Abstracts
Résumé
La mortalité engendrée par les maladies cardiovasculaires constitue l’un des indicateurs majeurs d’inégalités sociales de santé au Québec. Chez les hommes socio-économiquement défavorisés, le taux de mortalité due à ces maladies demeure alarmant par rapport aux autres groupes de la population. Cette étude qualitative examine les pratiques de santé de soixante hommes provenant de différents milieux socioéconomiques et ayant été hospitalisés à la suite d’un incident cardiaque. En employant la théorie socioculturelle de Pierre Bourdieu, l’analyse d’entrevues expose les obstacles que posent les conditions de vie précaires à la santé et à l’adoption de saines habitudes de vie en contexte de réadaptation cardiaque. Les conclusions soulignent l’importance de politiques de santé inclusives, qui tiennent compte d’un savoir incorporé et d’une compréhension pratique du monde des individus.
Mots-clés:
- Inégalités sociales,
- pauvreté,
- masculinité,
- Bourdieu,
- santé,
- réadaptation
Abstract
The mortality caused by cardiovascular diseases constitutes one of the major indicators of social inequalities in health in Quebec. Among socio-economically disadvantaged men, the mortality rate due to these diseases remains alarmingly high compared to other population groups. This qualitative study examines the health practices of sixty men from different socioeconomic backgrounds who have been hospitalized for a cardiac event. Applying the sociocultural theory of Pierre Bourdieu, the analysis of interviews exposes the obstacles which precarious living conditions pose to health and to the adoption of healthy living habits in a cardiac rehabilitation setting. The findings emphasize the importance of inclusive health policies that take account of a common sense knowledge and a practical understanding of the world of individuals.
Keywords:
- social inequality,
- poverty,
- masculinity,
- Bourdieu,
- health,
- rehabilitation
Appendices
Bibliographie
-
Angus, J.E., K.M. King-Shier, M. Spaling, A.S. Duncan, S.B. Jaglal, J.A. Stone et A.M. Clark, 2015 « A secondary meta-synthesis of qualitative studies of gender and access to cardiac rehabilitation », Journal of advanced nursing, DOI: 10.1111/jan.12620.10.1111/jan.12620 Google Scholar Search this bibliographic reference on Google Scholar
-
Apostolopoulos, Y., S. Sönmez, M.M. Shattell et M. Belzer, 2010 « Worksite-induced morbidities among truck drivers in the United States », Journal of the American Association of Occupational Health Nurses, 58, 7 : 285-296.10.3928/08910162-20100625-01 Google Scholar Search this bibliographic reference on Google Scholar
-
Bergeron, C., A. Dumas et M. Savage, 2012 « La réadaptation cardiaque en contexte de défavorisation matérielle et sociale », Revue de l’Université de Moncton, 48, 1-2 : 5-26.10.1111/j.1365-2648.2004.03327.x Google Scholar Search this bibliographic reference on Google Scholar
-
Beswick, A.D., K. Rees, R.R. West, F.C. Taylor, M. Burke, I. Griebsch, R.S. Taylor, J. Victory, J. Brown et S. Ebrahim, 2005 « Improving uptake and adherence in cardiac rehabilitation: Literature review », Journal of Advanced Nursing, 49, 5 : 538-555. 10.1111/j.1365-2648.2004.03327.x Google Scholar Search this bibliographic reference on Google Scholar
-
Boltanski, L., 1971 « Les usages sociaux du corps », Annales. Économie, sociétés et civilisations, 26, 1 : 205-233.10.1191/0269215505cr818oa Google Scholar Search this bibliographic reference on Google Scholar
-
Bourdieu, P., 1979 La distinction. Critique sociale du jugement, Paris, Minuit.10.1016/S0277-9536(99)00390-1 Google Scholar Search this bibliographic reference on Google Scholar
-
Bourdieu, P., 1997 Méditations pascaliennes, Paris, Seuil.10.1007/978-1-4419-0066-1_3 Google Scholar Search this bibliographic reference on Google Scholar
-
Bourdieu, P. et L. Wacquant, 1992 Réponses. Pour une anthropologie réflexive, Paris, Seuil. 10.1177/1363459313507587 Google Scholar Search this bibliographic reference on Google Scholar
-
Cockerham, W.C., 2013 « Bourdieu and an update on lifestyle theory », dans : W.C. Cockerham (dir.), Medical Sociology on the Move. New Directions in Theory, Dordrecht, New York, Springer, p. 127-154.10.1016/S1474-5151(03)00060-4 Google Scholar Search this bibliographic reference on Google Scholar
-
Connell, R.W., 2005 Masculinities, Los Angeles, University of California Press.
