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- ItemEffects of an urban regeneration program on related social determinants of health in Chile: A pre-post intervention study(Elsevier Ltd, 2021) López-Contreras, Natalia; Puig-Barrachina, Vanessa; Vives Vergara, Alejandra; Olave-Müller, Paola; Gotsens, Mercè; CEDEUS (Chile); Pontificia Universidad Católica de Chile. Escuela de MedicinaUrban regeneration programs, such as “Programa Quiero mi Barrio” (PQMB) that is carried out in neighborhoods with greater deprivation across Chile, can improve health and quality of life in socio-economically deprived neighborhoods. The aim of this study was to analyze the effects of this program on the physical, social, and safety environments of neighborhoods intervened between 2011 and 2018, according to gender and socioeconomic position. Four indices and six sub-indices were constructed to measure physical, social, and safety environments of the neighborhoods. We conducted a pre- and post-intervention analysis with 2095 people using linear models adjusted for repeated measurements. After the intervention, participants had an improved perception of physical, social, and safety environments, as well as the use of spaces, particularly among women and people with higher levels of education. Therefore, the PQMB program is a form of public policy that can improve the quality of life and health of people living in underprivileged areas.
- ItemExperiences of insecurity among non-standard workers across different welfare states: A qualitative cross-country study(2023) Bosmans, Kim; Vignola, Emilia F.; Alvarez-Lopez, Valentina; Julia, Mireia; Ahonen, Emily Q.; Bolibar, Mireia; Gutierrez-Zamora, Mariana; Ivarsson, Lars; Kvart, Signild; Muntaner, Carles; O'Campo, Patricia; Ruiz, Marisol E.; Vanerhagen, Kristian; Cuervo, Isabel; Davis, Letitia; Diaz, Ignacio; Escrig-Pinol, Astrid; Gunnj, Virginia; Lewchuk, Wayne; Ostergren, Per-Olof; Padrosa, Eva; Vilchez, David; Vives Vergara, Alejandra; Vos, Mattias; Zaupa, Alessandro; Bodin, Theo; Baron, Sherry L.; CEDEUS (Chile)In recent decades, economic crises and political reforms focused on employment flexibilization have increased the use of non-standard employment (NSE). National political and economic contexts determine how employers interact with labour and how the state interacts with labour markets and manages social welfare policies. These factors influence the prevalence of NSE and the level of employment insecurity it creates, but the extent to which a country's policy context mitigates the health influences of NSE is unclear. This study describes how workers experience insecurities created by NSE, and how this influences their health and well-being, in countries with different welfare states: Belgium, Canada, Chile, Spain, Sweden, and the United States. Interviews with 250 workers in NSE were analysed using a multiple-case study approach. Workers in all countries experienced multiple insecurities (e.g., income and employment insecurity) and relational tension with employers/clients, with negative health and well-being influences, in ways that were shaped by social inequalities (e.g., related to family support or immigration status). Welfare state differences were reflected in the level of workers' exclusion from social protections, the time scale of their insecurity (threatening daily survival or longer-term life planning), and their ability to derive a sense of control from NSE. Workers in Belgium, Sweden, and Spain, countries with more generous welfare states, navigated these insecurities with greater success and with less influence on health and well-being. Findings contribute to our understanding of the health and well-being influences of NSE across different welfare regimes and suggest the need in all six countries for stronger state responses to NSE. Increased investment in universal and more equal rights and benefits in NSE could reduce the widening gap between standard and NSE.
- ItemImprovements in habitability and housing satisfaction after dwelling regeneration in social housing complexes. The RUCAS study(2024) González, Francisca; Baeza Rivas, Fernando Antonio; Valdebenito, Roxana; Sánchez, B.N.; Diez-Roux, A.; Vives Vergara, Alejandra; CEDEUS (Chile)Housing is a pressing problem worldwide and a key determinant of health and wellbeing. The right to adequate housing, as a pillar of the right to an adequate standard of living, means more than a roof to live under. Adequate means the dwelling must fulfill material functions and psychosocial functions, thus contributing to dwellers health and wellbeing. Social housing policies aim to fulfill the right to housing, but frequently fail in fulfilling the right to it being adequate.This study capitalizes on the implementation of a national urban regeneration program in two social housing villas in central Chile (one in Santiago, in the central valley, the other in Vina˜ del Mar, a coastal city) to run a natural experiment assessing the impact of dwelling renovation on several dimensions of perceived habitability and housing satisfaction among the -mostly female-household homemakers. We use 5 waves of survey data collected with a step-wedge design to estimate the association between a timevarying exposure status (the intervention) and 7 binary outcomes for habitability and 5 for housing dissatisfaction, including overall housing satisfaction. We use Poisson regression models with robust variance and a random intercept at the respondent level. At baseline, reports of poor habitability and dissatisfaction across all features were markedly high, the highest levels of dissatisfaction being with acoustic insulation and dwelling size in both villas, and with indoor temperature in Santiago. The intervention resulted in statistically significant and markedly large improvements in reported habitability and dissatisfaction relative to those housing componentstargeted by the intervention, as well as with overall dwelling satisfaction in both study cases.Implications are, first, that the policy response to quantitative housing deficits must not overlook housing quality; second, that housing renovation appears as a promising intervention for qualitative housing crises; third, that while improvements in habitability and satisfaction are specific to the interventions in place, overall housing satisfaction can improve in more limited, tailored, dwelling renovation interventions. Social housing renovation in Latin America appears as a promising intervention to improve quality of life among the urban poor dwellers and reduce inequalities in health related to housing conditions.
