Do Intersections of Diversity Matter? an Exploration of the Relationship between Identity Markers and Health for Mid- to Later-Life Canadians
Bibliographic record
Abstract
ABSTRACT/RESUME This paper explores the intersections of diversity, namely the identity markers of ethnicity, gender, age, and immigrant status, in the area of health and well-being. Based on findings from recent studies on the determinants of health status and health care utilisation patterns of immigrant and native-born Canadians in mid-to later life (Dunn and Dyck, 1998; Globerman, 1998; Kopec, Williams, To and Austin, 2001; Perez, 2002), the paper examines issues of representation, inclusion, and access to health care services from both qualitative and quantitative perspectives. Specifically, the focus is on identifying and understanding the connections between ethnicity, gender, age, immigrant status, charter language ability, and health care accessibility and utilisation over the adult life course. A recent study, based on analyses from 1996-1997 National Population Health Survey data, examining the intersections between age, health, immigrant status, and language ability is highlighted. The paper concludes with a discussion on the implications of this research for policy and program development targeting specific intersection sub-groups (e.g., South Asian older adult women for screening tests) Ce document explore les intersections de la diversite, nommement les marqueurs de l'identite que sont l'ethnicite, le sexe, l'age et le statut d'immigrant, dans les domaines de la sante et du bien-etre. Base sur les resultats d'etudes recentes sur les determinants de l'etat de sante et des profils d'utilisation des soins de sante des immigrants et des Canadiens de naissance d'age mur et du troisieme age (Dunn et Dyck, 1998; Globerman, 1998; Kopec, Williams, To et Austin, 2001; Perez, 2002), le document examine des questions liees a la representation, a l'inclusion et a l'acces aux services de soins de sante tant d'une perspective qualitative que quantitative. Plus precisement, l'auteur met l'accent sur l'etablissement et la comprehension des liens entre l'ethnicite, le sexe, l'age, le statut d'immigrant, la capacite de comprendre la Charte canadienne des droits et libertes ainsi que l'accessibilite aux soins de sante et leur utilisation au cours de la vie adulte. Une etude recente est soulignee, laquelle est basee sur des analyses des donnees de l'Enquete nationale sur la sante de la population de 1996-1997 et examine les intersections entre l'age, la sante, le statut d'immigrant et la capacite linguistique. Le document conclut avec une discussion sur les repercussions de cette recherche sur l'elaboration de politiques et de programmes ciblant des sous-groupes precis touches par ces intersections (p. ex., les femmes adultes plus agees de l'Asie du Sud a des fins de tests de depistage). INTRODUCTION Canada's ethno-cultural diversity is regarded by many, both at home and abroad, to be one of its greatest assets. However, while Canadians continue to place a high value on pluralism, there are a number of significant challenges that multiculturalism poses to health care policymakers and programmers. Perhaps the most significant of these is the challenge of providing services and resources that are equitable to all Canadians regardless of cultural characteristics like ethnic origin, immigrant status, or charter language ability. This paper seeks to examine the role that these characteristics play, both individually and in interaction with demographic--specifically gender and age--and socio-economic factors in determining health status and the utilisation of health care services among adult Canadians. In exploring these variations in the health domain, the paper first turns to an examination of the literature on health inequality in Canada, a body of research that suggests that intersections of diversity matter in the provision of health care. The paper focuses on the most salient of the identity markers of diversity according to research findings on the health and well-being of Canadians: ethnicity, immigrant status, gender, and age. …
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".