10.7202/019493ar Google Scholar Search this bibliographic reference on Google Scholar
-
Cooper, A.F., G. Jackson, J. Weinman et R. Horne, 2002 « Factors associated with cardiac rehabilitation attendance: A systematic review of the literature », Clinical Rehabilitation, 16, 5 : 541-552. 10.1191/0269215502cr524oa Google Scholar Search this bibliographic reference on Google Scholar
-
Cooper, A.F., G. Jackson, J. Weinman et R. Horne, 2005 « A qualitative study investigating patients’ beliefs about cardiac rehabilitation », Clinical Rehabilitation, 19, 1 : 87-96.10.1191/0269215505cr818oa Google Scholar Search this bibliographic reference on Google Scholar
-
Courteau, J.-P. et P. Finès, 2004 « Évolution de 1986 à 1996 de la relation entre le revenu et la mortalité en Outaouais urbain, dans l’ensemble des grandes villes du Québec et au sein de l’agglomération d’Ottawa-Gatineau », Direction de santé publique de l’Outaouais et Statistiques Canada.10.1136/hrt.2004.045559 Google Scholar Search this bibliographic reference on Google Scholar
-
Courteau, J.P., J. Marleau et P. Garvie, 2014 « La perception de la santé dans la région de l’Outaouais : Un état de la situation sur 25 ans », Info-Pop 07. La santé de l’Outaouais sous surveillance, en ligne : http://santepublique-outaouais.qc.ca/fileadmin/documents/InfoPop07_mai_2014.pdf, consulté le 10 /01/15).10.1093/fampra/cmm021 Google Scholar Search this bibliographic reference on Google Scholar
-
Courtenay, W.H, 2000 « Constructions of masculinity and their influence on men’s well-being: A theory of gender and health », Social Science & Medicine, 50, 10 : 1385-1401. 10.1016/S0277-9536(99)00390-1 Google Scholar Search this bibliographic reference on Google Scholar
-
Dumas, A. et B.S. Turner, 2009 « Aging in post-industrial societies: Intergenerational conflict and solidarity », dans : J. Powell et J. Hendrick (dir.), The Welfare State and Postindustrial Society: A Global Analysis, New York, Springer, p. 41-56.10.1007/978-1-4419-0066-1_3 Google Scholar Search this bibliographic reference on Google Scholar
-
Dumas, A. et E. Bournival, 2011 « Men, masculinities and health. Theory and application », dans : J. Laker (dir.), Canadian Perspectives on Men and Masculinities. An Interdisciplinary Reader, Toronto, Oxford University Press, p. 33-51.10.1177/0193723508328904 Google Scholar Search this bibliographic reference on Google Scholar
-
Dumas, A. et I. Gagnon, 2012 « Masculinité, pauvreté et réadaptation cardiaque : le fardeau des hommes qui occupent des métiers de la route», La Revue de l’Université de Moncton, 48, 1-2 : 163-184.10.1016/j.socscimed.2012.02.031 Google Scholar Search this bibliographic reference on Google Scholar
-
Dumas, A.M. Savage et S. Stuart, 2013 « Understanding anti-normative lifestyles: Underprivileged men’s lives after a heart incident », Health. An Interdisciplinary Journal for the Social study of Health, Illness and Medicine, 18, 5 : 458-475.10.1177/1363459313507587 Google Scholar Search this bibliographic reference on Google Scholar
-
Farley, R. L., T.D.Wade et L. Birchmore, 2003 « Factors influencing attendance at cardiac rehabilitation among coronary heart disease patients », European Journal of Cardiovascular Nursing, 2, 3 : 205-212.10.1016/S1474-5151(03)00060-4 Google Scholar Search this bibliographic reference on Google Scholar
-
Finès, P., R. Wilkins, J.-P. Courteau et J.-M. Berthelot, 2007 « Analyse de la relation entre le revenu et la mortalité : un commentaire méthodologique », Cahiers québécois de démographie, 36, 1 : 129-142.
