The Influence of Resource-reliance and Community-level Social Environmental Factors on Self-reported Health Measures: A Hierarchical Analysis Using the Canadian Community Health Survey
Notice bibliographique
Résumé
P-384 Abstract: Resource-reliant communities, those that are economically centred on primary resources (fishing, forestry, agriculture, and mining), have played an important role in the economic formation and settlement of Canada. Current realities of increased global competition, environmental contamination and dwindling resources are challenging the sustained existence of these communities. Evidence from the social science literature indicates that these resource communities experience higher unemployment, poverty, and social instability; this evidence suggests that these socio-economic conditions are having a negative impact on the health status of the communities. The goal of this study was to explore the associations between individual health status variables (including self-reported health, self-reported mental health and self-reported work stress) and community-level socio-economic characteristics (education levels, employment rate, urban/rural, average income and % resource reliance (work sector in resource industries)). The individual-level variables were obtained from the Canadian Community Health Survey Master Data file (Cycle 2.1 2003 n∼135′000), and were linked by the census-subdivision geography to community-level socioeconomic variables from the 2001 Canadian Census. Non-linear hierarchical modelling (Bernoulli method) was used to explore the effect of the community characteristics on individual-level health status through regression analysis, while accounting for the nested-data structure. HLM 6 (Scientific Software International, 2004) software, which permitted the use of level-1 design weights, was used for the analysis. We found that high self-reported health status was significantly associated with community-level education (OR=3.14), % of resource reliance (OR=0.79) and urban/rural (OR= 0.90), controlling for age and gender at the individual level. With the inclusion of individual-level education status and income, the effects of the community-level variables on self-reported health were reduced, but community-level education, in particular, remained significant (OR=3.75). Results for self-reported mental health followed a similar pattern of a reduced impact of community-level variables with the inclusion of individual-level education and income. Living in communities that were not resource-reliant increased the likelihood of high self-reported health status, after controlling for individual level variables, as well as community-level education. Self-reported mental health and self-reported work stress revealed the opposite association, showing living in a resource-community as protective. These results should prompt further exploration of resource-reliance as a contributing community characteristic to individual-level health status. Policy implications of this research extend beyond health services and suggest economic policy and development should be considered in terms of their impact on health. Resource-reliant communities remain largely under-explored and warrant further investigation.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,039 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,016 | 0,002 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
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