DOI: 10.5281/zenodo.6810496

Rachid KHAY. (2022). LES INEGALITES DE SANTE AU MAROC, META-SYNTHESES THEORIQUE ET METHODOLOGIQUE SUR L’APPROCHE ECOLOGIQUE, 1(6), 45–56. https://doi.org/10.5281/zenodo.6810496

RESUME

Les recherches quantitatives sur les inégalités de santé au Maroc souffrent d’une insuffisance remarquable. A part les études épidémiologiques, les travaux de sciences politiques et de sociologie quantitative de la santé abordent de moins en moins les dimensions écologiques de l’élection à la maladie. Toutefois, ces dimensions sont réduites à l’opposition dichotomique entre le rural et l’urbain ainsi qu’à d’autres variables agrégées à partir des données individuelles.

Cette étude a pour objectif de présenter à la communauté des chercheurs marocains en matière des inégalités de santé une revue de littérature sur les ingrédients de l’approche écologique. Elle distingue ainsi entre les variables individuelles, les variables compositionnelles ; et les variables écologiques, contextuelles et collectives, autonomes de point de vue métrique vis-à-vis des caractéristiques individuelles.

Mots clés : Ecologie-Facteur-Inégalité- morbidité-Santé.

HEALTH INEQUALITIES IN MOROCCO

THEORETICAL AND METHODOLOGICAL META-SYNTHESIS ON THE ECOLOGICAL APPROACH

ABSTRACT

Quantitative research on health inequalities in Morocco suffers from a remarkable deficiency. Apart from epidemiological studies, work in political science and quantitative health sociology has increasingly failed to address the ecological dimensions of morbidity. However, these dimensions are reduced to the rural-urban dichotomy and other variables aggregated from individual data.

The objective of this study is to present to the Moroccan research community on health inequalities a review of the literature on the ingredients of the ecological approach. It distinguishes between individual variables, compositional variables; and ecological, contextual and collective variables, which are metrically autonomous from individual characteristics.

Key words: Ecology-Factor-Inequality-Morbidity-Health.


REFERENCES :

Abdesslam, B (2012), Evolution of rural–urban health gaps in Morocco: 1992–2011. BMC Res Notes 5, 381, doi: 10.1186/1756-0500-5-381.

Aiach, P & Fassin, D (2004),  « L’origine et les fondements des inégalités sociales de santé », La Revue du Praticien, 54 (20), pp. 2221-2227.

Arcaya, M, Arcaya, A  & Subramanian, S. (2015), “Inequalities in health: Definitions, concepts, and theories”, Global health action, 8(1),  DOI: 10.3402/ gha.v8.27106.

Berthélemy, J-C & Thuilliez, J., (2013), « Santé et développement : une causalité circulaire, Revue d’économie du développement », Vol. 21, pp. 119-147.

Boutayeb, A., (2006), “Social inequalities and health inequity in Morocco”, 5(1). Publié en ligne 7 Mars 2006. Consulté le 31 octobre 2019 sur le site : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1420301/

Boutayeb, W., Lamlili, M., Maamri, A., Ben El Mostafa, S., & Boutayeb, A. (2016). “Actions on social determinants and interventions in primary health to improve mother and child health and health equity in Morocco”,  International journal for equity in health, 15, 19. doi:10.1186/s12939-016-0309-9.

Carde, E (2011), « De l’origine à la santé, quand l’ethnique et la race croisent la classe »,  Revue européenne des migrations internationales, 27(3), pp. 31-55. 

Darvishpour A, Joolaee S, Cheraghi MA., 2014, “A meta-synthesis study of literature review and systematic review published in nurse prescribing”. Med J Islam Repub Iran. PMID: 25405142; PMCID: PMC4219909. Consulté sur le site : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4219909/.

Davey Smith, G., Hart, C., Watt, G., Hole, D., & Hawthorne, V. (1998), “Individual social class, area-based deprivation, cardiovascular disease risk factors, and mortality: the Renfrew and Paisley study”, Journal of Epidemiology and Community Health, 52, pp.399–405

Engels T, Baglione Q, Audibert M, et al., (2014), “Socioeconomic status and stroke prevalence in Morocco: results from the Rabat-Casablanca study”, PLoS One, 9(2), e89271.  Publié le 28 février 2014.  doi:10.1371/journal.pone.0089271.

Geertz, G. « The Judging of Nations: Some comments on the assessment of regimes in the New States », Archives Européennes de Sociologie, Vol. 18, N. 2, 1977, pp. 245-261.

Hauser, R. (1974), “ Contextual analysis revisited”, Sociological Methods and Research, 2 (3), pp. 365– 375

 Hayes, M. V. (1999), “Man, disease and environmental associations: frommedical geography to health inequalities”, Progress in Human Geography, 23(2), pp. 289–296.