10.7202/019493ar Google Scholar Search this bibliographic reference on Google Scholar
- Grace, S.L., S.E. Abbey, Z.M. Shnek, J. Irvine, R.L.Franche et D.E. Stewart, 2002 « Cardiac rehabilitation I: Review of psychosocial factors », General Hospital Psychiatry, 24, 3 : 121-126.10.1016/S0163-8343(02)00178-0 Google Scholar Search this bibliographic reference on Google Scholar
-
Grace, S.L., S. Gravely-Witte, J. Brual, G. Monette., N.Suskin, L. Higginson, D. Alter et D.E. Stewart, 2008 « Contribution of patient and physician factors to cardiac rehabilitation enrolment: a prospective multilevel study », European Journal Cardiovascular Preventive Rehabilitation, 15, 5 : 548-556.10.1097/HJR.0b013e328305df05 Google Scholar Search this bibliographic reference on Google Scholar
-
Hanna I.R. et N.K. Wenger, 2005 « Secondary Prevention of Coronary Heart Disease in Elderly Patients », American Family Physician, 71, 12 : 2289-2296.10.1017/CBO9780511734779 Google Scholar Search this bibliographic reference on Google Scholar
-
Jackson, L., J. Leclerc, Y. Erskine et W. Linden, 2005 « Getting the most out of cardiac rehabilitation: a review of referral and adherence predictors », Heart, 91, 1 : 10-14.10.1136/hrt.2004.045559 Google Scholar Search this bibliographic reference on Google Scholar
-
Jones, M., K. Jolly, J. Raftery, G.Y. Lip et S. Greenfield, 2007 « ’DNA’ may not mean ’did not participate’: A qualitative study of reasons for non-adherence at home- and centre-based cardiac rehabilitation », Family Practice, 24, 4 : 343-357. 10.1093/fampra/cmm021 Google Scholar Search this bibliographic reference on Google Scholar
-
Keaton A.K. et L.L. Pierce, 2000 « Cardiac therapy for men with coronary artery disease », Journal of Holistic Nursing, 18, 1 : 63-85.10.1177/089801010001800107 Google Scholar Search this bibliographic reference on Google Scholar
-
Lane, D., D. Carroll, C. Ring, D.G. Beevers et G.H. Lip, 2001 « Predictors of attendance at cardiac rehabilitation after myocardial infarction », Journal of Psychosomatic Research, 51, 3 : 497-501.10.1016/S0022-3999(01)00225-2 Google Scholar Search this bibliographic reference on Google Scholar
-
Lee, J., D. Macdonald et J. Wright, 2009 « Young men’s physical activity choices », Journal of Sport & Social Issues, 33, 1 : 59-77.10.1177/0193723508328904 Google Scholar Search this bibliographic reference on Google Scholar
-
Mackenbach, J.P., 2012 « The persistence of health inequalities in modern welfare states: the explanation of a paradox », Social Science and Medicine, 75 : 721-769.10.1016/j.socscimed.2012.02.031 Google Scholar Search this bibliographic reference on Google Scholar
-
Marmot, M., 2004 The Status Syndrome, How Social Standing Affects our Health and Longevity, New York, Holt Paperbacks Henry Holt and company.10.3406/ahess.1971.422470 Google Scholar Search this bibliographic reference on Google Scholar
- MSSSQ (Ministère de la santé et des services sociaux du Québec), 2002 La réduction des inégalités liées à la pauvreté en matière de santé et de bien-être : orienter et soutenir l’action!, Québec, Comité ministériel sur la réduction des inégalités de santé et de bien-être liés à la pauvreté - Ministère de la santé et des services sociaux du Québec.Google Scholar Search this bibliographic reference on Google Scholar
-
Pampalon, R., D. Hamel et P. Gamache, 2008 « Évolution de la mortalité prématurée au Québec », dans : M. DeKoninck, A. Demers, P. Bernard (dir.), Les inégalités sociales de santé au Québec, Montréal, Presses de l’Université de Montréal, p. 13-35.Google Scholar Search this bibliographic reference on Google Scholar
-
Raphael, D., 2001 Inequality is Bad for Our Hearts: Why Low Income and Social Exclusion are Major Causes of Heart Disease in Canada, Toronto, North York Heart Health Network.Google Scholar Search this bibliographic reference on Google Scholar
-
