Inequality

不等式
  • 文章类型: Editorial
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  • 文章类型: Journal Article
    相对于本地人,移民及其本地出生的孩子经常面临相当大的工资处罚,但是对于这种不平等是否由于教育资格的差异而引起的人们知之甚少,跨职业和机构的隔离,或者同样的工作不平等的工资。使用来自挪威的关联雇主-雇员数据,作者询问移民与本地人的工资差距1)是否反映了详细教育资格的差异,劳动力市场隔离,或工作内工资差异;2)因移民一代而异;3)劳动力市场的不同部分有所不同。他们发现,移民与本地人的工资差异主要反映了对低薪工作的排序,而且移民世代的工资劣势大大减少。为同一个雇主做同样的工作时,移民背景的工人,尤其是移民的孩子,赚取与当地人相似的工资。对于大学毕业生来说,整理工作似乎更有才华,对于专业人士来说,在公共部门,但是在各个细分市场中,工作内的工资差异惊人地相似。
    Immigrants and their native-born children often face considerable wage penalties relative to natives, but less is known about whether this inequality arises through differences in educational qualifications, segregation across occupations and establishments, or unequal pay for the same work. Using linked employer-employee data from Norway, the authors ask whether immigrant-native wage disparities 1) reflect differences in detailed educational qualifications, labor market segregation, or within-job pay differences; 2) differ by immigrant generation; and 3) vary across different segments of the labor market. They find that immigrant-native wage disparities primarily reflect sorting into lower-paying jobs, and that wage disadvantages are considerably reduced across immigrant generations. When doing the same work for the same employer, immigrant-background workers, especially children of immigrants, earn similar wages to natives. Sorting into jobs seems more meritocratic for university graduates, for professionals, and in the public sector, but within-job pay differences are strikingly similar across market segments.
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  • 文章类型: Journal Article
    考虑到解决新生儿死亡率问题对实现2030年可持续发展目标儿童健康的重要性,这方面的研究重点至关重要。尽管孟加拉国的新生儿死亡率(NMR)持续很高,仍然明显缺乏有力的证据来解决该国NMR的不平等。因此,这项研究旨在通过全面调查孟加拉国核磁共振中的不平等现象来填补知识空白。
    对2000年至2017年的孟加拉国人口与健康调查(BDHS)数据进行了分析。用来衡量不平等的公平分层是财富状况,母亲的教育,居住地,和国家以下地区。差异(D)和人口归因分数(PAF)是绝对度量,而人口归因风险(PAR)和比率(R)是不平等的相对衡量标准。通过估计每个估计值的95%置信区间(CI)来考虑统计学显著性。
    在孟加拉国发现NMR呈下降趋势,从2000年的50.2例死亡到2017年的31.9例死亡。这项研究检测到显著的财富驱动(PAF:-20.6,95%CI:-24.9,-16.3;PAR:-6.6,95%CI:-7.9,-5.2),教育相关(PAF:-11.6,95%CI:-13.4,-9.7;PAR:-3.7,95%CI:-4.3,-3.1),和区域(PAF:-20.6,95%CI:-27.0,-14.3;PAR:-6.6,95%CI:-8.6,-4.6)在所有测量点的NMR差异。我们还发现,2000年至2014年,除2017年外,城乡不平等现象明显。在NMR中观察到绝对和相对不等式;然而,这些不平等随着时间的推移而减少。
    孟加拉国各分组的NMR差异显着突出了全面,有针对性的干预措施。通过改善获得经济资源和教育的机会来增强妇女的权能可能有助于解决孟加拉国核磁共振的差距。未来的研究和政策应侧重于制定战略,以解决这些差距,并促进所有新生儿的公平健康结果。
    UNASSIGNED: Given the significance of addressing neonatal mortality in pursuing the 2030 Sustainable Development Goal on child health, research focus on this area is crucial. Despite the persistent high rates of neonatal mortality rate (NMR) in Bangladesh, there remains a notable lack of robust evidence addressing inequalities in NMR in the country. Therefore, this study aims to fill the knowledge gap by comprehensively investigating inequalities in NMR in Bangladesh.
