'Underclassism' and access to healthcare in urban centres

Sociology of Health and Illness

Volumn 37, Issue 5, 2015, Pages 698-714

  Tang, Sannie Y ^a   Browne, Annette J ^b   Mussell, Bill ^c   Smye, Victoria L ^d   Rodney, Patricia ^b  

^a YORK UNIVERSITY   (Canada)

^b UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^c Sal'i'shan Institute Society   (Canada)

^d UNIVERSITY OF ONTARIO INSTITUTE OF TECHNOLOGY   (Canada)

Author keywords

'underclass'; Canada; Healthcare access; Healthcare inequities; Indigenous peoples; Poverty; Racialisation; Social inequity; Urban health

Indexed keywords

AMERICAN INDIAN; CANADA; EMERGENCY HEALTH SERVICE; ETHNOLOGY; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE DISPARITY; HOSPITAL; HUMAN; MALE; MEDICAL SOCIOLOGY; POVERTY; RACISM; SOCIOECONOMICS; URBAN POPULATION;

CANADA; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEALTHCARE DISPARITIES; HOSPITALS, URBAN; HUMANS; INDIANS, NORTH AMERICAN; MALE; POVERTY; RACISM; SOCIOECONOMIC FACTORS; SOCIOLOGY, MEDICAL; URBAN POPULATION;

EID: 84936098247     PISSN: 01419889     EISSN: 14679566     Source Type: Journal    
DOI: 10.1111/1467-9566.12236     Document Type: Article

References (49)

