Ministry of Health ServicesGoverment of British Columbia
HIV/AIDS
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Contents
British Columbia's Framework for Action on HIV/AIDS 
The HIV/AIDS Epidemic 
Publications
Goals of HIV/AIDS Services
Social Determinants of Health
Needle Exchanges
Methadone Treatment for Heroin Addiction
Obtaining an HIV Test 

Other Links
The Red Road: Pathways to Wholeness
(PDF 2.7 Mb)
Health and Human Services Library 
The Canadian HIV/AIDS Clearinghouse 
 

SOCIAL DETERMINANTS OF HEALTH

The social determinants of health are factors and conditions that interact to influence the health of individuals and communities.

A Population Health Approach

The Ministry of Health uses a population health approach to measure the health of British Columbians. The Federal/Provincial/Territorial Advisory Committee on Population Health defines population health as: "the health of a population as measured by health status indicators and as influenced by social, economic and physical environments, personal health practices, individual capacity and coping skills, human biology, early childhood development and health services."

Social Determinants that Influence Health

A population health approach recognizes that not everyone has the same access to the services and supports that can help them to maintain their health. The availability of these services and supports can decrease the risk of HIV exposure for some individuals and influence the management of HIV/AIDS.

Safe and secure housing, jobs, adequate income support and access to health, social and addictions services are examples of social determinants that influence health and well-being.

Other social determinants that can influence health are:

  • poverty;
  • education;
  • gender orientation;
  • income and job security;
  • early childhood experiences;
  • abuse;
  • alcohol or substance misuse;
  • discrimination;
  • lack of caring and supportive family and friends;
  • access to health services; and
  • lack of respect for social and cultural diversity and equality.

Reducing the number of new HIV infections and improving the health and well-being of those already infected with HIV depends on changing the social determinants that place people at risk of HIV infection.

Leading the Fight Against HIV/AIDS

The Ministry of Health is taking a leadership role in addressing the social determinants of health and developing healthy public policies and programs.

Working with the Interministry Committee on HIV/AIDS, the Ministry of Health is coordinating HIV/AIDS-related activities throughout government. The Ministry is developing healthy public policies that:

  • consider the full range of factors that influence health;
  • consider the impact of public policies on the health status of the general population and groups that experience poorer health;
  • include public, private and voluntary interests, with the direct involvement of those most affected by the health issue (such as clients and service providers); and
  • focus on sustainable policies that balance economic, social, environmental and political agendas.

The province's vision for a healthy population is set out in its health goals. The health goals provide a framework for action to improve the health of British Columbians and reduce inequalities in the province.

PDF Format

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Last Revised: December 17, 2007

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