    UNASSIGNED: The Bangladesh Demographic and Health Survey (BDHS) data from 2000 to 2017 were analyzed. The equity stratifiers used to measure the inequalities were wealth status, mother\'s education, place of residence, and subnational region. Difference (D) and population attributable fraction (PAF) were absolute measures, whereas population attributable risk (PAR) and ratio (R) were relative measures of inequality. Statistical significance was considered by estimating 95% confidence intervals (CIs) for each estimate.
    UNASSIGNED: A declining trend in NMR was found in Bangladesh, from 50.2 in 2000 to 31.9 deaths per 1000 live births in 2017. This study detected significant wealth-driven (PAF: -20.6, 95% CI: -24.9, -16.3; PAR: -6.6, 95% CI: -7.9, -5.2), education-related (PAF: -11.6, 95% CI: -13.4, -9.7; PAR: -3.7, 95% CI: -4.3, -3.1), and regional (PAF: -20.6, 95% CI: -27.0, -14.3; PAR: -6.6, 95% CI: -8.6, -4.6) disparities in NMR in all survey points. We also found a significant urban-rural inequality from 2000 to 2014, except in 2017. Both absolute and relative inequalities in NMR were observed; however, these inequalities decreased over time.
    UNASSIGNED: Significant variations in NMR across subgroups in Bangladesh highlight the need for comprehensive, and targeted interventions. Empowering women through improved access to economic resources and education may help address disparities in NMR in Bangladesh. Future research and policies should focus on developing strategies to address these disparities and promote equitable health outcomes for all newborns.
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  • 文章类型: Journal Article
    这项研究的主要目的是评估基础设施不平等和学业成绩的关系。加纳统计局的教育统计数据(2018年)用于研究。首先,方差分析用于估计在各种基础设施分布水平(基础设施五等水平)上地区水平的学习成绩是否不同。该研究进一步评估了基础设施和学业成绩之间的关系,基于系统一般方法的矩技术。发现地区级学业成绩的差异取决于基础设施的不平等。此外,以前的学业成绩与成绩有显著的正相关关系。学业成绩和班级规模之间存在U型关系,该研究建议推行旨在弥合教育基础设施差距的政策,例如优先考虑贫困社区的教育基础设施发展,所以,影响学业成绩。
    The main thrust of this study was to assess the infrastructure inequality and academic performance nexus. Education statistics (2018) from the Ghana Statistical Service was used for the study. Firstly, ANOVA was used to estimate whether district-level academic performance differed at various infrastructure distribution levels (Infrastructure Quintile levels). The study further assessed the relationship between infrastructure and academic performance based on the System General Methods of Moments technique. It was found that the difference in district-level academic performance is conditioned on the infrastructure inequality. Also, previous academic performance had a significant positive relationship with performance. A U-shaped relationship found to exist between academic performance and class size, The study recommends the pursuit of policies aimed at bridging the education infrastructure gap such as prioritisation of education infrastructure development in deprived communities, so as, to impact academic performance.
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  • 文章类型: Journal Article
    为了快速综合当地实践的证据,英国欧洲首都和文化城市(UKEUCoC)实施了哪些举措,将文化活动与绿色联系起来,蓝色,或户外空间(文化自然倡议)及其对行星健康结果的影响:个人健康和福祉,更广泛的健康决定因素,特别是环境,现有的不平等。
    快速证据审查。
    对已发表的文章和评估报告的快速回顾。通过数据库搜索识别已发表的文章(Proquest,OVID,Scopus,WebofScience,MEDLINE),2024年1月至2月。数据直接提取到表格中,并按主题叙述地综合发现。
    发布的关于UKEUCoC文化-自然倡议的证据有限,但确定了五种倡议类型:1)以成长为重点的活动;2)探索人与自然关系的活动;3)有针对性的基于自然的福祉活动;4)将文化参与与环境活动联系起来的活动;5)将室外空间用于艺术品,表演和节日。UKEUCoC文化自然倡议可能有助于短期改善心理健康和福祉(信心,自尊,主观幸福感),社区卫生(社区关系,公民骄傲),文化参与,以及当地的环境质量和使用,但有可能扩大现有的不平等。与边缘化群体和值得信赖的社区冠军在超地方层面共同创造倡议,积极参与,创造平等的生计机会可能会减轻不平等风险。
    证据有限,但表明UKEUCoC文化自然倡议可以在短期内积极支持行星健康结果。然而,这些结果的公平性似乎依赖于,确保边缘化群体的参与和可持续生计创造的行动。目前尚不清楚如何在确定的倡议类型中产生结果,包括通过它们之间的相互作用,他们在哪里实施。这项工作中确定的五种倡议类型可以作为进一步调查的目标,更广泛地开展关于文化自然健康倡议的研究和实践,使用复杂的系统方法进行评估。
    UNASSIGNED: To rapidly synthesise evidence for local practice on what initiatives UK European Capitals and Cities of Culture (UKEUCoCs) have implemented connecting cultural activities with green, blue, or outdoor space (culture-nature initiatives) and their impacts on planetary health outcomes: personal health and wellbeing, wider determinants of health particularly the environment, and existing inequality.