- ItemInequalities in job-related accessibility: Testing an evaluative approach and its policy relevance in Buenos Aires(2019) Vecchio, Giovanni; Lanza, Giovanni; Bocchimuzzi, Lucia; Pucci, Paola; CEDEUS (Chile)Accessibility, as a requisite to guarantee the individual ability to participate in valued activities, has been receiving increasing yet scattered attention from diverse theoretical and operational approaches. These approaches focus on how individuals are able to engage in out-of-home activities, participate in social life as well as on their involvement in other activities that contribute to their overall well-being. The paper aims at further investigating such approaches, analysing forms of inequality in job-related mobilities while assuming that a person's accessibility depends on both contextual and individual factors. Taking the Buenos Aires metropolitan area as a suitable testbed, the paper offers an approach to identify the inequalities in job-related accessibility at the neighbourhood scale. The approach considers the relationship between the quality and supply of public transport, level of social exclusion and reachable employment opportunities. The research proposes a synthetic index of inequalities in access to job opportunities (IAO) to identify disadvantaged urban areas characterized by a confluence of problems related to socio-economic deprivations, low accessibility to employment as well as a low mobility and poor quality of transport supply. The approach has an explicit operational dimension and intends to contribute to outlining tailored measures to guarantee better job opportunities, as in the case of people living in areas experiencing sub-standard levels of accessibility to workplaces.
- ItemInformal employment, precariousness, and decent work: from research to preventive action(2022) Benavides, Fernando G.; Silva-Peñaherrera, Michael; Vives Vergara Alejandra; CEDEUS (Chile)
- ItemTeam-based incentives in transportation firms: An experiment(2022) Ramírez Garat, Vicente Nicolás; Galilea, Patricia; Poblete Lavanchy, Joaquin Jose; Silva M., Hugo; CEDEUS (Chile)Providing the right incentives to bus drivers has become an issue in many cities worldwide. Liberalization experiences and research have shown that high-powered incentives lead to safety hazards, lack of service in low-demand areas, and poor service quality. Fixed-wage schemes, common in tendered systems, are among the leading causes of increased fare evasion, as drivers do not control payment adequately. In a controlled experimental setting, we show that team-based incentives induce levels of effort similar to those provided by an individual pay-for -performance scheme but without undesirable operational decisions. We find that team contracts eliminate the conflict of interest between drivers, causing drivers to control the passengers' payment while maintaining more regular speeds. Consequently, reducing safety hazards and rushing through low-demand stops, avoiding excessive waiting times, and keeping a uniform distribution in the passenger load. These characteristics are absent in the individual contract and are a crucial part of the quality of service.
- ItemThe Regeneración Urbana, Calidad de Vida y Salud - RUCAS project: a Chilean multi-methods study to evaluate the impact of urban regeneration on resident health and wellbeing(2021) Baeza Rivas, Fernando; Vives Vergara, Alejandra; González López, Francisca Teresa; Orlando, Laura; Valdebenito, Roxana; Cortínez-O’Ryan, Andrea; Slesinski, Claire; Diez Roux, Ana V.; CEDEUS (Chile)Abstract Background The available evidence of the health effects of urban regeneration is scarce In Latin America, and there are no studies focused on formal housing that longitudinally evaluate the impact of housing and neighborhood interventions on health. The “Regeneración Urbana, Calidad de Vida y Salud” (Urban Regeneration, Quality of Life, and Health) or RUCAS project is a longitudinal, multi-method study that will evaluate the impact of an intervention focused on dwellings, built environment and community on the health and wellbeing of the population in two social housing neighborhoods in Chile. Methods RUCAS consists of a longitudinal study where inhabitants exposed and unexposed to the intervention will be compared over time within the study neighborhoods (cohorts), capitalizing on interventions as a natural experiment. Researchers have developed a specific conceptual framework and identified potential causal mechanisms. Proximal and more distal intervention effects will be measured with five instruments, implemented pre- and post-interventions between 2018 and 2021: a household survey, an observation tool to evaluate dwelling conditions, hygrochrons for measuring temperature and humidity inside dwellings, systematic observation of recreational areas, and qualitative interviews. Survey baseline data (956 households, 3130 individuals) is presented to describe sociodemographics, housing and health characteristics of both cohorts, noting that neighborhoods studied show worse conditions than the Chilean population. Discussion RUCAS’ design allows for a comprehensive evaluation of the effects that the intervention could have on various dimensions of health and health determinants. RUCAS will face some challenges, like changes in the intervention process due to adjustments of the master plan, exogenous factors –including COVID-19 pandemic and associated lockdowns– and lost to follow-up. Given the stepped wedge design, that the study capitalizes on within household changes over time, the possibility of adjusting data collection process and complementarity of methods, RUCAS has the flexibility to adapt to these circumstances. Also, RUCAS’ outreach and retention strategy has led to high retention rates. RUCAS will provide evidence to inform regeneration processes, highlighting the need to consider potential health effects of regeneration in designing such interventions and, more broadly, health as a key priority in urban and housing policies.
- ItemThe rich and mobility : A new look into the impacts of income inequality on household transport expenditures(2021) Valenzuela Levi, Nicolás Darío; CEDEUS (Chile)
- ItemWhat should we know about precarious employment and health in 2025? Framing the agenda for the next decade of research (vol 45, pg 232, 2013)(2016) Benach, J.; Vives Vergara, Alejandra; Tarafa, G.; Delclos, C.; Muntaner, C.; CEDEUS (Chile)