• 제목/요약/키워드: Community Equity

검색결과 100건 처리시간 0.029초

아동양육정책의 자유선택 쟁점에 관한 연구 - 공보육서비스 vs 가정양육수당을 중심으로 - (The Study on Free Choice in Childcare Policy : Focusing on Public Childcare Service VS Home Childcare Allowance)

  • 이수경;오미옥
    • 한국보육지원학회지
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    • 제9권6호
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    • pp.129-150
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    • 2013
  • 아동양육은 가족정책에서 중요한 의제 중 하나이다. 아동양육을 사회화함으로써 부모의 노동권과 부모권을 확보할 수 있도록 조건을 형성하는 것은 복지국가를 위한 주요한 관건이다. 이 논문의 목적은 아동양육의 자유선택에 대한 상반된 견해에 대해 고찰하는 것이다. 자유선택은 모든 사회구성원 개개인이 노동권과 부모권을 양립하는데 제약 없이 자유롭게 선택하고 누리는 것을 말한다. 그러나 현재 우리는 '자유선택'이라고 말할 수 없다. 이 논문에서는 자유선택의 쟁점이 되는 분석 기준 - 자유의 개념, 형평성과 평등, 국가의 역할, 재정효율성, 여성의 노동시장에서의 지위 - 에 바탕을 둔다. 분석 기준에 따른 논점을 바탕으로 본 연구자는 몇 가지 정책적 제언을 하고자 한다. 즉, 진정한 자유선택이 되기 위해서는 적절하고 다양한 양육서비스와 보편적인 아동수당제도의 도입, 공공어린이집의 확충이 되어야 할 것이다.

Socioeconomic Inequalities in the Oral Health of People Aged 15-40 Years in Kurdistan, Iran in 2015: A Cross-sectional Study

  • Moradi, Ghobad;Moinafshar, Ardavan;Adabi, Hemen;Sharafi, Mona;Mostafavi, Farideh;Bolbanabad, Amjad Mohamadi
    • Journal of Preventive Medicine and Public Health
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    • 제50권5호
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    • pp.303-310
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    • 2017
  • Objectives: The aim of this study was to evaluate socioeconomic inequalities in the prevalence of dental caries among an urban population. Methods: This study was conducted among 2000 people 15-40 years of age living in Kurdistan, Iran in 2015. Using a questionnaire, data were collected by 4 trained dental students. The dependent variable was the decayed, missing, and filled teeth (DMF) index. Using principal component analysis, the socioeconomic status (SES) of families was determined based on their household assets. Inequality was measured using the concentration index; in addition, the Oaxaca analytical method was used to determine the contribution of various determinants to the observed inequality. Results: The concentration index for poor scores on the DMF index was -0.32 (95% confidence interval [CI], -0.40 to -0.36); thus, poor DMF indices had a greater concentration in groups with a low SES (p<0.001). Decomposition analysis showed that the mean prevalence of a poor DMF index was 43.7% (95% CI, 40.4 to 46.9%) in the least privileged group and 14.4% (95% CI, 9.5 to 9.2%) in the most privileged group. It was found that 85.8% of the gap observed between these groups was due to differences in sex, parents' education, and the district of residence. A poor DMF index was less prevalent among people with higher SES than among those with lower SES (odds ratio, 0.31; 95% CI, 0.19 to 0.52). Conclusions: An alarming degree of SES inequality in oral health status was found in the studied community. Hence, it is suggested that inequalities in oral health status be reduced via adopting appropriate policies such as the delivery of oral health services to poorer groups and covering such services in insurance programs.

