scholarly journals How Does Fiscal Decentralization Affect Within-Regional Disparities in Well-Being? Evidence from Health Inequalities in Italy

2015 ◽  
Author(s):  
Cinzia Di Novi ◽  
Massimiliano Piacenza ◽  
Silvana Robone ◽  
Gilberto Turati
Keyword(s):  
Health Inequalities ◽  
Fiscal Decentralization ◽  
Well Being ◽  
Regional Disparities

Gender minority youth: Shifting the paradigm from risk to resilience

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
E Vaughan ◽  
A Költő ◽  
D Ravikumar ◽  
C Kelly ◽  
S Nic Gabhainn
Keyword(s):  
Protective Factors ◽  
Health Inequalities ◽  
Gap Analysis ◽  
Well Being ◽  
Policy Framework ◽  
Individual Risk ◽  
Youth Policy ◽  
Gender Minority ◽  
Complex Picture ◽  
And Gender

Abstract Background Discourse on the lives, health, and well-being of transgender and other gender minority (TGM) youth frequently revolves around narratives of risk and victimisation. While TGM youth undeniably face many challenges, such singular discourses belie a more complex picture of TGM youth lives and problematically position them as passive victims rather than as social subjects with agency. Methods The “LGBTI+ Landscape and Knowledge Gap Analysis” aimed to systematically map research evidence on sexual and gender minority (SGM) youth in Ireland and other European countries. A scoping review methodology was employed in which the systematic concept searches were linked to the five outcomes of Ireland's Better Outcomes, Better Futures national youth policy framework, which in turn are aligned with the fifteen objectives of the Irish LGBTI+ National Youth Strategy. Results One hundred and twenty-six pieces of evidence were included in the final sample for analysis, which were mapped to the fifteen objectives of the National Youth Strategy. Particular attention was given to the positive aspects and protective factors identified throughout the literature. The evidence showed that while TGM youth disproportionately experience stigma, discrimination and unequal health outcomes, there were sources of resilience at the micro-, meso-, and macro- levels that serve as protective factors against health inequalities. Conclusions Discourse that focuses exclusively on the ‘at-riskness' of trans and gender minority young people presents a one-dimensional perspective that fails to capture the reality and richness of their lives. Over-emphasising individual risk factors may obscure the structural and social factors that underpin the health inequalities experienced by TGM youth.

Micro‐enterprise:

2013 ◽  
Vol 21 (1) ◽  
pp. 26-33 ◽  
Author(s):  
Sian Lockwood
Keyword(s):  
Health Inequalities ◽  
Design Methodology ◽  
Social Care ◽  
Community Support ◽  
Well Being ◽  
Local Health ◽  
Content Type ◽  
Local Case ◽  
The Uk ◽  
Health And Well Being

PurposeThis paper seeks to explore the potential of micro‐enterprises to assist local health and well‐being boards in delivering their strategies, especially in relation to tackling health inequalities, prevention and community support.Design/methodology/approachThis paper draws on experience gained by Community Catalysts from its work supporting social care and health micro‐enterprise across the UK. There has been little formal research into social care and health micro‐enterprise and so the paper relies heavily on data gathered by Community Catalysts in the course of its work and uses local case studies to illustrate points.FindingsThe paper explains the importance of social care and health micro‐enterprise to the work of health and well being boards, emphasising its potential to help tackle health inequalities and contribute to effective health and well‐being strategies.Originality/valueThere are no examples as yet of imaginative health and well‐being boards engaging effectively with micro‐providers, but boards can draw on learning from local authorities actively stimulating and supporting local micro‐enterprise.

