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利用健康的社会决定因素识别贫民窟居民的健康问题:伊朗克尔曼。

Identifying the health problems of slum residents using social determinants of health: Kerman, Iran.

机构信息

Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Healthcare Management, School of Management and Medical Information, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Int J Health Plann Manage. 2019 Apr;34(2):e1179-e1187. doi: 10.1002/hpm.2755. Epub 2019 Feb 14.

Abstract

INTRODUCTION

Although slum emerged in industrialized countries, today, all cities in the world are somehow facing this phenomenon. Slums create many problems in different areas, especially health for residents. Therefore, this research was conducted with the aim of identifying the health problems of the slum residents of Kerman city by using the social determinant of health approach.

METHOD

The present study is an applied study that was carried out qualitatively using semistructured interviews. Samples were selected using purposeful and snowball sampling methods. Data were analyzed using the Colaizy method.

RESULTS

In this study, the health problems of residents of slums in the city of Kerman were identified by interviews. In total, seven main themes and 32 sub-themes were extracted. The main concepts extracted include the economic and social class, the early childhood development, social exclusion and social support, employment and unemployment, addiction, food, transport, and traffic.

CONCLUSION

The problems of slums people are very widespread, and almost all of the problems affect the health of slums people. The place of living, job, income, the early childhood development and nutritional status are determinants that affect people's health.

摘要

简介

尽管贫民窟出现在工业化国家,但如今,世界上所有城市都在某种程度上面临着这一现象。贫民窟在不同领域造成了许多问题,对居民的健康尤其不利。因此,这项研究旨在通过使用健康社会决定因素方法来确定克尔曼市贫民窟居民的健康问题。

方法

本研究是一项应用研究,采用半结构式访谈进行定性研究。采用目的抽样和滚雪球抽样方法选择样本。使用 Colaizy 方法进行数据分析。

结果

在这项研究中,通过访谈确定了克尔曼市贫民窟居民的健康问题。总共提取了七个主要主题和 32 个次要主题。提取的主要概念包括经济和社会阶层、儿童早期发展、社会排斥和社会支持、就业和失业、成瘾、食品、交通和运输。

结论

贫民窟居民的问题非常广泛,几乎所有问题都影响贫民窟居民的健康。居住地点、工作、收入、儿童早期发展和营养状况是影响人们健康的决定因素。

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