Evidence map›Paper›PMID 31311553›Full record

ArticleInternational journal for equity in health2019

The impact of financial crisis and austerity policies in Andalusia, Spain: disentangling the mechanisms of social inequalities in health through the perceptions and experiences of experts and the general population.

Javier Alvarez-Galvez, Victor Suarez-Lledo, Gloria Martinez-Cousinou, Eider Muniategui-Azkona, Auxiliadora Gonzalez-Portillo

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Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Javier Alvarez-GalvezDepartment of Biomedicine, Biotechnology and Public Health, University of Cadiz, Cadiz, Spain. javier.alvarezgalvez@uca.es.ORCID 0000-0001-9512-7853
Victor Suarez-LledoDepartment of Biomedicine, Biotechnology and Public Health, University of Cadiz, Cadiz, Spain.
Gloria Martinez-CousinouDepartment of International Studies, Loyola University Andalusia, Seville, Spain.
Eider Muniategui-AzkonaDepartment of International Studies, Loyola University Andalusia, Seville, Spain.
Auxiliadora Gonzalez-PortilloDepartment of Social Work and Social Services, Pablo de Olavide University, Seville, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAndalusia has been one of the regions most damaged by the economic crisis in Spain. A qualitative study of the effects of the economic crisis and austerity policies in this region has been conducted within the framework of the IMPACT-A project. This research seeks to analyse the perceived impact of the crisis upon the health of the Andalusian population through the first-hand discourses of professionals from the health and social sectors on the one hand, and citizens of different socioeconomic status (SES) on the other.

methodsA total of five focus groups and ten semi-structured interviews were conducted and analysed following an inductive process based on Grounded Theory (GT).

resultsOur results show a general perception among professionals: the financial crisis has either directly or indirectly affected population health in Andalusia, though mostly impacting low-income individuals who were already at risk of social exclusion. Professionals' perceptions have been confirmed through the discourses of citizens of a lower SES, which differ from those of middle and upper SES.

conclusionFindings reveal some of the most salient consequences on the socially vulnerable groups and people at risk of social exclusion. In particular, our study highlights the importance of addressing three areas of priority action: mental health, unmet (basic and medical) needs, and decline in the health system.

Indexed as

Health StatusHealth Status DisparitiesEconomic RecessionFemaleHumansMaleMental HealthQualitative ResearchSocial ClassSocial Determinants of HealthSpainFinancial crisisHealth inequalitiesQualitative methodsSocial determinants of healthSocioeconomic statusSpain

Identifiers

PMID31311553
PMCPMC6636099

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.