[Moving forward in health impact assessment: analysis of the non-health public policies of the Basque Government (Spain) as step prior to systematic screening].


:Health not only depends on biologic or lifestyle factors but also on other economic, social, political, and environmental factors that shape the way people live and become ill. Thus, health policies are not the only policies affecting health, and consequently governments are increasingly interested in identifying the effect of other non-health policies on health. Health impact assessment is a prospective methodology that aims to predict the health impacts of policies before their implementation so that modifications can be suggested to maximize positive effects and avoid unexpected negative repercussions on health. The first stage in this process is screening, which can be used to select the interventions that could benefit from complete health impact assessment. Since resources are limited and not all government interventions can be assessed, tools that allow prioritization are essential. As a first stage in the validation of a systematic screening tool for health impact assessment in Spain, this article presents the process of compiling and classifying the non-health public policies of the eighth term of office of the Basque Government. Of the 97 policies analyzed, 76% were related to structural determinants of health inequalities, 79% were tactical or operational, 67% were aimed at specific population groups, and 66% were already implemented. The technical staff of other participating departments perceived the entire process of this initiative and its rationale positively. This initial experience allowed the planning of non-health policies in the Basque Country to be determined in detail as a means to move forward in incorporating impact on health in all policies.


Gac Sanit


Gaceta sanitaria


Aldasoro E,Sanz E,Bacigalupe A,Esnaola S,Calderón C,Cambra K,Zuazagoitia J




Has Abstract


2012-01-01 00:00:00














  • [Intersectorial activities for traffic accident prevention].

    abstract::We describe priority issues and some of the results obtained from the implementation of the Prevention and Reduction of Traffic Accident Injuries program in a health area. Since 1999 the public health center has made a priority of identifying and recruiting partners from other sectors (the local police association and...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Peiró R,López F,Marrodán J,Fernández C,Ramírez C

    更新日期:2003-07-01 00:00:00

  • [Characterization of tuberculosis cases in the foreign- and native-born population in Guipúzcoa (Spain) from 2003-2007].

    abstract:OBJECTIVE:To describe the sociodemographic and clinical characteristics of tuberculosis cases registered in Guipúzcoa and their management and to investigate possible differences depending on the country of origin of affected individuals. MATERIAL AND METHODS:We performed a population-based descriptive analysis of cas...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Basterrechea M,Sancho R,Idígoras P,Temprano YM,por el Grupo de seguimiento del programa de prevención y control de la tuberculosis en Guipúzcoa.

    更新日期:2009-12-01 00:00:00

  • [Sexual and reproductive health and the economic crisis in Spain. SESPAS report 2014].

    abstract::Sexual and reproductive health (SRH) is protected by the public authorities to ensure that people enjoy a free, satisfying, and safe sexual life. Despite the approval of the National Sexual and Reproductive Health Strategy in 2011, the progress achieved may be jeopardized by recent proposals for legislative changes af...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Larrañaga I,Martín U,Bacigalupe A

    更新日期:2014-06-01 00:00:00

  • [Epidemiology and risk factors associated with religious pilgrimage to Saudi Arabia. Results of a prospective cohort 2008-2009].

    abstract:INTRODUCTION:Religious pilgrimage to Saudi Arabia, or Hajj, is a basic tenet of the Islamic doctrine and, after Ramadan, annually represents the largest human concentration (with up to 5% of from the EU) around the world. Such a gathering entails health risks. METHODS:A prospective observational study was conducted of...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Valerio L,Arranz Y,Hurtado B,Roure S,Reina MD,Martínez-Cuevas O,Sabrià M

    更新日期:2012-05-01 00:00:00

  • The healthy migrant effect in primary care.

    abstract:OBJECTIVE:To compare the morbidity burden of immigrants and natives residing in Aragón, Spain, based on patient registries in primary care, which represents individuals' first contact with the health system. METHODS:A retrospective observational study was carried out, based on linking electronic primary care medical r...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Gimeno-Feliu LA,Calderón-Larrañaga A,Diaz E,Poblador-Plou B,Macipe-Costa R,Prados-Torres A

    更新日期:2015-01-01 00:00:00

  • ["Sex buddies": a high risk behavior for contracting HIV among homo/bisexual men].

