Population health inequalities across and within european metropolitan areas through the lens of the EURO-HEALTHY Population Health Index

Costa, Claudia; Santana, Paula; Dimitroulopoulou, Sani; Burström, Bo; Borrell i Thió, Carme; Schweikart, Jürgen; Dzúrová, Dagmar; Zangarini, Nicolás; Katsouyanni, Klea; Deboosere, Patrick; Freitas, Ângela; Mitsakou, Christina; Samoli, Evangelia; Vardoulakis, Sotiris; Marí Dell'Olmo, Marc, 1978-; Gotsens Miquel, Mercè, 1983-; Lustigova, Michala; Corman, Diana; Costa, Giuseppe

Population health inequalities across and within european metropolitan areas through the lens of the EURO-HEALTHY Population Health Index

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dc.contributor.author Costa, Claudia
dc.contributor.author Santana, Paula
dc.contributor.author Dimitroulopoulou, Sani
dc.contributor.author Burström, Bo
dc.contributor.author Borrell i Thió, Carme
dc.contributor.author Schweikart, Jürgen
dc.contributor.author Dzúrová, Dagmar
dc.contributor.author Zangarini, Nicolás
dc.contributor.author Katsouyanni, Klea
dc.contributor.author Deboosere, Patrick
dc.contributor.author Freitas, Ângela
dc.contributor.author Mitsakou, Christina
dc.contributor.author Samoli, Evangelia
dc.contributor.author Vardoulakis, Sotiris
dc.contributor.author Marí Dell'Olmo, Marc, 1978-
dc.contributor.author Gotsens Miquel, Mercè, 1983-
dc.contributor.author Lustigova, Michala
dc.contributor.author Corman, Diana
dc.contributor.author Costa, Giuseppe
dc.date.accessioned 2020-06-18T06:40:50Z
dc.date.available 2020-06-18T06:40:50Z
dc.date.issued 2019
dc.description.abstract The different geographical contexts seen in European metropolitan areas are reflected in the uneven distribution of health risk factors for the population. Accumulating evidence on multiple health determinants point to the importance of individual, social, economic, physical and built environment features, which can be shaped by the local authorities. The complexity of measuring health, which at the same time underscores the level of intra-urban inequalities, calls for integrated and multidimensional approaches. The aim of this study is to analyse inequalities in health determinants and health outcomes across and within nine metropolitan areas: Athens, Barcelona, Berlin-Brandenburg, Brussels, Lisbon, London, Prague, Stockholm and Turin. We use the EURO-HEALTHY Population Health Index (PHI), a tool that measures health in two components: Health Determinants and Health Outcomes. The application of this tool revealed important inequalities between metropolitan areas: Better scores were found in Northern cities when compared with their Southern and Eastern counterparts in both components. The analysis of geographical patterns within metropolitan areas showed that there are intra-urban inequalities, and, in most cities, they appear to form spatial clusters. Identifying which urban areas are measurably worse off, in either Health Determinants or Health Outcomes, or both, provides a basis for redirecting local action and for ongoing comparisons with other metropolitan areas.
dc.description.sponsorship This research was conducted under the EURO-HEALTHY project, which was funded by the European Union’s Horizon 2020 research and innovation programme, Grant Agreement No 643398, and received support from the Centre of Studies in Geography and Spatial Planning (CEGOT), funded by national funds through the Foundation for Science and Technology (FCT) under the reference UID/GEO/04084/2013.
dc.format.mimetype application/pdf
dc.identifier.citation Costa C, Santana P, Dimitroulopoulou S, Burstrom B, Borrell C, Schweikart J, Dzurova D, Zangarini N, Katsouyanni K, Deboseree P, Freitas Â, Mitsakou C, Samoli E, Vardoulakis S, Marí Dell'Olmo M, Gotsens M, Lustigova M, Corman D, Costa G. Population health inequalities across and within european metropolitan areas through the lens of the EURO-HEALTHY Population Health Index. Int J Environ Res Public Health. 2019; 16(5):836. DOI: 10.3390/ijerph16050836
dc.identifier.doi http://dx.doi.org/10.3390/ijerph16050836
dc.identifier.issn 1661-7827
dc.identifier.uri http://hdl.handle.net/10230/45012
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartof Int J Environ Res Public Health. 2019; 16(5):836
dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/643398
dc.rights © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.subject.keyword Europe
dc.subject.keyword Population Health Index
dc.subject.keyword Health determinants
dc.subject.keyword Health outcomes
dc.subject.keyword Metropolitan areas
dc.subject.keyword Municipalities
dc.title Population health inequalities across and within european metropolitan areas through the lens of the EURO-HEALTHY Population Health Index
dc.type info:eu-repo/semantics/article
dc.type.version info:eu-repo/semantics/publishedVersion

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