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Health Promotion and Chronic Disease Prevention in Canada : Research, Policy and Practice logoLink to Health Promotion and Chronic Disease Prevention in Canada : Research, Policy and Practice
. 2016 Feb;36(2):41. doi: 10.24095/hpcdp.36.2.04

Strengthening the evidence base on social determinants of health: measuring everyday discrimination through a CCHS rapid response module

PMCID: PMC4910428  PMID: 26878493

In March 2014, Statistics Canada released new data on discrimination in Canada, the collection of which was funded by the Public Health Agency of Canada (PHAC). These data are now available to researchers across the country through the Canadian Research Data Centre Network (CRDCN).

A growing body of evidence indicates that discrimination is related to adverse health outcomes (including mental health,1,2 family violence3,4 and obesity5). Discrimination has a spectrum of effects across multiple levels: it can be expressed in “micro-aggressions” (assaults on dignity and social status) or in severe verbal or physical assaults, which may result in psychosocial effects such as stress and distress or in physical injury; it can also lead to negative outcomes for health and well-being by creating and reinforcing social inequalities (e.g. in income, housing, employment), which in turn, limit access to resources and opportunities.6

However, our capacity to measure discrimination in Canada has been limited. While national surveys have included questions on some aspect of interpersonal discrimination, several have been designed to focus only on a specific sub-population of Canadians. In order to strengthen the evidence base, help raise awareness, enhance our ability to communicate effectively about this issue and support better research and interventions on the links between discrimination and key health and social outcomes, the Social Determinants and Science Integration Directorate of PHAC funded a Rapid Response Module (RRM) in the 2013 Canadian Community Health Survey (CCHS). The RRM comprised questions adapted from the Everyday Discrimination Scale.2

The CCHS RRM provides unique information that has never been collected previously on a nationally representative sample in Canada. This information will add a new perspective on self-reported interpersonal discrimination, complementing data that have been collected by other Canadian surveys.

Links to CRDCN

To access Research Data Centre data: http://www.rdc-cdr.ca/research

To access the CCHS dataset: http://www.rdc-cdr.ca/datasets/cchs-canadian-community-health-survey

Links to Statistics Canada

Everyday Discrimination RRM Questionnaire (archived page): http://www23.statcan.gc.ca/imdb/pIX.pl?Function = showStaticArchiveHTML&a = 1&fl = http://www23.statcan.gc.ca/imdb-bmdi/instrument/3226_Q6_V1-eng.htm&Item_Id = 149959

Other Statistics Canada documentation on the Everyday Discrimination RRM (archived page): http://www23.statcan.gc.ca/imdb/pIX.pl?Function = showStaticArchiveHTML&a = 1&fl = http://www23.statcan.gc.ca/imdb-bmdi/document/3226_D80_T1-V1-eng.htm&Item_Id = 149987

References

  • 1.Lewis TT, Cobgburn CD, Williams DR. Self-reported experiences of discrimination and health: scientific advances, ongoing controversies, and emerging issues. Annu Rev Clin Psychol. 2014;11:407–40. doi: 10.1146/annurev-clinpsy-032814-112728. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Williams DR, Yu Y, Jackson JS, Anderson NB. Racial differences in physical and mental health: socioeconomic status, stress, and discrimination. J Health Psychol. 1997;2((3)):335–51. doi: 10.1177/135910539700200305. [DOI] [PubMed] [Google Scholar]
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  • 5.Hunt HE, Williams DR. The association between perceived discrimination and obesity in a population-based multiracial and multiethnic adult sample. Am J Public Health. 2009;99((7)):1285–92. doi: 10.2105/AJPH.2007.128090. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 6.Reitz JG, Banerjee R. Racial inequality, social cohesion and policy issues in Canada [Internet] Montréal (QC): Institute for Research on Public Policy; 2007 [cited 2015 Dec].. Available from: http://irpp.org/research-studies/reitz-banerjee-2007-01-11/ [Google Scholar]

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