ArticleInternational journal of environmental research and public health2019
Population Health Inequalities Across and Within European Metropolitan Areas through the Lens of the EURO-HEALTHY Population Health Index.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Selecting Indicators to Monitor and Assess Environmental Health in a Portuguese Urban Setting: A Participatory Approach.International journal of environmental research and public health · 2020Pooled it
- Frequent Users of Emergency Departments: Analysis of the Characteristics and Geographical Distribution in a Local Health Authority in Rome, Italy.Healthcare (Basel, Switzerland) · 2025Article
- A holistic model of health inequalities for health policy and state administration: a case study in the regions of the Czech Republic.International journal for equity in health · 2023Article
- Socioeconomic inequities of COVID-19 mortality in vulnerable Comunas of the City of Buenos Aires.Scientific reports · 2023Article
- Quantitative Evaluation of Spatial Accessibility of Various Urban Medical Services Based on Big Data of Outpatient Appointments.International journal of environmental research and public health · 2023Article
- Effectiveness of Mobility and Urban Sustainability Measures in Improving Citizen Health: A Scoping Review.International journal of environmental research and public health · 2023Article
- Does it matter how we measure the health of older people in places for associations with labour market outcomes? A cross-sectional study.BMC public health · 2022Article
- Local Welfare Systems and Health Inequalities: The Effects of Institutional Overlapping and Local Variations.International journal of environmental research and public health · 2022Article
- Anemia in Pregnant Women and Children Aged 6 to 59 Months Living in Mozambique and Portugal: An Overview of Systematic Reviews.International journal of environmental research and public health · 2022Review
- Trends and disparities in avoidable, treatable, and preventable mortalities in South Korea, 2001-2020: comparison of capital and non-capital areas.Epidemiology and health · 2022Article
- Trends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education.SSM - population health · 2021Article
- Inequalities in Health: Methodological Approaches to Spatial Differentiation.International journal of environmental research and public health · 2021Article
- Assessing Urban Health Inequities through a Multidimensional and Participatory Framework: Evidence from the EURO-HEALTHY Project.Journal of urban health : bulletin of the New York Academy of Medicine · 2020Article
- The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal.International journal of environmental research and public health · 2020Article
- Comparing the Use of Spatially Explicit Indicators and Conventional Indicators in the Evaluation of Healthy Cities: A Case Study in Shenzhen, China.International journal of environmental research and public health · 2020Article
- COVID‑19 in Northern Italy: An integrative overview of factors possibly influencing the sharp increase of the outbreak (Review).Molecular medicine reports · 2020Review
- Advancing tools to promote health equity across European Union regions: the EURO-HEALTHY project.Health research policy and systems · 2020Article
- Measuring Health Vulnerability: An Interdisciplinary Indicator Applied to Mainland Portugal.International journal of environmental research and public health · 2019Article
- Evaluation of data availability on population health indicators at the regional level across the European Union.Population health metrics · 2019Article
- Health Disparities in Czechia and Portugal at Country and Municipality Levels.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
19 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
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