    UNASSIGNED: Rapid evidence review.
    UNASSIGNED: A rapid review of published articles and evaluation reports. Published articles were identified through database searches (Proquest, OVID, Scopus, Web of Science, MEDLINE) in January-February 2024. Data was extracted directly into a table and findings synthesised narratively by theme.
    UNASSIGNED: Published evidence about UKEUCoC culture-nature initiatives was limited but five initiative types were identified: 1) growing-focused activities; 2) activities exploring human-nature relationships; 3) targeted nature-based wellbeing activities; 4) activities connecting cultural engagement with environmental activism; and 5) use of outdoor spaces for artworks, performances and festivals. UKEUCoC culture-nature initiatives may contribute to short-term improvements in mental health and wellbeing (confidence, self-esteem, subjective wellbeing), community health (community relations, civic pride), cultural participation, and local environmental quality and use, but risk widening existing inequalities. Co-creating initiatives at hyper-local levels with marginalised groups and trusted Community Champions, active involvement, and creating equitable access to livelihood opportunities may mitigate inequality risks.
    UNASSIGNED: Evidence is limited but suggests UKEUCoC culture-nature initiatives could positively support planetary health outcomes in the short-term. Equity in these outcomes appears to rely however, on action to ensure the involvement of and sustainable livelihood creation for marginalised groups. It is unclear how outcomes are generated across the initiative types identified, including through interactions between them, where they are implemented. The five initiative types identified in this work could be targeted for further investigation in research and practice on culture-nature initiatives for health more generally, using a complex systems approach to evaluation.
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  • 文章类型: Journal Article
    目的:本研究使用资本理论来调查幸存者对其身体的投资以及他们在康复过程中积累的资源,以及这些因素如何影响他们从损伤中恢复的感觉。
    方法:对20名工作年龄患者及其亲属进行了定性访谈,录音逐字记录。数据分析采用了布迪厄资本理论的绑架方法。
    结果:在康复的初始阶段(急性和亚急性),幸存者投资于他们的身体并获得物质资本。然而,当他们试图将这些资本转化为重新进入劳动力市场或接受教育所需的资源时,他们遇到了一系列复杂的障碍。这些困难与在康复过程的后期缺乏专门的社区服务有关。
    结论:目前的丹麦医疗康复侧重于恢复身体功能和恢复物质资本。然而,全面康复,以增强心理和认知能力,提高情感资本水平,这对工作年龄的人来说至关重要,在社区服务中没有得到充分解决。这导致了不平等的待遇和护理,与丹麦医疗保健系统中规定的平等目标相矛盾。
    这项研究纳入了20名严重创伤性脑损伤幸存者的观点,以及他们的亲戚,为了深入了解他们在整个康复过程中的经历,他们积累的资源以及这些因素如何有助于他们的恢复感。
    OBJECTIVE: This study uses capital theory to investigate survivors\' investments in their bodies and the resources they accumulate during their rehabilitation trajectory, and how these factors impact their perception of recovery from their impairments.
    METHODS: Qualitative interviews were conducted with 20 patients of working age and their relatives, with audio recordings transcribed verbatim. Data analysis utilized an abductive approach informed by Bourdieu\'s capital theory.
