The Code Red Project: Engaging Communities in Health System Change in Hamilton, Canada

DeLuca, Patrick; Buist, Steve; Johnston, Neil

doi:10.1007/s11205-012-0068-y

Cited by 33 publications

(35 citation statements)

References 11 publications

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“…Postal code, truncated to its first three digits to represent 25 neighbourhood areas in Hamilton, was treated as a clustering variable, because previous empirical research indicates that sociodemographic variables, behavioural patterns, and health outcomes are strongly geographically patterned in the city (DeLuca et al, ). So, treating respondents from the same neighbourhoods as observations independent from one another is inappropriate.…”

Section: Methodsmentioning

confidence: 99%

“…Hamilton is a suitable site to evaluate our hypotheses for three main reasons. First, it is sociodemographically diverse, with known, marked variation in access to knowledge, support, and financial resources (Dean & Elliott, 2012;DeLuca, Buist, & Johnston, 2012;Latham & Moffat, 2007;Moffat & Galloway, 2008). Second, the city has a high prevalence of obesity and metabolism-related NCDs for an urban centre of its size (Navaneelan & Janz, 2014).…”

Section: Setting and Participantsmentioning

confidence: 99%

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Knowledge about the Developmental Origins of Health and Disease is independently associated with variation in diet quality during pregnancy

McKerracher

Moffat

Barker

et al. 2019

Maternal & Child Nutrition

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Environmental factors affecting development through embryogenesis, pregnancy, and infancy impact health through all subsequent stages of life. Known as the Developmental Origins of Health and Disease (DOHaD) hypothesis, this concept is widely accepted among health and social scientists. However, it is unclear whether DOHaD‐based ideas are reaching the general public and/or influencing behaviour. This study thus investigated whether and under what circumstances pregnant people in Canada are familiar with DOHaD, and if DOHaD familiarity relates to eating behaviour. Survey responses from pregnant people from Hamilton, Canada, were used to assess respondents' knowledge of DOHaD (hereafter, DOHaDKNOWLEDGE) compared with their knowledge of more general pregnancy health recommendations (Pregnancy GuidelineKNOWLEDGE). The survey also characterized respondents' pregnancy diet quality and sociodemographic profiles. We fit two multiple, linear, mixed regression models to the data, one with DOHaDKNOWLEDGE score as the dependent variable and the other with diet quality score as the dependent. In both models, responses were clustered by respondents' neighbourhoods. Complete, internally consistent responses were available for 330 study‐eligible respondents. Relative to Pregnancy GuidelineKNOWLEDGE, respondents had lower, more variable DOHaDKNOWLEDGE scores. Additionally, higher DOHaDKNOWLEDGE was associated with higher socio‐economic position, older age, and lower parity, independent of Pregnancy GuidelineKNOWLEDGE. Diet quality during pregnancy was positively associated with DOHaDKNOWLEDGE, adjusting for sociodemographic factors. A subset of relatively high socio‐economic position respondents was familiar with DOHaD. Greater familiarity with DOHaD was associated with better pregnancy diet quality, hinting that translating DOHaD knowledge to pregnant people may motivate improved pregnancy nutrition and thus later‐life health for developing babies.

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Section: Methodsmentioning

confidence: 99%

Section: Setting and Participantsmentioning

confidence: 99%

Knowledge about the Developmental Origins of Health and Disease is independently associated with variation in diet quality during pregnancy

McKerracher

Moffat

Barker

et al. 2019

Maternal & Child Nutrition

View full text Add to dashboard Cite

show abstract

“…City planning decisions encouraging suburban growth have led to the spatialisation of social inequities, where in some downtown and northeast neighbourhoods more than half of residents live in poverty (Cruikshank and Bouchier, 2004;Mayo et al, 2012). These neighbourhood-level income inequities are reflected in significant health inequities, including a 21-year gap in average age at death, and a 16-fold difference in per-capita hospital in-patient days between the city's high-income and low-income neighbourhoods (DeLuca et al, 2012). These inequities were exposed in a series of Hamilton Spectator newspaper articles entitled "Code Red" (Buist, 2010).…”

Section: Hamilton's Neighbourhood Action (Na) E a Communitycentred Apmentioning

confidence: 99%

“…These inequities were exposed in a series of Hamilton Spectator newspaper articles entitled "Code Red" (Buist, 2010). Code Red galvanized public opinion, became a major issue in the subsequent mayoral election, and prompted the City to create a Neighbourhood Development Office responsible for the implementation of NA (DeLuca et al, 2012).…”

Section: Hamilton's Neighbourhood Action (Na) E a Communitycentred Apmentioning

confidence: 99%

Social change or business as usual at city hall? Examining an urban municipal government's response to neighbourhood-level health inequities

Cahuas

Wakefield

Peng

2015

Social Science & Medicine

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“…Hamilton is an industrial city consisting of a population of over 519 000 people, with 84.1% speaking English in the home (Statistics Canada, 2012). Situated at the western end of Lake Ontario, the city of Hamilton consists of five relatively high socioeconomic status (SES) suburban areas and a low SES inner city (DeLuca et al, 2012). Several studies have identified that there are spatial variations in air pollution concentrations in the city of Hamilton (Wallace et al, 2010).…”

Section: Settingmentioning

confidence: 99%

Air quality and health education to increase knowledge and encourage health protective behaviour among older adults in Hamilton, Canada

Radisic

Newbold

2015

Environ. Health Rev.

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Air pollution exposure is detrimental to population health and particularly to older adults (]65 years of age) who are considered part of the ''at-risk'' population. The Air Quality Health Index (AQHI) provides air quality and health information such that the public can implement health protective behaviour and decrease exposure to outdoor air pollution. The AQHI education session for older adults aims to increase knowledge, encourage use of the AQHI, and gain a better understanding of how at-risk populations self-identify. An AQHI education session was delivered face-to-face to older adults living independently in Hamilton, Canada. A pre-and post-test questionnaire with both quantitative and qualitative questions was administered to measure knowledge and intention to use AQHI. A total of 62 participants attended the education session and completed the pre-and post-test questionnaire. Results of a paired t test indicated a statistically significant difference in preand post-test knowledge (p B0.05). After the education session, 82% of participants indicated their intention to use AQHI. The benefit of using AQHI included health protection while the most relevant barrier was the inability to self-identify as belonging to the elderly at-risk population. An AQHI education session was effective in increasing AQHI knowledge and encouraging use of the AQHI. Consideration must be given to replacing the current terminology ''elderly'' with the use of chronological age (]65 years) to describe the at-risk population and foster greater ability to self-identify and use AQHI. Extra attention must be given to engage older adults living in lower socioeconomic areas to address health disparities.

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The Code Red Project: Engaging Communities in Health System Change in Hamilton, Canada

Cited by 33 publications

References 11 publications

Knowledge about the Developmental Origins of Health and Disease is independently associated with variation in diet quality during pregnancy

Knowledge about the Developmental Origins of Health and Disease is independently associated with variation in diet quality during pregnancy

Social change or business as usual at city hall? Examining an urban municipal government's response to neighbourhood-level health inequities

Air quality and health education to increase knowledge and encourage health protective behaviour among older adults in Hamilton, Canada

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