Pantyley Viktoriya
School of Socio-Economic Geography Department of Earth Sciences and Spatial Management Maria Curie-Sklodowska University in Lublin, Poland.
Ann Agric Environ Med. 2017 Sep 21;24(3):477-483. doi: 10.5604/12321966.1233905. Epub 2017 May 11.
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.
该研究的主要目标是从可持续发展的角度对与健康相关的概念进行批判性分析,并在该地区可持续发展的背景下,对波兰东部城乡居民的健康及与健康相关的问题进行实证分析。该研究基于以下研究方法:系统方法、文献和统计数据的筛选与分析、编制一份关于研究区域内人口社会经济和健康不平等情况的特殊问卷、在卢布林省、喀尔巴阡省、波德拉谢省和马佐夫舍省东部随机选择的地区(按照省会城市 - 县府城市 - 其他城市 - 农村地区划分),对随机抽取的受访者(N = 1,103)进行访谈问卷的实地研究。在所研究区域进行的统计调查结果,通过卡方检验和列联系数表明,健康状况与以下自变量之间存在相关性:年龄、生活质量、社会地位和财务状况(C - 皮尔逊系数超过0.300);性别、家庭规模、居住地点和自由时间量之间存在统计学上显著但较弱的相关性。所进行的分析证明,城乡人口的健康状况存在巨大差距。为了消除波兰东部居民健康状况的不利差异,并在所研究区域的城乡地区实现平等的可持续发展,应针对周边边缘化农村地区的居民实施特殊的预防方案。在这些方案中,应关注预防措施、基本文明病和社会疾病的早期诊断,以及居民更好地获得医疗服务的机会。