Correlation of Cancer Incidence with Diet, Smoking and Socio-Economic Position Across 22 Districts of Tehran in 2008

  • Rohani-Rasaf, Marzieh;Abdollahi, Morteza;Jazayeri, Shima;Kalantari, Naser;Asadi-Lari, Mohsen
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권3호
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    • pp.1669-1676
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    • 2013
  • Background: Variation in cancer incidence in geographical locations is due to different lifestyles and risk factors. Diet and socio-economic position (SEP) have been identified as important for the etiology of cancer but patterns are changing and inconsistent. The aim of this study was to investigate correlations of the incidence of common cancers with food groups, total energy, smoking, and SEP. Materials and Methods: In an ecological study, disaggregated cancer data through the National Cancer Registry in Iran (2008) and dietary intake, smoking habits and SEP obtained through a population based survey within the Urban Health Equity Assessment (Urban-HEART) project were correlated across 22 districts of Tehran. Results: Consumption of fruit, meat and dairy products adjusted for energy were positively correlated with bladder, colorectal, prostate and breast and total cancers in men and women, while these cancers were adversely correlated with bread and fat intake. Also prostate, breast, colorectal, bladder and ovarian cancers had a positive correlation with SEP; there was no correlation between SEP and skin cancer in both genders and stomach cancer in men. Conclusions: The incidence of cancer was higher in some regions of Tehran which appeared to be mainly determined by SEP rather than dietary intake. Further individual data are required to investigate reasons of cancer clustering.

의료보험 건강진단사업의 개선방안 (Reform Measures of Health Examination Program in Health Insurance Scheme)

  • 박재용
    • 보건교육건강증진학회지
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    • 제16권2호
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    • pp.205-233
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    • 1999
  • This study is an effort to make policy suggestions by analysing the current health examination program as a benefit service provided by the national health insurance system, including health screening for the insured, screening of cancer and chronic diseases for their dependents. Analyses found some issues being gave attention to; 1) The insured under the community health insurance system do not get the health examination benefit. A program for them should be set to have equity in benefit services. 2) Low rates of using screen services compromise purpose and the efficiency the services have first intended to. An immediate attention should be made to increase low rate of use of screen test to detect chronic diseases in particular. 3) Selection of diseases and test items covered by health examination program does not reflect the need of the insured, but to reflect financial resources of the national health insurance system. 4) Lack of health screening facilities and their geographical maldistribution is observed, which with preference of a general hospital as a screening post by the insured may lead to unreliable test. 5) A follow-up system should have been developed for the suspected classified by test results of carrying chronic diseases. They should be cared for within the health examination program. Public health care systems incorporate such a system, along with caring for those who are in need of having a health counselling on preventive care. In conclusion, the national health insurance system should be a medical insurance of giving a higher priority on preventive care benefits, health examination program in particular. That could be done by making rearrangements of test items, screening methods and system, rationalizing current reimbursement system of service fee, increasing accessibility to and utilization of the services, and making an establishment of follow-up system.

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국제환경규범(國際環境規範)과 무역연계(貿易連繫) (International Rule for Environment and International Trade)

  • 신한동
    • 무역상무연구
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    • 제12권
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    • pp.587-613
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    • 1999
  • Environmental problems such as global climate change, depletion, ocean and air pollution, and resource degradation-compounded by an expanding world population-respect no border and threaten the health, prosperity and jobs of all mankind. Our efforts to promote democracy, free trade, and stability in the world will fall short unless people have a livable environment. We have an enormous stake in the management of the world's resources. By increasing demand for timber, natural gas, coal and consumer's goods have destroyed the grounds for living. Greenhouse gas emissions anywhere in the world have threatened coastal communities, and then changed the Earth's climate system. The burning of coal, oil, and other fossil fuels is increasing substantially the concentration of heat-trapping gasses such as carbon dioxide, methane, and nitrous oxide in our air. The earth's temperature and sea levels are rising as a result. Since 1972 there has been a marked growth in the number and scope of environmental treaties. In particular, after the 1992 Rio Conference, international legal instruments became more concentrated on addressing environment within the context of sustainable development and incorporated a number of new concepts and innovative approaches. A preliminary analysis of recent conventions and in particular those associated with the Rio Conference indicates various ideas, concepts and principles which have come to the fore including sustainable development, equity, common concern of humankind, common but differentiated responsibilities and global partnership. However, international trade also has an environmental impact which must be minimized or countered. Positive measures are to be preferred to achieve environmental goals, but where trade provisions are necessary, they should be appropriately used within environmental conventions to facilitate the reduction and limitation of the negative impacts of trade and to enhance the complementarity of the multilateral trade regime with the imperatives of environmental protection, in the interests of environmental protection and sustainable development generally. The international community has to recognize and endorse this need to achieve complementarity between trade and environment issues.