    abstract:OBJECTIVE:Despite prevention efforts, the prevalence of unprotected anal intercourse (UAI) remains substantial among men who have sex with men (MSM). This study describes and analyzes how a group of MSM manages sexual risk with sexual partners. METHOD:Qualitative study by means in-depth, semi-structured interviews wit...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Fernández-Dávila P

    更新日期:2007-11-01 00:00:00

  • [Opportunity for the integration of the gender perspective in health research and innovation in Europe: COST Network genderSTE].

    abstract::The European Commission supports several routes for incorporating the gender perspective. The Commission currently supports the new Horizon 2020 program, and also funds projects such as "gendered innovations", which show how gender innovations increase the quality of research and professional practice for health and w...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Sánchez de Madariaga I,Ruiz Cantero MT

    更新日期:2014-09-01 00:00:00

  • [Organization, functioning and expectations of organizations representing patients. Survey of key informants].

    abstract:OBJECTIVES:To explore patient organizations and their scope in terms of patient and user participation in decisions affecting their health. METHODS:Semi-structured questionnaire survey of key informants from 21 patient organizations. RESULTS:Most of the patient organizations were regional or national private organiza...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: García-Sempere A,Artells JJ

    更新日期:2005-03-01 00:00:00

  • [Factors associated with latent tuberculosis infection in the contacts of tuberculosis patients].

    abstract:BACKGROUND:As tuberculosis control programs have reached acceptable levels in the identification and treatment of persons with active tuberculosis, the next step should be to develop methods of preventing new cases. Persons with latent tuberculosis infection (LTI) are considered to have a higher risk of developing acti...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Alsedà M,Godoy P

    更新日期:2004-03-01 00:00:00

  • [Health promotion and prevention in the economic crisis: the role of the health sector. SESPAS report 2014].

    abstract::This article reviews trends in lifestyle factors and identifies priorities in the fields of prevention and health promotion in the current economic recession. Several information sources were used, including a survey of 30 public health and primary care experts. Between 2006 and 2012, no significant changes in lifesty...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Márquez-Calderón S,Villegas-Portero R,Gosalbes Soler V,Martínez-Pecino F

    更新日期:2014-06-01 00:00:00

  • Secondhand exposure to aerosol from electronic cigarettes: pilot study of assessment of tobacco-specific nitrosamine (NNAL) in urine.

    abstract:OBJECTIVE:To assess the levels of a tobacco-specific nitrosamine (NNAL) in non-smokers passively exposed to the second-hand aerosol (SHA) emitted from users of electronic cigarettes (e-cigarettes). METHOD:We conducted an observational study involving 55 non-smoking volunteers divided into three groups: 25 living at ho...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Martínez-Sánchez JM,Ballbè M,Pérez-Ortuño R,Fu M,Sureda X,Pascual JA,Peruga A,Fernández E

    更新日期:2019-01-01 00:00:00

  • [Medical prescription and informed consent for the use of physical restraints in nursing homes in the Canary Islands (Spain)].

    abstract:OBJECTIVE:To identify the frequency of completion of informed consent and medical prescription in the clinical records of older patients subject to physical restraint, and to analyse the association between patient characteristics and the absence of such documentation. METHODS:A cross-sectional and descriptive multice...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,多中心研究


    authors: Estévez-Guerra GJ,Fariña-López E,Penelo E

    更新日期:2018-01-01 00:00:00

  • [The biomonitoring of toxic substances in biological samples of general population].

    abstract::Many of the world's most developed countries have adopted biomonitoring of toxic substances in order to ascertain their levels in biological samples. These substances get into the body through different environmental exposures. Monitoring toxic substances in biological samples should allow us to ascertain their levels...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Ibarluzea J,Aurrekoetxea JJ,Porta M,Sunyer J,Ballester F

    更新日期:2016-11-01 00:00:00

  • [Cold chain maintenance in vaccines: a systematic review].

    abstract:OBJECTIVE:Systematic immunization programmes mostly depend on the correct maintenance and manipulation of the vaccines to be used, i.e. perfect maintenance of the cold chain. Therefore, we decided to carry out a systematic review of the literature on the cold chain and vaccines, to identify daily practices in vaccine s...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,评审


    authors: Ortega Molina P,Astasio Arbiza P,Albaladejo Vicente R,Arrazola Martínez P,Villanueva Orbáiz R,Ramón de Juanes Pardo J