    RESULTS: During the initial phases of rehabilitation (acute and subacute), survivors invest in their physical bodies and acquire physical capital. However, they encounter a range of complex barriers when attempting to convert this capital into the resources necessary for re-entering the workforce or pursuing education. These difficulties are linked to the lack of specialized community services in the later phases of their rehabilitation trajectory.
    CONCLUSIONS: Present-day Danish healthcare rehabilitation focuses on restoring physical function and recovering physical capital. However, comprehensive rehabilitation to enhance mental and cognitive abilities and increase levels of emotional capital, which is crucial for working-age individuals, is inadequately addressed within community services. This results in unequal treatment and care, contradicting the stated goal of equality in the Danish healthcare system.
    UNASSIGNED: This study incorporated the perspectives of 20 individuals who have survived severe traumatic brain injury, as well as their relatives, to gain insights into their experiences throughout the rehabilitation process, the resources they have accumulated and how these factors contribute to their sense of recovery.
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  • 文章类型: Journal Article
    参与结直肠癌筛查的社会不平等是显而易见的。筛查参与的障碍包括诊断方式的不适。我们旨在描述结肠镜检查和结肠胶囊内镜(CCE)所经历的不适,并调查按社会经济状况分层的预期不适和经历不适之间的差异。
    进行了一项随机对照试验,为一半的大肠癌筛查受邀者提供了粪便免疫化学试验阳性后CCE和结肠镜检查之间的选择。本文包括那些选择接受CCE的人。CCE阳性导致转诊为治疗性结肠镜检查。参与者在电子分发的问卷中报告了CCE和以下结肠镜检查的不适。使用视觉模拟量表测量不适感,并在由教育水平和收入确定的社会经济亚组之间进行比较。
    CCE和结肠镜检查所经历的不适在教育水平而非收入水平之间存在显著差异。在CCE和结肠镜检查中,肠道准备对经历的不适贡献最大。结肠镜检查的预期不适和经历不适之间的差异随着教育和收入水平的提高而增加。在教育水平而不是收入水平之间的CCE中也看到了类似的趋势。
    没有一个结果表明社会经济水平较低的亚组有较高的不适感。不管调查方式如何,肠道准备是出现不适的主要原因.在较低的社会经济亚组中,预期不适与经历不适之间的差异似乎并不大。表明这不是导致筛查吸收不平等的主要障碍。这是第一项调查CCE和结肠镜检查中个体不适差异的研究,同时能够按社会经济地位分层。
    UNASSIGNED: Social inequalities in colorectal cancer screening participation are evident. Barriers to screening participation include discomfort from diagnostic modalities. We aimed to describe the discomfort experienced from colonoscopy and colon capsule endoscopy (CCE) and investigate the discrepancy between expected and experienced discomfort stratified by socioeconomic status.
    UNASSIGNED: A randomised controlled trial was conducted offering half of the colorectal cancer screening invitees the choice between CCE and colonoscopy after a positive faecal immunochemical test. This paper includes those who elected to undergo CCE. A positive CCE elicited referral for a therapeutic colonoscopy. Participants reported their discomfort from CCE and from any following colonoscopies in electronically distributed questionnaires. Discomfort was measured using visual analogue scales and compared between socioeconomic subgroups determined by educational level and income.
    UNASSIGNED: The experienced discomfort from CCE and colonoscopy differed significantly between educational levels but not income levels. The bowel preparation contributed the most to the experienced discomfort in both CCE and colonoscopy. The discrepancy between expected and experienced discomfort from colonoscopy increased with increasing educational and income levels. A similar trend was seen in CCE between educational levels but not income levels.
    UNASSIGNED: None of the results indicated a higher discomfort in lower socioeconomic subgroups. Regardless of the investigation modality, the bowel preparation was the main contributor to experienced discomfort. The discrepancy between expected and experienced discomfort did not seem to be larger in lower socioeconomic subgroups, indicating that this is not a major barrier causing inequalities in screening uptake. This is the first study investigating individual discomfort discrepancy in both CCE and colonoscopy, while being able to stratify by socioeconomic status.