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제주국제자유도시, 신자유주의 예외공간, 그리고 개발자치도 (Jeju Free International City and Neoliberal Space of Exception)

  • 이승욱;조성찬;박배균
    • 한국지역지리학회지
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    • 제23권2호
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    • pp.269-287
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    • 2017
  • 제주국제자유도시는 세계화 시대 경제위기 극복과 새로운 국가경쟁력 확보 등의 당위성을 바탕으로 지방의 적극적인 추진의지와 중앙의 정책적 제도적 지원을 통해 '21세기 동북아 중심도시'를 목표로 야심차게 출범하였다. 그러나 국제자유도시 추진이 결정된지 약 20년이 지난 현 시점에서 이러한 발전 비전은 사실상 상실되었다. 이 논문에서는 '이상적 자유시장 경제모델'을 표방한 제주국제자유도시가 발전주의 국가모델의 유산이 여전히 작동하는 한국 경제체제에서 예외적으로 급진적인 신자유주의 개방경제공간을 지향하였고 각종 신자유주의 탈규제 정책의 실험장으로서의 역할을 자임하였지만, 환경과 사회경제적 모순 격화로 인한 지역사회 갈등의 심화, 중앙정부의 형평성 논리 및 제한된 자치권으로 인하여 사실상 실패하였다고 주장한다. 이를 위해 예외공간으로서의 경제특구에 대한 이론적 논의를 기반으로 제주국제자유도시 발전 비전의 변화과정을 분석하고, 다양한 예외적 제도와 공간적 장치들이 제주를 어떻게 예외공간화하고 있는지 살펴보았다.

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농촌지역 활성화를 위한 도시공원의 활용 - 구례군 백련제 주변 관광자원화사업을 사례로 - (The Utilization of Urban Park for the Activation of Rural Area - Focus on the Baelyeonje Nearby Tourism Resources Development, Gulye-gun-)

  • 박지환;오창송
    • 농촌계획
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    • 제24권3호
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    • pp.105-115
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    • 2018
  • This study is conducted to propose urban park utilization and master plan in rural areas. Urban parks designed for the rural areas can be divided into three types: a themed type for rural tourism, a community type for hub regenerations and a waterfront type for using agricultural reservoirs. To use the themes and characteristics of ruralness, these types are required a multi-layered spatial structure. And ecological, cultural and economic networks of local tourism resources have to be integrated by utilizing agricultural reservoirs. Therefore, urban parks in rural areas can be defined as a part of the public benefit project aiming to revitalize the local economy. Also, urban parks are necessary to use attractions and amenities in rural areas. Based on theoretical backgrounds, this study proposed two sustainable master plans as the tourism resource development project for Baelyeonje, Gulye-gun. For ecological and cultural sustainability, this study proposed the environment restoration plan which reinforces the scenic resource of Nogodan in Mt. Jiri by developing the underdevelopment plan with consideration of the local landscape characteristics and resources. For economic sustainability, building the Mt. Jiri tourism complex and economic communities are needed to promote investments for securing mutual economic benefits. To achieve the sustainability, further studies related to the social equity and investment of private capital in rural areas are needed.

협동조합기번법 시행과 농업법인 관련 법제 개선 방향 (Trends of Cooperatives Establishment in Rural Korea and Improvement of Legislation)

