Health inequalities in European cities : Perceptions and beliefs among local policymakers
Morrison, Joana (Agència de Salut Pública de Barcelona)
Pons-Vigués, Mariona (Universitat de Girona)
Bécares, Laia (University of Manchester)
Burström, Bo (Karolinska Institutet (Estocolm, Suècia))
Gandarillas, Ana (Consejeria de Sanidad de Madrid. Subdirección General de Promoción de la Salud y Prevención)
Domínguez-Berjón, Felicitas (Consejeria de Sanidad de Madrid. Subdirección General de Promoción de la Salud y Prevención)
Diez, Elia (Institut d'Investigació Biomèdica Sant Pau)
Costa, Giuseppe (University of Turin (Itàlia))
Ruiz, Milagros (University College London)
Pikhart, Hynek (University College London)
Marinacci, Chiara (Local Health Unit TO3 (Turin, Itàlia))
Hoffmann, Rasmus (Erasmus Medical Centre (Rotterdam, Països Baixos))
Santana, Paula (Universidade de Coimbra)
Borrell i Thió, Carme (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Fecha:	2014
Resumen:	Objective: To describe the knowledge and beliefs of public policymakers on social inequalities in health and policies to reduce them in cities from different parts of Europe during 2010 and 2011. Design: Phenomenological qualitative study. Setting: 13 European cities. Participants: 19 elected politicians and officers with a directive status from 13 European cities. Main outcome: Policymaker's knowledge and beliefs. Results: Three emerging discourses were identified among the interviewees, depending on the city of the interviewee. Health inequalities were perceived by most policymakers as differences in life-expectancy between population with economic, social and geographical differences. Reducing health inequalities was a priority for the majority of cities which use surveys as sources of information to analyse these. Bureaucracy, funding and population beliefs were the main barriers. Conclusions: The majority of the interviewed policymakers gave an account of interventions focusing on the immediate determinants and aimed at modifying lifestyles and behaviours in the more disadvantaged classes. More funding should be put towards academic research on effective universal policies, evaluation of their impact and training policymakers and officers on health inequalities in city governments.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Cities ; Europe ; Health Knowledge, Attitudes, Practice ; Health Policy ; Health Status Disparities ; Humans ; Infant ; Middle Aged ; Policy Making ; Urban Health ; Young Adult
Publicado en:	BMJ open, Vol. 4 Núm. 5 (2014) , p. e004454, ISSN 2044-6055

DOI: 10.1136/bmjopen-2013-004454
PMID: 24871536

12 p, 945.8 KB

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