Las desigualdades en salud como prioridad política en Barcelona

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Resumen Existe abundante información e investigaciones sobre las desigualdades en salud en Barcelona, pero este tema no estuvo claramente priorizado en la agenda política. Con la llegada al gobierno de un partido de la nueva izquierda (Barcelona en Comú) en 2015 hubo un impulso importante de la agenda política para reducir las desigualdades, también las de salud. El objetivo de esta revisión es describir el avance realizado respecto a las desigualdades en salud en estos 4 años, sobre todo en los ámbitos donde ha participado la salud pública. Respecto a la evidencia y la comunicación sobre las desigualdades en salud, se presentan los avances en el Informe Anual de Salud de Barcelona y la creación del Observatorio de Salud, Desigualdades e Impactos de las Políticas Municipales. Las políticas que se presentan se refieren a diferentes estrategias municipales, el Plan de Salud, el impulso del programa Barcelona Salud en los Barrios y el Plan para el Abordaje de las Desigualdades en la Agència de Salut Pública de Barcelona. La conjunción de la voluntad política, la capacidad técnica y el impulso de la ciudadanía han facilitado un avance en la ciudad de Barcelona en las políticas para reducir las desigualdades sociales en salud.

Translated abstract

Abstract There is a wealth of information and research on health inequalities in Barcelona, but this issue has not been clearly prioritised on the political agenda. The arrival in government of a new left-wing party (Barcelona en Comú) in 2015, gave an important boost to the political agenda to reduce inequalities and health inequalities. The aim of this review is to describe the progress made in relation to health inequalities in these four years and especially in the areas involving public health. With respect to evidence and communication on health inequalities, the progress made is presented in the Barcelona annual health report and the creation of the Observatory on Health, Inequalities and Impacts of Municipal Policies. The policies presented refer to different municipal strategies, the Health Plan, the promotion of the Barcelona Health in the Neighbourhoods programme and the Plan for Tackling Inequalities in the Barcelona Public Health Agency. The combination of political will, technical capacity and the drive of citizens have facilitated progress in the city of Barcelona in policies to reduce social inequalities in health.

Related collections

Most cited references 29

Record: found
Abstract: found
Article: not found

Migration-related health inequalities: showing the complex interactions between gender, social class and place of origin.

Davide Malmusi, Carme Borrell, Joan Benach (2010)

In this paper, we briefly review theories and findings on migration and health from the health equity perspective, and then analyse migration-related health inequalities taking into account gender, social class and migration characteristics in the adult population aged 25-64 living in Catalonia, Spain. On the basis of the characterisation of migration types derived from the review, we distinguished between immigrants from other regions of Spain and those from other countries, and within each group, those from richer or poorer areas; foreign immigrants from low-income countries were also distinguished according to duration of residence. Further stratification by sex and social class was applied. Groups were compared in relation to self-assessed health in two cross-sectional population-based surveys, and in relation to indicators of socio-economic conditions (individual income, an index of material and financial assets, and an index of employment precariousness) in one survey. Social class and gender inequalities were evident in both health and socio-economic conditions, and within both the native and immigrant subgroups. Migration-related health inequalities affected both internal and international immigrants, but were mainly limited to those from poor areas, were generally consistent with their socio-economic deprivation, and apparently more pronounced in manual social classes and especially for women. Foreign immigrants from poor countries had the poorest socio-economic situation but relatively better health (especially men with shorter length of residence). Our findings on immigrants from Spain highlight the transitory nature of the 'healthy immigrant effect', and that action on inequality in socio-economic determinants affecting migrant groups should not be deferred. Copyright © 2010 Elsevier Ltd. All rights reserved.

0 comments Cited 123 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

The effects of an urban renewal project on health and health inequalities: a quasi-experimental study in Barcelona.

