تاثير كيفيت محيطي محلات مسكوني بر سلامت ساكنان در شهر كرمان

Residentsʹʹ Access Level to Municipal Services and their Sense of Social Justice (case of study: city of Kerman, Iran)

سلامت به وضوح تابعي از شرايط اقتصادي،اجتماعي و جغرافيايي است. در اين ميان كيفيت محله ي سكونت افراد چه از بعد اجتماعي و چه از بعد فيزيكي از تعيين كننده هاي مهم سلامت محسوب مي شود. امروزه علم پزشكي هم برنقش بي چون وچراي نيروهاي اجتماعي درتعيين الگوهاي بيماري رايج درهرجامعه وساختاردهي به آن تاكيدمي ورزد.اعتقادبرآن است كه هرگونه مداخله ي موفق به منظورارتقاي سطح سلامتي وبهداشت بدون شناخت محيط اجتماعي ومكاني امكان ناپذيراست. اين تحقيق با هدف شناسايي تاثير كيفيت زندگي محله اي بر سلامت عمومي ساكنان انجام شده است. تحقيق حاضرازنوع توصيفي وتحليلي مي باشد. جامعه ي آماري كليه ي ساكنان محلات شهركرمان مي باشندكه به روش نمونه-گيري خوشه اي چندمرحله اي ازبين آنهانمونه اي350 نفري انتخاب شد و ابزار پژوهش پرسشنامه بود. نتايج نشان داد كه آنچه كه دريك محله مي تواندپيش بيني كننده ي سطح سلامت ساكنان باشدبه ترتيب عبارت است از: مخاطرات شهري،دسترسي به امكانات وتسهيلات شهري،وجودتعاملات ورويارويي هاي اجتماعي ومسووليت پذيري درقبال محله وساكنان.

Municipal services planning cannot be successful unless it takes into account the issues of social justice based on all residentsʹ having access to city services. In fact, injustice is a type of inequality which is not generally beneficial. The research draws on Western et al.’s viewpoint that, social justice, conceptually and in terms of empirical research, concentrates on “procedural" and "distributive" Justice. This descriptive-explanatory research is performed using the survey method. It aims to study the association between residentsʹ access to municipal services and their sense of social justice. The research population included all Kermani residents 18-year-old and above, of which 384 members were selected using Cochranʹs formula and a multi-level cluster sampling method. This research collected the data using a questionnaire. The results indicated that there was a significant negative association between education and sense of social justice. In fact, the more educated the people, the less their sense social justice (r = 0.13, sig = 0.02). There was also a significant relationship between social and distributive justice indices, and no significant relationship existed between social and procedural justice. Gender and age also had no significant relationship with various dimensions of social justice. A significant relationship of 0.001 existed between social justice and degree of accessibility to urban services. Overall, the regression analysis results indicated that the access level to municipal services explains 35% of the variation of sense of social justice.