Abstract
Community members, service providers, and elected representatives in two Toronto communities were asked to identify community factors influencing the health of community members. Many of the identified barriers to health related to government policies and actions. Cutbacks in federal transfers to provinces and provincial cutbacks in funding for agencies, reductions in social assistance, ending of new social housing, and other policy changes were seen as negatively impacting the health of the community and its members. These perceptions were remarkably consistent with emerging findings concerning the determinants of health. Implications for public health practice were considered.
Résumé
Il a été demandé à des membres de la communauté, à des prestateurs de soins de santé, et à des représentants élus, dans deux communautés de Toronto, d’identifier les facteurs communautaires qui influent sur la santé des membres de la collectivité. Un grand nombre des obstacles à la santé qui ont été identifiés étaient en rapport avec les mesures et les politiques gouvernementales. Les coupes dans les transferts du fédéral aux provinces et celles des provinces dans le financement des organismes, les réductions de l’assistance sociale, l’interruption de la mise en chantier de nouveaux logements sociaux, et d’autres changements aux politiques ont été présentés comme ayant des répercussions négatives sur la santé de la collectivité et de ses membres. Il s’agit de perceptions très conformes aux conclusions qui se dégagent au sujet des déterminants de la santé. Nous avons examiné ce que cela signifiait pour la pratique de la santé publique.
Footnotes
Funding for the Community Quality of Life Project was provided by the Jessie Ball duPont Fund of Jacksonville, Florida.
The Community Quality of Life Project was a partnership of the Lawrence Heights and South Riverdale Community Health Centres and the University of Toronto. The project was carried out with the assistance of the North York and Toronto Departments of Public Health, the Metropolitan Toronto District Health Council, and the Canadian Mental Health Association’s National Office. The North York Community House and the Somaliland Women’s Organization were community collaborators.
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