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[{"key": "dc.contributor.advisor", "value": "Poskiparta, Marita", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Tapper, Tua", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2019-04-02T11:33:31Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2019-04-02T11:33:31Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2019", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/63341", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Terveyden eriarvoistuminen on ollut esill\u00e4 julkisessa keskustelussa ja poliittisella agendalla viime vuosina. Terveyserot ovat jopa hyvinvointivaltiossa Suomessa kasvaneet 2000-luvulla ja terveyserot v\u00e4est\u00f6ryhmien v\u00e4lill\u00e4 ovat merkitt\u00e4vi\u00e4. Perhetausta vaikuttaa yh\u00e4 voimakkaasti koulutukseen ja k\u00f6yhyysriskiin, jotka puolestaan ovat merkitt\u00e4vi\u00e4 terveyden eriarvoisuuteen vaikuttavia tekij\u00f6it\u00e4. \nT\u00e4ss\u00e4 Pro Gradussa tarkastelen terveyden eriarvoisuutta Helsingin kaupunkistrategiassa. Kaupunkistrategia on vuonna 2017 voimaan tulleen uuden kuntalain m\u00e4\u00e4r\u00e4\u00e4m\u00e4 kaupungin toimintaa ohjaava asiakirja. Maailman toimivin kaupunki - Kaupunkistrategia 2017 \u2013 2021 on valmisteltu ja otettu k\u00e4ytt\u00f6\u00f6n Jan Vapaavuoren pormestarikaudella syksyll\u00e4 2017. Tutkimuksen tarkoituksena on lis\u00e4t\u00e4 ymm\u00e4rryst\u00e4 strategiasta nousevien diskurssien mahdollisuuksista vaikuttaa terveyden eriarvoisuuteen. Tutkimuksen teoreettinen viitekehys perustuu Ottawan julistuksen (1986) terveyden edellytyksiin sek\u00e4 terveyserojen sosiaalisiin determinantteihin (Graham 2004; Sihto 2016). \nTutkimusmenetelm\u00e4n\u00e4 k\u00e4yt\u00e4n teemoittelua sek\u00e4 diskurssianalyysi\u00e4. Tarkastelen Helsingin kaupunkistrategiaa nostamalla ensin esiin siin\u00e4 toistuvia teemoja. Aineistosta muodostui kuusi teemaa: infrastruktuuri, varhaiskasvatus ja koulutus, osallisuus ja ty\u00f6, sosiaalipolitiikka, hyvinvointi ja terveys sek\u00e4 tasa-arvo. Kussakin teemassa on 2-3 alateemaa. Teemoista muodostuvat terveyden eriarvoisuuden diskurssit, joissa kaupunkistrategia k\u00e4sittelee terveyden eriarvoisuutta. Diskurssit olen nimennyt seuraavasti: 1) toimiva kaupunki, 2) vaikuttavin paikka oppia sek\u00e4 3) hyv\u00e4 el\u00e4m\u00e4. Lis\u00e4ksi tarkastelen kaupungin subjektipositioita eli toimijuuksia terveyden eriarvoisuudesta puhuessaan. Tutkimuksen perusteella aineistosta muodostuneet Helsingin kaupungin subjektipositiot ovat: 1) mahdollistaja, 2) kumppani ja 3) terveyden edist\u00e4j\u00e4.\nJohtop\u00e4\u00e4t\u00f6ksen\u00e4 n\u00e4ytt\u00e4\u00e4 silt\u00e4, ett\u00e4 kaupunkistrategia voi parhaimmillaan toimia terveyden eriarvoisuutta v\u00e4hent\u00e4vien toimien toteuttamista edesauttavana asiakirjana, kun se aidosti ohjaa kaupungin toimintaa eik\u00e4 j\u00e4\u00e4 tekstin tasolle. Lis\u00e4\u00e4 laajempaa kansallista ja kansainv\u00e4list\u00e4 tutkimustietoa tarvitaan kuitenkin edelleen tehokkaimpien terveyden eriarvoisuutta v\u00e4hent\u00e4vien strategialinjausten selvitt\u00e4miseksi ja implementoimiseksi sek\u00e4 n\u00e4iden linjausten vaikutuksista terveyden eriarvoisuuteen.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Health inequities have been recently a common issue in public discussion and politics. Even in Finland which has been considered to be a welfare state, health inequities have risen in 2000s and differences in health between population are significant. Family background has an impact on educational level and the risk of poverty.\nIn this paper, I study health inequities in Helsinki City Strategy which is a statutory document guiding city operations by the Local Government Act. I also study in which subject positions Helsinki exists, when talking about health inequities. The Most Functional City in the World \u2013 Helsinki City Strategy sets the outlines for the city of Helsinki decision making in the years 2017\u20132021. \nResearch methods used in this master\u2019s thesis are thematic analysis and discourse analysis. The theory basis in my study is not only social determinants of health but also social determinants of health inequities. In this study, I did a systematic search for studies to find out the newest research on strategy based reducing of health disparities in cities.\nFirst, as a result, six themes were found in the Helsinki City Strategy. Themes are: infrastructure, child care and education, participation and work, social politics, health and well-being and equality. Three discourses of health inequity and three different subject positions were also found in the Helsinki City Strategy. The discourses are: 1) Functional City, 2) The most impactful place for learning and 3) A good life. These discourses were developed from six different themes laid down in the City Strategy. The themes are based on health prerequisites in the Ottawa Charter for Health Promotion. Subject positions of Helsinki in the findings are 1) an enabler 2) a partner and 3) a health promoter. \nAs a conclusion, it seems that at best, a City Strategy can be a document to set guidelines to reduce health inequalities. Further research is needed to find the most effective ways to affect health inequalities by city strategies.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Miia Hakanen (mihakane@jyu.fi) on 2019-04-02T11:33:31Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2019-04-02T11:33:31Z (GMT). No. of bitstreams: 0\n Previous issue date: 2019", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "68", "language": "", "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "Terveyden eriarvoisuus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "sosioekonomiset terveyserot", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "terveyden sosiaaliset m\u00e4\u00e4ritt\u00e4j\u00e4t", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kaupunkistrategia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "\"Helsinki on hyv\u00e4\u00e4 el\u00e4m\u00e4\u00e4 varten\" : terveyden eriarvoisuus Helsingin kaupunkistrategiassa", "language": "", "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-201904022032", "language": "", "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Terveyskasvatus", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Health Education", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50411", "language": "", "element": "subject", "qualifier": 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