RESEARCH PAPER
Health inequalities among rural and urban population of Eastern Poland in the context of sustainable development
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School of Socio-Economic Geography Department of Earth Sciences and Spatial Management Maria Curie-Sklodowska University in Lublin, Poland
Ann Agric Environ Med. 2017;24(3):477-483
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ABSTRACT
The primary goals of the study were a critical analysis of the concepts associated with health from the perspective of sustainable development, and empirical analysis of health and health- related issues among the rural and urban residents of Eastern Poland in the context of the sustainable development of the region. The study was based on the following research methods: a systemic approach, selection and analysis of the literature and statistical data, developing a special questionnaire concerning socio-economic and health inequalities among the population in the studied area, field research with an interview questionnaire conducted on randomly-selected respondents (N=1,103) in randomly selected areas of the Lubelskie, Podkarpackie, Podlaskie and eastern part of Mazowieckie Provinces (with the division between provincial capital cities – county capital cities – other cities – rural areas). The results of statistical surveys in the studied area with the use of chi-square test and contingence quotients indicated a correlation between the state of health and the following independent variables: age, life quality, social position and financial situation (C-Pearson’s coefficient over 0,300); a statistically significant yet weak correlation was recorded for gender, household size, place of residence and amount of free time. The conducted analysis proved the existence of a huge gap between state of health of the population in urban and rural areas.
In order to eliminate unfavourable differences in the state iof health among the residents of Eastern Poland, and provide equal sustainable development in urban and rural areas of the examined areas, special preventive programmes aimed at the residents of peripheral, marginalized rural areas should be implemented. In these programmes, attention should be paid to preventive measures, early diagnosis of basic civilization and social diseases, and better accessibility to medical services for the residents.
REFERENCES (40)
1.
Ríos-Osorio LA, Salas-Zapata WA, Ortiz-Lobato M. Concepts Associated with Health from the Perspective of Sustainable Development. Saúde e Sociedade, Sâo Paulo. 2012; 21(3): 735–746.
2.
Kjærgård B, Land B, Pedersen KB. Health and sustainability. Health Promot. Int. 2014; 29(3): 558–568.
3.
WCED. Our Common Future. World Commission on Environment and Development, Oxford University Press, 1987.
4.
The Adelaide Statement on Health in All Policies: moving towards a shared governance for health and well-being. WHO and the Government of South Australia. Health Promotion International 2010; 25(2): 258–260.
5.
Latouche S. Standard of living. In: Sachs W, editor. The development dictionary. A guide to knowledge as power. Zed Books, London-New York; 2010, p. 279–94.
6.
Wilkinson RG. Unhealthy societies: The afflictions of inequality. Routledge, London,1996.
7.
Stronks K, van de Mheen HD, Mackenbach JP. A higher prevalence of health problems in low income groups: does it reflect relative deprivation? J Epidemiol Community Health. 1998; 52(2): 548–57.
8.
Asthana S, Gibson A, Moon G, Brigham P, Dicker J. The demographic and social class basis of the inequality in self-reported morbidity: an exploration using the Health Survey for England. J Epidemiol Community Health. 2004; 58: 303–307.
9.
Ram R., 2006, Further examination of the cross-country association between income inequality and population health. Soc Sci Med. 2006; 62(3): 779–91.
10.
Wilkinson RG, Pickett KE. Income inequality and population health: A review and explanation of the evidence. Soc Sci Med. 2006; 62: 1768–84.
11.
Nobles J, Ritterman Weintraub M, Adler NE, Subjective socioeconomic status and health: Relationships reconsidered. Soc Sci Med. 2013; 82: 58–66.
12.
Health in the framework of sustainable development. Technical Report for the Post-2015 Development Agenda, 2014. Sustainable Development Solutions Network, A Global Initiative for the United Nations
http://www.unsdsn.org (access: 2016.03.30).
13.
Olsen KM, Dahl SA. Health differences between European countries. Soc Sci Med. 2007; 64(8): 1665–78.
14.
Mansyur C, Amick BC, Harrist RB, Franzini L. Social capital, income inequality and self-related health in 45 countries. Soc Sci Med. 2008; 66(1): 43–56.
15.
Semyonov M, Lewin-Epstein N., Maskileyson D. Where wealth matter more for health: The wealth-health gradient in 16 countries. Soc Sci Med. 2013; 81: 10–17.
16.
Davey-Smith G, Bartley M, Blane D. Explanations for socioeconomic differentials in mortality: evidence from Britain and elsewhere. Eur J Public Health. 1994; 4: 131–44.
17.