Deprivation and health

2020 ◽  
pp. 157-160
Author(s):  
Harry Burns
Keyword(s):  
Life Course ◽  
Health Inequalities ◽  
Meaning In Life ◽  
Well Being ◽  
Sense Of Purpose ◽  
The Life Course

The health of an individual is influenced by the circumstances in which he or she lives. Individuals who live in poverty are more likely to be unhealthy and die younger than individuals who are wealthy. The mechanism by which complex social circumstances cause health inequalities might be a failure to create capacity to manage life’s challenges. Most agree that well-being is created where individuals have an optimistic outlook, a sense that they are in control of their own lives, a sense of purpose and meaning in life, confidence in their ability to deal with problems, a supportive network of friends, and a nurturing family. If society is serious about tackling health inequalities, action needs to happen across the life course.

scholarly journals Does fiscal decentralization affect regional disparities in health? Quasi-experimental evidence from Italy

2019 ◽  
Vol 78 ◽  
pp. 103465 ◽  
Author(s):  
Cinzia Di Novi ◽  
Massimiliano Piacenza ◽  
Silvana Robone ◽  
Gilberto Turati
Keyword(s):  
Experimental Evidence ◽  
Fiscal Decentralization ◽  
Regional Disparities ◽  
Quasi Experimental

scholarly journals Developing a deprivation index to study geographical health inequalities in Ecuador

2019 ◽  
Vol 53 ◽  
pp. 97
Author(s):  
Andrés Peralta ◽  
Verónica Espinel-Flores ◽  
Mercè Gotsens ◽  
Glòria Pérez ◽  
Joan Benach ◽  
...  
Keyword(s):  
Health Inequalities ◽  
Principal Component ◽  
Positive Association ◽  
Well Being ◽  
Deprivation Index ◽  
Population Census ◽  
Subjective Well Being ◽  
Poisson Regression Model ◽  
Geographic Pattern ◽  
Standardised Mortality Ratios

OBJECTIVES: To develop a deprivation index to study health inequalities in 221 areas of Ecuador, to describe the pattern of deprivation in Ecuador, and to explore the applications of the index to study health inequalities by analysing the association between deprivation and mortality in the study areas. METHODS: We performed principal component analyses of available indicators of the 221 cantons of Ecuador. A set of 41 sociodemographic, social capital, and subjective well-being variables were obtained from the 2010 National Population Census and the National Living Conditions Survey 2013–2014. To explore the application of the index in public health, the association between the index and standardised mortality ratios was estimated through a Poisson regression model. RESULTS: The final index was constructed with 17 indicators. The first component explained 51.8% of the total variance of the data. A geographic pattern and a positive association of the index with the standardised mortality ratios of the cantons were observed in both men and women. CONCLUSIONS: We constructed a deprivation index that can identify disadvantaged areas in Ecuador. This index could be a valuable tool for the detection of vulnerabilised populations and the development of interventions and policies adapted to local needs.

scholarly journals Expenditure Decentralization: Does It Make Us Happier? An Empirical Analysis Using a Panel of Countries

2020 ◽  
Vol 12 (18) ◽  
pp. 7236
Author(s):  
Leonardo E. Letelier-S ◽  
José L. Sáez-Lozano
Keyword(s):  
Empirical Analysis ◽  
Social Protection ◽  
Fiscal Decentralization ◽  
Well Being ◽  
Average Value ◽  
Country Level ◽  
Negative Effect ◽  
The Government ◽  
Decentralization Of Education ◽  
Data Level

This paper analyzes whether fiscal decentralization of education, health, housing, social protection, recreation, culture and religion, public order and safety, and transportation have a significant effect on individual well-being. The empirical analysis is based on a non-linear hierarchical model that combines individual data (level 1) with country-level data (level 2). We match 89,584 observations from the World Value Service and the European Value Service (various years) with the average value of data recorded for 30 countries by the Government Financial Statistics (IMF). While fiscal decentralization in education and housing appears to have a negative effect on well-being, this effect is positive in the cases of health and culture and recreation. We interpret this as evidence in favor of a “selective” decentralization approach.

FISCAL DECENTRALIZATION AND GROWING REGIONAL DISPARITIES IN RURAL CHINA: SOME EVIDENCE IN THE PROVISION OF SOCIAL SERVICES

1995 ◽  
Vol 11 (4) ◽  
pp. 70-84 ◽  
Author(s):  
LORAINE A. WEST ◽  
CHRISTINE P. W. WONG
Keyword(s):  
Social Services ◽  
Fiscal Decentralization ◽  
Rural China ◽  
Regional Disparities
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