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  • 文章类型: Journal Article
    尽管定期锻炼人群是衡量中国全民健身活动成功与否的关键指标,增加群众体育参与的有效政策方法仍不清楚。以前的研究表明,GDP,教育程度,体育资源,气象条件可能会影响定期锻炼的参与。因此,本研究首先分析了影响中国规律锻炼人群的宏观层面相关因素。
    我们利用普通最小二乘(OLS)回归和地理加权回归(GWR)来对关系进行理论化。分析包括来自中国大陆31个行政区的数据,在“十三五”期末报告。对数-对数模型使我们能够量化解释变量的边际效应(弹性)。
    OLS回归表明,地区GDP和受过大学教育的人口比例是重要的预测因素。在全局模型中,地区GDP和大学教育的边际效应分别为0.048和0.173。此外,GWR揭示了与经典胡线相对应的独特地理格局。
    虽然地区GDP在我们的模型中也是一个显著的相关性,弹性表明,大学教育对中国正常运动人群的影响是不对称的。因此,本文阐明了即将到来的“十五”计划的政策重点,强调扩大大学教育对增强群众体育参与的战略重要性。反过来,受过良好教育的民众可能会对公共卫生产生重大的二次影响,并有助于中国现代化道路的高质量发展。
    UNASSIGNED: Although the regular exercise population is a key metric for gaging the success of China\'s fitness-for-all activities, effective policy approaches to increase mass sports participation remain unclear. Previous research suggests that GDP, educational attainment, sports resources, and meteorological conditions could influence regular exercise participation. Therefore, this study first analyzed the macro-level correlates influencing China\'s regular exercise population.
    UNASSIGNED: We utilize ordinary least squares (OLS) regression and geographical weighted regression (GWR) to theorize the relationship. The analysis encompasses data from the 31 administrative regions of Mainland China, as reported at the end of the 13th Five-Year Plan period. The log-log model enables us to quantify the marginal effect (elasticity) of the explanatory variables.
    UNASSIGNED: The OLS regression showed that regional GDP and the proportion of the population with a university education were significant predictors. In the global model, the marginal effects of regional GDP and university education were 0.048 and 0.173, respectively. Furthermore, the GWR revealed a distinct geographic pattern that corresponds to the classic Hu Line.
    UNASSIGNED: While regional GDP was also a significant correlate in our model, the elasticity demonstrates that university education had an asymmetric effect on China\'s regular exercise population. Therefore, this paper sheds light on a policy priority for the upcoming 15th Five-Year Plan, emphasizing the strategic importance of expanding university education to enhance mass sports participation. In turn, a better-educated populace may yield significant secondary effects on public health and contribute to the high-quality development of the Chinese path to modernization.
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  • 文章类型: Journal Article
    背景:在过去的二十年中,尼泊尔儿童健康指标在国家一级有了显著改善。然而,这一进展在各个人口子集之间并不一致。这项研究确定了与儿童完全接种疫苗相关的决定因素,评估了与财富相关的不平等,并深入研究了推动这种不平等的关键因素。
    方法:本研究的数据来自最新的全国代表性的2022年尼泊尔人口与健康调查。根据国家免疫计划,总共有959名12-23个月的儿童接受了常规的儿童基础抗原,被考虑进行分析。进行二元逻辑回归模型以鉴定与结果变量(完全接种的摄取)相关的因素。使用浓度曲线和Erreygers归一化浓度指数来评估完全疫苗接种中的不等式。家庭财富五分位数指数得分用于衡量与财富相关的不平等,并进行了分解分析,以确定解释儿童疫苗接种中与财富相关的不平等的决定因素。
    结果:全国儿童全疫苗接种覆盖率为79.8%。几个因素,包括孕产妇保健服务利用率变量(例如,产前保健,机构交付),与访问医疗机构有关的财务挑战,和母亲对病房内健康母亲小组会议的认识,与儿童全面接种疫苗有关。浓度曲线低于等值线,相对Erreygers标准化浓度指数为0.090,表明在富裕群体的儿童中,完全接种疫苗的比例更高。分解分析确定了机构交付(20.21%),参观卫生设施所需的资金(14.25%),孕产妇教育(16.79%),产妇年龄(8.53%),种姓(3.03%)是导致儿童全面接种疫苗时财富相关不平等的重要因素。
    结论:尼泊尔儿童在全面接种疫苗方面存在明显的财富相关不平等。涉及负责任的利益攸关方的多部门行动对于减少不平等现象至关重要,包括促进获得孕产妇保健服务的机会,提高来自社会经济弱势社区的母亲的教育水平。
    BACKGROUND: Over the past two decades, child health indicators in Nepal have improved significantly at the national level. Yet, this progress hasn\'t been uniform across various population subsets. This study identified the determinants associated with childhood full vaccination, assessed wealth-related inequalities, and delved into the key factors driving this inequality.
