| Titre : | Sense of community-belonging and health-behaviour change in Canada. (2012) |
| Auteurs : | HYSTAD (Perry) : CAN. School of Population and Public Health. University of British Columbia. Vancouver. ; CARPIANO (Richard-M) : CAN. Department of Sociology. University of British Columbia. Vancouver. |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 66, n° 3, 2012) |
| Pagination : | 277-283 |
| Langues: | Anglais |
| Mots-clés : | Santé communautaire ; Canada ; Amérique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS ksIpER0x. Diffusion soumise à autorisation]. Background Research indicates that primary prevention targeting individual behaviours should incorporate contextual factors. The objectives of this study are to examine the role of community-belonging and contextual factors on health-behaviour change in Canada, and whether the influence of community-belonging on behaviour change varies by specific types of behaviours and contextual factors. Methods Data on individual-level community-belonging, socio-demographics and self-rated health were obtained for 119 693 respondents from the 2007/2008 Canadian Community Health Survey located within 100 health regions across Canada. Contextual factors were based on health-region groupings of socio-economic determinants of health. Multilevel models were used to estimate the influence of community-belonging and health-region contextual factors on general, and specific, health-behaviour changes in the past year. Results After controlling for individual and contextual factors, community-belonging showed a positive dose-response relationship with health-behaviour change. Health-region contextual factors were only slightly associated with behaviour change ; however, the influence of community-belonging on behaviour change showed significant variability based on health-region contextual factors. The influence of community-belonging also varied by specific health-behaviour changes, but for most prominent health behaviours (exercise, weight loss and improved diet) the effect was consistent. Conclusions Community-belonging was strongly related to health-behaviour change in Canada and may be an important component of population health prevention strategies. Efforts to increase community-belonging, however, need to be considered along with contextual factors. |
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