Carles Muntaner, Elia Diez, Davide Malmusi … (2014)

In the last decade, the Neighbourhoods Law in Catalonia (Spain) funded municipalities that presented urban renewal projects within disadvantaged neighbourhoods focusing on physical, social and economic improvements. The objective of the study was to evaluate the effects of this law on the health and health inequalities of residents in the intervened neighbourhoods in the city of Barcelona. A quasi-experimental predesign and postdesign was used to compare adult residents in five intervened neighbourhoods with eight non-intervened comparison neighbourhoods with similar socioeconomic characteristics. The Barcelona Health Survey was used for studying self-rated and mental health in pre (2001, 2006) and post (2011) years. Poisson regression models stratified by sex were used to compute prevalence ratios comparing 2011 with 2006, and later stratified by social class, to study health inequalities. The intervened neighbourhoods had a significant decrease in poor self-rated health in both sexes while no significant changes occurred in the comparison group. When stratified by social class, a significant improvement was observed in poor self-rated health in the manual group of the intervened neighbourhoods in both sexes, resulting in a decrease in self-rated health inequalities. Similar results were observed in poor mental health of women, while in men, poor mental health worsens in both neighbourhood groups but mostly in the comparison group. The Neighbourhoods Law had a positive effect on self-rated health and seems to prevent poor mental health increases in both sexes and especially among manual social classes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

0 comments Cited 22 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: found

Socioeconomic inequalities in injury mortality in small areas of 15 European cities.

Mercè Gotsens, Marc Marí-Dell'Olmo, Katherine Pérez … (2013)

This study analysed socioeconomic inequalities in mortality due to injuries in small areas of 15 European cities, by sex, at the beginning of this century. A cross-sectional ecological study with units of analysis being small areas within 15 European cities was conducted. Relative risks of injury mortality associated with the socioeconomic deprivation index were estimated using hierarchical Bayesian model. The number of small areas varies from 17 in Bratislava to 2666 in Turin. The median population per small area varies by city (e.g. Turin had 274 inhabitants per area while Budapest had 76,970). Socioeconomic inequalities in all injury mortality are observed in the majority of cities and are more pronounced in men. In the cities of northern and western Europe, socioeconomic inequalities in injury mortality are found for most types of injuries. These inequalities are not significant in the majority of cities in southern Europe among women and in the majority of central eastern European cities for both sexes. The results confirm the existence of socioeconomic inequalities in injury related mortality and reveal variations in their magnitude between different European cities.

0 comments Cited 18 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Journal

Journal ID (publisher-id): gs

Title: Gaceta Sanitaria

Abbreviated Title: Gac Sanit

Publisher: Ediciones Doyma, S.L. (Barcelona, Barcelona, Spain )

ISSN (Print): 0213-9111

Publication date (Print and electronic): February 2020

Volume: 34

Issue: 1

Pages: 69-76

Affiliations

[1] orgnameAgència de Salut Pública de Barcelona España

[2] orgnameCIBER de Epidemiología y Salud Pública (CIBERESP) España

[5] orgnameAjuntament de Barcelona orgdiv1Direcció de Serveis de Salut España

[3] orgnameInstitut d'Investigació Biomèdica Sant Pau (IIB Sant Pau) España

[4] Cataluña orgnameUniversitat Pompeu Fabra orgdiv1Departamento de Ciencias Experimentales y de la Salud Spain

Article

Publisher ID: S0213-91112020000100069 Publisher ID: S0213-9111(20)03400100069

DOI: 10.1016/j.gaceta.2019.04.004

PubMed ID: 31288951

SO-VID: 199c6d95-69c4-456e-9da3-5ed8963efcca

License:

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

History

Page count

Figures: 0, Tables: 0, Equations: 0, References: 41, Pages: 8

Product

SciELO Spain

Comments

Comment on this article

scite_

Cited by 6

See all cited by

Most referenced authors 208

See all reference authors

- Version 1

Las desigualdades en salud como prioridad política en Barcelona Translated title: Health inequalities as a political priority in Barcelona

Read this article at

Abstract

Translated abstract

Related collections

SciELO Spain

Most cited references 29

Migration-related health inequalities: showing the complex interactions between gender, social class and place of origin.

The effects of an urban renewal project on health and health inequalities: a quasi-experimental study in Barcelona.

Socioeconomic inequalities in injury mortality in small areas of 15 European cities.

Author and article information

Journal

Affiliations

Article

History

Page count

Product

Categories

Comments

Comment on this article

Similar content 769

Cited by 6

Most referenced authors 208