 Jones, K., & Moon, G. (1993), “Medical geography; taking space seriously”, Progress in Human Geography, 17(4), pp. 515–524.

 Kaplan, G. (1996), “ People and places Fcontrasting perspectives on the association between social class and health”, International Journal of Health Services, 26(3), pp. 507–519.

Kearns, R. A. (1993), “Place and health Ftowards a reformed medical geography”, Professional Geographer, 45(2), pp. 139–147.

La cour des comptes (2018), Rapport d’activités relatif à l’exercice 2018, Livre I, pp. 404-492. Voir le site : http://www.courdescomptes.ma/upload/_ftp/documents/Rapport%20CDC_Partie1_2018.pdf

Le Conseil Economique, Social et Environnemental (2013), Les soins de santé de base : Vers un accès équitable et généralisé, pp. 43-62.

Le Maroc possible, « Cinquante ans du développement humain, perspective 2025 », 2006, p. 62. Voir le site : http://www.diplomatie.ma/Portals/0/Rapport%20G%C3%A9n%C3%A9ral.pdf

Le Maroc possible, « Cinquante ans du développement humain…, op.cit, p. 74

Macintyre S. & Ellaway A. (2000). Ecological approach : Rediscovering the role of the physical and social environment. In Berkman  L. F. & Kawachi I. (eds). Social epidemiology. Oxford University Press

Macintyre, S. (1997), “What are spatial effects and how can we measure them?”, In: Dale, A. (ed.) Exploiting National Survey Data: The Role of Locality and Spatial Effects. Faculty of Economic and Social Studies, University of Manchester.

Macintyre, S., & Ellaway, A. (2000), “Ecological approaches: rediscovering the role of the physical and social environment”, In L. Berkman, & I. Kawachi (Eds.), Social Epidemiology, Oxford: Oxford University Press, pp. 332–348.

Macintyre, S., Ellaway, A., & Cummins, S. (2002), “Place effects on health: How can we conceptualise, operationalise and measure them?”, Social Science & Medicine, 55, pp. 125-139. 

Macintyre, S., Ellaway, A., & Cummins, S. (2002), “Place effects on health: How can we operationalize, conceptualize and measure them?”, Social Science & Medicine, 55, pp. 125–139

Macintyre, S., MacIver, S. and Sooman, A.  (1993),  “Area, class and health: should we be focusing on places or people?”, Journal of Social Policy, 22, pp. 213-234.

Martin, M-C(2008) “Individual and collective resources and health in Morocco”, WIDER Research Paper, No. 2008/21, ISBN 978-92-9230-067-8, The United Nations University World Institute for Development Economics Research (UNU-WIDER), Helsinki. Voir le site: https://www.econstor.eu/bitstream/10419/63304/1/560604653.pdf

Ministère de la Santé (2018), Enquête Nationale sur la Population et la Santé Familiale (ENPSF). Voir le site : https://www.sante.gov.ma/Documents/2020/03/Rapport%20ENPSF%202018%202i%C3%A8me%20%C3%A9dition.pdf

OMS& PNUE (2010). Un environnement sain pour des enfants sains: messages clés pour des actions concrètes

Phillimore, P. (1993), “How do places shape health? Rethinking locality and lifestyle in North East England”, In Platt, S., Thomas, H., Scott, S. and Williams, G. (eds) Locating Health: Sociological and Historical Explorations. Aldershot: Avebury.

Piantadosi, S., Byar, D.P & Green, S.B(1974), “The ecological fallacy”, American Journal of Epidemiology. 127(5), pp. 893-904

Richards, J. M. (1996), “Units of analysis, measurement theory, and environmental assessment: A response and clarification”,  Environment and Behavior, 28, pp. 220-236.

Riva M., Gauvin L., Tracie A Barnett T. A. (2007). Toward the next generation of research into small area effects on health: a synthesis of multilevel investigations published since July 1998. Journal of Epidemiology and Community Health 2007;61:853–861

Schwartz, S. (1994), “The fallacy of the ecological fallacy: the potential misuse of a concept and the consequences”, American Journal of Public Health, 84(5), pp. 819–824.

 Susser, M. (1994),  “The logic in ecological: I. The logic of analysis”. American Journal of Public Health, 84(5), pp. 825–829.

Townsend, P., Phillimore, P., & Beattie, A. (1988), Health and deprivation: inequality and the North, London: Routledge.

Von Korff M, Koepsell T, Curry S, Diehr P. (1992), “Multi-level analysis in epidemiologic research on health behaviors and outcomes”, Am J Epidemiol. 1992 May 15;135(10), pp. 1077–1082

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