To evaluate the extent to which the provision of universal and free of charge health care services contributes to the reduction of socio-economic disparities in health status, we studied mortality due to causes amenable to medical intervention by social class in Montreal from 1984 to 1988. / The study territory was divided into quintiles based on income data from the 1986 census. Standardized mortality ratios (SMRs) were calculated for each quintile. / For all causes mortality, comparisons of the richest and poorest quintiles showed a two-fold difference in both crude death rates and standardized mortality ratios. The discrepancy between quintiles was most apparent for deaths before age 65, particularly among males. We have identified that deaths amenable to medical intervention are still observed in Montreal. Marked social class disparities in deaths amenable to medical intervention are present but they tend to be less important than those observed for causes of death known to be associated with behavioral risk factors. The observed disparities may indicate a different relationship of disadvantaged persons with health care services. The significance of these results and their implications for research and intervention are discussed.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.61220 |
| Date | January 1992 |
| Creators | Roy, Denis |
| Contributors | Boivin, Jean-Francois (advisor) |
| Publisher | McGill University |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | French |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Format | application/pdf |
| Coverage | Master of Science (Department of Epidemiology and Biostatistics.) |
| Rights | All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated. |
| Relation | alephsysno: 001276996, proquestno: AAIMM74920, Theses scanned by UMI/ProQuest. |
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