Social inequalities in self-perceived health in Chile, does the urban environment matter?: a cross-sectional study

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dc.article.number128
dc.catalogadoryvc
dc.contributor.authorLópez-Contreras, Natalia
dc.contributor.authorPuig-Barrachina, Vanessa
dc.contributor.authorVives Vergara, Alejandra
dc.contributor.authorOlave-Müller, Paola
dc.contributor.authorGotsens, Mercé
dc.contributor.otherCEDEUS (Chile)
dc.contributor.otherPontificia Universidad Católica de Chile. Escuela de Medicina
dc.date.accessioned2024-07-12T18:27:40Z
dc.date.available2024-07-12T18:27:40Z
dc.date.issued2023
dc.description.abstractBackground: The health of a population is determined by urban factors such as the physical, social and safety environment, which can be modified by urban regeneration policies. The aim of this study was to analyze the associations of elements of the social, physical and safety environment of the neighborhood in the urban context with self-perceived health (SPH), according to axes of inequality, such as gender and educational level in Chile in 2016. Methods: Cross-sectional study using a nationally representative population-based survey of Chile. We used data from the 2016 National Survey of Quality of Life and Health. Poor SPH in the urban population older than 25 years was analyzed in relation to social, physical and safety environment variables. Poisson multilevel regression models were estimated to obtain prevalence ratios (PR) and their respective 95% confidence intervals (95%CI). All analyses were stratified by sex and educational level. Results: SPH was worse in women than in men, especially in those with a lower education level. Poor SPH was associated with lack of support networks (PR = 1.4; 95%CI = 1.1–1.7), non-participation in social organizations (PR = 1.3; 95%CI = 1.1–1.6) and perceived problems with the quality of public space (PR = 1.3; 95%CI = 1.2–1.5) in women with a medium-high educational level and with a feeling of not belonging to the neighborhood (PR = 1.5; 95%CI = 1.2–1.8) and the perception of pollution problems (PR = 1.2; 95%CI = 1.0-1.4) in women with a low educational level. A feeling of unsafety was associated with both educational levels (PR = 1.3; 95%CI = 1.0-1.5). Poor SPH was associated with the feeling of not belonging (PR = 1.7; 95%CI = 1.2–2.5), and unsafety (PR = 2.1; 95%CI = 1.8–2.4) in men with a medium-high educational level, while there were fewer associations in men with a lower education level. Conclusions: Urban interventions are recommended to improve the health of the resident population and should take into account axes of inequality.
dc.description.funderANID Doctorado Becas Chile 2017 N° 72180058
dc.fechaingreso.objetodigital2024-07-19
dc.fuente.origenScopus
dc.identifier.doi10.1186/s13690-023-01136-w
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85164150232&doi=10.1186%2fs13690-023-01136-w&partnerID=40&md5=363657643d9bf904212b2890eec0169c
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/87063
dc.information.autorucEscuela de Medicina;Vives Vergara, Alejandra;0000-0001-5851-0693;135637
dc.issue.numero1
dc.language.isoen
dc.nota.accesocontenido completo
dc.pagina.final11
dc.pagina.inicio1
dc.publisherBioMed Central Ltd
dc.revistaArchives of Public Health
dc.rightsacceso abierto
dc.rights.licenseCC BY Attribution Intyernational 4.0
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectUrban health
dc.subjectSocial Determinants of Health
dc.subjectHealth Status indicators
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods11 Sustainable cities and communities
dc.subject.ods04 Quality education
dc.subject.odspa11 Ciudades y comunidades sostenibles
dc.subject.odspa04 Educación de calidad
dc.titleSocial inequalities in self-perceived health in Chile, does the urban environment matter?: a cross-sectional study
dc.typeartículo
dc.volumen81
sipa.codpersvinculados135637
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