    更新日期:2007-07-01 00:00:00

  • [Direct service costs of diabetes mellitus hospitalisations in the Mexican Institute of Social Security].

    abstract:OBJECTIVE:To estimate the direct costs related to hospitalizations for diabetes mellitus and its complications in the Mexican Institute of Social Security METHODS: The hospital care costs of patients with diabetes mellitus using diagnosis-related groups in the IMSS (Mexican Institute of Social Security) and the hospita...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Salas-Zapata L,Palacio-Mejía LS,Aracena-Genao B,Hernández-Ávila JE,Nieto-López ES

    更新日期:2018-01-01 00:00:00

  • [The effects of implementing a smoking cessation intervention in Spain on morbidity, mortality and health care costs].

    abstract:OBJECTIVE:We estimated the effect that a smoking cessation intervention in the Spanish population of smokers would have on smoking-related morbidity, mortality and health care costs. METHODS:We adopted the model Health and Economic Consequences of Smoking sponsored by the WHO Health Organization and developed by the T...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: González-Enríquez J,Salvador-Llivina T,López-Nicolás A,Antón De Las Heras E,Musin A,Fernández E,García M,Schiaffino A,Pérez-Escolano I

    更新日期:2002-07-01 00:00:00

  • [Contraception in the Roma population living in two low-income neighborhoods of Barcelona (Spain)].

    abstract:OBJECTIVE:To describe the knowledge and use of contraceptive methods and health services in the Roma population (Kale/Spanish Gitanos) of two low-income neighbourhoods of Barcelona (2011-2015). METHOD:Mixed. Community setting. 1) Descriptive cross-sectional study. We interviewed with a questionnaire a sample of reside...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Asensio A,Nebot L,Estruga L,Perez G,Diez È

    更新日期:2019-01-01 00:00:00

  • [Municipal distribution of the incidence of the most common tumours in an area with high cancer mortality].

    abstract:OBJECTIVE:To describe the geographic distribution patterns of the municipal incidence of the most common tumours in the Huelva province (Spain) as compared to the estimated incidence for all of Spain. METHODS:Relative risk (RR) was computed based on the conditional autoregressive model proposed by Besag, York and Moll...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Viñas Casasola MJ,Fernández Navarro P,Fajardo Rivas ML,Gurucelain Raposo JL,Alguacil Ojeda J

    更新日期:2017-01-01 00:00:00

  • [Impact of new Spanish smoke-free legislation on the business activity of bars, cafes and restaurants].

    abstract:OBJECTIVE:to analyze the impact of Spanish smoke-free legislation (Law 42/2010) on the business activity of bars, cafés, and restaurants. METHODS:we used the micro-data from the Household Budget Survey for 2010 and 2011. The linking files allowed close follow-up of the households that remained in the sample for 2 cons...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Caballero Hidalgo A,Pinilla Domínguez J

    更新日期:2014-11-01 00:00:00

  • [Health among the elderly].

    abstract::We explore gender, class and geographical inequalities in health of the population aged over 65 years in Spain. We gathered data from the 1997 National Health Survey, 1999 hospital discharge data, 1998 mortality data from vital statistics, and from the 1999 National Survey on Disabilities. Health related behaviors (to...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Gonzalo E,Pasarín MI

    更新日期:2004-05-01 00:00:00

  • [Trends in socioeconomic inequalities in mortality over a twenty-two-year period in the city of Barcelona (Spain)].

    abstract:OBJECTIVE:To analyze the trend in socioeconomic inequalities in all-cause mortality in Barcelona from 1983 to 2004. METHODS:We performed an ecological study of trends over 4 cross-sections (1983-1988, 1989-1994, 1995-1999 and 2000-2004), with the basic health area (BHA) as the unit of analysis. The study population co...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Dalmau-Bueno A,García-Altés A,Marí-Dell'Olmo M,Pérez K,Kunst AE,Borrell C

    更新日期:2010-01-01 00:00:00

  • [Socioeconomic inequalities in the provision and uptake of prenatal care].

    abstract:OBJECTIVE:To describe socioeconomic inequalities in the provision and uptake of prenatal care among women in Barcelona (Spain) between 1994 and 2003. METHODS:Cross-sectional study of women in Barcelona who delivered a child without birth defects. Information was obtained from hospital medical records and a personal in...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Cano-Serral G,Rodríguez-Sanz M,Borrell C,Pérez Mdel M,Salvador J