Robertson, L.M., F. Douglas, A. Ludbrook, G. Reid et E. van Teijlingen, 2008 « What works with men? A systematic review of health promoting interventions targeting men », BMC Health Services Research, 8(141) .10.1186/1472-6963-8-141 Google Scholar Search this bibliographic reference on Google Scholar
-
Roca-Rodríguez, M.M., J.M. García-Almeida, J. Ruiz-Nava, J. Alcaide-Torres, H. Saracho-Domínguez, R. Rioja-Vázquez, C. García-Fernández, A. Gómez-González, A. Montiel-Trujillo et F.J. Tinahones-Madueño, 2014 « Impact of an Outpatient Cardiac Rehabilitation Program on Clinical and Analytical Variables in Cardiovascular Disease », Journal of Cardiopulmonary Rehabilitation & Prevention, 34, 1 : 43-48.10.1097/HCR.0000000000000026 Google Scholar Search this bibliographic reference on Google Scholar
-
Savage, M., A. Dumas et S. Stuart, 2013 « Fatalism and short-termism as cultural barriers to cardiac rehabilitation amongst underprivileged men », Sociology of Health and Illness, 35, 8 : 1211-1226.10.1111/1467-9566.12040 Google Scholar Search this bibliographic reference on Google Scholar
-
Saunders, C. et A. Rogers, 2011 « Bodies in Context: Potential avenues of inquiry for the sociology of chronic illness and disability within a new policy era », dans : B.A Pescosolidoet al.(dir.), Handbook of the Sociology of Health, Illness and Healing: a Blue Print for the 21st century, New York, Springer, p. 483-504.10.1007/978-1-4419-7261-3_25 Google Scholar Search this bibliographic reference on Google Scholar
-
Sayer, A., 2005 The Moral Significance of Class, Cambridge, Cambridge University Press.10.1017/CBO9780511488863 Google Scholar Search this bibliographic reference on Google Scholar
-
Sayer, A., 2011 Why Things Matter to People. Social Science, Values and Ethical Life, Cambridge University Press.10.1017/CBO9780511734779 Google Scholar Search this bibliographic reference on Google Scholar
-
Schulz, D.L. et H. Mcburney, 2000 « Factors which influence attendance at a rural Australian cardiac rehabilitation program », Coronary Health Care, 4, 3 : 135-141.10.1054/chec.2000.0086 Google Scholar Search this bibliographic reference on Google Scholar
- Statistique Canada, 2011 « Enquête nationale auprès des ménages (ENM). Série perspective géographique – Gatineau », en ligne : http://www12.statcan.gc.ca/nhs-enm/2011/as-sa/fogs-spg/Pages/FOG.cfm?lang=F&level=4&GeoCode=2481017, (consulté le 18/10/13).Google Scholar Search this bibliographic reference on Google Scholar
-
Stringhini, S., A.G. Tabak, T.N. Akbaraly, S. Sabia, M.J. Shipley, M.G. Marmot, E.J. Brunner, G.D. Batty, P. Bovet et M. Kivimäki, 2012 « Contribution of modifiable risk factors to social inequalities in type 2 diabetes: Prospective Whitehall II cohort study », British Medical Journal, 345 : 5452-5463.10.1136/bmj.e5452 Google Scholar Search this bibliographic reference on Google Scholar
-
Suaya, J.A., D.S. Shepard, S.L. Normand, P.A. Ades, J. Prottas et W.B. Stason, 2007 « Use of cardiac rehabilitation by medicare beneficiaries after myocardial infarction or coronary bypass surgery », Circulation, 116 : 1653-1662.10.1161/CIRCULATIONAHA.107.701466 Google Scholar Search this bibliographic reference on Google Scholar
-
Therborn, G., 2013 The Killing Fields of Inequality, Cambridge, Polity Press.Google Scholar Search this bibliographic reference on Google Scholar
-
Williams, S. J., 1995 « Theorising class, health and lifestyles : Can Bourdieu help us? », Sociology of Health & Illness, 17, 5 : 577-604. 10.1111/1467-9566.ep10932093 Google Scholar Search this bibliographic reference on Google Scholar
-
Wyer, S. J., L. Earll, S. Joseph, J. Harrison, M. Giles et M. Johnston, 2001 « Deciding whether to attend a cardiac rehabilitation program: An interpretative phenomenological analysis », Coronary Health Care, 5, 4 : 178-188.10.1054/chec.2001.0136 Google Scholar Search this bibliographic reference on Google Scholar
