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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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Levente hal sz research assistant kodol nyi j nos university of applied sciences

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


Stiglitz well being dimensions

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 situation in hungary

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)


Influential theoretical factors of health disparities

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

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

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

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.


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