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Regional and Intra-urban Disparities of Mental and Physiological Health Conditions as influential Well-Being Indicator s. Levente Halász Research assistant Kodolányi János University of Applied Sciences EUROGEO International Conference Malta , Valletta 15-17th May, 2014.
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Regional and Intra-urban Disparities of Mental and Physiological Health Conditions as influential Well-Being Indicators Levente Halász Research assistant Kodolányi János University of AppliedSciences EUROGEO International Conference Malta, Valletta 15-17th May, 2014 Research has been realised within the confines of TÁMOP 4.2.2.A-11/1/KONV-2012-0069 project
Stiglitzwell-beingdimensions • Material living –standards (income, consumption and wealth), • Health, • Education, • Personal activities including work, • Political voice and governance , • Social connections and relationships, • Environment (present and future conditions), • Insecurity, of an economic as well as a physical nature. Health= State of Physical, Mental and SocialWell-Being(dynamicproccess) Lifeterm is determinatedbyhealth + culture + economicsituation + education Life expectancy: Increasesupwardsinurbanhierarchy West-Eastorcentre-peripherydichotomiesdonotexistproperly! (Longest: Budapest, Szombathely, Debrecen, Győr, worst: Miskolc, Békéscsaba, Tatabánya) Life expectancy (Hungary): male: 70,1, female: 77,9 Source: http://szike.postr.hu/javulo-egeszseg-oriasi-egyenlotlensegek-europaban
Health situationin Hungary • Comparetoothernations: unfavourablehealtconditions • Lower-startapopulation: Health, healthylifestyledonothaveconsiderableposition • Unequalaccesstohealth-relatiedservices, unequalityinterms of maintenanceopportunities. • Explanationtointerregional and intraregionaldisparities: economicdisparities, unjustredistributivesystem, unfavourableemploymentpositions, impededavailabilitytoeducationandhealthservices, maleficientlivinganddwellingcircumstances, lowchancetohealthyandbalanced life (Uzzoli, A. 2009)
Influentialtheoreticalfactors of healtHdisparities • Cultural-Behaviorist: lifestyle, individualriskfactors, socio-culturalfactors; • Psycho-social: healtbehavios, subjectivehealthevaluation, stressfactors; • Materialist/Structuralist: socio-economicalsituation, finiancialsituation, life circumstances, labour market position; • Neo-materialist: socio-structuralcircumstances, role of „space” (Egedy-Uzzoli, 2013)
Methodology • Survey N=5000 (3000 inregionalcentres (9 cities), 2000 insuburbansettlements (developed and underdevelopedsettlements) • Realised: December 2013 – March 2014 • Surveyquestions, empiricallyfoundedrecentresults: • Howsatisfiedareyouwithpersonalstate of health? • Doyousmoke? • Howstressful is your life? • Howoftendoyouhavethefollowingsymptomes: Headache, Backache, Sleepingdisorders, Feeling of fatigue, Stomachache, Lokomotivdisorders? • Doyoupractisethefollowinghealth-maintainingopportunities: Healthyalimenation, Sports, activerecreation, Alternativetreatments, Vitamins, nutritionsupplements
Smoking • Males: 1/3 • Females: ¼ • Attitude-discrepancy: 41% thinksonlypermanentsmokingcauseshealth-relateddisorders • Inninemetropolitanregions: 29,6% smokes Source: http://szike.postr.hu/javulo-egeszseg-oriasi-egyenlotlensegek-europaban
Conclusions • Metropolitan centresrepresentdevelopmentislands (isolatums) inHungarianruralarea. • Economicwellfare has influenceon local state of health. • Intraregionallevel: West-East, Centre-Peripherydichotomiesarenotalwaysrelevant • and obvious • Developed and underdevelopedurbanperipheryconvergestoeachother, onlysmartdifferencesappeared. Despitetheyaretheleastdevelopedsuburbansettlements, concerning 3160 Hungariansettlements, theybelongto most developed and rapidlyimprovingones. • Intraurbanlevel: apparent and sharpdifferencesbetweensocio-economicallydeveloped, secure, prestigeousquartersanddiverged, segregatedquarterscharacterisedbylow-strataurbanpopulation.