Abstract:
:In 1993 the Ministry of Health of the Spanish Government appointed a Scientific Commission to analyze social inequalities in health in Spain, as well as to make recommendations for improving Spanish health, through the practical implementation of public policies to reduce existing inequalities. The present report is the result of the work carried out by the said Commission. It has the following aims: first, to present a general introduction to the topic of social inequalities in health; second, to offer a global vision of the topic in Spain based upon the editing of available information: finally, to encourage the need for an in-depth analysis of the study and the reduction in social inequalities in health in the scientific and social fields, offering illustrative examples. The first chapter points out the importance of the topic, and Spain is located in the international historical and geographical context. The second chapter presents the most important concepts regarding the definition and measurement of health and inequality. The third and fourth chapters review various international and national studies of particular importance, and the Spanish case includes the current limitations to research. The fifth chapter presents two original investigations on the four perspectives of social inequalities in health in Spain: death rate, noticeable health, conducts related to health and the use and access to health services. Chapter six comments on some examples of policies aimed at reducing inequalities in health. Finally, the seventh chapter summarises the main conclusions of the report and makes some recommendations both for the improvement of current information systems as well as for obtaining the main conclusions for the health policies. Amongst the report's main conclusions the following may be pointed out: 1) an ecological study on the social inequalities in the death rate of small areas between 1990-1992 has revealed the existence of inequalities at a small area level. Autonomous Communities and regions. Inequality is confirmed between North-Northwestern Spain (with a high level) and South-Southwestern Spain (with a low level). Likewise, a positive relationship may be observed between various social indicators and the death rate; 2) the analysis of health surveys for 1987 and 1993 according to social class has revealed the existence of inequalities in health. Thus, in most of the health variables studied regarding the state of health-the conducts related to health or health services-the most disadvantaged social classes present greater health problems; 3) the political social and health experiences carried out in the Basque Country and Barcelona respectively, aimed at improving living standards, social welfare and the health of the most vulnerable sectors of the population have been positive and should be expanded and studied in depth; 4) the study and decrease of social inequalities in health by putting into practice social and health public policies should be a main objective of all political and social forces.
journal_name
Rev Esp Salud Publicajournal_title
Revista espanola de salud publicaauthors
Navarro López V,Benach de Rovira Jsubject
Has Abstractpub_date
1996-09-01 00:00:00pages
505-636issue
5-6eissn
1135-5727issn
2173-9110journal_volume
70pub_type
杂志文章abstract::The precautionary principle is a response to uncertainty in the face of risks to health or the environment. In general, it involves taking measures to avoid potential harm, despite lack of scientific certainty. In recent years it has been applied, not without difficulties, as a legal and political principle in many co...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.1590/s1135-57272005000200003
更新日期:2005-03-01 00:00:00
abstract::Like some other countries in the Region, Spain has recently experienced multiple but small measles outbreaks resulting from several importations and in which health care professionals were also infected. The European Regional Verification Commission (RVC) for Measles and Rubella Elimination, an independent panel of ex...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.4321/S1135-57272015000400003
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To evaluate preventive interventions on alcohol consumption has been long recommended in Spain. The impact evaluation of structured programs and specific actions for the prevention and treatment of alcohol consumption (PAPTCA) would allow making better informed decisions on public health financing based on th...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-06-18 00:00:00
abstract:BACKGROUND:Several studies suggest the relationship between lower socioeconomic status and environmental factors with increased risk of cancer. Within the framework of the MEDEA project, this work aims to identify geographic inequalities in larynx cancer (LC) mortality and incidence in men and its association with depr...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:Tuberculosis continues to be a major public health problem. Knowing the incidence, trend and geographical spread of reported tuberculosis may serve to evaluate the prevention and control measures implemented and point to further needs. METHODS:Retrospective study of the reported cases of tuberculosis in the...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:This study is aimed at establishing the possible associations between the number of admissions through the emergency room at the "Juan Canalejol" Hospital in Corunna in 1994-1994 due to organic, circulatory and respiratory reasons and the weather variables introduced as being exogenous for the purpose of pre...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:The province of Havana City, the capital and most densely populated city in Cuba, totals around 27% of the new cases of tuberculosis. This article is for the purpose of describing the distribution and trend of the tuberculosis cases rates from 1986 to 1998, by municipalities and age groups in this province. ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVE:The clinical approach of fibromyalgia is a cause of frustration for some professionals due to the controversy on its diagnosis, etiopathology and clinical management. The aim of this study was to explore the beliefs and knowledge on fibromyalgia among health professionals from different specialties of the pub...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-01-10 00:00:00
abstract:BACKGROUND:Following the detection of two cases of members of 6 Chinese families having tested positive for the hepatitis B virus, a study of those living in these families was begun for the purpose of knowing the spread of the infection within the family environment of the cases detected. METHODS:Descriptive study. P...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272004000600005
更新日期:2004-11-01 00:00:00
abstract::Falls in the elderly are a serious problem that results in large health care expenditures. To prevent them, it has been shown that the key is an epidemiologic knowledge of the target population. The purpose of this systematic review was to identify the incidence, risk factors and consequences of falls in the Spanish p...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.1590/s1135-57272008000100004
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:Immune-mediated inflammatory diseases (IMID) are chronic and highly disabling diseases that share inflammatory sequences and immunological dysregulations. Considered as a disease in itself, the prevalence of IMID is virtually unknown. The aim of this study was to assess the prevalence of 10 selected UDI, incl...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2019-03-25 00:00:00
abstract:BACKGROUND:The new socio-demographic reality that came about with the incorporation of the immigrant population in Spain requires an analysis of the needs and priorities generated by this situation in all areas, including research in health. The objective of this study is to determine the general characteristics of a g...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.4321/S1135-57272014000600002
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Most patient classification systems have been designed in the United States for the purpose of availing of a tool providing a means of gauging the use of resources. This study was aimed at calculating the mean relative weights (MRW's) for the cost of care at several primary care health facilities as compared...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272006000100006
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:One of the fist lines of action of the National Plan against Antibiotic Resistance (PRAN) is to monitor the use of antibiotics as a fundamental basis for the fight against resistance. In order to know the antibiotic prescription habits, we pretended to describe the outpatient prescription of systemic antibiot...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-09-25 00:00:00
abstract:BACKGROUND:The DRECE III study is based on the follow up of a cohort representative of the Spanish general population. The mortality, its main causes and relevant risk factors have been analyzed. METHODS:The DRECE cohort is composed of 4783 subjects followed since 1991 to 2004 (70930 person-years). In 1991 a general m...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272008000400006
更新日期:2008-07-01 00:00:00
abstract::The following article shows the evolution of the schools contribution to the Health Education of children and young people. Moving on from the traditional concept of health, today, Health Education has a general and global meaning, which encompasses all of the physical, psychological and social aspects of health. Thes...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2001-11-01 00:00:00
abstract::The NO-DO, a weekly projection of the Franco regime, created as a diffusion service of obligatory exhibition in Spanish cinemas, constitutes the greatest audiovisual historical background for the contemporary history of Spain in the 20th century. The analysis and study of these newsreels and documentaries illustrate p...
