Health Inequities

Underserved British Columbians have increased susceptibility to a broad range of chronic conditions and are more likely to be living with chronic illness. For example, the rate of diabetes among those with low incomes is double those with high incomes and for heart disease, it is almost double.

Evidence shows that health inequities in BC are most noticeable among children and families who have to make ends meet on low wages due to unemployment or under-employment; those with limited education, Indigenous peoples, new immigrants, people experiencing homelessness, and individuals with addictions and/or mental illness.

In addition to the concentration of risk factors for chronic disease within populations facing barriers, there are also cross-linkages between certain social conditions and specific groups. Population health data clearly shows that as socio-economic status improves, so too do health outcomes.

BCAHL has reviewed the literature and sought expert opinion on what actions we can take to address these health inequities in British Columbia so that we can lead the way in healthy living for all citizens.

BCAHL recommends the following:

• Support health promotion programs for specific populations, including low-income groups, pregnant/breastfeeding persons, people with mental illness, Indigenous peoples and new Canadians.
• First Nations in BC should be afforded more control over health, social, education and justice policies and funding that disproportionately affect Indigenous peoples.
• All levels of government work with First Nations communities and educators to develop a plan to increase the rate of Indigenous children graduating from high school to the same rates as non-Indigenous children. 
• All levels of government work with First Nations communities and leaders to set measurable goals and create a plan for increasing Indigenous representation in the workforce in terms of full-time employment, management positions and professional workplaces.
• Increase skills bridging programs to upgrade professional or technological skills and improve coordination between employers, apprenticeship bodies, licensing associations and service providers – making it easier for immigrant tradespeople and professionals to upgrade their skills and credentials while also increasing opportunities to change careers.
• Provide additional supports to settlement counsellors in order to improve their clients’ integration and chances for success in BC.
• Ensure that settlement of refugees includes the identification and treatment of mental health issues and support to overcome trauma experienced prior to immigrating to Canada.
• Ensure the delivery of a comprehensive approach to prevention, promotion and early intervention – across the lifespan and across mental health and addictions spectrums.
• Develop a province-wide seamless continuum of mental health care through cross-Ministry integration, improved information sharing systems and better integration of services.
• Develop a long-term, consolidated, comprehensive, interagency social housing system for hard to house individuals; including those living with mental health problems and addictions