Kawachi I, Berkman LF. Social cohesion, social capital, and health. In: Berkman LF, Kawachi I, editors. Social Epidemiology. Oxford University Press, New York; 2000, p. 184–190.
18.
Lynch JW, Kaplan GA. Socioeconomic position. In: Berkman LF, Kawachi I, editors. Social Epidemiology. Oxford University Press, New York; 2000, p. 13–35.
19.
Szreter S, Woolcock M. Health by association? Social capital, social theory, and the political economy of public health. Int J Epidemiol. 2004; 33(4): 650–67.
20.
Schnittker J, McLeod JD. The social psychology of health disparities. Annu Rev Sociol. 2005; 31: 75–103.
21.
Kickbusch I. Triggering debate, White Paper: The Food System – a prism of present and future challenges for health promotion and sustainable development. Health Promotion, Switzerland, 2010.
http://www.scp-knowledge.eu/si... (access: 2016.03.25).
22.
Pedersen KB, Land B. Health, Food and Sustainability. In: Nielsen KA, Elling B, Figueroa M, and Jelsøe E, editors. A New Agenda for Sustainability. Ashgate, United Kingdom; 2010, p. 251–269.
23.
Bański J, Pantyley V, Janicki W, Flaga M, Wesołowska M. Współczesne przekształcenia społeczno-gospodarcze a potencjał ludnościowy wschodniej Polski. Studia Obszarów Wiejskich, 36, PTG, IGiPZ PAN, Warszawa, 2014.
24.
Makarewicz-Marcinkiewicz A. Holistyczna koncepcja zrównoważonego rozwoju w strategiach polskich województw do roku 2020. Problemy ekorozwoju/Problems of Sustainable Development. 2015; 4(2): 103–113.
25.
Widomski MK, Gleń P, Łagód G, Jaromin-Gleń M. Rozwój zrównoważony jednego z najbiedniejszych regionów Unii Europejskiej, Województwa Lubelskiego – próba oceny. Problemy ekorozwoju/Problems of Sustainable Development. 2015; 10(2): 137–149.
26.
Social Inequalities in Health on Poland. 2012. WHO, Regional Office for Europe.
27.
Laskowska I. Availability of health services vs. health condition of residents of rural areas in Poland – Analysis performed on the basis of EHIS 2009. Ann Agric Environ Med. 2015; 22(4): 700–703.
28.
Frankenberg E, Jones NR. Self-rated health and mortality: does the relationship extend to a low income setting? J Health Soc Behav. 2004; 45(4): 441–52.
29.
Poortinga W. Social capital: An individual or collective resource for health. Soc Sci Med. 2006; 62: 292–302.
30.
Jylhä M, Volpato S, Guralnik JM. Self-rated health showed a graded association with frequently used biomarkers in a large population sample. J Clin Epidemiol. 2008; 59: 465–471.
31.
Stan zdrowia ludności Polski w 2014 r. 2016. GUS, Warszawa.
32.
Krzyżak M. Maślach D, Szpak A, Piotrowska K, Florczyk K, Skrodzka M, Owoc A, Bojar I. Trends of potential years of life lost due to main causes of deaths in urban and rural population in Poland, 2002–2011. Ann Agric Environ Med. 2015; 22(3): 564–571.
33.
Maniecka-Bryła I, Pikala M, Bryła M. Health inequalities among rural and urban inhabitants of Łódz Province, Poland. Ann Agric Environ Med. 2010; 19(4): 723–31.
34.
Lipowicz A. Disparities in health status between rural and urban adult males in Lower Silesia, Poland. Anthropol Anz. 2015; 72(1): 13–25.
35.
Friestad C, Klepp KI. Socioeconomic status and health behavior patterns through adolescence. Eur J Public Health. 2006; 16(1): 41–47.
36.
Kopp M, Skrabski A, Réthelyi J, Kawachi I, Adler NE. Self-rated health, subjective social status, and middle-aged mortality in a changing society. Behav Med. 2004; 30(2): 65–70.
37.
Hamad R, Fernald LCH, Karlan DS, Zinman J. Social and economic correlates of depressive symptoms and perceived stress in South African adults. J Epidemiol Community Health. 2008; 62: 538–44.
38.
Wolff LS, Subramanian SV, Acevedo-Garcia D, Weber D, Kawachi I. Compared to whom? Subjective social status, self-rated health, and referent group sensitivity in a diverse US sample. Soc Sci Med. 2010; 70: 2019–2028.
39.
Ram R. Income inequality, poverty, and population health: Evidence from recent data for the United States. Soc Sci Med. 2005; 61: 2568–2576.
40.
Nolte E, McKee M. Changing health inequalities in east and west Germany since unification. Soc Sci Med. 2004; 58: 119–136.