16.E. Workshop: Preventing public health interventions from contributing to social inequalities in health
Authors:   Organised by: Centre de recherche en santé publique (Canada),   Chair persons: Marie-Claude Tremblay - Canada, Josée Lapalme - Canada
Published: October 2020

Abstract

Reasons
Public health aims to improve the health of populations and reduce social inequalities in health, notably through action on social determinants of health, physical and social environments, public policies, access to health services, and community empowerment. As such, public health has a social agenda and therefore a corresponding social responsibility. However, social inequalities in health continue to be a pressing problem in Canada, as well as around the world. Growing research demonstrates that public health interventions can unintentionally contribute to increasing social inequalities in health by perpetuating social norms that stigmatize vulnerable groups, neglecting the needs of vulnerable groups, and/or replicating power dynamics that reinforce situations which disenfranchise vulnerable populations.

Objectives
This workshop aims to: 1) discuss how public health interventions can inadvertently contribute to increasing social inequalities in health; 2) explore strategies to develop more equitable interventions.

Added value
Despite growing research on the unintended contributions of public health interventions in increasing social inequalities in health, this pressing problem remains generally under acknowledged in public health research and practice. Yet in order to reverse these effects, researchers and professionals alike need to become aware of and reflect on the potential impacts of their actions on vulnerable populations. Thus, the presentations in this workshop will provide concrete examples based on innovative research findings and critical reflections of the ways in which public interventions can increase social inequalities in health. We will also suggest health equity-related considerations for future intervention evaluation and design.

Coherence
The two first presentations will serve to illustrate how public health interventions can increase social inequalities in health and how we might reverse these effects by drawing on examples from tobacco control and health care. Based on these examples, the last presentation will demonstrate how a theoretically-driven framework (i.e. Acting Within Contexts) can be applied for intervention evaluation and future equitable intervention design.

Format
A brief introduction to present the workshop topic and learning objectives (5 minutes) Three presentations by panelists (10 minutes each; 30 minutes total): The unintended effects of tobacco control policies on social inequalities in smoking: Moving forward with a health equity approach; Equality versus equity: Barriers to health care access for Indigenous populations in Canada; Applying the “Acting Within Contexts” framework to intervention evaluation and equitable intervention design. A plenary discussion with the audience to draw collective lessons (25 minutes)

Key messages
To raise awareness of the potential unintended effects of public health interventions on increasing social inequalities in health. To better understand how to reduce inequities by integrating the needs and contexts of vulnerable populations in intervention planning.