  • 김정섭
    • 농촌지도와개발
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    • 제21권1호
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    • pp.1-34
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    • 2014
  • 협동조합기본법이 시행되고 농업 부문에서 협동조합 법인들이 활발하게 설립되고 있다. 이들 '농업 분야 협동조합'은 법률적 의미의 농업법인으로 인정받지 못하고 있다. 협업적 농업을 추구한다는 점과 1인 1표제로 대표되는 민주적 의사결정의 원칙을 따른다는 점에서, '농업 분야 협동조합'과 농업법인의 일종인 영농조합법인의 기원, 조직 구성 및 운영의 원리, 조직의 목적 등이 유사하거나 동일한 부분이 많다. 그럼에도 '농업 분야 협동조합'이 농업법인으로 인정되지 않기 때문에 현실에서는 법률적 형평성 문제가 여럿 제기될 수 있다. 두 유형의 법인들 사이에 발생할 수 있는 형평성 문제를 '농지 소유 및 이용에 관한 권리', '조세 감면 조치의 대상', '농업 정책의 대상 자격 및 규제 특례'라는 세 측면에서 살펴보았다. '농업 분야 협동조합' 법인을 농업법인의 일종으로 간주하여 형평성 문제를 완화하는 법제 개선이 필요하다. "농어업 농어촌 및 식품산업기본법"과 "농어업경영체 육성 및 지원에 관한 법률"을 비롯하여 수십 종의 관련 법률과 그 하위 시행령, 시행규칙, 행정지침 등을 개정해야 한다.

Association of Lower Socioeconomic Status and SARS-CoV-2 Positivity in Los Angeles, California

  • Allan-Blitz, Lao-Tzu;Goldbeck, Cameron;Hertlein, Fred;Turner, Isaac;Klausner, Jeffrey D.
    • Journal of Preventive Medicine and Public Health
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    • 제54권3호
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    • pp.161-165
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    • 2021
  • Objectives: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spreads heterogeneously, disproportionately impacting poor and minority communities. The relationship between poverty and race is complex, with a diverse set of structural and systemic factors driving higher rates of poverty among minority populations. The factors that specifically contribute to the disproportionate rates of SARS-CoV-2 infection, however, are not clearly understood. Methods: We evaluated SARS-CoV-2 test results from community-based testing sites in Los Angeles, California, between June and December, 2020. We used tester zip code data to link those results with United States Census report data on average annual household income, rates of healthcare coverage, and employment status by zip code. Results: We analyzed 2 141 127 SARS-CoV-2 test results, of which 245 154 (11.4%) were positive. Multivariable modeling showed a higher likelihood of SARS-CoV-2 test positivity among Hispanic communities than among other races. We found an increased risk for SARS-CoV-2 positivity among individuals from zip codes with an average annual household income

호주 태즈메이니아 유기농운동의 전개과정과 발전과제 (History of Organic Agricultural Movement and Perspective for Development of Organic Agriculture in Tasmania)

  • 김종숙
    • 현장농수산연구지
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    • 제15권1호
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    • pp.25-43
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    • 2013
  • Tasmania with its clean air, isolated from mainland Australia, has been producing high-quality agricultural products and has been continually developing organic farming since 1946 when the Living Soil Association of Tasmania(LSAT) was established. The organic farming movement in Tasmania has been actively advocated through three steps: the philosophical embryonic period, the movement diffusion period and the industrialised development period. The campaigns for informing about the connection between healthy soil and life unfolded during the embryonic period. This was followed by the birth of publicity of organic farming and the certification system through the dissemination of organic farming techniques and various events related to agriculture in the diffusion period when the Organic Gardening and Farming Society(OGFS) was established in 1972. In the industrialised development period, The Organic Coalition of Tasmania (OCT) which is representative of Tasmania was organised in 2000 and has been leading the organic farming industry. The organic farming movement in Tasmania not only limits the use of artificial agricultural chemical but pursues the quality of food, environment, the health of life including all animals and plants, the issue of development in rural society, social justice, and equity in understanding. It is far more holistic in its philosophy. The output of organic food accounts for 1 % of the total amount of agricultural production and 150 certified organic farms have managed with 5,000ha of land in 2010. The supply channels for organic foods vary from farmer's market, specialty stores, supermarket chains, local store to the cooperative community. Also the consumers' behaviour for organic foods has been establishing as an alternative life style. The education of the value and role of organic farming on the environment should be enlarged for the consumption of the organic food. In addition, organising for small farmers who act individually and the link with differentiated local food have still remained issues.