    METHODS: Data for this study were taken from the most recent nationally representative Nepal Demographic and Health Survey 2022. A total of 959 children aged 12-23 months who had received routine childhood basic antigens as per the national immunisation program were considered for analysis. Binary logistic regression models were conducted to identify the associated factors with outcome variable (uptake of full vaccination). The concentration curve and Erreygers normalized concentration index were used to assess inequality in full vaccination. Household wealth quintile index scores were used to measure wealth-related inequality and decomposition analysis was conducted to identify determinants explaining wealth-related inequality in the uptake of childhood vaccination.
    RESULTS: The coverage of full vaccination among children was 79.8% at national level. Several factors, including maternal health service utilisation variables (e.g., antenatal care, institutional delivery), financial challenges related to visiting health facilities, and mothers\' awareness of health mother group meetings within their ward, were associated with the uptake of full vaccination coverage among children. The concentration curve was below the line of equality, and the relative Erreygers normalized concentration index was 0.090, indicating that full vaccination was disproportionately higher among children from wealthy groups. The decomposition analysis identified institutional delivery (20.21%), the money needed to visit health facilities (14.25%), maternal education (16.79%), maternal age (8.53%), and caste (3.03%) were important contributors to wealth related inequalities in childhood full vaccination uptake.
    CONCLUSIONS: There was notable wealth-related inequality in full vaccine uptake among children in Nepal. Multisectoral actions involving responsible stakeholders are pivotal in reducing the inequalities, including promoting access to maternal health services and improving educational attainment among mothers from socioeconomically disadvantaged communities.
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  • 文章类型: Journal Article
    本文探讨了社区福祉的方式,可能是,通过绘制当前实践与个人主观幸福感相关,梳理主导方法的假设,并标记被忽视的问题。社区的概念被广泛理解为不仅仅是各部分的总和。捕捉当地生活的主观方面,这些方面不仅是个人的,而且反映了人们感觉和相处融洽的方式,这是一项具有挑战性的任务。大多数现有的评估社区福祉的框架都以自我作为自治的理论为前提,理性和独立行动或感觉个人,主要兴趣在于生活的社区方面如何影响个人的主观幸福感。这种占主导地位的方法一贯忽视空间和社会不平等,多种设置和尺度以及时间选择和遗产,所有这些都构成了社区福祉的重要政治层面。自我作为关系的社会理论将关系放在主观性之前,因此提供了将社区福祉概念化的方法。关系方法还可以提供解决不平等的复杂相互作用的途径,规模和时间。这种方法不是,然而,很容易转化为定量措施或简单的政策干预。社区福祉的方法不是技术问题,而是政治选择。
    This paper explores the ways in which community wellbeing is, and could be, related to individual subjective wellbeing by mapping current practice, teasing out the assumptions underlying a dominant approach and flagging neglected issues. The notion of community is widely understood as about something more than the sum of the parts. Capturing subjective aspects of local life that are not simply individual but reflect the ways in which people feel and are well together is a challenging undertaking. Most existing frameworks for assessing community wellbeing are premised on a theory of the self as an autonomous, rational and independently acting or feeling individual, and the primary interest is on how community aspects of life impact on individual subjective wellbeing. This dominant approach consistently neglects spatial and social inequalities, multiple settings and scales and temporal choices and legacies, all of which constitute important political dimensions to community wellbeing. Social theories of the self as relational put relations as prior to subjectivity and as such afford ways to conceptualise community wellbeing in terms of being well together. A relational approach can also offer routes to tackling the complex interactions of inequality, scale and time. Such an approach is not, however, easily translated into quantitative measures or simple policy interventions. The approach taken to community wellbeing is not a technological issue but a political choice.
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