    更新日期:2006-01-01 00:00:00

  • [The migratory process, working conditions and health in immigrant workers in Spain (the ITSAL project)].

    abstract:OBJECTIVE:To describe the migratory process (reasons for migrating, time of residence), legal status and the personal, working and health characteristics of the immigrants with work experience in Spain. METHODS:We performed a cross sectional survey in a sample stratified by country of origin (Colombia, Ecuador, Morocc...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Agudelo-Suárez AA,Ronda-Pérez E,Gil-González D,Vives-Cases C,García AM,García-Benavides F,Ruiz-Frutos C,López-Jacob MJ,Porthé V,Sousa E,por el proyecto ITSAL.

    更新日期:2009-12-01 00:00:00

  • [Human resources and the health system in Brazil].

    abstract::This article discusses some questions related to human resources that act on Brazilian health system. At the beginning, it identifies the trends on health human resources in the last years. Then it shows on a brief discussion the health system reform, pointing out changes in the health model design through the impleme...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Machado MH,Pereira S

    更新日期:2002-01-01 00:00:00

  • [Universalization, parity and evolution of the demand of epidural analgesia in labor in Andalusia (Spain)].

    abstract:OBJECTIVE:Assess whether the universalization of epidural analgesia supplied in hospitals of the Andalusia Public Health Service (SSPA) has ended up with the inequalities shown in previous studies regarding to their demand: the percentage of women who rejected epidural analgesia was higher among the users having low ed...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: García-de-Diego JM,Serrano-Del-Rosal R

    更新日期:2019-01-01 00:00:00

  • [Prevalence of metabolic syndrome estimated with the new World Health Organization recommendations. The HERMEX study].

    abstract:OBJECTIVES:The unification of criteria for the diagnosis of metabolic syndrome, together with the subsequent World Health Organization (WHO) proposal to eliminate diabetes and cardiovascular diseases from the diagnostic criteria, will change estimates of the known prevalence of this syndrome. The aim of this study was ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Fernández-Bergés D,Félix-Redondo FJ,Lozano L,Pérez-Castán JF,Sanz H,Cabrera De León A,Hidalgo AB,Morcillo Y,Tejero V,Alvarez-Palacios P

    更新日期:2011-11-01 00:00:00

  • [Factors associated with primary care professionals' readiness to respond to intimate partner violence in Spain].

    abstract:OBJECTIVE:To analyse the Spanish primary care professionals' readiness to respond to intimate partner violence (IPV) in primary care and identify possible determinants that could facilitate a better response. METHOD:A cross-sectional study with a non-probabilistic sampling by convenience was performed among healthcare...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Murillo P,Sebastián MS,Vives-Cases C,Goicolea I

    更新日期:2018-01-01 00:00:00

  • [Economic evaluation and budget impact analysis of the Endeavor drug-eluting stent in Spain].

    abstract:OBJECTIVES:Endeavor is a drug-eluting stent (DES) with superior results to the bare metal stent (BMS) and similar efficacy to other DES in terms of revascularization. The aim of this study was to assess the costs and benefits of Endeavor, other DES, BMS and coronary artery bypass grafts (CABG) in Spain. METHODS:A Mark...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Moreu J,Cequier A,Brosa M,Rodríguez JM,Crespo C,Hernández JM,Vázquez N,Fernández F,Ruiz-Nodar JM,Brasseur P

    更新日期:2009-11-01 00:00:00

  • [The phenomenon of healthcare pluralism: a reality to be researched].

    abstract::Medical pluralism and the uses of Complementary and Alternative Medicine (CAM) are phenomena of increasing interest in the international arena. The aim of this chapter is to comment on Spanish studies dealing with medical pluralism and CAM. We have only a few scattered anthropological studies, and some data from surve...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Perdiguero E

    更新日期:2004-05-01 00:00:00

  • Second primary gastric cancers in a region with an overall high risk of gastric cancer.

    abstract:OBJECTIVE:To compare the incidence rates of gastric cancer among cancer survivors with those in the general population, and estimate the probability of a gastric second primary cancer being diagnosed 10 years after any other first primary cancer. METHOD:A cohort of first primary cancers (other than gastric) diagnosed ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Morais S,Antunes L,Bento MJ,Lunet N

    更新日期:2020-01-01 00:00:00