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效用压力作为健康的社会决定因素:探索一个偏远原住民社区中的联系

Utility stress as a social determinant of health: exploring the links in a remote Aboriginal community.

作者信息

Willis Eileen, Pearce Meryl, McCarthy Carmel, Jenkin Tom, Ryan Fiona

机构信息

School of Medicine, Flinders University, South Australia.

出版信息

Health Promot J Austr. 2006 Dec;17(3):255-9. doi: 10.1071/he06255.

DOI:10.1071/he06255
PMID:17176243
Abstract

ISSUE ADDRESSED

The implications of the high cost of water on the poverty and subsequent health of Aboriginal residents in a remote community in Australia.

METHODS

During 2003, a focus group session was held with adults at Umoona Aboriginal community in South Australia. Participants were asked to comment on key issues of concern in the provision of the domestic water supply.

RESULTS

The Umoona community members in Coober Pedy identified the high cost of water and electricity as key hardship factors.

CONCLUSIONS

Plans under the National Water Initiative to move to full cost recovery for water and the privatisation of public utilities may result in increased hardship for low-income groups such as Aboriginal people. Utility stress (difficulties paying water, electricity, gas or telephone accounts by the due date) increases poverty and relative deprivation, both key factors in the social determinants of health. Increased community service obligations (CSO) and rebates need to be made available to all low-income groups in order to reduce the negative impact of poverty.

摘要

研究问题

澳大利亚一个偏远社区高昂的水成本对原住民居民贫困状况及后续健康状况的影响。

方法

2003年期间,在南澳大利亚的乌莫纳原住民社区与成年人举行了一次焦点小组会议。参与者被要求就家庭供水供应中令人关注的关键问题发表意见。

结果

库伯佩迪的乌莫纳社区成员将水和电的高成本确定为关键的艰难因素。

结论

《国家水倡议》中关于实现水的完全成本回收以及公用事业私有化的计划,可能会给原住民等低收入群体带来更多艰难。公用事业压力(在到期日支付水费、电费、燃气费或电话费有困难)会加剧贫困和相对剥夺感,而这两者都是健康社会决定因素中的关键因素。需要向所有低收入群体提供更多社区服务义务(CSO)和回扣,以减少贫困的负面影响。

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