journal_title:Revista espanola de salud publica
pub_type: 历史文章,杂志文章
doi:
更新日期:2020-06-24 00:00:00
abstract:BACKGROUND:Olive oil, as fundamental fat in the Mediterranean diet, has contributed to a decrease in obesity in several epidemiological studies. It is unknown whether olive oil itself can decrease the weight independently of the diet used. The objective of this work was to determine the efficacy of olive oil in reducin...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,meta分析
doi:
更新日期:2018-11-21 00:00:00
abstract:BACKGROUND:There are recommendations to prevent falls. Our goal is to determine, in older people, the knowledge and adherence to these recommendations, and to analyze the demographic characteristics and associated morbidity. METHODS:Observational study of prevalence and crossed association. The target population are o...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:The European Commission recommends ensuring equity in cancer screening. The aim of this study was to find out if there were inequalities in access to cancer screening programmes in Spain. METHODS:A transversal study was carried out by means of a survey addressed to the people responsible for breast, colorect...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2021-01-26 00:00:00
abstract::In March 2020, the World Health Organization declared the 2019 coronavirus disease (COVID-19) outbreak a pandemic, with the coronavirus disease spreading worryingly fast. In this context, information systems, digital health (electronic health, mobile health), the Internet of things, play a key role, since they can con...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2021-01-21 00:00:00
abstract:OBJECTIVE:The use of mobile immunization teams has been proposed as a strategy to increase influenza vaccination (IV) coverage among healthcare workers (HCW), but has not been evaluated in Primary Healthcare (PHC). The objective of this work was to determine if the use of mobile immunization teams increases IV coverage...
journal_title:Revista espanola de salud publica
pub_type: 临床试验,杂志文章
doi:
更新日期:2019-04-22 00:00:00
abstract:BACKGROUND:Knowing Influenza absenteeism in the educational environment. Making health education in the same medium. METHODS:Among other actions carried out in the pandemic plan, the absences were monitored by flu-like symptoms in children from kindergarten, primary and secondary public schools and reached epidemiolog...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272010000500019
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:In order to move to a system in which formal medical-social care is a priority, in which the institutions play a greater role, it is advisable to analyze the different actual situations of those individuals who are dependent. The objective of this study consists of classifying the dependent Spanish populatio...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272006000400005
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:Given that there are different ways of setting out clinical test results, this study is aimed at ascertaining whether the way in which these results are set out has any bearing on the intention to prescribed on the part of Primary Care physicians. METHODS:Randomized, multi-center cross-study. Following a ra...
journal_title:Revista espanola de salud publica
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1590/s1135-57272004000100004
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:Informal care affects the quality of life and emotional health. Objective: To analyze the relationship between burden and depression in caregivers measured by Zarit's Scale and GHQ-28 and the global functional deterioration of the elderly measured by OARS-MFAQ. METHODS:Descriptive observational cross-section...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2019-08-06 00:00:00
abstract:BACKGROUND:This study is aimed at describing the psychological, psychopathological, medical and social aspects of a mentally retarded population being provided with care by AFANAS-Jerez affording the possibility of assessing this type of problem from an epidemiological standpoint. METHODS:A descriptive case series stu...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00
abstract:OBJECTIVE:Stressful situations may have a negative effect on population's mental health, including impaired sleep quality. Thus, we analysed the effect on sleep during the confinement due to the COVID-19 outbreak, in a Galicia population sample, measuring subjective sleep satisfaction, and insomnia intensity and incide...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2021-01-11 00:00:00
abstract:BACKGROUND:Non-lineal temperature-mortality relationship varies depending on the characteristics of the designated study geographic zone. In given places, a growing level of economic development has led to lesser influence of environmental variables on mortality. This paper analyzes trends in the association between ma...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272007000400005
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:There are different scales in Spanish for cognitive and behavioral assessment of patients with severe dementia. The objective of this study was to select those scales that are more accessible, useful and with better psychometric properties, both for clinical practice and for research. METHODS:Literature rev...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:
更新日期:2020-09-21 00:00:00