and web-hosting services to publish advertisements for any sexual services (Department of Justice Canada, 2014b). The PCEPA also makes it illegal for workers to communicate their services in a public place next to a school ground, playground, or daycare center, having greater negative impact on more economically disadvantaged sex workers, including Indigenous and transgender sex workers, and those with problematic substance use (Benoit et al, 2009;Canadian Public Health Association, 2014;Krusi et al, 2012;Kunimoto, 2018;Lyons et al, 2017;Orchard, Farr, Macphail, Wender, & Young, 2012). In essence, the PCEPA is one of the most extensive instruments of criminalization globally (O'Doherty & Waters, 2019), and leaves sex workers in a precarious victim-criminal position (Majic, 2014).…”

Section: Canada's Prostitution Lawsmentioning

confidence: 99%

Early Assessment of Integrated Knowledge Translation Efforts to Mobilize Sex Workers in Their Communities

Benoit

Unsworth

2020

Arch Sex Behav

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Researchers have recently increased their efforts to find more effective strategies to reduce the gap between the production of academic knowledge and its uptake in policy and practice. We focus attention on sex workers in Canada who have limited access to societal resources and are hampered by punitive laws prohibiting their work. The initial aim of our study was to work with sex worker organizations and allied agencies to develop a training program for sex workers to help them understand Canada's most recent criminal justice approach to adult sex commerce. What has emerged from our integrated knowledge translation process during the first year of the study's operation has been a change to a broader focus on mobilizing sex workers around their occupational and social rights. In this paper, we first give an overview of recent changes in Canada's prostitution laws and then report qualitative findings from interviews with members of our partner organizations. Interviewees appreciated the change in research direction and the emergent collaborative process among themselves and the authors, but also noted challenges regarding shifting research timelines, balancing power between themselves and the academic researchers, and reaching consensus on research plans among community partners themselves. We discuss the findings in relation to successful knowledge translation strategies that aim to ensure the research questions we ask, and the empirical processes we engage in, are advantageous to those we aim to benefit.

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Explaining the Health Gap Experienced by Girls and Women in Canada: A Social Determinants of Health Perspective

Cited by 21 publications

References 56 publications

“Is it Safe?” Risk Perception and Drinking Water in a Vulnerable Population

“Is it Safe?” Risk Perception and Drinking Water in a Vulnerable Population

Heard and valued: the development of a model to meaningfully engage marginalized populations in health services planning

Early Assessment of Integrated Knowledge Translation Efforts to Mobilize Sex Workers in Their Communities

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