1. Bourdieu, P. (1990) In Other Words: Essays Towards a Reflexive Sociology. Stanford CA: Stanford University Press.
2. Bourdieu, P. and Wacquant, L. (1999) On the cunning of imperialist reason, Theory, Culture and Society, 16, 1, 41-58.
3. Browne, A.J. (2007) Clinical encounters between nurses and First Nations women in a Western Canadian hospital, Social Science and Medicine, 64, 10, 2165-76.
4. Browne, A.J., Smye, V., Rodney, P., Tang, S.Y., Mussell, B. and O'Neil, J.D. (2011a) Access to primary care from the perspective of Aboriginal patients at an urban emergency department, Qualitative Health Research, 21, 3, 333-48.
5. Browne, A.J., Varcoe, C. and Fridkin, A. (2011b) Addressing trauma, violence and pain: Research on health services for women at the intersections of history and economics. In Hankivsky, O. (ed) Health Inequities in Canada: Intersectional Frameworks and Practices. Vancouver: UBC Press.
6. Browne, A.J., Varcoe, C.M., Wong, S.T., Smye, V.L., Lavoie, J., Littlejohn, D., Tu, D., Godwin, O., Krause, M., Khan, K.B., Fridkin, A., Rodney, P., O'Neil, J. and Lennox, S. (2012) Closing the health equity gap: Evidence-based strategies for primary healthcare organizations, International Journal for Equity in Health, 11, 59, 1-15.
7. Canadian Institute for Health Information (2010) Hospitalization Disparities by Socioeconomic Status for Males and Females. Ottawa: Canadian Institute for Health Information.
8. Canadian Institute for Health Information (2012) Disparities in Primary Healthcare Experiences among Canadians with Ambulatory Care Sensitive Conditions. Ottawa: Canadian Institute for Health Information.
9. Canadian Institute for Health Information (2014) Emergency Department Trends 2012-2013. Ottawa: Canadian Institute for Health Information.
10. Coburn, D. (2004) Beyond the income inequality hypothesis: Class, neo-liberalism, and health inequalities, Social Science and Medicine, 58, 1, 41-56.
11. Culhane, D. (2009) Narratives of hope and despair in downtown eastside Vancouver. In Kirmayer, L.J. and Valaskakis, G.G. (eds) Healing Traditions: The Mental Health of Aboriginal Peoples in Canada. Vancouver: UBC Press.
12. Cushon, J.A., Muhajarine, N. and Labonte, R. (2010) Lived experience of economic and political trends related to globalization, Canadian Journal of Public Health, 101, 1, 92-5.
13. England, J. (2004) Disciplining subjectivity and space: Representation, film and its material effects, Antipode, 36, 2, 295-321.
14. Farmer, P.E. (2009) Partner to the Poor: A Paul Farmer Reader. Berkeley CA: University of California Press.
15. Fiske, J. and Browne, A.J. (2006) Aboriginal citizen, discredited medical subject: Paradoxical constructions of subjectivity in healthcare policies, Policy Sciences, 39, 1, 91-111.
16. Furniss, E. (1999) The Burden of History: Colonialism and the Frontier Myth in a Rural Canadian Community. Vancouver: UBC Press.
17. Harvey, D. (2007) Neoliberalism as creative destruction, The Annals of the American Academy of Political and Social Science, 610, 1, 21-44.
18. Hankisvky, O. (ed) (2011) Health Inequities in Canada: Intersectional Frameworks and Practices. Vancouver: UBC Press.
19. Hulko, W. (2009) The time- and context-contingent nature of intersectionality and interlocking oppressions, Affilia, 24, 1, 44-55.
20. Institute of Medicine (2009) Race, Ethnicity, and Language Data: Standardization for Healthcare Quality Improvement. Washington DC: The National Academies Press.
21. Kingfisher, C. (2007) Discursive constructions of homelessness in a small city in the Canadian prairies: Notes on destructuration, individualization, and the production of (raced and gendered) unmarked categories, American Ethnologist, 34, 1, 91-107.
22. Koekkoek, B., Hutschemaekers, G., van Meijel, B. and Schene, A. (2011) How do patients come to be seen as 'difficult'? A mixed-methods study in community mental healthcare, Social Science and Medicine, 72, 4, 504-12.
23. Mullings, L. and Schulz, A. (2006) Intersectionality and health: An introduction. In Schulz, A. and Mullings, L. (eds) Gender, Race, Class, and Health: Intersectional Approaches. New York: Jossey-Bass.
24. Nelson, K., Connor, M., Wensley, C., Moss, C., Pack, M. and Hussey, T. (2011) Review article: People who present on multiple occasions to emergency departments, Emergency Medicine Australasia, 23, 5, 532-40.
25. Newhouse, D.R. (2000) From the tribal to the modern: The development of modern Aboriginal societies. In Laliberte, R.F., Settee, P., Waldram, J.B., Innes, R., Macdougall, B., McBain, L. and Barron, F.L. (eds) Expressions in Canadian Native Studies. Saskatoon: University of Saskatchewan Press.
26. Newhouse, D.R. (2006) From woundedness to resilience, Journal of Aboriginal Health, 3, 1, 2-3.
27. Peters, E.J. (2007) First Nations and Métis People and Diversity in Canadian Cities. Montreal QC: Institute for Research on Public Policy.
28. Peters, E.J. (2009) Aboriginal Peoples in Urban Areas. Don Mills: Oxford University Press.
29. Peters, E.J. (2011) Urban Aboriginal Policy Making in Canadian Municipalities. Montreal QC: McGill-Queens University Press.
30. Peters, E.J. and Andersen, C. (eds) (2013a) Indigenous in the City: Contemporary Identities and Cultural Innovation. Vancouver: UBC Press.
31. Peters, E.J. and Andersen, C. (2013b) Introduction. In Peters, E.J. and Andersen, C. (eds) Indigenous in the City: Contemporary Identities and Cultural Innovation. Vancouver: UBC Press.
32. Raphael, D. (2011) Poverty in Canada: Implications for Health and Quality of Life. Toronto: Canadian Scholars' Press.
33. Razack, S.H. (2013) Timely deaths: Medicalizing the deaths of Aboriginal people in police custody, Law, Culture and the Humanities, 9, 2, 352-74.
34. Reutter, L.I., Stewart, M.J., Veenstra, G., Love, R., Raphael, D. and Makwarimba, E. (2009) 'Who do they think we are, anyway?': Perceptions of and responses to poverty stigma, Qualitative Health Research, 19, 3, 287-311.
35. Rodney, P. and Varcoe, C. (2012) Constrained agency: The moral structure of nurses' work. In Baylis, F., Downie, J., Hoffmaster, B. and Sherwin, S. (eds) Healthcare Ethics in Canada, 3rd edn. Toronto: Nelson.
36. Smith, D.E. (1999) Writing the Social: Critique, Theory, and Investigations. Toronto: University of Toronto Press.
37. Statistics Canada (2008) Aboriginal Peoples in Canada in 2006: Inuit, Métis and First Nations 2006 Census. Ottawa: Statistics Canada.
38. Tang, S.Y. and Browne, A.J. (2008) 'Race' matters: Racialization and egalitarian discourses involving Aboriginal people in the Canadian healthcare context, Ethnicity and Health, 13, 2, 109-27.
39. Tator, C. and Henry, F. (2006) Racial Profiling in Canada: Challenging the Myth of 'a Few Bad Apples'. Toronto: University of Toronto Press.
40. Thobani, S. (2007) Exalted Subjects: Studies in the Making of Race and Nation in Canada. Toronto: University of Toronto Press.
41. Thorne, S. (2008) Interpretive Description. Walnut Creek CA: Left Coast Press.
42. Wacquant, L.J.D. and Wilson, W.J. (1989) The cost of racial and class exclusion in the inner city, The Annals of the American Academy of Political and Social Science, 501, 1, 8-25.
43. Wallace, B., Klein, S. and Reitsma-Street, M. (2006) Denied Assistance: Closing the Front Door on Welfare in BC. Vancouver: Vancouver Island Public Interest Research Group and the Canadian Centre for Policy Alternatives BC Office.
44. Wallace, B. and MacEntee, M.I. (2011) Access to dental care for low-income adults: Perceptions of affordability, availability and acceptability, Journal of Community Health, 37, 1, 32-9.
45. Wallis, M.A. and Kwok, S. (eds) (2008) Daily Struggles: The Deepening Racialization and Feminization of Poverty in Canada. Toronto: Canadian Scholar's Press.
46. Weber, L. (2006) Reconstructing the landscape of health disparities research: Promoting dialogue between feminist intersectional and biomedical paradigms. In Schulz, A. and Mullings, L. (eds) Gender, Race, Class, and Health: Intersectional Approaches. New York: Jossey-Bass.
47. Wilson, W.J. (1992) Another look at The Truly Disadvantaged, Political Science Quarterly, 106, 4, 639-56.
48. World Health Organization (2009) Closing the gap in a generation: Health equity through action on the social determinants of health. Commission on Social Determinants of Health Final Report. Geneva: World Health Organization.
49. Young, I.M. (1990) Justice and the Politics of Difference. Princeton NJ: Princeton University Press.