Suchergebnisse

AbstractTerritorial cohesion is a guiding set of EU principles to achieve sustainable development. However, evidence suggests that within and across rural and peripheral regions in particular, prosperity and social and economic wellbeing continue to lag behind other regions. The aim of this article is to examine how a spatial justice perspective can provide new development insights on rural sustainability. Introducing a spatial justice perspective to a sustainability/territorial cohesion view of rural development, this article explores the scope for alternative framings of rural sustainability based on more place‐based, context‐specific socio‐spatial relations and processes. Drawing on interviews with EU‐based stakeholders mainly representing rural‐based NGOs, it identifies changing values and priorities about rural sustainability linked to notions of spatial justice and fairness. The findings illustrate an evolving local‐level emphasis on rural sustainability as a phenomenon less focused on economic growth and as much on achieving social equity, with associated capacity to frame and agree locally relevant sustainability goals in an inclusive and respectful way.

Objective: To examine incidence and survival of testicular cancer in New Mexico, overall and separately for border and non-border counties.Methods: Incidence and 5-year survival rates for testicular cancer were obtained from the SEER18 database using the SEER*Stat program following established NCI protocols. Incidence data were com­pared using Student's t-test. Age-adjusted 5-year survival and Kaplan-Meier method were used to estimate survival. Log-rank tests were used to compare survival for New Mexico to the remaining17 geographi­cal areas of the SEER 18 and for the New Mexico border counties to the New Mexico non-border counties. Odds ratios were used to compare testicular stage at diagnosis. Cox proportional hazards regression was performed to account for race/ethnicity, and border status.Results: From 2000-2015, New Mexico had a testicular cancer incidence rate of 6.3 per 100,000 people, significantly higher than SEER18 (P<.001). The 5-year survival rate in New Mexico did not differ signifi­cantly from the SEER18 (P=.3). Border His­panics had a lower survival rate than border non-Hispanic populations (P=.03). From 2000-2018, New Mexico had a significantly higher proportion of distant cancers than the SEER18 (OR: 1.29, 95% CI: 1.08 to 1.53, P=.005).Conclusions: The higher incidence of testicular cancer in New Mexico does not appear to have a clear explanation based on the current understanding of risk factors; however, the increased incidence in New Mexico does not appear to be associated with increased mortality. The higher propor­tion of advanced testicular cancers in New Mexico may represent a delay in diagnosis. The increased mortality rate seen in Hispan­ic border populations may be due in part to barriers to care.Ethn Dis. 2020;30(2):357- 364; doi:10.18865/ed.30.2.357

An Introduction to Political Geography continues to provide a broad-based introduction to contemporary political geography for students following undergraduate degree courses in geography and related subjects. The text explores the full breadth of contemporary political geography, covering not only traditional concerns such as the state, geopolitics, electoral geography and nationalism; but also increasing important areas at the cutting-edge of political geography research including globalization, the geographies of regulation and governance, geographies of policy formulation and delivery, and.

The health and care sector plays a valuable role in improving population health and societal wellbeing, protecting people from the financial consequences of illness, reducing health and income inequalities, and supporting economic growth. However, there is much debate regarding the appropriate level of funding for health and care in the UK. In this Health Policy paper, we look at the economic impact of the COVID-19 pandemic and historical spending in the UK and comparable countries, assess the role of private spending, and review spending projections to estimate future needs. Public spending on health has increased by 3·7% a year on average since the National Health Service (NHS) was founded in 1948 and, since then, has continued to assume a larger share of both the economy and government expenditure. In the decade before the ongoing pandemic started, the rate of growth of government spending for the health and care sector slowed. We argue that without average growth in public spending on health of at least 4% per year in real terms, there is a real risk of degradation of the NHS, reductions in coverage of benefits, increased inequalities, and increased reliance on private financing. A similar, if not higher, level of growth in public spending on social care is needed to provide high standards of care and decent terms and conditions for social care staff, alongside an immediate uplift in public spending to implement long-overdue reforms recommended by the Dilnot Commission to improve financial protection. COVID-19 has highlighted major issues in the capacity and resilience of the health and care system. We recommend an independent review to examine the precise amount of additional funds that are required to better equip the UK to withstand further acute shocks and major threats to health.

This book explores how the uncertainties of the 21st century present existential challenges to civil society. These include changing modes of governance (through devolution and Brexit), austerity, migration, growing digital divides, issues of (mis)trust and democratic confidence, welfare delivery and the COVID-19 pandemic and the contemporary threat to minority languages and cultures. Presenting original empirical findings, this book brings together core strands of social theory to provide a new way of understanding existential challenges to the form and function of civil society. It highlights pressing social issues and transferable lessons that will inform policy and practice in today's age of uncertainty

This book brings together a collection of new and innovative work by researchers from Australia, Canada, New Zealand and the UK - settings where issues of voluntarism and participation have become increasingly important for the development and delivery of social welfare policy. Prefaced by one of the foremost geographers in this field, it contains empirical and theoretical work from both new and well-established geographers. The chapters explore the interactions between voluntarism and a range of issues including governance, health, community action, faith, ethnicity, counselling, advocacy and professionalisation. The book will be of interest not only to students and researchers in human geography but also to those working in social policy, sociology, health and political science. The detailed case material will also be of particular interest to practitioners working in the fields of health, governance, social welfare and social exclusion