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金融压力和金融幸福感的生成机制:意识形态和差异的批判现实主义分析。

The Generative Mechanisms of Financial Strain and Financial Well-Being: A Critical Realist Analysis of Ideology and Difference.

机构信息

Centre for Healthy Communities, School of Public Health, University of Alberta, Edmonton, AB, Canada.

PolicyWise for Children & Families, Edmonton, AB, Canada.

出版信息

Int J Health Policy Manag. 2023;12:6930. doi: 10.34172/ijhpm.2022.6930. Epub 2022 Dec 6.

Abstract

BACKGROUND

Rapid, strategic action is required to mitigate the negative and unequal impact of the coronavirus disease 2019 (COVID-19) pandemic on the financial well-being (FWB) of global populations. Personal financial strain (FS) worsened most significantly among systematically excluded groups. Targeted government- and community-led initiatives are needed to address these inequities. The purpose of this applied research was to identify what works for whom, under what conditions, and why in relation to community and government initiatives that promote personal and household FWB and/or address FS in high income economies.

METHODS

We employed a critical realist analysis to literature that reported on FWB/FS initiatives in high income countries. This included initiatives introduced in response to the pandemic as well as those that began prior to the pandemic. We included sources based on a rapid review. We coded academic, published literature (n=39) and practice-based (n=36) reports abductively to uncover generative mechanisms - ie, underlying, foundational factors related to community or government initiatives that either constrained and/or enabled FWB and FS.

RESULTS

We identified two generative mechanisms: (1) neoliberal ideology; and (2) social equity ideology. A third mechanism, social location (eg, characteristics of identity, location of residence), cut across the two ideologies and demonstrated for whom the initiatives worked (or did not) in what circumstances. Neoliberal ideology (ie, individual responsibility) dominated initiative designs, which limited the positive impact on FS. This was particularly true for people who occupied systematically excluded social locations (eg, low-income young mothers). Social equity-based initiatives were less common within the literature, yet mostly had a positive impact on FWB and produced equitable outcomes.

CONCLUSION

Equity-centric initiatives are required to improve FWB and reduce FS among systemically excluded and marginalized groups. These findings are of relevance now as nations strive for financial recovery in the face of the ongoing global pandemic.

摘要

背景

需要迅速采取策略行动,减轻 2019 年冠状病毒病(COVID-19)大流行对全球人口财务福祉(FWB)的负面影响和不平等影响。系统排斥群体的个人财务压力(FS)恶化最为明显。需要政府和社区牵头的有针对性的举措来解决这些不平等问题。本应用研究旨在确定在高收入经济体中,哪些社区和政府举措能够促进个人和家庭的 FWB 和/或解决 FS,以及这些举措对谁有效、在什么条件下有效以及为什么有效。

方法

我们采用了关键现实主义分析方法,对报告高收入国家 FWB/FS 举措的文献进行了分析。这包括针对大流行引入的举措以及大流行前开始的举措。我们根据快速审查纳入了来源。我们对学术和已发表文献(n=39)和基于实践的报告(n=36)进行了归纳编码,以揭示生成机制,即与社区或政府举措相关的潜在、基础因素,这些因素限制和/或促进了 FWB 和 FS。

结果

我们确定了两个生成机制:(1)新自由主义意识形态;(2)社会公平意识形态。第三个机制,社会地位(例如,身份特征、居住地点),贯穿于这两个意识形态,并展示了这些举措在什么情况下对谁有效(或无效)。以新自由主义意识形态(即个人责任)为主导的举措设计限制了对 FS 的积极影响。对于那些处于系统排斥社会地位的人来说,这一点尤其如此(例如,低收入的年轻母亲)。在文献中,基于社会公平的举措较少,但大多数对 FWB 产生积极影响,并产生公平的结果。

结论

需要以公平为中心的举措来改善系统排斥和边缘化群体的 FWB,并减少 FS。这些发现现在具有相关性,因为各国在面对持续的全球大流行时都在努力实现金融复苏。

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