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An exploration of Canada's electoral system as a contributor to social inequities and the impact on population health and health equity

  • Author(s) / Creator(s)
  • SSHRC IG awarded 2024: In this project we examine social inequity in voting in Canada and its impact on health. Our three research objectives are to 1) contextualze perceived barriers to voting, 2) identify the relationship between voter turnout within residential areas and health and determine if any observed associations are heterogeneous across race/ethnicity, immigrant status, and socioeconomic status, and 3) simulate the impact of having a more equitable electoral system by looking at results from previous Federal and Provincial elections and simulating what policies would have been enacted and the population health impacts that could have been observed had there been an electoral system that distributes power more equitably. We will conduct focus groups with citizens from Edmonton, Alberta, and Toronto, Ontario to explore the experience and perceptions of voters, who are most likely to experience hindrances to voting, which include young, low socioeconomic, immigrants who are now citizens, and people of colour. We will conduct a population-based longitudinal study of Canadians using data from the Canadian Census Health Environment Cohorts (CanCHEC) and employ multilevel survival analysis models to quantify the association between voter turnout % in the most recent federal and provincial elections, prior to 2006, and time to death. We will also test voter turnout % and education, household income, race/ethnicity, and immigration status interaction terms to determine whether observed associations were heterogeneous across sociodemographic groups. Simulation modeling will be used to simulate how a more equitable electoral system, such as proportional representation, enacts social and health policies, such as affordable housing, universal basic income, and raises in minimum wage, and their subsequent effect on population health and health equity. Knowledge mobilization activities include journal articles, policy briefs or commentaries, conference presentations, infographics, and posters.

  • Date created
    2023-10-03
  • Subjects / Keywords
  • Type of Item
    Research Material
  • DOI
    https://doi.org/10.7939/r3-1bnd-0n35
  • License
    ©️Pabayo, Roman A. All rights reserved other than by permission. This document embargoed to those without UAlberta CCID until 2029.